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May 30, 2025 22 mins

In this episode of Mindful Objective, we’re answering 14 insightful questions from listeners across the country, covering symptoms you may have ignored, dismissed, or simply never connected to deeper imbalances. Whether you’re struggling with chronic fatigue, hormonal changes, gut health, or nutrient gaps, this episode brings you root-cause insights and functional tools to help you better understand what your body is really telling you.


We open with a question from Amanda, who shares how she gets dizzy every time she stands up, despite being told her blood pressure is “normal.” We explore potential connections between adrenal, hydration, and electrolyte issues and explain how functional labs can provide clarity.


Olivia, 29, has dealt with persistent acne for over a decade. We discuss the best labs to explore hormone and gut imbalances, as well as which nutrients might be worth considering to support skin health from the inside out.


Dan inquires about restless leg syndrome and whether natural supplements can provide relief without medication. We explore magnesium, iron, and neurotransmitter support, plus key tests to identify deficiencies.


Julia, a mom in Miami, wants to know why her 10-year-old daughter experiences daily nausea despite normal labs. We highlight possible food sensitivities, H. pylori, and emotional root causes, plus how stool and food sensitivity testing can help.


Michelle, 34, shares her concern over accelerated hair loss. We review ferritin, thyroid, and androgen levels and offer safe strategies to support hair health through nutrient optimization.


Tyrell wants to know if you can lower blood pressure naturally—or if that’s just hype. We break down how magnesium, cortisol, and insulin resistance play a role, and which supportive practices may help the body regulate more effectively.


Marcus, a dedicated 42-year-old gym-goer, is stuck in a frustrating weight plateau. We explain why cortisol, thyroid conversion, and mitochondrial dysfunction might be to blame—and how to find out.


Tania shares her ongoing issue with cracked lips and whether it might be a deficiency. We talk B vitamins, zinc, candida, and absorption problems.


Rebecca asks if it’s okay to take adaptogens like ashwagandha long-term. We explain how to cycle them and when it might be time to pause or reassess.


Michelle (a different one!) describes her son’s intense sugar cravings and mood swings. Could it be candida or gut dysbiosis? We break it all down.


Jonah has mysterious hives that appear after eating out, but not at home. We dive into histamine intolerance, DAO, and mast cell stability.


Alyssa wonders why her periods have become super light. We explain what to expect in perimenopause and why testing hormones now is a smart move.


Brian wakes up every night at 2:30 am and can’t fall back asleep. We talk cortisol spikes, blood sugar crashes, and calming the system.


And finally, Karen asks how to tell if she actually needs digestive enzymes. We unpack signs, stool markers, and how to choose a blend that’s right for you.


This episode is packed with practical, root-cause education—perfect for anyone ready to stop guessing and start listening to their body’s signals.


🎧 Tune in now—and if you’re ready to get real answers, visit ⁠⁠MindfulObjective.com⁠⁠ to explore functional gut testing and personalized healing protocols.


📝 Disclaimer: This podcast is for informational purposes only and does not diagnose, treat, or cure any disease. Always consult a healthcare professional before making dietary changes. By listening to this podcast, you acknowledge that you understand and agree to this disclaim

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Transcript

Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:00):
Welcome to Mindful Objective, the podcast where we take a root
cause integrative approach to health that's practical,
personalized, and grounded in how your body actually works.
I'm your host, Doctor Daniels Pearl, integrative health
practitioner and professor. Today's episode's all about your
questions, real thoughtful ones sent in from listeners around
the country. So these aren't random symptoms

(00:20):
for your body. These are patterns.
And when you start looking at those patterns through an
integrative lens, the body makesmore sense.
As always, this podcast for educational purposes only.
We do not diagnose, treat, or cure any illness or disease.
Let's get started. Listener question #1 Amanda, 36,
from Texas. Every time I stand up, even just

(00:41):
from the couch, I get dizzy. Like a wave of Lightheadedness
hits me. It passes in a few seconds, but
it becomes a daily thing. My doctor said my blood pressure
is normal, but something still feels off.
What should I test? Hello Amanda.
That sensation could be linked to hypotension, which is a
temporary drop in blood pressureupon standing.

(01:02):
So even if standard readings look normal, your body may be
struggling with adrenal regulation, hydration or
electrolyte balance. A good place to start would be a
cortisol test or a Dutch Complete panel to assess your
cortisol patterns and adrenal function throughout the day.
You might also look at your electrolyte markers, so those
would be sodium, potassium, chloride, magnesium.

(01:25):
We could get this from a comprehensive metabolic panel.
In some cases, a drop in aldosterone, it's a hormone that
helps retain sodium, contributesto this issue, especially if
you're under chronic stress. To support this naturally,
ensure that you're consuming enough salt, so not just water.
And consider electrolyte powder without added sugar.
There's many out there that contain tons of sugar or really

(01:47):
high in sodium, so you have to watch out for that.
Some people also find using licorice root extract, again
under medical supervision. This may help support cortisol
recycling. As always, review these tests
results and supplement strategies with your
practitioner. Listener question #2 Hi I'm
Olivia, I'm 29 and I struggle with acne since I was a

(02:09):
teenager. It's not just hormonal
breakouts. My cheeks and chin stay inflamed
almost a month. I've tried going dairy free, I
eat clean, and I've worked on mygut with probiotics but I never
had a practitioner really investigate what's going on.
I want to know what functional labs would help me understand if
there's something deeper behind the skin issues and are there

(02:31):
any nutrients or herbs that actually help long term?
Yes, persistent acne often tied to hormone imbalances, liver
detox efficiency and gut health.First, a Dutch complete hormone
test can reveal if elevated androgens like DHEA or
testosterone, poor estrogen metabolism or low progesterone.

(02:51):
These imbalances can drive breakouts, especially around the
jawline and cheeks. Next I would suggest is a GI MAP
or GIFX stool test. This can show whether your
microbiome is imbalanced or pathogens like Candida are
contributing. Lastly, consider organic acid
tests. So we harp on this one a lot.
It's a great test. It evaluates detox, nutrient
levels and yeast markers in one urine sample.

(03:13):
So nice and easy at home test for nutrients.
Zinc supports skin healing and may help regulate different kind
of production. For nutrients zinc supports
healing and may help regulate subalm production.
DIM can assist the estrogen detox if needed.
Burdock root milk this on dandelion are commonly used to

(03:34):
support livers natural filteringfunctions.
While no supplement treats acne,targeted support can help your
body rebalance. Again, always consult license
practitioner for starting new protocol.
Listener question #3 This is DanCool name 52 out of Sacramento.
What are the best supplements tohelp with restless legs at

(03:56):
night? I'm not on medication for it and
like to avoid going that route if I can.
Hello Dan Cool name. Like I said, restless legs
sensations are often tied to imbalances and minerals,
neurotransmitters or could be your circulation.
For starters, it may help to look into magnesium RBC test as
cerium Magnesium doesn't reflectlong term status.

(04:17):
Low iron, specifically ferritin below 70 nanograms per
milliliter, is also commonly linked to restless legs, even if
you're not anemic. So if your levels are low, iron
supplements paired with vitamin C can be considered what should
only be used after testing and under supervision.
Magnesium glycinate or magnesiumthyrinate are often preferred

(04:38):
forms to support muscle relaxation and sleep.
Some people benefit from L tyrosine to support dopamine
production or vitamin B6 and folate in the methylated
version, or vitamin B6 and folate if methylation is
sluggish. Also consider screening for
candida or gut dysbiosis, which can interfere with your mineral

(04:59):
absorption. Keep in mind these are
supportive nutrients, not treatments, so be sure to speak
with a qualified practitioner. So listener question #4 this is
Julia, 41 from Miami. My 10 year old daughter has been
dealing with nausea almost everymorning before school.
We've done all the usual labs and imaging.
Everything is normal, sheets fairly well and isn't

(05:21):
constipated. This has been going on for
months. Could it be food sensitivities
or something emotional? How would I even start to
investigate this from a functional, integrated view?
It's a good question, sorry yourdaughter's going through this.
Chronic nausea in children, especially when standard labs
are clear. Often underlying causes like
food sensitivities could be microbial imbalances or again

(05:43):
those emotional stressors. 1 functional approach would be a
stool test that screens for H pylori, low digestive enzymes,
gut inflammation and beneficial versus harmful bacteria.
These can affect digestion and nervous system regulation.
Another one you may consider is a food sensitivity panel to
identify delayed food reactions.I know we talked about that one

(06:03):
a lot. Common culprits include gluten,
dairy, eggs, additives and processed foods.
Emotional factors are important too, especially nowadays.
School related anxiety and nervous system dysregulation can
absolutely manifest as nausea. For support, a kid friendly
probiotic, chewable digestive enzymes, or calming herbal blend

(06:24):
with chamomile lemon balm may gently suit symptoms while you
investigate the root causes as Ialways work with a pediatric
provider at the for more specifics if you're working on
that medical side. Listener question #5 I'm
Michelle 34 I'm from Boston. I'm losing a lot of here like
way more than normal daily shed.My ponytail feels thinner and I

(06:48):
see it all over the floor. I eat pretty clean, no major
stress recently and I'm not postpartum.
Where should I even start? Hello Michelle.
Hair loss can result from nutrient deficiencies, thyroid
issues, stress, or hormone shifts, even if they're subtle.
Start to run thyroid panel with antibodies such as TSH, free T3,
free T4, TPOTG, ferritin. Ideal levels of hair support are

(07:13):
at least 70 Vitamin D, zinc and B12, testosterone, DHEA and
estrogen. And you could always reach out
to us to run these labs too. The Dutch complete test gives
insight to hormone balance and conversion pathways, especially
if DHTA is high. So if you lost a lot of weight
recently or under eating that can contribute also to hair
thinning. Nutrients to consider would be

(07:36):
methylated B complex. Again we always go for those
methylated vitamins, zinc, pacholinate, iron if your
ferritin is low and biotin, that's another great one.
Herbs like Sol Palmino may support DHT modulation, but
always again work with a practitioner listener.
Question number six this is Tyrell 59 from Chicago.

(07:59):
Can you really lower your blood pressure naturally without
medication or is that just height?
Well Tyrell, many people see improvements in blood pressure
with lifestyle and nutritional interventions.
Very common and a lot of people go that route.
Many people see improvements in blood pressure with lifestyle
and nutritional interventions, but it's important to approach
it safely and under medical supervision.

(08:20):
Some common factors and influence blood pressure include
magnesium deficiencies, high cortisol.
This could be linked to stress or poor sleep, insulin
resistance or high blood sugar, low potassium or another one be
dehydration. You may benefit from testing for
RBC, magnesium, fasting insulin and glucose and doing cortisol

(08:42):
rhythm test like a Dutch or a saliva panel.
So supportive strategies includemagnesium glycinate or Tori Co
Q10, about a hundred 200 milligrams daily, hibiscus or
Hawthorne tea, deep breathing orRHV biofeedback for nervous
system support. And another one wouldn't be to
address your kidneys. Make sure your kidneys are
working properly. These nutrients and lifestyle

(09:04):
changes may help support your body's ability regulate blood
pressure. And if you're already on
medication or had a cardiovascular concerns, work
with your healthcare provider. First question #7 Mark is from
Portland. I've been eating well and
working out four to five days a week, but my weight won't
budget. I don't even cheat.
It's incredibly frustrating. I'm 42, have a desk job, and

(09:25):
mostly eat Whole Foods. What tests would tell me why my
body seems stuck? Another good question mark is so
this is common when weight plateaus despite doing
everything right off 10 points internal imbalances.
So you want to consider running that hormone test.
We would like to check your cortisol, DHEA, estrogen,
thyroid conversion markers. Again, a comprehensive thyroid

(09:48):
panel. That'd be a good one.
Fasting insulin and leptin. The GI MAP or OAT test to assess
gut dysfunction and mitochondriablocks so high cortisol.
Then you have poor thyroid conversion such as T4 to T3 or
sluggish mitochondria can all slow fat loss.
Elevated leptin and insulin prevent your body from accessing

(10:09):
stored fat efficiently, even if calories are restricted.
Supplements that may help if appropriate to you would include
berberine for insulin sensitivity.
That's a good one to try. Carnitine for fat metabolism and
androgens like a rhodiola. It's a good one.
Also ensure you're not chronically under eating.
This is a common one, right? Eat for energy.

(10:30):
People need to eat more. This can suppress your metabolic
rate. Partnering one of us
practitioners can't get you on the right path.
So now on to the next one. This is Tanya, 28 from Denver,
Co. For years I had dry cracked
lips, especially around the corners.
I tried every balm ointment out there.

(10:51):
It's just not dryness. It's like something is missing
internally. Could it be a nutrient
deficiency or a digestive issue?Yes.
Persistent cracking, especially around the corner, can be linked
to nutrient deficiencies or poornutrient absorption.
Carbon culprits would be vitaminB2.
Vitamin B6. That's why we always suggest the
B complex beneficial for this iron.

(11:14):
So check your iron levels, your ferritin levels.
Zinc would be another good one to take.
So these are essential for skin repair and low levels can result
in poor intake, chronic stress and gut malabsorption.
A micronutrient panel or organicacid test can help identify
functional deficiencies. It's also possible that you have
candida overgrowth in the mouth or gut.

(11:36):
This can contribute especially with the white coating on the
tongue or sugar cravings if that's expected.
Stool test, organic acid test would be a good place to start.
Supplementing again with a methylated B complex, zinc
picolinate and iron if your ferritin is low may help.
But always work with a practitioner, get you on the
right path. And another one too, if it comes

(11:56):
down to you using any kind of a lip balm or anything, Aquaphor.
The Aquaphor is a great product for your lips.
So listener question #9 hi I'm Rebecca, I'm 47 she's from
Seattle. I've been taking ashwagandha for
about 6 months to help with anxiety and energy.
It helped at first but now I'm not sure if it's working or or

(12:17):
if it stopped. Can you take adaptogens long
term or do they lose effectiveness?
Adaptogens like ashwagandha, rhodiola, and holy basil are
commonly used to support body stress response, but they aren't
always meant for indefinite use.Long term use may lead to
diminishing returns, and that may be what you're seeing there.

(12:39):
So depending on your individual biochemistry and current stress
load, each of these things matter.
While they're generally safe, it's often recommended to
psychodaptogens. Take them 6 to 12 weeks and take
a one to two week break. This helps avoid a receptor
fatigue and let you monitor whether they're still beneficial
to your body. If you no longer feel noticeable
effect or feel tired, wired, or emotionally flat, that's a sign

(13:01):
to reassess. If you need these, consider
again that Dutch test or 4 pointcortisol panel to understand
your stress hormone patterns. For some, adaptogens may need to
be swapped out for other types based on the time, symptom
pattern, or nervous system response.
Again, that's why we say work with a practitioner.
We guide you along that path. On to the next one.

(13:22):
Listener question #10 this is Michelle 38 San Diego.
My 6 year old son has extreme sugar cravings.
He eats balanced meals but if hedoesn't get something sweet he
has emotional outburst. I've noticed more irritability
in mood swings lately too. Is this just behavioral phase or
could this be something gut related going on?

(13:43):
Well, while strong sugar cravings, especially when paired
with irritability can sometimes point to a candida overgrowth or
gut dysbiosis, these are two fairly common ones in children.
Imbalance and gut flora can impact mood, cravings and even
behavioral due to the gut brain connection.
So test to consider is that GI map stool test.
You can use this to identify yeast bacteria and enzyme

(14:04):
function. Another one we always say is
organic acid test though test it's non invasive urine test and
it detects yeast markers. Supporter strategies might
include sugar elimination trial.I know it's going to be tough
introducing high quality children's probiotic and focus
in a high protein, fiber rich meals to balance blood sugar.
Herbs or antifungal should neverbe used without professional

(14:26):
guidance, especially in children.
And this is a tough one when it comes to changing child's diets,
right? It's hard because a lot of our
kids are very specific on what they like to eat and that they
don't eat outside that box. Some of us adults do.
But, yeah, it's very hard with children.
So cravings may be linked to mineral imbalances like low
chromium or magnesium. A pediatric provider with

(14:50):
integrative training can help rule this out.
But again, and here at my objective, we can run a lot of
these tests. Listener question #11 Hi, I'm
Jonah, 35, Jonah's from Philadelphia.
Every time I eat certain restaurants, usually sushi
places or cafes, I break out in hives a few hours later.
I've ruled out food allergies. Could it be histamine

(15:12):
intolerance? If so, how would I know and what
can I do about it? This could very well be a
histamine intolerance, which occurs when your body can't
breakdown histamines properly. It's not an allergy, but rather
a threshold issue. When histamines accumulate
beyond what your body can process, symptoms like hives,
headaches, and digestive upset can occur.

(15:33):
You could test for Dow enzyme activity.
This is a blood test. DAO histamine levels.
These are not always reliable though.
Mass cell markers like thyrotaseand chromium graining a you
would have to get this through aprovider and we can also test
these too. High histamine foods like
fermented items, aged cheese, leftovers, vinegar, wine and

(15:54):
sushi grade fish especially if not ultra fresh could cause
issues to support histamine metabolism.
Try low histamine diet short term.
Consider a doubt enzyme supplement with histamine heavy
meals. Quercetin and vitamin C can help
stabilize mast cell naturally. Identifying root causes, gut

(16:15):
dysfunction, or slow methylationis key to long term resolution.
Again, feel free to reach out toone of our practitioners to work
on these histamine issues to getbest results.
Better to lab test, see what youare on paper and adjust from
there. Listener question #12 Alyssa
from New York. I'm 44 and my periods have

(16:37):
changed dramatically. They're lighter, sometimes just
spotting. I used to have heavy cycles, now
I'm getting older. Could this be perimenopause?
Should I be testing my hormones now or just write it out?
Yes, Alyssa, Lighter regular periods in your 40s are common
part of perimenopause, but testing your hormones can offer
valuable insight to how your body's transitioning.

(16:57):
You don't need to write it out blindly.
All right, start with that Dutchor hormone test.
Track your estrogen and progesterone patterns, androgens
like DHEA and testosterone. We got to understand your
cortisol rhythm. It'd be good to also see your
methylation and detox markers. You should also check your
thyroid panel, as thyroid function often changes with
perimenopause. So if your estrogen is dropping

(17:19):
but cortisol is high, you may feel wired, anxious, and also
fatigued. Low progesterone can cause sleep
changes or mood swings even withlight bleeding.
So natural support options include maca, vitex, and acid
cycling. But it's critical to personalize
your plan. So tracking hormone levels gives
you the power to respond insteadof just coping.

(17:41):
So I would always say it's important to lab test.
If you have any questions or need any of that lab testing, do
not hesitate to reach out. Mindful objective listener
question #13 And we have 14 of them today.
So this is listener question #13Hi, I'm Brian, 50.
He says I wake up like clockworkat two or three in the morning
almost every night. I fall asleep fine but once I'm

(18:03):
up I'm wide awake. Could this be a blood sugar
related or hormonal? I tried melatonin and magnesium
but they haven't helped. Yes Brian.
So frequent waking at the same time each night often points to
blood sugar dips. It could also be cortisol spikes
or liver detox stress. The two to three aim window is
when the liver is the most active based on traditional

(18:23):
Chinese medicine and also when your cortisol may spike if
glucose drops. So tests we could do here is
cortisol rhythm panels. We could do a salivar Dutch
test. Fasting glucose, insulin and A1C
liver enzymes right? Check the ALT ASTGGDGGT to
support blood sugar overnight. Try a light protein fat snack

(18:46):
before bed like nut butter or collagen.
Those are both supplements to explore if appropriate for you.
Magnesium glycinate or thyranate.
Another one would be glycine or taurine right?
You can use that for detox and to calm yourself.
So be cautious with melatonin. I know that's the first go to
for a lot of people. It's not always effective in the

(19:07):
middle of the night waking and it may disrupt your natural
cycle. So it's always best to test
first then tailor your needs based on that.
And if you need any help with that, do not hesitate to reach
out. Listener question #14 This is
Karen, 39 from Minneapolis, MN. How do I know if I'm actually
need digestive enzymes? I do not have major stomach pain

(19:29):
but I feel bloated after meals and sometimes I see food
particles in my stool. I'm not sure if this is normal
or if I should be taking something.
Signs like bloating and undigestive food in stool, gas
or feeling overly full after meals often.
Even if there's no outright pain, you could be having these
digestive issues. A stool test like GI map and GI
effects which tells if your pancreas is producing enough

(19:51):
enzymes. You may also consider a
gallbladder liver function panelif that digestion seems
impaired. Right Floating stools or greasy
appearance. A poor digestion can limit
nutrient absorption. This can lead to fatigue and
inflammation. A broad spectrum digestive
enzyme like protease lipase may offer short term relief for you.

(20:12):
A broad streptom digestive enzyme may offer short term
relief. If you had your gallbladder
removed. An enzyme with oxy bile can be
especially helpful to you. So enzymes support digestion but
aren't a fix. All right, use them with meals
and reassess periodically. Long term, aim to identify with
stressing your gut or pancreas in the 1st place.

(20:35):
Again, work with a provider to rebuild function from the inside
out. Let's lab test.
Let's understand what that gut is doing.
We could do that by that organicacid test or that stroll test.
So reach out if you do want to run any of those labs.
Again, mindfulobjective.com. That wraps up the special
listener question and answer episode at Mindful Objective.

(20:56):
Today we explored 14 in depth questions covering from hormone
shifts to gut health to unexplained symptoms that often
go ignored by a lot of people. Reminder, this podcast for
informational purposes only, does not constitute medical
advice. Nothing discussed is intended to
diagnose, treat or cure or prevent any illness or disease.
And always consult with healthcare provider before
making health decisions or change your routine.

(21:18):
So just know that these aren't minor complaints, right?
These are your body's early warning symptoms.
We preach this all the time. Your body's trying to tell you
something. You got to start listening.
And when you understand what those signals really mean,
you're no longer guessing. You're guiding your health
journey with clarity and no confusion.
So if today's episode help you connect the dots or spark new

(21:39):
question, share it with someone you care about.
Chances are they're wondering about the same thing or just
haven't had the words to expressit yet.
So want your question featured on Mindful Objective on this
listener question and answer, besure to visit
mindfulobjective.com/podcast. Again, that's Mindful
objective.com/podcast. Feel free to submit your

(22:01):
question. Be sure to also follow us on
social media at Mindful Objective.
So until next time, stay grounded, stay curious and keep
tuning into those signals your body's sending you.
Stay well.
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