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Unexplained period pain? Taking time off of work? Using NSAIDs every month just to stop the pain? — Transcript

by Dr. Elyse Tursi · 5,215 words · 923 segments · language en · Watch on YouTube

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0:00i thought that taking three ibuprofen
0:02when i have my menstrual cycle was
0:05okay i'm only using three every single
0:07month
0:09or i have so much pain
0:12that i'm nauseous and i'm taking off of
0:14work because my menstrual cycle is so
0:17bad
0:17that i can't do my normal activities
0:20or i'm having difficulty with my
0:24menstrual cycle
0:25and i'm gonna go on birth control
0:27because it's just
0:28too abnormal it's too heavy it's too
0:31painful it's too cloudy i definitely
0:33need
0:33to regulate my hormones isn't all of
0:36this stuff
0:37the stuff that we do when we have our
0:38periods like this is all normal stuff
0:40right
0:41wrong i'm here to tell you guys that if
0:43you are having very painful periods
0:45if they're very cloudy if they're
0:47extremely painful and causing you to
0:49miss out
0:50on your daily activities or you're
0:53finding that you're having hormonal acne
0:55and really trying to regulate your cycle
0:58wanting to go get birth control i
1:00just want to share with you guys that
1:01that stuff is all
1:03not normal physiology and i know that
1:05when it comes to our menstrual cycle
1:07there's a lot of what is and what isn't
1:09normal out there it gets
1:10very confusing so today i want to talk a
1:13little bit about
1:14what we can expect what we should expect
1:17from our bodies during a normal and
1:18healthy menstrual cycle
1:20welcome for those of you that don't know
1:22me i'm a dr elise tersi i practice
1:24functional medicine here
1:26in new york in garden city and for those
1:28that know me welcome back to another
1:29video
1:30i know a lot of you guys are following
1:32me on instagram and this was actually a
1:34highly requested video to make
1:36i got a lot of messages from you guys
1:38about creating this video and
1:40i have a whole host of questions
1:43here that i want to talk about that were
1:45your questions
1:46about menstrual cycles um and
1:49even some perimenopausal questions so
1:52let's dive in
1:54what is normal or what does meet the
1:56criteria for normal period pain like
1:58where do we draw the line
2:00between what's normal and what's
2:01abnormal well normal
2:03period pain primary dysmenorrhea
2:07is a little bit of cramping you can feel
2:09your uterus contracting you might get a
2:11little bit bloated
2:12you might feel a little bit more swollen
2:15and really what's happening is that
2:17you're releasing all these
2:18compounds chemical compounds called
2:20prostaglandins
2:22and that's normal you feel a little bit
2:23under the weather
2:25what's not normal is secondary
2:27dysmenorrhea
2:28where you're having extreme pain you're
2:31keeled over
2:32you're literally in the fetal position
2:34all day long you're feeling nauseous you
2:35want to throw up
2:36you have full-blown back pain full-blown
2:39kind of inner thigh pain
2:41clotty heavy you're taking time off and
2:45you're being reliant
2:46on non-steroidal anti-inflammatories
2:49that's where we draw the
2:50line so it's almost like a little bit is
2:53okay
2:53your body is undergoing a very taxing
2:56process
2:57you know to be shedding your uterus and
2:59building all these
3:00cells that are going to be you know shed
3:02versus
3:04your body going through this entire
3:05process where everything is hurting
3:08it's it's a matter of how severe the
3:10symptoms are i guess that's a really
3:12easy way to think about it is how severe
3:14are the symptoms because
3:15when they start to be very severe that's
3:17where we start to wonder is there some
3:18type of underlying hormonal condition
3:20going on
3:21is there some type of underlying thyroid
3:23condition we're not looking at
3:25is there scar tissue somewhere in the
3:26body that we're not looking at is there
3:28endometrial tissue
3:30in the body that we're not looking at so
3:32when it becomes
3:33very very painful that's where we start
3:36to say
3:36something else is going on here now
3:38let's talk a little bit about
3:40what those somethings are because
3:42sometimes what happens and i do work
3:44very intimately with women that
3:46come to see me because they're having
3:48abnormal cycles or they're not
3:49menstruating consistently where their
3:51cycle is coming
3:52maybe it's coming one month 28 days and
3:54then the next month
3:5521 days and then the next month 33 days
3:58there's a lot of back and forth
4:00usually when that happens there's
4:02something going on
4:03with something in the feedback loop and
4:06we've talked about this before
4:08if you're familiar with me you know all
4:10about the hpao access which just stands
4:13for the hypothalamic pituitary adrenal
4:16ovarian access
4:17you don't have to know that it's just a
4:19kind of looping system
4:21where there's multiple organs involved
4:22so your your hypothalamus which is a
4:24gland in the brain
4:26tells your thyroid to do something and
4:27that tells your ovaries to do something
4:29and that tells your adrenal glands to do
4:31something
4:31when there's menstrual pain in the body
4:34that's debilitating and severe
4:36we start to question the hypothalamic
4:39pituitary access
4:40we also start to wonder what is the
4:42anatomy of the female body doing so when
4:44women come to see me
4:46sometimes they're not sure what's normal
4:48or not normal
4:49um i think societal normal versus like
4:53physiologic
4:53uh normal in terms of chemistry are two
4:56totally different things so we talked a
4:58little bit about
4:58i'm just looking here at the notes i
4:59want to make sure i cover all of the
5:01questions with you guys
5:02a little bit of what is normal we talked
5:04about severe
5:06period pain um what causes people's pain
5:10to be abnormal were any of the things we
5:12just talked about hpa dysfunction
5:14thyroid dysfunction and endometriosis so
5:16let's dive into a little bit of
5:18information about
5:19endometriosis what is endometriosis
5:24endometriosis does affect
5:28like 1 in 11 women and
5:31it often goes extremely undiagnosed
5:34for years of time and what happens with
5:37endometriosis
5:38is that normally let's talk about what's
5:40normal normally we have a uterus and we
5:42have specific tissue that lines the
5:44uterus and the tissue
5:45should live in the uterus it's called
5:47endometrial tissue and it stays
5:49where it should stay which is the uterus
5:51what can happen is that endometrial
5:53tissue starts to
5:55grow on specific areas or different
5:58areas outside of the uterus so sometimes
6:00endometrial tissue can grow on the
6:01fallopian tubes
6:03sometimes it can stick to and adhere to
6:04the large intestine wall
6:06there's many places that you can
6:07actually have developing endometrial
6:10tissue outside the endometrium
6:12which cause pain so endometriosis is
6:16not a hormonal problem or a hormonal
6:19imbalance it's actually an entire
6:22inflammatory process that's happening
6:24and a lot of times it does lead to
6:27chronic pelvic pain
6:29it can lead to extreme belly bloat um
6:32that is not really identified from
6:34ruling out things like i've ruled out
6:35foods i ruled out high fodmap foods
6:38i've ruled out reasons why i think i
6:39should be bloated
6:41it's none of those and i'm still having
6:42pain okay so it's a very
6:45very kind of complicated scenario that
6:48really there's no diagnostic um
6:51i would say criteria there is a
6:52diagnostic criteria but it often
6:54involves
6:54invasive looking at the actual tissue if
6:57you will
6:58so there's not a good way to diagnose
7:00this on an ultrasound or a sonogram a
7:03lot of times that's what
7:04conventional or gynecologists will
7:06recommend
7:07but that's actually not the best way to
7:09diagnose endometrial tissue
7:11and endometriosis really can cause
7:14problems for people like i said and they
7:15might not know for years and years of
7:17time
7:18it can be the culprit behind pelvic pain
7:21it can be the culprit behind pain during
7:23intercourse it can be the culprit behind
7:26bleeding or spotting during your
7:27menstrual cycle it also could be the
7:29culprit behind
7:30any bladder issues where i've had women
7:33that come to the office that say
7:35they're not fully voiding that their
7:37bladder feels like
7:38they have to go frequently and it's been
7:40ruled out that it's not
7:42a bladder infection it's not a urinary
7:44tract infection it's
7:45it's nothing in their bladder based on
7:47your analysis
7:48but there's this like uh pressure that
7:51they feel
7:52and endometrial tissue can adhere to the
7:54bladder wall as well
7:56and it creates inflammation in the body
7:59and so what happens is this endometrial
8:01tissue that should be in a specific spot
8:03starts to travel outside the body and
8:06then what happens is the tissue
8:08is under hormonal control so when you're
8:10cycling
8:11you're getting some input from those
8:14hormones
8:15that are causing the tissue to swell
8:17these little inflammatory lesions to
8:18swell
8:19and then get smaller and swell and get
8:21smaller so there's a
8:23hormonal component of endometriosis but
8:26it's really an inflammatory condition
8:27that affects the whole body
8:29and it's very painful very uncomfortable
8:31very difficult to diagnose
8:34so there's there's that component to
8:36pelvic pain
8:37or too painful menstruation there's
8:39always is there a possibility that
8:41there's endometriosis
8:43another possibility is is there a
8:46potential for thyroid dysfunction so
8:48hypothyroidism where the thyroid is
8:50actually not producing enough hormone
8:52is another reason that we have painful
8:54periods so that could be something to be
8:56looked at as well that whenever my
8:57females come to me and they're dealing
8:59with
8:59anything female reproductive we have to
9:02look at this whole
9:03host of different things from is it
9:05anatomical is there tissue growing
9:07outside the lining
9:09we have to look is it hormonal is there
9:11something going on with the hormone
9:12systems namely thyroid hormone there's
9:14other hormones
9:15sex hormones and whatnot but thyroid
9:18hormone do you have enough production of
9:19t3 t4
9:21that's something we want to look at and
9:22then of course polycystic ovaries that's
9:24actually what you guys wanted to know
9:26the most about so polycystic ovarian
9:29syndrome pcos was one of the top
9:32questions i asked you guys on instagram
9:34which questions you have about this
9:36topic
9:37and i think probably 13 people asked
9:40something about polycystic ovarian
9:42syndrome it's very very common
9:44now polycystic ovarian syndrome is
9:46different than endometriosis although
9:48they can look a little bit similar
9:50so let's talk a little bit about what is
9:52polycystic ovarian syndrome and why it
9:54might show up
9:55as painful menstruation is an actual
9:57condition that does have a hormonal
10:00input so what's happening in polycystic
10:01ovarian syndrome
10:02there's an abundance of male hormones so
10:05we start
10:06to have more of a male hormone
10:08production
10:09in the body and it does cause facial
10:11hair
10:12and acne namely on the jaw whenever
10:15someone's coming in with jaw
10:17we actually look at the hormone so
10:19there's different spots on the face and
10:21depending on where acne is showing off
10:23we can actually connect it to different
10:24organ systems so there's
10:26digestive acne small intestinal acne and
10:29then jawline acne which is usually
10:31cystic
10:32polycystic ovarian syndrome what happens
10:36with this syndrome
10:37is that the cysts are developing on our
10:40ovaries
10:41and normally there should be cysts they
10:43the cysts grow
10:44and then they shrink and they grow and
10:46they shrink under hormonal input
10:48but for some people they actually don't
10:50end up bursting
10:51they stay cystic and then we end up end
10:53up having multiple cysts
10:55on the ovaries now usually polycystic
10:58ovarian syndrome it
11:00can be painful but that's not the um
11:04that's not one of the major symptoms of
11:07inclusion meaning criteria to meet the
11:09criteria
11:09it can be painful but it's not always
11:11painful some women can have
11:13polycystic ovarian syndrome and their
11:14periods are so fine and comfortable and
11:16they don't even know
11:18um except for other other types of
11:20things like maybe they're growing
11:21a little bit of facial hair what happens
11:24is that too much male hormone in a
11:26female body creates
11:28some problems and some complications
11:30just like too much female hormone in a
11:32male body creates
11:33problems and complications so there is
11:35an abundance of more male
11:36androgynous hormones in this condition
11:39this is a hormonal condition
11:41and what happens is that there's a
11:44kind of driving force that has to do
11:47with insulin
11:48and so insulin which is a hormone that
11:51comes out of our pancreas
11:53has been identified as a kind of
11:55connected
11:57player in the game of developing
11:59polycystic ovarian syndrome
12:00okay so having sometimes insulin
12:03resistance having blood sugar problems
12:05where the sugar levels are not
12:06balanced a lot of women find that when
12:08they have polycystic ovarian syndrome
12:10they not only develop a little bit of
12:12hair on their jaw
12:14they find that there's a little bit of
12:15acne but they might also develop a
12:17little bit of hair around their areola
12:19and it's because there's more male
12:20hormones that are creating a little bit
12:22of hair growth
12:23making them more androgynous if you will
12:27and there is a component where they're
12:29having blood sugar issues as well where
12:31the sugar levels are going up and down
12:33they're not easy to be balanced
12:34uh there's a little bit of a metabolic
12:36dysfunction driving this type of
12:38condition that
12:39is hormonal in nature insulin is a
12:41hormone
12:42affecting polycystic ovarian syndrome
12:44thus rendering this a hormonal condition
12:46it's important to understand
12:48the difference between a structural uh
12:51abnormality
12:52or a difference between a hormonal
12:54abnormality because if you don't know
12:55the difference then
12:56you might be trying to do something with
12:58someone and they're not getting better
13:00because something is there okay so i'm
13:02just looking here at my notes because
13:04there was a question of someone asked i
13:05have
13:06i have um polycystic ovaries i know that
13:09that's been something i've been dealing
13:10with
13:11and um i do have problems with my sugar
13:14cravings i'm constantly craving sugars
13:16i've read that that's connected is that
13:18true the answer is yes that is contr
13:20that is uh a true factor insulin
13:22actually
13:23causes a little bit more of a ramp up to
13:25the androgen so
13:26when insulin levels are high we produce
13:30a little bit more androgen so there's a
13:31very kind of close connection
13:33and friendship if you will between
13:35androgens and
13:36the ovaries so definitely want to uh
13:39talk a little bit about that so
13:41obviously having insulin issues if you
13:44will
13:44does also create metabolic dysfunction
13:48it creates carbohydrate cravings a lot
13:50of women with this condition are
13:51constantly craving carbs in sugar
13:53so when we talk about the hormonal
13:55balance one of the treatment options or
13:57one of the next steps
13:59that might be there in whether
14:00conventional medicine or even holistic
14:02is balancing blood sugar there is a very
14:05strong connection to blood sugar and
14:06diet
14:07carbohydrate load so keeping the
14:09glycemic load down
14:11for polycystic ovarian syndrome works
14:13very good um there are some things
14:15that i recommend i won't really dive too
14:17much into treatment but there are some
14:19things where
14:19we don't want to be spilling insulin we
14:22don't want to be spewing
14:23insulin okay now what caused this
14:26condition
14:27it's it's hard to say the why there's so
14:29many factors going
14:31on in these types of conditions it's
14:32hard to say why we don't always have to
14:34know the why we just have to know that
14:36this is happening
14:37and let's do something to support it um
14:40so that was a little bit about
14:41polycystic ovarian syndrome now
14:43one of the things that has to be
14:44addressed obviously when you're dealing
14:45with this condition
14:47is you've got to talk about the sugar
14:48levels you've got to talk about how do
14:50we get this person
14:51balancing out their glucose metabolism
14:53how do we get them using more glucose
14:55how do we get their pancreas
14:56to not be so either excessively
14:59producing
15:00insulin or a little bit resistant to
15:02processing certain glucose metabolism so
15:05that's through
15:06supporting glute transporters that's
15:08through helping balance the
15:09pancreas that's through using certain
15:12types of botanicals one of them
15:13in particular that i like to use is
15:15gymnemia it's a plant-based
15:17um sugar destroyer it's the name of it
15:19in more eastern medicine it's a
15:20botanical
15:21but it's a great one to use so there's
15:23there's a lot of ways to support the
15:24body
15:25and one of the things that i would
15:26encourage you guys to think about
15:28whether you're a mom
15:29or a female that's going through this or
15:32has a friend or a family member or even
15:34your boyfriend of someone that's dealing
15:35with these types of things a husband
15:37it matters to all of us because we're
15:39all affected when we feel good everyone
15:41around us feels good when we don't get
15:43everyone around us feels good everyone
15:44around us feels good when we don't feel
15:47good
15:47everyone around us also feels that
15:49effect so we all care about all the
15:50things regardless if we're menstruating
15:52or not for my men out there
15:54but back to this so there is a component
15:56that we have to balance out sugar levels
15:59now remember what happens frequently is
16:02brain hypothalamus thyroid
16:05adrenal ovary we forgot to add the
16:09pancreas although it isn't there they're
16:10all
16:10talking to each other so having one
16:13thing happen
16:14often causes a multitude of things to
16:17happen so the symptoms
16:19could be excess facial hair greasiness
16:22in the body like really um excessive
16:24production of sebaceous glands
16:27like we said having jawline acne having
16:30hair growth in other places
16:32feeling like you're constantly craving
16:34sugar weight gain is another component
16:36of this as well because we're eating a
16:38lot so this is more of a
16:40hormonal metabolic condition okay
16:44now menstrual uh menstrual bleeding a
16:47lot of people wanted to know
16:48how much blood is too much blood during
16:51my cycle
16:52how much blood is is too much blood
16:55during my cycle so really a normal kind
16:58of bleed
16:59is anywhere from about 80 milliliters
17:02per blood what does that look like
17:03usually it's about
17:05five tampons during the day just to give
17:09you like an example
17:10okay um or even like a pad a
17:13regular-sized pod either of those a
17:15heavy bleed goes beyond that
17:17now the numbers can range heavy bleeding
17:19can go
17:21way way way beyond the 80 milliliter
17:24kind of range
17:25but if you're finding that you're going
17:26through um
17:28eight nine ten pads or ten tampons
17:31that's where we start to say this is a
17:33heavy bleed and the concern is that
17:35you're losing so much blood
17:37your iron your ferritin your stored form
17:39of energy is also coming out with you
17:41and then we can develop hair loss and
17:44anemia and kind of pale skin so those
17:46are some things that can happen
17:47but if you're finding that you're
17:49changing your tampon the rule of thumb
17:50is if you're changing your pad or your
17:52tampon or your menstrual cup
17:54if you're doing this every um i would
17:56say
17:57every hour and a half it's probably a
17:59little bit
18:00too heavy in in your body okay
18:03in the sense of the body is just
18:04bleeding too too much
18:06so that was a question that i wanted to
18:08address like how how heavy is it
18:10now obviously when you're younger i want
18:12to bring this up because i have a couple
18:14moms and some people that
18:16call me and ask me about um
18:20ask me a little bit about the heavy
18:22bleeding when you're younger it is
18:25a little bit more i guess standard if
18:29you will
18:30to have fluctuations in your menstrual
18:31cycle so being younger
18:33when you're new to cycling depending on
18:35what age that happens
18:37is it potentially possible that you can
18:39be bleeding heavy
18:40yes oftentimes with age we start to
18:43bleed
18:44less i guess the cycle of life goes like
18:46that too obviously as we get to
18:48towards perimenopause and post menopause
18:50but the reality of it is is that
18:52when we're new to our menstrual cycle
18:53there's a lot of fluctuating factors
18:55that happen
18:56and there's a lot of things going up and
18:57down it's normal to have
18:59more bleeding when you're starting your
19:01cycle and there is a hormonal component
19:03to this because what happens is that a
19:05specific hormone
19:06does allow for bleeding to occur so
19:09heavy bleeding
19:10is because there's lots of estrogen in
19:11the body and it's like
19:13it's like funneled estrogen to the
19:15tissue sites the target tissue sites
19:17it's a lack of you can call it a lack of
19:20or
19:21a relationship to estrogen and
19:23progesterone
19:24so estrogen being high causes bleeding
19:27heavy menstrual bleeding and then
19:29estrogen or i'm sorry progesterone being
19:31low
19:32can also cause heavy bleeding so we want
19:34to balance the two out a little bit to
19:36help
19:36the cycles okay and there are three
19:38different derivatives of estrogen
19:40we won't go into that you know estradiol
19:42all the forms but
19:43estrogen will kind of collectively call
19:45it estrogen it goes a little bit higher
19:47that's normal in the earlier years
19:49of the menstrual cycle or the females
19:51that are undergoing some reproductive
19:52changes it does
19:54usually level off a little bit as we get
19:56older so that's something that could
19:58potentially change
20:00i always encourage that we wait about
20:03one year cycle i would say go through
20:05one cycle if possible if it's
20:06very painful very uncomfortable then
20:08obviously we would support that
20:10but um definitely there is that
20:11component of hormone now i don't really
20:13recommend
20:14although we do use it i use in practice
20:16um using
20:18sometimes i use topical progesterone
20:20that we use from yams there's a couple
20:22different things that we do female
20:23reproductive hormones
20:25that can support this but we won't dive
20:26into too much of that there are some
20:28female reproductive enzymes that do
20:29really well
20:30mixed with some herbs to support the
20:32cycle but i just wanted to share with
20:33you guys
20:34that the amount of blood does
20:37normally vary depending on our age let's
20:39talk a little bit about liver health
20:41and why that connects to hormone systems
20:44so
20:45i want to just congratulate 48 women
20:48that did their liver cleanses i had 48
20:51women do their liver cleanses
20:53um in the month of august
20:56august not september or september now
20:58i'm getting confused because we're
20:59getting towards the end
21:00but 48 women did their seven day liver
21:03cleanse and
21:04you guys all survived i know that when i
21:05say this it's
21:07it's like wait what how am i gonna do
21:09this it's a seven day liver cleanse if
21:10you have questions connect with me i
21:12will help to guide you to that
21:14but 48 women did their cleanse and did
21:16amazing with it
21:17and i want to talk a little bit about
21:19the liver cleanse because what happens
21:20with any of these conditions
21:22hormonal inflammatory conditions where
21:24there's cytokines where there's
21:26prostaglandins there's like this
21:27chemical
21:29what do we do like how do we clean clean
21:32the body out how do we support the
21:34this inflammatory process how do we
21:35balance the hormones there's so many
21:37things
21:37a couple things i'll share with you guys
21:39that are very important with the cycle
21:40is
21:41one of them is cleaning out the liver
21:43because what what happens is that your
21:44hormones your sex hormones like estrogen
21:47are funneled through the liver all
21:49hormones go through the liver for
21:51detoxification
21:52purposes and so if there's extra
21:55estrogen
21:56the liver is harboring that okay so
21:58definitely cleansing the liver is a
22:00great
22:01great great step for someone that's
22:02dealing with for example
22:04polycystic ovarian syndrome or estrogen
22:06dominance that are causing painful
22:08periods
22:09in the body okay um so cl cleansing the
22:13liver phase one phase two phase three
22:15liver conjugation is
22:16always on the to-do list now some people
22:20will ask me about there was a question
22:21here too in the notes somebody asked
22:23i've heard that dim can support estrogen
22:26metabolism is that true yes
22:27dim diendyl methane or three angel
22:30carbonyl is the name of it it's a
22:31compound
22:32in certain vegetables certain
22:34cruciferous vegetables namely broccoli
22:37more the darker ones but dim
22:40does help support estrogen metabolism it
22:43does help clear the liver however
22:45this is this is the thought process
22:48you can't just throw dim into a body and
22:51expect it to filter
22:53estrogen if the liver which is the major
22:55organ
22:56is not filtering so can dim work
23:00yes is that step one in anyone's
23:03treatment
23:04protocol or plan no
23:07no you have to clean the liver the
23:09filter your liver is the filter it's
23:11filtering out the hormones
23:13so that has to be step one so deathly
23:15liver and bowel movements we actually
23:17get rid of additional
23:18estrogen through our stool so through
23:21pooping if you're not pooping
23:22if you're not moving your bowels every
23:24single day you are harboring
23:26extra estrogen we end up finding that we
23:29get lymphatic congestion we end up
23:31feeling achy we start to reabsorb
23:33all of that is because our liver isn't
23:35processing appropriately
23:37okay and bowel movements bowel movements
23:39it's not just about what you eat you
23:40guys know that if you're new here you
23:42will
23:42learn that about me if you're uh
23:44somebody that
23:46knows me you know i'm very big into
23:48bowel movement digestive
23:49support because the digestive tract is
23:51home to your immune system so
23:53we've got to be pooping every single day
23:54that's going to be very important for
23:56bowel movements
23:57and we have to talk about that stuff
23:59because it's part of health it's part of
24:00healing and we have to
24:02really support that there's a lot of
24:04reasons people aren't moving their
24:05bowels thyroid function can be low
24:06thyroid function could be a culprit
24:08low motility gastroparesis um
24:12certain compounds certain
24:13pharmaceuticals that quiet down the
24:15ability to do what's called peristalsis
24:17that affects the central nervous system
24:19and
24:20the migrating motility complex of the
24:21gut we won't dive into that realm but
24:23there are
24:24pharmaceuticals that cause low motility
24:27and you know adding fiber into a
24:29digestive system that has low motility
24:31is not the answer
24:32i digress i digress this is why we have
24:34notes because otherwise i will go off on
24:36a tangent
24:37back to the question does dim support
24:39estrogen metabolism
24:40it does dim does but a step before that
24:44is um really making sure that the liver
24:48is filtered okay
24:49there are some other ways to also
24:51support estrogen pathways
24:53certain vitamins in particular vitamin
24:54b6 can help also support getting rid of
24:57extra estrogen so
24:59vitamins and minerals and cofactors all
25:01of those types of things
25:02enzymes will also support filtering and
25:05getting hormones out
25:06conjugating them allowing them to be
25:08used and
25:09used and abused if you will to get out
25:11of the body
25:12a couple other strategies that do work
25:15really nice for
25:16period pain or any of these conditions
25:19is dairy free okay being dairy free
25:22um there is
25:25different types of casein beta subunits
25:29and specific dairy compounds so there's
25:31a1 beta casein it's a it's a subunit of
25:34dairy
25:34and then there's a2 well a1 is very
25:37inflammatory and it's found
25:38namely in goat or i'm sorry namely in
25:40cow product so
25:42dairy free is often something i
25:44recommend now not all dairy is created
25:46equally i don't just endorse
25:48cutting out giant food groups from your
25:49diet but cow dairy in particular
25:52does really have to come out for a lot
25:55of the
25:56um filtration processes and
25:59the kind of the detoxification pathway
26:01for hormones because it does produce
26:03inflammatory
26:04compounds it does go down the
26:05inflammatory cascade
26:07so a1 cow dairy is inflammatory okay
26:10and and just to be mindful cow dairy is
26:13found
26:14secretly in things like pasta like bread
26:16like chocolate so although you're not
26:18necessarily consuming milk
26:20very infrequently do i hear people even
26:22talk about milk to be honest i don't
26:24hear that a lot i don't know if it's the
26:26realm that i'm in where
26:27the types of people and patients coming
26:29in are very familiar with
26:31some knowledge of nutrition so very
26:33rarely do i hear people say i'm drinking
26:35a glass of milk i think that's
26:36that's from the 90s but definitely
26:39removing um
26:41cow product is is supportive to the
26:44menstrual cycle and for pain because it
26:45does produce those inflammatory pathways
26:48uh there are other foods too that can
26:50also cause inflammation i know we're not
26:52really talking about that right now but
26:54certain food groups do
26:55talk about that this is not an
26:57endorsement for a documentary but there
26:59is a really great documentary on netflix
27:01there's two that i love
27:02one of them is called what's with wheat
27:04love that documentary it talks about
27:06why it is so toxic to the gut and why it
27:08affects our menstrual cycle okay so
27:10there is a protein in this called
27:11gliadin
27:12it's not so much uh it's not so much the
27:14weed it's the processing of it the way
27:16that we've
27:17managed to agriculturally shift and
27:20play with our food that's really the
27:22problem check out the documentary what's
27:24with wheat it's a great one for someone
27:26that's not really familiar with gluten
27:28gliadin and why it's such a toxic
27:30compound
27:31i digress i go back i'm going back okay
27:34so that's something to be mindful of too
27:35that you want to be um
27:37supporting your body with really good
27:39food groups and nutrition is
27:41medicine so food is medicinal it's not
27:43like medicine food is
27:44medicine so there's that something else
27:46that works really good too
27:48um certain compounds there are other
27:50things we talked about b6 we talked
27:52about uh we didn't talk about magnesium
27:54but that is something that could be
27:55supportive
27:56zinc also works really well so not only
27:59taking these things button but
28:03allowing our body to absorb and to
28:05process them so i don't just throw
28:07supplements at my women that have these
28:08problems
28:09there's a protocol there's a process
28:11that goes with this
28:12and making sure that your digestive
28:14ability your detoxification
28:16pathways all of that stuff is working so
28:18we don't just throw in supplements
28:20assuming well maybe we'll we'll you know
28:22give the person magnesium and zinc and
28:24b1 b2b5 b6 all the things
28:26no we actually want to make sure that
28:28they're processing and digesting things
28:30first before we do supplements so
28:32enzymes allow
28:33us to benefit more from supplementation
28:36okay
28:37so that's it i feel like i think i
28:39covered all of the questions
28:41from you guys if you don't follow me now
28:43you're more than welcome to
28:44i'll uh link the my handle on instagram
28:47down below and i'm dr elise jersey on
28:49all platforms so if you need to find me
28:51somewhere just check me out on
28:53wherever dr elise jersey on facebook on
28:55instagram on youtube
28:56on google those are all just the places
28:58that you can connect with me
29:00but there is more information there and
29:02i love hearing from you guys i feel like
29:03it supports you so
29:04let me know what you want to learn more
29:06about with your menstrual cycle and
29:08we'll talk about that
29:09thanks for tuning in guys i hope that
29:11you learned something valuable
29:12that could help support you in your
29:14healing journey and i look forward to
29:15seeing you in the next video
29:17talk to you guys later

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