Episode Transcript
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Speaker 1 (00:00):
Hi everyone.
Welcome back to another episodeof Tattoos and Telehealth.
I'm Nicole Baldwin and I'm anurse practitioner, and this is
Kelly White.
She's also a family nursepractitioner and, as you all
know, we have to say that thisis not medical advice.
We're just two gals just havinga conversation.
Our attorneys make us say thatand this does not constitute a
(00:20):
patient provider relationship.
So today we're going to talkabout gut health and the
association with weight loss andall kinds of great information
that Kelly has as a dual boardcertification in functional
medicine.
She comes with a huge amount ofknowledge regarding this and I
know there's a lot.
It's hot right now.
(00:40):
Everybody's realizing thateverything starts in the gut,
like the health.
The health of your body, um,you know, is a good indicator of
what's going on in your gut,and what's going on in your gut
is a good indicator of what's ofof you know your overall body
health.
So, um, I'll let you take itfrom here.
Speaker 2 (00:57):
Great, Thanks
everybody.
Um, so, like Nicole said, um,your gut health really does play
a crucial role in just variousaspects of overall health,
including weight management, andthat's kind of what Nicole and
I wanted to chat about now.
You know we've led you guysinto talking about different
medications you can use.
We talked about Mike injectionslast week and we really hit
(01:20):
that hard.
You know, there's a lot ofthings that you can do to
stimulate increasing yourmetabolism and fat burning.
We were really excited aboutsome other stuff that we're
launching and when we're goingto get into that, you know, at
some point, I think, in thefuture, when we really have our
hands in it.
But there's one big piece of thepuzzle that I think everybody
just kind of skates around ormaybe we don't pay attention to.
(01:41):
But I don't know about you,nicole, but I am that person
that you know.
I wake up thinking, man, I didreally good yesterday, I ate
good, I worked out.
And then I wake up and I lookdown and I go why am I so
bloated?
What the crap, man, do you everdo that?
Speaker 1 (01:56):
Yeah, sometimes we
just we do all the right things,
where we think we do all theright things, and then we're
still like, oh, but I know weare our own worst enemy, but
nonetheless I mean it's there,it's there right, the bloating
is there, the feeling justcrummy and drained, it's, it's
there.
Speaker 2 (02:12):
It is, and I think
that one of the things we have
to think about is our gutmicrobiome directly feeds into
our metabolism.
So if you think about all ofthe guts, you know that live in
there.
You kind of have this chain ofthis life of different types of
bacteria, how they break downfood, how they extract nutrients
, and research tells us thatindividuals with a higher
(02:35):
microbial diversity really dotend to have a healthier weight,
and that's because you don'thave this battle back and forth
of this.
You know this bacteria istrying to do their job, but
there's not enough bacteria overhere to do their job.
You have an overgrowth here andan undergrowth here, and so you
don't compete for this energyharvesting.
That's happening, and so trulygetting your microbiome under
(02:56):
control is is the key, and so wehave a ton of tests that are
available to us.
Now.
Research and technology reallyhas come a long way.
We have access to, you know, gimapping, zonulin testing,
there's Dutch testing, and I'mnot going to bore you with all
of that, other than to tell youthat we have those tests
available to us.
We can sit down, visit with youand let you know which one of
(03:18):
those tests are appropriate foryou based on what you're going
through, and to let you knowthat truly those two things
working together is is where youneed to be thinking when you're
working through this journey,especially those of you that
have.
You know, nicole and I hearthis all the time You're like
I've been doing this, I did sowell, and then I hit this wall
and I can't go any further and Iwas like I can't lose any more
weight or I'm starting to gain alittle bit of weight back, but
(03:40):
I just I can't get past this andit truly has to do with that
microbiome and what's happeningin your tummy and you just can't
metabolize.
The other thing that you thinkabout when you think about gut
metabolism is the influence onappetite and satiety, so the
ability to realize that you'refull, the ability to sit down
while you're eating andrecognize I'm good, like I'm
(04:02):
done, I'm not hungry anymore,and that's a very significant
hormonal response.
If your brain can't tell youI'm done, you're just going to
keep eating.
And that's a hormone that'striggered through your gut
bacteria, so it influences theproduction of hormones like
ghrelin, which stimulatesappetite.
And if you guys haven't talkedto Nicole when she is counseling
(04:22):
patients about weight loss andthese medications, hormones like
ghrelin, come into play.
That's where you get thatstimulation of appetite, or the
lack thereof, which tells you tostop, and leptin, which tells
you I'm full.
So a healthy gut microbiomebalances those hormones.
So ghrelin, leptin, it trulyhelps to balance those hormones
and it reduces cravings, itpromotes satiety, tells you I'm
(04:45):
full.
Things like short chain fattyacids For those of you guys that
maybe you lift weights, you goto the gym and you supplement
your amino acids or short chainfatty acids.
When your gut bacteria fermentfiber, we're always telling you
to eat a balanced fiber.
Make sure you have enough, notjust with your macros, but
you're eating enough fiber inyour diet.
(05:06):
That fiber produces short chainfatty acids.
That helps to regulate appetitebut that also improves your
insulin sensitivity.
So all these things you'restarting to see kind of work
together and that short chainfatty acid production is really
linked to weight loss, fatreduction and all works together
(05:27):
.
The other thing that you'llstart to notice when you start
to regulate your guts is chronicinflammation.
Once you realize that your gutis unhealthy, you'll start to
see more of that systemicinflammation.
Those are people that haveinsulin resistance.
Maybe they have problems beingable to get fat off.
Maybe they have some underlyinginflammatory diseases that can
(05:50):
truly just be managed withgetting their gut under control.
That leads to obesity and notbeing able to get your weight
off.
If you have insulin resistance,it's very hard to get weight
off.
Nicole, I know that you seepatients that have pretty
significant insulin resistanceand that's kind of the hallmark
of some of your treatment, right?
Speaker 1 (06:09):
Yeah, it is, it
absolutely is, and something I
wanted to mention to you is thatyou know, with this testing
that is now available, now, abig buzz to mention to you is
that, you know, with thistesting that is now available
now, a big buzzword and youmentioned it is leaky gut.
Do the tests that you rundiagnose a leaky gut, and is
that something that the patientscan can request to say, okay,
(06:32):
do I even have this?
Speaker 2 (06:33):
Yeah, absolutely so.
Whenever patients come inthrough Hamilton Telehealth they
can absolutely make anappointment, just a functional
medicine appointment we can sitand visit and those tests that
we order GI mapping will let meknow if they have a leaky gut.
Along with that or a few otherkey pieces that we can discuss
individually, but a GI mappingtest will let me know if that
(06:56):
person has a quote unquote leakygut.
Now there's not a test, for itdoesn't say leaky gut, it's not
like that's not a name of a test.
It's that culmination of testsin the GI map that tells you
Pages and pages right, like this.
Speaker 1 (07:08):
Like it's not just
leaky gut check the box, yes or
no.
Like it's a very, very detailedtest, that that that Kelly
looks at and it is justextensive and it's it's an
amazing test.
Now, that's that's offered.
But you know, patients alwayssay I think I have a leaky gut,
but now there's actually teststhat actually actually show that
(07:28):
.
So that's super, superencouraging you know the.
Speaker 2 (07:31):
The other great thing
that I've seen I'm not sure if
you've noticed it, nicole on,you know, various social media
outlets is fermented foods, andI've even seen women that are
posting well, men and womenalike that are posting recipes
on how to make your ownfermented foods.
Guys, that is amazing because itreally does help support your
gut.
So our gut friendly foods thatinclude fermented foods are not
(07:53):
only fermented foods you stillneed high-fiber and prebiotic
foods but fermented foods reallyreally do help your diet
because those are probioticbenefits, and the reason why
those are so good is becausetaking pills that are probiotics
don't always make it throughthe acid in your stomach and
through the small intestine andget to do the business.
Your stomach is so acidicsometimes it won't make it
(08:14):
through the business um youracid.
Your stomach is so acidicsometimes it won't make it
through Um, and so making yourown fermented foods or eating
fermented foods is truly apowerhouse way of providing
natural probiotics to your body,um, so I've seen that be
something that's really comearound.
I think that's fantastic Um andthen, sorry, go ahead.
And then, as always, you know,stay hydrated.
(08:34):
I think that's my.
You know, that's my secondmantra.
You know my first one is yourbody, your rules.
My second mantra is drink yourwater.
Speaker 1 (08:40):
Yes, drink,
definitely drink, your water.
We don't realize how muchhydration is just and, and you
know, most of the population isdehydrated.
Let's be real.
But what is the difference, ifthere is a difference, between
eating a daily yogurt that'sfull of probiotics and fermented
food?
What is the difference, or thebenefits of one over the other?
Speaker 2 (09:00):
The difference is the
type of probiotic you're
getting.
So oftentimes you'll see thatthe type of probiotic that
you're getting in yogurt isgoing to treat different types
of symptoms versus what you getin fermented foods.
So fermented foods can includeyogurt, but they also include
things like sauerkraut, kimchi,kombucha, so it has a whole
(09:24):
different host of benefits,Whereas yogurt maybe we're just
trying to treat like a yeastovergrowth.
Women use yogurt a lot wheneverwe're on antibiotics because we
don't want to get a yeastinfection.
So you're really expanding, notjust substituting.
You're expanding your arsenal.
So more tools in the toolkit iswhat I say.
Don't stop doing yogurt and inplace of fermented foods, but
(09:46):
add that to your toolkit.
You're just expanding yourarsenal.
Speaker 1 (09:50):
I love that, I love
that, and so you know, I think
today is a very, very importantlesson for patients overall.
It's that you know, garbage in,garbage out, right With food,
with our nutrition, with ourfood and even with weight
management.
You know, we do have, I have hadsome patients where, no matter
what we do, even if they'redoing all the right things, they
(10:13):
can't lose weight right.
And that's usually my, you know,perimenopausal, menopausal
women, and it all has to do withwhen we really dig into it.
And I know you spend a lot oftime with a lot of time with
those patients, men and women,but you know, especially women
around menopause or menopausal,where they feel like they look
at food and they and they, theygain it right, and so this
(10:35):
really allows you to dive inwith them at a cellular level
and say what is going on and why.
Because, no matter what we do,whether it's, you know, diet,
exercise, whether it's at a GLPone or whatever they're really
still struggling.
Um, and you know that is likeyou know you, it's time and
money, those, you know, all ofthat is time and money diet,
(10:56):
exercise, medications, whateverand it's it's sad that sometimes
it can go to the wayside or getwasted, because the underlying
issue is a gut issue that justneeds to be corrected and then
you can move on and thencontinue to have that healthy
weight balance.
Speaker 2 (11:13):
Yeah, absolutely, and
I think that it's something
that oftentimes we overlookbecause we feel like it's just
too complicated.
I can't keep doing this anymore.
When truly it circles back tojust good gut health, I mean it
really does.
And whenever women hit thatwall, I think, especially.
I know I don't know about you,but by the time I get to that
point, man, I'm just done.
(11:34):
I'm like forget this, I'm done,I don't want to deal with this
anymore.
But if, if you know, if we canjust sit back and circle back to
just some good overall guthealth, the way that those
things work together, it reallycan be a game changer.
Especially, I know, especiallyfor me it was, um, and the way
that I started to feel better, Istarted to have more energy.
(12:00):
And then, coupling that withgood sleep, adequate water, you
know regular exercise, you knowtime for myself, breathing
exercises like you.
Couple that with all the things, you really start to see this
robust response and your bodygoes this is how it can be.
It doesn't have to be like that.
Speaker 1 (12:11):
Absolutely,
absolutely Well, that was some
great information and I reallyappreciate you talking about
that today, cause I know that isyour specialty and that's why I
just, I love, I love thefunctional medicine piece Um,
and patients are catching on,you know, the world is truly,
truly catching on to.
You know, let me do what'shealthy, so yeah.
Speaker 2 (12:30):
I love it.
All right, guys.
Well, if you have any questions, please log on, let us know.
You can reach out to oursocials.
You can reach out online.
You can find us atwwwHamiltonTelehealthcom.
Again, I'm Kelly White.
This is Nicole Baldwin, ourteam of wonderful people on the
backside.
Please reach out, let us knowif you need anything.
Otherwise, we will see you guysnext time.
See you next time, bye.