The guest suggests her condition significantly worsened during the pandemic due to high stress and a potential hormone imbalance (estrogen dominance). She found that an anti-inflammatory diet significantly helped manage the pain, linking lifestyle factors to symptom severity.
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Chronic low-grade inflammation often presents not as obvious swelling but as subtle, persistent symptoms. Issues like increased fatigue, difficulty concentrating, poor sleep, and skin problems can be driven by an under-the-radar inflammatory state that even doctors may miss.
Unhealed trauma keeps the body's sympathetic nervous system in a constant state of "fight or flight." This chronic stress continuously weakens the gut microbiome and immune system, undermining any benefits from healthy eating, exercise, or sleep. Healing trauma is therefore a prerequisite for physical healing.
Life operates on a finite energy budget divided between vital functions, stress responses, and growth/maintenance/repair (GMR). Energy allocated to stress is directly diverted from GMR, meaning chronic stress actively prevents your body from healing, repairing, and growing.
Instead of adhering to a strict diet label like vegan or pescatarian, Dr. Bolsiewicz advises focusing on nutrient quality. A gut-healthy, anti-inflammatory diet is achieved by consistently consuming these four "workhorses," which support the microbiome and calm the immune system, regardless of the diet's name.
The evolutionary "fight or flight" response floods the body with hormones like cortisol to handle immediate threats. This life-saving mechanism comes at a cost: it diverts resources away from non-essential functions like digestion. Chronic stress therefore leads to a chronically sacrificed and weakened gut.
Despite a confirmed diagnosis and her expertise as a physiotherapist, the guest was forced to undergo nine months of painful Zolidex injections and unnecessary physiotherapy consultations before she could get the hysterectomy she was fighting for.
When addressing hormone imbalances, start at the base of the "hormone pyramid." Optimizing foundational hormones like cortisol (stress) and insulin (blood sugar) is essential, as they directly impact thyroid function and sex hormones like estrogen and testosterone.
The guest described hiding her pain so much that it resulted in a constant grimace or 'resting bitch face'. After her hysterectomy, multiple people commented on the visible change in her face, demonstrating how profoundly untreated chronic pain alters physical appearance.
The guest, a senior physiotherapist, was repeatedly told her pain was spinal. Her endometriosis was wrapping around her sciatic and femoral nerves, causing symptoms that even orthopedic specialists misidentified, delaying her hysterectomy by two years.
Dr. Will Bolsiewicz distinguishes between life-saving acute inflammation (fighting infection, healing injury) and detrimental chronic low-grade inflammation. The latter is a constant, damaging immune response likened to a “forever war” inside the body, which is at the root of many modern diseases.