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Nov. 1, 2023 - Dr. Oz Podcast
42:40
Dr. Oz's Nationwide Sleep Clinic: Sleep Breakthroughs Uncovered | Dr. Oz | S6 | Ep 5 | Full Episode
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Get the rest you deserve tonight.
Dr. Oz launches his first ever sleep clinic to help the 20 million of you who can't sleep, sleep.
This is a massive crisis across the country.
Plus, the investigation into Joan Rivers' death.
What went wrong?
Every time I go under, I say the same thing.
Be careful.
I am the only one my daughter has.
Be careful.
Be careful.
The risks of outpatient procedures.
Coming up next on Oz.
Recently I set up an after-hour sleep clinic, and we reached more than 20 million of you from coast to coast.
That staggering number is the reason why I'm helping you take back your sleep this year.
If we can get your sleep back, you're not only going to feel more rested, but you're going to strip away all the problems that hurt your vitality.
So I stayed up all night long to zero in on your biggest sleep problems.
We partnered with one of the top sleep centers in the country.
In a matter of hours, we transformed the New York Sleep Disorder Institute into the command center for my Dr. Oz sleep clinic and hotline.
Hello, Dr. Oz.
To take your most important questions about why you just can't sleep.
I'm seeing if you can give me some advice about trying to get a better night's sleep.
And to help me get to the bottom of how we can fix this sleep crisis, I enlisted an elite team of sleep experts from around the country.
Let's open the phone lines.
I'm Dr. Off-Sleep Clinic.
I'm Dr. Michael Bruce.
How can I help you?
Are you having any sleep problems at all?
Normally it takes me over half an hour to fall asleep.
Do you sense a temperature shift in your body at all?
Hot, cold, hot, cold, but not flashes.
Is it more of a problem falling asleep or is it more of a problem staying asleep?
It's not a problem falling asleep because I'm tired.
53 years old, stepped perfectly until four years ago.
Says she has no menopause symptoms.
I have just the expert for you.
This is Dr. Krieger.
So you feel tired all the time?
Yes.
Have you ever seen a sleep specialist?
Because that might be something that you want to consider.
It's getting hot in here.
Take your phone, power it in in another room.
I just was talking with a guy who is addicted to social media, so I said, do an electronic curfew.
We even worked with patients at our sleep clinic.
Have you been tempted to get your sleep apnea checked out?
You're definitely going to bed too early.
This is unbelievable, but I just learned we have tens of thousands of people on social media who are reaching out for help.
I mean, this is a massive crisis across the country.
I like the Twitter board here.
We got all these folks writing to us.
Sam saying, what's the ideal amount of sleep?
Carolyn, is not sleeping six hours bad for you?
So I always learned eight hours was the magic number.
Previously, we said eight.
We're suggesting perhaps seven hours is what we should be shooting for.
Is there a drop-off point, a crisis point, below which if you can't sleep, we know you're at risk for all the major things that can kill us?
If you're sleeping in less than five hours, you need to get help.
You're at risk for heart disease, diabetes, and being overweight.
A lot of calls still coming in on the East Coast.
These guys should be asleep.
Absolutely.
But now we're getting a lot here on the West.
So what's going on across America?
It's very interesting to me that we're going down the East Coast, running through the South, and starting to move westward.
And what's pretty amazing is this is also a big area for things like obesity and cardiac disease.
So I think what this is telling us is that there's definitely a connection yet.
So don't give up.
Try that out, and I'd be willing to bet you that you're going to feel a whole lot better.
I'm glad it could be a help.
So here's why I take your sleep problems so personally.
If we can fix your sleep, we can help prevent all of these problems that I see every day.
Diabetes.
Hypertension.
Heart attacks.
Depression and anxiety.
Lack of energy.
A whole constellation of issues.
Now to get rid of these, it all starts with sleep.
And here's the big news.
I believe just one more hour of sleep can be critical.
Folks, one hour of sleep.
Is it doable?
It's doable.
So my team, we pulled over all the latest research to construct an action plan to get you that extra hour.
It's going to make such a huge difference in the quality of your life.
Now, one of the experts who joined us at that sleep clinic, Dr. Michael Bruce, is here.
And I heard him say over and over again that there's no on-off switch for sleep.
Again, it resonated with me.
Why is sleep more complicated than that?
One of the things that most people don't think about, they only think about sleep at night.
And what we're here today to talk about is, in fact, you need to be thinking about sleep earlier in the day, even as early as right after you wake up.
Because remember, sleep is not that on-off switch.
It's really a much more complicated process, and it takes a lot to get there.
So let's start with the most universal problem of all.
If you look at this map, you notice, by the way, we went from coast to coast.
We got 20 million people.
I was stunned, startled that that large number of folks joined us.
But the yellow dots here, these are all the folks who have trouble falling asleep.
For example, this pin right here came from a caller in New York.
Kim.
Dr. Ross Sleep Clinic.
Good evening, Dr. Oz.
My name is Kim.
I'm hoping you can help me tonight.
Explain your sleep problem to me a little bit.
Go through your habits.
It takes me a long time to turn my mind off and I can't really settle in.
I wind up being up to like 2, 3, 4 in the morning sometimes.
I start watching TV. I put on something to try and make me relax a little bit.
You're telling me a story that I've heard numerous times tonight.
Tomorrow morning when you get up, I want you to grab some omega-3 rich foods.
In fact, I'm going to email you a smoothie that I love, a recipe for the smoothie that I want you to start tomorrow morning that's rich in omega-3s, and at least it gives you a fighting shot.
Dr. Bruce, why are there so many yellow dots here?
Why do so many folks have trouble falling asleep?
Well, exactly what happens in my sleep clinic.
People can't turn off their brain.
I mean, if you think about it, it makes sense, right?
You got a lot of stuff going on during the day, people talking to you, things you have to do.
When do you finally have some time for yourself?
When you turn out the light, nobody's talking to you, and then all the thoughts come in.
That's where the levels of stress and anxiety all of a sudden start to elevate, which is the worst time because that prevents you from being able to fall asleep.
Being able to fall asleep should take you somewhere between 10 and about 20 minutes or so.
So the first action step you might think is just to get over yourself, but it's not.
If you can't fall asleep, Dr. Boos is recommending an Omega-rich breakfast.
So Kim is joining us.
Welcome to the show, and thanks for calling in, Kim.
So Omega-3s, did they help you?
Were you able to implement it?
They have helped a lot, and I was really surprised with how much they did help.
At first, it was hard the first few nights getting to sleep.
It was still difficult, but after I've been doing this now for almost two weeks, it's really made such a difference.
Well, you look very rested, Kim.
Congratulations.
Thanks!
I feel rested.
So what are the omega-3 breakfasts that you recommended?
Well, there's a couple of different things that you can eat to increase your omega-3s.
Oatmeal, walnuts, chia seeds, flax seeds, even just one nice scoop of chia seeds in a smoothie or something like that in the mornings can absolutely help.
And here's what we know, is these omega-3s actually help with the production of internal melatonin.
So you no longer have to take supplemental melatonin, because if you're eating right and getting your omega-3s during the day, it can not only help you fall asleep, but help you stay asleep, which is a big factor.
Another problem we were faced with, we were flooded with calls about this, and Terrain was one of the thousands of you who said they are waking up in the middle of the night.
Hello, Dr. Oz.
Dr. Oz, I find myself wide awake all the time, and I can't sleep.
Walk me through specifically what happens.
What time do you normally get in bed?
What time do you fall asleep?
What time do you wake up?
I usually go to sleep between 11.30 and 1 o'clock.
But then I wake up every morning around 3 o'clock and I can't sleep after that.
What kind of a diet do you normally eat?
I drink hot tea throughout the night.
Is there caffeine in your tea?
It probably is.
Most people, if they have caffeine after lunch, are going to have issues with it at night time.
What's the temperature of the room, out of curiosity?
I keep my room around 73 degrees.
You get uncomfortable if it's a little chillier than that?
I mean, if that's going to help me go to sleep, I'll crank it.
So our car terrain is joining us.
I mean, how frustrating is it to wake up in the middle of the night?
We were having that conversation at 1.30 in the morning.
What's that like?
I'm so happy to be here.
It is so frustrating because I'm waking up.
I go to sleep probably around 10 and 12. I wake up around 3 o'clock in the morning.
I'm looking at the wall.
I'm looking at Facebook.
I'm checking my emails.
I need help, Dr. Oz.
So we uncovered two culprits.
You mentioned them both.
This is not just for terrain.
We heard this from a lot of folks.
Temperature and caffeine.
Dr. Bruce, there are other stimulants we heard about as well.
Walk us through a list of things folks should be aware of.
Well, you know what we found?
Interestingly enough, people with insomnia have higher core body temperatures, so they're much more likely to be affected by temperature.
People with insomnia, even mostly women, believe it or not, that night when we were talking, a lot of women on the phone talking about temperature and how it was having a major effect on their sleep.
Come over your terrain.
You're warm right now.
You're a warm-blooded person?
Yes.
Let me walk you through why we think this is so important.
Normally, your life is sort of like this eggbeater here.
Mike, go ahead and grab yours.
You go through the day and you're sort of like this and you're supposed to be able to stay awake, right?
So life's moving pretty quickly.
At nighttime, you're supposed to cool down.
When you cool down, your normal fast day starts to slow down.
And actually, over time, you get into that nice, deep space.
You see, I can actually see the turns of life.
Your brain is like this, not spitting through life.
Dr. Bruce, show us what happens if, as opposed to this, we are in a warm situation.
Go from cold where I am to where Dr. Bruce is, when it's really warm in your room.
You're making a lot of noise here.
Your body's rushing through life.
Your brain can slow down.
And because of this, your body never gets the rest.
Literally, these foams are wearing you out.
They're aging you and wearing you down.
And you never realize it because something as simple as subtle as temperature.
So here's the action plan for everybody out there.
From now on, I want your temperature in your bedroom set like this, 65 to 67 degrees, so life slows down a little bit.
You're going to go into hibernation, as opposed to rushing through life and rushing through sleep, which will wake you up in the middle of the night.
Exactly.
But stay warm-hearted anyway.
The next biggest problem that we perceived at the sleep clinic was that a lot of the sleep aids that so many of you are taking aren't really working that well.
Hey Tara, how are you?
I am desperate for your help.
I cannot sleep.
I feel like a zombie.
How many hours sleep do you think you get total in a night?
I go to bed at 1.30 in the morning and then I'm up in the middle of the night.
I've tried melatonin and other sleep aids, Dr. Oz, and they work for a little bit, but they're not working anymore.
I need your help.
What can I do to get some sleep?
I want to spend a little time on this because one of the most important misperceptions we have about sleep is that sleep aids will help us get over the problems.
So please clear this up.
So first of all, sleep aids are a short-term solution.
They're not a long-term solution.
And if you look at any of the package inserts, they all say the same thing.
This is for breaking the cycle of insomnia.
It's not for extended use.
We also know that some of these medications can have pretty significant side effects, especially when mixed with alcohol.
A lot of people may have a glass of wine with dinner, not think about it, have their sleep aid, and then you have an even bigger problem on your hands.
Sleep eating, sleep driving, things of that nature.
And here's the kicker.
While many of these will help you fall asleep, they only actually extend your sleep by maybe 11 to 15, 18 minutes.
11 minutes?
That's about it.
Is that startling to you all?
How many folks take these things thinking it's gonna get past the barriers of life?
And for 11 minutes, I gotta say, those side effects oftentimes aren't worth, especially if you're gonna use it every single day.
So the last step on our plan is to cut out those sleep aids.
You're gonna send that sleep signal to your brain without medication.
Now, Tara is joining us.
Welcome, Tara.
Thanks for calling in.
Nice to meet you.
How are you, Tara?
How are you?
So, like a lot of folks who love sleep aids because they love their sleep, we have a better idea for you.
Dr. Boos, walk us through a demo that Tara, me, frankly, and everybody else here can go through.
And please, in the audience, I want you to do this with us.
Folks at home, try this as well.
I want you to try this tonight.
Again, America, we want one hour, one lousy hour of sleep, more an evening.
That's all I'm asking for.
You will thank me because it is the single biggest unappreciated problem we have in this country right now.
So get us that one hour back.
So, along with all the other things that we've been talking about, we want to talk about a new technique called progressive muscle relaxation, alright?
Everybody at home can do this, everybody in the audience can do this, and we're going to do this up here on stage.
So what this involves is actually tensing and relaxing your muscles.
So what I want everybody to do, we're going to start at the top of your head and we're going to slowly go down your body, but this morning we're just going to stay with the head, is I want everybody to raise their eyebrows as high as they can, raise them, raise them, raise them, and keep them raised and count to six.
One, two, three, four, five, six.
And relax.
It's like a Botox test.
It's unbelievable, right?
People start to feel that relaxation.
Now I want you to squint your face up and squint your eyes and close them as hard as you can.
Close them, close them, close them, close them, close them.
Hold it for six.
One, two, three, four.
Five, six, and relax.
Open up your eyes.
It works really, really well.
There's lots of data on it.
It's very simple.
It doesn't involve a drug, and it's part of getting that hour back, right?
We're talking about getting your health back.
We're talking about getting your healthy back.
This is one of the best ways that we can do it, is to start sleeping better.
Dr. Oz, this really worked.
I tried it at home a little bit, and also shutting off the TV and the Facebook put it away.
All the things you talked about are very doable, Tara.
I'm glad you took it to heart.
Too many times we look for solutions that we don't control, and they actually don't work as well as the ones that we do.
You can find the full sleep action plan on my website.
I want to hear how it's been helping you, so keep me updated on your sleep status on Facebook or Twitter.
We'll be right back.
Coming up next, the investigation into Joan Rivers' death.
What went wrong?
Every time I go under, I say the same thing.
Be careful.
I am the only one my daughter has.
Be careful.
Be careful.
The risks of outpatient procedures.
That's next on The Dr. Oz Show.
A Dr. Oz alert.
The new face of heart attacks.
Symptoms that every woman needs to know.
Plus, flu shots under fire.
The controversy.
All new Dr. Oz.
That's coming up tomorrow.
Today, breaking news about routine outpatient procedures, like the one that went tragically wrong for comedian Joan Rivers.
So today, the five key questions to ask before having any kind of outpatient procedure, because Joan's story serves as an unfortunate wake-up call.
My dad was a doctor, and he always said, be careful with the anesthesia.
And every time I go under, I say the same thing, be careful, I am the only one my daughter has, be careful, be careful.
It was the medical emergency Joan Rivers feared the most, and eerily, it became a reality.
Less than two weeks ago, Joan checked into an outpatient clinic for a minor procedure, expecting to walk out the same day.
But while under anesthesia, she went into cardiac arrest.
An ambulance rushed her to a nearby New York City hospital, where she was put on life support.
Exactly one week later, Joan passed away, surrounded by family and friends, leaving the world to ask, what went wrong?
The New York State Health Department has launched an investigation into the clinic where Joan Rivers had her procedure.
I've got to say that I'm particularly saddened.
Joan Rivers was supposed to be on the show today.
Today.
She and her daughter Melissa were scheduled to be my guests.
Instead, we're trying to make sense out of this tragedy.
And I want to offer my heartfelt condolences to her entire family.
Joan was as real and as authentic a person as you could possibly imagine, and I will miss her terribly.
Dr. Jonathan Aviv is a member of my advisory board, an ear, nose, and throat specialist, and a pioneer in the use of endoscopy.
So we talked about this endoscopy procedure that Joan Rivers had, and she had this fear of anesthesia.
What would have been done differently if this procedure had occurred in a hospital and not an outpatient facility?
The wonderful thing about a hospital is that you have instant availability of emergency staff, emergency equipment, emergency personnel.
So if someone stops breathing, someone has a heart attack, at an instant everything comes together to get the patient back.
So if I can, I'm going to explain to you what an outpatient procedure is and what these facilities are called because you don't even recognize them sometimes.
They're called day surgery centers.
They're called ambulatory surgery centers, medical clinics, and endoscopy centers.
They come by different names.
Roughly 70% of surgical procedures are now being done as an outpatient basis in centers like the ones I just mentioned.
So what are the first questions, Dr. Aviv, everyone ought to be asking before they walk into one of those outpatient facilities?
There are two basic questions.
One, you want to know if the facility is licensed and accredited in that particular state.
And then importantly, you want to make sure that the clinic is affiliated with a hospital.
And in particular, if your doctor has privileges or ability to take care of the patient in that particular hospital.
I'm passionate about this next question because I'm a heart surgeon.
And it's an issue for me because we believe Joan had a cardiac arrest, which is what led to a lot of this.
Question I want to ask all of you at home is, what's your heart attack risk?
If you're a high risk, you want to choose a hospital, not an outpatient center.
You can go to DrOz.com.
We have a calculator there to figure out your exact heart attack risk.
Now, as we just heard in that piece, Joan over and over again had mentioned she was afraid of anesthesia.
Something her father, who's a doctor, had warned her about.
Explain to me the complications of anesthesia, which, you know, even, you know, the twilight or sedation that's used around these procedures.
Joan Rivers was 81. Studies have shown that advanced age, and 81 would cover that, is a significant risk factor for anesthesia.
There are two types of anesthesia.
General anesthesia, where you're completely knocked out, attached to a breathing tube, and a less deep form of anesthesia called twilight anesthesia.
So let me then delve into a fairly controversial issue.
What is the right age at which you should start pushing back on having these kinds of procedures done, or rather the anesthesia around them in outpatient centers?
The right age is a very tough question because some people could be a certain age and be fabulous in fabulous shape and other people are very young but not in such good shape.
We talk about 75 as a watershed number.
So I actually went and pulled a bunch of papers.
In all these instances at around age 75 there's a steep uptick in the chance of you having a complication including either having to go to an emergency room quickly or dying.
Related to having issues.
So I think that's one question people ought to have in the back of their minds.
And if you have these risk factors we're talking about, you need to push back and ask, should I have this procedure done in a hospital?
It's the same procedure.
Should I have it done in a hospital rather than in an outpatient facility?
Now, I've got to say, we don't know for sure exactly what happened with Joan Rivers, but let me talk about endoscopy in general because 10 million of you will undergo endoscopy this year alone.
Let me explain what it is real quick.
This is a picture, simple diagram.
So your mouth's up here.
And you put the scope in through the mouth, usually.
The patient's sedated because when that tube goes in your mouth, it touches the back of your tongue.
If you put your finger in the back of your mouth, it touches the back of your tongue, what happens?
You gag.
So in order to avoid the gagging, and it's really uncomfortable to have something in there, we sedate patients, and then we guide that tube down your esophagus, all the way down, looking for things up here and here.
You can look at vocal cords and problems in the esophagus, but you can also look in the stomach and even down deeper.
This tube is about half an inch wide, and it winds down through there in order to give the doctors the views they want.
Dr. V, if you say that every single patient who needs endoscopy needs to know there's an alternative procedure that might work for them, it's called TNE. Could you explain that?
Right.
TNE stands for transnasal esophagoscopy.
Transnasal means through the nose.
Esophagoscopy means looking at the esophagus, which is the organ, It connects the throat to the stomach.
With TNE, you're using a very, very small camera.
It's the size of a piece of spaghetti.
Show it to me, actually.
Yes.
So here it is.
It's hard to imagine that this can give you the information you need.
And you see this is very, very tiny.
And as Dr. Oz just mentioned, when you go through the nose, you're avoiding the powerful gag reflex, which is in the mouth.
So one of the things about going through the nose is that you do not need to be sedated.
So all these issues...
Nothing?
Nothing.
A little numbing medicine in the nose.
You are wide awake.
It takes minutes to perform.
So, as you said, who?
Well, there's 60 million people out there with heartburn...
There are people with throat burn, which is chronic cough, hoarseness, frequent throat clearing, a lump-like sensation in the throat.
That huge number of people who are candidates for endoscopy, just to look at this area here, ask your doctor, are there alternatives?
And here we have an alternative.
I think with this opportunity to educate people that there are alternatives, you're going to help a lot of people.
Thanks for joining us.
I'll be right back.
Next.
Passing one of these suckers can be just as painful as giving birth.
The assistant of the day helps Dr. Oz with kidney stones.
You see how sharp they are?
How to prevent them from rocking your world.
We're going to play Wheel of Urine.
Stay tuned.
Now, people say passing one of these suckers can be just as painful as giving birth.
That's what the men say.
It's a kidney stone.
And one in every 11 of you is going to develop one of these in your lifetime.
But a kidney stone is, you know, unfortunately, we're seeing them more and more often.
And you won't believe why experts say that is the case.
Today I'm going to show you how to prevent them.
But first, I need a little bit of help from my assistant of the day.
Who wants to help today?
Seat 94. 94. She's here.
Oh my god.
Oh, my goodness.
You came down there really well.
I was worried about you falling.
You were very agile making those steps.
What's your name?
Dominique.
Dominique.
Thank you for coming here, Dominique.
Are those your friends up there?
That's my sisters and my daughters.
Well, I'm happy you got me.
Well, we're talking about kidney stones.
Have you ever had one?
No.
Anyone in your family ever had one?
Yes.
What do they describe it like?
Pain.
Pain.
Yeah.
Do you think men are right to compare it to childbirth without having close?
No.
Your daughter's up there.
They have no clue.
Men are clueless anyway.
You know that.
So you never want to have one.
Well, you're very kind to say that.
Thank you very much.
So I'm going to give you some tricks to make sure you never get one of these kidney stones.
Okay.
But they are on the rise for a very important reason.
Okay.
You know, you get them because of dehydration.
Doctors get them a lot, surgeons especially, because we don't drink any water all day long because we're busy operating on people.
So people who don't drink get them.
But these days, we've got something called global warming.
We hear about it all the time.
Talk about how it affects you personally.
When you look at global warming, because it's hotter, you sweat more.
People aren't drinking anymore.
So if you're not drinking more than you used to, you're more at risk of getting these little things.
So go ahead and put your purple gloves on.
They look so perfect on you.
I get to keep these, right?
They're all yours.
They're going to my mobile building house.
Are you making a mobile building house?
Yes.
Good for you.
Where are you from?
Brooklyn, New York.
Brooklyn.
Moving to Pennsylvania.
She's moving to PA. Yes.
All right.
So go ahead and touch these kidney stones.
Describe.
Those are smaller ones.
And then these are obviously the ones I held up in the very beginning a little bit larger.
Describe that to everybody.
They're like little rocks.
Yeah.
They're exactly little rocks.
In fact, they're oftentimes they have calcium in them.
Which is what, of course, your bones are made out of, and like rocks often have as well.
Okay.
So I'm going to show you why warmer temperatures can give rise to these little things.
Because when they get stuck in your kidneys, can you see how sharp they are?
Yeah.
Can you all see that at home?
See how sharp these things are?
When they're sharp, those are actually making little scratches on the inside of your ureters.
So if you think a urinary tract infection is a bad apple, that's just from bacteria just kissing your ureters.
Right?
They're just caressing it gently and it hurts.
If you've got something that's like a piece of broken glass or stone scraping the inside, maybe it's not quite childbirth, but similar.
So come on over here.
You can put those gloves in your pocket.
You're going to take them home with you.
I'm going to give you extra ones.
I'm going to give you a whole box to go home with.
So, I made this little avatar to tell us a story about why these stones form in the first place, then we're going to figure out how to make sure you never get them.
Let's go into the back where the kidneys are located.
They're like little beans.
They're way in the back.
See all the blood vessels around them?
Yes.
They're there because the kidneys get most of the blood.
They've got to clean the blood.
So all that blood goes into the urine when it's been filtered, and you form these very small little stones.
You see them over there?
Those little itty bitty stones, now if you have enough fluid in your body, you're drinking the right amount of water, it's not too hot outside, the urine just washes that all away and those stones never become a problem.
But with global warming, if there's an imbalance of chemicals in your body, those small chemicals, they need those little blocks of rock that form together.
When they come together, they go down and they get stuck.
It begins to get infected.
That can cause all kinds of throbbing pain in there.
What's the right amount of water to drink?
Aha!
What a smart assistant today you are.
I'm so happy you're here.
Come on over here.
To answer your question, we're going to play Wheel of Urine.
I have wanted to play this game for the first five years of the show.
Finally now, I get to actually play the game with you.
Okay.
So, you go ahead and spin it.
Now most people go through life with no idea what their urine is going to look like.
And so basically life is spinning you around and whatever color comes up comes up and you may end up with a color that's sort of dark like this.
I want you to stop playing the wheel of urine game.
I want you to actually control your destiny.
Because you can change the color of your urine with the amount of fluid you drink.
And there's no number to put on there.
Because the number from even 10 years ago is different from what it is now because of global warming.
But also if you're sweating or doing exercise, it's going to be different than if you're lying in bed or doing nothing.
So I want your urine To be in a very particular range.
If you had to describe your urine color to me, what color would you say this?
Well, I looked at you a couple of years ago, and you said that if you drink enough water so your urine is clear, that's good.
So you want to be about here, maybe?
Yeah.
Yeah.
I think you're a very smart person.
You want to be in this color.
It could be straw-colored a little bit.
You don't have to make it completely transparent, because that's probably too much water.
So you want, you know, sort of transparent like this, maybe a little bit if it's okay, a little bit straw-colored.
I'm okay with either of those.
But I don't want these darker, yellow, beautiful hues, and I definitely don't want brown and this dark tan, which is unfortunately what comes up a lot.
So that's the first thing.
You ever wander down in here?
No.
My daughter's does, though.
Why do you guys do that up there?
Yes.
Why?
How come you're doing that?
Pay attention.
I tell them they need to drink more water.
You please keep telling them that.
For all the moms in the world, you challenge your daughters to a wheel of urine game.
Okay, now, let's go on to the next thing.
We talked a little bit about how sharp those little stones are, right?
They get sharp because they're oftentimes made of calcium.
So kidney stones form because you've got, with the calcium, other chemicals that like to bind it together.
So go ahead and show me what happens when all these chemicals in your kidney get put together.
Put them together.
Oh, oh!
My goodness, they came together really fast.
Oh, my goodness, they're stopping.
Whoa, whoa, whoa, whoa, whoa!
And then this happens, they get stuck, and they become these little tubes.
They move all together through your body like this, right?
That's what a kidney stone looks like.
So the question is, what can you do to hold apart the calcium so they don't bind together and make those kidney stones?
This is called citrate.
Okay.
I'm going to be a citrate.
Citrate's a chemical.
I'm going to tell you how to get it in a second.
That is a secret weapon.
It walks in there and it separates out the different particles that otherwise would have come together so those calcium blocks don't form in the stones.
They stay separate from each other.
See how it does that?
So cool.
Magic.
I can do all kinds of magic.
He's a magician.
How about this one?
Oh, cool!
I'll be here all weekend.
Where do you get citrate from?
You get it from Lemonade.
Lemons naturally have it.
And you can take it any way you want.
Lemonade's a particularly easy way to get it for that bad apple daughter of yours and others who aren't drinking enough.
Yeah, you give her that scowl.
Give me that scowl a little more time.
I told you I'd drink some water.
Thank you.
She told you already.
So, lemonade's fantastic.
I just don't want you to put too much sugar in there because sugar actually can be one of the things that makes those stones form.
So, just a little less than normal.
Water it down a tiny bit.
Or a regular old lemon in any other form you want will give you the citrates to push apart those...
Those calciums, and you won't have a problem.
I have thoroughly enjoyed having you on the show.
Thank you so much.
Good luck to you.
Listen to Mom!
Thank you, Dominique.
If you're concerned about symptoms like this, download the AskMD app on DrOz.com and help you diagnose all kinds of health problems, including kidney stones.
We'll be right back.
Coming up...
I'm kind of like an alien zombie.
Stop moving through life like the walking dead.
We're going to be helping you reclaim your health step by step.
Tools to trick your body clock and reboot your energy.
Are you going to come over and make this for me every day?
I'll do it myself.
A Dr. Oz alert.
The new face of heart attacks.
Systems that every woman needs to know.
Plus, flu shots under fire.
The controversy.
All new Dr. Oz.
That's coming up tomorrow.
All year long, I'm going to be helping you reclaim your health step by step.
And one of the things I hear most is, Dr. Oz, help me get back my energy.
Today, I'm launching my energy reboot by revealing the secret to staying alert all day long.
Shannon's going to help me out because she suffers from energy slumps like so many of you throughout the day.
They help keep her from being alert.
So when does this hit you, this lack of alertness, this slump as some call it?
Really, Dr. Oz, it's about 3 p.m.
I'm just tired.
I don't want to do anything.
Just really exhausted, kind of work day, right in the middle of the day while I'm working, too.
So I'm feeling like this.
Is that how you feel?
I kind of feel like a little slumpish, like I'm kind of like an alien zombie, is what my friends call me, but, you know, that's about it.
What do your enemies call you?
You don't want to know.
And what do you do for that zombie-like feeling?
I reach for a candy bar.
I reach for something sweet.
I reach for something that gives me energy and I think that's going to make me feel better really quickly.
Something sugary, pop, you know what I mean?
Anything like that.
Well, the elegance of sugar is that it does work, but very shortly.
You brightly burn around, but you're only there for a brief time.
So come on over here.
Let's do a little demonstration.
I've talked about this on the show, but I want to make it really graphically clear.
You ate one of the little candy bars of yours, right?
And show me what happens.
So go ahead, take me up there.
You feel better, better.
You had it at 3 o'clock.
You feel good.
You're celebrating.
You're not a zombie anymore.
I love it.
I love it.
I'm not a zombie.
And then what happens?
And you crunch back down.
That's me about 5 o'clock when I leave work.
And then you repeat over and over again.
And we call it insanity, but we do it anyway.
So hormonally what's happening is you give the sugar in your body.
Sugar jumps up.
You have to make other hormones to keep up with the fact that you've got so much sugar floating around because the body's not used to having it.
Because no time in our history did we ever have that much sugar in this form.
Available at 3 in the afternoon.
And so when we come plummeting down because we overreact as a body, it causes issues for us.
So the question is, what's the solution?
So sugar doesn't work and so many are struggling because of it.
I actually think we win the battle by starting early in the day.
By changing completely what we're doing at 3 o'clock and instead focusing on what we're doing, the smart choices we have to make early in the day.
I'm going to do it for something called a power pair.
And power pair has two parts to it.
One is fiber and one is protein.
I thought it was pear like the fruit.
I love fruit.
You know, I could have pears as part of it because pears have fiber and they do.
It actually would work.
But in this case, I'm talking about PAIR, the pairing of these things.
And the reason they work is because they help prevent the sugar from floating up and down.
So instead, when you pair up protein and fiber, now you go up, same thing.
This is at 8 in the morning instead.
Now it's 12. It does look like 8 o'clock too, the two balls.
Yes, exactly.
Very observant of you, right?
And then you get to the, you know, 3 o'clock and there's no slump.
Yeah.
You're actually pretty stable.
So you don't have that zombie-ish feeling.
You don't have the super high that's just a very brief glimpse of what life could be like.
Okay.
So what are some examples of high fiber, high protein?
You need a fair amount of it for it to actually work.
Okay, perfect.
So these are two wonderful examples that I happen to like a lot.
I have talked about these kinds of foods much in the past, but I want them to be part of the shopping list this year.
So I'll give you some examples.
Folks aren't eating these kinds of foods today, but I want you to.
One is rice cakes with a little bit of almond butter.
You can sprinkle some pumpkin seeds on top.
Eleven grams of protein.
You want to get a fair amount of protein into this thing.
And then seven grams of fiber.
Okay.
Give it a taste, see what you think.
You know, some folks think, oh, it's bland, I don't want it.
But actually, it's sort of tasty.
It looks pretty.
Yeah.
And this is a reasonable breakfast to have, especially when you know that you can avoid the three o'clock slump that so many of you are complaining about.
Are you going to come over and make this for me every day?
I'll do it myself.
I'll send you a little post reminding you.
Mmm, it's sweet but crunchy.
I like it.
But I'm going to top that with something else that I'd like you to do.
Four.
Okay.
I love pears, P-E-A-R, as you brought it up.
Me too.
And I like cottage cheese a lot.
I always have.
And if you haven't tried cottage cheese in a while, think about it, because it's a very smart way of getting this into your body.
You can make a cottage cheese parfait and put a little bit of cinnamon on top.
Remember, cinnamon calms down your body's response to sugar.
Oh, really?
This has 26 grams of protein and 10 grams of fiber.
So it outdoes everything else I can throw out here.
And this, I'm going to sit here and just fold my arms comfortably as you taste that.
It's so simple, so elegant, and such an easy way to get people— So pretty.
And so pretty.
And I love pears.
And the beautiful thing about all these things is they'll work for you if you start them early in the day.
And I know, is it reasonable?
I want to eat the whole thing.
Right now.
I'll give it to you in the break.
So, the thing is, I know a lot of you say, okay, that's great, Oz, but you're giving me something at 8 in the morning, and it's 3 in the afternoon, and it's too late for me.
So, I'm going to give you a quick fix that I want you to try from now on.
I don't want it to be the main thing you do, but if you want to jolt just for a short period of time, gum works well.
It turns out chewing gum can increase your heart rate.
Really?
That makes you a bit more awake.
And if you're going to take gum, you might also put something in it that will help your alertness, and it turns out that peppermint does that.
In a recent study, it increased alertness by about 10%.
So it will enhance your performance.
I'd rather you do this than put a lot of sugar in your body.
So, but it should be sugar-free gum?
Doesn't have to be.
The amount of sugar in gum is relatively low.
It's better for your teeth if it's sugar-free.
But again, I'm not giving you a permanent three o'clock solution.
I'm saying use this when you forgot to have your pear parfait with cottage cheese.
Okay.
Free the zombies.
Okay.
Thanks for being here.
You're welcome.
All right.
You can find lots more of my favorite energy boosters at DrRogs.com.
Be right back.
Do you have a special way to reboot your energy?
I drink water.
Most of the time, my sluggishness is due to dehydration.
It never fails to help me.
Share your secrets to stay alert on Facebook.com slash Dr. Oz.
Next, he's being hailed as an internet cult hero, inspiring hundreds of thousands of followers.
Saying something that sounds so ridiculous, it could touch people like that.
What he did to back off the bullies.
Show me and everybody else how you block them out.
Coming up.
Bringing LV back is all about celebrating where you are now and not letting judgment from those around you stop you in your tracks.
That's why I wanted to meet Brandon Bowen, a 16-year-old viral video star who let the teasing of his appearance lead him to block out the haters.
Hey, I'm sorry I didn't see you there.
I was too busy blocking out the haters.
That six-second Vine video has had a huge impact all around the country.
Within days of being posted, blocking out the haters went viral.
Racking up more than 100,000 likes.
I'm so proud of you.
Transforming Brandon Bowen into an overnight viral video star.
And inspiring thousands of other anti-hater videos from fans all over the web.
Brandon worked hard to gain his awesome confidence and self-esteem.
At age 13, an infection left him unable to walk for an entire year and caused him to put on the 50 pounds he's been unable to lose ever since.
Brandon was mercilessly teased for his appearance.
It got so bad, his parents decided to homeschool him.
But instead of letting that bring him down, Brandon was motivated to start cranking out the funny videos that have made him an internet cult hero.
Guys, I gotta tell you a secret.
I'm a frog.
And of course, the one that started it all.
Blocking out the haters.
I love this guy.
All right, Brandon, come on out.
Welcome to the show, Brandon.
I really have this.
I want to show you something.
Please.
Oh, blocking out the haters.
I like it.
I love the way you say it.
First, I've got to congratulate you.
Hundreds of thousands of folks love what you're saying.
I mean, just resonating with people.
I know.
It's crazy how something like that could go by in just six seconds.
Saying something that sounds so ridiculous, it could touch people like that.
You know, I gotta say, a lot of folks focus on things that are bad in their lives.
They focus on negative things, people say.
But you have a remarkable way of focusing on the positive.
Well, the positive is what keeps you going forward in life.
If you think of the negative, you're just gonna be standing in one spot, just crying there.
And if you think of the positive, everything in life is so happy, you can smell the roses, you can walk to the roses and smell them.
God bless you.
Your mother brought up a very wise kid.
So, you know, I gotta say, a lot of folks Are unfairly judged.
And I think what Brendan is saying makes a lot of sense.
We are judged on what we look like, not what we feel like and who we are.
It's kind of like the saying you hear, don't judge a book by its cover.
You can not know what's going on in somebody's life.
Like, say myself, every day I get mean comments about my weight, mostly, and I'm actually trying to lose weight.
And saying stuff like that could actually discourage somebody, put them in like a depression state where a lot of people are emotional eaters.
Yeah.
You have inspired more people than you can imagine.
You're speaking to a lot of folks out there who feel what you're able to say so beautifully.
Can I say something to everyone right now?
I think right now we need to start changing the conversation and focus on what really matters.
Not how we look, but how we feel.
And Brandon here is sharing a great message.
Judging is just a waste of time.
I just don't think it makes us any better.
So America, we got better things to do than that.
And so, obviously, you didn't let the haters in there.
But I want you to show me and everybody else out how you block them out.
Is it okay?
Yes, sir.
So I know you use spoons.
I've actually blinged yours up a little bit.
There's some blinged up spoons.
I have my spoons.
And I actually made my anatomically correct ones for me.
Right?
These are mine.
All right, so show me how you do it.
You go like that.
You squeeze it in.
Yes, sir.
And it just works like that.
No haters.
No haters?
And what do you...
Let me hear you say it.
What do you...
What do you say?
Hey, I'm sorry I didn't see you there.
I was too easy mocking out the haters.
So beautiful.
I got to say, you know, I want you to kick off a little program.
Are you willing to make a little video with me?
Yes, sir.
All right, we'll make a video together.
I've got an idea.
I'm going to see if you like it.
I want your creative genius involved in this process.
When we come back, Brandon and I are going to show you our new web video.
Stay here.
A Dr. Oz alert.
The new face of heart attacks in America.
Women under 55. Staggering statistics reveal young women are at more risk to die than anyone else.
The warning signs that can save your life.
Systems that every woman needs to know.
Plus, flu shots under fire.
The controversy surrounding the vaccine.
All new Dr. Oz.
That's coming up tomorrow.
A Dr. Oz alert.
The new face of heart attacks.
Symptoms that every woman needs to know.
Plus, flu shots under fire.
The controversy.
All new Dr. Oz.
That's coming up tomorrow.
We're sorry.
We didn't see you standing there.
We were too busy blocking out the haters.
Hey, Brendan, what do you think about folks who are always judging each other?
I don't think that's cool.
I mean, normal is boring.
Join Brendan and I. We want you to tell us what inspires you to block out the haters.
Use hashtag block the haters.
Just in time.
For in case you missed it, that was my hater viral video debut.
I think it came out pretty cool.
What do you guys think?
Brendan something else.
And it brings me to my first point.
Celebrate where you are.
Brendan uses humans to celebrate just who he is and that's a healthy thing to do.
Remember, I'm calling all of you to stop judging each other.
Send me what you like to do and what inspires you to block the haters using the hashtag block the haters.
Second, start my sleep action plan today.
Opening up the late night sleep clinic with my colleagues is a real eye opener for me.
I heard firsthand what you guys are all struggling with.
And getting more sleep is a big concern for me.
And good night's sleep, remember this, can ward off diabetes, hypertension, heart attacks, depression, anxiety, strokes, lots of things.
So tonight, turn down that thermostat to 65 degrees as a simple first step.
Check out the whole sleep action plan on DrRoz.com.
Remember, I just want one extra hour of sleep from you guys tonight.
It will change your lives.
I want to close with a warning.
Please be careful about what you buy online, especially weight loss pills.
There's some dubious people online that prey on folks like you who are trying to do the right thing for your health.
Sometimes they even try to make it seem like I'm endorsing their products.
I do not.
To see a full list of our trusted partners, please go to DrRoz.com.
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