Episode Transcript
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Dr Kirstey Holland (00:01):
Hello.
It's been a big week in clinic.
And I am working fromheadquarters today in
Williamstown And I just wantedto jump on to give you some of
the answers that I've beengetting so many questions for.
We have our premium programrescue you from the
rollercoaster of perimenopauseall things keto cups, all things
(00:22):
food for thought, all thingssmart, fast science backed
prescriptions and healthchronicles.
So people often ask me, so whatare your solutions?
How do I rescue myself from therollercoaster of perimenopause
and all of these crazy unwantedsymptoms that I absolutely wanna
get rid of?
I have the solutions for you andthey're backed in hardcore
science.
(00:42):
So please reach out, ask me forthe research articles.
I would absolutely love tobamboozle you with the research.
I sit here studying andresearching almost every single
day.
And I have done for the last 23.
I'm a bit of a tech nerd and Iabsolutely love female
physiology.
I will never be bored.
There'll never be a day in myclinic where I am bored by
female hormones.
(01:03):
They do all sorts of crazythings, and of course, as Dr.
Sarah Gottfried talks about,nothing in isolation with the
perimenopausal hormonal system.
Nothing in isolation with healthin general anyway, but it's
really important during thistime of transition to be as
healthy as you possibly can bein order to transition
gracefully because your brain isgoing through so much right now.
(01:24):
So let me talk about thesolutions to rescue you from the
rollercoaster of perimenopause.
We start with the smart fast.
If you like me originally, whensomebody said, oh, I really want
you to try fasting, I was justlike, oh no, I was so
traumatized and have been sotraumatized in my life by diet
culture and as a recovering foodaddict, I never ever wanna go on
(01:46):
a diet again.
I never wanna deprive myselfagain.
In the Holland Clinic, it is adiet free zone.
We talk about food protocols andand I'll get to those in a
moment.
But in terms of fasting, yes.
When I did try fasting to beginwith, I did white knuckle it.
Lots of the research and theinformation out there is
certainly based on trials withregards to men and fasting.
(02:09):
Women don't do as well long termon fasting, and we certainly
don't want to tax our adrenalsanymore than we need to.
During this time ofperimenopause because it's
actually a hypothalamus,pituitary ovarian and adrenal
access that needs to besupported most.
So the last thing we wanna do istax our adrenals even further.
So the message that we wannasend our bodies in general is, I
(02:30):
am safe.
All is good.
You have a nutrient dense, richblood supply.
You are not skipping meals, youare keeping glucose stable.
And in our program too, we talkabout all of the disease states
that suddenly tend to show up inperimenopause, right?
So suddenly you've got anautoimmune condition that you
never had before, suddenlyyou've got really itchy skin, or
you've got crazy eczema orpsoriasis and you scratching.
(02:53):
Women suddenly feel likesomething's gone on with their
metabolisms or their thyroids,they're cold all the time, or
they're hot all the time andthey're having those flushes.
So high blood pressure issomething that comes up very
often in peri.
And insulin resistance.
But people don't necessarilyknow what insulin resistance is
or metabolic syndrome.
But often women fall into thiscategory of type two diabetes or
(03:14):
pre type two diabetes which iseasy to test.
In a blood test, you basicallytest hba one c glucose levels
and fasting insulin.
That's what I recommend in myclinic anyway.
It gives us a nice comprehensivepicture, but quite often women
will have a normal bloodglucose, but they'll have an
insulin out of range.
So in Australia, I like my womenin my clinic to have insulin
below 10, a fasting insulin ofbelow 10 showing that you are
(03:37):
metabolically flexible andmetabolically healthy.
It's so important for us duringthis transitional time too, not
to pre predispose ourselves tothings like heart disease and
and eat and live and sleep andthink and supplement in a way
that combats that for good, youknow?
So the smart, fast smart fastingsmart is not about white
knuckling it.
(03:57):
I'm currently fasting, but Ihave a beautiful keto cuppa.
So I teach inside of my programhow to fast in a fasting
mimicking way.
So basically you take insupplements and nutrients that
send beautiful nutrient dense,rich messaging to your body.
The message to the body is, I'mnot skipping breakfast in any
way, shape, or form..
My adrenals are beautifullybalanced and my brain is on fire
(04:20):
because it has an incrediblefuel source.
And at the same time, we arefeeding our microbiota, so we're
feeding our microbiomebeneficial insoluble and soluble
starches so that our gut ishealthy and happy.
And we're taking in quite oftenprotein first thing in the
morning too, to try to reducethat insulin resistance piece
and insulin resistance if you'renot sure whether you have it or
(04:42):
not.
Just ask yourself the questionslike, do I have skin?
Do I have thick yellow skinunderneath my feet?
Am I exhausted after eating?
Do I feel like I'm able toactually access the food from my
diet?
And another one that's supercommon in perimenopause is
non-alcoholic fatty liverdisease.
Women will come into my clinicand go, where the hell did this
come from?
Out of nowhere, my doctor hasnow diagnosed me with
(05:05):
non-alcoholic fatty liver.
I'm here to tell you that you'vegot to decrease the fructose,
and I am, no, I, don't want youto restrict any food groups or
foods at all.
I just talk about"sometimesfoods" and"everyday foods".
Like I said, there's no diethere, but fructose can be
particularly bad for insulinresistance.
So what tends to happen, ifthere's too much sugar in the
(05:26):
bloodstream, we will getourselves into this fat store
state as opposed to a fat burn.
And we really wanna be in a fatburn state in perimenopause.
Not only because we don't wantto get that extra little bit of
fat around the middle, generallyjust where we pull up our jeans,
right?
But we wanna be able to fire onall cylinders.
And because of the fact thatprogesterone is decreasing, or
(05:50):
we have estrogen flailing, butwhen estrogen is at its lowest,
your brain is not able to accessglucose in the way that it once
did..
Anybody over the age of 35experiencing, shortened periods
or longer periods or, reallytender breasts or new or
different headaches or migrainesmood disorders.
You're feeling a bit agro.
You're feeling a bit quick tofuse.
(06:11):
You're not sleeping as well asyou once did.
You're not sleeping through thenight the list goes on and.
Spatial awareness issues, itchyskin yeah.
And the rise of autoimmuneconditions is very common.
Hashimoto's thyroiditis, gravesdisease any autoimmune skin
conditions.
Lupus is a big one.
Lots of women get diagnosed withMS at this time.
That's a bit of a sad one andit's one really close to my
(06:32):
heart.
I have some incredible lovedones and very close friends with
MS that do really, really, um,on our Holland Clinic peri
protocol.
So yeah, I think accessing abeautiful fasted state, but in a
fasting mimicking way.
So we fast smart in the HollandClinic with perimenopausal
women.
We don't white knuckle it.
(06:52):
There's absolutely no whiteknuckle fast going on here.
And we do use keto cuppas.
So I've got loads of beautifulrecipes with all of those
gorgeous ingredients in them sothat we can have.
Um, This fasted mimicking stateand we can experience amazing
energy levels, first thing inthe morning and sustained right
throughout the day so that ourblood glucose is kept stable and
(07:13):
we can access this fat burn asopposed to fat store state.
So that we do keep our weightstable and and we are not
increasing the weight year in,and year out.
I have so many women that comeinto my clinic going, oh my God,
I don't know what is going on.
I haven't changed the way I moveand I haven't changed the way I.
But I've put on five kilos inthe last two years.
(07:34):
And I I know there was covid,right?
But this is beyond that.
And then food for thought.
Our food protocols, again, not adiet, a food protocol is steeped
in the most incrediblescientific research based on
research by Volta Longo Alessio,Dr.
Lisa Mosconi.
My food protocols are a hybridbetween the the Mediterranean
(07:55):
diet and the longevity diet.
These diets ensure that we havegood heart health, we have good
gut health, we have good brainhealth.
We are preventing chronicdisease now and in the future.
And I have a nourish andflourish meal plan, which shows
you how you can potentially eatMonday through Friday.
Just gives you some guidelines.
I do have some beautifulrecipes, but ideally I really
(08:17):
want women to, eat what theylove.
and we do have a wellness foodprotocol, which is our most
basic.
Then of course we have atreatment food protocol that
talks about all of the potentialtrigger foods that can be
triggering women at this time,creating a an insufficiency in
the gastrointestinal tract.
So basically what we want duringperimenopause is we want really
(08:37):
tight gap junctions in ourgastrointestinal tracts when
we're taking in trigger foodsor, things that don't agree with
us like for example, glutendoesn't do me any good.
So I know that when I eatgluten, I punch holes in my
gastrointestinal tract, whichcreates an insufficiency and an
integrity issue in my mucosalmembrane in the gastrointestinal
tract.
And then what happens isinflammatory cytokines or
(08:59):
proteins from the food are ableto actually come into the
bloodstream and then startcausing havoc and attacking
joints and our.
So when we have thisinflammation in the gut, we
often have an inflammation inour moods and our minds.
And quite often this can be thething that creates joint pain in
perimenopausal woman.
And yeah, science backprescriptions.
(09:20):
I cannot tell you how incrediblesupplementation can be at this
time in your life.
I am absolutely crazy aboutwomen.
I'm crazy about women's health.
I want us to all grow wings.
I want us to all be the best wecan be.
I really do have a beliefsystem.
My why is basically that I knowhow tricky life can be and I
(09:41):
just want women to be as vitalas they possibly can be so that
they can handle the things thatlife throws at.
This hasn't been an easy pathfor me.
I have had a long issue with myown health, a long health
history.
I'm a recovering food addict.
I know what it's like to usefood as medicine both positively
and negatively.
I was diagnosed with polycysticovarian syndrome, told that I
was gonna be in fertile.
(10:03):
I have a beautiful 16 year oldboy fell pregnant naturally and
had a gorgeous pregnancy and awonderful.
And I have toned down the volumeon my own Hashimotos thyroiditis
and my my thyroid condition.
And I'm here to tell you that wecan live an incredible life
despite our ACE score.
I had loads of adverse childhoodevents.
(10:23):
I grew up in a very tumultuoushousehold.
Unfortunately my father had PTSDand was a high functioning
alcoholic that beat us and.
It does feel like arollercoaster.
I teach the woman in my clinichow to survive this progesterone
crash because that is what'shappening.
And progesterone keeps you cool,calm and collected.
(10:43):
She allows you to sleep.
She allows you to thinkstraight.
She allows you to have thatbeautiful distance between
yourself and your.
so that you're not reactive orso that you're not, just
reacting to everything.
And that's what actually thatprogesterone crash is the thing
that can bring on that mum rageor that relationship rage, where
you just feel like you're soshort to fuse.
But don't forget, an estrogenexcess can develop because of a
(11:05):
progesterone deficiency, and shecan really exacerbate that
middle banding and those tuckshop arms.
So it's really important for usto decrease that estrogen
appropriate.
And the most beneficial way todecrease estrogen appropriately
without supplementation is toensure that your gut health is
brilliant.
So I always start with repairyour gut, your immunity, and
(11:26):
your metabolism.
Oops, I just spilled my coffeeThat is one of the
perimenopausal symptoms, spatialawareness issues.
Let me know if you have an issuewith spatial awareness.
I remember my father saying, oh,your mother is so beautiful the
walls jump out at her.
And I now realize that I bumpinto tables and it gets
particularly bad about myperiod.
(11:46):
Your body knows how to heal.
It is this incredibleself-healing mechanism.
There are some incredible thingsyou can do for your gut
insoluble and soluble starchesand accessing that fasting
window so that your body can dothe repair that it needs to do.
You're basically you're sleepingfor eight hours a night,
hopefully and you're in a fastedstate, so you're able to access
those ketones so that your braincan be on and sharp in the
(12:09):
morning.
And then with the Holland Clinicketo cuppas you can stay in that
fasting mimicking state and youcan access that beautiful energy
store and source.
And then you can really healthat gut with things like
collagen and MCT oil which isantibacterial, antiviral,
antifungal, antiparasitic andyou can actually use MCT powder,
really gorgeous, high qualityMCT powder.
(12:30):
I do have some favorite brands.
My favorite MCT oil powder BrainBrawn.
It's a vegan keto MCT oil powderwith prebiotic fiber.
There's some really gentleantibacterial, antiviral,
antifungal, anti parasiticprobiotics that you can use to
just go into thegastrointestinal tract, pick off
unbeneficial bacteria, adhereand compete for space and then
(12:51):
it's so important that weincrease that secretory IGA in
our gastrointestinal tractsbecause it's within secretory
IGA where the majority of ourimmune system is.
So 80 to 90% of your immunesystem is in your
gastrointestinal tract.
So I'm here to tell you that ifyour gut is shot, your immune
system tends to be shot too.
So we tend to find that we'rejust, catching all the bugs that
(13:11):
are going around.
We just can't get over the fluesthe way we once did.
And then your immune system doesfeel like it starts to attack
itself.
And this is where autoimmuneconditions can actually become
prevalent and start toexacerbate too.
Inflammation is huge.
And when there's an inflammationin the gut there's an
inflammation in the mood in themind.
I've got three different foodprotocols in my clinic.
I've got the wellness foodprotocol, which is of the
(13:33):
easiest to follow and it doesn'treally require too much from
you.
And then I have the treatmentfood protocol, which talks about
all the foods.
With, you know, there couldpotentially be triggers for you,
like things with lectins orphytates or, and we go into,
huge detail there.
And I've dug really deep intothe research to see what it is
and which food triggers areaffecting perimenopausal women.
(13:53):
And then I have a heal sealrepair program, which is a full
elimination and reintroductiondiet, which gives women this
incredible clarity about what itis that causes havoc for them
from a food perspective.
So I'm here to tell you that Ican't eat green apples.
I can't eat bananas, I can't eathummus and dairy is no, gluten
is no good for me.
I can handle a little bit ofdairy, but those are my main
(14:16):
triggers and it's soilluminating to figure out what
your triggers are.
Once you've done that and youroverall health is incredible, I
think it's really important totest.
I don't see women doing verywell on testosterone, and I know
that this is a littlecontroversial.
I know that lots of mycolleagues in the states are
going nuts about testosterone atthe moment.
(14:37):
But I can tell you that I seemore yeah, I see more issues
with testosterone than I seegood things.
I have women coming into myclinic that have been prescribed
testosterone that are losing.
And yeah, so testosterone, ifit's right for you, potentially
estrogen and progesterone's bodyidentical.
(14:59):
Only if, again, they're rightfor you.
But do not take hormonereplacement therapy or body
identical hormones withouttesting.
I think you have absolutely gotto test first.
I would do both Dutch test and Iwould do the Dutch Plus.
So you can also see how cortisolresponds because cortisol is a
huge player here.
If you're making too much stresshormone, if you're making too
(15:20):
much cortisol, you're not gonnabe making enough progesterone.
So if you could just decreasethat stress lever, you may in
actual fact be able to makeenough.
Progesterone.
Blood testing, full bloodtesting.
Do lh, do fsh, do all the femalehormones in your bloods.
Make sure you're doing them onthe right days.
Certain practitioners don't knowwhen to test and they basically
will tell perimenopausal womenthat their hormones are all over
(15:42):
the place, so there's no pointin testing.
That's not actually the case.
Day two and day 21 are a bit ofa sweet spot for hormonal
testing and of course betweenday 19 and 22 for the Dutch
test.
So ideally, five to seven daysafter ovulation, so we can see
where that pre that progesteroneis at.
And then of course, please don'tforget that botanical medication
(16:03):
is incredibly successful atsupporting hormonal production.
So I think food first alwaysfood first and overall health
needs to be addressed.
You need to be as vital as youpossibly can be with your gut
working beautifully and all ofyour hormones working beautiful.
In their natural state and theway that they can first.
Repair your gut, your immunesystem, and your metabolism.
(16:25):
Make sure that you're eatingaccording to your own personal
biochemistry.
Make sure you have a nutrientdense rich blood supply.
Make sure you don't have anyiron deficiency, any D three
deficiency, any B12 deficiency,any hydrochloric acid deficiency
you wanna be digestingbeautifully.
You wanna have a great digestivecapacity, you wanna be
eliminating beautifully.
(16:45):
You want your detoxificationpathways to be ready to go.
And then you can use so like Isaid, food, then botanical
medication.
And then you may want to look atbody identical.
I do use body identicalprogesterone.
I don't see any need for meusing estrogen at this point in
time.
And I'm having an absolutelywonderful time of it.
I have been very unwell in mylife.
(17:05):
I did, I was diagnosed withchronic fatigue syndrome.
And polycystic ovarian syndromeas a young woman.
And was told that I was gonna bein fertile.
I had metabolic syndrome, I wasobese, I was a, food addict.
I'm a recovering food addict.
I'm no longer obese.
I'm 47 and I'm somewhere betweena size 10 and a 12.
I hate the numbers because I'mtraumatized from past, diet and
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restriction lifestyles that wereso advocated for in the.
It just doesn't work for us.
We need to look at sometimesfoods and our everyday foods,
and we need to be as vital as wepossibly can during this
transition, and I'm here for it.
I hope that makes it a bitclearer for some of the
questions that have been comingthrough.
If anybody is ready to takecontrol of their lives in a
completely holistic way we dohave our rescue you from the
(17:49):
rollercoaster of perimenopauseprogram starting this month.
Have a look at our program.
Please be aware of the fact thatyou can start with part one
only.
So repair your gut, yourimmunity, and your metabolism.
And I do have a special runningat the moment.
If you do join us for our partone, you are going to get a
initial consultation with mevalued at$495.
(18:12):
So the premium program paid upfront is just under 10 grand.
And then the the separatesections part one, part two and
part three are separately about$4,000 each, but pop onto the
website and you'll be able tosee all the information there.
At the moment, I do have thatbonus special.
If you're signing up to thepremium program, of course you
get everything.
You get the doctor in yourpocket, you get me walking
(18:34):
alongside you for six months,and you have access to me via
our app Monday to Friday, 11until four, you have unlimited
prescription renewals withregards to your individualized
precision prescription withevidence-based supplementation
that are only therapeutic goodsassociated supplements.
So you do need a prescriptionfor those.
I've been doing this for 23years in my clinic in Melbourne,
(18:54):
and I am so grateful to all ofthe three-dimensional women that
have taught me.
Jump onto our website and have alook at our wall of love and
read the real life stories fromreal life women who have
transformed their lives and arehaving a successful transition
from this perimenopausal stateof chaos.
And let's get it calm and let'sget you vital for good by
focusing on every single aspectof your health.
(19:16):
Please book your free claritycall with me.
We have free clarity calls atthe moment.
I'm also running communitywebinar.
On Monday nights every now andthen, it's every couple of weeks
where we talk everything peri,"Let's talk Peri", join my
newsletter and you will get lovenotes and tips and tricks and
recipes and all sorts ofStraight from my inbox to yours.
(19:37):
And yeah, like I said, if youhave any questions, please reach
out.
I absolutely love talking allthings, peri.
I could talk this stuffunderwater all night long, every
day, all day.
I'll chat to you soon.
Bye.
Beautiful people.