The Secrets of Successful Hormone Balance with Dr. Sarah Doyle

WEBVTT

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Weight loss.

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For women is 50% hormones 30% diet and 20% exercise.

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So if you feel like you're dieting and exercising, like and your boyfriend is doing great, it's because for guys, diet and exercise is enough.

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For us it's 50% hormones.

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So then I have to figure out well, which hormone is it?

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Welcome to Pivoting Pharmacy with Nutrigenomics, part of the Pharmacy Podcast Network, a must-have resource for pharmacist entrepreneurs seeking to enhance patient care while enjoying career and life.

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Join us as we pivot into nutrigenomics, using pharmacy and nutrition for true patient-focused care.

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Explore how to improve chronic conditions rather than just manage them.

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Celebrate entrepreneurial triumphs and receive priceless advice.

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Align your values with a career that profoundly impacts patients.

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Together, we'll raise the script on health and pivot into a brighter future.

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All right, dr doyle, thank you so much for joining us on Pivoting Pharmacy with Nutrigenomics.

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I'm looking forward to our conversation today.

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I want to kick things off by just getting a little bit of background on you and what brought you to where you are today transitioning to what you're doing today from working as a doctor of physical therapy and now focusing more on functional medicine.

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Sure, absolutely so.

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Like you said, I started off in physical therapy and I worked in hospitals.

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I found outpatient ortho to be kind of boring, repetitive, and I love the hospital scene because I walked in every day.

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I had a list of patients, I had a chart review, all their diseases, their medications, what tests they were having, all their symptoms, what did the ER say, all this stuff and I thought it was just so interesting.

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I loved trauma, trauma, icu, neurotrauma those were my favorite.

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But then I also did a lot in.

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I floated every floor.

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I started off in Mount Sinai Hospital, miami beach, and I ended um in Aventura, which is a level two trauma, uh, lots of gang shootings, um, interesting, um.

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But what really formed me was, or affected me, was, working in oncology and I saw just how bad nutrition, a lifetime of poor nutrition, toxins whether they be actual toxins like heavy metals or emotional toxins A lot of people who had cancer had a very toxic relationship and a toxic partner.

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Bedside People would say to me how can they send me home?

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They don't even know what's wrong with me, they're just giving me more prescriptions.

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Isn't there anything I can do?

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And it killed me.

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I mean, if I had a dollar for every time.

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Somebody said that to me I'd be rich, I wouldn't have to work, and I started looking into functional medicine programs.

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And then, during the COVID pandemic, I was furloughed for quite some time because originally they were intubating everybody who had COVID and when you're intubated for a while it disrupts the swallow reflex and you need speech therapy to learn how to swallow.

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You can't go home and they couldn't clear the bed until the patient could swallow Right.

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So with Medicare funding the physical therapy and speech therapy are lumped into one budget.

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So physical therapists were kind of shoved aside for a while while all these people were getting extubated and working with speech therapy.

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And I said you know what?

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This is?

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A perfect opportunity for me to start getting this certification.

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So I went into the functional medicine and eventually got my diplomat with the American Clinical Board of Nutrition and I started coaching my friends during that pandemic and then they sent me referrals and I ended up specializing in women's health.

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And then, of course, the men chimed in and I help men with their hormones too.

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But that's basically what we need Like.

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I live in Miami and it's a very diverse culture.

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There's a lot of Russians here and my Russian friends tell me that in Russia a gynecologist is also an endocrinologist.

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I thought, wow, interesting.

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Yeah, wouldn't that be fabulous if they could.

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The doctor could tell you something besides take birth control for all your symptoms, right?

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You know I don't know about you, but I had female issues and you know I remember being in college and going from one doctor to another.

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You know I had cysts.

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I had a lot of cysts in my breasts, cysts in my ovaries, really painful periods where I'd have to miss work, miss school, and you know they, they would tell me to just, you know, lay off the caffeine.

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But I'm in college, like I'm not laying off the caffeine and that and that.

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And of course, caffeine wasn't the problem.

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You know it has to do with genetics not being able to clear estrogen, you know.

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So, anyways, we need help, women need help.

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Our doctors aren't educated.

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Uh, even today, an OBGYN has very little education on managing a woman in menopause and we spend 30% of our life like that.

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It's, it's, it's a big oversight.

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So it's a tremendous opportunity for people in my space to step in and give people the you know, the care that they need, because they are stuck looking for TikTok influencers to try to piece together what they can do.

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Or, even worse, looking at WebMD and going down Dr Google, and then they come to me with I'm like, oh my God, no, that's not.

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That's not how it works, just relax.

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I'm sure you get that too.

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Yeah, you bring up an interesting point.

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There's so much information out there.

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Yeah, back in the day, it was just WebMD or Google.

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Now we have social media influencers who are just out there speaking just because they can, and so people are getting a lot of misinformation, confusing information, out there.

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So I'm happy that we have practitioners like you who are out here helping women and men with their health.

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And you're so right, a woman, we are at such a disservice when it comes to our health because and it's surprising you would think that OBGYNs would be more versed, well-versed when it comes to hormonal, but they'll admit to, you know, that's not necessarily their expertise.

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Correct.

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Or if they do know something, it's because they did a continuing education or they went to a conference, something like that, and even then it's not.

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You know, you can only pick up so much at a conference, or yeah to me and ed like.

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So yeah, it's definitely an issue, and even for me as a pharmacist I remember um training and learning when it comes to women's health.

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It was just all birth control and there were so many, so many.

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At one point I was like what's the point?

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Like so many medications out there for us for for our hormones, you know, to control our hormones, something that is natural for us and it was very overwhelming that that's just what's thrown at us as a solution.

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Now you talk about an ecosystem approach.

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You described the body as an ecosystem.

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How does this perspective influence your approach to treating hormonal imbalances?

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Yeah, so I have my, my hallmark program.

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I have a 10 week biohacking bootcamp and my clients get at home testing their urine panels except one is a fingerprint test.

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We do heavy metals, thyroid, including the antibodies, and we do all the sex hormones, cortisol.

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We do a five cortisol reading so we can capture the diurnal pattern and see like, do they have a healthy stress response or they burn out?

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We look at some methylation genes and then I test brain chemistry.

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So we look at neurotransmitters and we help balance their brain chemistry, their sex hormones, using vitamins, minerals and amino acids, herbs.

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And we do that all at the same time because, as you know, thyroid, estrogen, cortisol they all interact.

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You can't just put estrogen on a person with low estrogen and not look at their cortisol and their thyroid.

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We don't function like that.

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And the problem with the American, well, it's not just American healthcare, it's like the medical system.

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It's reductionist, you know, because you can only get it if you look at a clinical study.

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Well, you can only get a clinical study if you don't have any confounding variables.

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We function with confounding variables, we all have comorbidities and so you've got to like take the regular medical model with a grain of salt and try to integrate and realize that our body is a symphony, it's not a monologue you couldn't have said it any better.

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I love that.

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Our body is a symphony, not a monologue.

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We cannot just take one thing and only focus on that.

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And it's the same thing with genetics.

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I use use nutrigenomic testing.

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We can't just look at one gene variant and say, oh, that's it.

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That's what we have to do.

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We need to look at a variety of genes that deal with that particular system to really come to a direct conclusion to give recommendations to our patients.

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So it's a symphony, definitely a symphony.

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So, based on your personal experience, dr Doyle, and your professional observations, what are some common misconceptions that you've come across about the effects of traditional hormonal birth control?

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I don't think women realize that there are synthetic hormones suppressing their body's natural production and they don't realize what it feels like to get off of these drugs.

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They don't realize the implications of family planning I know I didn't.

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I was on birth control for a decade.

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They don't realize the how it disrupts the microbiome.

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I had chronic candida problems when I like, both in my gut and vaginally when I was on birth controls and I tried all different kinds.

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You know, when it was in my gut then I switched to like a NuvaRing, then I was having chronic vagina candida problems.

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Like you know, these, these drugs have downstream effects and I had no idea.

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I just thought, you know, my body was sick or it was from something else you know.

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So there's, there's, nothing is without, I guess, a consequent offense.

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Yeah.

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Yeah, you're so right, I.

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I personally, was on birth control for a total of 18 months my entire life nine months one time and nine months another time, and each time I stopped my body was just never the same after coming off those birth control and I was using IUD both times.

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Those synthetic hormones definitely do wreak havoc on our bodies, on our system, especially when we have our natural hormones.

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We just need to find a way to balance them so that they can work the way that they're supposed to work naturally.

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Balance them so that they can work the way that they're supposed to work naturally.

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Now, do you have any first steps that you would recommend for someone who's looking to transition away from hormonal birth control?

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Yeah, so, starting with, I always want to address the liver and address detoxing.

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Your liver is the only thing that can process hormones.

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So I like to, you know, hone in on the nutrition, make sure their sleep hygiene is good, give their body the best opportunity, the best chance that it can have to actually heal itself.

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And, like I said, your liver is the only thing to process your hormones.

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So I like to do a little liver detox, process your hormones.

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So I like to do a little liver detox, even with some some of my coaching clients I've had, like, for example, I had a woman who was kind of obese.

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She confessed to having a fast food addiction.

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So before I even started with her hormones and brain chemistry, like I do with other people, I did four months of detoxing with her and I said, look, you're full of garbage.

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Like you have got to.

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And unfortunately, with the, you know the way the economy is.

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A lot of people are stuck working two jobs and they can only afford fast food or they can only have time to grab fast food between their two jobs.

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And so you know we got to think about some of the hormone disruptors that are in our foods also and pull those out.

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So the hormone disruptors are anything that will affect your liver's decision to work on its endogenous hormones.

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So, for example, eating a hamburger with a bun Okay, so the bun has glyphosate from the wheat.

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Glyphosate's an endocrine disruptor.

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And then the meat of its actual it is actual meat, I don't know Then it's likely from a cow that wasn't fed a very good diet, was probably fed like grains covered in mold and glyphosate.

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So you're getting all these toxins in that tissue too.

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So then it gets into your body and your liver's like, oh my God, I have all these xenoestrogens and all the things.

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And then you're washing it down with, like you know, plastic water bottle and then people are like vaping.

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So you know we've got all these chemicals and our liver's like, oh my God, I've got to get this out, I got to get this out.

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And it doesn't even have the bandwidth to take care of your regular estrogen.

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So you get buildup of toxic estrogens and they're bloating and it's a lot.

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So I focus on the nutrition, trying to detox and then, of course, getting good sleep hygiene, because that's the only time our body can really rest and repair.

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That is so true, and you're right.

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Many people don't realize the extent to which these bad foods are really impacting their bodies.

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And a form of detox that's deep.

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That's how long it took this particular client or patient you worked with for her body to actually get rid of all those toxins, and it's cumulative.

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You're eating fast food day after day, and then you mentioned the plastic bottles.

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Then we have environmental factors, the air fresheners, the plugins, and the list goes on and on.

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There are so many things that we're supposed to that we're not aware are affecting our bodies and our hormones.

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Thank you for highlighting those, because many people are not aware of that.

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I want to get your turn to switch the mood a little bit towards the functional medicine aspect.

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You emphasize the importance of the right testing, right?

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So what specific tests do you recommend for someone who's struggling with these hormone related issues?

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Yes, I do a urine panel that is more affordable than the Dutch test.

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There's a lab out of Boca Raton called Physicians Lab and I use their 24 hour comprehensive urine panel.

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That will give us now for what we're for the question you asked me.

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What's relevant is it breaks down the three different estrogens.

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We have E1, e2, e3, and then E1 has different metabolites, so it looks at the metabolites that are often present with high levels of inflammation or possible carcinogenic processes happening.

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So when I see that in people I'm like okay, we, you know, we talk about their lifestyle and if they're living a pretty clean lifestyle and it's like okay, then we're probably going to look at their genes.

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We're going to support their phase one, phase two, liver metabolism that you know.

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You know if they have the catechol methyl transferase, snp or you know some other genetic SNPs, then we address that and support that with herbs.

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Great.

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You answered my next question about how you would individualize or customize those treatments based off of what you find in that testing, and that urine analysis is interesting and it's great that you're finding alternatives for your patients that are more affordable, because those dust tests and some other tests can can be pretty pricey.

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Now I want to go beyond the the sex hormones.

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Uh, we know we talked about environmental factors like uh if affecting the hormones, but then there's uh stress, the thyroid hormones, um, brain chemistry.

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Are you able to speak on how those factors and hormones affect or interact with the sex hormones from what you've observed clinically?

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Yeah, absolutely so.

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If your estrogens are really high, particularly your E2 or any of the toxic estrogens that can decrease your T3 conversion.

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So for you guys that don't know, your thyroid, it's over here.

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It pumps out T4.

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T4 goes to the tissue.

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It takes an Uber on like albumin.

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It takes, I call it, it hops an Uber with albumin.

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It's a protein in your blood and it goes to its target tissue.

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Your thyroid kind of rules everything.

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So then when it gets the target tissue it converts into T3 and that's what your body actually uses.

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So the T3 conversion can be impaired by toxins like heavy metals.

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So that's why we test that.

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Also, 40% of women have low thyroid and it's hard to tell when a woman's in.

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I work, I specifically work with like perimenopausal women.

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But I've been getting women and they're like 30, sometimes even early thirties, with just really messed up hormones, um.

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So I technically specialize in perimenopause and menopause, but I've been getting helping people of different age groups.

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But so we look at the T3 and they're they come to me with like their weight gain.

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Um, they can't seem to lose it, no matter diet, exercise.

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So that's why I say weight loss for women is 50% hormones, 30% diet and 20% exercise.

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So if you feel like you're dieting and exercising like and your boyfriend is doing great, it's because for guys diet and exercise is enough.

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For us it's 50% hormone.

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So then I have to figure out well, which hormone is it?

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So then we look at the cortisol.

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We do five readings.

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Your cortisol.

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It's called a cortisol awakening response.

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It's 30 minutes after you open your eyes, and so that should be roughly 20 times higher than at night when you go to bed.

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So we want to see a robust cortisol awakening response and then like a little drift off.

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So if I am seeing a patient with abdominal weight gain and they have like an inverse relationship or instead of like a peak, a mountain and a dip, it looks like cereal bowl.

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Well, that's why they're not sleeping at night.

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Or if I have somebody in remission from cancers, there's research that says long-term remission from cancers is correlated with a healthy diurnal curve.

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So if I have any woman who's in remission for breast cancer I don't care how many years ago it was I really focus on that cortisol curve because we know stress kills us.

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But this is how we look at it.

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We can actually look at how that is.

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And then, thirdly, you asked about the brain chemistry.

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Well, we have a lot of hormone receptors in our brain.

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There's estrogen receptors all over our brain for men and women, and when your your levels are, you know, fluctuating whether it be because of toxins in your in your thirties or you're heading toward menopause, and they're going up and down, like your brain doesn't like that and it affects your brain chemistry.

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So a lot of women feel like they're going crazy and it's like a second puberty, right.

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So you remember how whacked out you were emotionally when you were going through puberty.

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It's like another puberty, it's like another peer, it's like another puberty.

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So if we look at thyroid, sex hormones, stress hormones and brain chemicals, all at the same time and we support them all at the same time, the results are so much better and faster.

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You know, for women it takes like three or four period cycles, for guys 30 days and sometimes, if I have to tweak something, maybe 60 days, because men their hormone cycle resets every 24 hours, whereas women we reset every 28 days or, if we're in perimenopause, every 23 days.

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But it's a different cycle.

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Thank you for breaking that down.

00:20:28.926 --> 00:20:36.897
For us, dr Doyle, the body is absolutely amazing, and and both men and women.

00:20:36.897 --> 00:20:49.067
Yes, we're very sensitive to what's going on in our body, but it seems like it's more impactful for us, and you work with both men and women, so you'll have a better say on that when it comes to hormones.

00:20:49.067 --> 00:20:56.856
But yes, women, it's going to take a little bit longer for us to see those changes and improvements, but it is possible Now.

00:20:56.856 --> 00:20:58.674
What is your vision for the future?

00:20:58.674 --> 00:21:04.205
What's your, your ultimate goal in guiding individuals through their health transformations, dr Doyle?

00:21:04.976 --> 00:21:07.021
Yeah, I have a lot of competition out there.

00:21:07.021 --> 00:21:09.208
I see AI creeping up.

00:21:09.208 --> 00:21:11.776
I, you know I've been looking like.

00:21:11.776 --> 00:21:22.246
Traditionally my competition was like Gary Brucka, grant Cardone with 10X Health System or Tony Robbins just came out with my Life Force.

00:21:22.246 --> 00:21:24.258
It's like a functional medicine concierge stuff.

00:21:24.258 --> 00:21:36.184
Mark Hyman and Cleveland Clinic have one and then that's my Function Health and let's see what else.

00:21:36.184 --> 00:21:37.769
Harvard they came out.

00:21:37.769 --> 00:21:49.605
I've got a couple of guys from Harvard came out with Rebel Health Alliance and then there's like some real low I call them low bar ones where they just have like a monthly membership and they give you access to order functional medicine testing.

00:21:49.605 --> 00:22:06.420
So I have a lot of competition but I think I stand out because I can do what people from Gary Brekker and Grant Cardone and Tony Robbins are doing, but it's like a third of the cost.

00:22:06.420 --> 00:22:14.647
You don't know who I am because I don't have their marketing budget, but I'm also not passing on that marketing budget costs to my clients.

00:22:15.494 --> 00:22:18.883
I work with referrals and I hop on podcasts.

00:22:18.883 --> 00:22:20.045
I try to spread the word.

00:22:20.045 --> 00:22:32.067
You know I have a biohacking bootcamp and then if somebody doesn't have the ability to commit to the weekly mastermind, you really get the best results in the biohacking bootcamp because we do a weekly mastermind.

00:22:32.067 --> 00:22:34.743
I have an app with online course library.

00:22:34.743 --> 00:22:36.782
You have 24-7 access to me.

00:22:36.782 --> 00:22:41.067
I have a WhatsApp that I like to use with everybody because it's encrypted.

00:22:41.067 --> 00:22:42.240
I feel like it's a little bit safer.

00:22:42.240 --> 00:22:43.780
It works pretty well.

00:22:43.780 --> 00:22:46.996
And what else I do?

00:22:46.996 --> 00:22:48.383
Discounts on supplements.

00:22:48.383 --> 00:22:50.121
That really works well.

00:22:50.214 --> 00:22:58.500
There's a lot of community and it's kind of like cognitive behavioral health, because we're kind of a behavioral therapy, because we talk about something.

00:22:58.500 --> 00:23:02.445
Every week you learn a new topic, you ask questions and you get to implement it.

00:23:02.445 --> 00:23:08.508
So it's like every week they learn something new and it really, you know it changes their life.

00:23:08.508 --> 00:23:11.423
Not everybody can afford it.

00:23:11.423 --> 00:23:13.482
I charge $3,000 for 10 weeks.

00:23:13.482 --> 00:23:18.144
Not everybody can afford that, or nor do they maybe not have the time for it.

00:23:18.144 --> 00:23:19.107
Maybe they work night shifts.

00:23:19.107 --> 00:23:20.799
I can't make the meeting.

00:23:21.096 --> 00:23:28.144
So then I have another program where we do like a monthly membership with the consultation, and then they just order the labs a la carte.

00:23:28.144 --> 00:23:36.619
They're not going to get the comprehensive um understanding, uh, but they will learn about themselves and be able to.

00:23:36.619 --> 00:23:43.984
They still get to chat with me and, you know, get the support they need, especially if some people are trying to get off pharmaceuticals, like some people.

00:23:43.984 --> 00:23:53.565
You know long-term effects of some of the SSRIs or progesterone imbalances, and you know people want to start a family and they want to get off these drugs.

00:23:53.565 --> 00:23:54.454
So it's it's.

00:23:54.454 --> 00:23:58.547
They need a lot of support, especially when getting off of the psychotropic drugs.

00:24:01.835 --> 00:24:02.557
So that's really my focus.

00:24:02.557 --> 00:24:05.744
You know, we have the membership where we order tests and I help people.

00:24:05.744 --> 00:24:15.888
Or we have the biohacking bootcamp and I have a yes there we are yeah, and your screen here, absolutely.

00:24:15.888 --> 00:24:21.109
So I am going to give a $2,000 discount.

00:24:21.109 --> 00:24:22.473
It's listed for 5,000.

00:24:22.473 --> 00:24:29.115
I'm going to give you, your listeners, a $2,000 discount on the biohacking bootcamp and I'll give you the coupon code.

00:24:29.115 --> 00:24:35.146
It'll be um, I was going to do a nutrigenomics 2000 that way.

00:24:35.146 --> 00:24:40.804
I know they came from you and cause we both love nutrigenomics.

00:24:40.904 --> 00:24:53.084
Of course it's the only way I'm biased, but I agree, I was really excited to be here today because I think that, um, it's a really cutting edge and it gives us a good insight it, does, it does.

00:24:53.325 --> 00:24:59.163
It's like you don't have to do it blindly anymore yep no more more guessing.

00:24:59.163 --> 00:25:00.525
We test, we don't guess.

00:25:01.767 --> 00:25:27.557
Yeah, like I have been working with who's had, uh like he's been on two different blood pressure medications and still having hypertension, and I am like, listen, we need to do a DNA test, I need to look at your you know, your methylation genetics, and so we're we're hitting it from that angle and I'm hoping we just got the DNA test back two days ago, so I'm hoping that we can have more success, uh, so that he can get off the hypertension medications.

00:25:27.557 --> 00:25:35.864
He's like, no, you know, he didn't want to take them at all, and then I, you know, finally at least got him to take them, because his hypertension was like one, 50 over a hundred.

00:25:35.864 --> 00:25:41.997
I'm like, oh, my, like, you're gonna have a stroke, like you, you know who's gonna take care of you?

00:25:41.997 --> 00:25:44.963
Yeah, the nutrigenomics so cool, it's a great field.

00:25:45.104 --> 00:25:46.748
Thank you, dr Doyle.

00:25:46.748 --> 00:25:50.443
It was a pleasure to have you on board and I am this.

00:25:50.443 --> 00:26:02.428
I was just ecstatic to meet with you Because I'm one with the functional medicine aspect and then knowing that you do the genomic testing as part of your practice, and not many practitioners are keen on that.

00:26:02.428 --> 00:26:09.665
They don't understand it, they're not familiar with it and it makes their practice so much easier.

00:26:09.665 --> 00:26:18.465
I'm just glad to meet you and meet someone else that's doing that as well and proudly here to support what you're doing to help your clients, your patients.

00:26:18.705 --> 00:26:30.483
Absolutely yeah, but likewise very excited to be here and we'll spread the word and continue to educate people so that they can make better choices for themselves, because their primary care doctor likely can't help them and they're going to have to look.

00:26:30.483 --> 00:26:32.837
You people know when there's something wrong with them.

00:26:32.837 --> 00:26:41.728
They know things are not okay and they keep going to the doctor and getting blood work and hearing that they're okay and they know they're not okay Like there's gotta be a place for people like this to turn.

00:26:41.728 --> 00:26:49.796
So people like you and me that are gonna, you know, help these people before they end up with something more you know tragic that's.

00:26:49.836 --> 00:26:55.964
That's, indeed, it's a balanced ecosystem, or what did we call earlier we were referring to?

00:26:55.964 --> 00:26:58.281
Yeah, an ecosystem, even in healthcare, those checks and balances.

00:26:58.281 --> 00:27:04.261
And yeah, an ecosystem, even in healthcare there's checks and balances, and yeah, so people definitely need alternatives.

00:27:04.261 --> 00:27:08.942
Well, thank you again, dr Doyle, for joining us on Pivoting Pharmacy with Nutrigenomics.

00:27:08.942 --> 00:27:14.904
I'm looking forward to our continued collaboration and connection and support, and it's been a pleasure having you.

00:27:15.494 --> 00:27:16.096
Thank you so much.

00:27:16.096 --> 00:27:17.116
Take care Bye everybody.