1 00:00:04,080 --> 00:00:06,880 Speaker 1: Welcome to Wellness un Mass. I'm doctor Nicole Safire and 2 00:00:06,920 --> 00:00:10,479 Speaker 1: today we're talking about nutrition guidance. It's been all over 3 00:00:10,480 --> 00:00:12,360 Speaker 1: the news. I'm sure you've heard about it, the new 4 00:00:12,400 --> 00:00:13,320 Speaker 1: food Pyramid. 5 00:00:13,760 --> 00:00:16,239 Speaker 2: It's a great thing. I support it widely. I'm so 6 00:00:16,400 --> 00:00:19,120 Speaker 2: glad to see that we're flipping the script. We're talking 7 00:00:19,160 --> 00:00:24,160 Speaker 2: about eating whole natural foods again, healthy fats, pure grains, 8 00:00:24,400 --> 00:00:28,200 Speaker 2: and getting rid of these sugars and ultraprocessed foods because 9 00:00:28,240 --> 00:00:32,519 Speaker 2: as we know, those have driven up obesity, metabolic disorders 10 00:00:32,560 --> 00:00:36,400 Speaker 2: and others. But the reality is one size does not 11 00:00:36,440 --> 00:00:40,400 Speaker 2: fit all. Not everyone is created equally, and not everybody 12 00:00:40,960 --> 00:00:45,280 Speaker 2: can metabolize and digest food the same way. So even 13 00:00:45,360 --> 00:00:49,760 Speaker 2: with this new and improved, updated food Pyramid, especially those 14 00:00:49,800 --> 00:00:54,959 Speaker 2: dealing with metabolic conditions such as lipidema, these guidelines might 15 00:00:55,040 --> 00:00:57,360 Speaker 2: fall a little short. So we're going to break down 16 00:00:57,400 --> 00:01:00,279 Speaker 2: what the pyramid gets right, where it misses a little bit, 17 00:01:00,800 --> 00:01:05,479 Speaker 2: and why understanding fat biology, inflammation, and hormone signaling matters 18 00:01:05,600 --> 00:01:08,880 Speaker 2: far more than counting grains on a plate. Very excited 19 00:01:08,920 --> 00:01:11,760 Speaker 2: today to have on Susie Boshoff, who is the founder 20 00:01:11,800 --> 00:01:14,840 Speaker 2: and CEO of Switch, which is a company that is 21 00:01:14,880 --> 00:01:18,360 Speaker 2: trying to get unhealthy things out of our snacks and 22 00:01:18,560 --> 00:01:21,360 Speaker 2: present healthier options so you don't feel like you're missing out. 23 00:01:21,560 --> 00:01:24,480 Speaker 2: It's been a huge news cycle Susie the last few 24 00:01:24,480 --> 00:01:27,800 Speaker 2: weeks with we have all the milk ads, now we 25 00:01:27,959 --> 00:01:29,560 Speaker 2: have the new food pyramid. 26 00:01:29,880 --> 00:01:30,880 Speaker 1: What's your take on it all. 27 00:01:32,240 --> 00:01:35,360 Speaker 3: I'm kind of loving it as a mother and a grandmother. 28 00:01:37,200 --> 00:01:40,600 Speaker 3: I have four kids and I have six grandchildren, and honestly, 29 00:01:40,959 --> 00:01:44,680 Speaker 3: the Food and Dietary Guidelines I've been fighting against for 30 00:01:44,720 --> 00:01:48,800 Speaker 3: so long because they have so many allowed things that 31 00:01:49,000 --> 00:01:52,760 Speaker 3: really humans shouldn't be eating in terms of processed ingredients 32 00:01:53,120 --> 00:01:58,960 Speaker 3: and also being in the food space. Now I'm finding 33 00:02:00,200 --> 00:02:05,200 Speaker 3: a whole different kettle of fish. So the wording in 34 00:02:05,400 --> 00:02:09,079 Speaker 3: this in the guidelines I really love and I hope 35 00:02:09,080 --> 00:02:12,080 Speaker 3: people take it to heart. In terms of that added sugar. 36 00:02:12,160 --> 00:02:13,280 Speaker 1: In which wording what do you mean? 37 00:02:13,360 --> 00:02:16,720 Speaker 3: The wording and the wording in the new Dietary Guidelines, 38 00:02:16,880 --> 00:02:20,480 Speaker 3: it's a really easy read. I don't know if everybody's 39 00:02:20,480 --> 00:02:22,040 Speaker 3: going to dive into it or they're going to assume 40 00:02:22,040 --> 00:02:23,640 Speaker 3: it's really complicated, but it's not. 41 00:02:24,120 --> 00:02:26,000 Speaker 1: They reduce the. 42 00:02:25,919 --> 00:02:28,400 Speaker 3: Guidelines on the limits of added sugar, which I thought 43 00:02:28,440 --> 00:02:31,880 Speaker 3: was pretty exciting because you know, I run into this 44 00:02:32,000 --> 00:02:34,960 Speaker 3: battle all the time of like sugar and moderation's fine. 45 00:02:35,639 --> 00:02:40,480 Speaker 3: So a granola bar, for example, might have twelve or 46 00:02:40,520 --> 00:02:44,880 Speaker 3: sixteen grams of sugar. People don't realize that four grams 47 00:02:44,880 --> 00:02:48,200 Speaker 3: of sugar is a teaspoon and the human body handling, 48 00:02:48,440 --> 00:02:51,080 Speaker 3: especially a little body. You know, I have a granddaughter 49 00:02:51,120 --> 00:02:54,080 Speaker 3: who just turned five, and if she has a granola 50 00:02:54,120 --> 00:02:58,280 Speaker 3: bar and it has twelve or sixteen grams of sugar 51 00:02:58,320 --> 00:03:02,000 Speaker 3: in it, she's getting three to four teaspoons of sugar 52 00:03:02,120 --> 00:03:04,640 Speaker 3: for her little body and she's so little, like it's 53 00:03:05,400 --> 00:03:08,959 Speaker 3: it's just not a healthy option. So the idea that 54 00:03:09,480 --> 00:03:12,120 Speaker 3: there's a little more education in there is kind of 55 00:03:12,160 --> 00:03:16,320 Speaker 3: exciting to me. And then whole foods, please, yes, more 56 00:03:16,360 --> 00:03:19,519 Speaker 3: whole foods. Like that is the most exciting thing to me, 57 00:03:19,680 --> 00:03:26,440 Speaker 3: even which sounds weird coming from a company that creates 58 00:03:26,560 --> 00:03:30,080 Speaker 3: a packaged food. But the truth of it is is 59 00:03:30,120 --> 00:03:32,800 Speaker 3: we live in a society where convenience is gonna matter. 60 00:03:33,040 --> 00:03:36,880 Speaker 3: You know, my kids are all grown, as I mentioned before, 61 00:03:36,960 --> 00:03:40,800 Speaker 3: but my youngest daughter, she's like in her early thirties, 62 00:03:40,840 --> 00:03:42,800 Speaker 3: and she's always on the go, go go, and she'll 63 00:03:42,840 --> 00:03:44,880 Speaker 3: call me and be like, Mom, I don't know how 64 00:03:44,880 --> 00:03:48,640 Speaker 3: to eat healthy when I'm running from one place to 65 00:03:48,720 --> 00:03:52,320 Speaker 3: the other across the city, and I'm like, Okay, here's 66 00:03:52,320 --> 00:03:53,560 Speaker 3: some things you can take with you. 67 00:03:53,800 --> 00:03:56,480 Speaker 1: But it's like it's limited. Even when we travel. 68 00:03:56,960 --> 00:03:59,880 Speaker 3: I don't always I'm not always perfect when we travel. 69 00:04:00,400 --> 00:04:03,800 Speaker 3: If I didn't pack enough snacks, you know, So creating 70 00:04:04,040 --> 00:04:06,520 Speaker 3: that's the thing, right, Snacks, especially for kids, like we 71 00:04:06,560 --> 00:04:09,640 Speaker 3: always have to have snacks for them and having fresh 72 00:04:09,720 --> 00:04:10,880 Speaker 3: fruits and vegetables. 73 00:04:10,920 --> 00:04:12,520 Speaker 1: Packing snacks are hard. 74 00:04:13,080 --> 00:04:16,000 Speaker 3: Yeah, well, and everybody knows. I mean as a mom, 75 00:04:16,480 --> 00:04:18,839 Speaker 3: I know you know when you put a banana in 76 00:04:18,920 --> 00:04:23,159 Speaker 3: a lunch box, stop, it's just everything else in the 77 00:04:23,240 --> 00:04:25,760 Speaker 3: lunch box is going to smell like it tastes like bananas. 78 00:04:26,160 --> 00:04:28,800 Speaker 3: So like, what are you going to put in these 79 00:04:28,839 --> 00:04:30,880 Speaker 3: things when when they're quick, or they're on the go, 80 00:04:31,040 --> 00:04:33,080 Speaker 3: or if you're going to take your kids to a 81 00:04:33,120 --> 00:04:36,440 Speaker 3: theme park, or you're going to the movies, or and 82 00:04:36,480 --> 00:04:39,200 Speaker 3: you want to limit some of those processed ingredients. I 83 00:04:39,240 --> 00:04:44,120 Speaker 3: love that they specifically called out petrochemical additives. I had 84 00:04:44,160 --> 00:04:47,200 Speaker 3: an interesting conversation, and I think it's worth having because 85 00:04:48,160 --> 00:04:50,440 Speaker 3: I think that we are used to words in our 86 00:04:50,480 --> 00:04:55,400 Speaker 3: food system that we become numb. Like artificial flavors, Okay, 87 00:04:55,440 --> 00:04:57,960 Speaker 3: we've always had artificial flavors, what's the problem with that? 88 00:04:58,080 --> 00:05:01,880 Speaker 3: Or artificial colors okay? Like no, these are colors and 89 00:05:01,920 --> 00:05:07,080 Speaker 3: flavors that are derived from from coal tar, from petroleum 90 00:05:07,120 --> 00:05:10,800 Speaker 3: based chemical ingredients that somehow managed to taste or look 91 00:05:10,839 --> 00:05:14,000 Speaker 3: pretty right, taste good or look pretty I have a question. 92 00:05:14,760 --> 00:05:18,520 Speaker 3: Which processes in your body are designed to utilize and 93 00:05:18,560 --> 00:05:20,440 Speaker 3: be nourished by petrochemicals. 94 00:05:20,960 --> 00:05:21,279 Speaker 1: None? 95 00:05:21,480 --> 00:05:24,520 Speaker 2: Actually, right, exactly at least I didn't learn of any 96 00:05:24,520 --> 00:05:25,279 Speaker 2: in medical school. 97 00:05:25,600 --> 00:05:26,279 Speaker 1: No, for sure. 98 00:05:26,560 --> 00:05:29,520 Speaker 3: So so that to me is it's just an education 99 00:05:29,680 --> 00:05:31,560 Speaker 3: point that we're always fighting against anyway. 100 00:05:31,600 --> 00:05:34,320 Speaker 1: But now the guidelines make it a little easier. I think. 101 00:05:34,880 --> 00:05:37,120 Speaker 3: I don't think it's perfect, but I think but I 102 00:05:37,360 --> 00:05:38,040 Speaker 3: but I'm. 103 00:05:37,800 --> 00:05:38,640 Speaker 1: Delighted with it. 104 00:05:39,279 --> 00:05:41,919 Speaker 2: And you actually kind of alluded that you thought it 105 00:05:41,960 --> 00:05:44,840 Speaker 2: was missing something. What would you what do you think 106 00:05:44,880 --> 00:05:47,080 Speaker 2: it falls short of these new dietary guidelines. 107 00:05:47,279 --> 00:05:49,360 Speaker 3: So there's a lot of there's a lot of talk 108 00:05:49,400 --> 00:05:52,719 Speaker 3: about the cholesterol issue and things like that. I also 109 00:05:52,760 --> 00:05:56,359 Speaker 3: think that in terms of current research, as far as 110 00:05:56,400 --> 00:06:00,000 Speaker 3: the metabolism goes and metabolic health, which affects so many 111 00:06:00,000 --> 00:06:03,960 Speaker 3: many disease pathways that we are experiencing today. I do 112 00:06:04,080 --> 00:06:06,640 Speaker 3: believe that it has a lot to do with insulin, 113 00:06:06,680 --> 00:06:09,560 Speaker 3: and it has a lot to do with blood sugar management, 114 00:06:09,680 --> 00:06:13,480 Speaker 3: and I would have liked to see a little more 115 00:06:13,839 --> 00:06:18,440 Speaker 3: nuanced discussion on that, because this is what we're dealing with, 116 00:06:18,560 --> 00:06:21,960 Speaker 3: is we're dealing with a metabolic issue, and as somebody 117 00:06:22,080 --> 00:06:25,600 Speaker 3: who's in the field that you're in, I'm sure you 118 00:06:25,640 --> 00:06:28,840 Speaker 3: get to see it firsthand also on the ground, and 119 00:06:29,200 --> 00:06:33,480 Speaker 3: there's so many different components to our health. In an 120 00:06:33,560 --> 00:06:35,760 Speaker 3: environment where we have so many toxins and we have 121 00:06:35,839 --> 00:06:39,240 Speaker 3: so many we're getting bombarded by so many things that 122 00:06:39,279 --> 00:06:42,400 Speaker 3: a human body was not designed to be bombarded by. 123 00:06:42,720 --> 00:06:43,440 Speaker 1: So whatever we. 124 00:06:43,440 --> 00:06:46,159 Speaker 3: Can do in terms of feeding the body in a 125 00:06:46,200 --> 00:06:50,000 Speaker 3: way that it's more nourishing and helps to give its 126 00:06:50,000 --> 00:06:55,040 Speaker 3: own little armor, if you will, would be amazing. So 127 00:06:55,760 --> 00:06:57,640 Speaker 3: I do think that there could be a little bit 128 00:06:57,640 --> 00:07:00,839 Speaker 3: more in there on the metabolic thing. It wasn't delighted 129 00:07:00,839 --> 00:07:04,120 Speaker 3: by the cap on the saturated fat because I personally 130 00:07:04,200 --> 00:07:07,800 Speaker 3: don't that's not where I live. But I think that 131 00:07:07,839 --> 00:07:10,360 Speaker 3: it's a good guideline to give somebody as a base 132 00:07:10,520 --> 00:07:12,920 Speaker 3: that they can kind of go from. 133 00:07:13,280 --> 00:07:16,000 Speaker 2: Yeah, I agree with you in terms of it's still 134 00:07:16,040 --> 00:07:18,040 Speaker 2: a little bit carb heavy. So one of the big 135 00:07:18,080 --> 00:07:20,920 Speaker 2: things that I noticed is, you know, the old food pyramid, 136 00:07:21,000 --> 00:07:24,680 Speaker 2: it would stack it into food categories grains, fruits, and 137 00:07:24,760 --> 00:07:27,520 Speaker 2: vegetables or as here they're like, let's throw out this 138 00:07:27,600 --> 00:07:30,800 Speaker 2: whole food pyramid category and let's just look at your plate. 139 00:07:31,400 --> 00:07:33,360 Speaker 2: You should have a quarter this, a quarter this, a 140 00:07:33,440 --> 00:07:35,760 Speaker 2: quarter to this, and a quarter to this. The problem 141 00:07:35,840 --> 00:07:39,320 Speaker 2: is having like a quarter of grains. I mean, if 142 00:07:39,360 --> 00:07:43,200 Speaker 2: you're talking about intact hole grains as very different than 143 00:07:43,320 --> 00:07:47,600 Speaker 2: ultra process grains, and ultra process grains are high way 144 00:07:47,640 --> 00:07:51,320 Speaker 2: too carb heavy, especially those with insulin resistance OBCD and 145 00:07:51,720 --> 00:07:55,640 Speaker 2: metabolic diseases. You're saying so, and then also the meats 146 00:07:55,680 --> 00:07:59,120 Speaker 2: as well, you know, they just lump together proteins. But 147 00:07:59,560 --> 00:08:03,400 Speaker 2: obviously a steak is very different than a filet of salmon, 148 00:08:04,080 --> 00:08:06,560 Speaker 2: and so, you know, I think it's important to kind 149 00:08:06,560 --> 00:08:09,240 Speaker 2: of have some of these caveats, like someone with renal 150 00:08:09,280 --> 00:08:11,520 Speaker 2: disease cannot eat a lot of that red meat. And 151 00:08:12,080 --> 00:08:15,320 Speaker 2: we do actually have adequate data that shows smoked red 152 00:08:15,360 --> 00:08:17,520 Speaker 2: meat does result in a rise. 153 00:08:17,400 --> 00:08:18,360 Speaker 1: In colon cancer. 154 00:08:18,440 --> 00:08:20,880 Speaker 2: So, you know, I think it's a balance and I 155 00:08:20,920 --> 00:08:23,640 Speaker 2: don't think we can generalize it as much. You know, 156 00:08:23,800 --> 00:08:27,800 Speaker 2: people aren't created equally, meats aren't created equally, and so 157 00:08:28,320 --> 00:08:30,960 Speaker 2: it's a good starting ground. I was very happy with it, 158 00:08:31,040 --> 00:08:33,160 Speaker 2: but you know it is it perfect? 159 00:08:33,160 --> 00:08:33,800 Speaker 1: Absolutely not. 160 00:08:35,040 --> 00:08:37,560 Speaker 2: But you know, you have been very outspoken, and one 161 00:08:37,600 --> 00:08:38,920 Speaker 2: of the reasons I wanted you to come on is 162 00:08:38,960 --> 00:08:43,600 Speaker 2: because I like introducing new topics to people. You personally 163 00:08:43,640 --> 00:08:47,280 Speaker 2: have suffered with a condition that I've heard about and 164 00:08:47,320 --> 00:08:49,520 Speaker 2: I know about, but I think the majority of people 165 00:08:49,880 --> 00:08:52,200 Speaker 2: walking around out there don't know about it, even some 166 00:08:52,240 --> 00:08:53,240 Speaker 2: people who may have it. 167 00:08:53,440 --> 00:08:55,680 Speaker 1: Can you talk to us a little bit about it? Yeah? 168 00:08:55,720 --> 00:09:02,199 Speaker 3: So I was diagnosed god, I think in twenty eleven, 169 00:09:02,640 --> 00:09:05,680 Speaker 3: maybe twenty twelve, with lipidema. 170 00:09:05,720 --> 00:09:10,680 Speaker 2: And lipid lipidema is not lymphiedema. I have talked about 171 00:09:10,760 --> 00:09:14,560 Speaker 2: lymphidema being someone who works in breast cancer. Lymphiedema is 172 00:09:14,600 --> 00:09:18,480 Speaker 2: when your lymphatic channels block up and you get swelling, 173 00:09:18,640 --> 00:09:20,359 Speaker 2: so from surgery, radiation. 174 00:09:20,160 --> 00:09:24,600 Speaker 1: Whatever, be lipidema very different. Continue. Yeah, but what's amazing 175 00:09:24,640 --> 00:09:27,960 Speaker 1: about that I actually cause lymphidema. 176 00:09:28,080 --> 00:09:32,679 Speaker 3: Yeah, I'm my official diagnosis is lymphidema, meaning that I 177 00:09:32,760 --> 00:09:38,120 Speaker 3: have primary lipidema. And so lipidema affects one in nine women, 178 00:09:38,400 --> 00:09:44,000 Speaker 3: it's estimated. It has genetic components, and it usually hits 179 00:09:44,040 --> 00:09:48,920 Speaker 3: women during It affects primarily women. In rare cases, there 180 00:09:48,960 --> 00:09:52,880 Speaker 3: are men with lipidema actually, but it's mostly something that 181 00:09:52,880 --> 00:09:53,559 Speaker 3: affects women. 182 00:09:53,600 --> 00:09:55,040 Speaker 1: And the way you kind of. 183 00:09:54,960 --> 00:09:58,760 Speaker 3: Can tell is our body shape is a little bit different, 184 00:09:58,920 --> 00:10:03,160 Speaker 3: and it'll usually hit at puberty and then other major 185 00:10:03,200 --> 00:10:06,760 Speaker 3: hormonal moments. So so lipandema like what are your what 186 00:10:06,800 --> 00:10:09,920 Speaker 3: are symptoms? So some of the symptoms are the way 187 00:10:10,640 --> 00:10:13,720 Speaker 3: the way the body shapes. So after I hit puberty, 188 00:10:14,000 --> 00:10:19,240 Speaker 3: my thighs got like big enough that it was alarming 189 00:10:19,360 --> 00:10:23,120 Speaker 3: for me and yes, very curvy, but also intimidating because 190 00:10:23,120 --> 00:10:25,920 Speaker 3: I was only you know, eleven and a half, almost twelve, 191 00:10:26,400 --> 00:10:29,960 Speaker 3: and suddenly I had this these like very dramatic curves, 192 00:10:30,040 --> 00:10:33,880 Speaker 3: but my legs actually hurt, and as I got older 193 00:10:34,240 --> 00:10:37,000 Speaker 3: and the lipidema progressed, it changed the shape of my legs. 194 00:10:37,000 --> 00:10:39,559 Speaker 3: So sometimes you'll see a woman who's got legs where 195 00:10:39,600 --> 00:10:43,559 Speaker 3: they don't have a defined knee area that's most of us. 196 00:10:43,960 --> 00:10:46,400 Speaker 3: And then sometimes they won't even have a defined ankle. 197 00:10:46,440 --> 00:10:48,800 Speaker 3: It it'll almost be like an ankle cuff, and all 198 00:10:48,840 --> 00:10:52,760 Speaker 3: of that is tissue that's different. So what's really interesting 199 00:10:52,800 --> 00:10:56,640 Speaker 3: about lipidema specifically, is it's not even that it's weird fat, 200 00:10:56,679 --> 00:10:58,920 Speaker 3: which is what they used to think it was, but 201 00:10:59,360 --> 00:11:03,280 Speaker 3: it's a it's a tissue disturbance that actually is intercellular. 202 00:11:03,679 --> 00:11:07,560 Speaker 3: So there's this inflammation that's driving so intense that it 203 00:11:07,640 --> 00:11:12,000 Speaker 3: actually can over time damage the lymphatic system. And we're 204 00:11:12,000 --> 00:11:15,040 Speaker 3: definitely soggier, we weigh way more than other people. But 205 00:11:15,080 --> 00:11:17,800 Speaker 3: then you start getting tenderness in your legs and it 206 00:11:17,800 --> 00:11:19,880 Speaker 3: could be something as simple as a cat jumping on 207 00:11:19,920 --> 00:11:23,600 Speaker 3: your lap and suddenly it hurts, or spontaneous bruising. And 208 00:11:23,679 --> 00:11:25,600 Speaker 3: so that was kind of how it started with me, 209 00:11:25,720 --> 00:11:29,960 Speaker 3: But it had gotten to the point where my actual 210 00:11:30,000 --> 00:11:33,880 Speaker 3: mobility was at risk. Like genuinely, I was in so 211 00:11:34,040 --> 00:11:39,080 Speaker 3: much pain systemically that I was having difficulty walking. And 212 00:11:39,240 --> 00:11:41,160 Speaker 3: at that time, I was a whole food, plant based 213 00:11:41,240 --> 00:11:45,400 Speaker 3: vegan trying to just figure out how to get my 214 00:11:45,480 --> 00:11:48,760 Speaker 3: body feeling better, and I wasn't even eating processed foods 215 00:11:48,840 --> 00:11:50,959 Speaker 3: or anything then either. It's like I was trying to 216 00:11:51,000 --> 00:11:55,240 Speaker 3: eat very very clean, but yeah, it was rough on 217 00:11:55,280 --> 00:11:57,959 Speaker 3: my body. And then I got diagnosed by a leading 218 00:11:58,000 --> 00:12:00,000 Speaker 3: authority and I was shocked because I had never heard 219 00:12:00,080 --> 00:12:03,440 Speaker 3: of lipidima. And we're really good at hiding our legs, 220 00:12:03,760 --> 00:12:06,560 Speaker 3: so as women with lipidima, we think we're like this 221 00:12:06,600 --> 00:12:09,480 Speaker 3: weird anomaly, but we're really not. And the more women 222 00:12:09,559 --> 00:12:12,280 Speaker 3: share their legs, the more you kind of see. I 223 00:12:12,360 --> 00:12:16,960 Speaker 3: have a blog called Lipanema Living, which is just my 224 00:12:17,120 --> 00:12:19,880 Speaker 3: journey with lipadema and my effort to try to educate 225 00:12:19,920 --> 00:12:23,520 Speaker 3: people on it more so, and I shared there's a 226 00:12:23,520 --> 00:12:26,560 Speaker 3: picture of me in a bathing suit, which was a 227 00:12:26,600 --> 00:12:30,080 Speaker 3: really humbling moment. And at one moment I almost didn't 228 00:12:30,160 --> 00:12:34,360 Speaker 3: post the picture and my husband was standing behind me 229 00:12:34,440 --> 00:12:37,080 Speaker 3: and he was like, why aren't you going to post it? 230 00:12:37,120 --> 00:12:41,679 Speaker 3: And I said because I'm bearing myself to the internet, 231 00:12:41,760 --> 00:12:43,760 Speaker 3: like the whole world. And he was like, but if 232 00:12:43,760 --> 00:12:46,800 Speaker 3: you don't share it, other women like you won't know 233 00:12:47,600 --> 00:12:49,480 Speaker 3: that there's other women like you. 234 00:12:49,840 --> 00:12:53,280 Speaker 1: And I was like, okay, publish. So there it is. 235 00:12:53,640 --> 00:12:56,240 Speaker 1: You're listening to Wellness and mass, We'll be right back 236 00:12:56,280 --> 00:12:56,640 Speaker 1: with more. 237 00:13:00,280 --> 00:13:02,880 Speaker 2: Let me put my doctor's cap on for a second 238 00:13:02,880 --> 00:13:07,480 Speaker 2: and just give people run down. Lipidema at the very 239 00:13:07,559 --> 00:13:12,319 Speaker 2: basic sense, is just an abnormal accumulation of fat cells, 240 00:13:12,520 --> 00:13:16,480 Speaker 2: particularly in the lower extremities. So someone could have very 241 00:13:16,600 --> 00:13:21,400 Speaker 2: large legs, but the upper their arms and their waists 242 00:13:21,400 --> 00:13:24,720 Speaker 2: can seem very normal. A lot of people don't know 243 00:13:24,760 --> 00:13:28,080 Speaker 2: that they even have this because they just consider themselves overweight. 244 00:13:29,120 --> 00:13:31,560 Speaker 2: But no matter what they do, they can lose weight 245 00:13:31,840 --> 00:13:33,400 Speaker 2: and they can get very thin up top. 246 00:13:33,640 --> 00:13:35,800 Speaker 1: Their legs don't respond. 247 00:13:35,880 --> 00:13:38,320 Speaker 2: And that is because you know, as we're hearing from Susie, 248 00:13:38,320 --> 00:13:41,520 Speaker 2: that it's really an abnormal accumulation of these cells, and 249 00:13:41,559 --> 00:13:45,319 Speaker 2: these cells retain water and they create inflammation, and then 250 00:13:45,360 --> 00:13:47,839 Speaker 2: it can compress the lymphatic system and you can get 251 00:13:47,840 --> 00:13:51,560 Speaker 2: a lymphatic you know, backup, which can create even more swelling. 252 00:13:51,640 --> 00:13:54,960 Speaker 2: And it is a very difficult and painful, emotionally and 253 00:13:55,000 --> 00:13:58,520 Speaker 2: physically conditioned to have. And women, you know, work very 254 00:13:58,520 --> 00:14:01,400 Speaker 2: hard on ourselves, you know, especially our legs. 255 00:14:01,440 --> 00:14:02,240 Speaker 1: I was a gymnast. 256 00:14:02,280 --> 00:14:05,840 Speaker 2: I've always had larger thighs and so I've always back 257 00:14:05,840 --> 00:14:08,120 Speaker 2: in the day, I've always covered up my thighs because 258 00:14:08,120 --> 00:14:09,320 Speaker 2: we're self conscious about it. 259 00:14:09,800 --> 00:14:11,280 Speaker 1: Unless you talk. 260 00:14:11,120 --> 00:14:13,800 Speaker 2: About some of these things, you know, you may have 261 00:14:14,000 --> 00:14:17,840 Speaker 2: a medical condition that's undiagnosed. Now unfortunately, there's not actually 262 00:14:18,160 --> 00:14:20,480 Speaker 2: a lot of treatments for it, right, so you see. 263 00:14:20,600 --> 00:14:22,920 Speaker 3: Oh there are now it's kind of exciting. There was 264 00:14:22,960 --> 00:14:27,360 Speaker 3: a standard of care that was released and then I 265 00:14:27,640 --> 00:14:30,120 Speaker 3: really and I haven't actually read all of it because 266 00:14:30,120 --> 00:14:33,440 Speaker 3: it's pretty technical and it's pretty amazing, but there is 267 00:14:33,560 --> 00:14:36,520 Speaker 3: just a groundbreaking study in the last couple of months 268 00:14:36,600 --> 00:14:39,600 Speaker 3: that just came out. There was an international congress on it. 269 00:14:39,680 --> 00:14:44,000 Speaker 3: Because obviously it doesn't only affect Americans. I've had multiple surgeries, 270 00:14:44,360 --> 00:14:48,120 Speaker 3: so there is some stuff that you can do. First 271 00:14:48,160 --> 00:14:51,040 Speaker 3: of all, you want to minimize inflammation first and foremost, 272 00:14:51,120 --> 00:14:52,680 Speaker 3: because that is the biggest driver. 273 00:14:53,040 --> 00:14:53,520 Speaker 1: For sure. 274 00:14:53,760 --> 00:14:58,280 Speaker 3: My theory is that lipidema is somewhat protective, meaning even 275 00:14:58,360 --> 00:15:03,680 Speaker 3: though many women with lipidema maybe obese or morbidly obese, 276 00:15:04,000 --> 00:15:06,440 Speaker 3: we don't tend to get diabetes, and we don't tend 277 00:15:06,520 --> 00:15:11,360 Speaker 3: to get the normal markers that you would expect from 278 00:15:11,360 --> 00:15:14,640 Speaker 3: that kind of weight differential. It's so interesting, and we 279 00:15:14,680 --> 00:15:17,160 Speaker 3: always we do way more than people think we weigh 280 00:15:17,560 --> 00:15:20,880 Speaker 3: because we're so we're so filled with fluid. So we 281 00:15:21,000 --> 00:15:23,760 Speaker 3: do wear compression. That's one of the things and obviously 282 00:15:24,120 --> 00:15:26,240 Speaker 3: dry brushing, all of the stuff that you would do 283 00:15:26,480 --> 00:15:30,240 Speaker 3: for lymphatic care, because the reality is is that as 284 00:15:30,240 --> 00:15:33,760 Speaker 3: it does progress, the lymphidema itself can be pretty intense. 285 00:15:34,320 --> 00:15:36,880 Speaker 3: And I have found that by limiting my carbs and 286 00:15:36,960 --> 00:15:42,320 Speaker 3: not having sugar, I don't experience the lymphiedema aspect of it. 287 00:15:42,520 --> 00:15:46,640 Speaker 3: In conjunction with wearing my compression. I try to get 288 00:15:46,680 --> 00:15:50,720 Speaker 3: into a pool or a spa because of the volume 289 00:15:50,720 --> 00:15:53,560 Speaker 3: of compression for that kind of movement is a little 290 00:15:53,560 --> 00:15:57,240 Speaker 3: bit incredible. I'm also part of a monthly panel. I'm 291 00:15:57,240 --> 00:16:00,720 Speaker 3: a repeating guest. I've been for over five now. That's 292 00:16:00,720 --> 00:16:05,520 Speaker 3: from lympho Press, which is a lymphatic pump that you 293 00:16:05,840 --> 00:16:07,440 Speaker 3: may or may not be familiar with it, but it's 294 00:16:07,480 --> 00:16:11,440 Speaker 3: pretty fascinating to me. But they do the pneumatic compression 295 00:16:11,640 --> 00:16:16,480 Speaker 3: device so that women can help to leave alleviate all 296 00:16:16,520 --> 00:16:20,240 Speaker 3: of that extra fluid and pressure. So for me, it's 297 00:16:20,280 --> 00:16:23,840 Speaker 3: a multifaceted thing. I try to tackle it with good diet. 298 00:16:23,960 --> 00:16:27,320 Speaker 3: I try not to I try to avoid obesogens. We 299 00:16:27,360 --> 00:16:29,520 Speaker 3: don't have to get into all of that, but it is, 300 00:16:29,760 --> 00:16:34,080 Speaker 3: you know, it does interrupt the hormone process, which is 301 00:16:34,120 --> 00:16:36,760 Speaker 3: the last thing that we need as somebody who's already 302 00:16:36,960 --> 00:16:40,360 Speaker 3: has this disorder. Lipidema can also is one of the 303 00:16:40,360 --> 00:16:45,920 Speaker 3: other comorbidities that's not uncommon is oler standloads. The hypermobile 304 00:16:46,000 --> 00:16:51,160 Speaker 3: elers downloads. So there's something wrong with our subcontaneous tissue 305 00:16:51,720 --> 00:16:56,440 Speaker 3: we get we're leaky veinage as well, leaky veins. It's 306 00:16:56,600 --> 00:17:00,600 Speaker 3: very uh, it's very interesting. And I and if it's 307 00:17:00,640 --> 00:17:04,119 Speaker 3: not managed, you can't eat the standard of American diet 308 00:17:04,240 --> 00:17:06,199 Speaker 3: if you're a foodie and you just I don't think 309 00:17:06,240 --> 00:17:08,520 Speaker 3: anybody should eat the standard American diet. 310 00:17:08,560 --> 00:17:09,720 Speaker 1: So for sure. 311 00:17:09,840 --> 00:17:12,240 Speaker 3: But I think some young people and they're getting more 312 00:17:12,240 --> 00:17:15,040 Speaker 3: savvy with this generation, which I'm kind of excited by. 313 00:17:15,480 --> 00:17:17,919 Speaker 3: I think that they see the progress that's happening with 314 00:17:18,080 --> 00:17:22,960 Speaker 3: the generation right before them. So like my grown kids 315 00:17:23,040 --> 00:17:25,800 Speaker 3: are more interested in like, Okay, how do I avoid 316 00:17:25,840 --> 00:17:28,000 Speaker 3: some of the complications that I've watched my mom go 317 00:17:28,080 --> 00:17:32,719 Speaker 3: through Because obviously, you know, when I was younger as 318 00:17:32,760 --> 00:17:35,639 Speaker 3: a mom, we had the food guidelines, so I was 319 00:17:35,680 --> 00:17:38,200 Speaker 3: always like, oh, I need to make sure I buy bread, 320 00:17:38,240 --> 00:17:40,320 Speaker 3: and I need to make sure that I'm using a 321 00:17:40,359 --> 00:17:46,160 Speaker 3: whole fruit jelly with the peanut butter you know, carving 322 00:17:46,160 --> 00:17:47,840 Speaker 3: my kids out and then sending them to. 323 00:17:47,800 --> 00:17:50,959 Speaker 2: School and being like, have a good day. Well, I 324 00:17:50,960 --> 00:17:53,159 Speaker 2: think it's great. And as you mentioned, you know this 325 00:17:53,240 --> 00:17:56,719 Speaker 2: does run in the family. So by you know, people 326 00:17:56,960 --> 00:17:59,399 Speaker 2: acknowledging that they may have this, knowing that there is 327 00:17:59,440 --> 00:18:01,520 Speaker 2: a medical co oponent to it may help with some 328 00:18:01,560 --> 00:18:03,840 Speaker 2: of the mental health aspect as well. And as you're saying, 329 00:18:03,880 --> 00:18:06,480 Speaker 2: there are treatments. When I went to medical school, didn't 330 00:18:06,520 --> 00:18:09,359 Speaker 2: There weren't very many treatments for it, other than compression 331 00:18:09,480 --> 00:18:11,760 Speaker 2: and trying to lose weight. But you know, they seem 332 00:18:11,800 --> 00:18:14,200 Speaker 2: to have a better understanding now. I think there's still 333 00:18:14,560 --> 00:18:18,480 Speaker 2: ways to go. But I'm very grateful that you spoke 334 00:18:18,560 --> 00:18:21,200 Speaker 2: up about it, you posted that picture of you, because 335 00:18:21,760 --> 00:18:24,679 Speaker 2: by embracing you really does help other people. 336 00:18:24,760 --> 00:18:25,680 Speaker 1: So I appreciate it. 337 00:18:25,800 --> 00:18:28,680 Speaker 3: Yeah, I hope so. And also just as a fun 338 00:18:28,760 --> 00:18:33,240 Speaker 3: thing from a viewpoint of palpating and understanding for yourself 339 00:18:33,800 --> 00:18:36,439 Speaker 3: if somebody suspects that they may have it. One of 340 00:18:36,440 --> 00:18:39,400 Speaker 3: the things in the early stages is like if you're 341 00:18:39,440 --> 00:18:43,880 Speaker 3: pulpating the area, you can find that sometimes it'll be lumpy, 342 00:18:44,080 --> 00:18:47,000 Speaker 3: and in the beginning stages, when the tissue starts changing. 343 00:18:47,040 --> 00:18:49,760 Speaker 3: It'll be like grains of rice and then later it'll 344 00:18:49,760 --> 00:18:50,920 Speaker 3: be like a bag of beans. 345 00:18:51,680 --> 00:18:52,200 Speaker 1: Literally. 346 00:18:52,680 --> 00:18:54,840 Speaker 3: I had surgery where they actually removed some of the 347 00:18:54,920 --> 00:18:59,280 Speaker 3: lipidema nodules because over time that turns into nodules and 348 00:18:59,320 --> 00:19:02,680 Speaker 3: it messes with the fascia and the whole loose connective 349 00:19:02,720 --> 00:19:06,280 Speaker 3: tissue disease aspect of it is what it's called now 350 00:19:06,320 --> 00:19:09,679 Speaker 3: more than anything else, but it will create these little 351 00:19:10,760 --> 00:19:15,520 Speaker 3: fibroid things. I had surgery in twenty twenty three and 352 00:19:15,800 --> 00:19:19,560 Speaker 3: they were manually removing some of the nodules and like 353 00:19:19,680 --> 00:19:22,440 Speaker 3: one of them shot out of my shin, my shin 354 00:19:22,680 --> 00:19:25,080 Speaker 3: which is not a high fat area, and it hit 355 00:19:25,119 --> 00:19:27,720 Speaker 3: the camera and made a knocking noise, and it was 356 00:19:27,760 --> 00:19:29,760 Speaker 3: the first time. My husband was like, Oh, is this 357 00:19:29,800 --> 00:19:32,000 Speaker 3: why you're in so much pain. I was like, well, yeah, 358 00:19:32,040 --> 00:19:37,160 Speaker 3: it'd be like having a dozen bullet size things under 359 00:19:37,240 --> 00:19:39,680 Speaker 3: your tissue. So you can kind of see how it 360 00:19:39,720 --> 00:19:44,119 Speaker 3: would damage the delicate lymphatic system over time if it progresses. 361 00:19:44,359 --> 00:19:47,240 Speaker 3: But there are beautiful things that we can do, and 362 00:19:47,280 --> 00:19:50,359 Speaker 3: then we have a really amazing community. So if women 363 00:19:50,560 --> 00:19:54,080 Speaker 3: find themselves curious about that, we have resources we did 364 00:19:54,240 --> 00:19:57,600 Speaker 3: not have a decade ago. And it's kind of phenomenal. 365 00:19:58,840 --> 00:20:00,959 Speaker 1: Well that's great, Susie. Where where can people find you 366 00:20:01,000 --> 00:20:02,600 Speaker 1: if they want to learn more about you? 367 00:20:03,600 --> 00:20:05,879 Speaker 3: Well they can, I mean they can read that blog 368 00:20:05,920 --> 00:20:07,840 Speaker 3: that I was telling you about, but they can also 369 00:20:08,080 --> 00:20:10,320 Speaker 3: I also blog at three hundred and sixty five Days 370 00:20:10,320 --> 00:20:13,800 Speaker 3: of Awesome and it's just my effort to create a 371 00:20:13,840 --> 00:20:16,239 Speaker 3: more awesome life. And I just share random things on 372 00:20:16,400 --> 00:20:21,360 Speaker 3: like sustainable non toxic living and you know, my thoughts 373 00:20:21,840 --> 00:20:25,439 Speaker 3: with the internet, and then my company, which is a 374 00:20:25,560 --> 00:20:27,840 Speaker 3: sugar free candy company and all of that that's called 375 00:20:27,840 --> 00:20:31,439 Speaker 3: Switch Sweetest and that we have. My big thing is 376 00:20:31,520 --> 00:20:33,760 Speaker 3: making sure that there's no blood sugar impact in any 377 00:20:33,800 --> 00:20:36,760 Speaker 3: of the products and that there's no ingredients that drive inflammation. 378 00:20:37,359 --> 00:20:40,720 Speaker 3: So I was pretty intense in the formulation of each 379 00:20:40,760 --> 00:20:43,040 Speaker 3: of my products. And then that kind of led me 380 00:20:43,119 --> 00:20:46,159 Speaker 3: into this space because I was like, our food system 381 00:20:46,240 --> 00:20:49,520 Speaker 3: is so dirty, but not even just the end foods, 382 00:20:49,880 --> 00:20:52,879 Speaker 3: but what goes into making them. So that's kind of 383 00:20:52,920 --> 00:20:55,840 Speaker 3: what led me into this whole journey of trying to 384 00:20:55,960 --> 00:21:01,000 Speaker 3: create a snack food or convenient foods that are better 385 00:21:01,040 --> 00:21:03,280 Speaker 3: for you, but not just that, but also to inspire 386 00:21:03,359 --> 00:21:07,080 Speaker 3: other founders that have great ideas because I do think 387 00:21:07,119 --> 00:21:09,640 Speaker 3: that there's always going to be a place for convenient foods. 388 00:21:10,119 --> 00:21:12,920 Speaker 3: I don't know how in this modern life that that's 389 00:21:12,960 --> 00:21:15,080 Speaker 3: going to go away completely, and it needs to be 390 00:21:15,119 --> 00:21:20,679 Speaker 3: accessible for everybody. So I'm hoping to create a better 391 00:21:20,800 --> 00:21:23,600 Speaker 3: path in that arena, but also help other founders that 392 00:21:23,640 --> 00:21:26,320 Speaker 3: want to do similar things, because I think we can. 393 00:21:27,040 --> 00:21:29,760 Speaker 3: There's always a path to something that's better, but it's 394 00:21:29,760 --> 00:21:32,600 Speaker 3: a matter of taking the time to research it and 395 00:21:32,760 --> 00:21:35,359 Speaker 3: maybe not being so profit driven that we're willing to 396 00:21:35,440 --> 00:21:38,439 Speaker 3: forego human health as a byproduct of that. 397 00:21:39,119 --> 00:21:43,560 Speaker 1: Well you just some big food in a nutshell. Yes, 398 00:21:43,680 --> 00:21:46,320 Speaker 1: I mean it is very profit driven, all about decreasing 399 00:21:46,359 --> 00:21:48,760 Speaker 1: expenses at the expense of human health. But that's a 400 00:21:48,800 --> 00:21:52,000 Speaker 1: whole other conversation. So susan As, thank you so much 401 00:21:52,000 --> 00:21:54,560 Speaker 1: for joining, for all you're doing, and for sharing your 402 00:21:54,560 --> 00:21:57,479 Speaker 1: story because I'm certain it's helping others. Yeah, thank you 403 00:21:57,520 --> 00:22:00,399 Speaker 1: so much for having me. Okay so away. 404 00:22:00,680 --> 00:22:04,280 Speaker 2: Nutrition guidelines they're a starting point, but they're not a 405 00:22:04,320 --> 00:22:06,960 Speaker 2: diagnosis and not something that we need to follow to 406 00:22:07,080 --> 00:22:10,800 Speaker 2: the max. And if you're dealing with something like lipidema 407 00:22:11,040 --> 00:22:14,399 Speaker 2: or just stubborn weight, that doesn't respond to you know, 408 00:22:14,560 --> 00:22:19,280 Speaker 2: standard diet and exercise. It's probably not a failure of willpower. 409 00:22:19,480 --> 00:22:23,360 Speaker 2: It's your body working against you. Physiology, you may have lipidema. 410 00:22:24,000 --> 00:22:27,120 Speaker 2: Food should be supporting our metabolic health. We should also 411 00:22:27,200 --> 00:22:31,080 Speaker 2: use food to reduce inflammation and work with our bodies, 412 00:22:31,240 --> 00:22:34,280 Speaker 2: not against it. But if you find yourself doing all 413 00:22:34,320 --> 00:22:37,400 Speaker 2: the right things, you're following the new food pyramid, you're 414 00:22:37,440 --> 00:22:42,240 Speaker 2: cutting out those ultraprocess crap, you're exercising, and you still 415 00:22:42,320 --> 00:22:46,439 Speaker 2: have stubborn fat, especially in your legs, especially if it's 416 00:22:46,480 --> 00:22:48,760 Speaker 2: associated with pain. 417 00:22:48,840 --> 00:22:52,679 Speaker 1: Tenderness, bruising. You may have a medical condition, and if 418 00:22:52,680 --> 00:22:55,680 Speaker 1: your doctor doesn't know what it is, don't blame them. 419 00:22:55,840 --> 00:22:56,560 Speaker 1: They just don't know. 420 00:22:57,040 --> 00:23:00,800 Speaker 2: Find someone else, Go on the internet, find resource, but 421 00:23:00,880 --> 00:23:04,040 Speaker 2: make sure that you're seeking medical care because as we 422 00:23:04,080 --> 00:23:06,919 Speaker 2: heard from Susie, there are actually some things that can 423 00:23:06,960 --> 00:23:07,800 Speaker 2: help you feel better. 424 00:23:08,359 --> 00:23:11,040 Speaker 1: Thanks so much for listening. I'm doctor Nicole Saffire and 425 00:23:11,040 --> 00:23:12,359 Speaker 1: this is Wellness on Mass. 426 00:23:12,560 --> 00:23:15,560 Speaker 2: Make sure you listen to Wellness on Mass on iHeartRadio, 427 00:23:15,720 --> 00:23:16,639 Speaker 2: Apple podcasts 428 00:23:16,720 --> 00:23:18,520 Speaker 1: Or wherever you get your podcasts, and I'll see you 429 00:23:18,600 --> 00:23:19,040 Speaker 1: next time.