Download Interview with Dr. Sara Gottfried October 23, 2012 Your Sexy

Interview with Dr. Sara Gottfried
October 23, 2012
Your Sexy Adrenals! The Secret to Limitless
Energy and Overflowing Vitality Revealed!
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Cindy:
Hello everyone and welcome to Energized Living Today. I’m Cindy Kubica and I’m so
grateful that you’re connecting with us today. We have a very special guest today. She
is so near and dear to my heart. We have with us Dr. Sara Gottfried and to her patients,
they call her Dr. Sara, so today we’ll refer to her as Dr. Sara.
She’s going to share with us her journey of adrenal burnout and she transformed her
whole body and her life to be healthy, vital and sexy. In spite of a full schedule that she
has including patients at the Gottfried Center in Berkley, California and supporting
thousands of people online and writing her brand new book and spending time with her
husband David and their two daughters and teaching yoga and spending quality time
with her gal pals and you get the picture. She is a very, very busy woman. Today she’s
going to be talking about your sexy adrenals, the secret to limitless energy and
overflowing vitality revealed.
Now let me tell you a little more about Dr. Sara. She is a Harvard trained integrative
physician blending alternative medicine with state-of-the-art health. She combines 20plus years of experience in modern medicine, molecular biology, epidemiology with a
deep knowledge of botanicals, bio-identical hormone balancing, yoga, Ayurveda
enabling her to translate this really complex medical literature. I’m sure that many of you
have seen out there so that she can transform it and explain it to you. Today she’s
going to talk about how to balance our hormones. I’m so excited that she’s here. Thank
you so much for being here today.
Dr. Sara:
My pleasure, Cindy, I’m so happy to be with you. Thank you for that lovely introduction
and hello to all of our listeners today.
Cindy:
Well, you have a new book coming out. I’m very excited. Of course, many people may
know about you because you’ve been in all kinds of journals and natural health
magazines, Glamour Magazine, Yoga Journal. The new book you have out is called
The Hormone Cure and that’s Simon & Shuster that’s going to be out at the beginning
of the year. That’s so exciting.
Dr. Sara:
Thank you. I am so excited about it. I just can’t wait to change the conversation about
hormones. I just think we’ve had kind of a boring, confusing, misinformation campaign
when it comes to hormones. I want to change that.
Cindy:
This is exciting to me because – I’m speaking from myself – I’m older, I’m in my 50s and
my body is changing every day and hot flashes.
Dr. Sara:
You’re young, Cindy, you’re young.
Cindy:
Tell me a little bit about why you decided to do this and a little bit about your journey
where you really transformed your own health.
Dr. Sara:
Sure, sure. I’m not the usual doctor that you might be used to hearing. In fact, there’s
one reviewer of my book who calls me ‘the love child of Dr. Andy Wile and Dr.
Christiane Northrup.’ I believe that’s about right because…
Cindy:
I love it.
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Dr. Sara:
Right, I mean you really don’t find the answer to health in a pill bottle and so I’m so
excited to share with your listeners today the way that I approach radical health.
Honestly, I really owe it originally to my great-grandmother. I grew up with a greatgrandmother who was a bit of an outlier. She would show up at our house, I grew up in
suburban Maryland. She would come to our house with suitcases of whole foods.
She would arrive with wheat berries and Myer linens and kale. She was a serious
yogini. She took about ten supplements a day, including fish oil and she would give me
lectures at the breakfast table about each of them when I was five years old. I really just
feel like her legacy is what I am sharing with the world. It didn’t totally land with me until
I was in my 30s. I was 32 years old when I had my first health crisis.
I was working as a full time OB-GYN and you can just imagine what that’s like. It’s the
life of most working moms, which is I was burning the candle at both ends. I was
delivering babies in the middle of the night, doing hysterectomies during the day. I was
just a complete stressed-out wreck. I had PMS, no sex drive. I burned out my adrenals.
It took me about three months to figure out what the root cause was and then to fix it. I
want to shorten that learning curve for other people for both men and women,
regardless of age.
Cindy:
This is exciting for me, the work that you’re doing because, again, as I said, I’m right at
the tail end of heading into menopause, I should say. My husband who is 62 is also
going through some flex in his own hormones and adrenal fatigue as well. This is
something that affects both men and women.
Dr. Sara:
No question, it affects both. We know that both men and women are suffering from
stress at record numbers. In fact, there was a study published earlier this year by the
American Psychological Association that more than 75% of Americans now men and
women are telling us that they’ve got more stress than they can manage healthfully.
Definitely, it affects men and women. Women are affected a little differently by stress
than men, but you just mentioned your husband’s own struggle with adrenal fatigue.
Just as women go through major hormonal changes around the time of giving birth,
delivering a placenta, also when they’re in perimenopause and then again in
menopause, men also struggle with andropause and it can be accelerated by the stress
process. I’m hoping we can talk a bit more about that today.
Cindy:
Oh, I would love to. Let’s talk just a moment about hormones and the effect that it has
on the body. What are some of the common things that you’re seeing as far as where
people would be able to identify that this is a hormone problem? What are some of the
signs and symptoms?
Dr. Sara:
Sure, sure. Well, I’m a physician scientist. It’s funny, in my family they say,
“She went to Harvard, but she overcame it.” I’ve got this humility around the fact that I
went to Harvard and MIT. What I did when I realized that the root cause of my problems
in my 30s, the reason why I felt fat, cranky and not in the mood for sex was primarily a
problem with my cortisol, the main stress hormone.
The kind of symptoms that your listeners might have related to cortisol that’s out of
control, either too high or too low, but not in that goldilocks position of being just right for
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you are number one, feeling like you’re gaining weight especially having more belly fat.
The classic there is that you have a muffin top that just showed up suddenly maybe at
age 40 or 50 or 60. You can have fat loss resistance, so when you’re trying to lose
weight it may feel like you’re doing absolutely everything and you just can’t lose the
weight.
One other downstream problem from having too much stress and too much cortisol is
that it can affect some of your mental health. What happens with cortisol is that it can
burn through your happy brain chemicals like serotonin. Serotonin’s that lovely
neurotransmitter that is in charge of your mood, your appetite and your sleep. You might
imagine some of the symptoms you can have around that are depression – anxiety,
PMS, memory lapses, trouble with focus and attention. Those are some of the classic
symptoms.
Then, of course, the one I mentioned, which is so common, is that when you’ve chronic
stress when you’re not managing it skillfully and cortisol is kind of running the show, it
affects your other sex hormones and I’ll talk in a moment about how that looks for men
versus women. It can drag down estrogen and it can also drag down your testosterone
levels. It can also affect your thyroid, your thyroid hormone, so the next result is that it
can really cause problems with sex drive and your ability to feel sexy in your body.
Cindy:
That’s one thing that I’ve noticed myself. I just don’t feel like dressing up like I used to. I
just don’t feel as sexy as I once did. I know that I just had my hormones done and they
said, “Oh, estrogen doesn’t even register.”
Dr. Sara:
That’s right. That’s right.
Cindy:
That could have something to do with that.
Dr. Sara:
Absolutely, it has a lot to do with it and it’s not quite as simple as only being about
estrogen, but I’m glad that you raised that particular point. I’m going to maybe talk for a
moment about women and then we’ll talk about how this looks for men. In women, I like
to keep this astonishingly simple because it’s really easy for the biochemistry of
hormones to make your eyes glaze over. So just bear with me here for a simple
moment of looking up the science.
When it comes to sex drive and, really, when it comes to you feeling you’re most vital
and like you can rock your mission on this planet, you want to have three different
hormones working for you not against you. For women, I call those the Charlie’s Angels
and they are as you described estrogen, cortisol, the stress hormone we’ve been talking
about, and thyroid. You want all three of those to be really working in your service. With
all of them, you want them to be in your sweet spot – not too high not too low.
Estrogen is the main hormone that makes women feel sexy. It helps us grow hips and
breasts. It keeps us be really juicy and flirtatious. When it starts to drop, there’s
definitely a change that can happen in terms of both you’re feeling of sexiness and also
your sex drive.
When it comes to men, those three hormones are a little bit different. Number one, it’s
testosterone. Testosterone is the most important and then the same other two –cortisol
and thyroid. It’s just very common for men, especially over the age of 40, to have
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symptoms of andropause and another way of looking at andropause is something that I
call the grumpy old man syndrome where you just feel like you’re old and grumpy way
before your time and often the problem is testosterone.
Cindy:
That was one thing that it was actually my granddaughter that pointed it out with Gary
that he was getting grumpy. She was not used to that because he’s just so loving, a
very nurturing man, very, very nurturing, loving man and then all of a sudden he was
grumpy.
Dr. Sara:
Well, I love that your granddaughter was able to mirror that maybe in a way that he was
able to hear. Sometimes when your spouse points it out you can’t always hear it, but
when your grandchild points it out sometimes it can land. I think it’s so important that we
realize that we have an epidemic of overwhelm. I think this may affect women a little
more than men, but we all just have so much stress that we’re managing in our overbusy lives.
We’re all so wired and plugged in and it’s really important to realize that the main stress
hormone cortisol can high jack the rest of your hormones rather than just to suck it up or
to feel like this is some kind of moral failing or your fault. I really want to empower our
listeners to say, “Okay, could hormones be part of this,” because 70% of the time your
hormones are out of balance and that’s why you don’t feel like yourself. You feel like a
grumpy old man as you described or you feel like you’re not as sexy as you used to
feel.
Cindy:
Yeah, that surprised me to find out that I was so far off because I have energy, but no
estrogen. Is that usual?
Dr. Sara:
Yes, so that is very common. When it comes to Charlie’s Angels, maybe we could just
unpack that in your case for a moment. When it comes to Charlie’s Angels, when
women have a problem, a symptom such as not feeling sexy you want to look at those
three Charlie’s Angels – the estrogen, cortisol and thyroid. It sounds like you did a panel
where your other hormones were okay, your energy was okay, but it was the estrogen
that was really the problem.
Often, there’s just one of those Charlie’s Angels that’s off and the good news is that it’s
actually easier to fix this then it is to live with the consequences of being out of
hormonal balance. I’m hoping we can talk about some of those strategies today, the
ways that I teach people online and also in my medical practice to balance these
hormones naturally with how you eat, think, move and supplement.
Cindy:
I would love to talk about that and we’ve had a lot of people writing in that have had
panels done and they said all three are off, some of them it’s estrogen and thyroid. Is
this common?
Dr. Sara:
Oh yes, absolutely. I have a woman right now who is in my Mission Ignition course.
She’s a 49 year old mother of two who has a similar problem as what you just
described. She came to me. She’s a lawyer and was saying to me, “Life just feels too
hard. It feels harder than it should be.” She told me that she really did not feel any
interest in sex, not with her husband and not with anyone, really. She’d rather be on
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Facebook. She felt like she had this spare floaty that just showed up around her waist
when she turned 40 that she can’t get rid of.
She was saying to me in a way that I really listened to behind closed doors with my
patients and also online with women who work with me. She said to me “I’m tired of the
mercy sex. I don’t want to have a marriage where I’m having mercy sex.” She did a
panel similar to that person you just described and she found that her estrogen and her
thyroid were off, estrogen and thyroid. Two of the angels were off and what we did was
just a few small tweaks that got her estrogen and her thyroid back into balance. Just two
small tweaks that really moved the needle for her and within two weeks she said to me
online – we have a private Facebook page for Mission Ignition – she said to me, “Dr.
Sara, I am chasing my husband around the room now. I’ve had a dramatic change in
my sex drive.” This was very exciting for her, very exciting for her and for all of us.
Cindy:
Well, I have a feeling that both the men and the women want to hear what you did.
Dr. Sara:
Absolutely. Well, it’s interesting, the two small tweaks that really made a difference for
her were, number one, starting a high potency multivitamin. This may sound like kind of
a generic thing, but here’s what we know. I’m really interested in helping people fill in
the nutritional gaps, the nutritional gaps that will often show up and cause hormonal
chaos. In this woman’s case, she did some testing with her local physician and shared
the results in Mission Ignition and we learned that she was low in copper, low in copper.
Copper is essential to making sufficient thyroid hormones. She started a high potency
multivitamin that actually filled in the gap that she had with copper. Then we
recommended to her an herb that helped with her estrogen and progesterone balance.
That herb is come thing called chase tree. It’s not for everyone and when it comes to
herbs, I really recommend working with your local physician, but this herb helped her
estrogen dominance get corrected and when she did that it really made the difference.
Those two changes – high potency multivitamin and the chase tree vitex – made the
difference with her sex drive and with her sense of how hard life was feeling.
Cindy:
Now, if it was a man who was experiencing these where their testosterone was low and
their thyroid was off what would be the difference?
Dr. Sara:
When it comes to a man, the recommendations are a little bit different. I often find with
men that cortisol is part of that story, too. Let’s bring cortisol in. I sometimes will call it
Charlie’s Angels for men, too, because they’re just like that image of the three women
working on their team, but you can use another term. Some people like Three Stooges.
We can use whatever term you want for cortisol, testosterone and thyroid in men, but let
me share with you a recent client that I had who was in another online course with me
who had a problem with low testosterone, high cortisol and his thyroid was borderline.
I’ll share with you what we did with him.
He came to me just feeling burnt out. He was an entrepreneur, 53 year old guy who had
been working hard for years and years and years and just wasn’t feeling connected to
joy the way he used to feel. For him, his burn out, he was kind of calling it his midlife
crisis. We found with some testing that he did at home that cortisol was high,
testosterone was low, borderline thyroid. What we did for him is we really focused first
on the cortisol. I have a system that I use called The Gottfried Protocol and The
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Gottfried Protocol is designed to work first, number one, with lifestyle changes. Not
boring things that you hear from maybe your conventional physician, but really targeted
lifestyle tweaks that will move the needle when it comes to your hormonal balance.
The first part of The Gottfried Protocol is lifestyle tweaks together with filling in those
nutritional gaps that I mentioned for that previous person. Second is to go to proven
herbal therapies. We want to use proven therapies because we know especially for
women that we have a long and shameful past of using unproven therapies, especially
when it comes to hormone balancing. Then third is when I move to a recommendation
of bio-identical hormones, but at the lowest doses and for the shortest duration to turn
your symptoms around to reverse your symptoms.
In this guy, this 53 year old – his name was George – we found that, number one, we
started a meditation program and, again, this is one of those places where a lot of
people’s eyes start to glaze over. We had just a 15-minute practice that he did three
times a week. I can share you some details in a moment about that. It’s actually called
Orgasmic Meditation, which is an interesting and compelling way to meditate, I can tell
you, if meditation does not sound appealing.
Then we also started him on a new cocktail. He was drinking a little more than he
wanted to be drinking and felt like he had a sticky relationship to it. We gave him a
substitute of fish oil together with rhodiola. This is one of those proven herbal therapies
that I use in step two and something called Phosphatidylserine. Now, again, any time
you use an herbal therapy, I think you should be doing that with your local doctor.
You should have a good diagnosis, but these things really turned his symptoms around
and when we corrected his cortisol, which is what those tweaks were aimed at, it made
his testosterone go up and it made his thyroid correct. You really want to go to the root
causes. Often that is the way to turn around hormonal imbalance rather than just going
immediately to getting on hormone therapy. That’s not always the right answer to just go
immediately to hormone therapy.
Cindy:
Well, even the physician that I go to, that’s the first thing they want to do.
Dr. Sara:
It’s often the first thing they want to do and I just want to empower both men and women
to realize that there are so many proven ways of adjusting your hormones naturally
without resorting to the prescription treatment. Even bio-identical hormones, which I
really believe in, the ones that are exact replicas of what your body has always made
and you’re just augmenting. You’re filling up the tank a bit.
Even when it comes to bio-identicals there’s some risk associated with them, so I’d
much rather get cortisol back into balance again and do what we can with lifestyle with
food, exercise and also mental retraining as a way of getting those hormones in balance
before you resort to the bio-identical or other hormone therapy.
Cindy:
When you want to help someone rebalance their cortisol levels what other herbal
remedies do you have or suggest? Again, I know that you said they should work with
somebody locally, but are there some other things that they might want to at least do
some research on?
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Dr. Sara:
Oh sure, yes. I think if you look at this as mostly an educational, informational way of
thinking about ways to adjust your cortisol, your main stress hormone, I think that’s fine
to start looking into some of these proven strategies. I went through about two thousand
studies when I wrote my book The Hormone Cure just to really understand what’s
proven when it comes to cortisol. The interesting thing to me is that even among the
alternative health providers, they often will recommend everything, but the kitchen sink
as a way of dealing with your stress.
Often, they’ll recommend something called an adaptogen, an herbal therapy that will be
thought of something that’s going to help you with managing your stress, but here’s
what I found, which was really shocking. If you learn nothing else today I want you to
really hear this part. I learned that most of the herbal therapies that alternative doctors
are prescribing involve botanicals that are not proven in humans to help you with your
cortisol.
I mentioned rhodiola when I was working with George. Rhodiola is very well proven to
help both with lowering your cortisol if you are a stress case and you have high cortisol.
It’s also proven to help with exercise performance. Very Well, proven in something
called a randomized trial, which is the best evidence that we have that an herbal
therapy is better than a placebo. I was surprised to find that many of the things I’ve
been prescribing over the years…
I’m a scholar of Ayurveda. I’ve been prescribed things like ashwagandha and many
other herbal therapies. Ashwagandha has never been studied in humans. It’s only been
studied in animals and yet it’s touted as one of those herbs that helps you with stress.
Now, many people do believe it helps them with stress and I’m not saying it doesn’t. I’m
just saying it’s not proven and I have a really high bar when it comes to what I
recommend.
Now, on the other side, I mentioned that cortisol can be too high. That’s the most
common problem that we see and that’s what leads to the muffin top and it gives you a
feeling of being tired, but wired. You can also burn out production of cortisol and it can
be too low. In fact, you can have both within the same 24-hour period. The pattern I had
when I was 32 was that I was high in the morning and then I was low in the afternoon
and that made me crave sugar like you wouldn’t believe. I would have jungle drums and
had to have chocolate or a latte or something in the afternoon just to make it through.
When your cortisol’s low, one of the proven herbals is licorice. Licorice, you have to be
really careful with this herb, though, because it can also raise your blood pressure.
People who have low cortisol tend to have low blood pressure. In fact, they often come
in kind of bragging and saying, “My doctor’s so proud of me for my low blood pressure.”
It’s not always a good thing if you’re not getting enough blood to your brain to really be
able to execute on your mission. Sometimes low blood pressure is a sign of low cortisol.
You’ve got to be careful about these herbs.
Rhodiola sometimes can cause problems, especially if you have any tendency toward
something called bipolar, manic depression. It can cause some anxiety in some people,
but overall, these things are much safer than going on a prescription therapy. The thing
that really makes me crazy – I’ll just say one last thing here, Cindy, if I may – is that I
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really feel like we’ve got this epidemic of overwhelm. It’s being treated with exactly the
wrong thing.
Both men and women have these hormone imbalances that cause them to feel
overwhelmed and unsexy and fat. Often, the first thing that they’re treated with is an
antidepressant or a sleeping pill or an anxiety medication. We know when it comes to
antidepressants, if we just take that for a moment, I don’t think they’re good for people.
They’re only proven to help in severe depression and that’s the minority of people who
take them. We know that a quarter of women take antidepressants in the US alone and
it’s associated with an increased risk of breast and ovarian cancer. It can high jack your
sex drive. It can keep you from having orgasms. Oh and it also causes stroke and
weight gain, so not very sexy.
Cindy:
No, you can actually tell when somebody’s on an antidepressant just because you don’t
feel any energy coming from them. Their whole vital life force seems to be less when
they’re on an antidepressant. Have you ever realized that or ever experienced that? I
don’t know…
Dr. Sara:
Oh absolutely, Cindy, absolutely. I totally agree with you. I think that certainly there’s a
time and a place for taking some of these medications. I don’t want to go to that
either/or mindset, that dualistic mindset that all of these medications are bad because
they can be a lifesaver for some people who are severely depressed. My issue is that I
think we’ve got that knee-jerk response to mask the symptoms way too fast and I would
much rather have a strategy where we’re getting to the root cause of why you feel
depressed or anxious.
I agree with you. It does feel like the life force is just gone and I think the key is to look
at root causes. What hormones could be causing your symptoms related to depression
or anxiety rather than to be so quick to take Lexapro or Prozac or something like that?
You’re right. I mean so many people will say to me, “I started on the Paxil medication,”
or “My primary care provider said I should take Wellbutrin,” and they’ll say, “I feel my
creativity is gone. I feel like I’ve lost my edge.” I agree. I think that sense of loss, of
energy loss of heart is what you see when people are on these medications, especially
when it’s unnecessary and it’s not the best choice for them.
Cindy:
It really dulls the senses in all ways?
Dr. Sara:
Well, it not only dulls the senses, which is bad enough, but there are all these other
problems, too. When it comes to anxiety medications or sleeping pills we know there
were 60 million prescriptions for sleeping pills last year.
Cindy:
Sixty million.
Dr. Sara:
Sixty million and they are associated with an increased risk of death. This has been
shown in three different studies. Most of them cause dependence where you get
addicted to them, same thing with anxiety medications. I would much rather look first at
the natural ways we can deal with the hormonal symptoms that you have instead of
jumping to these prescription medications. It’s this idea that I learned from my greatgrandmother, which is you don’t find the answer to health in the bottom of the pill bottle.
You find it inside. It’s an inside job.
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Cindy:
Now, we had a few questions come in about teenagers that are going through
depression. That seems to be common. I hear about it in the news and what would you
say about teenagers that are experiencing depression? Is that usual? Is it hormonal?
Dr. Sara:
Well, we’re definitely seeing more and more and more children including teenagers with
depression, with weight problems. We know there’s an obesity epidemic that is just
taking off with children. The way that I approach this is basically the same as what I’m
describing in adults. I look a little bit differently at girls versus boys, but I think the
question again is to start with what are you eating? How much movement do you have?
What supplements are you taking? What’s happening with your habits of thought and
behavior? Where are you with your happiness set point?
Now, I do believe for a lot of teenagers it’s a lot like perimenopause in reverse when you
go through puberty. You go from having very little in the way of having sex hormones
before puberty to suddenly being driven by testosterone and estrogen and all of these
sex hormones. I think it’s important when a teenager has mood issues that you look at
those lifestyle things – how are you eating, what kind of movement do you have, what’s
happening with supplements, the mental retraining, but also to look at some of the
hormonal drivers of mood. There the same Charlie’s Angels in both men and women
and girls and boys.
Cindy:
What about some of the myths? I know you’re big on being a myth buster.
Dr. Sara:
Oh yes.
Cindy:
Such as don’t worry about hormones until after you’re 50 and that kind of thing. Can you
talk about that?
Dr. Sara:
Oh yes, happy to bust a few myths for our listeners. I love this one. I think many people,
when it comes to hormones they just start to tune out. Honestly, I have to say when I
was in my 30s I did exactly the same thing. I was guilty. I’m totally busted. When I was
32 years old, I thought that menopause was some future cliff I was going to fall off
sometime around 50 or 51, the average age for menopause in the US and that I didn’t
need to worry about it. Hormones were not part of my experience until I went through
menopause. That’s a myth and that’s a myth that many conventional doctors believe.
Let’s bust that one first.
The truth is that for both men and women your hormones start to change in your 20s, in
your 20s. Now for most of us, when you’re about 24-25 that is when you are the perfect
hormonal specimen. We know this from rigorous research. After that, starting in your
late 20s, your hormones start to change beginning with your androgen. So testosterone
starts to drop by 1-2% per year and you’re going to be on the accelerated side of that
range if you are a stress case, if you’re not managing stress in a way that really serves
you. You can imagine if it’s 2% per year over 20 years that can be a 40% drop in
testosterone that could have been prevented.
Another myth that I think is really valuable that I see every day in my practice and in my
online courses that I teach is the idea that as you get older that it’s normal to just feel
like you have half the energy you used to have. It shows up in different ways. It shows
up as not caring about your appearance the way you used to or it can show up as not
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wanting to have sex as much as you used to. There’s many different flavors for how it
shows up and I find all the time that people work with me online and they’ll say to me, “I
went to my doctor and I said that my sex drive is a fraction of what it used to be,” and he
just patted me on the back and said, “You’re just getting older. That’s what it’s like to be
42 or 52 or 62. That’s just how it is. You’ve got to accept it.”
I want to bust that myth right now. The truth is that it is your choice. Now, I’m not saying
that everybody needs to be swinging from the chandeliers and have a super-high sex
drive. What I’m saying is it’s your choice and if you want to do something about it if
you’re feeling fatigued, if you’re feeling like your sex drive is a fraction of what it used to
be. You have the choice to investigate the hormonal drivers of your energy and vitality.
There are natural ways – 95% of them available without a prescription – that you can
use to turn this around.
Cindy:
Now there are so many nutrients out there, nutraceuticals that you hear are supposed to
do these things. Again, you want the ones that are proven. The book that you have
coming out, will that talk about some of those things?
Dr. Sara:
Oh yes, absolutely. I’ve been working with my publisher just because I have so many
citations for the nutraceuticals that are proven and I have them divided up into the
seven most common hormone imbalances that I’ve seen in my practice and the ten
thousand patients that I’ve seen in the past ten years. I’ve been practicing for about 20
years, but I started tracking about ten years ago.
Yes, my book definitely has a long list of all of the nutraceuticals that have really been
proven to help you with hormone balance. It’s content that I share in a lot of different
ways. You don’t have to wait until March when the book comes out. It’s material that I
share in my online courses. I’m always happy to share them. There are many things
that I think you can start to do and the cool part about this is that it’s not some gigantic
project.
I have a lot of people who are overwhelmed, who are not feeling vital. They feel like
they’re half the person they used to be. The last thing that they want is some big project.
Their life already feels like a list of 2,000 medical references. They don’t want to start
reading through the 2,000 references. I like to make this super simple for people and
the cool thing is sometimes just one or two very small tweaks can really start to make
you feel more vital. When you feel more vital, that’s when you’re more open to making
some of these other changes that I describe in The Gottfried Protocol.
Cindy:
Now, in the new book you actually have a questionnaire that’s in there and this is, I
think, primarily for women, is that right, to help them diagnose their hormone problem?
Dr. Sara:
Yes, so I have a questionnaire in my book that is designed for women. I also have one
for men. We are working on getting this online and it should be up within a short amount
of time. I think it’s really valuable to share that kind of information because it helps you
get to the root cause whether you’re a man or a woman. It helps you get to the root
cause of why you’re feeling the way you’re feeling whether that’s depression, anxiety,
midlife crisis, low sex drive or just cranky, irritable.
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Cindy:
Well, we’ve had a lot of people writing in that say that’s their number one thing is just
being easily overwhelmed, cranky. That seems to be a very common thing. What would
you suggest that they do first? You mentioned food, movement, supplements, thoughts,
behavior.
Dr. Sara:
Well, I would say for someone who feels overwhelmed, a couple of things to do.
Number one is to realize that the number one reason why you feel overwhelmed is
related to stress. We’ve got to do something about it because we know that 95% of
disease is either caused by or worsened by stress. We’ve got to turn this ship around. If
you feel overwhelmed, I think the number one thing to do is to look at your cortisol level.
You could do some questionnaires to see whether you have high or low cortisol. You
can also ask your physician to run a cortisol level. You can measure it in the blood. You
can do that first thing in the morning. That’s when we typically do it. If your doctor, for
whatever reason, isn’t willing to do that, you can also order a test yourself and I can
share with you a couple of names of some of the labs where you can test your cortisol
levels. Number one, if you’re overwhelmed I think it’s worthwhile to test.
Number two, I’m going to give you a super simple supplement that you can start using.
It’s amazing to me how this can turn you around and it can make you feel less
overwhelmed within a short amount of time, sometimes as little as seven days, and that
is fish oil, omega 3s. Now many of you have heard that omega 3s are a good idea for
one reason or another. They reduce inflammation, they help you prevent heart attack.
Here’s what we know about omega 3s. They help you get your cortisol back into that
goldilocks position. It’s very well proven to lower your cortisol, lower your stress
hormone. Number one, I want you to do some testing; number two, fish oil.
I’m going to give you one more tip. Number three is dark chocolate. Now I know the
women are going to like this; men, too. Dark chocolate has been shown to lower
cortisol. Dark chocolate, this may be the most popular cortisol study of all time,
especially if you’ve got a dark chocolate with a high cacao count, doesn’t have too much
sugar. It’s just mostly that beautiful cacao, so the high cacao count. I’m talking about
75% or higher, that really helps you with the cortisol.
Then one thing you don’t want to do is you don’t want to reach for too much alcohol. I
mentioned that one of my clients, George, was doing this. The problem with alcohol is
that the very thing you think you’re getting from it…a lot of people will have a glass or
two of wine or a cocktail at night because they want to transition. They feel
overwhelmed. They want life to be easier and it just seems to provide that sense of
ease. The very thing you think you’re getting from the alcohol, it’s actually stealing from
you for a couple of reasons.
Number one, it raises your cortisol for about 24 hours and that makes it harder to really
get restorative sleep at night. In fact, we know that alcohol reduces deep sleep. It may
help you fall asleep initially more easily, but it will rob you of deep sleep. You need
deep, restorative sleep at night to repair your beautiful adrenals and get them sexy
again. You’ve got to be really careful about the alcohol.
One other quick little thing about alcohol is that there was a study last year in the
Journal of the American Medical Association showing that for women who have more
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PAGE | 13
than three to six servings of alcohol per week, they had an increased risk of breast
cancer associated with too much estrogen. They were making too much of the bad
estrogens if they had more than three to six servings per week.
Now a lot of women that I see who first come to my practice or join my programs online
are having way more than that. They’re having one to two glasses of wine every night
and that puts you at an increased risk of breast cancer and too many of the bad
estrogens. Just by reducing how much alcohol you’re having…I’m not saying you have
to abstain.
That’s sometimes the best thing if you have an addictive pattern around it, but for
women who are drinking too much, you really want to turn that around. I suspect there’s
also a benefit for men. Men also have estrogen. If you have too many of the bad
estrogens it can cause moobs. I don’t know if you’ve heard that term before, Cindy?
Cindy:
Moobs?
Dr. Sara:
The man boobs.
Cindy:
Oh yeah.
Dr. Sara?
It can cause the man boobs. It can cause problems with your prostate. So this is an
issue for men, too. My message is this – drink less, but better wine. That’s my message.
It’ll help you with the overwhelm.
Cindy:
I remember for quite a few years there would be lots of articles out there that talked
about how wine, half a glass of wine for women or a small glass for women and a full
glass for men, was good before you go to bed, but this doesn’t really…
Dr. Sara:
Well, the amount that’s been shown to be a problem…you have to kind of separate the
falling asleep part from the deep sleep and also from the risk of breast cancer and
making too many of the bad estrogens both for men and women. I think for a lot of
people who have a sticky relationship to alcohol, they often will say, “It’s good for you to
drink wine. Look at all those studies that show the benefit to your heart.”
The curious thing there is that it is shown to be helpful, but it’s helpful when you look at
the French, for instance. The French have very different genetics than we have in the
US and I just often find that studies like you’re describing, have a half of glass or a glass
at night it’ll help you sleep, it helps you fall asleep, but it doesn’t help you stay asleep
and it really interferes with that deep sleep.
Just looking at the French, for instance, this is the whole idea behind the French
paradox. They drink a fair amount, but their alcohol, their wine especially, is much lower
in alcohol content than it is here in the US. They also have very low rates of a particular
gene, a very interesting gene that is involved in liver detoxification. They only have
about a 2% rate of this particular gene that helps you with detoxification whereas in the
US about 66% of us have this gene. We have a problem with liver detoxification that the
French don’t have, so that’s one of those reasons why you’ve got to be careful about
studies like that.
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PAGE | 14
Cindy:
Norm wrote in, “So what about caffeine and tobacco and marijuana along with the
alcohol?”
Dr. Sara:
Yes, well, I never think that you want to reach for fake energy. Let’s start with that piece
first. I am going to frame nicotine and also caffeine as sources of fake energy. I feel like
they are similar to a high-interest loan where you’ve got to pay at some point in the
future. You are taking out a loan against your future energy and your future adrenal
function when you have several cups of coffee in the morning or when you smoke. I’m a
big fan of using real energy, some of the things that I’ve described already.
I would say that a smoothie in the morning with kale or some other greens is a much
better source of real energy than one or two cups of coffee. For Norm, who’s asking
about caffeine and marijuana and nicotine, I am not a fan of those. I think they are
worse for your health than they are good for your health. I think when it comes to
caffeine, you can use it medicinally. There are some people who are able to use
caffeine and it really works for them. Certainly, we know about the benefits of green tea,
for instance. There are some people who drink just a half cup or a cup of coffee in the
morning and it doesn’t cause problems for them.
What I see in my practice is men and women who struggle with low energy, maybe they
have trouble with sleep, maybe they have trouble with feeling burned out or
overwhelmed or they have anxiety in those cases, I think step number one is that you
get rid of the stimulants. You get rid of those high-interest loans such as caffeine and
nicotine.
Marijuana, I’m not going to talk a lot about marijuana. I have to say I’m not as familiar
with all the literature on marijuana, but in general, I don’t think that I don’t think it’s the
best way to deal with overwhelm or some of the other symptoms that people use
marijuana for as a way of medicating their symptoms. I think it’s better to find the ways
that you eat, move, think and supplement as a more sustainable way to deal with your
symptoms.
Cindy:
Well, we have so many questions coming in and for those of you who would like to ask
a question, go ahead and go to www.energizedlivingtoday.com/event. Then scroll on
down the page and put your questions in the Q&A box. We’ll get to a few more. First of
all, what I would like to do, Dr. Sara, is we’ve been talking a lot about the work that you
do and you have put together a beautiful package for everyone that really helps people
to understand what’s going on with their body and what they can do. I would like to
introduce that package, if it’s okay. Is this a good time?
Dr. Sara:
Oh absolutely.
Cindy:
Alright, if you’re already on the /event page, just scroll on down and you will see the
special offer button just below Dr. Sara’s picture. You can hit that or you can go to
www.energizedlivingtoday.com/sara and you will get there as well. Sara is spelled
without an H. So it’s S-A-R-A, www.energizedlivingtoday.com/sara without an H. The
name of your program here this is Mission Ignition Jump Start. Do I have that right?
Dr. Sara:
That’s right. It’s called Mission Ignition Jump Start. The idea is to get reignited. What we
put together for your listeners, Cindy, is a group of five really powerful audios. These
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PAGE | 15
are pulled from my Mission Ignition Course that I teach online. I’ve been doing this for a
couple of years and this course is a more expensive, intensive experience with me that
goes on for about five weeks. We pulled the highlights, the things that people just love
and respond to the most, and put those together as a group of five audios, plus there’s
a couple of bonuses that come with it.
The first audio is about assessing and addressing your relationship to stress. The
second audio is about gender differences in the stress response. This is really key both
for men and women to understand. It’s really important for women to understand about
themselves and also about their men. It’s so important for men to understand as a way
of coping with their female partners who are struggling with stress. I find all the time that
couples who come to see me are in couple’s therapy. They’re going to a therapist.
They’re spending tens of thousands of dollars each year trying to deal with their
conflicts when the problem is actually the stress response and the different ways they
respond. Consider this, especially if you’re in couple’s therapy.
The third audio is about getting your body back on track. The fourth audio is a lengthy
question and answer session that I have on the adrenal glands and the stress response.
The last audio is a question and answer that I have on sex drive and how to really
improve your vitality, how sex drive also goes along with it. How you do sex is how you
do everything. I think it’s just a really important way to look at vitality.
Then I also offer a jump start. I’ve got a weekly jump start that I do in Mission Ignition
where I have five super actionable steps that you can begin to get immediate results. I
also have a two-part video series on what I mentioned earlier, something called
orgasmic meditation or sacred orgasm, how to really use that to fill your energy tank. I
also have an eBook that I’m offering as a bonus, which is Seven Proven Potions for
Ageless Skin, how your skin can really reflect the internal workings of your body when
you’re in balance.
We also have one last bonus in this program, which is a month in my inner circle. I’ve
got an inner circle of people, men and women, who work with me and we share a
private Facebook page. We have a monthly question and answer and we allow one
question per person, per month and I just go as long as I need to get through
everybody’s one question. Then we also have a monthly content call that changes
month to month. That particular program is available for people who are interested in
the Mission Ignition Jump Start and they purchase within the first 48 hours.
Cindy:
This package is $297 value for only $97. One thing I would like to go back to for just a
moment, gender differences in the stress response because we had several people
writing in. Jeannette and Missy, I don’t want you to think that I didn’t see your questions
and several others about the men not having a sex drive. In this audio, do you talk
about that because they have been taking it personally? They thought their husbands
weren’t interested in them anymore.
Sara:
Yes, Well, this is what tends to happen when you’re in especially a long-term
monogamous relationship. It tends to be that when one partner either male or female,
when they have low sex drive it feels like a rejection to the other person. I’m glad that
those women asked about this particular part because this is something that I address
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PAGE | 16
quite a bit. We’ve got to take the blame away from the low sex drive partner and really
reframe low sex drives as a couple’s issue.
When you do that, when you take the blame away from the person who’s got the low
sex drive and you really start to look at the root causes, what’s going on with the
Charlie’s Angels and then you step into the natural solutions such as The Gottfried
Protocol, that’s when you really start to move the needle when it comes to sex drive. I
agree with your listeners who ask the questions about rejection.
There’s so much shame. Sex is such a loaded topic even for couples who have good
communication. It’s such a loaded topic that it’s very helpful, I think, to listen to these
audios together as a couple. Listen to them together and generate that list of questions.
Generate the things that really land for you so that you can have this conversation and
go deeper.
Cindy:
What a beautiful idea, so for all of you listening out there, if this is a challenge that
you’re having within your relationship, this is a wonderful way for you to do some work
together which, of course, creates bonding and just wonderful conversation. I love this
package that you have put together and I have been going through it and taking copious
notes.
Dr. Sara:
Good, I’m glad to hear that. Yeah!
Cindy:
I love it. I really think this is one of the packages, everybody, that all of you need to
have. That’s my personal opinion because all of us are going through the same thing.
We don’t have enough days in our hours and we are in a chronic stress state all the
time and it’s affecting us in so many areas of our life, especially our relationships. I think
this is something that everyone should consider getting this. Learning more, really
educating yourself is the key and that’s what this package is all about.
Dr. Sara:
That’s right. You’re absolutely right. My main message for people who are listening to
us today is don’t settle. Don’t resign yourself to low energy, low vitality, low sex drive,
feeling like your mood is not where you want it to be. You don’t need to settle. You can
change these things. It doesn’t take a huge effort. There’s actually a beautiful aphorism
for this, which is small hinges swing big doors. I have identified the small hinges that
really make a difference when it comes to energy, metabolism, sex drive and mood.
Cindy:
For those of you who are not feeling as beautiful as you once were, you will absolutely
love the Seven Proven Potions for Ageless Skin. It’s great.
Dr. Sara:
Oh good. I’m a little shy about that particular book because I don’t want people to think
that vanity is so important to me. The main point with this book is that I think a lot of
people don’t realize that your skin is a really important barometer or mirror of what is
going on inside your body. If you have cortisol that is like a runaway train, either too
high or too low or both, it makes you have more wrinkles. It accelerates the aging
process. It even shrinks your telomeres. I don’t know if your listeners know about
telomeres.
They’re these cute little caps on your chromosomes that are the best marker of
biological aging as opposed to chronological aging. This is based on the work of
Elizabeth Blackburn, who got the Nobel Prize in 2009. If your cortisol is high you are
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PAGE | 17
burning through those cute little telomeres. You want to keep then long and lovely and
that eBook is going to help you with keeping your telomeres and your skin as young as
you want it to be.
Cindy:
Again, like you said, Dr. Sara, it’s not about vanity. It’s about feeling good about you and
if it’s showing in your face, it’s going to show in the rest of your body, too. That’s just the
first telltale signs that it’s affecting your health.
Dr. Sara:
That’s exactly right. That’s exactly right and it’s not that I want everyone to use
unnatural…we have this tendency to want to look younger than we are and I understand
that. What I want is I want your body to be younger than your chronological age. When
you focus on that, your skin also looks fantastic. So that’s the emphasis here.
It’s not coming from this place of vanity. I’m not a big fan of the use of Botox and all
these other treatments to try to improve your skin. I’m a fan of doing the things you need
to do with how you eat, think, move and supplement that really keep your body young
and your skin comes along for the ride. So your skin is also very youthful as a result.
Cindy:
I think that this video is really…and I want to talk about this because you’ve talked a
little bit about the sacred orgasm or what did you call it – orgasmic meditation?
Dr. Sara:
Orgasmic meditation, yes.
Cindy:
I love this because that will keep you young, too, inside and out.
Dr. Sara:
Well, yeah, you’re absolutely right, Cindy. In fact, there is rigorous data that shows this.
This is not just my personal opinion. There’s a particular practice that takes 13 minutes
and I recommend it three times a week. You can learn about it in this package and it’s a
combination of Zen Buddhism and orgasm. What I’ve found is that this is a very
powerful way to amplify your energy. It’s completely safe and it’s free.
It’s a really great way to think about meditation, especially for the people that I work with
online who say to me, “Yeah, yeah. I know I should sit on a cushion for 30 minutes
every morning. It’s just not going to happen.” I just totally understand that. I’m a working
mom. I’m busy. I understand that and so I think it’s important that we offer a lot of
different options for how you can wrangle stress and how you can learn to hit the pause
button.
Now I have many, many, many different ways to do this from tiara time to things like
orgasmic meditation, but the cool thing about this is that it’s an alternative to
intercourse, which is often a really helpful thing, especially in couples where one partner
has low sex drive.
Now one other quick thing I wanted to say getting back to that science point is that
orgasm fills both men and women with oxytocin. Oxytocin has a couple of really
fantastic benefits when it comes to your Charlie’s Angels. It lowers your cortisol. It
lowers your stress hormones. Everybody knows that, right? You just feel great after you
have an orgasm.
It also makes your thyroid more efficient, so it can help you if you’re struggling with
weight or mood. It can help you with that as well. After menopause, it actually raises
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PAGE | 18
your estrogen level, so it’s another way of working with estrogen with how you think and
move without resorting to taking a prescription.
Cindy:
Well, I think that as I said, this is something that will benefit everybody and this is a
huge discount, normally $297 for just $97. Now I’d like to just get to a couple more
questions if we can, Dr. Sara. Is that okay?
Dr. Sara:
Sure, absolutely.
Cindy:
Okay, Said has written in, “I’ve been told that taking adrenal glandulars can help
strengthen my adrenals, but I don’t know what that is. Is this something that I can get
from certain foods or do I have to find it in a supplement?”
Dr. Sara:
Yes, great question. A lot of especially alternative health providers will prescribe adrenal
glandulars and this is basically what it sounds like. It’s when the adrenal glands that sit
in your mid-back, when the adrenal glands of animals have been removed and ground
up and then put into supplement form. Now it may sound creepy to you if this is a new
idea to you. The problem is there is almost no high-quality evidence to support using
glandulars.
I wish there were, but I think it can be potentially dangerous because of the lack of
regulation on this practice. I’m not a big fan of adrenal glandulars. I know that there’s
lots of people who use them and swear by them and really feel like it helps them, but it
has not been shown to really help people when it comes to energy and vitality and
cortisol and the things that I want to track. What’s important to me is really to offer
things that are safe and proven and, unfortunately, when it comes to glandulars they
have not been shown to be either safe or proven.
Cindy:
What about raw thyroid?
Dr. Sara:
Thyroid gland is a little bit different, so for those of you who have struggled at all with
your thyroid, sometimes you’ll get offered something called a natural desiccated thyroid.
That usually comes in one of two options – either armor thyroid or also naturthroid.
Armor thyroid was approved by the FDA for many years and recently the FDA has taken
away the FDA approval for it. Both armor and naturthroid are less proven and also less
regulated than they once were.
Now some of this is the foot work of the FDA, which we could talk about that for about
an hour, some of the problems with the FDA. I don’t want to get into that, but the main
point here is I definitely see lots of people who take natural desiccated thyroid and love
it and it is bio-identical to humans. So I prescribe it, but when it comes to thyroid
treatment I find that it’s often like shoe shopping, meaning that if you need a bioidentical thyroid treatment, it takes a while to find what really serves you best. It takes a
while to find that shoe that just fits beautifully.
Sometimes the answer is naturthroid or armor thyroid. It just depends on you. It
depends on really calibrating and personalizing it to you. So that’s the story when it
comes to ground up thyroid gland.
Cindy:
Then Rita wrote in. She’s talking about childhood trauma, especially abuse, seems to
be so closely linked to depression and other psychological problems. Can you say
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PAGE | 19
anything about what happens hormonally that stays with someone who has gone
through this kind of trauma and can this be corrected?
Dr. Sara:
Absolutely, so this is a fantastic question and such an important one because we have
way too much trauma among our children. We know that trauma can start as early as
when you’re in utero. In fact, that same researcher at UCSF that I mentioned who got
the Nobel Prize, Elizabeth Blackburn, has shown that you can shorten your telomeres.
You can shorten your longevity from stress in utero. It can start very early.
Typically, the type of hormone pattern that we see is that children under stress will have
high cortisol. They often will learn to stress eat. So this national epidemic we have with
disordered eating, I think it often will start in childhood among stressed children. We
also know that when those children become adults, the childhood trauma survivors, they
tend to have low cortisol. They tend to have low cortisol because they’ve gotten to that
place of burning out their adrenal production of cortisol.
The way that you deal with it is a little bit different than the way that you deal with high
cortisol, but that’s the kind of pattern that we tend to see in adults and people with low
cortisol also tend to have a higher rate of posttraumatic stress disorder and also
fibromyalgia. If you struggle with either one of those or you are a childhood trauma
survivor you may want to consider checking your cortisol.
The other pattern that I see, which is really important to mention, is that women who
have a history of childhood trauma have a much rockier time in perimenopause.
Perimenopause is much harder for them. They have way more symptoms, more hot
flashes, more night sweats, more mood problems, more issues with sleep and sex drive
and weight, all of these things that we’ve been talking about today, They have a rockier
perimenopause. The thing about perimenopause that a lot of people don’t realize is that
it tends to start for women around age 35 and it can go on for ten years, ten sometimes
fifteen years. Those are some of the patterns that we see hormonally with childhood
trauma survivors.
Yes, it can be corrected. You asked that question, too. You can always heal trauma. I
mean trauma is a very difficult thing to heal, but I think the key when it comes to trauma
is to process that trauma to the best of your ability. There’s not any one thing that really
has been shown to be the panacea, the answer, but I think there’s a number of
strategies from working with trusted therapists to EMDR. There’s some new data that
oxytocin seems to be helpful for trauma survivors. There’s lots of different ways to work
with it, but I think the key is to start with looking at some of the hormone causes and
results of childhood trauma and to start there.
Cindy:
Now what about if somebody has been through…because April was asking if you’ve
been through a childhood trauma and you are also on the pill. So if it’s messing you up
already, your hormones, and then you go on the pill, does this create additional
problems?
Dr. Sara:
Great questions about childhood trauma and being on the birth control pill. I see a lot of
women who are taking the birth control pill. It’s a set of two different synthetic hormones
that are completely foreign to the female body. It’s a synthetic estrogen combined with
synthetic progesterone. I often will see, for women who are in my online programs, that
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PAGE | 20
when they have a hormone problem and they go to their local doctor it tends to be that
they’re offered a birth control pill or an antidepressant or both. I just want to be really
careful about these synthetic hormones. I think they’re dangerous and provocative and
they’re not always the best option.
Now a lot of women don’t have many other choices when it comes to contraception. I
certainly recognize that, but what I prefer is more natural forms of contraception that
don’t mess with your hormones. For people who are on a birth control pill, they still are
at risk of having a rockier perimenopause because of childhood trauma.
When you’re on a birth control pill, you take it for three weeks out of a month and that
means you have a week where you’re not taking any of the synthetic hormones and
that’s when they often tend to have more symptoms, the rockier perimenopausal
symptoms like they can’t sleep. They’re having night sweats. Their mood is not good.
We know that the birth control pills associated with an increased rate of PMS depending
on which one you’re taking.
I don’t think birth control pills are the answer. I don’t think that’s such a good way to go.
I’d much rather look at the hormonal root causes of why you’re having symptoms or the
hormonal consequences of having childhood trauma.
Cindy:
Well, this has just been over an hour of just solid information that’s going to help so
many of our listeners and I thank you.
Dr. Sara:
My pleasure, Cindy. I’m so excited to be in this conversation with you and to have
shared some information that I hope is helpful for our listeners today.
Cindy:
Well, what I really love is that you talked about both men and women and so many
times I will hear men say, “She’s just hormonal.”
Dr. Sara:
I’ve got this super cute husband of mine. He has been very supportive of my work and
writing my book The Hormone Cure and he said, “That next book that you write, it’s got
to be for the guys because for guys who have a woman who’s hormonal, they are
screwed unless they really understand what’s going on, what the root causes are.” So I
have to agree with him there. Hat’s off to the guys who deal with your hormone issues
and also help you with navigating the hormone issues of your women.
Cindy:
That’s great. Well, again, thank you so much for being here and for offering all this great
information; any last thoughts that you want to leave with everyone?
Dr. Sara:
Well, I’d love to emphasize the point I made earlier that I think it is so important,
especially if you have listeners who are just feeling overwhelmed and feeling like they
can’t do the next step, I just want to emphasize this point that it’s easier to rebalance
your hormones than to live with the misery of hormone imbalance.
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