Hello and welcome to
"Health for a Lifetime"
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I'm your host Don Mackintosh
and today we're going to be
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talking about
women's health issues.
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One of the big killers
for women is heart disease...
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In fact, it's the #1 killer.
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And our guest
today, Dr. Eric Shadle
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is going to be talking
with us about heart disease
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as it relates to women's health.
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You see the women all the time;
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you work in obstetrics and
gynecology, isn't that right?
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And have a rather large practice
I think you have 6 other folks
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that take call
for you and your group
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so you see a lot of women...
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And is it true the
#1 cause of death is
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heart disease for women?
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That's right, it
is the #1 cause...
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More than all other causes
combined as a matter-of-fact.
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And in your practice,
then, you're talking about
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women's health and whatnot,
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you wouldn't
really think about that -
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You'd think, "Well,
that's not a women's issue"
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Do most women
look at it that way?
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Do they think it's no big deal?
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Actually, most women are more
concerned with breast cancer
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and other issues than they
are with cardiovascular disease.
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Somehow, the message
hasn't gotten out there that
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that is actually the public
enemy #1 for both men AND women,
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cardiovascular disease.
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So what do you
use in your practice;
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how is it that you
educate people about
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heart disease and these issues?
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Well, I'm glad
you asked that because
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it really relates
back to about 4 years ago
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when I went
through a CHIP Program
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that Dr. Hans Diehl
is the founder of CHIP
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which means - "Coronary
Health Improvement Project"
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and I went through that program,
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and, honestly,
it changed my life.
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And it's a program that
deals with lifestyle issues,
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and dietary changes that
can have a positive impact
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on a person's risk
for cardiovascular disease
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as well as a whole host
of other medical conditions.
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I think you have a
graphic about this that shows
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the general principles that go
over, now let's look at this...
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Yeah, well - you
see there CHIP which is
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the "Coronary
Health Improvement Project"
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It's a 40-hour long
lifestyle modification program
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and there are 5 basic principles
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associated with
the CHIP Program.
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And these are the
principles that have
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affected my life so
positively and that is...
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Number 1, we want to
decrease empty calories.
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The empty calories that we
would take in during the day.
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We want to decrease the
amount of animal products.
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We want to eat
more foods as grown.
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We need to exercise...
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And then a buddy
system for accountability.
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A lifestyle change
can often or almost always
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be very difficult to
institute in our lives,
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and it's good to have
someone that we can talk to
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and that can help
hold us accountable.
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So in your practice
then, you not only are involved
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personally in this,
but you involve people
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from your practice in
it and refer people to it,
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and it works with
your program. Absolutely!
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I refer patients
to CHIP Program...
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Actually we do a CHIP
Program in our church;
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local churches can
do a CHIP Program...
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And it's fun, it's easy to do,
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and it impacts
peoples lives dramatically.
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Now it talks about a
diet or a lifestyle change,
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but predominantly
you're talking about
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the nutritional
intake of people.
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What kind of changes
are you asking them to make?
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What kind of diet is it?
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Well
specifically, we're looking at
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decreasing the amount
of fat that we take in.
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In the United States,
the amount of fat intake
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has actually gone
down in the last few years,
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but it's still extremely high.
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It's about 37% of
our total caloric intake,
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and the CHIP Program
recommends less than 20%.
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So that's the first step
that makes a major impact.
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Another principle when we're
talking about empty calories -
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Most of our empty
calories is because there is no
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fiber in the food that we eat...
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And the average American
gets about 11-12 grams of fiber
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a day and that's average;
that means there's a lot of
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Americans that get 1
or 2 grams of fiber a day,
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and that's just
not enough for the
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body to be able
to function normally.
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So the CHIP program
recommends at least 30,
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and I personally
recommend to my patients
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more than 40
grams of fiber a day.
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And with women's health issues,
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this diet helps them
with constipation or...
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Constipation, but you know,
constipation - the same forces
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that are causing constipation
also cause hemorrhoids,
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varicose veins that
women are very concerned about.
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It causes diverticular disease
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that all people are
concerned with, appendicitis.
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It can increase the
risk for gallbladder disease,
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high blood pressure -
even a low fiber diet is
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associated with heart disease,
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coronary artery
disease and stroke.
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So all these basic fundamental
problems you see then are
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addressed by concepts
that are covered in the
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Coronary Health
Improvement Project or CHIP
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That's right and just
getting some more fiber,
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and eating less
fat in our diets.
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Now I notice that there
is an exercise component
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to this program and
all these other components,
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how does that work?
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You refer them but what
exactly do they recommend
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in this program or
what are you recommending
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to patients in terms of
exercise and these other areas
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aside from diet?
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Anyone who wants to
lose weight, for example,
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should exercise 60 minutes
a day in the form of walking.
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Now if you are going to be
a runner or you're going to
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bike hard or some
of these other things,
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then you might be able to do
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less than that - such as
maybe 30 minutes a day...
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But walking 60
minutes a day is a safe thing,
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and almost everyone can do that,
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and that is what we recommend
at least 5-6 days a week.
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But CHIP is much more
than just diet and exercise.
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You know to have
health, we really need a
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balance between the
physical, obviously,
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the mental aspects of
life, but also the emotional
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and the spiritual.
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And if any one of
those is out of sorts,
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then we're really not healthy.
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And so we need all 4 of
those components coming together
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to provide for health.
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So you don't just provide
the social-emotional ties
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with all the people that
are coming to your practice,
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you are able to refer
them to a group of people
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that can give them
that kind of support,
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and also meet some
of those other needs.
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That's right and that's
why it has been so important
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in my practice -
to be able to do that
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because before CHIP, I
was prescribing medications...
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For instance,
menopausal symptoms...
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I would just get
out the prescription pad
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and give estrogen as
opposed to talking about
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dietary changes and being able
to put somebody into a program
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that can actually have
an impact on their lives...
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Because let's face
it, in a busy practice,
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I don't have time - even
if I took 1/2 hour or an hour
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with a patient, there's
no way I can even start to
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impact their lives
the way a 40-hour program
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that occurs over 30 days.
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You know, I've heard
about the CHIP Program
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and different venues,
talked with other guests here
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and different things and talked
with people who've done that
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and they've seen some
real changes in peoples lives
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in terms of lowering
their cardiovascular risk,
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heart disease and
you know, weight loss,
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and all those
different types of things,
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but have you followed
the people in your program
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and in your
practice have gone through,
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what kind of documented changes
have you seen in your patients?
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I've seen in just 4 weeks,
a 20-25% drop in cholesterol
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in some of the groups that we've
had go through the program.
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We see weight loss.
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Actually we have an average
of about a 4% weight loss,
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and that's in 4 weeks.
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Now that may not
sound like a lot,
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but 4% in 4 weeks is
really pretty dramatic.
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We see a lowering of the pulse
rate - which is a good thing
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because the healthier we are,
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the lower our
resting pulse will be...
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And we find blood
pressures normalize.
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We've had a lot of
people who have gone through the
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CHIP Program actually get off
high blood pressure medicine,
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get off of their Lipitor which
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is a medicine to
decrease cholesterol,
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and be able to get off
of some of these things.
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So that's not as
hard on their liver,
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and they're not having to have
all these medications go through
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and so a lot of the
things that you have to do,
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you don't have to do anymore,
the medications. That's right
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Now are there any
specific medical diagnoses
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in which CHIP is especially
helpful in your practice
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or, I guess, for
everybody as well.
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Oh I tell you what,
I use CHIP principles
00:10:04.23\00:10:07.79
in my practice every day.
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I see patients who
have problems ranging from,
00:10:09.24\00:10:15.41
like you mentioned
before, constipation to
00:10:15.44\00:10:18.86
menopausal symptoms and I use
00:10:18.89\00:10:22.93
CHIP principles for
ALL of those issues.
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Weight is a big issue
with a lot of women, men too,
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but of course, I don't
see men at my practice...
00:10:30.67\00:10:33.50
So the women that I see are
very concerned about weight,
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and the CHIP principles,
that diet will definitely
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lend itself to
decreasing weight.
00:10:42.30\00:10:44.23
So there are different groups...
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I think you have some
graphics of different diagnoses
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that really are
benefited in your practice that
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you shared with me.
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One was for postmenopausal
people and then others were for
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obstetrical - let's look at
the postmenopausal issues here.
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Yes, we have here with
the postmenopausal issues,
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I specifically use
CHIP to talk to women about
00:11:06.00\00:11:09.99
osteoporosis, heart
disease and vasomotor symptoms
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such as hot flashes.
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The CHIP Program is definitely
00:11:16.59\00:11:21.19
relevant in each
one of those areas.
00:11:21.22\00:11:24.93
And so when they go
to the CHIP Program,
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they can really address,
in a fundamental, dietary,
00:11:27.29\00:11:29.92
nutritional, spiritual,
motivational way... osteoporosis
00:11:29.95\00:11:33.28
In other words, they teach them
00:11:33.31\00:11:34.35
how to eat the green leafy
vegetables and all those foods
00:11:34.38\00:11:37.48
and how to prepare them so
they taste good. That's right
00:11:37.51\00:11:40.14
And then heart disease - how
that lowers their cholesterol
00:11:40.17\00:11:44.80
and then hot flashes...
00:11:44.83\00:11:47.13
How does that
work exactly with diet?
00:11:47.16\00:11:48.81
Well with hot flashes,
it's due to a rapid decrease
00:11:48.84\00:11:54.36
in estrogen and maybe even in
overall deficiency in estrogen,
00:11:54.39\00:11:57.89
and what we find is that
THAT effect is exaggerated
00:11:57.92\00:12:03.48
by a high fat diet -
especially before the menopause
00:12:03.51\00:12:07.33
that will tend to increase
the amount of estrogen produced
00:12:07.36\00:12:12.99
in a woman's body and,
thus, when she goes through the
00:12:13.02\00:12:15.88
menopause,
there's a bigger drop,
00:12:15.91\00:12:17.85
and so her symptoms
are much more dramatic.
00:12:17.88\00:12:20.37
So it's sets them up to
not be seeing that huge drop
00:12:20.40\00:12:24.14
that makes them feel so
terrible... That's right
00:12:24.17\00:12:25.86
But once they are
already menopausal,
00:12:25.89\00:12:29.39
and they make the
dietary changes at that time,
00:12:29.42\00:12:32.48
it may not help them
get rid of hot flashes,
00:12:32.51\00:12:35.99
but they will have mood
changes that are positive,
00:12:36.02\00:12:40.67
and they will feel better
overall and be able to get
00:12:40.70\00:12:45.64
through those
hot flashes easier.
00:12:45.67\00:12:50.46
Well, the other thing
was obstetrical issues...
00:12:50.49\00:12:52.83
In other words, you are
an OB/GYN, so the OB things,
00:12:52.86\00:12:56.16
what do you see here?
00:12:56.19\00:12:57.87
Well I use CHIP for younger
patients who are pregnant;
00:12:57.90\00:13:03.48
to talk about proper nutrition,
calcium intake and fetal health.
00:13:03.51\00:13:08.74
Those are all, of course, issues
that all pregnant woman are
00:13:08.77\00:13:15.64
very concerned about and CHIP
00:13:15.67\00:13:18.43
definitely has an
impact in those issues.
00:13:18.46\00:13:23.12
So prenatal nutrition and all
those different kinds of things.
00:13:23.15\00:13:26.65
Is the diet or the
nutrition that CHIP recommends,
00:13:26.68\00:13:31.35
is it healthy
for the pregnant mom?
00:13:31.38\00:13:34.86
Absolutely! In fact,
it's the healthiest diet
00:13:34.89\00:13:38.90
that any of us can eat,
so there's nothing wrong
00:13:38.93\00:13:42.48
with taking it in pregnancy.
00:13:42.51\00:13:44.45
It's kind of interesting
that I have had colleagues
00:13:44.48\00:13:49.67
who are concerned about a
woman on a vegetarian diet.
00:13:49.70\00:13:55.29
In fact, I had a
patient that changed physicians,
00:13:55.32\00:13:59.51
came to me and on
the front of her chart,
00:13:59.54\00:14:02.10
and I think this might have
been one reason she came to me
00:14:02.13\00:14:04.24
is because on the front of her
chart, her previous physician
00:14:04.27\00:14:07.62
had put on there that she
was a high-risk pregnancy,
00:14:07.65\00:14:11.23
and the only thing that
made her a high-risk pregnancy
00:14:11.26\00:14:13.38
was that she was
consuming a vegetarian diet...
00:14:13.41\00:14:17.13
which in fact - would
make her a low-risk pregnancy
00:14:17.16\00:14:20.80
because the vegetarian
diet will actually feed her baby
00:14:20.83\00:14:25.99
better because you're
getting more antioxidants,
00:14:26.02\00:14:30.59
you're getting plant
protein, you're getting less
00:14:30.62\00:14:37.37
overall protein, so
you're going to have
00:14:37.40\00:14:40.10
fewer problems
with calcium deficiency,
00:14:40.13\00:14:42.90
and overall calcium metabolism
because our high protein diets
00:14:42.93\00:14:47.96
actually flush the
calcium right out of our bodies.
00:14:47.99\00:14:52.28
I noticed here
under obstetrical issues,
00:14:52.31\00:14:56.80
under that actually was a part
00:14:56.83\00:14:59.69
of the
postmenopausal or obstetrics,
00:14:59.72\00:15:02.03
and you said that this
seems to help people that are
00:15:02.06\00:15:04.27
suffering from
depression and fatigue and also
00:15:04.30\00:15:07.65
chronic pelvic pain
and endometriosis...
00:15:07.68\00:15:10.24
How does that work with the
00:15:10.27\00:15:11.34
chronic pelvic
pain and endometriosis?
00:15:11.37\00:15:13.94
Well those are issues
that we have a graphic here
00:15:13.97\00:15:21.87
showing that omega-3
fatty acids are increased
00:15:21.90\00:15:29.52
when you consume
a vegetarian diet,
00:15:29.55\00:15:32.73
and it actually decreases the
prostaglandins that cause pain
00:15:32.76\00:15:38.06
and it can independently
seem to decrease endometriosis.
00:15:38.09\00:15:42.34
Now let me just
explain that a little bit,
00:15:42.37\00:15:44.57
and that is that those
omega-3 fatty acids that we are
00:15:44.60\00:15:48.64
increasing
through a vegetarian diet,
00:15:48.67\00:15:51.71
through a plant-based
diet, actually are the types
00:15:51.74\00:15:57.28
of fatty acids that
help to prevent pain.
00:15:57.31\00:16:01.05
When we take an aspirin or
an antiprostaglandin such as
00:16:01.08\00:16:05.49
Motrin, ibuprofen -
what we're doing is blocking
00:16:05.52\00:16:09.22
the prostaglandin synthesis at
a level that will prevent pain.
00:16:09.25\00:16:16.95
And in the
prostaglandin synthesis,
00:16:16.98\00:16:19.49
there are 2 arms that goes down;
00:16:19.52\00:16:22.59
one prostaglandins
that actually cause pain,
00:16:22.62\00:16:25.87
the other one that
actually reduces pain...
00:16:25.90\00:16:28.88
And so, in medicine,
what we do is give patients
00:16:28.91\00:16:32.95
medications to
decrease pain by blocking
00:16:32.98\00:16:36.59
the
prostaglandins that cause pain.
00:16:36.62\00:16:38.75
But if we eat plant products,
we find a prominent production
00:16:38.78\00:16:45.44
of the prostaglandins
that don't cause pain,
00:16:45.47\00:16:52.35
and that actually relieve
pain and interestingly enough -
00:16:52.38\00:16:54.95
if you eat a lot of
animal protein, those products
00:16:54.98\00:16:58.65
have the prostaglandins
that go down the other chain
00:16:58.68\00:17:01.91
that will
actually increase pain.
00:17:01.94\00:17:03.73
So you set yourself up for
what kind of pain you have.
00:17:03.76\00:17:07.02
That's right.
Chronic pain or even -
00:17:07.05\00:17:09.63
I don't know if it's
related to acute pain,
00:17:09.66\00:17:11.36
but certainly what you
eat sets you up to either have
00:17:11.39\00:17:14.50
more pain or less pain.
00:17:14.53\00:17:15.77
Wow! That's
fascinating! That's right
00:17:15.80\00:17:18.16
And so CHIP seems to be related
to that or IS related to that.
00:17:18.19\00:17:22.44
It is related to that and this
has been documented in research
00:17:22.47\00:17:28.81
that is certainly
independent of any
00:17:28.84\00:17:31.14
CHIP Program or CHIP principles.
00:17:31.17\00:17:32.98
We're talking
with Dr. Eric Shadle
00:17:33.01\00:17:35.32
We're talking about how
he educates his patients
00:17:35.35\00:17:38.85
in issues of
women's health using the
00:17:38.88\00:17:41.37
Coronary Health Improvement
Project - the CHIP Program
00:17:41.40\00:17:43.89
Join us when we come back!
00:17:43.92\00:17:45.43
Have you found
yourself wishing that you
00:17:52.17\00:17:53.74
could shed a few pounds?
00:17:53.77\00:17:55.37
Have you been on a
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00:17:55.40\00:17:57.46
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00:17:57.49\00:18:00.48
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00:18:00.51\00:18:03.40
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00:18:33.24\00:18:35.70
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Welcome back, we're
talking with Dr. Eric Shadle
00:18:57.61\00:19:00.56
We've been talking
about women's health issues
00:19:00.59\00:19:02.41
and we're talking
about the CHIP Program,
00:19:02.44\00:19:04.86
how you've used it in your
practice to really minister
00:19:04.89\00:19:08.22
a whole bunch of
different problems and things
00:19:08.25\00:19:10.46
that women deal with -
you maybe have some other
00:19:10.49\00:19:13.98
ways that you use the practice
or the CHIP Program in your
00:19:14.01\00:19:17.47
practice, we want to talk
about those, but we also...
00:19:17.50\00:19:20.63
Well, why don't we
talk about that first..
00:19:20.66\00:19:22.55
Are there any other ways you
use CHIP in your OB practice?
00:19:22.58\00:19:25.96
Well, obstetrically, I
find that I use it quite a bit;
00:19:25.99\00:19:30.12
in my OB patients -
those women who are pregnant,
00:19:30.15\00:19:33.04
they are concerned about
2 primary things, I find,
00:19:33.07\00:19:36.51
at least as it
relates to their diet...
00:19:36.54\00:19:39.42
One is that they are very
concerned about weight gain,
00:19:39.45\00:19:43.73
and they are
concerned about calcium intake.
00:19:43.76\00:19:46.38
And so I have the opportunity
to talk to them about
00:19:46.41\00:19:50.92
weight gain and some of
the principles of how to eat...
00:19:50.95\00:19:54.57
As we talked about earlier,
the need to increase the
00:19:54.60\00:19:58.12
fiber intake, the plant-based
diet and get plenty of
00:19:58.15\00:20:04.18
vegetables, grains, fruits
- those types of things will
00:20:04.21\00:20:07.82
help them - actually help
them control their weight.
00:20:07.85\00:20:10.82
But, they are also
VERY concerned about calcium
00:20:10.85\00:20:14.26
because it seems they
all come in and say...
00:20:14.29\00:20:16.75
"My mother-in-law is
making sure that I drink
00:20:16.78\00:20:19.48
a gallon of milk a day or
a 1/2 gallon of milk a day -
00:20:19.51\00:20:22.24
you know - make sure I get
at least 3 or 4 glasses of milk"
00:20:22.27\00:20:25.56
And many of them are
extremely concerned with this
00:20:25.59\00:20:31.81
because many of them -
they find that consuming milk
00:20:31.84\00:20:35.91
is making them
sick - of they just
00:20:35.94\00:20:38.46
don't have a
taste for it anymore.
00:20:38.49\00:20:41.87
They don't want to drink it
- you have good news for them!
00:20:41.90\00:20:44.59
And I have good news for
them because actually for every
00:20:44.62\00:20:48.22
glass of milk they drink,
they have a net calcium LOSS,
00:20:48.25\00:20:51.64
and that's been
documented by multiple studies.
00:20:51.67\00:20:54.34
And so, for proper
calcium metabolism,
00:20:54.37\00:20:57.93
what they actually need
is a good plant-based diet.
00:20:57.96\00:21:04.02
And so they don't
need any milk at all.
00:21:04.05\00:21:07.36
Wow, so that's a
shocking news to them then
00:21:07.39\00:21:10.00
from all kinds of milk
to no milk and probably
00:21:10.03\00:21:12.60
pretty gratifying
since they have told them...
00:21:12.63\00:21:14.99
"Hey, drink a bunch of milk"
00:21:15.03\00:21:16.06
Yeah, actually what I do
to tell them so it's not so
00:21:16.09\00:21:21.05
dramatic for them or
such a dramatic change,
00:21:21.08\00:21:24.66
and seemed radical to them,
I really talk about protein,
00:21:24.69\00:21:28.56
and telling them
that they REALLY need to
00:21:28.59\00:21:30.78
decrease their protein
down to 50 grams a day or so,
00:21:30.81\00:21:35.06
and that is one reason
they don't need that milk.
00:21:35.09\00:21:39.08
So weight gain -
they are worried about;
00:21:39.11\00:21:41.21
they are also
worried about calcium intake.
00:21:41.24\00:21:43.04
One of the things we've talked
about before the break was
00:21:43.07\00:21:45.58
pain and prostaglandins;
00:21:45.61\00:21:48.07
I guess prostaglandins are those
things that lead to pain...
00:21:48.10\00:21:51.68
They are made in
every part of the body.
00:21:51.71\00:21:54.80
They are made in blood vessels.
00:21:54.83\00:21:56.66
They are made in the uterus.
00:21:56.69\00:21:57.96
They are made
throughout the entire body.
00:21:57.99\00:22:00.55
And they do a lot
of different things;
00:22:00.58\00:22:03.32
in some areas they cause
the blood vessels to constrict.
00:22:03.35\00:22:06.74
In others, they cause
the blood vessels to dilate,
00:22:06.77\00:22:09.71
and that's because there
are these 2 main pathways.
00:22:09.74\00:22:12.35
And if you get those
out of balance by eating the
00:22:12.38\00:22:15.43
wrong diet,
eating animal products,
00:22:15.46\00:22:20.37
you get a concentration of
the types of prostaglandins
00:22:20.40\00:22:25.99
that will cause constriction,
00:22:26.02\00:22:27.51
and the type of
prostaglandins that cause pain.
00:22:27.54\00:22:30.69
And so, what you want is more
00:22:30.72\00:22:35.23
of a plant-based diet
that gives you better...
00:22:35.26\00:22:36.98
So before you have the
baby and you're going to be
00:22:37.01\00:22:39.46
experiencing a lot of
pain from the childbirth,
00:22:39.49\00:22:41.30
it would make good sense
to eat foods that wouldn't
00:22:41.33\00:22:44.20
stockpile all the things that
would cause all the constriction
00:22:44.23\00:22:47.10
and all the real
violent pain maybe.
00:22:47.13\00:22:49.97
That's right, yes - that makes
a big difference for women,
00:22:50.00\00:22:53.15
and there are more and
more ongoing studies that are
00:22:53.18\00:22:56.27
looking at that, but
I think that over the
00:22:56.30\00:22:58.22
next few years we'll
see science documenting
00:22:58.25\00:23:01.58
this more and
more, yet one more reason
00:23:01.61\00:23:04.39
to be on a vegetarian diet.
00:23:04.42\00:23:06.94
So a plant-based diet
also probably helps them with
00:23:06.97\00:23:09.70
constipation which is
big in pregnancy too maybe.
00:23:09.73\00:23:11.95
That's right - that's right,
because it's full of fiber.
00:23:11.98\00:23:15.14
The only place you get
fiber is in plant products,
00:23:15.17\00:23:20.43
and so you eat
your grains and you...
00:23:20.46\00:23:25.07
In fact, I give my
patients a prescription!
00:23:25.10\00:23:28.35
I give a prescription to those
00:23:28.38\00:23:30.12
who are having
problems with constipation.
00:23:30.15\00:23:34.29
I say, "Well you have a choice,
you can either go to the store
00:23:34.32\00:23:37.61
and you can buy your Metamucil
00:23:37.64\00:23:39.11
and your stool
softeners and that,
00:23:39.14\00:23:41.26
which I can give
you a prescription for,
00:23:41.29\00:23:42.88
OR, let me give
you THIS prescription"
00:23:42.91\00:23:45.22
Eat a 7-grain cereal
that has probably about
00:23:45.25\00:23:48.14
10 grams of fiber
in it every morning;
00:23:48.17\00:23:50.97
put your bananas and put
some strawberries in that;
00:23:51.00\00:23:54.88
maybe a little bit of
soymilk and then eat 2 pieces of
00:23:54.91\00:24:00.96
a good bread and in our
area, we use a bread from a
00:24:00.99\00:24:05.22
company that makes
whole grain breads,
00:24:05.25\00:24:08.51
and there are 5 or 6 grams of
fiber for every slice of bread,
00:24:08.54\00:24:12.35
so a couple of slices there.
00:24:12.38\00:24:13.89
I have my patients
consuming 20 grams of fiber
00:24:13.92\00:24:18.03
just for breakfast and I
don't know how many patients
00:24:18.06\00:24:21.34
I've had come back to
me and say, "OH thank you!"
00:24:21.37\00:24:23.84
Things are on the move again.
00:24:23.87\00:24:25.21
"Things are on the move, I feel
better than I ever have before"
00:24:25.24\00:24:28.07
Are there any other areas that
you use CHIP in your practice?
00:24:28.10\00:24:32.69
You know, we've talked
about prenatally and all those
00:24:32.72\00:24:35.32
different things -
are there any other areas
00:24:35.35\00:24:36.70
that you use those principles?
00:24:36.73\00:24:39.30
Well one is in
patients who have had surgery.
00:24:39.33\00:24:43.13
So postoperatively, after
the surgery, I talk to them
00:24:43.16\00:24:48.06
about what I just
said - about the Metamucil,
00:24:48.09\00:24:51.20
constipation because
abdominal surgery tends to cause
00:24:51.23\00:24:55.33
the bowel to move very slowly.
00:24:55.36\00:24:56.77
We call it "ileus" and
the bowel moves slowly,
00:24:56.80\00:24:59.71
and so what you want
is to have a proper diet
00:24:59.74\00:25:03.71
to allow the bowel to
move like it needs to...
00:25:03.74\00:25:06.39
And so these same principles
looking at fiber in the diet,
00:25:06.42\00:25:11.98
is very helpful for
ALL postoperative patients,
00:25:12.01\00:25:16.19
but in my case, women
who are any age... C-section
00:25:16.22\00:25:21.25
or hysterectomy or just
about any type of surgery.
00:25:21.28\00:25:24.51
We have about 2-1/2
minutes and I want to talk about
00:25:24.54\00:25:26.62
something that I
think is very important...
00:25:26.65\00:25:27.84
A lot of women that you
see they do have some bouts of
00:25:27.87\00:25:32.03
depression - maybe postpartum
or whatever depression,
00:25:32.06\00:25:35.41
and how does
CHIP relate to that?
00:25:35.44\00:25:37.19
CHIP relates to depression
by a couple of different ways...
00:25:37.22\00:25:42.63
One is PMS -
"premenstrual syndrome"
00:25:42.66\00:25:44.99
We see that very frequently.
00:25:45.02\00:25:47.23
Of course, women
can have depression in
00:25:47.26\00:25:49.83
other areas as well...
00:25:49.86\00:25:51.70
But we find that CHIP
helps with depression by
00:25:51.73\00:25:56.94
increasing the amount of omega-3
fatty acids, the tryptophan,
00:25:56.97\00:26:01.23
exercise, proper sleep
and avoid negative thinking.
00:26:01.26\00:26:06.37
Those are areas that actually
Dr. Nedley has talked about
00:26:06.40\00:26:10.91
in his book...
"Depression: The Way Out"
00:26:10.94\00:26:13.46
which I found to be very
helpful in dealing with patients
00:26:13.49\00:26:18.47
and their depression.
00:26:18.50\00:26:19.88
You used a lot of big
words; omega-3 fatty acids,
00:26:19.91\00:26:22.76
and then tryptophan...
00:26:22.79\00:26:24.56
Are those related
to elevating mood or?
00:26:24.59\00:26:26.88
Absolutely - it's really
related to serotonin which
00:26:26.91\00:26:33.47
actually most of our
antidepressant medications
00:26:33.50\00:26:36.59
are used to INCREASE
the amount of serotonin
00:26:36.62\00:26:41.42
that we have in our brain.
00:26:41.45\00:26:43.04
And we find that
actually, we can increase that
00:26:43.07\00:26:45.98
through natural means by
eating foods that are high
00:26:46.01\00:26:50.04
in tryptophan; for
example, things such as tofu,
00:26:50.07\00:26:55.05
pumpkin seeds, gluten
flours, sesame seeds, almonds,
00:26:55.08\00:26:59.55
black walnuts,
black-eyed cowpeas...
00:26:59.58\00:27:01.95
These are all very
high in tryptophan.
00:27:01.98\00:27:04.47
And then that is
made into serotonin,
00:27:04.50\00:27:05.81
and makes us feel
better. That's right
00:27:05.84\00:27:07.43
So this diet actually
helps get rid of the PMS? Yes
00:27:07.46\00:27:13.58
And also maybe any depression
that comes after surgery
00:27:13.61\00:27:16.83
or after having a
baby. That's right
00:27:16.86\00:27:18.09
Fascinating!
00:27:18.12\00:27:20.78
Proper sleep, negative thinking,
all those different things,
00:27:20.81\00:27:23.94
of course, go along
with this whole thing.
00:27:23.97\00:27:26.62
Yes again, we're made to have
the emotional and the spiritual
00:27:26.65\00:27:33.37
and all these aspects of
our lives coming together,
00:27:33.40\00:27:36.43
and if one gets out of
balance, then we're not healthy.
00:27:36.46\00:27:41.70
Thank you so much for
sharing with us the way you
00:27:41.73\00:27:43.90
integrate God's principles
really in your practice
00:27:43.93\00:27:46.30
concerning diet and nutrition.
00:27:46.33\00:27:47.85
We hope you've
enjoyed today's program,
00:27:47.88\00:27:50.16
and that you've learned
things that can help you
00:27:50.19\00:27:52.07
in your journey
and that you have
00:27:52.17\00:27:53.93
Health that Lasts for
a Lifetime as a result.
00:27:53.97\00:27:55.99