Evaluation Basics - Part 2

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hey it’s me again we’re going to talk about evaluation again here’s another example um we’re going to take a look at uh this 35-year-old female uh just like U you would a mechanic would look at an engine dysfunctioning or a engineer would look at a problem uh only in medicine do they separate everything out and they’re over specialized they treat each thing separately they treat it they don’t take all the data they don’t look at the body as a whole they don’t understand what symptoms mean in the body they’re just like suppressed so medicines become the management of symptoms so we’re going to just dissect her data number one she has daily headaches high pulse rate high systolic blood pressure that’s the top number uh of the blood pressure is high rash can’t tolerate sun dry skin fatigue uh and then we put all the symptoms in this digestion uh bucket here irritable bow uh bloating needs magnesium to eliminate burping pain on the left side of her shoulder back and neck nausea floating stool gallbladder removed uh then we have libido is down uh she took estrogen or she’s taking estrogen for fertility and uh Hashimoto kale makes her hair fall out it’s thyroid drenal red cheeks puffy eyes sleep allergies nervous all right so now let’s just look at this thing um the thing that I that that jumps out to me is the most problems are in this digestive thing now bloating burping that’s gallbladder symptoms but she had a gallbladder removed so it’s still a deficiency of bile so we know we have a deficiency of bile okay but typically that problem is going to cause pain on the right side of the shoulder and neck not the left so she has left sided shoulder and it come wraps right around the back and that would mean that’s pancreas so that’s a pancreatic problem so let’s write this down pancreatic insufficiency that’s a kind of a that would create these symptoms because the pancreas uh if it swells up or if it works too hard it will irritate the tissue right around the pancreas which there’s a there’s a little nerve called the phenic nerve it’s on both sides but on the left side and it goes right up to your right shoulder right up through here so the pancreas now let’s take a look at pancreatic insufficiency what does that mean the pancreas makes enzymes so it also regulates insulin but if it’s not making all the enzymes which makes sense because if she has a gallbladder problem she’s not going to actually have a really really healthy pancreas they both work together in the digestive tract so whatever she ate in the past that destroyed that gallbladder is probably also made the pancreas weak as well and depleted the enzymes but the symptoms for pancreatic in insufficiency are very similar to low bile very similar so right here nausea that could be the pancreas the flute the uh the stool that floats that could be a pancreatic insufficiency because you’re not able to release enough lipase that’s uh fat enzymes um so when bile comes in there and breaks down the fat lipase from the pancreas dissolves that fat even further down to a stage where you can digest it so this could easily be pancreatic insufficiency right here and so could nausea so it could paint on the left side and irritable bow because you’re going to have a lot of inflammatory issues as well if you don’t have the enzymes um so um that’s one thing now let’s just take to look at uh let’s see here rash that could be another symptom um can’t tolerate some well this is really um a low vitamin K deficiency because see Sun gives you a lot of vitamin D but if you don’t have vitamin K that can create a symptom of vitamin D toxicity okay which is like almost like it’s like sun is toxic to you but because she doesn’t have a gallbladder we know that she doesn’t have enough of the bile to absorb some of these fat cyal vitamins so she’s getting um you know she might just basically get all the sun on the skin and go in but she’s not getting all the other vitamins to balance it out so this could relate to this bile thing right here dry skin well that just indicates that she’s not absorbing some of the oils and the fats in the skin because she doesn’t have the bile um so that’s interesting and then right here hashimotos let’s try to figure that out hashimotos is an autoimmune and autoimmune there is some data on enzyme deficiencies and autoimmune but I don’t know if that relates but I do know that if the adrenal is too stressed they can get autoimmune of pretty much any organ um but I would like to before I evaluate this I’d like to get a history of when that started what happened just before it was there a stress event or was there something was it that they took the gallbladder out so I can’t really know that kale makes her hair fall well that’s too much kale and some people can block um um it can block iodine and that can affect especially if she already has a thyroid issue she probably needs to be taking iodine but look at this she’s taking estrogen decrease thebo this is estrogen dominance see the thyroid it’s very rare to have a primary thyroid the thyroid um is usually influenced by three things one a lack of bile because T4 is converted to T3 through the liver that would make a lot of sense or it can come from high estrogen so see we have two things that can cause that or it could be the adrenal as well so it could be any one of those things so what I would do with this case is I would just take one thing I would support the pancreas first then the bile and then see how many of these things clear up because um for example High puls rate that’s the heart working harder probably because she doesn’t have the fat CYO vitamins to transport the minerals and calcium around and see if that doesn’t just clear these things out right here um so that’s the first thing I would try and then I would support the adrenals and then I might you know recommend that she does an alternative for this estrogen thing because that there’s too many side effects with estrogen so I would just take the most likely thing first address that and then the next one boom boom boom to see what’s going to really clear out most of these issues but it looks to me that if her digestion is better she’ll be converting more thyroid hormones she’ll be able to detoxify estrogen better from her body and she’ll be able to absorb more nutrients um she’s going to have to take some bile extract for the rest of her life because she doesn’t have a gallbladder purify bile salts but to support the pancreas and get rid of all these things that would probably give her a huge relief and allow her to sleep take the stress off the adrenals so that’s where I would start first all right so that’s just kind of a I’m just talking out loud but that’s how I would take a look at this case