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hey everyone I’m really excited to bring

you an amazing person a guest who

actually was spoke at my last Quito

summit Nadia pod iguana welcome

she’s a naturopathic doctor and she also

works with Jason Fung who specializes in

a lot of things you know working with

the kidney in a minute fasting and so

welcome I want to actually the reason I

want to bring you on is that you wrote

in a book that I wanted to talk about

PCOS so I want to know what actually is

PCOS let’s just talk about that first

thank you dr. Burke it’s an honor to be

here again we did a podcast for you

summit and then I had the pleasure of

speaking at your summit about PCOS and

because that’s usually what I speak

about although I do see people with all

kinds of different expressions of

metabolic syndrome but my little passion

my big passion is eCos so I would love

to talk to you about that thing and so I

wanted to thank you once again for

inviting me to speak with you today and

being at your summit and I got to meet

your lovely wife and being in your home

so thank you thank you again so what is

eCos first and foremost it’s very

important polycystic ovary syndrome but

dr. Burke you’d be surprised that

probably a great majority of your

listeners know what PCOS is or at least

have heard of it so every time I do a

talk including at your summit which was

a huge audience by the way I asked all

of those people how many of you people

have heard of PCOS and almost I would

say at least 80% and remember that a lot

of the talks that we do do a lot of our

audiences are our medical professionals

up that’s not the case at the Hedo

summit so it’s not just that medical

professionals know of PCOS unfortunately

it’s very common it is the most common

reproductive endocrine and surn hormonal

concern of women in the reproductive

years the most common okay if statistics

say between 80 to maybe 30% of all young

women so pre menopausal women have PCOS

polycystic ovary syndrome it might be

more it might be less I don’t know to be

totally honest

diagnostic criteria is the best way to

diagnose PCOS but this is how it’s in

diagnosed so basically let’s go through

that what are the three diagnostic

criteria so two out of the three and

you’re diagnosed with PCOS even though

polycystic ovary syndrome is a syndrome

it’s a diagnosis of exclusion okay

meaning you have to rule out other

underlying at other possible conditions

right so there’s certain hormonal

conditions that can mimic PCOS but

they’re not PCOS so doctors are trained

because it’s such a common condition to

what they’re supposed to be trained to

rule out other conditions and when it’s

not any of those then if you have two

out of these three expressions so one is

clinical expressions not necessarily lab

not not necessarily lab with clinical

expressions of high male hormones so

with all those androgens or hyper and

drogyny a– so high levels of male

hormones and a woman and a lot of us

know what this looks like severe acne

hirsutism which is facial and body hair

grows and then male pattern baldness and

women right we’re talking about women

and many there’s actually many others

you could get very evening as a voice

you can get an enlarged enlarged

clitoris I mean this is it gets worse

and worse more of these free male

hormones you have going through your

body right clinical expression of high

male hormones because the lab

expressions are not best because

fluctuate throughout the day so it’s

very hard to pinpoint but the clinical

expressions are very obvious nicely from

experience when I was in my 20s the

second thing is abnormal or irregular

period and/or ovulation right which is a

big concern we’ll talk a little bit

about that and then the third is the

presence of these cysts that’s why it’s

called polycystic ovary syndrome the

presence of multiple cysts on the

ovaries on ultrasound so when the doctor

does an ultrasound

the technician does an ultrasound if you

have two out of these three and you’ve

ruled out other conditions there’s a

list of conditions then you’re diagnosed

with PCOS please note that no we’re here

did we talk about obesity so weight is

not a diagnostic criteria or some other

related conditions okay so that’s what

PCOS is very common as I said maybe

eight to thirty percent of all women

maybe even more that’s a lot crazy very

debilitating okay so what do I mean by

this

imagine being 20 years old and a cute

young girl or young lady and having

facial hair and acting right not not to

say all these other things but there’s a

lot of that in itself can be devastating

I went I could say 15 there’s obviously

younger women with PCOS you can get

diagnosed with PCOS after puberty

although although it’s very difficult to

diagnose PCOS in puberty because or

around puberty and adolescence because a

lot of these expressions or symptoms

aren’t mimic natural puberty right so

it’s diagnosed therefore they’re not

getting treated early enough probably

right right it’s common it’s

debilitating it’s very serious and why

is it very serious because it’s

associated with many serious concerns

and this is what I hope to talk a little

bit with you today so as dr. Fung would

say and does say in that book that you

have there

if PCOS was just about a little acne and

a few missed periods and that wouldn’t

be so bad I think it’s pretty bad if

even if thou were it but it’s not so

maybe we can talk a little bit about

that yes so there’s there are many

consequences of having this condition I

would spike gas you tell me if I’m

correct or not but pregnancy if you’re

pregnant you’re trying to get pregnant

and you’re not getting credit because

it’s one of the symptoms is you’re no

longer fertile and then you’re taking so

you have this condition and then now

you’re going to try to get pregnant

artificially or whatever

I mean what what are the consequences

well maybe you should probably talk

about what’s really going on inside the

body that’s causing this first just

thank you people a foundation yeah so

this is a great thing so that’s what the

art book is about PCOS plan it’s not a

doom and gloom and we’re not here to

tell you okay this is the worst thing

ever and thirty percent of women have it

we’re here to say that this is a

possibly preventable and reversible

condition that’s why we’re here right

that’s why we’re so passionate about

this and why doctor fun who’s a kidney

doctor like you said why is he writing

about PCOS the reason why he’s writing

about PCOS is because he’s written the

obesity code he’s written the diabetes

code he’s written the complete guide to

fasting and now we know about PCOS and

we know it’s an insulin resistant

condition we know just like diabetes

just like obese it’s not the diabetes

causes PCOS it’s not that obesity causes

PCOS I was very in I weighed 97 pounds

when I was diagnosed PCOS I was always

very good I’m still very thin and so

when I talk about this I find that this

is very important it is true that a lot

of women with PCOS have obesity a lot of

women with piece as well so it’s like an

added thing and they have central

obesity in most cases I did right away

start to get the central Issa to even at

a very thin so meaning I had a higher

percentage of body fat even though I was

thin and I had fat around my organs okay

like why I expressed so many of these

things so quickly and so young I develop

diabetes right away I develop retention

right away so it’s associated to all of

these conditions because it has the same

underlying problem which is high insulin

I for insulin emia which leads to

insulin resistance and again as dr. Fung

would say I’m always gonna quote him as

he would say if the problem is high

insulin and the solution is to lower

insulin and we know how to do that and I

remember saying this at your summit

where I said to when I talked about PCOS

I said how many of you know about PCOS

and everyone was like this and I said

but what if I told you you all already

know how to solve it and they do because

all of the your audience knows and

follows your your diet

your keto diet the low-carb diet with

intermittent fasting because I know you

talked quite a bit about it so all

everybody listening to us already today

knows how to help people with PCOS

because a lot of people put up their

hand and they don’t have PCOS they have

a daughter or a sister or a friend

it has eCos I get messages all the time

I’m now getting messages dr. Berg from

friends whose daughters or stepdaughter

top PCOS already I’m 42 Wow incredible

mm-hmm so when you when you do research

and the medica the you know you type in

PCOS and Google right the first two or

three pages you’re going to get the same

old same old by just the same old

narrative where they’re talking about

weathers one of this one of the

characteristics of PCOS is or

associations is they have high insulin

but they don’t connect the cause to this

condition so their inability to locate

cause and effect so it’s really I mean

insulin and insulin resistance for those

of you that are maybe possibly new

watching this or let’s say you’re you’re

searching and they’re trying to find a

solution high insulin is underneath a

lot of problems when you get it checked

they don’t really check for high insulin

going to the doctor they’ll check for

high glucose and that’s the high insulin

is not going to show up through the I

mean in other words you’ll have high

insulin actually takes many many years

to raise the blood sugar so it’s kind of

brewing the oven builds up and then one

day oh I’m a pre-diabetic so high

insulin is one of the first things that

actually occurs and the way to

understand this is just look at the

opposite okay what what what does the

diabetic what happens with diabetes what

happens when you have like with the

diabetic you want to actually lower

insulin and then you’ll correct it so

you know it just like when you really

understand what happens with insulin and

how it affects men and women then it’s

very very obvious but I think the

relationship between maybe you can

explain this why

do women have an increase of androgen

when they have high insulin what’s that

connection I can explain that thank you

very much and I know that you like to

keep things simple and so do I so I

appreciate that but I did write a review

it’s and I’m so happy that you said when

you look at the scientific literature

because I did write a review called for

the Journal of insulin resistance so

it’s a review so it’s very easy to read

which I like it’s most easy to write as

well

but it’s called the contribution of

hyperinsulinemia the hyperandrogenism of

women with PCOS so basically how much

does high insulin contribute to the high

the expression of high male hormones and

women that’s what the title means and

that’s what so basically what we find we

found that the in fact scientific

literature does connect the high insulin

to the high male hormone so it’s there

they know it but yet a treatment which

is what you were just saying a little

while ago the treatment doesn’t focus on

the root cause at all so when a young

woman or an older woman women of all

ages really they show up to their

doctor’s office if they get diagnosed

with PCOS they’re told it’s common and

they’re often just old to go away

there’s not much you can do about it or

they’re given a million medications for

a million different expressions so it’s

a symptomatic treatment as we know right

very well they’re treated for if if they

have acne like I did they’re either

given the pill if they’re young enough

or they’re given an acne treatment

another bill to treat acne if they have

diabetes which I did they were given by

these medications if they have

hypertension they’re given hypertension

medication if they’re trying to get

pregnant like you said they’re put on

fertility drugs and then if they have a

little bit of depression and anxiety

around this condition they’re put on

that as well and I could go on and on

and on and then if they are one of the

many women to develop cancer associated

with this I did I had thyroid cancer and

you got to go through that treatment and

then you drug but they have to take

forever and ever right so the treatment

even though we have connected the dot

and I can explain to you what what’s

going on basically there are these cells

in the ovaries called Becca’s house

that produce testosterone so more in the

and our ovaries their way in there in

our bodies this is basically diabetes of

do overs as they call it our ovaries

have all these insulin receptors and it

makes sense that they do if you look at

I’m not gonna bore you but if you look

at all animals all animals have insulin

receptors in the ovaries it’s a way for

the body to know inside if there’s

enough nutrition out there for us to

make babies I guess it’s a good sort of

conversation with the outside world

right the ovaries doesn’t have eyes and

it’s a way for the body to know if

there’s enough nutrients to make babies

so there are a lot of insulin receptors

in the ovaries when you have too much

insulin it over produces testosterone

and you don’t want that you and then the

insulin also has a major effect on our

liver we all know this but one other

thing that it does in the liver is it

reduces the production of another

molecule called sex hormone binding

globulin which is within a molecule that

binds his sex hormones so then again to

testosterone so it’s a two-fold thing

not only are you over producing

testosterone in the ovaries but you’re

under producing the molecule that’s

going to bind to the testosterone and

make it inactive so now you have more

testosterone roaming around but you have

more active and free testosterone to go

around and do what you don’t want it to

do all over your body so you don’t want

it to go to your skin and your hair and

express itself as as it does in women

right if the male hormone expressing

itself in women and all of this is

because of the insulin this is in the

literature so if you want to have a look

at that if you like reading this kind of

stuff it’s a review for the Journal of

insulin resistance well it’s there but

the treatment doesn’t focus on lowering

insulin it is devastating for a woman to

actually have lose their hair or the

facial hair they acne that I mean it’s

it’s a terrible thing when it’s so easy

so when you understand the cause and

effect relationship now as far as things

that someone can do to lower insulin we

know lowering the carb low carb diet

will do it what are some other things

that people can do basically and this is

important right this is why words

much time talking about insulin because

mostly for like oh I don’t want to hear

about that I just want to hear the

solution it’s important that you

understand the root cause you important

I understand that would find a lower

insulin and that insulin is what’s

causing all of these things in including

the obesity that might be associated

with it the central obesity like we

talked about it diabetes any infertility

and and possibly the cancers and

everything else but seems to dementia

Alzheimer’s I mean I could go on and on

and I know you talk about all these

things so how do you lower insulin you

lower insulin in one of two ways you eat

less often because every time you eat no

matter what you eat you’re going to

produce insulin it’s important that we

drive this point home PCOS women do not

eat more so that eat less move more olds

calorie and calorie out theory is not

going to work and this is what’s so

frustrating because most women are still

being told at their doctor’s office you

have to you’re overweight you have PCOS

you want to get pregnant or you want to

whatever

eat less move more they’re not lazy and

they’re not eating too much they’re

eating too often they’re eating too many

carbs eCos women have a lot of cravings

alike RB foods because their insulin is

high the higher your insulin this is

physiological there’s nothing wrong with

up here I speak from experience my

entire life until I was in my 30s I

never ate a vegetable and I never ate a

piece of me I didn’t like it I didn’t

want it all I wanted was I have to

charge my before we shut off there you

go all I wanted Evert was carved it was

fruit bread pasta rice and any junk I

could get my hands on

lots of sodas lots of milk a lots of it

was just carbon carbon carbon carbon

carbon and I ate all the time why and I

see this in PCOS women all the time as I

had rebounding hypoglycemia and because

I was thin it was always the impression

that well she doesn’t eat enough or she

doesn’t you need more sugar and I

thought I - and because I kept Ethan I

didn’t realize that all of that was

going into

my organs I just couldn’t see it on the

outside so PCOS women even more often

and they graze a lot

they crave a lot so here’s the concern

that I have so two things two ways to

lower insulin eat less often and eat

foods that are gonna create less of an

insulin response so higher healthy fats

appropriate amounts of protein and lower

carb so the ketogenic diet is perfect it

was perfect for me

that’s the diet that I followed in my in

my journey okay

here’s my concern he’s your west woman

are smart too so what are they going to

do you’re going to try to find

substitutes I can’t have sugar I can’t

have bread I can’t whatever but they’re

still craving the insulin is still high

when they start their journey

even if up here they’re ready to go and

they have the information you’re gonna

look for the substitutes they’re gonna

look for the sweeteners they’re gonna

look for the low carb breads and

everything else which is going to be an

issue because all of these things are

going to raise your insulin you have to

figure out how to eat in time restricted

eating windows you have to eat meals

that satiate you and you walk away you

need clean periods between meals this is

the most important thing in my opinion

so it’s a combination of an appropriate

low carb diet with appropriate

intermittent fasting periods yeah I

think the secrets of this whole thing is

that just to let people know when you do

this your hunger your cravings go oh

wait and that makes it easy to do you’re

not going to be struggling you’re not

going to be like starving all the time

not at all

you’d be totally satisfied because for

once you’ll be able to burn you in fat

which is a whole new concept yes Wow

so this one thing that’s I like about

this book here and I’m going to put a

link down below I’m not even sure if

it’s available yet for people but I’m

sure it will be soon but it’s available

for pre-order and it comes out April 14

of 2020 okay cool well I’m glad I have

the one of the first copies you can you

don’t alike you have a lot of diagrams

and you know I buy a lot of books and if

there’s no pictures I’m like okay I’ll

put that down I I need something with

the images you have a lot of diagrams

helps people understand quickly and you

can really visualize it so well done and

I know how hard it is to write a book

it’s blood sweat and tears you know

you’re in the over the computer for for

weeks and months and yeah so well done I

don’t know how you had time to do that

well I wrote the book with Jason Jason 5

is an experienced author and he’s very

he’s got very high standards so I have

to tell you that it was a challenge and

experience that I highly appreciate

right exactly

you’re happy that it’s done and it’s

completed and I could imagine but he you

know in the end he just wants a good

quality book he wants he doesn’t want

you know just up whatever it has to be

perfect everything has to be perfect has

to fit in and so I’m very lucky to have

my first book may be my only book ever

who knows I have no plan of hiding

another one anytime soon Jason so I

appreciate it and I want to tell you

that you actually have you you I think

you might be one it’s not first I don’t

have a coffee I don’t have a physical

copy I know you’re excited I’m excited

this is it because it says an advance

copy and yeah yeah and this is uh yeah I

I think I have the only one actually I’m

in Portugal right I’m in Europe and

you’re and I was asked who I wanted to

send a copy doing it as you know I

reached out to you right away so you

yours is the very first one that I have

seen

wow this is great I’m gonna save this as

time goes on it’s gonna be worth a lot

more but I’m gonna keep it well I want

to thank you for coming on and sharing

this is going to help a lot of women

that are struggling through this just

realize this is not difficult to solve

if you have the true information it’s

right in here

it’s just there’s a lot of books out

there that talk about PCOS and they

explain all the characteristics but they

don’t tell you what to do damn just

solution so this is like you know what

there is something that can work for you

yeah I know as I said earlier I started

off pretty

but our book is all about exactly that

what’s the problem then here’s the

solution it is a practical guide it has

a lot of good information a lot of good

science there that people just can’t

refute I hope and as I said if you go

into the scientific literature it’s

there before we wrote the book I did the

review the review supported the writing

of this book really and so then there’s

a real good practical while I’m very

proud of it I a practical guide because

it has recipes that has shopping list it

has all kinds of stuff so you probably

haven’t gotten to that yet it’s a very I

did say that and I was like wow they

have boy you guys just went all out and

just put everything in here this is

awesome because there isn’t it I don’t

know but there you know at least in my

research for four years really there

really isn’t anything out there like

this specifically even though a lot of

people speak about PCOS in their

pictures I find a lot of doctors talk

about insulin resistance whenever they

have diagrams insulin insulin resistance

in the middle and they have little

bubbles going out there’s a diabetes

obesity cos is always there fatty liver

or sleep apnea it’s always there but I

don’t know I guess I lived it right this

is like I had two children thanks to

reversing PCOS well maybe we get to talk

about what happens if you get pregnant

with PCOS and you don’t reversal what

you thought we did about that okay yeah

it’s very important and I will have to

do another one of these just on

pregnancy because oh my gosh this is

like that’s the most important time to

make sure your health and your diet is

correct because that predicts the future

of that child’s health it really does

you you better know what you’re doing

are you going to be struggling with all

sorts of issues and so the child so we

we my daughter-in-law lives with us

and so she we made sure her diet was

really really clean so this child Lucy

came out like a super baby I mean just

incredibly healthy yeah she does get

sick of cage

but she’s building up your immune system

she pops out of it like that but talk

about a healthy child so I’m gonna be

doing more videos on that but I want to

thank you for your time and I think a

lot of people are gonna be helped I put

the link down below and the PCOS plant

awesome thank you so much you’re welcome