Mac & Cheese To Metabolic Health: Dr. Tyna Moore’s GLP-1 Journey

Dr. Tyna Moore is a naturopathic physician and chiropractor known for her innovative approach to health and wellness. Dr. Tyna shares her inspiring journey from a sickly child to a pioneering expert in regenerative medicine, and delves into the world of GLP-1 peptides—a topic shaking up the health and wellness community. 

 

Dr. Tyna and Erin explore the science behind GLP-1, its benefits beyond weight loss, and its potential for enhancing metabolic health and longevity. Discover why Dr. Tyna believes these peptides are 'healing, regenerative, and anti-inflammatory,' and how they can be a game changer for those seeking metabolic optimization.

 

Episode Overview:

0:00 Introduction to Dr. Tyna Moore

0:37 Dr. Tyna's Journey into Naturopathic Medicine

3:07 Transition to Online Presence and GLP-1 Discovery

5:13 The Controversy and Benefits of GLP-1

23:30 Mechanisms and Personalized Dosing of GLP-1

32:21 The Role of Health Coaches vs. Doctors

33:52 Concerns and Long-Term Effects of GLP-1s

34:45 Personal Experiences and Benefits of GLP-1s

35:55 Dosing Strategies and Potential Risks

40:57 Addressing Common Health Concerns

44:49 Supporting Clients with GLP-1s

50:51 The Future of Health Coaching and AI

53:15 Course Information and Final Thoughts

 

Connect with Tyna:

• Instagram: https://www.instagram.com/drtyna/
• Ozempic Uncovered Course: https://www.drtyna.com/ozempicuncovered
• Podcast: https://podcasts.apple.com/us/podcast/the-dr-tyna-show/id1577258582
• Website: https://www.drtyna.com
• Youtube: https://youtube.com/@drtyna

 

Episode Transcript

(00:00):
All right, we're here with Dr. Tyna Moore.
I'm incredibly excited.
Dr. Tyna, thank you for coming to the show.
It's great to see you.
- Yeah, thanks for having me.
I'm excited to be here.
- Yeah, well, we're gonna talk about something
that's a pretty interesting, timely,
prominent topic in the health and wellness marketplace,
something that a lot of health coaches are thinking about

(00:20):
and wanting to know more about,
and I contemplate you to be one of the experts
on the leading edge of this.
So we're gonna keep it a secret for now.
Hi, I'm Erin Power.
I'm a health coach, a health coaching educator and mentor,
and your host of Health Coach Radio.
This podcast delves into the art, science,
and business of health coaching.
Whether you're aspiring to land a coaching dream job

(00:42):
or to embark on your own entrepreneurial adventure,
we cover it all.
Our mission is to help you grow your career,
elevate your income,
change the lives of the clients who need your help,
and leave a lasting mark in this rapidly growing field.
It's time for health coaches to make an impact.
It's time for Health Coach Radio.
Before we get into the meat of the conversation,

(01:07):
just introduce for our audience kind of who you are
and what brought you to this work
that you're doing currently.
- Sure, so I am a naturopathic physician and a chiropractor,
and I got my start many years ago as a very sick kid.
So I was in the medical system as a patient my entire life.
And just, I knew by the age of five
that there had to be a better way to do things,

(01:28):
and that sort of started my journey, my quest.
I was taken care of by my family chiropractors my whole life
and I really respected them
because they came from a much more holistic standpoint
on things.
They would talk to me about the food I was eating
or how was my sleep or was I getting enough exercise?
And these were not the conversations
the MDs were having with me.

(01:48):
The MDs were just writing me prescriptions
and making me sicker.
And then in my 20s, right out of undergrad,
I graduated with a biology degree from University of Oregon,
and I ended up working as a receptionist
in a naturopathic physician's office in Portland, Oregon,
where I still live in Oregon.
And Dr. Rick Marinelli, he was just a genius.
Like the medicine he was doing was nothing I'd ever seen.

(02:10):
This is way back in the early 90s.
He's chelating people with IVs,
he's doing prolotherapies and acupuncturists,
he's using herbs, he's doing all these things.
And I'm like, what is this witchcraft?
So that started the whole thing.
And then years later, I found myself concurrently
in chiropractics college and naturopathic school
at the same time.

(02:30):
So I have a lot of Canadian friends.
You said you're from Alberta.
I was married a Canadian actually from Alberta
for one point in my life, wonderful man.
And just really learning both of those programs concurrently
was super interesting because you're learning
from the inside, from the like x-ray perspective
and the musculoskeletal perspective in real time
about all these disease processes

(02:51):
is the same time I'm learning about it
from a laboratory diagnostic perspective
and a holistic naturopathic perspective.
So anyway, had a really cool education,
went into practice, followed my mentor
who I was the receptionist for
in the regenerative medicine space.
And so I was doing regenerative injection therapies
for a good decade, non-pharmaceutical injections

(03:14):
into joints for regenerative purposes.
So starting out with something as simple as prolotherapy,
which is sugar water if you can believe it,
really miraculous results with that.
And then moving on up, PRP came on the scene,
platelet-rich plasma, stem cells came on the scene.
And so I was a really early adapter
to a lot of these therapies
that you hear about more often now.
Thank goodness they're getting a little more airplay.

(03:35):
And peptides were part of that as well.
So regenerative, healing, anti-inflammatory peptides.
And then I closed up shop.
I'm in Oregon when the craziness of COVID started.
I was already on my way out of closing down my practice
because I was building my online presence.
I was coaching a lot of doctors
and I was training a lot of doctors
in the regenerative injection therapy specialty that I did.

(03:57):
So COVID was kind of the perfect excuse
to just shut it all down and get out.
And I'm glad I did 'cause in Oregon,
it was a lot of masks and mandates,
which I was not down with at all.
So I found myself really doubling down on my podcast
and doubling down on my online presence.
And I stumbled upon GLP-1s

(04:18):
because my podcast producer kept telling me
I had to do an episode about them.
And I don't like talking about weight loss.
Weight loss is really not an interesting topic to me.
My entire platform for the past decade plus
has always been about metabolic health.
I was a huge fan of Mark Sisson early on,
like way early on in my early days of my practice.
He was on my podcast recently.

(04:38):
I was so excited to meet him.
It was like total, I know, clear girl crush moment.
I was like, "Oh my gosh."
So that whole movement, Primal Medicine,
I was on the Primal Doc website.
Like that's how I practice, right?
Like first and foremost, movement, your food,
your lights, your sleep.
I mean, those are always the foundations.
And so when I begrudgingly decided to do a GLP-1 podcast

(05:03):
and then it snowballed from there and here we are.
So I let the cat out of the bag a little bit
on what our topic is.
- Yeah, we're talking about GLP-1s.
They're not going anywhere.
When was that?
When was your GLP-1 podcast?
Like, were you the first person talking about them?
- Yeah, in this capacity.
So it was last, this time two years ago,

(05:27):
my producer was like, "We gotta do something."
And I sat on it for months and I said,
"I'm not gonna talk about something I don't understand.
Like I don't have a good, I love research.
I'm a research nerd and I will go toe to toe
with anyone on that one."
And I hadn't really spent the time on GLP-1s.
So finally he's like, "You gotta do a podcast."

(05:48):
And what got me going actually is I'm pretty insubordinate
and I really can smell propaganda when I see it.
And when I saw the functional medicine community
and the functional health community aligning their message
with the mainstream media about GLP-1s, about Ozempic
and everybody was vilifying it, it raised my eyebrow.
And I was like, huh, this sounds,

(06:10):
to be honest with you, I pushed back pretty hard
during the COVID days and I endured,
for anyone out there who knows me from those days,
like I really stood my ground
and I was preaching metabolic health
and I was being censored heavily for it, it was shocking.
I was telling people to eat meat, go outside
and lift weights and you wouldn't believe the hell I endured,
the wrath that came upon me.

(06:31):
And really the message being you're not a sitting duck.
Like you have a lot of, the power of volition,
you have the power to improve your strength
which is going to make you more resilient
against anything that comes your way.
That was the message.
And anyway, when I started talking about GLP-1s,
it was shocking to me, I did a podcast on it
and the pushback I got was very much like COVID days.

(06:53):
And in fact, thousands, I have a pretty big platform,
it's not huge, but it's big enough
and thousands of bot messages, it was just like COVID,
these narratives that were coming in and I was like,
why am I getting bots pushing back on me?
What's going on there?
Like why would bots be coming in
and saying slanderous, nasty things in my comment section?
So anyway, all of that, like I said, I'm insubordinate,

(07:16):
all that just pushed me harder
to dig deeper into the research.
And what I was finding was not at all
what we were being told and it was not at all in alignment
with what the message of the mainstream media
and the functional medicine community was screaming.
And in fact, a lot of the people who came out
in their early days against this peptide on their platforms
have since turned around and said, you know what?
I listened to all of Dr. Tyna's content

(07:36):
'cause I did a series of podcasts on it.
And they were like, I've completely changed my mind
because these peptides are actually healing regenerative
and anti-inflammatory at the end of the day.
And they work throughout our entire body
on different organ systems.
They just happen to serendipitously get tied into
and FDA approved for type two diabetes and weight loss.
They do a whole lot of other things inside our body as well

(07:58):
that are really beneficial
and potentially aiding in longevity.
And when I look at medicine, the way I do medicine,
there's the extreme pathologies
and then there's my group of patients
in the regenerative medicine space,
your ability to respond to the injections
that are out of pocket expenses
is contingent on your ability to heal.
So I only took patients who had good healing capacity,

(08:21):
which meant they were healthy and fit
and in good shape already.
And so I pre-screened patients into my practice
based on ethically, I wanted the injections
they were gonna pay me cash for to take,
I wanted them to work.
And in that category of people, that's longevity medicine.
We're just tinkering with a few things,
bioidentical hormone replacement, peptides,

(08:41):
those are all really beautiful adjunctive therapies
that work very well in the bodies of people
who are metabolically optimized.
And so the group of folks
that we're seeing these peptides used in generally,
the FDA approved group, those are extreme pathology cases.
So I was over here like,
"Hey, I'm finding all this information.
"What if we use them in a different capacity

(09:03):
"in this population that was already quite fit and healthy,
"who maybe could use the cardiovascular support
"or the neuro regenerative support
"or the anti-inflammatory support
"that these peptides are showing in the literature?"
And here we are.
- Amazing.
Well, I think one thing you just kind of brought to light
is this idea of the illness wellness continuum.
So we think we talk about this a lot

(09:23):
in the health coaching realm,
which is when you're unwell, when you're ill,
medicine brings you back to baseline,
but wellness is that sort of next level.
So bringing metabolically healthy people,
metabolically healthy people,
they respond differently to interventions
than unwell people do.
And it's almost like, yeah,

(09:45):
I think it's interesting you call yourself insubordinate
because obviously you were an early adopter
of understanding these peptides.
And when it came across my desk,
because I am in the weight loss space.
So what I was noticing, I think is what you're getting at
is all of my peers in the alternative health
and wellness space were very against it.

(10:05):
It was interesting because it was like,
mainstream medicine, conventional medicine was pushing it
because that's what I guess they do,
but it was the alternative medicine space
that was really pushing back on it.
And I remember going onto my Instagram,
which doesn't have quite the reach yours does,
and saying, you know what?
I'm optimistic and open-minded to this.
Let's just wait and see what happens.
We don't know.
We can't just decide it's bad because it's big pharma

(10:28):
or whatever reason we decided it's bad.
So I just think there was a lot of nuance lacking
and it was a little discouraging, I think,
to see the alternative or unconventional health
and wellness world really just immediately push back on it
with almost no context.
- It was really strange.
And I get it.
The last few years, if they've shown us anything,
I think a lot of people got, especially up in Canada,

(10:49):
I mean, you guys really had quite a time up there.
And I think a lot of people got red-pilled
pretty hard and fast.
Usually we come to the health and wellness space
and the truths, I mean, I knew my food was poisoning me
and that big pharma was probably not our BFFs
like 20-some years ago.
So this wasn't, I watched a whole group of people
like crash course in truthing in the past few years.

(11:13):
And as part of that, I think there's a very fair suspicion
when that people are now raising their eyebrows
with big pharma and I think that's fair.
But I also will argue that the conversation I was having
was not the big pharma version.
The way that I was presenting the topic
and the use of these peptides

(11:34):
was a much more personalized dosing strategy.
And the only way to do that is through compounded options
because the brand name comes in pens, they're pre-filled,
you can't really play with a dose.
With the compounded, you really can
and you can get a more personalized dosing strategy.
And since I've been talking about this
and really raising awareness,
I feel like the whole landscape has changed.

(11:55):
And I think that the big pharma companies
are gonna come around to,
honestly, I'm preaching a bit more of an inclusive route,
if you will, because you shouldn't have to go
on a medication that might be very potentially beneficial
for you.
One of the first things that started happening
when I started talking about this was I had many followers
say, "My doctor has been encouraging me to try this

(12:16):
because they really are metabolically busted
and we can do all the things, you guys,
we can do all the things and we have to do all the things."
Meaning we have to do the lifestyle, the food, the exercise,
the strength training.
I was telling people to deadlift and eat steak 20 years ago.
This is, I'm not a new adapter to this,
but that said, people can be doing all the right things
and they still can find themselves in metabolic compromise.

(12:38):
And they still can find themselves having stubborn weight
that won't come off that's driving the metabolic compromise.
And they're in a vicious rut.
And so these folks, they follow me,
these are women like you and I, they do all the things.
They're like, "I lift, I eat meat, I go out in the sun,
I'm doing all the things.
I walk, I sleep, I meditate, I cold plunge.
And my labs look like shit.

(12:59):
And my doctor said I should try this."
And I was like, "No, no, no."
And then they have since gone on it
and done it in a more just reasonable way, like slow and low,
just a more personalized dosing strategy.
And then they come back to me.
It's been about a year.
And I started talking about this,
I think in May of last year.
So I've gotten hundreds, thousands of messages from people
saying, "It's changed my life.

(13:21):
My pain's down, my weight's down.
My strength is up.
I feel great.
Like this peptide changed my life.
Thank you for being brave enough to speak out on it
because I was afraid to go on it and try it.
And I really did benefit from it."
So I don't know, I'm not saying that everybody needs
to run out and jump on Ozempic, but we certainly,
this is a peptide.
It's a string of amino acids.

(13:42):
It's just like the BPC157 or the TB500
or any of the other peptides that that same community
knows and loves.
And yet they hate this one.
So I don't know.
I think it's a lack of knowledge and education around it.
- I think so too.
And actually, first of all,
I really want to zero in on the language it used.
I'm a big fan of, I think language is really important
in the work that health coaches do,

(14:02):
specifically health coaches,
'cause we are bound by a very strict scope of practice.
There's things we can and can't say,
things we can and can't do.
And I'm a staunch advocate
for health coaching scope of practice.
But through the interviews I've heard from you,
you've been very staunch about using the word peptide
rather than drug.
And I've found myself, I'm not calling it a drug,

(14:23):
I'm calling it a peptide because it's what it is.
And you're right, some peptides are the darlings
of the regenerative and longevity space.
And this one's not for some reason.
But I will tell you that you are actually face to face
right now with somebody
who is one of those metabolic anomalies.
I do everything right.
And my HbA1c dances around the edge of prediabetes.

(14:43):
So the way I came to learn about what the work you're doing
was from my doctor at the longevity clinic I go to,
who said, "Hey, do you want?"
There's this new narrative around these GLP1,
these peptides, would you be open to trying a micro dose,
a small dose, subclinical, whatever we're calling it dose.
It was my doctor's idea to get my metabolism

(15:06):
to behave itself, even though I'm doing everything right.
I do it all right, but there was that one something,
something just for me lingers.
So I actually, spoiler alert, tried it.
- Oh good, okay.
- Yeah, and it was interesting.
It managed to nudge my HbA1c down
away from the prediabetic range, which is great.
I didn't have any weight loss,
but I didn't necessarily have any that was troubling me.

(15:27):
But I mean, they just factored in
as part of my menopause therapies.
It was just part of the game.
- It's just part of the cocktail, right?
It's interesting, the whole big pharma conversation,
the one thing I say to people is,
I say, "Well, I only use bioidentical hormone replacement."
And I'm like, "Well, I get my progesterone
"and my estrogen from the conventional pharmacy,

(15:48):
"and they're made by big pharma companies,
"and they're bioidentical.
"They're just not naturally derived.
"They're still bioidentical."
So I think people don't really understand the language,
even speaking of language,
I don't think they all completely understand
how all this works.
I'm using armor thyroid as my thyroid replacement
I have for decades.
It's porcine, it's natural, it's desiccated.

(16:10):
It also is manufactured by a pharmaceutical company,
and it's under a script, you have to write a script.
So everything that comes from a script
isn't necessarily evil, right?
And not everything, I mean,
I'm grateful for the opportunity to access
some of the things I need that big pharma has manufactured
when I need them in an emergency.
So that's where the puritanical kind of,

(16:31):
we just, we can't,
that's not a great way to practice medicine.
It's not a great way to treat our clients or our patients
because it doesn't help them.
I've said from the beginning,
like I have a license to prescribe here in Oregon,
and I'm not afraid to use it.
And I certainly am going to take advantage
of every tool available to me.
And so my interest in GLP-1s first got cued
when my podcast producer sent me on this research.

(16:53):
He's like, "Go research and do a podcast."
The first thing I looked up
was its neuro regenerative impacts
and its anti-inflammatory impacts on the brain.
So, you know, so many people
are dealing with neural inflammation,
which is driving downstream their metabolic illness.
So a good example is somebody gets a traumatic head injury
and then they develop prediabetes like that.

(17:13):
That's because of the head injury.
And so again, it's these anomalies.
They're not my place to judge.
My background was I took terrible care of myself growing up.
I lived off junk food.
I lived off fast food.
I ate horribly as a teenager.
I became a mac and cheese-a-terian.
I cut meat out, which was a disaster.

(17:36):
I lived off of carbs and ultra refined carbs
and processed foods.
I chain smoked like a chimney.
I drank like a fish.
And even though I cleaned it all up
and I got it all together in my 30s,
by the time I hit my very late,
I was cruising.
When COVID hit, I was in the best shape of my life.
I was great body composition.
My labs were dialed in.
Everything was perfect.

(17:57):
Within two years of just me pushing back,
I mean, I really took on the censorship
industrial complex hard, and they came back at me.
And the stress of that crippled my metabolism,
just destroyed it.
So I look at patients like,
what is your story coming to me?
Like, it's not just where you are right now.
How did you get here?
That matters a lot.

(18:17):
And it is not my place to judge that.
You could have a metabolic health disaster
because you were abused as a child.
Your adverse childhood events could be contributing
to your 55 year old pathologies very readily.
We have all the data on that.
So I don't judge how they got here.
I just judge where they're at right now
and how can I help them?

(18:38):
And what tools do I have available in my tool belt?
And these, like you said, they're not going anywhere.
So I think for health coaches,
strength and conditioning community,
the alternative medicine community,
pushing back on these is actually really kind of ignorant
and erroneous because we have so much data supporting.
Now, since I started talking about these,
the data that's come out,
significant impacts on cardiovascular health,

(18:58):
alcohol cessation, smoking cessation,
they're studying it for even opioid addiction.
We've got good data on the neuro regenerative impacts,
Alzheimer's, Parkinson's.
I mean, the GLP-1 conversation is shifting
to other disease processes that are also,
you know, let's admit a lot of that's metabolic health.

(19:18):
You know, its root cause probably started
with poor metabolic health,
but I don't get to judge how somebody ended up
a little metabolically compromised
or a lot metabolically compromised.
We didn't all just eat ourselves there.
- No. - You know?
That's not the right message.
- Even describing yourself as a mac and cheese-a-terian,
I don't know about you,
but part of that was the era we grew up in.
It was the processed food era.

(19:39):
Like we were latchkey kids
and we were fending for ourselves making dinner.
I mean, what were we gonna do?
You know? - That's a good point.
You're right.
You came home and you popped something in the microwave
and you, you know, we walked a lot.
I mean, I smoked a lot, but I walked a lot.
I was outside all the time.
You know, one of the smartest things I did as a kid
is I quit drinking soda when I was 14.

(20:00):
I decided soda was poison.
And I swear to you,
I think the soda cessation was probably better for me than,
I mean, I think I always wonder like,
did the smoking age me
or would the soda have made it worse?
You know? - Yeah.
- And I gave up a lot of artificial foods.
I knew immediately at early years
that like artificial sweeteners were bad news.

(20:23):
You know, I mean, so I did a lot of things right
in all that mess.
I, you know, I made some good choices.
We do the best we can.
I think a lot of moms are feeding their kids
the best they know how.
There's a lot of education out there.
I think right now with the influencer community,
it's so confusing.
If I were the general public and I didn't know what I know,
I would be so confused
just trying to go through Instagram in a day.
It's like, this person hates it.

(20:43):
This person loves it.
This person says no.
This person thinks it's the greatest.
And everybody's so polarized and on their hill
that they're ready to die on.
And they only understand the tip of the iceberg
in many cases.
They don't even have the clinical knowledge
to understand the iceberg.
And so I feel like GLP-1s are kind of in that group of like,
I think a lot of people truly, you know,
these peptides have been on the scene

(21:04):
and being used successfully with no problems for 20 years.
And then all of a sudden they FDA approved it
for weight loss and everybody lost their minds.
So I don't know.
I feel like that tells us what we need to know about society.
- Yeah, well, and you know,
one thing that we teach our health coaches at our school
or I teach, I really double down on this,
is we need to confront our biases.

(21:24):
It's not helpful for us to anchor to a dogma just because.
We really do have a person in front of us
who has a completely unique lived experience
and we need to take that all into account.
Also, we want this client to eventually have some autonomy
and self-efficacy that they know how to live in their bodies.
And so we have the opportunity to really engage
in these more meaningful conversations,

(21:46):
but we do have to let go of our biases first.
It's like the first step really.
I really do encourage anyone listening to contemplate that.
It's hard, it's hard.
This is, I'll share something I haven't said before.
You know, I grew up with a very obese sister
who was very abusive towards me.
And I had a big stigma around weight for a long time.

(22:08):
And that said, I've helped many patients
that were in the three, 400 pound group.
I've helped a lot of people lose weight in my career.
And these people were all compassionate, smart.
They were not lazy people.
And so through the process of,
so for the health coach students out there,
like through the process of doing this work

(22:29):
and helping people, the more people you meet,
it's exposure, right?
It's the exposure.
The more people you meet
and the more you get down in it with them
and you see how hard they are working and trying
and that your idealized versions of things don't always work,
the more I think we can challenge our biases
and we can start to see where we were wrong

(22:49):
and some of the things that we believed.
I believed a whole lot of things
when I went into medical school
that I didn't believe coming out
and I believed a whole lot of things going into practice
I don't believe anymore.
So I think really facing your biases.
And then in this research,
my argument with GLP-1s really has been around things
outside of weight loss.
And yet the conversation tends to always go back there
on these podcasts.
And I've purposely put myself into a whole lot

(23:13):
of obesity medicine training.
And I realized I've had even more biases
that I'm uncovering, you know?
And I'm really starting to understand the epigenetic impact
and the genetic impact and how some people are coming out
with like true leptin deficiencies.
They're coming out the shoot
with generations of epigenetic.
You know, if your mom or your grandma,

(23:33):
if you were bathed in insulin at high volume in the womb
in utero because your mom was obese
and metabolically compromised,
that child has a massive increased risk
for obesity and diabetes down the line
to the point where like, they're pretty much screwed.
Like this is gonna be a lifelong battle.
And so, you know, the more patients you come encounter with
and the more education you get,

(23:53):
the more you realize your biases.
- Yeah, 100%.
I wonder if you'll do us a favor.
And I know this might feel a little low vibe,
but I think it'd be useful.
Can you just explain, I guess, mechanistically,
what is GLP-1?
What is it like in the body and you know,
what are the sort of mechanisms of action there,

(24:15):
the pathways?
Just give us the basics, the quick science on it.
- Okay, let me turn off my heat real quick.
Hold on.
- Okay.
- I can tell how it's off.
I'm roasting down here.
I'm in polar fleece.
I think I'm getting heated from above.
The whole house was freezing this morning.
So we cranked on the heat everywhere.
All of a sudden I'm like, "Baby, I'm having a hot flash."
Okay, so GLP-1 is glucagon-like peptide-1.

(24:36):
It is a naturally occurring peptide in our bodies.
So we make it from our L cells and our gut lining
secrete GLP-1 and we also make it in the brain.
And it has receptors.
There are GLP-1 receptors all throughout our body
that bind it.
It's in the family of signaling peptide hormones.
In that family, we have leptin, ghrelin, insulin,

(24:58):
all of those are in that same category.
These are hormone-like structures, if you will,
and they have receptors on cells and they bind
like a hormone and they're not a steroid hormone,
but it's a similar mechanism of how they work in the body.
So I like to explain that hormones, for instance,
if we're looking at say the sex steroid hormone,
so we're looking at progesterone, testosterone, estrogen,

(25:20):
those work together, right?
We never just put a patient on one for very long.
Usually a woman, she may start on progesterone,
but over time as she ages, she's definitely gonna need
the whole orchestra of hormones.
And I include in that adrenaline thyroid.
When it comes to the signaling peptide hormones,
the appetite hormones, we're just really starting

(25:42):
to understand those.
We're in the very early ages right now of the discovery
of these peptides, how they work in the body,
what more do they do besides appetite control
and how they play together.
And they also work in orchestra.
And for instance, some of the data I found in mice
was without GLP-1 on the scene binding the nerve,

(26:05):
we can't even get ghrelin and leptin to work
the way we need it to work.
And so these all need to be together and in balance.
And early on when I was researching this, I thought,
well, I wonder if it's like hormones
where we get these functional deficiencies.
Basically like thyroid's a good one.
You go to your standard endocrinologist
and they're gonna be like, you're fine,

(26:26):
your TSH is fine, you're fine, go home.
And the woman's sitting there so clearly hypothyroid
and she feels like hell.
And in my office, I'm gonna give her
a little desiccated thyroid and I'm gonna see how she feels.
I'm gonna run her labs of course,
we're gonna cross our T's and dot our I's
and make sure we're safe and effective,
but I'm gonna give her some thyroid hormone.
And she's probably gonna have her life change
and feel awesome.

(26:46):
So, you know, a big difference in how people practice.
And I started looking at,
and I look at all the hormones that way.
Early on years ago, I came out,
I was one of the first people to come out
and really promote testosterone replacement therapy
for women.
This was like in 2019, it was a huge thing.
It took off.
Of course, I didn't get any credit for it
and bigger accounts ran with it.

(27:07):
But I really believe in the power of utilizing,
like pulling the levers we need to pull, right?
And GLP-1s were no exception.
So I started thinking, I wonder if there's deficiency.
And I looked it up and it turns out
those with type two diabetes and fatty liver
indeed show a deficiency of GLP-1.
And then in the obese category of folks,

(27:28):
there was a study that came out a few years back
showing interestingly that normal,
they compared overweight folks with lean counterparts
and they fed them protein
and they both had the same GLP-1 secretion.
GLP-1 will secrete from the presence of certain things
in the gut lining as it comes through like glucose,

(27:49):
but it also will secrete from just the mechanism
of the bolus of food going through the gut.
So there's lots of different things
that will set off the GLP-1 secretion in the L-cells.
And so they looked at carbohydrates and protein and fat,
and they did not have the same response with carbohydrate.
Like carbohydrates caused lean people to secrete GLP-1

(28:12):
at the same rate, but the obese folks didn't.
So there's something there with the inability
for the body to register the carbohydrate
in the obese person, I don't know,
but really interesting information.
And then I got to thinking, well, shoot,
most of my patients' guts are a wreck.
Like most of my patients have leaky gut,
most of my patients have some gut issues, some kind of IBS.

(28:33):
Like most people, sadly, most people are dealing
with a lot of gut issues these days.
So if their guts are a wreck, their guts are inflamed,
especially as they're aging and their guts are atrophying,
that would, it would be fair to say
that perhaps their secretion of the molecules
coming out of their gut maybe aren't so pristine.
Like maybe their L-cells are pooped out,
maybe their L-cells are atrophied,

(28:55):
maybe they're not making much GLP-1.
So I started thinking about this sort of functional
deficiency that I see with other hormones.
And that's where I came up with just a more personalized
dosing strategy of like, what if we apply GLP-1s
at the dosage that's appropriate for the individual
in front of me, based on their symptom picture,
based on their needs, based on their response,

(29:15):
short-term goals, long-term goals,
what are we trying to do here?
And let's see what happens.
And that's what I did, and it just has been amazing.
And I think it's really taken off.
Like worldwide, I'm hearing from people telling me,
you know, pharmacists, doctors, heads of organizations
saying, you know, we found your podcast
and now we're playing around with this.
And it's not any different than any other medication

(29:38):
in that, that I would use.
I would treat the person in front of me
based on what their needs are, right?
You're a different size and shape than I am.
We might need a different dose.
We might have different issues.
We might have different health conditions, right?
What are we trying to go for?
And everybody wants to know, what's the dose?
I don't know what the dose is.
The dose is contingent on the individual in front of me

(29:59):
and how they're gonna respond
and what am I trying to do in the short term?
And then what are our long-term plans?
Whenever you take on a pharmaceutical or a peptide,
you have to ask like, what are we gonna do now?
What are we gonna do later?
And that's it.
Like that's, I think, for any intervention
that we share with a client.
- Health Coach Radio listeners have I got a treat for you.

(30:20):
To get 72 hour free trial access
to Primal Health Coach Institute and a 50% off coupon code
to the How to Become a Health Coach virtual summit
featuring video interviews with over 30 industry experts,
visit primalhealthcoach.com/hcr today.
You know, you led into that train of thought

(30:43):
through an anecdote of a patient who comes in
with clear thyroid symptoms
and maybe at a basic blood panel, they're normal.
And you said, well, I'll just give you
some desiccated thyroid and see if it moves the needle.
- Yeah.
- So it's sort of like,
these are natural occurring compounds anyway.
It's sort of like, I don't wanna make light of this,
but it's almost like, what is the downside
if we just try a little bit

(31:03):
and see if it improves symptomatology?
So with the GLP-1 deficiency,
like there's no blood test for this.
Is there this more about symptomatically?
- There is no blood test
and I've gotten a lot of pushback on this concept,
but again, it's, do we have,
I think there's a couple of ways we could go.
So I think some people have a genetic deficiency.
I think some people are deficient in GLP-1s.
I think the GLP-1's impact on the brain is huge.

(31:25):
And I think that for myself,
I have had a lifelong struggle with depression and anxiety,
like to the point of being heavily medicated
for a long time as a teenager.
And my journey to wellness
and to the medicine that I practice
was me getting off of that medication
and finding out the truth and the answers of things.
I don't have a Prozac deficiency.

(31:46):
Has Prozac helped me in the past?
Absolutely.
Has it saved my life a few times?
Absolutely, but it's not something I stay on
and it's not something I need in my body.
But when you look at the GLP-1
and some of these other hormones, they are bioidentical
and semaclutide is bioidentical
to the human version that we make.
It just has a tweak on it
to extend its half-life in the body

(32:07):
because normal GLP-1 that we secrete endogenously
is only good for a couple of hours in the body
and then it's gone.
But otherwise this semaclutide is bioidentical
from what I understand.
And yeah, there isn't a downside,
but unfortunately that's not how medicine is practiced.
You have to, as a physician to be prudent,
you have to run labs,
but also legally we are allowed to prescribe off-label

(32:31):
and we are allowed to assess the patient's symptom picture.
So if you have 20 symptoms screaming hypothyroidism
but your labs are normal,
it's absolutely legal to apply some hormone as a trial run
and then follow up with labs,
make sure we're not causing any harm
and then continue to track the patient closely.
I think the problem with a lot of these GLP-1s

(32:52):
is people are getting them from Medi-Spas
or they're getting them from people
who don't really know how to manage metabolic health
whatsoever.
That's why I created my course
because I created a course for health practitioners
to train them on how to deal with all the things,
GLP-1s being the focus of the course,
but really it's hormones, metabolic health, exercise,
all of it.
And I let the general public in as well

(33:12):
because there's a lot of smart people out there
who want to be more empowered
and really want to be their own best advocates
because most doctors don't know what the heck they're doing.
I mean, I know disrespect,
but like 99% of my best friend colleagues
have no clue about metabolic health and strength training.
And your health coaches probably understand this stuff
way better than 99% of MDs.

(33:32):
So we've heard that before.
We've heard that before.
Dr. William Davis, I'm familiar with Dr. Davis,
but he says that all the time.
He says health coaches know more about health
than most doctors do.
- Oh yeah.
And I think that you guys give MDs a real run
for their money because especially if you're walking the talk
and you're fit and you're really living the lifestyle,
like that right there is it.

(33:54):
And this is what most people need the help with.
The most work that I did with patients
was really the counseling.
We didn't have health coaches.
Right up until the end of my practice,
I left practice right before COVID hit.
And I had other things I wanted to do
and I was feeling burned out
and I was training doctors
and my online presence was growing.
And so I left practice, clinical practice.

(34:14):
But at the time I was like trying to figure out
how to hire a health coach
because you guys were pretty new on the scene.
And I thought, this is genius.
Like this is the work.
I've got my husband training right now as a health coach
because I just think it's such important information
and it's such a valuable skill.
And I think that all doctors really should have
an army of you guys at their disposal
and then they can stick to the doctoring

(34:35):
and you guys can do the real work.
- Exactly, nice.
So I wanna just be,
I wanna just really make sure that we hit the texture
of like every angle of this conversation.
So this is sort of my devil's advocate moment.
- Yeah, go for it.
- Earlier you mentioned the mice
and the leptin and ghrelin,
sort of the effect of leptin and ghrelin on the mice.

(34:59):
So just with respect to mice,
a lot of the research on JLPs have been done on mice
and there's now these black box warnings
and people are very concerned
about the long-term side effects.
So I just wanna know, I guess from you,
these things have been in use for 20 years.
So now we must have a sense of long-term side effects
and maybe they're just not being talked about,

(35:20):
but like, do you have a sense of what the side effects are?
- So I have been looking and looking and looking
'cause I get this question a lot is like,
what's the longevity?
Like what's the long-term impacts?
And thus far, every time I find any study
that actually took it out past five years, it's all good.
Like these peptides are healing, they're regenerative

(35:41):
and they are anti-inflammatory.
So I'll give you an example.
I was on two grains of armor thyroid
when I started on GLP-1s a little over a year ago.
I'm now on half a grain a day.
So I have Hashimoto's.
I'm not saying it cures Hashimoto's by any means.
I'm saying we have to look at the mechanism of the peptide
as being healing regenerative and anti-inflammatory

(36:03):
and the concern of people being on it long-term,
I totally understand that.
However, I'm never going off my hormones
and I'm never going off my thyroid
and you'll have to pry them out of my cold dead hands.
You're not getting my estrogen away from me, right?
And my, none of it.
But if this is actually healing and regenerative over time,
I wonder what the impacts will be.

(36:23):
And it looks, things just seem to get better
and better and better.
It heals the metabolism.
It's not a bandaid for it.
It's actually healing the metabolism
by improving insulin signaling.
Also improving insulin reception.
Also improving metabolic pathways, mitochondrial health.
It has a really cool impact on mitochondrial wellbeing.
So it's healing these pathways long-term.
So I'll just throw that out there.

(36:44):
I'm not telling you, you know,
it's not a prevention treatment or cure for anything,
but I really do think that the long-term usage of these
might actually be beneficial.
That said, I think the way they're being dosed
and the standard mechanism is often very high and very fast.
People are brought in on a high dose.
They're titrated up very quickly.
And then they're cranked out on these really high doses

(37:06):
and they're just womped.
Like they just get womped with this massive dosage.
My mentor used to call it shooting flies with a shotgun.
Like you need a fly swatter.
Why are we shooting flies with a shotgun, right?
And I think if you're in a really pathologic,
compromised metabolic state, like diabetes, extreme obesity,
then sure, maybe you need a higher dose for sure.
I'm not poo-pooing that.

(37:26):
In fact, everybody seems to have been running around.
Now everyone's claiming to be microdosing
and it's like the inmates are running the asylum
and the versions I'm hearing are nothing like the way
that I teach it in my program.
And I'm like, okay, but a lot of doctors are calling
just starting you on the standard starting dose
and taking you up to one level as microdosing.
And that's not it.
It might be if you're, maybe you have a lot of weight

(37:50):
to lose, maybe you're extremely metabolically compromised.
That might actually be your personalized dose,
but I think personalized dosing is a better term.
I wish I'd never called it microdosing
'cause it's not in every case.
But for those of us who are really metabolically well
and optimized, we can only tolerate very tiny doses
and we're still gonna get a lot of these other cool impacts

(38:11):
on our immune system, on our neurologic system,
on our cardiovascular system.
And so I think it depends on your dosage strategy,
on what the long-term impacts are.
Because if you take somebody and you look at some
of these people that look like melting candles now,
like they took so much GLP-1 that they're so thin,
they've lost all their muscle.

(38:32):
It's literally an overdose strategy.
They've literally been overdosed and now they're frail
and weak and they look like they're melting, right?
That is metabolic devastation.
Like that is the worst thing in the world
and they've lost all their muscle,
which was the only metabolic engine they had left.
'Cause they blew everything else out before they got there.
And they didn't do it.

(38:53):
It just, that's what the metabolic compromise did.
- And now they're sitting in a real pickle.
I think that's a really devastating place to be.
I'm over here arguing for slow and low personalized dosing,
which seems to me much more responsible.
If we look at the data,
there's really cool data coming out around,
and this is correlative, it's not causative,
but a few papers were just published showing

(39:15):
decrease in cancer, colon cancer,
and 13 different types of obesity-related cancer
in those who took somaclutide versus who didn't.
So that's really interesting.
And granted, to be fair,
the people who didn't were on insulin,
and insulin is pro-grow.
So it's kind of a little bit apples to oranges,
but potentially an impact there.
The thyroid cancer concern,

(39:35):
the most recent data, they've looked at meta-analysis,
they've looked at, again, correlative,
they're looking at studies that looked at chart notes.
So chart notes over time of people
who were on somaclutide versus not.
There's absolutely zero causative data
to show that GLP-1s cause thyroid cancer.
And there's zero correlative data at this point.

(39:57):
They just can't put it together.
There's a couple badly done studies
that have come up out over the years saying,
"We saw a higher uptick in thyroid cancer
in the somaclutide group when we looked at,
10 years or five years of chart note data,
but these have since been reviewed,
and there's just not a link."
So I will say, caveat, I'm not your doctor,

(40:17):
I'm not giving medical advice.
If you have thyroid cancer,
if you have had a history of it,
if you have a family history of it,
definitely talk to your practitioner.
This is your risk tolerance.
This is up to you guys to decide.
But that black box warning was on rats.
And the deal with that is,
they were given super physiologic doses of GLP-1s,
so super high doses.
Rats also develop spontaneous medullary thyroid cancer.

(40:41):
I've had pet rats in my life and they do.
They get big nodules
and they get spontaneous medullary thyroid cancer.
What happened in that study was,
not only did the treatment group
get spontaneous medullary thyroid cancer,
but so did the control group.
And they don't tell you that,
and they slapped a black box warning on it.
So it was in rats.

(41:02):
And also to note,
this type of cancer is extremely rare in humans,
but very common in rodents.
So I'm not worried about the thyroid cancer,
but it's fair if you are or your listeners are,
and definitely use caution,
and always with anything, right?
We wanna consider our risk tolerance

(41:24):
and our risk to benefit ratio
when we talk to our practitioners.
- Exactly.
I think of it the same way as,
this is a really off the cuff example,
but sun exposure.
- Yeah.
- Sun exposure to the sun is good,
reasonable exposure to the sun.
If you feel, if you're predisposed to cancer,
if you hadn't experienced the cancer before,
then please moderate accordingly, whatever it is.
Like, I just think, this goes back to agency.

(41:45):
We have to give people agency back
at understanding their bodies a little better,
a lot better would be amazing actually.
- And I think education, right?
Like the more we know, the better we can do.
And the other big scaries I think should be addressed,
gastroparesis.
So who is most likely to get gastroparesis?
Like who's the highest risk group?
It's diabetics, type two diabetics.

(42:06):
They're already sitting on the edge of gastroparesis
because the process of hyperglycemia
destroys your vagus nerve.
So these folks are already sitting there
with low key gastroparesis, I believe,
because I've seen many, many type two diabetics come in
and complaining of dyspepsia and GERD, right?
They're getting reflux.
They're given Pepcid or Nexium or whatever.
They're put on some kind of, you know,

(42:27):
proton pump inhibitor.
And the real issue is that their vagus nerve
is being compromised through hyperglycation
and they're sitting there and now they get womped
with a big dose of a GLP-1,
which slows down gastropomotility and boom,
they fall into gastroparesis.
It's not permanent, like the media's led you to believe
in some of these influencers.
It resolves within a few weeks

(42:49):
once that peptide's out of their body.
And it's not a permanent situation.
The other group that, going back to thyroid cancer,
the two highest risk groups for thyroid cancer
are those who are obese and those who have type two diabetes.
So the highest risk group for gallstones are those,
there's a body habitus that's very much the gallstone,

(43:10):
you know, biliary woman.
It's a female who's 40, who's fertile,
who's basically your kind of curvy, you know,
goddess shaped woman who maybe has a little bit
of weight to lose and has some compromised digestion,
that sluggish gallbladder is going to want to throw a stone.
So we do have to be careful.
I think there's a real concern with biliary issues.

(43:32):
So if you've ever had any gallstones
or your clients have ever had any gallstones,
just proceed with caution.
It doesn't mean it's a no-go.
It just means go slow and low and be real careful.
And obviously they need to work with somebody
who can prescribe, but the number one cause of pancreatitis,
that's the other big concern is fatty pancreas.
How do we get fatty pancreas?
Same way we get fatty liver, which is metabolic compromise.
And what do GLP-1s treat beautifully?

(43:54):
Geometabolic compromise.
So like these people are sitting with these, you know,
fatty infiltrates of organ systems
and making those organs pathologic.
And we have a peptide that could help them.
So, and the studies are not bearing out
on pancreatitis either.
They looked at that select trial
that they did for cardiovascular disease.
They took middle-aged, overweight people

(44:14):
who did not have type 2 diabetes,
but I would argue they were on their way there.
I mean, anybody who's dealing with obesity
is on their way to type 2 diabetes, especially as they age
and it becomes more inflammatory.
And then they put these people on some acrylotide
and they followed them and they had a massive reduction
in cardiovascular outcomes, you know,
like stroke risk, et cetera.
And what they found in that group was

(44:35):
there was actually less pancreatitis in the treatment group
than in the control group.
Going back to the biliary tree,
if you imagine you're kind of that, you know,
gallbladder woman shape, and you are eating fatty foods,
and then you go on a GLP-1 and they put you on a high dose
and then you stop eating or you eat less,

(44:57):
maybe they've given you such a high dose
that they crushed your appetite.
Now your gallbladder is gonna sludge up
because you're not eating,
you're not bringing food through the system.
So it's gonna get even more sludgy.
You could potentially throw, you eat a fatty meal,
you throw a stone, that stone lodges in your pancreas.
That's the second leading cause of pancreatitis.
So it's like the people who are already sitting

(45:18):
on the edge of these conditions are the people,
and then the people being most treated with GLP-1s,
you see how it's all lining up into this horror story?
- Yeah.
Gosh, you really are an encyclopedia of knowledge.
And so I think this is great
because health coaches love knowledge
and health coaches also need to support humans

(45:41):
on their path to get this illness, wellness continuum.
We take humans from the midpoint to wellness.
So doctors get them to the midpoint,
we get them to wellness.
So as a health coach,
how can we support clients who are curious
about using some Agluetide?
And what role can we play in ensuring
they're integrating it into a sustainable,
holistic lifestyle?
So what do you contemplate to be the non-negotiables

(46:04):
that somebody must do alongside these medications?
- So I think you have three types of patients
or three types of clients,
and you've got type one, I would say,
and I talk about this in my course,
type one would be someone like me and you.
We're fit, we're in good shape, we're doing all the things.
We probably have the HRT on board, we're strength training,
we have good muscle mass, and our labs start looking funny.

(46:27):
Or maybe we get the middle-aged middle out of nowhere.
That's what happened to me.
I mean, I literally was like,
boom, 15 pounds out of nowhere.
That's insulin resistance happening in real time.
So even with my best efforts, I think that, again,
the reason I shared my past,
I think that was coming out of my past,
it was coming out of the stress.
That's type one, I think that person is,
I call it the strength training, HRT, GLP-1 triad,

(46:50):
that's like the perimenopausal woman's BFF.
It's a really beautiful,
it's just a beautiful grouping of things.
Then we have the type two patient,
I call type two, would be maybe this is,
this is your more common woman.
She's maybe in her 30s, she's had a couple kids,
she's put on quite a bit of weight since then.

(47:11):
She can't get it off.
She's trying really hard.
Maybe she's not doing everything perfect.
There's still some levers we can pull,
but you know, she's a mom, she's got bills to pay.
This is not like, she doesn't have all the money in the,
she's not like the middle-aged lady who's like,
let me go to my longevity doctor and get my hormones.
She's just trying to make ends meet,
but she's getting heavier and heavier.
Maybe she's getting some joint pain.
Maybe she's having some anxiety, whatever.

(47:34):
This woman probably could really benefit
from a GLP-1 intervention.
And again, I think the slower, lower,
more personalized dosing, just to give her a leg up.
So you can help her as a health coach
to start to implement the strategies,
the lifestyle strategies better.
Because the one thing we haven't talked about
is GLP-1s give you the onus of control back.
They play on your dopinergic pathways,

(47:55):
your reward pathways.
So you actually just feel more in control of your ship.
And you make better choices.
And the noise, all the noise, not just the food noise,
all the noise gets better.
And it really, in many cases, we have data to support this.
It can be quite a mood booster for people.
And kind of a, it's almost like a neuro-regulator.
It just brings a more even keel mental state

(48:17):
to a lot of folks.
Not everybody, but most people are reporting
feeling really good on it, that I have a huge audience
and they tell me.
So I get lots of messages.
I think that's a really great group
for a GLP-1 intervention.
So this woman can get her body back.
So she doesn't walk into menopause with this extra weight.
And then that's just gonna progress down the line.
'Cause really in my head, I'm thinking we're trying
to nip insulin resistance in the bud in all cases.

(48:41):
And then your third type of person is,
or maybe this is also a menopausal woman, right?
And she's just, maybe she's not as,
she's just not as on it as we are.
Like she hasn't been at this health journey as long.
She wants to strength train.
She wants to do all the things.
She wants the dietary interventions
and she wants the health coaching,
but she's just like, that would be your type two.
And then type three is you're clearly,

(49:04):
you know, more extreme overweight obese
type two diabetic patient or, and, or,
and that person I think needs
a stronger medical intervention.
Those people need health coaches badly though.
Those people really need that initial handholding
and that guidance and somebody to walk that journey
with them and hold them accountable
and support them and be their cheerleader.

(49:25):
And I think that understanding how GLP-1's working
the body and understanding how they can be beneficial
to people is probably the first step for a health coach.
So like this conversation we're having
so that they understand them as more than just like,
oh, it's this, you know, people are lazy.
They just need to eat less and move more.
Like that's not it, right?
That's the conversation that everybody else wants to have.
We need to be more nuanced,

(49:46):
but I think that it helps people get started.
So I would say if people are motivated
and they feel like doing all the things
and they're doing all the things, they're doing it.
They've got the willpower, they've got the conviction,
they're doing it, but they're stuck.
Maybe we pull a GLP-1 in versus also,

(50:06):
I think it's fair to say that some people
just need that leg up to get started.
They're stuck on the couch and they're stuck
and they really don't want to feel this.
Nobody wants to feel like that.
Nobody wants to live that life,
but they don't know where to start.
They're completely overwhelmed
and they're consumed by their anxiety about it.
GLP-1's often clear that picture up
and let them get that first step

(50:27):
so you can get the health coaching going.
So I just think it depends on the person.
And again, I'm just not in a place to judge people
on what it's going to take, but be kind.
And I think the one thing for everyone to understand
is it is not a substitute for the work.
They have to do the work.
So it's not going to be in place of a health coach.
It's not going to be in place of anything.

(50:47):
It's going to be and.
Like they need you,
they need the strength and conditioning community,
and they need the truth tellers to help them move the needle.
- And I also think the last thing they need
is more judgment.
I feel that way pretty personally.
Somebody who's trying to improve their health
or they're bewildered as to how to improve their health
and they feel like they've made all the attempts.

(51:08):
The last thing they need is more judgment.
We can be a soft place for people to land.
In fact, I think we should be.
- Yeah, yeah.
Judging doesn't help.
It sometimes, you know, it depends on the person.
I like getting barked at by my coach, you know,
like my strength and conditioning coach.
I like getting a swift kick in the pants when I need it,
you know, but that's just how I am.
And not everybody's like that.

(51:29):
Sometimes you give people a swift kick in the ass
and they take it as shame or it knocks them down a notch.
So I think good coaching, good doctoring, good any of it.
Anytime we're working with an individual
on bettering their health is like,
how do we learn to talk to people and read the room?
Those are, yeah, those are different strategies.
- Yeah, I think it's interesting.
And I think you just buttoned this up so nicely for us.

(51:50):
And this comes back to the very first thing you said,
which is they are here to stay
because the number one question I'm getting these days
from health coaches, I get,
these are the two questions I get.
How am I supposed to be a health coach
when AI is in the picture?
- Oh, that's a good question.
- How am I supposed to be a health coach
with semaglutides in the picture?
And it's like, well, they're here.
AI is here, it's not going anywhere.

(52:11):
Semaglutides is not going anywhere.
So, you know.
- Can I share my answer?
I have an answer for both of those.
- Great.
- Hold on, let me close my window a little bit.
- You bet.
- Sun's setting here.
- 'Cause I was just talking to my husband
about AI over dinner.
And he's like, it's gonna replace all the doctors.
And I said, no.
And this is what I told my new assistant.

(52:32):
AI is going to replace those who don't adapt to it.
AI is gonna absolutely love the people
who know how to use it.
It's a robot.
You just, it would be like,
if you had a robot next to you,
you teach the robot how to do the things
that you need it to do.
So the human that can interact with the interface,
the robot interface,
those are the people that are not gonna go extinct.
So you absolutely, your compassion as a health coach,

(52:56):
your compassion as a human being
cannot be replaced by a robot.
And that's 99% of medicine.
So, and 99% of healing when it comes down to it.
So those are not replaceable traits by robots.
The robots can just, you know,
learn how to speak fancy and memorize a ton of information
and process it quickly.
But no, there's no, it depends on the person.
I mean, well, let's think about it this way.
Contextually, how much information is there now

(53:19):
compared to 10 years ago?
- Exactly.
- Massive.
And are people healthier?
- No.
- They're worse off.
So the information that's all over the internet right now
is the stuff that I was learning
in naturopathic school 20 years ago.
And it was like this coveted secret information.
And now it's all over with all the influencers
and people are not any healthier.
So your job as a human being,

(53:39):
my job is to help people go through
and translate the information into something usable.
That's where the human comes in.
And I think same thing goes with semaclutide.
It's just a tool.
So it's our job to teach people
how to use that tool effectively.
That's what my course is for,
is I really wanna teach people how to use this effectively
as part of their toolkit.
It's a comprehensive toolkit.

(54:00):
It's not just a monotherapy, crank the GLP-1,
hope for the best.
Like this is a whole arsenal, as you well know,
and same thing with health coaching.
Like there's a whole arsenal of things that go into
really helping people reach wellness.
- Amazing.
Your course, would a health coach benefit from it?
- Yeah, yeah, absolutely.

(54:20):
So I was gonna make two courses, like I said,
but that implies that most doctors don't have a clue
how to address metabolic health.
So they're not any further along than the general public
to be honest with you.
So I just made one course and I made it high.
It's for the high level.
Really it's built for the health coach,
to be honest with you.
I'm putting my husband through it right now.

(54:40):
And he's like, "This is a little sciencey."
And I'm like, "Some parts are very sciencey.
Some parts are very, you know,
it shifts depending on what I'm teaching,
but it's geared towards the practitioner
who wants to be able to implement a solid strategy
when working with patients who are either on GLP-1
or who they're gonna prescribe it to
depending on the practitioner.
And then it's for the general public who are,

(55:01):
there's just a lot of smart people out there
who I think deserve better than, you know,
the free podcasts.
Like they wanna go deeper.
And so I made it for both groups
and I'm getting the best messages.
I get messages from nurse practitioners,
health coaches, doctors,
all the different types of practitioners in there.
And then I get messages,
like I got a message from the 66 year old lady the other day
who was like, "God bless you

(55:22):
for standing up against the bullshit
because and being brave enough to talk about this."
She's like, "I'm 66."
She ended up hooking up
with one of the naturopathic doctors in the group
and who became her doctor.
And she said, "I am enjoying the best health and wellness
that I've ever had in my life.
My pain is down."
Like I get messages like that all the time
from the students in there

(55:42):
who are just like general people
who a lot of them are little,
I shouldn't say little old ladies,
I should say powerful older ladies,
but they're so cute.
Like there's women in there in their 70s
who are like just getting into strength training,
just getting into all of this way of living.
And they want the knowledge
because at the end of the day,
we have to guide our doctors.
- Exactly. - Most of our doctors
don't know, so.

(56:02):
- And that's in the purview of a health coach
and I'll say this till I'm blue in the face.
We have the luxury of being unregulated.
By that I mean,
there's no standard of care that we must match up to.
Now our scope of practice limits us
from telling our clients to march in
and demand this, demand that.
But it's the patient client advocacy.

(56:25):
It's the allowing the patient
to advocate for themselves with the doctor
and knowing how to have conversations with the doctor.
And that's in health coaches purview.
We can help our clients find a better doctor
that will listen to them,
prep them for the conversation with the doctor.
And so a program like your course
really answers that with respect to the semaglutides.
- Yeah, and the best part is

(56:46):
because the general public's in there,
I'll stop and I'll say,
if you're in the general public,
here's what you need to understand.
And one of the doctors that's in there said,
"You actually taught me how to find the language to use.
Like I'm giving the language to the health coaches
and to the practitioners on how to talk
to the general public in there."
And then I've got a whole module on how to find a good doctor.

(57:09):
There's tools, there's tools in there
that are good for a health coach,
just to health coach period.
Like just to be a better health coach.
And that was the goal was I just wanted to make it
like the most user-friendly platform
with the most up-to-date information so that any,
and again, it's my 20 years of helping folks,
you know, optimize their metabolic health.

(57:30):
At the end of the day, I just wrapped it up in the GLP-1
and I made it more GLP-1 heavy,
but it's like my whole, this is my legacy.
I just wanted to get it out on the internet
before anything happened to me.
So if anything ever does,
I'm like at least my brain's down there, you know,
because the way I've been practicing in my clinic,
I was in a bubble.
I didn't realize what I was doing was unique or interesting.
And I didn't realize that a lot of doctors didn't know it

(57:52):
until I took to the internet
and I started either getting pushed back
or getting a million questions.
And I was like, "Oh, most doctors don't treat this way."
I had the honor of mentoring under somebody for 20 years,
you know, who taught me the way, so.
- Amazing, well, we're grateful.
So let us all know where we can track down everything.
So the podcast, your social feeds,

(58:14):
we can hear more from you and the course.
- Yeah, so the, I have about 20 hours of free content
around GLP-1s for everybody to listen to.
And so a lot of people can sort out what their questions are
just on the free content alone.
And that's everywhere.
It's in my podcast.
And then if you go to drTyna.com,
you'll find a free four-part video series
called "Ozempic Uncovered."

(58:35):
And you'll get a new video each day for four days.
That will give you the opportunity to purchase the course
at the end of that,
if you're interested and you wanna go deeper.
And then again, go through the podcast
'cause there's a lot of information in there
and I'm adding to that library.
And then my Instagram is drTyna, it's D-R-T-Y-N-A.
I'm on YouTube.
The whole podcast is on the YouTube as well

(58:56):
if you wanna watch video format
and watch me sit in front of this wall for countless hours.
Dr. Tyna, I'm so honored
I got to have this conversation with you
and thank you for framing this conversation
for us health coaches.
We appreciate it immensely
and keep doing what you're doing.
Yeah, thanks for having me on.
It was fun.
All right.
This podcast was brought to you
by Primal Health Coach Institute.

(59:18):
To learn more about how to become a successful health coach,
get in touch with us by visiting
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Or if you're already a successful health coach,
practitioner, influencer, or thought leader
with a thriving business and an interesting story,
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Connect with us at [e-mail]
and let us know why we need to interview you

(59:39):
for Health Coach Radio.
Thanks for listening.