Why 80% of Autoimmune Diseases Happen to Women & Solutions From a Renowned MD (YouTube Video Transcript)

(00:00:00) Your YouTube transcript will appear here (00:00:00) I posted this video and it featured Dr (00:00:02) Gabor mate a world-renowned expert in (00:00:05) trauma and he was talking about how 80% (00:00:08) of autoimmune diseases happened to women (00:00:12) holy cow this topic exploded online and (00:00:15) you know what that tells me that tells (00:00:17) me that you want to learn more about the (00:00:19) topic of autoimmune disease why they are (00:00:22) impacting you or impacting the women in (00:00:24) your life at alarming rates so here's (00:00:26) what I did I called in a world-renowned (00:00:29) expert and she is going to give you and (00:00:31) me a master class and a private (00:00:33) consultation an all things autoimmune (00:00:35) disease what is an autoimmune disease (00:00:37) what are the three causes of autoimmune (00:00:40) diseases why exactly are rates of Ms (00:00:43) Hashimoto and all kinds of other (00:00:45) autoimmune diseases rising at alarming (00:00:47) rates especially for women over the past (00:00:51) 20 years and most of the things that (00:00:53) you're going to learn and that she's (00:00:54) going to recommend cost you nothing (00:01:00) hey it's your friend Mel and I just want (00:01:02) to take a moment and welcome you to the (00:01:04) Mel Robbins podcast first of all I am so (00:01:07) excited that you're here I'm excited for (00:01:09) our topic today it is always such an (00:01:11) honor to be able to spend time with you (00:01:12) to be together and if you're brand new (00:01:16) welcome to the Mel Robbins podcast (00:01:17) family because you hit play on this (00:01:20) episode and you made the time to listen (00:01:23) when I know you don't have a lot of time (00:01:25) but you found the time and you made the (00:01:26) time to listen to this episode here's (00:01:29) what I know about you first of all you (00:01:30) value your time and you're spending it (00:01:33) because you want to learn more about (00:01:35) your health and improving the quality of (00:01:37) your life and today's conversation it's (00:01:40) going to blow your mind and it will (00:01:42) improve the quality of your life see I (00:01:44) recently posted a very short video clip (00:01:46) that was just a short moment from this (00:01:49) podcast and the video featured the (00:01:51) renowned trauma expert and medical (00:01:53) doctor Dr Gabor mate and in the video (00:01:56) clip he was explaining the four reasons (00:01:59) why 80% of autoimmune diseases impact (00:02:03) women now this video exploded online the (00:02:07) only other topic I've ever seen resonate (00:02:10) that immediately and globally was when I (00:02:13) first shared the letham theory based on (00:02:16) my inbox crashing the DMS and your (00:02:19) comments I'm like we have got to go deep (00:02:21) on the topic of autoimmune disease and (00:02:24) in particular why is it impacting women (00:02:27) at higher rates than men what do you (00:02:30) need to know what are the symptoms that (00:02:33) you may have that indicate that you have (00:02:35) an autoimmune issue but you don't even (00:02:37) know about it and most importantly what (00:02:40) can you do about it if you're concerned (00:02:42) about your health or the health of (00:02:44) someone you love well today we're going (00:02:47) to talk about all of that and we're (00:02:48) going to leave you feeling informed and (00:02:50) empowered I cannot wait to introduce you (00:02:53) to Dr Sarah Saul Now Dr Saul is a (00:02:57) physician a researcher a renowned (00:02:59) speaker on on all things Health she (00:03:02) graduated from Harvard Medical School as (00:03:04) part of their joint medical program with (00:03:06) MIT she completed her residency at UCSF (00:03:10) one of the top hospitals in the world Dr (00:03:12) Saul is the New York Times best singing (00:03:14) author of nine books about health she's (00:03:18) also a clinical assistant professor in (00:03:20) the department of Integrative Medicine (00:03:21) and nutritional Sciences at Thomas (00:03:23) Jefferson University and the director of (00:03:26) precision medicine at the Marcus (00:03:28) Institute of Integrative Health at (00:03:30) Jefferson Dr Saul has over 25 years of (00:03:34) clinical experience seeing patients and (00:03:36) she hopped on a plane she flew across (00:03:39) country for one reason she did it for (00:03:42) you she's here to provide you with the (00:03:45) information resources and the (00:03:47) step-by-step treatment plan for anyone (00:03:50) in your life who may be struggling with (00:03:52) an autoimmune issue or just with some (00:03:55) symptoms and they don't know what's (00:03:56) going on today's conversation is a free (00:04:00) life-changing resource for anyone in (00:04:02) your life who is struggling with an (00:04:04) autoimmune disease or is just (00:04:06) chronically tired or has a lot of health (00:04:09) symptoms and can't quite get to the (00:04:12) bottom of what's going on well today (00:04:15) we're going to do our best to do that (00:04:17) for you and I want to thank you in (00:04:19) advance for taking a moment right now to (00:04:22) share this episode with someone you care (00:04:24) about because there's no doubt in my (00:04:26) mind everything that we are about to (00:04:28) learn is going to improve your health (00:04:31) and your life Dr Saul thank you so much (00:04:35) for being here I am so looking forward (00:04:37) to our conversation today Mel I'm so (00:04:39) happy to be with you oh my gosh we've (00:04:42) got so much to talk about and where I (00:04:44) want to start is could you tell the (00:04:47) person who's (00:04:49) listening what they might experience or (00:04:51) how their life might change if they take (00:04:53) everything to heart that you're about to (00:04:55) share with us (00:04:57) today a few things first (00:05:01) energy right now we know that (00:05:04) 30% of Americans have antibodies against (00:05:08) the nucleus of their cells anti-nuclear (00:05:11) antibodies that is causing a civil war (00:05:13) in the body and it is keeping you from (00:05:16) having the energy that you need to live (00:05:18) your best life number two (00:05:21) is (00:05:23) regulation that sense of safety that I (00:05:26) think women especially desperately need (00:05:30) right now and then number three is (00:05:33) empowerment so having the tools and the (00:05:35) insights that you need to make the (00:05:37) changes and to make them (00:05:40) stick that's a lot that's the promise of (00:05:43) Lifestyle medicine and a different (00:05:45) approach to taking care of the body I've (00:05:47) never heard the term lifestyle medicine (00:05:49) what does that mean it means that rather (00:05:52) than deciding that you've got a (00:05:54) diagnosis and giving you a (00:05:57) pill we want to think about okay how did (00:06:00) you get to this place with this (00:06:02) diagnosis what are the lifestyle factors (00:06:04) your sleep the way that you eat move (00:06:06) think and feel and love how do we (00:06:09) address those how do we address those (00:06:11) first because that that provides about (00:06:15) 80% of the prevention and reversal of (00:06:18) chronic disease and that's what we're (00:06:21) going to talk about is chronic disease (00:06:23) and in particular autoimmune diseases so (00:06:27) I want to start at the very just top (00:06:30) most basic level what exactly is an (00:06:34) autoimmune (00:06:36) disease autoimmune disease when you've (00:06:38) got a problem with your immune system it (00:06:42) becomes imbalanced and it starts to (00:06:44) attack your normal tissues you can think (00:06:47) of it like a case of mistaken identity (00:06:51) so your immune system is kind of like (00:06:53) your private security it's supposed to (00:06:56) identify what's healthy and normal in (00:06:58) your body and then also find the (00:07:00) Invaders like a pathogen like a virus (00:07:04) and attack it but if your immune system (00:07:07) becomes confused and it can't separate (00:07:09) those two you can have this problem (00:07:12) where your immune system is attacking (00:07:14) normal tissue so that's what happens (00:07:17) with autoimmune disease and in that (00:07:20) situation your immune system is making a (00:07:23) weapon called an antibody you're making (00:07:26) Auto antibodies antibodies against your (00:07:29) own normal tissue issues and you can (00:07:30) measure it so with autoimmune disease (00:07:33) you've got this imbalanced immune system (00:07:36) you've got Auto antibodies and then (00:07:38) you've got symptoms that fit with a (00:07:40) particular (00:07:42) diagnosis I love the word that you use (00:07:44) confused that your body is just confused (00:07:48) as to what is the Enemy versus what it's (00:07:52) supposed to be protecting and as we kind (00:07:55) of dig in deeper and deeper and deeper (00:07:58) around what an autoim imune diseases I (00:08:01) have a couple just basic questions is (00:08:02) there a difference between autoimmune (00:08:04) disease and an autoimmune disorder (00:08:07) because I've heard people refer to both (00:08:09) the way I think of it Mel is that (00:08:11) there's there's a Continuum okay so (00:08:14) there's a state of health your immune (00:08:16) system is working perfectly it can (00:08:18) separate the Invaders from your normal (00:08:21) tissue and then at the Other Extreme is (00:08:24) autoimmune disease and that's that can (00:08:27) be well established and we'll talk about (00:08:30) some of those conditions type 1 diabetes (00:08:31) rheumatoid arthritis Hashimoto (00:08:33) thyroiditis wait a minute diabetes is an (00:08:35) autoimmune disease type 1 diabetes is (00:08:38) yeah you attack the pancreas your immune (00:08:40) system attacks the pancreas I I I mean (00:08:43) I'm Pro I probably sound like an idiot (00:08:44) that I didn't know that but I'd never (00:08:46) even thought that there are probably a (00:08:49) long list of things that we talk about (00:08:52) that people struggle with that a lot of (00:08:54) us don't even know it's an autoimmune (00:08:56) disease that's true it tends to fly (00:08:58) below the radar (00:09:00) and what troubles me so much about this (00:09:05) is that these are the people who are (00:09:08) often (00:09:09) failed by the medical system they (00:09:12) struggle for 7 to 14 years before they (00:09:16) get a diagnosis so they could be (00:09:18) somewhere along that Spectrum from (00:09:20) normal healthy to autoimmune disease (00:09:23) there's a pretty broad middle section (00:09:27) where you've got antibodies that you can (00:09:29) measure in the blood when you've got (00:09:32) early signs and symptoms the fatigue the (00:09:34) joint pain the other problems and yet (00:09:38) doctors often aren't putting it together (00:09:41) until you cross that threshold into a (00:09:44) disease can you just list what some (00:09:49) common ailments or diseases or things (00:09:52) that people have that actually are (00:09:55) autoimmune disease there's two different (00:09:58) categories so there's classic autoimmune (00:10:00) disease there's more than a hundred of (00:10:02) them aund 100 and what yeah so (00:10:07) exponential rise and the number of (00:10:08) autoimmune diseases but it's things like (00:10:11) rheumatoid arthritis where your immune (00:10:13) system is attacking your joints there's (00:10:16) Hashimoto thyroiditis where your immune (00:10:18) system is attacking the thyroid gland in (00:10:20) your neck there's multiple (00:10:23) sclerosis there's type 1 diabetes as we (00:10:26) talked about psoriasis psoriasis (00:10:28) psoriasis what (00:10:30) that's I'm I'm sorry I'm reacting but my (00:10:32) husband and my daughter have really bad (00:10:37) psoriasis like all over their scalp like (00:10:39) it's really gross I mean I don't mean to (00:10:41) like throw them under the bus but it (00:10:43) bothers them that's an autoimmune (00:10:45) disease yeah your immune system is (00:10:47) attacking your scalp in that situation (00:10:50) so a lot of people don't connect the (00:10:52) dots they don't realize that's an (00:10:53) autoimmune disease why is it important (00:10:57) to identify that something is an auto (00:10:59) immune disease like let's just take the (00:11:01) psoriasis thing that a ton of people (00:11:04) struggle with why is knowing that that's (00:11:06) an autoimmune disease help you in terms (00:11:09) of being empowered about what to do (00:11:11) about it it helps you address the root (00:11:15) cause and that's what's missing from (00:11:19) most of mainstream (00:11:21) medicine what happens is you have (00:11:23) psoriasis you go to the doctor you get a (00:11:26) steroid (00:11:27) cream the steroid is like cortisol it's (00:11:30) like the stress hormone that you're (00:11:31) sticking on your scalp no one's thinking (00:11:34) about your gut no one's thinking about (00:11:37) triggers that could be leading to your (00:11:39) psoriasis acting up so we want to do (00:11:43) this root cause analysis it's really (00:11:45) critical so there's a hundred different (00:11:48) autoimmune (00:11:49) diseases the list is long Graves disease (00:11:52) Celiac psoriasis as we talked about then (00:11:56) there's other conditions that have (00:11:57) commonalities with auto autoimmune dis (00:11:59) dises and that includes things like (00:12:04) endometriosis really when your body is (00:12:07) attacking your own tissues maybe you get (00:12:11) uh endometriosis on your bowel or on (00:12:13) your ovaries it (00:12:15) includes some forms of irritable bowel (00:12:18) syndrome you can even make Auto (00:12:20) antibodies with some forms it includes (00:12:23) chronic lime it includes long covid (00:12:27) postco syndrome so (00:12:30) that's a more broad way of thinking (00:12:32) about (00:12:33) autoimmunity but even if we just stick (00:12:35) with the classic autoimmune disease (00:12:38) which every medical doctor would agree (00:12:40) to what are the classic ones the classic (00:12:42) ones the most common ones are rheumatoid (00:12:44) arthritis type 1 diabetes which we see (00:12:47) in kids as well as (00:12:49) adults Graves disease (00:12:52) Hashimoto Celiac which has been (00:12:55) increasing phenomenally over the past (00:12:58) few decades multiple (00:13:00) sclerosis so you used a word I just want (00:13:02) to make sure that I'm tracking with you (00:13:04) because we're just at the surface and (00:13:06) we're about to dive deeper when you (00:13:08) called it the you call it the auto (00:13:11) antibody is that the word that you used (00:13:13) yes so Auto antibody is what you would (00:13:17) find in somebody's body when the (00:13:21) person's immune system is attacking (00:13:23) itself is that right like that's that's (00:13:26) the kind of medical evidence that oh the (00:13:29) immune system is confused because I see (00:13:33) that these Auto antibodies are present (00:13:35) which are the little soldiers in the (00:13:37) Civil War that you are feeling inside (00:13:39) your body that's right you nailed it (00:13:42) okay so the the thing that I think is (00:13:44) important about these Auto antibodies is (00:13:47) that they're in the (00:13:49) body for (00:13:51) years and you don't know it unless (00:13:53) someone bothers to check it h so if you (00:13:57) look at one of the most common Auto (00:14:00) antibodies anti-nuclear antibodies what (00:14:03) we know is that over the past 25 years (00:14:06) the number of people that have positive (00:14:09) antibodies has almost tripled tripled (00:14:13) over 25 years yes what does that tell (00:14:16) you it tells me there's something in the (00:14:18) environment that's changed our food (00:14:22) system has changed our stress levels (00:14:24) have changed the level of trauma that (00:14:27) we're experiencing has changed (00:14:30) and we'll get to the root causes but the (00:14:33) genetics haven't changed it's the (00:14:36) triggers it's the lifestyle it's the (00:14:38) environment that has Dr Saul what are (00:14:41) the root causes of an autoimmune (00:14:43) conditioner disease the root causes have (00:14:47) been identified for years there's a (00:14:50) local pediatric gastro urologist at (00:14:53) massachusett General Hospital who found (00:14:55) that there are three requirements these (00:14:58) are the root causes okay number one (00:15:01) genetic (00:15:02) predisposition number two leaky gut so (00:15:06) that's when you lose the barrier in your (00:15:09) gut you have increased intestinal (00:15:11) permeability and we can talk about what (00:15:13) that is okay and then number three a (00:15:15) trigger so the trigger is where things (00:15:18) get interesting the trigger is often (00:15:20) trauma or toxic stress but it can also (00:15:24) be big hormonal changes like pregnancy (00:15:28) postpartum Perry menopause menopause (00:15:32) there's lots of different triggers that (00:15:34) we want to consider so just again to (00:15:37) make sure that I'm tracking because (00:15:39) since this impacts so many of us and now (00:15:41) I'm realizing I need to share this (00:15:43) episode immediately with my daughter and (00:15:45) with my husband as soon as I'm done (00:15:48) talking to you number one genetic (00:15:51) predisposition number two you may have a (00:15:55) leaky gut which can contribute to I (00:15:58) guess the balance in your body and (00:16:00) number three there is something that (00:16:02) happened whether it's hormonal changes (00:16:05) or some traumatic situation or (00:16:07) unresolved trauma or stress in your life (00:16:11) that then triggers confusion in your (00:16:14) body and you start attacking yourself (00:16:16) that's right it starts the Civil War wow (00:16:20) okay well let's take them one by one how (00:16:22) do you even know if you're genetically (00:16:23) predisposed to this you can do a genetic (00:16:26) test so the genetics are pretty well (00:16:28) defined (00:16:30) they all sound like license plates so I (00:16:32) won't list them here but a genetic test (00:16:34) is a way to identify them and let's talk (00:16:37) about leaky gut why does a leaky gut (00:16:39) first of all what the heck is a leaky (00:16:41) gut and secondly why does (00:16:45) that contribute to your body starting to (00:16:49) attack itself leaky gut is (00:16:52) fascinating physically but also more (00:16:56) poetically it's a loss of a boundary in (00:16:59) your body oh whoa hold on I want to make (00:17:02) sure everybody I want to make sure the (00:17:04) person that's driving the car or taking (00:17:07) you and I on a walk with them here's (00:17:09) that I've never heard anybody say that (00:17:11) before leaky gut is a loss of a boundary (00:17:16) in your body what what does that mean (00:17:20) that it's a boundary and what's the (00:17:23) implications that leaky got is now a (00:17:25) loss of that boundary (00:17:30) when you think about the gut uhhuh at (00:17:32) its simplest it's a tube from your mouth (00:17:36) to your anus M the part of the tube (00:17:40) where your intestines (00:17:42) are requires these things called tight (00:17:44) junctions between the cells so the cells (00:17:47) are supposed to be lined up like an army (00:17:51) and what happens is that if you've got (00:17:53) leaky gut those tight junctions don't (00:17:56) work and so things that are supposed to (00:17:58) be on the the outside of you that you (00:18:01) take in through your mouth yeah bacteria (00:18:04) viruses um maybe foods that you're (00:18:07) reacting to like gluten or dairy those (00:18:11) can start to come through the tight (00:18:13) junctions through the boundary that (00:18:15) you're supposed to have and start to (00:18:18) trigger the cells underneath now here's (00:18:21) where things get interesting (00:18:23) because 70 to 80% of your immune system (00:18:27) is right there in the tube (00:18:30) and so when you're passing these these (00:18:33) foreign particles through the tube (00:18:36) through the boundary you're triggering (00:18:38) the immune system in a way that it's not (00:18:41) meant to be triggered the third thing (00:18:43) that you talked about was triggers that (00:18:46) there are lifestyle triggers and there (00:18:49) are all kinds of triggers I would (00:18:51) imagine that can also cause this Civil (00:18:54) War in your body what are some of the (00:18:56) top triggers that you've seen in your (00:18:58) research (00:18:59) the number one trigger is trauma so I I (00:19:03) started to notice this I didn't learn a (00:19:05) lot about trauma when I went through (00:19:06) Medical School 30 years ago but I had to (00:19:09) teach myself because I saw this rise of (00:19:13) autoimmune disease in my (00:19:16) patients and I kept noticing oh this (00:19:18) woman had a a traumatic birth oh this (00:19:22) woman has a adverse childhood (00:19:25) experiences score she had sexual abuse (00:19:27) or physical abuse or neglect mhm and (00:19:31) that seems to track with her (00:19:33) autoimmunity so trauma toxic stress is a (00:19:37) huge category and then I would say (00:19:40) hormones is a gigantic category think (00:19:43) about pregnancy for a (00:19:45) minute what happens when you get (00:19:47) pregnant is that you make this embryo (00:19:50) right and half the DNA is yours half the (00:19:54) DNA is your sperm donor and so your (00:19:57) immune system has to adapt to this (00:20:01) foreign (00:20:03) substance and sometimes that works you (00:20:06) know we've got a lot of successful (00:20:08) pregnancies but sometimes it doesn't and (00:20:10) it leads to more miscarriages it leads (00:20:13) to autoimmune problems in the postpartum (00:20:16) period and complicated pregnancies never (00:20:19) even thought about that that there is a (00:20:21) i there's this meme that's going around (00:20:23) of a woman standing in a kitchen and (00:20:24) she's got like three kids running around (00:20:26) and and you know her partner's standing (00:20:28) there and (00:20:29) thing on the meme says that moment when (00:20:32) you realize all these people have been (00:20:34) inside of you (00:20:38) and I um yeah and how are your (00:20:41) boundaries yes and it never even (00:20:44) occurred to me that even the mystical (00:20:46) and magical experience of carrying a (00:20:49) child is a foreign body inside of you (00:20:53) that you have to adapt to and so when (00:20:57) you think about the three things (00:21:00) genetics the loss of a boundary in your (00:21:03) digestive tract because of leaky gut and (00:21:06) then these triggers that are all around (00:21:08) us whether it's past trauma current (00:21:10) trauma the amount of stress that you're (00:21:12) under at this moment in your life or (00:21:14) hormone changes or there's probably a (00:21:16) list of a hundred other things that can (00:21:18) trigger this it makes sense that at (00:21:22) times in your life or all throughout (00:21:24) your life that your immune system would (00:21:26) get confused and attack itself you know (00:21:30) one question I keep wondering is if (00:21:32) autoimmune disease is on the (00:21:35) rise why is this not taught in medical (00:21:40) school to the extent that it probably (00:21:42) should (00:21:44) be it's a good question what I believe (00:21:48) is (00:21:49) that much of Medical (00:21:52) Training is influenced by the (00:21:56) pharmaceutical industry so this is a (00:21:59) topic and I I don't want to disparage (00:22:03) the kind of training that I've had (00:22:04) because I'm incredibly grateful for it (00:22:07) but I would also say I was taught to (00:22:10) make a (00:22:11) diagnosis and then to offer a (00:22:15) pharmaceutical when it comes to things (00:22:17) like autoimmune disease what we know is (00:22:20) that lifestyle (00:22:22) medicine is probably the most effective (00:22:25) Approach at least the beginning (00:22:27) depending on when you catch it there are (00:22:29) some conditions that are too far gone (00:22:31) type 1 diabetes if you have your immune (00:22:34) system attack your pancreas to the point (00:22:36) where you don't have any eyelet cells (00:22:38) left to make insulin then you need (00:22:40) insulin lifestyle medicine isn't going (00:22:43) to cut it but that very approach of (00:22:46) Lifestyle medicine that's so effective (00:22:48) at addressing root (00:22:50) causes is not taught in medical (00:22:54) school so the solution is not part of (00:22:58) the (00:22:59) you know seven-year training that I went (00:23:02) through so Dr Sal how did you learn this (00:23:06) I had to teach (00:23:07) myself so a lot of it was being in my (00:23:10) 30s and you know feeling way more (00:23:12) exhausted than I should have and going (00:23:15) to my doctor and saying I'm so tired (00:23:18) I've got PMS I can't lose this baby (00:23:20) weight and he offered me an (00:23:23) anti-depressant and a birth control (00:23:25) pill and he told me to eat less and ex (00:23:29) more and so that was one of those (00:23:31) moments M where I was like wait this (00:23:34) isn't right like there's something (00:23:37) deeper here that's not going to be fixed (00:23:39) with a pharmaceutical because (00:23:41) Pharmaceuticals if you think about them (00:23:42) for a (00:23:43) moment they block biochemical Pathways (00:23:46) in the body that's the way they work (00:23:48) that's how you can patent them and make (00:23:50) billions of dollars from them whereas (00:23:53) lifestyle medicine is working with the (00:23:56) intelligence of the body it's not (00:23:59) blocking Pathways it's making them (00:24:01) better that's what happens with exercise (00:24:04) with eating the right foods with having (00:24:06) the kind of love and connection that we (00:24:08) most need and if I extrapolate as to (00:24:12) where you're going if the body can (00:24:14) attack itself it's your opinion Dr Saul (00:24:17) that it can also heal itself oh (00:24:19) absolutely I mean the beautiful thing (00:24:21) about these three root (00:24:23) causes is that you can do something (00:24:25) about two of them you can't change your (00:24:28) genetics at least not yet but you can (00:24:30) address the leak you gut and you can (00:24:32) address the triggers what is the (00:24:35) difference between alleviating the (00:24:37) symptoms that somebody feels when (00:24:38) they're struggling with an autoimmune (00:24:40) disease versus treating the root cause (00:24:44) the difference is that alleviating (00:24:47) symptoms Works (00:24:49) temporarily it's like a Band-Aid it's a (00:24:52) way of masking the symptoms so that the (00:24:55) person stops (00:24:57) complaining whereas if if you address (00:24:59) the root cause if you start to turn the (00:25:03) physiology back toward a healing State (00:25:06) that's where you get lasting change (00:25:08) that's where you start to reverse these (00:25:11) conditions or maybe prevent them to (00:25:13) begin with well I think it's really (00:25:15) exciting that there are things that you (00:25:17) can do that actually trigger your body (00:25:20) to go into a healing State versus a (00:25:22) civil war that's right to put yourself (00:25:25) at peace as a medical doctor what's the (00:25:27) worst thing that you you could eat or (00:25:29) drink when it comes to a leaky gut the (00:25:32) worst is (00:25:34) alcohol because it attacks the tight (00:25:37) junctions so it leads to leaky gut and (00:25:40) if you look at animal models of leaky (00:25:43) gut the way that they most consistently (00:25:46) create leaky gut in an animal in a mouse (00:25:48) or a monkey is to get them alcohol (00:25:52) really yes that's how you set up the (00:25:54) experiment so that you can see what (00:25:56) works there's other things too so stress (00:25:59) can do it having tooo much stress you (00:26:01) know there's a certain amount of stress (00:26:03) that's normal and (00:26:04) healthy too little stress you're not (00:26:06) very productive too much stress it pokes (00:26:09) holes in your gut so it gets the brain (00:26:12) to release something called CR cortico (00:26:16) tropen releasing hormone okay and that (00:26:19) directly pokes holes in the gut leads to (00:26:22) the loss of this boundary wow why would (00:26:24) something that is stress in your brain (00:26:28) poke holes that the soldiers holding the (00:26:30) boundary in your gut well that's more of (00:26:32) a philosophical question and I (00:26:35) appreciate that I appreciate that but I (00:26:37) think it's you know we are marvels of (00:26:41) adaptation and so there are ways that (00:26:44) boundaries come together and come apart (00:26:47) come together and come apart and they're (00:26:49) meant to be pretty fluid and there's (00:26:52) some purpose behind them yeah they're (00:26:54) not meant to come apart and stay apart (00:26:57) yep but even the stress of you know (00:27:01) being an athlete of working out really (00:27:03) hard that raises cortisol levels and it (00:27:06) can cause leaky gut it doesn't cause a (00:27:09) permanent state of leaky gut but it (00:27:10) leads to more leaky gut I see it in the (00:27:13) professional athletes I work with and I (00:27:16) bet the same is true at work like if you (00:27:17) see like a massive increase in Burnout (00:27:20) or you're somebody that's working you (00:27:23) know as a first responder or an (00:27:25) overnight shift just something that's (00:27:27) just constant stressing you out I would (00:27:30) imagine you see a you see a direct (00:27:32) connection with that too I was just (00:27:34) looking at the data on this last night (00:27:36) and how night shifts are associated with (00:27:38) more autoimmunity really yes because you (00:27:42) don't get that same starcadian Rhythm (00:27:44) your mitochondria the powerhouses inside (00:27:47) of your cells don't work to the same (00:27:50) degree Dr Saul do auto immune diseases (00:27:54) impact women more than men absolutely (00:27:58) four times more women than men with (00:28:01) autoimmune diseases there's a number of (00:28:03) reasons there's sex differences which (00:28:06) are biology things like X chromosome (00:28:09) versus Y chromosome but then more (00:28:12) concerning are the gender differences (00:28:15) and those are socially constructed (00:28:18) that's the fact for instance that women (00:28:20) experience more stress than men they (00:28:22) experience more trauma than men they (00:28:25) experienc trauma earlier when men and (00:28:28) women are exposed to the same trauma (00:28:30) women have higher rates of (00:28:31) post-traumatic stress disorder we've got (00:28:34) huge hormonal differences we go through (00:28:37) pregnancy and postpartum perimenopause (00:28:40) and menopause so this idea that a lot of (00:28:44) people have that it's just a biological (00:28:46) difference it's just an ex chromosome (00:28:48) that's an (00:28:50) oversimplification it's necessary but (00:28:52) it's not sufficient for this dramatic (00:28:55) rise that we're seeing in autoimmune (00:28:57) disease especially women well I think (00:29:00) it's shocking that in the last 25 years (00:29:02) based on the research Ms for example (00:29:05) women are experiencing it four times (00:29:07) more than men and when I think about the (00:29:10) number of female friends of mine that (00:29:12) are the primary caregivers or they are (00:29:14) the breadwinner in the household and the (00:29:16) caregiver or The Chronic levels of (00:29:19) stress that women feel the rise in (00:29:21) anxiety the rise and depression are (00:29:23) these all factors too they're all (00:29:26) factors what's important to realize is (00:29:28) we can measure these things we can (00:29:31) measure the cost of not being able to (00:29:35) say no we can measure the cost of (00:29:39) caregiving and overfunctioning and (00:29:41) giving until you're depleted we know (00:29:44) that women are at greater risk of (00:29:45) burnout I think it's important to take (00:29:47) it out of the (00:29:50) purview (00:29:52) of women to start Measuring Up in some (00:29:54) way and to say that there's something (00:29:57) wrong with our environment it's a health (00:29:59) hazard to be female in our culture it (00:30:02) makes me sad to say that because I was (00:30:05) here in Boston in 1989 learning about (00:30:08) how it was a health hazard to be a woman (00:30:12) in our (00:30:13) culture and if anything it's gotten (00:30:15) worse M so we've got double the rates of (00:30:17) depression double the rates of (00:30:20) insomnia four times the rate of (00:30:22) autoimmune disease twice the rate of (00:30:25) Alzheimer's disease more Regional and (00:30:28) chronic (00:30:29) pain we've got so many differences (00:30:33) gender (00:30:34) differences research gaps most of the (00:30:37) research is done in men and assumed to (00:30:39) apply to women there's a knowledge Gap (00:30:43) there's a gender bias in the way that (00:30:45) doctors take care of patients females (00:30:46) versus males there's a treatment Gap if (00:30:50) you have per menopause or menopause and (00:30:52) you go to your doctor for some help 73% (00:30:55) of women don't get the treatment they (00:30:57) need (00:30:59) so that's the situation in which (00:31:01) autoimmune disease is (00:31:04) increasing I think it's important to say (00:31:06) it because it validates the experience (00:31:09) of a person listening or as you're (00:31:12) listening you're thinking about somebody (00:31:14) in your life who's struggling and you're (00:31:15) going to share all of Dr Saul's wisdom (00:31:18) and research with that person in your (00:31:20) life to go oh it's not that you're (00:31:23) damaged there are things that have (00:31:25) happened to you that are creating this (00:31:28) confusion and this Civil War in your (00:31:30) body and one of the encouraging things (00:31:33) about all the depressing news is that if (00:31:36) it's environmental and if there are (00:31:39) things that were done to you it means (00:31:41) that there are corresponding things that (00:31:43) you can do once you understand all this (00:31:46) to help your body go back into a state (00:31:50) of healing itself and getting the (00:31:52) boundaries back up and removing the (00:31:55) confusion so that your body is not at (00:31:57) war with itself (00:31:59) perfectly stated what happens for a lot (00:32:02) of women is that they go to their doctor (00:32:06) and they're trained to turn over their (00:32:08) power they're trained to just go along (00:32:10) with what the doctor says whether that's (00:32:13) being dismissed or being told okay (00:32:16) you've got rheumatoid arthritis we're (00:32:18) going to start this (00:32:19) pharmaceutical and so what's hopeful (00:32:22) here is that you can step into action (00:32:26) you can start to make these changes (00:32:27) about leaky gut about the triggers that (00:32:30) you've experienced and you can take back (00:32:34) the wheel of your (00:32:36) health I love that I love that and your (00:32:39) book The autoimmune cure is basically a (00:32:41) road map for doing that you know when I (00:32:43) posted this clip Dr Gabor mate was on (00:32:46) the show and he had this moment where he (00:32:49) talked about autoimmune diseases in (00:32:51) women and it's one of the single most (00:32:53) viral things that I've ever posted (00:32:56) online and it was all about what you're (00:32:58) talking about these environmental (00:33:00) factors that contribute to the (00:33:02) documented rise in Auto autoimmune (00:33:04) diseases in women I want you to hear (00:33:07) this clip and I want to play it in (00:33:09) particular in case the person that's (00:33:11) with us right now hasn't had a chance to (00:33:13) hear it and then I would love to hear (00:33:16) your reaction to it 80% of autoimmune (00:33:19) disease which are diseases where the (00:33:21) immune system attacks the body that is (00:33:22) supposed to protect 80% of them happen (00:33:25) to women why I knew people before they (00:33:27) got sick and I knew them in the context (00:33:29) of the families of origin and these (00:33:31) people had four significant (00:33:33) characteristics one is they tended to (00:33:36) put other people's emotional needs ahead (00:33:38) of their own number two they tended to (00:33:40) identify with Duty role and (00:33:43) responsibility rather than the needs of (00:33:45) the self number three they tended to be (00:33:47) very nice which means they repressed (00:33:49) healthy anger and number four these (00:33:52) people tended to believe that they're (00:33:54) responsible for other people feel which (00:33:56) is a point that you address in your book (00:33:59) let them and that they they had this (00:34:01) belief that they was never disappoint (00:34:03) anybody now those beliefs lead you into (00:34:07) not saying no to the demands of the (00:34:09) world and you're constantly taking on (00:34:11) stuff and stress and other people stress (00:34:13) you get stressed that stress undermines (00:34:15) the immune system which then turns (00:34:17) against you why is it women cuz who in (00:34:19) this culture is programmed to always (00:34:21) look at after everybody else's emotional (00:34:23) needs take on everybody's stresses um (00:34:26) identify with their duties and their (00:34:27) role (00:34:28) um be nice all the time not be angry in (00:34:31) a healthy way and to take responsibility (00:34:33) for other people's feelings it's women (00:34:35) it's not a gender issue it's a a (00:34:38) cultural issue why do you think this (00:34:41) topic triggers so many people positive (00:34:44) or negative because people had very (00:34:46) strong reactions to what he was saying (00:34:48) when he was saying chronic stress (00:34:49) they're the caregivers there's a lot of (00:34:52) sexism why do you think this topic (00:34:55) triggers so many people I think that (00:34:59) clip nailed the experience of (00:35:03) women (00:35:05) and as I listened to it I felt like I (00:35:08) was nailed to the wall not in a good way (00:35:13) I was nailed to the wall because there (00:35:15) are cultural (00:35:17) norms that make us sick and keep us (00:35:22) sick and Dr mate talked about how we (00:35:28) over function we prioritize other (00:35:31) people's needs over our (00:35:33) own we get caught up in over over (00:35:38) providing over caring and there's a cost (00:35:43) to it and the cost is our health yes and (00:35:47) you also talked about trauma as a big (00:35:49) trigger and in the book actually if I (00:35:53) turn to page 48 and 49 in your book you (00:35:56) go through a bunch of question questions (00:35:59) that are part of something called Ace (00:36:02) which is your adverse childhood (00:36:04) experiences score and this helps us (00:36:08) understand experiences from the past (00:36:10) that may have created stored trauma in (00:36:13) your body is that what this is that's (00:36:15) right this questioner Mill was developed (00:36:18) in the 1990s okay with the Centers for (00:36:21) Disease Control and also Kaiser (00:36:22) Permanente and they did this really (00:36:24) interesting thing where they took (00:36:26) midlife people people like you and me (00:36:30) and they looked at how many childhood (00:36:32) experiences they had that were adverse (00:36:35) things like abuse neglect having a (00:36:37) mother that was beaten physical violence (00:36:40) in the home having a parent with an (00:36:42) alcohol or other substance use disorder (00:36:46) and they found that women and men if (00:36:50) they had an elevated adverse childhood (00:36:52) experience score they had a greater risk (00:36:55) in midlife of 45 different IC diseases (00:36:59) really including autoimmune disease wow (00:37:02) could you read through some of these (00:37:04) questions just so that the person that's (00:37:05) with us right now can just be kind of (00:37:10) really thinking (00:37:12) about what this adverse childhood (00:37:15) experiences score is and I think when (00:37:18) you start to hear these questions it (00:37:20) makes sense that it would connect to (00:37:22) Something in terms of your health before (00:37:25) your 18th birthday did a parent or or (00:37:28) other adult in the household often or (00:37:30) very often swear at you insult you put (00:37:34) you down or humiliate you did a parent (00:37:37) or other adult in the household often or (00:37:40) very often act in a way that made you (00:37:42) feel afraid that you might be physically (00:37:46) hurt what about push grab slap or throw (00:37:50) something at you did a parent or other (00:37:53) adult in the household often or very (00:37:55) often hit you so hard that you had marks (00:37:58) or were injured did an adult or person (00:38:02) at least 5 years older than you ever (00:38:04) touch or fondle you or have you touch (00:38:07) their body in a sexual way did an adult (00:38:10) or person at least 5 years older than (00:38:12) you ever attempt or actually have oral (00:38:16) anal or vaginal intercourse with you did (00:38:20) you often or very often feel that no one (00:38:22) in your family loved you or thought you (00:38:24) were important or special did you often (00:38:28) or very often feel that your family (00:38:30) didn't look out for one another feel (00:38:32) close to one another or support one (00:38:35) another did you often or very often feel (00:38:39) that you didn't have enough to eat had (00:38:41) to wear dirty clothes or had no one to (00:38:45) protect you did you often or very often (00:38:48) feel that your parents were too drunk or (00:38:51) high to take care of you or take you to (00:38:54) the doctor if you needed it were your (00:38:57) parents ever separated or divorced was (00:39:01) your mother or stepmother sometimes (00:39:02) often or very often pushed grabbed or (00:39:06) slapped or had something thrown at her (00:39:09) was your mother or stepmother sometimes (00:39:11) often or very often kicked bitten hit (00:39:15) with a fist or hit with something hard (00:39:18) was your mother or stepmother sometimes (00:39:20) often or very often repeatedly hit over (00:39:24) at least a few minutes or threatened (00:39:26) with a gun or knife did you live with (00:39:28) anyone who was a problem Drinker or (00:39:31) alcoholic or who used street drugs was a (00:39:35) household member depressed or mentally (00:39:37) ill or did a household member attempt (00:39:41) suicide did a household member go to (00:39:46) prison you know you hear those questions (00:39:48) and it's a wonder anybody makes it to (00:39:51) adulthood it's true it's very true (00:39:55) and what was so f fascinating about this (00:39:59) particular (00:40:00) questionnaire is that we never connected (00:40:03) the dots before between these kind of (00:40:07) adverse (00:40:09) experiences and physical problems later (00:40:13) in life Dr salt can you connect the dots (00:40:16) for us so let's take something that I (00:40:19) think most of us could probably answer (00:40:23) yes to which is did you often feel that (00:40:26) no one in your family loved you or (00:40:28) thought you were important or special (00:40:29) like that feeling of not being seen so (00:40:32) something that feels not as quote (00:40:36) serious as being punched with a fist or (00:40:39) sexually abused how does even that type (00:40:43) of traumatic experience of not feeling (00:40:46) seen or important to the adults and (00:40:49) caregivers around you connect to (00:40:53) physical issues with your health later (00:40:55) in (00:40:56) life this is where things get (00:40:58) interesting so if you imagine being a (00:41:01) child and I certainly had experiences (00:41:04) when I was a kid where I didn't feel (00:41:06) special or (00:41:08) loved that then (00:41:11) changes the stress response in the (00:41:14) body and the way I think of it at its (00:41:17) simplest is the pine Network what's a (00:41:20) pine Network Pine Network stands for (00:41:22) your (00:41:24) psychology I is your immune system (00:41:28) n is your neurological system and E is (00:41:31) your endocrine system so the pine (00:41:34) Network when you're that kid with an (00:41:37) adverse childhood experience it becomes (00:41:40) disregulated and for some people it's (00:41:43) the immune system that becomes most (00:41:45) disregulated and those are the people (00:41:46) who have a greater risk of autoimmunity (00:41:49) for some people it's the endocrine (00:41:51) system they produce a lot of cortisol (00:41:54) when they're experiencing that Ace that (00:41:56) adverse childhood experience and then (00:41:59) they have problems with cortisol for the (00:42:01) rest of their life unless they address (00:42:02) it other people have nervous system (00:42:06) disregulation and they don't understand (00:42:09) why their heart rate variability you (00:42:12) know with maybe a wearable why they're (00:42:14) so stressed all the time and their HRV (00:42:16) is so low or why they have chronic (00:42:18) anxiety hi Mel Robbins you're right no (00:42:21) serious that makes a lot of I've never (00:42:23) heard anybody talk about the pine (00:42:24) network but it makes a lot of sense (00:42:26) because when you're (00:42:28) that entire network is developing that's (00:42:32) right and it's developing and learning (00:42:34) and changing in real time based on what (00:42:37) you're exposed to and if you don't feel (00:42:39) safe or you feel under threat then your (00:42:41) entire system from hormones to immune to (00:42:45) nervous system to your psychology adapts (00:42:48) because of these adverse childhood (00:42:51) experiences that's right and you just (00:42:54) use the word safety which is so critical (00:42:57) safety is the fundamental part of (00:43:00) childhood that we want our kids to (00:43:03) experience and too many of them don't Dr (00:43:06) Saul how does trauma and adverse (00:43:08) childhood experiences relate to (00:43:11) autoimmune (00:43:12) disease for people who have a (00:43:15) disregulated immune system so their (00:43:18) immune system is imbalanced it starts to (00:43:21) get confused about what is normal (00:43:24) healthy tissue and what's (00:43:26) foreign that then sets them up for a (00:43:29) greater risk of autoimmune (00:43:31) disease how does someone who says okay (00:43:36) that happened in the past it's the past (00:43:38) I've talked about it I've dealt with it (00:43:40) I've moved on from it how can it still (00:43:43) be influencing your health right (00:43:46) now this is one of those places of (00:43:48) connecting the dots that I think is (00:43:50) critical so a lot of people say that (00:43:53) they've got this cognitive approach to (00:43:56) the trauma they experience (00:43:59) and they don't realize that their high (00:44:00) blood sugar or their uh multiple (00:44:05) divorces or the conflict they experience (00:44:07) at work is actually related to adverse (00:44:12) childhood experiences so there's a way (00:44:14) that Aces live on in the body even if (00:44:18) you think you've already cognitively (00:44:20) processed it and we know that it can (00:44:24) disrupt you mentally emotionally (00:44:28) and also physically that makes sense and (00:44:30) if you have these stored adverse (00:44:33) experiences in your nervous system and (00:44:35) in your body of course it would (00:44:37) interrupt your body's ability to (00:44:40) function because you're always bracing (00:44:43) and you're always still feeling like (00:44:44) there's some level of threat which means (00:44:47) the healthy boundaries that your body (00:44:49) has internally slowly get worn down (00:44:52) that's right how would you know if (00:44:55) you're dealing with an (00:44:58) autoimmune disease or condition if (00:45:01) nobody's ever told you like what are the (00:45:04) symptoms that you may be dealing with an (00:45:06) autoimmune disease there's a long list (00:45:09) of symptoms and part of what makes (00:45:12) people search for a diagnosis and a (00:45:15) doctor who will take them seriously for (00:45:17) years is that the symptoms are what we (00:45:20) call non-specific that's a medical term (00:45:23) that's a medical term (00:45:25) nonspecific if my doctor said well those (00:45:28) are nonspecific symptoms I'd be like (00:45:31) well let me put some varies and really (00:45:33) hurts in front of that very specific (00:45:36) doc so it depends on which part of the (00:45:39) body is being attacked by the immune (00:45:41) system so the most common things that we (00:45:43) see across all 100 autoimmune diseases (00:45:46) are things like fatigue (00:45:49) exhaustion (00:45:51) swelling signs of inflammation joint (00:45:54) pain and aches the other symptoms depend (00:45:58) on what's being attacked so with (00:46:01) Hashimoto's thyroiditis y we know right (00:46:04) now 133% of relatively healthy people (00:46:07) have positive antibodies against their (00:46:09) thyroid 133% (00:46:12) 13% so with Hashimoto's thyroiditis it's (00:46:16) the fatigue it's the joint aches but (00:46:19) it's also that you just can't put your (00:46:21) foot on the gas like you once did you (00:46:24) find that you're gaining weight (00:46:26) seemingly out of nowhere intermittent (00:46:29) low grade fevers or night sweats and (00:46:32) that's where per menopause menopause can (00:46:34) make things (00:46:35) confusing neuropathy so an autoimmune (00:46:39) attack of the nerves in the legs and the (00:46:41) arms it can cause tingling or um even (00:46:48) difficulty with your gut function like (00:46:49) diarrhea or constipation difficulty (00:46:51) swallowing loss of appetite gut issues (00:46:55) like acid reflux bloating (00:46:57) cramping skin reactions we talked about (00:47:01) psoriasis rashes swollen glands anxiety (00:47:05) and (00:47:06) depression visual changes especially (00:47:09) important with uh people with multiple (00:47:12) sclerosis weight gain or loss irregular (00:47:15) or rapid (00:47:17) heartbeat and you write in the book and (00:47:19) I think this is important for everyone (00:47:21) to hear that given that there's usually (00:47:23) clustering of symptoms that you (00:47:25) recommend going to your primary care (00:47:28) practitioner if you have three or more (00:47:29) and if you've got additional symptoms (00:47:32) you definitely want to see a specialist (00:47:34) whether it's a rheumatologist or a (00:47:36) gastroenterologist or somebody that is (00:47:39) really a specialist in that part of the (00:47:42) body that has the most acute symptoms (00:47:45) well what's interesting about you (00:47:46) connecting the dots between the symptoms (00:47:48) of autoimmune disease and menopause is (00:47:50) that if I go back to the original words (00:47:52) that you used which is your body is (00:47:54) confused and your boundaries that were (00:47:57) there to protect you are now no longer (00:48:00) there if you look at the drop of (00:48:02) estrogen production in a woman's body of (00:48:04) course your body's confused if it runs (00:48:06) on it so if you take the exact same (00:48:09) approach of my body is designed to (00:48:13) function properly my body is designed to (00:48:16) heal itself if I look at this condition (00:48:19) whether it's menopause or an autoimmune (00:48:21) disease as me needing to recognize that (00:48:26) I'm at war with myself (00:48:28) and if I really Embrace that I can also (00:48:32) activate the healing properties in my (00:48:34) body and reestablish the boundaries (00:48:36) internally whether it's nervous system (00:48:38) or my hormones or it is my psychology or (00:48:43) it is my gut and that that's going to (00:48:45) make a huge (00:48:46) difference amen wow so I would (00:48:50) say I love the point that you're making (00:48:53) because I think a lot of women don't (00:48:55) understand this I didn't until we're (00:48:57) having this discussion and use the word (00:48:59) confuse in Civil War (00:49:01) yes and there is a way that we take the (00:49:06) experience after age 40 of per menopause (00:49:09) and menopause and we think it's mostly (00:49:12) hormones we think it's estrogen going (00:49:14) down progesterone going down maybe a (00:49:16) little testosterone goes (00:49:19) down there is a much more complex (00:49:23) backstory where your immune system is (00:49:26) changing your metabolism is changing the (00:49:29) way that you make energy inside of your (00:49:32) cells it's not just hormonal well and (00:49:36) plus if I take everything that you're (00:49:37) teaching us today and sharing with us Dr (00:49:41) Saul what I'm also embracing is that (00:49:43) around that age the caregiving load (00:49:46) actually starts to grow up as your (00:49:49) parents are aging a lot of people go (00:49:51) through a change in their relationship (00:49:53) and might find themselves single again (00:49:56) and you're now (00:49:57) have the burden of being the primary (00:50:00) bread winner and there's a lot of (00:50:02) changes that happen in people's lives (00:50:04) where they move and friend groups change (00:50:06) and that causes stress and so there are (00:50:09) a tremendous number of Lifestyle factors (00:50:12) too that come crashing down which makes (00:50:15) me wonder is there a particular age (00:50:18) range where you see autoimmune diseases (00:50:22) Spike yes so the most common Spike that (00:50:26) I see (00:50:27) is per menopause menopause and what age (00:50:30) is that for most women 40 to 55 so 40 to (00:50:35) 55 is when you also see the spike in (00:50:38) autoimmune symptoms and diseases yes and (00:50:42) it's because it seems that there is this (00:50:44) just crashing of factors outside of us (00:50:48) and inside of us that cause a huge (00:50:50) change in our immune system and the way (00:50:52) that our body functions I I have a (00:50:54) feeling it's is going to be one of those (00:50:55) conversations that not only (00:50:57) you know is shared all over um because I (00:51:01) know as you're listening to Dr Saul and (00:51:03) you're nodding your head you're thinking (00:51:04) of about 10 people that you're going to (00:51:06) share this to but now I'm like okay I am (00:51:11) tracking with everything that you're (00:51:12) saying I feel both scared and (00:51:16) empowered what are the three (00:51:20) things that I need to do or that the (00:51:23) person that I love needs to do (00:51:25) immediately (00:51:27) regardless of if I have a diagnosis or (00:51:29) if I'm just tired and achy and just (00:51:33) feeling like something's off and I'm in (00:51:35) that age range of 40 and up number one (00:51:40) get tested okay number two Elimination (00:51:44) Diet okay number three track those (00:51:48) triggers address them hunt them (00:51:53) stress adverse childhood experiences and (00:51:56) adult trauma too an adult (00:51:58) trauma when you say test give me the (00:52:02) list what is the succinct thing as I'm (00:52:04) walking into my doctor's office or I'm (00:52:08) doing one of the tests online that you (00:52:10) can now do to measure all this stuff (00:52:14) what exactly am I testing for you want (00:52:17) to test your immune system okay so (00:52:19) complete blood count with a differential (00:52:22) you want to test your level of (00:52:24) inflammation High sensitivity C reactive (00:52:26) protein (00:52:27) arthrite sedimentation rate something (00:52:31) called the neutr to lymphocyte ratio (00:52:34) neutr a sloy a what what the what was (00:52:39) that (00:52:40) nlr so it's the nutrifil these are white (00:52:43) blood cells okay neutr white blood cells (00:52:46) I can remember nutrifil to (00:52:52) lymphosis and a lot of people don't (00:52:54) connect these dots with autoimmunity (00:52:57) but what we know is that when you look (00:52:59) at your white blood cell count when you (00:53:01) look at your te- cells which are part of (00:53:04) the Army in your immune (00:53:06) system the te- cells the mitochondria (00:53:09) that are working in inside your te- (00:53:11) cells they start to become impaired and (00:53:14) it seems to lead to this confusion or at (00:53:17) least it's associated with the immune (00:53:19) system confusion that occurs so you want (00:53:22) to look at things like your glucose and (00:53:24) your insulin levels how are you turning (00:53:27) your food into fuel is that working (00:53:30) properly and then you want to look at (00:53:32) your hormones estrogen progesterone (00:53:35) testosterone vitamin D which is really (00:53:38) important for leaky (00:53:40) gut if you're someone who's (00:53:43) listening and you know you're halfway (00:53:46) around the world and you don't have (00:53:49) access or the money to be able to pay (00:53:53) for these (00:53:54) tests without getting a test is there (00:53:57) something that you should be doing right (00:54:00) now in order to activate the healing (00:54:03) properties in your body and to start to (00:54:05) heal the leaky gut for sure the thing (00:54:08) you can do right away if you can't test (00:54:12) is an Elimination Diet okay it's free so (00:54:15) what we know is that gluten dairy (00:54:19) alcohol sugar all of these tend to (00:54:22) trigger problems with leaky gut okay so (00:54:24) you got to give those up an Elimination (00:54:27) Diet itself helps to reverse leaky (00:54:31) gut uh we think that addressing your (00:54:34) stress addressing your cortisol levels (00:54:36) if that's driving the leaky gut that (00:54:38) also helps so give up gluten dairy sugar (00:54:42) and alcohol for how long do it for three (00:54:44) weeks three weeks see what happens to (00:54:46) your symptoms okay does your psoriasis (00:54:49) clear up do your joints feel a little (00:54:51) bit more loose are you less tired that's (00:54:53) what we want to track there are some (00:54:55) people who have had lifestyle factors (00:54:58) working against them for so long they've (00:55:01) had leaky gut for so long that three (00:55:03) weeks may not be sufficient but usually (00:55:06) in 3 weeks you can tell if you're going (00:55:08) to feel better you can tell if there's a (00:55:11) partial response in which case keep (00:55:14) going and how important is diet in (00:55:18) improving or worsening your autoimmune (00:55:22) disease it's critical I think of diet as (00:55:27) the way that you bring the outside world (00:55:29) inside your body oh so we want those (00:55:35) boundaries you know here's what I just (00:55:38) saw as a (00:55:40) vision let's take person a and her name (00:55:43) is Mel and she has all these (00:55:46) symptoms and she starts her day with a (00:55:50) big cup of black coffee and six sugars (00:55:53) and then she does the drive-thru at a (00:55:55) fast food joint (00:55:57) and then she's munching on chips at her (00:55:59) desk and then when she gets home because (00:56:01) she's stressed out and exhausted and has (00:56:03) little kids to take care of and parents (00:56:06) that need her to she is Downing a bottle (00:56:09) of Chardonnay as she's cooking dinner (00:56:12) and dinner is something I'm heating up (00:56:15) in a microwave after wrapping the (00:56:17) plastic off and then I take two Advil PM (00:56:21) to help me knock out and get a better (00:56:23) night's sleep and if I take that person (00:56:27) Mel versus the person named Sarah who (00:56:32) wakes up in the morning and maybe makes (00:56:34) a couple scrambled eggs with some (00:56:37) kimchi and is breathing and listening to (00:56:39) a good podcast on the way to work and (00:56:42) has a salad and a little bit of chicken (00:56:45) and then goes home at night and has (00:56:46) water and has a wonderful bone broth and (00:56:50) you know some homemade meatloaf or (00:56:51) something with some leafy green (00:56:53) vegetables and then you meditate before (00:56:56) bed with with a nice cup of chamomile (00:56:58) tea I don't think you need a medical (00:57:01) degree or a PhD to understand that Mel (00:57:03) is not doing herself any favors and that (00:57:06) Sarah's internal system and boundaries (00:57:08) are probably a little bit better I feel (00:57:11) like you just described so (00:57:13) perfectly why we are facing the (00:57:16) exponential rise in (00:57:18) autoimmunity it's these lifestyle (00:57:20) factors that are harming our health I (00:57:24) also feel like you've been a fly on the (00:57:26) wall at my house I is that what you eat (00:57:29) yes well you know I mean a little more (00:57:32) protein because I'm trying to build (00:57:33) muscle yeah me too I but so the reason (00:57:36) why I say this is (00:57:37) because those two choices the choices (00:57:41) that Mel made that are not doing my body (00:57:44) any favors they don't remove the fact (00:57:47) that I have aging parents and kids to (00:57:49) take care of or financial stress or a (00:57:51) [ __ ] for a J boss who's constantly (00:57:54) causing me stress or an ex that's (00:57:57) blowing up my phone it doesn't (00:57:59) remove those environmental and lifestyle (00:58:02) things outside of my control but I can (00:58:04) see how the choices that the other (00:58:07) person Sarah makes actually empowers you (00:58:11) to feel a little bit better and to get a (00:58:14) better night's sleep and to feel more (00:58:16) grounded in your body which of course (00:58:20) makes you feel more equipped to meet the (00:58:23) demands of this moment in your life and (00:58:26) it'd be easy to kind of roll your eyes (00:58:28) and say those two differences in the (00:58:32) choices about what you put in your body (00:58:34) whether you hydrate with water or you're (00:58:36) hydrating with soda that that's not (00:58:40) going to make a difference but you could (00:58:42) see over time it actually does make a (00:58:45) difference because it changes how you (00:58:46) feel from the inside out and it gives (00:58:48) your body a fighting chance to stop the (00:58:50) Civil War that's contributing to the (00:58:53) chronic fatigue and ache and just like (00:58:56) what the hell why do I feel like this (00:58:58) and that's not to blame anybody I'm (00:59:00) trying to (00:59:03) highlight in a way that makes us all go (00:59:06) oh yeah when I slow down a minute and (00:59:09) really absorb what Dr Saul is teaching (00:59:13) me and I really consider what's in my (00:59:16) control that would make a difference (00:59:18) over time yes you're talking about the (00:59:21) Locust of control which I think is (00:59:23) critical what does that mean Locust of (00:59:24) control it means that (00:59:27) but these decisions you make all day (00:59:30) long about the cup of coffee with the (00:59:32) six sugars versus GRE tea good Dr Saul I (00:59:36) get that Mill and I made those choices (00:59:40) through my teenage years my 20s and my (00:59:42) 30s I had disordered eating I loved (00:59:45) carbs I ate a lot of (00:59:47) sugar but the truth (00:59:50) is the State of disregulation the State (00:59:53) of pain that I was in and the way that (00:59:56) it was causing the Civil War in my body (00:59:59) cuz I had positive anti-nuclear (01:00:03) antibodies it was more (01:00:05) miserable than any of these lifestyle (01:00:08) changes that we're talking about and (01:00:10) once you feel regulated in your body (01:00:13) once you're feeding yourself the right (01:00:15) Fuel and it gets your stress level just (01:00:18) right there's no going (01:00:21) back you (01:00:24) know one of the things that (01:00:27) I've come to (01:00:29) believe especially after uh starting (01:00:32) this podcast and speaking to so many (01:00:35) world-renowned experts like you is that (01:00:37) the single barrier that's the biggest (01:00:41) thing that stands in most of our way (01:00:44) around getting better or being happier (01:00:46) or improving our health is this Despair (01:00:50) and discouragement that it's not going (01:00:52) to matter and so I would love for you to (01:00:55) speak to the person (01:00:57) listening and to the person that they (01:01:00) love who they're going to share this (01:01:01) with who feels like they've lived for so (01:01:06) long feeling tired and inflamed and achy (01:01:12) and they've been disregarded and told (01:01:15) you know to take some medication and (01:01:17) just stop complaining about it I'd love (01:01:20) to have you speak to the hope the very (01:01:24) real hope that this can get better with (01:01:29) some small changes over time I feel for (01:01:32) the person you're talking about because (01:01:34) I used to be that person I was in a (01:01:37) marriage that was unhappy I didn't like (01:01:39) my work I felt stressed all the time I (01:01:43) had teenagers and you know there was a (01:01:45) lot of challenges (01:01:48) there I really struggled with stress (01:01:54) especially I hav't adverse childhood (01:01:57) experience score of six which is really (01:02:01) high every elevated score one or higher (01:02:05) increase your risk of autoimmunity by (01:02:06) about (01:02:08) 20% (01:02:12) and what I want people to understand is (01:02:17) that you can just make small changes and (01:02:21) bit by bit those small changes add up to (01:02:25) Major transformation (01:02:28) and what you notice in your body as you (01:02:30) go along as you give up the gluten and (01:02:33) the dairy and the sugar and the alcohol (01:02:36) and then maybe you start addressing the (01:02:38) trauma in your (01:02:40) body every day you feel a little better (01:02:44) the brain fog starts to clear your (01:02:46) joints don't hurt as much and so you're (01:02:48) able to walk or go rucking or build your (01:02:52) muscles these small changes add up they (01:02:55) make a difference they signal to your (01:02:59) body darling it's safe now you can start (01:03:03) to you start to feel (01:03:05) better and it's little by little but it (01:03:08) adds up to something major what other (01:03:12) changes can you make to help your body (01:03:15) heal especially if you have a lot of (01:03:19) adverse childhood (01:03:21) experiences your (01:03:23) breath say more about that your breath (01:03:26) is the most (01:03:28) underutilized health tool in the world (01:03:31) you know you said breath and I (01:03:32) immediately was like right now I'm (01:03:34) meditating as you say breath like I (01:03:36) wasn't even thinking about the fact that (01:03:37) I was Brea I think I've been holding my (01:03:39) breath the entire time I'm talking to (01:03:40) you that's what we do so we develop this (01:03:44) pattern often as a (01:03:47) child of shallow chest (01:03:50) breathing and it signals to the brain (01:03:53) and the rest of the body the immune (01:03:55) system that you are not (01:03:58) safe deep slow abdominal (01:04:01) breathing is the best medicine you can (01:04:04) offer your nervous system the cells of (01:04:07) your body and so what's your favorite (01:04:09) way to do that there's so many different (01:04:12) ways I mean I'm a yoga and meditation (01:04:14) teacher what we know is the rule of (01:04:16) fives are very important what's that (01:04:19) mean so we know that if you breathe for (01:04:22) about five and a half seconds in okay (01:04:24) and five and a half seconds out mhm and (01:04:27) you do that for several minutes or just (01:04:30) do it for three breaths that starts to (01:04:33) change your physiology will you just (01:04:35) take us through three breaths right now (01:04:37) sure so let's inhale (01:04:44) together hold at the top and then exhale (01:04:47) for 5.5 (01:04:51) seconds we're going to do that two more (01:04:53) times (01:05:02) exhale once (01:05:07) more get your belly in there and (01:05:14) exhale so three breaths can change your (01:05:17) physiology I just I feel my shoulders (01:05:20) dropping yeah I saw (01:05:22) that that's pretty (01:05:24) cool wow (01:05:26) Dr Saul could you speak directly to the (01:05:28) person listening who may be dealing with (01:05:32) an autoimmune disease and taking (01:05:34) medication for it and explain what (01:05:37) changes they might experience if they (01:05:39) were to add in the lifestyle shifts that (01:05:44) you're talking (01:05:45) about that's the best way to do it so I (01:05:49) work at the department of Integrative (01:05:50) Medicine and nutritional Sciences at (01:05:52) Thomas Jefferson University we don't use (01:05:56) integrative lifestyle medicine as a (01:05:59) substitute for mainstream medicine we (01:06:02) use it as added value so if you're (01:06:05) someone who has say rheumatoid arthritis (01:06:09) and you're taking a medication like (01:06:10) methotraxate (01:06:11) what you can do is start to layer in an (01:06:15) Elimination Diet which has been well (01:06:17) proven in a randomized trial to be (01:06:20) beneficial for people with rheumatoid (01:06:21) arthritis you can start to address the (01:06:24) boundary issues you can look at your (01:06:26) triggers and start to unearth them (01:06:31) resolve the trauma that's in your system (01:06:34) and what you might find is that you're (01:06:36) able to reduce the dose of your (01:06:38) medication you're going to do that under (01:06:40) the care of a collaborative clinician (01:06:43) you might be able to get off of your (01:06:45) medication (01:06:46) wow if the person listening is like wow (01:06:50) I feel like I'm at risk for developing (01:06:53) an autoimmune disease what's the the (01:06:56) single biggest change that you could (01:06:58) make today that would reduce your risk (01:07:02) if you're going to make one (01:07:03) change focus on your diet give up gluten (01:07:08) dairy alcohol (01:07:10) sugar look at why you're attached to (01:07:13) those if it's difficult for you to give (01:07:15) them (01:07:16) up just give them up for 3 weeks and (01:07:19) notice what happens in your body because (01:07:22) your body is This Magnificent (01:07:27) Network that is meant to support you and (01:07:32) we throw all these obstacles at it and (01:07:35) sometimes they can overcome the (01:07:36) obstacles but sometimes they can't and I (01:07:39) would say autoimmunity is one of the (01:07:42) consequences of not being able to (01:07:44) adapt Dr Saul I want to ask you about (01:07:47) some specific autoimmune diseases that (01:07:50) I've been seeing a lot online you know (01:07:52) I've seen (01:07:54) Hashimoto uh a lot whether it's in the (01:07:57) news or on social media or friends (01:07:59) talking about it what is (01:08:01) Hashimoto Hashimoto is when your immune (01:08:04) system is attacking the enzymes in the (01:08:07) thyroid the gland in your neck and what (01:08:09) is the thyroids purpose so the thyroid (01:08:12) has a lot of different jobs I think of (01:08:14) it like the gas pedal in the body oh so (01:08:17) it controls metabolism like how fast or (01:08:19) slow you're making energy you're burning (01:08:23) calories you have thyroid receptors that (01:08:28) interact with thyroid hormone almost (01:08:30) like molecular sex you have thyroid (01:08:33) receptors on almost every cell in your (01:08:35) body did you just say molecular sex yes (01:08:38) molecular (01:08:39) sex and so what happens if you're (01:08:41) attacking your thyroid is that you might (01:08:45) have hair loss fatigue (01:08:48) constipation Transit time changes in (01:08:51) your gut you might notice that your (01:08:52) cholesterol is coming up it's rising you (01:08:56) might have join AES some of those other (01:08:59) common symptoms that we see with (01:09:01) autoimmunity Hashimoto thyroiditis is (01:09:03) nine times more common in women than men (01:09:06) and it is the most common cause of what (01:09:10) we call (01:09:11) hypothyroidism that's the word I had (01:09:13) heard in the past but now I'm hearing (01:09:15) Hashimoto so is it the same thing it's (01:09:17) not the same thing it's about the cause (01:09:20) of (01:09:21) 95% of hypothyroidism so it doesn't (01:09:24) cause all of it it causes most of it and (01:09:27) how do you know if you have Hashimoto (01:09:29) what's the most common symptoms that (01:09:31) people experience the most common (01:09:33) symptoms are fatigue maybe weight gain (01:09:37) joint aches your cholesterol goes up you (01:09:40) might have dry skin dry hair hair loss (01:09:43) especially the outer third of your (01:09:45) eyebrows (01:09:47) eyelashes really now I'm sitting here (01:09:49) going do I have (01:09:51) Hashimoto wait a minute cuz I've been (01:09:53) buying the brow growing cereum room (01:09:56) because I'm losing my (01:09:58) eyebrows how do you confirm that you (01:10:01) have it do you just get a blood test (01:10:03) yeah we check your thyroid so we look at (01:10:05) thyroid stimulating hormone and we look (01:10:07) at the auto antibodies you know what I'm (01:10:09) doing over lunch yes please let's check (01:10:11) can we talk about pots what is it and (01:10:14) why is there a rise in it pots is (01:10:18) postural (01:10:20) orthostatic tacac cardia syndrome also a (01:10:23) mouthful that does that mean like I'm (01:10:25) slouching what does that mean it means (01:10:28) that you stand up uhhuh and your body (01:10:31) can't adjust to the change meaning you (01:10:33) get lightheaded you get lightheaded you (01:10:35) might faint really so the body is (01:10:40) designed to be able to adjust you know (01:10:43) for instance when you get out of bed in (01:10:44) the morning you go from lying down to (01:10:47) sitting or standing and you've got this (01:10:51) part of your nervous system the (01:10:53) autonomic nervous system which is mostly (01:10:54) automatic that is meant to adjust the (01:10:58) valves and the blood pressure and the (01:10:59) pulse so that you can stand up and not (01:11:02) fall over not faint yeah and that system (01:11:06) the autonomic nervous system can become (01:11:10) disregulated it can be an autoimmune (01:11:12) attack which is what we think much of (01:11:15) pots is it can also be something that we (01:11:19) see we saw it a lot during the pandemic (01:11:22) and post pandemic so we've seen a (01:11:24) dramatic increase as part of long covid (01:11:27) huh and is there a test that you can (01:11:30) take in order to determine if you have (01:11:32) pots the test is pretty simple so you go (01:11:35) to your doctor you get your pulse and (01:11:37) your blood pressure checked when you're (01:11:39) lying down you then sit up we take it (01:11:41) again and then you stand up and we take (01:11:44) it again and so there are criteria for (01:11:47) how much your PSE should change or not (01:11:48) change and how much your blood pressure (01:11:50) should change or not change and is it (01:11:52) something that once you know that you're (01:11:55) you have it that you can make it better (01:11:58) based on the same lifestyle changes that (01:12:00) you've been talking about with us today (01:12:02) there's a number of lifestyle changes (01:12:04) that really make a difference so we (01:12:06) think that uh you know making sure that (01:12:09) you get enough salt and electrolytes are (01:12:12) really key we also know that insulin (01:12:15) resistance can contribute to (01:12:18) pots uh we know that you know there's (01:12:22) medications that you can give but I (01:12:23) always prefer to do the lifestyle things (01:12:26) first if you could speak directly to the (01:12:29) person that is with us right (01:12:33) now if they were to just take one action (01:12:36) based on absolutely everything that you (01:12:39) have so generously shared with us today (01:12:42) what is the most important thing for (01:12:44) them to do deal with your (01:12:47) drama assess your (01:12:49) drama deal with it resolve it a lot of (01:12:54) people think they're stuck with their (01:12:55) trauma and I would say you're (01:12:59) not make the choice to resolve (01:13:02) it and how do you resolve it like if (01:13:06) you're someone who always thought oh (01:13:09) trauma is just something that happens to (01:13:11) people that are at (01:13:12) War and you're starting to embrace the (01:13:15) truth that I don't think anybody gets to (01:13:17) adulthood without experiencing some (01:13:20) level of (01:13:21) trauma that is stored in your body and (01:13:24) your nervous system (01:13:27) how do you begin to address it because (01:13:29) it does feel very overwhelming when you (01:13:33) Embrace that this may be something from (01:13:35) your past that is (01:13:37) actually impacting your day-to-day life (01:13:40) still (01:13:41) today it starts with creating safety in (01:13:44) your (01:13:45) body and this is especially important (01:13:48) for those of us who had adverse (01:13:49) childhood experiences before age (01:13:52) three so creating safety in your body (01:13:54) using the breath that we practice (01:13:57) together meditation yoga ways of being (01:14:01) in your body creating safety that's (01:14:05) where you start there's lots of (01:14:07) different ways that you can create (01:14:09) regulation in your body nervous system (01:14:12) regulation immune system regulation I (01:14:15) would say it starts with being fully (01:14:19) embodied that's a big word I don't even (01:14:22) know what the hell that means you know (01:14:23) what I mean like I know what it means (01:14:24) kind of but if I were to hear that I'd (01:14:26) be like but Dr Saul I don't know what (01:14:28) the hell that means if you are the kind (01:14:31) of person that has ever gone to a yoga (01:14:33) class or you've tried a guided (01:14:35) meditation on YouTube or you know iTunes (01:14:39) or Spotify and at the end of it you have (01:14:42) this (01:14:44) experience of feeling at (01:14:46) peace and you almost never feel that way (01:14:51) to me that's a sign that there are (01:14:53) stored experiences in your body that (01:14:55) that are driving how you live your life (01:14:58) as an adult and there's a different way (01:15:01) for you to be able to go through life (01:15:03) that that sort of moment of calmness in (01:15:05) your body and that safety the word that (01:15:09) you just used Dr Saul that that could be (01:15:11) the majority of how you feel that's (01:15:15) right and it's entirely within (01:15:19) reach and yet you won't be told that by (01:15:23) most doctors (01:15:27) what I was taught to do with people with (01:15:29) trauma when I went through my medical (01:15:31) training here in Boston was (01:15:34) that you do talk (01:15:38) therapy with or without a selective (01:15:40) serotonin reuptake inhibitor and there (01:15:43) are three medications that are approved (01:15:45) for post-traumatic stress (01:15:47) disorder the effectiveness of that (01:15:50) approach which is the gold standard (01:15:52) right now is about 30% (01:15:56) because you can't think your way out of (01:15:59) trauma you had a beautiful quote about (01:16:00) this yeah I don't remember whose quote (01:16:02) this is that if you didn't talk yourself (01:16:04) into it how are you going to talk (01:16:05) yourself out of it and for me personally (01:16:08) talking about adverse childhood (01:16:10) experiences or traumatic experiences or (01:16:12) just periods of my life where I was so (01:16:14) out of control in a walking red flag (01:16:17) that I have a lot of Shame and regret (01:16:19) about who I was cuz I didn't know any (01:16:21) better and I didn't know that trauma and (01:16:24) adverse childhood experiences were (01:16:26) driving behaviors I couldn't get control (01:16:29) of but talking about it helps (01:16:33) legitimize what you're feeling and (01:16:35) validate what you're feeling and it (01:16:37) helps you kind of architect the story of (01:16:39) what happened but it didn't do anything (01:16:42) to settle the programming from the neck (01:16:45) down I had to take physical approaches (01:16:49) of cold plunging meditation yoga being (01:16:52) outside in nature more uh (01:16:56) guided therapeutic psychedelic (01:16:58) modalities that were all done with the (01:17:02) intention of trying to settle my body to (01:17:05) that point where I would go to a yoga (01:17:07) class 20 years ago I'd spend 90 minutes (01:17:12) on the mat if I could find 90 minutes (01:17:14) the entire time I'd be in my brain (01:17:16) thinking about the grocery list or how (01:17:18) much better somebody else was at yoga or (01:17:20) how it was or how I hated the song or (01:17:22) blah blah (01:17:24) blah and it wasn't until it was over and (01:17:26) I laid (01:17:28) down that my (01:17:31) body just felt safe yes and I am here to (01:17:37) tell you that if you take if you first (01:17:40) recognize that your childhood is (01:17:42) impacting you in ways (01:17:44) today that you may not realize but you (01:17:49) actually accept that is true and then (01:17:51) you realize that talking about it is (01:17:54) going to help you validate what happened (01:17:56) and some of the patterns that you can't (01:17:58) get control of but really your body is (01:18:01) designed to heal your body does want to (01:18:03) be at rest and if you truly take that on (01:18:08) and you follow the recommendations that (01:18:10) doct Sal just gave you and you (01:18:13) also even just following the (01:18:16) breath and doing the 5.5 breath whenever (01:18:20) you feel yourself go up in your head or (01:18:22) get triggered that right there is you (01:18:26) activating the healing response and it's (01:18:28) possible it truly (01:18:31) is what I love so much is that the (01:18:33) body's designed to do this yes that's (01:18:36) and we keep getting in the (01:18:37) way well after today we're not going to (01:18:40) because you've taught us Dr Saul how to (01:18:42) get out of the way and how to validate (01:18:44) what we're feeling and to grab the wheel (01:18:47) and to turn our relationship to our own (01:18:50) health in an entirely new and empowering (01:18:53) Direction what are your parting words Dr (01:18:57) Saul I know we talk today about things (01:18:59) that are scary and (01:19:02) threatening and for some people (01:19:06) shameful what I want you to remember is (01:19:10) that it is so much (01:19:12) easier to live in a state of Regulation (01:19:16) to live in that place of safety inside (01:19:20) of your body and it sends these cues (01:19:23) everywhere in your body it sends the (01:19:25) cues to your immune system to this sweet (01:19:29) private security force that you have (01:19:31) working on your behalf it sends the cues (01:19:34) to your nervous system it sends the cues (01:19:37) to your hormones and how they're (01:19:39) produced in your (01:19:41) body it's so much easier to get into a (01:19:45) state of Regulation than it is to live (01:19:47) with the misery of being (01:19:50) disregulated Dr Saul I know I speak not (01:19:54) only for myself but for the person who (01:19:57) found the time and took the time to be (01:20:00) with you and me and learn from you and (01:20:04) what's so exciting about everything that (01:20:05) you shared is that you know I think when (01:20:08) you're really struggling with your (01:20:09) health and you feel dismissed by your (01:20:13) doctors or your family that you feel (01:20:16) disempowered and everything that you (01:20:19) talked about today puts the power back (01:20:22) in our hands and our bodies and being (01:20:24) REM Ed that your body is this magical (01:20:30) amazing thing that is designed to heal (01:20:34) and you just taught us how to activate (01:20:36) that within ourselves so thank you thank (01:20:38) you thank you for taking time out of (01:20:40) your extraordinarily busy practice to (01:20:43) get on a plane and fly here and spend (01:20:45) this time and be so generous with us I (01:20:48) just loved being with you and cannot (01:20:51) thank you enough I cannot wait to see (01:20:54) how many people's lives change because (01:20:56) this is life altering what you just (01:20:58) shared thank you so much Mel I mean I (01:21:01) love the service that you provide in the (01:21:04) world you're such a deep (01:21:06) listener and a critical messenger in (01:21:10) this time in our lives thank you thank (01:21:13) you and I also want to take a moment and (01:21:15) thank you thank you for finding the time (01:21:19) and making the time to listen to (01:21:21) something that could truly change your (01:21:23) life it could improve your Health thank (01:21:26) you for sharing this with the people (01:21:28) that you care about there's no doubt in (01:21:30) my mind that if you take everything to (01:21:32) heart that drct Saul just shared with us (01:21:34) all the research all the recommendations (01:21:36) all the wisdom your life and the health (01:21:39) of people that you care about it will (01:21:42) get better and I think it's really cool (01:21:45) that you're taking the time to learn (01:21:47) this stuff and to invest in your health (01:21:50) and in your life that's absolutely why (01:21:52) I'm here and I just love that you're (01:21:55) doing that too and in case no one else (01:21:57) tells you I wanted to be sure to tell (01:21:58) you that I love you I believe in you I (01:22:01) believe in your ability to change your (01:22:03) life and there's no doubt that by taking (01:22:05) the time that you took today you will (01:22:08) all righty I'll see you in a few days (01:22:10) and I'll be waiting for you in the very (01:22:12) next episode to welcome you in the (01:22:14) moment you hit play I'll see you there (01:22:16) and thank you for being here with me on (01:22:19) YouTube and watching all the way to the (01:22:21) end and thank you for sharing this with (01:22:24) anybody in your life that's struggling (01:22:26) with their health that you know could (01:22:28) really use the wisdom and all of the (01:22:31) advice that Dr Saul just shared with us (01:22:34) and one more thing because you're the (01:22:35) kind of person that is always supporting (01:22:38) people that support you please hit (01:22:40) subscribe it's my goal that 50% of the (01:22:42) people that watch this channel are (01:22:44) subscribers it's free it costs you (01:22:46) nothing and it's really important to me (01:22:48) and here's why it tells me that you (01:22:50) really love the videos that we post here (01:22:52) every single day it tells me that you (01:22:54) love the world-renowned experts that we (01:22:56) bring to our studios here in Boston and (01:22:58) it tells me that you love these free (01:23:00) resources that you can share with the (01:23:02) people that you care about so thank you (01:23:04) thank you thank you for hitting (01:23:06) subscribe and I know you're thinking Mel (01:23:08) shut up tell me what I should watch next (01:23:10) you got it check out this video you're (01:23:12) going to love this it's the perfect (01:23:14) thing to watch now and I'm going to be (01:23:15) waiting for you in it the moment you hit (01:23:17) play I'll see you there