Many patients come to me when their metabolisms have slowed down.

What used to work for them to drop weight, no longer works.

There’s often several underlying reasons why.

THREAD It typically occurs for patients in their late 30’s, 40’s, or early 50’s.

Something changes.

However, it’s not just one issue.

There are usually several confluences of root problems.

Several patients had the same problem- they were following the weight loss plan & losing weight regularly.

They changed nothing in their diet & activities, but the weight loss stopped. They were confused because they had more to lose... Luckily, we figured it out.

THREAD At first, I had them food log.

Everything appeared as it should.

I had them check their blood sugars.

All was good there too.

If you're concerned about Alzheimer's dementia, and taking cholesterol medication, I'm going to highly encourage you to read the below 😳

THREAD Things that make you go hmmm 🤔

FYI: statins = cholesterol meds

Remove statins = brain function improves with Alzheimer's dementia

Add statins back = brain function decreases with those same Alzheimer's patients

This account exists for those who are frustrated with their weight & health.

They know our healthcare system is broken & focuses on masking symptoms.

They want a different approach. Not just another pill or shot.

They want to get to the root cause.

This account is a birth... ...of my frustration with people not knowing what I now know.

What I was taught as a doctor frankly didn't work many times.

When I had my own health issues that didn't respond to traditional care, I went on a search.

I had to unlearn a lot of what I had been taught

I ended...

My low iron anemia patients often suffer with:

•Extreme Fatigue
•Brittle Nails
•Brain Fog
•Thinning Hair
•Constipation
•Cold Hands & Feet
•Soreness on Tongue
•Inflammation
•Headaches

There’s an often-overlooked root cause.

Let’s discuss.

THREAD Today I’m going to cover 4 parts:

1) What often happens to patients with the above symptoms

2) Common issues with the standard approach

3) A needed test that is practically never ran

4) What to do to address the root cause

I’m going in depth today, so let’s dive in…

William's story is a touching one.

He wanted to lose weight for someone else, not himself.

When he came to me, he told me that he had a grandson who had a disability.

He loved his grandson dearly.

He told me he wanted to lose weight so he... ....could not only help care for his grandson but be around on this earth longer to spend more time with his beloved grandson.

After hearing this, I was just as motivated as William to help him reach his goals!

I regularly have conversations with patients who are exercising to lose weight.

Often when they first come to see me, they have been exercising quite extensively to lose weight.

However, the scale hasn’t moved.

The reason is the same for 99.9% of them.

THREAD The classic “eat less calories, burn more calories” paradigm of weight loss is frankly wrong.

Or maybe I should say, only a slight truth.

Caloric deficit is not the primary driver of weight loss.

Practically every patient has attempted this approach in one form or another, before coming to me.

Have you ever wondered why Type 2 Diabetes is the #1 cause of the following in America?

•Blindness
•Amputations
•Kidney Failure

Most never think they will end up here, but they do & it's simple to explain why.

THREAD All 3 of these conditions are ultimately due to microvascular complications.

Meaning the small blood vessels in these tissues get damaged & can't supply the tissues blood.

How does this happen?

Glad you asked 😉

My son is at a university that is academically rigorous.

He knows that to get the most out of his mind, he needs to fuel it with good food.

When he opened up the cabinet of his roommate's food selection, he texted me the below These are all breakfast "foods".

It's important how you break your fast... this sets you up hormonally for your energy levels and brain function.

Many are traveling this upcoming Columbus Day weekend.

Here are 12 healthy snack options that my family regularly utilizes on vacations & trips.

THREAD If you’ve ever taken a vacation that involved a long:

•Road trip
•Flight
•Train
•Boat ride

You know that you don’t always have the best, healthy options to choose from.

Too many with hypothyroidism resort to only taking:

•Synthroid
•Armour Thyroid
•Levoxyl
•Tirosint
•Levothyroxine

They don’t address the underlying root causes of their low functioning thyroid.

THREAD Typically, patients will go to their doctor and have their TSH, T4 Total, T4 free, or T3 tested.

Some combination will be low and out of range.

They are then given a prescription and told to take it.

However, 1 important question is never asked.

Recently, I did the following:

•Reduced Inflammation
•Detoxed
•Reduced My Ongoing Pain

All with 1 simple method

THREAD Back in early July, I jumped down from a platform that was about 8 or 9 feet high.

When I landed, my left foot took more of the brunt of the force.

I ended up with a “bone bruise” on the balls of my left foot (specifically, the 2nd and 3rd distal metatarsals for those who want the specifics 🤓).

I will tell you that metabolic health has MUCH FURTHER reaching implications beyond just weight loss.

I would say your metabolic health is "foundational" to your overall health.

While I believe it is multifactorial, Alzheimer's dementia rates have continued to skyrocket as metabolic dysfunction has continued to skyrocket.

I don't believe this is a coincidence. And if we look at what is predicted to continue to happen around the world, it's not looking pretty.

Often fruit & vegetable juices are promoted to be part of a healthy diet.

I’ve heard many “gurus” promote juice cleanses and detoxes.

However, they often cause more harm than good, metabolically speaking.

Let me explain.

THREAD When I was

•growing up as a kid
•throughout high school
•throughout college

I regularly drank orange juice at breakfast.

So many of my middle-aged patients have “no energy” when they first come in.

They prop up their low energy with:

•Coffee
•Energy Drinks
•Mid-Day Naps

There are deeper root issues at hand. Until they’re addressed, the above are only crutches for their low energy.

THREAD Our bodies have an estimated 30 trillion cells.

That’s a lot!

And each one of those cells can & should produce sufficient energy.

For over 10 years now, I’ve had a morning routine to boost my metabolic function.

A “metabolic hack” so to speak.

When I travel, I am known to do this too.

THREAD As I’ve worked with patients over the last 15+ years nutritionally, I’ve seen a theme.

So many of them really set themselves up for metabolic dysfunction by their morning habits.

Particularly with what they eat & drink.

“𝙒𝙝𝙚𝙣 𝙮𝙤𝙪 𝙡𝙤𝙨𝙚 𝙮𝙤𝙪𝙧 𝙝𝙚𝙖𝙡𝙩𝙝, 𝙞𝙩 𝙗𝙚𝙘𝙤𝙢𝙚𝙨 𝙮𝙤𝙪𝙧 only 𝙛𝙤𝙘𝙪𝙨 𝙩𝙤 𝙩𝙧𝙮 𝙖𝙣𝙙 𝙛𝙞𝙣𝙙.”

I’ve seen the above quote ring true in not only my life, but the lives of my patients.

It got me thinking about the freedoms of having a healthy body.

THREAD When we are not healthy, it feels like we are restricted.

That we can’t fully enjoy life and do the things we want.

Ultimately, a lack of freedom.

Huge recommendations were made yesterday to reduce Autism rates.

One that may be surprising is the use of Tylenol & increasing rates of autism.

I will explain below in simple terms why this occurs, so you understand.

THREAD Acetaminophen (aka Tylenol) is well known to deplete glutathione levels in the liver.

When Tylenol is metabolized by the liver, it produces a compound that binds with glutathione and reduces glutathione levels available to the liver.

Many don’t realize the severity of pre-diabetes.

They don’t want to have the diagnosis. And often they don’t want to take the meds.

They want to get rid of it.

And luckily, there is a way.

THREAD At its core, pre-diabetes is a condition of metabolic dysfunction.

When someone finally get’s diagnosed with it, the truth is, it’s been “brewing” for years until it gets bad enough to diagnose on lab work.

That’s when the elevated A1c gets found.

The 3 root causes I see most commonly with patients’ health problems are:

•Increased Systemic Inflammation
•Insulin Resistance
•Gut Dysfunction

These lead to SO many health issues.

Today, I am going to focus on gut dysfunction.

THREAD Early in clinical practice, I underestimated the importance of proper gut function in human health.

Then, about 16-17 years ago, I had my own gut issues.

I had to figure out for myself how to fix it, because none of the traditional treatments were helping.

I've been seeing this meme getting shared in recent weeks.

Frankly, I believe it is wrong.

And I'll explain why it is.

THREAD If you've read my writings for any length of time, you know I am big on looking for root causes of health issues and addressing those.

Not simply addressing (covering up) symptoms or managing blood values.