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you woke up in the morning you have no energy to lie down but in the evening a sudden energy appears I will not eat sweets I will drink or eat something with a sweetener our body is very smart but very lazy if you have something in the reference value This does not mean at all that you are healthy and that it is effective and works well on the market now of adequate iodine, probably. Well, plus or minus one and a half drugs, I can’t say that everyone is served intermittent fasting. is it not because we clearly understand that if today we don’t feed the immune system Perhaps tomorrow there will be no one to feed our life was better today we are talking with an endocrinologist my questions will be answered by Roman Alekseevich terrushkin doctor endocrinologist co-founders chief physician of the BMP clinic of course we will talk about sports and sports endocrinology, but most importantly, we will touch on the most common issues chronic fatigue and why sometimes many people often wake up In the morning even more tired than they went to bed cravings for sweets, in principle, problems with nutrition hormone delivery what hormones you should definitely take in order to understand what state your body is in And which ones may not be worth spending on and continuous continuous marketing and many others topics that relate to everyone’s health, so I’ll leave the time codes in the description under the video, be sure to share this video with friends and close relatives so that the name will benefit and, as always, I am grateful to those who support these videos with likes, comments and, accordingly, reposts because YouTube hard to promote such useful videos much easier entertaining content but thanks to everyone who helps to promote videos that really benefit this is one of the issues that we previously discussed and that I liked most of all my wife and I often remembered that when we were there I don’t know for 20 years but that is, it was possible to practically not rest all the time or work or be somewhere at parties or something like that and have enough strength for everything in the morning That is, many will remember themselves and in the morning you wake up and you are ready and you are still fresh enough here you go to bed at 10 get up somewhere all of you are like that I went to bed or not that's what happens to people there is a difference that we seem to stop by other people Well, globally from 18 to 25 is just the peak, let's say sex hormones, in principle, the peak of the body's work when, regardless of various deficiencies, it works as efficiently as possible then, based on the lifestyle of nutrition, sleep, bad habits, loads of the rest of the stress first of all, we slowly but surely have the strategic resources that we have, they begin to run out here, I would probably divide them into two categories, that is, initially, according to athletes, athletes, as practice has shown, are very lacking, first of all, these are vitamins of group B and in active form few people unfortunately use them. But in fact, the majority of the population of our planet has a genetic mutation due to which the usual B vitamins do not work. The same Milgamma. Therefore, it is better to use active forms to facilitate the work of the body and improve their function in second place. I put magnesium, this is a straight-forward story, and on the third it’s a violation of protein utilization, probably like this, because the bigger you are, the more meat you have, the more meat you need to eat, the greater the load on the liver for protein metabolism, and here for many this aspect falls out it is worth paying attention to what we have listed to begin with a deficiency of B vitamins Why exactly this deficiency has an effect, including on the feeling of chronic fatigue Yes, and by what it can be covered Well, everything depends on the fact that we need B vitamins very much a lot for everything, we will not now divide specifically there into B1 B2 and so on. In general, we will denote that vitamins of group B We are very actively consumed against the background of stress, we have permanent stress, we have excluded it in our life in fact The only thing we can to do this is to reduce its impact on our body. For this, we need vitamins; secondly, this is the work of the liver. That is, like our liver with what we give it. In fact, the liver is our big plant that performs a colossal number of functions. But if we simplify as much as possible then the liver has two tasks. The first is protein synthetic, that is, it synthesizes new proteins, albuvin, some enzymes, and so on, and the second is detoxification, which needs to be digested to remove all unnecessary from the body, here are B vitamins, we need one of the detoxification phases to work as well as possible therefore, since the athlete is constantly under stress, in general, any hard training is stress, lack of sleep, stress, while someone got to the training session, someone cut you again, stress, and so on, did not eat right away, too, stress is not a sport, but continuous stress, plus one way or another to our big the liver plant has to work hyper actively against the background of all those loads that vitamins have and, in general, the volumes of food that are consumed, everything is all due to this, active vitamins are consumed what is the main problem for athletes globally Yes, we can for some years even on a lack of B vitamins pull out something, even win, but the coefficient of useful action will be reduced. The most important thing is that this is the work of our mitochondria. The energy station of the cell, their efficiency will also be reduced against the background of a lack of B vitamins. For some reason, B vitamins are also responsible for transporting oxygen carbon dioxide, that is hypoxia lack of oxygen Why Because the red blood cells that are responsible for this, their size depends on the level of B9 and B12, all B vitamins are interrelated, let's say they are consumed all together, in fact, sooner or later we come to this due to hypoxia, we immediately happen we all have additional thickening of blood, so athletes have thick blood We all know Why the size of erythrocytes increases in addition, blood thickens even more, there are difficulties with transporting oxygen grateful As a result, the muscles of the brain do not have enough oxygen, mitochondria begin to perform their function more slowly and there is already no highly efficient energy production it’s not about how we solve this issue vitamin complexes or from the point of view of B vitamins it’s easier now, that is, I prefer to use the active forms Yes, from the complex of B vitamins, where we just collected everything we need But additionally I prefer to use point vitamins of the group Depending on the individual work of this organism, because someone needs to additionally feed there B1 because there will be an additional mental load and there are some issues of the central nervous system, additionally for someone there B5 because his adrenal glands cannot cope with a lot of stress and so further, yes, if you look in principle for the vitamins of the group In active forms, now there are no problems with this, so according to the vitamins of the group B, it’s clear who needs how to replenish the second important factor for an athlete, what do you call it magnesium because magnesium stabilizes the central nervous system helps us fight stress and with everything else, but unfortunately we use it very quickly when we take athletes who are constantly under physical stress, the muscles also consume magnesium very actively and here the question is again in the dosage Yes, many doctors prescribe magnesium there for an athlete, some panangin or something else something OK, the problem is in the dosage in Magna there is one single one the only one is not enough for everyone everywhere And even if you eat some kind of drug it does not mean that you eat enough of it there Just the dosage for athletes As practice shows I would start and start to select dosages from 10 mg per kilogram of weight, this is a fairly serious dosage that the average person does not need so much He does not spend so much But for athletes this is a good dosage that will favorably affect her psycho-emotional state, especially before going on stage, which is also very important for us, again, for work liver because magnesium is again involved in detoxification processes and on the work of the intestines, which is also very important Well, and without magnesium, carbohydrate metabolism will be normal if carbohydrate metabolism does not work normally, then the energy level will also not be at those indicators we would like for the average person who deals Well, as they say for myself, from what dosages I would start with 400 milligrams And then we individually select an overdose, it can have As practice shows, sorting out magnesium is extremely difficult here, again, the question is the forms of most of the drugs on the market they are magnesium oxide, but unfortunately if we’ll go deeper, we’ll figure it out already magnesium oxide is the most non-working, the most indigestible form, which just in fact passes in transit And you don’t get anything, therefore the best option is magnesium citrate, but the side effect that we can get before dosing, let’s say magnesium citrate is a violation of the stool because it affects the peristalsis of the muscles due to this, we can get such a nuance. Therefore, ideally, ideally When it comes to athletes, we use large dosages, we must select several magnesium salts and combine them so that we do not have any side effects, otherwise there will be another reason for stress I understood that the third factor that you were talking about was related to protein was so yes, this is a violation of protein utilization, because after 30 we all have an effective gastrointestinal tract is slowly declining. 3 that is, a decrease in acidity, many argue there is no, but as practice shows and again interaction with athletes who see meat in kilograms there really is and you need to work with it, that is, the first thing you can do is improve protein digestion at the level of the stomach, the second thing you can do this is to improve the bile, because dyskinesia, which everyone says, that is, the bending of the bile, one way or another, for all of us, again, the efficiency of digestion decreases because many people talk about bile but forget about one very important function, it activates pancreatic enzymes If it didn’t flow normally no matter how much Creon you ate on top or something else, there will be no use because the enzymes do not activate the researcher does not perform their functions, therefore we have two points stomach bile third point of application is the pancreas for the purpose of digestion efficiency but further after this everything was digested all this is digested and should start working, and there are a lot of nuances, because there we have a question about the Argentine protein cycle, this is just the work of the protein to utilize it from the body when it needs to turn into urea to remove from the body very many athletes, probably observed from the analyzes of increased urea Why Yes, it’s clear that vitamins are clear that the load on all this is affected by the destruction of the musculature of the client, this should not be This suggests that the body can not cope with the removal of ammonia from the body, then again you need to help the liver, then the question is how to whom and what is clear what is on the first place for us comes out argentin, the so-called acid, which can be built to slightly speed up this process, but then you already need to select it. There are just nuances that some patients have a genetic mutation associated with biotin metabolism and few people think about it and pay attention, and now they have nothing but high doses of biotin will start this process and you end up eating and there’s no sense everything goes down the drain if we move on to ordinary people then iron deficiency comes first then iodine deficiency 10 again vitamins of group B Well magnesium also comes after vitamin D I don’t say this is a widespread shortage, everyone already knows about it, too. Yes, as practice shows, when, because all these substances, unfortunately, do not have the mechanisms to adequately accumulate in our body and all this is consumed very quickly. I just mean that this is not a natural mechanism Yes, which is conditional at 18 We are cheerful and fresh there even after loads And at 30 already It shouldn’t be like that Yes On the one hand, you are right On the one hand, this is a natural mechanism in terms of reproduction, we at the peak received the continuation of the offspring, in principle, what to do next, you can die, but we have moved a little away from this paradigm, we have a little bit medicine is developing, it seems like you can live longer. That is why we are a little more interesting, everything is a little different, and here you just need there are certain fundamental processes fundamental points that we need to pay attention to, we can’t just score on them this nutrition is sleep this is training and these are pills if you do one thing the efficiency will be but plus or minus 25 percent further your task is to put it all together in order to get as many results as possible as much as possible again efficiency and here in the first place how I work from the point of view of adaptive medicine I still prefer to start with drugs to restore the natural functioning of the body, let's say that is, we identify exactly those deficits with which the client came to us, the patient, find them We analyze how we came to this Why we came to this Because here everyone has their own story, everyone has their own nuances Everyone has their own problems and from there we begin to unwind and restore it all And as soon as a person begins to take we are already closing all these drugs 25 percent in fact everything else, as I said, is slowly slowly building up in two months a person is already rebuilding his lifestyle, we can get away from cravings for sweets and restore both the quality of the skin, the hair of the nails and the energy level and everything you want And yet, I would like such well-formed recommendations, again, the average viewer who heard the topic in our issue But this chronic fatigue recognized himself as I am myself and now wants to take a few steps, let's say three What are the three main actions a person can do to slightly improve your Awakening and feel more cheerful as we have already talked about four fundamental aspects, let's say so, what should be emphasized about athletes, we are not talking about nutrition, everything is fine there Very often, yes, there is a craving for sweets here, again, we remember about protein metabolism Why Because very often, cravings for sweets happen when you just don’t eat enough protein or protein doesn’t function normally in the body, and as soon as you focus on the work of protein metabolism, either increase the protein a little or improve the work of what comes in so sweet, it usually disappears Why so because our body is very smart, very lazy, therefore, intuitive nutrition is a working thing a working thing for the most healthy, already replenished body in all aspects, because as soon as something goes wrong, something weakens somewhere, it will immediately look for loopholes how to minimize the burden on itself nutrition is a closed question the first second training here is also a closed question, but here it is important to understand that, as practice and in principle research shows, our body works best when we have an adequate alternation of mental and physical activity, that is, if you train, you must additionally load your head if you you constantly sit in the office, you should additionally load the muscles only then you can fully relax and fully bring your body to another level Because when you perform a mental process and during a physical one you rest and vice versa 3 this is sleep with sleep we have The only problem for everyone is its shortage and hence difficulties arise Yes, there are a great many drugs, how can we even improve the quality of the sleep that we have, no matter how many hours 5 6 hours, we can influence it in order to increase efficiency here again To each his own about Melatonin, I have already said more than once what is possible but in the long term, some people very often like to use it, it’s not worth it, it slightly affects the functioning of the brain, then there are difficulties in the future, so we immediately interrupted the debt, we immediately designate it up to six months, but here it’s better again that if there are problems with sleep, it’s better, again, first of all, to compensate for the level of magnesium, it will improve, after all, I used the precursor of melatonin, that is, the same 5 hydroxytryptophan, it works more gently, better, but again, the question is to select dosages, this is under a consultation that is not self-treatment Yes, therefore, we come to the fourth point this is for drugs and here Let's try to pick up, let's say for everyone, something averaged that we can use based on the deficiencies that we have in the first place, as I said, we will not remember about vitamin D, so the fundamental of 5000 will be very good for everyone because we just don’t go to the sun, it doesn’t normally produce, and so on, the second is magnesium if we don’t actively train 400 milligrams of magnesium citrates either at dinner or broken in half at lunch at dinner, excellent omega-3 polyunsaturated fatty acids, so-called as we have after all, there are not so many fish in the diet, we would like them to help us with the goal and reduce the overall inflammation of the effect on the lipid profile, so anywhere from one gram per day you can have gembi with breakfast and at dinner at regular intervals, this is 3 4 this is of course the vitamins of the group in which we spoke, you don’t have to individually try to choose something for yourself, it’s better to really use a complex that is just one tablet after eating, that’s all. As the statistics show, again, this stack of drugs will probably be enough for 80 percent of all absolutely without exception, but it will work in combination with nutrition and sleep, I threw myself into a complex and I would start with this Why Because, as we have already said, when you start with this and you roughly understand how your body works, you feel changes against the background of all this, they will definitely be because we will change both energy exchange and the work of the Central nervous system and the work of the liver, the body will slowly rebuild And then you will be able to do all the other three points and in total get the maximum efficiency from all this I would like for myself and for everyone globally to close this question the craving for sweets, because of what it is formed, that is, here I talk like an organism I need I need energy Okay This is an easy way to get energy But at the same time I get it That is, this is some kind of harm to my organs That is, this weight gain I'm kind of how I feel worse about myself one cons It would seem that why we are drawn to sweets here, in fact, you think so, only you are not your body, because when the body is drawn to sweets, it usually lacks building materials if we dig deeper, we will understand macrons nutrients Proteins fats carbohydrates in the first place I would put proteins because we are still a protein form of life proteins are needed for everything to renew old cells for the synthesis of new cells for everything in second place I put fats because fats are primarily a building material for sex hormones in the second drawing protein energy and fats, carbohydrates always follow the residual principle, we don’t take professional athletes from whom all this is calculated in terms of set and drop, this is a separate Caste, everything is a little different there, here’s how our body works if you are drawn to sweets after eating, you want to already seem to have received a pack there and carbohydrates and fats and all Why do you still want because ghrelin and leptin have not yet had time to react and have not yet had time to respond to what you threw in, so if we have cravings after eating and I want dessert, then it is advisable to simply increase the amount of protein consumed, although a third and see how you will feel very often this is enough to make cravings for sweets disappear many people are looking for a way around I want sweets I won’t eat sweets I’ll drink or eat something with sweeteners that’s how you feel like the body is this a good idea or no, there is so much debate on this subject right now Yes, there are a lot of sweeteners now Yes, it has already been proven that most of them negatively affect our microflora on the work of the intestines, etc. You're just deceiving yourself in all this, yes, deceiving myself, here's a deception on the pancreas somehow on the thyroid, it's negative. This complex is affected by disruption of the intestines in the future, it can turn out to be anything. Because there is already a study that has already been proven that even sweeteners can get diabetes, but so far they can’t explain how it works, that is, it’s not the best idea to consistently replace sugar, so I think that if I don’t get sugar calories It seems like I deceived everyone and initially when a patient comes to me in bed Lose weight I never I put them on a diet because it doesn’t work, the only thing I ask you to do is to remove the number of snacks from the diet so that there are no unnecessary spikes in insulin so that there is no unnecessary effect on the insular apparatus, because from here we have insulin resistance, some difficulties, so we start with this, I explain that if you want something sweet, it doesn’t matter that the jam cake is not important for the first time, but only for dessert after you have fully eaten, gave your body Proteins, fats and everything you need, and supplement with fiber And I’ve already thrown carbohydrates on top if you want For the most part, So we all- nevertheless, we shift the diet very often to a high-protein, high- fat diet, let's say they want it for a very short time, then they say that We seem to have already eaten already somehow, it seems like we want to. -something And for example, some protein bars or cookies, it will be a little better than just some kind of drink, let's say I always try to eat an apple And only then they don’t even go for chocolate This is a normal option if for dessert Yes, but not as a separate meal Because if we add snacks to the diet, that is, we are with you Breakfast, lunch, dinner, and between them we throw in some kind of apple, this is an additional jump in insulin, this is an additional load on the pancreas insular apparatus on receptors in the future, this can lead to insulin resistance and type 2 diabetes so the easiest way to make sure that you don’t get extra fat is to simply remove snacks make 3 full meals so that’s why I’m fat we figured it out by finishing the topic with sweet, that is, the most effective strategy tactic we increase the amount of proteins and fats we don’t remove from the house sweet And since it will not be at hand, the body will have time to produce the necessary substances that will convince us later that it’s not really something and wanted everything right send this video just to everyone who suffers because of sweets with chronic fatigue It seems like we are for the most part let's do a little more about stress stress how much it affects both athletic performance and, in principle, the ordinary life of people who play sports on you from the point of view of endocrinology, stress is a fundamental problem because the body perceives stress as inflammation, that is, it activates, starts to do something something, again, why, because everyone has something of their own, stress always affects our adrenal glands first of all, hence we have an additional release of cortisol adrenaline norepinephrine production and sex hormones are inhibited and everything else Because now the task is to cope with that situation which is everything else, reproduction, growth, development, it’s not important, it’s important to cope with stress, therefore, when we go into chronic to constant stress, while we don’t support the body additionally in terms of those microelements that are constantly consumed against the background of all this, then the problem starts the problem chain I probably even said so because the adrenal glands, due to the fact that they begin to reduce their work efficiency, they begin to affect the functioning of the thyroid gland, and since our thyroid gland with the adrenal gland is responsible for producing 98 percent of the energy in our body, slowly but surely everything begins to move out of us the most banal an example is you woke up in the morning you have no energy, you’re in a deep bed But in the evening suddenly the energy appears like this you think I’m an owl No you’re not an owl perform their function should be cortisol when they should wake up and should start moving and when they move out due to chronic stress This is wrong Why do I say that the decrease in the work of the adrenal glands or something is a decrease in the work of the thyroid gland because they use the same substrate, this is synthesis they use tyrosine amino acid the adrenal glands use it for the synthesis of norepinephrine and adrenaline the thyroid gland uses tyrosine for the synthesis of T4 and later T3 we also use tyrosine for the synthesis of dopamine a neurotransmitter that is responsible for purposefulness pleasure and so on Therefore, when we experience chronic stress what happens to us we have an overload of the adrenal glands, due to all this, we have an additional release of cortisol, as I said, against the background of all this, we have constantly increased sugar. Therefore, additionally, insulin resistance occurs for longer against the background of all this, there is a decrease in energy production, a decrease in the thyroid gland And against the background of a decrease in dopamine our prolactin begins to grow, which begins to block the work of sex hormones. And as a result of all this, we stress even more and gain. about a systematic approach, this is what I always talk about, yes, globally. We seem to understand that there is only one symptom of chronic fatigue, but it is useless to solve this situation simply by stimulation, we have already driven the horse there is nothing to stimulate, so we must approach systematically and start solving problems from different sides, that is, the first step what we have to do we have to help the working organism in terms of interaction with stress magnesium vitamins of the group improve the sensitivity of receptors due to vitamin D the same improve the production of dopamine adrenal hormones thyroid hormones due to tyrosine improve very often this is required to do to a single enzymes that are responsible for the conversion for the conversion of the hormone T4 to T3 in order to work more efficiently there you need either zinc or Selenium clip something else you need to pay attention to very often we remember against the background of all this also about the lack of iodine and it turns out that you seem to have chronic fatigue like Everything stress and the work of the adrenal glands are to blame. And without some banal food, you won’t be able to solve anything; most often when people hear such information, they, or this is an ideal case, seek advice from an endocrinologist who, accordingly, paints a certain list of tests that need to be passed some other examinations of the body and so on, a strategy is being built in order to get to a healthier state, most people, I speak for myself, again immediately go to the clinic at home in order to take tests and, accordingly, I myself can see if everything is in the reference means All is good, what tests If so a person wants to make sure that not everything is perfect with him, first of all, from the point of view of endocrinology, in order to check some basic moments of his body in what state you are now, well, let's take it in order that their questions are somewhat the first about reference values reference values ​​This of course, it’s very good, but firstly, for most laboratories, they are difficult to interpret among themselves; secondly, it’s just the average temperature in the hospital if you have something in the reference value. This does not mean at all that you are healthy and that it is effective and good working on tests, initially I would pay attention, of course, to a general blood test, it is very informative if you know how to read it, that you can understand everything that we have hypoxia, what happens to us with the exchange of iron from the exchange of B vitamins, what happens to our immunity and Perhaps there is even some kind of chronic viral load or something that, in turn, draws the resources of the body there because if we can have a chronic viral load, our immunity turns into a big black hole and the body will constantly give out a lot of resources there and at the expense of everything else will not work because we clearly understand that if today the immune system is not fed, perhaps tomorrow there will be no one to feed, so a complete blood count is a standard banal biochemistry, there is also a lot of everything You can subtract everything from the point of view of liver function and efficiency and digestion as all this works with each other, you should also definitely pay attention to the thyroid gland, of course, this is TSH T4, everyone passes Free, but I always insist that it’s worth waiting for more and T3 is free so that the conversion as you four turns into T3 there, too, you can understand a lot of things and be sure to have antibodies to TPO Yes, it’s clear that Hades We now have a general history, especially after the virus that we had because it greatly disrupts the functioning of the immune system and everything goes wrong, let’s say it should, but plus to all this, it’s advisable to take a Kuzi screen every six months anyway, because according to analyzes, we understand how everything works for us at the level of cells inside, but at the level of organs, ultrasound will fill us, let’s say this picture already means the thyroid gland, the thyroid gland, the abdominal cavity, the male semi-prostate, the female small pelvis, ideally, everything that we can see every six months once a month in 9 it is also advisable to look at how to publish an analysis once every six months, this sounds really radical Roman Because now the audience is sitting and says my grandfather has never done it in his life, he lived a hundred years and was even stronger than you, he was all right But initially, in order to identify understanding and solving those the problems of those situations that we now have here, perhaps the first two times. We will have to do it once six months, then everything depends on. And we need from genetics, from the work of the body, how we were able to quickly decide how quickly the body reacts, and so on. Yes, it’s clear that it used to be better here very there is a lot of controversy on this subject, so we probably won’t. But in general, from the point of view of ultrasound, I will sign up because this is such a procedure, it feels like if you don’t take into account the cost, it is very operational, that is, conditionally the thyroid gland is there and the abdominal cavity can be viewed there for some then half an hour and at the same time everything is correct, just very often according to analyzes We do not see those nuances that we can see on ultrasound Therefore, ideally, we should add two plus two and get the result of which we will start and do something at the same time offices that, as I said, everywhere now take and interpret analyzes, they are interested in their profit and offer a wide range of analyzes, the maximum sometimes even incline people to take some specific analyzes, there are all analyzes that, from the point of view of informativeness, could be called as useless as possible that's when people are practically bred for money in, let's say, the definition of indicators that are not particularly important Yes, there are quite a few of them Unfortunately, in the first place I would put the assessment of blood group vitamins because I repeat, they do their job in our cell Therefore, we look either active forms It is very expensive, or we look at B vitamins indirectly through substances such as homocysteine, what we understand from it Is there enough vitamins of the group In the body, as a methyl cycle, we perform its function and in terms of the size of red blood cells, that is, a general blood test, which is quite cheap I put vitamin D in second place because Yes, it’s clear that when you drink it, it’s advisable to look at it and evaluate What did you come for, but here too, but here, too, everything is ambiguous Why? D together they are responsible for the ring, phosphorus metabolism and just calcium, first of all, it will turn out cheaper and practice is more effective. Because if you drank vitamin D, regardless of the Numbers that you received, let’s say it will be reduced if you are in references, it doesn’t matter What number you have he still does his job normally and there is no point in worrying because genetic sensitivity has not been canceled for some minutes either, so here, in order not to spend extra money on assessing sensitivity, it’s easier to do it like this in third place, I probably put magnesium in the blood, this is not the maximum informative analysis because it changes very quickly even depending on how much a tourniquet was applied to you, how much you were pulled nervous, then not nervous, it will already change its indicator, so I’ll put it like cortisol Yes, therefore we don’t hand over magnesium in fact it’s not enough for everyone, we just drink sometimes a moment we don’t worry about many of our symptoms, it’s actually a lack of magnesium, which you choose an adequate dosage of magnesium for yourself, many symptoms go further, it’s probably an assessment of neurotransmitters in the blood, they try to evaluate Dopamine serotonin there, similar things very often come from psychotherapists, look, I was prescribed antidepressants in these tests I say that it all destroys everything very quickly, it does n’t work like that, we either look in the urine or we bother doing tests there, etc. Therefore, it’s also not worth it to climb there, all endocrinologists, in principle, doctors, when girls again come to him or someone else ask