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I noticed that Iberogast has licorice root in it. Any idea of what the dose is? It’s only part of a proprietary blend. Is this taken into consideration when given to HPA patients?

Dr. Amy Nett: No, I don’t know what the dose is because, as you mentioned, it’s proprietary, but I think...

Vital Adapt was recommended, and I’m confused why that would be used because in the teaching Chris said that it was used in cases of low free cortisol, but hers is on the high end of normal.

Dr. Amy Nett: Yeah, that’s fair. I think this is one of those things where clinical judgment probably came into...

How long do you typically put patients on the supplement plan for HPA dysregulation, and when do you typically retest?

Dr. Amy Nett: This depends a lot, I think, on the severity of the symptoms and what the underlying issue...

When we learned the HPA supplement protocols, there wasn’t a focus on duration of treatment. So when to stop the supplements in the near long term. I feel like this is kind of a black hole for me.

Dr. Amy Nett: Yeah, exactly. There is more to the question, so I’m going to come back to it. It’s...

Also, because the choices are so supplement heavy in the case studies, I’m wondering how supplement heavy most of the cases are really and how you make choices. Are there any go-tos in the different categories that are your favorites? Do you start people with one thing at a time so you can monitor what each one is doing and how it is tolerated? Many of them don’t feel as ancestral based such as in the gut treatment section, meaning they seem more like extracts of things that you don’t find in nature. This is confusing to me because the protocols don’t seem as in alignment with the ancestral medicine approach except for things such as adaptogens.

Dr. Amy Nett: That’s a great point, but the other thing is, if you’re looking at an ancestral perspective, if...

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