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s to pass because of a lack of energy iron in the blood but this is very informative and useless because iron in the blood tends to change very actively you ate meat today you didn’t eat tomorrow it has already changed Therefore, in order to assess the exchange of iron, it is still advisable to take ferritin strategic smell of iron transerin carrier protein iron to understand Can your body use this iron because it often happens that there is iron and there is no sense and of course the general binding ability to understand how all this works in the club is to the question of tests that are important to take and, accordingly, which is also useless in general again but the Miserly pay twice, yes, that is, so as not to overpay and just do the same examination where it really is necessary, maybe even some additional non-obvious analysis, it’s still better through a consultation already, as it were, to take tests, they immediately take tests and then, like, go with them to a specialist As practice shows, it is more effective Because when you collected from a patient for the first consultation You understand that he represents himself You understand what he had there in the past with his parents and grandparents you understand what nuances he has anyway due to this can be done as much as possible, it’s not always possible to reduce, let’s say, the list of analyzes, but to do it as much as possible because sometimes such nuances are found out when you have to, on the contrary, the list of analyzes increases, but in any case, it’s better to do it now and solve everything quickly than in the future, again, run retake, waste time and money and everything else is just that we actually run into such a rhetorical question comments that I also often come across, let’s say I’m sitting here, I hear some specific list of problems and I know that I can contact your clinic and, accordingly, I like the approach I can then receive treatment feedback at the same time, a person there conditionally from the region writes that I have an endocrinologist, if I apply, he will give me Well, that is, absolutely something else, a picture of other tests And in general, just say drink and, as it were, Come next time that is, it’s like a question without an answer, that is, it’s just a situation. Unfortunately, such a situation exists everywhere and we can’t do anything with it except to work. But not everyone likes it. Therefore, the situation with sleep is a little bit, we switched from it, but I remember that one of the most important factors often met the story people say sleep is so important yes In order to avoid chronic fatigue And what about those who do not have a normalized schedule or especially night shifts That is, they generally have some option here to avoid such symptoms chronic fatigue or just a night shift is a verdict Well, globally, globally in general, this is a verdict That is, it is a matter of time when something breaks down even against the backdrop of support, because we interfere very hard with the entire work of our biological clock, they are anyway built one way or another that we are in it we have to stay awake at night we have to sleep with daytime sleep anyway we don’t compensate it is very different from night sleep Unfortunately yes, against the background of drugs we can somehow bring it closer to get plus or minus also efficiency But the question is how often do you have to change your lifestyle when you are awake during the day and sleep at night If you have always come to the conclusion that you have been there for several months for years you work at night You will not have time Okay this can be somehow compensated for to come somewhere to stabilize to install and so on but if it is week to night week to day and so on, nothing good will come of it, the simplest thing we can do for our body in terms of sleep, even without drugs, without everything else is to start going to bed and getting up at the same time, even on weekends the simplest thing we can do even if it goes to private clean to get up 8 it’s clear that our hormone production is disrupted and everything else is clear but we have such conditions that we go to bed after 12 ok if such conditions exist the best thing you can do is always lie down at 1 a.m. and always getting up at 8 a.m., this will greatly reduce the load on your body, because it will not have to constantly rebuild and after every weekend you only go there for half a week because there I decided to sleep off by the way about sleeping off sleeping off on the weekends this is a direct myth stereotype Yes, it doesn’t work Unfortunately, no, because your adrenal glands are used to the fact that you have it there at 8 in the morning. You have to throw out cortisol so that you wake up. doesn’t work and completing the topic of sleep, you said daytime sleep works in a completely different way, but many people praise these 20-30 minutes when after dinner it’s right here nailing what is the place to be indisputably That is, if it’s there 20-30 to an hour to 40 minutes it’s okay, but you have to come to this for everyone, will it work positively no, but if you really need it, you can turn on your daily rhythm there, but stubbornly, it ’s still done exactly on, but everything else is additional, I thought that it definitely wouldn’t work well if you do it at the workplace When the situation does not favor the situation with being overweight It is one of the typical ones that you are contacted with Or rather not It seems to me that every first comes with excess weight, but he does not consider excess weight as the main reason for the most part, almost everyone is unhappy with their weight, but this is not theirs so strongly define it as something else here It is necessary to understand because there are a great many reasons Yes, someone has the most banal This is insulin resistance because there are snacks or apples everything else is the first second this is chronic stress disruption of the adrenal glands considers the glands hence the slowdown in metabolism again leads to insulin resistance to a set in the first place in the first place, I probably put hypoxia precisely the lack of oxygen without oxygen, we have a coefficient of efficiency The efficiency of mitochondria is greatly reduced the efficiency of the muscles is reduced and you already count your daily calories, don’t count everything will work completely otherwise these numbers will be very -very approximately, and, unfortunately, any girl will sooner or later come to an iron deficiency, because no one has canceled the monthly cycle of blood loss, no one has canceled it; therefore, difficulties arise for someone who will come there in adolescence, someone at 20, someone at 30 someone is closer to 40, but it always comes to this because they don’t eat enough red meat about iron supplements, they only remember when they already start to move away or something else, so it’s difficult for the male gender It’s easier for us to not consume iron so actively but we have another problem - chronic inflammation very often almost everyone has this inflammation where the question is open Everyone has something of their own very often it's just the intestines, something he doesn't like, something goes wrong And against this background, ferritin is a strategic reserve iron, it simply binds and does not work normally, as a result, we still get a decrease in the efficiency of iron metabolism, a decrease in the transport of oxygen and carbon dioxide and, as a result, hypoxia, completing all music with epoxy How can it be overcome. Especially since, as far as I know, there is another additional factor that aggravates smoking as a common bad habit only adds to the actual problematic, that's right, but here again, how to solve, again, an individual approach is needed, because application points Why do we have hypoxia, how do we have to solve a lot of them, many Athletes do not bother, they use some drugs that additionally stimulate the work of mitochondria additionally stimulates the blood supply to the brain so that all this works more efficiently. But this is again a Crutch, because the main problem we have not solved is how everything works, we have red blood cells that are responsible for transporting oxygen, carbon dioxide, they must be of the optimal size They must be adequately filled with hemoglobin protein in connections in conjunction with iron and they must again effectively perform their function for all this, three nuances must be observed in our body 1 It must be enough iron 2 there must be enough vitamins of the group First of all B9 B12 And the third all this should be in a compartment work normally, that is, there should be enough protein in girls, very often there is a problem due to a lack of iron once due to a lack of protein 2 because, as practice shows, protein is not enough for everyone except for those who really think it is, everyone else is catastrophically not eating up provitamins of group B, we have already said too general deficiency against the background of stress against the background of everything Yes, we are still faced with such a problem After the virus again, like copper-dependent anemia, since many people drank zinc at one time. Since they heard that zinc stimulates immunity, and so on, and zinc is an antagonist in our body. when you drink a lot of one, the second starts to leave, let's say, and stops working adequately, now it happens that against the background of a lack of copper, iron will again not work, iron is very capricious micro and there it is necessary that all the stars converge so that it is adequately assimilated adequately realized adequately performs its functions therefore in fact, this is iron protein, vitamins of group B Well, about the male sex, again, very often it is the removal of latent inflammation until you decide four nuances until all this 4 nuances normal hypoxia work with each other, only it will not be how you solve it if it is hidden in In this case, patients constantly ask me the question Will we try to look for it repeatedly, usually uselessly due to Long questions and a long understanding of how the body reacts to certain things, you come to the conclusion that very often elevated ferritin is inflammatory just associated with inflammation in the intestine, that is, you need work with the microbiota flora and possibly exclude any food-related allergy history, and now very often again this is a chronic viral load, because the virus very often likes to damage the mucous and mucous membranes, including drops, and from here some chronic inflammations arise, by the way, you recall the same topic with analyzes and crossing it with the question of allergies, now it also creates an analysis for food allergies if you have an opinion about it, because it’s probably more logical to ask a gastroenterologist, but at the same time, it’s possible that you have worked for a long time, talked with immunologists, swear as best they can I also came to the conclusion that the analysis is not effective because it will show you now what you have been roughly eating for the last few months there And you will get promotions for it Because you ate it more often who exclude it and transfer your diet a little to another Spectrum it’s logical for you here immunoglobulin will decrease There they will increase now the gold standard in allegology is Alex 300 the so-called this is the only allergonal analysis that shows really true allergies to everything else. according to my own experience, for some, the period of cheerfulness is transferred from morning to the afternoon closer to sleep there And people like that even at night can do more better works just the same, it’s connected with what we talked about in the refrigerator, the light was thought just for such people, this is also a bad idea if we wake up at night it doesn’t matter Why go to the toilet or go to the refrigerator This is an unhealthy story if we go to the toilet very often the issue of muscle testosterone and so on if we wake up to eat with us there are questions with hypoglycemia That is, we have sugar drops at night the question is why, that is, here We need to figure out what is with carbohydrate metabolism, but very often this happens again in girls who constantly don’t eat up there, they don’t eat up and this problem is solved Just by adding portions of protein before bedtime and if a person didn’t go to bed, but in the midst of initial work or I don’t know watching a movie, now it would be better to polish it an hour before bedtime, then it’s better to just have a portion of protein and all of them are ice cream from Yes, because it will be an extra portion of 30 grams of protein, which cannot negatively affect the work of our body, but we will be sure that we gave it something useful and not somehow harmed the viewers of this issue, it’s quite possible that you tell about everything as consciously as accessible as possible, so I just had a desire to go to a specialist to consult at least about something I I want to be listened to with the same enthusiasm, they told me that everything will be fine, a person has a need, that's all, that's enough to endure, you need to go to a specialist. not a very worthy specialist here Unfortunately, only a trial and error method, first of all, I think that a doctor with a client with a patient should be on the same wavelength and understand each other, because anyway Yes, it’s clear that a huge number of people come, but with many you are just psycho-emotionally you don’t get along and it turns out that it’s uncomfortable for him to communicate with you And when you have to still eat some patients Well, well, why didn’t you do it, and so on This causes some difficulties, so I would put the second one in the first place. figure out what tests he wants to prescribe for you and If I went to the doctor I would clearly ask a question for each analysis Why do you want me to prescribe that one If the doctor can clearly explain what we are doing in order to understand This is what we are doing in order to understand here and there it’s possible Yes, well, then you already need to try, and if the doctor also says that you need to take tests in this clinic and it is today that some difficulties already arise here, even more questions than we thought about clarifying iodine deficiency once again they advertise drugs on TV that right away everyone immediately pops up the names that we often hear Correct with iodine deficiency here is a drug that will really solve the problem or It’s more like just a placebo Unfortunately it can support at some level as we used to bet there nuclear salt and so further, for some reason, many do not say that her ministry is collapsing to leave this salt, let's say, when marketing lies for a long time, therefore, the dosages that are there, they will not solve the problem, they can slow down something somewhere, do something, but here you need to understand it’s clear that you have a widespread iodine deficiency, but is it possible to give this person here now, it’s worth figuring out at least you need to pay attention to antibodies to TPO ectg if they are elevated and it’s still not worth giving because there are still debates going on, some still give some do not give my position that it is not worth giving because very often, against the background of additional iodine, antibodies can be stimulated and grow. Therefore, the load on the pure gland will increase, plus it will definitely be necessary to do an ultrasound and then pick up the difficulties in what is now on the market with adequate iodine, probably Well plus or minus one and a half drugs as some other working things, so it’s quite difficult to find the right drug in the right form Because there are both organic and inorganic ones In the right dosage, and here many still forget that, in addition to the thyroid gland, we need iodine in principle for the work of the whole organism But if the male gender does not particularly react to this, and girls have difficulties, girls very often, against the background of a very strong lack of iodine, there may be problems associated with the work of the ovaries, fibroid cysts, and so on, not all of this is connected, but very often it happens that both only you naturally restore the work of sex hormones do so that the ratio of progesterone to estradiol is correct so that the cycle works like clockwork thyroid gland Works like clockwork and against the background of all this you make up for iodine deficiency cysts go away with regard to typical mistakes when using dietary supplements and pharmacology What can be identified maybe again, some top here, my position is in two stages, the first stage, before prescribing hormone replacement therapy, it doesn’t matter At what age the patient came to me, it doesn’t matter What problems, even if there are problems about the fact that there is a decrease in libido and a decrease in erection, and so further, initially what I am doing is restoring the natural functioning of the body, restoring all deficiencies so that the body reaches the peak where it can now be on its own, and after all this, the second stage, I prescribe hormone replacement therapy Because when a patient just came to you and you immediately appointed him a substitute, it will be effective, no doubt, but the efficiency will be 60 percent, maybe 7230, you lose because your body was not ready for this. Yes, it’s clear that rarely we can get some side effects, some problems, and so on. - as I already said, first restore everything after Let's replace hormone therapy this is my first position my second position I do not prepare people for performances I am for health and not for sports, therefore those who prepare athletes for performance in all you know This is a separate person who uses and complexes of compotes of various vitamins and so on. I don’t do this either, I do hormone replacement therapy to increase the duration of the quality of life efficiency only solo drug solo because in the long term it is more effective if you don’t need everything, but by the way, this is an interesting point that we did not touch together with that newspaper, and ours seems to be gaining momentum and it seems like more and more people are asking this question, but they are just the same, most often I hear the opinion that you need to hit on the forehead, that is, testosterone has fallen, you inject testosterone, everything is generally getting better right there, and here’s how you - so starting with health, you just need to initially figure out why he fell, it’s clear that after 30 every year he slowly goes to sleep a little about one and a half percent yes How quickly you feel it is an open question someone, depending on their testosterone receptors, will feel it in 28 And someone won’t even feel it at 60, so the question is open. I use testosterone, but I use it, let’s say so reasonably, after we have already restored the body’s work and now we have brought a person to the Peak without a preparation, he doesn’t come and says Everything is very good very but here, against the background of the fact that I got better, more energy appeared I opened a new business I have a lot of new things here further One more thing about nutrition in the same daddy, we’ll add where we said food cravings for sweets, we defeated night eating trips to the refrigerator We coped with them, however, now there is even a recommendation that It’s a good idea to resort to intermittent fasting and this is generally a step to health longevity and so on yes or no or not quite individually to say that intermittent fasting suits everyone I can’t for people with genetic problems with carbohydrate metabolism intermittent fasting is contraindicated because there may be extra hypos that are not needed and so on but I don’t see any problems in the widespread history Why no, intermittent fasting will improve the functioning of receptors due to this, we will slowly get away from insulin resistance, but we must understand that intermittent fasting is confirmed by itself, after all, two main meals Can you eat your norm Protein and fat for these two meals, provided that your Zheka you I still have to digest all this normally, learn to implement it. If yes No questions If no, perhaps it is necessary to use intermittent fasting but with three meals But then it’s already more difficult or is interval nutrition for you How to understand if it’s possible or not Yes or not How we select the optimal amount of proteins we divide fat into two doses, and if after the main meal we don’t have any problems associated with the work of the gastrointestinal tract, bloating, severity of heartburn, violation of the stool or something else, everything is OK, if something arises, something needs to be changed, but in principle, not without food also very popular lately, some even go on some long hunger strikes dry something else Everything individually can be said so why not, but whether it will be better from all this, I'm afraid we will find out only in the process or at the end So we talked about chronic fatigue it’s as if this aging process Yes, which is rapidly advancing, and many again, to myself, immediately after 30 feel that everything is no longer the same and will never be the same if this conditional conditional aging process does not respond to it and Let everything be as it will be what it can lead to Well, unfortunately, many people do this when you if it happened by counting fingers you had one level of energy yesterday another another you pay attention to it when it happens slowly but very confidently the stress of several years you understand what to get up It’s getting harder and harder, your motivation is less and less all your feelings at work, there is less and less interest in all this, less and less you don’t need anything within the framework of the network on the couch to drink beer, figuratively speaking, then against the background of all this, some kind of headaches or migraines may occur in girls very often it happens additionally here we can’t help but remember about the problems associated with the cycle, some soreness before the onset or Our favorite food is the constant craving for everything that is bad during the onset of the cycle is it normal is it not this should not be the body should work adequately it should work right, and that’s all, this is what I listed, these are the symptoms that something is going wrong with the body, you need to figure out why, how we came to this and, of course, we should start solving all this from the very beginning, our main task is to compensate the body, if possible, to give at least those fundamental things that we have already collected on a daily basis for everyone, let’s say at least they are further personally selected individually, depending on the main complaints that we have when you already after two months of taking all the drugs, eating habits also change, the wakefulness cycle changes, work in principle of the body and the biochemistry of the body is drawn to how it should work where it should work, you already understand that Age is just a number no more And that even at 40 you can be with burning eyes and do what you are interested in, not only at 20 and not always on sgt, but in addition to all this, of course, hormone replacement therapy can be used. What is usually used is clear that we have testosterone for males for female estradiol, progesterone is also testosterone, but in small quantities it is clear that they sometimes use the thyroid gland If something goes wrong so sometimes even the adrenal glands, if something goes completely wrong, but here everyone knows exactly about this use of testosterone as the main support for the overall functioning of the body, here we must, let's say, weigh the pros and cons, and initially when patients come to me with such a request that here I am I talked to everyone, I talked to you, my friends are on the course from I want No question, let's do this first, I'll tell you first, we will restore the body's work further against the background of the restoration of the body's work, one way or another, testosterone will improve, plus or minus to the maximum as effective as it is possible now at his age, perhaps it will be enough for him and after that we will decide whether you need it or not. once a week But not for everyone, let’s say this is the standard dosage for those who don’t have 3-4-5 workouts a week there, it will be a lot. It needs to be less clear that we additionally support the body’s work with the help of chronic Tropin so that the other one actually works adequately Well, it’s understandable that we still interact with estradiol if it still grows from prolactin if it also grows but here everything is again individual from some genetic nuances what you need to understand I discuss this topic with patients for a very long time before prescribing because I explain that if we as everything is expressed, we turn to the dark side, then we are always there, simply because you won’t like it without this support, the only option is when my patients and I leave for 2-3 months from the dark side to the light side, this is pregnancy planning, only we do it, we all launch we get pregnant and calmly move on in terms of examples. For example, people very often come who have the habit of extinguishing stress with alcohol and this habit develops so much that they can safely drink one and a half liters of whiskey in the evening in order to somehow drown out the work of the central nervous system in order to relax Well, let's just think about whether it will be right for them and is it even possible to say that you can't drink, you need to limit it, maybe correctly, but it won't work and he won't be able to; now there is a clear connection between stress and alcohol suppression, no matter what you say, no matter what you do it will be useless Therefore, here we go from the other side, here some droppers are added to improve the functioning of the liver, the natural work of the liver is restored, the deficiencies that you find against the background of all this, there is some change in the work of the body that they really do not like, alcohol ceases to affect them and not just they stop kicking and they stop jamming this work of the central nervous system of whiskey into the wind As a result, alcohol slowly begins to decline, why transfer a good expensive product when there is no sense from it and after a month or two he comes and says that of course I am very happy I am very sad here Let's move where -something further Because we have already solved this problem, it usually works exactly like this when you start working with a systematic approach and direct the work of the body where you don’t need them to go where he himself carries because he is used to health as such a gentleman, in fact, summing it up is such a Hope you said so confidently that even at 40, eyes can burn like at 20, we all the time how sad and sad I would be during interviews, recognizing myself there in some mistakes that people make this 40 years and fire in the eyes, it sounds like a good prospect I recently heard that it’s better to hope than to build expectations when you can be pleasantly surprised they are seriously disappointed so thanks for the hope Roman Thank you for sharing and I hope it will change people’s lives for the better for today I’ll remind you that we had a novel terushkin doctor in our studio endocrinologist co-founder and chief physician of the BMP clinic Many thanks to Roman for answering my questions I hope my questions were urgent and Roman's answers will really be useful and help make your life even better healthier and better for this we are filming these issues Thank you for watching share your thoughts share these videos with your friends in the comments and subscribe to the channel of useful content soon there will be even more [music]