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Russian
00:00:01
Doctor Natalya Zubareva is with you, and today we00:00:04
will talk about the very important topic of00:00:05
checking the body. What tests should be00:00:08
taken at least once a year in order to00:00:10
keep abreast of your health00:00:14
[music]00:00:17
today we will talk about that what00:00:20
tests absolutely every person needs to take00:00:22
what tests you need to00:00:24
follow and I will definitely give you references00:00:26
within the framework of integrative preventive00:00:28
medicine, they differ from traditional ones,00:00:30
we will talk to you about how to00:00:32
take tests correctly and what to pay00:00:34
attention to after watching my super00:00:36
useful video you will receive a clear00:00:39
understanding and clear instructions about what is00:00:41
wrong with your body and what you need to00:00:43
pay attention to, let's start with00:00:45
what a Check Up checkup is, this is a00:00:47
kind of clinical minimum and each00:00:49
doctor probably has his own. Today I00:00:51
am talking about my personal checkup that I00:00:53
prescribe to my patients Based on00:00:55
my clinical experience, this is not some kind of00:00:58
whim so that you understand. This is not a scam for00:01:00
money so that the patient gets confused and goes00:01:02
for tests. This is such a cross-section of the state of00:01:06
your body according to which Personally, for00:01:08
example, I can clearly assess the state of00:01:11
health, not only the00:01:13
thyroid gland or pancreas,00:01:15
but and intestines, the work of00:01:17
organ systems and, in general, to understand what I should00:01:20
do with this person. So, if we are00:01:23
talking about the female clinical minimum,00:01:24
then we are tied, of course, to the days of the cycle,00:01:27
if this is a man or a teenage child,00:01:29
then accordingly it does not matter,00:01:30
absolutely all the tests We take strictly00:01:33
on an empty stomach and last meal the night before The00:01:36
evening should be about 7-800:01:39
pm to sleep You should go to bed the night before no00:01:42
later than 11 o'clock You should00:01:44
spend the night quietly without waking up without00:01:47
waking up in a state of normal sleep00:01:50
deep sleep You should wake up00:01:52
around 6:30 and tests You should take it before00:01:55
about 8-8-30, this is such a00:01:58
deadline, everything you take later will00:02:00
not be indicative and most often you come with00:02:03
bulging eyes with some terrible00:02:04
insulin cortisol numbers and I00:02:08
always reassure you, I say don’t worry,00:02:09
my dear, most likely you’re wrong00:02:11
I passed the tests, but the time of taking the tests,00:02:13
of course, it is of such critical00:02:15
importance for you and me. The day before00:02:17
the tests are taken, we should not be nervous. And if00:02:19
you had a fight with the children in the morning, had a fight00:02:21
with your husband, we don’t go with you to take00:02:23
the tests; if we were nervous in a traffic jam, they00:02:25
called you some kind of fool - either the driver or00:02:27
something happened, we don’t go for00:02:29
tests because they definitely won’t be00:02:30
indicative before taking blood,00:02:32
so the day before we don’t drink00:02:34
alcohol, we don’t smoke, this also00:02:38
matters and we don’t actively engage in00:02:40
sports. So the first one is the simplest.00:02:42
It would seem like an analysis, but very00:02:43
diagnostically important for me for you00:02:46
is a general blood test plus a00:02:48
leukocyte formula, everyone00:02:50
knows perfectly well what it is, but I want to draw00:02:52
your attention to the main points in the00:02:54
general blood test, we look, of00:02:56
course, hemoglobin in traditional references for00:02:59
traditional medicine in our different00:03:01
laboratories, depending on the units00:03:03
measurements, hemoglobin goes approximately from the00:03:06
norm for women it goes from approximately 120 to00:03:09
145 within the framework of preventive integrative measures,00:03:12
everything below00:03:15
125-130 for hemoglobin is an00:03:18
anemic state in our country, that is, low00:03:19
hemoglobin is anemia. And what kind of anemia is00:03:22
iron deficiency B9 deficient B12 this is00:03:25
kind of the next question I’ll talk about this00:03:27
a little later, that is, figuratively speaking,00:03:29
if it’s already less than 120, the difference is four00:03:33
times higher. Yes, why do they go00:03:36
from 120 to 135-140 in the traditional plan? For00:03:42
us, everything below 125-130 is low00:03:46
hemoglobin.00:03:47
Well, how is it not? It’s almost close a fairly00:03:50
large gap, yes, that is, we understand00:03:54
that if a person has hemoglobin 125, then00:03:56
this is a deficiency other than hemoglobin. We, of course,00:03:58
look at the color indicator00:04:01
leukocytes lymphocytes neutrophils00:04:03
eosinophils often. And you see increased00:04:06
eosinophils and read somewhere that this is a00:04:09
helminthic infestation, you immediately run00:04:11
screaming about help Natalya Aleksandrovna,00:04:13
treat me with worms, I’m here to reassure you,00:04:16
I’m saying that most often Georgianophilia is00:04:18
still an allergic00:04:20
predisposition rather than parasites.00:04:22
Although, of course, parasites do exist,00:04:24
including the00:04:25
leukocyte formula, if there is any00:04:27
imbalance, it shows us the state of the00:04:29
immune system, the presence or00:04:31
absence inflammation Well, and ESR, the00:04:33
erythrocyte sedimentation rate says the same thing. The00:04:35
second analysis, a coagulogram, is monitoring the00:04:37
functioning of the blood coagulation system00:04:40
is especially important. In our age of covid-19, I00:04:43
worked in the red zone at one time00:04:45
when the epidemic of this type had just begun, and of00:04:48
course then they did not pay such special attention00:04:51
attention to how the coagulogram is now, the00:04:53
blood coagulation system, blood00:04:55
thinning, of course, in general, this00:04:57
indicator needs to be monitored not only by those00:04:59
who have had Covid, but in general, if00:05:01
there is a tendency to form blood clots, this is00:05:03
not good, we need to work with this, and00:05:05
just by looking at four 5 indicators of the00:05:06
cologram, we can clearly00:05:09
find out about this if you have been ill. By the way,00:05:11
be sure to also look at the hologram. And00:05:14
by the way, such a non-obvious fact: women,00:05:16
girls who cannot get pregnant and00:05:19
who cannot bear, have00:05:21
problems with pregnancy. Look at00:05:23
your hologram. Often you have00:05:25
distortions there, if there are distortions, the doctor will00:05:28
prescribe genetic tests for you on the00:05:30
subject of thrombophilia, for example, this could00:05:32
be, by the way, a very common cause of00:05:34
problems with pregnancy, total00:05:36
protein and fractions is such an interesting00:05:39
indicator that actually says00:05:40
a lot. But mainly about how00:05:43
much protein and how much protein00:05:46
we get from food and how this00:05:48
protein is absorbed in you, that is, this is the00:05:50
gastrointestinal tract, this is also the state of the00:05:52
bile, which is responsible for00:05:54
the absorption of protein, the state of the intestines and00:05:57
very often I see a low level of protein,00:06:00
again in traditional references we00:06:02
have a protein norm of 65 to00:06:05
75 -80 for women, everything below the mark of 7500:06:08
is a protein deficiency. You know that protein00:06:12
is needed by the whole body, everywhere and00:06:14
everywhere there should be a lot of it, the00:06:17
main thing is skin, hair, nails, collagen,00:06:20
elastin and a huge number of functions,00:06:22
I won’t focus on this, and there00:06:24
should be protein enough in our00:06:26
blood serum Natalya, you say a00:06:28
preventive integrative scale I how is00:06:31
it different from the standard A question00:06:33
Why should I believe a preventive00:06:35
integrative scale When can I believe00:06:37
just a scale from tests Good question00:06:39
I hear it often You can believe in00:06:42
what you want But there are traditional00:06:45
indicators that speak about the state of00:06:47
the body when you are generally already sick and00:06:50
there are preventive integrative00:06:52
norms Looking at which you clearly00:06:55
understand, understanding these norms you understand00:06:58
how to make sure that the disease does00:07:00
not develop further in you, that is, you00:07:02
catch it at the stage when you have00:07:04
some problems are just beginning and not when it’s too00:07:06
late to drink Borjomi the kidneys have fallen off the00:07:08
next indicator is lipid Spectrum00:07:10
here and not only total cholesterol00:07:12
here low density lipoproteins00:07:14
bad cholesterol high density lipoproteins00:07:17
atherogenic coefficient00:07:18
triglycerides and again when we have00:07:21
elevated cholesterol levels we00:07:23
look at the fractions and on the ratio if00:07:27
it is increased due to the bad fraction,00:07:29
respectively, you are my good one, either00:07:31
you eat poorly or you are stressed a lot or there are a lot of00:07:34
carbohydrates in your body or you00:07:36
have problems with the thyroid gland00:07:38
I have a separate video on our00:07:39
channel about what cholesterol is and how to00:07:42
deal with it and the causes of high00:07:44
cholesterol That is, you identify the cause00:07:46
only then we will deal with the00:07:48
consequences here, the references are basically the same00:07:50
plus or minus as traditional ones, everything00:07:52
above 5 2 5 and 5 in terms of total cholesterol00:07:56
is already a lot and again we00:07:58
definitely look at the factions bad good but00:08:00
triglycerides, roughly speaking, are00:08:02
carbohydrates with fat; there shouldn’t be a lot of them either,00:08:04
so the lipid spectrum is00:08:06
incredibly important. If you see high00:08:09
cholesterol levels, please don’t00:08:10
run to take statins. I don’t know there are00:08:13
enemas, give coffee or00:08:15
do something else out of extremes. there is no need to offend to the extreme.00:08:18
But watch my video and00:08:20
understand how to properly not00:08:22
harm yourself and lower your00:08:24
cholesterol level, keep it permanently00:08:27
normal, this is welcome Welcome then tumai00:08:30
Youtube channel the00:08:32
next indicator that I would00:08:34
probably put if I were making the top00:08:37
importance would be put on first place00:08:38
Glucose and insulin Why exactly Glucose00:08:41
insulin? Because with incorrect00:08:44
relationships between Glucose and00:08:46
insulin,00:08:48
carbohydrate metabolism disorders begin, such as overweight,00:08:51
metabolic syndrome, obesity,00:08:54
insulin resistance,00:08:55
type 2 diabetes mellitus, and so on, and just the same00:08:58
high level of insulin,00:08:59
insulin resistance, these are all the00:09:01
disorders carbohydrate metabolism They00:09:03
underlie a huge number of diseases00:09:05
that are not obvious at all, it is not at all clear how they are00:09:09
related to insulin please00:09:11
polycystic ovary syndrome where is insulin and where are the00:09:14
ovaries Yes, this is an absolutely direct connection00:09:17
multifollicular ovaries I can’t00:09:19
get pregnant various neoplasms00:09:21
polyps fibroids cysts here aging00:09:25
general body various00:09:28
hormonal imbalances The higher the level of insulin in00:09:31
women, the higher the level of male sex00:09:33
hormones in women and the greater the imbalance of00:09:35
female sex hormones, so a00:09:37
huge number of00:09:38
different symptoms, syndromes, symptoms of00:09:41
complexes, even diseases, depend on this, and you must00:09:43
clearly know the insulin glucose level and00:09:45
control it. Again, I’ll make00:09:48
a remark here if we are talking about traditional00:09:50
references, then in laboratory tests,00:09:53
depending on the unit of measurement, insulin00:09:55
is approximately normal from 2 to 24 and you00:10:00
come with insulin 23 and a half and00:10:02
say Natalya Alexandrovna I have00:10:03
good insulin Natalya Alexandrovna00:10:05
shakes her finger at you like that and says No00:10:07
No, my good insulin You have high00:10:09
insulin resistance because00:10:11
besides Glucose and insulin, there are00:10:14
two more indicators of carbohydrate metabolism00:10:16
that you should know, this is the00:10:18
insulin resistance index, and just00:10:21
when calculating these indices,00:10:23
everything that is above six seven in terms of00:10:27
insulin will give positive00:10:29
index of insulin resistance therefore00:10:31
extreme is simply the highest level of00:10:34
insulin in a healthy person is 6-7 no00:10:37
more, anything higher is a high level of00:10:39
insulin so be sure to00:10:40
control the level of glucose which00:10:43
should not be higher than 5 2 5 in the blood and you00:10:46
should have insulin level00:10:47
permanently low further vitamins,00:10:50
of course there are a large number of them, a huge00:10:53
variety of vitamins, but today I will talk about the00:10:55
Mast Have essential ones that00:10:57
definitely need to be controlled by vitamin D3, which00:11:00
is known to everyone and the B vitamins, the most00:11:03
important of them are representatives of B9 and B12,00:11:05
vitamin D is such a fat-soluble about00:11:10
hormones, not even a vitamin And about the hormone, a00:11:12
substance that is simply necessary for all00:11:17
organs in our body, it is necessary for the00:11:20
immune system, it is necessary for sexual00:11:22
regulation, it is necessary for the skin, hair,00:11:26
nails Well, in general, all the mechanisms that00:11:28
occur in our body require a00:11:31
sufficient amount of vitamin D, and00:11:33
again according to laboratory values and00:11:36
laboratory references preventive00:11:39
integrative values differs from00:11:40
traditional traditional norms, vitamin00:11:43
D ranges from 30 to 100 This is the norm; everything00:11:46
below 30 is a deficiency. But this, of course, is not00:11:49
true. First of all, we must understand with you00:11:51
how the analysis for vitamin D3 is carried out using00:11:53
these two methods: two hms Chroma Spectra00:11:57
mitria and Ifa, and hms and fa, these values00:12:00
differ from each other and the fact is that this is a00:12:03
more general analysis that00:12:05
shows a fairly large spread in00:12:08
vitamin D and hms is more clear and,00:12:11
again, if you start from the knowledge of00:12:13
integrative preventive medicine, then00:12:15
vitamin D in your serum may00:12:17
not be lower than 780, everything lower is of course a00:12:21
deficiency, again I repeat, everyone and00:12:23
everywhere needs vitamin B9 and B12 group B, without00:12:27
which the normal00:12:29
functioning of detoxification processes00:12:31
in the body in the liver is impossible, two ways00:12:32
of detoxification, these vitamins are00:12:34
necessary for the normal functioning of the00:12:36
central nervous system cognitive00:12:39
regulation mood heartbeat Well, in00:12:43
general, again, the necessary elements are00:12:45
very important and folic acid should00:12:48
be present not only in pregnant women and those00:12:49
planning pregnancy normally, but also in00:12:51
ordinary people who are not pregnant and not00:12:53
planning, and in men, women, and00:12:55
adolescents and children. If we talk about00:12:57
preventive references, this is at least00:12:59
15 for folic acid B12 very often00:13:03
Increases with liver problems with00:13:06
detoxification problems with00:13:09
bacterial overgrowth syndrome with00:13:11
leaky intestines problems in principle with the00:13:13
gastrointestinal tract, but often00:13:15
you come, of course, with a deficiency for us00:13:17
because you don’t eat enough protein and for00:13:19
various reasons, the norm would be 1200:13:22
preventive references of at least 400 and00:13:24
not as in the traditional sense there 12000:13:27
150 is the norm No, tell me about folic00:13:29
acid, what is the answer? I told you, you00:13:32
said that everyone should have toxicity in the00:13:35
body. This is why during pregnancy and00:13:39
when planning pregnancy because00:13:41
this is the prevention of diseases of the neural00:13:44
tube when in a little person the00:13:46
child develops in the first00:13:48
five to sixty weeks of intrauterine00:13:51
development the00:13:53
brain and the Central nervous system. Central peripheral nervous system is formed.00:13:56
The prevention of these disorders is taking00:13:59
folic acid00:14:01
or for boys, too, when planning00:14:04
pregnancy, of course Do you think only00:14:06
girls should plan a pregnancy,00:14:08
dear boys? No, this is not so; men00:14:11
should also prepare their sperm00:14:13
for proper conception; they should be00:14:15
of high quality; the next indicator is00:14:16
serum iron and ferritin;00:14:19
returning to our first analysis;00:14:20
general blood test; remember hemoglobin;00:14:23
if our hemoglobin is reduced, we have00:14:25
anemia And what kind of anemia needs to be sorted out,00:14:27
so serum iron is our00:14:30
iron Here and now, if it is reduced,00:14:33
this is iron deficiency, if it is increased, then00:14:36
we also have some problems that00:14:37
need to be clarified, and ferritin ferritin00:14:40
is, on the one hand, iron reserves,00:14:42
iron depot in in our body, your credit00:14:45
card, roughly speaking, but on the other hand,00:14:47
especially with large elevated00:14:50
values, we consider ferritin as an00:14:52
inflammatory protein. That is, if00:14:54
there is inflammation in the body, ferritin00:14:56
will always increase, and00:14:57
accordingly, if there is low iron and little00:14:59
iron in the body, we look at00:15:01
ferritin ferritin in the norm should be at00:15:04
least00:15:05
40-50-60 In some cases,00:15:08
depending on the initial weight of00:15:09
the person, if you want to clearly understand the00:15:11
cause of iron deficiency and the cause of anemia,00:15:14
then I recommend looking not only to00:15:16
go, but also transpirin as a plus to00:15:19
our hemoglobin If we talk about00:15:21
serum standards iron, here00:15:24
too there is a preventive framework and00:15:26
preventive norms of at least 15-17 a00:15:29
healthy woman should have iron, let’s go00:15:31
further to control the thyroid gland,00:15:34
we have antibodies to TPO to thyroid peroxidase00:15:36
antibodyact tg thyroglobulin and here are the00:15:39
thyroid hormones t-34 and the hormone00:15:42
TSH controller of thyroid function The00:15:46
next indicator of health is00:15:48
prolactin and cortisol Why am I talking about these00:15:50
guys together because they are00:15:52
very dependent on each other and00:15:54
influence each other cortisol is an00:15:56
adrenal hormone prolactin is a hormone of the00:15:58
pituitary gland and cortisol00:16:01
is on the one hand00:16:02
stress hormone and on the other hand, these are hormones of00:16:05
energy, cheerfulness, good mood, that00:16:07
hormone that makes us wake up in the morning00:16:08
and feel cheerful,00:16:10
and so by its value in our00:16:12
blood serum, you and I understand how our00:16:15
adrenal glands cope with stress,00:16:17
cope with what surrounds us and00:16:20
how much they level out this stress The00:16:22
higher the cortisol, accordingly, the more the00:16:24
adrenal glands work, the more serious the00:16:26
level of stress, I recommend00:16:28
looking at cortisol not only in the blood because it’s in the00:16:30
blood. It’s here and now, right00:16:31
today, and looking at the daily sample is00:16:34
either a four-time sample of saliva or a00:16:36
four-time sample of urine in this way00:16:39
you will get a more accurate and truthful00:16:41
picture of prolactin, this is a hormone of the pituitary gland,00:16:44
as I already said, it can be higher00:16:45
either in lactating or pregnant women,00:16:48
not in pregnant or lactating women and,00:16:51
accordingly, in men prolactin00:16:53
should not be increased, it very often00:16:55
increases when the level increases00:16:56
cortisol, if cortisol is normal and00:16:59
prolactin is high, then most likely there00:17:00
is a micro adenoma of the pituitary gland. By00:17:03
the way, there are a number of different reasons. And in00:17:05
any case, you don’t need to be afraid of this, this00:17:07
condition is correctable, you just need to00:17:09
recognize it in time; sex hormones00:17:11
are just the same hormones that give up00:17:13
in women, on the third fifth day of00:17:16
the cycle, we create FSH follicle and the00:17:18
stimulating hormone LH luteinizing00:17:21
hormone, here you can also connect male00:17:23
sex hormones for women testosterone and00:17:26
its fractions, if necessary, by the way,00:17:28
on days 3-5 We also00:17:30
test and look at prolactin on the 21st day of00:17:33
the cycle we look at one single00:17:35
sex hormone - progesterone FSH and LH00:17:38
are the hormones of the first phase of the female00:17:40
menstrual cycle, so they are taken00:17:42
on the third to fifth day of the cycle, and progesterone00:17:44
is the hormone of the second phase of the menstrual00:17:46
cycle, so we take it on the 21st day,00:17:49
we judge by the state of progesterone00:17:52
just in the second phase, about a00:17:53
woman’s ability to get pregnant, about a00:17:55
woman’s ability to carry a pregnancy, and how the00:17:58
second phase generally happens. Is there ovulation,00:18:00
is there no ovulation, and so on. Why this particular00:18:02
check-up and not some other,00:18:04
because based on these parameters of the00:18:06
simplest, by the way very simple tests00:18:09
but incredibly important, you will be able to00:18:11
form a completely00:18:13
comprehensive impression of your00:18:15
body and put it all together into a00:18:18
single good complete picture of health00:18:23
[music]00:18:26
my dears, please don’t waste your00:18:28
time, don’t waste your money on these00:18:30
tests because Health is the00:18:32
best Our investment into the future,00:18:35
including prevention, it is actually00:18:38
better than any treatment, and this00:18:40
prevention begins with passing just the00:18:42
clinical minimum, which I00:18:44
told you about today.00:18:46
Dr. Natalya Zubareva was with you. I hope you00:18:48
found it interesting and, as always, useful,00:18:50
subscribe to my channel, watch my00:18:52
video materials and see you again All the00:18:55
best to you00:18:59
[music]00:19:06
[music]Description:
Клиника превентивной медицины Доктора Натальи Зубаревой - https://doctorzubareva.ru/ Еще больше полезной информации в моем Telegram канале → https://t.me/doctor_zubareva ВСЕ ПРОБЛЕМЫ из-за щитовидной железы! / Как состояние щитовидной железы отражается на организме? - https://www.youtube.com/watch?v=yrXr6_cSNek Здравствуйте! Я доктор Наталья Зубарева. Здоровье в жизни одно и его важно сохранить. Чтобы убедиться, что здоровье в норме, сдайте анализы. Если досмотрите видео до конца, то узнаете, какие анализы важно сдать каждому! Как часто вы сдаёте анализы? Напишите в комментариях! Подписывайтесь на наш канал и узнаете много нового о питании! 0:00 - Вступление 0:44 - Что такое check-up? 2:41 - Общий анализ крови 4:35 - Коагулограмма 5:36 - Общий белок и фракции 7:08 - Липидный спектр 8:32- Глюкоза и инсулин 10:49 - Витамины 14:16 - Сывороточное железо и ферритин 15:46 - Пролактин и кортизол 18:27 - Заключение
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