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https://thegajerpractice.com
Empowering health through compassionate care
Dr. Aleksandra Gajer, originally from Poland and raised in the United States, is a dedicated medical professional focused on advancing healthcare. She graduated with top honors from the University of Maryland School of Medicine and completed her residency in academic emergency medicine at The George Washington University.

Dr. Gajer’s special interests include sustainable weight loss, balanced hormone health, and longevity. She emphasizes the importance of lifestyle adjustments to optimize patients’ biology, promoting health, vitality, and long-term wellness. Inspired by her experiences in emergency medicine working with communities facing health challenges, she shifted her focus to proactive, comprehensive healthcare. Establishing The Gajer Practice allows her to offer personalized care and empower individuals to lead healthier lives by intervening before illness takes hold.

Driven by her lifelong goal, she is enthusiastic about sharing her expertise and dedication to contribute to a healthier future for her community.
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00:00that's such a great point absolutely that our fat tissue holds on to toxins we we do absorb toxins
00:08the other really interesting thing about fat tissue that we've also learned in the last 10
00:13years of research or so is that fat tissue we used to think that it's sort of just this just
00:18fat that sits there but it's actually like an organ of its own and it sends out chemical messengers
00:24to other parts of your body that tend to be destructive and inflammatory
00:35your effort shines brighter than the stars lighting up the top no matter how far
00:46oh my gosh oh my god yes finally
00:50finally i want to thank you guys so much for tuning in don't forget to dare to be different
00:57and don't forget the likes comments subscribe follow wherever you're watching right now i
01:01really don't care at this moment that you watch it's very very important because health health
01:07now a lot of people are like yeah you know i'm just gonna go out and do my thing and i'm gonna you know
01:12i'm gonna drink and i'm gonna be married you only live once you only live once but health is so
01:19important to live once it's like okay so you want to have fun i got it got it you want to enjoy life
01:27got it got it but you can't enjoy life if you're sick health is very very important and you're gonna
01:34live as long as you live okay i always tell people if you're meant to die in an airplane crashing you're
01:39scared to fly the plane's gonna fall on you it's just the way it is okay but living life and health
01:45and and it just it's just it makes a big difference we're going to be talking about that today i have
01:52dr alexandra on the show and i hope i said that right welcome to the show girlfriend hi thank you
01:57so much good good good how are you i'm doing good i'm doing good man i'm telling you how important is it
02:05and i have to get right into this question because i'm going to tell you why in a second but it's like so
02:11important you know people oh i want to live life and i want to be you know want to go out and i don't
02:16want to be worried about this work okay i got it but how important is it to live that life in great
02:23health so that you can enjoy that life yeah that is such a great question and so well put you know
02:30people say you can have a hundred problems in life but when you have a health problem you have just one
02:35problem and you know if you're if you're not feeling well if you aren't comfortable in your
02:41body all those other things don't matter you know it's it's really hard to enjoy everything else so
02:48so absolutely life is meant to be enjoyed we need to get fulfillment as much as we can out of life but
02:55also invest in this vessel that we have and um try to create a life where where we can enjoy all the
03:03all the fruits of our labor definitely definitely you know i recently just went through a health
03:09crisis and a lot of people didn't know that i did this i i was going through this because i didn't
03:14i didn't show it i just i kept going you know so i had fibroids but i've had them for so long that
03:22i didn't realize that it was draining my body and putting extra uh work on my body so my hands are nice
03:30i don't know if you could see that nice and red now yeah yeah so um i had a hysterectomy wow yeah
03:39i had a hysterectomy that left my ovaries but i had a hysterectomy but i had a hysterectomy because
03:44it was just starting to bother me if i were starting to give me a bad quality of life
03:48um it was over 40 something ounces when the uterus is only two yeah and so mine's just like 40 something
03:57which is over a little bit over a pound um i just didn't realize how bad i was until they were gone
04:07i woke up after the surgery and i was like i feel different i felt i felt even though i was in pain
04:18even though i was coming out of the anesthesia i felt um better you know like better like wait a
04:25minute is is this the way i'm supposed to feel is this normal um a lot of people don't realize
04:31what normal is until after the one thing that they were struggling with has been removed from the
04:38picture um and i i can't believe i lived like that that long yeah absolutely you're saying that people
04:47shouldn't feel sluggish they shouldn't be carrying extra weight there's something going on maybe i mean
04:54explain that to me how how is that supposed to be uh the norm for people who don't understand what
05:01norm is right yeah and that's such a great question you know and i think we we get used to these little
05:08aches and pains we get used to the discomforts of life and and it starts to feel normal and and many
05:14people have the experience of going to a doctor and getting checked out and maybe they're complaining of
05:20being tired most of the time or not getting good sleep or not being able to really tolerate much
05:26exercise and um and they get labs done and they're told you're normal and then you sort of go along and
05:33and keep keep living life and um you know when it comes to weight something really changed in our world
05:42over the last 40 years you know there's some really staggering statistics um that now 70 plus of americans
05:51are overweight and um and that didn't used to be the case you know and and so something certainly
05:59changed and i don't think that our bodies fundamentally changed you know i think that this problem came up and
06:06um doctors very unfairly mostly blamed the victims you know where um people were told to
06:15move more and eat less but people still felt very stuck and and i think that's the case for most people
06:22because our metabolism isn't healthy and our hormones aren't healthy no and um most doctors aren't looking
06:29at that you know hormone health and metabolic health especially in women women have been forgotten by
06:35medicine in in many ways most medical studies were done on men um until very recently most of the
06:43research that informs how medicine is practiced was done on white men and um women and people of color
06:50have been largely excluded and while modern medicine has allowed us to live longer and we have amazing
06:56cures for cancer and we can cure infections and all these things we have not done a great job paying
07:02attention to quality of life over those years you know how can we help you look at the root causes of
07:10what's going on you know how can we help you not get diagnosed with diabetes at 60 when i we actually
07:16know that your body starts changing at 40 and i can tell a 40 year old if something doesn't change
07:24you're gonna have diabetes at 60 and let's work together and make some changes so that
07:30i don't have to give you this diagnosis in 20 years my goodness my goodness you know you've said
07:36some key things and a lot of people already kind of figured that out you know what i mean and it's
07:42like okay so we know that but the medical society the the professions that actually publicize this don't put
07:51it out they don't put it out and and like you said okay the biggest thing that i noticed that you just
07:57said was most studies are done done on white males that excludes white females it excludes black males
08:07hispanic it excludes uh because you have a different black you have african-american and then you have
08:14african males that are different metabolically than african americans because we're mixed um then you have
08:21european males they're more susceptible to the actual studies am i correct because european white
08:29male is bait is the basic principle but then you got all the other males i mean you and white males
08:38aren't predominantly the biggest factor on earth right what is it what is it indians filipinos um
08:47asians are the basically asians yeah thank you we're excluding the biggest population even without
08:54adding blacks hispanics what is that right yeah that's a great question and you know one of the
09:02issues is that medicine moves so slowly so it takes an average of about 15 years for for research to
09:11actually be incorporated into practice so so now we are seeing more studies of course including other
09:18populations but it's taking so long for that to become meaningful in medical practice the other
09:25thing is that women are complicated women have women have hormones you know men have hormones too but men
09:33it's pretty much just that one hormone it's testosterone and it's important but women we're we're hormonally
09:40complex and for that reason we were left out of a lot of medical studies and especially when it comes
09:46to heart disease and and what we've found more recently is that things really happen differently
09:51in women's bodies and our hormones which uh have also historically largely been ignored um and you know
10:00we've been called hysterical and all these other things but the hormones are are really important and um
10:08and you know and and this whole idea of kind of losing starting to feel like your body isn't yours you
10:15know and being told you're fine but you don't feel fine you don't have energy you don't have drive you
10:20don't enjoy things like you used to and especially at midlife this happens significantly for women and
10:28and there are changes happening to the metabolism to your hormone landscape that um that are bringing about
10:36those changes and and although that's not addressed by a lot of doctors we we do have the science now
10:43to help both men and women live healthier live with more balanced hormones with healthier metabolism
10:51where you can enjoy life where you can have treats when you want them but you feel comfortable in your body
10:56yeah treats treats we can have treats who told you this
11:05yes
11:06yes yeah so i i think you know when it comes when it comes to to weight uh i'll tell you just um
11:18some of the most powerful things that i've seen help my patients and my clients and i think
11:25having a good routine 85 of the time having sort of a routine that includes mostly whole foods
11:35so we talked about how this change happened where you know all of a sudden most of america is
11:41overweight where we weren't before and and most of that i think is related to the fact that
11:47we are no longer eating real food there are chemicals in our foods that that make them
11:54what's called extra palatable hyper palatable so basically they're so good you really can't stop
11:59eating them and we've been convinced that that's okay you know dorita doritos has the commercial
12:04you can't have just one i think it's doritos and um that's not a good thing that's tricking our brains
12:12uh to have hormonal responses where you really you can't stop eating and um just trying to focus
12:21on eating whole foods real food that comes from the earth 85 of the time can change your metabolism in
12:28just two weeks oh and can change the way your body processes fat and sugar and all those things
12:35you know i i love what you're saying because i mean even though i'm a thick girl and and and i mean
12:42you know my whole family is kind of on the thick side so my normal weight is 150 i'm at 189 right now
12:48because of the hysterectomy i'm not able to work out because of the core and this and you can't
12:52re-injure yourself you can't open the wounds and stuff like that so i'm like i'm gaining weight by the
12:57day but i will be able to lose weight as soon as i'm able to kind of walk and and you know more and
13:04get but i think that a lot of people don't realize that we are set on a pattern that is self-destructive
13:15um you know people used to back in the 50s we used to go to the garden and pick food right now
13:22store and we pick boxes you're gonna pick something you know um when i go to the grocery
13:29store most of like 90 of my stuff that i have in my basket are fruits and vegetables and then the rest
13:37might be um a bottle something or something else you know what i mean i might have like a veggie burger
13:44just for the time where you know but it's like okay i've researched the ingredients they're all
13:50real ingredients you know so yes but people don't realize that you're right we are picking boxes
13:58pre-made boxes with sodium that is way beyond the amount with sugar which is going to deplete your
14:06insulin levels in a drastic measure people are known to be eating two bags of sugar a year
14:13yeah you know what i use for sugar i actually dissolve dates in water oh wow that's awesome
14:23you take a date you take a few dates you put it in boiling water you stir it it dissolves
14:29the date itself dissolves and you can use that to sweeten any of your stuff right um to me that's
14:37healthier i know i ate two dates today which is not even a tablespoon of sugar but because it's in water
14:45it's gonna sweeten the entire thing um right you know the choices we make are just um and they're
14:52thrown at us and yeah you know it's it's marketing it is it's marketing and you know that we have more
14:59and more evidence that food scientists and the food industry um have used a lot of the similar techniques
15:07that the cigarette companies use you know and and there's been you know there's been so much pressure
15:15and lobbying that um chemicals have been allowed into our food here in the us that are not allowed
15:21in other countries not allowed in europe people often notice you know when i go to europe i lose weight
15:26or i don't gain weight eating the same things and um and there are just non-food chemicals that change
15:33our metabolism that change our metabolic landscape and change our hormones you know we have a number of
15:40studies now that show that men who are in their 20s now have an average testosterone that's the same as
15:4870 year old men 20 30 years ago oh yeah so you know so it's it's the level of dysfunction and most
15:59doctors don't know how to look at hormones necessarily or don't find it valuable to take the time but
16:05but but when i look at hormones for both men and women most of us living in this modern food environment
16:11with the amount of stress that we're under with the chemical exposures that we're exposed to um
16:17there's quite a number of people who have major hormonal disruptions um and that's premenopausal
16:24women postmenopausal women that's um men of course and you know i'm seeing people who are younger and
16:33younger and um and these disruptions are happening on a pretty large scale you know i i agree with you
16:40they said that now uh young younger people are getting colon cancer uh yeah and it's in and it's
16:47in the food i'm sorry 100 i i i mean what has changed to make younger people get colon cancer
16:57what is it that has changed it's the diet right the environment it's always been conducive to all
17:03kinds of different things it depends on where you live if you live in a big city you've always been
17:07subjugated to higher toxin levels if you live in the country lower toxic but there's always been
17:13those toxins that are going to be in the air that are going to you know be you're going to be
17:18susceptible to but what has changed internally that we normally would do that we don't we didn't do 50
17:25years ago that we didn't do in even in the 1980s in the 1980s i was like i was walking down the street i
17:32was like where can i get my next piece of fruit i just wanted to go to one of those stores that had
17:37the fruit baskets outside in new york and pick up a pomegranate and just like okay this is my lunch
17:43um it's changed now now people go inside of the store and they get these ready-made bags that have
17:51this thin plastic and it's it's under heat lamps and chicken that's been sitting heating in plastic
17:59for hours right i think we're just starting to learn all the damage that the microplastics are
18:06doing you know there's so much of our food is is made in plastics and and we know you know we're
18:14seeing microplastics in people's brains and and we have it it's causing our metabolism to slow down
18:22it's causing hormonal disruption so you know i i think that there are this this kind of paints a
18:29bleak picture but i think that there are things that we can do to kind of to protect ourselves to
18:35some extent and um you know i think the the whole notion that you're talking about you know trying to
18:43fill up your cart with fruits and vegetables it is very hard to overeat real food it's not impossible
18:49some people will still do it and most people i know won't sit down and eat six apples in a row
18:58with peanut butter with peanut butter yeah and then that's a meal that's exactly yes yes and and i
19:06think we we don't understand and and you know i think it's very unfair what happened to most of us
19:12in the last 30 years where um a lot of men and women came to doctors saying i've gained weight i don't
19:18know what to do and and they were told eat less move more and i think that is so limited that's so
19:25limited the thing is that your brain and your body is being hijacked by chemicals and you and and it just
19:31causes this cycle of shame you know where um i see people all the time who want to eat less who want to
19:38move more but they don't have the energy and they are eating foods that cause cravings that are
19:46biochemically almost impossible to overcome you know and once the those reactions are set off in
19:51the body something changes and and it's not your fault it's it's really um
20:00we have to have strategies that kind of counteract those things yeah definitely i think that i think
20:05what what really you know and we're going to be getting into like hormones and specific questions on
20:09that a little in about two minutes but i think that one thing that actually helped me to actually get
20:15off of those things like the crackers and the this and the that and all that stuff was i don't call that
20:20food i call those chemicals because it's it to me my body's not responding as if it's food it's responding
20:31as if it's a foreign thing and fat is developing to protect me from the chemicals that are in that
20:40food so the chemicals are being inserted into that fat and the fat is protecting my body and me from
20:47actually absorbing those chemicals to make any of my other or major organs go bad but eventually
20:53you know that's why you have to be careful losing weight i think because of the chemicals that
20:57are stored inside the fat to protect the body and i think that's kind of like a and and please help
21:02me if i'm wrong but fat in itself is not just fat it's more of a self-defense against things that maybe
21:10in your body that your body's trying to kind of hide from you or protect you from i mean that's what
21:17yeah no that that's such a great that's such a great point absolutely that our fat tissue holds on
21:24the toxins we we do absorb toxins the other really interesting thing about fat tissue that we've also
21:32learned in the last 10 years of research or so is that fat tissue we used to think that it's sort of
21:38just this just fat that sits there but it's actually like an organ of its own and it sends out chemical
21:43messengers to other people parts of your body that tend to be destructive and inflammatory so we know now
21:51that both fat and muscle sends out chemicals to other parts of your body um regulatory chemicals peptides
22:00communication chemicals that um have different impacts on what your body is doing so um the biochemical
22:11signals that come from muscle are really protective so muscles send out signals that help you stay lean
22:17that protects your heart that protects your kidneys your brain so the more lean healthy muscle you have
22:23the more of these chemicals called cytokines that those muscles are producing and fat tissue stores those
22:30toxins just like you said and um fat tissue will send out toxic chemicals that it causes inflammation and
22:40um and as people lose weight sometimes they do feel a little worse and i i always say that gradual weight
22:47loss is best you know if you're going to do some kind of crash diet if you want to lose 20 pounds in
22:53two weeks that is not a good idea that's not sustainable that's not healthy um slow and steady
23:01one to three pounds a week i think is fairly healthy half a pound a week is okay you know um
23:09it is better i think usually when people get to the point where they want to lose weight they really
23:13want it to happen fast they want to see results but but um slow is good because those chemicals are in
23:21your fat tissue my god i thought i was just hearing you know how you hear something like yeah i'm gonna ask
23:27a doctor one day but you got to be careful who you go to too you know okay so you know i'm that's just
23:34like crazy for me that's like fat tells i you gotta go hello hello telly the talking tummy you okay
23:45but i mean just things like that it's like oh my gosh no way so let's talk okay so i think the biggest
23:53thing for me would be like i said i feel so much better i don't have to take iron i'm not anemic
24:01not anemic anymore there are certain things that have happened to my body that i'm like
24:07wait a minute was that the fibroids my back doesn't hurt anymore
24:13my i can bring my knees up now
24:16i feel um i feel better i mean there's just so many i mean it's hard to explain
24:23how much better i feel at like it's not a it's not a it's physical don't get me wrong it is it's
24:30physical but it's it's more like me like i feel like i felt when i was a teenager when i was in my 20s
24:38where i felt healthy and you know feeling healthy doesn't mean that you're sluggish doesn't mean that
24:44you're this doesn't mean that you're that and and everybody has let me ask your question does
24:49everybody have a certain weight that they kind of plateau at can they get lower than that or is that
24:55their ideal weight because everybody you know when i go to the doctor they're like well 150 shouldn't be
25:02your goal weight well at 150 i'm a size five what you want me to be a two i don't want to be a two
25:09a five is skinny okay at at because i'm muscular so i have a lot of muscle and i have you know so i
25:18i'm heavy i'm not light you know 180 i'm 189 i'm like 30 to 40 pounds overweight right now because of
25:27the fibroids that weren't making me i wasn't able to digest i wasn't there was a lot of things going on
25:32with this body right yeah you know tell me hormonally speaking like if you were to get your hormones in
25:40check like number one thing forget exercise forget everything else just try to get try to get healthy
25:47like i did try to get like what is the root cause of the the digestion being off the hormones being off
25:56and gaining weight i mean you eat you eat a cone of ice cream and tomorrow you are a pound heavier what
26:04is this what is yeah right that that's such a great question and you said a few things there that um
26:12that i just want to comment on so you first you said health you know you feel like you're healthy
26:18and i think we underestimate how important that is and um you know i went to medical school i had a
26:26very conventional medical education and i learned a lot about disease and most of medical education is
26:34based on disease that should be solved with pills or surgery which is super useful and it's very important
26:42but um and i trained in emergency medicine i worked in emergency medicine for 10 years and
26:47i saw a lot of disease and i helped a lot of people continue living life where they might not have
26:53been able to beforehand and that was very meaningful for me but i eventually shifted my practice in
27:01something that interested me more which is health how do we bring about a state of health you know
27:09sure dealing with disease is really important but but what is health and how do we bring the body
27:15into balance to actually create a conditions where health can happen because i think intuitively most
27:21of us know what that feels like to feel really healthy and we know when we don't have it too so um and and
27:29you asked about the set point which is also such a great question and i think most people do have
27:34a set point and your body once it's been at a certain weight for a while it does protect that set point
27:41to some extent and i think that weight is a very um confusing number and i don't think it's a very
27:48good number weight and bmi they're kind of throwaway numbers we what we do is we test body composition in
27:55my office so we use an in-body scan to look at your percent body fat percent muscle mass and how much water
28:05you're retaining and my goal for my patients when they come to me for body composition is to
28:11maintain or increase muscle mass and decrease your percent body fat i don't really care what the
28:16overall number is it doesn't matter you know like you talked about you are very healthy at 155 if that's
28:24if that's your number you know and and usually we look at that i look at that body scan with my patients
28:31and we say what i'd like is to get your muscle mass to here and to get your fat mass to here
28:38and sometimes the overall weight doesn't change that much you know but i see that they've gained
28:43five pounds of muscle and lost 10 pounds of fat and they are looking and feeling the best that they
28:49ever have so so i think that looking at body composition rather than that number on the scale
28:56and that number on the scale can do a real number on our heads you know sucks yeah that sucks that sucks
29:04so don't believe the hype about the scale yeah it could be misleading it can it can and body composition
29:14is um it's much more important and um and yeah and especially i think for women too i i you talked about
29:23you know not being skinny and i and i don't think we shouldn't try to be skinny but i feel like women
29:30have been conditioned to be less to make themselves smaller and and i really try to encourage people
29:38you know eat for nutrients build yourself up get stronger you know this whole era of breaking us down
29:46and getting smaller and getting thinner forget all that none of that is healthy um that's not what
29:52you want for health and like you said yeah you know most women and men feel like they know what weight
30:00they felt healthy at or they know what their clothes fit like or what their strength was like and and
30:06making um a plan together and getting people to that weight quality of life really improves so i think i
30:15didn't answer any of your hormone questions okay so it's it's you know the one thing that i found and
30:24i know that i want to talk about this is the weight loss um weight loss is big but weight loss is not just
30:29weight loss and a lot of times people don't realize that there's something in something going on
30:34individually inside of you um you know there might be that you're eating too much sugar too many carbs it
30:40might be that you're eating too much salt your body's retaining water it could be that your kidneys
30:45you're not drinking enough water because your kidneys are at 60 function and you didn't even know
30:50it because they don't hurt kidneys don't hurt you can't tell when you're at 60 you just know that you're
30:56not you know the doctor will tell you you're not drinking enough water you know um you have too many
31:01ketones you don't have enough ketones you know it's like it's it's a it's it's a balance that's like
31:07crazy balance but what i what i figured is um everyone's individually going through something
31:15and so you can't really diagnose people because oh i'm not losing weight what's going on there is no
31:22set anything like oh here it is right it's it's individual like i said when i got the hysterectomy
31:30that's when i felt normal again and i forgot what normal felt like and i went i went and ate ice cream
31:37and i didn't gain a pound i was like wait a minute i mean i can't eat ice cream every day
31:44because obviously you will gain a pound right absolutely day yes you see that's the difference
31:50and i'm like okay i had ice cream i can have ice cream all the time and i really don't like ice
31:55cream all the time but this is big for me and i went out testing everything i couldn't eat before
32:01that i liked that i knew that was healthy and it didn't bother me the same so i was like hmm
32:07you know and so i started i started realizing that it was not only the fibroids but it was blocking a
32:14lot of things so what do you tell people generally like okay you know there is no one size fits all
32:24when it comes to this but what do you tell people generally um because i know that you have your own
32:29practice i know that you help people to you know get that health get that optimal help for themselves
32:35and i really really want that for people yeah absolutely and that's such a great question
32:41and that is so true that everybody is different everybody is an individual and i think um part of
32:49the approach that makes my practice a little different is that we don't have a one size fits all
32:54approach you know we i want to get to know every single person that comes through our doors i want
32:59to know your history your struggles and we can generally figure out what's gone wrong and but i think
33:08an overarching principle like we talked about that everyone can benefit from is trying to prioritize
33:14full foods and um you know there are five major reasons that cause people to become overweight and obese
33:23they are um having too many calories then you burn that's sort of the overly simplistic um
33:31that's the paradigm that we've had for a very long time it falls short in a lot of ways but if you sit
33:37down and eat 4 000 calories a day and you're um five foot three you will probably gain weight so uh that
33:44that law holds true then second is your hormone balance and that's what we've been talking about to some
33:50extent and when we talk about hormones there are sex hormones like estrogen progesterone testosterone
33:57but you also mentioned insulin which is one of the most important um metabolic hormones yeah and again
34:05because of our food environment and the food that's available most of the time now a lot of people become
34:10insulin resistant which means that your body has to make more insulin in order to have it do its job
34:20and insulin sends a signal to your body saying hold on to fat so there are strategies to become more
34:27insulin sensitive and um building muscle is very important for that too that's one of the signals that
34:34muscle sends out it makes you more insulin sensitive so so there's a hormone balance and and then also
34:41your thyroid hormones your stress hormones all those hormones make a difference and then one other area
34:46that we don't think about very often is the gut microbiome and you mentioned your gut also and gut
34:55health has really you know this is also kind of an emerging science we're starting to understand more
35:00and more about it but there are more microbes living in the colon than we have cells in our entire body
35:09so there's this whole community and again they're sending out messages they're sending out chemical
35:14messages to other parts of the body uh regulating our metabolism regulating our mood regulating our energy
35:23and it's a very very sensitive system and again non-food chemicals in our food you know
35:30i people don't like me for this but i um talk about diet coke a lot a lot of people like diet coke
35:38there is stuff and diet coke that will kill the good bugs and create bad bugs in your in your in your
35:46your gut you can clean your toilet bowl with coke you can yeah i mean that doesn't belong
35:52yeah and and you know we we do gut health testing and and rehab with with some of my clients too and
35:58sometimes sometimes what happens is all of a sudden the bloating goes away the energy comes up and
36:04all of a sudden you're able to burn fat because there are some and i'm i'm gonna say women because
36:10this happens more to women than to men but there i see women who are literally doing everything right
36:16they are exercising they're eating clean they're going to the gym they're um making sure that their diet is
36:23not taking in too many calories or you're eating healthy foods and still the weight's not budging
36:28and then we look and then we want to look at hormones is there something going on there that's
36:33telling your body to store fat and um and then we want to look at the gut microbiome too yeah because
36:40that can also send signals for your body to store fat and then the last two things are um stress and sleep
36:48yeah and you know we've also seen studies that show that we are sleeping on average
36:54two hours less than our ancestors were 30 40 years ago you know sleep is getting pushed by the wayside
37:01and and there's so much repair and upkeep that happens when we sleep yeah it's almost impossible to
37:09lose weight if you are not sleeping at night oh let me tell you i am i'm sleeping okay i got a new mattress
37:16i got a mattress called dream life i think it is and when you you get in there it like holds you like
37:22this and you're like i gotta get out of bed you don't want to get out of bed it's like you get in
37:27the pen and it's like when did you fall asleep dolly i have no idea but it was so good and no problem
37:34sleeping um and that did make a big difference too yeah big difference too yeah because you're not
37:41eating during sleep it's like right but don't eat too close is it okay is it true because i don't
37:47want to say this because i'm not a doctor of of medicine i'm just you know but is it true that if
37:52you eat too close to bedtime it's not good for you like your body has to process that before it can get
37:58into healing yeah so that's another great question so i think when we talk about what works for
38:05everybody the low-hanging fruit i say start with whole foods and in the summertime don't eat after
38:12dark and that's really really powerful giving your body a break um from metabolizing food from all
38:21those biochemical reactions is really important and you know we again i think snacking that has that's
38:30somewhat of a new phenomenon like 50 years ago people were not eating popcorn and watching tv half
38:35the evening you know um and and your body needs that rest to not be producing hormones related to
38:44digestion um and when you're you know when when you're sleeping we produce growth hormone everybody
38:50produces growth hormone which is responsible for some fat burning and muscle and just repair of any
38:58anything that happened during the day and that is not released well if you're eating too close to
39:04bedtime so so in the summertime it's a little easier but i try to encourage people don't eat after dark
39:11have dinner be your last meal have dinner be the last food that you ate and you can drink tea there's
39:18some wonderful herbal teas that uh taste really good that you don't have to add any sweeteners to
39:22too but um it's really powerful to end with dinner i gotcha i gotcha don't feed them after midnight
39:32that's right for all of us who know what i'm talking about we already know don't feed them
39:37after midnight they're cute and cuddly but after midnight don't do it wow well well doctor thank you
39:44so much for being on the show is there anything that we missed is there anything that we've missed
39:48that you would like to say before we finish today i think just encouraging people to look for solutions
39:56to find a partner a physician who can partner with you in your health and if you are feeling like you
40:05don't have enough energy to go through the day if you're feeling like you're doing everything right
40:09but weight is not coming off if you're trying to have a good sleep schedule but still are unable to sleep
40:17that's not necessarily normal and we have the tools now to figure some of that out and um
40:25and if you're thinking about losing weight remember it's not the number of the scale
40:28we want to lose fat gain muscle and build you up rather than break you down awesome awesome well thank
40:36you doctor so much i know we so much no problem i know we didn't answer all you of your questions and
40:42that's on purpose because you need to go to her and figure this out for yourself again this is not
40:46a one-size-fits-all thing you just can't put it over your head and go okay it is done all right yay
40:52no it doesn't work like that there is extra small small small medium large extra large extra
41:00large extra large that means that there is something for everybody out there that may be a
41:05bigger thing that you have to deal with like me i had to go into surgery so i had an extra extra large
41:10issue and now i figured it out it's gone now if there's anything else in there i know what it
41:17feels like to be normal and so you know that's a big deal and so if you have an issue if you need
41:23a consultation i have the website there i'm going to put it in the description box wherever you may be
41:28watching it's also under her name so the guyer but with a j so g a j e r practice.com we're going to put
41:36that in the description box below so that it'll be easy for you guys to find it and you know get
41:42a consultation and you know get your blood work done do something you know because again if i didn't
41:47do that i would not have ever known what was really really going on with my body and sometimes
41:53you know you're in your body you just don't know what's going on and the communication apparently
41:58going on between the fat and the muscles is totally opposite of each other and we need to figure this
42:04out all right i want to thank you guys so much for tuning in don't forget to dare to be different
42:09and until next time guys i hope everything goes well for you bye
42:27thank you for watching
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