BONUS TRANSCRIPT 1: HOW TO INTERPRET HORMONE …...The next one that helps lower your LDL...

BONUS TRANSCRIPT 1:HOW TO INTERPRET HORMONE IMBALANCES

MEDICAL DISCLAIMER

The information in this program is for educational purposes only. It is meant to as a

guide towards health and does not replace the evaluation by and advice of a qualified

licensed health care professional. For detailed interpretation of your health and specific

conditions, consult with your physician.

Bonus Transcript 1 (Page 1)

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Kevin: Welcome every one! This is Kevin Gianni from the Blood Test Blueprint. We have a special bonus module for you. The reason why we’re doing this bonus module is because we understand that in some cases, sometimes you need to have an intervention of Western types of drugs or hormones that may be effective for some reason before you go into a natural approach, or together with the natural approach that you’re using for your particular situation. So Dr. Williams is going to run over, in this module, oh maybe five or seven different types of treatments that may be effective in the short-term for an individual—for you or someone who is in a situation that requires a specific and direct intervention. So Dr. Williams, welcome!

Dr. Williams: Thank you.

Kevin: All right. Let us get into some of these…We decided to do this separately because we didn’t want to go back and kind of have these all together, because we wanted to make sure that you could get these all together in one spot. So Dr. Williams, let’s start through some of these and tell us what they are and then explain why someone might want to use this particular type of treatment.

Dr. Williams: There are occasions when even healthy people—especially as you start drifting towards and through middle age and older—where some of the markers on your blood test…and we’re going to focus on blood sugar (that’s glucose), your cholesterol, and the hormones, primarily…when they just don’t respond either quick enough or sufficiently enough, where an integrated approached from the other end—from the Western medicine end—is necessary. That can be often for a short period of time—not lifelong, like conventional therapies in medicine prescribes—but in the sense that we’re correcting the underlying problem, but we’re using the assistance of some important effective and relatively safe drugs.

The first one that I want to talk about is with people with high blood sugar. If you’re having problem controlling your glucose with diet and with supplements, and it’s just not coming down, then you want to consider a drug called Metformin. What I’m looking at is…the basic fasting glucose number is…126 and above is diabetes. For my clinical practice, if patients are 99 and higher—between 99 and 126—that’s like a pre-diabetic, and we don’t have any problem with that. Even a little bit higher—up to about 150 on their fasting glucose—we can usually get that down. But if you’re above 150, then you have really serious diabetes. Aggressive physician-guided nutritional therapies and diet can, 7 out of 10 times, can take care of that, if not more. However, if you’re having trouble, then consider Metformin for controlling blood sugar.

When you control your high blood sugar, it’s very important because diabetes or

even pre-diabetes increases your risk for cardiovascular disease. It also contributes to kidney disease and blindness and nerve damage. And if you get it in control, it also improves your libido and overall sense of well-being. You just don’t feel right when your glucose is running over a hundred, and if it’s up to 150, 155 or higher, you don’t feel well.

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Metformin is a drug that’s used to control diabetes II. It can be used for a short period of time—3 to 5 months, maybe a little bit longer. There’s no withdrawal effects coming off of it. One of the great things about Metformin is that it also helps in weight loss, it helps regulate metabolic syndrome (where you also have high lipids, like high triglycerides and LDL), and it’s been very well researched…and it shows that it helps to…it’s a helper to reset the insulin switch—which I have a whole chapter about in my book, Prolonging Health—which is one of the main accelerating pedals of aging, so Metformin can also slow down aging. It’s a useful, useful drug.

The next one is a hormone, really, and that’s insulin. Insulin, originally, was developed

from pigs, like many of the hormones have been, many decades ago, but now they use a laboratory-prepared bio-identical human insulin. And it’s used to control blood sugar in people whose pancreas cannot make enough insulin. So sometimes, even in adults, there’s insulin insufficiency. If we can’t regenerate the pancreas, then sometimes, we have to use insulin. However, again, there’s the body’s ability. If you can work with the body’s ability to regenerate tissue, then you’re able to get off…reduce the dosages, and get off. So both Metformin for diabetes II, and insulin for diabetes I, when the blood sugar’s out of control and unable to get it under control.

The next one that helps lower your LDL cholesterol and raise your HDL. So if you’re…

HDL, your good cholesterol, is not in the optimal range…and I want my patients to be: men, 55 and above, and women, 60, 65 and above. If it’s 35, it’s too low. The LDL cholesterol, I want it to be for men and women, definitely under 100; under 70 is better and around 50 is great. But if you’re having trouble, and sometimes have genetic tendencies that they just can’t get the numbers right, their total cholesterol and their LDL cholesterol tends to just drift up no matter what they do. Or if their liver is not processing the fat very well, or their metabolism is not working very well, or if their blood sugar is not fully controlled, then they can’t get their LDL down or get their HDL up.

And then the different statin drugs are useful. They’re very effective for the short

term, and they’re called levostatins. There’s a group of them, and some are more tolerant to different individuals than others—like Lipitor, is one example. However, you have to keep in mind that they have a relatively high side-effect profile. They can cause severe muscle cramping and wicked tendonitis. I’ve had a number of patients who have come in to see me for the pain. If they’re men, middle-aged, and have high cholesterol, are a little bit overweight, and they have it on both sides of their body and there’s no injury related to it, the first question I ask, “Are you on a statin drug?” Ninety-nine percent of the time the answer is, “Yes.” So when we move them off of that drug, then their pain goes away. Also, and even though it is rare, this class of drug can cause liver damage. Because it does work with the liver—helps the liver control the cholesterol—it also can have a negative impact on the liver. I don’t like using any statin drug over a long period of time, meaning 6 months to a year, or longer.

The next group I’d like to mention are hormones. Now, I use a lot of hormones.




When I compare supplements—nutritional supplements—and I break those down into nutraceuticals and your basic nutritional replacement supplements. The nutraceuticals are the ones that are laboratory derived and are much more concentrated. When I compare the benefits of hormone to supplements, hormones are 4 to 12 times stronger, and in some cases, they’re 40 times stronger. If your hormones are out of balance, or you’re low, and you’re not able to regenerate and build them up, consider bio-identical hormone replacement. Bio-identical means that the molecule structure is identical to the human hormone. The most common ones we use are the thyroid hormones, estrogen, progesterone, testosterone, and several others, as well as bio-identical cortisol. So on the thyroid hormones, there’s desiccated thyroid. Those are from animal products and there’s three companies: Armour, Westhroid and Naturethroid. Armour is from pigs; and Westhroid and Naturethroid—sometimes they’re from beef and sometimes from pigs. So you have to find out how they’re manufacturing, and if you have a dietary restriction for any of those animals. Remember that these are laboratory made, highly purified. There’s absolutely no danger to taking them. They’re very effective. They have a balance between all of the natural hormones; primarily, they’re gauged at the T3, T4, with the right ratio to the human being. But they also have T2 and other aspects of the hormone, so it really is the most effective for my patients.

People who are vegan/vegetarian or strictly against using animal product in terms

of the medicine, then they should consider bio-identical T3 and T4. These are made in the laboratory. They’re not from animals, and they can be individualized in terms of the dosage. But they usually come in two general dosing lines: one is what we call physiologic dosing, and one is matched to the desiccated thyroid, like the Armour. So there’s a bio-identical form of same T4, T3 ratio as Armour, and then there’s one that’s pure physiologic, that is totally bio-identical. The beauty about the bio-identical forms is that the compounding pharmacist can tweak that for me; if I need a little more T4, little more T3, just to get it individualized just right.

And then we have bio-identical slow-release T3. T3 is the most active of the thyroid

hormones and sometimes, people are only T3 deficient. They just can’t convert that well their T4 into the active form T3. Giving them some T3 helps them tremendously. It’s bio-identical. However, T3 is so active, that when you take it—usually thyroid’s taken in early morning—it goes into the body, acts very quickly; you get a nice jump of energy, and they feel pretty good for a few hours, and then it declines. So either we prescribe smaller dosages spread out through the day, or a slow release or sustained release T3.

Then there are two synthetic forms. Levothyroxine is a synthetic T4—the trade name

is Synthroid—and that replaces the T4 in your body. Having enough of T4 hormone is important for maintaining body temperature, metabolism, mental capacity, physical energy, libido, and your body’s ability to resist disease and manage itself with the environment around you that’s always challenging us, whether it’s…the temperature is too hot too cold, or air conditioning or things like that. Thyroid is really important. Now a healthy person, who’s just having low production, will convert the T4 into T3 very nicely. So traditional physicians believe that the synthetic form is the gold




standard. Of course in naturopathic medicine, we don’t believe that at all. It’s not exactly a bio-identical form and we don’t like that. But some people do better on Synthroid or genetic level thyroxin than Armour or bio-identical forms. If they do well and have no side effects, then we will use that.

The synthetic form of T3 is called Cydomel. That replaces the T3 or the triiodothyronine. It comes only in a couple of dosages. We rarely use that because we like to adjust and start very, very slow, with low dosing, and then titrate the patient up and used sustain released forms of T3. Occasionally, some people do better on the synthetic T3 than anything else and then we use that.

The last hormone is the bio-identical cortisol. When you have true adrenal deficiency,

and you’re unable to restore the adrenal gland, you’ll be very tired, have a flu-like fatigue, always think you’re coming down with something, and often you do because you just don’t have the resistance. You have to get the cortisol and the DHEA ratio correct. So just taking cortisol alone is not usually correct or enough to keep the body in balance. You combine DHEA, prohormone and pregnenalone with the bio-identical cortisol. Now there are some desiccated forms, but they’re not very active and they’re not very strong. So we use a bio-identical hydrocortisone, or the synthetic form called Cortef…keeping in mind that high dosages of corticosteroid hormones have negative effects on the body. So we keep even the bio-identical forms low—no more 10 milligrams per day. Above that can actively suppress inflammation, but also knocks down the immune system. However, in low dosages of 2.5 milligrams or 1.25 milligrams, bio-identical cortisol is very effective in supporting low adrenal functions and it restores your energy very very well. We usually give it spread out throughout the day, and try to time it to when the people are most low. That’s usually in the morning or mid-morning, and sometimes mid-afternoon. However, if higher dosages are given or used over a long period of time where it might build up in the body, it can lower immunity and cause a wide range of other side effects including nausea, headache, dizziness, and may make your blood sugar rise and then you’ll be stuck at the beginning thinking about how to get your glucose down. That’s what we don’t want—moving from one even helpful drug or beneficial hormone to the other. That’s not the direction we try to create. We try to restore, regenerate, and rejuvenate. In the process, sometimes we need to do some integrated approach to help a patient feel better and have a more productive life.

Kevin: Some people will say, “This is a natural program. Why are you talking about Western medicine and drugs?” Can you comment on that?

Dr. Williams: Absolutely. From a clinical point of view, my goal is to get patients well and to get them feeling better. I want them to come back in two weeks or a month, and say, “I’m feeling better.” My credentials are in natural therapies, but natural medicine just doesn’t fix everything. It’s not magic. We’ve become so far removed from understanding about nature. We have this belief that taking a walk on the park is enough to fix everything. It’s not. It’s a beginning…it’s a beginning step. Some of these conditions destroy the quality of your life and set you up for really serious disease and major chronicity in the disease, meaning that there’s tissue destruction along the line, gradually.




If patients are having trouble—it’s not common, Kevin, it’s the rare exception that we ever have to get into using these—but we do use hormones a lot. They do make people feel amazingly better. They improve quality of life, robustness, sharpness of brain, and they have very, very good science showing how it regenerates tissues, including blood flow in the brain. So I use botanicals, including botanical extracts; low-dose biological, homeopathic medications; nutraceuticals; nutritional supplements; and hormones 95% of the time. And we solve pretty much everything. But that 5% is where you need a little bit of assistance. Again, it’s usually not life-long, and if it is, it’s on very, very manageable dosages with no side effects.

Kevin: The question that comes to mind for me is, what’s better for the patient? A patient that you give natural…say for instance, someone who needs to eat lower sugar and they just won’t do it. What’s better for the patient? Is it better for them to take a small dosage of some sort of drug that will lower blood sugar just because they won’t do the other recommendations? What do you do in that situation?

Dr. Williams: There’s two things. One is a patient saying they’re not complying—they won’t do the…if we’re talking about blood sugar…if we take a type II diabetic, even if their blood sugar’s like 350, I can say that 90+ percent of the time I can normalize them in six months. But they’re going to have to the extreme end of that—no sugar whatsoever, very high omega-3 fish oils, very high vitamin E and other supplements. And they’re going to have to at least walk. And no sugar means no fruit, no honey, no agave—not only no white sugar and no fructose. And then they will start to normalize. Now, if they don’t comply all the way and their blood sugar is still 155 and not budging, then the consequences of that—the increased risk of cardiovascular disease, stroke and heart attack, kidney disease, and nerve damage—is so severe, that then this type of drug like Metformin is a huge boom to these folks. Then when they see how good they can feel, then they say, “Well, maybe I should. I don’t really want to take the drug forever. Maybe I should cut back on that…it was only two spoons of sugar on my coffee, four cups a day.” Say, well that’s a little too much.

The other thing is this: sometimes people pass the point of no return. They want

to do everything. And I have patients who comply 100%. A matter of fact, they go further than I recommend, but their body has already become so far out of balance. Sometimes it’s not just because they ate junk food; it’s maybe because they were not eating the best of diet, but their diet wasn’t that bad. Maybe they were overeating somewhat, but not excessively, but they may have other metabolic issues—thyroid issues, adrenal issues, viruses that have attacked their brain or their endocrine system that are causing autoimmune diseases—and they just can’t reset. That’s the goal, more than anything, is to get the system to reset, to regenerate, rejuvenate. But to do that, you really have to press that…like on your computer, you’ve got to shut it down, and then restart it, reboot it. And sometimes you just can’t.

I have one patient that comes to mind. Great person, smart woman, highly successful, extremely overweight, great personality, hardly eats a thing. We had her down to 450 calories a day for a while, on kind of a detox cleansing program, and she didn’t lose any weight. It was so locked into the adipose tissue. She also has MS, so we




have a neurologist on board. We got her to a metabolic specialist, and myself, and two or three other doctors are working with her. Finally, I said, “Let’s put you on a…it looks like the virus is the big issue. Let’s put you on an antiviral drug.” Within days she was feeling better. Within a few weeks, she was feeling normal enough to start exercising more and so forth. More motivated to lose weight, but still locked on. The metabolic specialist and M.D. said, “Let’s do the Metformin.” She added that on and she lost 80 pounds. So they didn’t take her too normal yet, but comparatively, she was just like stuck, so stuck, and trying so hard.

Kevin: This has been great, this bonus module. I hope you enjoyed it. Dr. Williams, thank you for being a part of it and we will talk to you on the rest of the program.


BONUS TRANSCRIPT 1: HOW TO INTERPRET HORMONE …...The next one that helps lower your LDL...

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Transcript of BONUS TRANSCRIPT 1: HOW TO INTERPRET HORMONE …...The next one that helps lower your LDL...