Decoding the Golden Years: Navigating Aging, Forgetfulness, and Health Concerns with Clarity and Wisdom

1 00:00:00,400 --> 00:00:03,099 Speaker 1: Welcome to the Healthy Wealthy and Wise podcast 2 00:00:03,099 --> 00:00:08,096 with doctor William Choctaw, MDJD. Our mission is to empower 3 00:00:08,115 --> 00:00:11,993 you with the knowledge and the tools you need to thrive in all 4 00:00:11,993 --> 00:00:16,250 aspects of your lives. Join us now as we discuss every thing 5 00:00:16,250 --> 00:00:19,948 from nutrition and exercise to money management and personal 6 00:00:19,967 --> 00:00:24,375 growth. Doctor Chongqing will provide insightful advice ice on 7 00:00:24,375 --> 00:00:28,132 how to improve your physical and financial health, as well as 8 00:00:28,132 --> 00:00:31,510 your emotional and mental well-being. Whether you're 9 00:00:31,510 --> 00:00:35,368 looking to boost your energy levels, unlike financial 10 00:00:35,548 --> 00:00:39,884 freedom, or cultivate a more positive mindset we've got you 11 00:00:39,884 --> 00:00:45,682 covered. Get ready to become the best version of yourself. So 12 00:00:45,682 --> 00:00:50,598 let's get started. Here's Dr. William Choctaw, MD JD. 13 00:00:51,658 --> 00:00:55,316 Speaker 2: Hello. Welcome to the Healthy Wealthy and Wise 14 00:00:55,456 --> 00:00:59,804 podcast. I'm doctor William Choctaw, and I will be your host 15 00:00:59,804 --> 00:01:04,361 for this presentation. The healthy growth in Wines podcast 16 00:01:04,421 --> 00:01:08,567 is a part of the leadership master class series. And what we 17 00:01:08,567 --> 00:01:11,746 designed to do is to look at different areas of health, of 18 00:01:13,665 --> 00:01:17,582 wealth and wisdom and look at ways that we can tie them all 19 00:01:17,582 --> 00:01:23,090 together so that you will have a long and fulfilled life. Much 20 00:01:23,090 --> 00:01:27,087 of this is based on my five years of surgical practice and 21 00:01:27,087 --> 00:01:29,787 the things I've learned along the way and more specifically, 22 00:01:30,406 --> 00:01:33,713 the things that my patients have taught me. Today, we're going 23 00:01:33,713 --> 00:01:38,432 to talk about the Sunshine Vitamin D, and we're going with 24 00:01:38,432 --> 00:01:41,888 some specifics about how to top vitamin D is such an important 25 00:01:41,909 --> 00:01:47,025 vitamin for us, and what we need to do to maximize its use. And 26 00:01:47,025 --> 00:01:51,933 also, to make sure that we stay healthy, wealthy, and wise. I 27 00:01:51,933 --> 00:01:55,689 believe life is about being of service to others. I believe 28 00:01:55,689 --> 00:02:00,566 knowledge is power. I believe leaders can change the world. I 29 00:02:00,566 --> 00:02:03,614 always like to put up an outline whenever I get one of these 30 00:02:03,655 --> 00:02:07,332 discussions in the online basically has two purposes. It's 31 00:02:07,332 --> 00:02:09,972 designed to let you know what we're gonna talk about, but more 32 00:02:09,972 --> 00:02:13,050 important list, to let you know what the one who when I am just 33 00:02:13,050 --> 00:02:16,087 about done. So we're gonna start off by talking about 34 00:02:16,087 --> 00:02:19,825 mental, physical, and spiritual health. A real goal is to define 35 00:02:19,825 --> 00:02:25,272 vitamin d for you. We'll acknowledge the role of the sun 36 00:02:25,272 --> 00:02:28,872 in this process. We'll talk about the risk of too much of 37 00:02:28,872 --> 00:02:33,118 vitamin d or too little vitamin d. And we'll talk about some of 38 00:02:33,118 --> 00:02:38,116 the things to avoid to make sure that you stay healthy in spite 39 00:02:38,116 --> 00:02:41,604 of vitamin D deficiency. Underlying all of these 40 00:02:41,604 --> 00:02:44,962 discussions are three basic areas. The healthcare is the 41 00:02:44,962 --> 00:02:48,881 number one area. If there are any legal issues, we will 42 00:02:48,881 --> 00:02:53,027 address those in this discussion . And there's always a financial 43 00:02:53,027 --> 00:02:56,906 impact, particularly when you were talking about healthcare 44 00:02:57,045 --> 00:03:02,502 either in terms of affordability of health care or in terms of 45 00:03:02,502 --> 00:03:05,820 the quality of health care that you may receive. And when those 46 00:03:05,820 --> 00:03:10,408 issues arise, we will address them. So let's get started. One 47 00:03:10,408 --> 00:03:15,526 of the things that I have found absolutely fascinating over my 48 00:03:15,526 --> 00:03:19,354 years in healthcare has been the existence of what I call the 49 00:03:19,354 --> 00:03:23,651 mental, physical, and spiritual health connection. Mental, 50 00:03:23,911 --> 00:03:27,530 physical, and spiritual health connection. And what I have 51 00:03:27,530 --> 00:03:31,527 learned from my patients is the importance of treating all three 52 00:03:31,527 --> 00:03:36,574 of those areas. If I'm gonna treat the whole patient, and 53 00:03:36,574 --> 00:03:40,372 give that patient quality care. And what I mean is that not only 54 00:03:40,372 --> 00:03:44,370 treat the physical, but I need to treat the mental And as 55 00:03:44,370 --> 00:03:48,687 importantly, I need to treat the spiritual. That does not mean 56 00:03:48,687 --> 00:03:52,484 that I have to endorse or embrace the belief system that 57 00:03:52,484 --> 00:03:56,103 every patient has, but I the very least, I need to recognize 58 00:03:56,481 --> 00:04:00,579 it, and I need to recognize it from the context of how it may 59 00:04:00,579 --> 00:04:06,256 impact that patient's care, that patient's ability to follow my 60 00:04:06,256 --> 00:04:10,683 instructions, that patients ability to trust my 61 00:04:10,683 --> 00:04:15,721 recommendations so that they can help me help them. And so I 62 00:04:15,721 --> 00:04:20,088 have learned I continue to notice this mental, physical, 63 00:04:20,108 --> 00:04:24,826 spiritual dynamic. It is absolutely major, and I pass 64 00:04:24,826 --> 00:04:28,923 that on. That it's important to keep that in mind. Well, quite 65 00:04:28,923 --> 00:04:34,100 as a vitamin. Certainly, we all learn about vitamins in the past 66 00:04:34,100 --> 00:04:36,697 and we've seen them on television and we talk about 67 00:04:36,697 --> 00:04:41,535 them or we may we may use them in our daily lives or we may not 68 00:04:41,535 --> 00:04:45,773 use them because we don't think they're necessary. But let's 69 00:04:45,773 --> 00:04:50,151 let's define what a vitamin is. A vitamin is an organic 70 00:04:50,451 --> 00:04:57,416 molecules that is essential to a human in quantities of proper 71 00:04:57,797 --> 00:05:02,324 metabolic function. Let me repeat that. A vitamin is an 72 00:05:02,324 --> 00:05:07,980 organic molecule that is essential to humans in small 73 00:05:08,000 --> 00:05:14,786 quantities proper metabolic function. And today, we're gonna 74 00:05:14,786 --> 00:05:18,875 talk about a specific vitamin called vitamin D. Now there are 75 00:05:18,875 --> 00:05:21,392 ten to thirteen out of the vitamins, but we're only gonna 76 00:05:21,392 --> 00:05:26,399 talk about vitamin d today. But there's a second part of this of 77 00:05:26,399 --> 00:05:30,158 that depth submission for vitamins. Vitamin D is what we 78 00:05:30,158 --> 00:05:34,935 call an essential vitamin. So how do we define an essential 79 00:05:35,035 --> 00:05:41,382 vitamin? An essential vitamin in essence is a vitamin that is or 80 00:05:41,382 --> 00:05:46,579 is an organic molecule that is made by the body. But not 81 00:05:46,579 --> 00:05:52,117 insufficient quantities to meet the body's needs. Let me repeat. 82 00:05:52,117 --> 00:05:57,084 An essential vitamin like vitamin D is made by the body, 83 00:05:57,343 --> 00:06:02,420 but not in satin, but not in quantity sufficient to meet the 84 00:06:02,420 --> 00:06:07,187 body's needs. So the our bodies make vitamin D, but they don't 85 00:06:07,187 --> 00:06:10,387 make enough vitamin D. So we have to get vitamin D pumped 86 00:06:10,387 --> 00:06:15,682 from an additional source to be completely healthy in terms of 87 00:06:15,682 --> 00:06:20,619 the responsibilities and needs that we have for vitamin D. In a 88 00:06:20,619 --> 00:06:24,177 way, I sort of look at it. This is what one of the examples of 89 00:06:24,177 --> 00:06:28,574 our connection to the world around us. Yes, the body makes 90 00:06:28,574 --> 00:06:35,742 it yes, we need it, but we require help from outside of the 91 00:06:35,742 --> 00:06:43,266 body to meet those needs. So what are the important sources 92 00:06:43,367 --> 00:06:48,644 for this need, vitamin d, is the sun. We see it every day, 93 00:06:48,783 --> 00:06:55,309 basically. And it is a major source of vitamin d. And indeed, 94 00:06:55,309 --> 00:06:59,228 it is the main source of vitamin D for our bodies. Well, 95 00:06:59,286 --> 00:07:02,994 how does that work exactly? I don't want to get too deep into 96 00:07:02,994 --> 00:07:06,492 the biochemistry weeds, but let me just say, very, very briefly. 97 00:07:06,492 --> 00:07:11,259 The sun has something called UB rays, ultraviolet rays. And 98 00:07:11,259 --> 00:07:16,456 when the sun hits the skin, it affects a chemical in the skin 99 00:07:16,456 --> 00:07:21,774 called seventy hydroxychloroquel . And it converts that seven d 100 00:07:21,774 --> 00:07:26,432 hydroxychloroquel to a pre vitamin, which is then 101 00:07:26,610 --> 00:07:32,209 summarized to vitamin D. Let me repeat. The sun hits the skin. 102 00:07:33,028 --> 00:07:38,334 It converts the seven d hydroxychloroquel to a pre 103 00:07:38,334 --> 00:07:43,451 vitamin D, which is then I summarize to regular vitamin D 104 00:07:43,451 --> 00:07:47,788 so that it's then used by the body. So the sun is a major or 105 00:07:47,788 --> 00:07:52,985 one major source of vitamin d. The other source of vitamin d is 106 00:07:52,985 --> 00:07:57,333 foam and we'll talk about that a bit later. So it is very 107 00:07:57,333 --> 00:08:02,680 important then that we get proper exposure to sunlight 108 00:08:03,139 --> 00:08:08,036 sounds real basic. Right? But not always. Because, indeed, 109 00:08:08,576 --> 00:08:12,973 many of us have jobs or have had jobs, where we are not exposed 110 00:08:12,973 --> 00:08:17,072 to the sun very much at all. Maybe you get up in the dark. 111 00:08:17,252 --> 00:08:21,108 You drive the work or go to work . You work all day. And when you 112 00:08:21,108 --> 00:08:25,346 get off, it's dark again, depending on where you live. I 113 00:08:25,346 --> 00:08:31,293 can tell you that one of my last jobs was it it required for me 114 00:08:31,293 --> 00:08:35,292 to fly all over the country. I live on the West Coast. And so 115 00:08:35,292 --> 00:08:39,349 whenever I had to travel with the joint commission, which I 116 00:08:39,349 --> 00:08:43,027 love the early great organization. As a survey, as a 117 00:08:43,027 --> 00:08:46,854 physician survey of hospitals, I would always make sure that I 118 00:08:46,854 --> 00:08:52,010 had a plane reservation for the very earliest flight possible if 119 00:08:52,010 --> 00:08:55,619 I have from my airport in California. Because I wanted to 120 00:08:55,619 --> 00:08:59,456 get to those hospitals on the East Coast before Sundown. Now, 121 00:08:59,456 --> 00:09:04,464 most of the times that didn't make it, but nevertheless, I I 122 00:09:04,464 --> 00:09:07,863 would go many days where I would never really see this sign. And 123 00:09:07,863 --> 00:09:10,660 and again, I'm sure many of you have experienced it just in 124 00:09:10,660 --> 00:09:15,508 your normal daily routine. Or your normal work routine. But my 125 00:09:15,508 --> 00:09:18,746 but the point I wanna make is the sun is very important. And 126 00:09:18,746 --> 00:09:23,014 it is not important just in terms of recreation, and mental 127 00:09:23,014 --> 00:09:27,532 health. It is very important in terms of physical health and in 128 00:09:27,532 --> 00:09:31,759 terms of vitamin D. And we'll get into detail about why 129 00:09:31,759 --> 00:09:36,976 vitamin D is so important. Okay? So there are two main external 130 00:09:37,157 --> 00:09:41,364 sources for vitamin D. One, vitamin D is an essential 131 00:09:41,384 --> 00:09:44,822 vitamin. Essential vitamin means the body makes it, but it 132 00:09:44,822 --> 00:09:48,779 doesn't make enough of it, so it needs external sources. And 133 00:09:48,779 --> 00:09:52,498 there are two basic external sources. The sun, which is 134 00:09:52,498 --> 00:09:55,775 there, which is free and is there for all of us every single 135 00:09:55,775 --> 00:10:00,883 day. And dietary of food sources, which also is a good 136 00:10:00,883 --> 00:10:05,299 source of vitamin D. One of the main functions of vitamin D is 137 00:10:05,299 --> 00:10:12,336 how it affects the bone. It is a a primary target vitamin d, if 138 00:10:12,336 --> 00:10:16,442 you will, and it affects the bone in a number of ways. And 139 00:10:16,442 --> 00:10:19,162 one one of the things that this demonstrates is something that I 140 00:10:19,162 --> 00:10:23,669 see or have seen throughout my evaluation award experience with 141 00:10:23,669 --> 00:10:27,527 physiology and anatomy in the body, especially physiology that 142 00:10:27,527 --> 00:10:31,284 the body is very balanced. It's very balanced. And we don't 143 00:10:31,284 --> 00:10:34,082 really notice this consciously because this all happens on the 144 00:10:34,082 --> 00:10:37,282 unconscious level. But but there are a lot of things that go on 145 00:10:37,282 --> 00:10:43,778 in within the body that help to keep us functional at the level 146 00:10:43,778 --> 00:10:46,956 that we that we do functional. And in my mind, it's absolutely 147 00:10:47,057 --> 00:10:49,764 extraordinary. And so this happens in the bone. And so 148 00:10:49,764 --> 00:10:53,062 there there are two main types of cells that are in our bones. 149 00:10:53,402 --> 00:10:57,798 Other bones, obviously, the structure for our bodies One my 150 00:10:57,798 --> 00:11:02,777 type of cell is called an osteoblast b l a s t. 151 00:11:02,917 --> 00:11:08,984 Osteoblast, osteo mane bone, and blast. And osteoblast basically 152 00:11:08,984 --> 00:11:15,080 make new bone sense or create new bone, if you will. And so 153 00:11:15,080 --> 00:11:17,878 the bone in like other parts of our body scan and other parts of 154 00:11:17,878 --> 00:11:21,456 our body are changing regularly . The balance of the osteoblasts 155 00:11:21,456 --> 00:11:28,721 is a type of cell in the bone called osteoclast, c l a s t. C 156 00:11:28,721 --> 00:11:34,457 l a s t s. And the osteo class, basically, their job, is to 157 00:11:34,457 --> 00:11:39,296 remove all bone. So you have the osteo blast that create new 158 00:11:39,296 --> 00:11:43,942 bone and the osteo class that removed the old bone as the 159 00:11:43,942 --> 00:11:47,241 osteoblast put down the new bone . Absolutely extraordinary. 160 00:11:47,610 --> 00:11:51,248 Absolutely extraordinary. The other thing that vitamin D does 161 00:11:51,248 --> 00:11:57,085 is it helps to balance the relationship between calcium and 162 00:11:57,085 --> 00:12:00,153 phosphate way. We want to get into a lot of biochemical detail 163 00:12:00,153 --> 00:12:03,792 about it. But trust me, that balance is important also in 164 00:12:03,792 --> 00:12:08,489 terms of the functioning of the body. And another part of the 165 00:12:08,489 --> 00:12:12,687 physiology involved in bone, which is the primary focus, a 166 00:12:12,687 --> 00:12:18,014 primary focus of vitamin D, is something called ImmTOR. Now 167 00:12:18,014 --> 00:12:23,211 ImmTOR basically is an enzyme, if you will, a type of a type of 168 00:12:23,211 --> 00:12:28,998 protein and its main function is it has a signal main function 169 00:12:28,998 --> 00:12:32,864 . What do I mean by that? So when we talk about the 170 00:12:32,864 --> 00:12:40,499 osteoblast laying down new new bone cell. Okay? Let's use a 171 00:12:40,499 --> 00:12:43,618 hypothetical. Let's say you're in an automobile accident and 172 00:12:43,618 --> 00:12:48,033 you fracture your bone. You you fracture your femur. And and you 173 00:12:48,033 --> 00:12:51,232 have surgery, they pin it, and so you have a break in your bone 174 00:12:51,232 --> 00:12:54,831 . Well, that has the heel. And that the bone heals with the new 175 00:12:54,831 --> 00:13:00,018 bone being laid down. Those osteoblasts. Okay. Vitamin D has 176 00:13:00,018 --> 00:13:06,234 a big role in that. Right? But if after the bone is healed, the 177 00:13:06,234 --> 00:13:11,700 body continued to put more and more and more steel blast cells 178 00:13:11,720 --> 00:13:15,957 or bone cells or new bone cells on top of the new bone cells, on 179 00:13:15,957 --> 00:13:19,514 top of the new bone cells. What do you think would happen? You 180 00:13:19,514 --> 00:13:25,351 would then get this mass that we would call a tumor and 181 00:13:25,351 --> 00:13:31,028 basically that is and it affects a definition for cancer. So 182 00:13:31,028 --> 00:13:39,482 cancer is unlimited growth. Of tissue within the body. So one 183 00:13:39,482 --> 00:13:46,038 of the important functions of vitamin d is to indirectly help 184 00:13:46,038 --> 00:13:52,104 to manage in some way that process a new bone being laid 185 00:13:52,104 --> 00:13:57,381 down. And basically, the mTOR signaling says, stop. So if ever 186 00:13:57,381 --> 00:14:01,048 when the bone is healed, it that's a process that then makes 187 00:14:01,048 --> 00:14:03,607 it stop because otherwise it would just keep doing what it's 188 00:14:03,607 --> 00:14:07,806 doing. So mTOR which is relating to vitamin D controls that 189 00:14:07,806 --> 00:14:11,394 process. What I'm trying to say. Okay? So my point is none of 190 00:14:11,394 --> 00:14:14,511 this is accidental. That accidental, everything is 191 00:14:14,511 --> 00:14:18,340 controlled in a very, very precise manner. We don't think 192 00:14:18,340 --> 00:14:22,337 about it. And we just function the way we function, and we may 193 00:14:22,337 --> 00:14:24,995 go out and break another bone. And then that bone will heal. 194 00:14:25,034 --> 00:14:27,594 And then we'll break another on that, but only he'll think about 195 00:14:27,594 --> 00:14:31,871 some of the athletes who've gone through this, depending on 196 00:14:31,871 --> 00:14:35,278 which sport area. But my point is it's absolutely fascinating. 197 00:14:35,538 --> 00:14:41,034 Listeners to me that that that this one little by doing which 198 00:14:41,034 --> 00:14:44,993 we can get primarily from the sun in addition to what's 199 00:14:44,993 --> 00:14:50,229 already in the body. Basically, has such a powerful influence 200 00:14:50,489 --> 00:14:56,945 over our body. So when we think of vitamin D, what what would a 201 00:14:56,945 --> 00:15:01,062 patient a peer. How about a patient peer? If they had a 202 00:15:01,062 --> 00:15:03,980 deficient amount of vitamin D, they didn't have enough vitamin 203 00:15:03,980 --> 00:15:07,379 D. Well, in children, this is called Ricketts. It's a disease 204 00:15:07,379 --> 00:15:10,476 called Rickettsin. You may have seen pictures of children with 205 00:15:10,537 --> 00:15:15,854 with legs that are bowed because they the the bones a week, and 206 00:15:15,854 --> 00:15:19,412 they're not strong enough. It's so many times they've been under 207 00:15:19,412 --> 00:15:23,568 the weight and and that sort of thing. In adults is called 208 00:15:23,568 --> 00:15:27,567 osteomalacia. And what that means is, again, the bones are 209 00:15:27,567 --> 00:15:31,874 not strong enough. And they're weak because of a vitamin D 210 00:15:31,874 --> 00:15:35,831 deficiency. So there can be very serious real world causes or 211 00:15:35,831 --> 00:15:40,589 real world examples, if you will, of not having a vitamin d. 212 00:15:40,589 --> 00:15:46,195 So what I'm saying in essence, spend more time in the sun. So 213 00:15:46,614 --> 00:15:50,451 who are some of the individuals who are most at risk for having 214 00:15:50,451 --> 00:15:55,009 vitamin D deficiency? Number one, those with limited sun 215 00:15:55,009 --> 00:15:59,246 exposure. We just talked about that. Limited sun exposure. It 216 00:15:59,246 --> 00:16:04,423 may be as a result of your job, it may be by choice. There are 217 00:16:04,423 --> 00:16:08,062 some people who may who have a who tend to have a phobia of 218 00:16:08,062 --> 00:16:11,239 this crime. And you may have seen them walk around with hats 219 00:16:11,418 --> 00:16:15,017 and umbrellas and whatever, and they never wanna be exposed to 220 00:16:15,017 --> 00:16:21,453 the sun. The sun is necessary in appropriate amounts to help us 221 00:16:21,832 --> 00:16:27,410 to keep our vitamin D at a certain at an appropriate level. 222 00:16:27,410 --> 00:16:30,957 The sign is necessary at appropriate levels to keep our 223 00:16:30,957 --> 00:16:36,076 vitamin D at appropriate levels. Out individuals who are at risk 224 00:16:36,076 --> 00:16:40,893 for vitamin d deficiency are individuals who overweight, who 225 00:16:40,893 --> 00:16:47,469 have a basic metabolic index, that's greater than twenty four, 226 00:16:47,469 --> 00:16:51,886 twenty five or patients who are obese, why? Because the adipose 227 00:16:51,886 --> 00:16:56,024 cells, the ampoules, tissue cells basically decrease the 228 00:16:56,024 --> 00:16:59,782 effects of vitamin D. And so, why do you still have more 229 00:16:59,782 --> 00:17:04,710 vitamin D to have an effective amount of vitamin D? To function 230 00:17:04,710 --> 00:17:09,666 normally within the body. Pregnant women may have vitamin 231 00:17:09,686 --> 00:17:15,192 D deficiency. At certain times. Particularly, those who have 232 00:17:15,192 --> 00:17:18,431 high blood pressure during pregnancy or pre collapse, you 233 00:17:18,431 --> 00:17:23,307 may have lower blood levels of vitamin D. The elderly and I'm 234 00:17:23,307 --> 00:17:26,686 gonna define the elderly is sixty years of age and older. 235 00:17:27,134 --> 00:17:30,613 May very well be that vitamin D deficient. Because as we get 236 00:17:30,613 --> 00:17:37,647 older, the system for making the internal body vitamin D is not 237 00:17:37,647 --> 00:17:40,767 as efficient. And that makes sense. You know, everything sort 238 00:17:40,767 --> 00:17:45,094 of ties out over time. And so in those and that group of 239 00:17:45,094 --> 00:17:51,028 individuals, it's necessary for us to take more vitamin d by 240 00:17:51,028 --> 00:17:56,546 mouth or by a dietary as a supplement to make sure all 241 00:17:56,546 --> 00:18:01,532 levels are appropriate. Dark skinned people may very well end 242 00:18:01,532 --> 00:18:05,251 up being more vitamin D deficient than others. Why is 243 00:18:05,251 --> 00:18:09,938 that? Well, the melanin in the skin, which causes the skin to 244 00:18:09,938 --> 00:18:15,874 be darker, tends to end fear with that ultraviolet b 245 00:18:15,874 --> 00:18:20,392 radiation that comes from the sun that mixes in the skin with 246 00:18:20,392 --> 00:18:24,648 that cholesterol that we talked about to convert it to d three 247 00:18:25,108 --> 00:18:29,707 and then to the regular vitamin d. So individuals who are dark 248 00:18:29,707 --> 00:18:34,803 skin need to have their vitamin D levels checked and followed 249 00:18:34,803 --> 00:18:39,769 just like others, but they are more susceptible to vitamin D 250 00:18:39,769 --> 00:18:43,406 deficiency depending on their lifestyle. And then, of course, 251 00:18:43,406 --> 00:18:47,125 infants may be vitamin D deficiency, particularly if they 252 00:18:47,125 --> 00:18:49,753 are breast speeding. Because they're they're breastfeeding, 253 00:18:50,094 --> 00:18:54,412 breast milk tends to be low in vitamin D, and so they think 254 00:18:54,412 --> 00:18:57,888 they have additional vitamin D given. Now your physicians and 255 00:18:57,888 --> 00:19:00,968 your healthcare providers know all these things. But again, I 256 00:19:00,968 --> 00:19:04,885 believe knowledge is power, and I believe as a non physician or 257 00:19:04,885 --> 00:19:09,134 a non healthcare person, the more you know is good. I think 258 00:19:09,134 --> 00:19:12,811 that's a good thing. And I think that helps you make sure that 259 00:19:12,811 --> 00:19:16,009 you get quality health care when you have to use our healthcare 260 00:19:16,028 --> 00:19:20,126 delivery system or you and any member of your family or friends 261 00:19:20,126 --> 00:19:24,993 use the healthcare delivery system. Well, let's take a look 262 00:19:24,993 --> 00:19:28,951 at foods. We talked about the sun. Right? And we talked about 263 00:19:28,951 --> 00:19:33,858 the sun as being that extra source vitamin D to raise the 264 00:19:33,858 --> 00:19:37,497 vitamin D level in the body so that all those functions with 265 00:19:37,497 --> 00:19:41,494 the bone and other areas can occur on a regular basis. What 266 00:19:41,494 --> 00:19:47,751 if you cannot control your work schedule. And you have to work 267 00:19:47,751 --> 00:19:50,729 the hours that you work and you can't control your 268 00:19:50,729 --> 00:19:54,367 transportation to confirm work. Then obviously, you have another 269 00:19:54,367 --> 00:19:58,724 option and that is vitamin D supplements and or foods. So 270 00:19:58,724 --> 00:20:01,603 what are some of the foods that are rich in vitamin d? Well, 271 00:20:01,603 --> 00:20:05,441 fish is one of the serving radage orange juice, which is 272 00:20:05,441 --> 00:20:11,469 always good. Mushrooms, egg yolk, cod liver memorial, 273 00:20:12,488 --> 00:20:18,923 cheese, and caviar. These are all fluids that are rich in 274 00:20:18,923 --> 00:20:22,162 vitamin D and, certainly, you just want to get in the habit of 275 00:20:22,162 --> 00:20:25,878 making sure that you take them If you don't wanna take 276 00:20:25,878 --> 00:20:29,596 supplements or you may wanna do both as long as you take them in 277 00:20:29,596 --> 00:20:33,255 an appropriate amount, that would be fine. And so what are 278 00:20:33,255 --> 00:20:37,852 the benefits of having a healthy vitamin D? In addition to the 279 00:20:37,852 --> 00:20:41,829 bonuses that I talked about, I talked about Vitamin D also 280 00:20:41,829 --> 00:20:45,468 supports a healthy nervous system. Because keep in mind, a 281 00:20:45,468 --> 00:20:50,694 lot of these functions, if you will, that go on in terms of 282 00:20:50,694 --> 00:20:54,012 enzymes and proteins, they have to do with the nerves, and they 283 00:20:54,012 --> 00:20:57,451 have to do with the myelination or the covering of the nerve 284 00:20:57,451 --> 00:21:01,738 fibers. And all of that again has to be balanced so that it is 285 00:21:01,738 --> 00:21:05,636 effective and occurs in an appropriate manner. The vitamin 286 00:21:05,655 --> 00:21:08,644 d helps with your teeth. Having healthy teeth in your dentist 287 00:21:08,644 --> 00:21:12,282 will tell you that. An important another important area is your 288 00:21:12,282 --> 00:21:16,589 immune system. One of the things that we've learned doing the 289 00:21:16,589 --> 00:21:20,907 COVID and post COVID also. That is important to have a healthy 290 00:21:20,907 --> 00:21:25,046 immune system obviously because when the body is invaded by 291 00:21:25,305 --> 00:21:29,083 viruses or bacteria or whatever the infection is that's 292 00:21:29,182 --> 00:21:32,941 prevalent at that time, you need to make sure that your body can 293 00:21:32,941 --> 00:21:39,407 fight any invading force and do it effectively and and to keep 294 00:21:39,407 --> 00:21:43,433 you healthy throughout that process. Deltic Bols, we talked 295 00:21:43,433 --> 00:21:46,712 about in terms of having adequate vitamin D. It also 296 00:21:46,712 --> 00:21:51,079 improves your mind function. It improves brain function. Many 297 00:21:51,079 --> 00:21:54,438 individuals talk about having a brain fog, particularly post 298 00:21:54,438 --> 00:21:58,076 COVID. And I would always suggest to you, again, to make 299 00:21:58,076 --> 00:22:03,032 sure that you have Vitamin D levels checked, and it's an easy 300 00:22:03,032 --> 00:22:07,310 fix, and just just take additional vitamin D, go out and 301 00:22:07,310 --> 00:22:12,538 spend more time in the sun. Healthy infants again need to be 302 00:22:12,538 --> 00:22:19,045 vitamin D sufficient and insulin if you it's an 303 00:22:19,045 --> 00:22:22,762 independent diabetic and making sure your vitamin D levels are 304 00:22:22,762 --> 00:22:27,699 at the right level, we'll make your insulin dependence more 305 00:22:28,118 --> 00:22:32,996 beneficial and more effective to you. It also reduces the rest 306 00:22:32,996 --> 00:22:36,005 of the flu with this certain again. All of us have been 307 00:22:36,584 --> 00:22:40,741 highly attuned to various types of flu viruses that have 308 00:22:40,741 --> 00:22:43,920 occurred and that may occur in the future. And this way, we 309 00:22:43,920 --> 00:22:49,336 stay continuously healthy from an immunological point of view. 310 00:22:49,916 --> 00:22:53,493 What what happens Let's say that you are not able to get in the 311 00:22:53,493 --> 00:22:58,011 senior doctor to get your vitamin D blood test. Because 312 00:22:58,011 --> 00:23:00,599 again, you may say, well, doctor, how do I know whether 313 00:23:00,640 --> 00:23:04,357 vitamin eighty six or not, sample blood tests. Every doctor 314 00:23:04,357 --> 00:23:07,797 knows how to do it, knows how to order it, and that will tell 315 00:23:07,797 --> 00:23:11,942 you whether your your vitamin D levels are high or normal or 316 00:23:11,942 --> 00:23:18,388 above. But if you are deficient, some signs of that deficiency 317 00:23:18,568 --> 00:23:22,846 may be a low immune system. It may be there. Maybe if you get a 318 00:23:22,846 --> 00:23:26,314 cause and flaws all the time, and you think that that's more 319 00:23:26,314 --> 00:23:30,352 than it should be, and you've not had your vitamin D level 320 00:23:30,352 --> 00:23:33,519 checked. Certainly, you wanna get that vitamin D level checked 321 00:23:33,519 --> 00:23:36,519 . Anxiety, depression, which could be caused by a number of 322 00:23:36,519 --> 00:23:40,396 things, but vitamin D could be contributing factor. If you're 323 00:23:40,396 --> 00:23:45,512 chronically fatigued, you might want to look at that. Chronic 324 00:23:45,512 --> 00:23:49,671 pain, which occurs quite a bit, is certainly an indication or 325 00:23:49,671 --> 00:23:55,218 possible indication. Vitamin D problems. Muscle pain, hair 326 00:23:55,218 --> 00:24:00,345 loss, delayed wound healing. Could be vitamin D dependent. If 327 00:24:00,345 --> 00:24:02,663 you have high blood pressure and let's say you've been on 328 00:24:02,663 --> 00:24:06,142 medication for a while and all of a sudden that medication is 329 00:24:06,142 --> 00:24:09,361 no longer effective in controlling your blood pressure, 330 00:24:09,361 --> 00:24:14,417 that may be an indication that your vitamin D level has dropped 331 00:24:14,417 --> 00:24:19,055 or is not at the level that it should be. Again, another reason 332 00:24:19,055 --> 00:24:26,808 to have your vitamin D level checked. So As we conclude, I 333 00:24:26,808 --> 00:24:29,567 want to particularly pay attention to a type of chronic 334 00:24:29,567 --> 00:24:32,795 pain condition. Now, certainly, over my years of practice, I've 335 00:24:32,835 --> 00:24:35,673 in a lot of chronic pain syndromes. And I'm going to 336 00:24:35,673 --> 00:24:41,171 define chronic pain as a type of pain that occurs in the body 337 00:24:41,490 --> 00:24:46,468 for no specific reason that lasts longer than six months. 338 00:24:46,727 --> 00:24:52,733 Let me say that again. A pain that occurs in the body for no 339 00:24:52,753 --> 00:24:57,991 specific reason, but lasts longer than six months. My 340 00:24:57,991 --> 00:25:01,309 experience has been when I've seen patients with chronic pain 341 00:25:01,309 --> 00:25:04,008 and chronic pain syndromes, they're absolutely miserable. 342 00:25:05,067 --> 00:25:08,585 And they complain about pain all over the body. Move to 343 00:25:08,585 --> 00:25:13,781 services, sleep to services. And one of the things that's very 344 00:25:13,781 --> 00:25:18,659 interesting is there a diagnosis called clavromyalgia, which is 345 00:25:18,659 --> 00:25:21,958 the type of chronic pain syndrome. A lot of the symptoms 346 00:25:22,297 --> 00:25:26,503 are very, very similar, if not the same as vitamin D deficiency 347 00:25:26,503 --> 00:25:29,761 . Now I'm not suggesting that vitamin D is the cause of 348 00:25:29,761 --> 00:25:35,108 paragolumide ultra or or the we'll we'll treat it a hundred 349 00:25:35,108 --> 00:25:37,347 percent. What I am saying is there'll be a lot of 350 00:25:37,347 --> 00:25:41,434 correlations with it. And it's just another reason you want to 351 00:25:41,434 --> 00:25:46,592 make sure that your vitamin D is at an appropriate level. We 352 00:25:46,592 --> 00:25:50,400 talked about MTOR and we talked about how emptory is an 353 00:25:50,400 --> 00:25:53,518 important part of vitamin D because it signals to the 354 00:25:53,518 --> 00:26:00,594 osteoplast when they need to stop laying down bone cells. And 355 00:26:00,594 --> 00:26:05,412 we talked about that indeed, if you have a lot of bone cells 356 00:26:05,471 --> 00:26:11,347 being laid down, many times that is what we call cancer, a lung 357 00:26:11,347 --> 00:26:17,295 cancer. The cancer by definition is unregulated growth in a 358 00:26:17,295 --> 00:26:23,291 certain tissue, be it bone tissue, soft tissue, nerve 359 00:26:23,291 --> 00:26:27,759 tissue, whatever. And one type of bone cancer is called 360 00:26:27,759 --> 00:26:33,693 osteosarcoma, and it can occur at any age. And again, I only 361 00:26:33,693 --> 00:26:38,271 mentioned to show the importance of having appropriate vitamin D 362 00:26:38,271 --> 00:26:43,169 and the mTOR that go in the mTOR signaling that goes along 363 00:26:43,169 --> 00:26:47,487 with the vitamin D. And and something that we wanna do just 364 00:26:47,487 --> 00:26:54,362 to keep ourselves healthy at all times. So what happens, and 365 00:26:54,362 --> 00:26:57,560 we're just about done? What happens if you take too much 366 00:26:57,560 --> 00:27:00,368 vitamin D? That there always patients at least in my 367 00:27:00,368 --> 00:27:03,208 experience have been, if you suggest they take something, 368 00:27:03,208 --> 00:27:06,315 particularly something over the counter and you say, well, want 369 00:27:06,315 --> 00:27:09,153 you to take a thousand units of vitamin D. You can get it from 370 00:27:09,153 --> 00:27:11,872 the pharmacy. They'll take twenty thousand or thirty 371 00:27:11,872 --> 00:27:17,220 thousand. And so my point is you don't wanna do that. Because 372 00:27:17,220 --> 00:27:20,897 there are always symptoms of over medication or overdosing on 373 00:27:20,897 --> 00:27:25,085 any kind of medication. And some of the symptoms of too much 374 00:27:25,085 --> 00:27:29,303 vitamin D could be things like thirst, nausea, fatigue, 375 00:27:29,722 --> 00:27:34,009 headache, dizziness, appetite loss, etcetera. So so always 376 00:27:34,009 --> 00:27:37,768 take take medication as prescribed and and don't overdo 377 00:27:37,768 --> 00:27:43,154 it. So in summary, what what we want and what I want for you? Is 378 00:27:43,154 --> 00:27:50,551 for you to be healthy, wealthy, wise, that the sun is a free 379 00:27:50,551 --> 00:27:57,488 source of vitamin d If you do not have dark skin, ten medicine 380 00:27:57,488 --> 00:28:01,903 sign every day, just go out and look up. And you're all set. If 381 00:28:01,903 --> 00:28:05,063 you do have dark skin two hundred and thirty minutes in 382 00:28:05,063 --> 00:28:10,348 the sun every day, just go out and look up It is free, it is it 383 00:28:10,348 --> 00:28:15,426 is it is a gift, and it is beautiful. If you do not wanna 384 00:28:15,426 --> 00:28:18,733 do with the side or if you in a situation where you don't have 385 00:28:18,733 --> 00:28:21,792 that control, starting to feel free to take the supplements. 386 00:28:22,811 --> 00:28:25,920 And if you don't wanna take the supplements, just make sure that 387 00:28:25,920 --> 00:28:29,397 you take the food. So there are three possible choices that you 388 00:28:29,397 --> 00:28:33,615 have to make sure that your vitamin D is at the appropriate 389 00:28:33,635 --> 00:28:39,093 level. Finally, let me end with my basic principles. My my first 390 00:28:39,093 --> 00:28:42,671 basic principle is God is in charge. I am a position of faith 391 00:28:42,671 --> 00:28:46,887 . And indeed has been my faith in God and his wisdom that has 392 00:28:46,887 --> 00:28:53,634 guided me, protected me, and allowed me to arrived upon where 393 00:28:53,634 --> 00:28:57,991 I am today. The second principle is I don't have any 394 00:28:57,991 --> 00:29:01,578 bad dates. I used a lot of bad days, but I figured out that a 395 00:29:01,578 --> 00:29:05,257 day was bad when I said it was. So I decided I didn't wanna have 396 00:29:05,257 --> 00:29:09,015 any more bad days. So now my days are good days. Or great 397 00:29:09,015 --> 00:29:13,073 days. Third, don't sweat the small stuff. Most of the small. 398 00:29:13,292 --> 00:29:17,250 I don't let little things bother me or decide try not. I try to 399 00:29:17,250 --> 00:29:19,848 let little things bother me because what I've learned is 400 00:29:19,848 --> 00:29:23,507 that most of the time it is not that big a deal. Fourth, 401 00:29:24,025 --> 00:29:29,563 forgiveness is therapy. Whatever individual other individuals do 402 00:29:29,563 --> 00:29:33,380 or say to me that I may interpret as negative, I 403 00:29:33,380 --> 00:29:37,657 immediately forgive them. Because what I have learned is 404 00:29:37,657 --> 00:29:41,955 that by forgiving them, not only does it reestablish my personal 405 00:29:41,955 --> 00:29:47,742 power, but it is therapeutic for me. And so I pass that on to 406 00:29:47,742 --> 00:29:51,089 you freely. And finally, Everything is a relationship. 407 00:29:51,269 --> 00:29:54,367 Relations are based on three things, mutual respect, mutual 408 00:29:54,387 --> 00:29:59,854 trust, good communication, and now be the change you wanna see 409 00:29:59,854 --> 00:30:02,192 in the world. Have a wonderful day. 410 00:30:02,292 --> 00:30:04,372 Speaker 1: Thanks for listening to the Healthy Willy and Wise 411 00:30:04,372 --> 00:30:08,788 podcast with doctor William Choctaw MD JD. We hope you 412 00:30:08,788 --> 00:30:11,667 enjoyed this episode. And if you found it helpful, you can 413 00:30:11,667 --> 00:30:15,165 support and subscribe to the podcast on your favorite podcast 414 00:30:15,165 --> 00:30:19,253 platform. With the keywords doctor William Choctaw. Click on 415 00:30:19,253 --> 00:30:23,711 the support the show and you've got it. This will also help 416 00:30:23,819 --> 00:30:27,897 ensure that you don't miss any future episodes, and then share 417 00:30:27,897 --> 00:30:31,116 this podcast with your family, friends, and or your coworkers. 418 00:30:31,695 --> 00:30:35,584 They'll be glad you did. So until the next time, live your 419 00:30:35,584 --> 00:30:38,563 best possible lives, the best possible way.