Episode Transcript
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Tamar (00:00):
Do you struggle with
chronic pain?
Are you frustrated bymedications that don't seem to
help or even make you feel worse?
In this episode, I continue myconversation with occupational
therapist Jessica May-Tang onher break and free from chronic
pain podcast, to reveal howunderstanding your genetics can
unlock the root cause of yourpain and the personalized
(00:21):
solutions to overcome it.
If you're ready to make a planto overcome pain, you need to
hear this episode.
Welcome to Pivoting Pharmacywith Nutrigenomics.
Part of the Pharmacy PodcastNetwork, a must-have resource
for pharmacist entrepreneursseeking to enhance patient care
while enjoying career and life.
Join us as we pivot intoNutrigenomics, using pharmacy
(00:46):
and nutrition for truepatient-focused care.
Explore how to improve chronicconditions rather than just
manage them.
Celebrate entrepreneurialtriumphs and receive priceless
advice.
Align your values with a careerthat profoundly impacts
patients.
Together, we'll raise thescript on health and pivot into
(01:07):
a brighter future.
Hello, hello, hello.
This is Dr Tamar Lawful, doctorof pharmacy and certified
nutritional genomic specialist.
Before you listen in to myinterview with Jessica May-Tang,
I want to thank our listener ofthe week, who says thank you
for letting me know that, evenat my age, I can still have hope
if I let science and geneticsbe my starting guide to my
(01:29):
journey.
You are welcome and so right.
It's never too late, no matteryour age, to start your health
journey and use Nutrigenomics toconquer your health goals.
And remember, when you leave usa five-star review, you'll get
the chance to be featured as ournext listener of the week and
I'll give you a shout out righthere on this show.
Today we're continuing ourconversation with Jessica
(01:53):
May-Tang on the Break and Freefrom Chronic Pain Podcast.
Jessica (01:57):
Listen in Okay, so
let's segue into, like the
Nutrigenomics part, since thatwas a nice little segue there.
Explain the Nutrigenomics partthe.
Tamar (02:06):
Nutrigenomics is my heart
.
I absolutely love it as usingit as a tool to help patients
get off medications and improvetheir health.
So, with the Nutrigenomicsreports, again going back to
that's how your food affectsyour genes.
So, for example, I'll share mypersonal experience.
I am deficient in vitamin D.
(02:27):
No matter what I do, my levelis at 17 and it stays there.
So vitamin D is important forbone health.
It can even affect mood, sodepression, menstrual cycles,
it's involved in so many aspectsbecause it's a hormone it's
actually a hormone.
So my genetic test gave me theanswer as to why I'm always low
(02:47):
in vitamin D.
So it turns out going back tothese enzymes that convert
active into inactive or inactive.
To active, my enzyme doesn't doit fast enough.
It won't convert D3 into theactive metabolite and vitamin D
that we actually gives us thehealth benefits that we need.
It will convert it, but verysmall amounts.
So as a result of that, I can'ttake the vitamin D amount that
(03:10):
the average person takes.
I need significantly higheramounts of vitamin D to get my
levels up.
So understanding why my vitaminD levels were low helped me
work with my physician to say,okay, let's think of what's our
regimen going to be.
This is what we need to do, andin three months we'll recheck
and see how that goes.
So it's definitely a usefultool to identify the cause of
(03:34):
certain issues that we mighthave with our health.
So when you get thisneutrogenomic report, it
actually tells you pinpoints,what your main areas of focus
need to be with your health.
So, for example, it might sayblood pressure, potentially a
major issue for you.
So it's not diagnosing you ofany diseases, it's just saying,
(03:55):
based on these geneticexpression, your body does not
regulate blood pressure well asa result.
One, you need to focus oneating these type of foods to
make sure your blood pressurealways stays in check.
Two, you need to focus on thesetype of lifestyle changes.
This is the best type of stressmanagement for you, and it will
list the yoga, pilates, walking, whatever it is.
(04:17):
When it comes to exercise, itwill say Avoid this type of
exercise because of x, y and z.
So for me, I love boot camptraining.
It gets my adrenaline going, Ifeel like I've accomplished a
lot, you know, and I build mystrength.
But based on my personalprofile, I Should not be doing
high intensity intervaltrainings Maybe, but twice a
(04:39):
week.
The rest of the time I need tobe walking or doing yoga or
swimming.
That type of a physicalactivity will help me burn fat
and lose weight Better than highintensity workouts Wow.
It even gets that specific andthen, on top of that, it will
tell you the type of supplementsyou may need.
So when I coach my clientsthrough their Nutritional part
(05:03):
of things and a huge advocatefor the foods that you eat,
giving you your nutrients andthere are some basic supplements
that we may need in general,but I really try to work with
them to change your eatinghabits so they can get a
nutrients and vitamins that theyreally need from foods, versus
Having to buy all thesesupplements, because that
defeats the purpose of what I'mtrying to do, which is get them
(05:23):
off medications, and I don'twant to switch out their
medications for supplements.
Jessica (05:28):
Mm-hmm.
Yeah, take out these survivepills, but take these other five
Instead.
Right, right, right, right,okay.
And then can we go back to yourexample with the vitamin D?
Did it tell you what kinds offoods that you needed to focus
more on eating?
That works for your genomics?
Tamar (05:43):
yeah, so I had an issue
with oxidative stress, and
Oxidative stress really stuckout to me because it made so
much sense with everything thatwas going on with me.
So with oxidative stress youwant to do.
Healthy fats I have a lot offood allergies as well, which
plays a role in that as well.
My body is constantly in astate of inflammation and that,
(06:05):
by the way, leads into pain aswell.
Right, so I notice when I'meating better, I don't have my
joint pain in my knees when I'meating the healthy fats and the
carbs that are low glycemic, sothey're not going to spike my
blood sugar really high after Ieat them.
I saw like sweet potatoes orgood squash, and so vegetables
(06:25):
pretty much you know our carvegetables or carbs, and a lot
of people don't realize thatthey don't see veggies as
Carbohydrates and they are sohealthy fats the vegetables, the
broccoli, the spinach, theasparagus onions now, I don't
like onions lesser cooked, sothat's fine, there's still
onions and I cook them.
Fish.
And then when it comes to meats, you want to do the like the
(06:48):
pastures, organic, grass-fed orpastures meats because they're a
healthier source and you get alot more vitamins and nutrients
from them.
Then you would the othersources of meat if you are a
meat eater.
So those were some of thethings that were recommended for
me when it came to theoxidative stress part of things.
Jessica (07:06):
Just right there in
your results.
It's all part of the resultsthat you get, all right there.
Tamar (07:11):
Just written out for you,
and then, with my clients, I
take it a step further.
So once I get theirnutrient-dermant test results, I
set them up with a meal planthat actually matches their
genetic test results.
So the test tells me the topthree things they need to really
focus on towards healthimprovement, and the one that's
the highest priority.
There's a company that isassociated with the genetic
(07:33):
testing company.
They do meal plans.
It will link their meal plan tothat top priority based on a
genetic test, and it has all thefoods in there that they need
to eat and Delicious recipes.
So then my clients get thatmeal plan and whether they use
it or not, it's up to them.
They don't have to do the exactrecipes if they don't want to,
(07:53):
but it's there and it gives theman idea of All the types of
foods that they can eat.
That's better than McDonald'sor Burger King.
Jessica (08:02):
And all the different
kinds of recipes available to
them, to using those specificfood items.
What about your top one tothree tips for someone with
chronic pain?
Tamar (08:11):
Oh, my top one to three
tips would be a Well, definitely
you need to have a painmanagement plan, so that's gonna
involve working with yourdoctor to make sure that they
can get to the root cause ofyour pain, and that might
involve different treatmentoptions like physical therapy,
medications, acupuncture and alot of people use a massage and,
(08:34):
as we mentioned earlier, stress.
Stress can bring on a lot ofpain, so stress reduction should
definitely be part of that painmanagement plan and it might
seem counterintuitive.
My second tip, but it's to stayactive.
I know it can be difficult whenyou're in pain to be active,
but every little bit counts andthe more you do it, the more
(08:57):
endurance you'll build and theeasier it will be, and there are
activities that can below-impact.
Like I mentioned earlier, I hadbad knees, so swimming.
You know swimming is alow-impact activity and be great
for For people with bad knees,and yoga is a good option as
well, and part of that stayingactive and maintaining your
(09:18):
healthy lifestyle definitelyinvolves what you eat, your
nutrition, because if you're nothaving a well-balanced diet or
nutrition, you're going to belacking in certain vitamins and
the deficiency in those vitaminscan also lead to pain.
So that's something important toconsider.
It all ties in together andalso, along with the healthy
(09:38):
lifestyle, sleep.
A lot falls under the healthylifestyle, part of things.
But you take one step at a time, a little bit each day, add on
something else the next day andbefore you know it, it's going
to be part of your lifestyleregularly.
You're not going to think twiceabout it, it's just going to be
what you do.
And my third tip would be toget a support group.
(09:59):
Get a support group.
I'm sure there is pain groupsout there, support groups out
there, so it's good to be ableto connect to other people that
can relate to you, to know thatyou're not alone in what you're
feeling, what you'reexperiencing.
And if you're one of thosepeople that took the
pharmacogenomic test and you canshare that with your support
group, but then you're helpingeverybody.
(10:21):
You get that support, emotionalsupport, the mental support,
and learn ways to cope with thechallenges of pain management.
Jessica (10:29):
Ooh, that is so good.
You mentioned sleep, which alot of people actually forget to
think about.
I mean, with pain it's hardright, sleep, not great sleep
and pain.
And then I love that you talkedabout the connection piece,
feeling connected and belongingwith other people.
That has a huge impact on painand depression and anxiety,
(10:49):
which also tend to go hand inhand with chronic pain.
And then your fourth tip,obviously, is to get tested with
you to understand what is goingon, especially for those of you
guys who are taking so manydifferent kinds of medications
and having side effects that arenot great, like work with
Tamara.
Please, I beg of you.
And then, in terms of your, Ithink you said that you had a
(11:12):
freebie that you wanted to sharewith everybody listening.
That would be helpful for themin terms of healthy lifestyle.
I think it was.
Tamar (11:19):
Yes, when I began my
business, I found that the root
cause of a lot of the problemsthat they were having was the
fact that they were not puttingthemselves first, they weren't
doing a lot of self care andtaking care of themselves.
So I have a workbook that Icreated for those who recognize
(11:39):
that they do need the self care,healthy habits.
It's a self care workbook.
So within that workbook I'mgiving you it's kind of homework
, because self care is differentfor everyone, like what is self
care to me is different withself care to you, right, jessica
?
And for the next person.
So this workbook is designed tohelp you find, discover what
(12:01):
you need for self care, becausesometimes we don't know.
For example, one of my clients.
You know what she needed forself care.
It was a shower at thebeginning of her day.
So she worked from home.
So she would just get up, havebreakfast, get on her computer
and start working.
But she felt horrible the wholeday.
So in our group coaching Iworked with her to figure out
(12:22):
what it is.
What can you start with?
What do you feel you need?
That shower changed her wholeday.
It set her routine, it set hermood for the entire day and from
there she had a hugetransformation in her train of
thought and her motivation toeven get healthy.
Just taking a shower somethingthat we do, we all do every day,
(12:45):
but for her, doing that at thebeginning of the day made a huge
difference, and that was partof her self care routine.
So the workbook is designed tohelp you discover what it is
that you need in your self careroutine so that you can get on
the track.
So it's called Healthy HabitsHappy Life for Women on the Path
(13:05):
to Wellness.
Jessica (13:06):
Ooh, I love it.
I love all the water referencestoo.
I'm a water baby, I grew up inthe water, so swimming is my jam
and taking showers isdefinitely one of my favorite
parts of the day.
So, yeah, so that water can beso cleansing, right, it's almost
like she needed just thatcleanse to get a fresh start.
(13:28):
It's like, okay, this is myhome life and then I take a
shower and then I start my workday.
Like it's like that was thething that differentiated the
two parts of her life, right?
So many people needed thatdifferentiation during COVID and
the pandemic, right?
Having that separation has beenreally important.
This has been fantastic.
Thank you so much for sharingall of your knowledge.
(13:49):
You shared so much with ustoday and I think there's so
many bits of information thatlay people like we don't
understand.
We're not pharmacists, right?
So we really didn't know thesethings, right.
So I hope the listeners todaycan get a lot of insight in
terms of what's happeningactually in the pharmacist's
office downstairs at yourdoctor's office you know CVS and
Walgreens and to understand howyour medications and the way
(14:15):
that you eat and the self-careactivities that you participate
in can really affect your painlevels, can really affect your
well-being, yourpsycho-emotional health, all the
things Right.
Thank you so much for your timetoday.
I really appreciate you.
Welcome, Jessica, it's been apleasure.
Tamar (14:30):
Thanks for having me.
Thank you for joining us onthis episode.
If you would like to hear thefull episode, visit Jessica at
the Break and Free from ChronicPain Podcast and take advantage
of her free guide on managingpain.
If you love what you've heard,I have a favor to ask Picture a
fellow pharmacist or friend whocould benefit from this episode.
Share this episode with them.
(14:51):
By doing so, you're not onlyadding value to their journey
and fostering nurturingconnections in your community,
but also joining in an excitingcommunal endeavor, raising the
bar in health care.
It starts small.
Just by sharing this episode,and if you've appreciated the
time spent together on the show,let the world know.
Leave a review.
(15:11):
It's simple as that.
Open your Apple Podcast app,scroll down and give it a
five-star rating.
Maybe share a sentence or twoabout what you enjoyed.
That action, as tiny as itmight seem, would mean the
universe to me.
Plus, it also lets otherkindred souls know that our show
is worth a listen in theirprecious time Together.
(15:31):
We can make a difference in theworld of health care.
Are you up for it?
Coming up next week on the show, we have part one of a part two
series for pharmacists, wherewe'll be diving deep into the
landscape of promotingpositivity and cohesion within
your pharmacy team so you cannavigate through the challenges
with grace, adopt a we mindsetand effectively address concerns
(15:53):
without the constant feeling ofbeing on a battlefield.
See you back here next time anduntil then, always remember in
your journey as a health careprofessional, always raise the
script on health, becausetogether we can bring health
care to higher levels.