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In todayβs podcast, Dr. Alex Jimenez and Master Nutritionist, Ana Paola Rodriguez Aricienga are continuing what the beneficial properties of melatonin do to the body. This is part 2 of a two-part series on melatonin.
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[00:00:00]Β Dr. Alex Jimenez DC*:Β Β Hello, Ana Paola Rodriguez Arciniega. How are you doing today?
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[00:00:10]Β Ana Paola:Β Iβm doing fine. How are you?
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[00:00:13]Β Dr. Alex Jimenez DC*:Β Weβve got a good subject today. Weβre going to talk about melatonin. We will complete the circuit, at least a little bit of the intro for the melatonin program. Weβre going to be focusing today specifically on some subject matters that are important on the melatonin side of things. Now what Iβm going to do here is, as I get a little bit ready here for you, what Iβm going to do is weβre going to be discussing it a little bit more elaborately. With the focus that directly directs itself on how melatonin and aging are affected, a little bit of melatonin and the coronavirus, doing it with a detailed understanding of the difference between fighting melatonin or melatonin itself, test cases, as well as some literature review as to what the new concepts are in the melatonin arena. Now, as we discussed early on, we were going to present the screen here. We found out that melatonin is a recent addition to modern medicine now. It was first to segregate it in the 50s, and even plant melatonin, which is the fight of melatonin, as itβs called, was discovered later in the late 90s. However, weβve heard about it precisely as it came into the world, and around the mid-80s, it was explicitly for, letβs say, jetlag and to reset our time rhythms. Since then, weβve learned so much about human dynamics, and what has happened is is as weβve been able to see those things are going to show up on my screen here, weβve been able to understand the vast connection that melatonin has and brought upon the entire system now. Last time we discussed that melatonin is not only a product, it affects the brain, and its receptors are throughout the body, such as the eyes, the brain, the lungs, and the heart itself. Itβs like almost a mitigating or an announcer of a new phase for a change when it elevates in the bloodstream, such as it launches into the nightβs sleep. It also has receptors in the digestive tract. It has in the ovaries, in the sex organs, in the liver. So the entire body is like listening in, and melatonin seems to be the product produced from the pineal gland that tells the whole organ how to function. Hereβs the crazy part now that we know that itβs in our body and the receptors. We understand the vast areas it affects; weβre also learning today, but we can see and discuss how it is in different parts of plants. Such other receptors, like letβs say, the Leaf has specific receptors. So the stock has roots that have different receptors for melatonin. So this is a bit essential chemical with an extensive, vast dynamic approach in the things it affects. Now we know that it starts at the early stages of a life cycle, and weβre going to discuss those particular dynamics. So as I do this, Ana Paola will be discussing a little bit as we interject here, and sheβs going to go deep into it, not a little bit, but go deep into the subject matter as a master nutritionist and someone who individually works with a lot of patients, and she has a clinical practice. Thatβs why we were both clinicians, and we both deal with people, and weβre not someone that is stuck in a lab, though we appreciate that. But we have real-life experiences with live individuals and whatever we can do to help our patients and bring them a better or a more normal life in todayβs crazy world. Well, weβre going to be making huge strides in there in their health processes. So welcome, Ana Paola. How are you doing again? Youβre doing good.
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[00:04:18]Β Ana Paola:Β Iβm doing pretty good, and Iβm ready to talk a bit about melatonin throughout the life cycle because it has a lot of information about it. And it is very, very well dated and in-depth, but actually, they have seen a lot of different reactions, and no one can tell you how melatonin works. Or how the secretion of melatonin is or if thatβs like something constant around during the night. So thatβs like the main thing that we have to take into account.
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[00:04:56]Β Dr. Alex Jimenez DC*:Β Β You mentioned something significant. Aspirin. People do not know how aspirin works, OK? In many ways, we know itβs an anti-inflammatory, but the vast effects are different. Melatonin is the same thing we are at the beginning of the learning, understanding what it is. So bear in mind that we are no longer in the position where weβre new to us, but we are learning about it. So youβre going to hear it. Where do you want me to go? Do you want to use this graph here?
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[00:05:22]Β Ana Paola:Β Itβs OK. So I want to talk a bit about how melatonin expresses throughout the lifecycle. And of course, we have to start as a baby. So I donβt have any babies or anything. Still, Iβm going through all of the studies with my lactation program, and it mentions that babies donβt secrete a lot of melatonin concentration or high levels of melatonin until the age of six months. But the melatonin that is linked to the baby through the mother, itβs great that the amount of melatonin inside of maternal milk raises from the first month of life throughout the third month of life. And right after the six months of life is where the baby starts to produce its own melatonin. So that is highly associated with the fact that a baby thatβs like six months of age can begin to stay asleep for an extended period. So thatβs actually where the mom and dad start to relax a little more in the night, and all of a breastfeeding pattern starts to slow down throughout the night. So thatβs great.
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[00:07:01]Β Dr. Alex Jimenez DC*:Β Β You know, Ana. This bringsβ¦
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[00:07:02]Β Ana Paola:Β I think this bringsβ¦
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[00:07:05]Β Dr. Alex Jimenez DC*:Β This brings a lot of greatβ¦
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[00:07:06]Β Ana Paola:Β Lot of memories.
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[00:07:07]Β Dr. Alex Jimenez DC*:Β Yeah, a lot of memories of my daughter and I remember walking in the night, and sheβs just looking at me just like walking in, and sheβs looking at me like a radar. Just staring at me. And Iβm thinking, itβs 3:00 in the morning, go to sleep. Do that. Just go to sleep, which is 5:00 in the morning, just staring at me. Man, she started screaming after about the third week, and we didnβt sleep till like six months after that. So at that point, it makes perfect sense that a baby does not produce as much melatonin. Where does the baby get the melatonin because they do get affected by the melatonin?
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[00:07:41]Β Ana Paola:Β Oh, from the motherβs milk. So thatβs like a massive part of why you should breastfeed a baby because a lot of I have never seen a formula that says it contains melatonin. How much melatonin? We donβt know because it fluctuates. And honestly, thereβs a lot of information that says that melatonin starts to rise from the moment from the first month of the pregnancy throughout the ninth month. Then it slowly starts to decline after the mom gives birth. So thatβs another thing. We donβt know what kind of concentration or excess concentration the motherβs milk has. And it fluctuates in the morning that the quantities of melatonin are not that high. And all of the setting in the night the breast milk has a little more concentration of melatonin on its contents, so that use the melatonin in the first months allowed the baby to fall asleep like briefly. So it might be a very high emotional connection or a different emotional connection. But chemistry plays a big part in how a mother can provide that calmness to their baby. So itβs crucial.
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[00:09:19]Β Dr. Alex Jimenez DC*:Β When you mention that, it gave me a little bit of understanding as to the suprachiasmatic nuclei. I want to bring that in here a little bit here when we look at the anatomy of where the pineal gland is, which is the thing that produces it now, a lot of things that are in this area now, right in that area, right there. If I can look at that picture, I want to make it too big. But what happens is it sits right behind the optic nerve chasm. So itβs a suprachiasmatic nucleus. So it launches and is produced based on light lighting that comes in the eyes. So the reason I say that is because of what youβre talking about right now, specifically about maternal milk, OK? Itβs important that as these studies reveal that women know this, they start, you know, doing at least getting the milk ready in the dark. And actually, it produces melatonin. Can you give some insights into that?
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[00:10:20]Β Ana Paola:Β Yeah, thatβs right. It is essential. And this is kind of basic for us to know and for everyone else to learn, to respect the way that light enters our lives. So we have to wake up in the morning, get sucked by all of the light from the sun, and start. And then slowly throughout the day, we have to turn the lights down. We donβt need to have all of these vast appliances with the light, and the screens turned on because that will mess up your melatonin production. Youβre right. But what is recommended for the mother is that if they are using a breast pump, it is very recommended for them to differentiate the amount of milk expressed in the morning and the milk expressed in the night. And to give that milk in the morning or the night. Mothers need to respect those times when they are pumping, and if they choose to breastfeed, itβs crucial to make the last breastfeed at a calm, relaxed, and dark place, so do not turn on the lights. You donβt need to turn on the lights to give the last breastfeeding of the day, which is very important. That will allow the melatonin to come down from the milk thoroughly. Another thing is that milk production, milk suppression, and milk extraction are purely hormonal, and melatonin is a hormone. So we have to be very conscious about why the pineal gland is so close to the hypothalamus and how they work together to secrete all the following hormones to provide that lactation supply.
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[00:12:25]Β Dr. Alex Jimenez DC*:Β So I got to tell you, you know what? I love these pictures because, as I mentioned earlier, I hear that the suprachiasmatic nucleus lives. Thatβs the eyeball. As soon as the light comes in, it stimulates its production. So itβs incredible how fast and how quickly the reaction is by, as you indicated, the lighting. Now, if someoneβs having a tough time with lighting, I mean, we have simple, presumably just putting one of those covers that makes a big difference. Go ahead shed light on that.
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[00:12:54]Β Ana Paola:Β Oh, I was going to mention that many studies include like-minded patients because they mustnβt have that modulation of melatonin because they donβt see very well. I donβt know how that works, but they have many sleeping problems due to their eyesβ bad suprachiasmatic signals. So it plays a big, significant role in how youβre going to secrete melatonin. How is your body going to react to all of the melatonin signals? Because as we see, it plays a vital role in sleep, but I feel like itβs the bodyβs agenda. So it says, Hey, Iβm going to stop my secretion, but you need to work cortisol. You need to work glucagon. You need to work estrogen. So Iβm going to fall asleep, but you get to work. So itβs the one that itβs giving the orders to all of the different tissues with either MT1 or MT2 receptors. So it plays a kind of multitasking hormone. And thatβs the way that I see it as it called melatonin. Itβs a multitasking hormone.
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[00:14:27]Β Dr. Alex Jimenez DC*:Β It reminds me of the Ricola commercial, right? You hear the sound, and everyone in town kind of starts hearing, OK, this is it, we got to do something right. So as soon as you get that commando going off, we start a militia of metabolism that is going out throughout the body. This process shows how important it is from the beginning of life and how it adapts as we get older. Go ahead.
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[00:14:59]Β Ana Paola: Yeah. So actually, the highest level of melatonin was counting those babies from one year old to three years old, and then they too started to slow down. But thatβs something that happens during those moments. The fact that the supply is kind of the same, but our body is expanding. Thatβs how melatonin works: how we can measure its supply or how it is simulating the body, right? So that is one of the most important things that we have to take into account the fact that while weβre growing, our melatonin receptors are not going to be able to grasp melatonin fully, and thatβs where all of the different sleep disorders that come with age will start to develop. So this topic, itβs just from the first life; first, you are full of energy through maybe 30 or 40 years old because as age starts to develop is suprachiasmatic nuclei or, in our opinion, begin to boil, calcify, thatβs what happens. And then it starts and stops it, creating those large amounts of melatonin.
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[00:16:39]Β Dr. Alex Jimenez DC*:Β When you say that, I remember my grandmother; she was always up. I mean, she went to bed early. She is in bed by nine oβclock, and sheβd be screaming at us for her to get some sleep. But she was always up at literally 5:00 in the morning. It was like, Whatβs up, lady? Listen, you need to go back to bed. But hereβs what happens as you can see this, you can see that itβs producing at high levels, and weβre here measuring the peak of grams, which is a small amount. But hereβs the production. But you can see that where most problems and most people start taking melatonin is somewhere in their 50s because the production is a little bit less, you can see the correlation here and the association of it causing more problems as we age and as we get into this kind of realm into the 60s and 70s. So when we see our patients, typically the people here in this area in the 30s and 40sβ¦
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[00:17:33]Β Ana Paola:Β They are having fun.
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[00:17:35]Β Dr. Alex Jimenez DC*:Β Theyβre able to sleep better. But you know what, in todayβs world, because of stress, because of COVID world, right? We are off-balanced because we donβt get the sunlight. People have been working from home for months. We spent inside indoors, and we didnβt understand what the effects were. We see the consequences of that. So itβs essential to see precisely the timelines as to whatβs going on. Now in terms of melatonin, if we go back to this graph, and whatβs important to see is that you can see that melatonin at a certain age somewhere around here is puberty, OK? There is a signaling process that the body immediately goes down. So thereβs a lot of school of thought that discusses before puberty the effects of melatonin. Can you add a little bit of knowledge on that particular subject and drop some knowledge on us about melatonin in children? Because I think thatβs important to understand that though melatonin is used, the studies donβt show that it causes it. But the body, by its nature, can say, OK, itβs time to stop that. It appears that thereβs a timing that signals the pre-puberty to go through puberty. So thereβs a school of thought that this delays puberty or not. So whatβs your take on that?
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[00:18:56]Β Ana Paola:Β Well, actually, melatonin is some meditation that did show any delayed development in children or prepubescent patients. So thatβs what I think that we have to take into account. But as I said before, there are a lot of factors that play a massive part in this melatonin drop. And something that stuck out to me is that it has a lot to do with the fact that our body is expanding. So there is a lot more issue to covering melatonin, which is why many problems like sleep and difficulties come up around that age. Also, we have to consider that they are stressed out quickly, and it has a lot to do with school. So that can be emotionally tied to the melatonin supply or how our melatonin receptors act. But the only thing that relates to how melatonin plays a part in this specific time of life is that our body is expanding. Itβs growing, and that shapes a lot of the activity of melatonin. But weβve said before, and itβs a potent hormone and the fact that in that same state of life, we start to produce all the hormones that help the sexual development of a child, which stands up to me. And no one mentioned it. I donβt know if thatβs like my particular input or what I take out from all the things that Iβve already read, but it has to do something about that.
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[00:20:55]Β Dr. Alex Jimenez DC*:Β Well, we see here that very few studies say it causes a pretty brutal delay of puberty. However, in just out of because one of the things is that we donβt want to, and it would be illogical or probably inappropriate and unethical to test the melatonin on children at this point.
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[00:21:20]Β Ana Paola:Β So thatβs another thing. All of their reports and their conclusions, all of the results have been taken from all their study. It was just like a precise result that they saw, and they wanted to talk about it in another report. But no one has stated or made reports or studies about that because itβs ethical, as you said before. Another thing is that itβs necessary or the only studies that intervene children with melatonin with the survey have objective research were in patients with ADHD or other cognitive problems. And they showed a lot of good results and those on those patients. But they use very little melatonin because we have to be careful when supplementing children or adults with melatonin. After all, it has like itβs multitasking or a hormone to work in different ways.
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[00:22:41]Β Dr. Alex Jimenez DC*:Β So, you know, itβs so powerful. And you would ask, why is this stuff this is so powerful, right? Why do they even sell it in stores like that? It should be off the market. But the reality is, is the FDA has determined that this stuff is in food, right? So itβs good so that it doesnβt get regulated because itβs part of the natural process when weβre dealing with children, specifical children in the pubertal era. One of the things that I like to do is use different types of protocols that will be like GABA or L-theanine or five FTTP as an option in this particularly tight window here. As for other options, now, when we get the kids with ADHD, theyβre in teens and have issues that may be an area where we change our protocol, and weβd be more likable to use melatonin. But as you indicated explicitly, the lower the dose, the better. Itβs fantastic. But you donβt have to take 20 milligrams of the stuff, so they sell it. Usually, time-release is going to be above five mg. There are two types: time-release, which kind of like, you know, whether they use excipients to make it last long and it doesnβt get digested through the body. Itβs sitting and hovers in your intestines, but it keeps on producing. Those are usually between five and 10 mg. Now you have the fast-acting one when you just put it under your tongue or sometimes drops well, and your body just instantly absorbs it. Well, the effect is much sooner, much quicker. So there are two types of results depending on the issue and on the problem and the individual because maybe they have a beginning to sleep good or keep on waking up. So perhaps a time-release dynamic would work there in that dynamic. Every situation changes, but weβve got to be very pragmatic. It affects every organ, and it typically involves the body differently in different regions. So I love that. I love that component. Now, the timing issue has not been proven out. In the life cycle of individuals perimenopausal, itβs like before a near perimenopausal period that women affect it a certain way. Menopausal women do. Now weβve been able to see that, you know, certain hormones are lower in women, and that is getting perimenopausal. The hormones, the estrogens, the hypothalamus, the pituitary, and the restart functioning. It starts being altered in that process. We have a flux of hormones. And one of these hormones is progesterone and progestin, so these hormones, as they get flexed into areas, you give a lady progesterone, and sheβs going to sleep like a baby. Itβs just one of those beautiful things that many people do to supplement it to stabilize hormones, depending on what an endocrinologist would indicate or want at that point or their specialist internist, whatever the doctor is. The fact is weβre trying to stabilize these dynamics, but you can see that early on in the pre-menopausal phase. It was fascinating that you would think that the perimenopausal-based progesterone, but it does affect many people at that time. Here youβre still producing progesterone. Over here, youβre not doing as much, but it alters. This indicates that the receptors probably become thirstier and more capable of functioning in more stabilized on the other side of menopause, correct? Because thatβs a funky time. So thatβs a very intense moment for most women. If you can see their body and how their hypothalamus and their pituitary do, it is in rage. And itβs a very angry hypothalamus. Itβs a very angry pituitary. And it says ovaries do as I tell you, but the ovaries donβt want to do. And then, when we have the word of the day, is the shrew. An angry, ill-tempered woman is a shrew. The pituitary is the hypothalamus that turns into a shrew and commands the pituitary the adrenals to function. And in that process, what does a woman feel? A nightmare of heat flashes, hot flashes, sweating. The body is raging. Listen to me, ovaries. But all this kind of stuff happens in the pituitary right next to the pineal gland. So itβs a bit chaotic in its dynamics, and it tends to cause drama during these periods. So depending on the individual, you will see that during this period of the menopausal phase, youβll have a lot of women suffering from what? What do you think?
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[00:27:18]Β Ana Paola:Β I think many hot flashes at night and exhaustion, and that has to do with melatonin drops.
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[00:27:24]Β Dr. Alex Jimenez DC*:Β So yeah, and usually women are pleased during those periods. Not really. But when did this all happen as we get out of biblical ways? God said he was going to punish us, right? So we shouldnβt eat an apple.
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[00:27:43]Β Ana Paola:Β Oh man.
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[00:27:47]Β Dr. Alex Jimenez DC*:Β Or the males should have been responsible for saying, I ate the apple and not blame on Eve, right? So a lot of things happened as a result of this, right? So as we look at those dynamics, we can kind of go into Bible class about that. Weβll talk to crews on that, too. Aging and sleep. Let me ask you this question. In terms of this, we can see that as we age, melatonin fluxes and the circadian rhythm is altered, and sometimes even medicines that are used are or they cause problems as a result. Can you give us some insight on aging and sleep?
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[00:28:25]Β Ana Paola:Β Aging, sleep, and chronic diseases most of the time, because many studies show most of them in hypertensive patients, that they lose their ability to have a great nightβs sleep and sometimes what a medical professional use uses is benzodiazepines. And most of the time, this disrupts the circadian rhythm and the fact that melatonin supply from the pineal gland. So thatβs something that stood out to me that we go and treat people in a very aggressive way instead; Iβm going and playing along with the biology and how these things should be messing up the patientβs circadian rhythm. And itβs, as I said before, itβs natural. All of the melatonin supply tends to slow down throughout our life development and our life cycle. So, yeah, it will eventually slow down. We will eventually lose the ability to produce that same amount of melatonin or get our receptors to work. But we have to we can treat it quickly with melatonin supplementation and with just a small, small amount of bed. And you mentioned something before that is essential: melatonin supplementation comes up as a working kind of momentum right there, or they can either be with an excellent little supply of melatonin from that release.
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[00:30:14]Β Dr. Alex Jimenez DC*:Β Like a continuous release, right?
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[00:30:17]Β Ana Paola:Β Continuous release. Yes, right. So thatβs the thing that itβs essential, the fact that most of the studies support the continuous release of melatonin. So implementation works better for a better nightβs sleep. It contributes to the quality of sleep, and itβs associated with the fact that it can protect the brain or mostly the brain from deranging from contributing factors that will end up being Alzheimerβs disease.
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[00:30:57]Β Dr. Alex Jimenez DC*:Β I love that word derangement because thatβs how I feel when you donβt sleep if you donβt sleep, the brain doesnβt function. Your sleep and the stages of sleep are essential to go deep into the zone throughout the Beta-gamma, and those beta waves, different types of sleep are necessary for us. So to start the process to announce to the body, itβs time to start sleeping. So we got to go through almost a level of when we deal with melatonin and sleep. Itβs not only hand in hand, but weβre learning that it has other issues, but itβs essential to understand how it affects the body in so many drastic ways. This is kind of like the mechanism that tells the body you need to bring it down. You need to get it to the point where you need to go to bed. And if you donβt, weβre going to start having a reactive oxygen species. Weβre going to start causing inflammation. Weβre going to make your night a living, whatever, and itβs going to be a huge dynamic change. So when we look at this, it alters temperature. It limits the bodyβs ability to raise its body temperature, itβs core temperature. So we know that the cooler we are, the better we sleep. So when youβre in a deep sleep, you tend to get cool. If the melatonin doesnβt reach its certain levels, you may increase your body temperature and wake up. So sometimes melatonin is even used, and we noticed that, and it continues released. It keeps the body temperature low, allowing you to go through the processes of just cleansing the body and going through the recovery stage. Itβs a crucial thing now. You mentioned something about pharmacological agents from, you know, different types of medications and analgesics, pharmacokinetics, early-stage one PharmaCann psychotropic medications, psychological medications, second stage, and now the newest versions of those. They alter the sleep pattern. And many people come in as a result of our particular type of practice, an injury-based practice. So we have trauma accidents, and they start taking these pain medications, which, yes, what it does, it messes with areas from the deep chasms or the suprachiasmatic nucleus. Also, the reticular endothelial tissue, which is the Dula base, actually stimulates and controls a sleep pattern. If that happens well, then medications take away pain disrupt the circadian rhythm, creating drama. Guess what happens when you canβt sleep? You become psychotic. I mean, you lose your ability to focus. You canβt do natural things. And then you have a lot of drama in life. Not only that, but you become inflammatory and susceptible to many diseases. Weβre going to be discussing the implications of what melatonin does even in the COVID dynamics. So weβll talk about that in a few. So those are the kind of things. Why does melatonin start with age? Well, you were mentioned that you were talking about the calcification of the pineal gland.Β
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[00:34:07]Β Ana Paola:Β Yeah, thatβs right. Something that stood out to me. Melatonin played a massive role in the immune-modulatory sense way. So something that we have to take into account is that it is not only the pineal gland that secretes melatonin. There are a lot of other cells that might be able to secrete melatonin. One of these molecules, per se, is the mitochondria or other macrophages that can secrete this hormone. So itβs like we can say that itβs distributed throughout our body. Still, the central part of our body controls melatonin secretion only gets affected by calcification, it plays a massive role, and we can associate this with many things right now. Hence, it has a lot to do with the hormonal feedback, and I donβt know if thatβs our limitation. Thatβs like the only thing they know about that something is going wrong with their hormonal effect, but they donβt know what will happen. Another vital role in immunomodulatory or inflammatory responses is that melatonin can play a role if it is a scavenger for reactive oxygen species. And once the desecration of starts to slow down, then reactive species will eventually stop to back into the matter. And all of these excitatory processes will come along. And this is something that itβs called inflammation that will subsequently trigger all of these detrimental effects and different tissues of the body, ultimately affecting the pineal gland. So this is going in a very close and molecular way, but that will eventually play a huge role in the calcification of this tissue, the pineal gland.
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[00:36:34]Β Dr. Alex Jimenez DC*:Β Now you remind me of when you said that, Iβm thinking like, you know, you call it like scavengers, OK? So here you go. This is a picture here. This guy here, that guy in the air. Thatβs a reactive oxygen species. OK, right? Thatβs melatonin just totally knocking it out. Thatβs how we look at it. So when we see reactive oxygen species, itβs the enemy. Itβs the thing that is used to keep the body from thereβs tools that it uses. We need reactive oxygen species to get it right. Like our body fights are, macrophages use it to destroy other bacteria, right? But when they go crazy, they got to be put out, OK, just like that, man. Just that. And thatβs what vitamin A, E, C, all the antioxidants. This is what happens. They take them out. We need to have a balance. Otherwise, our body becomes inflammatory. And thatβs where we want to talk about this now. You mentioned that it has a multitude of effects in terms of it. If itβs not appropriately balanced out, sleep apnea, stroke is respiratory disorders. They increase these hypoxic areas in the pineal gland that also causes the calcification you were talking about; trauma to the brain also affects how the body produces melatonin. Alzheimerβs also impacts these individuals, and their sleep is off. So if anyone whoβs got some neurotrophic or neurodegenerative disorder, it can be affected directly by that. So not only does it affect individuals in a usual way, but we have to be very mindful of the understandings of what we have found out that it causes. No, as you mentioned, even ibuprofen, these medications that we have here, you see certain alpha-blockers for blood pressure. All these medications here are diazepam, Valium, Xanax. People even take that to relax and sleep.
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[00:38:27]Β Ana Paola:Β Yeah, and thatβs the fact. Just imagine how the pathway goes for this cascade. You are diagnosed with hypertension, and you get recommended to take a hypertensive drug, and this drug takes away your sleep pattern, and then you go and take diazepam, which plays the same role. So youβre going to eventually have delayed or sleep pattern disorder or maybe just lose your quality of sleep. And that will subsequently come up with different factors in your life. You can either lose cognitiveβ¦
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[00:39:22]Β Dr. Alex Jimenez DC*:Β Function?
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[00:39:24]Β Ana Paola:Β Cognitive function, yes.
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[00:39:26]Β Dr. Alex Jimenez DC*:Β The truth is, weβre all suffering from that, but itβs perfect to understand that inadequate sleep at night is simple as covering your eyes. Just a simple something or an excellent little cover, you know? I look like a frequent sleeper with the night cover. My daughter sometimes takes my little sleep cover, and I take it back when she sleeps. And when she wakes up, she gets irritated. But I guess she gets mad when she doesnβt sleep. Insufficient exposure to light, you know, getting out and feeling the sun on our body not only produces a lot of hormonal reactions from our skin, but that light also sets the path and the pattern for our pineal gland to function that way. So if you live as a hermit and you work and their computers all the time, well, eventually theyβre going to have some issues with sleeping. And one of the things that I donβt care who you are, I mean, most of the kids are today, even the college graduates. They love playing games at night, right? Thatβs how they met their friends. Thatβs how they keep in touch with their buddies from college worldwide, and theyβre playing arcade games late at night. Itβs funny watching lawyers and doctors playing at night with their computers.Β
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[00:40:57]Β Ana Paola:Β I have one of those at home.
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[00:40:58]Β Dr. Alex Jimenez DC*:Β Yeah, and they donβt sleep. And then what happens is theyβre like 3:00 in the morning, and theyβre angry at everybody else because itβs 4:00 in the morning, and theyβve won their game. But sleep matters. So it becomes a huge, important thing. Alcohol, though itβs a beginner of sleep because it relaxes people, messes up deeper sleep levels. So it causes some issues. Adrenaline, you know, when you have constant stress, cortisol suppresses melatonin. Well, if youβre getting chewed at or life is becoming problematic at work, and youβre always worried. Well, now you know why you need some assistance to reestablish the standard melatonin patterns. Now weβre going to discuss what we do in a few minutes to see the melatonin dynamics. And letβs take a look at it because one is my opinion. One is anyoneβs efficiency, but one truth is with the best bloodwork says on a patient. At that point, we can give a much more logical point of view. Caffeine. Believe it or not, even the ailment affects the body. So if you take caffeine and Iβm guilty of it too, right, I have about, you know, an average, normal amount of coffee, which is probably, I think, 16 espressos and about three cups of coffee because I want some more juice on it, right?
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[00:42:15]Β Ana Paola:Β So that itβs totally fine.Β
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[00:42:20]Β Dr. Alex Jimenez DC*:Β I wonder why maybe, you know, people have arrhythmias or not. So, cofactors, as we discussed in the first demonstration, there are a lot of stages from tryptophan to five HDP to the production of serotonin to, you know, to melatonin. Cofactors influence all these dynamics. These cofactors are things that assist the biochemical process to continue what we call a rightward shift. If itβs missing, it does not travel, or it delays, it backs up. Just like in Somalia. What was this boat that got stuck in the river? You saw that it wasnβt?
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[00:42:59]Β Ana Paola:Β No, I donβt remember.Β
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[00:43:02]Β Dr. Alex Jimenez DC*:Β Freddyβs River or something like that, right? Where the darn thing backed up and the whole world stopped, right? Because I mean, little communication, all the Middle East and all the medications stopped, right? So it shows you that if you donβt have the proper cofactors and the progression in an average direction, literally all systems stop producing. You know, one good example of a biochemical process is photosynthesis. For instance, you need light, you need water, you need energy, right? If you donβt have it, you donβt have photosynthesis. It doesnβt progress. Cut the water out. Not that much photosynthesis. Cut out the sunlight. It stops it, right? So we are dependent upon these cofactors. B3. We talked about that earlier vitamin C zinc, all these supplements that we talk from iron before seeing what it needs to do and how we can assess those to see if youβre missing that. Or now weβve got to figure out where the process is theorized that melatonin supplementation can neutralize reactive oxygen species. Yeah. So what Iβm saying is, we can take out those, take out that reactive crazy oxygen that causes decay, causing inflammation.
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[00:44:18]Β Ana Paola:Β OK, so are either microorganisms or bacterial pests have been being stuck with melatonin supplementation? And another thing that we have to mention is that narrowed neurodegeneration goes and plays a massive part in our sleep cycles. So, whenever we have a night of disrupted sleep. We are susceptible to neurodegenerative processes that will improve or increase the fact that weβre producing those amyloid proteins in our brain, which will lead or be associated with Alzheimerβs disease. So thatβs huge. Like when you said you wake up your daughter, be careful; you might be disrupting her sleep.
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[00:45:17]Β Dr. Alex Jimenez DC*:Β She needs to be punished. You know, for months and years, I was the village idiot basically in the whole business because my brain wasnβt functioning because she prevented my sleeping pattern. My daughter caused so many neurodegenerative diseases. See, thatβs the truth, and Iβm just kidding.
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[00:45:33]Β Ana Paola:Β And now, you are paying her back.
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[00:45:35]Β Dr. Alex Jimenez DC*:Β We have a good relationship that she just has nothing but love and contempt for her father. Thatβs a good word. So between the shrew, the angry, ill-tempered woman, and the content, I live an exciting life, but Iβll tell you what melatonin family balance is a perfect thing. The picture here we can see here is the pineal gland. You can see when we look at bone; itβs very circular, and itβs calcification. These are mesenchymal cells here. Weβre seeing that inflammation causes a protection mechanism to calcify the pineal gland. You can see that these pineal glands are functioning, and theyβre nearly calcification. This is because itβs inflammatory. And when you see this kind of stuff, you can see that reactive oxygen species or chronic inflammation limits your body and prevents your body from functioning correctly. So Iβve got people that have had a constant enormous amount of stress. They eat every terrible food that you could probably do over time. The consequence is there, and it ends up being a problem when theyβre in their 70s and 80s years old. So weβve got to be very mindful of those things. So I know we were talking about pregnancy and lactation in terms of melatonin. And by the way, youβre a lactation specialist. Go ahead and tell me a bit about your certification?
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[00:47:08]Β Ana Paola:Β All right. Certification and breastfeeding as a breastfeeding specialist.
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[00:47:13]Β Dr. Alex Jimenez DC*:Β There you go. Thatβs right because itβs important things like that. Thatβs huge. So when we look at this, we start looking at the trimesters: the first, second, and third trimesters of melatonin production. You know, itβs almost as if the body goes through trimesters during pregnancy. No, thereβs a whole new set of processes that happen at each stage. Itβs just not like it just gets better. Not the body. Through these announcements of melatonin changes, changes in the dynamics of neurodevelopment and development of a child. So it plays a significant role in those components. Melatonin and fertility. Tell me a bit of what you have seen on this, particularly for the oocytes as well as in the works of Inositol, if you may.
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[00:48:08]Β Ana Paola:Β Inositol is a harmful compound that is very similar to glucose, so itβs kind of that molecule that will eat up or will donate all of the methyl groups, so thatβs how it works. But a lot of the studies have found that melatonin has a lot of benefits with fertility. So I just canβt tell you how it works. Itβs like a particular thing for me. But it was found that the fertilization rate was 50 percent higher with the melatonin treatment. And as you see a little bit down there, the doses were not that high as long as they were supplemented with melatonin; itβs all for three months. So thatβs something that can work, and well, something that we have to consider is either the patientβs age. Is she thirty-five? Is she twenty? Is she forty? Something like that? And that will eventually be a blueprint of how to treat a sleep disorder or melatonin insufficiency that she might have. And this is something that we can apply to those patients who require extra help for their fertility problems. So this is how it works, that there are still more to be done.
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[00:49:48]Β Dr. Alex Jimenez DC*:Β In the works of inositol, as you indicated correctly, itβs a blood sugar regulator as well, too. So in disease, disorders like fertility issues and conditions like PCOS, polycystic ovary syndrome is used to establish this norm. So the use of oocytes when itβs producing the improved or cyte production. Well, too many oocytes are the the the the the follicles through as they go through the ovary cycle. And if you got more than twenty-five and can see these things on MRI or even ultrasound, you can see them expanding. If itβs that way, itβs a polycystic ovarian syndrome. So what happens is that one of its components is a good dynamic used in the past. However, this is one of those things that we have to every person has an individual dynamics that we have to see. Let me go over to melatonin lactation in newborns. We went over that, and letβs talk about the foods area. So letβs first understand that itβs a ubiquitous molecule in nature. Itβs everywhere. And therefore, thatβs the reason that thereβs no control at the FDA level. Itβs everywhere. Itβs bio-identical to humans. Its vital melatonin is also produced in plants. Thatβs the version of the plants that are being discussed. Melatonin is from bovine. That was kind of or animal kind of base. In terms of this, we discussed earlier the dynamics of seeing how many areas affect the plant itself. So what type of diet has a lot of plants in it? Well, the Mediterranean diet. Thatβs why the Mediterranean diet is enormous, and itβs a type of diet that we recommend people establish the norms on. Do you have anything to add on that particular because we want to go ahead and make sure people know about the melatonin and plants?
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[00:51:47]Β Ana Paola:Β Well, something about melatonin in plants is that it regulates the growth and spread of these plants. So it works very much like the same in a plant and humans. So when they say youβre a plant, take water, take your sunlight and everything, and melatonin has to do a lot of that. But yes, and something that stood out to me is that melatonin content is different in the leaves or the roots. And they fight radical species, and they can protect UVA from excessive UV exposure. So maybe we should try adding some melatonin to my plants to get some more growth from them.Β
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[00:52:45]Β Dr. Alex Jimenez DC*:Β I was thinking the same thing myself, Iβm a lover of plants, and I sit there and talk to my trees all the time. So you know what? I was thinking Iβm going to throw a bottle or two at them whenever.
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[00:52:55]Β Ana Paola:Β Maybe thatβs the way to go. But yes, actually, there is a lot of plants. Wine has been associated with high amounts of melatonin, and thatβs why we said that. People can prevent or delay, ah, circadian rhythm, but we have to know that. Berries, plants and a lot of drinks, and many different foods contain specific amounts of melatonin. We can gather them not only from the pineal gland of a cow like the first study in 1958, but we can also get it from the strawberries; we can get it from nuts, mixed nuts, and walnuts. And actually, I think that the most important or the oldest product with the most melatonin is rice. So there you have it, you could have a gluten-free diet and have a good melatonin supplementation from your diet. So itβs great. Itβs something that we can find.
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[00:54:09]Β Dr. Alex Jimenez DC*:Β Yeah, you know, my brother loves rice, and he would always come to the house. And if my mom made Arroz con polo or whatever the thing was, you know what? That little punk was in the corner eating my food. And you know what? My mom would give me a plate, right? Do you know what he would do? He would eat off my plate. Well, you know what, Gus? I remember that, and thatβs why I didnβt sleep so well. But thatβs OK. You can have all the rice you want, right? So sometimes we have to make sure that rice is very aware of. Now going back to this, sometimes if youβre on a ketogenic diet, for example, and you have a tough time sleeping right because the blood sugar drops, this is a side note it would be good to have some nuts on the side of the bed, you know, some walnuts and quality organic set of walnuts in that area, even even if you make it downstairs or to your refrigerator. Have some strawberries because those things do offer you the ability to continue your sleep so that you donβt disrupt it because our goal is to get your body back to a level to rest. To be able to clean. To be able to renew so that you can live a better life. Now, as weβve discussed, we have different types of herbs. We have our favorite little herbs here, from chamomile to skullcap to even curcumin can produce and have its content of melatonin. In this respect, we look at all the dynamics and see how it affects now when we look at the measurement tool of seeing how melatonin functions. We do laboratory tests, and this is mainly one test that we do. Itβs just the saliva test. And itβs cool because what we can do is we can do saliva in the morning. We can measure, and we can just like spitting out of the little tube. And then we just maybe three times a day at night and measure where the melatonin levels are. This is very interesting because what you get to see here is the usual pattern of it should be kind of in the mornings low. By evening, it goes down, but then it kicks in the right around lead after an evening, a period, to the point where it starts preparing you to sleep. This is a regular pattern. If he goes outside, thatβs what happens now. This is a person who works the night shift or the third shift. Some people say they are working late at night on the contrary, in the evenings. This is kind of like how it alters the whole pattern. If someone has these high levels of, letβs say, melatonin in the body, you have to figure out whatβs causing this. OK, maybe theyβre taking food supplements at the wrong time, and then it causes a total disruption of their sleep pattern. So we will be able to see that this may be something that mitigates it now. Thatβs the job. Well, that may be what explains it, but it does have its consequences. And for those people with those third shifts, the reality is that when you alter the bodyβs dynamic to do that, you change the world in the body. I cannot tell you that people who have particular jobs, people who work for the government, people who work for water safety, people who have night jobs, and people who take on the world tend to have more inflammation. They tend to be very overweight. Yes. Angry, bitter, and swole in other ways. All right. So we need to be able to understand that sleep is crucial. So we said, nurses. Nurses. You said nurses, right?
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[00:57:33]Β Ana Paola:Β Nurses work that third shift. And actually, thereβs a lot of studies that show that people who work night shift workers tend to have a little bit more risk of developing cancer or Alzheimerβs disease, or either has decreased cognitive function. So I mean, yeah, we need to do something.Β
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[00:58:01]Β Dr. Alex Jimenez DC*:Β We got to keep those people alive, too, because they nurses. And this goes out to my nurses. And by trade, I have a license in nursing too. So the thing about it is is that if we donβt get that by the time a nurse retires, they are destroyed literally.
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[00:58:19]Β Ana Paola:Β What kind of life would they have?
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[00:58:21]Β Dr. Alex Jimenez DC*:Β They will be destroyed, I mean, because theyβve given their lives. And hereβs a side question whatβs more important. The ship or the sailors, whatβs more important? Thatβs a question for you.
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[00:58:34]Β Ana Paola:Β I mean, I like the ship, but itβs the sailors.
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[00:58:38]Β Dr. Alex Jimenez DC*:Β Is it the sailor or the ship?
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[00:58:40]Β Ana Paola:Β Itβs the sailors.
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[00:58:40]Β Dr. Alex Jimenez DC*:Β Well, thatβs probably correct from a health care point of view. So the reality is if the ship goes down, everybody dies, right? So the ship is critical. So as an individual, as a nurse, our jobs are our jobs, as health care providers, as parents, and as people who take care of individuals. And that goes for everybody. If we donβt take care of ourselves, we are the ship, destroying ourselves. And before you know it, we canβt take care of the sailor, which may be our children or our family or people dependent upon this. So we have to be mindful that we have to do whatβs suitable for our bodies. So walking in the sun is essential. Maybe during lunch, instead of sitting inside the hospital, walk around the hospital with your buddy and talk about whatever of life. And then when you got, you got some sunlight and reset the whole mechanical by the rhythm thatβs going on here. We promised here that we wanted to talk a bit about COVID and melatonin. So itβs a very, really important deal. We all know that we had this natural in America. We had this not too well-known President Donald Trump. He wasnβt you very popular, right? So what happened was what you did know about the guy. Heβs just a freak when it comes to energy, right? Heβs just he doesnβt stop. I donβt think thereβs ever been or will ever be at this nearest dynamics. A person who has a burns it on both sides, literally at three oβclock in the morning, tweeting four oβclock in the morning, tweeting five oβclock in the morning. He doesnβt sleep. So it wasnβt a surprise that not only does he have a little bit of metabolic syndrome, you could tell heβs a little bit overweight, and I could say it. I can say that guyβs not going to come and tell me that. That, I can say, is a little thick on the waist there.Β
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[01:00:29]Β Ana Paola:Β But the reality is thinking about things.
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[01:00:31]Β Dr. Alex Jimenez DC*:Β But we were all saying it right. So what happens is we start noticing these patterns, and this is where we start learning that inflammation and melatonin link to things like diabetes. And letβs say insulin resistance. And all these things cause issues that cause more reactive oxygen species. This cause is constant. Inflammation will disrupt our in our pineal gland as well. When President Trump, when he was sick, the first thing they gave him not only was a Moderna shot, right, but they also gave him vitamin D. And guess what they gave him, too. They gave him zinc and a hefty dose of excellent melatonin because they wanted to calm him down. They tried to mitigate or bring order to the inflammatory response, which melatonin tends to do. You know, weβve learned a lot that it does affect the immune system. But as for the studies right now, we have a bunch of studies being in there and what they call the phase one, phase two, and phase three of their moment where theyβre doing these randomized trial studies. And theyβre very elaborate. So as theyβre being done, theyβre now entering into the third phase. However, how it mitigates the Cobridge and how it helps in its entirety are still confused. So it would be irresponsible to kind of say, OK, it does fix it, but we do know it does help through different ways. Now, in terms of this, we know that melatonin increases the political responses in lymphocytes of particular creatures, right, by increasing certain types of pro-inflammatory cytokines. If itβs diminished, it helps activate the immune system, so that kind of seems interesting. So it starts it, but it also works on NF Kappa B, which does immune dampening it. So itβs the word for that where it helps boost things. Itβs got its hands on both sides inflammation, inflammatory, and stop inflammatory. So it becomes the modulator is a good word, I think. Multitasking may be immune modulation, right? So we do know that things like curcumin do the same thing with inflammation. Inflammation is important. Inflammation is necessary to live. However, it going gone the wrong way causes a problem. However, this particular dynamics is one where it does the same thing it modulates. So thatβs where the studies are coming in, and you can see that we can cite it. We also know that this particular cell is immune, so itβs a macrophage, right? So itβs a monocyte, and it does it through peregrine effects. It produces melatonin. Oh, isnβt that crazy? Our body produces it at different areas of cellular metabolism. So this is very important to understand that even our immune system can produce melatonin. So as you can see, the World of 1980 was it helps you with sleep jet lag. Right now, we can see that it affects a whole lot of shebang, right? So as we started noticing, this is a thing that you love. Tell me a bit about the inflammasomes.
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[01:03:51]Β Ana Paola:Β Β P-3 inflammasomes. This plays a massive role in the pathogenesis because of the inflammatory response, or the planetary cascade that produces alpha-gamma and TNF alpha. So TNF alpha will trigger an inflammatory response that will lead to our respiratory condition that will end up being like this massive cytokine storm. It will track the patient and world-class action pulmonary response, so what happens is that melatonin can play a huge part as a scavenger of reactive oxygen species because that is like the thing that triggers then a lot of people being from that zone. So while their melatonin is taking out a bad, that aware situation, they and all our P-3 implements, we can say, inactivated inside of that of the cytosol in the cell. Then all of these material processes will be delayed or even blocked, as you, as you might say. But the fact that the. That the virus is still burying the body could be something, and this can explain the fact that people might be positive control patient patients, but they do not have this kind of storm effect. So this is what can cause that situation; something that helps with delaying or blocking that initial arbitrary inflammatory activation is the omega three and omega six ratios. Take it like having a good omega-six omega-three ratio can improve the situation, but it is a cascade.
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[01:06:07]Β Dr. Alex Jimenez DC*:Β You know, when when you were mentioning that to me, you know, there are now people who are getting the vaccinations, they see that thereβs an association, no correlation yet, but theyβre making it that people who have a good nightβs sleep a few nights before they get the vaccination, they respond very well that people that donβt have a good nightβs sleep, they donβt not only respond as well, but the immune reaction doesnβt rise to the level that it titrates enough to be able to give them sustained immune response for the future. So, in essence, the ability to sleep. Modulated by the modify and monocytes, macrophages, and T cells produce melatonin, right? This is a clear indicator of why the desire to learn about the associations of correlation and how melatonin affects the immune system is so important in todayβs world. For years, weβve known that it had to do a lot with like RNA viruses and how the body could deal with them. But now, with what has happened with us, weβre seeing whatβs going on. So in terms of dynamics, we have seen trials with as much as 25 mg. Remember, we talked that most dosages are between three and five. Twenty-five, youβre given a huge amount of doses. And even with that, weβre noticing that pro-inflammatory cycles, as well as biomarkers of stress, are sustained. So even the high levels people do survive well. So sleep, inflammation, and mental health are not too much can be ascertained as this component. If I mean that seriously, you and sleep and inflammation recover a lot of disease processes. So not only does it help you with sleep, but it helps you recover and deal with how your body interacts with the world. As practicing individuals, we look for the cellular activity we associate. We correlate things that we do in body composition. We evaluate body composition and inflammation. If a person is, letβs say, a 40 or, letβs say, a 40 BMI or 50 BMI, or even the 70, you know, body composition levels at high levels of inflammatory markers are noted. We need to address the melatonin issue in those individuals. So not only do we look at cellular activity, but how cells are working together. So we use different techniques to phase angles, different body compositions, total water densities to assess these kinds of situations on individuals. So our goal is to see how the body responds to inflammation if we donβt have good rest. Well, we have inflammation. You have diseases, and we have diabetes, we have that psychosis, we have neurodegeneration, as you mentioned, right? So thatβs what happens. Chronic systemic diseases, low-grade inflammation, pain all the time. Howβs that sound, right? So we have an issue that started with Let me sleep better. But no, weβre stopping diseases. As you indicated, cancers, diabetes, inflammatory atherosclerosis, prostatitis. Arthritis, arachidonic acid production. As you indicated with the Omegas, thereβs a lot that we can need to do and evaluate. But when we assess our particular individual, we start to see that not only does this stuff, we see how it affects the intestines. Believe it or not, serotonin and melatonin work together well. The gut makes it, too. So itβs one of those things where you can see it in the intestines. As you talked about, LPs were a lipopolysaccharide of bacteria. Those high inflammatory states are not kept in check without proper sleeping or proper cycling while the body gets disturbed and fatigued. This leads to disease and disorder, or an inflammatory reaction that goes awry because it was modulating. So itβs modulated. It stops it from going too far. So as that kid wants to go out and run into the track, well, mom is grabbing it. No, you donβt. No, you donβt. I donβt want you to be a little boy who doesnβt want to grow up because you will get run over if you go too far. That would be the cytokine storm, which starts inflammatory action, specifically in the pulmonary aspect. And you know what we have so far. So we have, you know, respiratory distress syndrome when all of a sudden inflammation brings in fibroblasts. Before you know it, the fibroblasts close off the ability of the alveoli to breathe. And then there you go, a person who cannot breathe. Theyβre just basically the oxygen cannot transfer fast enough. And because of the excessive amount, they have a problem surviving, and eventually, the lungs give out. And then we have the drama that we had before. So I know today we discussed a lot, but we canβt stop by looking at what we have to do the most. We have to realize that I feel sleepy after looking at the picture. So, you know, cats are one of those things that give a lot of good energies, but thereβs no other creature that makes you understand or appreciate sleep as a cat does. Itβs like it lives its entire life with sleep, and it makes it get it to enjoy its lifestyle because Iβm sure a cat can teach us a lot about resting. So if you donβt have one, get one pet one, and if you have allergies, you will watch them on TV, and you can enjoy them that way. So I hope that made sense. I appreciate you, Ana, for going through this is pretty long, but itβs a pretty important dynamic as it presents, and I look forward to being able to chitchat with you, OK? So you have a go, and Iβll talk to you, stay there, and Iβll be talking to you a second.
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Professional Scope of Practice *
The information herein on "Understanding Melatonin Benefits: Part 2 | El Paso, TX (2021)" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.
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Our information scope is limited to Chiropractic, musculoskeletal, acupuncture, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.
We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.
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Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*
email: coach@elpasofunctionalmedicine.com
Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
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