M19. Melhorando sua libido depois da Bari - Live. 4. A nutrição recuperando sua libido

Live 4: Bariatric Week Focus on Libido

Introduction to the Live Session

• The session is the fourth live event in a series focused on bariatric health and libido, following two previous sessions with experts.

• The host introduces Dr. Marcela Novaz, a nutritionist specializing in women's health, who will discuss various factors affecting libido post-bariatric surgery.

Importance of Engagement

• The host encourages viewers to interact by sending hearts on Instagram to increase visibility and help others struggling with libido issues after bariatric surgery.

• Viewers are urged to share the live session with friends who may benefit from the discussion about libido challenges faced by many post-surgery patients.

Factors Affecting Libido Post-Bariatric Surgery

• Many individuals experience decreased libido due to nutritional deficiencies that can be addressed through proper dietary adjustments and supplements.

• Other contributing factors include behavioral issues and weakened pelvic floor muscles, which can be improved through targeted exercises recommended by physiotherapists.

• Lack of libido is often linked to broader mental health concerns such as depression, anxiety, and low energy levels, highlighting its significance in overall well-being.

Insights from Dr. Marcela Novaz

• Dr. Marcela introduces herself as a functional nutritionist focusing on women's health issues related to menopause and beyond, emphasizing her experience with low libido complaints among women post-surgery.

• She notes that while studies suggest an improvement in sexual desire for many women after bariatric surgery, her clinical observations reveal that a significant number report decreased libido instead. This discrepancy highlights the complexity of individual experiences post-surgery.

Understanding Libido and Its Influences

The Role of Weight and Hormones in Libido

• The speaker expresses uncertainty about biases in scientific studies but notes a significant number of complaints regarding libido issues, particularly in clinical practice.

• Observations indicate that low libido can be linked to obesity, where excess weight alters hormonal signals such as testosterone and estradiol, impacting sexual desire.

• It is emphasized that not all cases of low libido stem from being overweight; identifying the root cause is crucial for effective intervention.

Exploring Causes of Low Libido

• Acknowledgment that multiple factors can contribute to low libido, including hormonal changes discussed by various professionals (a doctor, a sexologist, and a psychologist).

• The first step in addressing low libido is understanding its origins; different individuals may have varying underlying causes.

Hormonal Changes Post-Surgery

• Focus on hormonal alterations post-surgery, particularly concerning testosterone and estradiol levels which can lead to decreased libido.

• Introduction of the concept "estroboloma," referring to gut bacteria that affect estrogen levels. This imbalance can result from surgical procedures like bariatric surgery.

Gut Health's Impact on Hormones

• An imbalance in gut bacteria (disbiosis) can elevate estrogen levels excessively, contributing to lower libido.

• Disbiosis is defined as an imbalance among intestinal bacteria which affects hormone production.

Nutritional Interventions for Improving Libido

• Importance of maintaining gut health through proper nutrition to prevent disbiosis and its effects on hormone levels.

• Recommendations include avoiding processed foods and ensuring adequate fiber intake to support digestive health.

Symptoms Related to Elevated Estrogen Levels

• Increased estrogen due to bacterial imbalances may lead to symptoms such as premenstrual syndrome (PMS), breast tenderness, and other related discomfort.

Hormonal Changes and Their Impact on Health

Understanding Blood Tests and Hormonal Imbalances

• Blood tests should not be the sole indicator of physiological health, especially concerning hormonal contraceptives. Symptoms must also be considered.

• Post-bariatric surgery patients may experience new symptoms like breast tenderness, abdominal bloating, acne, and mood changes related to their menstrual cycle.

• Increased estrogen levels can result from dysbiosis; dietary changes towards more natural foods and fiber intake are recommended for management.

The Role of Contraceptives in Hormonal Assessment

• For individuals using oral contraceptives, it becomes challenging to determine whether increased estrogen is endogenous or due to the contraceptive itself.

• A balance between estrogens and androgens (like testosterone) is crucial for overall hormonal health; professionals must assess this balance.

Testosterone Levels in Bariatric Patients

• Low testosterone levels can occur in post-bariatric surgery patients who do not engage in physical exercise or consume adequate protein.

• Muscle tissue is essential for testosterone production; sarcopenia (muscle loss) can lead to decreased libido among bariatric patients.

Nutritional Factors Affecting Hormones

• Insufficient protein intake during weight loss can lead to muscle loss rather than fat loss, negatively impacting testosterone production.

• Adequate protein intake is vital during weight loss phases to preserve muscle mass and maintain hormone levels.

Micronutrients' Influence on Libido

• Studies indicate that deficiencies in zinc and vitamin D correlate with low testosterone levels in women, particularly post-menopause. Supplementation has shown improvements in libido.

• Many bariatric patients fail to supplement adequately after surgery, leading to deficiencies that affect hormone production.

The Importance of Cofactors in Hormone Production

• Zinc and boron are critical cofactors for testosterone synthesis; their absence can hinder hormone production significantly.

• Vitamin D plays a dual role by aiding androgen synthesis while also modulating anxiety—an important factor linked with libido issues.

Mental Health's Connection with Hormonal Balance

Understanding the Impact of Nutritional Deficiencies on Mental Health and Libido

The Connection Between Vitamin Deficiencies and Anxiety

• Low levels of vitamin B12 are linked to anxiety, which in turn can affect libido.

• A study indicates that 90% of obese patients have severe vitamin D deficiencies, exacerbating health issues post-surgery.

Consequences of Poor Dietary Habits Post-Surgery

• Patients often neglect proper nutrition and exercise after surgery, leading to a cycle of nutritional deficiencies.

• Many believe surgery is a magical solution without understanding the need for ongoing care and lifestyle changes.

Neurotransmitters and Their Role in Libido

• Anxiety negatively impacts libido; sexual desire is closely tied to dopamine release.

• Balance between testosterone, estrogen, serotonin, and dopamine is crucial for optimal functioning.

Effects of Dopamine Levels on Libido

• Low dopamine levels correlate with decreased libido; this neurotransmitter also influences energy and creativity.

• Libido encompasses more than just sexual desire; it includes overall vitality and motivation.

Strategies for Balancing Dopamine Levels

• Increasing dopamine requires careful management; excess can lead to lethargy while too little diminishes libido.

• Stress modulation involves lifestyle changes such as regular exercise rather than solely relying on medication.

Nutritional Sources for Enhancing Mood

• Vitamin D receptors exist in dopaminergic neurons, indicating its role in modulating dopamine release.

• Proper nutrition is essential for synthesizing dopamine; bariatric surgery without adequate support can hinder nutrient intake.

Managing Stress Through Lifestyle Changes

• Stress management techniques include engaging in enjoyable activities and avoiding immediate exposure to stressors upon waking.

Foods That Support Serotonin Production

• Foods like cacao (rich in tryptophan), bananas, oats, and nuts help reduce stress and anxiety levels.

The Cycle of Emotional Eating During PMS

Understanding the Impact of Inflammation on Libido

The Role of Inflammation

• Inflammation negatively affects libido, sleep quality, and weight loss. Managing inflammation is crucial for overall health.

Importance of Muscle Maintenance

• Muscle maintenance is essential for testosterone production. Strength training and adequate protein intake are necessary to build muscle.

Nutritional Factors Affecting Hormones

• Key nutrients like zinc and vitamin D play a significant role in hormone regulation. A discussion on vitamins will occur in the next session.

Daily Habits Influencing Libido

• Daily habits such as morning routines can impact anxiety levels and hormonal balance. Suggestions include avoiding coffee immediately upon waking and engaging in calming activities.

The Connection Between Sleep and Health

Sleep's Essential Role

• Quality sleep (at least 7 hours) is vital for maintaining health, including testosterone production. Insomnia can lead to increased anxiety and appetite.

Nutritional Deficiencies Linked to Sleep Issues

• Magnesium deficiency is common and significantly impacts sleep quality. It’s important to consider magnesium supplementation for better sleep outcomes.

Neuroinflammation: Its Effects on Mental Health

Understanding Neuroinflammation

• Neuroinflammation relates to various mental health issues, including anxiety, insomnia, ADHD, bipolar disorder, and depression. Magnesium plays a key role in mitigating these effects.

Importance of Magnesium

• Magnesium supports over 300 bodily functions; its deficiency can worsen sleep problems and mental health conditions.

Improving Sleep Hygiene

Practices for Better Sleep

• Good sleep hygiene includes avoiding screens before bed, managing caffeine intake late in the day, and creating a calm environment conducive to rest.

Nutritional Balance for Optimal Health

The Interplay of Nutrients

• Adequate magnesium and vitamin B6 are crucial for dopamine production—the neurotransmitter linked with libido. A balanced diet helps maintain overall well-being.

Knowledge as Power

Understanding Libido and Nutritional Impact

Importance of Knowledge in Addressing Libido Issues

• The speaker emphasizes the necessity of seeking knowledge about libido issues, suggesting that understanding the root cause can lead to effective treatment without wasting time or money on ineffective solutions.

Role of Herbal Supplements

• Herbal supplements like maca, mucuna, and testofen are mentioned as potential aids for libido; however, their effectiveness depends on the underlying issue being addressed.

Identifying Underlying Causes

• The discussion highlights that a weak pelvic floor may be a common cause of low libido post-bariatric surgery, indicating that targeted treatments are essential rather than relying solely on herbal remedies.

Nutritional Deficiencies and Their Effects

• A reduction in fruit and vegetable intake after gastric surgery leads to lower vitamin and mineral consumption, which is crucial for both men’s and women’s sexual health.

Antioxidants' Role in Sexual Health

• Antioxidants from foods like berries enhance nitric oxide production, improving blood flow to genital areas, which is vital for sexual arousal and lubrication.

The Science Behind Blood Flow and Libido

Nitric Oxide's Functionality

• Nitric oxide dilates blood vessels, increasing blood flow to genital organs; this is critical for achieving orgasm in women compared to men who require less blood volume.

Nutritional Contributions to Vascular Health

• Foods rich in zinc and vitamin D contribute significantly to nitric oxide production; deficiencies can hinder vascular dilation necessary for sexual function.

Additional Foods Supporting Libido

• Foods such as watermelon and beetroot are noted for their vasodilating properties, further supporting improved blood circulation related to libido enhancement.

Addressing Misconceptions About Nutrition

Evaluating Dietary Practices

• The speaker challenges the notion of "eating right" by questioning whether individuals truly consume adequate amounts of fiber and antioxidants necessary for optimal health.

Supplementation Effectiveness

Bariatric Surgery and Nutritional Supplementation

Importance of Individualized Supplementation

• Bariatric patients must supplement their diets with individualized guidance; relying solely on a multivitamin is insufficient.

• Inadequate supplementation may stem from restrictive diets, which can stress the body and negatively impact testosterone production.

Digestive Health and Nutrient Absorption

• The adage "you are what you eat" is misleading; one must also consider digestion and nutrient absorption.

• Issues like reflux or constipation hinder nutrient absorption, preventing essential nutrients from entering the bloodstream.

Alcohol Consumption and Libido

Effects of Alcohol on Libido

• The relationship between alcohol consumption and libido is complex; moderation is key.

• Excessive alcohol intake decreases libido by affecting dopamine levels, while small amounts may provide temporary relaxation benefits.

Long-term Implications of Alcohol Use

• Clinically, more negative effects than positive ones are observed regarding alcohol's impact on libido, especially in bariatric patients who absorb alcohol more rapidly.

• Post-bariatric surgery, individuals absorb alcohol twice as fast; two glasses of wine could feel like four due to increased absorption rates.

Herbs and Natural Remedies for Libido Enhancement

Understanding Herbal Solutions

• There are no magical solutions for low libido; however, certain herbs can help address underlying issues.

Adaptogens for Stress Modulation

• Adaptogens can help manage chronic stress that affects libido. For example:

• Rhodiola Rosea: Aids in stress modulation (noted for its potential benefits).

Understanding Ginseng and Its Benefits

The Role of Ginseng in Vitality and Libido

• Ginseng, particularly Korean ginseng, is commonly associated with energy and vitality. It plays a significant role in enhancing libido, which encompasses not just sexual desire but also overall energy and creativity.

• Both Indian and Korean ginseng can contribute positively to energy levels. These are typically available as extracts, emphasizing the need for professional guidance when incorporating them into one's diet.

• It's crucial to consult a qualified professional for proper nutritional prescriptions involving herbal supplements; they should not be treated casually like food or snacks.

Preparing Herbal Remedies

• For those unable to access ginseng extracts or tinctures, making tea from the root is an effective alternative. Korean ginseng can be boiled to create a decoction for consumption.

• It is recommended to consume stimulating herbs like ginseng in the morning to avoid sleep disturbances later in the day.

• Marapuama, a Brazilian herb known for its benefits, should also be sourced carefully from reputable suppliers rather than local bulk sellers to ensure quality and standardization.

Brewing Techniques for Herbal Teas

• When preparing teas from tougher plant materials (like bark), boiling is necessary. In contrast, more delicate parts (like flowers or leaves) require only infusion without boiling.

• Damiana tea serves as a tonic rather than a chronic remedy; it’s best consumed close to intimate moments rather than on a daily basis.

Social Aspects of Herbal Consumption

• Suggesting Damiana tea as an alternative social drink can create light-hearted interactions; it may serve as an interesting conversation starter during dates or gatherings.

• Combining different herbs (up to three at most) can enhance effects but should be done cautiously due to potential contraindications with certain populations such as pregnant women or those with hypertension.

Individual Considerations and Contraindications

• Each herb has specific contraindications; thus, personalized advice from health professionals is essential before starting any herbal regimen.

Exploring Personal Experiences with Libido Post-Surgery

Introduction of Guest Speaker Laí

• Laí joins the discussion sharing her personal journey regarding libido after undergoing bariatric surgery. Her insights aim to shed light on common concerns faced by individuals post-surgery.

Insights on Libido Changes After Surgery

• Laí reflects on how her libido diminished following surgery despite initially claiming it was normal. This highlights the psychological aspects tied to physical changes post-operation.

Understanding Health Challenges Post-Bariatric Surgery

Personal Reflections on Bariatric Surgery and Health

• The speaker initially viewed issues related to bariatric surgery as excuses for personal relationship problems, until experiencing similar challenges firsthand.

• They sought help from a gynecologist after noticing health issues, including low testosterone levels, which led to recommendations for treatment.

• Despite undergoing treatment, the speaker felt that deeper underlying causes of their health issues remained unaddressed.

Importance of Comprehensive Health Evaluation

• The speaker emphasizes the need for a thorough examination of various factors affecting health, such as sleep hygiene and exercise routines.

• They express frustration over not finding effective solutions despite seeking multiple medical opinions and treatments.

• Concerns about how unresolved health issues could impact personal relationships were raised during discussions with their psychologist.

Exploring Specific Health Issues

• The discussion touches on disbiosis and its potential connection to other symptoms experienced by the speaker, highlighting the importance of addressing gut health.

• A timeline is established regarding when libido issues began post-surgery, suggesting that hormonal changes may not be immediate but develop over time.

Seeking Specialized Help

• The speaker acknowledges neglecting certain health aspects like vitamin D levels and neuropathy while realizing the necessity of addressing root causes rather than just symptoms.

• There’s an emphasis on finding healthcare professionals who understand specific conditions related to bariatric surgery for better management.

Impact on Relationships and Quality of Life

• The conversation reflects on how physical health directly affects emotional well-being and relationships; concerns about intimacy arise due to ongoing health struggles.

• The speaker shares feelings of prioritizing their partner's needs over their own discomfort regarding libido changes, indicating a deep concern for relationship dynamics.

Understanding Hormonal Health and Professional Guidance

The Importance of Professional Guidance in Hormonal Issues

• The speaker emphasizes the pain associated with certain treatments, particularly regarding testosterone therapy, highlighting the need for professional medical advice.

• It is crucial to consult integrative health professionals rather than solely relying on hormone prescriptions; underlying issues may exist beyond low testosterone levels.

• Testosterone has a precursor (DHEA), and if DHEA levels are low, simply supplementing testosterone may not resolve the issue and could lead to further complications.

• Improper testosterone supplementation can cause side effects like increased hair loss; thus, careful monitoring by qualified professionals is essential.

• Seeking help from integrative and functional medicine practitioners who understand bariatric care is recommended for comprehensive treatment.

Identifying Personal Health Issues

• Individuals should reflect on their own symptoms related to libido and overall health, as they often have insights into their conditions that professionals might not see immediately.

• Symptoms such as digestive issues or stress can significantly impact libido; recognizing these personal experiences is vital in seeking appropriate care.

• Knowledge about one’s body can streamline the process of finding the right healthcare provider who addresses specific concerns effectively.

• Understanding one's health condition can prevent unnecessary expenses on ineffective treatments like testosterone injections when other underlying issues need attention.

The Value of Knowledge in Healthcare Decisions

• Gaining knowledge about health can save time, money, and improve overall well-being by guiding individuals toward more effective solutions.

• Each person knows their body best; therefore, self-awareness plays a critical role in identifying which healthcare professional to consult for specific problems.

Multidisciplinary Approach to Health

• A multidisciplinary approach is often necessary; various specialists may be needed to address different aspects of an individual's health comprehensively.

• The complexity of health issues means that simple prescriptions are rarely sufficient; understanding multiple factors affecting health is crucial for effective treatment.

Continuous Learning in Integrative Health

• The speaker shares excitement about ongoing education in integrative health due to its rapidly evolving nature, especially concerning bariatric care.

Understanding the Importance of Specialized Care in Bariatric Surgery

The Role of Professionals in Bariatric Surgery

• Marcela is highlighted as a knowledgeable professional in bariatric surgery, emphasizing the importance of having an expert to avoid complications.

• The discussion stresses that understanding and studying are crucial for effective treatment, particularly in complex cases like bariatrics.

Multidisciplinary Treatment Approach

• Access to community knowledge is considered a privilege, enhancing consultations by transforming them into educational experiences rather than mere appointments.

• Combining community-acquired knowledge with individual treatment plans leads to better patient adherence and outcomes.

Individualized Treatment Plans

• Emphasizes the necessity of personalized approaches in treating conditions like dysbiosis, highlighting that knowing one's issue isn't enough without following through on recommendations.

• Discusses the complexity of nutrition and digestive systems, indicating that treatments must be tailored to each individual's unique situation.

Understanding Specific Conditions

• CIBO (Small Intestinal Bacterial Overgrowth) is introduced as a condition requiring individualized treatment based on specific symptoms and diagnoses.

• The need for multidisciplinary care is reiterated, stressing that professionals must work together for optimal patient outcomes.

Community Engagement and Future Learning Opportunities

• Announcement about an upcoming live session focused on post-bariatric vitamins and blood values, encouraging community participation.

• Marcela shares her contact information for consultations both online and in-person, promoting her practice's focus on women's health.

Nutritional Support Post-Surgery

• Laí discusses providing liquid meal options post-surgery tailored to nutritional guidelines from healthcare providers.