Understanding Functional Medicine for Health Optimization

The main subject of the input is the importance of accurate diagnosis and treatment in functional medicine, focusing on lifestyle changes over medication for metabolic diseases.

### Understanding Functional Medicine and Lifestyle-Related Diseases from Diet Scientist Hwang Sun-jo's Perspective
* 🩺 Functional medicine focuses on diagnosing and treating the **root cause of diseases**, rather than just managing symptoms with medication.
* 📚 Traditional medicine often relies on **predetermined diagnoses and treatments**, leading to **limited success** in improving patients' health.
* 🩸 Lifestyle-related diseases such as obesity, diabetes, cardiovascular diseases, hyperlipidemia, hypertension, and atherosclerosis are closely interconnected and primarily caused by **insulin resistance**.
* 🍽 Nutrition plays a crucial role in managing and reversing these diseases, with **low-carb, high-fat diets** and **intermittent fasting** being effective strategies.
* 😴 Other important factors include **sleep, stress management, and psychological well-being**.
* 📖 Hwang Sun-jo's book "Patient Revolution" provides valuable insights into **various diseases** and the **shortcomings of traditional medical approaches**.
* Functional medicine requires looking at each individual's **unique life circumstances** and finding **personalized solutions**.
* 🏥 However, due to the **lack of insurance coverage** and the **time-consuming nature of functional medicine**, there are challenges in making it **more widely accessible**.

A patient came in saying they want to commit suicide, they have no sexual desire at all, can't sleep at night these days, feel no energy, and therefore lack motivation. What is the diagnosis for this person? But it's not an accurate cause, it might be within themselves. The diagnosis was made, but it doesn't mean they know the exact cause of the patient's illness. Over 90% is medication, right? Patients don't get better. They just thought if they could lower the blood sugar, it would work, but nothing has improved. What's the problem? Just giving vitamins, saying it's functional, but it's not. But for me, obesity, diabetes, atherosclerosis, hypertension, up to six times, hyperlipidemia, they all went through. Diabetes, hypertension, and hyperlipidemia are all the same condition. It can be reversed anytime, but because there is no malfunction today, it is right to reverse it anytime.

It would be better to reverse it rather than manage it with medicine. The results are different. It's tattoo each. It's the best to meet patients based on functional medicine in the United States, and in Korea, the famous best-selling author has invited the author's new teacher, Sun Jo-hwang. Hello, teacher. Yes, diet scientist Chae Kyung, political science, nice to meet you all. I've been running a YouTube channel called Dr. Jo's Health Story for over six years. It seems like it's been longer. At first, it was not YouTube, it was almost like a podcast level. If you look at the early uploads, the videos don't even move, only the voice continues. Actually, I didn't want to do YouTube, it was before YouTube became so popular. While treating our patients, we have to explain functional medicine a lot, but we can't explain it for an hour each time, so I would say, Listen to this, Dad. Mom, listen to this.

Listen, I recorded it for the patients' sake, but I'm not sure where to upload it. At that time, people were using platforms like podcasts or Podbbang to upload, but those in the United States are not familiar with it. I didn't know how to upload either, so at that time, YouTube was the only option. Later, I found out that people in Korea were listening on YouTube. Then, the era of YouTube came, and it became like that. The word functional medicine comes up, so for those who may not know what functional medicine is, how would you explain it? Modern medicine emphasizes the importance of diagnosis. When you go to the hospital, a diagnosis must be made. Differential diagnosis is highly regarded, and there is pressure not to misdiagnose. Of course, not misdiagnosing is important for the patients, and accurate diagnosis should be made without rushing.

There are also cases where when you go to the hospital and come back home, the doctor at the hospital has to bill the National Health Insurance Corporation to receive money for the treatment and medical fees. It's not just about giving money blindly if you ask what treatment was provided. It's essential that the diagnosis code and treatment code match. They need to be aligned for the payment to be made correctly. Therefore, accurate diagnosis is crucial. This means that there are predetermined diagnoses and treatments approved in the system. Doctors are restricted to what is allowed in the system. So, what are these predetermined treatments?

I gave emotional counseling to this person, but it's not working. I guided on taking vitamins, nutrients, and eating meals, but it's not working. More than 90% of the treatment is medication, the rest is procedures. However, even the medication can only be prescribed in the amount allowed by the pharmaceutical company. Prescribing medication is possible based on a diagnosis for certain medications. It is important to prioritize the diagnosis. It sounds good to emphasize that doctors need to accurately diagnose patients, but ultimately, treatment is limited. So, if a person has high cholesterol, they will be prescribed cholesterol medication, and if they have cancer, they will receive standard cancer treatment such as radiation therapy or surgery because other treatments are not covered by insurance, so doctors cannot provide them.

In that way, everything is predetermined. However, when diagnosing and treating in that manner, patients do not improve. So, if a diabetic patient takes diabetes medication because their blood sugar is high and continues to take it, the blood sugar does not improve, right? Diabetic patients can take diabetes medication to move away from the status of being a diabetic or not. So, humbly speaking, it is a lifetime of management. Why do we have to do that? If the blood sugar is high, it can cause health problems in the blood vessels, leading to blindness, and the kidneys, which are thick and heavy due to sugar, filter the blood, but if sugar sticks there, the kidneys deteriorate. Therefore, dialysis and later kidney transplantation are necessary, and complications such as heart failure, heart attack, stroke, and damage to blood vessels can occur.

The burden is heavy, so if you go down with your feet, you will cut your legs off. That's scary. We are afraid of that symptom. We are afraid of that symptom. However, since there is medication that can control blood sugar, let's try to lower the blood sugar with medication. The cause doesn't matter, anyway, since blood sugar is the cause, we considered blood sugar as the cause. The cause is blood sugar, right? However, because we only considered blood sugar as the cause, we thought that if we only lower blood sugar, it would be enough. But what is the result? Nothing has improved at all. If you took the medication, there should have been some effect. Blood pressure is the same. If blood pressure is too high, blood vessels burst, leading to death. So, I thought I should lower the blood pressure. By using medication, and also always lowering blood pressure with medication, symptoms are relieved.

By lowering blood pressure, it can prevent complications later on. However, even though people have been taking medication for 50 to 60 years, none of the prevention works, and heart failure episodes still occur the same. Even though they tried to prevent it by taking medication, the number of deaths from heart failure has decreased slightly. The reason is not because of this medication but because in the past, emergency ambulances were almost like taxi services, just picking up and dropping off. Nowadays, they handle things on the spot. People's awareness has also changed. In the past, they would go out for the evening, come back, feel indigestion, have trouble digesting, and lie down saying they couldn't digest. But now, there is education on these matters. So, when you call 119, the report is made quickly, which increases the survival rate. In the case of a stroke, lowering blood pressure has reduced the incidence of brain hemorrhages, but...

Because blood pressure is low, it's like the water pressure is low and water doesn't come out at the top of a 15-story apartment building. With low brain blood pressure, tiny blood vessels can't supply oxygen and nutrients to every corner, causing brain cells to die, leading to an increase in cerebral infarction, making it impossible to prevent strokes in the end. However, despite this, I learned this way at school, and what I learned at school can't be wrong. Everyone does it this way, seniors do it this way, colleagues do it this way, and if you don't, you get punished. But there were those who just continued with that treatment based on faith, and others who thought it doesn't seem right fundamentally, let's look at the cause first.

Some people think that giving vitamins instead of blood pressure medication is effective. But the amount of medication is not different from treatment; the diagnosis is different. It starts with diagnosing and finding different causes. For example, if a patient comes and says they want to commit suicide, have no libido these days, can't sleep at night or in the morning, have no energy or motivation, not interested in watching the World Cup that's going on, what is the diagnosis for this person? Depression. Do you know depression? The doctor tells the patient, You seem to have depression, so try taking medication for a month, come back later, and let's see. This is how it is done - looking at the effects and side effects for a month.

Does moving have an effect or a side effect? I tried to itch and come back. Why don't I have a libido, teacher? What did the doctor say? It's because of depression. Do you understand what I'm saying? Why do I have suicidal impulses? It's because of depression. After listening well to the patient and making a diagnosis, when the patient asks about the cause, it's about returning what the patient received. It's because of depression. But in reality, this happens a lot. But it's not the exact cause, right? There must be a cause. The cause of depression could be that your mother recently passed away, or unresolved childhood trauma. This person may have reflux esophagitis and not absorb vitamin B2 well due to taking acid suppressants, which could also lead to depression. It could be because of various reasons. If you drink too much alcohol, it could also be a reason.

Going to and fro, there could be a possibility of exacerbating mercury poisoning, and because I hated fish so much and never ate it, I found out that omega-3 is related to depression. Even though it's the same depression, there are many types of depression, so I realized that it's depression. So, isn't the cause known? The doctor made a diagnosis, a discerning diagnosis. Therefore, knowing the cause of this patient's illness doesn't mean that. So, going back to the function, what the problem is, briefly giving vitamins, talking about the function, and giving injections, no. So, going back to the cause and diagnosis, trying to treat the cause, that's the real function of the medication. It may have gone a long way, but the essence is just to make an accurate diagnosis. In fact, these basic physiological phenomena of human beings are what you learn in the first year of medical school.

They learn all those parts and later, they don't apply, but they go back to those parts to see the causes, how hormonal changes and such things affect. By looking at how the food we eat affects our sleep, by reviewing things like this, we can say that functional medicine is about finding the causes first and diagnosing from a different perspective. Then, a little while ago, the thought that came up was that from the doctor's point of view, for example, if they prescribe from a functional perspective, for example, if they know that the problem is sleep deprivation, then actually, in terms of codes, there are no diagnostic codes or treatment codes available, right? So, functional medicine treatment is, what do you call it, non-insurance, or there is a term used in Korea, anyway, since the fees cannot be applied, and because they end up spending a long time counseling with the patient, the costs for that are separate for the patient.

We have no choice but to receive it directly, but from the perspective of going to the hospital and paying a few thousand won, it is too expensive, so there is some difficulty. Anyway, we have a clear grasp of the functions, but there is one thing I'm curious about. Why do we call functions functions? So, when we look at a person's functions, we are looking at the functional aspects, not the functions of vitamins. We are looking at the functional aspects of human beings. When we look at the overall picture, we mainly focus on prescribing, looking at things like metabolism and hormones. Focusing on metabolism and hormones, it seems to be somewhat responsive. It's quite natural, but in fact, teacher, you went through a traditional educational process, so how did you end up in this world? There was a bit of a trend. It was influential in the United States. From around 2005, for about 4 to 5 years, I have been doing conservative education.

After becoming a doctor, you have to receive 24 hours of mandatory education every year to maintain your license. There are various subjects included in that, and I found the field of functional medicine quite interesting. I had an interest in that area, so I took many courses related to it. As I delved deeper into it, I gradually got more involved. Initially, when I was taking those continuing education courses, I didn't think about using them for practice or filming YouTube videos or anything like that. It just naturally evolved that way. At that time, it was purely fascinating from an academic perspective. It was like passing by a watermelon and just skimming the surface in school. Also, at that time, my father was a bit sick and was diagnosed with cancer, so there was a somewhat urgent need for nutritional aspects.

He passed away in 2006. Please don't cry. He must be resting comfortably now. I believe that. So, about 17 years ago, I started mixing functions little by little. Is there something like courses to learn this? Since then, there have been many conferences. There are many here. In Korea, there is the Korean Society of Clinical Nutrition, and also the Society of Intravenous Injection. There are conferences like this, where teachers gather and study together. In the U.S., the system is more organized and on a much larger scale. So, they call it an integrated meeting. They have more education, taking more classes, going to stadiums, attending seminars, and so on. That's how you started practicing a little bit based on functions in the field since before 2015.

So, now, there is a book written by the teacher, right? I think we should definitely talk about the book Patient Revolution, which the teacher wrote. It's a book called Patient Revolution, and it was first written in 2017. When I tell our subscribers, they must read this book. Actually, when I was researching this diet, in the beginning, I read almost all the books in Korea and abroad. But as time passed, I felt like I should write a book myself, so I started ignoring books by people who dealt with topics similar to mine. I was afraid of being biased towards that perspective for no reason. Then, I read this book, thinking it was just a misconception. After arranging an interview, I realized that it happens a lot. It's so familiar, but when you look closely, it's not. So, I read this book yesterday for a whole day.

While reading my book, I thought that those who read my book or listened to my lecture might feel that it is quite different from what they expected. Actually, I was quite amazed because fundamentally, it was very similar. I also felt somewhat fortunate. In fact, the teacher has studied and experienced a lot more than me. I thought it wouldn't be bad. Originally, it all makes sense because that's how science works. However, if I may say to my subscribers, my book has very different characteristics from this book. This book will provide many great insights into medical treatment and diseases. One common point I would like to mention is that when looking at health issues, one should never look at them superficially.

So, in just 3 minutes, we suddenly can't grasp or understand the problem with one or two questions. We can't figure out the cause. We need to look at the person's entire life, daily schedule, who they met when they were young, how they grew up, and things like that. When we look at all these things together, we can find some clues about our problem. This is the perspective you have. How do you introduce this book to people? So, this book is not a diet book, right? Since you are a diet scientist, you must have written books related to diet. But earlier, you mentioned that it is comprehensive. When I first wrote this book, I thought about the title from a functional medicine perspective. So, this book was written with that perspective. In Korea, we usually express diseases in a negative way, like going to shop.

When you go to the hospital, it's usually a good thing. When you go to get a second opinion, people say, Go get a second opinion. So, from the perspective of functional medicine, if you go to a general hospital, then to an ear, nose, and throat department, and then to another ear, nose, and throat department, the second opinions are likely to be similar. But if you go to a functional medicine hospital, the content of the second opinion can change significantly. So, from the perspective of functional medicine, the second opinion is a collection of health issues viewed from a different perspective. There is content like that in the book. The publisher said the title shouldn't be like that, and the title of the book is Patient Revolution. Suddenly, it expanded from a second opinion to a revolution. Some people think I am delivering a very radical message, but there was no such content or intention at all. It was just a book written to introduce functional medicine.

Yes, you did a great job at that publishing company. Thanks to the fantastic titles you gave me, I was swept away and now I'm leading a patient revolution. But I feel like I really saw through that title. What was on your mind when you came up with it? It's not like I had a strong desire to write a book from the past, but it could happen that I end up writing one. I had a lot of notes written down, thinking it would be nice to record these things that come up while counseling patients, things that come to mind, or things I heard in seminars. I gathered them up and that's how I ended up writing a book. The book initially came out with over 500 pages, which nobody reads entirely. I removed nearly 40% and kept only the essential parts. These are the core elements in the book.

In fact, as you can see now, various metabolic diseases that are problematic in modern times are being addressed one by one like this. While addressing each disease, they talk about what the essence of this disease really is, what the shortcomings are in dealing with this disease in traditional medicine, and they also give suggestions on what could be done better. It would be nice to delve into each of these diseases one by one. When will they cover all of them? I will try to keep it very simple because what is truly important and surprising to me, as I do this work, is that I have come to understand what diabetes is, what cardiovascular disease is, what cancer is, what the statistics are, and how they are treated. What surprises me a lot is that when I meet subscribers or many people, there are really a lot of people who do not understand what their own disease is, and there are also those who do not know why they are receiving such punishments.

This is a rather heartbreaking case. When I look at it now, it really hurts my heart. I regret it. My grandfather came back because he had diabetes and he was prescribed insulin. He doesn't know if insulin is a drug that raises or lowers blood sugar. He has no idea about that. He only knows the timing. I understand that it's difficult to talk about it with grandparents. But this is such an important matter. How can we not accurately inform the patient about their illness? So, even if you have to hold them back, you should teach and send them out. But even now, probably many of you watching this video think that having high blood sugar is not a big deal, just a little bit like heart disease, blocked arteries. So, from the perspective of a teacher, just once, you need to have insight. So, clearly, explain what each disease is for each disease.

While watching, I'll take a closer look. But I have obesity, diabetes, cardiovascular disease, arteriosclerosis, hypertension, and now up to hyperlipidemia, a total of six. Wait a moment, let me ask. Is obesity a disease? No, it's difficult, right? It's difficult. It seems like we should call obesity a disease to the general public, or else if we say it's just about beauty, that wouldn't be right, right? Because being overweight is not good, so it should be recognized as a disease. Depression is not a disease. Depression has been recognized as a disease. When we say things like affecting the mind, hormones in the brain become imbalanced, so eventually, the result is medication. That's the direction it's heading. There was an attempt to do the same with obesity, right? So, when it comes to diabetes, it's not a disease. Is it a disease or not? It seems important what the criteria are when deciding if it's a disease or not. So, it's not a disease. It's a disease. We all know diabetes as a disease.

Hypertension is a disease, and diabetes and hypertension are diseases. So, I say that diabetes is not a disease but a condition from a functional perspective. It's a condition because no organs or parts are damaged, it's not something to be removed by surgery, and everything can still be recovered. That's why, when asked if obesity is a disease, I hesitate a bit in my response. However, with obesity, you might think that you can lose weight if you just control your diet, right? It's like thinking that if you study hard, you can get into Seoul National University but you just haven't gone there. It's a similar feeling. Anyway, you believe that you can lose weight with obesity. You believe that diabetes, hypertension, and hyperlipidemia are not like that. You just naturally think that way.

As a diet scientist, you would know that when we eat, whether it's protein, fat, carbohydrates, or simple sugars, insulin is released to convert and deliver them to our cells for energy. Of course, when we eat, carbohydrates, proteins, and fats are secreted in different amounts, stimulating different levels of insulin. However, modern people tend to consume too many carbohydrates, leading to excessive insulin secretion, especially when consuming a lot of simple sugars, causing rapid insulin secretion. Additionally, frequent consumption of carbohydrates, proteins, and fats stimulates different amounts of insulin secretion.

You have to go out and hunt to eat. There won't be any problem if you hunt and eat in a hungry state. When you wake up in the morning, feed the children, send them off, and then it would be good to go straight to the field. But instead of going to eat, I was sitting and watching home shopping. Because it comes on too often, I still haven't plowed the field or exercised, so I haven't used any energy at all. But then I brought in some glucose, and after a while, I brought in more glucose. If you keep ringing the doorbell, occasionally a delivery comes, which is nice because it keeps coming. So, now the cells, the delivery guy came, pretending not to be home, not responding, that's insulin resistance. From the cell's perspective, this means the cell is resisting insulin.

We often express it as insulin resistance. Most of us modern people have high insulin resistance. Insulin sensitivity is high, insulin secretion is high. Originally, after we eat, insulin should come out smoothly, and then the glucose we ate is delivered to brain cells, liver cells, fat cells, all muscles, and all cells in the body. After delivering, when the job is done, insulin also finishes work, goes home, and the blood vessels become clean again in just two and a half hours. This is the normal state. However, if we keep eating in between, what will happen to the blood vessels? Undelivered glucose will accumulate, and insulin will keep coming out and wandering around, going to this house and that house, ringing the bell here and there.

If the blood vessels are so tight and dirty for a long time, it's a problem. Blood vessels should be clean, but modern people sometimes deliver oxygen and energy through blood vessels, hormones are released, but after doing that job, they should keep it clean and not work too hard to last long. If things keep moving around in the blood vessels, problems occur. When there is too much sugar and insulin in the blood vessels, inflammation occurs. Later, the blood vessels burst. So, if problems arise, we all die. When insulin comes generously, there are cells that receive the blood sugar brought by insulin. Fat cells generously accept fat.

Hey, we might really die like this due to fat. So, for now, you should take all of this, keep it, and even if we might starve later, isn't it possible? If we can't eat, then we'll come back and use it. Let's make that promise and push it into the fat. The stomach is bulging like this and starting to gain weight. At first, we push everything into the liver, but actually, it's the fatty liver that develops first. Even though a fatty liver develops, and even if we reach the stage where the stomach bulges, it means the problem isn't solved there. Even though it's not resolved, and even if the belly fat has come out, if it's still not resolved, then ultimately, when we do a blood test at that time, the blood sugar will come out high. You can also get diagnosed as a diabetic, and if that diabetes continues to circulate like this in the blood, it causes inflammation in the blood vessels, right? You need to quickly get rid of the inflammation.

Inflammation and damage to blood vessels need to be repaired, so North Korea has cholesterol. Our bodies also produce cholesterol, causing cholesterol levels to rise. Therefore, consuming high-glycemic index foods that raise blood sugar levels frequently and excessively without thinking can lead to insulin resistance. Processed foods mainly contribute to this. When insulin resistance occurs, belly fat starts to accumulate, blood sugar levels rise, leading to diabetes, and cholesterol levels increase. High blood sugar levels stimulate the sympathetic nervous system, raising blood pressure. Blood should be clear, not thick, and if blood vessel walls are damaged, elasticity decreases.

It's not about numbers. When the elasticity of the blood vessel walls decreases, the blood inside becomes sticky. Nevertheless, the blood needs to circulate. Blood pressure needs to rise, right? Everything from number 1 to number 6, number 7, we are doing it all now. Oh, mother, it's all done at once, all at once. Can you explain insulin resistance and thyroid problems? It's the biggest cause. It's the biggest cause. Because insulin, our hormone, communicates with each other like this. If there is too much insulin and it leads to insulin resistance, then other hormones come out, like cortisol hormones. When stressed, insulin hormones lower blood sugar. But when blood sugar drops too much, cortisol comes out to counteract it. It makes the body use what is stored and raises hormone levels.

When hormones rise, such as insulin, estrogen hormones are also affected. It's complicated, so when insulin and estrogen levels fluctuate together like this, in a situation where both levels go up and down repeatedly, the thyroid gland, which regulates and uses energy in our body, can be impaired in its function. Also, among our minerals, there are those involved in the thyroid gland like selenium or iodine, minerals related to energy metabolism. When insulin is high, these minerals are also lost. In this process, the function of the thyroid hormone and the thyroid gland can be impaired. There are important nutrients related to thyroid function, such as iodine and selenium. Deficiencies in these friends can also be intended. Maintaining a high insulin state is not related here, but the same goes for endometriosis. Endometriosis can also be affected by such deficiencies.

Insulin has the biggest impact, even polycystic ovary syndrome is actually related to insulin resistance. Nowadays, many modern people suffer from things that didn't exist in the past, right? When you look at these things, many of them are closely related to insulin resistance. I have explained about cardiovascular diseases and atherosclerosis in a video here. For example, if there is a coronary artery, behind it there are usually small friends carrying lipid substances, like cargo ships, they can penetrate and enter the back wall, causing damage or sinking there. When that happens, the cargo inside can fall and trigger an inflammatory response, which is the beginning of atherosclerosis in the coronary artery. But first, if there are a lot of small incidents, it can also be caused by that.

A more important point is why those cargo ships sank. After that, what I think about is first, as I mentioned earlier, the excessive repetition of high blood sugar. This is because high blood sugar damages proteins. Second, excessive inflammation itself can start causing problems. Third, about reactive oxygen species, how do you see this explanation? Reactive oxygen species should be in one sentence. I can allow up to two sentences. Obesity is currently scanned to know my current body condition. By scanning, you can see if I am gradually improving my health because as I get older, I keep gaining weight. When I work at the company, my belly keeps coming out more and more. So, it is clear that my weight will also become normal. It is a natural remedy to fix only sugar and leave high blood pressure as it is.

There are no remedies for life, no specific timing to fix everything or not. Of course, weight is involved in that, but things like diabetes or high blood pressure, I can't see them, but I can measure them at home instantly. But as you say, I think it's important to see it as a process in the end. When you ask about diabetes, it seems like you would say that. It is a manifestation of a process where blood sugar is not well controlled. As I mentioned earlier, diabetes is not a disease that damages the kidneys, but rather kidney damage as a complication of diabetes. The problem arises not because of diabetes, but simply due to lifestyle habits. Expecting the most significant impact is what you eat, followed by lack of sleep, and then neglecting stress. Just receiving stress alone is enough.

In Cultwo Show, hormones come out, chasing each other, and insulin comes out chasing it, so just from that stress alone, diabetes can develop. So, diabetes, like we talked about earlier, just like obesity, if I have the mindset, I can lose weight, you have to perceive diabetes in the same way. Because it's not a state where my body is already broken, but a state of diabetes, in modern medicine, it is defined as a disease that cannot be cured in the hospital. It is defined that you have to manage it for a lifetime. However, it is a disease, but since there is no part that can be reversed, it is right to reverse it, and it is better to reverse it. It is better to manage it with lifestyle changes rather than medication, as the results are symptoms and processes of obesity, diabetes, cardiovascular diseases, hyperlipidemia, hypertension, and arteriosclerosis.

Problems have arisen, and at the core, there are commonalities. Because these have gradually been created by lifestyle habits, it is difficult to change them. Still, we have no choice but to change them through lifestyle habits. So, are these diseases caused by insulin resistance? Besides that, in our daily lifestyle habits, if we read, detox, although it's a word that we dislike, reading can disturb our mineral metabolism with heavy metals or environmental hormones, disrupting hormone balance or mineral metabolism. However, disrupting mineral metabolism means interfering with the signaling of hormones. So, in the end, it's all the same. There are broadly two types of these environmental toxins. But then, there is also stress, mental aspects, diet, as science book readers and TV subscribers would know. While we are talking about eating now, we mentioned insulin meticulously.

I believe you will understand to that extent. Eating is very important, but even if I starve, insulin is produced in the same place. Okay, I try to be very careful about what I eat and exercise, but when I stress about exercising a lot, and in the beginning, until you understand how to eat like that, I don't know how to live by eating like that, or let's try following someone, but I get a lot of stress, and I want to eat, but be aware that you will have a lot of stress, and when you go to work, it's tough, or when you go to school, it's tough because you have assignments, and when you come home, you argue with your mom, anyway, I accumulate stress, and when you have stress, your cortisol levels will rise. What does cortisol do? It raises blood sugar. Diabetics, when they wake up in the morning on an empty stomach,

I haven't eaten anything, but my blood sugar is too high. In the morning, we need to wake up and be active, so even if we're hungry, we have to go out and hunt, right? It's not about taking out blood sugar, it's about giving a signal to take it out from the cells and liver, called cortisol hormone. So, hormones are not always bad. Without them, we can't get up in the morning and we die. So, in the morning, the hormone for blood sugar regulation rises like this. Whenever we're stressed, it goes up. Whether it's day or night, when we receive stress at work, cortisol levels rise, which means blood sugar is being released. Even if you're hungry, blood sugar comes out because it was released into the bloodstream. So, since blood sugar came out in the body, insulin automatically comes out because it has to come out. Just being stressed while hungry is like being someone who often drinks black sugar bubble tea.

You keep going down the same path of insulin resistance. It can happen like that. Insulin resistance keeps coming up. I think I understand this level sufficiently. Personally, what I'm curious about is when patients with anorexia nervosa come in, usually, I think it's somewhat similar to prescribing for dieting. But what's difficult for me is that anorexia nervosa involves a bit of a nerve circuit issue. So, these things are tools to improve metabolism. You need to be careful and take it slow. I wanted to ask if the doctor also has any wisdom. There is no wisdom. There are a few things without wisdom. I can't handle cancer patients recklessly. I don't have the ability, I don't have the ability to counsel, I wanted to try it, but I gave up.

I mean, many cancer patients have a lot on their minds, you know? So, often, they have mental illnesses. But, the psyche is more important. It's very important, isn't it? It's very important. There may be something suppressed, or they may feel unjustly treated or have perfectionistic tendencies that are unfulfilled. And they may have many desires, but the stress of those desires not being fulfilled is a burden for the sick. You can't say to a sick person, You got cancer because you are too greedy. That's not right. So, when the person realizes this by themselves, it's very easy. The results are beautiful. But, I think this is an important part. It's in the position where three people are counseling. So, they can tell you. It's difficult for the counselor to say those words. It's difficult.

If you don't realize it yourself, there are many difficult parts. They said that in the eating disorder clinic, there are some similarities with the addiction clinic. Because the standards of that person and the things they consider as standards are not common, there is a disorder caused by a bit of obsession. It's not just about some hormone like ghrelin hormone being wrong. So, it's a bit difficult. This content is from what I wrote in the book. When we touch upon the reasons for damaging the digestive system, it's often about eating a lot of carbohydrates, like sugar, liquid fructose, which damages the liver, and alcohol, right? It's the same. Also, messed up sleep, not managing stress, and being perfect. It's the same as me, isn't it? [MUSIC] But if you say it like that, little by little.

People who used to eat a lot, and also, the amount of exercise, metabolism, if the metabolism in the body is fast, then naturally, that person can continue like that. Eating frequently doesn't mean it's a bad diet that harms your health. Information is very important, and when we need to reset our bodies a bit more thoroughly, we need to be more strict at that time. Low-carb diets have been widely known for dieting in Korea, but when it comes to ketosis, it's a diet recommended for Parkinson's patients, dementia patients, and epilepsy patients. So, it's a meal that can be used for special purposes. The way of eating and the content of the food are very powerful, so it can be utilized in that way. When it comes to resetting what goes into my body, a slightly more thorough diet is needed at that time.

It could be a low-carb diet, or it could be intermittent fasting, so there is a value in utilizing them. If you mentioned a low-carb, high-fat diet, how would you define the cases where these are needed? Low-carb, high-fat diets, basically, are for conditions like neurological diseases, epilepsy, and also insulin resistance. Fundamentally, what low-carb, high-fat diets and intermittent fasting pursue is the same. They both [MUSIC] help clear the blood vessels, help the insulin not work too hard, make the liver rest through that, calm down cells that are constantly irritated and resisting insulin, soothe those cranky cells, and make the kids hungry again so that the cells can say thank you for the insulin and accept the glucose and eat it.

It has changed. It's about the purpose of making it, so the direction pursued by intermittent fasting and low-carb diets for that purpose is the same, but to talk meaningfully about intermittent fasting, it's not just a good thing, but rather why it might not work well is a case of what should not be done.

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그동안 연구한 내용을 바탕으로  '다이어트 사이언스 2022'를 집필했습니다. 저서와 유튜브를 통해서 전통적 다이어트/영양 패러다임의 문제를 지적하고 대안을 제시합니다. 비만과 다이어트로 인해서 문제를 겪고 있다면 이 채널에서 시작할 것을 권장합니다.

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다이어트 과학자 최겸 Gyum Choi

The Frustration with Predetermined Medical Diagnoses and Treatments

A patient is experiencing a lack of improvement despite receiving predetermined medical treatments, with over 90% of the treatment being medication.

The current medical system limits doctors to predetermined treatments based on diagnosis, leading to a lifetime of management for conditions like diabetes.

This approach often fails to result in the improvement of patients' health issues, leading to frustration and the need for alternative methods like functional medicine.

Ineffective Medication Treatment and the Importance of Accurate Diagnosis

Medications for blood sugar and pressure may not be as effective in preventing complications as previously thought.

The shift towards quickly addressing medical emergencies and improving awareness has led to a decrease in death rates from heart failure.

Accurate diagnosis of the root cause of an illness is crucial for effective treatment, going beyond just prescribing medication for symptoms.

Functional medicine focuses on finding the root causes of health issues and takes a different approach to diagnosis and treatment than traditional medicine.

Practitioners of functional medicine often face challenges with insurance coverage due to the unique and time-intensive nature of their services.

The field of functional medicine has gained influence through conferences, education, and the publication of books, offering a new perspective on medical treatment and emphasizing a deep understanding of health issues.

The Comprehensive Guide to Functional Medicine

The book "Patient Revolution" offers a comprehensive perspective on health issues from the viewpoint of functional medicine, challenging traditional opinions.

It delves into various metabolic diseases, addressing their essence, shortcomings in traditional treatment, and providing alternative suggestions.

The book aims to educate and inform patients about their illnesses, emphasizing the importance of understanding each disease and its impact on the body.

The Functional Perspective on Diabetes and Obesity

Diabetes is considered a condition rather than a disease due to the potential for recovery and lack of organ damage.

Obesity is compared to the belief that weight loss is achievable through diet control.

The explanation of how excessive carbohydrate consumption leads to insulin resistance and the development of diabetes, emphasizing the importance of managing inflammation in blood vessels.

The Impact of Insulin Resistance on the Body

Cholesterol levels and insulin resistance are influenced by high-glycemic index foods and processed foods.

Insulin resistance can lead to belly fat accumulation, high blood sugar, diabetes, and increased cholesterol levels.

Insulin resistance also affects hormone levels, which can impair the function of the thyroid gland and lead to conditions like endometriosis and polycystic ovary syndrome.

The Impact of Stress and Lifestyle on Diabetes

Stress can contribute to the development of diabetes by increasing cortisol levels and blood sugar.

Managing diabetes through lifestyle changes is preferable to medication, as it can help address symptoms and related health issues.

The combination of stress, hormone imbalance, and poor lifestyle habits can lead to insulin resistance, exacerbating diabetes.

The Impact of Mental State on Cancer Patients

Cancer patients often experience mental illness and psychological distress due to unfulfilled desires and feelings of injustice.

It is crucial for patients to come to realizations about their mental state on their own, but counseling can also play a significant role.

The use of low-carb, high-fat diets and intermittent fasting is recommended for conditions like neurological diseases, epilepsy, and insulin resistance, as they both aim to improve insulin function and calm insulin-resistant cells.