YouTube Livestream Q&A Transcript, June 30, 2026

Question
“Hi Dr. E., I saw my stepdaughter giving the twin grandbabies 0.25 MG of fluoride drops. She rubs them on their baby teeth. I made the comment that fluoride is neurotoxic, and she got defensive, saying that it’s not toxic in small doses, and she looked at "convincing" evidence that it is more beneficial than problematic. Your thoughts?”  [0:03:26]

Answer
Indeed, there's been controversy for many decades over the fluoridation of water and fluoride that's been put in dental healthcare products, in our toothpaste. I have always taken a position of do not do this. Fluoride: there's no requirement in the human body for fluoride. It is reported that it is supposed to help the enamel in the formation and maintenance of enamel on the teeth to protect them from breaking down. However, there are studies published, mostly in Europe, some of the Scandinavian countries, where they have looked at the dental health of children in westernized, wealthy nations, and they said they would probably have the same access to a typical diet as a well-to-do family. They would have access to the candies, the ice cream, and the carbohydrates. So, they looked at the children and the degree of development of cavities that they had, and they would not fluorinate their water, nor would they fluorinate the oral hygiene and toothpaste care products for the Scandinavian countries. Then they looked at the amount of dental carries/cavities and they found that there was no increase in dental cavities in these children, in these nations that have growing children with the same or similar-type diets with carbohydrate, sugar, fruit sugar exposure. So, that study was done at least 30 or 40 years ago, because I'm going way back into the 1990s when I was lecturing on this. I haven't looked into that in decades now. More recently, you will see oral hygienists on YouTube, TikTokers, and Instagram messaging that implies that it's safe at low doses. I have actually seen the pineal gland in the brain, which sits in the center, in the midbrain near your pituitary, and calcifications have been associated with fluoridation. The other thing is the pineal gland. So, you can actually, if you did a skull X-ray, we can sometimes see children who get a hold of fluoridation will get their pineal gland calcified. I don't know of studies implicating that. I know that conversations from healthcare providers and dentists have reported that childhood IQ and academic performance can be diminished with fluoride exposure. Then you're going to see that group that denies it. 

So, I'm going to go with the dentists that I have seen in my 45 years of conversation, the research that I've seen. We do know that this dental fluoridation treatments, if they get too much, can create these white spots in the teeth, these lines and little dots in the teeth which shows that the maturation of the teeth prior to the adult teeth coming in got interrupted by that fluoride exposure. So, their teeth can have these kinds of white circles. Kind of like tetracycline before the adult teeth are formed, you can see these darkened lines in them. So, we, clinicians, whether they're dentists or they're doctors, we have unfortunately made errors in our clinical judgment in using pharmaceuticals, just blindly listening to protocols put out by our respective boards. I think it's incumbent on each doctor to take a serious look whether or not you're going to follow some of the recommendations that are put forth or certainly understand why you will endorse it or what your argument would be as to why you would give informed consent to the patient saying you have serious questions, and then leave it up to the patient or the parent to decide if they want to find a dentist that will use it because maybe you as a dentist don't feel comfortable using it and you just say no, or giving them at least informed consent. So, no, I don't think it is safe. 

We do know, I think if you look on the packaging or at least in the years back that I've looked at it, it would say anything more than a pea size dosing on the toothbrush of fluoridated toothpaste can be associated with requiring to notify poison control of overexposure. I remember reading something like that on the boxes. So, that's never a good sign. So, I'm going to say there are so many other new research venues with dental health reducing of course the total carbohydrates that these children have been given with that original food pyramid that promoted all the sugary carbohydrates and starches and fruit sugars. But now we know you can make hydroxyapatite with Xylitol, and that's what I use in my dental products now, and that would be a well-established and scientifically validated methodology for building good teeth care. Juice Plus has had, I believe, two different independent studies on dental health, preventing periodontal disease, bleeding gums, and it reduced those issues and promoted stronger, healthier teeth. So, I would certainly go with that recommendation. Get your children on Juice Plus, use hydroxyapatite with xylitol in the toothpaste, and be low-carb with your children. All right. So that would be my suggestion. 

Question
“I have a son who is 45 years old, and he just fell at work - has swimmer’s ear from surfing. What do you suggest he does to recover?”  [0:12:27]

Answer
Well, very often, if you have an irritation, fluid, or an infection, you could have, you know, actual inner ear issues with vertigo; all these things can create an imbalance in proprioceptive feedback to your spatial balance. and cause you to fall. And the surfers, their ear canals, there is so much sand and debris, micro-scratching, there is what we call a surfer's ear. So, when you look in, you start seeing these kinds of scarred, bony, kind of outpouchings in the canal. Instead of seeing this nice, smooth, circular canal, you'll see a canal with a bony aspect in it, like that. Instead of it being a nice circle, you'll see a bony aspect in it. That's kind of like chronic inflammation, scarring, and calcifications. So, the surfer's ear is more vulnerable to fluid and canal buildup and the wax and then bacteria and fungi and all that kind of stuff, and that can then lead to this plugging feeling, the imbalance then and proprioceptive feedback that makes you fall. I don't know that there's a treatment if it's from swimmer's ear. If you just get vertigo, which tends to show up with older age, say over 50 years old, that's just from years of getting older and inflammation episodes in our life, congestion, allergies. That's more the inner ear and the loops of Henle and the fluid flowing for balance feedback. That is usually treated with a very low-carb diet, systemic enzymes to create anti-inflammation, and strong antihistamines. Many times, you're eating a food allergen which inflames the lining of the oral cavity, and in that oral cavity are the eustachian tubes that go from your tonsillar pillar area to the inner aspect of your ear to equilibrate the air pressure. That's why you try to pop your ears by yawning on an airplane flight. If you eat something and it inflames your gut, that will swell your tissue here and then the pressure can't equilibrate from the inner ear, and that can create fluid retention in the middle ear and then bacteria can overgrow and create problems. Again, the feedback proprioceptively can go off and many things. But in a younger person under 50, especially in a swimmer, if you add these things to an already injured canal, it just makes it more likely that they'll experience this vertigo where it's like losing your balance. You’re like on a ship, and you can't get your footing anymore because your proprioception is off. 

So, what to do about it? Well, I would certainly see an ear, nose, and throat doctor. I don't know if there are any surgical treatments they can do for that. I've never heard of it in my 45 years, but you know, things are changing, and with AI technology, there are advancements in the field that are happening more and more rapidly. So, your local may need to, and I certainly am trying to keep up with the rapid change in research and medicine because of AI now; it's making it a little harder. But it's okay. It makes it more exciting. In the meantime, I would certainly find out his blood type. If his blood type is A, I would certainly have him be on digestive enzymes to help him digest the food so it's not so maldigested and inflammatory. Number two, I would take systemic enzymes, which are taken on an empty stomach, to lower general inflammation in the whole body. That always helps with anything anywhere, whether it's the inner ear or any joint or any cause of inflammation in the body. I would have him be very low carb, so he would not have sticky sugar, which would make a clogged capillary blood flow system. And in general, all the genetically modified foods, like grains with glyphosate and genetic modification. The homogenized and pasteurized dairy would be an inflammatory thing. Too much sugar would be inflammatory. Being dehydrated, not drinking enough water, would be inflammatory. All these things would promote breakdown and disuse of the various parts of our body. So, those are generalized things I would do. 

I would also maybe squirt my nose with Argentyn silver or even squirt or take a teaspoon of Argentyn silver, swish and swallow, and gargle with it because that will help be a nice natural antifungal, antibacterial, antiviral treatment that helps. Like right now my allergies are terrible, and I can feel sinus pressure particularly on the sinus right now, and I had to get out my Argentyn this morning and do a nice nasal squirt many times on each side and blow my nose, and I'll do it again tonight, because it was getting so much pressure, that it was actually making my upper teeth feel sore. But now, after that one treatment, I feel much better. Those are some suggestions. I hope that helps you. 

Question
“Is pregnenolone a good supplement for an older woman? Thanks!”  [0:19:27]

Answer
I'm going to say I don't use it, and I don't use it because I use DHEA and I use natural hormone replacement like progesterone, estradiol, and testosterone. I use those instead. I'm not against pregnenolone; I just have never seen it so clinically make a change in my patients over the many decades that it's been available. So, I'm kind of indifferent to it. There are so many important things to do, like being low carb, exercising, drinking your water, having routines in your life, a bedtime pattern, and a morning pattern that you have and that you do all the time. Light exposure, getting yourself out in the sunshine without glasses on, grounding, not eating late, doing a workout, weight training, all these things are so, so important. Then you can layer on top of that things like natural hormones, and pregnenolone can be one of them. But if you eat healthy fats, meat, butter, things like this, your digestion of them will probably generate enough pregnenolone. So, that’s kind of where I stand on that. 

Question
“I use estradiol cream in the morning. Is it still ok to be in the sun?”  [0:21:10]

Answer
Absolutely. Yeah, absolutely, because that which you put on is going to be absorbed within minutes, you know, and basically it's going to be in your bloodstream and doing its work as a natural hormone general contractor for repairing your body. Yeah, it's totally fine to go outside in the sun. Now, I'm going to encourage the morning sun, where you get infrared light and you take your shoes off, and you stand in the grass three or more minutes, take a 20-minute walk, and let that infrared go through your skull and your clothes and that kind of sunlight exposure. Somewhere between 10:00 and 2:00, you're going to get the UVA and UVB light which has a greater potential of creating a sunburn, I don't want you to get a sunburn, but certainly you can easily be out in the morning and probably that for an hour without any concern about skin injury. Same in the afternoon, after 2:00 or 3:00 in the afternoon, you can easily be out an hour or more, in my opinion. I never use sunscreen ever, ever, never. I don't want the chemicals and the chemicals that they have, and the sunscreens have been linked with carcinogens that are absorbed through the skin. So, I don't use it. 

Question
“Should DHEA be included in women’s HRT therapy?”  [0:22:49]

Answer
I'm going to say absolutely yes, and I include it in my own. Dehydroepiandrosterone is a precursor to cortisol, and it is very important as a precursor to testosterone for your muscle development and strength. It is also helpful in maintaining a good immune white blood cell function and profile. When we're teenagers, our DHEA level in our early 20s and late teens can be in the 600, 800, 1000 range. Now, today's teenagers are so exposed to toxins that I don't think they represent health anymore. I honestly think we have harmed the environment enough that young people today are very rarely seen in my clinic who have the values that young soldiers had when I was a young doctor in the 70s. So, a 20-year-old guy would have a DHEA of, you know, 800, 1000. Today, an 18-to 20-year-old guy would have maybe 150 to 250. So, you can see the stress that our environment has put upon our young people, and that's one of many examples that is harming that group of kids, or young adults, I should say. So yeah, I would take it because it drops off just like your estradiol, just like your progesterone, just like men's testosterone, which slowly declines, and I would make it a part of your daily routine. 

Question
“Dr. E., last week you mentioned your skincare routine and the minimal products you allow on your skin. Would you please clarify, as well as include your methodology? Thank you.”  [0:24:50]

Answer
Well, I just let God take care of my skin. I never wash my face. I only take a shower maybe once every 6 to 8 weeks. I sponge bathe every day, though. So, I'm keeping hot water and soap off of my skin, off of my body for the most part, and only the pits, the underarms, the groin, the feet get any water and soap on them on a routine basis every day or every other day, and that's the only bacteria-producing areas on a human body. The shedding of the skin cells themselves exfoliates and is self-cleaning. So, God is very, very smart. What I want to achieve is my own layers of epithelial cells building up with my homemade oils. I make them myself in my body. And so, as my skin or my arms or my hands, as I age, if I wash them off like marketing would have me do, take daily showers and facials and skin care products, I'd be washing off all the wonderful oils God gave me and my many layers of epithelial cells which have, so to say, pancaked themselves up to a certain point, and it would make me look older and more aged. So, that's what I do. I just- nothing ever touches my face except when I brush my teeth; I'll put my makeup on, and I won't wash any makeup off. But I use minimal wake-up makeup. I'll put on some liquid foundation, Cover Girl. I must have bought the bottle two to three years ago, and I still use it, you know, I shake it, and I get it on my finger, and I'll put it under my eyes and in my T-zone here, and then I'll put mascara on and lipstick, and that's all I use. I don't use anything else. The first thing I do is I put my estradiol cream on my face. So, whatever makeup you see on me right now, when I wake up in the morning, I'm just going to take my glasses off, look at myself in the mirror, and say good morning. And then I'm going to click the bottom, one little click of estradiol will come to the top, I'll put it on my finger, and I'll rub it over my eyelids, in my T-zone here, and then right over my makeup. You know, even if I see a smidge of mascara there, I'm just going to wipe it away with my estradiol cream. And then I'll go do other things – my walk, standing outside, feeding my dog, my exercise, you know, getting my vitamins ready, my Bible reading, and then my preparation for the day. And right before I go to work, I'll put my makeup on top of that and my dress, brush my hair, and go. That's all I do, you know. I make sure I drink enough water, and I eat enough protein and healthy fats so that my skin will stay hopefully as un-wrinkly and aged-looking as I can for 73, but that's all I do. That's all I do. Now you know. 

Question
“Is it bad for your kidneys if you take lots of supplements? Thank you.”  [0:28:49]

Answer
Well, I suppose I would have to ask the question; it depends on what supplements. You could take an excess of vitamin D and irritate your liver. It's a fat-soluble vitamin, so the liver would be irritated. You could be getting too much vitamin K2, which is also fat-soluble. You could take too much vitamin E or vitamin A. So, these would be irritating mostly to your liver. Regarding the kidneys, I suppose there are some people who take high-dose supplements of calcium, and you can have calcium deposits in soft tissues. I never recommend calcium. I do have it in a multimineral vitamin, and I have it in our TLC Multiminerals, but a modest, balanced dose amongst all the standard essential minerals and trace minerals that we need, never a high dose. So, the answer is yes. And then the manufacturers, it depends on which company is making your vitamins. We have such a volume of self-care products, longevity products, and life extension products. Hundreds and hundreds of companies are marketing to us, and we're getting so much social media pressure to buy, buy, buy, buy, and you know, how long are we going to live, and how healthy do we look, and our physical body. And yes, we should take care of our bodies, the temple of the Holy Spirit, God within us, our hope of glory, but I'm getting nauseated with all this attention to beauty and living forever. 

Now, yes, I want to do research. Yes, I want to look at this with sober attention, but I'm starting to see it almost like a feeding frenzy. Those of us who are in our 70s and 80s, and what the Lord says, threescore and ten is a good life, and if with strength 4 score, that's 80. So, I would just be looking at seven years left of a life expectancy. So, there's a passion or an anxiety for people who don't have the peace of Christ, I guess, and they need to find a way to get, for sure, very high probabilities of life extension with this treatment or that treatment or this vitamin or this injection. And I think the peace of God, even angry thoughts, anxious thoughts, mad, angry thoughts, these are associated with clinical research on generating inhibitions to repair and growth. So, that's a very, very intriguing study about the signaling of the brain for your immune system, your defenses, your repair system. So, if you're in flight or fight mode from nurturing angry, bitter, vengeful, ruminating thoughts of anger and fear and doom and gloom, that's going to create a neurochemical environment that's associated with tearing you down, catabolism, and sympathetic racing tones, and many of the waste inflammatory products that it produces. 

So, are there vitamins that can harm you? You can drink too much water. You can be breathing too high a percentage of oxygen. Our environmental oxygen is 17%. We used to put babies in the incubators that were 100% oxygen, we thought, after being born in the nursery, or if they had any serious kind of problem, and that 100% O2 was creating blindness. That was in the 1950s. And so, we have to be humble. We have to be thoughtful and think about what we're doing. There are arguments now that maybe people should take their vitamins every other day because there's so much push to take them and take more and more and more and more. So, I think you have to have a better-trained medical doctor, well-versed in biochemistry and physiology, and with some good experience with these nutraceuticals. And who knows who's making them? Are they contaminated? Do they have filters or heavy metals in them? What's the country of origin? What kind of manufacturing certificate is with them for its purity, sterility, and all these kinds of things? So, yeah, you have to have doctors today I think that are certainly better trained than the ones we've had in the recent past. And fortunately, there are many organizations now besides the American College for the Advancement of Medicine, ACAM, the very first out there in 1972. GLACAM was before that in the 1960s. And my father was involved in that, and we went to them. So, I've been around this for more than half a century, and I'm happy; I'm very pleased with all the new training programs for doctors. The offshoot of ACAM was A4M, the American Anti-Aging Association, A4M. And then after that came other breakoff organizations. So, they're helping to build a series of credentialed physicians, scientists, therapists, specialists that are known as a body of teachers who do produce some good videos and training videos and they have lecture series and books written. And so, I think the future is very positive. I think we're going to see better and better healthcare. I think they had to learn the terrible lesson that COVID put them through, and everyone got their little anal sphincter tightened up, and when they saw that they were not educated enough to handle the questions of COVID and viruses and the immune system and what vitamin E does and vitamin A does and vitamin C does, and I think doctors have humbled themselves. I certainly was shocked to see what happened and got into my personal study as well. And now you're going to have a better healthcare system out there for you ultimately. So, the news is good. And yes, you can get hurt from anything, but I think you're going to have a better future for all of you on many, many, many levels. 

Question
“What is your treatment recommendation for a 65-year-old woman with Lipedema?”  [0:37:12] 

Answer
Lipedema is kind of like a catch-all term. The body fat and fluid retention and the metabolic dysfunction that's associated with the kind of umbrella term of lipedema is really help solved with getting committed to a routine plan of exercise, morning schedule routine, bedtime schedule hygiene, a time feeding interval that you only eat in a certain time frame. Preferably, it would be early to about 3:00 in the afternoon, your feeding window. That you would have an exercise commitment for both a daily brisk walk of at least 20 minutes, along with doing weight resistance training three times a week, along with maybe certain nutraceuticals such as vitamin D, vitamin C and a very good amino acid chelated mineral like TLC Multi-minerals that will help with muscle strength, metabolism with methylated B complex, vitamin C as a generalized antitoxin because fat cells and these edematous lymph-congested tissues start holding on to toxin. They become breeding grounds for all sorts of mischief in the metabolic physiology of human life. So, movement, good sleep, sunshine exposure, exercise, low-carb diet, getting away from processed, refined foods, and eating real food. We're made of protein and fat. We can get all our nutrients we need from meat and fish and chicken and turkey and pork and eggs and chicken and fish and our eggs, eating some vegetables to get in our polyphenols a little richer, or I take Juice Plus. So, that's what I use instead of eating vegetables. And I eat a largely carnivorous diet. Although I do eat some vegetables, mostly I'm a carnivore. So, that's what my suggestion would be for that 65-year-old woman with lipedema. 

Question
“Good evening Dr. E., can you offer any insights for Methyltetrahydrofolate mutation? I recently tested and have both alleles. I believe it may underlie chronic migraine due to impaired glutamate pathways. What can help?”  [0:40:10]

Answer
Well, fortunately, you can take a methylated B complex from a reputable organization. I have TLC Methyl B Complex, which is made by Ortho Molecular company. They private label it for me, called Proven MD, but it's the Ortho Molecular B methylated complex, and that has the folic acid and the methylation groups with very good array of all of the eight essential B vitamins, and that is usually all you need to do to overcome any enzymatic deficiency that would inhibit methylation of various things that are needed in your body to have your physiology work all over your body. It's not just cardiovascular disease; it's also cancer prevention. So, the good news is just always take a reputable methylated B complex, and you can test that by having your doctor run a homocysteine. Homocysteine is very much dependent on your ability to methylate well, and if you cannot, then you'll have higher levels of homocysteine waste production. Homocysteine should be recycled back into methionine biochemically and used in the cell metabolism for energy and physiological production of many different things, but you have to methylate it. And if you can't, and you measure your homocysteine level, and it's high, now what is high? Remember, the general population is sick, and the doctors have cleaned up the data. So, we have population averages on homocysteine. You want a level that's something like 9 or less. I suppose ideal would be 7 or less. So, if you can get your homocysteine levels to about 9 or less, you're doing very, very well. And I find that happens when using our Ortho Molecular’s Methylated B Complex anywhere from 1 to 4 a day. And I would start out probably taking two a day and then get it tested. And if you're hitting the mark, maybe you could cut back and take 2 even, 1 odd, and see if you still stay at 9 or less. If not, then you know you need to stay at 2 or maybe occasionally go up to 3 during stressful times of your life. And then do all the other healthy physiologic things, you know, with a healthy diet, exercise, hydration, good sleep hygiene, good morning habits, your exercise, and all those things as well. Hopefully, that'll help you. 

Question
“What if your work schedule changes daily? Only certain companies make metabolically absorbable products.  [0:43:26]

Answer
I don't know exactly what you meant to say on that. So, if you're in a work situation where your schedule is variable, or you're on night shift, you have a challenge. I would certainly, and I do have night shift working people who are my patients, and we have tried to mitigate. We can’t stop, but we can certainly slow down the damaging effects of the circadian rhythm problems that are clearly associated with a shorter lifespan and metabolic challenges. The earth and the sun and the rotation of the earth has a tremendous impact electromagnetically on us, and the energy of the sunrise and the sunset on signaling to our pineal and our hypothalamic, pituitary, adrenal access is very powerful. So, getting your adrenal sequencing off and your healthy nighttime sleep for repair is what the challenge is with all this shift changing and night shift work. So, to the best that I can with my patients’ busy schedules, we try and outline a morning and evening hygiene that is the closest they can get to being habitual given the cycle that they're within. Blacking out their windows, getting a pad for their, instructing family members that they have to be quiet so you can get your sleep during the daytime, making sure the time that you do have off. If you can get out once or twice a week for even 20 minutes in the sunshine, that'll go a long way to help your circadian rhythm and your hypothalamic pituitary adrenal access, getting enough vitamin D, trying to handle GA, being low carb, well hydrated, exercise on a routine basis, both weight training and some aerobic but mostly weight training. And find out your blood type, stay away from processed refined foods, and get probably a very good methylated B complex and a multi-mineral and with the vitamin D I think I mentioned and vitamin C, lots more vitamin C. And the eating schedule, I would make as best as you can on shift work to try and not eat while you're at work. It's not good to eat in the dark hours of the evening. It's always best to eat from sunrise to lunchtime. So, if you can find a way to fit your work and when you come home at the sunrise, maybe you can bring a meal with you that you can eat towards the end of your work hours, you know, right around 6:00 or 5:00 in the morning, and then not lay down because it's not good to lay down after you eat for three hours. So, it becomes problematic, but there are ways we can mitigate it. That's the best I can say. That's the best I can suggest.

Question
“GLP-1 use, Wegovy. What are your thoughts about using the pill form of Wegovy?  [0:47:29]

Answer
This is semaglutide. It's a peptide therapy that inhibits GLP-1. These are peptides that are made in your gut that hit the receptors for GLP-1 that suppress your appetite, slow your stomach emptying, and it's through that methodology that many people are eating fewer total calories because they feel full or sometimes even nauseous. Some side effects are nausea, vomiting, pancreatitis, and even some potential thyroid cancers. There's also muscle loss associated with this. I am looking at the Tirzepatide arena. I'm not writing it off. After all, insulin is a peptide. Growth hormone has been used, and I used it with people back in the 1990s. So, I'm not anti-peptide therapy. I am for being educated on its best use, what is the reason. And here, we get into this passion for beauty and extended life or muscle mass, and I am more purpose-driven. In other words, yes, I want to take care of my physical body, and I want to live as long as possible functionally, but for a purpose, and that is in helping others around me, my patients. And yet, how many people are passionately discussing reading the Bible or their prayer time or whatever faith they have, practicing their faith with diligence as much as all this talk and Instagram and TikTok talk about peptides and beauty products and life extension and attractiveness? You know, it becomes nauseating. 

So, I want to say, the people who use Wegovy orally probably don't get as much total body weight loss as the injectable formats. What I understand is it takes, I think the best numbers I've seen is around 5%, 8% total body weight loss which in a 180-ish pound woman would be like 10 pounds drops, or if you were 180, you'd get down to 170. Injectable is about 13%, 15% of the body's total weight, which would be like 25, 27 pounds. So, that's an additional 15 pounds. But even that modest amount, you know, it's helpful cardiovascularly, but I think you could do it if you would discipline yourself to exercise and a restricted feeding window during the daytime, low carb, and the exercise, and then have your doctor check your insulin levels, your hemoglobin A1C, your fasting blood sugar and your triglyceride level. And if all that is good, then whatever weight you settle on, by doing those things consistently, we can get a body mass and get your percent body fat and your lean mass. If all those turn out good, your hip-to-waist ratio, then I wouldn't be looking for a number. I would be looking for a health number and a well-being number, and then I would enjoy my life, and I would serve others and not worry about it so much. So, that's how I feel about these GLP-1 peptide therapies. They have their risks, apparently. The muscle mass loss is the most concerning, at least along with the nausea, vomiting, and pancreatitis. Those are some not insignificant side effects. When we could try and motivate ourselves, our family, our loved ones, our neighbors, your doctor can be encouraging to do a 6-week, 2-month to 3-month follow-up and saying how are you doing on your weight loss to see what these key levels and your health profile are looking and then move you forward in that sense. So, I'm not against it, but I'm still studying it. 

Question
“Is it a problem if you don't sweat - ever?”  [0:52:46]

Answer
Yeah, I would say it is. And I have that as well. I have what is called anhidrosis. I don't sweat. Now, it turns out that in the past 10 years that I've been doing heavy weightlifting, I do sweat a little bit. I found out that I do sweat a little. And it's extremely hard for me, like when I go into my infrared sauna, if I get a few beads of sweat on my body after 45 minutes sitting in that thing continuously, it's an amazing thing. So, I've always had very low sweating. This can be a potentially serious problem. Dermatologists usually are the ones who are well-trained in this, and you consult with them about a lack of sweating. There can be skin problems, there can be autoimmune problems, and there can be certain nerve irritation or developmental problems with the signal for sweating. So, yes, it can be a problem, but I find what most people call anhidrosis is, something like myself, someone who really it takes a lot even to get a drop of sweat out of me, and I think that's more a metabolic type of a person than really any disease process. But consult your physician and talk about it and then see if you can go to an infrared sauna, a dry sauna, and how many minutes you can stay in there to be well hydrated. If you do have any of these more significant skin diseases or autoimmune problems, you wouldn't be able to tolerate it, and you could get overheated. So, you have to be cautious and work out a plan with your physician about how you're going to approach this and manage it. Usually, they use steroids, but there's no real cure that works for it. I never use steroids. I never paid attention to it. I went through the military, I went through the boot camp, I went through all the long miles of hikes with a 50-pound backpack in the 1970s before there was any separation of the physical training demands for a girl from a man, because when I went into the military to get my medical degree scholarship, it was a brand new thing for girls to go through reserve officer training and they just didn't know what to do with me. So, I just went through the same physical training exercises and tests. And of course, I failed them compared to the men. I just failed and failed and failed. But now they have women's testing, and I really didn't even sweat on those long, hard workout days. I never got worried about it; I never overheated, because I always ate well, drank plenty of water, and used my salt. So, I don't think I have a disease. I am just a very, very slow sweater. So, I would not have gone to the doctor. But there are people who just cannot sweat, and you have to have that evaluated by your doctor. 

Question
“Infrared sauna has helped with fibromyalgia and detox from sweating. Feels good too.”  [0:56:31]

Answer
Yeah, absolutely, because sweating is another way to get rid of heavy metals and toxins from our bodies. I just don't sweat very much, and that's just the way it's going to be for me. I don't think I'm going to change at 73, because when I work out, I work very hard. And if I even feel wet at all under my armpits, that's a miracle. I'm like, oh my goodness, I feel a little wet under my armpits. So, yeah, that's a very good thing to do with the sauna. 

Question
“Hi Dr. E., my 83-year-old mom has been for years a low-grade diabetic (on NO metformin). Hemoglobin A1c is between 5.9 and 6.3. Fasting glucose is 100-130, but her fasting insulin is 4. Is her pancreas not keeping up with making insulin to offset the glucose? We just started her on a low-carb diet. Thank you and bless you!”  [0:57:16]

Answer
I'm going to say my fasting insulin is 4 or 5, also. So, no, that doesn't necessarily mean anything wrong. The range is wrong. The ranges for the general population are stupidly too high because, once again, it's a population average. So, some labs let the insulin range be normal from 2 to 25; others say from 1 to 18. But in my life and where I take my patients, I don't want anyone much over 4. The real reason why older people become borderline diabetic is that they don't exercise. They're too inactive, and they've lost the engine of their muscle mass. I think the best thing you can do for your mom is to take her to the gym or get her to her doctor and have her doctor write a physical therapy order for generalized muscle weakness, and get her doing weight training, gradually building her up, and you'll be surprised to see her blood sugar come down. Make sure she doesn't snack at night because older people cannot digest food. It takes almost twice the insulin and enzymes to process food after 4:00 PM. So, I would certainly try and not eat after 4:00 PM and be on a low carb diet and get her doing weight training three times a week. 

Question
“Hi Dr. E., I’m on several supplements, and I started the estrogen and progesterone cream a few months ago. My body has doubled, if not tripled, the brown spots on my arms and legs. Could it be from one of the supplements I’m taking? My estrogen and progesterone are still really low after labs, so I don’t think it’s from too much of these hormones.”  [0:59:18]

Answer
You know, with aging comes what we call lipofuscin, which is the oxidation of the fatty acids in our body. This is more of a metabolism issue: blood sugar, insulin, triglycerides, hemoglobin A1C, your amount of exercise, and your water consumption. So, that's what I would look at there. 

Question
“Once we reach your health goals for us, how often should we come in for IV chelations?” [1:00:16]

Answer
I try to do about 10 a year to keep up with the amount of toxic exposure I get from everything I breathe, everything I drink, everything I eat. I would say a minimum of six per year. That would be my recommendation there. 

Question
“Hi Dr. E., my healthy 40-year-old son has anxiety, and I told him to increase his vitamin D. What amount would you suggest? Thank you!”  [1:00:44]

Answer
Well, in general, vitamin D helps the mood, but I would get them out exercising and in the sunshine in the morning for that [inaudible] minutes. And then vitamin D, I think, is [inaudible] 10,000 IU, even up to 20,000 IU a day as long as you see your doctor and then you get a blood level at that 20,000 and then see how that did for him. But have that followed by a doctor and get him exercising and outside.