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00:00:00

Good afternoon, friends, today we have a live

00:00:04

broadcast on the topic How to lose weight easily What

00:00:08

sweets What carbohydrates will help you lose weight

00:00:11

We will look at the types of carbohydrates What

00:00:15

carbohydrates are useful for weight loss We will also

00:00:18

talk Which store-bought and

00:00:21

home-made sweets help us lose

00:00:23

weight and discuss How to

00:00:26

adjust our diet in order to effectively

00:00:29

lose weight and at the same time feel

00:00:31

comfortable as usual, the first half of

00:00:34

the broadcast is devoted to our lecture today

00:00:37

and the second half of the broadcast will be devoted to

00:00:39

questions in the chat. As I see, there are already

00:00:41

a lot of questions, so let’s start with carbohydrates, what

00:00:46

carbohydrates are there and which ones we choose when

00:00:48

losing weight At the moment, we

00:00:51

divide carbohydrates into three types: these are carbohydrates

00:01:00

that raise blood sugar, and

00:01:03

precisely according to the speed of rise in

00:01:05

blood sugar, we divide them into fast ones. That is,

00:01:08

what gives a sharp jump in sugar and,

00:01:11

accordingly, with an intact insulin

00:01:14

response, a sharp jump in insulin, that is,

00:01:17

fast Carbohydrates increase

00:01:20

blood sugar and give high insulin responses,

00:01:23

which leads to an increase in insulin and

00:01:26

weight gain, that is, fast carbohydrates - these are

00:01:28

sweets and flour, all sorts of desserts,

00:01:31

sweets purchased with glucose, with fructose,

00:01:35

high fructose syrups, that is,

00:01:38

Jerusalem artichoke syrup, agave syrup, everything also belongs

00:01:41

here to fast carbohydrates because

00:01:44

just like Glucose gives a sharp jump in

00:01:47

blood sugar, fructose

00:01:50

also quickly increases blood sugar through metabolism in the liver. The

00:01:54

second group of carbohydrates are slow

00:01:56

carbohydrates. That is, something that gradually increases

00:02:00

blood sugar and accordingly gives a

00:02:02

smooth insulin response, so a

00:02:05

feeling of fullness after consumption

00:02:07

slow carbohydrates are much longer

00:02:10

lasting, as we understand, and sugars are

00:02:13

stable and insulin responses are less,

00:02:16

these are our gray porridges, buckwheat

00:02:19

pearl barley, quinoa bulgur brown rice,

00:02:23

oatmeal, this is gray and black bread, that is, the

00:02:26

second grade of flour, buckwheat flour, semolina

00:02:30

flour, brown rice flour and these are fruits and

00:02:34

berries with low glycemic

00:02:36

indexes, that is, the so-

00:02:38

called fruits and berries allowed for weight loss

00:02:42

in diabetes apples pear orange tangerine pomegranate peach plum apricot berries

00:02:50

strawberries blueberries raspberries currants

00:02:54

honeysuckle berry season is starting soon

00:02:57

in some regions

00:02:59

strawberries will start soon so of

00:03:02

course berries - it’s just wonderful, it’s a

00:03:04

slow carbohydrate, that is, a smooth rise in

00:03:06

insulin sugar and plus a huge

00:03:09

amount of vitamins and microelements and the

00:03:12

third type of carbohydrates that we are

00:03:15

most interested in is the so-called

00:03:18

indigestible

00:03:20

fiber, those carbohydrates that the

00:03:24

human body cannot break down into sugars,

00:03:27

that is, those carbohydrates that do not raise

00:03:30

blood sugar and which are safe from the point of view of

00:03:34

insulin responses in relation to

00:03:37

natural products, fiber

00:03:39

products - these are all our greens, what

00:03:42

we constantly talk about, parsley, dill,

00:03:45

arugula, cilantro, green salad, spinach, celery,

00:03:49

cabbage, and all types of

00:03:51

cabbage, white cabbage, Chinese

00:03:55

cabbage, kohlrabi, broccoli, that is all

00:03:58

this glue chat this also includes

00:04:00

green beans barrel eggplant

00:04:03

tomato cucumber onion and gelatin these are natural

00:04:07

fiber products They are completely

00:04:10

safe in relation to blood sugar in

00:04:12

relation to insulin in relation to weight

00:04:15

so those who go to our schools Who are

00:04:17

our patients go to diets with the guidance of

00:04:20

all my doctors You see that you have

00:04:22

large portions of fiber cucumbers tomatoes

00:04:25

greens And the Doctor tells you Eat

00:04:27

as much as you want, it’s completely

00:04:30

safe By the way, we have opened

00:04:32

discounts for schools for insulin resistance school

00:04:35

There is just a ready-made menu for

00:04:37

weight loss to reduce insulin and

00:04:39

just in it you also see that

00:04:41

we do not limit greens to you, that is,

00:04:44

these are natural products with fiber, but

00:04:47

when we move on to the issue of cooking to

00:04:49

the issue of cooking at home, we also have the

00:04:52

main main big question

00:04:54

What type of flour to choose, so again the

00:04:58

same types of flour, just like the types of

00:05:01

carbohydrates, are fast. That is, those types of

00:05:05

flour that give a sharp jump in sugar, a

00:05:08

sharp jump in insulin and cause weight gain

00:05:11

are premium grade wheat flour,

00:05:15

first grade wheat flour,

00:05:19

white rice flour, these are the fastest

00:05:22

types of flour that they sharply raise sugar,

00:05:25

give a massive insulin response and give you

00:05:28

weight gain from porridge; this also includes

00:05:31

semolina porridge; semolina porridge is simply

00:05:33

great for gaining weight, so children in

00:05:36

kindergartens are often given

00:05:39

semolina porridge for breakfast so that children

00:05:41

gain weight, but unfortunately not for everyone

00:05:44

children need to gain weight Because

00:05:45

now type 2 diabetes is getting younger and a

00:05:48

huge number of children in

00:05:50

adolescence are already developing type

00:05:52

2 diabetes. Therefore,

00:05:55

in principle, these fast varieties of carbohydrates with them are

00:05:57

necessary Carefully, not only

00:05:59

adults,

00:06:00

not only overweight people, but

00:06:02

also people who is genetically prone to

00:06:05

type 2 diabetes, to overweight,

00:06:08

that is, look at grandparents,

00:06:11

yes, that is, what

00:06:13

diseases are there in the family?

00:06:26

which these

00:06:28

sugar spikes give, that is,

00:06:31

it’s not worth buying premium wheat flour at home

00:06:33

because this is a provocation of Sugar Jumps

00:06:36

and Insulin Jumps. The more we

00:06:39

stimulate our insulin, the sooner the

00:06:42

faster. We develop

00:06:43

insulin resistance and, accordingly,

00:06:45

weight begins to grow, especially of course in the

00:06:47

area waist, therefore, fast carbohydrates

00:06:50

We trim so carefully, that is,

00:06:52

what kind of flour is worth buying home, it’s either

00:06:56

slow varieties of flour, wheat flour,

00:06:59

whole grain flour, brown

00:07:04

rice flour, buckwheat flour from amaranth, that

00:07:08

is, those types of flour that smoothly

00:07:10

raise blood sugar, oatmeal here

00:07:13

or If you want to make

00:07:16

the most healthy delicacies,

00:07:19

the most healthy baked goods Add

00:07:22

those types of flour that do not raise sugar

00:07:26

and which have virtually no effect on

00:07:28

insulin That is, fiber is psyllium

00:07:32

flour from psyllium psyllium is the shell of

00:07:36

plantain seeds, the so-called

00:07:39

psyllium husk, which is not absorbed by our

00:07:42

body, that is which does not raise

00:07:45

sugar and insulin, a huge number of

00:07:48

recipes for buns made from psyllium flour,

00:07:50

pies, pancakes made from psyllium flour,

00:07:53

in my Telegram channel every

00:07:55

week I post PP recipes for you,

00:07:58

low carbohydrate recipes, and

00:08:01

most of them come with psyllium flour

00:08:04

and almond flour or walnuts,

00:08:08

that is, low-carbohydrate varieties of flour, just

00:08:11

like nut flour,

00:08:14

almond flour, flaxseed flour,

00:08:18

walnut flour, hazelnut flour - these are those

00:08:21

types of flour that are rich in protein and

00:08:24

contain vegetable oils, that

00:08:26

is, they give a long-lasting feeling of satiety but

00:08:29

practically not contain digestible

00:08:32

carbohydrates, that is, they are completely safe

00:08:34

for sugar for insulin. Many thanks

00:08:36

to those who share their recipes. I

00:08:38

have one patient, she is a food technologist,

00:08:40

she is such a smart girl, she constantly tries

00:08:43

different pp-recipes, adjusts them to the

00:08:46

actual maximum

00:08:48

carbohydrate limit, regularly shares recipes. I

00:08:51

share recipes with you, therefore, Who has

00:08:53

not yet subscribed came to my website Olga

00:08:55

Pavlova RF there they found my official

00:08:58

Telegram channel I have One because

00:09:00

there are different channels on the telegram that

00:09:03

take my videos but here is my official

00:09:04

channel One where I check all the information

00:09:07

Where I really share useful recipes

00:09:09

came to my website went to Telegram

00:09:12

subscribed and scroll through a huge

00:09:14

number of recipes and sweets and baked goods

00:09:16

and everything and you will see that

00:09:18

there is an emphasis on low-carb types of

00:09:22

flour: psyllium flour, medal flour,

00:09:25

flaxseed flour, something that does not raise sugar

00:09:27

does not raise insulin, that is, for

00:09:29

carbohydrates, we have figured out three types of

00:09:32

carbohydrates: fast carbohydrates, white flour,

00:09:36

sugar and products with them that give rise to

00:09:39

insulin sugar spikes and which cause

00:09:41

weight gain. If you want to lose weight, then

00:09:45

fast carbohydrates, we

00:09:47

limit the only option for taking

00:09:50

fast carbohydrates when losing weight -

00:09:52

this is a refit for a workout That is, when

00:09:55

you are already going to the gym and you

00:09:58

know that you will have a hard

00:09:59

workout for more than an hour for such a

00:10:02

workout with stable blood sugar,

00:10:05

if you do not have diabetes, you can stop

00:10:07

by a cafe, grab your favorite cake and

00:10:10

eat it and then go to

00:10:12

training and this will safely work out

00:10:15

this sugar, your sugar will decrease during training

00:10:18

and the insulin spike will give you a gain in

00:10:20

muscle mass. That is, this is the only

00:10:22

option for eating fast carbohydrates

00:10:25

when losing weight, if a person is

00:10:28

diagnosed with diabetes, then fast carbohydrates

00:10:31

that sharply raise sugar we in general

00:10:34

we remove, we focus on slow

00:10:36

carbohydrates and fiber, slow

00:10:39

carbohydrates, that is, gray cereals, gray bread,

00:10:42

fruits, berries with a low glycemic

00:10:45

index, what we discussed at the beginning

00:10:47

of the broadcast, we leave but in small

00:10:50

quantities, that is, we discuss with the doctor

00:10:53

How much specifically you need two to three

00:10:55

four spoons porridge for a meal, or for

00:10:58

example a piece of gray bread and

00:11:01

leave this amount for breakfast for lunch,

00:11:04

and we do not add up carbohydrates if we have

00:11:06

already eaten a portion of oatmeal plus there is

00:11:10

no need to take bread with it, we have eaten protein Yes,

00:11:13

cucumbers, tomatoes with protein, for example eggs with

00:11:16

vegetable salad and then oatmeal

00:11:18

as a dessert or ate scrambled eggs with vegetables

00:11:21

and then, for example, a couple of slices of gray

00:11:23

bread, that is, there is

00:11:26

no need to add carbohydrates to carbohydrates, we choose one thing,

00:11:29

now it’s the season of fruits and berries and it is better to

00:11:32

focus on fresh ripe

00:11:35

fruits and berries because they are

00:11:38

rich in complete,

00:11:43

digestible type of carbohydrates - this is fiber,

00:11:47

non-calorie, non-digestible, safe

00:11:50

for insulin sugar and weight, carbohydrates,

00:11:53

psyllium, psyllium flour,

00:11:56

fiber. And here, of course, we

00:11:58

include low-carbohydrate varieties of flour with

00:12:01

digestible protein, this is flour, almond

00:12:04

flour, flaxseed walnut flour, this is

00:12:08

what Na what we focus on Now what are the

00:12:11

top three desserts for weight loss if

00:12:15

you cook it yourself at home, that is, you make it

00:12:18

yourself low-carb desserts, then these are

00:12:21

low-carb candies What are the benefits of

00:12:24

homemade candies? the fact that you add

00:12:27

natural cocoa to cocoa a huge

00:12:29

amount of vitamins and microelements

00:12:32

cocoa powder is very useful for

00:12:34

brain improves

00:12:36

memory concentration That is why for

00:12:39

children Who study in schools Who studies in

00:12:42

institutes Teenagers For adults with a

00:12:44

heavy load on the nervous system, that

00:12:47

is, professions that are associated with

00:12:49

mental activity Cocoa powder

00:12:52

It is clear We take sugar-free,

00:12:54

pure cocoa powder or candy

00:12:58

cocoa with natural

00:12:59

cocoa powder is very useful, it is clear that

00:13:02

mainly in the first half of the day

00:13:04

because cocoa gives some invigorating

00:13:06

effect, so before bed, cocoa powder is the

00:13:09

same as coffee tea. They can invigorate, they can

00:13:11

disturb sleep, so homemade chocolate

00:13:14

is clear that without sugar, the

00:13:16

safest

00:13:17

sweetener stevia extract highly

00:13:20

purified erythritol allulose we

00:13:23

use This is good, this is useful,

00:13:25

again in my Telegram channel you can find a

00:13:27

bunch of recipes for homemade PP sweets, just

00:13:30

sweets and sweets with marzipan with

00:13:32

almond flour, it’s very tasty, it’s

00:13:34

satisfying, please use the second one, which

00:13:36

really gives a long-lasting feeling of fullness

00:13:39

and safe for sugar - these are homemade

00:13:42

almond PP cookies, that is, we take

00:13:45

almond flour, we can add either

00:13:47

whole almonds or walnuts, we take

00:13:50

accordingly, we can take psyllium, we can

00:13:52

take an egg. I have all these recipes,

00:13:54

again in the Telegram channel, they are

00:13:56

freely available, scroll through, find,

00:13:58

study there For a very, very long

00:14:00

time I have been regularly sharing different recipes.

00:14:02

But personally, my

00:14:04

whole family loves macaroons. Firstly, they have very

00:14:07

little digestible carbohydrates, that is, they have

00:14:09

virtually no effect on sugar for

00:14:11

insulin. I make them with erythritol for

00:14:13

sugar. Zami. Secondly, it gives a

00:14:15

long-lasting feeling of fullness because

00:14:18

digestible protein plus oils from almond

00:14:21

flour from nuts is what gives

00:14:22

long-lasting satiety, it is very, very

00:14:24

tasty, that is, people who come to

00:14:26

visit they don’t know that it is low carbohydrate

00:14:29

Well, and the fact that the third third is healthy PP

00:14:32

sweets - These are buns, they are baked with

00:14:35

psyllium, that is, with psyllium flour which does

00:14:39

not increase sugar, again there are many

00:14:41

recipes, there are recipes on my Telegram

00:14:43

channel, there are recipes just in the public domain,

00:14:45

many people make buns from

00:14:47

psyllium. Yes, someone calls it

00:14:49

low-carb baking, someone calls it

00:14:52

calls Keto baking, but whatever you call it,

00:14:54

in any case, it’s something that doesn’t increase

00:14:56

sugar, it’s really tasty, it’s really

00:14:59

more than easy to prepare

00:15:01

yourself, if you consider

00:15:03

store-bought sweets, then in store-bought

00:15:05

sweets it is very important to study the composition, that

00:15:08

is, you bought a package of store-bought chocolate

00:15:11

and look not at the front where it is written

00:15:14

dietary and look at the back where in small

00:15:17

print we either take a magnifying glass with us or

00:15:19

take glasses with us for those who see poorly

00:15:21

because even I have good eyesight, yes,

00:15:23

I had an operation on my eyesight at one time

00:15:25

to restore it, but even

00:15:27

with my eyesight now it’s still bad

00:15:29

in PP sweets you have to bring it to

00:15:31

your eyes, because the

00:15:34

manufacturers write it all very finely so

00:15:37

that not everyone can understand it, but

00:15:39

still we need to figure it out what was mixed in there,

00:15:41

and if PP sweets

00:15:44

contain fructose, which increases

00:15:49

blood sugar, it contains high-grade wheat flour

00:15:52

varieties contain honey That is, those

00:15:56

products that give rise to sugar spikes and

00:15:59

large insulin responses,

00:16:02

we don’t buy such products back on the shelf in

00:16:05

the store; we don’t need to

00:16:08

create a sugar and insulin swing

00:16:10

that leads to weight gain, we take those

00:16:14

sweets that contain

00:16:17

safe products This is psyllium this is

00:16:20

fiber please Inulin can

00:16:23

also be fiber that is different types

00:16:26

of fiber these are the most

00:16:28

dangerous sugars this is stevia extract

00:16:32

this is erythritol This is allulose if you

00:16:35

take such sweets please

00:16:37

use as for PP postila

00:16:41

I have directly literally through the patient that is

00:16:43

literally every second

00:16:45

Olga Mikhailovna asks how the PP postila is

00:16:48

natural Apple, that’s what concerns

00:16:51

PP postila PP juices on which it is written in

00:16:55

large font without sugar if it’s

00:16:59

fruit if it’s purees for children

00:17:02

fruit pastille Fruit there A priori there

00:17:06

will be fruit sugar fructose from fruit

00:17:09

to understand Is it only

00:17:12

fructose from these apples that

00:17:15

were put there or

00:17:19

fructose added from outside, at the moment it is impossible to do such

00:17:22

chemical research,

00:17:25

that is, very often

00:17:27

manufacturers of these applesauce

00:17:31

PP by the table apple juices for children and yes

00:17:35

any other fruit juices that

00:17:37

contain fruits that are

00:17:40

written without sugar they add fructose,

00:17:43

that is, not white Sugar, white sugar, they do

00:17:46

n’t really put glucose there; it will be

00:17:48

visible during a chemical study. Yes,

00:17:50

when they submit the product for examination, but

00:17:53

fructose will be there from the fruit, and if

00:17:56

fructose was mixed in there, it does

00:17:59

not

00:18:01

show up in a chemical study. Well, that is, there is fructose

00:18:03

is fructose And how much of this

00:18:06

fructose is there? Is it only from fruit or is

00:18:09

it added as zama sugar?

00:18:12

This is impossible to identify during research,

00:18:15

and therefore most manufacturers

00:18:22

add a huge amount of

00:18:25

added fructose in the form of zama sugar to fruit juices, fruit purees, and marshmallows,

00:18:28

using this here is Children's juice,

00:18:31

children's puree, the so-called PP marshmallow in

00:18:33

quotes, we consume a

00:18:37

huge amount of fructose, fructose

00:18:40

is metabolized into glucose in the liver and we

00:18:43

get a jump in blood sugar, plus with

00:18:45

excess consumption of fructose in the form of

00:18:48

zama sugar, the structure and

00:18:51

function of the liver deteriorates, that is, our

00:18:54

fatty hepatosis is aggravated which already exists with

00:18:57

insulin resistance in

00:18:59

overweight and then transaminases begin to increase,

00:19:01

enzymes ALT AST, that is, it is

00:19:08

in no case possible to overload with fructose added in the form of sugar.

00:19:11

Therefore, if you want applesauce,

00:19:14

rub the apple yourself, here you have

00:19:16

applesauce, you don’t need to buy ready-made

00:19:19

fruit juices, fruit purees and marshmallows

00:19:22

If you want to buy the safest sweets in the store,

00:19:24

then either we

00:19:27

buy chocolates with safe sugar,

00:19:31

stevia and retto, we really read the

00:19:34

ingredients so that only they are there so that there

00:19:37

is no fructose or honey

00:19:39

or high fructose syrups, or we

00:19:42

we buy Dark chocolate that contains

00:19:45

sugar, or if we talk about such

00:19:48

borderline Yes sweets that

00:19:51

can hardly be included in a diet, then this is

00:19:54

white marshmallow, after all, it is slower than

00:19:56

other sweets and this is ice cream. What is interesting about

00:20:00

ice cream is that cold

00:20:03

foods take longer to digest;

00:20:06

they raise sugar more slowly and insulin, that is,

00:20:08

ice cream, is one of the

00:20:10

safest sweets, so even many

00:20:12

patients with diabetes treat themselves to ice cream in the summer,

00:20:15

eat ice cream, then go

00:20:17

for a quick walk or

00:20:19

go for a bike ride, and in

00:20:22

fact they experience a rise in sugar

00:20:24

Yes, moderate intensity and beyond

00:20:26

physical exercise is working on

00:20:29

recipes for homemade ice cream, by the way, I also have recipes for homemade ice cream

00:20:31

on my telegram if anyone is interested,

00:20:32

scroll through Last year I posted it, you

00:20:34

will find accordingly How to correctly

00:20:37

change the amount of carbohydrates when losing

00:20:40

weight The first rule, friends, we change smoothly

00:20:44

when a person is used to a high-carbohydrate

00:20:47

diet, that is, porridge for tomorrow too with

00:20:50

bread and some candy for lunch, a

00:20:54

full portion of side dish yes In a cafe or in a

00:20:56

restaurant and then a person suddenly removed everything

00:20:59

Carbohydrates that a person feels there is no strength, the

00:21:03

person just can’t get up in the morning

00:21:05

Head hurts no energy deteriorates

00:21:08

Memory of attention, that is, the brain

00:21:11

reacts on a sharp restriction of

00:21:14

carbohydrates, this is

00:21:16

uncomfortable so that your

00:21:18

brain does not resent the transition to a

00:21:20

strict low-carb diet, gradually

00:21:24

change your diet If yesterday you ate a

00:21:27

50 g portion of porridge Yes, a huge plate, but

00:21:31

reduce it to 200, then reduce it to 150,

00:21:35

that is,

00:21:36

gradually, if you previously ate a whole a

00:21:39

chocolate bar at a time Eat half and it

00:21:42

will be good, or Replace it with a

00:21:45

low-carb chocolate bar Yes and Add

00:21:47

it Just porridge for long-term satiety,

00:21:50

that is, Our task is to reduce carbohydrates

00:21:53

smoothly, not so that we went on a

00:21:55

high-carbohydrate diet And then,

00:21:57

God forbid, we decided to go to We don’t do that

00:22:00

we gradually change the amount of carbohydrates.

00:22:02

This is the first. Second, we replace fast carbohydrates with those

00:22:05

carbohydrates that sharp surges in sugar

00:22:07

gave us with slow carbohydrates,

00:22:11

that is, we replace white bread with

00:22:13

second-grade bread or rye bread. We replace fruits with a

00:22:16

high glycemic index; banana

00:22:19

grapes; we replace them with fruits with an adequate

00:22:22

glycemic index with a higher slow

00:22:24

Yes, with an average glycemic index

00:22:26

apple pear orange tangerine Soon the

00:22:30

season will begin plums peaches apricots

00:22:33

these are also all allowed fruits strawberries

00:22:36

blueberries berries also smoothly raise

00:22:39

blood sugar, that is, the banana

00:22:41

was removed, the grapes were replaced with more adequate

00:22:43

fruits And the most important thing is that when we

00:22:46

lose weight in order to maintain

00:22:49

hormonal levels in order to

00:22:51

maintain energy exchange,

00:22:54

we leave digestible carbohydrates in breakfast and lunch, that is,

00:22:56

while we are actively working. When

00:22:59

we have mental activity,

00:23:01

physical activity, we leave

00:23:04

digestible carbohydrates, that is, either we

00:23:06

eat a piece of bread for breakfast, or we

00:23:09

eat a piece of fruit. for example, I ate a

00:23:12

pear or a glass of berries, that is,

00:23:15

we reduce carbohydrates smoothly and leave

00:23:18

at least a small amount in breakfast for lunch in

00:23:21

detail about how to change nutrition How

00:23:24

to combine foods how

00:23:25

to adjust the amount of carbohydrates how to

00:23:28

choose the right vitamins and

00:23:30

microelements how to analyze tests how to

00:23:32

select doses it’s all there school for the

00:23:34

treatment of insulin resistance and

00:23:36

obesity, we have opened spring discounts on

00:23:39

school so that everyone can lose weight

00:23:41

because the season of short skirts, the season of

00:23:44

swimsuits, is fast approaching. Of course we want to

00:23:46

get in shape, I’ll post the link,

00:23:48

so whoever wants to lose weight,

00:23:50

register, so let’s move on to the questions

00:23:53

Natalya writes Thank you for the last broadcast

00:23:55

After he decided to buy a glucometer,

00:23:57

a glucometer - it’s a wonderful thing. I

00:23:59

personally have three of them at home. Although I have diabetes. No,

00:24:01

but it’s just a good habit that there

00:24:04

should always be a tonometer at home and there

00:24:06

should always be a glucometer. Because if we

00:24:08

feel bad, some kind of

00:24:10

inadequate state of health. What we need

00:24:12

do first of all measure your

00:24:15

blood pressure and measure your

00:24:17

sugar so no diabetes Natalya writes

00:24:20

What to look for when buying a

00:24:21

glucometer Recommend the company

00:24:23

Thank you very much Natalya for your

00:24:25

kind words it’s very nice to look at what

00:24:27

concerns glucometers,

00:24:29

all modern licensed

00:24:31

glucometers that are sold in pharmacies

00:24:34

have a similar error measurements

00:24:37

that is, what is there, well, up to 10% no

00:24:40

more That is, everyone shows sugar

00:24:42

adequately Why can it differ? The price is

00:24:45

two to three times there, for example, Satellite

00:24:48

contour ouch Easy Touch, the price tag may

00:24:51

differ by two to three times because

00:24:53

different functions, that’s how you

00:24:55

you buy a mobile phone Yes, some phone

00:24:58

will only ring and some will take

00:25:00

photographs, all sorts of graphs

00:25:02

for you to build, make collages of photographs Yes,

00:25:05

put music on them and, of course,

00:25:07

the price tag is different several times the

00:25:09

same glucometer some glucometer

00:25:12

You just measured your sugar He

00:25:13

shows you your sugar, everything is the simplest

00:25:16

glucometer. Yes, for example, they

00:25:18

bought Satellite Express. Yes, a regular Russian

00:25:19

glucometer. But if, for example, you need to

00:25:22

calculate the average values, you need

00:25:25

your screen to be color so that it

00:25:27

remembers what your sugar parameters

00:25:29

were last week, calculate

00:25:31

the averages there are all sorts of faces, good

00:25:34

sugar, a smiling face, for example,

00:25:36

high sugar, a sad face. Usually

00:25:39

such glucometers are taken for children. Yes, for

00:25:41

example, there are more modern glucometers

00:25:43

from the ouch series. That is, if you need these

00:25:46

additional functions. Yes, these are the

00:25:47

additional accessories. This is usually taken for

00:25:49

children because children like it it’s

00:25:51

colored that it remembers everything, plus the

00:25:53

child forgot it somewhere, the mother fried it in memory

00:25:55

with the glucometer If you need

00:25:58

functions, you take a more expensive

00:25:59

glucometer if you just need to measure

00:26:02

sugar any regular glucometer circuit

00:26:05

Satellite any When you buy a

00:26:08

glucometer, you buy a glucometer one-time

00:26:11

you will buy test strips

00:26:13

every month and the main expense item is

00:26:16

actually the test strip, so

00:26:19

look how much a

00:26:21

test strip costs for your glucometer because in reality,

00:26:23

if test strips are expensive every month, it

00:26:26

turns out to be expensive for you to buy them at the pharmacy,

00:26:28

so when you buy a

00:26:30

glucometer right away, ask in the pharmacy,

00:26:32

how much do the test strips cost and are

00:26:34

they available at all times?

00:26:52

We also buy strips at the pharmacy Because

00:26:55

if the test strips were stored incorrectly,

00:26:57

Moro or God forbid there in a warehouse with

00:27:00

inadequate temperature and inadequate

00:27:02

humidity will again show

00:27:05

the weather Therefore, in the pharmacy there is a glucometer test

00:27:07

strip, but also By the way, as drugs,

00:27:09

especially drugs that are liquid

00:27:11

injectable and insulins or

00:27:13

incretin drugs there Saxen Degri Azmk with

00:27:17

them, too, only in the pharmacy because the

00:27:20

storage conditions are as Marina writes Thank you for your

00:27:23

work Thank you Marina, tell me How to

00:27:25

treat obesity if Saxenda did not help

00:27:27

at all, the neurologist prohibits Reduxin Well,

00:27:30

look, in addition to Saxenda and Reduxin,

00:27:32

there are also stupid lipas blockers yes

00:27:34

listata orlistat and saxenda have saxenda -

00:27:37

this is the first generation of kriti nav saxenda

00:27:57

ligritsa and also the third generation of incretin

00:28:00

there are stronger drugs nzha it is clear

00:28:02

Yes in our country yet Officially not, but

00:28:04

many people bring drugs from abroad

00:28:06

so there are a lot of drugs now

00:28:09

Just when we we are talking about

00:28:10

stronger drugs, any strong drug

00:28:13

is selected after examination, general

00:28:16

blood test, biochemistry, hormonal background,

00:28:18

then selection of drugs. Why do we have

00:28:21

many patients who go to school, they

00:28:23

take a VIP school with the supervision of a doctor

00:28:25

because it is really convenient when you

00:28:27

select strong drugs for

00:28:29

weight loss and A man walks alone It’s hard for him Oh, there’s

00:28:32

something unpleasant there, something makes you feel sick,

00:28:34

something when you walk with the doctor you feel

00:28:36

unpleasant, you write to the doctor, the doctor

00:28:39

I feel unpleasant I’m feeling nauseous from the drug, is

00:28:41

this generally normal or not, what should I

00:28:43

do, the doctor finished the consultation,

00:28:46

answered you what, reduce the dose, add

00:28:48

this, reduce this, change

00:28:51

the diet under this drug And it

00:28:52

becomes easier for you, that is, it is much easier to

00:28:54

go on weight loss with the support

00:28:56

of a doctor When you have the opportunity to

00:28:58

ask a question get an answer, therefore, on the

00:29:00

drugs Marina, before handing over tests

00:29:02

Select drugs from seafood,

00:29:05

in our country a huge

00:29:07

number of analogues of foreign

00:29:08

drugs have been released, that is, there are no problems with

00:29:10

drugs now. Well,

00:29:14

you drink Glucophage well. Femoston is also good for HRT, but by

00:29:16

weight, take tests before. Select

00:29:18

drugs like this, Arina writes. Hello,

00:29:21

doctor feritin, ten extreme low

00:29:23

feritin Arina protein 69 for an

00:29:26

adult optimal protein 75 transferi is

00:29:30

also low prescribed Sorbifer when

00:29:32

I take it symptoms appear vomiting what to

00:29:34

do after childbirth rash on the body I apply

00:29:38

Akriderm for a rash on the body it

00:29:40

could be intoxication it could be

00:29:42

deficiencies vitamin A deficiency

00:29:44

vitamin D deficiency provokes various skin

00:29:46

reactions in terms of your iron, firstly,

00:29:49

you have low protein and transfer, that is, in

00:29:51

order for you to have iron in your

00:29:53

metabolism, you first need to

00:29:55

restore protein metabolism fish chicken

00:29:57

meat egg digestible protein chew well

00:30:00

with sour dressings for

00:30:02

iron preparations Sorbifer Durules Feru lek, our

00:30:05

old pharmaceutical drugs often give

00:30:08

reactions nausea, constipation and other

00:30:10

adverse reactions, these are harsh

00:30:13

drugs, not everyone can tolerate them,

00:30:16

today there are much more

00:30:18

comfortable iron preparations such as

00:30:20

iron without glycinate, for example in a pharmacy

00:30:22

this is Solgar iron Gentle Iron in a pharmacy

00:30:25

this is Mahler sports iron

00:30:28

alucina iron or an iron preparation with

00:30:30

cofactors hemopneumothorax a

00:30:58

huge master class I

00:31:00

tell you in detail which drugs are better how to

00:31:02

adjust the dose over time how to

00:31:04

select

00:31:06

cofactors this is how Irina writes a 59 year old woman

00:31:10

TSH 1.4 TSH Good for your age T4

00:31:14

low T3 average calcium

00:31:16

ionized 1 ,3 Well, Irina When you

00:31:18

don’t write a question Well, I commented to you

00:31:20

that according to the tests it’s not

00:31:21

bad, but for calcium you need to look at

00:31:24

calcium, total calcified vitamin D

00:31:27

and plus densi ria, if according to densitometry the

00:31:30

bone density is reduced, then we raise vitamin D,

00:31:32

general calcium, visual aqueous,

00:31:35

and we also give vitamin K2 mk7

00:31:37

so that calcium goes into the fast. Well, if

00:31:39

you just skipped these tests. Well, it would be

00:31:41

decent here. Well, what can I say about them?

00:31:43

When you skip the test, you need to

00:31:45

understand what the problem is in your well-being

00:31:47

or in the examinations, the densitometry

00:31:49

is bad or something- then again, a woman 39

00:31:53

years old, 120 kg, that is, overweight, large height

00:31:56

170 ato redid since childhood, gained

00:32:00

30 kg in a year, but this is a lot of weakness

00:32:03

drowsiness depression TG 7.6 But the answer

00:32:06

to your question is yes Where does this hypothyroidism come from,

00:32:08

we have insulin 12 insulin is increased for

00:32:11

weight loss good insulin

00:32:13

on an empty stomach 45 sugar good glycated

00:32:17

hemoglobin 5.5 normal hemoglobin 110

00:32:20

low anemia you have been prescribed hormones Is

00:32:23

it possible without them with TG 76 I would really

00:32:27

start hormones plus natural

00:32:30

drugs to restore the thyroid gland

00:32:32

this is the amino acid tyrosine this is a drug,

00:32:35

be sure to treat anemia because

00:32:37

anemia worsens the functioning of the thyroid gland, that is,

00:32:40

iron supplements, iron cofactors, well,

00:32:43

insulin 122 for weight loss, so-so

00:32:45

for weight loss, insulin 45 is good,

00:32:48

insulin 12.2 is insulin for

00:32:50

weight gain, after all. Therefore, you also need to work with insulin,

00:32:56

kindly for iodine 24-hour urine and blood, to be

00:33:00

honest Alexey, tests for iodine are,

00:33:02

in principle, not the most reliable at least

00:33:04

Where do you donate blood urine hair iodine

00:33:09

is not a stable element, it disappears,

00:33:11

that is, the longer it takes, accordingly,

00:33:14

here is our analysis Yes,

00:33:19

a test tube test, here is an analysis for iodine that is

00:33:22

actually unreliable analysis for

00:33:24

iodine is important for us not so much to see a

00:33:27

deficiency as to see an excess.

00:33:29

Because if a person is really

00:33:31

overloaded with iodine. Unfortunately, there are

00:33:34

people who study the iodine

00:33:36

loading protocol, and this is a very dangerous event

00:33:39

that can both raise it to inadequate

00:33:42

and, on the contrary, reduce thyroid function,

00:33:44

that is, overload iodine, it happens

00:33:47

quite often, and if a person

00:33:49

absorbs iodine well, it can even be

00:33:52

against the background of low doses of iodine, so

00:33:54

tests for iodine, either in urine or in

00:33:57

blood. Personally, I ask patients to take tests

00:33:59

to see that there is no iodine overload,

00:34:02

that we can actually date iodine

00:34:04

because iodine - this is the work of the brain ed this is the

00:34:07

condition of the mammary glands for all

00:34:10

women 40 PS risks of fibrocystic

00:34:12

mastopathy that’s why we go to the mammologist every year

00:34:15

to be examined therefore iodine is

00:34:17

needed besides iodine is memory

00:34:20

Attention this is the immune system Well, that is, a

00:34:23

lot of factors are not only energy exchange

00:34:25

and thyroid gland, so when I ask a

00:34:27

patient to take an iodine test in blood and

00:34:29

urine, it is important for me to see that there is no

00:34:32

overdose, that is, that is, I want to

00:34:34

see that there is not much of it. As for

00:34:37

ideal methods for iodine,

00:34:40

today there are none, that is, all methods for iodine

00:34:42

because it is unstable They Well, how

00:34:44

can I say, they just show the average

00:34:46

amount of iodine in the body, it’s not

00:34:48

like you looked at hemoglobin, looked at

00:34:50

iron, you can clearly see how much

00:34:53

hemoglobin, how much iron, how much

00:34:55

ferritin, for example, they instilled all the iron,

00:34:58

they donated it, they saw a lot of it, for example,

00:35:01

I have a mother, She instilled it for herself iron Yes,

00:35:02

recently it’s clear that everything immediately

00:35:04

went up literally in a day there are already

00:35:06

completely different numbers in a month

00:35:08

in 3 months there will clearly be

00:35:10

other numbers, but for iodine there is no such thing, iodine is

00:35:13

not stable, that is, we are looking at the average

00:35:15

amount, but it is also important

00:35:16

to control it To avoid

00:35:20

overdose Is high thyroglobulin an

00:35:23

unambiguous marker of iodine deficiency? No, you say

00:35:25

that thyroglobulin can increase simply

00:35:27

if the size of the thyroid gland increases,

00:35:29

including against the background of iodine deficiency, which affects

00:35:32

health, so Irina writes on an ultrasound that a nodule on the

00:35:35

thyroid gland is 1.7 cm. Irina is a large nodule.

00:35:43

other methods of examination puncture yes yes

00:35:45

you write puncture correctly a year ago on

00:35:47

ultrasound there was a node of 1 cm Well, exactly puncture

00:35:50

your node has grown to 1.7 almost

00:35:53

twice in a year I have 100% blood for a year below the

00:35:58

Upper limit now I don’t drink it

00:35:59

Upper limit - This is not dangerous and B12

00:36:02

Folic is dangerous - This is an overdose of

00:36:04

two or more times, that is, the node is growing for

00:36:06

some other reason, or the presence of

00:36:08

antibodies from CTPO from EH

00:36:11

thyroglobulin or iodine deficiency Well, or

00:36:13

it could be a bad node, so a

00:36:15

puncture is definitely done Just a puncture

00:36:18

it is important to do it correctly When you go for a

00:36:20

puncture, it is clear that with a referral from an

00:36:22

endocrinologist without a referral,

00:36:24

no one does a puncture; you have an

00:36:26

exact referral from an endocrinologist with you

00:36:28

because it is directly required on a piece of paper with a

00:36:29

blue signature from the doctor. That is, you go

00:36:31

in person to any medical institution to see an

00:36:33

endocrinologist and say look at two

00:36:35

ultrasounds I have grown a node Here are my hormones

00:36:37

Give a referral for any endocrinologist

00:36:40

gives a referral with a blue stamp

00:36:41

signature that is, a juicy appointment you

00:36:44

make an appointment for a biopsy for a biopsy

00:36:46

it is better to make an appointment at the largest

00:36:48

healthcare institution in your

00:36:50

region because the equipment for puncture is very

00:36:53

important cytologist If

00:36:56

the equipment is cheap, which is

00:36:58

often found in small medical centers. Well, it wo

00:37:00

n’t be clear what’s in the biopsy, that is, it’s

00:37:02

really better to do the biopsy in the

00:37:04

largest hospital in your city, it’s either

00:37:07

an oncology clinic or it’s a regional

00:37:09

clinical hospital, find out Yes,

00:37:11

ask around where the best doctors are. Where is the best

00:37:13

equipment signed up They all arrived for the puncture with

00:37:16

a direction and then upon

00:37:18

arrival for the puncture, be sure to measure your

00:37:21

blood pressure if your blood pressure is

00:37:24

high, you undergo a TET puncture; blood

00:37:27

is written on the biopsy; blood is not visible; they are

00:37:29

forced to redo the puncture. That is,

00:37:31

if you arrive for the puncture with high blood

00:37:33

pressure, either Capoten under the tongue or

00:37:36

Physiotens than you usually relieve the

00:37:38

pressure for half an hour, wait the pressure

00:37:41

has returned to normal, you

00:37:43

need to do a puncture Irina, so

00:37:47

Zhenya writes Hello, NUP or dinner without

00:37:50

carbohydrates as a way of life is good Or is

00:37:52

this a temporary story for the time of losing weight,

00:37:55

won’t the metabolism slow down on the noob so that

00:37:57

the metabolism on the NUP doesn’t slow down I personally

00:38:00

go on NUP Well, probably for the last

00:38:02

10 years I have a TG 07 excellent

00:38:04

metabolism so you can see my

00:38:06

workouts there I post. Yes, I’ve been doing kickboxing for six years

00:38:08

with two

00:38:10

spinal fractures. By the way,

00:38:12

when I see new chiropractors they say

00:38:14

How do you walk, I say good even at

00:38:17

I’m doing well in training. Well, that is, in

00:38:19

fact, there is overcompensation, but

00:38:21

in order to have that much energy, you need

00:38:24

to support your Body with vitamins and

00:38:27

elements and good thyroid function

00:38:30

because the thyroid gland doesn’t particularly like the noob, the

00:38:33

thyroid gland loves protein, loves carbohydrates,

00:38:36

so when we cut carbohydrates,

00:38:38

the thyroid gland can react, it can

00:38:39

increase TSH and we add

00:38:42

tyrosine iodine vitamins for the thyroid gland that

00:38:46

will support its good function,

00:38:48

good metabolism, as for NUP and

00:38:51

dinner without carbohydrates if you have

00:38:54

little physical activity. Well, that is, you didn’t

00:38:56

prescribe sports and once a week dinner without

00:38:59

carbohydrates is great If you you have a

00:39:02

lot of physical activity from a series of three workouts

00:39:05

plus twice a week, you either walk for an

00:39:08

hour or more, or you have a pool or swimming,

00:39:11

then in this case, after training, we

00:39:15

can add about one

00:39:18

unit of bread for dinner, that is, either two spoons

00:39:20

of porridge or a piece of bread or a couple of

00:39:22

loaves of bread even when we are losing and

00:39:25

maintaining weight. Therefore, if there are heavy

00:39:28

loads or if sugar drops at night, then

00:39:33

we add a small amount of slow carbohydrates for dinner. I myself after a

00:39:35

hard workout, if I went to a workout,

00:39:38

then I run all day, I can, for

00:39:40

example, with my usual dinner Yes, in

00:39:42

the form Protein and vegetables, add either two

00:39:44

buckwheat breads or a couple of spoons of

00:39:47

buckwheat porridge or a movie, for example.

00:39:50

Yesterday I had huge loads, plus yesterday

00:39:52

I worked. We’re just launching a school

00:39:55

for insulin resistance, plus we’re taking on

00:39:56

new specialists to join the team, they’re simply

00:39:58

gorgeous, we’ll have two new doctors.

00:40:01

endocrinologist nutritionist nutritionist simply

00:40:03

with an excellent education Well, it’s clear that they’re

00:40:05

building everything up, that is, a

00:40:06

huge load, plus there was also a hard

00:40:09

workout. I’m just sitting in the evening, I

00:40:10

feel like my sugar is just low and

00:40:13

Yes, I added two buckwheat to my vegetable salad to a piece of

00:40:16

lamb bread

00:40:18

because I understand that well, I

00:40:20

just can’t handle sugar, I feel it and

00:40:22

you can do it this way, but if you have

00:40:25

stable sugar, you don’t have heavy loads,

00:40:28

then in this case we don’t

00:40:30

add carbohydrates in the evening - it’s either

00:40:32

hard training, heavy loads or

00:40:35

this is weight gain, so Well, who is gaining

00:40:38

weight there It is clear that there are more carbohydrates Friends

00:40:40

who are gaining weight I know that some

00:40:42

subscribers are gaining weight, that’s when I

00:40:45

say to limit carbohydrates for

00:40:48

weight gain, on the contrary, we are gaining weight, we are adding

00:40:50

carbohydrates, porridge, fruits, berries, we are losing weight, we are

00:40:54

reducing carbohydrates because it comes to me too

00:40:56

patient And so I want to gain

00:40:58

weight, I eat like you, what are you saying, well, I’ve

00:41:00

been losing weight all my life, so gaining weight

00:41:03

is the opposite nutrition strategy from me, you

00:41:05

know, my brother has been gaining weight all his life,

00:41:07

I purely sincerely do not envy him as a

00:41:09

person bread and potatoes snickers Well,

00:41:13

if I eat so much, I just wo

00:41:15

n’t fit into Ber, but everyone has their own Yes, he’s on

00:41:17

the contrary, he’s jealous of me that I’ve just

00:41:19

worked out, I’m gaining weight, and

00:41:21

muscles are growing right away. Well, it’s like fat is

00:41:23

growing right away. So he has to control

00:41:25

himself so that gain muscle mass he needs to

00:41:27

go to the gym once a week, eat

00:41:31

various protein shakes,

00:41:33

lean on carbohydrates It’s hard for him to gain weight

00:41:35

Well, everyone has their own way Yes, the metabolism goes like this,

00:41:37

Inna writes Good morning How do

00:41:40

you feel about rosmarinic acid?

00:41:45

glycation Yes, how to choose Well,

00:41:48

to be honest, I like European

00:41:50

American dietary supplements more because they have higher

00:41:52

quality standards. Rosmarinic acid

00:41:54

is a good story. We are preparing a new

00:41:57

master class. Next month, by the

00:41:59

end of the month, we will have a new master class on

00:42:01

restoring energy metabolism in people. with

00:42:03

violations of carbohydrates in the aob Well, that is,

00:42:06

with diabetes with prediabetes, how to

00:42:07

restore energy metabolism, and we

00:42:10

will also discuss rosmarinic

00:42:11

acid there for now, you ca

00:42:14

n’t register Nothing is ready yet When it’s

00:42:16

ready, you can register I

00:42:17

’ll tell you everything, they just asked a question

00:42:20

right on topic Marinic acid is a

00:42:22

good story, it can be taken

00:42:23

especially in people whose sugar often rises,

00:42:25

that is, diabetes is not fully

00:42:27

compensated, but it’s actually

00:42:29

more about preserving youth and

00:42:31

beauty, about preventing glycation of

00:42:34

proteins in the skin, so Oksana writes Good morning,

00:42:38

tell me about total cholesterol 5, 1 but

00:42:41

for a healthy person the norm is up to 5.2x high

00:42:44

density good small 2.2 it’s great

00:42:46

that there’s a lot of good cholesterol It’s

00:42:48

great low density which is big

00:42:51

friable 2.5 Well it’s normal up to three if

00:42:54

you don’t have diabetes there were no strokes or

00:42:56

heart attacks That is, there is no goal keeping

00:42:58

cholesterol low, for a healthy

00:43:00

person these are simply excellent parameters, you

00:43:02

can live and be happy like this Maruska

00:43:04

writes Good afternoon Olga Mikhailovna

00:43:06

how much weight can you lose in a month

00:43:08

with healthy weight loss Thank you very much

00:43:11

Up to 10% of the starting weight per month is

00:43:15

the maximum, that is, for example, weight 120 kg

00:43:19

in the first month we can reduce 12 no

00:43:21

more than 70 kg in the first month we can

00:43:25

reduce to no more than 10% per month if

00:43:29

we are talking about comfortable weight loss

00:43:31

when it is really comfortable nice about

00:43:34

2 dashes 5% of the starting weight per month that

00:43:37

is from 100 kg per month 2 or 5 kg, but

00:43:41

in fact most people

00:43:42

lose weight by one kilogram per month from one hundred square meters Well, that is, a

00:43:45

kilogram and a half kilograms per week from

00:43:47

one hundred square meters - This is good 500 g per week is

00:43:49

normal from one hundred square meters Well, that is, 25% is

00:43:53

normal 10% is the maximum more than 10%

00:43:57

of the starting weight per month There is no

00:43:59

need to lose weight because if we

00:44:01

lose weight very quickly, not only do we lose muscle,

00:44:04

our blood pressure also begins to jump up

00:44:06

to the point of fainting. Therefore, it’s better to go

00:44:08

slowly but surely. It’s healthier. Personally,

00:44:11

for most of my patients I say

00:44:13

this 500 g per week is already Well done, everything is

00:44:16

fine, so Svetlana writes Hello

00:44:19

Doctor Glucose 4.5 decent insulin 5.8

00:44:24

decent peptide good Khoma calculated it

00:44:27

herself decently Why glycated 5.8

00:44:30

means somewhere after the id your

00:44:32

sugar rises glycated hemoglobin - this is

00:44:34

average sugar over the last 3 months, the

00:44:37

laboratory norm is up to 5.9%, ideally for a

00:44:41

healthy person up to 5.4 if yours is 5.8, it means

00:44:44

somewhere in 20 after 30 after 40 minutes

00:44:47

after eating there is an increase in sugar, to

00:44:49

catch this you can put a

00:44:52

Libra or Dexcom sensor and you to catch this

00:44:54

because the glucometer to catch

00:44:57

these small jumps after eating is hard You

00:44:59

won’t prick your finger every 3 minutes

00:45:02

like this Nastya writes Hades 27 years old TSH 3

00:45:07

and 3 Well Nastya for 27 years old TSH 3 and 3 well

00:45:10

the story is just so-so maybe Well

00:45:13

you write weakness problematic hair

00:45:14

swelling Well, minimal

00:45:16

thyroid dysfunction syndrome is an inactive

00:45:18

functioning of the thyroid gland due to age, so you

00:45:21

need to go to a master class on the thyroid gland,

00:45:23

high antibodies Yes TSH Vysokov, that’s why

00:45:27

here at least Rosin, this is the BC

00:45:30

position 12 cm diffuse changes Well then yes

00:45:33

corresponds to Atu weakness problem

00:45:35

hair swelling Well, this is a consequence of the fact

00:45:38

that the thyroid gland is working slowly total

00:45:40

protein 70 but I raised the high iron to 705 they

00:45:44

prescribed a shku Well, to prescribe a

00:45:47

shku you need to see the level Is it possible to

00:45:50

restore the thyroid gland and how to take a

00:45:53

masterclass

00:45:55

motovid neat organic ID from

00:45:58

low doses is the restoration of vitamin D

00:46:01

vitamin A B12 folic this is protein in the

00:46:04

diet these are amino acids this is the regime that is,

00:46:07

very, very many factors, as Anna

00:46:10

writes, a 34-year-old woman TSH is 3.8, too.

00:46:14

Our TG is high for age, T4 is low,

00:46:17

feritin is good Anna This is great

00:46:20

hemoglobin is good here, please for

00:46:22

iron zinc 12 it would be possible to go higher

00:46:25

continue taking zinc glands zinc Yes,

00:46:28

if you have a standard reference from 10 to

00:46:30

17 then 12 is not enough. I don’t want to go higher for

00:46:34

iron. The question is: How much was it before and

00:46:36

how actively are you losing, that is,

00:46:38

how heavy are your periods? feritin

00:46:40

60 is already good 90 It’s already great for

00:46:42

women, so there’s also a decent amount of vitamin

00:46:45

D Magnesium B6 Thyroxine 25 But if you’re

00:46:48

already those Thyroxine 25, your TG is 34, raise

00:46:52

the dosage of Vysokov Catch what’s better to

00:46:56

drink xin in the morning one on an empty stomach

00:46:59

zinc can be in the morning vitamin D in the morning iron

00:47:03

in the afternoon Magnesium B6 in the evening Well, regarding iron,

00:47:06

the question is what is there with cofactors cb12

00:47:09

folieva so Tatyana writes Can you

00:47:11

tell an ophthalmologist how to stop age-related

00:47:13

macular degeneration

00:47:16

questions vitamins for the fundus

00:47:18

vitamin A vitamin C vitamin D well, plus

00:47:21

observation by an ophthalmologist is mandatory

00:47:24

because degeneration this, unfortunately, is a risk of

00:47:28

loss of vision Therefore, be friends with an ophthalmologist

00:47:30

and follow all recommendations like this

00:47:33

Kamilya writes Good morning woman, 42 years old,

00:47:36

weight 72 height 162, that is, a slight

00:47:40

excess in weight insulin 12 highly

00:47:43

glycated 5.9 also high Kamilya

00:47:45

TSH good T3 mediocre 4 mediocre the

00:47:49

endocrinologist prescribed uh

00:47:54

100 Well, listen to lesson 100, if TSH is good,

00:47:58

you will simply have an overdose, I would

00:48:00

go to another endocrinologist.

00:48:02

Question: Why is such a dose said, the

00:48:05

endocrinologist needs to suppress TSH to zero

00:48:07

in order to reduce the cyst in the right lobe? Well,

00:48:10

no, listen, Well, you write correctly,

00:48:13

TSH dropped to 04 it’s very bad they gave you an overdose.

00:48:15

No need here, well, weaving a

00:48:18

lot, they gave you a very large dose, you don’t

00:48:20

need to do this to suppress the growth of

00:48:22

nodes and cysts, you could have been given 12.5 or

00:48:25

25, they gave you a very large dose. Well,

00:48:29

listen, definitely reduce

00:48:32

Eutirox, you were given a lot of Eutirox

00:48:35

here you see an overdose of euthyrox and

00:48:38

thyroxine increases the pulse pressure, these are

00:48:40

risks from the heart. Clearly, you

00:48:42

now have thyria toxicosis, either reduce it to

00:48:44

zero or reduce it, but weaving you see a

00:48:47

large dose, here it is better to reduce gradually, for

00:48:49

example there is 50 then 25 then 12.5 then

00:48:53

but but quickly reduce honestly to an

00:48:55

endocrinologist I just went to another

00:48:57

because it’s very tough So Elena

00:49:00

writes Hello, type 2 diabetes

00:49:02

sometimes in the morning and evening sugar before meals

00:49:05

more than 2 hours after Well,

00:49:08

look, with type 2 diabetes with

00:49:10

insulin resistance, we wake up with

00:49:12

high sugar we eat

00:49:15

because of insulin resistance, we have a

00:49:17

huge jump in insulin because of this,

00:49:19

sugar drops after eating, I’m really not

00:49:21

letting go of Kamila’s story Kamil

00:49:24

please reduce sharply the

00:49:26

endocrinologist’s thyroxine directly Oh I can’t get it

00:49:29

out of my head so in general Elena you understand yes

00:49:33

that this is due to insulin resistance, this

00:49:35

often happens with type 2 diabetes,

00:49:36

here increase sensitivity to insulin,

00:49:38

normalize nutrition, lose weight if

00:49:40

you go to our school for the treatment

00:49:42

of insulin resistance of obesity, you will have all the

00:49:44

tools for this, so

00:49:47

the comments have flown off now again so that

00:49:49

everyone can take turns reading

00:49:55

the tact doctor in the first trimester, the stratum is

00:49:58

very difficult to climb Hair what tests to take

00:50:01

What to do first pass protein

00:50:03

iron vitamin and thyroid hormones even

00:50:06

feritin iron reserves pregnancy is

00:50:08

basically a baby growing all our

00:50:10

useful substances consumes

00:50:13

iron first vitamin D protein And of

00:50:15

course they are often lost and hair and nails

00:50:17

in pregnant women Therefore, before taking tests,

00:50:21

correcting everything writes Hello, when taking

00:50:23

glucophage, B12 decreases, maybe you have

00:50:27

uterine fibroids, if the fibroids are not growing, then

00:50:30

you can, if the fibroids are actively growing, then

00:50:33

discuss the issue with a

00:50:36

doctor who deals with

00:50:39

neoplasms, that is, either a gynecologist

00:50:41

or an oncologist is deficient in B12. it’s bad,

00:50:44

so carefully replenish it, but if

00:50:46

there are really growing tumors, then it’s an

00:50:48

oncologist, if it’s not growing, please do so

00:50:51

Irina Pete, please tell me life hacks

00:50:53

for lowering cholesterol Irina I

00:50:55

have Masters Rin on the site, plus I

00:50:57

have free videos here on YouTube,

00:50:59

study the most important thing - to limit

00:51:02

animals fats in the diet add

00:51:04

vegetable oils add fish fat and

00:51:07

correct the functioning of the thyroid gland until the

00:51:09

thyroid gland is not active cholesterol will

00:51:11

float like this Olga writes a woman 46 years old

00:51:15

168 cm 72 kg TSH you have wonderful Olga

00:51:20

T4 is normal T3 is normal insulin

00:51:23

is excellent low protein Olga protein 64

00:51:26

for an adult ours is not enough goal 75 under g

00:51:29

It is important to write references They are different in

00:51:32

different laboratories because it can

00:51:33

be very different Prolactin is

00:51:37

quite high can give

00:51:39

weight gain LH is good FSH is high Estradiol

00:51:43

is not high testosterone is quite high

00:51:46

Well look here you need to go to a

00:51:48

gynecologist plus prolactin I would

00:51:50

resend after two days of rest with a breakdown of

00:51:53

micro-macro and with protein you need to work

00:51:56

like this Nastya writes 32 years old please tell me

00:51:59

TG 3 months

00:52:01

ago was not write how many six months

00:52:04

ago 499 was elevated TSH raised

00:52:08

feritin iron vitamin D drank iodine

00:52:10

zinc strong dropped to 1 47 You see

00:52:13

how great they lowered now again 4.4 is it

00:52:16

hypothyroidism? Is it

00:52:18

subclinical hypothyroidism? That is, the beginning of a decrease in

00:52:20

thyroid function. If you yourself write

00:52:23

that while taking microelements and vitamins

00:52:25

you have TG, so Discuss with the doctor,

00:52:28

maybe you should constantly date

00:52:30

vitamins and microelements to go without

00:52:32

hormones, so Christina writes Good afternoon

00:52:36

Homa so but but - this is a question most likely

00:52:39

incorrectly calculated or imprinted

00:52:42

iron low feritin low

00:52:44

glycated fairly high vitamin

00:52:47

D56 average could be higher sugar

00:52:50

good insulin on an empty stomach good Leptin is

00:52:53

over the borders and the weight does not go away

00:52:57

so I want weight 55 Well, with a height of 160, the weight is

00:53:01

64 to be honest, it’s not bad, you just

00:53:04

want an ideal weight in terms of tests,

00:53:06

iron needs to be raised, sweet

00:53:08

glycated is still not the optimal

00:53:11

optimal glycated for a healthy person

00:53:13

is 5.4, so even with good Sugar

00:53:16

and insulin, because of your glycation, I

00:53:18

would think about drugs of the

00:53:20

metformin group or at least for berberry, well, it’s a

00:53:23

plus in terms of weight when we talk about

00:53:25

losing weight from normal to ideal, it’s

00:53:28

still a more complex, stricter

00:53:31

diet. So Sasha writes, 42 years old woman 152

00:53:36

cm 41 kg straight Thumbelina, look how

00:53:39

slim Sasha is, reduced level of

00:53:41

transfer transfer - this is a protein that

00:53:43

carries iron to raise it this is

00:53:46

protein beef veal chicken soup

00:53:50

products so active lifestyle workout

00:53:54

once a

00:53:55

week 80 g of protein from food and a protein

00:53:59

shake Why is protein not absorbed

00:54:01

what tests to take Well examine CT

00:54:04

stomach acidity examine do a

00:54:06

pH test Well and plus Write down that you have a

00:54:09

gym four times a week if

00:54:12

you have heavy strength loads and protein is

00:54:14

7080 But this is within 2 Gras per

00:54:17

Kilogram of weight for protein when we are talking

00:54:20

about non-athletes Yes 08 1 under when we are

00:54:24

talking about athletes 2 per kilogram of weight

00:54:28

Possibly you are simply overloaded in the

00:54:30

gym and you spend protein on

00:54:32

replenishing the protein deficiency in muscle

00:54:34

mass, so here I was wondering

00:54:37

if your loads are too heavy. Well, it’s a plus to

00:54:39

examine the CT scan, but also by transfer

00:54:42

Rhenian transfer protein Albumin also

00:54:43

Ask what in general to see what’s wrong

00:54:45

protein So Alena writes Hello How

00:54:49

to deal with estrogen dominance,

00:54:51

first of all, the exchange of hormones, the elimination of

00:54:54

hormones is the liver, that is,

00:54:56

stopping the liver work. So,

00:54:59

plus estrogen dominance is often

00:55:00

associated with excess weight with

00:55:02

inadequate nutrition. That is, dig there too.

00:55:04

So Elena writes Is it possible with

00:55:07

high cholesterol eat nuts and

00:55:08

coconut oil nuts eat coconut

00:55:11

oil coconut oil can slightly

00:55:13

increase cholesterol better mct is an

00:55:16

extract from coconut oil medum change

00:55:20

which does not increase cholesterol at all

00:55:22

Albina Pete Hello, please tell

00:55:25

me it’s better to have a snack before

00:55:27

morning exercises to prevent a

00:55:29

strong drop in sugar and how much

00:55:31

time in 10-20 minutes with carbohydrate Well, that is, so that

00:55:35

sugar does not fall, it is with

00:55:37

carbohydrate, if you have diabetes and sugar

00:55:40

drops, then before training, before

00:55:42

active exercise, we make a refit

00:55:44

carbohydrate snack, for example, an apple or a

00:55:46

pear But if you want to actively lose

00:55:48

weight then I would rather do

00:55:50

shorter exercises, but on an empty stomach, exercise that will

00:55:53

not cause a drop in sugar but will also give

00:55:55

physical exercise on an empty stomach, it will more

00:55:57

actively reduce

00:55:59

weight. So Elena writes, 67 year old woman

00:56:03

hypothyroidism TSH 3.5 Well TSH 3.5 67 years old

00:56:08

not bad but if you want more active

00:56:10

energy exchange and will normally

00:56:12

withstand the Heart and blood vessels, then I would

00:56:15

still lower the TG to two levels T4

00:56:18

decently, so Eutirox and Ramel added

00:56:23

more Eutirox, but if you added Eutirox, the

00:56:26

TG became 0034, it’s not enough to reduce the dose of either

00:56:29

Eutirox or

00:56:31

Rame. So Alena writes that it is strictly

00:56:34

forbidden in the evening with high morning

00:56:37

sugars there is no way we can overcome the gluttons, but in order to

00:56:40

overcome the gluttons, firstly, we need to bring

00:56:43

iron vitamin D zinc chromium protein back to normal,

00:56:47

secondly,

00:56:48

if the morning sugars are high, carbohydrates are

00:56:52

careful, especially

00:56:54

digestibility there leb fruits, that’s

00:56:57

all the

00:57:04

fiber nons can also slightly

00:57:06

increase sugar That is, in principle, such a

00:57:08

moderate portion of food for dinner, as Nara

00:57:11

writes Good morning, if you have personal

00:57:15

observations or data from foreign

00:57:17

studies on the effect of Ozempic on the

00:57:19

development of oncology, thank you if you have

00:57:22

growing thyroid cancer, incretins are not

00:57:25

used

00:57:26

as for neoplasms of other

00:57:29

localizations one of the causes of

00:57:31

neoplasms one of the main causes

00:57:34

of neoplasms today is

00:57:36

impaired carbohydrate metabolism this is

00:57:39

insulin resistance obesity diabetes

00:57:42

type 2 that is, excess insulin

00:57:44

incretins drugs in particular ozempic

00:57:48

Vigo Viy saxenda nja and take off

00:57:52

reduce weight and promote

00:57:56

insulin that is, we remove

00:57:58

insulin resistance we remove one

00:58:00

of the main factors in the development of oncology,

00:58:03

that is, we reduce the risks of developing

00:58:06

oncology, first of all,

00:58:07

colorectal cancer, breast cancer,

00:58:10

prostate cancer, this is the same story as

00:58:13

the story with metformin, it’s just that metformin has been

00:58:15

on the market longer, yes, I’ll formalize it,

00:58:17

so there’s a lot of research on it in

00:58:19

terms of cancer prevention But

00:58:22

incretins are a movement in the same direction

00:58:24

in general obesity insulin is a

00:58:26

risk of oncology we want to reduce the risks

00:58:29

of oncology we are reducing weight so

00:58:32

we will finish the last two questions I will have

00:58:34

consultations as Olga writes

00:58:36

Hello Olga Mikhailovna I am 28 years old

00:58:38

height 165 weight 77 insulin 11 I would like to

00:58:42

reduce sugar is decent TSH Olga for 28

00:58:46

years 3.6 - this is just wow we want up to

00:58:49

two T3 nikova T4 is low How to reduce

00:58:53

TSH Is it possible to drink berberine with such insulin? It

00:58:56

will be beneficial, but before

00:58:58

taking berberine, look at what’s in the fluid to see

00:59:00

if there are any stones there they didn’t start

00:59:02

to move because berberine not only

00:59:04

reduces insulin but also gives a

00:59:06

choleretic effect in terms of the thyroid gland,

00:59:09

tyrosine, organic iodine preparations, and

00:59:12

so on for the thyroid gland. I have a

00:59:14

master class, study it, but Who goes to

00:59:16

school with a fee, information from a doctor you have

00:59:18

there thyroid and for sugar and

00:59:20

insulin for you, Dr. VS selects the tact

00:59:23

Good afternoon, wife 47 le 1.3 decent T3

00:59:29

decent T3 you have free or general you

00:59:32

write 13 and 6 and what is the reference if general

00:59:35

then it doesn’t make much sense if it’s

00:59:36

free question What is the reference for

00:59:39

standard reference questions about your

00:59:42

T3 T4 if the standard reference is low

00:59:45

watts Glucose is good weight weaving weakness

00:59:48

drowsiness Well, according to TSH TSH is decent sugar

00:59:52

is decent add insulin add

00:59:54

vitamins and microelements friends for

00:59:56

today we are finishing Why Because

00:59:58

I will now have consultations

00:59:59

next live broadcast with us soon everything

01:00:01

will be on Sunday because I

01:00:03

will have advanced training there on

01:00:05

Saturday I will study from morning to evening

01:00:07

as usual I will post in advance on

01:00:09

Monday-Tuesday all the information about

01:00:11

the broadcast I also came across a question Is it possible to take

01:00:13

berberine with metformin if a

01:00:15

person cannot tolerate large doses of

01:00:17

metformin we can strengthen the berbery for

01:00:19

us friends on questions as usual Who was the

01:00:22

first to go on the air I read the questions

01:00:24

from top to bottom so Who wants to hear the

01:00:26

answers come on time To be on time

01:00:29

friends for today we finish have a

01:00:31

nice weekend everyone Be

01:00:35

healthy

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