#103: Wired, Tired, and Stressed? How Understanding Your HPA Axis Could be the Key to Achieving Optimal Health with Dr. Zandra Palma

Summary: Have you ever heard of the term “adrenal fatigue”? We commonly associate this term with the feelings of extreme fatigue, hormonal dysregulation, and other physical symptoms that can occur from chronic stress. Dr. Zandra Palma feels that this term is actually inaccurate but that we can look to the hypothalamic-pituitary-adrenal (HPA) axis for the cause of these discomforts. On today’s Broken Brain Podcast, our host, Dhru talks to Dr. Zandra Palma, a Functional Medicine physician with a background in internal medicine and anesthesiology. Her interest in root-cause medicine began in college when she studied human evolutionary biology at Harvard University. Zandra attended medical school at Columbia University, College of Physicians and Surgeons. She wrote her thesis in the field of contemplative care after an apprenticeship with New York Prespetarian Hospital Chaplain Seigan Glassing, who taught her how to integrate mindfulness-based practices into the care of terminally ill patients. She completed her Functional Medicine training in the Kresser Institute’s ADAPT fellowship. In this episode, Dhru and Dr. Palma talk all about the importance of the HPA axis and how if these systems experience dysfunction, it can affect every aspect of your health. More importantly, Dr. Palma discusses how to support your HPA axis, reduce stress, sleep better, and feel great. While HPA dysfunction affects many different systems and has a multitude of symptoms, even if you’re not affected, the first steps to recover and begin healing can benefit everyone. “Soft” interventions, like massage, meditation, sleep, rest, relaxation, and self-care can play a significant role in getting your stress under control and supporting your HPA axis. In this episode, we dive into:-Description of the hypothalamic-pituitary-adrenal (HPA) axis and why the term "adrenal fatigue" is not accurate (2:08) -Events that cause HPA dysfunction (7:00)-Symptoms of HPA dysfunction (9:37)-What happens when our stress response system is always "on" (11:20)-What conventional medicine doctors learn about the HPA axis in medical school (18:55)-An example of a patient with HPA axis dysfunction (20:28)-How to begin diagnosing HPA dysfunction (22:28)-How the thyroid, gonads, and HPA axis are connected (25:41)-How Adverse Childhood Events (ACEs) affect the HPA axis (31:10)-Where to start when assessing HPA axis dysfunction (32:41) -The powerful benefits of "soft interventions" (38:36)-How stress affects your blood sugar more than what you eat (43:45) -How more is not always better when it comes to exercise (45:11)-What in your environment can affect your inflammation levels and HPA axis (48:03)-How crucial sleep is to supporting your adrenals (52:30)-More about the study of evolutionary biology (57:44)-How to find out more about Dr. Zandra (1:05:13) For more on Dr. Zandra, be sure to follow her on Instagram <a href="https://www.instagram.com/zandrapalma_md/?hl=en" rel="noopener noreferrer" target="_blank">@zandrapalma_md</a>, on Parsley Health’s IG <a href="https://www.instagram.com/parsleyhealth/?hl=en" rel="noopener noreferrer" target="_blank">@parsleyhealth</a>, and on Facebook <a href="https://www.facebook.com/zandra.palma" rel="noopener noreferrer" target="_blank">@zandra.palma</a>. Check out her website <a href="https://zandrapalma.com" rel="noopener noreferrer" target="_blank">here</a> and learn more about Parsley Health’s Care Anywhere program <a href="https://www.parsleyhealth.com/plan/complete-care" rel="noopener noreferrer" target="_blank">here</a>. To learn more about Ziva Meditation, listen to <a href="https://drhyman.com/blog/2018/05/11/the-broken-brain-podcast-episode-two-with-emily-fletcher/" rel="noopener noreferrer" target="_blank">this podcast</a> and check out the website <a href="https://zivameditation.com/" rel="noopener noreferrer" target="_blank">here</a>. For more podcasts on the topic of mold, check out <a href="https://drhyman.com/blog/2019/01/24/bb-ep39/" rel="noopener noreferrer" target="_blank">this one</a>. For more podcasts on ACEs, listen to <a href="https://drhyman.com/blog/2019/06/20/bb-ep60/" rel="noopener noreferrer" target="_blank">this one</a>, and to find the ACEs quiz, <a href="https://developingchild.harvard.edu/media-coverage/take-the-ace-quiz-and-learn-what-it-does-and-doesnt-mean/" rel="noopener noreferrer" target="_blank">go here</a>. To find out more about Grounded Beauty, visit this <a href="https://groundedbeauty.com/" rel="noopener noreferrer" target="_blank">website</a>. To learn more about Dr. Zandra’s favorite books, check out <a href="https://www.amazon.com/Path-Heart-Jack-Kornfield-2002-08-01/dp/B01K90ER1S/ref=sr_1_3?crid=JUVNYSBJHMS7&keywords=a+path+with+heart+jack+kornfield&qid=1585756369&sprefix=a+path+with+hear%2Caps%2C211&sr=8-3" rel="noopener noreferrer" target="_blank">A Path with Heart</a> by Jack Kornfield, <a href="https://www.amazon.com/Buddha-Blue-Jeans-Extremely-Sitting-ebook/dp/B005ZZ2T2C/ref=sr_1_2?keywords=buddha+in+blue+jeans&qid=1585756411&sr=8-2" rel="noopener noreferrer" target="_blank">Buddha in Blue Jeans</a> by Tai Sheridan, and <a href="https://www.amazon.com/You-Are-Here-Discovering-Present-ebook/dp/B00I8USOG6/ref=sr_1_2?keywords=you+are+here&qid=1585756433&sr=8-2" rel="noopener noreferrer" target="_blank">You Are Here</a> by Thich Nhat Hahn. Sponsor: This episode is sponsored by our partnership with the AquaTru Water Filter. To get exclusive access to this deal visit <a href="http://www.brokenbrain.com/filter" rel="noopener noreferrer" target="_blank">www.brokenbrain.com/filter</a> Interested in joining Dhru’s Broken Brain Podcast Facebook Community? Submit your join request here: <a href="https://www.facebook.com/groups/2819627591487473/" rel="noopener noreferrer" target="_blank">https://www.facebook.com/groups/2819627591487473/</a>For more on Dhru Purohit, be sure to follow him on Instagram <a href="https://www.instagram.com/dhrupurohit/" rel="noopener noreferrer" target="_blank">@dhrupurohit</a>, on Facebook <a href="https://www.facebook.com/DHRUxPUROHIT/" rel="noopener noreferrer" target="_blank">@dhruxpurohit</a>, on Twitter <a href="https://twitter.com/dhrupurohit" rel="noopener noreferrer" target="_blank">@dhrupurohit</a>, and on YouTube <a href="https://www.youtube.com/channel/UCBnLhz50WZAvsF4S72xtESA?view_as=subscriber" rel="noopener noreferrer" target="_blank">@dhrupurohit</a>. You can also text Dhru at (302) 200-5643 or click here <a href="https://my.community.com/dhrupurohit" rel="noopener noreferrer" target="_blank">https://my.community.com/dhrupurohit</a> <hr> See <a style="color:grey;" target="_blank" rel="noopener noreferrer" href="https://acast.com/privacy">acast.com/privacy</a> for privacy and opt-out information.

#103: Wired, Tired, and Stressed? How Understanding Your HPA Axis Could be the Key to Achieving Optimal Health with Dr. Zandra Palma

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