Explore Premuim Health

"...today we're going to talk about pots and why it is becoming more common prevalent rights becoming more prevalent so we are seeing more pots aren't we're seeing more pots and I had noticed that we were seeing more pots we were giving more pots diagnosis pots postural orthostatic tachycardia syndrome we get a zillion people okay exaggeration we so many people that come in here with heart palpitations and I bend over and I get lightheaded and by the time people most people get here with those symptoms they've usually been evaluated for like trans ischemic attacks and and and pretty much give it a clean bill of and we see it a lot ..."

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"All right so say keycap is a mnemonic to remember the DSM-5 criteria for depression or depressive disorder remember the patient needs to have five of the following symptoms within the same two-week period and these must include either a depressed mood or a loss of interest or pleasure is anhedonia the possible features RS4 sleep disturbances I for interest diminished also known as anhedonia G4 guilt and or for energy decreased so fatigue C stands for concentration problems and stands for appetite or weight changes which includes significant weight loss without dieting or weight gain P is for psychomotor agitation or retardation Foundation which is the slowing down of thoughts and movement and that's not just a subjective slowing down but it also something that's noticed by other people finally Suicidal Thoughts to reach a diagnosis of depression these symptoms must have a significant effect on everyday functioning and must not be the result of substance abuse or..."

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"...Bulls could be often overlooking details or making careless mistakes difficulty maintaining focus on tasks or during a conversation even when there's no obvious others are failing to follow instructions complete tasks organize tasks losing items and forgetfulness females tend to display more symptoms of inattention and distractibility then hyperactivity and impulsivity the hyperactive-impulsive features include trouble sitting still fidgeting talking constantly including others or even being unable to wait turns such as Inner Line as patients get older the symptoms become less evident poor handwriting and dyslexia have also been found to be more prevalent in patients with ADHD additionally emotional dysregulation..."

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"...obstructive sleep apnea is a breathing disorder characterized by recurrent episodes of Airway obstruction during sleep leading to periods with breathing stops known as apnea moving from wakefulness to sleep causes relaxation of muscle tone including the muscles of the upper Airway this allows the soft palate and the tongue to relax and to create an obstruction that reduces the patency of the respiratory tract rapid eye movement or REM sleep, in particular, is known to feature this reduction in muscle tone but it can happen throughout the Sleep Cycle there is snoring when some still enter but as the obstruction progresses the airflow can be severely reduced causing apnea the reduction in the ventilation of the lungs causes a reduction in blood oxygen levels and as a result there is an interruption in sleep known as neurological arousal with a partially awakens in order to restore muscle tone and therefore oxygenation but this isn't necessarily perceived by the person partial collapses with reduced oxygen or arousals a termed hypo apneas while apnea is defined as over a 90% airflow obstruction lasting 10 longer a cycle is there for generated alternating between periods of deeper sleep and higher wakefulness with a typical sleep cycle is which ultimately disrupts the quality of sleep and can cause sleep deprivation risk factors are thought to be obesity as it increases the amount of soft tissue around the airway..."

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"...we spent a long time looking at these at these varying aspects that you've all probably been exposed to at this point in time and managed to get a what we feel is a pretty good understanding of how to go about these autoimmune problems because it turns out to pretty much every walks in here with just about anything they walk in with Aniston autoimmune problem and and if you have something that comes and won't go away and it came out of nowhere and won't go away for example people get migraines and then they go away and they never get them again okay the people walk in here the people get migraines they come in here you never go away and it's the same way with certain pains and it's the same way with certain gut problem and it's the same way with many of the conditions dizziness vertigo Bells fibromyalgia chronic fatigue those types of things so whatever reasons they don't go away maybe the maybe the biggest reason we last week we argued for the chronic stress response may be the biggest reason is autoimmunity and we got to see a lot of autoimmunity through trial and error we got to see that in a lot of these people that we had already kind of established in our minds that they had autoimmune problems do very well after we address their gut and we spent a lot of time they're gay spend a lot of time researching the gut and and at some point we decided you know what we got to do the gut first and some point we decided we had to do got and stress response but at some point we decided we had to get got first we started seeing significant jumps in Improvement quicker as being one of the moving parts and pretty much all the Autumn Unity that we were that we were treating and so so that became a center of focus and you're in your world as far as the research that you were doing and so we're going to bring you some of that today so and I will often tell people I have a feeling that sometime in the near..."

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"depression is a mental state of low mood there are several subtypes of depression but the major depressive disorder is the one that is usually intended it is expected to be the number one cause of disease burden worldwide by 2030 the term major depressive disorder was first used in the 1970s and the disorder was added to the diagnostic and statistical Manual of mental disorders known as the DSM in the in 80s today we have the DSM-5 which lays out nine criteria on which the diagnosis is based they include a low mood most of the day on most days and anhedonia which means a loss of pleasure or interest in previously enjoyable activities these two are considered core symptoms and one of them must be present for a diagnosis of major depressive disorder the other criteria include significant weight loss or weight gain insomnia or hypersomnia meaning not sleeping enough or sleeping too much fatigue or a loss of energy nearly every day psychomotor retardation which means ass going down of thoughts and physical movements that is noticed by others then there is inappropriate guilt or feeling worthless a reduction in the ability tea to concentrate and it recurrent thoughts of death a total of five or more over a period of at least two weeks leading to significant clinical distress or impaired functioning need to be present for the diagnosis and the symptoms cannot be the result of substance abuse or another condition major depressive disorder is thought..."

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"...welcome back to me chiropractor and functional medicine practitioner primarily is dr. Gates I am a board-certified chiropractic neurologist and so we have practice in which we have morphed into a practice of chronic pain and chronic conditions in the title of today's topic is hot flash going Beyond hormone replacement therapy and Little did I know when I started getting into treating fibromyalgia many years ago and that it would morph into the practice that we have and even less that I know that it would more into me having to understand something about hot flashes and or hormone therapy and hormone replacement therapy seems to be pretty popular in this country I know those of you who may be watching in Southern California there seems to be hormone replacement therapy doctor on every other corner and and it's it seems to be like so many of the other treatments that have evolved current medical model or this current Healthcare model even relative to we have a symptom we try to alleviate the symptoms we find we don't have enough f let's take more estrogen that's we'll talk about a few minutes that is rarely a good long-term response and that's not even a saying that that's like the endocrine Society I agree with that so harm or replacement therapy has become really popular for a lot of different things but three things can happen when you use hormone replacement therapy for and and hot flashes are certainly one of the most common options that doctors will use hormone replacement therapy for..."

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"I never heard a group okay and so the bottom line is that he was talking about that a long time ago it's been around a while when I started to see the Improvement in my page consistently I thought wow this is what I want to do for a living and I had no clue 0 no clue at all that I was going to become conversant in gut problems I did that was going to become in thyroid problems there's going to have to become conversant and hormonal issues but the biggest thing is I had no clue art practice with developed into a man it's almost virtually 100% so this immune issue the autoimmune issue and the Celiac and the non-celiac gluten sensitivity all really go together I know mites I hope we haven't thrown out too much I hope we have a like confused you on this matter if we have confused on this matter because it's a complex matter and if just get that to you then relative to these chronic problems than that's good but we go back to the beginning of this and the bottom line is is there is such a thing as non-celiac gluten sensitivity we see it everyday it is hugely important for you to understand that if you are eating eating glue is creating incentives and you amount of what the tests say you get off of it and you need to stay off of it the tests are convoluted I am certain that what we are telling you is going to be proven not only is it's been proven in the but in future testing the testing I think is in evolution I think they will be better like the test that you just got talking about the dma believe Mom feels that is a better test is pretty cost-effective it's not real expensive so I think we're going to see this thing calm down as time goes on I don't think the gluten free market is going to go away that'll that'll sink"

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e the autoimmune issue and the Celiac and the non-celiac gluten sensitivity all really go together I know mites I hope we haven't thrown out too much I hope we have a confused you on this matter if we have confused this matter because it's a complex matter and if just get that to you then relative to these chronic problems than that's good but we go back to the beginning of this and the bottom line is there is such a thing as non-celiac gluten sensitivity we see it every day it is hugely important for you to understand that if you are eating glue is creating incentives and your amount of what the tests say you get off of it and you need to stay off of it...

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"...training Expedition where they're basically deprived of food and deprived of sleep and then they also looked at patients who had PTSD suicidal ideation so those are your severe depression patients and bipolar disorder and they looked at all of their stress hormones they looked at cortisol they looked at aldosterone aldosterone is a hormone that goes up when you're trying to save sodium into your circulation like if you cut off an arm and you're bleeding out that's why we have aldosterone but it is a stress hormone look to DHEA DHS a sex hormone that comes from your adrenal glands they also looked at estrogen and testosterone levels and what they found is that in the marathon runners their cortisol levels and they're all dosterone just went up a little bit but it was only temporary whereas they saw in these soldiers who are out there for two weeks and you know bad conditions their aldosterone went up three times normal what it should be but otherwise their sex hormones their testosterone their estrogen levels were not significantly affect it was just mainly their quarters all in there they're all documents the stress hormones went up but their sex hormones were not sacrificed however in the patients who had PTSD severe depression bipolar disorder they had a significant compromise of their testosterone and their estrogen levels also their stress hormones were much elevated and this has been seen throughout the literature but it's a nice expose relative to a lot of people in their concept of stress we're trying to get all this information out to you because a lot of people think well yeah you know I'm stressed for a little bit and then it goes away and you're right if you are stressed out just for a short period of time your body is going to recover but the problem is is that when you get into these chronic states of fight or flight if you have severe depression or bipolar you can go back and look at our broadcast some what that does to the relationship between your fear Center which drives is a stress response and your memory area in your frontal lobes because your frontal lobes in your memory area are always trying to shut off the sphere Center and so once the sphere..."

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