Unlocking Health: Functional Medicine & Personalized Wellness

Join Dr. Beau Beard as he delves into the world of functional medicine and health coaching. Take a front row seat as he covers Dr. Sloan's genetics, labs, and personalized functional medicine game plan. Discover how personalized health strategies can transform your well-being, from understanding genetic predispositions to optimizing lifestyle choices. Whether you're curious about the role of supplements or the impact of diet on health, this video offers insights and practical advice for anyone looking to enhance their health journey. Don't miss out on this engaging discussion!

Full Transcript

Beau Beard (00:26.83)

All right, so you just walked into the consultation office here at the farm. We're going to redo a functional medicine consult and we're doing that functional medicine consult with none other than... Dude, she's just smiling at me. I thought she would say her name. This is Sloan I thought you were going to say with my lovely wife. Yeah, that's what I was... Yeah. My better half, Sloan Beard. That's all was going to say. See, you did better than me. Yeah, she actually works here.

So she's here today, not working today though. Working behind the scenes.

I like to count my Mondays behind the scenes as work. What kind of tea you got? smells like Christmas. Apple cinnamon. Make sure you type right in that mic so I can hear your lark, song lark of a voice.

Okay, all right. So yeah, we have done some fashion of functional medicine at the farm kind of since the beginning. I was just talking the other day how we threw away like $500 worth of standard process supplements in our first year because we didn't know we didn't know. But it's evolved over time. My real quick caveat on all this is I've kind of, well, I've definitely changed.

my opinion on functional medicine as it applies to how we use it and what we use it for. I just think we need to realize that it has a medicine piece on there that we wouldn't take ibuprofen. didn't need ibuprofen. It's not a supplement. It's something to help treat headache. What did you know? Ibuprofen is synthesized from petroleum. I didn't know that until yesterday.

Beau Beard (02:03.31)

How many products are synthesized from petroleum? probably. Outside of that cup, outside of that cup, parts of this microphone, part of this pen. Was that a part of history? we had so much petroleum so we just figured out. Well, the whole, I'm not going to, yeah, Brigham Bueller will talk about petroleum industry. Yeah, whatever. But what I was going to say is I've changed. So medicine is for things that are wrong with people.

Health coaching is for, you you don't just hire a coach because something's wrong, you do it to get better. That's like health coaching. So that's not like, we're trying to treat your hyperthyroidism or hypothyroidism or your infertility or whatever it is, because A, I don't think we should be treating a lot of those things standalone with functional medicine there. should be a team approach. And then B, we, like, why are we tinkering around with looking at super specific labs and our genes and all the things we're going to look at today? If we're not dealing with

pretty significant issues. So the first thing I'm going to start with, which I would have already had, had I not known you, you know, before somebody signs up for a functional medicine console, they're going to fill out a lengthy questionnaire, new patient paperwork. The initial part of this conversation would be a little bit longer than it is with somebody that I've known for quite a while. So it would be like, why are you here? So what, in your words, what would be, I kind of have an idea, so don't look at my list.

some of the bigger things that you've dealt with, if you have two or three things that you're like, hey, I'd be coming in today for treatment, or you feel like you're optimizing? certainly not optimizing currently in my state of life. Are you talking about today or my whole history? No, no, no. What would you want to be working on, or do you think you need to be working on? Because I think the first thing we need to do, anybody could sign up for these consults, right? We should weed them out. We had somebody the other day that said,

Hey, can you do functional medicine for my son with Tourette's? I'm sure there's things we could help with all sorts of things. Can I unequivocally say that a functional medicine approach for Tourette's is going to help them? No, so I don't think ethically I should be the primary function in there. Could I be a ancillary one? Could it be health coaching? Hey, like if your nutrition's better, I'm sure symptomatology will decrease. Like all these things from a, you know, that I could theorize, but I can't nail down. And when we have true health issues,

Beau Beard (04:24.75)

We want to make sure that we're not just playing around with, you're trying to gain more muscle. You're trying to run a fast marathon. I want to sleep better. Like that's a little bit different. Those are parts of a functional medicine approach when something is going on, but very different when we're actually dealing with pathology. So what would be the things you'd want to be working on? Okay. I think number one would probably be energy. Okay. I'm having stamina energy throughout. Yeah. Got one. Okay. two would maybe be some GI regularity.

bloating

Beau Beard (05:04.887)

So energy, GI regularity with bloating. I feel like I've always had maybe a few extra pounds that I would love to not have.

And then for, if we're looking more, less day to day and more like, choked on water, more of a performance goal. And I don't know, just have more endurance stamina while running. Okay. So, and some vascular complaints. Yeah. I've got leftover after pregnancy. I mean, I dealt with some spider veins and whatnot in my lower extremities before having the girls. And then.

during pregnancy and after now varicose veins, spider veins, and then pain associated with those. So just like if somebody came in here for a musculoskeletal complaint, when I'm listening to the history and somebody says numerous things, I'm just throwing Gosh, did that say numerous? Well, no, I mean it's more than three. Yes. When they say numerous things, hey, my mid-back gets stiff, my low back's my chief complaint, it really hurts.

My hips tend to get really stiff. I'm trying to think, is there a key piece here that may be connected to all these things? So when somebody says, just in this short, and again, know, obviously, no Sloan, so I have, know, privy to information, but if somebody said those things, like, man, I'm hanging on some extra weight, having some energy issues, I'm dealing with some GI irregularity, maybe not the varicosities. We could even tie that in. Just those three, I'd be like, probably.

I can't say definitively a tie, but we'd be like, oh, there's probably a thing we could work on instead of like trying to tackle each one of those separately. get that everybody would probably understand that, but the more we can understand a systems approach to health instead of, we're taking care of your knee. Hey, we're taking care of your GI thing. It's like what, like keep asking the question of why or why not. And that it should be the functional approach from a musculoskeletal standpoint or from a, you know, whatever we say medical or coaching standpoint. And.

Beau Beard (07:17.708)

We want to first, when somebody comes in with a low back complaint or a health complaint, we want to say systems health complaint or problem, like someone saying, the first thing we should be ruling in or out is what? Do you have an injury or not? Or do you have a medical like ailment or not? Do you have a pathology? Because again, should I be treating these things? If somebody has a fracture legally in our state, we shouldn't be the primary treatment function for that. If you, if I'm like, ee, you might, you know, let's just say throw something crazy out there.

a chance of like ovarian cancer or something that I'm picking up off labs or history. I'm like, hey, when's the last, know, we got to talk to your OB and I'm not the center of care at that point. I only become the center when I can rule those pathologies out. Well, we can be the center of a lot of things on the musculoskeletal side, but we need to know if we're treating an injury or not. So in this scenario, how do do that? We listen to their history, past health history matters. mean, she's had two pregnancies.

both pregnancies resulted in varicose during the pregnancy. If I just give my brief history from my standpoint, acting like I'd listened to you, knowing competitive gymnast with, I wanna say body issues, but trying to manage weight for a lifetime of a sport, then getting extremely lean right before having babies and doing some bikini bodybuilding stuff, then getting into CrossFit.

putting on more muscle but still super lean and then having some like reproductive fertility issues. They're like, okay, you we know that past history and we know that there's a thyroid history here as well, but we're saying, well, what do you show me today? Because the first thing we would do is, hey, you don't have any major pathology you've been treated for really besides thyroid medication and some cardiogenic syncope at a super early age. So next thing would be labs.

So labs are a snapshot of what's going on today. That's all it is, right? And if we have a history of labs, like I'm a nerd, I have an Excel spreadsheet of labs for the past almost decade, you can get trends, but even with trends, it's still like, why do things change? Why didn't something change? That's what we're trying to do. I'm not going to share Sloan's labs on the screen just for hippie reasons and things like that, even though she's wife, I'm sure she didn't care, but you know. But when you look at her labs, like,

Beau Beard (09:35.768)

Yeah, it looks pretty normal. The thing that I think was going on, I think we both agreed with this, these labs are from a while ago, but when we looked at this, we're like, I think you were either sick right before this or coming off the back end because white blood cells were a little cranked and your BU in or basically like how your kidneys are kind of functioning was a tiny bit high. And then your BU in creatinine ratio tiny, like we're talking tiny bit high, one point over on both those or two points on one and one, and then carbon dioxide, which

Knowing Sloan's history, it's better now, tends to have a challenge with like staying hydrated. So we also see on her labs, albumin's a little high, the carbon dioxide's a little like, all these things for me, it could be just dehydration issues. And then you pair that with a little illness, you're like, oh yeah, it's gonna throw things out of whack. But if we looked at her labs in general, like it looks pretty good. Even when we look at non-pathologic ranges, which we do look at of normal and then optimal ranges, everything's pretty good, even your thyroid panels.

Right? So we know her history of that. She's not on thyroid medication anymore. How long has it been since you've been on thyroid? Two years. With Synthroid? No, Natrithroid and then Armour. Yeah. So we can say, hey, we have this snapshot. That's not unequivocal. We can say, hey, you know, there's a few things that are off and that's just looking at the lab core lab values. Well, then we can also go in, like I said, there's optimal values on these things. Like one of the things that's in the normal range that is not where it should be is vitamin D. So it's 39.5.

So huge debates in my mind now about things like vitamin D and testosterone and estrogen and methylation defects of these biases in the functional medicine realm of what it all costs. Just get your vitamin D up to 60 or 70. Hey, if your testosterone's low and you're 90 years old, let's keep it as high as we can. If we're going through menopause, it's hormone replacement therapy right away. Vitamin D, would say 30s of the basement. So I would just say, well, that's not.

Optimal even though it's normal we'd want it kind in the middle So if you do take a hit for any reason right you're going through an immune crisis You're really stressed right you can burn through vitamin D a little bit faster. You're just not closer to the edge That's the only reason so I around 50. I don't 60 some people would say 70 so just say hey, that's one thing First we would look at her diet and be like do you have dietary sources vitamin D if she didn't have a lot and she doesn't want to add them because of

Beau Beard (11:58.872)

food choices or sensitivities. If you have a dairy sensitivity, you're not eating a lot of leafy greens because a gag, whatever, like, okay, supplement. But would always be diet first. And that's the first point I wanna make here is why is the diet first? There's synergistic effects in the diet that we don't understand to this day of like, why do we pick up nutrients better? And why do we basically break down calories more efficiently from a food source instead of a supplement source? It's not fully understood.

But we'd say, hey, let's try to do that. So your calorie intake is nutrient dense. And then if we can't get it up off diet, and we've been trying supplement second, not supplement first. That'd be my first thing. The only other thing on her, well, two things, I guess, on her labs. So again, vitamin D of 39.5. And then we look at, I'll get to the B vitamin thing second, would be fasting insulin. So again, fasting insulin on her lab core values.

cranking up here, sorry, let me find it here, is in the normal range. So it didn't pop as one of the pathologic norms. So I believe it was 4.1. I'm trying to find it on here before I speak out of turn. A1C was 5.3, which.

Beau Beard (13:13.718)

Oh, fasting insulin, 4.1. So their reference range here, 2.6 to 24.9. So I had a conversation with another functional medicine client the other day because his fasting insulin was 2. So he was, know, technically in the lab core values, he was low. So it did get flagged. He was under the assumption that low fasting insulin was good thing, like low...

is not super low, fasting blood sugar is a good thing. Not necessarily because why? When I eat food, I wanna have some insulin kind of present in the system so I can gobble up lot of those accessible carbohydrates and shuttle them to the appropriate place really fast, like liver, muscle, and your brain. That would be the first thing we want insulin around for. If I go through...

the whole insulin resistance and then insulin burnout cycle, what do you end up with? You're type two diabetic that's insulin dependent. That's where you don't make enough. So sometimes it's more accurate instead of looking at A1C because A1C is basically, the test of A1C is looking at how you glycate a red blood cell, right? Is there sugar attached to your red blood cell? And it's looking at that because why? That would show you the long-term basically blood sugar level.

in the red blood cells, not just at a snapshot like in the plasma. So it can be a good test, but there's also genetic things that can set you up for a higher A1C, a lower A1C. So it's not as great of a test as we thought it was. So on some people that fasting insulin is gonna paint the picture of, know, what are we doing from an energy crisis standpoint? So if it's really high, you might be going through that first phase of insulin resistance where you're like, I need to make more because I'm not that.

it's not that sensitive, right? Which gets into it, we could talk about vitamin D and other hormones and how we increase insulin receptor sensitivity. So with it being a little bit low, her fasting blood sugar is fairly normal, I think it was in the 90s on this. We wanna kinda say, hey, maybe we could get that a little bit better. We'll talk here pretty soon, because I'm gonna go through this just like I would with a client on what I would give from a, you know.

Beau Beard (15:28.088)

prescription or suggestions towards the end. The only other thing is your folate. So at this point, were you taking any vitamins? This was from May, so this is a while, this is October now. Were you taking any of the prenatal still or anything? Not on a daily basis. So when we look at Sloan's folate, it's high, right? So her folate on these lab core values, I think is eight, if I can find it again, yeah, 8.1.

So 3.0, it says greater than 3.0 is normal, but then you look at the reference range, there's kind of an upper limit where you're like, eh, that's like too much. If you're not taking any and your folate is high, which they're testing serum folic acid, there's two possibilities. You're either not utilizing folate or able to basically conjugate it, which could be a methylation defect cofactors, or you're eating a ton of what they're testing here, folic acid.

which is basically the fortified version, if it's even a version of folate, that they don't necessarily, it's not a food additive, they spray it on foods before they actually go through food production, the biggest crop being wheat. So if we eat things like typical bread, cereals, other processed crackers and stuff like that, fortified foods have fortified B vitamins on them, B12, which is not methylcobalamin, it's...

cyanocobalamin, you have folic acid, then you're gonna also have, I'm blanking on one more. You have another B vitamin that are all basically the lowest bioavailable forms of those B vitamins. And then with folic acid, we could go down the hippie trail of it's been proven, you know, in multiple studies that folic acid is not only hard for people to use, right? If we need to source the folate, that's why if we wanna avoid like neural tube defects and things from, you know, embryological development when we're pregnant, we wanna take.

folate instead of folic acid. The big issue is that they're neuro stimulatory. So if we, when we get into Sloan's genetics here pretty soon, you're going to see that she has some genetic precursors or variants that are going to set her up for some mood regulation issues. Then if we have the addition of folic acid into the diet, she's going to make that stuff worse, which gets into the books like by Ben Lynch, where he talks about dirty genes, that it's not turning a gene on or off. It's basically

Beau Beard (17:44.142)

moderating that gene's ability to do what it's supposed to do, whether we want it to be fast or slow. And if it has a tendency to one or the other, we can push it the other way through diet, lifestyle changes, exercise, supplementation. So that would be one thing that I'm looking at of, she wasn't taking any extra folate. My assumption would be even though Sloan tends to be gluten-free 90 % of the time is that it's in her diet.

Right? And that folic acid is sitting in the serum. And then I'd be like, well, what do you do? You have any like mood issues where you feel like you go into highs and lows or anything like that, or you get a little overstimulated? We've got two little kids and I know the answer to that. So like, Hey, we're going to cut that stuff out, not supplement with methyl A to B vitamins. So I'll do a separate video, which I'm getting ready for on methyl A to B vitamins. The whole reason that methylation defects occur from an evolutionary standpoint and then maybe some better approaches to normalizing that, that functional pathway.

But for her, I'd be like, hey, can we just completely remove that stuff? Which is mainly removing gluten from her diet. Because if we look at gluten-free sources, they're non-fortified wheat or it's not wheat, right? So sourdough would be the only one that would still probably be wheat-based if we could get away with still gonna have gluten, but it's just more easily digestible because the protein is kind of already cleaved. So she'd like, let's remove it completely and see if that normalizes. That'd my big thing. Now, if it drops low, okay, now we gotta think about, you know, do we need some sort of supplementation?

But the other interesting thing is her B12 is like pretty good, right? It's 478, which is right there where we kind of expect it be if we're utilizing it appropriately. She also doesn't have any iron issues, which if we had that, we'd assume B12 would be kind of associated with it. But from her labs, besides the maybe possible dehydration, post illness, or a small infection going on, fasting insulin, vitamin D, and then folate, those are the things I'm pulling from her labs. Then what I'm doing is I'm going to say, okay, Sloan,

Let's look, and we use three by four genetics. So three by four genetics uses their own kind of algorithms. And it's kind of cool because they give you basically, I like the categories towards the end because they give you recommendations on diet and exercise and things that I think are pretty broad based. They also give you a laundry list of supplements, like 30 supplements for everybody. It's like, that's kind of overkill. So when you look at their gene results, what I try to break down for people are they'll show these protective genes.

Beau Beard (20:05.868)

like she has some cytokine P genes that are protective. She has some basically one, an IRS one, which is something that affects insulin receptor site sensitivity, which is good. That's a protective gene. So we just talked about how she may be having some insulin resistance, something like that. So she has these protective genes. Well, then I take those and pair them with, they have this very high category. So what that means is these variants are usually double allele or homozygous double alleles are going to be the most

probable gene variants to express themselves in some way. That's a slow gene, a fast gene, this, that, or the other. There's a ton of other gene variants that shows everything, and it goes through low, medium, high, yeah, and very high. And then I try to say, hey, there's a breakdown of the most likely things that will affect you. A, are we seeing any of those show up on your labs or in your symptomatology? All right, and then we'd say, what do we want to do about it? And that gets under the recommendations. So what that report looks like for people,

I might put a sample report with no names. Why does this not let me scroll? In the show notes, but basically I pump this into, I'm being honest, chat GPT because I have a sheet that I give them with little description of each gene, but I wanna see what chat GPT will kind of pump out in terms of like, how does it categorize what each one of these gene variants is doing? So I tell it to prioritize.

the genes both protective and the most likely to show up. It doesn't mean that the most likely to show up are bad. They could still be protective, but they're not necessarily categorized in that protective category like they put them. The first two that show up are gonna be her methylation defect genes and then one carb metabolism, which gets into these are the neuromodulatory or behavior genes. The biggest ones for people being MAO and then COMT. So she has for MAOA,

And COMT, has the double homozygous allele version of both of those. So COMT basically affects your breakdown of dopamine. MAO is, if you think about things like DMT and LSD, you're gonna work on mono-amino-acidase receptors. So these are two big mood regulators. In particular, that COMT is one that's going to be affected by methylation pathways, which means it's also gonna be affected heavily by that folic acid irritation.

Beau Beard (22:28.192)

And I just think of both of these as this is maybe not quite right, but I explained to the patient, it's like you're the folic acid or the neurotransmitters are dancing on your nerve endings and they're either tap dancing, doing Irish clogs, or they're like being a ballerina and you don't have anything in between, right? So it's either it's super light or it's really heavy. And then folic acid comes in and usually turns the music up and like.

It's usually Irish jig music and it's just like stomping you to death, which means you do what? You get rid of it faster. So you burn through it. This is kind of no different. I'm not saying Sloan's ever done drugs like this, but if you do cocaine, if you're doing cocaine, you're getting what? Getting a huge dopamine hit. That dopamine hit is fast acting. When you come down from cocaine, what do you feel? I want more because you kind of go into this depressed cycle.

That's what people with these variants can kind of go through, which it says in this implications for these genes with the methylation defects, neurotransmitter imbalances, mood swings, poor histamine clearance. The histamine, which we'll talk about here pretty soon, can play into both, that's a neurostimulation or neurostimulatory thing within our bloodstream, but it also has an effect on what? Your vessels and your vasculature. So like if Sloan gets a neuro hot tub at home,

her varicose stuff itches and gets really bad because why you're releasing histamine is you release basically vasodilate, you vasodilate via nitric oxide release and nitric oxide uses histamine to break itself down and then that histamine what's created the itching and things like this. So knowing all that we'd say, you'd be like, well, I thought we're supposed to take methylated B vitamins if you have these methylation defects. Again, look for that video on why or.

why not, but I'd say, well, yeah, your lab show that you may have a little bit of that going on. But before I would add, I would remove and I'd be like, are you completely removing those folic acid sources? And if she said no, I'd be like, let's do that first. It'd be no different than if somebody came in and I'm like, I think you're a little, know, have a little bit of sensitivity or allergy to casein A1 or dairy. And I'm like, hey, there are certain types of dairy, like hard cheeses, like Parmesan cheese.

Beau Beard (24:46.814)

that usually don't bother people because again, the, the, basically the process of how that cheese is made, why am I blanking? How's the alcohol, the fermentation process that makes that cheese breaks down a lot of that, the sugars and the proteins that can be responsible for the histamine response. But if somebody's like, well, I'm just going to eat Parmesan cheese and take all the other stuff. go, no, no, let's just take it all away first. Then you can try to do the stuff. That's not that bad. So it would be like, Hey, you don't even get sour.

Like sourdough for a while. She's like get rid of it. Maybe you retest her labs How long does that take to change? I don't know the B vitamins a are water soluble. Well, also my B vitamin is fine. The folate was high. Yeah, so it's not low. Yeah, the other levels are normal Well, we only tested B12. But yeah if we did and again, the other thing is these are serum So this is not red blood cells. So that's it's kind of like the a1c test when we look at serum levels

It's not showing that you're using it, especially with B vitamins because B vitamins are used as co-factor for binding iron. They're used for intrinsic factors in your stomach. like once they're kind of used for cellular activity, we can test them a little bit different and B12 in particular because of its function in the digestive tract and with somebody that's having GI issues. So it is a test. It's telling us it's present. You're not burning through it or it's building up.

But if we wanted to really figure it out, we would do basically RBC levels of things like folium B12, just like omega-3 is much better tested in RBC level. So that's our first category. So again, it's gonna pump out all these recommendations. What is its first one? I'm saying it, chaggpt, methylated B vitamins. Now it does say low dose. And why does it say low? It says start low to avoid COMT overload.

pumping more B vitamins. B vitamins are still neuro stimulatory. That's why they have B vitamins in all sorts of energy drinks. It doesn't matter what methylation form or methylated non-methylated form it is, it's still neuro stimulatory. It's just a little more hard for your body to process when it's in certain forms like that folic acid form, because you're not able to methylate that or not able to methylate it very easily.

Beau Beard (27:00.45)

So we would start slow. What's the slowest way? Do it through your diet. Don't take supplements. Like I said, add B vitamins through your diet. I get that that's tough because of soil quality and food quality. I get that. Then it talks about things like CME, which I always think of as like a kind of hormone modulator type supplement. Trimethylglycine, which has to be present for all of the other methylation pathways that take place. So if you're not taking methylated B vitamins that doesn't have trimethylglycine in it, you can have problems.

That's just an aside. Magnesium glycinate, which she chugs down every night before bed. She's already doing that. It says for neurotransmitter balance and then DAO enzyme or quersitin. That's for the breakdown of DAO, which is part of that MAOAT gene. So my other thing with that would be, can't we just try some lifestyle stuff? Can we just say, hey, if you're feeling really stressed out instead of like...

grabbing a drink or having a little freak out. Can you like have a little breathing protocol? Hey, when you get on exercising, when you're in that sympathetic state, can we have a ramp down in a parasympathetic? Can you spend some more time on the PEMF mats, do a little infrared sauna? And all of a sudden you're like, I don't have to take a DAO enzyme. Why would I have somebody take a DAO enzyme if they're having a massive histamine response? So that's where quercetin and that can really degrade the histamine response. Histamine again, neurostimulatory, but histamine response of

flushing, itching, Gerdicaria, hives, diarrhea. I mean, that's like an internal hive sometimes of the GI tract. Then I would use it, but I'm using it as a supplement to abash symptoms, not as a long-term approach to like make somebody feel better. So that's number one on there. Their second one is it gets into her genetics is talking about detoxification and antioxidant systems. So it goes through.

Glutathione pathways, mitochondrial oxidative stress pathways, it gets into that cytochrome P pathways, which are saying, I don't know if you have caffeine in that tea, caffeine metabolizer. And then in those cytochrome P pathways gets into estro metabolism, which can play into everything from vast endothelial health to fertility to menstruation.

Beau Beard (29:17.558)

that is way more complex. We're going to kind of dive in as far as I would go on a first visit with somebody and say, like I said, are we trying to find a central theme or a pillar to work on and then move out from there? Which sometimes just like a case on the Musco scuttle side, you say, Hey, now we got to dig deeper. We dig deeper. Or you're like, man, we knocked down four dominoes just by going after improving vitamin D levels, improve by or vitamin B levels.

the lifestyle things that are going to be neuro-regulatory or mood altering also have a cortisol effect and an overall stress relieving effect. The stress isn't going through vitamin D and cortisol burnout. And all of sudden you're like, I just feel pretty good. It's like, well, what do we want to go off of? Your genetics or your symptoms? I don't think you can treat genes. mean, are we crispering her in here through functional medicine? No, it's like, can we get these things to change? If we get them to change, cool.

Like we don't have to keep optimizing. We don't have to dig into the functional medicine of everybody's got to take methyl B vitamins. That's got methylation defects. Cause if 50 % of the population has them, we'll get in that video. Yeah. recommendations, laundry list of, supplements, again, in a C to Cistine liposome will go out of thion, which my quick and dirty on that is you need to look at a bunch of other genetic pathways before you just take a bunch of glutathione because if you don't have

good phase two detoxification pathways, you will ramp that up and basically like tell your mitochondria to f off. And that's not the best thing you want to do in the world. The other reason to be a little cautious just based on you'll know, cause you'll know how you feel doing like glutathione pushes or IVs. They're not a bad thing, but for the wrong person, they're not great at all. I'm one of those people. Things I do like says broccoli sprout extract. Why don't we just remove the extract.

Like you can just eat some broccoli sprouts. now we're, know, cause this says induces phase two detox. CoQ10, which not a bad option for Sloan because why? We can also talk about insulin receptors sensitivity. So vitamin D hormone receptor sensitivity overall, right? Then we can get into, okay, yeah, CoQ10. But I would also say we're going to go after a lifestyle play because it's not that bad. We saw, hey, everyone sees a little higher than we like 5.3. Maybe we went up closer to five for most people.

Beau Beard (31:33.038)

barring genetic changes. We want to see your blood sugar was pretty good. I think it was 95 on this, but that fasting insulin, I don't think we're going to improve your fasting insulin by just affecting the receptor site sensitivity because we saw you have a receptor protective gene called the IRS one that's actually kind of working based on its variant form for you. So if that's the case, I'm not going to bank on the receptor sensitivity. I want to bank on producing insulin, which means we need to shuttle

carbohydrates or glycogen to the correct sources as efficiently as possible. And then it says down here, which is getting a little hippy, limit alcohol, fried foods, plastics, you know, estrogens. I'm not saying hippy, but it's getting pretty specific. Inflammation immune signaling. So she has IL-6R. So these interleukin, 6R, interleukin 1. It's just saying possible again, we don't know, but greater inflammatory burden, pro-inflammatory tendencies. So this gets into just recovery.

So if she's somebody that's, again, I'm trying to match what her genes say to what she tells me. If she's, you know, and this could also be age and hormone and how you're training her later, but she's like, I just like, I'm sore for like two or three days after every time I work out. Like that's probably still lifestyle where we can affect that, not be like, Hey, we're going to, you know, take more omega threes or curcumin or vitamin D, which vitamin C we said, we'd just be like, Hey, are you doing inflammatory things? And let's remove those first. If you are,

sleeping well, you're not just crushing booze, you're not smoking, you're not eating much fried foods. It'd be like, okay, we, know, hey, let's up your omega-3s. Are you eating any fatty fish? No, we can test RBC levels of omega-3s if we want to explore that. I'm just of the fashion now, like supplements are supplements unless you find that you need them. Like I have a really hard time conjugating vitamin D. I think I need vitamin D, especially if it's, you know, it's about to be winter here in the South. It's just hard for me to keep that up.

I didn't take it all this summer. My vitamin D levels were normal. And now I'll check them again probably next month and just kind of see what they are. But I've started taking again, it's kind of gloomy outside right now. Metabolic health. There's not much to talk about on this one other than you have this MTNR one, which can be another methylation issue. But it basically says elevated fasting glucose, which not saying it was the best was 95 circadian linked insulin resistance. So you'd be like, Ooh, this gene could

Beau Beard (34:00.056)

have some interplay and then it talks about that protective one, IRS1TT. So it says impaired insulin signaling, possible insulin resistance. But remember, like why is that bad? I thought it was protective. It can go the other way, right? So that's the possible bad. all that chat GPT is pulling out. It can also be what? You're very sensitive to insulin. You have really good insulin signaling and that's what they're saying in three by four genetic report. So that's kind of where you have to be able to read these things and not just go off.

AI report because you're going to tell them they'll read that and be like, I thought you said it was protective. You're like, what is so it can go the other way, fast or slow. So again, Ben Lynch's book, Dirty Genes, great precursor to all this stuff. Again, recommendations, berberine and acetol are very common insulin sensitivity supplements. I'm not doing that first. We'll use those if we need them. Right. Not a bad play. think I also know that Sloan just ordered berberine for herself. We'll talk about that.

Now it's interesting, it's second recommendation, and you're like, is Bo just using ChatGBT when he uses, no, I look at this and then I literally go back through it. So I pump out a huge report for a client and I say, I kind of agree with that, I don't agree, because I'm learning, right? It'll pull off research articles and different things, because I have it trained and then also use Consensus AI, which is a research database with 200 million peer-reviewed articles, and kind of look at all this stuff and be like, that doesn't make any sense, that doesn't make sense, I wouldn't have thought about that.

mean, there's a reason we have these things. And then I can go through and be like, that's not true for you with the metabolic health thing. I know it's telling you to use berberine. Ooh, I like that it's saying the second thing is time restricted eating, early TRE. We're not gonna do that, but we're gonna make a dietary lifestyle change first. And then we can move into the berberine, you know, the it's saying Mediterranean style diet, then more back to magnesium. And it says, if not already addressed, which it is. Cool.

Getting down to last one, goes into a little bit further, like the cognitive aging, neurologic health, which I would also play back into the mono-amino acidase and COMT genes. But if you're familiar with the FOX gene, this is one that is loosely related to dementia and things like that. And then we all know, or we kind of typically, it says even here, this TOM, that's T-O-M-M-40AA, it's...

Beau Beard (36:23.298)

This is one that can be linked to Alzheimer's. So there's about eight genes that are linked to Alzheimer's now, and that's if you have the variant. What we always try to tell people is linked to. Now, why are those linked to? And I think this is kind of interesting. From an evolutionary standpoint, these genes that are linked to higher risk of Alzheimer's, in particular the APOE4, is a coagulation gene. So it's either you're gonna have lower, you know, if you have a certain variant of APOE, you're gonna have a lower proclivity to...

coagulate, that means when you get cut or have internal hemorrhages and things like that get sewed up faster or slower. So the thought is when I have a bunch of these genes that are playing on this coagulation or healing pathway, some on the inflammatory pathway, that those would have been great if I was in Neanderthal and I get my leg sawed off by a saber-toothed tiger that I don't die. When we only live to be 29, 30 years old as a caveman, if that's where he came from, that's great.

If I live to be 70, 80, 90 years old and I have this kind of, you I'm having micro traumas, I'm getting concussions, I'm, you know, having little, little dissections and, you know, bleeds that I don't know of that my body's healing, that might not be great because that can run amok. And now knowing that the neuroinflammatory process is a hundred percent linked to diet, or I was going to say diabetes, which is type three diabetes, with dementia and Alzheimer's, what we want to say is that neuroinflammatory effect, you're just healing that.

Faster if you have these genes which ends up being a bad thing. So again a good thing run amok fast slow That's what that's going after. So it has some things in there of Alter GABA signaling reduced dopamine receptor sensitivity or density. Sorry, and then longevity gene variant for that Fox three So it's saying things like lion's mane ashwagandha Choline which you know is gonna play as another cofactor for a lot of our processes for energy production

And then it says avoid high sugar, stimulant lifestyle patterns. I'm not opposed to things like Lion's Mane and Ashwagandha out the get go. So Ashwagandha being an adaptogen can be important for hormone support or recovery from working out. Lion's Mane notorious for cognitive support and says BDNF, which you're also gonna get that from things like exercise and sauna and things like that. I'm not opposed to those because those don't have, I guess, a specific effect. They're very general.

Beau Beard (38:46.414)

generally broad, those are also basically food items. So anything for me, and this is where maybe I get a little crunchy, know, truly synthesize things that we're using as supplements. So vitamin D is synthesized, the afro bacteria, a lot of these things are synthesized in a way that you're like, oh, that's still a food form versus a mushroom that's literally desiccated dehydrate and they just give it to you. I just don't see that at any different than a food I would find out there, dry it myself, crush it into a powder and it's still food. I could drink them like a tea. Yeah.

And again, you're like, what's the difference? The difference is how your body signals. This is what I want to get after. So if we looked at something like, so choline, here's a good example. Where, biggest source of choline in the human diet? Eggs. Eggs. Right? she has. No, I almost said fish and I was like, that's wrong, it's eggs. Choline. So.

choline in eggs and we've you've heard this stuff that if you just say whites you don't get a lot of the proteins that are in the egg yolk and then if you don't get the complete proteins the signaling is kind of a skew and maybe some things get thrown off again, I don't have any Nobody has unequivocal answers for this choline is unequivocally More bioavailable when eaten in a food source than when taken in a singular supplementation form, which is why when you look at something like

Ben Lynch's charts, if you're familiar with his old charts, when you would get your genetic report through his company, these were gigantic circular charts with unending back and forth arrows of, I'm taking SAMe now, so if I'm taking SAMe and I get a little bit of this symptom, I'm gonna take choline to offset this. It's like, what he's saying is it's complex. Adding in a supplement changes other things instead of just the targeted effects. It's not just, if I take choline, it's gonna help with cognitive resilience. If I take too much choline, you may...

Decrease your ability to use certain cofactors. Well now if I take choline and I have high folate in my system you may be like I don't really need to produce as many ATP because I've got an abundance of this stuff I'll just use it as needed Again, I'm just throwing out an example. I don't even know if that's true. All I'm saying is I Think we need to go after lifestyle and diet first

Beau Beard (40:54.254)

Then if you still see gaps, then you kind of lean on the genes a little bit more. Ooh, this gene is expressing in a way that it is harder for you to conjugate vitamin D. It's harder for you to use bioavailable B vitamins. You just stay a little ramped up all the time and you're doing all of the stuff. It's like, okay, yeah, take some, I don't know, you know, I don't know, some passionflower extract before go to bed and take some magnesium and do some more breathing or something. That's what I would go after. Her last one,

You know, she's not trained for the Olympics anymore. So now it's saying she has, it says performance and recovery. talks about a fast twitch muscle performance genotype, which our kids both have. And then one of them has a low recovery. One has high recovery. Is that mean one of them's destined to fail and have more injuries? No, but it's just proclivities. Another one, it says both snips this ADRB two, that's a basically a down-regulated ability to use aninergic

So what's that mean? You go into the weight room, you work out, you get a little bit of a pump. The hormones that are going to go towards synthesizing muscle and proteins and reducing fat is what it points out in this one are gonna be a little bit harder to kick up. So what's that mean? And it literally says, homozygous double allele of both snips. So that means, hey, it may be harder for you to get induced fat loss.

That was one of her complaints. Am I saying, look, this proves it? No, I would never say that. Somebody would say, what are we doing in our day that may be equating to I'm not losing some LBs? I'm sure there's things in all of our life that we'd be like, yeah, I'll do that stuff first. And you're like, this is really tough. Then when we would hone in, interesting thing with Sloan, endurance favoring ACE2 gene, right? She's like, okay. But lower power profile, very interesting. She's been a power athlete her whole life, right?

I don't know, these things, like I said, are they presenting or not? We're trying to figure that out. But it says focus training on aerobic endurance with occasional HIIT. Creatine monohydrate, which I think is gonna give that to anybody nowadays. And then L-carnitine for fat metabolism and support. Basically that's supposed to up resting metabolic rate a little bit. It can even help with protein synthesis or muscle kind of production post-workout.

Beau Beard (43:14.752)

I would 100 % go lifestyle before I give anybody any of those things, even creatine. So I'm going to stand on my own little soap box here and say, I know the five grams of protein was long-term like recommendation for both muscle gain, know, shuttling fluid into the muscle to make recovery a little bit faster. So you basically build lean muscle mass easier. Now it's all these, it says right on here, neural or cognitive benefits. People are doing this 20 grams of creatine first thing in morning. Creatine comes from what? In our diet.

meat and the whole idea is creatine is kind of it's almost like a byproduct of the breakdown of the proteins within the meat so we can't get enough creatine from our diet for these things. I don't know maybe this is just me being an idiot. If I have to take five grams and a lot of the people that we see like in the health and fitness world that are taking creatine are already doing what? Eating massive amounts of protein and meat in particular like red meat and these things where we're going to get our creatine sources.

Just like the methylation defects are present, know, depending on who you listen to, 45 to 50 % of the population, if we all need this creatine, because it's such an offset, and we can get it from our diet, is nobody asking the question, is there not any, there's no way there's not a negative effect. Everything affects everything. So if I take in particular a mass quantity of creatine, and I get what the function is, right, from a cellular function to a macro function of what it's doing with like, you know, fluid extroversion within the muscle,

There's gotta be a deleterious effect or an effect. When we say side effects of drugs, they're usually just effects. They're known effects and we call them side effects. Well, no, we knew that was gonna happen. Shit, it's not what we were trying to get to happen in you. So yeah, we take ibuprofen to reduce our headache, because why it blocks a pain pathway. Well, know, kind of the not so fun thing to talk about is why it's a little harder in kidneys. Like, okay, why? Well, it's a known effect. It's not some people, it is hard on everybody's kidneys.

Same thing here, I'm trying to play the long game of like, and I've taken, I took it in high school, which was 20 some years ago, which was probably, who knows where it was coming from. Who knows what you were taking? Probably not creatine. That's when people still thought it was gonna shut down your kidneys. And I think a lot of that was misnomers of creatinine and creatine and all these things, but there's no way that especially that much in your diet, that it's that hard to get out of your diet. That's the thing, when something's that hard to get, and we take, it's just like,

Beau Beard (45:43.215)

I was reading a book, it's called Braiding Sweetgrass and it's talking about basically native influences within the health system and how we live in an ecosystems approach or don't live in that anymore. It's talking about something like a walnut, right? So that was just total side tangent that trees, nut or fruit bearing trees will do it in basically waves. So every few years they'll drop a bunch of nuts and they all drop their fruit at the exact same time. So why?

So all the animals pick them up at the same time because if one tree dropped them, would eat all the animals that eat all those nuts. So if they all drop them at the same time, they stand a chance of some of them not being eating, turning into trees, and then they won't produce for a bunch of years or not produce as much. They have these kind of like bounty years. So this woman that's telling the story is saying, hey, they used to collect a lot of walnuts. She talks about her dad being a kid, taking off his pants, tying the pant legs in the bottom, filling them with walnuts, taking them back home.

But they're like, you the amount of calories and fat and protein, one of those walnuts. But there's also a lot of things in those walnuts that, you know, aren't great to eat a bunch of it, any one given time that can be deleterious to your digestive tract. So it's like, it's a good thing. All the things in a walnut for the most part, fat, omega-3s, protein, vitamins and minerals. And then you're like, ooh, but some of the things that could almost turn into a poison. That's why if you like sat there and boiled walnuts and drank water, like you just start.

poop in your pants. Great things. En masse quantities, not so good. I don't know why we're, fish, great. All fish for the most part have mercury that's not coming necessarily just from human made sources. This has always been a thing. Too much, not good. Protein, now there's, I see a article out there. The more protein you eat, we see that your muscle synthesis pathways stay turned on for 48 to 72 hours longer if you eat a bunch of protein.

We don't talk about the digestive process that has to take place for that, that then doesn't allow for what? Cellular repair, muscle synthesis, because all of your efforts and blood and all these things are going to breaking down a giant bolus of meat. And I just think it's kind of crazy that we're just not thinking about. So total side tangent, I'm not saying you can fix everything with diet and lifestyle, but you can do a lot. And I think that's where you should start. So that's more or less what

Beau Beard (48:06.872)

Chad GPT gave me what I'm kind of sussing out for Sloan. So now what I'm gonna say is, hey, we saw all this stuff. I mean, here at the end, it's giving her her laundry list of one, two, three, four, five,

15, 16 different supplements, right? That's what's going through. That's its suggestion. Knowing me, I'm gonna stick to that, right? Yeah. Actually, it's way more than that. mean, yeah, it's like 25. So here's what I would say for her. Be hey, we saw in some of your genes may or may not be helping some of the things that you talked about of like hanging onto a few LBs, the GI stuff. I don't think we saw a whole lot of stuff in there, right? But then we'd say, hey, we're gonna ask some diet questions next. The low energy.

we saw where we can have energy fluctuations or mood and behavior fluctuations that we wouldn't like, and we already talked about some of the things we do, those could also be related to your insulin resistance a little bit. So like all these things we're trying to hem in to say, all right, Sloan, I think the first thing we need to do is increase your fasting insulin production, which will in essence make the shuttling of available energy post-workout or throughout your day better, which should create a more even.

keeled energy throughout the day without lulls in it. Mood may follow that or it may not. So we're gonna have a secondary plan for mood and the feeling of maybe overstimulation, barring that we can't just lock our kids in a room for a little bit. So that would be one thing wrapped up. Is that the lifestyle modification we're looking for? Chain them up.

So I would say, hey, there's this fancy little way of basically eating very little carbs in the morning, a little bit at lunch, and then most of them at night. We won't do this forever, but it's called back in carbohydrate loading. everybody from endurance athletes to people that are looking at insulin resistance can use this to basically make the process of insulin sensitivity a little bit better. So how you explain this is you wake up in the morning, cortisol wakes you up, cortisol, then it's gonna have basically a push of insulin, because it's gonna say, hey, I'm getting ready for something.

Beau Beard (50:07.018)

you're not having a lot of fasting insulin, so that's not great in the morning, we would assume, right? So we wanna say, hey, let's not bombard the system with a bunch of carbohydrates, let's give it protein and fat, which the protein and fat also help blunt the cortisol curve, especially if we're gonna wake up and drink some coffee. And let's make sure that if we're gonna drink coffee, we try to eat within 30 minutes of drinking that coffee or at least before, right? So we don't have another cortisol surge and we don't have any calories to help blunt that, in particular fat to help.

slow down caffeine metabolism, because we already saw you're a fast metabol, or I guess speed it up in essence, right? Like not have as a potent of the caffeine effect from stimulatory, but also metabolic. And then we want calories. you actually, when you wake up and you have low fasting insulin, you're still going to break down protein and fat for some glycogen stores. And hopefully that's going into your muscle and liver, right? So you're like, you know, in a little bit of deplete from recovery.

Then you're going to go about your day and you're going to work out. You're going to get stressed out. You're to do your thing. We're hoping at lunch, you know, that you're going to have protein and fat and maybe you have a little bit of carbohydrate and those carbohydrates we're going to try to source from fruits, starchy vegetables, you know, salad or something like that. We're not going to try to do grains or starches or things like that. Just again, make it very easy for your body to use what carbohydrates you give it to pull into the systems that you've been using, walking around your muscles and your liver from just kind of bodily processes.

And then if you work out, we're also gonna make sure that we do, let's say you go for a run, you're doing your endurance training that Chad GPT told us we're supposed to do. We wanna make sure that you don't starve yourself of carbohydrates. So if you go do a workout, restore. That doesn't mean that we're gonna eat a bagel after a run. It means, hey, the typical four to one carbohydrate, know, or protein ratio in a smoothie, or I'm gonna have, you know, an apple with some peanut butter. Something to restore that, but a little bit more carbohydrate if you did more endurance stuff.

If you just go lift weights, maybe it's same old. Then when we get to dinner, based on body weight and some assumption of resting metabolic rate, right? We're not putting you in a bod pod. We don't know how many calories. We can assume based off a lot of equations, based on age, body weight, daily activity, what your resting metabolic rate would be. And then we add in your workouts and we're like, hey, you probably need overall 2,200 calories. I'm just making this up per day.

Beau Beard (52:27.918)

Okay, so based on those 2200 calories and our macro breakdown, for most people your age, your body weight with your activity level are gonna need about total throughout the day 150 to 200 grams of carbs. Most of those are gonna try to be done at night. So sweet potato, rice, whatever it is, pasta, whatever it is, gluten free, so we don't get the folic acid in there. Because by the time you've went through your day and you've walked around, you've worked out, you've kinda used all available hopefully

carbohydrates within your system and suck those into your liver and your muscles. And now we're saying, hey, let's use what we got, suck as much into the system as we can, whatever's leftover is gonna go to maybe fat production or something because you don't have enough insulin to use that all like you should. Some will get shuttled into GI, which can create GI distress. But when you go to sleep, depending on when you go to bed, let's say we go to bed at nine, around midnight, you get a little bit of a...

insulin surge, we also get a cortisol surge. And then on the back or sorry, growth hormone with that and note that growth hormone surge, you need calories, protein, fat and carbohydrates to restore and synthesize muscle, but also just all your tissues and Othello tissue, soft tissue, ligaments, tendons, you know, repair brain distress or dysfunction. So we need that in our system. Well, then as we use those throughout the night and we wake up the next morning, let's say we're two weeks into this.

you've kind of used all your carbohydrates. Well, you had to use your insulin more efficiently throughout the day and this process should get better in your body saying, hey, they're kind of like slow, believe me, to where like I need some carbohydrates by the time I wake up, right? Cause you're basically using them all appropriately instead of having access to your diet. And then it's, know, we don't change it yet. say, Hey, let's bump the insulin up, bump the insulin up, bump the end. And pretty soon we'd hope your fasting insulin gets up into our normative range. Then we see

If you don't like eating like that, go back to normal, right? What's normal? Not being crazy, not waking up and eating a bagel. Maybe it's a little bit of fruit or something in the morning and you're like, okay, now I can do that and I maintain a fasting insulin blood work, but energy levels, right? We're not having these crashes after we eat or if we don't eat for a period of time, which we should be able to do that I'm not, you know, super hangry, which gets into the neurotransmitter, you know, genetic issues. So that would be the first thing that I'd say is.

Beau Beard (54:52.138)

A, we're going to remove gluten for sure because of the folic acid and we know that saline also has gluten sensitivity on the verge of allergy stuff just from our history. So that's one thing that's getting removed. We're going to go into a back in carbohydrate loading game plan for I'd say three months. We're going to take vitamin D because it's low enough to supplement there. And maybe you're like, yeah, I want to try it. I'd leave it up to you. But I'd say, hey, let's just get it up because that is going to help insulin sensitivity a little bit. So that bumps and we don't have to take

QQ10 and berberine and inositol, all those. So it's going to help a lot of stuff, not just insulin sensitivity. So that's where my knock on like berberine is like, it doesn't have a wide breadth of function. It's pretty specific. The B vitamins we already talked about, that's a dietary play for right now. We're just seeing, can we get that through leafy greens and know, eggs and meat, all these things that you get B vitamins from, that's where we're going to try to get that. And then I would literally say to her, I think our goal is energy regulation first.

See what happens to your lean body mass just with dietary shifts a great book of do do it matters by Clayton Skaggs he talks about doing the important things whether that's home rehab exercises or dietary shifts and not doing anything else and where he sees changes in lean muscle mass and people dropping fat and they're working out less because they're basically just not doing the things that are inflammatory or that your body again an inflammatory

Cascade in your body can do everything from what make you hang on to weight because of like cortisol surges and inability to repair. So you basically just kind of are in this like energy crisis, which we took a huge side note. could see a lot of people might be saying, aren't there other reasons that you could have, you know, low fasting insulin or that, you know, slight insulin resistance occurs from like a metabolic dysfunction standpoint that's not carbohydrate or diet related? Yeah, like we're seeing mitochondrial dysfunction run rampant, which is

You know, well, Chad GPT picked up on that and told her not to have Xenoestrogens, drink out of plastic bottles and reduce your stress. That's what we want to do. So the last thing I talked about is, Hey, based on mood and neurotransmitters and some of the things you've told me about, know, feeling overstimulated or anxious, we're going to have dedicated practices, you know, morning and night that are short. So it doesn't feel stressful to have to do them, but you have to do those. And then you also have like a, you know,

Beau Beard (57:15.798)

If you've ever seen the rescue remedy stuff, they sell it health food stores, you know that you can take these lozenges that have basically things that make you feel better. No, you're going to have a little if you feel, you know, out of whack, maybe you do it with your kids to show them that your mood regulating, you're going to take 10 deep breaths or you pause, you kind of think, you know, why, why am I, know, maybe there isn't a why or just like, just feel kind of out of my mind. Then you just go to breath, you just go to a routine, don't forget the why out. But if you're like, I'm like, kind of amped up because I haven't eaten.

Right? I'm kind of amped up because I drank three cups of coffee. I'm kind of amped up because I thought my day was going to go this way and it hasn't. I'm kind of amped up because I have a huge to-do list. If there is a why, maybe you can't fix it right then, but at least I think sometimes you put the why on it, you're like, okay. And then it kind of can diffuse it. you can't, you need a physiologic, right? Not a psychological, because the psychological plays into that to-do list, figuring it out. A physiologic trigger, which could be, you know, tactical breathing. So we exhale twice as long as we inhale. And we do that, you know, with our hand over our heart for a little bit of

resonant shift and we do that for 20 breaths and you do it with kids if you can get them to. You know, I get to that's eye in the sky like, that sounds great. You got to do something and that would be the biggest things. So one supplement, vitamin D, dietary shift, removing one thing, changing how we eat carbohydrates and then some sort of stress relieving mechanism. That's it. Which is already a lot, right? We talk about these supplements and all these lifestyle things, giving these plans. So I tell the story all the time. I had a

a guy that owned a big business around here and he came to me this is years ago and he said, hey, I want you to take over every aspect of my health. And I said, okay. He said for movements that I all the stuff's like made this giant spreadsheet. We did labs, we do all stuff and gave him a price tag and he's like, okay, pay for it. It took all of about two months for him to say, this is too much. Like I just don't want to do this. And he was like, I need to change my health. don't, you know, I want to live this long for my grandkids and stuff because I, was my fault. I overwhelmed them.

was like, hey, we have all these things. And even though I said we had a kind of a order, I gave it to them all. I should have just said, hey, here's these first three things and never shown them everything else. You can talk about the plan, but don't show them. When I have somebody in here with knee pain, in my mind after the first visit, I know everything from the beginning to the end. It's got options in there what might happen. I need to be able to explain the pathway, but I don't need to give them all the details that are overwhelms them. And that's anybody, especially somebody that's maybe got.

Beau Beard (59:41.44)

anxiety and like a mood thing, don't give them too much. That's something I didn't touch on in the beginning when you asked me just to kind of give a brief overview of

complaints or my status, my health status or whatever. I did say low energy, but you knew, you know this because yeah. Yeah. But I describe it as operating at like my body's buzzing. Like I feel like I get to a frequency level where it's buzzing and he knows that. And so I'll say to him, like, my frequency is buzzing right now. Like, so he knows that about me. I didn't go into that.

When the other reason I wanted to give the behind the scenes on how I do this is, if you're out there on your own, like, yeah, I do functional medicine consults. We can do those virtually in person. As much as AI is kind of an undecided good or bad thing overall, I can tell you one thing is if you can at least check the sources and that's the hard part for maybe the lay person is like, is the information it's giving me true? Like that's still something you got to be aware of. You can do the same thing with your stuff.

You can go get your own labs, right? You can get labs anywhere. That's what people are doing. So if you do things like Wild Health or Gary Breck is 10X or I guess not Gary Breck anymore. Tonight, all these companies are using an AI or an algorithmic approach to look at your labs. Mark Hyman's, know, health. It's AI. There's no way that I know they say they have a team of physicians. The team of physicians are doing what I'm doing. They're checking, right? These pumped out roadmaps. Cause then here at the bottom of this whole plan from an AI engine, it says weekly notes for Sloan.

Fasting window consider 12 to 14 hour overnight fast. Cool. That's maybe a little long. And if we're dealing with hormone issues, I'm not always about like intermittent fasting, but we use her normal fasting window of sleep paired with back in carbohydrate loading. And I think we can be really specific with her, which it doesn't say. So that's something I'd change. Next it says no alcohol. That's because of the histamine response and the neuro dysregulation. It says avoid high histamine triggers, age, cheese, wine, cured meats, right? Both she has a

Beau Beard (01:01:45.849)

varicose vein thing that will be made worse not we talked about before in another video about the mechanical side of that and like a Myofascial entrapment, which I think is a big part of it But yeah, this is gonna make that worse in terms of symptoms Then it says rotate in high fiber days lentils, geoflax for microbiome estrogen clearance I mean if we have gut issues not a bad idea I'm not gonna push anybody that says I've got gut issues right into what? career pro probiotics, I think that's just another

panacea approach to that's what we do like why let's ask why first and then monthly the abstract vitamin D cool I agree homocysteine why we're looking at can you convert right B vitamins from like methionine or the homocysteine pathway and is there a buildup or a lack there fasting insulin 100 % agree says CRP so we did high sensitivity CRP on Sloan which was normal and it says to watch that because why it's knowing that it

I keep calling it it, which I don't like. Chachi Buti knows based on the labs and the genes that what? She has an issue with inflammatory pathways. And even though all of her labs are fairly normal, it knows looking at it, that's gonna be the things that may start popping first before she deal with anything, just like a lot of people. That's why we wanna look at things like, know, ESR and high sensitive CRP and homocysteine to be like, hey, is your body in a little state of, you know, inflammation, even though you're not showing us like.

rheumatoid arthritis or know, swelling or whatever it is. It's like, yeah. So that's why it's throwing that in there. So like there's things I agree with and things that I'm tweaking and things I disagree with, right? I would not have her take methyl adipose to save my life. Like I just, I don't think that's a good thing for a lot of people, at least upfront, which I know is going in the face of so much stuff. And I literally almost got in an argument with my last functional medicine client about it. So that's just my soap box right now of.

Lifestyle approach because again, we think of functional medicine and I am gonna blank on his name, but a wonderful doctor gosh, I will try to put it back in the show notes But he explained the difference between functional medicine green medicine and like health So green medicine is we think that diet is gonna fix everything right? We're like, you just got to shift your diet whether that's removal adding in We can look at maybe there's you know functional medicine is just trying to figure it out

Beau Beard (01:04:09.164)

That could mean that you use prescriptions. It could mean that you're using adjunctive therapy, diet, supplements. That's a broad one. There's a whole subset that just relies heavily on supplements. That's not functional medicine, right? That's supplementary medicine, whatever you're call that. Green medicine is diets gonna go after it. So realize, like don't put yourself in a camp. Say if I'm going after something with a functional approach, whether it's movement and looking globally at movement and function to see like, are there causes to this thing or did you just, you're the unlucky?

guy or gal with a disc herniation today and that's what we're treating. Or, hey, you have low energy and I think that's a lot of lifestyle stuff. Or man, you're really getting hammered with epigenetic stuff that's presenting from your genetic profile. We're gonna have to work really specific on you. I think the only way you get to what's called precision medicine, which is the pairing of labs, lifestyle, and genetics, is somebody who presents with a massive issue that's not changing with lifestyle and a functional medicine approach of just the biggest, most fundamental levers first.

I wanted to end with that because it's getting really popular and I'm not opposed to people doing what I just said of getting your labs done, using these companies, using an AI or an algorithm to coach you, but also realize that the hardest thing is you don't always have an advocate there telling you, are all these things that it's pumping out really good for you or not? Even though they are seemingly good, because there are apps in the movement world that will take people through a movement screen, pump out 14 exercises.

they could do those exercises for the next year and not get as much benefit as just figuring out what one exercise will tip over much dominoes. That's where sometimes still having an individual or a person or a practitioner in your corner can pay to them. I know I talk really fast, talk a lot, but that's literally what people pay me to do in an hour of functional medicine visit is break this stuff down. So if you have any questions about any of this stuff, any pushback on anything too, I'm open to conversations about it. Like I said, I will try to put in a

Basically information to avoid, patient to avoid version of a report that I would give so you can see these things. And then if you ever want to do a consult, you can always get ahold of us at chiroform.com and set one up. I guess we should follow up in three months. We definitely need to redo your labs at some point, but we need to put these things into like specific play. Yeah. And I mean, I have, I've done this for a long time as myself. That's how I, everybody ought.

Beau Beard (01:06:31.424)

Interns in here always ask me like, how'd you learn all this stuff? It's like, I had stuff going on and still do that. I'm kind of like, why is this happening? Whether it's low white blood cell counts that are seemingly not causing any symptoms, but are they? To just things that have been off of my blood work for a long time, the vitamin D issue. I I was working with a functional medicine practitioner, taking multiple different kinds of vitamin D and they're like, like it's just really hard for me to conjugate from the non-active form to the active form of vitamin D. So I have to be really on it.

And then that also goes into other lifestyle things. So I've done it for so long that I'm just like, I've had to learn on the fly. And then every time you're presented with a new issue that a client's complaining about or dealing with, you have to learn more. And that's no different than the Muscle Scuttle side. It's not like I walked out of grad school being like, got it all down. No, you're learning a little bit more every day. So yeah, that's why I'm always open to input and conversation. So, all right, let's get to it. We'll follow up. Thanks guys.