Send us a text with a question or thought on this episode ( We cannot replay from this link)
What if the key to managing your endometriosis symptoms lies not in restrictive diets but in a compassionate, evidence-based approach to nutrition? Join us on Endo Battery as we welcome Sarah Rae, a registered dietitian with personal experience in endometriosis and adenomyosis, who navigated a challenging healthcare journey filled with painful periods, hormonal treatments, and a path to motherhood that led to a hysterectomy. Sarah’s story highlights the importance of proper excision surgery and her passion for empowering others through personalized nutrition strategies, steering clear of the restrictive fads often found on social media.
Ever wondered about the difference between a nutritionist and a registered dietitian? We break down the rigorous training and accreditation required to become a registered dietitian, emphasizing the crucial role they play in providing evidence-based, personalized advice, especially for managing conditions like endometriosis. Sarah and I discuss the potential hazards of following unverified and restrictive diets, which can do more harm than good, and the importance of consulting with endo-informed professionals to maintain a balanced and healthy relationship with food.
From debunking myths about endometriosis nutrition to offering practical tips for balanced meals, this episode covers it all. We explore the misconceptions surrounding gluten and endometriosis, the importance of intuitive eating, and the role of genetics in managing symptoms. Tune in as we equip you with the knowledge and tools to improve your well-being, embrace your genetic makeup, and foster a positive relationship with food, all while navigating the complexities of endometriosis.
Links
sarahraerdn.com
intuitiveeating.org
icarebetter.com
Find Food Freedom Podcast
https://a.co/d/9TlWhSe
https://a.co/d/71lMskt
Articles
Barnard ND, Holtz DN, Schmidt N, Kolipaka S, Hata E, Sutton M, Znayenko-Miller T, Hazen ND, Cobb C, Kahleova H. Nutrition in the prevention and treatment of endometriosis: A review. Front Nutr. 2023 Feb 17;10:1089891. doi: 10.3389/fnut.2023.1089891. PMID: 36875844; PMCID: PMC9983692.
Influence of diet on the risk of developing endometriosis. Joanna Jurkiewicz-Przondziono, Magdalena Lemm, Anna Kwiatkowska-Pamuła, Ewa Ziółko, Mariusz K. Wójtowicz. DOI: 10.5603/GP.a2017.0017. Ginekol Pol 2017;88(2):96-102.
Marcinkowska, A.; Górnicka, M. The Role of Dietary Fats in the Development and Treatment of Endometriosis. Life 2023, 13, 654. https://doi.org/10.3390/ life13030654
Barnard, N.D., Holtz, D.N., Schmidt, N., Kolipaka, S., Hata, E., Sutton, M., Znayenko-Miller, T., Hazen, N.D., Cobb, C., & Kahleova, H. (2023). Diet associations in endometriosis: a critical narrative assessment with special reference to gluten. Frontiers in Nutrition, 10. https://doi.org/10.3389/fnut.2023.1166929
Social Media (Intuitive Eating)
@endonutrition.pnw
@find.food.freedom
@diet.culture.rebel
@ameeistalking
Website endobattery.com
Endometriosis and Nutrition With Sarah
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
0:48
I'm
joined
today
by
my
guest
,
sarah
Ray
,
who
is
a
registered
dietitian
with
a
deep
passion
for
helping
individuals
with
endometriosis
find
freedom
and
joy
through
their
personalized
nutrition
.
Specializing
in
endometriosis
symptom
management
and
fertility
nutrition
,
her
mission
is
to
empower
people
with
endometriosis
with
the
knowledge
and
tools
to
improve
their
symptoms
and
live
their
best
life
.
As
a
woman
with
endometriosis
and
adenomyosis
,
she
understands
firsthand
how
overwhelming
and
restrictive
endometriosis
nutrition
advice
can
be
,
and
she
advocates
for
a
non-restrictive
approach
with
intuitive
eating
strategies
in
her
practice
at
Pacific
Northwest
Endometriosis
Nutrition
.
Please
help
me
in
welcoming
Sarah
Ray
.
Thank
you
,
sarah
,
so
much
for
joining
me
today
.
I'm
excited
for
our
conversation
,
and
to
say
that
I
wasn't
a
little
hesitant
would
be
misrepresented
,
because
I
was
a
little
hesitant
to
talk
to
someone
that's
in
the
field
of
diet
and
because
of
all
that's
been
spread
.
So
I'm
really
excited
about
our
conversation
.
I
think
you
have
a
lot
of
value
.
So
thank
you
for
joining
me
today
.
Speaker 2
1:52
Yeah
,
Alana
,
thank
you
so
much
for
having
me
on
.
I'm
so
excited
that
you
are
willing
to
consider
talking
with
me
today
.
I'm
a
big
fan
of
the
podcast
and
some
of
your
episodes
that
have
kind
of
stood
out
to
me
are
episodes
where
you've
talked
about
nutrition
with
providers
and
some
of
the
lack
of
evidence
for
it
,
or
you
know
,
just
some
of
that
different
information
that's
out
there
,
and
so
I'm
hoping
that
we
can
kind
of
dispel
some
myths
today
and
make
people
feel
a
little
bit
more
comfortable
around
nutrition
as
it
relates
to
endo
care
.
Speaker 1
2:22
Yeah
,
and
I
think
this
is
personal
for
you
.
You
can
correct
me
if
I'm
wrong
,
but
it's
personal
for
you
because
you've
kind
of
walked
through
this
journey
.
What
has
your
journey
looked
like
,
from
you
as
a
person
to
you
as
a
dietitian
.
What
has
that
been
for
you
?
Speaker 2
2:37
Yes
,
so
I
am
a
person
who
also
has
endometriosis
and
I
think
I
had
adenomyosis
,
although
it
wasn't
completely
diagnosed
.
I
had
symptoms
starting
from
when
I
was
11
years
old
and
I
have
a
strong
family
history
of
endosymptoms
,
but
no
diagnosis
until
me
for
my
whole
life
,
and
so
I
had
really
painful
periods
and
things
from
the
get
go
.
But
my
mom
did
too
,
and
so
it
was
just
something
that
I
expected
and
I
never
really
complained
about
her
,
about
to
her
,
because
that's
just
like
what
our
family
was
dealt
.
And
so
I
started
on
birth
control
fairly
young
to
manage
my
symptoms
,
and
as
I
was
a
younger
adult
,
as
I
was
going
to
different
exams
and
things
,
a
lot
of
what
was
coming
up
was
like
pain
with
penetration
and
they
kept
sending
me
things
on
like
how
to
be
better
at
intimacy
and
making
me
feel
like
that
was
what
was
wrong
with
me
.
It
was
like
you
don't
know
how
to
do
it
right
,
and
I
wasn't
really
complaining
about
period
pain
because
I
just
thought
that
that
was
normal
.
And
then
when
I
got
off
of
birth
control
,
I
started
bleeding
so
much
and
the
same
story
as
a
lot
of
people
just
like
the
constant
pain
.
I
would
be
bleeding
more
days
of
the
month
than
not
,
and
I
had
countless
ultrasounds
,
I
went
to
so
many
different
providers
and
it
would
be
kind
of
the
same
story
I
just
heard
this
with
your
interview
with
Jen
out
of
the
UK
.
It
was
like
everything's
normal
,
sorry
,
you
know
.
And
then
I
would
wait
until
it
was
really
impacting
my
life
again
,
or
I
would
get
so
fed
up
and
then
I
would
go
find
another
doctor
and
try
a
new
birth
control
and
just
like
I
guess
I
have
to
live
with
it
because
I
knew
I
wanted
to
have
children
and
things
like
that
.
Speaker 2
4:26
So
fast
forward
a
few
years
,
I
had
a
little
bit
of
difficulty
getting
pregnant
with
my
daughter
and
had
a
pretty
traumatic
birth
experience
which
was
not
related
to
endometriosis
.
I
just
had
a
high-risk
pregnancy
.
I
had
her
right
after
the
pandemic
and
she
was
in
the
NICU
and
so
after
that
I
just
thought
I
was
kind
of
done
with
my
fertility
journey
and
so
I
thought
,
well
,
I
guess
I'm
done
with
my
uterus
because
I
cannot
take
a
single
like
form
of
birth
control
.
It
was
affecting
my
mental
health
.
I
wasn't
sleeping
,
my
anxiety
was
through
the
roof
and
I
had
been
seeing
a
pelvic
pain
gynecologist
at
the
time
and
she
said
that's
kind
of
like
your
last
option
,
especially
if
you're
unwilling
to
try
hormonal
methods
.
And
so
I
opted
to
have
a
hysterectomy
.
Speaker 2
5:15
I
knew
a
little
bit
about
endo
at
that
point
.
I
had
had
a
friend
who
had
it
,
I
had
done
some
research
,
and
so
when
I
was
choosing
my
surgeon
,
I
asked
them
will
you
take
all
the
endo
out
if
you
see
it
?
You
know
,
I
thought
that
I
knew
all
of
the
questions
to
ask
and
she
said
,
yes
,
absolutely
I
will
.
I'll
look
,
you
know
,
all
over
where
I
can
.
And
after
my
surgery
she
told
me
she
took
all
the
endo
out
and
she
told
my
husband
that
.
Speaker 2
5:39
But
when
the
pathology
came
back
,
the
only
thing
on
the
report
was
a
uterus
and
fallopian
tubes
and
a
cervix
.
There
was
not
a
single
sample
taken
out
,
and
my
sister
was
going
through
a
tough
fertility
journey
at
that
time
,
and
so
that
was
when
we
learned
about
excision
surgery
versus
ablation
.
So
it
was
like
too
late
for
me
and
I
felt
amazing
.
For
like
three
months
,
you
know
,
I
was
done
bleeding
,
I
wasn't
having
that
cyclical
pain
and
things
like
that
,
and
then
,
bam
,
it
just
came
right
back
.
And
so
I
was
back
at
my
provider's
office
saying
like
I
still
have
a
period
,
it
just
I
don't
bleed
,
like
I
can
even
smell
the
blood
,
something
is
not
right
and
similar
to
the
story
on
the
podcast
I
heard
this
morning
from
Jen
,
like
they
just
you
shouldn't
have
these
issues
,
you
don't
have
a
uterus
anymore
,
you
shouldn't
be
having
cramping
,
you
shouldn't
be
having
leg
pain
.
So
then
you
know
,
I
had
to
do
a
lot
of
self-advocacy
and
that's
where
I
ended
up
with
excision
surgery
and
you
know
it's
.
It's
a
very
long
journey
for
all
of
us
and
something
a
journey
I'm
still
on
.
Speaker 2
6:44
But
kind
of
through
all
of
that
I
also
just
was
having
some
opportunities
to
go
into
private
practice
and
things
like
that
and
I
always
really
wanted
to
work
in
women's
health
,
just
because
I
connect
well
with
women
.
I
am
so
fascinated
by
fertility
and
,
having
struggled
a
bit
with
fertility
and
my
sister
struggling
with
it
,
I
really
wanted
to
kind
of
work
in
that
realm
.
Struggled
a
bit
with
fertility
and
my
sister
struggling
with
it
,
I
really
wanted
to
kind
of
work
in
that
realm
and
I
had
these
people
coming
to
me
not
for
endo
pain
but
having
glaring
endo
signs
.
I
have
clients
who
have
to
wear
diapers
for
their
periods
,
which
more
adenomyosis
,
but
pain
with
bowel
movements
,
chronic
constipation
,
fluctuations
of
diarrhea
,
nausea
,
vomiting
all
throughout
the
month
and
similar
experiences
to
mine
where
they're
not
getting
heard
.
You
know
they're
.
Speaker 2
7:30
They
were
coming
to
me
because
of
the
weight
side
effects
that
they're
getting
from
their
medications
and
not
being
able
to
exercise
and
things
like
that
,
and
so
I
really
felt
like
that
was
my
sign
to
make
this
space
to
help
people
who
have
been
through
a
similar
journey
,
where
I
can
help
connect
them
with
other
providers
,
where
I
can
dispel
some
of
the
myths
and
the
restrictive
diet
advice
that
I
found
on
my
own
journey
,
where
you
know
I
would
read
a
book
about
endo
and
how
we
can
improve
it
and
just
get
raging
anxiety
about
,
like
having
to
clean
out
my
cabinets
and
what
am
I
going
to
cook
for
the
rest
of
my
family
when
I
can't
eat
and
will
life
ever
be
enjoyable
again
?
Speaker 2
8:09
And
as
I
started
digging
into
the
research
,
it's
like
a
lot
of
this
is
not
really
evidence-based
and
that's
really
frustrating
to
see
as
a
dietician
who
really
values
,
you
know
,
health
at
every
size
and
looking
at
people's
individual
backgrounds
because
,
especially
with
this
disease
that
mostly
impacts
women
,
we
have
other
overlapping
things
that
are
coming
with
it
,
like
disordered
eating
.
We
have
teenagers
suffering
from
it
and
we
don't
want
to
trigger
that
in
them
.
People
with
endometriosis
may
also
have
diabetes
or
they
may
also
have
fertility
issues
,
and
so
a
lot
of
those
books
are
just
looking
at
this
one
thing
,
which
there's
not
really
a
whole
lot
of
evidence
to
support
that
nutrition
helps
on
its
own
Right
.
Speaker 1
8:52
For
those
that
maybe
are
questioning
what
the
difference
is
between
a
dietitian
versus
a
nutritionist
,
can
you
explain
that
a
little
bit
,
because
I
think
that
will
help
us
,
moving
forward
,
understand
exactly
what
you
do
and
where
you're
coming
from
?
Nutritionists vs. Registered Dietitians
Speaker 2
9:07
Yeah
.
So
registered
dietitians
have
to
go
through
an
accredited
program
.
So
people
in
my
age
group
and
older
have
to
at
least
have
a
bachelor's
degree
in
nutrition
.
People
who
have
been
credentialed
more
recently
also
have
to
have
a
master's
degree
to
become
a
registered
dietitian
.
And
then
you
have
to
have
an
accredited
,
coordinated
dietetic
internship
where
we
practice
in
several
fields
.
So
anything
from
long-term
care
to
oncology
,
to
eating
disorders
,
to
pediatric
nutrition
.
We
have
at
least
a
thousand
hours
of
supervised
practice
and
then
we
sit
for
a
very
rigorous
exam
and
have
continuing
education
requirements
that
we
must
fulfill
to
maintain
our
license
.
And
then
each
state
may
have
additional
criteria
that
they
require
for
a
dietitian
to
be
licensed
there
A
nutritionist
.
Speaker 2
9:55
There
are
some
programs
for
nutritionists
but
anybody
can
really
call
themselves
a
nutritionist
,
especially
in
certain
states
.
Some
people
can
see
anybody
without
being
a
registered
dietitian
and
there's
really
no
laws
around
it
.
So
if
somebody
is
looking
for
that
really
evidence-based
somebody
who
knows
a
bit
more
,
who
has
been
specifically
trained
in
certain
disease
states
and
things
like
that
,
you
would
want
to
look
for
a
registered
dietitian
.
Speaker 1
10:20
And
that's
also
helpful
if
you're
wanting
insurance
to
pay
for
visits
with
a
nutrition
type
of
program
that
can
be
a
little
confusing
and
a
little
gray
and
it's
a
little
overwhelming
for
those
of
us
who
have
struggled
and
I
,
you
know
.
I
have
seen
someone
for
my
own
health
journey
kind
of
understanding
,
especially
after
my
hysterectomy
,
because
I
did
not
understand
my
body
.
It
was
completely
new
to
me
.
I
had
no
idea
what
,
my
next
steps
,
what
was
working
before
now
didn't
work
.
Obviously
,
I
didn't
have
ovaries
anymore
.
The
hormone
changes
and
the
shifts
were
different
as
well
,
and
so
seeing
someone
was
beneficial
for
me
to
do
that
.
But
I
do
think
that
having
someone
as
a
dietician
understanding
the
background
of
why
we're
in
this
place
and
from
an
educational
standpoint
,
not
a
certification
standpoint
is
really
important
and
probably
super
helpful
.
Something
that
you
had
mentioned
to
me
when
we
had
talked
previously
is
that
with
a
dietician
,
you
can
often
bill
insurance
for
this
.
Can
you
explain
that
a
little
bit
,
because
I
think
that
a
lot
of
people
would
benefit
from
knowing
this
?
Speaker 2
11:44
Yes
.
So
not
all
dieticians
accept
insurance
,
especially
if
they're
in
private
practice
,
but
many
do
.
One
of
the
wonderful
things
about
most
insurance
plans
,
except
for
Medicare
,
is
that
oftentimes
nutrition
appointments
are
covered
for
free
.
I
have
had
so
many
patients
that
have
unlimited
visits
with
a
registered
dietitian
,
and
it
doesn't
matter
what
your
size
is
,
if
you
have
diabetes
.
If
you
just
want
to
talk
to
a
dietitian
,
you
could
talk
to
them
every
single
day
and
have
that
tool
in
your
toolkit
of
providers
.
And
the
really
nice
thing
is
usually
our
limitations
on
appointments
are
like
an
hour
,
so
we
have
a
lot
of
time
to
address
different
things
with
you
that
you
may
not
get
when
you
go
see
,
like
an
OBGYN
or
your
surgeon
or
other
providers
,
and
that
just
depends
on
the
person
.
Most
insurance
plans
do
not
network
with
nutritionists
,
so
oftentimes
those
would
be
an
out-of-pocket
either
class
or
workshop
or
one-on-one
coaching
.
Speaker 1
12:49
Given
your
background
on
being
a
dietitian
,
what
are
some
of
the
things
that
you
find
harmful
that
we're
seeing
out
in
social
media
,
things
that
endometriosis
patients
or
just
in
general
population
have
been
exposed
to
that
you
find
have
been
harmful
,
that
you
are
now
going
back
and
working
with
your
clients
to
help
correct
?
Speaker 2
13:11
Yes
.
So
I
think
the
challenge
is
,
if
we're
trying
to
just
be
helpful
for
the
endo
population
,
we
have
to
kind
of
throw
out
all
the
ideas
of
what
could
be
triggering
their
symptoms
,
such
as
maybe
it's
gluten
,
maybe
it's
dairy
,
maybe
it's
the
hormones
in
red
meat
,
maybe
you
need
these
supplements
to
help
.
It's
really
difficult
because
people
with
endo
have
different
symptoms
and
different
things
that
they're
working
on
,
and
adding
out
or
adding
all
of
those
things
is
not
going
to
heal
or
cure
or
reverse
your
endo
,
even
if
you
follow
that
diet
really
strictly
.
I've
also
seen
,
like
the
autoimmune
protocol
,
which
is
a
very
restrictive
diet
and
kind
of
you
know
,
cutting
out
very
similar
things
.
So
I
think
a
lot
of
those
providers
are
trying
to
give
you
as
much
information
as
they
can
to
help
kind
of
get
you
in
the
door
and
get
you
working
with
them
.
Speaker 2
14:07
But
if
that's
not
something
that
a
patient
is
interested
in
and
then
maybe
they're
coming
to
this
from
a
lens
of
like
a
long
diet
history
or
a
poor
relationship
with
food
and
body
,
it's
like
something
that
they
can
really
cling
on
to
and
cut
a
lot
of
things
and
then
end
up
with
a
worse
relationship
with
food
,
maybe
nutrient
deficiencies
,
maybe
they
end
up
underweight
.
Speaker 2
14:29
I
have
had
patients
who
already
lost
a
lot
of
weight
just
from
their
symptoms
,
or
maybe
medications
they're
taking
,
or
maybe
they're
binge
eaters
and
so
going
so
restrictive
can
actually
make
those
binges
worse
later
on
,
and
so
I
think
that
if
people
are
seeing
that
type
of
advice
out
there
,
they
really
need
to
make
sure
they're
discussing
it
with
either
their
provider
or
engage
with
a
registered
dietitian
or
a
professional
that
can
kind
of
help
them
weed
out
what
is
helpful
for
them
.
Challenges of Endo Nutrition Misinformation
Speaker 2
15:00
I
would
say
,
if
there's
anybody
that's
claiming
that
they're
going
to
get
to
the
root
cause
of
your
endo
and
they're
not
an
excision
surgeon
,
that
that
should
be
a
red
flag
.
Yeah
,
because
the
root
cause
of
endo
is
endo
.
It's
not
like
mold
or
lack
of
sleep
or
your
hormone
imbalance
or
your
stress
levels
.
Those
things
may
be
feeding
into
your
endo
flare
,
but
that
dietician
,
nutritionist
,
healthcare
provider
is
not
going
to
get
to
the
root
cause
of
your
endo
if
you
haven't
actually
had
the
endo
taken
out
.
Speaker 1
15:31
Right
,
I
feel
like
that's
probably
been
one
of
my
hesitations
in
talking
about
diet
and
nutrition
and
I
think
why
a
lot
of
us
have
this
like
red
flag
right
,
Because
we've
heard
this
so
many
times
and
I
can't
tell
you
how
many
times
I
have
seen
this
online
where
it's
like
I
found
this
supplement
to
help
you
with
your
endo
,
or
I
have
this
program
,
or
I
have
you
know
.
There's
all
these
promises
,
but
with
these
promises
is
a
big
dip
into
your
bank
account
.
Speaker 1
16:01
Absolutely
,
and
I
do
think
like
there's
some
people
that
legitimately
think
they're
helping
but
,
at
the
same
time
,
that
is
a
vulnerable
population
that
feels
like
they're
being
preyed
upon
with
misinformation
,
and
I
think
that's
why
,
for
me
,
when
approaching
this
episode
specifically
and
when
approaching
our
conversation
,
I
was
very
hesitant
at
first
until
I
understood
the
value
and
the
benefit
of
talking
to
you
and
a
registered
dietitian
who
understands
it
,
and
I
think
we
have
to
understand
that
again
,
root
cause
of
endo
is
endo
.
Speaker 2
16:38
Like
we
were
probably
born
with
it
.
Yeah
,
you
know
it's
still
unknown
,
but
it
certainly
wasn't
what
we
ate
or
what
we
were
fed
when
we
were
kids
that
caused
the
endo
.
At
this
point
,
there's
no
studies
pointing
to
that
being
the
case
.
Speaker 1
16:51
Yeah
,
and
as
someone
who
has
struggled
with
eating
and
a
poor
relationship
with
food
in
my
experience
I've
heard
so
much
of
the
restrictive
eating
aspect
of
it
that
it
has
become
harmful
.
And
for
someone
who
doesn't
naturally
love
to
eat
all
the
time
I'm
a
poor
eater
because
of
ADHD
and
stomach
issues
it
can
be
really
challenging
to
have
to
cut
that
out
and
then
,
all
of
a
sudden
,
what
are
you
left
with
?
You
know
,
and
that's
where
I
think
it
gets
really
tricky
.
Speaker 2
17:22
Yeah
,
I
also
think
it
can
be
,
but
harmful
.
On
the
other
side
,
we
live
in
a
culture
that
really
values
thinness
and
I
have
struggled
with
disordered
eating
as
well
and
that
desire
to
be
on
a
more
restrictive
diet
.
And
so
anytime
you
read
these
things
,
these
diets
that
are
meant
to
improve
your
symptoms
and
I've
actually
read
a
book
that
touted
that
it
would
also
help
you
lose
weight
but
if
you're
also
thinking
,
oh
,
this
is
also
going
to
help
me
get
thinner
,
that
is
a
harmful
message
that
we're
getting
from
those
as
well
.
That
should
not
be
.
Your
primary
goal
when
working
on
improving
endosymptoms
is
the
weight
loss
,
and
any
book
that
is
recommending
that
without
knowing
your
background
is
harmful
in
my
opinion
.
Speaker 2
18:08
Yeah
,
other
thing
with
nutrition
is
I
was
just
talking
to
a
client
yesterday
and
she
said
she
worked
with
a
dietician
in
the
past
that
didn't
have
endo
and
we
can't
all
have
endo
and
be
dieticians
for
endo
,
necessarily
but
she
was
recommending
like
kale
smoothies
for
the
patient
and
she
was
saying
that
she's
doubling
over
from
the
kale
.
So
sometimes
people's
gut
symptoms
actually
are
that
they
can't
tolerate
veggies
and
they
might
do
better
with
white
toast
,
and
so
having
somebody
who
really
understands
the
whole
thing
going
on
with
your
system
is
also
important
.
Speaker 1
18:41
And
I
think
it's
interesting
you
say
that
because
we
go
back
to
like
spending
time
with
you
and
people
that
understand
endo
.
As
a
dietician
,
spending
time
with
you
understanding
symptoms
,
walking
through
okay
,
not
only
what
you're
eating
,
but
what
are
your
symptoms
?
How
do
you
manage
your
pain
at
this
point
?
What
is
going
on
around
you
that
could
potentially
be
causing
a
flare
?
How
did
this
start
?
Just
kind
of
understanding
the
roadmap
to
how
they're
feeling
and
why
they're
feeling
it
and
how
they
manage
it
,
I
think
is
important
too
,
because
it's
not
the
same
for
everyone
.
Speaker 2
19:15
Right
and
having
somebody
who
understands
that
endo
is
a
multi-system
disease
and
that
there's
other
providers
that
need
to
be
involved
with
that
.
For
example
,
I
have
a
client
who
really
,
really
struggles
with
constipation
and
she
spends
hundreds
to
thousands
of
dollars
on
supplements
from
a
naturopath
,
colonics
,
all
of
these
things
and
I
was
the
first
person
to
recommend
to
her
that
maybe
you
need
to
see
PT
to
help
relax
your
rectal
muscles
to
let
the
stool
out
.
And
it's
like
how
many
providers
has
she
been
to
?
Similar
to
getting
an
endo
diagnosis
before
somebody
says
,
oh
hey
,
maybe
it's
just
like
a
muscular
issue
that
you
should
see
an
endo-informed
PT
as
well
,
and
so
I
think
seeing
people
who
really
understand
the
disease
is
important
in
all
aspects
.
Speaker 1
20:04
What
are
some
of
the
other
challenges
you
have
when
people
come
in
that
have
had
a
very
restrictive
eating
background
?
Speaker 2
20:12
I
think
trying
to
get
people
out
of
diet
culture
is
one
of
my
main
goals
.
So
diet
culture
has
found
its
way
into
endometriosis
,
even
though
it's
not
necessarily
geared
towards
shrinking
the
body
,
shrinking
the
body
.
We
now
have
all
of
these
programs
that
are
being
sold
to
heal
,
cure
,
you
know
,
reverse
your
endo
and
I
think
kind
of
getting
people
to
reject
that
and
just
tune
into
their
bodies
so
that
they're
not
restricting
anymore
,
so
that
they're
not
just
looking
for
the
next
best
quick
fix
.
Understanding Gluten and Endometriosis Symptoms
Speaker 2
20:47
The
next
like
prescriptive
thing
is
something
that
I'm
having
to
work
with
a
lot
.
Speaker 1
20:52
Are
you
working
a
lot
with
people
who
have
gone
gluten-free
?
Because
that's
the
big
thing
for
endo
patients
is
like
you
need
to
go
dairy-free
,
gluten-free
,
you
need
low
FODMAP
,
you
need
.
You
know
there's
like
a
lot
of
these
different
avenues
that
we've
heard
of
,
and
for
me
personally
,
gluten
does
nothing
,
and
I
will
probably
say
this
on
so
many
different
podcasts
that
you
guys
are
probably
sick
of
it
.
But
I'm
just
telling
you
,
gluten
has
never
affected
me
,
but
other
things
have
that
don't
necessarily
affect
other
people
.
I
feel
like
that
would
be
one
of
the
biggest
barriers
for
some
of
those
endo
patients
to
understand
.
Speaker 2
21:26
Yes
,
I
have
some
people
who
are
gluten-free
and
same
.
My
mom
has
celiac
and
gluten
does
not
affect
me
and
my
mindset
is
I'm
not
cutting
it
out
in
case
I
get
celiac
later
in
the
night
.
I'm
going
to
enjoy
it
while
I
can
.
That's
right
.
It's
so
much
easier
.
But
I
think
one
of
the
things
is
understanding
people's
history
with
it
.
So
if
they
have
been
gluten-free
for
years
and
they've
never
really
reintroduced
it
,
I
may
not
challenge
them
to
do
that
in
our
first
appointment
.
Speaker 2
22:00
So
part
of
the
dietitian
client
relationship
is
I'm
their
coach
and
their
cheerleader
.
We
can
find
a
lot
of
good
nutrition
information
online
and
kind
of
implement
that
themselves
.
But
I
may
encourage
them
to
reintroduce
it
if
they
haven't
in
a
long
time
and
just
see
if
they
have
symptoms
,
especially
if
they've
had
excision
surgery
.
I've
seen
clients
who
had
excision
surgery
and
just
never
really
reintroduced
and
so
it's
kind
of
about
like
what
those
fears
are
,
like
what
,
what
the
reasons
are
like
.
If
they
have
a
strong
family
history
of
gluten
intolerance
,
they
may
also
have
gluten
intolerance
or
celiac
disease
as
well
.
So
it's
kind
of
individualized
,
but
it
is
something
that
I
see
being
cut
a
lot
and
it's
harmful
if
you
don't
need
to
cut
it
because
you
can
see
lower
iron
levels
,
lower
B
vitamin
levels
,
lower
fiber
intake
with
a
gluten-free
diet
,
which
increases
your
risk
of
colon
cancers
and
things
like
that
.
So
gluten
is
not
bad
unless
you
have
a
gluten
allergy
or
celiac
disease
.
Speaker 1
23:01
Is
there
any
research
to
back
that
up
?
To
like
on
either
way
,
like
either
position
for
endometriosis
or
yes
.
Speaker 2
23:09
That's
a
great
question
.
There's
a
study
that
I
really
like
in
the
Frontiers
in
Nutrition
that
was
released
in
September
2023
by
Browns
and
others
,
looking
specifically
at
gluten
and
endometriosis
,
and
they're
sort
of
breaking
down
different
studies
and
what
they
found
overall
is
there's
not
really
enough
evidence
to
support
a
gluten-free
diet
for
endometriosis
patients
.
Some
of
the
studies
that
they
have
done
,
a
lot
of
people
just
dropped
out
because
of
the
adverse
effects
from
being
on
a
gluten-free
diet
,
and
so
they
didn't
even
end
with
the
same
pool
that
they
started
with
and
one
that
they
talk
about
in
there
.
That
I
think
is
really
important
to
note
is
when
you
have
celiac
disease
or
irritable
bowel
syndrome
and
endometriosis
,
there
can
be
a
lot
of
overlapping
symptoms
with
that
,
and
so
sometimes
when
people
have
excision
surgery
,
those
symptoms
will
go
away
.
Speaker 2
24:03
So
it
would
be
important
to
actually
be
tested
for
celiac
disease
before
cutting
gluten
or
if
you
suspect
that
you
may
have
it
,
and
celiac
disease
is
somewhat
prevalent
in
the
population
.
A
lot
of
what
they
also
found
was
the
overlap
of
people
who
also
were
having
celiac
disease
and
endometriosis
,
and
there's
bound
to
be
some
crossover
.
When
we're
thinking
about
one
in
10
,
or
maybe
more
women
having
endometriosis
,
there's
going
to
be
some
celiac
disease
or
gluten
intolerance
,
but
they're
not
necessarily
correlated
or
caused
by
each
other
.
So
it's
just
kind
of
a
coincidence
when
people
have
gluten
intolerance
and
endometriosis
.
And
so
that's
where
,
kind
of
looking
at
your
family
history
and
individualized
approach
,
and
if
you
do
decide
to
cut
it
,
then
make
sure
you
reintroduce
it
to
see
if
you
actually
are
not
tolerating
it
,
so
you're
not
missing
out
on
vital
nutrients
.
Speaker 1
24:54
I
think
that's
important
to
understand
because
I
certainly
when
I
initially
started
I
had
cut
out
gluten
for
a
while
and
I
had
I
was
one
of
those
that
had
kind
of
that
adverse
effect
and
it
played
mental
games
with
me
.
So
I
was
like
this
probably
isn't
for
me
,
I'll
just
suffer
if
that's
gluten
,
like
I'm
good
with
it
,
you
know
.
But
I
do
think
like
it
was
good
to
understand
for
me
what
was
setting
my
flares
,
what
was
causing
this
inflammatory
response
,
what
was
affecting
me
negatively
when
it
came
to
my
bowel
movements
or
the
way
that
I
felt
in
my
stomach
.
And
I
think
that
we
become
a
little
more
sensitive
to
this
because
some
of
us
get
endo
belly
really
easy
.
But
again
,
proper
excision
should
help
with
that
.
Speaker 1
25:38
And
in
fact
I
was
talking
to
Dr
Mings
about
this
not
long
ago
on
a
podcast
and
he
said
the
very
same
thing
.
I
asked
that
very
question
when
we're
talking
about
bowel
endometriosis
,
if
it's
properly
excised
,
do
some
of
these
foods
,
can
we
eat
them
again
?
And
he
said
yeah
,
usually
you
can
.
So
I
think
that's
like
,
as
an
excision
specialist
who
works
heavily
in
the
bowel
,
it
was
good
to
kind
of
hear
that
as
well
.
Like
you
don't
have
to
stop
it
permanently
for
life
.
It's
worth
testing
.
It's
worth
investigating
that
a
little
bit
closer
.
Speaker 2
26:08
Yeah
,
a
lot
of
people
really
struggle
with
garlic
and
onions
.
So
,
looking
at
like
some
of
the
foods
high
in
fermentable
carbohydrates
that
can
cause
some
gas
and
bloating
,
so
known
as
FODMAPs
,
and
in
my
own
story
,
after
I
had
my
endometriosis
excised
,
I
could
eat
onions
and
salad
without
symptoms
,
and
I
do
still
get
endo
belly
and
onions
can
be
triggering
,
but
it's
only
when
I'm
ovulating
,
and
so
that's
one
of
the
things
that
I
really
work
with
people
on
understanding
their
symptoms
.
Even
after
excision
surgery
,
you
may
have
like
five
days
that
you
need
to
be
a
little
bit
more
careful
,
especially
if
endo
belly
is
going
to
ruin
your
day
or
ruin
your
plans
.
Then
maybe
you
don't
have
any
milk
at
that
triggering
.
You
might
be
really
careful
about
what
raw
veggies
you
eat
on
those
days
,
but
then
the
rest
of
the
month
go
for
it
,
eat
as
much
as
you
want
if
it's
not
impacting
you
,
and
so
sometimes
we
don't
need
to
eliminate
all
foods
all
the
time
,
but
just
at
certain
times
of
your
cycle
when
maybe
things
are
a
little
bit
more
inflamed
.
Speaker 1
27:13
So
is
this
like
part
of
what
you
do
,
too
is
like
the
cycle
charting
along
with
your
food
and
keeping
like
a
log
of
the
things
that
you're
eating
so
you
can
understand
that
better
,
and
you're
working
with
clients
like
all
the
time
doing
that
.
Is
that
kind
of
what's
been
the
most
beneficial
for
the
people
that
you
talk
to
?
Speaker 2
27:30
Yes
,
as
with
everything
,
it's
been
the
most
beneficial
for
the
people
that
you
talk
to
.
Yes
,
as
with
everything
,
it
depends
on
the
client
,
right
.
But
if
they
are
not
really
sure
it
just
vaguely
feels
like
they're
bloating
all
the
time
or
they're
having
gas
all
the
time
or
they
can't
eat
anything
I
will
often
start
them
with
a
cycle
and
symptom
tracking
so
that
we
can
see
if
it
truly
is
all
the
time
.
I
had
one
client
who
felt
like
it
was
,
but
she
realized
it
was
the
first
three
days
of
her
period
only
.
And
not
to
say
that
it's
all
in
people's
head
,
but
it
can
just
be
really
helpful
for
us
to
both
kind
of
get
in
tune
with
what's
going
on
in
their
cycle
,
and
having
that
information
can
also
be
really
helpful
with
bringing
it
in
for
evidence
to
talk
with
another
provider
about
other
symptoms
that
maybe
we're
not
addressing
with
nutrition
.
Speaker 2
28:14
So
we
may
start
with
cycle
tracking
and
maybe
some
food
journaling
,
depending
on
what
we
find
about
.
Like
hey
,
I
noticed
you're
eating
apples
and
every
day
you
eat
apples
you
get
really
gassy
.
So
even
though
they're
really
healthy
food
,
you
might
not
be
tolerating
that
really
well
.
Like
,
let's
try
cutting
the
apples
and
see
if
that
helps
,
rather
than
let's
just
cut
red
meat
,
even
though
you're
bleeding
all
the
time
.
Let's
cut
gluten
,
even
though
it's
so
hard
to
do
so
a
lot
of
times
,
starting
with
tracking
and
getting
people
just
to
tune
into
their
symptoms
.
A
little
bit
is
enough
and
we
don't
have
to
go
the
elimination
diet
route
.
Speaker 1
28:52
I
think
that's
interesting
.
I
guess
the
fact
that
you're
mentioning
this
,
because
I
had
a
friend
the
other
day
that
was
like
you
know
,
gluten
really
bothers
me
during
my
cycle
and
I
was
like
,
oh
,
she
goes
,
but
the
rest
of
the
month
I've
been
okay
.
And
when
you
mentioned
that
I'm
like
,
okay
,
this
makes
more
sense
,
like
you
don't
have
to
be
restrictive
all
the
time
,
but
it's
good
to
understand
that
part
of
your
body
,
and
sometimes
we
aren't
great
at
looking
at
those
trends
in
our
own
diet
or
our
own
cycle
or
anything
like
that
,
because
we're
just
trying
to
survive
.
So
it's
super
helpful
to
have
someone
point
that
out
.
And
I'm
sure
I
don't
know
,
but
I'm
sure
you've
seen
people
come
to
you
and
this
is
something
they're
finding
out
as
well
and
they
just
thought
of
something
that
they've
always
had
.
Speaker 2
29:32
Yeah
,
it
may
not
be
bloating
every
day
,
and
if
it
is
,
we
may
look
at
like
are
you
pooping
every
day
?
Like
,
do
we
have
some
trapped
gas
and
we
need
to
address
constipation
,
or
you
know
what
are
these
other
things
that
go
along
with
having
endo
.
That
we
can
adjust
with
maybe
increasing
fiber
,
maybe
reducing
fiber
,
maybe
making
sure
you're
eating
frequently
enough
,
because
if
you
don't
eat
all
day
,
you
can
get
some
gas
built
up
that
way
.
And
so
it's
looking
at
that
whole
picture
with
what
we're
eating
beyond
,
just
like
Eating
too
much
sugar
is
super
inflammatory
.
It
doesn't
matter
what
you
have
.
If
you
eat
too
much
sugar
you're
not
going
to
feel
great
,
but
that
doesn't
mean
that
it
should
be
demonized
.
Speaker 1
30:13
Yeah
,
absolutely
.
That's
so
true
,
Because
I
like
my
sugar
,
if
we're
being
honest
.
Yes
,
me
too
.
I
think
that
we
should
have
sugar
occasionally
.
Speaker 2
30:24
I'm
a
dietician
who
eats
dessert
every
day
,
and
I
do
not
have
endosymptoms
every
day
,
and
so
it's
really
about
also
recognizing
that
you
know
,
if
we
ate
only
broccoli
all
day
,
we're
going
to
still
feel
crappy
,
like
probably
super
gassy
,
and
maybe
have
diarrhea
,
and
so
too
much
of
anything
is
not
good
.
Speaker 1
30:44
Yes
,
that's
what
I've
always
said
Too
much
of
anything
.
Too
much
red
wine
probably
isn't
too
good
.
Too
much
chocolate
really
isn't
too
good
,
but
it
is
helpful
at
times
.
Yes
.
Speaker 2
31:05
Yeah
,
exactly
what
are
some
ways
that
nutrition
nutritionally
to
our
bodies
to
help
us
feel
full
,
to
help
us
feel
like
we're
getting
enough
rest
to
keep
our
hormones
in
balance
and
I'm
not
just
talking
about
estrogen
and
progesterone
.
Insulin
is
really
important
as
well
.
So
one
of
the
things
that
I
talk
a
lot
with
my
clients
about
is
balancing
your
blood
sugars
.
Just
a
general
overview
of
what
your
blood
sugars
are
is
if
we
eat
things
containing
carbohydrates
,
that's
our
body's
preferred
source
of
energy
and
so
that
causes
a
blood
sugar
rise
and
that
helps
feed
our
cells
and
our
brain
and
things
like
that
,
so
that
we
have
energy
to
go
throughout
the
day
.
But
if
we
eat
too
many
carbohydrates
and
not
enough
nutrients
or
we're
cutting
carbohydrates
too
low
,
we
may
not
be
feeling
well
and
that
can
kind
of
mess
with
our
insulin
levels
and
that
can
impact
estrogen
and
progesterone
levels
as
well
.
And
so
working
on
just
building
a
plate
with
all
of
the
essential
nutrients
being
carbohydrates
,
proteins
and
fats
,
and
eating
regularly
,
so
trying
not
to
go
longer
than
about
four
to
five
hours
between
meals
without
something
,
can
be
really
helpful
and
just
feeling
well
in
general
.
So
helping
prevent
cravings
for
processed
foods
,
for
you
know
that
brain
fog
If
you're
not
feeding
your
brain
,
it's
not
going
to
feel
great
.
Fueling
your
day
with
coffee
and
nothing
you
know
nothing
until
two
in
the
afternoon
those
are
all
kind
of
setting
you
up
for
just
not
feeling
well
in
general
,
whether
you
have
endo
or
not
.
Speaker 2
32:35
But
when
we're
already
fighting
a
lot
of
inflammation
and
things
like
that
,
we
want
to
make
sure
we're
building
balanced
meals
throughout
the
day
and
then
thinking
about
what
nutrients
that
we
can
add
in
that
support
reducing
inflammation
,
like
omega-3
fats
that
we
get
from
things
like
fatty
fish
and
chia
seeds
and
walnuts
and
flax
seeds
.
How
can
we
build
meals
with
those
things
?
Make
sure
we're
getting
enough
vitamin
D
.
Calcium
intake
is
also
really
important
.
Has
been
shown
in
studies
with
endo
as
being
helpful
,
as
well
as
magnesium
and
phosphorus
.
Speaker 2
33:09
So
if
you're
not
having
dairy
symptoms
,
it's
important
to
include
those
in
,
or
if
you're
not
having
some
sort
of
an
alternative
,
so
that
you're
really
getting
all
the
building
blocks
that
you
need
for
your
bone
and
muscle
health
and
heart
health
,
especially
if
you
have
suppressed
ovarian
function
and
things
like
that
.
Making
sure
you're
staying
hydrated
so
important
if
you're
having
constipation
or
diarrhea
.
So
it's
really
nothing
too
crazy
in
terms
of
nutrition
in
a
way
that
you
can
best
fuel
your
body
for
endo
.
It's
really
just
like
building
an
overall
healthy
and
balanced
diet
,
trying
to
fill
your
plate
with
proteins
and
fruits
and
vegetables
so
that
you're
feeling
well
.
And
when
you're
doing
that
,
we
tend
to
crave
a
lot
less
of
those
processed
,
quick
,
comforting
foods
,
not
to
say
they
don't
have
a
place
in
our
lives
for
fun
and
comfort
sometimes
.
Speaker 1
34:00
Yeah
,
I
am
in
a
season
in
my
life
where
my
kids
are
doing
an
activity
all
the
time
right
now
.
My
kids
are
doing
an
activity
all
the
time
right
now
,
and
we
were
just
talking
about
this
.
And
how
do
we
create
healthy
food
relationship
while
being
busy
?
And
I
think
for
endo
people
specifically
,
I
know
for
myself
fatigue
is
really
big
sometimes
where
I
really
struggle
with
the
motivation
to
cook
these
complete
meals
.
It
becomes
a
lot
harder
to
understand
my
timing
.
Speaker 1
34:30
And
how
can
I
not
fall
into
the
trap
of
what
I've
been
doing
my
whole
life
,
which
is
having
a
bad
relationship
with
food
and
feeling
guilty
for
what
I'm
eating
,
when
sometimes
I
just
need
a
quick
meal
to
feed
my
kids
and
I
don't
wanna
pass
on
my
trauma
of
food
to
my
kids
,
but
my
fatigue
is
really
bad
and't
want
to
pass
on
my
trauma
of
food
to
my
kids
,
but
my
fatigue
is
really
bad
and
I
need
to
foster
that
too
.
I
need
to
fuel
my
body
,
I
need
to
fuel
my
brain
.
I
think
it's
a
challenge
to
do
this
as
Indo
people
in
general
,
and
especially
when
your
life
is
so
busy
and
you
have
disordered
eating
issues
.
So
I
think
that's
important
Healthy Eating Habits for Endometriosis
Speaker 1
35:06
.
It
doesn't
even
if
you're
going
out
to
a
restaurant
.
Speaker 2
35:08
Just
having
a
colorful
plate
can
be
helpful
and
not
beyond
that
,
if
your
kids
love
boxed
mac
and
cheese
,
how
can
you
add
some
things
to
that
meal
to
add
some
variety
and
color
?
Maybe
you
add
some
rotisserie
chicken
from
the
store
for
a
protein
source
and
some
broccoli
or
some
peas
or
like
something
green
to
the
side
.
Bam
,
you
have
a
protein
,
carbohydrate
and
fats
all
built
into
that
meal
.
Maybe
you
have
some
tuna
and
crackers
with
some
cucumbers
on
the
side
for
a
lunch
or
a
snack
on
the
go
.
It
does
not
have
to
involve
a
lot
of
cooking
.
It's
just
thinking
about
do
I
have
those
three
components
?
If
you're
from
a
culture
that
has
a
lot
of
mixed
dishes
,
it
doesn't
have
to
be
that
my
plate
broccoli
,
rice
and
chicken
kind
of
look
where
nothing
is
touching
.
Just
does
that
meal
have
all
of
those
components
mixed
in
?
Does
not
have
to
be
a
big
side
salad
.
It
can
be
cooked
vegetables
,
it
can
be
pureed
vegetables
.
All
of
those
things
count
.
Speaker 1
36:09
Yeah
,
and
it's
so
funny
that
you
mentioned
salads
.
See
,
my
girls
love
salads
.
But
you
can
make
a
salad
that
is
if
you're
like
watching
calories
.
It's
so
many
more
calories
than
like
eating
just
something
that
is
,
you
know
,
what
people
would
normally
turn
their
nose
up
at
and
it's
actually
really
nutritious
.
Speaker 2
36:33
So
salads
can
be
good
,
but
they
can
also
you
have
to
like
,
watch
that
too
,
like
that
diet
mentality
again
.
Yes
,
that's
been
hard
for
me
.
That
would
be
.
One
of
my
quick
and
easy
tips
is
try
to
include
a
source
of
protein
,
carbohydrates
,
some
fiber
and
fat
at
all
of
your
meals
and
eat
regularly
.
If
you
take
one
thing
away
from
that
today
,
that
will
probably
help
you
with
your
endo
.
Speaker 1
36:53
Yes
,
I
wish
I
would
have
known
that
at
,
like
you
know
,
20
in
my
early
twenties
.
Speaker 2
36:58
I
think
the
challenging
thing
is
,
you
know
,
we
have
a
bit
more
of
the
younger
generation
that
are
probably
struggling
with
endosymptoms
or
maybe
learning
that
they
have
endo
now
,
but
a
lot
of
it
is
millennials
and
older
and
we
we
were
raised
in
the
culture
of
magazines
,
kind
of
touting
like
how
to
eat
less
or
it
being
really
normalized
to
maybe
have
a
contest
with
your
friend
for
how
,
you
know
,
skipping
a
meal
or
one-upping
somebody
like
,
oh
it's
,
I
haven't
eaten
all
day
,
and
things
like
that
,
and
that's
still
really
normalized
in
our
generation
and
something
that
I
think
a
lot
of
people
are
trying
to
break
away
from
,
and
that
skipping
of
meals
or
not
eating
enough
can
really
be
harmful
and
it
sometimes
can
make
it
difficult
to
lose
weight
.
If
that's
what
people
are
trying
to
do
.
Speaker 1
37:45
Right
,
yeah
,
it
really
messes
with
your
metabolism
.
I
know
I
had
that
very
much
.
So
for
me
,
I
you
know
I
started
and
I'm
going
to
be
completely
vulnerable
on
this
podcast
and
this
is
not
something
I
talk
about
often
but
because
of
trauma
,
because
of
pain
at
a
very
early
age
,
I
had
some
eating
disorders
and
so
I
went
from
one
disorder
to
the
next
because
of
what
I
was
learning
in
my
environment
,
and
then
,
on
top
of
that
,
I
was
creating
an
unhealthy
version
of
who
I
was
in
my
head
and
it
played
a
part
in
my
adulthood
.
Going
into
my
adulthood
,
as
my
symptoms
began
becoming
more
severe
,
I
would
either
not
eat
at
all
or
I
would
binge
eat
because
of
that
,
and
then
my
metabolism
was
messed
up
and
I
think
because
of
that
,
my
whole
body
felt
terrible
all
the
time
,
and
it
started
at
a
really
young
age
.
Speaker 1
38:41
And
so
my
husband
and
I
have
been
very
careful
about
even
the
way
we
talk
about
our
bodies
around
our
children
,
the
way
that
we
talk
about
food
around
our
kids
,
like
we
don't
restrict
our
kids
from
eating
sugar
,
but
we
do
it
in
moderation
and
for
one
kid
that
works
great
.
The
other
kid
wants
sugar
all
the
time
as
her
,
like
she
wants
that
to
be
her
main
course
,
you
know
,
as
a
sugar
.
And
so
how
do
we
balance
talking
healthy
about
food
and
healthy
about
our
bodies
,
that
ultimately
supporting
us
all
the
way
through
our
lives
?
Because
I
think
it
starts
from
a
very
early
age
in
how
we
manage
our
life
with
food
,
moving
forward
and
in
trauma
and
in
pain
.
It
plays
such
an
integral
part
of
who
we
are
.
Like
food
does
that
to
us
?
Speaker 2
39:27
Yes
,
one
thing
that's
gaining
a
lot
of
traction
that's
actually
not
new
,
it
started
in
around
1995
is
intuitive
eating
and
a
lot
of
dietitians
are
moving
towards
this
intuitive
eating
approach
and
it's
something
I'm
working
on
with
my
clients
as
well
.
But
the
whole
framework
is
about
listening
to
your
body
and
kind
of
tuning
into
your
health
and
listening
to
those
intuitive
signals
for
what
you're
needing
at
the
time
and
honoring
that
.
So
it's
about
honoring
your
hunger
.
Body
acceptance
kind
of
accepting
your
genetics
is
a
big
part
of
it
.
If
every
woman
in
your
family
has
kind
of
a
look
and
maybe
they're
like
all
around
185
pounds
and
they
have
this
certain
build
,
it's
unlikely
that
you're
going
to
be
120
pound
person
and
not
have
to
severely
restrict
and
work
for
it
for
your
entire
life
.
Embracing Genetics in Endo Management
Speaker 2
40:17
And
so
kind
of
accepting
those
genetics
and
I
think
a
part
of
that
really
is
important
for
endo
Even
with
excision
surgery
people
still
have
symptoms
and
we
have
to
kind
of
accept
and
honor
our
bodies
for
what
they
are
and
the
part
that
we've
been
dealt
.
Speaker 1
40:31
Thank
you
for
joining
us
this
week
,
and
if
this
episode
gave
you
some
great
insights
to
how
to
manage
your
diet
and
your
endometriosis
symptoms
,
then
join
us
again
for
part
two
,
as
we
continue
with
this
conversation
.
You
won't
want
to
miss
it
.
Until
next
time
,
continue
advocating
for
you
and
for
those
that
you
love
.