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Get ready to uncover the transformative power of functional medicine in addressing endometriosis and adenomyosis with our special guest, Dr. Bri Wyatt. Renowned for her expertise as a physical therapist and pelvic floor specialist, Dr. Wyatt shares her personal journey through chronic pain and how it steered her towards integrating functional medicine into her practice. Learn the importance of individualized care, the role of functional medicine in symptom management, and why a one-size-fits-all approach simply doesn’t work for such complex conditions.
We delve deep into the essentials of patient history, covering everything from stress levels to environmental factors like mold exposure. Dr. Wyatt emphasizes the comprehensive approach needed to truly understand and treat endometriosis, illustrating how incremental lifestyle changes can lead to significant improvements. Discover the challenges and rewards of adopting functional medicine within the constraints of a PT license, and the critical need for patient cooperation in achieving better health outcomes.
Our discussion doesn’t stop there. We also explore the nuanced world of diet and supplements, emphasizing that what works for one patient may not work for another. Dr. Wyatt shares invaluable insights on post-surgical and post-menopausal health, stressing the importance of nutrition, stress management, and protein intake. Hear firsthand how the synergy between functional medicine, Western medicine, and pelvic floor therapy can optimize patient outcomes, empowering people to take control of their health and navigate the challenging journey of endometriosis treatment.
Website endobattery.com
Supporting Endometriosis and Adenomyosis Patients
Speaker 1
0:03
Welcome
to
EndoBattery
,
where
I
share
about
my
endometriosis
and
adenomyosis
story
and
continue
learning
along
the
way
.
This
podcast
is
not
a
substitute
for
professional
medical
advice
or
diagnosis
,
but
a
place
to
equip
you
with
information
and
a
sense
of
community
,
ensuring
you
never
have
to
face
this
journey
alone
.
Join
me
as
I
navigate
the
ups
and
downs
and
share
stories
of
strength
,
resilience
and
hope
.
While
navigating
the
world
of
endometriosis
and
adenomyosis
,
from
personal
experience
to
expert
insights
,
I'm
your
host
,
alana
,
and
this
is
EndoBattery
charging
our
lives
when
endometriosis
drains
us
.
Welcome
back
to
EndoBattery
,
grab
your
cup
of
coffee
or
your
cup
of
tea
and
join
me
at
the
table
.
Speaker 1
0:47
I'm
joined
at
the
table
today
by
Dr
Bree
Wyatt
,
who
is
a
distinguished
doctor
of
physical
therapy
and
a
pelvic
floor
specialist
based
in
Southwest
Florida
.
With
her
extensive
expertise
and
commitment
to
holistic
health
,
she
also
holds
a
certification
as
a
functional
medicine
practitioner
.
Dr
Wyatt
is
the
proud
owner
of
Holistic
Health
,
physical
Therapy
and
Wellness
,
which
isa
,
leading
wellness
center
in
Bonita
Springs
,
florida
,
dedicated
to
providing
comprehensive
and
integrative
care
to
her
patients
.
Please
help
me
in
welcoming
Dr
Brie
Wyatt
.
Thank
you
,
brie
,
so
much
for
joining
me
.
I'm
so
happy
to
see
your
face
again
after
we
met
at
the
summit
and
got
to
know
each
other
a
little
bit
.
So
thank
you
for
joining
me
today
and
I'm
happy
to
have
you
on
.
Speaker 2
1:31
Yeah
,
it's
good
to
see
you
again
.
Speaker 1
1:33
I
know
it
was
.
It
was
a
whirlwind
of
a
trip
to
be
at
the
summit
and
to
me
and
sit
by
the
pool
and
have
conversation
and
that
was
so
fun
to
just
connect
with
people
in
that
way
.
But
what's
interesting
about
your
story
and
we
can
get
into
that
in
a
little
bit
is
that
I
feel
like
a
lot
of
people
are
on
the
search
for
different
modalities
to
help
with
either
pain
or
with
symptoms
or
within
their
journey
,
and
that
doesn't
exclude
you
.
You
have
a
good
background
in
multiple
things
.
Do
you
mind
telling
us
what
those
things
are
and
where
this
passion
came
from
?
Speaker 2
2:06
Yeah
,
so
I
am
a
doctor
of
physical
therapy
primarily
,
but
I
kind
of
began
this
journey
as
a
functional
medicine
practitioner
just
because
of
my
own
health
issues
.
So
I
was
in
physical
therapy
school
at
the
time
and
I
just
suddenly
had
chronic
,
just
debilitating
pain
.
No
doctors
could
figure
it
out
Kind
of
similar
to
what
endometriosis
patients
go
through
is
.
I
went
to
doctor
after
doctor
after
doctor
who
just
kept
telling
me
everything's
fine
,
there's
nothing
wrong
,
and
I
ended
up
about
two
,
three
,
four
to
seven
years
of
just
having
my
gallbladder
removed
and
then
my
appendix
removed
and
still
being
unwell
.
Speaker 2
2:50
I
really
kind
of
left
traditional
medicine
and
found
myself
working
with
a
functional
medicine
practitioner
who
ended
up
helping
heal
me
.
I
had
breast
implants
put
in
seven
now
eight
years
ago
and
I
was
just
extremely
sick
from
them
and
I
didn't
know
why
all
my
organs
were
shutting
down
and
I
just
didn't
feel
well
.
And
so
I'm
now
,
as
of
this
month
,
one
year
since
my
explant
surgery
and
that
was
kind
of
the
driver
for
functional
medicine
.
But
I
also
saw
how
it
could
help
so
many
patients
that
I
was
working
with
.
So
I
see
endometriosis
and
adenomyosis
patients
all
the
time
in
my
office
and
I
just
found
that
it
was
just
such
a
good
blend
with
pelvic
floor
therapy
to
really
help
this
population
of
people
.
Speaker 1
3:40
Now
this
isn't
to
say
that
,
like
people
who
have
severe
endometriosis
don't
see
a
surgeon
,
but
this
is
like
another
modality
for
you
and
for
others
to
be
able
to
find
symptom
relief
or
even
help
clear
up
some
of
the
things
that
maybe
are
going
on
within
the
system
.
Can
you
explain
what
side
of
functional
medicine
that
you
practice
in
?
Speaker 2
4:03
Yeah
,
and
just
to
agree
with
you
,
I
still
refer
patients
to
excision
specialist
surgeons
.
My
role
is
not
to
cure
individuals
of
endometriosis
.
So
from
a
functional
medicine
standpoint
,
when
we're
looking
at
endometriosis
,
we're
really
trying
to
do
a
deep
dive
of
what's
causing
all
these
different
symptoms
.
And
I
think
the
tricky
thing
about
endometriosis
is
it
is
multi
systemic
,
it
affects
every
body
system
.
You
know
that
we
have
,
and
sometimes
it's
difficult
to
kind
of
weave
through
all
of
it
and
figure
out
what
is
primarily
endo
driven
and
what
is
driven
by
something
else
.
Speaker 2
4:42
You
can
see
bloating
in
endometriosis
patients
,
but
they
could
also
still
have
a
bacterial
overgrowth
issue
where
,
if
we
can
kind
of
get
rid
of
that
,
we
can
make
the
bloating
not
so
severe
.
Speaker 2
4:56
Or
we
have
individuals
who
have
blood
sugar
dysregulation
,
who
are
taking
all
sorts
of
supplements
and
things
and
we
don't
even
know
where
their
hormones
are
at
.
Speaker 2
5:08
I
think
everybody
assumes
that
it's
always
a
problem
with
too
much
estrogen
,
but
I've
done
testing
with
patients
and
it
comes
back
and
they
have
no
estrogen
.
And
so
functional
medicine
is
really
trying
to
get
at
what
is
going
on
with
the
patient
in
front
of
you
,
specifically
because
there
is
no
blueprint
for
how
to
treat
an
endo
patient
.
It's
not
the
same
thing
for
every
single
person
and
sometimes
I
think
,
especially
with
social
media
,
it
can
seem
that
way
where
it's
like
,
oh
,
you
have
endo
,
take
this
,
this
and
this
and
do
this
and
you'll
be
fine
.
And
that
just
is
really
kind
of
giving
false
hope
to
people
,
where
they
think
,
oh
,
if
I
just
purchased
this
one
supplement
,
it's
all
just
going
to
go
away
.
And
I
really
like
to
make
that
clear
with
my
patients
that
we're
really
just
looking
to
try
to
individualize
your
specific
symptoms
and
improve
your
symptoms
as
much
as
possible
.
We're
not
going
to
just
cure
it
overnight
with
this
one
little
capsule
.
Speaker 1
6:10
Right
,
right
.
Which
is
where
I
think
a
lot
of
us
struggle
,
because
if
you've
fallen
into
that
category
of
taking
supplement
after
supplement
with
the
hopes
that
it's
going
to
cure
or
completely
eliminate
symptoms
,
it's
that
false
hope
and
that's
where
I
think
we
do
get
a
lot
of
our
kind
of
disassociations
with
foods
and
medical
things
and
sometimes
it
causes
stress
on
us
mentally
,
emotionally
and
even
physically
,
and
so
just
being
aware
of
that
it's
not
necessarily
going
to
cure
,
but
it
is
going
to
maybe
help
support
your
system
.
That
,
I
think
,
is
key
.
It's
not
a
one
size
fits
all
.
Speaker 2
6:50
Yeah
,
and
it's
really
educating
patients
and
saying
that
we
need
to
reframe
the
way
that
we
think
about
it
.
I'm
not
taking
this
to
get
rid
of
my
endo
or
make
my
endo
better
.
I'm
taking
this
.
I'm
doing
this
to
support
my
system
,
to
support
my
body
so
that
it
can
do
what
it
needs
to
do
.
And
when
you
think
of
it
that
way
,
it
applies
to
basically
every
disease
everyone
is
facing
,
and
you're
just
trying
to
support
your
system
,
to
allow
your
body
to
do
what
it
needs
to
do
.
With
endometriosis
,
obviously
there's
a
lot
of
different
things
going
on
.
Your
it's
kind
of
like
your
body
is
burning
up
a
lot
more
energy
just
to
get
through
daily
life
,
and
so
I
find
those
patients
do
need
more
nutrition
,
more
vitamins
and
minerals
than
the
average
individual
.
But
when
we're
taking
that
extra
zinc
,
that
extra
magnesium
,
it's
not
to
make
the
endo
go
away
,
it's
to
just
give
yourself
the
extra
support
that
you
need
so
that
you
can
feel
a
little
bit
better
each
day
.
Speaker 1
7:55
Yeah
,
oh
and
that's
something
that
I
feel
like
we
can
sometimes
look
over
kind
of
in
the
trenches
is
that
we
need
to
be
able
to
support
our
whole
bodies
and
not
just
like
one
systemic
issue
.
You
know
,
our
bodies
are
complex
,
it's
not
just
one
issue
.
Speaker 2
8:14
Super
complex
,
and
that's
the
most
difficult
thing
is
when
you
have
someone
coming
into
your
office
.
You
can't
just
look
at
them
like
they're
a
uterus
.
Speaker 2
8:24
And
I
think
that's
what's
so
important
about
the
change
in
how
we
define
endometriosis
is
we
used
to
think
of
it
as
a
very
uterus-centric
disease
,
and
I
think
it's
been
so
great
to
see
that
change
,
because
you
think
of
all
of
these
people
who
still
see
it
as
such
a
uterus-centric
disease
,
where
they're
still
trying
to
just
take
the
uterus
out
or
just
treat
only
the
uterus
,
and
it's
just
not
that
way
.
That's
why
you
see
patients
who
struggle
with
systemic
symptoms
like
fatigue
and
nausea
and
lightheadedness
and
all
of
these
things
,
because
it's
not
just
a
uterus
problem
.
Speaker 1
9:07
Right
,
that's
so
true
,
as
those
of
us
who
have
had
our
uteruses
removed
can
attest
to
,
it
is
not
just
a
uterus
problem
.
You
know
,
and
I
think
too
and
maybe
you
can
speak
to
this
a
little
bit
too
in
supporting
our
bodies
post-expert
excision
how
we
do
that
from
a
functional
standpoint
.
Because
for
someone
like
me
who
has
had
a
hysterectomy
and
have
my
ovaries
removed
and
things
like
that
,
what
are
some
ways
that
we
can
help
support
our
body
with
functional
medicine
?
Speaker 2
9:41
The
tricky
thing
about
post-operative
patients
is
they
don't
feel
well
,
they're
tired
,
they
just
went
through
a
big
procedure
.
So
I
think
the
most
important
thing
is
just
trying
to
get
nutrition
into
those
patients
,
which
sometimes
that's
getting
a
really
good
,
high
quality
like
bone
broth
or
you
know
,
getting
some
really
good
sources
of
protein
that
are
really
easy
for
someone
to
digest
and
to
eat
,
because
most
people
,
you
know
they
don't
feel
like
eating
a
big
piece
of
meat
postoperatively
,
so
you
really
do
.
I
think
,
personally
,
the
biggest
thing
to
do
is
to
plan
to
have
those
things
on
hand
,
knowing
that
you're
going
to
come
out
of
surgery
probably
not
feeling
like
you
want
to
eat
three
full
meals
a
day
,
yes
,
but
trying
to
then
say
,
okay
,
what
do
I
typically
reach
for
when
I'm
feeling
a
little
bit
more
run
down
and
my
body
is
recovering
?
For
a
lot
of
people
,
that
may
be
more
of
their
like
brothy
foods
,
their
shakes
,
their
smoothies
.
So
trying
to
have
things
on
hand
where
you
can
sneak
in
some
protein
,
some
omega
threes
,
things
like
that
into
foods
that
are
easier
to
eat
.
Speaker 2
10:51
I
know
one
of
my
favorites
I
have
a
fish
oil
in
my
office
that
I
sell
that
is
really
super
delicious
and
you
can
just
mix
it
into
like
Greek
yogurt
,
and
so
you're
getting
your
omegas
that
are
good
for
inflammation
,
but
then
you're
also
getting
your
protein
.
With
the
greek
yogurt
it's
still
like
more
of
a
liquid
consistency
which
is
really
easy
to
get
down
,
and
so
there's
a
lot
of
strategy
involved
to
getting
good
nutrition
into
patients
post-operatively
right
.
So
really
I
think
planning
is
the
biggest
thing
finding
some
foods
,
trying
them
out
before
surgery
,
make
sure
you
like
them
and
then
that
way
you
have
it
ready
to
go
at
home
and
hopefully
it
makes
you
a
little
bit
more
successful
in
your
recovery
.
Speaker 1
11:33
My
recovery
consisted
of
me
wanting
chocolate
.
That
was
my
problem
,
though
.
Like
woke
up
and
I
was
like
give
me
the
cookie
,
give
me
the
chocolate
,
which
is
funny
because
I'm
not
.
I
was
never
really
that
person
before
,
so
it
was
an
interesting
change
for
my
system
.
It
wasn't
something
I
was
used
to
,
but
I've
had
to
fight
through
that
.
I've
come
around
to
not
craving
that
as
much
.
When
you
have
patients
that
come
into
your
office
,
how
do
you
address
not
only
the
functional
medicine
side
of
things
but
what
you
do
as
a
PT
,
Because
I
feel
like
there's
room
for
those
two
to
kind
of
marry
together
in
a
good
and
useful
way
that
can
help
your
patients
.
What
are
some
ways
that
you
address
those
things
?
Speaker 2
12:21
That's
probably
the
most
common
question
I
get
as
a
PT
is
how
do
I
structure
my
sessions
?
Is
one
of
them
a
functional
medicine
session
,
one
of
them's
a
pelvic
PT
session
?
And
the
answer
to
that
is
really
it's
all
intermixed
together
.
Comprehensive Approach to Endometriosis Treatment
Speaker 2
12:36
So
when
I
have
a
patient
in
front
of
me
and
I'm
going
over
just
their
overall
history
,
I'm
just
diving
deeper
into
it
.
I'm
not
just
asking
about
their
musculoskeletal
system
,
I'm
asking
about
their
stress
,
their
sleep
,
their
diet
.
You
know
what
are
the
different
supplements
they're
taking
,
what
medications
are
you
on
?
Do
you
get
outside
?
How
is
your
social
support
system
?
Speaker 2
13:00
I
kind
of
weave
all
of
those
things
into
it
,
because
functional
medicine
is
a
very
full
body
,
multi-system
thing
where
you're
not
just
looking
at
the
musculoskeletal
system
anymore
and
only
the
musculoskeletal
system
.
You're
looking
at
that
entire
person
and
what
makes
that
person
who
they
are
today
.
And
so
when
a
patient
comes
in
,
I'm
going
to
still
do
an
external
internal
assessment
of
the
pelvic
floor
therapist
,
but
I
also
am
spending
some
time
feeling
the
digestive
system
because
I
do
visceral
mobilization
and
work
on
the
organs
.
I'm
feeling
the
reproductive
system
,
I'm
looking
at
their
nervous
system
,
but
then
I'm
also
diving
into
is
this
person
really
well
nourished
?
Are
they
getting
everything
they
need
to
in
their
diets
?
Have
they
grown
up
on
a
farm
next
to
a
bunch
of
pesticides
?
Their
whole
life
have
they
been
dealing
with
mold
in
their
home
?
You
know
things
like
that
Because
sometimes
I
find
with
my
patients
with
endo
sometimes
it
can
get
really
easy
to
just
say
,
oh
,
it's
because
of
the
endo
.
Speaker 1
14:06
Right
.
Speaker 2
14:07
And
sometimes
I
find
someone
does
have
something
else
going
on
.
But
because
endometriosis
can
present
in
so
many
different
ways
,
it's
really
easy
for
that
to
just
be
the
scapegoat
.
But
I've
had
plenty
of
patients
come
in
who
also
are
dealing
with
mold
.
Where
they
come
in
they've
got
this
weird
rash
on
their
neck
and
I
asked
them
have
you
been
working
in
a
,
an
office
or
at
home
,
and
is
there
mold
?
Oh
yeah
,
there
was
a
big
water
leak
and
there's
mold
in
my
office
and
you
know
,
this
just
started
.
I
don't
know
what
it
is
and
I
just
assumed
it
was
my
endo
flare
and
really
it's
.
It's
not
their
endo
flare
,
it's
just
their
bodies
battling
something
else
which
quite
frankly
it's
.
It's
like
tipping
the
scale
,
so
much
your
body's
already
,
you
know
,
dealing
with
endometriosis
on
a
regular
basis
.
So
,
to
answer
your
question
,
they
kind
of
blend
together
and
I
don't
plan
sessions
,
it's
you
come
in
that
day
and
I
just
kind
of
see
where
it
takes
me
,
because
if
I
have
a
plan
,
it
just
it
just
falls
apart
.
I
never
know
what's
going
to
happen
.
Speaker 1
15:09
Well
,
I
think
it's
hard
to
plan
with
the
patients
when
you
don't
know
their
whole
history
.
I
think
that's
the
problem
that
a
lot
of
us
get
into
is
,
some
providers
will
have
a
plan
of
how
they're
going
to
treat
or
assess
before
they
even
know
most
of
your
story
or
where
you're
coming
from
and
I
would
assume
you
know
you're
in
Florida
you're
going
to
have
more
mold
issues
than
maybe
some
other
places
.
Right
,
it's
the
nature
of
Florida
,
but
what
are
?
Speaker 1
15:37
some
of
the
challenges
that
you
run
up
against
when
you
have
these
patients
come
in
.
Is
it
believing
that
these
things
could
be
beneficial
,
or
is
it
that
they're
solely
focused
on
endometriosis
,
that
they
don't
want
to
look
at
a
bigger
picture
?
What
are
some
of
those
challenges
that
you
might
come
up
against
in
doing
both
the
pelvic
floor
PT
and
the
functional
medicine
side
?
Speaker 2
16:04
Well
,
the
biggest
challenge
I
have
with
the
functional
medicine
side
is
I
am
somewhat
limited
by
my
PT
license
and
what
I
can
and
cannot
do
,
which
is
always
a
constant
barrier
.
But
I
would
say
the
biggest
limitation
really
is
just
time
how
much
can
I
cover
in
one
session
?
I
have
the
luxury
of
being
an
out-of-network
provider
,
so
I
do
see
my
patients
for
a
full
hour
but
I'm
always
trying
to
pack
in
as
much
as
possible
in
that
one
hour
because
I
just
want
to
continue
to
move
that
patient
along
and
get
them
feeling
better
and
better
.
So
it
is
always
a
challenge
of
what
can
I
fit
in
this
one
session
,
in
this
one
session
.
And
then
the
other
challenges
and
this
is
everybody
who
comes
across
functional
medicine
is
I
cannot
force
the
patient
to
do
the
work
.
Speaker 2
16:51
Functional
medicine
is
all
about
lifestyle
changes
and
choosing
what
goes
in
your
mouth
,
what
is
around
you
,
what
you
choose
to
put
on
your
skin
.
And
that
is
really
difficult
because
I
am
not
going
to
be
there
to
spoon
feed
you
to
.
You
know
,
tell
you
don't
do
this
,
don't
do
that
.
I
try
to
lead
by
example
.
I
,
you
know
I
try
to
have
healthy
foods
in
my
office
and
you
know
I'm
always
like
giving
out
organic
teas
and
things
like
that
,
and
it's
a
fragrance
free
zone
and
I
try
to
do
all
of
these
things
to
lead
by
example
,
but
at
the
end
of
the
day
I
am
not
you
.
I
can
support
you
as
much
as
I
can
,
but
at
the
end
of
the
day
I
can't
force
you
to
do
anything
and
I
think
that
is
a
challenge
.
Speaker 2
17:43
And
as
a
provider
,
we
also
have
to
meet
patients
halfway
and
recognize
we
can't
tell
them
to
just
throw
out
every
bad
thing
in
their
pantry
.
We
have
to
start
with
like
little
little
steps
,
baby
steps
that
someone
can
actually
achieve
.
Because
if
you
throw
too
much
at
a
patient
right
off
the
bat
in
this
space
,
it's
really
overwhelming
and
then
they
just
shut
off
completely
.
And
I've
seen
people
who
come
from
other
functional
providers
and
it's
just
too
overwhelming
.
It
was
like
take
these
20
supplements
,
don't
eat
this
,
this
,
this
or
this
,
and
also
throw
out
all
of
this
stuff
that
has
chemicals
and
pesticides
and
parabens
and
it's
just
too
much
at
once
where
it
just
seems
completely
unrealistic
to
somebody
.
Speaker 1
18:31
And
then
they
just
don't
do
it
Right
.
Well
,
and
I
and
I
definitely
can
see
that
,
you
know
,
because
I
think
a
lot
of
people
,
especially
if
you
were
raised
in
the
time
that
I
was
,
where
functional
medicine
was
not
a
thing
,
where
I
was
growing
up
,
it
wasn't
something
that
we
talked
about
,
it
was
very
Western
medicine
related
.
And
so
for
someone
to
come
at
you
full
force
,
get
rid
of
this
,
get
rid
of
that
,
get
rid
of
this
,
do
this
,
do
that
,
do
that
it
automatically
gets
that
defense
mechanism
up
,
and
I
do
think
that
can
have
maybe
some
adverse
effects
to
what
you're
trying
to
overall
accomplish
is
I
think
we
have
to
be
really
careful
about
how
we
say
things
and
how
we
convey
things
,
because
,
although
they
can
be
important
,
if
they're
not
conveyed
properly
can
be
harmful
.
Speaker 2
19:18
Oh
,
totally
,
and
I
come
from
a
disordered
eating
background
.
Speaker 2
19:22
So
when
I
was
in
college
I
struggled
with
anorexia
and
so
I
always
try
to
be
really
careful
when
I'm
telling
patients
how
to
change
the
way
that
they
eat
,
because
you
don't
want
it
to
come
off
as
really
restrictive
,
where
you're
sending
someone
down
that
path
where
they
may
end
up
looking
at
everything
and
feel
like
they
can't
eat
anything
and
then
they're
not
eating
anything
.
Speaker 2
19:46
Because
I
do
,
unfortunately
,
see
a
lot
of
disordered
eating
patterns
in
patients
who
have
more
autoimmune
and
you
know
many
conditions
where
they
they
have
reactions
to
certain
foods
,
where
they
can't
have
gluten
or
dairy
or
or
high
oxalate
foods
and
all
of
this
.
And
when
you
tell
people
you
can't
have
this
,
this
,
this
or
this
,
you
have
to
keep
in
mind
how
restrictive
that
is
and
it
can
lead
some
people
to
some
very
disordered
eating
patterns
.
I'm
very
mindful
of
that
because
I
struggle
with
that
myself
and
so
when
I
have
patients
I
don't
just
start
from
scratch
and
like
start
all
over
and
say
,
don't
eat
any
of
that
.
To
me
that's
very
triggering
to
my
brain
and
how
we
should
look
at
food
and
,
I
think
,
our
environments
too
.
Speaker 1
20:32
You
know
,
we
think
about
what's
in
the
air
and
what
we're
putting
in
our
house
and
the
things
that
we're
cleaning
with
and
how
that
can
have
an
effect
on
us
.
And
,
yes
,
I
think
that
we're
more
aware
of
that
now
than
we
ever
have
been
.
But
I
do
think
that
we
companies
are
getting
trickier
with
how
they
present
things
too
,
so
it
gets
a
little
overwhelming
to
look
at
every
little
thing
.
So
making
sure
that
we
can
look
at
things
from
an
overall
health
perspective
is
so
helpful
.
When
you're
talking
to
your
patients
about
all
of
these
things
and
how
they
correlate
with
endometriosis
,
how
do
you
convey
that
?
How
do
you
convey
that
maybe
the
scents
that
are
in
your
house
or
the
foods
that
you're
eating
could
be
contributing
to
the
endometriosis
symptoms
?
Speaker 2
21:19
I
always
like
to
describe
endometriosis
as
an
inflammatory
condition
.
Speaker 2
21:23
I
think
that
,
to
me
,
helps
patients
understand
more
of
how
all
of
these
things
interconnect
,
and
that's
why
I
do
like
the
shift
in
our
prior
definition
of
endometriosis
Now
that
it's
not
so
uterus
focused
.
Speaker 2
21:37
I
do
like
that
it's
more
of
an
inflammatory
full
body
focus
,
so
that
you
can
really
wrap
all
of
this
together
and
say
you
know
,
I
know
that
this
may
not
seem
related
,
but
it's
one
more
thing
that's
inflaming
your
system
,
and
when
this
inflammation
gets
to
a
certain
point
,
that's
when
you're
going
to
be
more
symptomatic
,
you're
going
to
have
a
lot
more
pain
,
and
so
if
we
can
just
lower
all
of
these
different
inputs
to
this
overall
level
of
inflammation
,
we
can
get
it
a
little
bit
lower
where
you
start
to
feel
that
that
difference
and
I
think
that's
that
makes
a
lot
more
sense
to
people
when
you
think
of
it
more
of
of
like
you
only
have
so
much
in
that
cup
before
it
overflows
.
And
if
you
have
so
much
inflammation
coming
from
the
foods
that
you're
choosing
to
eat
and
the
toxins
that
you
fill
your
home
with
,
you've
already
got
this
endometrial
process
that's
creating
a
little
bit
of
inflammation
.
Speaker 2
22:37
You're
going
to
overfill
that
cup
and
you're
going
to
have
more
symptoms
.
We're
not
going
to
make
the
endometriosis
go
away
by
controlling
all
of
these
other
things
,
but
we
can
at
least
lower
that
overall
level
of
inflammation
.
Individualized Approach to Nutrition and Supplements
Speaker 1
22:51
Do
you
see
some
of
the
patients
that
have
that
are
in
major
flare-ups
,
really
struggling
to
get
out
of
bed
,
who
are
struggling
to
just
function
in
life
?
Do
you
feel
like
if
you
,
if
they
apply
some
of
these
things
to
kind
of
deescalate
maybe
their
system
being
overwhelmed
,
you're
seeing
a
significant
improvement
on
symptoms
?
Speaker 2
23:13
Some
patients
it's
pretty
quick
.
For
example
,
I
have
a
patient
who
actually
struggles
with
more
disordered
eating
.
So
when
we
were
navigating
food
that
was
something
we
really
had
to
think
about
.
But
when
we
started
to
eliminate
gluten
from
her
diet
and
minimizing
dairy
very
specific
dairy
she
can
have
it
was
pretty
immediate
the
improvement
.
She
could
tell
that
it
was
impacting
her
symptoms
.
But
I
always
tell
people
it
is
not
the
same
for
everybody
.
Not
everybody
with
endometriosis
needs
to
stop
eating
gluten
and
stop
having
dairy
.
Speaker 2
23:49
There
are
a
lot
of
nutritional
benefits
to
whole
grains
and
dairy
products
.
So
you
have
to
kind
of
figure
out
what
is
the
benefit
and
what
are
the
cons
to
it
.
For
some
patients
they
get
so
much
benefit
from
it
that
you
can
get
those
same
nutrients
through
other
foods
where
it's
just
more
beneficial
to
just
remove
it
and
substitute
it
with
something
else
.
But
sometimes
you
see
immediate
improvements
.
Speaker 2
24:16
Today
I
had
someone
on
day
three
of
their
period
come
in
and
just
doing
the
visceral
work
to
her
uterus
and
her
ovaries
and
the
fascia
and
the
abdomen
.
She
walked
out
and
was
like
I
feel
so
much
better
already
and
that's
without
any
kind
of
take
the
supplement
,
do
this
,
do
that
.
That's
just
by
improving
blood
flow
,
trying
to
lower
inflammation
in
that
area
.
Uh
,
we
did
some
nervous
system
exercises
in
the
office
.
You
know
,
just
just
looking
at
the
entire
body
and
what
can
I
do
to
just
calm
down
the
system
and
this
inflammation
?
So
sometimes
it's
immediate
improvements
.
But
some
patients
are
tricky
and
you
have
to
keep
diving
and
digging
for
different
solutions
.
I
had
one
patient
cinnamon
was
really
causing
issues
with
their
symptoms
and
I
still
am
like
why
was
that
the
case
?
But
you
just
never
know
with
individuals
what
works
for
them
and
what
doesn't
,
until
you
try
it
.
There
is
no
list
that
says
,
oh
,
these
are
all
,
the
,
all
the
foods
that
bother
patients
with
endo
.
Speaker 1
25:20
Yeah
,
it's
so
different
for
everyone
.
I
mean
,
it's
interesting
,
just
like
sitting
down
with
a
bunch
of
my
friends
that
have
endo
and
all
of
us
are
different
in
what
we
can
eat
,
like
some
have
some
similarities
,
and
then
other
people
like
myself
and
I've
said
this
so
many
times
I
feel
like
a
broken
record
,
but
like
beef
and
eggs
for
me
for
some
reason
have
become
very
challenging
to
eat
and
I
have
a
response
.
But
gluten
I
have
no
issues
with
,
you
know
.
So
it's
really
interesting
.
And
then
other
friends
who
are
like
I
know
it
,
gluten's
my
issue
,
I
can't
have
it
.
So
everyone
is
so
individualized
.
I
feel
like
when
you're
looking
at
doing
functional
medicine
as
a
support
tool
for
yourself
,
looking
at
someone
that's
not
going
to
pinhole
you
in
a
specific
group
or
this
is
what
I
do
for
every
patient
that
comes
in
someone
that's
going
to
look
at
you
individually
and
say
what
is
it
that
we
can
help
you
with
?
As
you
know
,
that's
key
.
Speaker 2
26:15
And
I
would
say
the
three
main
ones
tend
to
be
,
you
know
,
the
dairy
,
the
gluten
,
the
red
meat
.
Speaker 2
26:20
But
it's
not
the
story
for
everyone
and
I
also
tend
to
be
more
in
the
camp
of
I
don't
like
to
do
food
sensitivity
testing
.
Number
one
I
think
it's
really
expensive
,
yeah
.
And
number
two
if
someone
has
a
leaky
gut
scenario
where
almost
everything
is
inflaming
them
,
sometimes
everything
that
pops
up
on
that
test
is
everything
that
they've
been
eating
,
and
then
once
again
we
end
up
at
that
test
is
everything
that
they've
been
eating
,
and
then
once
again
we
end
up
at
that
scenario
where
that
patient
feels
like
they
can't
eat
anything
and
then
it
leads
to
really
disordered
eating
patterns
.
So
I
personally
like
to
just
eliminate
for
a
little
bit
and
incorporate
other
foods
that
still
work
.
So
you
still
feel
like
you're
adding
,
you're
not
just
always
taking
away
,
and
then
I
just
see
how
someone's
symptoms
are
.
I
find
that's
a
lot
easier
and
more
cost
effective
for
patients
,
because
I
don't
want
them
spending
$300
on
a
food
sensitivity
test
and
then
they
look
at
it
and
I'm
like
,
oh
,
I
don't
really
know
,
yeah
.
Speaker 2
27:20
I
don't
really
agree
with
this
.
Speaker 1
27:22
Yeah
,
I
feel
like
I've
heard
a
lot
of
people
say
that
it's
not
overly
accurate
most
of
the
time
,
so
it's
a
great
perspective
to
have
on
it
.
When
you
talk
about
supplements
,
what
is
your
approach
with
supplements
and
how
can
they
help
certain
people
,
specifically
with
endometriosis
,
because
I
know
some
patients
are
really
sensitive
to
supplements
.
I
myself
am
not
great
with
supplements
due
to
kidney
issues
and
things
like
that
,
being
aware
that
you
know
I
can't
take
a
lot
of
supplements
.
What
are
some
benefits
of
supplements
and
how
do
you
approach
that
?
Speaker 2
27:53
I
would
say
the
benefits
really
is
that
we
unfortunately
live
in
a
world
where
our
foods
just
don't
have
the
same
nutrients
,
vitamins
,
minerals
in
it
that
they
did
before
.
You
know
,
a
lot
of
things
are
being
bleached
from
the
soils
and
our
plants
don't
have
what
they
used
to
have
.
So
for
some
patients
it's
really
a
struggle
to
get
what
they
need
from
their
foods
,
or
they
don't
like
a
lot
of
foods
that
have
what
they
need
,
so
now
they're
really
struggling
to
get
what
they
need
.
So
,
like
a
good
one
is
iron
right
.
So
because
of
the
heavy
bleeding
,
a
lot
of
patients
really
struggle
to
get
iron
,
and
not
everybody
likes
the
foods
that
are
really
high
in
iron
,
right
.
You
think
of
all
those
like
organ
meats
and
red
meat
,
all
of
that
.
A
lot
of
people
.
It's
extremely
off-putting
,
they're
not
really
feeling
like
eating
it
when
they
need
it
anyways
,
and
so
they
just
don't
get
enough
of
it
in
their
foods
.
Because
I
always
tell
people
I
want
it
from
food
when
possible
.
I
would
much
rather
someone
get
it
through
food
than
take
it
through
a
supplement
.
But
it's
not
always
possible
,
and
not
only
with
that
,
but
the
form
of
the
supplement
can
make
a
big
difference
for
some
people
.
Speaker 2
29:10
I
think
a
lot
of
people
struggle
with
swallowing
a
lot
of
capsules
,
and
not
only
that
.
I
don't
think
there's
always
a
lot
of
clarity
in
when
to
take
supplements
,
which
ones
should
be
with
food
,
which
ones
should
be
on
an
empty
stomach
,
and
it
just
makes
it
really
complicated
Because
,
like
there's
some
that
just
don't
usually
go
well
with
patients
when
it's
on
an
empty
stomach
,
right
?
For
example
,
some
of
my
patients
,
when
they're
doing
like
a
high
dose
turmeric
,
they
get
so
much
GI
distress
if
they
don't
have
food
in
their
system
,
but
they
don't
always
know
when
they
should
take
it
.
And
so
I
use
an
online
little
pharmacy
,
I
use
full
script
for
my
patients
where
I
can
write
in
with
every
supplement
take
this
with
food
,
make
sure
this
is
on
an
empty
stomach
,
take
this
in
the
morning
.
I
try
to
be
very
clear
about
when
to
take
it
and
I
also
make
sure
that
you're
not
adding
it
all
at
once
.
You're
starting
with
one
.
Start
for
a
few
days
,
then
see
how
you
feel
,
make
sure
you're
tolerating
it
.
And
then
I'm
usually
asking
do
you
prefer
liquid
,
do
you
prefer
powder
?
What
do
you
prefer
?
Because
for
some
people
they
just
do
better
with
different
forms
.
Some
people
are
very
sensitive
to
the
capsules
themselves
.
Some
people
don't
do
as
well
with
the
herby
approaches
,
and
I
think
that's
what's
so
cool
is
you
could
have
someone
who
has
elevated
cortisol
and
you
could
either
do
like
an
herbal
approach
or
you
can
do
you
know
,
some
food
approaches
,
some
nervous
system
approaches
.
There's
different
ways
that
you
can
tackle
it
,
Because
the
last
thing
I
want
is
for
someone
to
be
taking
like
50
supplements
a
day
.
Speaker 2
30:41
That's
just
too
much
.
That's
just
too
much
,
I
know
,
for
me
.
I
gosh
,
I'm
a
functional
medicine
provider
.
I
don't
even
take
that
many
a
day
because
I
recognize
that
,
yes
,
some
things
I
may
need
for
a
short
period
of
time
to
get
back
on
track
,
but
my
goal
is
that
,
with
proper
nutrition
I'm
,
I
only
need
to
be
on
a
few
things
every
day
.
Right
,
and
I
think
there's
a
lot
of
people
who
have
seen
a
provider
and
then
they're
not
seeing
them
anymore
,
but
they're
still
taking
the
same
things
and
I
don't
ever
see
them
testing
their
blood
work
to
see
if
they're
good
and
they
can
get
off
of
it
,
because
everything
has
a
good
level
where
it
should
be
,
even
vitamin
D
.
We
all
love
vitamin
D
,
but
even
vitamin
D
too
much
of
it
is
not
a
good
thing
,
too
little
,
of
it's
not
a
good
thing
.
Speaker 2
31:30
So
,
I
see
patients
supplementing
with
5,000
,
10,000
IUs
forever
,
and
now
their
vitamin
D
is
really
,
really
,
really
high
.
So
I'm
always
a
big
fan
of
like
testing
,
not
gassing
.
If
you're
taking
supplements
,
you
want
to
make
sure
that
it's
doing
what
it's
supposed
to
.
Your
levels
are
actually
getting
better
.
Speaker 1
31:49
Right
.
Just
because
it's
,
you
know
,
says
it's
natural
,
doesn't
mean
it's
ineffective
or
that
you
can
take
as
much
as
you
want
,
because
it
is
going
to
do
something
and
they
can
have
adverse
reactions
when
they
combine
within
your
system
.
And
I
mean
,
I
think
we
have
to
be
so
aware
of
what
we
are
putting
in
our
bodies
across
the
board
and
having
someone
there
to
kind
of
help
you
navigate
,
that
,
if
that's
the
route
that
you
choose
to
go
,
you
don't
want
to
just
throw
everything
in
your
system
,
especially
,
I
would
say
,
with
endometriosis
,
because
we
tend
to
be
highly
sensitive
to
a
lot
of
different
things
,
especially
if
we're
in
a
more
heightened
state
of
inflammation
or
anything
else
.
At
least
,
that's
been
my
experience
with
talking
to
people
that
are
in
functional
medicine
and
that
I've
seen
in
myself
is
that
we
tend
to
be
really
sensitive
to
what
we
put
in
our
bodies
.
Speaker 2
32:42
Yeah
,
and
honestly
,
usually
my
endometriosis
patients
have
to
start
on
a
much
lower
dose
than
you
typically
would
for
other
patients
because
they
are
more
sensitive
,
and
it's
the
same
for
whether
that
means
medications
or
hormones
or
supplements
.
Really
,
you
have
to
start
low
and
then
slowly
build
up
,
because
you
just
have
to
make
sure
that
person
is
tolerating
it
in
the
first
place
,
and
that's
why
I
do
like
to
try
to
get
it
through
food
if
possible
.
But
you'll
also
see
patients
who
suddenly
just
aren't
tolerating
certain
foods
,
and
that's
when
you
really
have
to
think
really
hard
about
what
specific
foods
are
bothering
them
.
Is
there
a
histamine
reaction
going
on
?
Is
it
they're
just
sensitive
to
that
specific
food
?
Is
their
nervous
system
so
upregulated
and
so
,
in
that
sympathetic
fight
or
flight
response
,
that
they're
just
not
digesting
in
general
?
So
there's
a
lot
of
really
deep
thinking
that
you
have
to
do
when
you
have
someone
in
front
of
you
who
really
isn't
tolerating
a
whole
lot
.
Speaker 1
33:42
Right
,
I
feel
like
that's
such
a
tricky
thing
for
those
of
us
with
endometriosis
because
I
know
for
me
it's
easy
to
just
jump
into
.
These
are
endo
pains
or
this
is
endo
related
and
it's
not
,
you
know
,
and
you
mentioned
that
before
,
and
a
lot
goes
into
it
being
a
whole
body
system
,
whole
body
thing
.
It's
not
just
a
reproductive
disorder
from
that
perspective
.
So
it's
a
good
reminder
to
look
at
it
at
a
holistic
standpoint
as
well
and
not
just
rush
into
it
.
Speaker 2
34:14
You
really
have
to
stop
and
say
how
do
I
feel
and
what
do
I
need
.
If
you
feel
like
you're
having
a
flare
,
you
first
want
to
ask
like
,
but
how
do
I
feel
?
Like
,
do
I
feel
really
stressed
?
Maybe
what
I
need
is
to
focus
on
my
stress
and
,
you
know
,
put
more
in
my
day
.
That
really
makes
me
feel
more
at
peace
.
Maybe
just
looking
outside
or
laying
outside
,
being
in
nature
it's
so
easy
to
just
say
,
oh
,
I'm
just
having
another
one
of
my
flares
and
leaving
it
at
that
.
But
I
try
to
put
more
power
in
my
patience
of
no
,
like
you
can
do
certain
things
.
Speaker 2
34:54
There's
always
something
that
we
can
look
at
to
say
well
,
what
do
I
need
at
this
point
in
time
?
Do
I
need
to
rest
,
like
maybe
I
just
need
to
actually
rest
and
slow
things
down
?
Or
do
I
need
to
rest
Like
,
maybe
I
just
need
to
actually
rest
and
slow
things
down
?
Or
do
I
need
to
focus
more
on
what
I've
been
eating
?
Have
I
not
had
any
protein
recently
?
Speaker 2
35:11
And
maybe
that's
why
I
feel
this
way
,
because
they've
done
a
lot
of
research
where
patients
with
endometriosis
they
just
need
more
and
more
nutrition
.
Speaker 2
35:18
Yeah
,
their
body's
going
through
so
much
,
they
need
more
.
And
when
you
think
of
it
that
way
,
sometimes
when
we
stop
and
think
about
why
we
feel
the
way
we
feel
,
it's
like
,
oh
my
gosh
,
you
know
,
I
only
had
20
grams
of
protein
this
whole
day
and
maybe
that's
what
I
need
.
And
I
think
it's
a
little
bit
more
empowering
when
you
put
it
that
way
Because
it's
something
you
can
do
.
You
can
say
,
yes
,
I
can
just
really
,
I
can
get
more
protein
,
I
can
do
that
.
But
when
you
always
blame
endo
as
a
whole
,
you
almost
feel
more
powerless
,
you
know
,
and
more
defeated
,
like
,
oh
well
,
I
can't
do
anything
about
that
.
And
that's
where
I
like
to
reframe
it
Specifically
.
If
I'm
prepping
one
of
my
patients
for
surgery
,
if
they
have
both
of
those
things
they're
about
to
have
their
endo
excision
and
now
they're
empowered
and
they
know
how
to
nourish
their
bodies
and
take
care
of
their
bodies
I
am
more
confident
that
they're
going
to
come
out
of
surgery
feeling
really
good
.
Speaker 1
36:14
Right
,
and
I
would
say
post-operatively
,
it's
just
as
important
.
So
,
like
going
through
surgical
menopause
,
making
sure
that
I'm
getting
my
protein
is
just
as
important
as
it
was
prior
to
surgery
,
and
sometimes
even
more
so
,
because
when
you're
at
a
deficit
with
your
hormones
,
it's
been
proven
that
it
can
decrease
your
muscle
mass
and
your
bone
density
.
So
we
have
to
be
so
aware
of
the
food
that
we're
putting
in
to
make
sure
that
our
bodies
can
help
support
what
we're
going
Empowering Women With Endometriosis
Speaker 1
36:45
through
.
I
have
found
that
struggle
post-surgery
,
post-hysterectomy
to
be
the
case
,
not
just
prior
to
surgery
.
Speaker 2
36:53
Yeah
,
and
I
work
with
a
lot
of
post-menopausal
women
where
they're
really
struggling
.
And
when
we
look
at
how
is
your
sleep
and
how
much
protein
are
you
getting
,
what
does
your
nutrition
look
like
?
There's
other
factors
there
as
to
why
they
don't
feel
good
.
We
can't
just
blame
it
on
the
hormones
,
right
,
but
we
have
to
recognize
that
the
hormones
improve
when
we
improve
other
areas
.
So
when
our
stress
levels
are
really
high
cortisol
,
our
stress
hormone
it
has
the
same
precursor
to
our
sex
hormones
,
and
not
only
that
,
but
you
see
these
women
trying
to
build
muscle
and
really
just
working
so
hard
,
but
they
don't
have
any
protein
in
their
systems
to
even
do
that
.
So
we
really
have
to
take
this
like
really
big
approach
,
for
how
do
we
optimize
everything
to
get
someone
to
their
goals
,
whether
that's
someone
who's
postmenopausal
or
someone
who
had
surgery
and
now
no
longer
has
their
ovaries
to
help
support
that
?
And
you
know
hormones
is
a
whole
different
topic
so
different
.
Speaker 2
37:57
Yeah
,
but
I
mean
postoperatively
.
It's
so
important
to
just
start
with
the
basics
.
And
am
I
getting
the
proteins
,
fats
,
carbs
that
I
need
,
and
are
they
really
good
sources
that
I'm
getting
them
from
?
You
know
,
we
don't
have
to
make
it
super
complicated
.
It's
like
when
people
ask
me
,
well
,
what's
your
favorite
gluten-free
pasta
?
And
I
always
hold
up
a
spaghetti
squash
,
I'm
like
this
is
my
favorite
.
I
don't
get
all
the
.
You
know
I
don't
have
to
get
fancy
and
like
make
my
own
gluten-free
pasta
or
buy
like
a
gluten-free
pasta
that
someone
else
has
made
.
I
just
turn
towards
foods
that
naturally
don't
have
gluten
in
it
,
because
I
personally
can't
do
gluten
.
Speaker 1
38:40
It
turns
me
up
.
Speaker 2
38:41
But
people
are
always
shocked
when
I
say
that
and
they're
like
oh
,
that
doesn't
count
.
And
I'm
like
why
not
it
should
?
I
mean
,
it
looks
like
spaghetti
.
Speaker 1
38:48
Yeah
,
and
it's
quite
delicious
,
honestly
.
Speaker 2
38:52
Yeah
,
I
love
it
.
I
do
too
.
I
get
more
than
pasta
.
Speaker 1
39:02
I
kind
of
do
too
.
I
love
spaghetti
squash
.
What
are
some
of
your
successes
in
doing
this
?
Because
you
wouldn't
be
doing
this
if
you
didn't
see
some
success
in
what
you're
doing
.
What
are
some
that
you're
seeing
?
Speaker 2
39:08
Well
,
number
one
,
I
think
,
as
a
pelvic
floor
provider
.
I'm
not
a
pelvic
floor
provider
.
I
have
a
responsibility
to
connect
people
with
who
they
need
to
be
connected
with
,
and
that's
why
I
was
so
thankful
to
be
invited
to
the
endo
summit
,
because
I
met
a
lot
of
really
great
surgeons
and
that's
what
I
was
missing
.
In
my
referral
team
,
I
was
getting
patients
who
were
improving
,
they
were
seeing
improvements
in
their
symptoms
,
they
were
coming
to
sessions
and
they're
like
I'm
feeling
a
lot
better
.
I
feel
so
much
better
after
I
leave
your
office
,
but
at
the
end
of
the
day
,
I'm
not
making
the
end
to
go
away
Right
.
Speaker 2
39:40
And
for
some
of
my
patients
,
their
quality
of
life
is
so
poor
,
their
endometriosis
is
so
severe
or
they
have
endo
and
adenomyosis
Right
when
I
have
to
recognize
that
I
am
not
the
hero
in
this
story
and
they
may
need
surgical
intervention
the
hero
in
this
story
and
they
may
need
surgical
intervention
.
Speaker 2
39:58
And
a
lot
of
the
patients
I
see
they're
those
patients
that
have
just
had
ablation
after
ablation
,
after
ablation
,
and
I'm
usually
the
first
person
to
say
you
know
,
there
are
these
surgeons
that
specialize
in
endometriosis
and
that's
like
all
they
do
.
And
if
we
work
together
,
I
think
we
can
give
you
a
really
good
quality
of
life
and
get
you
closer
to
some
of
your
goals
.
And
for
we
work
together
,
I
think
we
can
give
you
a
really
good
quality
of
life
and
get
you
closer
to
some
of
your
goals
.
And
for
a
lot
of
those
patients
they
always
say
like
,
oh
my
gosh
,
you
saved
my
life
,
connecting
me
to
this
person
and
helping
me
understand
my
body
more
and
what
this
disease
is
,
because
there
still
is
so
much
wrong
about
what
is
out
there
on
endo
much
wrong
about
what
is
out
there
on
endo
.
Speaker 2
40:41
And
we're
still
having
to
weed
through
what
is
true
and
what
isn't
,
and
I
think
that's
the
most
rewarding
thing
is
just
empowering
these
women
and
helping
them
understand
it
a
little
bit
more
and
feeling
like
they
have
more
power
.
My
mom
and
my
grandmother
both
have
endometriosis
.
I
don't
know
if
I
have
it
.
My
mom
didn't
know
she
had
it
until
she
was
struggling
to
conceive
and
that's
when
they
found
it
and
you
know
they
surgically
removed
it
,
did
IVF
and
you
know
,
here
I
came
with
my
brother
and
sister
who
were
IVF
triplets
.
Speaker 1
41:14
Oh
my
gosh
,
really
.
Oh
my
goodness
,
that's
crazy
.
Speaker 2
41:20
IVF
triplets
.
Oh
my
gosh
,
really
.
Oh
my
goodness
,
that's
crazy
,
yeah
.
So
you
know
,
in
the
back
of
my
mind
,
after
working
with
all
these
patients
,
I'm
always
like
is
that
going
to
be
my
story
?
Am
I
going
to
struggle
with
fertility
and
then
find
out
I
have
endo
as
well
?
But
for
me
,
I
see
it
as
a
as
an
empowerment
thing
.
I'm
going
to
work
on
my
nutrition
,
I'm
going
to
limit
toxins
,
I'm
going
to
manage
my
stress
.
I'm
going
to
do
all
of
these
things
that
I
can't
do
because
that's
in
my
in
my
power
to
do
so
.
I
can't
,
at
the
end
of
the
day
,
control
whether
I
have
it
or
not
.
You
know
,
we'll
find
out
if
I
struggle
.
But
I
think
when
you
go
from
there
saying
that
you
have
the
ability
to
kind
of
make
things
a
little
bit
better
,
I
just
think
it's
more
empowering
.
Yeah
,
not
too
depressing
.
Speaker 1
42:01
Yeah
,
no
,
that's
so
true
.
I
mean
,
that
approach
is
a
really
good
way
of
looking
at
it
You're
controlling
what
you
can
control
and
getting
the
help
and
resources
for
the
things
you
can't
control
.
That's
a
really
great
perspective
to
have
on
how
functional
medicine
and
Western
medicine
and
pelvic
floor
PT
can
really
work
well
together
.
Speaker 2
42:24
Yeah
,
and
it's
crazy
when
a
patient
has
been
in
that
mindset
where
everything
is
blamed
on
their
endo
.
And
let's
say
,
they
come
into
my
office
and
they
have
extreme
urinary
frequency
.
Speaker 2
42:36
They
feel
like
they
have
to
go
to
the
bathroom
all
the
time
.
And
then
we
work
on
their
pelvic
floor
and
say
,
hey
,
you
know
,
when
the
pelvic
floor
muscles
are
really
tight
,
it
refers
to
where
your
bladder
is
and
it
feels
like
pressure
and
it's
going
to
make
you
feel
like
you
have
to
pee
,
even
though
you
don't
have
to
pee
.
So
what
we're
going
to
do
is
we're
going
to
calm
down
this
pelvic
floor
tension
and
it's
going
to
make
your
bladder
symptoms
better
.
And
then
,
when
they
see
their
bladder
symptoms
start
to
get
better
,
it's
like
maybe
it's
not
all
my
endo
Cause
I
think
a
lot
of
patients
are
like
,
oh
,
I
have
to
pee
all
the
time
.
I
have
leakage
,
I
have
this
,
it
must
be
.
Endo
is
on
my
bladder
.
Speaker 2
43:13
And
when
you
get
in
that
mindset
it's
not
going
to
go
away
unless
you
surgically
remove
it
.
And
because
of
that
a
lot
of
patients
don't
seek
out
pelvic
floor
therapy
.
They
don't
think
of
it
as
oh
well
,
if
I
work
on
my
pelvic
floor
,
maybe
that
symptom
will
get
better
.
Or
,
you
know
well
,
maybe
if
I
work
on
my
digestive
health
,
maybe
my
bloating
will
actually
get
a
little
bit
better
.
Speaker 2
43:35
So
I
think
the
way
that
we
think
about
things
can
really
reframe
how
hopeful
you
can
feel
,
but
hopeful
in
a
good
way
,
not
overly
hopeful
where
it's
like
hi
,
I'm
Dr
Y
,
I'm
going
to
make
your
ender
go
away
,
but
hopeful
in
a
sense
.
We're
like
okay
,
I
think
I
can
get
better
.
I
may
not
be
100%
at
the
end
of
this
,
but
I
think
I
can
improve
my
quality
of
life
and
feel
more
in
control
of
my
symptoms
,
and
that's
more
the
narrative
that
I
try
to
give
my
patients
is
I
want
you
to
see
how
did
you
feel
when
we
focus
on
nutrition
and
we
focus
on
getting
more
of
those
good
sources
of
protein
,
iron
,
all
of
that
before
you
started
your
period
.
How
did
that
period
go
?
And
for
a
lot
of
people
they're
like
you
know
what
?
Yeah
,
it
was
better
,
it
was
a
lot
better
and
it's
just
more
empowering
that
way
to
think
about
it
.
Speaker 1
44:28
Yeah
,
it's
so
true
.
I
wish
you
know
.
I
look
at
my
story
and
I
didn't
really
know
much
about
pelvic
floor
PT
prior
to
my
surgery
.
I
wish
I
would
have
had
it
prior
to
my
surgery
,
not
just
after
my
surgery
,
and
it
was
really
,
honestly
,
the
reason
I
went
.
I
didn't
think
I
needed
to
go
.
I
didn't
think
it
was
like
an
exclusive
offer
have
surgery
,
get
pelvic
floor
PT
.
It
was
like
I
felt
like
it
was
like
if
you
need
it
,
but
I
would
say
almost
all
endo
patients
need
a
pelvic
floor
PT
.
I'm
glad
that
I
have
found
someone
that
has
been
on
my
side
for
that
and
has
helped
me
through
a
lot
of
it
.
Navigating Endometriosis Treatment Challenges
Speaker 1
45:06
And
I
was
in
a
lot
of
pain
,
even
postoperatively
,
and
I
was
like
was
this
a
success
?
I
knew
it
was
.
I
was
better
than
I
was
before
,
but
I
was
still
in
a
lot
of
pain
,
like
walking
was
hard
,
sleeping
was
hard
because
we
put
so
much
stress
on
that
.
And
then
I
would
say
,
because
of
that
,
when
I
started
getting
help
for
my
pelvic
floor
,
I
noticed
my
stress
going
down
.
I
noticed
my
ability
to
eat
better
.
I
noticed
I
was
able
to
have
better
clarity
within
my
thought
process
.
I
think
you
have
such
a
great
balance
of
working
with
so
many
different
people
,
as
well
as
your
own
skill
set
to
help
people
kind
of
navigate
the
ins
and
outs
of
this
journey
,
because
it's
not
linear
at
all
.
Speaker 2
45:47
Your
story
as
far
as
how
you
felt
after
surgery
is
something
that
I
hear
all
the
time
,
where
everybody
has
that
oh
no
moment
where
they're
like
,
oh
,
oh
,
my
gosh
,
did
I
make
the
right
decision
?
And
to
have
a
professional
at
the
end
of
it
to
say
,
yes
,
you're
going
to
be
okay
,
but
we
still
have
you've
had
surgery
.
Like
it's
normal
to
have
rehab
after
you've
had
surgery
.
We're
going
to
work
on
the
scars
.
We're
going
to
work
on
your
pelvic
floor
because
it's
it's
really
tight
.
We're
going
to
work
on
your
pelvic
floor
because
it's
really
tight
.
We're
going
to
work
on
your
nervous
system
.
We're
going
to
try
to
optimize
your
nutrition
.
Speaker 2
46:20
Now
,
when
you
have
someone
who
says
you
just
had
surgery
,
this
is
just
your
rehab
for
surgery
,
you're
going
to
be
okay
,
it
immediately
takes
the
weight
off
your
shoulders
and
that
,
a
lot
of
times
,
will
already
get
you
feeling
better
Because
you're
not
having
this
.
Oh
my
God
,
did
I
make
the
right
decision
viewpoint
where
you've
got
someone
who's
supporting
you
and
saying
,
yes
,
you
did
the
right
thing
?
We're
going
to
keep
pushing
you
to
get
better
?
Right
,
it's
just
there's
more
hope
there
and
overall
,
it's
just
so
much
better
for
our
nervous
systems
to
have
someone
on
our
side
to
support
us
,
instead
of
feeling
like
you're
all
alone
and
you're
like
,
oh
my
God
,
I
don't
know
.
Speaker 1
47:02
I
don't
know
what
to
do
.
I
don't
know
if
I
made
the
right
decision
.
Yeah
,
I
love
that
you're
able
to
bring
the
functional
medicine
side
of
things
into
this
in
a
way
that's
not
threatening
to
people
.
It's
a
way
of
supporting
their
system
.
It's
a
way
of
supporting
their
bodies
and
their
healing
and
their
overall
health
,
not
as
a
curative
measure
,
and
I
think
that's
so
important
,
because
I
think
in
the
endometriosis
community
we
see
a
lot
of
functional
medicine
being
relayed
as
a
curative
measure
or
it
can
solve
all
your
issues
.
It
can
solve
every
little
thing
that
you
have
.
You
don't
need
to
see
anyone
else
when
that's
just
not
simply
the
case
.
As
we've
said
before
,
it's
a
very
complex
thing
.
So
I
love
that
you
are
conveying
that
message
in
a
supportive
effort
,
not
in
a
curative
effort
.
Speaker 2
47:44
And
that's
when
my
flag
goes
up
,
when
I
see
someone
saying
that
it
will
cure
it
oh
,
if
you
do
this
program
with
me
for
$15,000
,
it
will
make
it
go
away
,
right
,
that's
when
my
flag
goes
up
and
I'm
like
okay
,
what
,
what
are
they
doing
?
Are
they
doing
surgery
and
functional
medicine
together
?
Speaker 1
48:04
Are
they
?
Speaker 2
48:05
you
know
,
because
it's
so
easy
when
you're
someone
in
pain
to
see
that
and
just
think
,
oh
my
gosh
,
this
is
what
I
need
.
And
I
always
tell
people
you
should
always
be
a
little
cautious
if
it
seems
outrageously
priced
,
because
you
see
a
lot
of
things
out
there
that
are
just
so
expensive
and
that's
why
when
people
ask
me
,
do
you
charge
two
different
?
No
,
I
understand
that
functional
medicine
can
be
very
expensive
,
but
I
just
interweave
it
into
sessions
because
I
want
it
to
be
affordable
and
it
shouldn't
be
this
unattainable
thing
that
has
to
cost
so
much
money
.
But
yeah
,
especially
with
social
media
now
and
like
different
health
coaches
and
individuals
popping
up
,
you
do
have
to
be
more
careful
.
Now
I
find
sometimes
I'm
looking
at
people's
profiles
and
I'm
just
trying
to
figure
out
what
their
medical
background
is
and
I
have
no
idea
.
Speaker 1
49:05
Yeah
,
yeah
,
I
feel
that
,
I
feel
that
I
think
it's
good
to
be
aware
and
do
your
research
For
sure
.
And
that's
.
Speaker 2
49:13
That's
the
other
thing
too
.
Is
you
always
?
It's
so
hard
to
keep
up
with
research
,
but
you
always
want
someone
who
is
constantly
trying
to
dig
into
it
and
look
at
what
is
changing
and
what's
new
.
And
even
just
from
a
pelvic
floor
therapy
standpoint
,
just
how
we
manage
incontinence
has
changed
dramatically
over
the
past
10
years
,
but
you
wouldn't
know
it
if
you
weren't
involved
in
the
research
,
right
.
But
you
wouldn't
know
it
if
you
weren't
involved
in
the
research
,
right
.
So
it
is
extremely
important
to
always
be
doing
your
due
diligence
as
a
provider
,
to
continue
to
research
and
see
what
else
is
changing
out
there
.
Speaker 1
49:46
Yeah
,
oh
,
that's
so
true
on
so
many
levels
,
you
know
,
and
I
do
look
at
,
like
some
providers
who
I
mean
I
had
a
provider
who
was
very
old
school
and
knew
some
of
the
research
coming
out
but
really
was
stuck
in
what
they
learned
from
the
get-go
,
and
I
think
that
that
is
probably
why
endo
as
a
whole
doesn't
get
as
much
progression
as
we'd
like
within
the
easily
definition
of
the
disease
,
you
know
.
So
I
think
continuing
that
education
and
the
patient
shouldn't
have
to
come
in
and
do
the
education
for
the
provider
,
that's
not
how
it
should
go
and
we
see
that
a
lot
.
Speaker 2
50:24
That's
always
how
it
goes
.
You
know
,
I
always
say
endometriosis
patients
tend
to
be
extremely
educated
about
their
condition
because
they
have
to
be
,
because
their
providers
aren't
.
I
mean
,
I
still
have
a
provider
in
my
town
that's
telling
patients
you
have
to
be
vegan
if
you
want
to
improve
your
endo
.
Speaker 2
50:42
And
although
I'm
happy
he's
at
least
acknowledging
the
fact
that
what
you
eat
can
have
an
influence
,
it's
just
like
I
think
we
need
to
look
at
this
again
.
Yeah
,
so
,
and
it's
hard
because
people
are
like
Brie
,
why
aren't
you
going
to
these
providers
and
trying
to
educate
them
?
And
it's
like
well
,
I
am
.
You
know
,
we
all
are
,
we're
all
trying
to
make
it
just
a
little
bit
better
,
but
it's
a
battle
and
that's
why
it's
great
to
have
like
podcasts
like
this
and
things
like
that
to
help
educate
people
on
good
resources
and
what
is
out
there
that
actually
can
help
improve
symptoms
,
instead
of
the
main
resources
most
people
have
,
which
is
their
OBGYN
,
which
they
may
not
understand
endometriosis
at
all
,
I
mean
,
and
where
I
live
down
here
in
Southwest
Florida
,
pretty
much
every
OBGYN
in
town
it's
like
oh
well
,
birth
control
is
your
only
option
.
Speaker 2
51:38
Send
them
away
and
that
really
is
how
it
is
my
patients
who
have
endo
.
They're
not
referred
from
their
OBGYNs
down
here
.
These
patients
are
finding
me
on
social
media
or
being
referred
to
me
.
So
it's
hard
.
It
puts
a
lot
more
stress
on
the
patient
.
Speaker 1
51:54
For
sure
.
I
see
that
across
the
board
.
That's
been
part
of
my
board
,
that's
been
part
of
my
story
.
It's
been
part
of
I
think
everyone
I
know
has
had
that
part
of
their
story
.
Actually
now
I
think
about
it
,
but
those
are
all
really
impactful
statements
too
.
Is
just
doing
your
research
and
having
a
provider
who
doesn't
settle
at
no
answers
,
that
continues
to
help
you
not
to
reinvent
the
wheel
,
so
to
speak
but
someone
that's
going
to
look
at
it
from
a
holistic
standpoint
,
who's
going
to
look
at
?
Okay
,
are
you
doing
X
,
y
and
Z
to
help
support
your
body
,
or
do
we
need
to
start
maybe
down
here
and
get
you
to
a
place
that
is
more
manageable
,
and
then
we
can
continue
?
I
do
think
that
food
and
lifestyle
make
a
huge
impact
on
our
overall
health
,
but
also
in
our
healing
and
our
continued
journey
with
life
in
our
bodies
.
Especially
for
those
who
are
chronically
ill
,
we
need
all
the
support
we
can
get
.
So
if
you
can
find
someone
that
has
a
good
understanding
of
endometriosis
and
other
modalities
,
that's
going
to
benefit
you
greatly
.
Speaker 2
53:03
Yeah
,
and
definitely
someone
who
you
can
tell
is
not
trying
to
just
make
money
off
of
you
.
Speaker 2
53:09
So
many
of
my
patients
are
always
asking
me
oh
,
like
,
do
I
have
to
pay
to
come
in
to
use
your
red
light
?
Like
,
no
,
like
you
you're
gonna
.
I'm
gonna
just
use
it
while
I'm
doing
all
this
other
stuff
.
I'm
not
trying
to
make
money
off
of
you
,
it's
just
like
this
is
what
makes
you
feel
good
and
helps
relax
you
.
You
know
,
we're
going
to
use
it
during
sessions
.
If
you
want
to
buy
your
own
,
I'm
going
to
show
you
where
you
can
buy
a
really
cost
effective
one
that
is
high
quality
,
because
you
shouldn't
feel
like
that
person's
just
trying
to
make
money
off
of
you
and
it's
sad
that
we
have
to
worry
about
that
,
but
I
do
see
that
a
lot
for
individuals
who
have
chronic
diseases
,
autoimmune
diseases
.
Speaker 1
53:45
Yeah
,
I
love
that
you're
doing
this
.
We
just
need
more
Brie
Whites
in
the
world
.
Speaker 2
53:50
I'm
a
triplet
,
but
not
identical
.
Speaker 1
53:52
Oh
man
,
that's
true
.
I
didn't
put
that
together
,
but
now
that
you
mention
it
,
Before
I
was
like
can
we
clone
you
?
Speaker 2
54:00
I'm
like
,
well
,
actually
.
Speaker 1
54:04
Oh
,
my
goodness
,
that's
so
funny
.
Brie
,
thank
you
so
much
for
taking
the
time
and
just
shedding
some
light
on
this
.
That
I've
always
been
more
curious
about
and
how
to
address
it
from
every
angle
and
looking
at
it
as
a
modality
and
a
piece
of
the
healing
,
not
the
complete
healing
.
So
thank
you
so
much
for
taking
the
time
to
kind
of
just
shed
light
on
this
.
I
appreciate
that
.
Speaker 2
54:31
Yeah
,
thank
you
for
having
me
.
It
was
great
to
reconnect
after
all
these
months
.
Speaker 1
54:35
Yes
,
I
know
I
feel
like
this
is
good
for
me
.
The
podcasts
are
so
good
for
me
because
then
I
get
to
reconnect
with
all
the
people
that
I
meet
at
the
summit
,
and
I
love
it
.
I
love
that
I
get
to
do
that
.
That's
one
of
my
favorite
parts
about
doing
a
podcast
.
Speaker 2
54:49
And
I
love
your
podcast
,
so
thank
you
.
Thank
you
for
doing
all
of
your
hard
work
and
connecting
so
many
people
.
Speaker 1
54:58
I
love
it
.
So
thank
you
for
saying
that
,
thank
you
for
being
part
of
the
connection
and
sitting
down
at
the
table
with
me
and
allowing
people
to
invest
in
this
journey
and
learn
more
and
become
more
educated
,
and
hopefully
they
can
continue
advocating
for
everyone
else
as
well
.
So
thank
you
so
much
and
until
next
time
,
everyone
continue
advocating
for
you
and
for
those
else
as
well
.
So
thank
you
so
much
and
until
next
time
,
everyone
continue
advocating
for
you
and
for
those
that
you
love
.