The Partovi Effect

The Missing Pieces of Women's Health: From Fertility to Longevity – What You Must Know (That Doctors Won’t Tell You)

• Dr. Ryan and Mrs. Madi Partovi • Season 1 • Episode 8

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In this eye-opening episode of The Partovi Effect, Dr. Ryan, JD, NMD, MIFHI and Mrs. Madi Partovi dive deep into cutting-edge approaches to women's health across the lifespan. Discover:

  • The crucial importance of prenatal nutrition and how it impacts your child's lifelong health
  • Why fertility preservation should start years before you plan to conceive
  • The truth about hormonal birth control and its long-term effects
  • A revolutionary approach to bioidentical hormone replacement therapy
  • How to navigate puberty, PMS, and menopause naturally
  • The latest in anti-aging protocols and chronic disease prevention
  • Why cancer screening should start earlier than you think

Key topics covered:

  • Prenatal and postnatal nutrition
  • Baby-led food introduction
  • Navigating childhood nutrition challenges
  • Adolescent health and hormonal changes
  • Fertility optimization and preservation
  • Menopause and hormone therapy
  • Chronic disease prevention and anti-aging strategies

Don't miss this information-packed episode that challenges conventional medical wisdom and offers a holistic approach to women's wellness at every stage of life.

Have a topic you'd like us to cover in a future episode? Email your ideas to office@drpartovi.com!

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The contents of this podcast are for educational purposes only and do not constitute medical advice. Talk to your medical professional before starting any new treatment.

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Part Two of Episode Seven of The Partovi Effect

[00:00:00] 

[00:00:00] Introduction to Aspen Wellness Institute

[00:00:00] Mrs. Madi Partovi: My name is Mrs. Madi Partovi. And I'm Dr. Ryan Partovi. And we are co owners of Aspen Wellness Institute. And our overarching commitment to the world is the end of human disease.

[00:00:13] Dr. Pyan Partovi, JD, NMD, MIFHI: It's really fascinating what we can do on the level of chronic disease and setting, setting kids up with the best possible start to minimize their risk of chronic long term disease as adults. And all of that happens, sort of, again, in the first six months before and then in utero.

[00:00:30] Dr. Pyan Partovi, JD, NMD, MIFHI: And the nine months after is the most crucial piece. Yeah, Will and our kids deserve our best. And that doesn't mean that people aren't going to slip up. There's that's the thing. 

[00:00:39] The Importance of Prenatal Nutrition

[00:00:39] Dr. Pyan Partovi, JD, NMD, MIFHI: But, our patients, there's an opportunity by educating yourself to learn like, Okay, wow, so what you're saying is that, What I eat when I'm pregnant is actually the most important food that my child will ever eat.

[00:00:52] Dr. Pyan Partovi, JD, NMD, MIFHI: And so, I need to be like, on my top game during that nine months. Wow, that's not something anybody [00:01:00] else is really saying. It's not something that people really know about, I think. 

[00:01:03] Transformative Pregnancy Experiences

[00:01:03] Mrs. Madi Partovi: I'm talking about a case study, right? Sure. Kiki who willingly, like, gives up this testimonial. Her first pregnancy was vastly different than her second.

[00:01:12] Mrs. Madi Partovi: She took on the coaching and her experience of, she's very depressed. And Overweight, in the first. And, the Well, by 

[00:01:22] Dr. Pyan Partovi, JD, NMD, MIFHI: overweight, you mean, like, she was retaining a lot of water, right? Yeah, she was retaining a lot of 

[00:01:25] Mrs. Madi Partovi: water. And she could tell she was inflamed. She had a vastly new experience with her second pregnancy.

[00:01:33] Mrs. Madi Partovi: She took it on. And she could tell the difference. 

[00:01:36] Dr. Pyan Partovi, JD, NMD, MIFHI: Yeah. 

[00:01:36] Mrs. Madi Partovi: Yeah, in her inflammation level, she was, she slimmed out. And she had a really empowered birth. The whole journey matters. Yeah, and it really mattered for me as well. I'd say that without having taken on, that complete lifestyle shift I would not have done that 84 hour unmedicated, home birth.[00:02:00] 

[00:02:00] Mrs. Madi Partovi: I just would not have. 

[00:02:03] Empowering Women Through Birth Choices

[00:02:03] Mrs. Madi Partovi: So it has women be present to a power that they, that innately exists within them. And then, the second one was also unmedicated, 19 hours. Very intense birth. And The way that I prepared for it and the way that these women prepared for it is like an athlete prepares, for an athletic event, not consuming, everything in sight because that's just 

[00:02:31] Dr. Pyan Partovi, JD, NMD, MIFHI: it doesn't work 

[00:02:32] Mrs. Madi Partovi: the normalized version.

[00:02:33] Mrs. Madi Partovi: Yeah, it doesn't work. 

[00:02:34] Dr. Pyan Partovi, JD, NMD, MIFHI: Yeah, it doesn't work for what they're for, what you were committed to, right? Like what we were committed to, but really what you were committed to, which is, to, go the extra mile to do all the things, to really give our kids the best possible start.

[00:02:50] Dr. Pyan Partovi, JD, NMD, MIFHI: And, that's one of those things that's, it's hard to talk about sometimes because, all parents are trying to do their best for their kids, obviously. And I [00:03:00] think that it's one of those things where I think we default to, and I've seen it in myself where it's like, well, I'll just do what my parents did cause I turned out and I'll be fine.

[00:03:08] Dr. Pyan Partovi, JD, NMD, MIFHI: And that's true, I'm not diminishing that in any way. But what I would say is, given that, my belief is that our goal, I mean certainly our goal as parents, and I think the goal of being parents is to try to do a little better than our parents did. It's like, okay, well, my parents did this, I turned out, I'd like to do a little better than that.

[00:03:29] Dr. Pyan Partovi, JD, NMD, MIFHI: And so, We offer all this information. I just want to provide this kind of as an initial, cause I realize it's like, we're kind of treading into two very personal waters for a lot of people. 

[00:03:43] Mrs. Madi Partovi: Yes. 

[00:03:43] Dr. Pyan Partovi, JD, NMD, MIFHI: It's really about take what you can from this and it's like, yeah, I'm married to a super woman, obviously.

[00:03:49] Dr. Pyan Partovi, JD, NMD, MIFHI: Right. But like, that's, I mean, the kind of labor that you did, it does, it requires a lot of preparation. It's a lot of work. It's a lot of. Of internal preparation, and physical [00:04:00] preparation and mental preparation, so, I think that but we're, that's something we can guide people through.

[00:04:06] Mrs. Madi Partovi: What we're committed to is that women are in a place of choice. And to, I believe that to arrive there, you've got to know all of the options that are available to you. So that you can powerfully choose. Which, which route you'd like to take. 

[00:04:27] Dr. Pyan Partovi, JD, NMD, MIFHI: Yeah. One of the best examples of this is when it comes to birth plans and people talking about how they want to, how they want their birth to go.

[00:04:39] Dr. Pyan Partovi, JD, NMD, MIFHI: And, I have had patients and friends who said, Oh, I'm just gonna. I'm definitely going to have a home birth, and that's how it's going to go, and then they'll end up in the hospital, because they didn't plan for, and then they'll have things that happen that they don't want to happen because they didn't plan for going to the hospital.

[00:04:56] Dr. Pyan Partovi, JD, NMD, MIFHI: So, knowing what all the things are that can happen and [00:05:00] mapping that out and getting, a comprehensive picture. I would say comprehensive is a good word to describe our practice for sure, and I think that's how we approach. You really have to when your goal is to look at what is the origin, what's the cause of disease, and really address it from that level.

[00:05:18] Dr. Pyan Partovi, JD, NMD, MIFHI: You can't do that superficially. 

[00:05:21] Mrs. Madi Partovi: Right, and we want women to embody or have this sense of ease and of peace, in making these choices because they're aware and they're empowered. 

[00:05:33] Dr. Pyan Partovi, JD, NMD, MIFHI: Yeah. Okay, 

[00:05:35] Mrs. Madi Partovi: so next phase. 

[00:05:36] Dr. Pyan Partovi, JD, NMD, MIFHI: Next phase. 

[00:05:37] Postnatal Support and Baby Nutrition

[00:05:37] Dr. Pyan Partovi, JD, NMD, MIFHI: So, after we now have a born baby, there's a lot of things that we can do.

[00:05:42] Dr. Pyan Partovi, JD, NMD, MIFHI: There's a lot of support that we provide. Mothers in terms of breastfeeding, we hear over and over again how women will have trouble breastfeeding or the baby won't take the breast. There's issues with lip ties, tongue ties, all of that fun stuff that, that people can deal with when they have a baby.[00:06:00] 

[00:06:00] Dr. Pyan Partovi, JD, NMD, MIFHI: And really what is optimal in terms of breastfeeding? Not just if we need to do formula, what kind of formula, what we'll do, but also when to start nutraceuticals, which nutraceuticals to start at what times, even how to introduce food. We're big into baby led food introduction.

[00:06:18] Dr. Pyan Partovi, JD, NMD, MIFHI: And I actually have specific food introduction map that I've sort of worked out which is very different from, I think any of the so called experts, most of whom are taking stuff that is a hundred years old and updating it. I sort of looked at it newly and said, okay, well, if I was going to using the latest science and the best evidence, if I was going to come up with something newly, what would that be?

[00:06:42] Dr. Pyan Partovi, JD, NMD, MIFHI: And it's pretty interesting. Yeah, 

[00:06:44] Navigating Childhood Nutrition

[00:06:44] Mrs. Madi Partovi: The most prime, the prime complaint of parents is that my kid is a picky eater. And that, that can be There's so many things that we can do, to program and refine their palate and not have them [00:07:00] become chicken nugget and french fry kids, or kids that are, will only eat specific things.

[00:07:05] Mrs. Madi Partovi: There are so many things that you can do early on to in, in, 

[00:07:09] Dr. Pyan Partovi, JD, NMD, MIFHI: yeah. And it's a lot easier to do it when they're babies, when they're, six months and nine months, 18 months old. And there's even, as they get older, there's ways to introduce, on an average to develop a new flavor.

[00:07:25] Dr. Pyan Partovi, JD, NMD, MIFHI: You have to introduce a food for kids eight to 12 times. On average. And with adults, of course, it's more than that. But, I think a lot of parents will try a food once or twice. Oh, the kid does, spits it out, doesn't like it, they'll give up. And, I mean, we've We don't do that. We don't recommend that people do that.

[00:07:44] Dr. Pyan Partovi, JD, NMD, MIFHI: So, and sometimes it takes time. I mean there's many times our second child will have, spit things out and we'll just, we keep doing it and eventually he's like, alright, I can eat this, this is not gonna, it's not gonna harm me. Because that's a natural mechanism that, that especially young kids will have [00:08:00] where they'll new things will, they'll reject it initially until they're sure that their body will like it.

[00:08:06] Dr. Pyan Partovi, JD, NMD, MIFHI: And that's so that they don't accidentally poison and die. 

[00:08:10] Adolescent Health and Hormonal Changes

[00:08:10] Dr. Pyan Partovi, JD, NMD, MIFHI: So, and then I would say that as kids continue to grow, especially we're talking here about little girls. I think that there's a lot of there's a lot of issues that can happen around making sure that That girls, I think one of the most common misconceptions is that girls need less protein or they need maybe don't need as much iron.

[00:08:30] Dr. Pyan Partovi, JD, NMD, MIFHI: And I think that's actually a misconception. And I think that a lot of times girls to be healthy really need less protein. more of those things. And yeah, boys probably need more vegetables, but I think that making sure that they're getting the proper nutrients and the proper nutraceuticals that are, specific to them, becomes even more important as they start to enter puberty and go through that process.

[00:08:51] Dr. Pyan Partovi, JD, NMD, MIFHI: And one of the things we're seeing a lot lately is precocious puberty, and there's actually specific nutrients that are, can be associated with that. Either too [00:09:00] much or too little of certain things. And so, girls going into puberty sooner and there's actually interesting lifestyle factors that can impact that and there's a lot of endocrine disruptors in our environment, different chemicals compounds that are found not just in food but also in common household items that can be a factor there.

[00:09:17] Dr. Pyan Partovi, JD, NMD, MIFHI: So, really helping to deep, deep dive, I mean, if there's any kind of issue that, that girls are dealing with as they grow up and mature, that's something that we work on with parents and kids. So yeah, I think that there's, with puberty comes a lot of of hormonal issues around things like PMS, PMDD, which is a more Basically, a severe version of PMS, there's a lot of hormonal fluctuations, and there's a lot of ways we can kind of get up under young women and support them through that process so that it's less of an extreme experience.

[00:09:48] Dr. Pyan Partovi, JD, NMD, MIFHI: It's going to be a, it's going to be a process either way. But there's absolutely ways we support young women in going through that process so that their hormonal system can kind of function the way it was [00:10:00] originally meant to function versus. With all of the different xenoestrogens and other chemicals that can impact that process negatively.

[00:10:08] Dr. Pyan Partovi, JD, NMD, MIFHI: And and I think one of the things that's I think literally come up in the last 24 hours is questions about birth control and how the birth control, the hormonal birth control affects not only the I mean, we have now evidence that hormonal birth control affects the kind of men that women will want to date.

[00:10:26] Dr. Pyan Partovi, JD, NMD, MIFHI: It will affect their mental state, their mood, their, the way that they approach other people. It affects their and we, there is some evidence that I think is emerging that basically shows that it can, in certain women especially, impact their long term fertility. And so we try to shy away from the hormonal forms of birth control and look at alternatives.

[00:10:47] Dr. Pyan Partovi, JD, NMD, MIFHI: There's some really great non hormonal alternatives which we get into in our practice. But I think that's something that it's kind of a unique lens that we put on that kind of also deals with. at the long term and wanting to make sure to [00:11:00] preserve the fertility of young women as they get into adulthood.

[00:11:04] Mrs. Madi Partovi: Yeah. Anything 

[00:11:05] Dr. Pyan Partovi, JD, NMD, MIFHI: else you want to say about the teenage years or? 

[00:11:07] Mrs. Madi Partovi: Yeah, that it, those years are so tender and challenging, and to have a teenager, come to us via their parents, dad at the effect of these things, that might present as severe mood fluctuations or acne, and it's, they're already struggling, with who they are and who they're creating themselves to be in life.

[00:11:35] Mrs. Madi Partovi: And we can absolutely be up and underneath them at this phase of life, 

[00:11:40] Mrs. Madi Partovi: And have them functioning optimally. 

[00:11:42] Dr. Pyan Partovi, JD, NMD, MIFHI: Yeah. Yeah, absolutely. 

[00:11:45] Fertility Challenges and Solutions

[00:11:45] Dr. Pyan Partovi, JD, NMD, MIFHI: So, I think that then as women enter adulthood, I think that the biggest challenge that a lot of people are experiencing are, is related to fertility.

[00:11:56] Dr. Pyan Partovi, JD, NMD, MIFHI: And, fertility is something which, as you have [00:12:00] already mentioned, can is something that we're having a sort of a societal wide crisis around right now. And I would say that there's a lot of reasons for that. Most of them, I think, are environmental. Some of them are related to lifestyle. But yeah, I think that we go by it and we address these things, one layer at a time.

[00:12:19] Dr. Pyan Partovi, JD, NMD, MIFHI: And a lot of times fertility is about peeling back an onion, essentially of the different elements that can affect fertility. And optimizing the fertility is something that is a huge part of our practice. Yes. I mean, fertility and maybe you want to speak about that and then I'll jump back in.

[00:12:35] Mrs. Madi Partovi: Even though A woman may not be ready, to have a baby for another three, five, maybe a decade. The time to start going to work on your fertility is now. 

[00:12:49] Dr. Pyan Partovi, JD, NMD, MIFHI: Yeah. Don't 

[00:12:49] Mrs. Madi Partovi: wait. 

[00:12:50] Dr. Pyan Partovi, JD, NMD, MIFHI: Yeah, absolutely. And really you want to think of fertility as something that you need to preserve, is what I would say.

[00:12:57] Dr. Pyan Partovi, JD, NMD, MIFHI: And this is a message that really needs to get out because [00:13:00] I think a lot of times people don't appreciate the importance of it. I mean, pretty much, Most women around 18 years old, 18 to 21, are going to be pretty fertile. But then once you get to about 25, your fertility starts dropping off. And then once you get to about 35, it starts dropping off precipitously.

[00:13:17] Dr. Pyan Partovi, JD, NMD, MIFHI: And there's a lot you can do to help slow that process down and to preserve the fertility so that if you are someone in your early 20s, mid 20s, late 20s, even mid 30s, and late thirties, there's a lot that can be done all the way up into the forties, but the question is if we start those interventions, the earlier we start them, the longer we're going to be able to prolong that fertility.

[00:13:38] Mrs. Madi Partovi: Yeah, many women have condemned themselves to a diagnosis, like PCOS and doctors that tell them that you're never going to have babies. And I'd like to say that we deal in possibility medicine. We're going to do the investigation. We're going to unearth what there is to unearth and uncover what there is [00:14:00] to uncover to, to optimize and to bring you back to a place to do the reset, and to bring people, bring women back to this place where

[00:14:12] Dr. Pyan Partovi, JD, NMD, MIFHI: Anything is possible. 

[00:14:13] Mrs. Madi Partovi: Thank you. 

[00:14:14] Dr. Pyan Partovi, JD, NMD, MIFHI: Yeah. Yeah, and I definitely, I, we've definitely seen people who that you know, women who come in and they've been given this sort of dire, diagnosis of premature ovarian failure at age 30 and, told that they're never going to have kids and it's like, well, no, you actually have about 20 years where we can intervene here.

[00:14:34] Dr. Pyan Partovi, JD, NMD, MIFHI: And. reverse whatever process that has begun and we do need to address it as soon as possible, but I would say in most of those cases we can absolutely reverse that process and give the body what it needs to be able to be fertile again. And so, being told that you can't have kids it's, I would say, our success rate looking at using the approach that we [00:15:00] do is about, even 50 percent of the people who fail IVF, we can support getting pregnant naturally.

[00:15:06] Dr. Pyan Partovi, JD, NMD, MIFHI: So if people come to us long before they have they're going to IVF, often times it's going to be a much higher percentage, so, so anything else about fertility before we move on. Okay, great. 

[00:15:19] Understanding Menopause and Hormone Therapy

[00:15:19] Dr. Pyan Partovi, JD, NMD, MIFHI: So then the next really the main phase of a woman's life where we can really help intervene, which I kind of have alluded to, is this idea of menopause, right?

[00:15:26] Dr. Pyan Partovi, JD, NMD, MIFHI: Which a lot of times there's perimenopause, which usually starts, in some women it'll start earlier, in many women it'll start usually around age 45 and it's kind of 45 to 50. And usually the way that sort of the normal way that hormones are going to work is you'll kind of get And you'll kind of get we're filming so I have to reverse which way I move my hand.

[00:15:49] Dr. Pyan Partovi, JD, NMD, MIFHI: But you'll kind of go along hormones will kind of start to go down a little bit and then you'll get to age 50 and they'll fall off a cliff. And really what we're trying to do with bioidentical [00:16:00] hormone replacement is we'll try to basically, maintain the level of these hormones so that there's more of a plateau.

[00:16:08] Dr. Pyan Partovi, JD, NMD, MIFHI: And there's not that, that fall off. And so the earlier we can intervene, because we can kind of prop it up, the better. So ideally, I mean, there's patients that and the way that I approach hormonal supplementation is very different from most people who most doctors even who are going to be pursuing bioidentical hormone replacement.

[00:16:27] Dr. Pyan Partovi, JD, NMD, MIFHI: I'm looking at the whole hormone cascade from cholesterol, which is where most of our sex steroid hormones, or all of our sex steroid hormones come from originally. That conversion of cholesterol into pregnenolone, which is called the great grandmother of all the sex steroid hormones, making sure that's there, making sure that the cholesterol level is high enough.

[00:16:46] Dr. Pyan Partovi, JD, NMD, MIFHI: I mean, no doctor you're going to go to is going to tell you, well, your cholesterol is too low. I mean, I probably say that to a patient, oh, at least every two or three months. I'll have some person that come in, they're on a vegan or vegetarian diet, their cholesterol is [00:17:00] super low, and they're wondering why they haven't had a period in six months, nine months, two years, etc.

[00:17:05] Dr. Pyan Partovi, JD, NMD, MIFHI: It's like, well, because your cholesterol is too low. Your body needs cholesterol to make all of your other hormones. So we put that in. Then we take a look at, okay, well, if cholesterol level looks good, pregnenolone level looks good, what about DHEA? What about progesterone? And we kind of go through.

[00:17:20] Dr. Pyan Partovi, JD, NMD, MIFHI: There's this whole cascade, which I, there's a, kind of like a diagram that I show our patients. And I try to put in the piece that's sort of the highest up that's missing, and then let the body take care of the rest. And usually we can do that in such a way that the body will, in fact, take care of the rest.

[00:17:39] Dr. Pyan Partovi, JD, NMD, MIFHI: And then only the things that are then missing would we then say, Okay, well, at this level there's another breakdown. Let's put some stuff in there and that's going to take care of it. Most doctors who do bioidentical hormone replacement are putting in the end product. They're like, Oh, you're a man, you need testosterone.

[00:17:53] Dr. Pyan Partovi, JD, NMD, MIFHI: Oh, you're a woman, you need estrogen progesterone. Well, those are end products. And they're guessing at what the [00:18:00] proper dose is for your body. They don't really know. They're going to do trial and error with it, which is the same thing that sometimes we have to do. But the point is that we do that only after we put in the precursors.

[00:18:10] Dr. Pyan Partovi, JD, NMD, MIFHI: We put in the raw materials. We've given the body a chance to make what it can make and do what it needs to do. And I will tell you that at least half of our patients, that's enough to resolve their symptoms. Because their body is able to pick back up, especially if we catch it early enough. Their body is able to pick back up and produce the hormones that it needs.

[00:18:28] Dr. Pyan Partovi, JD, NMD, MIFHI: And that's a fundamentally different approach I think than really anybody else, I mean maybe a few of my colleagues on the naturopathic side are doing in terms of bioidentical hormone replacement. 

[00:18:38] Mrs. Madi Partovi: Will you make the distinction between briefly make the distinction between bioidentical hormone replacement therapy and bioidentical hormone replacement therapy?

[00:18:47] Mrs. Madi Partovi: I'd say synthetic hormone replacement therapy. 

[00:18:49] Dr. Pyan Partovi, JD, NMD, MIFHI: Yeah, well, I mean, so the traditional hormones that were prescribed for many years to women were actually in the case of Primarin, that [00:19:00] was basically conjugated equine estrogens, literally horse estrogens, that were isolated and used as a, Pharmaceutical, really hormone agonist, one might argue actually endocrine disruptor, hormone disruptor in many ways is what they were, but to provide this estrogenic effect to be able to bind to those hormone receptors and trigger them.

[00:19:21] Dr. Pyan Partovi, JD, NMD, MIFHI: We're associated with all sorts of different toxic side effects including an increased risk of certain cancers. And similarly Provera, which is the progestogen, which is the synthetic analog of progesterone. They're able to bind to these progesterone receptors, provide you with some of that progesterone effect, but again, with all these sort of unwanted side effects.

[00:19:42] Dr. Pyan Partovi, JD, NMD, MIFHI: And so, that's not at all what we do. Obviously I never prescribed those in my practice ever. But what we do is with the bioidenticals is we are using hormone that's compounded. Okay. It's made through a process by which we're actually able to create the [00:20:00] exact, identical to what your body produces hormone.

[00:20:03] Dr. Pyan Partovi, JD, NMD, MIFHI: And then you're able to get that in your body through, there's different ways of doing it orally, through the skin. We do a lot of intervaginal hormones now because I find that those are really help keep the levels really stable. But yeah, I think that's the big difference is that we don't see in the studies that have looked specifically at bioidentical hormones, especially when you balance the estrogen and the progesterone together we don't see the increased cancer risk that you see in the studies using these synthetic hormone analogs.

[00:20:34] Dr. Pyan Partovi, JD, NMD, MIFHI: The other thing I think is really important to mention is that there's three main estrogens. This is specifically for women. There's three main estrogens. There's estrone, which is kind of like our body's. pro proliferative, pro cancerous estrogen. It's a E1. And then there's estradiol, which is E2.

[00:20:53] Dr. Pyan Partovi, JD, NMD, MIFHI: And that one is sort of neutral. It can kind of go either way. And that's the main estrogen that women produce. And then there's [00:21:00] estriol, which is like our body's E3. That's our body's own natural phytoestrogen almost. It's anti cancer, anti proliferative. So we have these sort of three estrogens that stay in balance.

[00:21:11] Dr. Pyan Partovi, JD, NMD, MIFHI: And we want to make sure that the E2 and the E3 especially are basically out out balancing or weighing out the level of E1 so that we're not tipping things toward cancer. And that's how we do it, basically. We're only supplementing we do, typically we'll do 20 percent E2, 80 percent E3 so that we're really putting a lot of weight on the anti cancer, anti proliferative part of the scale to balance out.

[00:21:39] Dr. Pyan Partovi, JD, NMD, MIFHI: And we want to keep that ratio between E1 and E2, especially at like a one to one or even, I mean, I, ideal would be two to one. But some, and if we can at least get it to one, then that's good. But sometimes it's not always possible, but it just depends on the person. 

[00:21:55] Chronic Disease Prevention and Anti-Aging

[00:21:55] Dr. Pyan Partovi, JD, NMD, MIFHI: So moving into the sort of I would say 65 and up [00:22:00] range, although there are people who obviously deal with chronic disease sooner than that.

[00:22:04] Dr. Pyan Partovi, JD, NMD, MIFHI: At the the latter portion of life where our practice really comes into play is looking at complex chronic disease. And not just from a treatment perspective, but also a preventive perspective. So, certainly if we can. work with someone, the younger we can work with someone, the better we can work on prevention to the point where it's like you don't get complex chronic disease.

[00:22:25] Dr. Pyan Partovi, JD, NMD, MIFHI: But if you do have a complex chronic disease, you come to us, that's really, I mean, I would say prior to COVID, that was the primary focus of the practice. And I think remains really an area of my, that's my prime area of expertise in addition to fertility. And That's really the lens through which I viewed the COVID experience, and it's the lens through which I view all the preventive stuff that we do.

[00:22:51] Dr. Pyan Partovi, JD, NMD, MIFHI: It's like, well, if we can do all this preventive stuff, then you never get a complex chronic disease, then, that's a win. But I would say that 

[00:22:58] Mrs. Madi Partovi: Yeah, I mean, [00:23:00] I'm going to jump back a little bit. You've done all the cancer screenings on me. And a lot of our patients Yeah, so 

[00:23:06] Dr. Pyan Partovi, JD, NMD, MIFHI: cancer screening is something that we do that really, I don't know anybody else is doing that, but we start doing that at age 40, we get a baseline and then we're rechecking again at 45 and then 47 and we kind of do every couple of years until 55 and then we start doing it every year because that's when we, cancer rates start to really go up.

[00:23:24] Dr. Pyan Partovi, JD, NMD, MIFHI: And, it's kind of, it's wild to me that more doctors aren't doing that, but I understand, there's a concern around. But it's like, well, what's the cost of regular screening? where we can catch cancer at sort of like the pre cancerous stage and then treat it and then see those tumor markers come down.

[00:23:42] Dr. Pyan Partovi, JD, NMD, MIFHI: And then maybe we've, we've short circuited and avoided an entire course of cancer for a patient versus waiting until they have this clinically significant tumor that now has to be irradiated or used chemo or, cut out. I mean, I'd much rather [00:24:00] catch it, At the microscopic stage, or at the stage where it's, the size of a pinhead, so that we can treat it, predominantly naturally, now with some repurposed drugs, which is something that we're doing as well.

[00:24:11] Mrs. Madi Partovi: Yes, I mean, to me, it's about extending the life of, say, a woman, a grandmother, so that she can be there to experience the life of her grandchildren. 

[00:24:22] Dr. Pyan Partovi, JD, NMD, MIFHI: Yeah, and I think that the interesting thing about the screening is that that's something that we've added in with really all of our wellness patients.

[00:24:32] Dr. Pyan Partovi, JD, NMD, MIFHI: I mean, it's not something that we're charging any extra for, so I think that's kind of our general approach. We kind of, we've been talking about doing it, doing some of these things as a standalone, but it's more of like, people that come in and we typically. Whatever I learn, whatever new things we're doing, we just add it in.

[00:24:50] Mrs. Madi Partovi: Yeah it's about what has integrity for us. As as a couple, running a medical practice. What has integrity for us? 

[00:24:59] Dr. Pyan Partovi, JD, NMD, MIFHI: [00:25:00] Yeah. And I think that ultimately we have, I mean, the latest thing that I'm been excited about is the new anti aging protocol, which we're You know, which I've been learning about and we're about to really, we haven't technically launched it yet, but it's something where there's a combination of, both natural medicines as well as pharmaceuticals that have been shown in some really interesting models to extend human health and life.

[00:25:26] Dr. Pyan Partovi, JD, NMD, MIFHI: And I think what's fascinating about it is that it is cutting edge and it's something that is It's also evidence based, and it's something that is approachable that anybody can implement, and that will have effects at preserving fertility, like we've already talked about, but also forestalling a lot of the negative consequences of aging across the lifespan.

[00:25:50] Dr. Pyan Partovi, JD, NMD, MIFHI: And we've seen some pretty amazing results in individuals who are in that final portion of life, as I mentioned, in terms of helping to [00:26:00] reverse a lot of the chronic issues that they're dealing with. So. 

[00:26:05] Conclusion and Future Directions

[00:26:05] Mrs. Madi Partovi: Thank you for your generous listening. I am Mrs. Madi Partovi. 

[00:26:09] Dr. Pyan Partovi, JD, NMD, MIFHI: And I'm Dr.

[00:26:10] Dr. Pyan Partovi, JD, NMD, MIFHI: Ryan Partovi. 

[00:26:11] Mrs. Madi Partovi: And we are Aspen Wellness Institute.