WEBVTT - Your Blood Tests Are “Normal”… So Why Do You Feel So Bad? Plus a New GLP-1 Warning 0:00:02.600 --> 0:00:04.120 When was the last time that you had a blood 0:00:04.160 --> 0:00:06.680 test where the results normal? Did you have a little 0:00:06.800 --> 0:00:08.440 up or down in some of the numbers? 0:00:08.640 --> 0:00:08.840 Well. 0:00:08.880 --> 0:00:11.639 On today's episode of The Nutrition Couch, we chat what 0:00:11.840 --> 0:00:14.840 is normal versus what is optimal on your blood test 0:00:14.960 --> 0:00:17.120 results and some of the numbers that you really should 0:00:17.160 --> 0:00:20.440 be aiming for. Hi, I'm Leanne Wood and I'm Toddy Burrow, 0:00:20.600 --> 0:00:23.000 and together we bring you The Nutrition Couch, the weekly 0:00:23.000 --> 0:00:25.520 podcast that keeps you up to date on everything that 0:00:25.560 --> 0:00:28.440 you need to know in the world of nutrition today. 0:00:28.520 --> 0:00:30.520 As well as blood tests. We have a new study 0:00:30.560 --> 0:00:34.440 that deep dives and nutrient dangers associated with GLP one use. 0:00:34.800 --> 0:00:37.200 We have a new cereal toper that our listener sent 0:00:37.240 --> 0:00:39.839 in for us to review, and our listener question is 0:00:39.960 --> 0:00:43.360 all about takeaways. But to kick us up today, Susie, 0:00:43.520 --> 0:00:46.400 we are chatting blood tests because you saw an interesting 0:00:46.440 --> 0:00:49.360 post I think linked to longevity online and I did 0:00:49.400 --> 0:00:51.360 a swipe across post a couple of weeks ago, which 0:00:51.360 --> 0:00:53.640 gained quite a lot of traction because people are really 0:00:53.680 --> 0:00:56.360 interested in this. So we'll start up the segment by 0:00:56.400 --> 0:00:58.440 saying that we are not doctors and you should always 0:00:58.480 --> 0:01:03.000 get medical advice, but as clinical dieticians. We do interpret 0:01:03.080 --> 0:01:06.000 some of these results for our clients, and we do 0:01:06.080 --> 0:01:08.520 often send them back to have further conversations with their 0:01:08.520 --> 0:01:10.600 doctors or sometimes say all right, now, we want you 0:01:10.680 --> 0:01:12.959 to go back and get this additional test because this 0:01:13.360 --> 0:01:16.319 alone and isolation doesn't really give us a full picture. 0:01:16.640 --> 0:01:19.840 So it is worth always having what we like to 0:01:19.840 --> 0:01:22.960 call a multidisciplinary team, you know, people sort of in 0:01:23.000 --> 0:01:25.520 your corner at all times, looking at for a broad 0:01:25.640 --> 0:01:28.880 range of things, not just one specific result on a 0:01:28.959 --> 0:01:32.240 very specific blood test. Because often women are always told 0:01:32.240 --> 0:01:34.840 you're fine, everything's normal, and you know, you see it 0:01:34.920 --> 0:01:37.839 time and time again, and they just they feel awful 0:01:37.880 --> 0:01:39.960 and they know in themselves like this isn't normal. I 0:01:39.959 --> 0:01:42.360 shouldn't be feeling this way. Or I'm doing the same 0:01:42.360 --> 0:01:44.399 thing I was doing twelve months ago, yet I feel 0:01:44.440 --> 0:01:47.600 absolutely awful doing it, like something is off. So we 0:01:47.640 --> 0:01:51.040 thought we'd bring to the segment the top five or 0:01:51.160 --> 0:01:53.920 so blood mark is that we tend to see for 0:01:54.040 --> 0:01:57.520 busy women. So today we're going to cover Google's iron, 0:01:57.680 --> 0:02:01.840 vitamin D, lipids, thyroid, and estrogen. And I think they're 0:02:01.840 --> 0:02:05.920 probably the biggest ones that busy women should be getting 0:02:06.000 --> 0:02:08.920 tested in my opinion, once a year. So if you 0:02:09.240 --> 0:02:11.000 are listening and you haven't had a blood or you 0:02:11.040 --> 0:02:13.520 literally can't remember the last time you had a blood test, 0:02:13.720 --> 0:02:15.560 it's probably time to pop off to the doctor and 0:02:15.600 --> 0:02:18.120 go and get some of these things checked. Because you 0:02:18.160 --> 0:02:20.280 know a lot of people are not even symptomatic. You know, 0:02:20.320 --> 0:02:22.800 some of these ranges might be out of range and 0:02:22.840 --> 0:02:24.919 you don't really have any symptoms yet. So it is 0:02:24.960 --> 0:02:27.560 always a really good idea to get a regular blood 0:02:27.600 --> 0:02:30.120 test once a year because then you know what your 0:02:30.160 --> 0:02:32.560 baseline is. So if some of these markers start moving 0:02:32.600 --> 0:02:35.360 too high or too low, you'll know if that is 0:02:35.400 --> 0:02:38.520 a bit different compared to your normal baseline. So the 0:02:38.560 --> 0:02:41.799 first one is what we call fasting glucose, and along 0:02:41.840 --> 0:02:44.880 with that goes HbA one C, which is a measure 0:02:44.960 --> 0:02:48.360 or marker of your three monthly average of your glucose. 0:02:48.480 --> 0:02:51.560 So in Australia, a normal fasting glucose on a blood 0:02:51.600 --> 0:02:54.560 test is about three point six to five point four 0:02:54.840 --> 0:02:58.400 million miles a liter. Anything above five point five is 0:02:58.440 --> 0:03:02.240 sort of that impaired glucose, sort of pre diabetes, and 0:03:02.360 --> 0:03:05.399 anything over seven that million miles a liter is considered 0:03:05.600 --> 0:03:08.720 you know, diabetes in Australia. So technically, if you were 0:03:08.760 --> 0:03:12.400 to see five point four on your fasting glucose, this 0:03:12.560 --> 0:03:15.600 is still considered normal. But Susie and I work with 0:03:15.639 --> 0:03:17.679 a lot of busy women who are trying to lose weight, 0:03:17.880 --> 0:03:21.400 who might have some metabolic insufficiencies, and if we saw 0:03:21.440 --> 0:03:23.720 something like that on a blood test, we wouldn't immediately 0:03:23.760 --> 0:03:26.480 freak out. We wouldn't immediately say or you need to medication, 0:03:26.919 --> 0:03:28.799 but we would kind of have a think about it 0:03:28.880 --> 0:03:32.160 and say or right from a metabolic health perspective, you 0:03:32.200 --> 0:03:34.639 know anything above sort of that five point three five 0:03:34.639 --> 0:03:37.560 point four is starting to creep up there, right, And 0:03:37.600 --> 0:03:40.400 then in line we'd look at HBO and C as well. 0:03:40.560 --> 0:03:43.600 So is that HBO and C over time creeping up? 0:03:43.760 --> 0:03:46.240 Has that gone from five point one to perhaps five 0:03:46.280 --> 0:03:49.160 point four or five point seven now? And is that 0:03:49.200 --> 0:03:53.040 creeping out? Because things like this alongside like a waste 0:03:53.120 --> 0:03:56.040 measurement and also looking at you know, your muscle mass, 0:03:56.040 --> 0:03:59.360 your fat mass and that distribution may suggest things like 0:03:59.600 --> 0:04:03.000 early insulin resistance or pre diabetes, which for a lot 0:04:03.000 --> 0:04:05.800 of you know clients in Australia, they're not really getting 0:04:05.840 --> 0:04:09.800 diagnosed with these things until they're full blown diabetic. So 0:04:09.880 --> 0:04:12.160 that's the first one. The next one we see a 0:04:12.200 --> 0:04:16.360 lot is linked to iron, particularly ferotum. So in Australia 0:04:16.400 --> 0:04:19.560 with our labs, ferretin is generally about fifteen to one 0:04:19.640 --> 0:04:23.640 hundred and fifty, so that is a very very wide range. 0:04:23.680 --> 0:04:25.880 And I often see women who come back with a 0:04:25.880 --> 0:04:29.520 blood test with a ferretin of like sixteen or seventeen 0:04:30.040 --> 0:04:32.160 and they're like, oh no, the doctor said that it's fine, 0:04:32.440 --> 0:04:35.800 and technically it is within range. Technically it is normal. 0:04:36.120 --> 0:04:38.880 But if a mens raating woman had a ferretin level 0:04:38.960 --> 0:04:42.200 that low, they are going to feel so much better 0:04:42.520 --> 0:04:45.880 once their ferretin is honestly above like at least fifty, 0:04:45.960 --> 0:04:48.280 if not seventy or eighty or close to one hundred, 0:04:48.440 --> 0:04:51.360 particularly if they are someone who is postpartum, they are 0:04:51.400 --> 0:04:55.080 actually symptomatic, like they're quite fatigued, they're training heavily and 0:04:55.120 --> 0:04:58.280 they menstrate regularly because that ferretin level can you keep 0:04:58.360 --> 0:05:01.000 dropping over time as well. So often I see that 0:05:01.080 --> 0:05:04.200 a lot where women are like, I'm just exhausted and 0:05:04.240 --> 0:05:07.919 their ferretin is so low, but technically it's normal. And 0:05:08.000 --> 0:05:11.240 alongside that fatigue, often we might see, you know, their 0:05:11.240 --> 0:05:15.120 hair falling out, really poor exercise tolerance, you know, finding 0:05:15.120 --> 0:05:18.640 that they're breathing a lot heavier, fatigue, brain fog, all 0:05:18.720 --> 0:05:21.719 of those things can occur as your hemoglobin starts to drop. 0:05:21.800 --> 0:05:24.200 So this is a really common one where often we're 0:05:24.240 --> 0:05:28.040 told that you're fine but actually having an optimal result 0:05:28.320 --> 0:05:31.080 ie above sort of that fifty to seventy you're going 0:05:31.120 --> 0:05:33.720 to feel so much better from a symptom perspective and 0:05:33.760 --> 0:05:37.000 an energy perspective. Now, the next one's Vitamin D and 0:05:37.040 --> 0:05:39.400 we're quite lucky here in Australia that it is quite 0:05:39.720 --> 0:05:42.159 well where I live anyway, in Brisbane and Queensland, it 0:05:42.200 --> 0:05:45.240 can get quite hot, particularly in summer, but coming out 0:05:45.240 --> 0:05:47.479 of the winter months, I think it's something like thirty 0:05:47.480 --> 0:05:50.400 percent of Australians have a vitamin D deficiency. So a 0:05:50.440 --> 0:05:53.680 deficiency in Australia is less than fifty on your blood test. 0:05:53.960 --> 0:05:57.279 And for an adequate bone health from the Enercrine Society 0:05:57.320 --> 0:06:01.000 of Australian Osteoporosis Society of Australia, we are looking for 0:06:01.080 --> 0:06:05.200 adequate bone health over fifty. However, a lot of practitioners 0:06:05.240 --> 0:06:08.120 actually consider seventy five to one hundred to be the 0:06:08.240 --> 0:06:12.200 optimal level when we're talking about bone density, muscle strength, 0:06:12.240 --> 0:06:14.680 and immune health as well. But often you know, women 0:06:14.680 --> 0:06:19.200 are sitting in that low fifty. So again technically not insufficient, 0:06:19.520 --> 0:06:24.080 but not necessarily ideal either, particularly in menopausal women where 0:06:24.120 --> 0:06:27.920 bone density becomes even more important. So that's where i'd 0:06:27.960 --> 0:06:30.040 really be asking for a copy of your blood test, 0:06:30.080 --> 0:06:32.960 having a look at that vitamin D and really seeing 0:06:33.000 --> 0:06:35.760 if you can get your levels up over that you know, 0:06:35.800 --> 0:06:38.600 seventy five closer to that one hundred range. Again, from 0:06:38.640 --> 0:06:41.520 a bone health perspective, it's going to be for most 0:06:41.560 --> 0:06:45.080 healthy women a lot more ideal. Now passive a SUSI 0:06:45.080 --> 0:06:47.400 in a sect to do estrogen and thyroid. But in 0:06:47.480 --> 0:06:51.039 terms of lipid again cholesterol levels, a lot of my 0:06:51.120 --> 0:06:54.320 clients have said, you know, my cholesterol's fine, but really, 0:06:54.360 --> 0:06:58.560 as dietitians, what we're taking a closer look at LDL, 0:06:58.760 --> 0:07:02.760 HDL and tricl ride. So your LDL is your quote 0:07:02.800 --> 0:07:06.080 unquot your bad cholesterol. Your HDL is quote unquote your 0:07:06.120 --> 0:07:10.760 good cholesterol. So LDL ideally we want less than three HDL, 0:07:10.840 --> 0:07:13.880 we want more than one, but honestly more than about 0:07:13.960 --> 0:07:17.239 one point three ideally in women and triglycerides, we often 0:07:17.240 --> 0:07:21.040 want to see under two. But again this reflects your 0:07:21.120 --> 0:07:23.320 risk factors. You know, do you have a family history 0:07:23.320 --> 0:07:25.760 of high cholesterol? Have you had, you know, parents with 0:07:25.800 --> 0:07:28.640 a heart attack, have you had other issues or are 0:07:28.640 --> 0:07:30.600 you generally well and healthy, You've had no sort of 0:07:30.600 --> 0:07:33.560 cardiac issues in your family? Do you also have insulin 0:07:33.600 --> 0:07:37.120 resistance or diabetes? So context matters when we're looking at 0:07:37.120 --> 0:07:39.200 some of these numbers as well. Do you have a 0:07:39.240 --> 0:07:42.239 genetic family history of high cholesterol? All of these sorts 0:07:42.240 --> 0:07:45.960 of things matter, but actually looking further than just total 0:07:46.040 --> 0:07:48.480 cholesterol is really really important for a lot of women 0:07:48.520 --> 0:07:50.640 as well. All right, So as you want to chat 0:07:50.640 --> 0:07:52.920 through estrogen, because that's an important one for a lot 0:07:52.960 --> 0:07:55.040 of women as we start getting over that kind of 0:07:55.120 --> 0:07:57.120 late thirties forties, isn't it? 0:07:57.120 --> 0:07:58.760 It is? But you're better than I'm not going through 0:07:58.800 --> 0:08:02.960 the numbers i'd have to normally interpret blood test results 0:08:03.000 --> 0:08:05.880 from a person of that numbers. I don't memorize all 0:08:05.880 --> 0:08:09.120 the reference ranges, but I think the main messages I 0:08:09.160 --> 0:08:12.480 wanted to get across was it's not that one off 0:08:12.520 --> 0:08:14.720 so often, and I think it's because gpees are pressed 0:08:14.760 --> 0:08:18.080 for time, and sometimes we're seeing gps that maybe we 0:08:18.120 --> 0:08:20.760 see you just occasionally, they're not actually someone that we've 0:08:20.760 --> 0:08:22.400 been invested with our healthy and you might go to a 0:08:22.440 --> 0:08:25.360 medical center or be looking for a script, and so 0:08:25.400 --> 0:08:27.760 they're just all they're doing is scanning and looking for 0:08:27.800 --> 0:08:30.960 abnormal results, whereas a lot of these variables they track 0:08:31.000 --> 0:08:35.520 over time, particularly things like glucos, vitamin D iron. Absolutely. 0:08:35.600 --> 0:08:38.360 You know, I had a breastfeeding mum who had low ferretin, 0:08:39.080 --> 0:08:41.440 and as soon as you've got low ferretin, even if 0:08:41.480 --> 0:08:44.680 it's within normal range, if it's on the low stage, 0:08:44.960 --> 0:08:46.439 you will feel like you've been hit by a bus. 0:08:46.520 --> 0:08:51.480 It is really hard to exercise activities of normal living 0:08:52.120 --> 0:08:55.800 and encouraging busy mums to oral supplement iron when their 0:08:55.800 --> 0:08:58.040 ferresin is so low, it's never going to get back 0:08:58.080 --> 0:09:00.960 to normal ranges. So I think it's more really track 0:09:01.000 --> 0:09:04.040 yourself over time. Just because the doctor says it's fine 0:09:04.080 --> 0:09:06.840 doesn't mean it is, particularly if you're exhibiting symptoms. The 0:09:06.840 --> 0:09:09.840 ones I constantly see are the low ferretin level. And 0:09:09.840 --> 0:09:11.880 your eye might be normal, but your ferishin or stores 0:09:11.920 --> 0:09:15.160 are low. Certainly I see it with thyroids. I find 0:09:15.640 --> 0:09:18.319 that doctors can be you know, I don't want to 0:09:18.320 --> 0:09:21.360 say blase a, but unless it's really clinical, they won't act, 0:09:21.400 --> 0:09:23.800 whereas if you can be you know, one point off 0:09:23.800 --> 0:09:26.200 it being high or low, you often need to act. 0:09:26.200 --> 0:09:28.320 I've just had a blood test come through now and 0:09:28.400 --> 0:09:30.360 the doctors said that it's normal, and I've actually looked 0:09:30.360 --> 0:09:32.800 at bloods and it's not. It's really out of whack, 0:09:32.840 --> 0:09:34.760 and I would be looking for a second opinion not 0:09:35.480 --> 0:09:37.440 I think for women listening who are in their forties 0:09:37.480 --> 0:09:40.360 and fifties, what you're looking for is declining ustrogen over time, 0:09:40.840 --> 0:09:42.360 so you don't have to wait till you literally have 0:09:42.400 --> 0:09:44.360 none in your body to act. And of course you 0:09:44.400 --> 0:09:46.600 have to take into account of contraception and time of 0:09:46.640 --> 0:09:48.760 month and all those things. But ultimately, if your levels 0:09:48.760 --> 0:09:51.320 are dropping over time, that is a sign that you 0:09:51.360 --> 0:09:54.439 are in perry, same as we've seen before. If your 0:09:54.559 --> 0:09:57.640 LDL cholesterol is creeping up, that indeed, if you're in 0:09:57.640 --> 0:10:01.760 your forties and fifties, is certainly your imperium moving towards menopause. 0:10:01.800 --> 0:10:03.800 And that's the time to act with all of those things, 0:10:04.120 --> 0:10:08.080 because increasing LDL can be simply suggestive of increased information 0:10:08.160 --> 0:10:10.120 in the body. There are certainly a whole range of 0:10:10.200 --> 0:10:13.040 dietary things and strategies we can do to help reduce that. 0:10:13.040 --> 0:10:15.080 That might be a time to introduce plant sterols into 0:10:15.120 --> 0:10:18.280 your diet. And in the case of estrogen, if you 0:10:18.320 --> 0:10:21.280 are exhibiting symptoms, and even if you're not, you know these. 0:10:21.640 --> 0:10:25.480 We know there's beneficial outcomes for women to be optimizing 0:10:25.600 --> 0:10:28.000 estrogen levels. From a skin health perspective, from a bone 0:10:28.000 --> 0:10:30.480 health perspective, these are all signs it's time to act, 0:10:30.920 --> 0:10:33.280 and so I would be looking for declines over time. 0:10:33.320 --> 0:10:35.640 If your estrogen is reducing year on year out, I 0:10:35.679 --> 0:10:38.360 would be acting. And it's not enough because even myself, 0:10:38.360 --> 0:10:41.400 I remember going to the doctor and twelve months prior 0:10:41.480 --> 0:10:43.880 being told my estrogen was fine, and then going to 0:10:43.960 --> 0:10:46.000 a gynecologist a year later and telling me that I 0:10:46.040 --> 0:10:49.640 literally was in menopause like that. It didn't just drop overnight. 0:10:49.840 --> 0:10:52.679 But I had a doctor who wasn't interpreting it over time, 0:10:52.800 --> 0:10:55.440 she was just looking at it was still normal. And 0:10:55.520 --> 0:10:57.480 of course we see it all the time. With glucose. 0:10:57.880 --> 0:11:01.840 You can see people consistently going from a four millimual 0:11:01.920 --> 0:11:04.840 per liter fast and glucose up to four point eight, 0:11:05.240 --> 0:11:07.439 up to five point two, and no one says anything, Well, 0:11:07.440 --> 0:11:09.440 that's increasing, you're on the way to diabetes. You don't 0:11:09.440 --> 0:11:11.520 want to wait till you've got diabetes to act. So 0:11:11.640 --> 0:11:14.280 I would be looking if your gluecose is increasing year 0:11:14.320 --> 0:11:16.320 in year out, there are issues there with your insulin 0:11:16.360 --> 0:11:18.520 and you want to be managing it. And certainly your 0:11:18.600 --> 0:11:21.120 HbA one c if it's on the high end of normal, 0:11:21.160 --> 0:11:23.360 I would not be happy. You don't want a high HbA, 0:11:23.800 --> 0:11:26.360 you want low when it comes to aging, because high 0:11:26.360 --> 0:11:29.880 glucose levels, even if they're still in a normal range, 0:11:30.120 --> 0:11:33.199 are doing damage to your cell. That's the aging process. 0:11:33.320 --> 0:11:37.520 That's glucose metabolism, that's insulin action. So these are the 0:11:37.559 --> 0:11:40.240 ones you want to track over time. And even now, 0:11:40.320 --> 0:11:42.320 get out your old blood tests and see are these 0:11:42.400 --> 0:11:45.880 levels of things like glucose of your thioid, hormones of 0:11:45.920 --> 0:11:48.440 your estrogen. Are they changing over time? That is a 0:11:48.480 --> 0:11:50.480 signis act when it comes to optimal aging. And I 0:11:50.520 --> 0:11:53.559 have no doubt lean in future years there will be 0:11:53.600 --> 0:11:55.959 more and more of these kind of longevity clinics which 0:11:56.000 --> 0:11:59.240 are looking at preventative health, not just the old school medicine, 0:11:59.280 --> 0:12:01.720 which is a thing when people are sick. It's prevention 0:12:01.880 --> 0:12:04.800 now when it comes to health and longevity. So everyone listening, 0:12:04.840 --> 0:12:06.760 I want you to dig out all your bloods, take 0:12:06.760 --> 0:12:09.200 a look at those things, and if your glucose is increasing, 0:12:09.200 --> 0:12:11.560 if your cholesterol is increasing, even if it's still normal 0:12:12.120 --> 0:12:15.120 for women, particularly in your forties and fifties, it's time 0:12:15.160 --> 0:12:17.679 to act now before it becomes so bad that it's 0:12:17.760 --> 0:12:20.000 much much harder to get down. So I don't think 0:12:20.000 --> 0:12:21.720 we've actually ever discussed this, but I thought it was 0:12:21.720 --> 0:12:24.400 a really worthwhile discussion and I'm seeing it along line. 0:12:24.440 --> 0:12:26.680 You've done it as well, And these are the ones 0:12:26.720 --> 0:12:29.840 that I'm particularly interested in. Certainly iron because I think 0:12:29.920 --> 0:12:32.080 if you're feeling not great, get your iron back up, 0:12:32.080 --> 0:12:34.120 because then you'll be in a better position to exercise. 0:12:34.559 --> 0:12:38.400 Glucose thyroid certainly needs action if it's higher on the 0:12:38.400 --> 0:12:41.920 low end, and estrogen for women going through those years 0:12:42.120 --> 0:12:44.280 are three to keep an eye on. And there's more. 0:12:44.600 --> 0:12:46.280 But yeah, you can traff it over time and you 0:12:46.320 --> 0:12:47.400 can see the increases. 0:12:48.000 --> 0:12:50.400 Yeah, definitely, And I think it's really important to reiterate 0:12:50.640 --> 0:12:53.600 this wasn't a segment to baships they're so busy, they 0:12:53.600 --> 0:12:56.320 see so many people every single day. We're just saying 0:12:56.400 --> 0:12:58.679 that at some point you have to take your health 0:12:58.720 --> 0:13:00.600 into your own hands. You have to be aware of 0:13:00.600 --> 0:13:02.880 your numbers. As Susie said, get out your own blood 0:13:02.920 --> 0:13:05.679 tests and actually book a longer appointment with your GP. 0:13:05.840 --> 0:13:08.080 I know that my GP is wonderful, but her standard 0:13:08.080 --> 0:13:10.560 appointment is like ten or fifteen minutes. But she does 0:13:10.679 --> 0:13:13.240 offer a longer consultation if you actually want to have 0:13:13.280 --> 0:13:15.840 a chat about some of these things. So sometimes the 0:13:15.880 --> 0:13:18.480 onus does come back on us. We can't just say, oh, well, 0:13:18.480 --> 0:13:21.079 my GP said it was fine. It is really important 0:13:21.080 --> 0:13:23.160 to actually be aware of some of these numbers. And 0:13:23.200 --> 0:13:26.280 I'll quickly run through thyroid because as you said, Susie, 0:13:26.320 --> 0:13:28.920 it is really really important. And often what we're looking 0:13:28.960 --> 0:13:31.199 at on blood tests is the TSH and the free 0:13:31.280 --> 0:13:34.480 T four. But with the TSH that's a really important 0:13:34.480 --> 0:13:36.920 one because most Australian labs. I've just looked this up. 0:13:36.920 --> 0:13:38.840 I don't know these numbers off the top of my head, Susie. 0:13:38.920 --> 0:13:40.760 So if anyone thinks I to, I don't, I'm. 0:13:40.640 --> 0:13:44.040 Gonna say, Meg PRESI she knowing all the numbers. God 0:13:44.040 --> 0:13:45.720 I couldn't remember any of them. 0:13:45.800 --> 0:13:49.880 I just look this up TSH. The reference range in 0:13:49.880 --> 0:13:53.240 Australia is zero point four to four, and that is 0:13:53.280 --> 0:13:56.280 sometimes up to four point five. So technically a TSH 0:13:56.400 --> 0:14:00.480 of three point eight is you know, generally considered quite normal. 0:14:00.640 --> 0:14:03.520 But if you aren't LinkedIn with an endochronologist, you're seeing 0:14:03.559 --> 0:14:06.960 a fertility specialist. Often these specialists prefer to see numbers 0:14:07.000 --> 0:14:09.920 between you know, one to two point five. We don't 0:14:10.000 --> 0:14:13.000 want too low, we don't want too high, particularly if 0:14:13.040 --> 0:14:16.480 you are somebody who was trying to conceive, you're in perimenopause, 0:14:16.480 --> 0:14:19.440 you're in menopause, or you're quite symptomatic. And from a 0:14:19.480 --> 0:14:21.840 thyroid perspective, a lot of the symptoms that we see 0:14:21.840 --> 0:14:25.040 women present with our you know, difficulty losing way to 0:14:25.200 --> 0:14:29.440 weight gain, fatigue, constipation, or just a really low mood 0:14:29.480 --> 0:14:31.640 as well. So a lot of times we're told, oh, 0:14:31.680 --> 0:14:35.760 your theroid is fine. Technically yes, but is it optimal? 0:14:36.160 --> 0:14:38.520 Not always, So these are just some of the things 0:14:38.520 --> 0:14:41.000 to be aware of. You might be told that it's fine, 0:14:41.280 --> 0:14:43.920 but fine is very different to optimal. And I don't 0:14:43.960 --> 0:14:46.000 know about you, Susie, but you know, most of us 0:14:46.040 --> 0:14:48.520 actually prefer optimal. So it is a really good I 0:14:48.520 --> 0:14:51.040 guess segment or discussion to just say, all right, we 0:14:51.080 --> 0:14:52.520 need to have a little bit of owners here, and 0:14:52.520 --> 0:14:54.880 we need to be aware of some of these numbers 0:14:54.920 --> 0:14:57.720 and sort of have an extra conversation with doctors, perhaps 0:14:57.760 --> 0:14:59.760 fire the specialists who will give us a little bit 0:14:59.800 --> 0:15:01.720 more time in the room and have a chat about 0:15:01.720 --> 0:15:03.760 some of these numbers. And for some of these things 0:15:03.760 --> 0:15:07.040 they actually do require specialists, not just general GPS. If 0:15:07.040 --> 0:15:10.120 you're really worried about your thyroid function, perhaps it's time 0:15:10.160 --> 0:15:11.840 to get a referral and go and see and end 0:15:11.840 --> 0:15:15.040 a chronologist. Sometimes, you know, GPS aren't actually the best 0:15:15.080 --> 0:15:18.720 people to be interpreting and giving additional things for some 0:15:18.760 --> 0:15:20.880 of these numbers. Sometimes that is up to more so 0:15:21.000 --> 0:15:23.840 as specialists. So I do think it is a really important. 0:15:23.440 --> 0:15:25.200 Well, I think it's more I think, coming back to 0:15:25.240 --> 0:15:28.720 the GP conversation, I think it's more the difference between 0:15:28.880 --> 0:15:31.560 sort of what's the word for it, like acute medicine 0:15:32.120 --> 0:15:36.040 versus preventative Look like, what is the word wanking preventative health? 0:15:36.280 --> 0:15:38.120 Yeah, yeah, preventative health, yeah. 0:15:37.880 --> 0:15:40.520 Holistic health. I think I don't because I think that 0:15:40.560 --> 0:15:42.640 you can go to a specialist and have exactly the 0:15:42.640 --> 0:15:45.000 same feedback. You know, I can send people to endose 0:15:45.000 --> 0:15:47.360 in their life. It's normal. You've got to have a 0:15:47.560 --> 0:15:52.560 medical professionals who's interested in preventative type of health. And 0:15:52.600 --> 0:15:55.120 there's more and more of those integrative clinics popping up 0:15:55.440 --> 0:15:58.760 where they're looking at optimizing health versus just checking that 0:15:58.800 --> 0:16:01.960 you're not clinical. So keep one that medical training is 0:16:02.040 --> 0:16:04.400 very much was a clinical focus when people are sick, 0:16:04.440 --> 0:16:06.880 when there's an issue, when people are on well, Whereas 0:16:06.880 --> 0:16:10.640 there's a shift now to that more integrative health professional, 0:16:11.080 --> 0:16:14.520 longevity clinics, preventive medicine. That's the ones who are going 0:16:14.600 --> 0:16:17.640 to have a special eye for that versus you know, 0:16:17.800 --> 0:16:20.200 acute doctors who are looking for issues and basically to 0:16:20.200 --> 0:16:23.160 fix them because that's a very traditional medical model. So 0:16:23.280 --> 0:16:25.200 you've sort of got to get yourself to the right person, 0:16:25.240 --> 0:16:27.440 I would say, because I've had clients. You know, it's 0:16:27.480 --> 0:16:30.440 not bagging up medical doctors by any means. Same with dietitians. 0:16:30.480 --> 0:16:32.160 You're going to get dietitians who are better at more 0:16:32.240 --> 0:16:36.320 acute clinical conditions versus preventative help. But I think that 0:16:36.440 --> 0:16:39.520 it is you want someone who has that background and interest, 0:16:39.640 --> 0:16:41.720 rather than there's a problem, let's fix it. You've got 0:16:41.720 --> 0:16:44.160 to sort of research and be across people who have 0:16:44.240 --> 0:16:46.520 that interest. There's more and more of them popping up 0:16:46.560 --> 0:16:49.560 everywhere because you spent a lot. Specialist are so expensive, 0:16:49.600 --> 0:16:51.760 like you've got to make sure you're actually getting value, 0:16:52.200 --> 0:16:54.160 like how much they are hundreds and hundreds of dollars, 0:16:54.200 --> 0:16:55.520 So you've got to be the right person. 0:16:55.840 --> 0:16:57.720 Some of those integrative clinics, though, so I think it 0:16:57.760 --> 0:16:59.400 is important if you do go to one that it 0:16:59.440 --> 0:17:02.640 actually does have a proper medical professional in there. It's 0:17:02.680 --> 0:17:05.119 not just like a holistic woo woo, you know, so 0:17:05.240 --> 0:17:07.240 and so, because you know, there are a lot of 0:17:07.520 --> 0:17:11.520 different specialties who are calling themselves doctors who aren't technically 0:17:11.560 --> 0:17:15.359 medical doctors, right, Like I think osteopaths and cairos can 0:17:15.400 --> 0:17:18.320 call themselves doctors, but they're not actual medical doctors. So 0:17:18.440 --> 0:17:20.080 just be aware of that as well. If you're going 0:17:20.119 --> 0:17:22.719 for some medical advice, make sure you are seeing a 0:17:22.760 --> 0:17:25.920 medical doctor, because I do really think that that science 0:17:25.960 --> 0:17:28.800 and that evidence based background is still very very important. 0:17:28.800 --> 0:17:31.040 But I think a lot of these integrated clinics aren't 0:17:31.080 --> 0:17:34.199 necessarily run by medical doctors, and in my opinion, that 0:17:34.400 --> 0:17:37.679 is riskier than moving outside of a GP in my opinion. 0:17:37.960 --> 0:17:39.720 True, I was looking at there was sort of one 0:17:39.760 --> 0:17:42.520 of these doctors online who you know, they seem to 0:17:42.560 --> 0:17:44.000 know everything. And then when I looked to as a 0:17:44.040 --> 0:17:47.120 cairopractor and I was like, I may you specistic water 0:17:47.240 --> 0:17:50.600 backs really like, definitely check. You want a medical doctor 0:17:50.640 --> 0:17:52.920 who's a medical training one hundred percent. And that's the 0:17:52.960 --> 0:17:55.160 good thing about some of those sort of online people 0:17:55.200 --> 0:17:57.879 like doctor merklea Harbor, They're very well qualified. So always 0:17:57.920 --> 0:18:00.679 certainly do a little bit of a check there. All right. 0:18:00.720 --> 0:18:04.040 Another medical topic that to go to our fancy was 0:18:04.160 --> 0:18:07.560 there was some data that came out just this week 0:18:07.600 --> 0:18:12.560 actually looking at golp one medications. And I know we've 0:18:12.600 --> 0:18:14.719 talked about this several times recently, but the reason we 0:18:14.760 --> 0:18:16.600 have talking about it is a lot of people are 0:18:16.680 --> 0:18:20.440 using them because suddenly they've become readily available. It's moved 0:18:20.440 --> 0:18:22.960 passways and pick. Now you've got access ready access to 0:18:23.000 --> 0:18:27.120 Manjarra with Gobi, and people are like, well less scared. 0:18:27.160 --> 0:18:30.160 I see medical professionals openly prescribing them for weight loss. 0:18:30.480 --> 0:18:31.960 I guess you know, people go to a doctor and 0:18:31.960 --> 0:18:34.400 they're winging about weight and a doctor would say, well, 0:18:34.440 --> 0:18:36.280 do you want to try medication? So it's sort of 0:18:36.520 --> 0:18:39.199 become a lot more common. But there was a warning 0:18:39.640 --> 0:18:44.119 raised in relation to nutrient deficiencies, and this was an 0:18:44.160 --> 0:18:46.320 interesting one because it's a nutrient deficiency that doesn't come 0:18:46.359 --> 0:18:48.680 off of firm, but medical doctors are seeing it more 0:18:49.480 --> 0:18:52.880 because of the impact that a golp one can have 0:18:53.000 --> 0:18:57.439 on appetite. So this doesn't surprise me leand because what 0:18:57.520 --> 0:18:59.679 I've also seen is if I'm working with a client 0:18:59.720 --> 0:19:02.520 on it with a golp one, and often it's clients 0:19:02.520 --> 0:19:04.760 who haven't started, they've already been on one and the 0:19:04.840 --> 0:19:06.920 weight loss is slowed, so they'll come to see what's 0:19:06.960 --> 0:19:10.880 going on with the diet. And what I notice is, 0:19:11.080 --> 0:19:15.560