Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:  Jordan: Hi Dr Cabral. I am a collegiate athlete and so typically I train for 3 hours a day (2 hrs of sport, 1 hr of weight room stuff). How can I make sure I am getting enough calories in? I'd even like to build muscle if possible. I know you aren't a fan of eggs and bacon first thing in the morning but taking a protein shake and a bowl of oatmeal only fills me up for around two hours. Should I start taking more protein shakes (although i get gas and bloating with whey)? I know there is some healthy plant based mass gainer shakes that use plant protein, gluten free oats, and organic maltodextrin, maybe i should try those? anyways, I would appreciate any advice. Thanks! Christina: Dr Stephen Cabral, you are such an inspiration and I have gained so much knowledge from your book “The Rain Barrel Effect” and from listening to your podcasts.I came across a mushroom called Lions Mane. It had some supporting research on the positive impacts it has with Dementia and depression. My question is: have you read or heard about Lions Mane, and what your thoughts are on the effects of this mushroom. Thank you for taking the time to answer my question. Katy: Hi Dr Cabral! I recently became a nurse practitioner and have started with IFM certification program, yay!! I have a question regarding my own labs. My TSH is 3.1 FT3 is 2.2 FT4 1.1 RT3 is 10 TPO 17 ANTI-TG 928 I restested 4 weeks later and numbers were pretty much the same. I realize my thyroid is sluggish. I however have NO signs of hypothyroid except a little bit of stubborn lower body fat. I am 30 years old, have no medical history, I'm very active and eat a paleo diet 90% of the time. I somewhat acknowledge that I may feel better with a little thyroid hormone but Im not ready to start that at this time. My REAL question is ..... I don't understand why my anti-tg is so elevated but TPO is not.... I am working to lower this to the best of my current knowledge. Can you explain why we seem to focus more on TPO and I don't hear as much about anti-tg and wouldn't both be elevated? Anonymous: Hello Dr Cabral, I have been listening to this podcast for some time now and I appreciate all the information you share. Thank you! I have been suffering with pain, throbbing pain at the rectum that can last for hours, making it difficult to sit; following bowel movements for approximately 5 years now. A bit of background is 5 years ago I had an procedure to correct a anal fistula and I have never been the same since both physically or mentally. The procedure was excruciating and tortuous. I have since seen many doctors to seek help for my consistent pain. I’ve had many treatments to help with pain including Botox, steroid creams, estrogen creams, hemerriod creams, opioids and I have also eliminated certain foods that I noticed caused more pain such as almonds - I’m not sure why consumption of almonds affect me in this way, they don’t change my bowl motion just the pain. I don’t suffer constipation and sometimes have lose stool but the consistency of my stool has no correlation to the pain, it is the passing motion that results in the pain. I am able to manage life since removing almonds which is amazing considering all the other interventions I’ve had that didn’t give me any results, but I would love to be pain free. I will not have surgery again as I was in such a bad place after the initial surgery where I saw no hope for my life due to the immense pain I was in. Do you have any idea what is wrong with me and what I might be able to try? I’ve tried candida cleanses, gut protocols, elimination diets, I do FM detoxes regularly, eat a clean diet, had a stool test that showed strep and low ecoli and low diversity of probiotics and I’m doing protocol to address this now. I’m really at a loss and I’m hope