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Hey, I’m Dr. Kyrin and I totally get it! I’ve been where you are, suffering with the symptoms of Midlife Metabolic Mayhem, worrying about disease and early demise, not realizing I was in hormonal poverty or what to do about it. Surviving life at midlife with no gas and no joy, overweight, tired, sexless and confused about what to do to fix it and finding NO answers in my mainstream medical profession as a Board Certified OBGYN. Everything changed when I discovered ALL the root causes of the hormonal poverty that we women experience at midlife as the cause of the 60+ symptoms of Midlife Metabolic Mayhem, disease and early demise and followed the reqrding path back to hormonal prosperity and successful weight loss, energy, libido, hair and so much more! I share these truths with you here so that you too can get off the couch, into your jeans and back into your joy filled life!
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Tuesday Oct 11, 2022
Could Leptin Resistance Be Your Key To Unlocking Midlife Weight Loss?
Tuesday Oct 11, 2022
Tuesday Oct 11, 2022
Do you find yourself struggling to lose weight, despite diet and exercise?
It might be time to look into leptin resistance.
On this episode of The Hormone Prescription, Dr. Bindiya Gandhi joins us to discuss this little-known hormone and how it could be the key to unlocking midlife weight loss. Dr. Gandhi shares her expert insights on leptin resistance, how it develops, and what you can do to overcome it. If you're looking for answers to your weight loss struggles, this is the episode for you!
Dr. Bindiya Gandhi is double board certified physician in Family Medicine and Integrative and Holistic Medicine. She is Atlanta’s Weight Loss doctor and by helping you uncover and tame leptin resistance can turn even the most unsuccessful dieter into a success. She is a media expert and has been featured in The Daily Mail, MindbodyGreen, PopSugar, Clean Plated, Well + Good and more.
She completed her family medicine training from Georgia Regents University/Medical College of Georgia June 2014. She completed her undergraduate training at the University of Georgia with Bachelors of Science in Biology and Psychology in 2004 and her Doctor of Medicine at American University of Antigua College of Medicine in 2010. She completed an Integrative medicine fellowship at the University of Arizona with Dr. Andrew Weil in 2016. She also completed Functional Medicine Training with the Institute of Functional Medicine in 2017.
Her interests include integrative, holistic and functional medicine, women's health, preventative medicine, international medicine and health care reform. Shes also a certified yoga instructor and reiki master. She used to practice emergency medicine as well. Dr. Bindiya is a media expert and contributor to numerous sites including The Daily Mail, MindbodyGreen, PopSugar, Clean Plated, Well + Good and more! When she's not working or writing you can find her in the kitchen cooking, doing yoga or enjoying time with her family & 3 girls
In this episode, you'll learn:
-What leptin resistance is and how it affects weight loss
-How to tell if you're leptin resistant
-Tips for overcoming leptin resistance
-And more!
So tune in and learn how you can finally start losing weight, even if you've been struggling for years.
(00:00): Dr. Bindiya says, If you never try, you will never know and don't underestimate your worth. What does this mean when it comes to your health at midlife? Stay tuned and find out.
(00:14):So the big question is, how do women over 40 like us keep weight off, have great energy, balance our hormones in our moods, feel sexy and confident, and master midlife? If you're like most of us, you are not getting the answers you need and remain confused and pretty hopeless to ever feel like yourself Again. As an ob gyn, I had to discover for myself the truth about what creates our rock solid metabolism, lasting weight loss, and supercharged energy after 40, in order to lose a hundred pounds and fix my fatigue. Now I'm on a mission. This podcast is designed to share the natural tools you need for impactful results and to give you clarity on the answers to your midlife metabolism challenges. Join me for tangible, natural strategies to crush the hormone imbalances you are facing and help you get unstuck from the sidelines of life. My name is Dr. Kyrin Dunston. Welcome to The Hormone Prescription Podcast.
(01:07): Hi everybody. Welcome back to another episode of the Hormone Prescription with Dr. Kyrin. Thank you so much for joining me today, we're gonna have fun talking about an aspect of weight loss resistance that you might not have heard of and that has to do with leptin. Don't worry if you don't know what it is. We're gonna dive into it, me and Dr. Binda and let you know so you'll have a full understanding and you'll get some ideas and knowledge and support and inspiration. And after all, that's what we're here for. So she will give you a big dose of that. I'll tell you a little bit about her and we will get started. You're gonna love her because she's not only knowledgeable, she is board certified in family medicine as well as integrative and holistic medicine. She studied with Andrew while who is amazing if you know anything about him.
(02:01): And she completed functional medicine training with the Institute of Functional Medicine in 2017. She's also a media expert and she's been featured in the Daily Mail, Mind Body, green Pop, Sugar, Clean Plated, Well and good and many others. Mostly she's Atlanta's a weight loss doctor, but she works with people remotely all over the country and by she can help you uncover and team and resistance and she can turn even the most unsuccessful dietary into a successful one. And she's here to tell you how and how the missing ingredient is leptin. Welcome, Dr. Binda Gandhi, thank you so much for having me today. Super excited to talk to you about leptin resistance. It's something that we really haven't talked, I don't think at all about on the podcast, and it's super important for women at midlife who are trying to lose weight. So I'm excited to dive into this topic. You know, for me, everything's about hormones and this is one that I have neglected to discuss. So I know a lot of people who are regular listeners are like, Yay, Dr. Karen, finally time, you're talking about leptin resistance. So let's get into it. But I wanna start by having you share with everyone how you honed in on leptin as being the biggest block for women at midlife to lose weight.
(03:21): Oh, you know, such a great question. You know, first of all, leptin is a hormone that is fairly a newer hormone, right? Not many people talk about it. You know, you can go to your endocrinologist and they're not even gonna wanna test this hormone. So just a little background about leptin, you know, it's a hormone that is actually produced by your fat cells and it's important because it communicates with your brain. It's basically our satiety hormone. And this hormone basically tells us if we're full or not. And this hormone is actually impacted by so many other hormones that you probably talk about already, like your thyroid, your estrogen, your progesterone, your insulin. So it's very important to kind of understand what's going on with this homo hormone individually, but how it's also being impacted by the other hormones. So this is why I love talking about it, and I really got into this because when I first started helping patients, a lot of people would come to me because they were struggling to get pregnant and they were having fertility issues. And I started noticing a link between leptin and fertility and then started doing some research and realized, hold up. There's more to the leptin story than just how it impacts fertility. It's also impacting not just our weight, it's impacting so many different aspects of our bodies. And this is why I'm so glad we're talking about this today cuz it's such an important hormone and people need to know about it.
(04:46): It is, and thank you for backing up because some people are like, Le left, what? We've never heard of it. And so we really should start with what is leptin? So thank you for explaining that. It's your satiety hormone and how does it interact with other hormones. So I talk all the time, we talk on the podcast, the Hormone Prescription podcast about what I call the six main metabolic driving hormones, which include your three sex hormones, estrogen, progesterone, testosterone, your thyroid, your cortisol, your insulin, your D H E A. And then there's leftin. And we probably should touch on Grillin too. Yes. Because some people we do touch on melatonin sometimes, but not as being one of the key drivers. But lein is the satiety hormone. Thank you for explaining that. And where does it come from in the body where, how does your body make it? How is it used? How does it work?
(05:41): Mm-Hmm.
(06:35): Grin actually ends up being low and leptin is high. So they work, you know, kind of against each other. Not in a bad way, but like with each other, but like their opposites. So it's really important because Gorlin is actually produced by the stomach of the GI tract, and leptin is produced in the hypothalamus, which is part of the brain. So that's just kind of a little bit about the two hormones and how they work. But it's essential to kind of understand background of it because then you can understand how it works with the other hormones. Kind of like the ones you mentioned, thyroid stress hormones, your cortisol hormones, insulin. So it really does impact so many other things. Leptin is actually metabolized in the liver, right? That's, we know this is where our sex hormones are, are metabolized, right? This is where insulin is metabolized. So this is where our t3, three T3 is metabolized, right? So it's really kind of important how it works with the other hormones and where
(07:34): Great point. So let's dive into that. I know there's some people who are thinking, well, let me see. She said when you're full, your, your leptin goes up. So can I just take some leptin and feel like I'm full all the time? But I gotta ask you that first, cuz I know I'm calling it out. I know my people and I know some people are thinking that right now. So if you can address that, and then let's dive into after that, what are all the things that leap an impact?
(08:01): Yeah, so let's talk, I mean, there are some tips and tricks we can do to kind of keep your body feeling full, right? Like we can definitely talk about, which I'm sure people have mentioned before, have heard before, like for example, drinking water before you eat your dinner or your lunch kind of like starts keeping you full and feeling a little bit more satiated. Eating a lot more fiber, keeps you a lot more satiated, right? So your body feels full there. So there's things that will do that. There is no medication on the market that will keep you full. There are medications on the market that decrease your appetite and there are medications on the market that can improve your leptin and we can talk about that a little bit later. However, there is no prescription FDA anything approved on the market that will directly impact your leptin to make you full earlier, if that makes sense.
(08:50):
(09:07): Yeah, so we'll start off with thyroid, cuz I feel like so many women at all ages of life have a thyroid issue, right? Whether it's Hashimotos, just hypothyroidism, hyperthyroidism, whether it's overactive, underactive, unfortunately it is, it is a common problem. So when I look at the thyroid and when I'm, what I'm specifically looking at is I'm actually looking at t3, reverse t3, free t3, total t3, because that gives me a different picture. All right? So I'm gonna get a little technical. So guys, bear with me. Okay? When we talk about our thyroid metabolism, and I'm talking about, I'm looking at your t3 s your T3 free T3 s are impacted by many things. One is stress, okay? Chronic stress, like the pandemic or whatever chronic life changes are happening, right? So chronic stress. And the other thing that is impacting your T3 metabolism is a lot of times if we've been on restrictive diets, okay?
(10:09): So the link between leptin and our T3 metabolism happens When we've been on these restrictive diets for long term, most people, Dr. Karen, have been dieting, especially females have been dieting since their teens, whether they realize it or not. And unfortunately, our culture is all about yo-yo dieting, right? Many of us have tried, including myself, we've all been guilty of different diets to see what works for us, right? So we've been, we've tried slim fast, we've tried the special K diet, and I'm speaking for myself. I've, I'm pretty sure we've tried everything in the book. Right now it's keto, paleo, this, that, like, I don't even know the names of what's been out there, Low fat phase, whatever, right? So because about yoyo dieting, that has messed up our thyroid metabolism. And that's also one of the reasons why we have become leptin resistant, okay?
(11:01): Because of the dysregulation in our metabolism and the dysregulation of our body. So when our body thinks we are starving, when our body thinks that when we have cut calories, essentially, you know, we're trying to do that because the old adage was you have to, you have to starve yourself and you have to over exercise, and that's the only way you're going to lose weight. Well, now we know that's inaccurate, right? Because when we were doing all of those diets and those things, what we were essentially doing is messing up our communication with our brain and our bodies and our, and our fat cells. And this is why we would lose weight initially in the first week. And then we would hit a weight loss stall because the leptin communication started getting dysregulated and disrupting. And that's why we, we couldn't lose weight anymore. That's why diets work short term and then we're like starving and we're like, Oh my God, I need to eat everything in the book. Right? That's a little bit of what's happening right now, The what's happening. Okay,
(12:00): Got
(12:00): It. Because of all the long term havoc on our metabolism, and because we've been kind of, and this diet craze for many, many years, our thyroid metabolism has also changed. And this is why thyroid impacts lectin.
(12:14): Okay? Yeah. Very close relationship there. And I'm wondering, you mentioned leptin resistance. Can you tell everybody what that is? And then the next question they're gonna wanna know is, how do I know if I have that? So let's talk about what is leptin resistance?
(12:28): Yeah, love, love, love this question. So leptin resistance is basically when there's that miscommunication happening between your fat cells and your brain, this is probably the reason why your body is not getting the memo or your brain is not getting the memo that you're full. So maybe you're overeating, right? Or maybe eating a larger portions, like you just can't control your appetite kind of thing, right? The other thing that's happening is when you're eating, you don't feel full and an hour later you're wanting to eat again. You're like, Oh, I'm hungry. I need to, I need something else to eat. Or you're constantly snacking. There's definitely some telltale signs, and this is why, guys, I have you take my free, you know, 11 question quiz. It's at dr binda md.com/quiz. You just answer these questions and it'll kind of, it'll kind of help you identify, are you potentially left in resistance?
(13:19): Are you left in sensitive or left and clear, right? Because it's kind of important to understand, do you have some of these symptoms? Majority of us probably have some of these symptoms. We're craving the sugars and the carbs all the time. We have high triglycerides, we have maybe elevated blood pressure or whatever it is. And some of that stuff is all correlated and connected to leptin resistance. So go ahead, take the quiz, let me know. But that's the first thing. The other thing I would say is working closely with ideally a functional medicine provider, like I mentioned, your primary care doctor unfortunately, is not going to know what to do with this information or even be able to help you with this. A functional medicine practitioner is probably able to kind of guide you and say, Yes, I'm happy to check this number and I'm, I know how I can help you with this.
(14:01): Even an endocrinologist, like I mentioned earlier, who manages hormones, they don't, number one, check this lectin level. And number two, if they check it, they're not gonna really help you or give you the right protocol either. And I, I wish they would, but again, this just, this is a newer hormone and, and not much known is known about it. So if like when I, with my patients, I automatically do a blood test and I'm testing their leptin number. If your leptin blood level is above 11, then I can definitively say, You know what? Your definitely in resistance. If it's below three, you're lept in, you're on the other end of the spectrum. So, and if you're between the perfect number is actually between seven and 10. That's ideally where we'd like every patient to be. Now not everybody's going to reach those perfect numbers, and that's okay. It's, it's everybody's fine. But what I like to do is track this number. So a lot of patients will come to me and they've got leptin numbers in their fifties. I've got patients that have leptin numbers in their hundreds. So our job is to kind of bring that number down to as close as possible to 11. And that's how we do things.
(15:09): Okay? So blood test for leptin, and thank you for giving some idea about ranges so people can know. And then definitely check out the quiz. We'll have the link in the show notes. So if you're driving, please don't try to write that down. Just wait till you get parked and you can click the link in the show notes. All right. So I do wanna touch back on other things that leptin interacts bit and interacts with. But while we're on the topic, say somebody does have a lectin of 50 and they come to you, what is your general approach to start improving their lectin sensitivity?
(15:47): As you know, as a functional medicine practitioner, my job is to kind of understand and to get to the root cause, right? So we can start identifying what is going on. I can, I can look at it and say, Yep, leftin is off, but the next question is, what else is off? You know, I'm also looking at all the other hormones and I'm trying to see how they're interacting with wettin. I'm also analyzing what their hemoglobin a1c, their fasting insulin is to kind of see do they have some insulin resistance as well? Do they have some inflammation? Because once I can identify some of these things, then I can hone in on a specific protocol to bring this number significantly down. So it is a very, it is a very holistic 360, you know, lifestyle, diet supplement approach. I mean, it's, it's, it's very comprehensive to, to what we're doing, right?
(16:35): Sometimes we're, I, I would definitely wanna bring this up and, and sorry if I'm going all over the place, but sometimes people think that, you know, they need to be intermittent fasting and they, they think they need to be starving themselves and that actually can make their left and number worse, right? I often, I often see this when people are like, Oh, I decided to intermittent fast and then I see their leftin number go from like 20 to 26. So there's different things that, that start happening, but we definitely want to pay attention to their other hormones and then putting them on a program and protocol that's specific to them. And so sometimes that means, I'm telling you, you're actually going to eat more food. And people are like, What? What will you have to do? What? And I'm like, Yeah, you know, all this time that you've been intermittent fasting, it's actually slowed down your metabolism and has been one of the reasons why there's a miscommunication with your body because your body thinks you're starving. So it's holding onto extra weight and calories that you give it, right? So we, we start kind of like refeeding a little bit.
(17:31): Yes, I love that we have to eat more, not less to lose weight and to boost our metabolism. And I love that you mentioned intermittent fasting and leptin, because intermittent fasting is all the rage right now. And I see so many women who are intermittent fasting and initially they, they do lose weight, but then they hit a plateau, like you described, like with most diet and
(18:35): Oh yeah. Okay. I'm so glad you brought this out because it really is something that I, I think we need to again, educate a little bit more about. So again, like you said, there are some people that do really, really well with intermittent fasting, different phases of your life. You know, intermittent fasting unfortunately can impact your hormones. So in a good way, in a bad way, right? And yes, there's so many great benefits of it, but for example, if you're cycling, if you're a woman who's currently cycling and you are trying to have a baby or that kind of thing, intermittent fasting can actually be one of the reasons why you are having trouble getting pregnant, right? The reason is, when it comes to intermittent fasting, there's different, first of all, there's different types of intermittent fasting, right? There's the fasting mimicking diet and there's all these different protocols, right?
(19:21): 24 hour fast, 36 hour fast. Like, and these things can be very extreme for the body. When we're intermittent fasting. Short term, you'll definitely see results. But when it starts being long term and now you're doing 16, eight fast every single day and you are not taking breaks, you're, you don't have the metabolic flexibility that's going on, what ends up happening is your body thinks you're starving, right? When your body thinks you're starving is not sure when it's gonna get fed again, it's like, whoa, what's happening? When am I gonna get food again? Oh, not until tomorrow at 2:00 PM okay, I'm going to hold onto every single calorie. I'm gonna hold onto everything. So the thing that the tool that was working for you before, the hammer that was now helping you, you know, put that nail in place is not, what ends up happening is the body starts holding onto the fat and holding onto every calorie.
(20:11): So now you become even sensitive to every time you eat and you feel like, Oh, I feel like I'm gaining weight or I feel like I'm doing the same thing, but I I weigh the same, Like I should be lose continuing to lose weight. No, cuz you're, you're, you've essentially just changed your metabolism and I've actually slowed it down. And that's what that, that's essentially what's happening here. The other thing that that really helps with that's happening with intermittent fasting is you're causing yourself to have not only a slow down metabolism, you're causing yourself to have other hormonal imbalances and your body's just getting confused, right? Your T3 and your free T3 start getting affected and your thyroid starts kind of slowing down. So, so many different things are happening at the same time and not always a good thing.
(20:56): Yeah. And it affects your cortisol stress hormone. Most people don't realize that,
(21:00): Oh yeah, I forgot about that. Yes. Oh my goodness. Yeah. And this is why I always say, you know, it is a hormetic stressor, but more importantly to Dr. Karen is when you're in a stressful situation, like if you are taking care of elderly parents or you're taking care of young kids, or you just started a new business, or you just got fired from your job, whatever it is, whatever life stresses you're going through divorce, that's not the right time to start intermittent fasting because your body's already in a stressed state. Now, add on intermittent fasting, you're asking for cortisol and adrenal disruption.
(21:33): All right? So we had to get that out of the way. And what other interactions do you think it's important for people to know about when it comes to leptin in their body? What other organ systems, hormones does it interact with?
(21:49): So we kind of touched upon it already. Mm-Hmm.
(22:36): You know, we can't live in a bubble. I wish we could all somehow be Buddhist monks and just be like zend out all the time. It just doesn't happen with our lifestyles, right? Especially as females, because we take care of so many people and often we forget to take care of ourselves, right? And all that stress really impacts all our, our hormones, our adrenals, our cortisols, everything. And so understanding some of these basic things and having the right tools in place can really start not only helping those numbers and those levels get better, but in comprehension it, it'll also start decreasing your leptin resistance as well.
(23:14): Yes. This is so important. You mentioned self care in there. So I have to say I'm at a yoga retreat in Massachusetts this month and working and attending the retreat and there's so much support for your self care here and just classes and education and experiential experiences and you know, I think that I know about self-care and then I come to a place like this and they take it to a whole other level. And it really is just highlighting for me, India, how much we lack self care, even in my daily life where I think I'm doing a good job and I come to a place like this. And I notice that in some of the yoga classes that are restorative or again, slower gentle yoga classes, I'm so impatient. My brain is constantly going, Oh my gosh, they're going so slow, I'm going to lose my mind.
(24:39): No, you're absolutely right. And a lot of it is you nailed it is, you know, we have dual checklists and we're like, Oh, the doctor told me to do self-care, so I'm going to get a massage and oh, I check that off. That doesn't count guys.
(24:58): Right? And so I think foundationally every episode of the podcast, I'm just gonna be harping on everyone or just giving an invitation to really explore what is self care? What is adequate self care for you? So I want to invite everybody listening to really start leaning into that question. And you will get answers when you lean into the questions. Dr. Binda shared a few quotes that she loved with me before we started the episode, and I wanna weave some of them through this episode because they're wonderful. The first is don't underestimate your worth, which you are worthy of having the best that love and life have to offer. And that starts with your self care. And another quote is, if you never try, you will never know. And so I wanna ask everybody to close your eyes if you're not driving or operating heavy machinery, and just take a few deep breaths in and out and ask yourself about something that you've considered or are considering embarking on and you're nervous about, Should I, shouldn't I?
(26:12): Or you hear me talking about leaning into this question about self care and you're thinking, Oh Karen, I don't have time for that, But you're worth it, number one. And if you tried to lean into this question, what benefits could you reap? I mean, I've really regained a connection with myself that I, I hadn't even realized I was missing by being at this retreat. So I don't wanna proselytize too much. I just wanna give an invitation. What if you, you tried and you found out that something could be the real needle mover. What if you hear Dr. Bindi talking about lectin resistance and you're like, Oh, I think I'll reach out and take her quiz and get tested and find out if that's my problem. And I'm wondering if you could share Bindi, because you just have a newborn who's 16 weeks old, you already have two other children, you have a full time medical practice. What are key components of your self care practices that really help you stay healthy?
(27:14): You know what, I started this routine actually when I was in medical school and I, you know, I tried to be as consistent as I can with it. Obviously sometimes having kids, you can't do all the things you used to be able to do. But every morning, Dr. Karen, I start off by meditating. And so at this point I've been doing it for almost, I don't know, 15, almost close to 20 years. And it is what gets me going in the morning. It's how I start my day and it is very, very important for me. So I started off doing five minutes a day and I started off like with not really knowing what I was doing. And I would listen to YouTube videos at the time. And now I, I've progressed, I personally like guided meditations cuz it helps me keep focused sometimes, kind of like you, I I have the monkey mind and so if I try to meditate by myself, my brain will kind of get into, Oh, these are the things you need to do today.
(28:09): You know what I mean? And if I have some sort of audio in the background, it helps me stay focused. So that is one thing that I think is, that's my thing. That's what I do. That's what that, when I do that in the morning, I am grounded and I feel like I can handle it. And especially since I have two toddlers, my mornings can quickly go in any, any direction. So I need to be able to keep my cool and stay grounded. And I will tell you the days I do not meditate, like because I wake up late or because because my baby, you know, I, I don't get enough sleep and I'm like rushing or whatever. My temper is definitely shortened the days I don't meditate.
(28:48): Yes, I notice when I don't meditate, my day is more challenging, I will say. Yeah. Yep. And I invite anybody who hasn't tried it, who's just been suspect. There's so much research backing how meditation improves your health. You're including your hormones starting with your yes. So I encourage it. And I'm wondering before we wrap up, if you could share a story of a patient who might come to mind. I know of all the thousands of patients I've treated over the years, there's some that really stand out as being the poster children for certain hormonal imbalances. And I'm wondering if you have someone who really had been struggling, maybe searching for answers and she came to you and wow, it all ended up being about lectin that you could share with everyone.
(29:36): I treat both males and females in our practice and one patient really sticks out to me. She actually was 64 female, 64 years old and was actually diabetic at the time. Came to see me, it was I think last November, October, November, and just struggling. She had been to the con through the conventional route, struggling with her weight, struggling with everything. She was kind of frustrated by the system, had tried diets on herself in the past, nothing worked. Or if it worked kind of like many, many people, they wouldn't stick. She'd lose 15 pounds, then only gained 20 pounds back, right? So it was that yoyo effect. So I started working with her about November of last year and I put her on a very extensive protocol, you know, adjusting her diet and things started moving in the right direction. We started decreasing inflammation. We started seeing, now she's no longer on, she was actually on Metformin and Genuvia at the time, which her diabetic medications now she's not even on any diabetic medications at all.
(30:39): So her A1C went from a 6.8 to now 5.7. So she's still kind of in that pre-diabetic phase, but she's not requiring medication, which is much like, that's an improvement. So, you know, we definitely adjusted a lot of things with her. Her biggest thing that I wanna kinda shed light upon that really made a big difference. Dr. Karen was actually helping her with stress management. So she was 64 years old and was having issues with about being about to retire, having a little stress without with that. And then her daughter ended up having a baby. So she was kind of like feeling a little overwhelmed because she was helping her daughter with the newborn. So there's all these different stressors in her life going on at the same time. But once we were able to hone in and kind of help her with her mindset and help her kind of find the right type of lifestyle modifications and diet that was perfect for her. The weight started coming off, inflammation started decreasing. Insulin resistance obviously has improved significantly and she's feeling much better. The other thing I will add that we did do for her, which I think really helps balance her a lot too, is we did start her on some hormone replacement therapy. And again, that was something that she was kind of afraid to do before and that also kind of helped stabilize her.
(31:59): Awesome. Well it sounds like she embraced this other quote that you shared with me today can always be the first step to something great by reaching out to you and doing something different and really digging deep to find the root causes. So I'm super glad she did because everybody listening may or may not know how severe a hemoglobin A1C of 6.8 is. I mean, that's pretty drastic. And getting it down to 5.7 doesn't happen in most diabetics. They just are put on medications and told, you're gonna be on this forever and you're gonna be at risk for kidney failure, liver failure, heart attack, dementia. Exactly. Amputation, all these things. And I had a professor when I went through my fellowship who used to say that, that that was basically the mainstream prescription. You know, congratulations, you have diabetes, you get a team jersey, you'll have it forever.
(32:52): You'll be on these medications and here's what you'll have to look forward to. And that's not the case. Mm-Hmm.
(33:27): You know, one thing I will say is, guys, an anybody listening today, one thing that I really wanna encourage is many of you have probably listening and you're like, You know what, I'm gonna try doing this on my own. I think I have this, I'm gonna do this on my own. And I promise work closely with a good integrative and functional medicine provider, doctor, because I promise when you work with someone who is able to learn about you and can personalize it, you're gonna get the best result. And so stop trying to do things on your own.
(33:57): I mean, you know, I love that you said that. It's so true cuz people will hear this and be like, searching on the internet, Where can I get a leptin blood test checked? And I mean, people, I see people do this all the time and then they get the information and then now what? Now what? I never get the results that they could have. Yeah. And you know, I, I have this one coach and he always tells me he's a business coach. He says, Kirin, do you know the difference between wealthy people and not wealthy people? And I say, No, what? And he says, Wealthy people understand that time is their most valuable asset, not money. And so they are willing to invest to gain more time and get the fast route. Yeah. And get the best help. And not wealthy people think they can do everything themselves, but yes, who has that time kind of time, right?
(34:45): Yeah. So important guys, if you're listening today and you're suspecting that you have a leptin issue, by all means reach out to me, you know, have a virtual practice. I'm happy to help out. But even if it's not me, you know, just work with someone because essentially you cannot do these things on your own. A lot of you guys have tried for so long and there's a reason why you've unfortunately failed. So just trust and find the right practitioner, and I promise you will get the best results of your life.
(35:12): Those are very wise words. Thank you so much for joining me today, Dr. Bindiya.
(35:18): Thank you so much, Dr. Karen. This was a pleasure and
(35:21): Thank you all for joining me for another episode of The Hormone Prescription with Dr. Kyrin. Hopefully you have learned something today that you can put into action to improve your health. I want this to be informative, hopefully a little bit entertaining. But if you don't take action, nothing changes. And today really can always be the first step to something great like Dr. Bindi said. So what steps will you take? Please reach out to me on social media, on Facebook and Instagram and let me know and let me know about the results that you are getting. Thanks so much for joining me. I will see you next week for our next episode of the Hormone Prescription. Until then, peace, love, and hormones y'all.
(36:05): Thank you so much for listening. I know that incredible vitality occurs for women over 40 when we learn to speak hormone and balance these vital regulators to create the health and the life that we deserve. If you're enjoying this podcast, I'd love it if you give me a review and subscribe. It really does help this podcast out so much. You can visit the hormone prescription.com where we have some free gifts for you, and you can sign up to have a hormone evaluation with me on the podcast to gain clarity into your personal situation. Until next time, remember, take small steps each day to balance your hormones and watch the wonderful changes in your health that begin to unfold for you. Talk to you soon.
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