Do you know what is causing your fatigue? Learn how to identify fatigue and understand how to fix your fatigue.

[00:00-01:05] Nunaisi Ma

Hello and welcome to RISE. I am so happy for you guys because today we have a special guest that will talk about something really really important and his name is Evan Hirsch. He is an MD, a world-renowned fatigue expert, and is the founder and CEO of the International Centre for Fatigue. Through his best-selling book, podcast, and international online programs, he has helped thousands of people around the world optimise their energy naturally and is on a mission to help 1 million more. He has been featured on television broadcasts and summits and when he’s not at the office, you can find him singing musicals, dancing, and playing basketball with his family. Welcome, welcome, welcome.

[01:07-01:10] Dr. Evan Hirsch

Thank you so much for having me on, Nunaisi.

[01:11-01:43] Nunaisi Ma

Oh, it’s such a pleasure. You are the expert when it comes to fatigue and I, first of all, really find that connection between fatigue and trauma which I want to dive into as we talk today and then, of course, you’re going to leave us with some information on how to overcome it. Wow, I mean so many people are suffering from fatigue and they don’t have to be there, right?

[01:46-01:50] Dr. Evan Hirsch

Absolutely, it’s a major issue and trauma plays a huge role so I’m so glad we’re doing this today.

[01:51-02:01] Nunaisi Ma

Right, and before we are going to dive into the subject, I would really like to have a little bit of your backstory and how you came to work with fatigue. What brought you there?

[02:03-04:23] Dr. Evan Hirsch

So, it started when I started residency back in 2004. I graduated from Medical School, I was starting my Family Medicine residency program and I met my wife and we fell in love and three months later she couldn’t get out of bed. So, she was really- it was a huge moment for

me and for us because you know, we had this anticipation about how our love affair was going to go, how our relationship was going to go, and then all of a sudden, she had fatigue and I’m at this place in my career where I should be able to help her.

I’m surrounded by all these doctors and all these people who are supposed to know a lot of information and all the people that I talk to and the books that I read and everything that I was trying to do while I was working 80 hours a week to help her were not successful. So, she finally went to a naturopath, got some help, figured out just a couple of the causes that she had, we still didn’t know a lot then and she was mostly better after 3 years and then we got married, we had a kid, we opened a business-a new medical practice, and then a couple of years later, I got fatigue and my fatigue lasted for five years.

It just about destroyed my life, my relationship with her, she’s coming out fatigue, we’ve got this new baby, and I can’t even help out with the dishes, I can barely keep it together to run up my medical practice. I had to keep hiring people to do my job because I could- my brain wasn’t working. I had all this body pain and fatigue. It was awful and my relationship with my daughter was crap because she said “Daddy play with me” and I couldn’t.

So, I had a lot of guilt, a lot of shame during that time and I realised finally that, and I’m not a very good patient and I wasn’t back then, that I had to start practicing on myself because I was already helping people with fatigue. I was practicing functional medicine at that point and so I knew that I had to apply it to myself and it’s only when I actually looked and figured out all of the different causes of fatigue and made a list and checked them off one by one, that I really realised how many causes there were, how many causes I had, and as I removed every single one of these causes, I just kept getting better and better and better till I resolved my fatigue. And then I wrote a book about it and helped thousands of people at this point and on a mission to help a million more.

[04:24-04:33] Nunaisi Ma

So, what are the common threats? What are the common reasons for fatigue that you’ve come across, say, your patients?

[04:35-07:34] Dr. Evan Hirsch

So, there are 10 different categories of causes of fatigue that can really be grouped into two main categories which are deficiencies and toxicities. So, deficiencies are things that are not in the body that are supposed to be in the body and toxicities are things that are in the body that aren’t supposed to be in the body. So, when we look at the deficiencies, we’re looking at things like hormones are deficient, not enough adrenals or thyroids or sex hormones, vitamins and minerals are deficient.

Lifestyle habits are deficient so not enough sleep, not enough good food, not enough water, not enough movement, too much sitting, right? Sitting is the new smoking. There can be deficiencies in things like neurotransmitters. There can be deficiencies or dysfunction in mitochondria which is the energy centre of every cell in the body, so those are the deficiencies. Then the toxicities are things like toxicities from heavy metals.

We know that upwards of 100,000lbs of mercury are dumped into our oceans every single year. We know that 70% of all lipsticks have lead in them, things like chemicals. We know that 84,000 different chemicals we’re exposed to on a regular basis, that we shouldn’t be that haven’t been appropriately tested. You know there are 500 chemicals you’re exposed to before you even leave the house in the morning, whether it’s plastics or pesticides, your cosmetics, and all these things are damaging the DNA in the body.

Damaging different components of our body causing inflammation. So that’s heavy metals and chemicals then there are moulds. About half of the buildings in first-world countries have water damage and most of those have moulds, incredibly insidious and people aren’t paying enough attention to it. Then there are infections, things like Lyme disease and other infections, you know, the CDC a couple years ago used to say that there are 64 or 30,000 new cases per year, now the number- the case this year is 476,000 new cases per year of Lyme disease, and that doesn’t include a number of these other infections like Babesia and Bartonella and Epstein-Barr virus and a number of these other things that I see time and time again in people.

Then there are things like negative emotional patterns which comes from trauma or come from ACES, right? Adverse Childhood Events or I call them Adverse Life Events, where anything along the path of life if you have an event that you perceive as negative, it ends up putting a stressful burden on the body. It changes the way that you see the world and contributes to the inflammation and allows some of these toxicities to take a greater hold on your body. Then there’s also things like allergies, so to foods, to inhalants, and things like Electromagnetic Fields that are coming out as all these invisible wavelengths and frequencies that we’re being exposed to on a regular basis. So that’s a lot of information but big picture is deficiencies and toxicities.

[07:35-08:10] Nunaisi Ma

Yeah, that makes sense. I mean unfortunately, that is the truth, right? We are living in a very toxic environment, when it comes to our food and pesticides and you name it and then, you know, the air is toxic with all the cars and pollution and the list goes on and on, right? So, on the action of a positive kind of way to go about it, what can one do?

[08:12-11:50] Dr. Evan Hirsch

So, the first place you always start is looking at the lifestyle habits. So are you consuming enough water? You should be consuming half of your body’s weight in ounces for the most part. If you’re looking at pounds, so if I weigh 165 lb, I should be consuming around 80 something ounces per day, so that’s 2 and 1/2 litres or so, almost 3L. For those who have fatigue they actually should be consuming more along the lines of 3L per day.

Then other lifestyle habit things, you want to make sure that people are getting good enough sleep. Now a lot of the causes of sleep issues are also the same causes of fatigue issues because you can prioritise sleep and you can put yourself in bed at 9:30 or 10:00 every single night hoping to get your 7-9 hours per night that you really need, and maybe your sleep quality isn’t good because you have some of these deficiencies or you have some of these toxicities which can really play a role in sleep but making sure that you’re prioritising it, you’re paying attention and you’re doing your best to- After dinner everything that you’re thinking about has to do with sleep, making sure you’re not looking at screens for too long, shutting off screens, making sure you’ve got Bluetooth or sorry making sure you’ve got blue light blockers on any of the screens that you’re looking at, definitely at least an hour before bedtime, you know, making sure that you’re not having really tense discussions after dinner before you get ready for bed.

So, you want to make sure that it’s a smooth process, relaxing process leading to bedtime. Then you also want to make sure that your food is good. So not enough good food, another one of these deficiencies associated with lifestyle habits, so if you’re not consuming most of your calories from vegetables, you need to rethink what you’re doing. Vegetables and protein is really most of where your calories should be coming from, grains, sugars, you really need to let go. A lot of the bugs that are in our bodies are reminding us, are telling us that we should be consuming these things and they’re not healthy for us.

There are some people who need to be consuming some grains but definitely less grains and less sugar, more vegetables and a little bit of protein is really ideally where it’s at. Then the last thing is movement. You know, so many different cultures out there have traditions of movement, whether it’s dance, right? I remember going to South America in Ecuador and Peru and Colombia and what do you do after dinner? You went dancing, right? In your home or outside. It’s not the kind of thing that we have a lot of in the Western world and so, unfortunately, a lot of us are getting sick from lack of movement.

So, we want to make sure that we’re moving as much as we can, but with a lot of the chronically fatigued people that I see, there is a Goldilocks dose of movement and so you want to make sure if you’re moving and you feel worse afterward it’s too much. If you’re not if you’re moving too little and then you’re not feeling well then, it’s too little, so you want to make sure that you’ve got that Goldilocks dose. We’re pushing to get as much movement as you can and it might just be walking, right?

It doesn’t have to be things like jumping jacks and burpees or cross fit or any other sort of stuff. You just want to make sure that you’re moving as much as your body allows you to without feeling worse, especially if you’ve got chronic fatigue but those are really the places to start. It’s all about assessing the causes and so when we go into my four-step process, we’ll talk about how to assess these causes and why they’re so important.

[11:51-13:02] Nunaisi Ma

Right, do you also find that in our culture that really praises doing and working and we kind of get the message that if you stay to work until midnight then you’re kind of a hero, you know, it’s something to boast about. I find that many women that I work with, they really can’t naturally live in that paradigm of especially, you know, it’s the patriarchal residue that has been predominant in our culture for so many years and women burn themselves out by trying to do, do, do and work, work, work and not balance it with their feminine essence which also needs to be, and to slow down and to self-care and all of that. So, do you find that also as a cause for fatigue?

[13:03-14:25] Dr. Evan Hirsch

Absolutely, that is a huge problem, and way too many people that have fatigue are perfectionists or seeking perfection or, you know, working their tails off for some goal which really isn’t achievable and so it’s a huge problem. Especially for females because their job is twice as hard because they’re also, you know if they’re nursing at home and they’ve got a young one, like how do you balance that? It’s really hard for- you know, men obviously don’t have breasts, can’t step in and do that work unless you switch to a bottle, if that’s not something you want to do, right?

And so, a lot of women, my wife included, have had these conversations, put their careers on hold oftentimes, and then they’re not where they want to be as they get older. So, there are a lot of challenges with that and how do you balance those things the masculine and feminine? What you want to do in your career, with what you want your life to look like at home, and then when you’re on your deathbed what’s going to make you feel good about your life, right? What was it that you accomplished?

Is it all- is it doing what we think in western society and these accolades and these rewards that we get for doing, doing, doing, or is it going to be the time that we spent with family? that’s always something we have to consider. Part of the mindset stuff that we do on our program is to make sure that we’re actually focused on the right things in our life, so we can actually have the ideal life that we want to and not the one that was told to us.

[14:26-14:45] Nunaisi Ma

Right, so how does somebody know they have fatigue? How do they actually come to the realisation that it’s not just tiredness or just the lack of energy, that it’s actually fatigue?

[14:47-16:02] Dr. Evan Hirsch

So, it’s a tiredness that’s not relieved by rest. So, if you’re getting good sleep at night, let’s say you’re getting 7 to 9 hours of sleep and you’re still tired, that’s a problem. Or if you have a sleep problem and you’re tired during the day, that’s also a problem. A lot of people think that because they’re getting older it means they’re going to be more tired and that’s definitely not the case. I just saw a 68-year-old man the other day who says he feels better now than he did when he was 30.

So, we have to get rid of this thinking, this incorrect thinking around “oh I’m just getting older”, alright? It has to do with the number of toxicities that are building up in your body, whether they are negative thoughts and emotions, whether it’s these physical or biological toxins that we’re talking about, whether it’s through a lack of movement, so it’s all those things that need to be taken into account. But the likelihood- and you don’t have to be perfect by any means- but the likelihood that there are some causes that you need to look at when you’re tired is incredibly high. So, if somebody is tired and they don’t have the ideal energy that they want and it’s not allowing them to achieve their goals in life, whether personal or professional, they have to take a look at those.

[16:03-16:08] Nunaisi Ma

So, tell me, why is it so hard to treat fatigue?

[16:10 -17:44] Dr. Evan Hirsch

It’s hard to treat because there are so many causes. So, when we look at those 10 different categories of causes, it can get overwhelming because when you break it out into sub-causes, it’s 33 different causes. Now, what makes that challenging is that everybody who has fatigue has a different number of causes. They have around- everybody who has fatigue has around 20 of those causes and they have a different number of causes.

So, Joe Schmo over here has causes 2,4,6,8 and 10 perhaps and Sally Sue over here has causes 1,3,5,7,9, right? So, then their treatments are much different. So, when they go to their doctor or their practitioner or whoever they’re seeing and they say I’m really tired and the practitioner says well, take this medication or take this supplement or whatever it is and they’re not looking at all of those different 20-plus causes, there’s no way that you’re going to be able to have success.

You have to figure out which causes you have first and then you can actually take the treatment, because when you look at the process, it’s really a simple two-step process, not so simple but simple when you look at it this way, is that you find the causes you have and then you fix them. But if you don’t know the causes you have, you’re not going to be able to fix them, so that’s why that first step is so important, finding the causes that you actually have that are specific to you. Because if your best friend took B12 shots and they felt so much better and you take B12 shots and you don’t feel better, well guess what, they had a B12 deficiency and you don’t.

[17:47-18:06] Nunaisi Ma

So, it’s basically working with a practitioner that can run all these tests and really dig into the causes, right? To start and bring the body back into balance and homeostasis, right?

[18:07-19:39] Dr. Evan Hirsch

Exactly, so the important thing is that when you go to figure out whether or not a practitioner is a correct person to work with, is you have to ask them questions about every single one of these causes. You have to ask them about their success rate with these causes, how do they treat these causes, you know, what is their understanding of these causes because most practitioners, if you’re looking at a conventional practitioner, they’re going to look at thyroid, look at some liver enzymes for hepatitis, maybe some heart or lung stuff and that’s about it.

You know, maybe they’re going to look at Epstein-Barr virus, for mononucleosis. If you look for a natural practitioner or an integrated practitioner or functional medicine doc, one of those people, they are going to be much better and they’re going to look a lot at the deficiencies, so replacing those deficiencies. And that might get you part of the way but it’s really these toxicities that oftentimes a lot of these practitioners, even the best ones around, are not looking at. Maybe they might be looking at heavy metals but sometimes they are not looking at chemicals and a lot of practitioners do not want to touch mould; they don’t want to touch Lyme or other infections.

They’re not looking at negative emotional patterns, so you have to make sure that they’re comfortable with treating all of these things otherwise you’re not going to be successful. You may get your energy up a little bit, let’s say your energy is a 4 out of 10, 10 is ideal energy, maybe you’ll get up to a 5 out of 10, but if you really want to get your life back and really want to succeed in everything that you’re doing in life, you want to throw off the monkey of fatigue from off your back, then you have to make sure you’re addressing all of these causes.

[19:40-19:58] Nunaisi Ma

Right, and I’m sure that many people are compromising their energy levels without even maybe being aware of it, right? Kind of living comfortably with a 7 out of 10 and not knowing what the 8,9 and 10 out of 10 feels like, right?

[20:00-21:01] Dr. Evan Hirsch

Absolutely, and sometimes they’re also compromising or they’re compensating by taking caffeine, right? So, you know, humans in this world live on caffeine, for the most part, whether it’s tea or coffee and a lot of that is that pick me up that they need because they’re already put into a chronically fatigued state and they just don’t realise it, even if it’s just a little bit, but they notice it when they don’t have their caffeine, right?

All of a sudden, the reality might be more like a 5, and then it starts to get scary because then you get concerned about “am I going to be able to function at work? Am I going to be able to function at home? Am I going to be able to take care of my family?” So, it becomes much more urgent to fix this problem and you can’t just slap a band-aid on it like caffeine because that’s only going to last for so long before it burns out your adrenals and other hormones, and caffeine no longer works and then you’re in a worse place. So as soon as people start noticing, they have to pay attention to their bodies crying out for help, right? We have to start paying attention.

[21:03-21:24] Nunaisi Ma

Right, the body is talking to us and it’s just about understanding that language, right? So if we’re feeling tired and something is out of balance, it needs our attention and better sooner than later, right? Before it escalates and becomes like a snowball.

[21:26-21:53] Dr. Evan Hirsch

Absolutely, and so much of this brings it back to mindfulness. You know, a lot of the trauma work that you’re talking about as well with people who are at this event, are also talking about mindfulness and paying attention to how we feel. What are the emotions that we’re

feeling? Where do we feel them in our bodies, right? Getting to be better stewards and better scientists around our bodies, who we are, ends up helping us heal.

[21:54-21:58] Nunaisi Ma

Right, and how would somebody know if they have an underlying infection?

[22:01-24:17] Dr. Evan Hirsch

So, there are a lot of different infections that can cause some pretty interesting symptoms so I’m going to give some examples here around what those would be. So, for example, there is an infection called Bartonella, oftentimes comes from a domestic animal licking you in the face. A lot of us have it. A lot of us get it for our mums through the placenta. I mean so there is- you can get it from mosquitoes but Bartonella also known as cat scratch fever if you get it acutely will cause some very interesting symptoms.

So sometimes people have pain on the bottom of the feet, usually misdiagnosed as plantar fasciitis. They can have muscle cramps usually in the calves, usually happening at night. They can have sleep problems, body pain, some anxiety, some depression, and oftentimes, they can also have some rashes which look like they’ve been scratched or stretch marks. Then thyroid is a big component as well if somebody has got Bartonella. So those are just some of the symptoms of Bartonella.

With Babesia oftentimes, people have spontaneous sweating either during the day or at night. They’re usually the hottest person in the room. They will always say “so can you turn up the air-conditioning”. They’re outside shovelling snow in short sleeves and they oftentimes have awful sleep and anxiety to the point of panic attacks, unfortunately, and depression to the point of suicidal thoughts, and once you address them when you address the infection, so much of that stuff gets better but those are just some examples of like a conglomeration of symptoms. You do not have to have all those symptoms; you can have a couple of them. You know, with babesia, if you sweat a lot, you’re the hottest person in the room, you’ve got awful sleep, it’s very possible, or if you’ve got really awful anxiety and panic attacks that haven’t been fixed.

We have to remember conventional medications may help if you’re taking Xanax or something else, but those band-aids, those are consequences of what a number of these toxicities and deficiencies actually are doing in the body that end up causing these symptoms. So, you always have to keep infections in mind whenever you’re looking at things like chronic fatigue, autoimmune disease because they get into the body, they trigger the immune system to cause inflammation and based on where they are in the body, they will cause different symptoms.

[24:18-25:13] Nunaisi Ma

I mean listening to you speak, I almost feel like all of us have most of the fundamental causes, right? Because we’re all exposed to pollution and toxicity, and we probably all have some form of deficiency because of the state of our soil and just how we grow our food, and all the genetically modified food and all the fast food and everything that our modern society has developed. It’s almost like when we actually feel that, we need to start doing something about it, right?

[25:14-26:33] Dr. Evan Hirsch

You’re absolutely right, you hit the nail on the head. You know as we go through life, we end up getting more of these toxicities, we end up getting more of these deficiencies and people can usually tell you, “You know I’ve had fatigue this long” or “I’ve had this problem for this long” and that was the moment when the straw broke the camel’s back, right? Because you can be at; I grew up eating gluten and dairy and lots of tuna fish, so I was full of mercury. I was chronically constipated.

I pooped like once a week for the first 20 years of my life until I figured out that, that wasn’t normal so I wasn’t able to get rid of a lot of my toxicities, pesticides, herbicides. Then I lived in a mouldy house, I’m still fine, I grew up in New Jersey. I was bitten by ticks, I’m still fine, up until a point where I get another infection and then all of a sudden boom, I get chronic fatigue, right? So the body is able to compensate until it’s not but it’s that accumulation, exactly what you’re talking about, where when you start to notice you want to make sure that you start addressing it because as we get older or like what happens to people, they get more tired and we think well, we’re just getting older, right? But it’s this accumulation of these toxicities as well as the deficiencies that end up leading to that.

[26:34-27:26] Nunaisi Ma

Right, I know that for myself, I’ve been doing detoxes at least biennially, if not three or four times a year. I mean that intention behind it is really that, to clear, to stop digestion for a while so the body can attend to, fix infections, and to really rejuvenate and regenerate. What are other kinds of prevention methods or maintenance methods that one can start integrating into their life, not to reach that state where that’s it, they can’t go any longer?
[27:28-31:16] Dr. Evan Hirsch

Yeah, it’s a great point that you’re making. So doing the occasional fast can be helpful and, you know, it really depends on how healthy the individual is. So, if they already have some fatigue and they have some of these toxicities mobilizing them or pulling them out of their hiding places, it’s not good unless you know what you’re doing. When we go through my four-step process, step three is opening up the detoxification pathways before we go into step four, remove the toxicities. Just big picture; step 1 is assessing the causes and then step 2 is replacing the deficiencies, step 3 is opening the detox pathways, and step four is removing the toxicities.

So, if you go ahead and you’re starting to remove the toxicities without opening up the detox pathways in step 3, you’re going to feel worse and you’re going to re-expose yourself to a lot of these toxins, so you do have to be careful with detoxes but generally, this is kind of how intermittent fasting works, by skipping meals, making sure that you’re still consuming a lot of water. Resting the gut can be helpful, doing any 24-hour fast is good, longer if you know that you can tolerate it. Those can always be good detoxification strategies, just eating vegetables for a period of time is really wonderful as well.

You can’t really detoxify if you’re consuming oils but if you just went with vegetables and you’re not having meat, you’re still resting the gut, you can do that for 1,3,5 days without a problem, those are really great. Making sure they’re doing variety in foods, you know, you’re not eating the same food every day. Anything that you’re eating every single day you have the chance to develop a sensitivity to, where your body will eventually react negatively to it. So, these are just some other strategies that you can look at for natural detoxification. You want to make sure that you’ve got filters wherever you can put them so a water filter. I’ve got a whole house water filter for only 300 bucks.

I like the company Aquasana. It’s like well, it’s a bit more, 500 bucks now and then you have to pay a plumber to put it in but lower-cost. You know air filters like the air duct that I recommend, which will also get some mould. So, you want to make sure that you’re filtering as much as you can, your air, your water, your food, you want to make sure that you’re as much organic as you possibly can. And if you can’t afford it, I suggest that you get the clean 15 and the dirty dozen list from the environmental working group at ewg.org and you make sure that the dirty dozen you get as much organic as possible.

With the clean 15, you can get those non-organic and they’re more likely to be clean. So those are just some tips about trying to keep your environment as clean as possible and it’s really baby steps where you’re going to look at okay, what are the toxicities that I have in my home? What am I washing my clothes in? What am I washing my dishes in? How do I go more natural? You just want to do these really baby steps. Maybe you make a plan with your family, like this month I’m going to look at the toxicities that we have in this part of our lives.


This month I’m going to look at my cosmetics and I’m going to go on ewg.org/skindeep s-k-i-n-d-e-e-p, where you can look at what is actually in your cosmetics, what are the toxicities there because that’s a huge source of toxicity. So, you just have to go through and figure out where the least toxicities are that you’re being exposed to because the first step is avoidance, to get it out of your life, and then the second step is getting it out of your body, no matter what it is.

[31:17-31:42] Nunaisi Ma

Right, and start reading labels, right? When shopping and what is in there. There are many things really hidden and not very transparent and my kind of rule of thumb is, if there’s a long list, it’s a problem, right? especially- and if you can’t pronounce them.

[31:43-32:06] Dr. Evan Hirsch

Yeah, that’s brilliant. That’s such an important one. A lot of people are like they’re concerned because they don’t know how to read labels and they’re not sure what they’re supposed to be doing but your advice is definitely good. You want to make sure that the list is short, if what’s on the label hasn’t fallen off a tree or a bush, you know, then it’s very likely that it’s not the best thing for you.

[32:07-33:06] Nunaisi Ma

Right, you know from your experience, something people that are really in that state, where they have fatigue and they don’t have motivation for life, they don’t have that inner fire to ignite their chi, their energy, they can really go downhill, right? It’s like a spiral that takes them down and can cause depression, can cause suicidal thoughts, can cause feelings of isolation and I mean there’s such a huge impact that one can have on their life and not really knowing where it’s coming from and kind of feeling very alone in that process, right?

[33:07-34:58] Dr. Evan Hirsch

Yeah, it feels so good just to have answers, just to learn what are the causes that you actually have and what you’re talking about is so important. This is why mindset and mindfulness are such an important component of our process as you you have to be- in order to heal you have to be swimming in as much gratitude as possible. You have to have a vision for your life, your personal life, your professional life, your health, right? You have to take a look at some of the limiting beliefs that you’re having, flip them on their head, and make them into

empowering beliefs.

“You know, there’s not enough time, there’s not enough money, I’m never going to get better”, right? You have to switch these things into places of there’s always enough time, there’s always enough money, I’m going to get better soon, quick, you know, like it’s going to happen for me and making sure that the questions that we’re asking ourselves on a regular basis are actually empowering questions. Most of the time people have one question that they ask themselves on a regular basis that isn’t supportive, like “why is this happening to me” and instead we need to ask ourselves “what is the one thing that I can do today to move my health in a positive direction.”

As humans, we overestimate the amount that we can get done in a day and we underestimate the amount that we can get done in a year which basically means that, if we make a baby step every single day, we are going to be successful. You don’t have to solve all of your problems in a day. It’s just baby steps, right? So, the journey of a thousand miles begins with a single step and before you know it, you are where you want to be but you have to take that step and sometimes there is a risk with that step but you have to take that step and you have to put yourself out there and you have to commit to yourself and you have to prioritise yourself in order to be successful.

[34:59-37:14] Nunaisi Ma

I love what you said and I want to dive even deeper into that. First of all, that link between your mind and mindset and your physical health, and I even want to dare to say that our mind is so powerful, that just the mind can overcome. Our body can be resilient as well. I mean what we’ve been through, what we’re doing to the planet, we’re still alive and living, this is already a miracle.

So, I kind of feel that our body, sure it needs the foundation and it needs, as you said, the water and food and everything but even more so, the mindset that is so powerful and can almost overtake the physical body, although they are hand-in-hand. I don’t want to underestimate our physical state but the mind is so so powerful that it can really help us soar in such a profound way.

I really like that you mentioned that as well because this is really important that we actually take that responsibility to prioritise ourselves, to actually make that decision that we are worthy enough to start walking that journey, and even if it’s really- one little step at a time and what I like to even say, even if you do just one little pivot of one degree, you’re already heading towards a different direction. You’ve already changed the trajectory of your life. So, it’s really about doing those, just a little over your comfort zone each time, so you can progress in the direction that really empowers you and supports your growth, right?

[37:15-37:33] Dr. Evan Hirsch

Absolutely, I couldn’t agree more. It’s pivotal and anybody who’s not looking at mindset as a component of their overall health is not going to get where they want to get. Yes, you can focus on the physical till the cows come home and it’ll get you a lot of the way there, but when you have this combination, it’s so much more powerful.

[37:34-38:3] Nunaisi Ma

Right, and I mean, you always hear of stories about people that managed to accomplish the unbelievable, the almost unnatural, so to say, through the power of the mind. This is where it starts, right? This is kind of the foundation and accompanied by looking after the physical body, after our temple, that’s the winning formula, right? Is there anything that you’re doing in your practice that is directly connected to overcoming past, say, childhood wounds or trauma or any of that, you can talk about?

[38:33-39:23] Dr. Evan Hirsch

We have several coaches in our program. We’ve got a Health coach in order to lead people through the physical parts of the program, and then we also have a Nervous System Retraining coach who is trained in NARM which is a Neural Affect of Relational Model for trauma. It’s a mindfulness-based approach. She offers group programs in our program or group components in our program, as well as one-on-ones with people going through it. It’s just such an important part of all this, so we wanted to make sure that we included that. My wife is trained in this component this NARM, N-A-R-M the Neural Affect of Relational Model for trauma so I became familiar with it and consequently, we hired somebody who could provide these to the people going through our program.

[39:25-39:54] Nunaisi Ma

I really like your holistic and natural way to overcome fatigue. Thank you so much for the work that you’re doing, I think it’s vital. It’s really really important and I can feel your heart is in the good place, the right place. I know that you have a gift for our audience you want to talk about.

[39:55-40:17] Dr. Evan Hirsch

Yes, so I have a best-selling book that’s on Amazon and the second edition which is not on Amazon yet is in a PDF format that you can get by clicking on the link below or wherever the

link is. You can just put in your email and then you’ll be able to get a PDF of that latest version of our best-selling book.

[40:18-41:18] Nunaisi Ma

Oh wow, this is so generous of you. Thank you so much and yeah, go ahead and download this PDF. And if you currently feel that you might have fatigue, this is definitely for you, and if you feel that maybe you’re not in your optimal energy, maybe you now realised through our conversation that you might be compromising and you might be compensating and settling for a 7 or even lower out of 10 levels of energy, or if you have struggle in sleeping well and all the above, go ahead and download this PDF and really take your life to the next level because you’re worth it. And it can be done, baby steps, little shifts one at a time, and then, time for you to rise.

[41:20-41:22] Dr. Evan Hirsch

That’s right, it’s time.

[41:23-41:51] Nunaisi Ma

It’s time, right? Life is so short. We’ve got such a short and predictable journey on earth that can be gone like that and so while we’re here, let’s just make the best out of it right- Amen. So, thank you so much for being here. Thank you for sharing your wisdom with our audience and blessings on your journey.

[41:52-41:55] Dr. Evan Hirsch

Thank you Nunaisi. Thanks so much for the work you’re doing and thanks for having me on.

[41:56-42:03] Nunaisi Ma

Oh, it’s a pleasure. It was a very enlightening conversation, so thank you so much. I appreciate it.


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