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Why won't your MD run my lab panels?

 
Patrick Krupka, DC, CFMP:

So a question I get regularly from patients is, can they get their family practice doctor, or gynecologist, or endocrinologist, whomever, to run our lab panels instead of us running them? Which I don't mind. I tell the patients regularly, I don't care who orders it. As long as it's got the components that I need, it'll work for us. So that comes up regularly.

Well, there are several reasons why we've had very little success getting other doctors to run our lab panels. So I just want to run through this real quickly. It's, again, something I answer pretty regularly during an average week at the office.

So number one, understand that I do functional medicine, and the lab panels that we've put together are specifically geared toward finding underlying mechanisms. Looking for problems before they are so far down the road that they're diagnosable. Looking for indications that there's dysfunction even if there's not disease at this point.

That's, to a large...

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Five Supplements Everyone needs! Foundational 5

 
Speaker 1 (00:02):

To me, there are five main supplements that, that I kind of call my foundational five that almost everybody would benefit from taking. Now I say almost everybody, so understand real quick disclaimer, I'm not giving you medical advice. I don't know your specific situation, so take notes on what I'm gonna say and know that these are generally good for everybody, but there may be some special circumstances for you. So discuss that with your functional medicine doctor or your clinician practitioner who's knowledgeable about nutrition and supplementation. Your regular family practice doctor might not know much of anything about supplementation and they're not always the best, um, resource for whether or not you should or can be taking something, find someone knowledgeable about supplementation. So that being said, the foundational five for me, uh, it's gonna consist of number one, a multivitamin of some sort, fish oil, probiotics, vitamin D, and magnesium.

(01:09)
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Are all low carb diets the same?

 
Patrick Krupka, DC, CFMP:

So you can't really go anywhere without hearing somebody talking about a low carbohydrate diet. There's whole 30, keto, low-carb paleo, diets that prioritize protein, fasting mimicking diets, fasting, intermittent fasting, keto, carnivore. We could go on all day with different diets that accentuate protein, or in the case of keto, protein and fat, at the expense of carbohydrate. I don't have a big issue with that. I think in many people, that's beneficial. But I want you to understand that whichever one of those you choose or whichever one of those is recommended to you or whatever, they all share a very common goal, a very similar goal. They go about it a little bit differently, but the goal is to expose you to a lot less insulin than you've been doing already. So I'm going to talk you through real briefly two or three different things to explain what insulin does and how it becomes a problem because we need it.

Why would you want less of it? So we're...

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Lab Grown Meat? My prediction...

 
Patrick Krupka, DC, CFMP:

So I had a patient ask me a couple of questions just a day or two ago about lab-grown meat being approved for human consumption. Now, I'm not going to get into the fact that I'm not a big fan of that. I'm not going to go into detail on the problems with it, but most of you, if you're listening to this, you probably already get that part of it. But I wanted to talk a little bit about how I see this playing out over the next few months.

So the first thing they had to do was get lab-grown meat approved for human consumption. So that they've done. That first step they've done. Number two, what they're going to have to do is go back and make the argument that lab-grown meat is so substantially similar to naturally raised meat that they shouldn't have to label it as lab-grown meat or bioengineered or whatever term they're going to use. So number one, get it approved for humans. Number two, go back and convince them, the government, the agencies, that it's so...

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Testing Blood Sugar And Insulin Resistance

 
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Teens Building Muscle

 

(00:01): I had a question come up from a patient. She reached out to me. She doesn't live in the state of Texas anymore. And of course we feel sorry for her for that, but she was a patient of mine back when I first started, so it was nice to connect with her again. She has a son who's in his mid-teens and wants to put on some muscle mass. That's not an uncommon question in my office, so I figured I'd handle it in this format. They could benefit from it. And so could anybody else who's got a son early to mid-teens who feels the need to add some muscle mass. So I'm gonna kind of rapid fire, go through some important points, or a question was specifically about like an eating approach or a dietary pattern that would be beneficial for this.

(00:45): Um, but I'm gonna kind of broaden it out a little bit and that way it works better in this forum. So first of all, why would, why would someone that age want to add muscle? Obviously, aesthetics is, is a common goal, right? You wanna look a...

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A "New" Approach To Managing Blood Sugar

 

Back in 2015, not too long ago, in a medical journal called Diabetes…aptly named. There was a research article that just recently came across my desk.  The lead author's last name was Nolan and N-O-L-A-N if you want to look it up.  The article was basically discussing what they present as a new concept that maybe with type 2 diabetes or insulin resistance, maybe the insulin resistance itself is not the enemy.  That's a pretty new concept in conventional medicine. So what they lay out is for the worst cases of type 2 diabetes, the ones that don't respond well to medications, they're obese, they've got substantial insulin resistance...in those cases, maybe we should rethink focusing on insulin resistance as the enemy. So let me find a way to describe this to you that will make some sense. Basically in type 2 diabetes, we have sugar entering the body, then sugar gets in the bloodstream than sugar has to go from the bloodstream into the cells.

There's this cell...

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Fasting Part 2, Q&A

 

This is part 2, find part 1 HERE.

 Last week's blog post was on intermittent and episodic fasting. It went over well, but I got lots of questions, and I kind of figured I would. That's why I asked for questions, and that's why we do the blog posts.

Today, I'm going to go over some of those questions to get them answered, a part two to last week's blog post. I'm just going to jump right in.

First question I got ... I'm grouping these. I got four main questions, but they were all phrased different ways by different people, so I think if I answer these four, it'll pretty much cover what I got. When to do intermittent versus episodic fasting. That was a pretty common question in some way, shape, or form.

I guess I gave the impression that you only need to do episodic fasting if you're having trouble with intermittent fasting, if intermittent fasting isn't working for you. It can work that way. It can certainly help you become ... Episodic fasting can certainly help you become more...

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