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我们很多人十二三岁、十四岁就被开了避孕药，不管是因为长痘、痛经还是月经不调。
So many of us was given the birth control pill at 12, 13, 14, whether you had acne, painful periods, missing periods.
其实我以上这些情况都没有。
I actually didn't have any of the above.
我吃它只是因为我的朋友都在吃。
I just took it because all my friends did.
当你开始动激素，尤其是在青少年时期，你就是在给自己埋下大麻烦。
When you start messing with hormones, especially as a teenager, you are setting yourself up for drastic failure.
人们会说，你什么意思，避孕药？
People are like, what do you what do you mean birth control?
比如，我需要避孕药。
Like, I need birth control.
它其实能平衡我的激素。
It actually balances my hormones.
如果我不吃，我的月经就会很糟糕。
If I don't take it, I have horrible periods.
我跟他们说，那是因为你的身体在给你传递一个信号
I tell them like, well, that's because your body is sending you a message
就是
that
有些地方不对劲。
there's something going on.
我理解你想止住那种剧烈的疼痛，但能不能找到根本原因呢？因为当你最终停用避孕药时，你的身体会发生什么？
And I can understand that we want to be stopping that horrible pain that you're having but can we be getting to the root cause of what's driving that because when you eventually do come off of the birth control pill what's going be happening to your body?
你想
You want to
知道为什么无论怎么努力，你还是总是有持续的食欲吗？
know why nothing seems to help you with constant cravings?
GLP-1是大家都在谈论的饥饿激素，但你的肠道本来就能自己产生它。
GLP-one is the hunger hormone that everyone's talking about, but your gut was designed to make it on its own.
不过，它需要正确的信号。
However, it needs the right signal.
你肠道和口腔里的苦味受体直接与GLP-1的释放相关，而大多数现代饮食中苦味食物非常少。
Bitter receptors in your gut and mouth are directly tied to GLP-one release and most modern diets are extremely low in bitter foods.
所以这条自然的通路很少被激活。
And so this natural pathway rarely gets activated.
但别担心，因为我在Just Thrive消化苦味剂中找到了答案。
But have no fear because I found the answer with Just Thrive Digestive Bitters.
Just Thrive消化苦味剂含有浓缩的苦味植物成分，能激活你肠道中的受体，促使身体自然产生GLP-1，支持健康的消化、舒适的饱腹感和均衡的食欲，而且不含任何合成成分。
Just Thrive Digestive Bitters deliver concentrated bitter botanicals that activate receptors in your gut, encouraging your body to produce GLP-one naturally, supporting healthy digestion, comfortable fullness, and a balanced appetite without any synthetic inputs.
不需要尝到苦味。
No bitter taste required.
对GLP-1信号和消化支持最重要的苦味受体不仅仅在口腔里。
The bitter receptors that matter most for GLP-one signaling and digestive support aren't just in your mouth.
它们遍布你的整个胃肠道。
They line your entire GI tract.
所以当胶囊在肠道中溶解时，苦味植物成分会激活这些受体。
So when the capsule dissolves in your gut, the bitter botanicals activate those receptors.
同样的信号，同样的反应，却一点苦味都没有。
Same signal, same response, zero bitter taste.
现在，Just Thrive 正在为我的听众提供特别优惠。
Right now, Just Thrive is offering my listeners something special.
当你开始九十天的 Just Thrive 益生菌订阅时，你会免费获得他们新出的消化苦味剂，价值九十美元。
When you start a ninety day Just Thrive probiotic subscription, you'll get a free ninety day supply of their new digestive bitters, and that's a $90 value.
所以今天就访问 justthrivehealth.com/dylan，在首次订阅九十天益生菌时领取你的免费消化苦味剂。
So visit justthrivehealth.com/dylan to claim your free digestive bitters with your first ninety day probiotic subscription today.
好了，各位。
Alright, everybody.
欢迎回到 Dylan Gemelli 播客。
Welcome back to the Dylan Gemelli podcast.
很庆幸，我的嘉宾是一位非常有耐心的女士，因为我们多次改期，但她一直很宽容，我超级感激。
So thankfully, my guest is a very patient woman being that we've had to reschedule multiple times, but she's been gracious, and and I'm super grateful.
我有时候是个挺复杂的人。
I am a complex individual at times.
不过我和我妻子都特别期待听你讲，因为我是出了名的护肤控，甚至有点挑剔。
But we've me and my wife both because she can't wait to listen to you, and I am known for being a skincare person, snobby to an extent.
所以我特别期待和你聊，因为我之前也和一些护肤品牌、护肤领域的人聊过，但还没有和像你这样经验丰富、从业这么久的真正专家聊过。
So I I can't wait to talk to you because I've talked to, like, skincare companies and people on here, but not like a real expert that's been doing this for so long that's so experienced.
所以我特别兴奋。
So I'm jazzed.
我特别激动，也非常感谢你能来见我。
I'm stoked, and I'm so thankful that you came to see me.
我的嘉宾是一位注册整体营养师和功能诊断营养师，专门研究成人痤疮。
My guest is a registered holistic nutritionist and functional diagnostic nutrition practitioner who specializes in adult acne.
在过去的几十年里，她帮助了来自15个国家的3000多名客户，解决了慢性痤疮问题。
And for the last decades decades, she's had over 3,000 clients over 15 countries that have clear chronic breakouts.
她做的正是我喜欢的事情，因为她专注于根源营养和功能实验室检测。
And she's she does what I love because she does root cause nutrition and functional lab testing.
所以我们将深入探讨我认为正确的治疗方法、寻找病因的方法，以及如何预防而不是仅仅治疗。
And so we're gonna dig into what I feel is the proper way to go about treatments and finding causes and how to go about preventing instead of just treating.
所以，朋友们，你们可能听说过我的嘉宾，但如果没有，欢迎凯蒂·斯图尔特。
So my friends, you've probably heard of my guest, but if not, welcome Katie Stewart.
谢谢你，迪伦。
Thank you, Dylan.
我很高兴能来到这里。
I'm so excited to be here.
这是我热爱的事情。
It's something I love doing.
就是做播客嘉宾，邀请别人上我的播客。
It's podcast guesting, having people on my podcast.
所以每次有机会来参加，尤其是面对面的时候，都特别有趣。
So anytime I get to come and do them, and especially in person, they're so much fun.
嗯，就像我说的，你在你的领域里很有名，我迫不及待想深入了解你做的所有事情。
Well, like I said, you are well known in what you do, and I can't wait to get into everything that you do.
我觉得有很多误解，嗯，关于很多事情都有误解。
I I find that there's a lot of, well, there's a lot of misconception with everything.
非常大。
Huge.
对。
Yeah.
我觉得我们完全可以就这个话题做一系列节目。
I'm sure we could have, like, a multi part part series on that.
没错。
Right.
所以我在这里说话得注意点。
So I should temper what I say here.
但有很多东西我想聊，比如防晒、护肤品成分，各种细节。
But there is a lot of stuff that I wanna get into, like, with the sun, with skincare products, what's in them, the whole nine.
对。
Right.
而且我觉得你是我能请到的最合适的人选之一来聊这些。
And I feel like you are one of the most qualified people that I could bring on to do this.
那我们先聊聊你吧，因为我知道你之前有一些皮肤问题，这些显然也促使你专注于现在做的事情。
So let's talk about you first because I know you had some some skin things that you've dealt with, which obviously were drivers into contributing to what you focus on.
跟我聊聊你经历的那些事吧，因为我相信你经历的很多人也都经历过。
Talk to me about some of the things that not only you experienced because I'm sure what you experienced a lot of people do.
当然。
Absolutely.
对。
Yeah.
其实我最初，你知道的，我之前的职业是在电视行业。
I originally you know, my previous career was in television.
我曾在《加拿大冰球之夜》工作。
I worked for hockey night in Canada.
如果听节目的美国朋友不了解，那就是我们加拿大的《周日夜足球》。
If all the Americans listening, that's our version of Sunday Night Football.
哦。
Oh.
所以我在主流电视行业幕后工作了十四年，每天跟名人、NHL球员、教练和高管打交道。
So I worked behind the scenes for fourteen years in major market television where I was working with celebrities, NHL players, coaches, executives.
同时我也做外景主持。
I was also working as an on air location host.
所以我每天都要主持一个电视节目。
So I was hosting a TV show every day.
我还要剪辑内容。
I was editing content.
我每天都要在高清剪辑室里盯着自己的脸看。
I was staring at my face in an HD edit suite every single day.
后来我开始做一个无麸质烹饪节目。
And I actually started working on a gluten free cooking show.
那大概是2011年左右。
This was like circa 2011.
那时候麸质还没流行起来，如果大家还记得那个没有麸质概念的时代的话。
Gluten was not a thing back then if we can remember a time where gluten wasn't a
那时候。
thing.
是的。
Mhmm.
我当时觉得这女士疯了。
And I thought this lady was crazy.
我为什么要放弃面包、意大利面这些美味的东西呢？
Why would I stop eating bread and pasta and all of these delicious foods?
然后我想，你知道吗？
And I thought, you know what?
咱们给这位疯狂的女士一个机会吧。
Let's give this crazy lady a chance.
我试了一下。
I took it out.
我多年的偏头痛消失了，还有那些偏头痛药，以及我二十出头停用避孕药后一直有的痘痘问题也开始好转了。
My lifelong migraines went away, Stemics that I had and the acne issues I had been having since coming off the birth control pill in my early twenties started to get better.
虽然没有完全消除，但我注意到了一些变化。
Didn't completely clear it, but I was noticing a shift.
而且我在电视行业工作，你知道，电视是一个非常注重视觉的媒介。
And working in television, we obviously, you know, it's a very visual medium.
当我一直长痘，整天在高清剪辑室里盯着自己的脸，或者和名人一起工作时，我看到他们的目光会不自觉地瞟到我下巴上的痘痘，而且当时是2021年，你希望在职业生涯中被认真对待。
And when I was getting these chronic breakouts and I'm staring at my face in HD edit suite all day or I'm working with celebrities and I'm like seeing them like their eyes flutter down to the breakouts on my jawline and being twenty twenty one at the time, you wanna be taken seriously in career.
你不想看起来像个长痘痘的青少年。
You don't wanna look like a teenager with acne.
对。
Right.
所以这真的影响了我的自信心。
So it was really impacting my self confidence.
那时我决定回学校学习营养学，因为我真的发现我吃的东西对我的身体有影响。
And that's when I decided to go back to school to study nutrition because I really discovered that what I was eating was having an impact on my body.
好的。
Okay.
我们回到避孕药的话题吧。
Let's go back to the birth control thing.
好的。
Mhmm.
因为我对避孕药的使用发表过很多看法。
Because there's I I've spoken out a lot on birth control use in general.
显然，这里面有激素波动的问题。
Obviously, there's hormonal fluctuations there.
你能告诉我，服用避孕药后具体会发生什么，以及它如何影响你的皮肤和激素吗？
Can you tell me what exactly happens when you take birth control first and then how it affects your skin and your hormones?
是的。
Yeah.
这是一个大问题，尤其是对千禧一代的女性来说，因为我们很多人都在12、13、14岁时被开了避孕药，不管是因为痤疮、痛经还是月经不调。
And this is a huge issue, especially, I think, for millennial women because so many of us was given the birth control pill at 12, 13, 14, whether you had acne, painful periods, missing periods.
其实我以上情况都没有。
I actually didn't have any of the above.
我并不是因为它的本来用途才吃的。
I didn't need it for its intended purpose.
我就是因为朋友们都在吃，所以也跟着吃了。
I just took it because all my friends did.
哦。
Oh.
医生当时就说，行。
And the doctor was like, yeah.
给你六盒。
Here's six boxes.
半年后再来。
I'll see you in six months.
我记得那时候我大概十三四岁，然后我差不多又吃了将近十年。
And I think I'd was probably on 13 or 14 at the time, and I took it for almost another decade.
完全不知道它对我的身体造成了什么影响。
No idea the impact that it was having on my body.
后来我回学校学营养学，第一本教科书里就有一小段讲避孕药对身体的影响。
And when I went back to school to study nutrition, my very first textbook, there was a small paragraph on how birth control impacts your body.
然后我就像突然开窍了一样。
And all of these, like, light bulbs went off.
就像卡通片里那样，头顶上亮起了一个灯泡。
It was like a cartoon with, the light bulbs over my house.
天哪。
Like, oh my god.
我完全不知道避孕药会这样影响我的身体。
Like, I I had no idea that birth control could impact my body like this.
书上讲的是它对肠道菌群和肝脏这类解毒器官的影响，会导致营养缺乏，而且它并不能平衡激素。
And it was talking about the impacts it has on your gut microbiome and your detoxification organs like your liver, the nutrient depletions that it causes, and that the fact it doesn't balance your hormones.
我当时就想，什么叫不能平衡我的激素？
I was like, what do you mean it doesn't balance my hormones?
医生明明就是这么说的。
That's what the doctor said.
这是一种失衡。
It's an imbalance.
对，这是一种失衡，它就像创可贴一样。
It's an imbalance and it's just acting like a band aid.
它只是掩盖了你存在的问题。
It's covering the issues that you have.
它不仅加剧了现有的激素失衡，还可能造成新的激素失衡。
And not only is it contributing to existing hormonal imbalances, but it can be creating new hormonal imbalances.
所以当你停药后，你会面临一大堆问题，这些问题一直在表面下酝酿，但你没注意到，因为它们被压制了。
So when you come off of it, you're now hit with a whole slew of issues that have been bubbling underneath the surface, but you haven't noticed it because it's been suppressed.
明白了。
Okay.
这真是一个大话题。
This is a whole topic.
确实。
It is.
你会想，那我们从哪里开始呢？
You're like, where do we go?
不。
No.
这很好，因为这个问题需要被讨论。
This is good because this needs to be discussed.
因为很多人觉得你谈论避孕药是在制造恐慌，或者你在偏袒某一方。
Because a lot of people think you're fear mongering when you talk about birth control or that you're playing aside.
但，不，我们不是。
And, no, we're not.
我们说的是真相和事实。
We're talking truth and fact.
当你开始干扰激素，尤其是在青少年时期
And when you start messing with hormones, especially as a teenager
是的。
Yes.
你这是在给自己埋下巨大的隐患。
You are setting yourself up for drastic failure.
完全同意。
Absolutely.
因为很多被安排吃这些药的女性或女孩，她们才十三四岁。
Because so many of these women or girls girls that are being put on this, they're they're still 13, 14.
她们的激素根本没有机会稳定下来，变成应有的状态，开始自我调节。
Their hormones have never had a chance to settle and and become what they're supposed to and start to balance themselves.
所以，嗯。
So Mhmm.
如果你只是往身体里灌这些合成雌激素，尤其是如果你吃的不是单一的那种复合避孕药，而是那种含有合成雌激素的，实际上会抑制排卵。
If you're just flooding your body with with these synthetic estrogens, especially if you're on, you know, the like, not just a on one of the combo pills, like, where we're dealing with the estrogen synthetic estrogens, and it's actually suppressing your ovulation.
它会切断大脑和卵巢之间的沟通。
It's cutting off the communication between your brain and your ovaries.
而且我们要记住，我们的身体有激素系统和节律，这是有原因的。
And we have to remember, like, our body has a hormonal system and rhythm for a purpose.
对。
Mhmm.
当我们开始干扰它的时候，可能会带来终身的影响。
And when we start messing with it, it it can be having lifelong impacts.
所以我过去很多年做的事情，就是跟那些使用类固醇的健美运动员打交道。
So a lot of the stuff that I did for many years in my background was working with bodybuilders that use steroids.
这就对了。
There we go.
其实道理是一样的。
And so it's the same thing.
当你欺骗你的身体，让它自己过量分泌或者关闭某些功能，那么当你停下来的时候，它就忘了怎么自我调节了。
When you're tricking your body and it's flooding itself or shutting things down, then it forgets how to regulate when you stop.
对。
Mhmm.
哪怕只是短时间的使用。
Even if it's a short time.
完全正确。
Absolutely.
而且如果你在青少年时期甚至二十几岁就开始用，你的身体还没完全发育好。
And if you're going as a teenager or even in your twenties, you're not fully developed.
对。
No.
对吧？
Right?
所以，在青少年早期，你能做的最糟糕的事情之一是什么？
So early stage teenager, what what would be one of the worst things you could do?
往身体里大量注入合成激素。
Go and flood it with a bunch of synthetic hormones.
没错。
Right.
因为那样你的身体就真的乱套了，因为它根本没有机会正常发育。
Because then your body's really screwed up because it never had a chance.
对。
Yeah.
而且我经常听很多人说，避孕药对很多女性来说是个非常敏感的话题。
And what I hear a lot from people, it's very triggering topic for a lot of women birth control.
而且我发现，尤其是在我刚开始谈论这个话题的那几年，那时候这个话题还没被广泛讨论，人们就会说，你什么意思，避孕药？
And I've I found, especially in the beginning years when I talked about this where it wasn't widely discussed, people are like, what do you what do you mean birth control?
就像，我需要避孕药。
Like, I need birth control.
它实际上能平衡我的激素。
It actually balances my hormones.
如果我不吃，我的经期会非常痛苦。
If I don't take it, I have horrible periods.
如果我不吃，就会发生这种情况。
If I don't take it, this happens.
然后我告诉他们，那是因为你的身体在给你发送信号，告诉你有些地方不对劲，我理解你想停止那种剧烈的疼痛，但我们可以找到导致疼痛的根本原因吗？
And I tell them, like, well, that's because your body is sending you a message that there's something going on, and I can understand that we wanna be stopping that horrible pain that you're having, but can we be getting to the root cause of what's driving that?
因为当你最终停用避孕药的时候
Because when you eventually do come off of the birth control pill
对。
Mhmm.
你的身体会发生什么？
What's gonna be happening to your body?
人们不喜欢我这么说，但我就是直接把它联系起来。
People hate it because I just relate it right.
你是在扮演上帝的角色。
You're playing God's work.
人们不喜欢听这个，但这是事实。
And people don't like to hear that, but it's a fact.
如果你不想让我这么说，那你就是在打乱你身体的自然状态。
And if you don't want me to say that, well, you're playing your body setup.
对。
Mhmm.
而且你可以随便说，
And you you can say whatever you want and
说某个人在扮演什么角色，就像我说的，或者别的什么。
say that somebody is playing aside, like I said, or whatnot.
结果是非常非常明显的。
It's it's very, very evident what happens.
对。
Mhmm.
而且这就像我说的，这跟使用类固醇是一回事。
And it and then this is like I said, it goes with steroid use.
这跟GLP-1类药物也是一回事。
It goes with GLP ones.
这跟任何欺骗你的身体去做它本不该做的事情都是一回事。
It goes with anything that tricks your body into doing something it's not supposed to do.
完全正确。
Absolutely.
这就是为什么人们，你知道的，就是人们有一种固定的思维模式，或者一根筋。
That's why it's just people you know what it is is people have this mindset or one track mind.
你在告诉他们该怎么做。
You're telling them what to do.
对。
Mhmm.
或者你想控制他们。
Or you're trying to control them.
我总说，哥们，我又不是你爸。
I always say, dude, not your dad.
你想怎么做就怎么做。
Do whatever the hell you want.
是的。
Yeah.
我们不会为此失眠的。
We're not gonna lose sleep over it.
我很高兴你愿意分享，这样大家就能从一个经历过这些的女性角度去理解。
I'm just glad you're sharing so that people understand coming from a woman that went through it Mhmm.
来解释一下。
To explain.
好的。
Okay.
现在我们知道了它在激素方面的影响。
So now we know what it does hormonally.
那它怎么影响你的皮肤呢？
How does that affect your skin?
当然。
Absolutely.
就像我之前提到的，主要有四个关键方面。
So like I mentioned, there's those four key ways.
它会影响你的激素平衡。
It impacts your hormonal balance.
它会影响到你的肝脏，改变你肠道的微生物群，还会消耗你身体里的关键营养。
It is going to be impacting your liver, going to be altering your gut's microbiome, and depleting your body of key nutrients.
那么，你猜痘痘的四大主要诱因是什么？就是肠道、排毒、激素和营养。
Well, guess what four big drivers of acne are is gonna be your gut, detox, your hormones, and nutrients.
所以，
So
谁能想到呢？
Who would have thought?
谁能想到，你身体里发生的事情会导致你长痘痘呢？因为痘痘是内在问题的外在表现。
Who would have thought that, you know, the things that are going on in your body is leading to you dealing with acne because acne is an external symptom of an internal issue.
这么多年来，它一直被当作皮肤表面的问题来治疗，用外用药膏、抗生素、异维A酸、螺内酯。
And for all of these years and decades, it's been treated like a topical problem with topicals, with antibiotics, with Accutane, with spironolactone.
但他们只是在治标。
But they're just treating the symptom.
他们没有治本。
They're not treating what's causing it.
我喜欢这个。
I love that.
好的。
Okay.
现在我们聊到了一些没人谈的深层话题。
Now we're getting somewhere deep that nobody talks about.
告诉我，既然肠道问题现在被广泛讨论和理解，前所未有地，所以我说话会有所保留，因为我想公平地对待我们被告知的信息，但让我们面对现实。
Tell me, since the gut we know is so widely discussed and understood now like it never was, so I I I temper what I'm gonna say here because I like to be fair about pulling punches about, you know, what we're told and just but let's face reality here.
他们接受的是某种训练，他们就是这么做的。
They're trained a certain way, and that's what they do.
既然我们现在了解更多了，你能不能谈谈，从肠道角度看，我们需要关注哪些可能导致这个问题，以及我们如何预防它。
Now that we understand more, can you just discuss, like, what it is gut wise that we need to look out for that could cause this problem and how do we potentially prevent this.
对。
Yeah.
我认为这是一个非常重要的对话，因为很多人对肠道健康有误解，他们会说，哦，我已经调理过肠道了。
And I think it's a really important conversation to have because a lot of people have a misconception about gut health where they'll say, oh, I've worked on my gut.
然后我就说，好吧。
And I say, okay.
那挺好的。
Well, great.
那具体做了什么呢？
What would be done?
比如，哦，我吃益生菌。
Like, oh, I take a probiotic.
然后我就说，好吧。
And I say, okay.
那只是工具箱里的一种工具。
Well, that's one tool in the toolbox.
而且你真的需要那个益生菌吗？
And do you even need that probiotic?
你真的需要那些菌株吗？
Like, do you need those strains?
是完全不同的东西吗？
Is it something completely different?
所以我喜欢跟人们解释，肠道健康不仅仅是一个流行词，不是说‘我在调理肠胃，我喝康普茶什么的’就行了。
So I like to explain to people that gut health is more than just a trendy term of, oh, I'm working on my gut I drink kombucha or whatever.
你得看看你的肠道里到底发生了什么。
Is you have to be looking at, well, what's going on in your gut?
对于长痘痘的人来说，几乎总会有某种消化功能紊乱。
For our acne sufferers, there is almost always some type of digestive dysfunction.
比如胃酸过低，就是胃酸不够，没法把食物分解掉。
So whether they have low stomach acid where they don't have enough stomach acid to be breaking their food down.
如果这种情况发生，就算你吃得再健康也没用。
So if that's happening, can be eating the best diet in the world.
但如果你吸收不了营养，那
But if you're not absorbing your nutrients, then
对。
Mhmm.
你根本吸收不到身体、激素和皮肤修复所需的所有营养、蛋白质和健康脂肪。
You're not getting everything, like the nutrients, the proteins, the healthy fats that your body, your hormones, your skin needs to function into repair.
如果食物没有被分解，那就会成为肠道里所有坏细菌和酵母的完美自助餐。
And if it's not being broken down, then that becomes a perfect little buffet for all of the bad bacteria bacteria and and yeast yeast in in your your gut.
肠道。
Gut.
当细菌和酵母过度生长时，我们就要面对更多的炎症。
When When the the bacteria bacteria and yeast overgrow, we're gonna be dealing with more inflammation.
这会导致肠道通透性增加，也就是肠漏。
It's gonna be contributing to intestinal permeability or leaky gut.
还会引发腹胀、便秘、腹泻这些症状。
It is going to be leading to symptoms like bloat, constipation, diarrhea.
对。
Mhmm.
而这仅仅是因为胃酸过低。
And that's just from having low stomach acid.
对。
Right.
而且我们合作过的客户中，保守估计超过九成都有胃酸过低的问题，但他们自己根本不知道。
And with the clients we've worked with, like, conservatively over ninety percent of them have had low stomach acid, and they don't even know it.
因为他们会说，哎呀，我肠胃没什么问题啊。
Because, like, oh, I don't have any gut issues.
我就会说，你的皮肤问题就是肠胃问题。
I'm like, well, your skin is a gut issue.
明白。
Mhmm.
然后，就像我提到的，我们经常看到酵母菌过度生长的情况。
And then, like I mentioned is we see a lot of yeast overgrowth.
比如念珠菌、细菌过度生长，像葡萄球菌和链球菌，这些我们经常遇到。
So candida, bacterial overgrowth, like staph and strep, we see quite quite often.
而且我们还会看到肠漏的情况，就是肠道内壁发炎严重，导致未消化的食物颗粒、毒素、细菌等本不该进入血液的东西渗入血液，进而引发全身性炎症，最终导致痘痘问题。
And then we'll also be seeing leaky gut where their gut lining is just so inflamed that it is now, you know, allowing undigested food particles, toxins, bacteria, things into the bloodstream that shouldn't be there, and then causing body wide inflammation, which is leading to acne.
而这只是冰山一角。
And that's just the tip
我们面对的问题远不止这些。
of the iceberg that we're dealing with.
那导致胃酸过低的原因有哪些呢？
What are some of the drivers of low stomach acid?
人们怎么知道自己有这个问题呢？
How would somebody know that they have that going on?
一个很大的因素就是压力。
So a big one is gonna be stress.
对。
Okay.
你明白吗？
You know?
在北美，我觉得大家都过着压力很大的生活，尤其是我们的大部分客户，年龄在二十多岁到四十多岁之间。
And here in North America, I think we all live a pretty stressful lifestyle, especially the bulk of our clientele, late twenties to about their mid forties.
所以，比如说，他们正处于那个阶段，你知道，他们有事业。
So if, like, they're in that you know, they have a career.
他们有家庭。
They have a family.
他们有需要照顾的人。
They have people they're taking care of.
他们还要应对健康问题，所以那种压力会消耗他们的胃酸。
They're dealing with a health issue, so that that stress is going to be depleting their stomach acid.
也许我们从小饮食就很不健康。
Maybe we have had a growing up eating a really poor diet.
你知道，我们从小就在破坏肠道健康，很多千禧一代在成长过程中经常聚会玩乐。
You know, we've grown up just destroying our gut health where a lot of the millennials, partied quite a bit growing up.
所以，我们是不是，对，就是这样。
So, like, have we just yeah.
我们这些千禧一代真的需要修复肠道健康。
Us us like, the millennials really need to, repair their gut health.
就这么说吧。
Let's just put it that way.
所以我觉得对我们的客户来说，压力是导致胃酸问题的一个主要因素。
So I was feel like for our clients, though, stress is a major driver for stomach acid issues.
所以神经系统在这里起着关键作用。
So nervous system plays a key role here.
这是我们的核心支柱之一。
It's one of our core pillars.
有趣的是，迪伦，没有人愿意去做
And what's so interesting, Dylan, is nobody ever wants to do
这件事。
it.
嗯。
Mhmm.
他们都觉得，不。
They're all like, well, no.
给我我需要吃的补充剂。
Give me the supplement I need to take.
我就说，你不能靠补充剂来修复一个疲惫的神经系统。
And I'm like, you can't out supplement a fried nervous system.
不行。
No.
就像，你不能吃遍全世界的南非醉茄和红景天，就指望你的神经系统能平静下来。
Like, there's you can't take all the ashwagandha and rodeo in the world and expect your nervous system to calm down.
对。
Yeah.
你知道，我花了很多年专注于健身和营养，这些确实非常重要。
You know, I spent so many years focused on the fitness, the nutrition, and and those are very, very important.
明白。
Mhmm.
但我忽略了最重要的东西。
But I was missing the most important.
最关键的部分。
The most important piece.
对。
Yeah.
因为，你知道，即使我很有灵性，因为我说一切从上帝开始，但你必须进入正确的精神状态。
Because, you know, even as spiritual as I am, because I say it starts with God, but you you you have to get in the right state of mind.
因为我会做祷告，感觉很好，然后又回到原来的状态，因为我的神经系统太紊乱了。
Because I I would do my prayers, feel good, and then go right back to, you know, where I was because my nervous system was so out of whack.
明白。
Mhmm.
而且有些想法或感受你甚至没有意识到。
And there's things that you don't even realize you're thinking or feeling.
它们被压抑得太深，已经消失了。
They're so bound up and gone.
你表面上不会去想它们，但内心却在想，甚至自己都没意识到。
You don't you don't think about them on the outside, but you are internally and don't even realize it.
那神经系统在皮肤问题上到底起了多大的作用？
How big of a role does the nervous system then so play in your skin?
可以说，它可能是影响最大的一个因素。
Like, it's probably the biggest role that it plays.
因为当你把肠道问题一层层剥开，看看是什么在影响你的肠道——就是你的神经系统。
Because when you peel back gut issues, guess what's impacting your gut, your nervous system.
对。
Mhmm.
当你把排毒、激素这些所有问题都剥开，神经系统真的是核心所在。
When you peel back detoxification and hormones and all of these issues, your nervous system truly is at the core.
所以你可以做各种肠道调理，吃各种健康食物，吃各种补充剂。
So you can do all the gut protocols, eat all the healthy foods, take all the supplements.
但如果你不解决神经系统的调节问题，你几乎永远无法真正痊愈。
But if you're not addressing your nervous system regulation, you can almost never truly heal.
而且，我有一个客户例子，我经常想起她，她是我们服务时间最长的客户。
And, you know, I have this one example of a client who I always think about, and she was our longest worked client that we had.
我们和她合作了三年，她的皮肤一开始看起来很好，然后就停滞不前了。
She worked we worked with her for three years, and she would her skin was looking great, then it plateaued.
我们好像没办法再进一步了。
We, like, couldn't couldn't get any further.
看起来好了一些，但还没达到我们想要的效果。
It was looking better, but not where we wanted it.
她跟我们分享了一些童年时经历的非常创伤的事情。
She shared with us some very traumatic things that had happened to her in childhood.
当她开始处理这些创伤，努力调节神经系统，找心理咨询师谈话，把这些创伤从身体里释放出来时，简直就像发生了奇迹一样。
And when she started to process them, work on regulating her nervous system, talking to a counselor, getting these these traumas out of her body, it was like an actual miracle happened.
对。
Mhmm.
我们就看着她的痘痘真的从脸上消退，这一切都是因为让她的神经系统感到安全。
And we just watched her acne, like, physically recede off of her face, all from allowing her nervous system to feel safe.
你看。
See.
我觉得有些人，你一天天过，有时候你都没意识到自己承受的压力，直到你坐下来好好想想。
And that's I think some people, they you go day by day, and you don't realize sometimes even the stresses you're going through until you sit down and evaluate.
对。
Yeah.
然后你就会想，天哪，我怎么这么烦躁，或者为什么我无法集中注意力，或者为什么我总是生气之类的？
And you're like, man, why am I getting so antsy, or why can't I focus or why am I angry all the time or whatever?
但你只是习惯了这种状态，慢慢就适应了。
But you you just kinda get in a pattern and used to it.
对。
Yeah.
而且很难察觉。
And it's hard to see.
我觉得
And I think
问题就在这里，很多人都说，哦，我不紧张。
that's the issue is so many people are like, oh, I'm not stressed.
对。
Mhmm.
然后我们就说，你说你不紧张是什么意思？
And we're like, what do you mean you're not stressed?
然后你就说，哦，好吧，你知道吗？
Now you're like, oh, well, you know what?
比如，我五点起床，去上高强度间歇训练课，然后送孩子上学，接着做这个做那个，然后接孩子，还有工作截止日期，我就说，你听到你刚才列出的所有事情了吗？你还不紧张？
Like, I wake up at five and I go into my HIIT classes and I get the kids ready and then I'm doing this and then I I'm I'm picking the the kids up and, I have this work deadline and I'm like, did you hear all of the things you just listed out and you're not stressed?
这是因为我们太习惯压力了，压力成了我们的常态。
And it's because we get so used to our stress that it's our operating norm.
这就像我们喜欢的那种运作方式，直到你开始列出来你才意识到。
It's like our our how we love to operate, and you don't realize until you start listing it out.
这就是为什么我们经常让客户写下他们负责的所有事情。
That's why we often will get our clients to write out all the things they're responsible for.
然后他们说，哦，我都没意识到，是的。
And they're like, oh, I didn't even yeah.
没有。
No.
我的神经系统状态不太好。
My nervous system's not doing well.
我们不得不坐在那里，一遍又一遍地说“我有时间”，我得消化这个，说出来，反复说，反复做，试着调节自己，因为——我昨天请了一位研究标量能量的嘉宾。
We had to sit there and say, I have time over and over, and I had to process this and say it and keep saying it and doing it and trying to regulate because I and I had a guest on yesterday who does scalar energy.
太棒了。
Amazing.
是的。
Yes.
他说99%的人都处于战斗或逃跑的状态，
And he was talking about 99 of the people are stuck in fight or flight,
而且你根本不知道。
and you don't even know it.
我百分之百同意。
I a 100% agree.
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我们刚才在聊怎么达到这个状态。
And we were talking about getting to here
对。
Mhmm.
因为你平时都是这样的。
Because you're normally like this.
对。
Mhmm.
我跟你说，凯蒂，现在我感觉自己就在这个状态里，真的，整个世界都打开了。
And I'll tell you what, Katie, now that I feel like I'm right here, I mean, it's like the whole world has opened up.
可以想象。
I can imagine.
对吧？
Right?
是的。
It is.
我现在每天早上真的，都不想错过呼吸练习，或者我会自己到外面去做。
And I literally now every morning, I don't wanna miss breath work sessions or any I go outside and do it myself.
我太喜欢这样了。
I love that.
是的。
Yeah.
我还准备了一个歌单，放一些能让我兴奋起来的音乐，节奏从慢到快，越来越带劲。
And I set up, like, a playlist of my kind of music that gets me going, and it goes, like, slow to up to up to left.
就像，干起来吧！
Like, let's fucking go.
对。
Yeah.
是吧？
Right?
确实。
It is.
对。
Yeah.
所以，我想说的是，这让我看起来更年轻了。
So but it's made me look younger is where I'm going with this.
我感觉更年轻了。
I feel younger.
我看起来也更年轻了。
I look younger.
早上起来，身体也没有那么多常见的酸痛了。
I don't have as many, like, normal aches in the morning.
就算睡得不太好，我也觉得，精神满满，走起。
Or even when I don't sleep as well, I'm like, let's go.
明白。
Mhmm.
我觉得，就是，对。
I feel like let's Yeah.
但你能从脸上看出来。
But you see it in the face.
没错。
Absolutely.
我知道，比如客户来的时候，我甚至不需要知道他们的日常习惯，因为你能直接看出来。
I know, like, when we have clients come in, I don't even need to know what their routine is because you can physically see it.
比如有痘痘的客户，我们会让他们提交照片。
Like, being with acne, we get them to submit photos.
对。
Mhmm.
然后我们就会发现，连他们眼里的压力都能看出来。
And we're like, you can see the stress in their eyes even.
而且我喜欢看他们从开始到结束的照片，因为我看的不是皮肤。
And it's like, I love looking at photos from when they start with us to when they finish with us because it's not their skin that I'm looking at.
我其实看的是他们的眼睛。
I'm actually looking at their eyes.
他们看起来又活过来了。
They look alive again.
好的。
Okay.
那我给你举个例子吧。
So let's let me give you a scenario here.
我过来跟你说，凯蒂，我的皮肤一团糟。
I come to you and I say, Katie, my skin is a mess.
嗯。
Mhmm.
你开始给我做评估。
You start evaluating me.
你不会直接说，好的。
You don't just go, okay.
我给你开个异维A酸或者现在他们用的什么乱七八糟的药。
Let's put you on Accutane or whatever the shit is now that they're using.
我甚至都不知道，因为我太讨厌那东西了，不过我们待会儿再聊这个。
I don't even know because I hate that stuff so much, but we'll get into that.
当然。
Absolutely.
所以，我作为新客户来找你，完全是新的。
So I come into you, new client, brand new.
你会花时间去处理我的压力、我的血液检查结果吗？
Do you take the time then to address my stress, my blood panel?
你会看那些东西、我的饮食，然后问我那些问题吗？
Are are you looking at those things, my diet, and asking me those kind of questions?
我会问你很多问题。
I ask you so many questions.
对。
Mhmm.
你会被我烦死的。
You're gonna get annoyed with me.
我和我的团队有一个非常详细的客户登记表。
Like, we have a very my team and I have a very intensive intake list.
你会觉得，这些问题为什么要问我？
Like, you're there's questions on there, like, why are you asking me about?
比如我们会问你的口腔健康情况。
Like, we're asking about your oral health.
我们还会问，你有没有经历过创伤？
We're asking, like, do you have past traumas?
我们会对所有方面进行评估。
We're evaluating everything.
然后我们不仅看你吃什么、吃什么补品，还会看你的生活方式。
And then we're looking at not just what you're eating and the supplements you're taking, but we're looking at your lifestyle.
我们会看，你吃得够不够？
We're looking at, like, are you eating enough food?
比如，你什么时候吃饭？
Like, when are you eating?
你现在的支持系统是什么样的？
What type of support system do you have in place?
你的压力水平怎么样？
What's your stress levels like?
就像我说的，过去的创伤。
Like I said, the past traumas.
所以我们看他们的摄入情况。
So we're looking at their intake.
我们也很重视中医的面部映射。
We're also really big in traditional Chinese medicine face mapping
好的。
Okay.
多年来我们稍微调整了一下，因为我们服务过很多客户。
Which we've a little bit tweaked over the years because we've worked with so many clients.
对。
Mhmm.
所以我们也会看痘痘的位置，但对我们所有的私人客户，我们还会做功能检测。
So we will be looking at locations of breakouts as well, but we also run functional testing for any of our private clients.
好的。
Okay.
因为对于痤疮，没有一种一刀切的方法，比如吃这些补充剂，做这一件事，痘痘就消失了。
Because with acne, there isn't a cookie cutter approach where, like, take these supplements, do this one thing, your acne clears.
对。
Mhmm.
我们服务过成千上万的客户，我从未见过两个客户的根本原因完全相同。
With the thousands of clients we've worked with, I've never seen one client have the exact same root cause as somebody else.
确实。
Sure.
他们可能都有肠道问题，但也许客户A是念珠菌感染、胃酸过低、甲基化不良，而客户B是淋巴循环不畅、DHEA水平过高。
They might both have gut issues, but maybe client a is dealing with candida, low stomach acid, poor methylation, and client b is dealing with sluggish lymph and, like, too much DHEA.
就是，可能有很多不同的情况在同时发生。
Like, there's so many different things that can be going on.
所以确实需要针对个人来定制方案。
So it really does need to be, tailored to the individual.
这就是为什么我们非常推崇功能检测。
So this is why we're a big fan of functional testing.
我们给每位客户都会做头发微量元素分析，因为它能让我们对整个身体有一个非常全面的了解。
We use a hair trace mental analysis with every client because it gives us, like, an incredible overview of the whole body.
比如，我很喜欢GI图谱、粪便分析、肠道菌群检测、荷兰激素检测，这些都很棒。
Like, I love a GI map, a stool analysis, gut zoomer, Dutch tests, all of those.
但头发检测能让我们看到很多信息，甚至能看出一些性格特征，这真的很有意思。
But we can see so much in a hair test that we're we're it's we can even see personality traits coming through, which is really interesting.
所以我们很想知道你身体里到底发生了什么，这样才能告诉你该怎么做，因为很多痘痘患者，他们已经
So we love, knowing what's actually going on in your body so we can tell you this like, the pathway to do it because so many acne sufferers, they've been
瞎试了好多年了。
throwing spaghetti at the wall for years.
而且你长痘的原因和别人长痘的原因是不一样的。
And you don't have acne for the same reason another person has acne.
我这边有几个问题想问你。
So I've I've got a couple questions.
我给你几个场景吧。
I'm gonna give you certain scenarios here.
比如说，你来找我，说你的睾酮水平低，想要做TRT，但我说不行。
So, like, for instance, you come to me with low testosterone and you I want TRT, and I say, no.
我们会先查一下，比如如果你的SHBG偏高，我就会说，哥们，我们可以把这个降下来，说不定就能把睾酮释放出来，让你恢复正常。
We're gonna look for, for example, if your SHBG is high, then I say, man, we can lower this, and we might be able to free this up and get you going.
对。
Mhmm.
那如果我来找你，说，凯蒂，我的皮肤看起来糟透了。
So when if I come to you and say, Katie, my skin looks like shit.
是的。
Yeah.
你知道，我需要这个面霜，还是该用那个抗皱霜之类的？
You know, I need this cream, or should I take this wrinkle cream or whatever?
你会说，等一下。
You're going, hold up a minute.
我们先看看血液检查结果，看看是不是有什么原因导致的。
Let's look at some blood panels and see if there's something going on causing it.
对。
Yeah.
所以我们会特别关注他们的头发微量元素。
So we'll be looking at specifically their hair trace mineral.
比如，如果他们有血液检查结果，我们会让他们带过来。
Like, if they have blood panels, we'll bring them in.
好的。
Okay.
但是很多他们从医生那里拿到的常规血液检查结果，很多都不完整。
But a lot of, like, the regular blood panels they're getting from their doctor one are gonna be complete.
很多时候不够全面，无法找出痘痘的根源，因为通常跟肠道菌群失衡有关。
Too often aren't gonna be comprehensive enough to be looking at, like, the drivers of acne because it's often, like, gut imbalances.
而且，血液检测不会告诉你，哦，你有链球菌或葡萄球菌，或者哦，你胃酸低，或者哦，你知道，你有铜锌失衡。
And, like, a blood test isn't gonna be like, oh, you have step step and strap or, oh, you have low stomach acid or, oh, you're you know, you have a copper and zinc imbalance.
所以我们关注的是这些方面。
So we're looking at those things.
而且更有趣的是，在我们进入补充剂和检测之前，我们会花大约四周的时间来打基础，就是那些不性感、无聊的基础工作。
And even before what's interesting is even before we get into supplements and testing is we spend about four weeks working on foundations, like non sexy, boring foundations.
对。
Mhmm.
你会说，但是，凯蒂，那不好玩。
Where you're gonna be like, but, Katie, that's not fun.
你睡够了吗？
Are you sleeping enough?
你一天吃够了吗？
Are you eating enough food in a day?
很多女性都吃得不够。
So many women are under eaters.
对。
Yep.
蛋白质摄入够吗？
Eating enough protein?
你的饮食有变化和轮换吗？
Are you getting variety and rotation in your meals?
你在管理压力水平吗？你在平衡血糖吗？
Are you working on your stress levels, and are you balancing your blood sugar?
你每天都排便吗？
And are you having a bowel movement every day?
这些看似不起眼的事情，是我们必须先做好的基础，然后才能开始任何方案。
Like, these are the unsexy things that we need to have in place first before we jump into any type of protocol.
那我跟你做个小练习吧，因为我觉得你已经准备好接受这样的挑战了。
I'm gonna do something with you then because I think you're you're ready for something like this.
我们来做一个一到五的评分，五表示最重要，一表示最不重要，针对它们对你皮肤的影响。
We're gonna do one to five, five being most important, one being least important on the effect on your skin.
这些其实都是健康方面的事情。
These are just health things.
对吧？
Right?
那我们就开始吧。
Let's do it.
好的。
Okay.
我们先从简单的说起，因为我们已经聊过了，就是肠道健康。
Let's start with the easy one because we already talked about it, gut health.
对。
Yeah.
我会给它打五分。
I'm gonna say five.
细胞健康。
Cellular health.
我能一直说五吗？
Can I keep saying five?
你整天说五都行。
You can say five all day
全都说五，从头到尾。
to say five all the way across the board.
我总会找到一个让你说不出来的。
I'll I'll get you on one that you're like, I don't know.
肝脏健康。
Liver health.
五。
Five.
好。
Okay.
我知道。
I know.
我们来做铁蛋白和铁吧。
Let's do ferritin and iron.
针对痘痘的话，我会说二点五到三。
For acne specifically, I'm gonna say two point five to three.
好的。
Okay.
对。
Yeah.
我们得让你……我得让你……我得让你明白。
We're gonna get I'm gonna I I gotta get you.
对。
Yeah.
你得……
You gotta
我不能给你最基础的。
I I can't give you the most basic.
那肾功能呢？
How about kidney function?
其实挺重要的。
Actually, quite important.
我觉得大概四分吧。
I would say, like, a four.
四分？
A four?
对。
Yeah.
那男性的话，比如前列腺健康呢？
What about, like, for a man, like prostate health?
我大概也得给四分，
I I'm gonna have to put that around a four as
因为前列腺健康对男性来说很重要。
well because, like, prostate health, it's it's for men.
这是很重要的一部分。
That's a huge part of
对他们的健康来说。
their health.
所以，我们需要关注的是，很难单独看各个身体系统。
So, like, we need to be looking at it's hard for the individual body systems.
我想说所有都是五分，因为你的身体就像一个开放式的办公空间，对吧。
I wanna say five for all of them because your body's it's an open concept workspace Right.
不是分开的独立部门。
Not in different silos.
那女性的孕激素呢？
What about, like, progesterone for women?
那主要是针对痤疮的，我觉得大概是四分或五分吧。
That would be for acne specifically, I'm gonna say that's, yeah, like a four or five.
四分。
Four.
对。
Yeah.
好的。
Okay.
我也是这么想的。
That's what I was thinking.
比如说，像孕酮、雌激素、睾酮这些激素作用很强的，我觉得它们对这个问题的影响程度应该挺高的。
Like, something, like, really strong hormonally when it progesterone, estrogen, testosterone, I would imagine have a pretty high implication level when it comes to that.
压力肯定是五分，我确定。
Stress would be five for sure, I'm sure.
那像昼夜节律、睡眠这些呢？
What about, like, circadian rhythm, sleep?
这个我们确实经常聊到。
That's actually something we do talk a bit quite a bit.
我会把它放在四分左右，因为所有这些都会影响你的压力和神经系统。
I'm gonna put that at, like, the four, and that's because all of these things is impacting your stress and your nervous system.
对。
Yeah.
因为如果你睡眠质量不好，睡眠是身体清理的时候。
Because if you're not getting quality sleep, like, sleep is when your body cleans house.
睡眠时皮质醇会降下来。
Like, your sleep is when your cortisol is coming back down.
所以如果你过度消耗自己，那会影响你的皮质醇和神经系统调节。
So if you're burning the candle at both ends, that's gonna be impacting your cortisol, your nervous system regulation.
有趣的是，我常说，你今天的状态从昨晚睡觉时就开始了。
And what's really interesting is I always say your your today started yesterday at bedtime.
明白。
Mhmm.
因为你想啊。
Because think about it.
如果你晚睡，醒来时就已经在按贪睡按钮了。
If you go to bed late, you wake up and you're, like, already hitting the snooze button.
你会想，天哪。
You're like, oh my god.
我得喝三杯咖啡才能撑过这一天。
I need, like, three coffees to get through the day.
所以你现在匆匆忙忙地出门。
So now you're rushing out the door.
你一天刚开始就已经压力山大了。
You're already starting your day stressed.
你抓了杯咖啡，可能还抓了个百吉饼，所以早上血糖就乱了。
You've grabbed a coffee and maybe grabbed, like, a a bagel, and so your blood sugar is shot for the morning.
然后你整个上午都在赶时间。
And then you're rushing through your morning.
血糖一降，你就想暴食精制碳水，比如那袋薯片、那片披萨，或者随便什么。
Your blood sugar dips, so now you're gonna binge eat on, like, something refined carbohydrate, that bag of chips, that slice of pizza, that whatever that is.
到了下午三点左右，你会想，天哪。
And in the mid afternoon, you're like, oh my gosh.
才三点。
It's three.
我已经累坏了。
I'm exhausted.
我还得再来一杯咖啡。
I need another coffee.
于是你又喝了一杯咖啡，然后去吃晚饭，一整天没吃东西，饿得不行。
So you have another coffee, and then you go into dinner and you haven't eaten all day, you're starving.
然后你整晚暴饮暴食，一直吃零食吃到晚上十一点，第二天又从头再来一遍。
Then you binge eat all night, and then you snack all evening until 11PM, and then you start the whole process over again.
对。
Mhmm.
所以真的，你的睡眠和昼夜节律超级重要。
So really, like, your sleep and circadian rhythm is super important.
是的。
Yes.
非常。
Very.
接下来这个可能会引起争议。
Here's one that's gonna be polarizing.
哦。
Oh.
阳光。
Sun.
这个确实有争议。
This is polarizing.
所以我觉得，直接针对痘痘的话，我会打三分，但考虑到整体健康，我会打五分。
So I would say directly for acne, like, I would put it at a three, but I think for your health of five.
对。
Yeah.
就像，我们需要阳光，但很多人对阳光感到恐惧。
Like, we need sun, and so many of us are terrified of the sun.
等一下。
Wait a minute.
你是说晒太阳没问题吗？
Are you telling me it's okay to go in the sun?
天哪。
Oh my gosh.
你是在说这个吗？
Is that what you're saying?
我是说没问题
I am saying it's okay
对
to the
太阳。
sun.
世界末日。
End of world.
我觉得我的私信会因为这个爆炸的。
I think my DMs are gonna explode with that
哎呀，糟糕。
one Uh-oh.
作为痘痘营养师。
As an acne nutritionist.
然后这就是那种让我极其恼火的事情，真的。
And then it was one of those things that pisses me off to no end, seriously.
我可以专门做一期播客来讲……的重要性。
I could do a whole podcast on the importance of
阳光。
the sun.
我的意思是，我每次说要多晒太阳的时候，都会先说明一下。
I mean, I I always preface it when I say get sunlight.
我不是说让你每天在外面晒四五个小时。
I don't mean stay out there four and five hours a day.
不是。
No.
不是。
No.
不是。
No.
不是。
No.
对。
Yeah.
不是。
No.
但是，但是，但是
But But But
每天出去二十分钟有多重要？
How important is it to get out there twenty minutes a day?
这就是你获取维生素D的方式。
That's how you're getting your vitamin d.
比如，如果我们总是把自己裹得严严实实，涂满防晒霜，我们就会对太阳感到恐惧。
Like, if we're constantly covering up, putting all the SPF on, we're terrified of the sun.
而且我们大多数人涂的防晒霜本身就有很多有毒成分。
The majority of us are putting on really toxic sunscreens anyways
对。
Right.
现在研究表明，防晒霜中的某些成分被证实是致癌物，在阳光下暴晒后，动物实验中发现了肿瘤。
Which we're now showing that, you know, certain ingredients in the sunscreens have been linked to be carcinogens, where when they're exposed to the sunlight, they're seeing that they have two two tumors in animal studies.
我们却还涂着这些防晒霜去晒太阳。
And we're slapping that on and going out in the sun.
所以，我们要记住，我们的身体需要阳光。
So, like, we have to remember our body needs sunshine.
明白。
Mhmm.
就像我说的，我不是说在亚利桑那这种太阳底下晒十个小时，把自己烤熟。但是每天晒十五到二十分钟不涂防晒的太阳，对你来说至关重要。
And like I said, I'm not saying going out for ten hours in the, you know, this Arizona sun here and baking, But, you know, getting fifteen, twenty minutes of unprotected sun a day is vital for you.
对。
Yeah.
我也是这么想的。
My sentiments.
人们总是走极端，要么这样要么那样。
I people always go to one extreme or the other.
那就像中间地带。
And that's like middle ground.
不。
No.
就像，哥们，你可以——我是说，这有点极端——但你可以喝太多水把自己淹死，而你需要水才能活。
And it's like, dude, you could I mean, this is extreme, but you could flood yourself with too much water and kill yourself, and you to live.
是的。
Yes.
所以人们应该明白，当别人说某些话的时候。
So people should just, like, understand when people say things.
你不能什么都靠补充剂来解决。
There's you you can't just take supplements for everything.
不行。
No.
你必须从自然中获取。
You have to get it naturally.
对。
Yeah.
食物，你知道，阳光，以及我们需要的各种东西。
Food, you know, sun, different things that we need.
嗯。
Mhmm.
我以前也遇到过类似的问题，有些人想用蛋白粉代替一整天的饮食，我就想说，兄弟。
I had the same problem with people that would wanna sub like, substitute their whole day with protein powders, it's like, brother.
不是。
No.
不是这样运作的。
That's not how that works.
不是。
No.
它叫补充剂，是因为你用它来补充。
It's a supplement because you supplement it.
对。
Yeah.
它是用来补充的，不是让你整个饮食都靠它。
It's meant to supplement something, not be the entirety of your diet.
天哪。
Shit.
对。
Yeah.
哦，那我问你一些关于食物的问题吧。
Oh, let me ask you some stuff then about foods Mhmm.
还有。
Also.
哦，我再问你几个我刚想到的问题。
Oh, let me ask you a couple more that I just thought of.
微量元素，比如硒和碘。
Trace trace mineral rights, like selenium and iodine.
这些对皮肤的影响有多大？
How much of a factor do those play on skin?
嗯，它们非常重要。
Well, they're super important.
它们，怎么说呢，我不想说影响有多大，但它们对肾上腺太重要了。
They're, like, by like, I don't wanna say by factor, but they're so important for your adrenals.
对吧？
Right?
如果没有这些微量元素，微量元素对肾上腺非常好。
If we don't have the trace minerals like, trace minerals are great for your adrenals.
它们对细胞补水也非常重要。
They are great for cellular hydration.
对。
Yep.
如果只是大量喝水，但水没有进入细胞，那其实没什么用。
Where if you're just drinking tons of water, but it's not getting into your cells, like, we're not doing it any justice.
所以微量元素可以非常有益。
So trace minerals can be fantastic.
我非常提倡多补充这些微量元素。
I'm a massive advocate for getting plenty of those.
是的。
Yeah.
是的。
Yeah.
好的。
Okay.
我们来聊聊一些营养素，以及我认为你该优先关注的东西。
Let's talk about, some nutrients and and things that are what I would say you wanna prioritize.
因为，你知道，我在九十年代和两千年代的时候，大家都说，哎呀，吃油腻的东西会让你长痘。
Because, you know, when I was back in the nineties and two thousands, it's like, oh, the if you eat greasy, it's gonna make you break out.
吃薯片会让你……
Potato chips are gonna make
对。
Yeah.
真的是这样吗？
You true is that?
嗯，其实不是。
Well, it it's no.
尤其是巧克力。
Especially chocolate.
让你长痘的不是巧克力本身。
It's not the chocolate that's giving you breakouts.
而是巧克力里的成分。
It's the ingredients in the chocolate.
对。
Uh-huh.
就是乳制品、糖、常规成分、精炼油，油炸食品也一样。
The the dairy, the sugar, the conventional ingredients, the refined oils, and the same thing is the fried foods.
是那些精炼植物油导致你身体发炎，影响肝脏、激素和肠道健康。
It's those refined vegetable oils that is leading to inflammation in your body that's impacting your liver and impacting your hormones and your gut health.
所以我们需要吃得更聪明，吃真正的天然食物。
So we need to just be eating smarter and eating, like, real whole foods.
你会避开哪些油，哪些油你觉得没问题？
What kind of oils would you avoid, and which ones do you think are okay?
我肯定会避开种子油。
I would definitely avoid the seed oils.
哦，不。
Oh, no.
真让人意外。
Shocking.
哦，不。
Oh, no.
我觉得我在亚利桑那州生活得挺好的，自从我来到这里。
Think I do really well living in Arizona since I've been here.
对。
Yeah.
我见过很多无籽油
I so many seed oil
餐厅。
free restaurants.
这里还挺多的。
There's quite a few here.
太棒了。
It's awesome.
对。
Yeah.
对。
Yeah.
真的很棒。
It's fantastic.
所以我很喜欢，当然，这取决于你用什么来烹饪。
So I'm a big fan of again, depending on what you're cooking with.
对吧？
Right?
对。
Right.
对。
Right.
所以，比如牛油果油、Loven牛油果油、椰子油，还有做沙拉酱用的特级初榨橄榄油，你知道，亚麻籽油作为最后淋上的油，但亚麻籽油绝对不能加热。
So, like, an avocado oil, Loven avocado oil, coconut oil, extra virgin olive oil for salad dressings, you know, putting flaxseed oils like a finishing oil, never heating a flaxseed.
所以所有这些未精炼的油都非常非常有帮助。
So all of those unrefined oils can be really, really helpful.
对。
Yeah.
我喜欢，嗯，我现在所有菜都用草饲黄油来煮。
I like well, I cook everything in grass fed butter now.
哦，对。
Oh, yeah.
那我们来按重要性排一下营养素吧。
What about let's let's go down the line of importance with nutrients.
先从健康脂肪开始。
So let's start with healthy fats.
健康脂肪非常关键。
Healthy fats are crucial.
比如，你的身体需要脂肪来产生激素。
Like, your your body needs fats to produce hormones.
对。
Mhmm.
所以如果你想拥有健康的激素，就需要摄入健康的脂肪。
So if you wanna have healthy hormones, you need to be eating healthy fats.
没错。
Right.
所以它们和健康的皮肤有很强的关联。
So they have a pretty strong correlation with healthy skin.
完全正确。
Absolutely.
你知道吗？
You know?
这就是我为什么先问这个。
And this is why I asked that first.
对。
Mhmm.
而且我在这方面记录得很详细。
And I've documented this quite well.
我大概有十五年没吃任何脂肪，嗯。
I I didn't eat any fats for, like, fifteen years Mhmm.
纯粹是因为直接的恐惧。
Out of just straight direct fear.
是的。
Yeah.
然后我回头看，就觉得，天哪，就像……
And I go back and look, and it's like, man, like, just
我们成长的文化环境非常害怕脂肪。
Culture we grew up in was very like, fear fats.
是的。
Yeah.
但我是营养师。
But I was I'm a nutritionist.
我一直在指导别人吃脂肪，但我自己却是个例外。
I was coaching people to eat fats, but I was I was the the exception.
对。
Yep.
当我开始吃脂肪时，我从每天15克增加到了130克。
And I when I started to eat them, I went from, like, 15 grams a day to a 130.
我回头看，发现我现在看起来比当时饿自己的时候年轻了十岁。
And I see the and I go back and look, and I was like, I look ten years younger now than I did at the time from starving myself.
确实。
Absolutely.
这就是它对气色的影响。
And it's just the impact that it has on the glow.
水润度。
Hydration.
是的。
Yeah.
我就不提头脑清晰了。
I'll leave the mental clarity out.
那是另一回事。
That's a whole another story.
但皮肤的光泽。
But the the skin glow.
那是因为水分。
It's because the hydration.
对吧？
Right?
嗯，对。
Like Mhmm.
就像，健康的脂肪也有助于产生，或者说保持皮肤中的水分。
Like, the healthy fats are also helping produce, or or keep that hydration in your skin.
你知道，拥有非常强的脂质，能让你的皮肤保持那种水润有弹性的光泽。
Have, You you know, having really strong lipids and allowing your skin to just have that glowy bounce to it.
对。
Yeah.
我现在甚至开始用含有磷脂的乳霜，就是那种普通的润肤露，不只是面霜，所有护肤品都是。
I started even using creams that are phospholipid based and, like, you know, I I'm talking, like, regular lotion creams, not just face creams, just everything.
这主要是靠里面健康的脂肪来让皮肤饱满。
And it's just based around having good healthy fats within them and plumping the skin.
那蛋白质呢？
So then what about proteins?
非常重要。
Hugely important.
尤其是对女性来说，我们普遍蛋白质摄入不足。
Especially for women, our chronic under eaters of protein.
明白。
Mhmm.
我很少需要求男人多吃蛋白质。
I I rarely have to beg a man to eat more protein.
但女人呢，我就会问，你蛋白质吃够了吗？
But a woman, am like, are you eating enough protein?
然后她们就说，嗯，够了。
Like, yeah.
对。
Yeah.
没有。
No.
我吃了。
I am.
然后我就说，那到底吃了多少？我们说的是多少量？
Like, well, like, what do how much what are we talking here?
她们就说，哦，我可能晚餐就吃半块鸡胸肉吧。
And they're like, oh, I might eat, like, maybe, like, half a chicken breast at dinner.
我就说，好吧。
I'm like, okay.
所以可能也就摄入25克，运气好点30克。
So we're maybe getting 25 grams, like, 30 if we're lucky.
蛋白质太重要了，因为肝脏需要蛋白质。
And proteins are so vital because your liver needs protein.
对。
Yes.
而肝脏对痘痘问题很关键。
And liver is important for our acne.
猜猜你的皮肤修复和生长需要什么？
Guess what your skin needs to repair itself and to build?
需要蛋白质。
It needs protein.
没错。
Mhmm.
如果我们长期蛋白质摄入不足，身体也得不到所需的构建材料。
And if we're chronically under eating protein, we're also not getting like the building blocks that our body needs to build.
也就是说，我们需要蛋白质中的氨基酸。
Like, we need the amino acids in the proteins.
而且为了血糖稳定，我们也必须摄入蛋白质。
And we also need to be getting protein in for our blood sugar.
所以，如果我们蛋白质吃不够，又因为害怕脂肪而不吃脂肪，基本上只靠谷物和水果，那我们的血糖会怎么样呢？
So if we are not eating enough protein and we're also not eating fats because we're terrified of it and we're just relying on grains essentially and fruits, like, how what's gonna be going on with our blood sugar?
对。
Right.
好的。
Okay.
那么，这就引出了那个可怕的碳水化合物问题。
Well, then that would lead us to the dreaded carbs.
这就是那个可怕的碳水化合物问题。
That's the dreaded carb question.
对。
Yeah.
那它们有什么影响？复杂和简单碳水有什么区别？哪些好，哪些不好？还是说它们全都好，或者全都不好？
So what kind of effect and break down complex, simple, what's the difference, what's good, what's bad, are they all good, are they all bad?
不不不，不是这样的。
Well well, no.
我们需要碳水化合物。
We need carbs.
对吧？
Right?
就是说……
Like
小心点说。
Be careful.
我今天看到了一些非常极端的说法。
I am seeing some, like, really, really polarizing things today.
我们的身体需要碳水化合物。
We we our body needs carbohydrates.
而且，再说，在八十年代、九十年代、两千年代初那种饮食文化里长大，碳水化合物是坏的，脂肪是坏的。
And, again, growing up in that, like, eighties, nineties, early two thousands diet culture, carbs are bad, fats are bad.
好像什么都是坏的。
Like, everything's bad.
基本上就只吃空气算了。
Just eat air, basically.
对。
Yeah.
所以难怪在那个文化里长大的这么多人会有饮食失调。
So wonder so many people have eating disorders based on that culture we grew up in.
对。
Yeah.
但是碳水化合物，你觉得我们的身体是怎么获得能量的？
But carbohydrates, we how do you think our body gets fuel?
比如说，我们怎么获取葡萄糖呢？
Like, how do we get that glucose?
所以我们需要摄入碳水化合物，但要是全食物的那种。
So we wanna be having carbohydrates, but whole food carbohydrates.
我们不是说要吃精制的薯片、精制的贝果和松饼，或者总是吃那些意面和白米饭。
We're not, you know, having refined potato chips and, like, refined bagels and muffins and and, like, just eating those pastas and white rices all of the time.
对。
Mhmm.
我们可以吃全食物，但要搭配蛋白质和健康脂肪一起吃，这样能保持血糖水平稳定。
We can be having our whole foods, but let's eat them with our proteins and our healthy fats to be keeping our blood sugar level stable.
是的。
Yes.
也许我们可以考虑南瓜、红薯这类很好的碳水化合物，它们不会让血糖飙升。
Maybe we're looking at, like, squashes and sweet potatoes and, you know, those really great, carbohydrates that isn't gonna be spiking your blood sugar.
对。
Yeah.
而且，你知道，我一直教大家按顺序来，先吃蛋白质，再吃脂肪，再吃碳水，这样就能避免血糖飙升。
And, you know, I always teach people to go down the line, have your protein and your fats and your carbs, and that way you're gonna stop the spikes.
我也是这么跟他们说的。
That's what I tell them.
对。
Yes.
然后一切都会很顺利。
And you'll everything will run smoothly.
吃完饭后去走走。
And then go walk after you eat.
去走走。
Go walk.
十分钟。
Ten minutes.
就这么简单。
That's it.
我现在吃完饭就去骑自行车。
I actually go ride my bike now after I eat.
就骑个二十五分钟左右。
And I just go, like, twenty five minutes.
我就像做祷告一样，骑自行车。
I do, like, this prayer time ride my bike.
回到家，一点都不会觉得撑或者不舒服。
I come home, and I don't feel heavy or anything.
你知道吗？
You know?
我总跟客户说，下午去快走十分钟，哪怕外面很冷。
I always tell clients go for a quick walk afternoon or ten minutes even if it's too cold out.
我们住在加拿大。
Live in Canada.
冬天实在太冷了。
I'd way too cold in the winter.
在房子里走走
Walk around the house
走几圈。
a few times.
你也不用非得走很快。
Do your have to do walk like a a a fast pace either.
就是
Just
动一动。
move.
随便走走。
Scroll.
对。
Yeah.
活动身体真的很重要。
Move your body is so important.
我很喜欢你提到的，先关注蛋白质、脂肪，然后是碳水，因为很多人都是反着来的。
And I love that you said focus on your protein, your fat, and then your carbs because so many of us focus the backwards.
对。
Yes.
我会先吃一整盘意大利面，把鸡肉留到最后，结果只能吃下两口。
I'm gonna eat a whole plate of pasta, and I'll save that chicken to the end, and I only have room for two bites.
我知道。
I know.
得反过来才行。
Gotta do it the other way.
对。
Yes.
我吃饭的时候，会吃像全蛋、牛油果这样的，很棒。
When I when I eat, I do a meal of, like, whole eggs, avocados Lovely.
吐司和蔬菜。
Toast, and vegetables.
对吧？
Right?
我先吃鸡蛋，再吃牛油果，然后慢慢吃其他的，吃完感觉特别好。
And I start right with the eggs right into the avocado and then work my And way then you feel really good.
对。
Yep.
然后我就想，天哪，我四五个小时都不饿。
And I'm like, man, I'm not hungry for four or five hours.
就是这样，当你一天吃够东西的时候，简直就像奇迹发生了一样。
That's the thing is when you eat enough food in a day, it is like miracles happen.
你知道我过去多少年都过得又惨又饿吗？
You know how many years I spent miserable, hungry all day?
是啊。
Yeah.
我做的所有事，我跟我老婆说，你知道吗，我们有多少次出去说是玩，其实根本不是那么回事。
And and everything I did, and I'd tell my wife, now I see you have no idea how many times we were out supposedly doing something fun.
但内心其实很痛苦，不是因为你们，也不是因为那件事，而是因为我自己。
And inside, I was miserable, not because of you or not because of the thing, because of me.
对。
Yeah.
你知道吗？
You know?
现在呢，如果我们要出门，在外面待五六个小时，吃一顿饭，我就能一整天精神饱满。
And it's like, man, now I can I I get up if we have to go somewhere and we're gone five or six hours, one meal, and it's like, man, I am good all day?
一整天都精力充沛。
Stamina all day.
一整天。
All day.
没错。
Absolutely.
我经常跟人说，如果只能改变一件事，那就先从每天吃够食物开始。
And I I I always tell people if you can start with one thing, let it be to eat enough food in a day.
对。
Yeah.
我有个问题想问你。
Like I got one for you.
我刚想到咖啡因和咖啡。
I just thought of caffeine and coffee.
那对你的……哦，有什么影响？
How does that affect your Oh.
我会给它打个分，一到五分的话，我给四分。
I'm gonna like, on a scale of one to five, I'm gonna put it as, like, a four.
好的。
Okay.
不过让我解释一下。
And let me explain, though.
请讲。
Please.
很多长痘痘的人，他们的神经系统和肾上腺都已经很疲惫了，全靠咖啡撑着。
So with a lot of acne sufferers, their nervous systems are shot, their adrenals are shot, and they're surviving on coffee.
如果喝大量咖啡的话，会影响我们的皮质醇，进而导致——抱歉。
With acne, if it's going to be if we're drinking copious amounts of coffee, we are gonna be impacting our cortisol and which is gonna be driving sorry.
我们会影响到核心皮质醇和血糖水平。
We're gonna be impacting our core cortisol and our blood sugar.
这会增加皮肤油脂的分泌，这种又黏又油的东西会堵塞毛孔，导致更多痘痘。
It's gonna be increasing sebum production in the skin, which is a sticky, oily substance that clogs pores and leads to more breakouts.
好的。
Okay.
所以不是说你要永远戒掉咖啡，但比如说我们正在努力调理身体。
So it's not that you have to give up coffee forever, but let's say that we're, you know, we're really working on rebalancing the body.
我们需要修复所有这些身体系统。
We have to repair all these body systems.
能不能暂时先不喝咖啡呢？
Can we temporarily hold back on the coffee?
对。
Mhmm.
也许甚至可以只在早上喝。
Maybe even, like, driving it just in the morning.
是的。
Yeah.
因为
Because a
很多客户会说，我晚上睡不着。
lot of our clients are like, well, I don't sleep at night.
那你下午四点还喝两杯咖啡。
Well, you're having two cups of coffee at 4PM.
咱们把时间提前一点，比如中午之前。
Like, let's move that up a little bit to, like, before noon.
对。
Mhmm.
然后如果你想知道，一旦我们完成了他们的治疗方案，想重新把咖啡因加回去，能不能先从低因咖啡开始，比如有机瑞士水处理法的低因咖啡？
And then if you do want to know, once we've done their therapeutic protocols and we wanna add the caffeine back the coffee back in, could we start with, like, a decaf, an organic Swiss water decaffeinated?
对。
Mhmm.
因为很多人喜欢喝咖啡的那种体验。
Because a lot of people, they like the experience of the coffee.
我正想跟你说，我喝咖啡不是为了咖啡因。
I was just gonna tell you, I don't drink it for caffeine.
不是。
No.
我喝是因为我喜欢那种
I drink it because I like Love
体验。
the experience.
是的。
Yes.
对。
Yeah.
对。
Yeah.
所以是行家。
So Connoisseur.
就是这样，没错。
It's, yeah, it's what it is.
客户就会说，天哪。
And clients are like, oh my gosh.
我从来没这么想过。
I never thought about it that way.
你说得对。
You're right.
我很期待做一杯热饮，整个早上慢慢喝。
I look forward to making it, having it something warm to drink, drink it throughout the morning.
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