Speaker 1: Wind Down with Janet Kramer and I'm Heart Radio Podcast.
Speaker 2: This week's Thursday Therapy, we have doctor Roshini Rajan and
Speaker 2: I'm so excited to get her on because she is
Speaker 2: a doctor. She graduated from Harvard and New York University.
Speaker 2: She is a GI doctor and we're going to talk
Speaker 2: about gut renovation and just all the things.
Speaker 3: Let's get her on.
Speaker 1: Hi, how do I found I don't have my mic?
Speaker 3: Are you like a beginner at this or what?
Speaker 4: Well?
Speaker 1: I will tell you this. I was in this huge
Speaker 1: board meeting and I'm like, I'm sorry, I have to
Speaker 1: jump off for Berkeley and I'm like, I'm sorry to
Speaker 1: drop off for ten minutes to talk.
Speaker 5: About coal and health.
Speaker 1: I don't want to say him runs.
Speaker 2: Well, that's this is what I'm so excited about. And
Speaker 2: we're keeping all of this in because I feel like
Speaker 2: there's this big stigma around even saying the word, you know, danna.
Speaker 1: We have to change it, Like I know, let's tell
Speaker 1: you they vomited, but they don't want to say the
Speaker 1: H word. They're like immind or like I have blood
Speaker 1: pouring out of my body and they won't say I
Speaker 1: have the hemorrhoid.
Speaker 2: I know it's it's insane. Do we have the doctor
Speaker 2: in the waiting room because we have to get her on. Okay,
Speaker 2: So I'm so excited to have Doctor Doctor, the Doctor
Speaker 2: Rage on the podcast because well, first of all, I
Speaker 2: didn't know that you're you're Tula, Like that's company.
Speaker 6: I'm the founder of Tula.
Speaker 3: Yeah, I love Tula.
Speaker 7: I love to hear that.
Speaker 2: I genuinely it's one of those. So I saw it
Speaker 2: obviously on Instagram. I saw some influencers promoting it, and
Speaker 2: I'm like, all right, you know it's probably just because
Speaker 2: they're promoting it, right, And so I'm like, well, I
Speaker 2: genuinely want to try it because I started to look
Speaker 2: into it because now that I'm forty, I'm like, all right,
Speaker 2: I really need to just be mindful of what I'm
Speaker 2: putting on my skin. I didn't realize there's so much
Speaker 2: hidden stuff in things, and I'm obsessed with it. I love,
Speaker 2: I love Tula. So I just got so excited. So
Speaker 2: thank you for creating such a beautiful skincare line that's clean,
Speaker 2: that just it feels good. It's targeting things that I
Speaker 2: need for my skin, even at forty, So I appreciate it.
Speaker 7: Oh, I am so happy to hear that I'm looking
Speaker 7: at your skin right now and you're gorgeous, and your
Speaker 7: skinned is gorgeous. I'm happy to be associated with it
Speaker 7: in any way. I actually started Tula when i was
Speaker 7: forty two. I'm now fifty two, so it's been a
Speaker 7: ten year journey and it's yeah, it's been amazing and
Speaker 7: it you know, people might when they hear that I'm
Speaker 7: a gaster intrologist a couple of minutes, wonder how do
Speaker 7: we make the connection with skin, and guess.
Speaker 2: Well, that's that's yeah. I was like wait a minute,
Speaker 2: because I was like, that's what I was. You know,
Speaker 2: obviously gas how do you say that? Because I was
Speaker 2: a big word trow entrologist.
Speaker 7: But we could also say GI doc.
Speaker 3: That's also very okay, at GI doc. There we go.
Speaker 2: So, I you know, I was like, oh, this is great.
Speaker 2: You know, she's graduated from Harvard, she's a GI doctor
Speaker 2: in a power of you know, probatics and all the things.
Speaker 2: And I'm you know, got, I'm like great, great, And
Speaker 2: I'm like, wait, what I was like, launch your skincare brand, Tula.
Speaker 2: I'm like, that's what I I was like. So I'm
Speaker 2: just how do you go from GI to Tula?
Speaker 7: Yeah, so Tula is actually a probiotic based skincare line.
Speaker 7: So I was always and still am, you know, obsessed
Speaker 7: with gut health and specifically the microbiome and the power
Speaker 7: of probiotics. And this was again about ten years ago,
Speaker 7: thinking of starting a new brand and really the first
Speaker 7: entrepreneurial thing I had ever done, and I actually started
Speaker 7: thinking about different ways that I could bring probiotics more
Speaker 7: to the market. This is just when people were starting
Speaker 7: to learn about it, and I was at the age
Speaker 7: in my early you know, at that time, in my
Speaker 7: early forties, starting to think more about my own skin.
Speaker 7: I'd been doing a lot of TV as a wellness contributor,
Speaker 7: wearing all that heavy makeup and just thinking about, you
Speaker 7: know how, what's the best way to protect your skin?
Speaker 7: And I looked into the relationship between probiotic extracts and
Speaker 7: the skin and how applying them topically have like the
Speaker 7: most amazing skin benefits, and nobody was talking about it
Speaker 7: in the skincare world. So I was like, this is
Speaker 7: a real opportunity in a way to really reach women
Speaker 7: and talk about the microbiome. But at a point where
Speaker 7: we're all thinking about our skin of course and skin health,
Speaker 7: and so we were really the first brand to talk
Speaker 7: about probatics in the skin. And I mean, so many
Speaker 7: people now who use Toola don't even think about the
Speaker 7: probatic angle, but that is.
Speaker 2: But now it makes sense. I'm like wow, because I'm like, yeah,
Speaker 2: it's like because I use the that serum has that,
Speaker 2: I'm like, yeah, probatic.
Speaker 3: There we go.
Speaker 2: I'm like, I didn't even think like correlating that as
Speaker 2: the same that I take every day for my gut exactly.
Speaker 7: It's all you know, inside out, a lot of the
Speaker 7: same ingredients great for your internal health, also amazing topically
Speaker 7: apply to your skin. And that's also relates to my
Speaker 7: newest venture which I just launched, which is also about
Speaker 7: good health, which I'm sure we'll talk about. But yeah
Speaker 7: that's me.
Speaker 2: Okay, well thank you for that. Everyone get Toula. It's
Speaker 2: great skincare.
Speaker 3: Okay.
Speaker 2: Side note, we have another guest on, Amy Sugarman. She's
Speaker 2: the producer of so many podcasts like wind Down. I mean, gosh,
Speaker 2: do you want to do you want to.
Speaker 3: Give your list any of all the things that you produce.
Speaker 5: It's too boring.
Speaker 4: But doctor Roger and I go way back, and I
Speaker 4: love her and so when.
Speaker 6: We will tell you what.
Speaker 5: We were texting about.
Speaker 4: But Jane and I were about a topic because we're
Speaker 4: friends and we were together, and then in me realize
Speaker 4: we had to get you on to talk about.
Speaker 2: So it's the word that I feel like, I know,
Speaker 2: it's the word that I feel like no one can say.
Speaker 2: And even as so I just had a four month old.
Speaker 2: I just had a baby four months ago, right, so
Speaker 2: it was my thank you so much. It was my
Speaker 2: first experience. I didn't have this with my first two
Speaker 2: at all. Did not experience this. I'm I'm not ready
Speaker 2: to say the word yet. And so but I had
Speaker 2: a really, really, really bad journey with it because during
Speaker 2: my pregnancy and I I mean, I love my fancy
Speaker 2: more than anything in this world, I couldn't tell him,
Speaker 2: you know. One day I finally broke down because I
Speaker 2: was in so much pain that but I was, I
Speaker 2: was like, if you never want to look me in
Speaker 2: the eyes again, and you know, if you think I'm
Speaker 2: the most disgusting person, like, I get it, I understand.
Speaker 2: I didn't.
Speaker 3: I mean, I think I.
Speaker 2: Told my best friend Catherine, But besides that even in
Speaker 2: the hospital after I gave birth, I'm like, can.
Speaker 3: I have something that will help the pain?
Speaker 2: And so and I again when and then again, I
Speaker 2: barely spoke the word because I'm like, to me, I'm like,
Speaker 2: it's disgusting.
Speaker 3: Right.
Speaker 2: So then Amy texts me because I just and this
Speaker 2: is what I love about Amy, And she's just like,
Speaker 2: we'll just say it, right. So we're texting and she's like, sorry,
Speaker 2: dealing with the hemorrhoid right now.
Speaker 3: And I'm like, I'm like, I.
Speaker 2: Was like, girl, that's been my past like ten months,
Speaker 2: like it's been awful, Like it's so and I'm like, and.
Speaker 3: Nobody talks about it, Like I had to.
Speaker 2: Hide my hemorrhoid cream from my fiance so we didn't
Speaker 2: see it in the bathroom.
Speaker 7: I know. Yeah, it's there's such an unfortunately negative connotation
Speaker 7: to the whole topic. But I have to tell you
Speaker 7: as a GI doctor who does call and oskar bees
Speaker 7: like all the time, so I see inside people's call
Speaker 7: it and even if they don't realize their hemorrhids, they
Speaker 7: have hemorrhoids, I can see if they have them. They
Speaker 7: are so extremely common, and especially in women who've had children,
Speaker 7: we can we'll talk about the science about why it happens,
Speaker 7: but so that like, really no one should feel embarrassed
Speaker 7: because chances are the person you're talking to has also
Speaker 7: experienced it, or you know, at least half of them have.
Speaker 7: So like I do, I do get you like that
Speaker 7: hemorrhoid cream is not the thing you want leaving outside
Speaker 7: in your bathroom. It's all like a beautiful candle or no.
Speaker 2: And also like, don't come in the shower. I'm trying
Speaker 2: to push up a hemorrhoid, you know what I mean,
Speaker 2: Like it's not the sexiest thing. You know what I mean,
Speaker 2: Like I'm like, God, I don't think this thing back up,
Speaker 2: you know what I mean?
Speaker 7: I know, and definitely can be uncomfortable, So we can
Speaker 7: we'll talk about what to do about the discomfort or
Speaker 7: the pain or the symptoms, but just the notion of
Speaker 7: having it. I do hope people walk away like learn
Speaker 7: or you know, at least believing in some sense that
Speaker 7: it's really common and you really shouldn't be you should
Speaker 7: be like Amy, talk about it, text about.
Speaker 2: It all right, So Amy, tell us your hemorrhoid. Hemorrhoid
Speaker 2: Journey is hemorrhoids season as Easton says.
Speaker 5: It's colon Hope a month.
Speaker 4: So what happened was, I'll tell the whole I can
Speaker 4: tell you all the gory details, but I decided that
Speaker 4: I was like because I did, I was so embarrassed.
Speaker 5: I didn't want to call my doctor.
Speaker 4: And that was actually the biggest mistake I made that
Speaker 4: I waited like five days before I called my doctor,
Speaker 4: and had I called her the day, I would be
Speaker 4: way quicker evolving the prompt.
Speaker 5: So of course I text Jenna and then you know,
Speaker 5: don't hold back with Jana.
Speaker 4: We go there and then like every other girlfriend and
Speaker 4: I would say, ninety percent of the girlfriend's that I told, yeah,
Speaker 4: I had the same issue, right, I mean you think
Speaker 4: of it kind of like a weird boy thing too,
Speaker 4: Like I always was like I pictured like my dad,
Speaker 4: you know, but it was like right, women and I
Speaker 4: then I did a deep dive and learned external internal.
Speaker 4: Yeah that and actually ninety percent or more go away
Speaker 4: on their own, which because I started to get so
Speaker 4: anxious about it too, like is this forever so right?
Speaker 7: Right?
Speaker 4: My external which okay, Anna, sounds like it was internal.
Speaker 4: I had.
Speaker 2: I had, like had everyone you could imagine, like I'm like,
Speaker 2: do I gotta strangulate this bitch, like what's going on?
Speaker 3: You know what I mean? Like I'm good in all
Speaker 3: of it.
Speaker 4: So yeah, And I had a friend of a friend
Speaker 4: who actually also had one and went to the emergency room,
Speaker 4: was like in so much pain and they're like, yeah,
Speaker 4: there's we can't really do anything. So I've got questions,
Speaker 4: jama if I.
Speaker 3: Go take it over you have.
Speaker 4: The first question is do most go away on their
Speaker 4: own with like home treatments or cortizone or I am
Speaker 4: the proud owner of a what I call it a
Speaker 4: toilet bath the.
Speaker 7: Yeah it sits bath, yep, yep, yeah yeah. Well let
Speaker 7: me just you know, for those of you who don't
Speaker 7: know what an hemorrhoid is, let's let's just define our
Speaker 7: term for terms for one second. So we all have
Speaker 7: little veins in that rectal area, like that's normal, That's
Speaker 7: how we get blood flow and blood drainage and all that.
Speaker 7: But when those veins become swollen or in gorge, that
Speaker 7: is what a hemorrhoid is. It's literally a swollen vein.
Speaker 7: And why does it happen? You know, when there's pressure
Speaker 7: in that area, and that could be due to pregnancy,
Speaker 7: obviously carrying a baby and the weight puts pressure on
Speaker 7: those veins. Giving birth, you know, vaginal delivery, You're a
Speaker 7: getting a lot of pressure there for that those hours
Speaker 7: that you're pushing. But it could be you know, weight training,
Speaker 7: so bearing down and that can you know, being on
Speaker 7: a bike, so the whole soul cycle. I see a
Speaker 7: lot of people getting them when they get really into
Speaker 7: cycling and that kind of thing. Sitting for a long period,
Speaker 7: you're on a plane for a long time, a long
Speaker 7: car ride, so all of those things can increase pressure.
Speaker 7: But I would say that probably the most common cause
Speaker 7: is constipation. So the more you're straining and your colon
Speaker 7: is straining, you're putting pressure on those veins. That can
Speaker 7: cause hemorrhoids to form. And so some of the most
Speaker 7: simple things you can do are very effective, like increasing
Speaker 7: your fiber. That's first and foremost. You know, more fiber
Speaker 7: in your diet, a fiber supplement. Unfortunately, over ninety percent
Speaker 7: of Americans are not getting the recommended like twenty five
Speaker 7: to thirty grams of fiber a day, so it's no
Speaker 7: wonder that a lot of people are getting hemorrhoids. So
Speaker 7: that's the first thing I recommend which goes along with
Speaker 7: what I just launched a fiber company called Yateay, and
Speaker 7: we really want everyone to be getting that optimal fiber
Speaker 7: because fiber is great not just for hemorrhoids, but poland
Speaker 7: health overall, cholesterol, blood pressure, you know all these great things.
Speaker 7: So fiber is really important. Drinking more water is really
Speaker 7: important for hemorrhoids. We recommend that. And then, like you
Speaker 7: were saying, Amy, these topical treatments, those could be ointments,
Speaker 7: it could be suppositories that you actually insert in a
Speaker 7: lot of them do contain hydrocortisone, so like a little
Speaker 7: steroid ointment, which absolutely can help shrink and decrease the inflammation,
Speaker 7: as well as soaking in warm water. And so while
Speaker 7: you can do a tub, you can sit your tub
Speaker 7: three times a day for ten to fifteen minutes. That's
Speaker 7: obviously not very convenient. So then what's recommended is getting
Speaker 7: what you're talking about, the Sitz bath or it's like
Speaker 7: a plastic basically bowl that you attached to your toilet
Speaker 7: you can put a little warm water.
Speaker 4: It's so crazy. It's so crazy that my friend, so
Speaker 4: as I started to tell more people what was happening,
Speaker 4: I not name the friend. But she's literally text me
Speaker 4: from Amazon, you have to get this, and I would
Speaker 4: like immediately know I'm not doing that.
Speaker 3: Was it like a dog bowl? Is that like that
Speaker 3: you put your button?
Speaker 4: Well, Jane, it's literally a dog bull that goes into
Speaker 4: your toilet and you like sit your butt in it
Speaker 4: with maybe like epsom salt, and I'm like, I can't
Speaker 4: do it. But this thing was so bad that I
Speaker 4: was basically like I'll do anything.
Speaker 5: No, my god, I have to tell you. This is
Speaker 5: the like life change.
Speaker 2: It's like a Nettie Pop for your a Nettie Pop
Speaker 2: for your butthole or your butt.
Speaker 7: Exactly because that warm water, it not only soothes the
Speaker 7: you know, the hemorrhoid that's inflamed and painful, but it
Speaker 7: actually relaxes the muscles, which makes it easier for that
Speaker 7: hemorrhoid to go back in. You know, you were talking
Speaker 7: about pushing it in in the shower. Actually that's why
Speaker 7: it works better in the shower because things are warm
Speaker 7: and more relaxed, so it's easier to push it in.
Speaker 7: But but yeah, they work. They definitely work.
Speaker 5: Game changer. Just don't worry about it. Order it on Amazon.
Speaker 4: It's literally fifteen bucks, Like it's not expensive and it
Speaker 4: is a game changer. So I will tell you what
Speaker 4: my doctor told me. So okay, mine's external.
Speaker 5: Yeah.
Speaker 4: And I before I first of all the fact that
Speaker 4: my doctor had to just like look up my.
Speaker 6: Butt, I was like laughing.
Speaker 4: I decided to lean into the whole mess of it.
Speaker 4: So what she explained it because I kept telling her
Speaker 4: there's a grape with a frozen pea next to it,
Speaker 4: like that was when I was like, I can see
Speaker 4: it and I can feel it. It's sort of a
Speaker 4: squishy grape with a frozen p So what she explained
Speaker 4: to me is like think of like Juinna. You blow
Speaker 4: up a balloon, right, and you tie the knot of
Speaker 4: the balloon. So what it was explaining is the frozen
Speaker 4: pea is the knot, and it's like basically a blood clot.
Speaker 4: The squishy grape is not going to fully go down
Speaker 4: until the knot comes out. Okay, slowly, but surely, the
Speaker 4: frozen pee is getting smaller. I also thought like, I'm
Speaker 4: gonna go to bed tonight and wake up tomorrow and
Speaker 4: this thing will be gone.
Speaker 3: No, this thing is staying at the course.
Speaker 5: Slowly going away.
Speaker 2: And it's so uncomfortable and what you it sounds like
Speaker 2: what you had was a clot within the hemorrhoid.
Speaker 7: We call it a thrombo temorroid, and those definitely can
Speaker 7: be way more painful. I mean to the point where
Speaker 7: some people can't even sit down they're so painful. And
Speaker 7: when it first happens, that's when you if you did
Speaker 7: go to an emergency room, like on the first day,
Speaker 7: there is a way they could actually it sounds painful,
Speaker 7: but it's really not like make a tiny little cut
Speaker 7: and just take out the clot. But if you wait,
Speaker 7: it's kind of too late and then they can't do
Speaker 7: that procedure. You just need to wait it out, which
Speaker 7: is kind of what it sounds like.
Speaker 6: Yeah, I mean it's look, I'm happy to tell everybody.
Speaker 4: The pain does sort of subside after For me, it
Speaker 4: was like a week and I can sit, but it
Speaker 4: was just like bugging me. I literally was like, I'm
Speaker 4: walking around with a grape in my bottom. What's going on?
Speaker 5: Now?
Speaker 4: It's still there, but I'm living my life like it's
Speaker 4: not painful, but it's just so slow that had I
Speaker 4: not gone to the doctor and done all this research,
Speaker 4: I would be kind of panicked.
Speaker 7: Yeah, yeah, yeah, Like I think.
Speaker 4: My message is like we got to talk about our
Speaker 4: butts and just the doctor right away.
Speaker 7: And the other thing because you mentioned it, I definitely
Speaker 7: want to say, like this is colon cancer Awareness month.
Speaker 7: It is so important to not assume that what you
Speaker 7: have is a hemorrhoid. Even if your friend says it
Speaker 7: sounds like my hemorrhoid, you know it could be, but
Speaker 7: go go get it checked out, because we can't take
Speaker 7: anything for granted these days, like young people are getting
Speaker 7: colon cancer. If there is something new and worrisome, a
Speaker 7: lump or a bump in that area, especially if there's
Speaker 7: any blood associated with it. While again it could be
Speaker 7: something very benign like a hemorrhoid, you want to make
Speaker 7: sure it's not something more serious like a colon.
Speaker 4: Can well, and I did not have blood. I don't
Speaker 4: know why I'm like saying all of this is.
Speaker 3: That I for sure did, so now I'm like, maybe
Speaker 3: do I have cancer?
Speaker 7: So bleeding is very common from hemorrhoids, but anytime someone
Speaker 7: has blood, you should always be checked out. And you
Speaker 7: said you're forty. If you haven't had a colonoscopy, you
Speaker 7: should if you've had rectal bleeding.
Speaker 3: Oh oh, really, a colonoscopy? What is that? Like?
Speaker 2: A like I've never obviously is that I've had a colonic. Okay,
Speaker 2: I really love a colonic. Clonics Like, I remember my
Speaker 2: first clonic. I was like, wow, I've got a flat
Speaker 2: te me today.
Speaker 7: So, colonoscopy is a test that we do to screen
Speaker 7: for colon cancer. It's now recommended that every single person
Speaker 7: starting at age forty five should get it. Used to
Speaker 7: be fifty. Now forty five because we are seeing colon
Speaker 7: cancer and younger people, but we recommend it earlier for
Speaker 7: people that have any kind of bleeding or other symptoms.
Speaker 7: What it actually means is the day before, you drink
Speaker 7: a laxat of solution to kind of clear everything out,
Speaker 7: and you do feel actually quite flat and clear. Then
Speaker 7: you go into your doctor's office or you might go
Speaker 7: to a hospital. They put a little I V in
Speaker 7: your arm, you get anesthesia so you will be totally
Speaker 7: asleep for the duration of the test, which is usually
Speaker 7: fifteen to thirty minutes, and then during that time, a
Speaker 7: doctor like me is inserting a very skinny, flexible tube
Speaker 7: in the rectum. We look all through your colon also
Speaker 7: known as your large intestine. And if we see anything abnormal,
Speaker 7: like a polyp, which is a little growth that grows
Speaker 7: out of the line of your colon, we can just
Speaker 7: remove it, just cut it out during the procedure so
Speaker 7: that that polyp doesn't have a chance to grow into
Speaker 7: something bigger, like a colon cancer. So that's the way
Speaker 7: you can actually prevent colon cancer from even starting. And
Speaker 7: of course if we see something like a colon cancer,
Speaker 7: it's always best to diagnose it early. It has a
Speaker 7: very high survival rate when diagnosed early. And that's that's it.
Speaker 7: You wake up right after, within a few minutes, and
Speaker 7: you go home with your friend or loved one, and
Speaker 7: you can do whatever you want the rest of the day,
Speaker 7: just no driving.
Speaker 2: If the bleeding has stopped, though, is it is it okay?
Speaker 2: Because now if there's no bleeding, now I'm like, now,
Speaker 2: I'm like, oh God, get checked.
Speaker 3: Yeah, I would.
Speaker 7: Say it's like for you to not panic. It is
Speaker 7: most likely okay. However, colon cancers can also bleed intermittently,
Speaker 7: and I don't think you have colon cancer by any means,
Speaker 7: but like any kind of blood in a four year old,
Speaker 7: we always would say go get checked.
Speaker 5: To be able.
Speaker 7: Better to be safe than sorry.
Speaker 5: I have two questions.
Speaker 4: Number one, I have like one hundred questions, but I'll
Speaker 4: try and NA what ful of guard? So I'm terrified
Speaker 4: of the colonoscopy. I will do it one day, but
Speaker 4: I'm like baby stepping my way to it.
Speaker 5: Okay.
Speaker 7: So coll of guard is a stool test that a
Speaker 7: text for little mutations of your DNA that could be
Speaker 7: associated with polyps or cancers, and it is an alternative
Speaker 7: screening test to a colonoscopy. However, it's still not as
Speaker 7: accurate as a colonoscopy, so it can miss polyps or
Speaker 7: even cancers in some cases. Although it's pretty good for cancers,
Speaker 7: it also can do the opposite. It can give you
Speaker 7: a false positive. So I've had a lot of patients
Speaker 7: who've come to get a colonoscopy because they did a
Speaker 7: call of guard it was positive, and then we do
Speaker 7: the colonoscity it's totally normal. So I would say it's
Speaker 7: definitely not as good or you know, equivalent. If there
Speaker 7: is a compelling reason why someone can't have a colonoscopy
Speaker 7: for you know, they're two medically ill, or they have
Speaker 7: an issue, you know, problems with anesthesia. That is an option,
Speaker 7: and I definitely would prefer that to do nothing to
Speaker 7: you know, someone have no screening, but I would say
Speaker 7: at this point it's still better to get the full colonoscopy.
Speaker 5: Okay.
Speaker 4: So then that's my second question, which I know everyone
Speaker 4: listening is to be like, you're crazy, but I have
Speaker 4: like phobia of anesthesia.
Speaker 3: Oh I love it. I'm like, I get to have
Speaker 3: a nap, peace out.
Speaker 5: Zen.
Speaker 3: I love it, but.
Speaker 5: I get it.
Speaker 7: And I see a lot of patients who because maybe
Speaker 7: they've never had anthesia and they don't want it and
Speaker 7: they're very nervous. The kind of anesthesia that we use
Speaker 7: for colonoscopies is very short acting, which means it gets
Speaker 7: out of your bloodstream very quickly, which is great because
Speaker 7: if you want, if for God forbids, something were to
Speaker 7: happen and you want to like stop that anesthetic effect,
Speaker 7: you can do it pretty quickly during the procedure you're
Speaker 7: on and it'll be out of your bloodstream. You're also
Speaker 7: obviously being heavily monitored. You know your heart rate, your oxygen,
Speaker 7: you're breathing, all blood pressure, so you know you're doing
Speaker 7: it with an antithesiologist. Who's you know, trained to make
Speaker 7: sure everything is safe. And I think the most important
Speaker 7: thing is it's it's a very short time that you're
Speaker 7: under So, like I said, most kolonaska bees are like
Speaker 7: fifteen to thirty minutes. That's a very short period of
Speaker 7: time to be under anesthesia. You're still breathing on your own.
Speaker 7: This isn't general anesthesia like if you're a major surgery.
Speaker 7: But I am going to tell you one other thing,
Speaker 7: which is in a lot of countries, they do Pulenosco
Speaker 7: bees without anesthesia.
Speaker 5: Doctor.
Speaker 7: Yeah, you could elect to have it without it. And
Speaker 7: I probably have one patient every couple of weeks who
Speaker 7: for whatever reason, either they have a heart condition and
Speaker 7: they really shouldn't get anesthesia, or they just they're like you,
Speaker 7: they don't want anesthesia, and we do it without it.
Speaker 7: And the kolonascob for the most part, is not painful.
Speaker 7: There are a few twists and turns, so I would
Speaker 7: say cumulatively, out of fifteen minutes, there's probably like two
Speaker 7: minutes that are more painful, but they're short lived. Now,
Speaker 7: I can't predict that with everyone. If you happen to
Speaker 7: be someone who had a really twisty colon which no
Speaker 7: one would know until you had your calasm. You know,
Speaker 7: you could be that unportrait person where it's a little
Speaker 7: bit more painful.
Speaker 5: But it's you.
Speaker 7: Usually not a big deal. So if you're someone who's
Speaker 7: really scared about the anesthesia, that's definitely an option.
Speaker 2: I'm like at the dentist earlier today and I'm like,
Speaker 2: can I go down? Can you put me down? Like
Speaker 2: I'd like to opt for the like they're just getting
Speaker 2: a cavity. No, no, I know, like knock me out.
Speaker 2: I'm good.
Speaker 3: I'd like to take a nap, thank you.
Speaker 7: I mean, I've had two colonoscopes and I've had antistasia
Speaker 7: for both and I was very very happy with the experience.
Speaker 5: Oh I don't wait.
Speaker 2: Can we can we switch a little bit to gut
Speaker 2: health because I've been on this since having the baby
Speaker 2: and my levels have been like super off. And I
Speaker 2: was meeting with this one doctor who he's more of
Speaker 2: a gosh well the holistic doctor, but you know, I
Speaker 2: was telling him that. I was like, yeah, I have
Speaker 2: soft wore with anxiety. He's like, you know that comes
Speaker 2: from your gut, most of it. And I'm like no, no, no,
Speaker 2: Like I had PTSD when I was like nineteen. I'm like,
Speaker 2: that's when my anxiety started. And he's like, Okay, He's like, maybe, yes,
Speaker 2: for sure, like you might have some like PTSD trauma stuff.
Speaker 2: He's like, but most of the anxiety you're probably actually
Speaker 2: feeling your body is all GOT related.
Speaker 3: And I'm like.
Speaker 2: Really and so yeah, I mean I had no idea.
Speaker 2: And so since then, I've you know, I've changed. I'm
Speaker 2: now you know, taking supplements, doing making sure because I did.
Speaker 2: I wasn't on a daily probatic I wasn't doing certain
Speaker 2: things for my stomach again at forty, so, you know,
Speaker 2: I'm just kind of like learning this all on. I
Speaker 2: feel like gut health is like the new word that
Speaker 2: everyone's like talking about gut health and everything on socials,
Speaker 2: and so I'm I'm really like eyes open to everything
Speaker 2: now and like trying to understand, all right, what is
Speaker 2: what is the best thing that I can be taking
Speaker 2: to help my gut you know. So I'm I did
Speaker 2: a food sensitivity test, so I'm not eating things that
Speaker 2: I'm you know, you know, that are going to hurt
Speaker 2: me there. And I'm also like curious, like what else
Speaker 2: can I do? Like I'm curious to know about more
Speaker 2: about your fiber stuff, but also like what is the
Speaker 2: best probatic to take that you take? What is something
Speaker 2: else too to make sure that I can continue to
Speaker 2: have a healthy gut and that gut lining so that
Speaker 2: I'm I'm able to function, you know, have more energy
Speaker 2: and everything else and not have that anxiety that that
Speaker 2: can happen when you have that in your you know,
Speaker 2: bad things in your stomach.
Speaker 7: Yeah, it's a great question. Obviously, the topic that I'm
Speaker 7: most passionate about is gut health, and I think it's
Speaker 7: really interesting. As we have just talked about everyone's talking
Speaker 7: about gut health. They're learning more and more about it.
Speaker 7: I think, you know, when I started TULA, gut skin
Speaker 7: was like this new topic which now is actually becoming
Speaker 7: more mainstream. And I think gut mind is the next
Speaker 7: frontier that people are just starting to learn about. And
Speaker 7: it's so incredibly important because we now know that the
Speaker 7: gut and the brain are so interconnected. In fact, they
Speaker 7: call the gut the second brain because we have neurotransmitters
Speaker 7: in our gut. You know, we have nerves and neurons
Speaker 7: that are signaling between our brain and our gut at
Speaker 7: all times. You know consciously and subconsciously. So a couple
Speaker 7: of examples I like to say, because everyone's experienced them.
Speaker 7: If you've ever had butterflies in your stomach, or if
Speaker 7: you've ever been nervous because you have a big presentation
Speaker 7: and you feel like you need to run to the
Speaker 7: bathroom with diarrhea, like, those are clear examples of your
Speaker 7: mind and your gut interacting right. And the reverse is
Speaker 7: true when your gut lining is inflamed or it's off,
Speaker 7: or it's imbalanced, you know, the microbiomes imbalance that actually
Speaker 7: we now know can lead to mood changes, anxiety, even depression.
Speaker 7: And there's there's actually now a whole field called nutritional
Speaker 7: psychiatry because we know that what we put into our
Speaker 7: bodies and how we feed our gut really kind of
Speaker 7: an impact on our mood and our brain and on
Speaker 7: all of those things. So and sleep is another huge
Speaker 7: part of that. So that's why you know, Yay Today
Speaker 7: is the company I just started, which we are really
Speaker 7: focusing on gut mine. I feel like you can't focus
Speaker 7: on gut health without taking into account that the mind piece,
Speaker 7: which is why we put magnesium for the sleep in
Speaker 7: the mind benefits. And then to answer your question about
Speaker 7: what should you be doing for your gut, I still
Speaker 7: think that, you know, a healthy mix of prebiotics and
Speaker 7: probiotic fiber is the best way to kind of have
Speaker 7: a broad support for your gut because when it comes
Speaker 7: to choosing specific probatic strains, and I think probatics are great,
Speaker 7: and at TULA we have some probatics which I take daily,
Speaker 7: But you know, it's hard. I think think the science
Speaker 7: is still figuring out specifically which strains of bacteria are
Speaker 7: good for which people. Whereas when you take prebiotics and
Speaker 7: those are like the fertilizer for all your good bacteria,
Speaker 7: then you know you're supporting all the beneficial bacteria. You know,
Speaker 7: it's like giving sort of fish food to all the
Speaker 7: little fish as opposed to trying to pick which fish.
Speaker 7: You know, in particular, should I be having an arm
Speaker 7: in my body. So that's why I think everyone should
Speaker 7: be increasing their fiber, both in their diet and supplementing
Speaker 7: if they can't get that in their diet, which most
Speaker 7: of us can't. It's a lot of fiber we're supposed
Speaker 7: to be getting every day. And then taking care of
Speaker 7: the mind piece, which I think magnesium is a great
Speaker 7: ingredient to make sure you get a good night's sleep,
Speaker 7: but also things like the mindfulness training, the deep breathing,
Speaker 7: the meditation, those not only help you mentally, but can
Speaker 7: help calm your butt, your your buttet your button.
Speaker 2: Well, you know she is a GI doctor. Later she's
Speaker 2: got that butt on the mind.
Speaker 7: People with irrible beowel, which you know, we see a lot.
Speaker 7: I see a lot in my practice. We actually you
Speaker 7: often treat with either my mindfulness or yoga, but also
Speaker 7: with antidepressants because we know the same neuro transmitters are
Speaker 7: kind of wreaking havoc on the gut the same way
Speaker 7: they can when they're out of balance in your brain
Speaker 7: with things like anxiety and depression. So they're very interconnected.
Speaker 7: And I think we're just learning, you know, more and
Speaker 7: more about the science behind how they affect each other.
Speaker 7: But it's really important to take care of that two
Speaker 7: way conversation.
Speaker 2: Is there something though that you're like, and I totally
Speaker 2: hear you. But if you're like, so, I haven't been
Speaker 2: eating cheese because I heard cheese is really bad for
Speaker 2: your gut, Like is that true? Is my you know,
Speaker 2: I've cut back on on on wine I don't drink
Speaker 2: nearly as much wine, more so because I'm just exhausted.
Speaker 2: But I followed doctor Aman and I talked to him
Speaker 2: a lot, so I'm like, you know, I'm just being
Speaker 2: more mindful of like again, you know, controlling the mind,
Speaker 2: the gut, all my body. But you know, is there
Speaker 2: something where you're like that is an absolute no?
Speaker 3: You know?
Speaker 2: And I know for him, he always says the alcohol,
Speaker 2: which I'm like, well, you know, I did have one
Speaker 2: last week, and yeah, it is what it is. But
Speaker 2: like I also didn't get mad at myself for it.
Speaker 2: But you know, but if you're like, don't eat cheese,
Speaker 2: like not good for your gut, or like what is
Speaker 2: it where like or is it the process like so
Speaker 2: that you can start, Yeah, you know, I would definitely.
Speaker 7: Say processed foods are the worst, and within that category,
Speaker 7: things like hole cuts and processed meats are the absolute
Speaker 7: worst for your gut. So those are things that really
Speaker 7: do avoid. Now I'm not saying once in a blue
Speaker 7: moon you have some pepperoni or you know, nice protrudover something,
Speaker 7: it's the end of the world. But I definitely don't
Speaker 7: think that should be a regular part of anyone's diet
Speaker 7: because wa, wait a minute, sorry, that so like lunch meat, yes, correct,
Speaker 7: I have one every.
Speaker 2: Day, But it's like the turkey applegates is that okay?
Speaker 7: So if it's turkey, it's usually okay, But just see
Speaker 7: what they're putting in it, Like specifically, you want to
Speaker 7: avoid things that have nitrates in them.
Speaker 3: Nitrates, Oh it's nitrate free.
Speaker 7: Okay, then it should be fine. That is the ingredient
Speaker 7: that's the troublesome one with those. Alcohol is not great.
Speaker 7: I do think, you know, once in a while there's
Speaker 7: absolutely no reason to be guilty about having some alcohol,
Speaker 7: but regularly drinking alcohol is pretty toxic to your gut.
Speaker 7: I would say dairy and cheese, it really depends on
Speaker 7: the person. I don't think per se it's blanketly bad
Speaker 7: for everyone. But of course a lot of people are
Speaker 7: intolerant to dairy to lactose, so if you are one
Speaker 7: of those people, then obviously you're gonna feel allows you
Speaker 7: when you have it. But to me, it's really the
Speaker 7: processed meats and red meat in general, even if it's
Speaker 7: not processed, is something to really keep to a minimum
Speaker 7: for overall health, honestly, but specifically for gut health.
Speaker 6: As well, And I'm kind of like the once a
Speaker 6: week or once a month.
Speaker 7: For which one for process met.
Speaker 6: It's like, read meat, well, yeah, red meat, I would.
Speaker 7: Say for red meat, I would say more like once
Speaker 7: every couple of weeks.
Speaker 3: Oh shoot man, Yeah, okay, yeah, if you.
Speaker 7: Really want to be optimally got healthy, yes, once every
Speaker 7: couple of weeks.
Speaker 4: I know, I think cheese can be kind of tricky.
Speaker 7: Yeah, I mean it really depends on the person. I
Speaker 7: think cheese has protein, Like cheese is not necessarily horrible,
Speaker 7: but for some people it can really cause them to
Speaker 7: have a lot of bloating or diarrhea. And you know, often.
Speaker 4: Vegetables like if I look at broccoli, it's diarrhea time.
Speaker 4: Like I there's certain vegetables I'm like, no.
Speaker 7: Yeah, Well, vegetables in general tend to have a lot
Speaker 7: of fiber, which is good, but there are certain vegetables
Speaker 7: which are notorious for producing more more gas. You know, broccoli, cauliflower, cabbage,
Speaker 7: russell sprouts, you know, these are some of them. And
Speaker 7: these are all really healthy, but they can definitely have
Speaker 7: that gas issue. So you know, sometimes cooking them makes
Speaker 7: it a little bit easier to tolerate taking them with
Speaker 7: some digestive enzymes or you know, if you're someone who
Speaker 7: finds those particular ones very troublesome, then you know, obviously
Speaker 7: you can avoid them. There are many other vegetables to get,
Speaker 7: you know, good nutrients and vitamins.
Speaker 2: What's your thought on what? So I've been taking this
Speaker 2: thing that my doctor, but I honestly I shouldn't. I
Speaker 2: should do more research. I don't even know what it is,
Speaker 2: but I put it in my shakes for my gut.
Speaker 2: It's called anulin.
Speaker 6: Yeah, so you can.
Speaker 7: Help with as a prebiotic and really help kind of
Speaker 7: exactly what I said. So probiotics are good healthy bacteria.
Speaker 7: Prebiotics are anything that helps foster the growth of good bacteria.
Speaker 7: So you think of it as like food for probiotics
Speaker 7: or fertilizer. So innulin is a great prebiotic. So he's
Speaker 7: kind of doing what I told you. Like, the more
Speaker 7: you do the probiotics, then you know you're you're fostering
Speaker 7: the growth of all of your healthy bacteria.
Speaker 2: Okay, And what is the website for your fiber? Because
Speaker 2: I'm trying, I think I might be putting it in wrong,
Speaker 2: and because I want to get some right.
Speaker 7: Now, myyday dot.
Speaker 3: Com, myyday dot com.
Speaker 7: Okay, yeah, so this is the first nightly gut mind supplement,
Speaker 7: so we want to do it at night so that
Speaker 7: you get the magnesium to help with sleep. There's a
Speaker 7: whole science around sleep and gut health. So I wrote
Speaker 7: a book which I think you may know about, called
Speaker 7: Gut Renovation right here. It just came out recently, and
Speaker 7: it's all about how the gut microbiome really affects every
Speaker 7: aspect of our health. And I called it gut Renovation
Speaker 7: because it's really about, you know, I do a little
Speaker 7: metaphor where every room is every chapter is a room.
Speaker 7: So the bedroom is about how sleep affects your gut
Speaker 7: and vice versa. The home gym is about exercising your gut,
Speaker 7: but the sleep, the bedroom chapter is all about such
Speaker 7: great research showing that imbalances in your gut microbiome can
Speaker 7: lead to insomnia, poor quality sleep, and the reverse is
Speaker 7: true if you're not sleeping well, that can actually cause
Speaker 7: the bad bactery to overgrow and in your gut and
Speaker 7: the good bacteriy to become diminished. So there's a really
Speaker 7: interesting and important relationship between the two and that's why
Speaker 7: I wanted to include the magnesium in the A day
Speaker 7: supplement so that I'm ensuring like you're going to have
Speaker 7: a great night's sleep, which then sets you up for
Speaker 7: that regular morning bellet movement, great gut health, and you're
Speaker 7: ready to like start your day on the right foot.
Speaker 4: Is there a food with magnesium if I don't want
Speaker 4: to take a supplement? Is there like something I could
Speaker 4: put in my diet that.
Speaker 5: There are nuts?
Speaker 7: There are a lot of nuts have magnesium. I think
Speaker 7: pumpkin seeds are a good source of magnesium as well.
Speaker 7: It's some of that easy to get. I mean, you
Speaker 7: will get some in your diet. I just think for
Speaker 7: there are a lot of people that are magnesium deficient
Speaker 7: that don't realize it. But yes, you can absolutely get
Speaker 7: it in your diet.
Speaker 2: Okay, so I'm adding to Kart right now. My question
Speaker 2: is do I have this? Do I drink this on
Speaker 2: an empty stomach or no?
Speaker 7: It doesn't have to be in an empty stomach, but
Speaker 7: we recommend it right before bed or soon before bed
Speaker 7: because you are going to get sleepy. Like the first
Speaker 7: time I took it, and I'm a pretty light sleeper,
Speaker 7: and then my son came into my room and I
Speaker 7: had fell hold to sleep at like eight o'clock because
Speaker 7: I took it to and like I never I've always
Speaker 7: wake up with someone walks into my room, and this
Speaker 7: time I did it, so so yeah, it's just meant
Speaker 7: to be taken before bed. But it doesn't need to
Speaker 7: be an empty stomach at all.
Speaker 2: Okay, boom ordered, we're doing this all right, Well, thank
Speaker 2: you so much for coming on. I feel like this
Speaker 2: is very informative. We've talked, you know about the taboo hemorrhoids.
Speaker 2: Amy is just chilling with their little blueberries right now.
Speaker 2: You know, it's just and it's all good. You guys
Speaker 2: go get your call in checked. I'm gonna go get
Speaker 2: mine checked.
Speaker 5: Oh good before we hang up.
Speaker 4: When you sneezed or coughed when you add the hemorrhoid,
Speaker 4: did you feel it in the.
Speaker 2: Hemorrhoids listen, I felt it with every second breath like,
Speaker 2: I mean, it was awful. It was literally the worst.
Speaker 2: I mean I would cry in the shower so many times.
Speaker 2: Oh but it's better, is awful? Yeah, it's totally like, yeah,
Speaker 2: it's totally better now good good.
Speaker 6: Send us your hemorrhid questions like we can do it totally.
Speaker 7: There's so much about hemorrhids or just gut health in general,
Speaker 7: like trust, There's a lot, a lot to talk about,
Speaker 7: so I would love to go back. But thank you, ladies.
Speaker 7: I met d R doctor Roshnie Roj on Instagram and
Speaker 7: everywhere else and of course myyaday dot com, and I
Speaker 7: would love to I hope you do get your colonoscopy
Speaker 7: in honor of colon Cancer Awareness Month and let us
Speaker 7: know how it goes, because you'll definitely inspire a lot
Speaker 7: of other young women to do the same.
Speaker 2: Awesome. Well, thank you guys so much. First, yeah, I
Speaker 2: wanted to do that, Amy, thanks for coming on. Thanks,
Speaker 2: thank you for being vulnerable and gus so much.
Speaker 4: There's nobody in the world I trust more to text
Speaker 4: about my hemorrhoid than you.
Speaker 3: I feel very honored. Thank you. Okay, thanks guys. All right, Sea,
Speaker 3: I talked to you soon.