Full Transcript Opening Remarks and Introductions 0:05 I'll just turn that off. It'll be on. 0:05 I'll just turn that off. It'll be on. Oh, see, you never you have to always be 0:07 Oh, see, you never you have to always be 0:07 Oh, see, you never you have to always be prepared. You never know what could 0:09 prepared. You never know what could 0:09 prepared. You never know what could happen here. 0:11 happen here. 0:11 happen here. >> You did that so well, Margie. You know, 0:13 >> You did that so well, Margie. You know, 0:13 >> You did that so well, Margie. You know, under pressure because I've had that 0:15 under pressure because I've had that 0:15 under pressure because I've had that before and you're like, oh my god, 0:16 before and you're like, oh my god, 0:16 before and you're like, oh my god, everybody's watching and then it's like, 0:18 everybody's watching and then it's like, 0:18 everybody's watching and then it's like, can I do this? Can I do this? So, I 0:20 can I do this? Can I do this? So, I 0:20 can I do this? Can I do this? So, I applaud you. 0:21 applaud you. 0:21 applaud you. >> Oh, you know, I have to tell you, I 0:23 >> Oh, you know, I have to tell you, I 0:23 >> Oh, you know, I have to tell you, I truly I have I do all these practices 0:26 truly I have I do all these practices 0:26 truly I have I do all these practices and they really work because I really go 0:28 and they really work because I really go 0:28 and they really work because I really go with the flow. I really do. I honestly 0:31 with the flow. I really do. I honestly 0:31 with the flow. I really do. I honestly that's why I have to tell you any of the 0:32 that's why I have to tell you any of the 0:32 that's why I have to tell you any of the relaxation things are for anyone in my 0:34 relaxation things are for anyone in my 0:34 relaxation things are for anyone in my happiness program. This stuff works so 0:37 happiness program. This stuff works so 0:37 happiness program. This stuff works so much because I'm I'm always happy. I've 0:39 much because I'm I'm always happy. I've 0:39 much because I'm I'm always happy. I've always been a happy person, but 0:40 always been a happy person, but 0:40 always been a happy person, but certainly not relaxed. I had a mother 0:43 certainly not relaxed. I had a mother 0:43 certainly not relaxed. I had a mother who unfortunately passed away quite 0:44 who unfortunately passed away quite 0:44 who unfortunately passed away quite young, but she was amazing, brilliant. 0:47 young, but she was amazing, brilliant. 0:47 young, but she was amazing, brilliant. She ran the Girl Scouts in Rockland 0:49 She ran the Girl Scouts in Rockland 0:49 She ran the Girl Scouts in Rockland County, New York, but she was very much 0:51 County, New York, but she was very much 0:51 County, New York, but she was very much type A, not relaxed. And so that's how I 0:54 type A, not relaxed. And so that's how I 0:54 type A, not relaxed. And so that's how I grew up. So I was far from relaxed. When 0:56 grew up. So I was far from relaxed. When 0:56 grew up. So I was far from relaxed. When I got some a lot of people know this 0:58 I got some a lot of people know this 0:58 I got some a lot of people know this story, I got a speeding ticket on the 1:00 story, I got a speeding ticket on the 1:00 story, I got a speeding ticket on the way to meditation. Can you imagine? I 1:03 way to meditation. Can you imagine? I 1:03 way to meditation. Can you imagine? I signed up for an eight-week meditation 1:04 signed up for an eight-week meditation 1:04 signed up for an eight-week meditation class, John Kabitz in program because I 1:07 class, John Kabitz in program because I 1:07 class, John Kabitz in program because I felt I I really should do this. I went 1:09 felt I I really should do this. I went 1:09 felt I I really should do this. I went the first time. The second day I I get a 1:12 the first time. The second day I I get a 1:12 the first time. The second day I I get a speeding ticket on the way to 1:14 speeding ticket on the way to 1:14 speeding ticket on the way to meditation. That was the end of it. That 1:16 meditation. That was the end of it. That 1:16 meditation. That was the end of it. That like hit me in the head. You are so not 1:18 like hit me in the head. You are so not 1:18 like hit me in the head. You are so not relaxed. You are not practicing what you 1:21 relaxed. You are not practicing what you 1:21 relaxed. You are not practicing what you preached. And that was probably like 20 1:24 preached. And that was probably like 20 1:24 preached. And that was probably like 20 years ago. 1:26 years ago. 1:26 years ago. >> And so anyway, so after that, I've been 1:28 >> And so anyway, so after that, I've been 1:28 >> And so anyway, so after that, I've been taking I meditate, [clears throat] I 1:30 taking I meditate, [clears throat] I 1:30 taking I meditate, [clears throat] I journal, I do all these practices and 1:32 journal, I do all these practices and 1:32 journal, I do all these practices and it's worked. I honestly go with the
Personal Stories and Practices for Relaxation and Happiness 1:35 it's worked. I honestly go with the 1:35 it's worked. I honestly go with the flow. Like things don't like especially 1:37 flow. Like things don't like especially 1:37 flow. Like things don't like especially this like that big deal, you know, but 1:39 this like that big deal, you know, but 1:39 this like that big deal, you know, but things in general, it's really made a 1:42 things in general, it's really made a 1:42 things in general, it's really made a big difference. So I highly recommend 1:43 big difference. So I highly recommend 1:43 big difference. So I highly recommend any practices that you guys like, just 1:46 any practices that you guys like, just 1:46 any practices that you guys like, just do them. do them on a regular basis 1:48 do them. do them on a regular basis 1:48 do them. do them on a regular basis because and that's what I've seen for 1:50 because and that's what I've seen for 1:50 because and that's what I've seen for people in my programs and things who 1:51 people in my programs and things who 1:51 people in my programs and things who started doing whatever practices they 1:53 started doing whatever practices they 1:53 started doing whatever practices they like you know like they were telling me 1:55 like you know like they were telling me 1:55 like you know like they were telling me all of a sudden their kids are noticing 1:56 all of a sudden their kids are noticing 1:56 all of a sudden their kids are noticing you didn't like really jump on me like 1:59 you didn't like really jump on me like 1:59 you didn't like really jump on me like what happened here you know normally you 2:00 what happened here you know normally you 2:00 what happened here you know normally you would that there's certain things so 2:03 would that there's certain things so 2:03 would that there's certain things so it's just a better way to live is my 2:05 it's just a better way to live is my 2:05 it's just a better way to live is my feeling 2:07 feeling 2:07 feeling anyway so write in the chat Melanie 2:10 anyway so write in the chat Melanie 2:10 anyway so write in the chat Melanie where is everybody from let's put 2:12 where is everybody from let's put 2:12 where is everybody from let's put everyone in the chat where I was telling 2:14 everyone in the chat where I was telling 2:14 everyone in the chat where I was telling people who who came early in New Jersey 2:16 people who who came early in New Jersey 2:16 people who who came early in New Jersey The air quality is really bad today. So 2:20 The air quality is really bad today. So 2:20 The air quality is really bad today. So >> there's Arizona, Montana, Minnesota, 2:23 >> there's Arizona, Montana, Minnesota, 2:23 >> there's Arizona, Montana, Minnesota, Northern California, Arkansas, Seattle, 2:26 Northern California, Arkansas, Seattle, 2:26 Northern California, Arkansas, Seattle, Maine. 2:26 Maine. 2:26 Maine. >> Oh, I love it. 2:28 >> Oh, I love it. 2:28 >> Oh, I love it. >> San Francisco Bay Area, Annapolis, Palo 2:31 >> San Francisco Bay Area, Annapolis, Palo 2:31 >> San Francisco Bay Area, Annapolis, Palo Alto. Um, I see a lot of people. Kathy, 2:35 Alto. Um, I see a lot of people. Kathy, 2:35 Alto. Um, I see a lot of people. Kathy, good to see you. I haven't seen in a 2:36 good to see you. I haven't seen in a 2:36 good to see you. I haven't seen in a while. Certain people. Nice. 2:38 while. Certain people. Nice. 2:38 while. Certain people. Nice. >> Oh, Honolulu. Nice. 2:40 >> Oh, Honolulu. Nice. 2:40 >> Oh, Honolulu. Nice. >> We have a lot of pinks. I'm in a purple. 2:42 >> We have a lot of pinks. I'm in a purple. 2:42 >> We have a lot of pinks. I'm in a purple. I see pinks and purples. A bunch of 2:43 I see pinks and purples. A bunch of 2:43 I see pinks and purples. A bunch of pinks and purples. I think we got the 2:45 pinks and purples. I think we got the 2:45 pinks and purples. I think we got the memo, [clears throat] you know, 2:47 memo, [clears throat] you know, 2:47 memo, [clears throat] you know, [laughter] 2:47 [laughter] 2:47 [laughter] right, Sheila. I have I have a bunch of 2:50 right, Sheila. I have I have a bunch of 2:50 right, Sheila. I have I have a bunch of pinks in my in the row. Kath in, you 2:52 pinks in my in the row. Kath in, you 2:52 pinks in my in the row. Kath in, you know, in my row. Kathy, Carolina, 2:55 know, in my row. Kathy, Carolina, 2:55 know, in my row. Kathy, Carolina, everybody. Bunch of pinks today. 3:03 Anyway, so um yeah, this should be 3:03 Anyway, so um yeah, this should be great. We all know I don't know how many 3:05 great. We all know I don't know how many 3:05 great. We all know I don't know how many of you [clears throat] have heard have 3:07 of you [clears throat] have heard have 3:07 of you [clears throat] have heard have know Dr. Milman and I've been [laughter] 3:11 know Dr. Milman and I've been [laughter] 3:11 know Dr. Milman and I've been [laughter] I've always I always learn things too 3:12 I've always I always learn things too 3:12 I've always I always learn things too from these Q&As. [laughter] 3:15 from these Q&As. [laughter] 3:15 from these Q&As. [laughter] I always learn things when I have my own 3:16 I always learn things when I have my own 3:16 I always learn things when I have my own Q&A because people ask such good 3:18 Q&A because people ask such good 3:18 Q&A because people ask such good questions that it really starts making 3:20 questions that it really starts making 3:20 questions that it really starts making you think, you know, and really um it's 3:23 you think, you know, and really um it's 3:23 you think, you know, and really um it's always it's always I think we all learn 3:25 always it's always I think we all learn 3:25 always it's always I think we all learn from each other and then people 3:26 from each other and then people 3:26 from each other and then people contribute. So yeah, if you have 3:28 contribute. So yeah, if you have 3:28 contribute. So yeah, if you have something interesting, toss it in chat, 3:30 something interesting, toss it in chat, 3:30 something interesting, toss it in chat, you know, while we're doing this. 3:34 you know, while we're doing this. 3:34 you know, while we're doing this. Let's see where Let me check where she 3:36 Let's see where Let me check where she 3:36 Let's see where Let me check where she is. 3:37 is. 3:37 is. >> Your podcast with that designs for 3:40 >> Your podcast with that designs for 3:40 >> Your podcast with that designs for health guy was amazing. 3:43 health guy was amazing. 3:43 health guy was amazing. >> Oh my gosh. For those people that don't 3:45 >> Oh my gosh. For those people that don't 3:45 >> Oh my gosh. For those people that don't go on my podcast, this wasn't that 3:48 go on my podcast, this wasn't that 3:48 go on my podcast, this wasn't that incredible. 3:50 incredible. 3:50 incredible. I get requests constantly for guests to 3:53 I get requests constantly for guests to 3:53 I get requests constantly for guests to be on my podcast. For those who don't 3:54 be on my podcast. For those who don't 3:54 be on my podcast. For those who don't know, it's Happy Bones, Happy Life. And 3:57 know, it's Happy Bones, Happy Life. And 3:57 know, it's Happy Bones, Happy Life. And I usually they're just not the quality. 3:59 I usually they're just not the quality. 3:59 I usually they're just not the quality. Like I'm really picky. But when I got 4:01 Like I'm really picky. But when I got 4:01 Like I'm really picky. But when I got Oscar Coatsy and he has a you know 4:04 Oscar Coatsy and he has a you know 4:04 Oscar Coatsy and he has a you know design for health came out with these 4:06 design for health came out with these 4:06 design for health came out with these new probiotics that are it was it's 4:09 new probiotics that are it was it's 4:10 new probiotics that are it was it's really incredible. I just couldn't get 4:11 really incredible. I just couldn't get 4:12 really incredible. I just couldn't get over what how it's helping people and 4:15 over what how it's helping people and 4:15 over what how it's helping people and yes just listen to that episode. I'm I'm 4:17 yes just listen to that episode. I'm I'm 4:17 yes just listen to that episode. I'm I'm I'm going to start it myself because I 4:19 I'm going to start it myself because I 4:19 I'm going to start it myself because I thought it was so but it was fascinating 4:21 thought it was so but it was fascinating 4:21 thought it was so but it was fascinating because they took what works when they 4:23 because they took what works when they 4:23 because they took what works when they used to do fecal transplants but they're 4:25 used to do fecal transplants but they're 4:25 used to do fecal transplants but they're not that's not safe. They took what 4:27 not that's not safe. They took what 4:27 not that's not safe. They took what works, those certain strains, and 4:29 works, those certain strains, and 4:29 works, those certain strains, and they've been seeing so many positive 4:31 they've been seeing so many positive 4:31 they've been seeing so many positive benefits. Really, it's like the new 4:33 benefits. Really, it's like the new 4:33 benefits. Really, it's like the new frontier in probiotics. So, it was a 4:35 frontier in probiotics. So, it was a 4:35 frontier in probiotics. So, it was a very exciting. I love podcasts like that 4:37 very exciting. I love podcasts like that 4:37 very exciting. I love podcasts like that when there's really like new information 4:41 when there's really like new information 4:41 when there's really like new information to um I mean, that's what I always try 4:43 to um I mean, that's what I always try 4:43 to um I mean, that's what I always try to get, you know, as much 4:44 to get, you know, as much 4:44 to get, you know, as much [clears throat] new information as I 4:45 [clears throat] new information as I 4:45 [clears throat] new information as I can. Actually, Dr. Milman's doing one 4:47 can. Actually, Dr. Milman's doing one 4:47 can. Actually, Dr. Milman's doing one not next week but the week after um that 4:50 not next week but the week after um that 4:50 not next week but the week after um that we recorded already on um on what is it 4:54 we recorded already on um on what is it 4:54 we recorded already on um on what is it called now I have a mental block 4:56 called now I have a mental block 4:56 called now I have a mental block [laughter] 4:57 [laughter] 4:57 [laughter] where is she anyway um on um peptides 5:00 where is she anyway um on um peptides 5:00 where is she anyway um on um peptides peptides and bone health that's pretty 5:01 peptides and bone health that's pretty 5:01 peptides and bone health that's pretty new information as well so that should 5:03 new information as well so that should 5:03 new information as well so that should be really good 5:05 be really good 5:05 be really good anyway so so yeah if you ever have if 5:08 anyway so so yeah if you ever have if 5:08 anyway so so yeah if you ever have if you ever have really good guests that 5:10 you ever have really good guests that 5:10 you ever have really good guests that you think would be great or a topic that 5:12 you think would be great or a topic that 5:12 you think would be great or a topic that you really want to hear about let me 5:14 you really want to hear about let me 5:14 you really want to hear about let me know because I I do have access to lots 5:17 know because I I do have access to lots 5:17 know because I I do have access to lots of people and you know I'm always 5:19 of people and you know I'm always 5:19 of people and you know I'm always looking for really interesting 5:21 looking for really interesting 5:21 looking for really interesting interesting topics. So 5:23 interesting topics. So 5:23 interesting topics. So >> Margie what is the name of that pro 5:25 >> Margie what is the name of that pro 5:25 >> Margie what is the name of that pro design for health probiotic that you 5:27 design for health probiotic that you 5:27 design for health probiotic that you were just talking about 5:28 were just talking about 5:28 were just talking about >> called commensal. Um uh trying to think 5:31 >> called commensal. Um uh trying to think 5:31 >> called commensal. Um uh trying to think you know what as a matter of fact it 5:33 you know what as a matter of fact it 5:34 you know what as a matter of fact it came out. It came out it's so if you go 5:36 came out. It came out it's so if you go 5:36 came out. It came out it's so if you go to happy bones happy life um and just 5:38 to happy bones happy life um and just 5:38 to happy bones happy life um and just write Margie and Oscar [laughter] Dr. 5:43 write Margie and Oscar [laughter] Dr. 5:43 write Margie and Oscar [laughter] Dr. Um, you know, and it's I don't it's it's 5:46 Um, you know, and it's I don't it's it's 5:46 Um, you know, and it's I don't it's it's a it's designs for life. It's called 5:48 a it's designs for life. It's called 5:48 a it's designs for life. It's called commensal. There's there were three of 5:49 commensal. There's there were three of 5:49 commensal. There's there were three of them he talked about for different 5:51 them he talked about for different 5:51 them he talked about for different things, but the main one and he explains 5:54 things, but the main one and he explains 5:54 things, but the main one and he explains all the different ones. So, I would 5:55 all the different ones. So, I would 5:55 all the different ones. So, I would highly I just listen to it because it 5:57 highly I just listen to it because it 5:57 highly I just listen to it because it really 5:58 really 5:58 really >> Thank you. 6:00 >> Thank you. 6:00 >> Thank you. >> Is it expensive? 6:02 >> Is it expensive? 6:02 >> Is it expensive? >> You know, I didn't look how much it was. 6:04 >> You know, I didn't look how much it was. 6:04 >> You know, I didn't look how much it was. I haven't ordered it yet, but it's I'm 6:06 I haven't ordered it yet, but it's I'm 6:06 I haven't ordered it yet, but it's I'm definitely going to. Um, but full script 6:09 definitely going to. Um, but full script 6:09 definitely going to. Um, but full script on my full script, you always get 20% 6:11 on my full script, you always get 20% 6:11 on my full script, you always get 20% off. So, that's always a good thing. So, 6:13 off. So, that's always a good thing. So, 6:13 off. So, that's always a good thing. So, you can put put that link Melanie in the 6:15 you can put put that link Melanie in the 6:15 you can put put that link Melanie in the chat. Melanie is my amazing assistant 6:17 chat. Melanie is my amazing assistant 6:18 chat. Melanie is my amazing assistant who's helping us. It always helps us out 6:19 who's helping us. It always helps us out 6:19 who's helping us. It always helps us out here. So, um, see, I'm just going to 6:23 here. So, um, see, I'm just going to 6:23 here. So, um, see, I'm just going to text Dr. Milman. See, make sure she 6:27 text Dr. Milman. See, make sure she 6:27 text Dr. Milman. See, make sure she doesn't need anything. 6:38 See here. Okay. Oh, I'll be Oh, that was 6:38 See here. Okay. Oh, I'll be Oh, that was thing. 6:40 thing. 6:40 thing. Margie, just a question. Happy Bones 6:42 Margie, just a question. Happy Bones 6:42 Margie, just a question. Happy Bones Happy Life. I'm new to this. So, is that 6:45 Happy Life. I'm new to this. So, is that 6:45 Happy Life. I'm new to this. So, is that your 6:45 your 6:45 your >> Happy Bones Happy Life podcast. Yes. So, 6:47 >> Happy Bones Happy Life podcast. Yes. So, 6:47 >> Happy Bones Happy Life podcast. Yes. So, if you put that in, it's on everything. 6:48 if you put that in, it's on everything. 6:48 if you put that in, it's on everything. It's on YouTube. It's even on my 6:51 It's on YouTube. It's even on my 6:51 It's on YouTube. It's even on my website, margbishinger.com under 6:53 website, margbishinger.com under 6:53 website, margbishinger.com under podcast. And it just came out. So, it 6:55 podcast. And it just came out. So, it 6:55 podcast. And it just came out. So, it was just released on Tuesday. 6:57 was just released on Tuesday. 6:57 was just released on Tuesday. >> I just put the link in the uh chat as 6:59 >> I just put the link in the uh chat as 6:59 >> I just put the link in the uh chat as well. 7:00 well. 7:00 well. >> Oh, you did? Okay. It's in the chat. So, 7:02 >> Oh, you did? Okay. It's in the chat. So, 7:02 >> Oh, you did? Okay. It's in the chat. So, yeah. 7:02 yeah. 7:02 yeah. >> Thank you. 7:03 >> Thank you. 7:03 >> Thank you. >> Yeah. So, you can um definitely 7:07 >> Yeah. So, you can um definitely 7:07 >> Yeah. So, you can um definitely Yeah, it was really interesting. And 7:09 Yeah, it was really interesting. And 7:09 Yeah, it was really interesting. And what I loved about it is that it can 7:11 what I loved about it is that it can 7:11 what I loved about it is that it can help so many people. Normally, if you 7:14 help so many people. Normally, if you 7:14 help so many people. Normally, if you have, you know, we we're big into the GI 7:16 have, you know, we we're big into the GI 7:16 have, you know, we we're big into the GI map to test and see what what bacteria, 7:19 map to test and see what what bacteria, 7:19 map to test and see what what bacteria, you know, what's the problem, like 7:20 you know, what's the problem, like 7:20 you know, what's the problem, like what's overgrown, where don't you have 7:22 what's overgrown, where don't you have 7:22 what's overgrown, where don't you have enough. And so, typically, if there's 7:25 enough. And so, typically, if there's 7:25 enough. And so, typically, if there's problems, you have to do like a killing 7:27 problems, you have to do like a killing 7:27 problems, you have to do like a killing cycle. But he was explaining that the 7:29 cycle. But he was explaining that the 7:30 cycle. But he was explaining that the good bacteria and these different 7:31 good bacteria and these different 7:31 good bacteria and these different strains are so powerful that you can 7:34 strains are so powerful that you can 7:34 strains are so powerful that you can just put in the good and it can get rid 7:37 just put in the good and it can get rid 7:37 just put in the good and it can get rid of the bad. I mean, 7:39 of the bad. I mean, 7:39 of the bad. I mean, >> it's incredible. 7:40 >> it's incredible. 7:40 >> it's incredible. >> Yeah, exactly. It's a whole It's really 7:42 >> Yeah, exactly. It's a whole It's really 7:42 >> Yeah, exactly. It's a whole It's really sounded amazing. It just came out, so 7:45 sounded amazing. It just came out, so 7:45 sounded amazing. It just came out, so this is really new, but he's been using 7:47 this is really new, but he's been using 7:47 this is really new, but he's been using it for a long time, so it's not brand 7:49 it for a long time, so it's not brand 7:49 it for a long time, so it's not brand new. And um let's see, where is Dr. 7:52 new. And um let's see, where is Dr. 7:52 new. And um let's see, where is Dr. Milman? I said, are you coming? 7:54 Milman? I said, are you coming? 7:54 Milman? I said, are you coming? Otherwise, I'll just do the Q&A with 7:56 Otherwise, I'll just do the Q&A with 7:56 Otherwise, I'll just do the Q&A with you. [laughter] I know she is coming. 8:05 Anyway, um yeah, so that was really 8:05 Anyway, um yeah, so that was really really exciting. Someone today I saw who 8:08 really exciting. Someone today I saw who 8:08 really exciting. Someone today I saw who I know actually came out with something 8:10 I know actually came out with something 8:10 I know actually came out with something new on um a new a new I guess it's a new 8:15 new on um a new a new I guess it's a new 8:15 new on um a new a new I guess it's a new GI uh the person who I don't know for 8:17 GI uh the person who I don't know for 8:17 GI uh the person who I don't know for those people know what a trantiel is. 8:19 those people know what a trantiel is. 8:19 those people know what a trantiel is. Dr. Brown, he created this that helps a 8:22 Dr. Brown, he created this that helps a 8:22 Dr. Brown, he created this that helps a lot of people with SIBO and and extra um 8:25 lot of people with SIBO and and extra um 8:25 lot of people with SIBO and and extra um bloating and things. But anyway, they 8:27 bloating and things. But anyway, they 8:27 bloating and things. But anyway, they came out with something new for people 8:28 came out with something new for people 8:28 came out with something new for people who have reflux. So, I was thinking I
Community Check-In and Participant Locations 8:31 who have reflux. So, I was thinking I 8:31 who have reflux. So, I was thinking I was going to write to him because I 8:32 was going to write to him because I 8:32 was going to write to him because I thought that would be super interesting 8:33 thought that would be super interesting 8:34 thought that would be super interesting and I like him. GI is very, very, very 8:36 and I like him. GI is very, very, very 8:36 and I like him. GI is very, very, very smart. And so, he's someone let's see. 8:41 smart. And so, he's someone let's see. 8:41 smart. And so, he's someone let's see. Let's see. Oh, I'm coming. She said, 8:43 Let's see. Oh, I'm coming. She said, 8:43 Let's see. Oh, I'm coming. She said, "Okay, [clears throat] 8:45 "Okay, [clears throat] 8:45 "Okay, [clears throat] [laughter] 8:46 [laughter] 8:46 [laughter] she'll be here." 8:48 she'll be here." 8:48 she'll be here." Anyway, yeah. So, if you ever have 8:50 Anyway, yeah. So, if you ever have 8:50 Anyway, yeah. So, if you ever have ideas, let me know because I always or I 8:53 ideas, let me know because I always or I 8:53 ideas, let me know because I always or I also every month I have different 8:55 also every month I have different 8:55 also every month I have different classes. So, if there's ever any ideas 8:57 classes. So, if there's ever any ideas 8:57 classes. So, if there's ever any ideas that you have or things you want to hear 8:59 that you have or things you want to hear 9:00 that you have or things you want to hear about, you know, let me know because I 9:01 about, you know, let me know because I 9:02 about, you know, let me know because I always am open to finding out what 9:04 always am open to finding out what 9:04 always am open to finding out what everybody, you know. 9:05 everybody, you know. 9:06 everybody, you know. >> Yeah. Margie, have have you had Kim Ben 9:08 >> Yeah. Margie, have have you had Kim Ben 9:08 >> Yeah. Margie, have have you had Kim Ben Kim Ben Kim Zambido on for Rims? 9:11 Kim Ben Kim Zambido on for Rims? 9:11 Kim Ben Kim Zambido on for Rims? >> Oh, about the Rems? No. No, 9:13 >> Oh, about the Rems? No. No, 9:13 >> Oh, about the Rems? No. No, >> you have to have her on. 9:16 >> you have to have her on. 9:16 >> you have to have her on. >> [clears throat] 9:17 >> [clears throat] 9:17 >> [clears throat] >> She's 9:17 >> She's 9:17 >> She's >> my Rems is No, I I think Rems is a great 9:20 >> my Rems is No, I I think Rems is a great 9:20 >> my Rems is No, I I think Rems is a great addition. I don't think it's in lie of 9:22 addition. I don't think it's in lie of 9:22 addition. I don't think it's in lie of That's my own opinion. Um yeah, but I've 9:25 That's my own opinion. Um yeah, but I've 9:25 That's my own opinion. Um yeah, but I've heard that. No, I think I mean I respect 9:27 heard that. No, I think I mean I respect 9:27 heard that. No, I think I mean I respect her and I think she's done a lot of 9:28 her and I think she's done a lot of 9:28 her and I think she's done a lot of really good things. So yeah, thanks. 9:35 But yeah, put in the chat if you have 9:35 But yeah, put in the chat if you have anybody interesting. You know, I'm 9:37 anybody interesting. You know, I'm 9:37 anybody interesting. You know, I'm always so I mean, it's so much fun 9:39 always so I mean, it's so much fun 9:39 always so I mean, it's so much fun because then sometimes the best thing I 9:41 because then sometimes the best thing I 9:41 because then sometimes the best thing I don't know if anyone the podcast is just 9:43 don't know if anyone the podcast is just 9:43 don't know if anyone the podcast is just so much fun because you meet all these 9:45 so much fun because you meet all these 9:45 so much fun because you meet all these interesting people and um it's just it's 9:48 interesting people and um it's just it's 9:48 interesting people and um it's just it's just exciting and and I've told a lot of 9:50 just exciting and and I've told a lot of 9:50 just exciting and and I've told a lot of people before, but nobody no this is why 9:53 people before, but nobody no this is why 9:53 people before, but nobody no this is why you have to follow what you believe in 9:55 you have to follow what you believe in 9:55 you have to follow what you believe in your heart. Way back I've been I'm up 9:57 your heart. Way back I've been I'm up 9:57 your heart. Way back I've been I'm up till what 360. 9:59 till what 360. 9:59 till what 360. Nobody thought I should do a podcast. 10:01 Nobody thought I should do a podcast. 10:01 Nobody thought I should do a podcast. Everybody was against it. uh it's so 10:04 Everybody was against it. uh it's so 10:04 Everybody was against it. uh it's so much money and it's work and there's no 10:06 much money and it's work and there's no 10:06 much money and it's work and there's no return on investment and everybody told 10:09 return on investment and everybody told 10:09 return on investment and everybody told me not to do it and I was like you know 10:10 me not to do it and I was like you know 10:10 me not to do it and I was like you know what I have messages to get out there 10:13 what I have messages to get out there 10:13 what I have messages to get out there and so I'm not listening to one person 10:16 and so I'm not listening to one person 10:16 and so I'm not listening to one person [laughter] and I'm going to do it and I 10:18 [laughter] and I'm going to do it and I 10:18 [laughter] and I'm going to do it and I had like free music I did it as cheap as 10:20 had like free music I did it as cheap as 10:20 had like free music I did it as cheap as I could and um only because of the 10:22 I could and um only because of the 10:22 I could and um only because of the podcast because companies didn't want me 10:24 podcast because companies didn't want me 10:24 podcast because companies didn't want me to do a summit they're like oh you don't 10:26 to do a summit they're like oh you don't 10:26 to do a summit they're like oh you don't have big enough lists and there were all 10:27 have big enough lists and there were all 10:27 have big enough lists and there were all these reasons I'm like all right well 10:29 these reasons I'm like all right well 10:29 these reasons I'm like all right well I'll just do a podcast and only because 10:31 I'll just do a podcast and only because 10:31 I'll just do a podcast and only because I did podcast they like the podcast and 10:33 I did podcast they like the podcast and 10:33 I did podcast they like the podcast and I was able to do the summit that 60,000 10:36 I was able to do the summit that 60,000 10:36 I was able to do the summit that 60,000 people came to. So, you never know in 10:38 people came to. So, you never know in 10:38 people came to. So, you never know in life, right? [laughter] You follow your 10:40 life, right? [laughter] You follow your 10:40 life, right? [laughter] You follow your heart. 10:43 heart. 10:43 heart. Anyway, anyone else have anything to say 10:45 Anyway, anyone else have anything to say 10:45 Anyway, anyone else have anything to say before we get started? 10:48 before we get started? 10:48 before we get started? Oh, she might be a couple minutes late. 10:50 Oh, she might be a couple minutes late. 10:50 Oh, she might be a couple minutes late. So, you know what? 10:51 So, you know what? 10:51 So, you know what? >> Do this. I'm gonna start I So, as I know 10:54 >> Do this. I'm gonna start I So, as I know 10:54 >> Do this. I'm gonna start I So, as I know she's gonna go for a long time. Okay. 10:56 she's gonna go for a long time. Okay. 10:56 she's gonna go for a long time. Okay. Okay. So, what I'm going to do, let me
Podcast Discussion and New Health Topics 10:59 Okay. So, what I'm going to do, let me 10:59 Okay. So, what I'm going to do, let me I'm going to just No, stay actually stay 11:01 I'm going to just No, stay actually stay 11:01 I'm going to just No, stay actually stay on now. Let me just change the view for 11:03 on now. Let me just change the view for 11:03 on now. Let me just change the view for a second. Um, don't don't unmute because 11:07 a second. Um, don't don't unmute because 11:07 a second. Um, don't don't unmute because um I don't mute yet because I'm going to 11:09 um I don't mute yet because I'm going to 11:09 um I don't mute yet because I'm going to For those who haven't been to any of my 11:10 For those who haven't been to any of my 11:10 For those who haven't been to any of my classes, this is how we start. So, I'm 11:13 classes, this is how we start. So, I'm 11:13 classes, this is how we start. So, I'm just going to change the view for a 11:14 just going to change the view for a 11:14 just going to change the view for a second. Let me do one other thing. Okay. 11:18 second. Let me do one other thing. Okay. 11:18 second. Let me do one other thing. Okay. All right. I'm just gonna I'm going to 11:19 All right. I'm just gonna I'm going to 11:19 All right. I'm just gonna I'm going to get us started and then Dr. Milman will 11:22 get us started and then Dr. Milman will 11:22 get us started and then Dr. Milman will come on. We have a little thing we do 11:23 come on. We have a little thing we do 11:23 come on. We have a little thing we do beforehand. Okay, everybody. All right. 11:27 beforehand. Okay, everybody. All right. 11:27 beforehand. Okay, everybody. All right. So, all right. I'm gonna introduce the 11:28 So, all right. I'm gonna introduce the 11:28 So, all right. I'm gonna introduce the class. 11:30 class. 11:30 class. Welcome to the Q. Wait, let me just do 11:32 Welcome to the Q. Wait, let me just do 11:32 Welcome to the Q. Wait, let me just do one more thing. What is this? The 11:34 one more thing. What is this? The 11:34 one more thing. What is this? The meeting is being recorded. Okay. Welcome 11:36 meeting is being recorded. Okay. Welcome 11:36 meeting is being recorded. Okay. Welcome to today's Q&A with Dr. Kim Milman. And 11:41 to today's Q&A with Dr. Kim Milman. And 11:41 to today's Q&A with Dr. Kim Milman. And for those who don't know me, I'm Margie 11:42 for those who don't know me, I'm Margie 11:42 for those who don't know me, I'm Margie Bissinger, physical therapist and 11:44 Bissinger, physical therapist and 11:44 Bissinger, physical therapist and integrative health coach. And I've been 11:46 integrative health coach. And I've been 11:46 integrative health coach. And I've been working with people with osteoporosis 11:48 working with people with osteoporosis 11:48 working with people with osteoporosis for over 30 years. And I've been a 11:51 for over 30 years. And I've been a 11:51 for over 30 years. And I've been a physical therapist for over 40 years. 11:53 physical therapist for over 40 years. 11:53 physical therapist for over 40 years. [laughter] 11:54 [laughter] 11:54 [laughter] Anyway, we're tonight's going to be full 11:56 Anyway, we're tonight's going to be full 11:56 Anyway, we're tonight's going to be full of so much great information, but how I 11:58 of so much great information, but how I 11:58 of so much great information, but how I like to start, what I want everybody to 12:01 like to start, what I want everybody to 12:01 like to start, what I want everybody to do, I'm going to change the view so we 12:02 do, I'm going to change the view so we 12:02 do, I'm going to change the view so we all get to see each other, which is 12:04 all get to see each other, which is 12:04 all get to see each other, which is really fun. And I'm just going to make 12:06 really fun. And I'm just going to make 12:06 really fun. And I'm just going to make sure. Is this recording? Do you guys see 12:08 sure. Is this recording? Do you guys see 12:08 sure. Is this recording? Do you guys see recording? 12:09 recording? 12:09 recording? >> No, I don't. 12:10 >> No, I don't. 12:10 >> No, I don't. >> I don't either. Let me start again. 12:12 >> I don't either. Let me start again. 12:12 >> I don't either. Let me start again. This, for some reason, didn't record. 12:14 This, for some reason, didn't record. 12:14 This, for some reason, didn't record. Okay, we'll start again. Good thing I 12:16 Okay, we'll start again. Good thing I 12:16 Okay, we'll start again. Good thing I noticed, right? Okay, we're gonna start 12:18 noticed, right? Okay, we're gonna start 12:18 noticed, right? Okay, we're gonna start again. [laughter] 12:25 I'm gonna introduce it again. 12:25 I'm gonna introduce it again. Welcome everybody to the Q&A with Dr. 12:27 Welcome everybody to the Q&A with Dr. 12:28 Welcome everybody to the Q&A with Dr. Kim Milman and I think most of you know 12:30 Kim Milman and I think most of you know 12:30 Kim Milman and I think most of you know me but I'm Margie Bissinger. I'm a 12:32 me but I'm Margie Bissinger. I'm a 12:32 me but I'm Margie Bissinger. I'm a physical therapist and integrative 12:33 physical therapist and integrative 12:33 physical therapist and integrative health coach and been working with 12:35 health coach and been working with 12:35 health coach and been working with osteoporosis for over 30 years. And the 12:38 osteoporosis for over 30 years. And the 12:38 osteoporosis for over 30 years. And the good news is there's so much that can be 12:39 good news is there's so much that can be 12:40 good news is there's so much that can be done and that's what's so exciting. And 12:42 done and that's what's so exciting. And 12:42 done and that's what's so exciting. And so let me just change to the gallery for 12:44 so let me just change to the gallery for 12:44 so let me just change to the gallery for a minute so I can see all of you which 12:46 a minute so I can see all of you which 12:46 a minute so I can see all of you which is so fun. And what I always how I 12:49 is so fun. And what I always how I 12:49 is so fun. And what I always how I always like to start for those people 12:51 always like to start for those people 12:51 always like to start for those people who've never been to any of my programs 12:52 who've never been to any of my programs 12:52 who've never been to any of my programs or classes is I want everybody to put an 12:56 or classes is I want everybody to put an 12:56 or classes is I want everybody to put an intention out there that you are going 12:58 intention out there that you are going 12:58 intention out there that you are going to get something from this Q&A that's 13:02 to get something from this Q&A that's 13:02 to get something from this Q&A that's going to help your bones, your overall 13:04 going to help your bones, your overall 13:04 going to help your bones, your overall life, something positive that's going to 13:06 life, something positive that's going to 13:06 life, something positive that's going to make a difference for you. Okay? So, 13:08 make a difference for you. Okay? So, 13:08 make a difference for you. Okay? So, let's all just put that intention out 13:11 let's all just put that intention out 13:11 let's all just put that intention out there. So, let's do that. Get the 13:13 there. So, let's do that. Get the 13:14 there. So, let's do that. Get the intention out there. And this also gets 13:16 intention out there. And this also gets 13:16 intention out there. And this also gets good positivity going. So it's gonna 13:18 good positivity going. So it's gonna 13:18 good positivity going. So it's gonna it's a great way to start and then the 13:20 it's a great way to start and then the 13:20 it's a great way to start and then the chem will just say hi good energy. Okay. 13:24 chem will just say hi good energy. Okay. 13:24 chem will just say hi good energy. Okay. So we just get good energy into this 13:26 So we just get good energy into this 13:26 So we just get good energy into this field. So when Dr. Milman gets here she 13:28 field. So when Dr. Milman gets here she 13:28 field. So when Dr. Milman gets here she will be bombarded with this good energy. 13:30 will be bombarded with this good energy. 13:30 will be bombarded with this good energy. [laughter] 13:32 [laughter] 13:32 [laughter] Are you ready? And so everybody unmute 13:34 Are you ready? And so everybody unmute 13:34 Are you ready? And so everybody unmute on the count of three we'll just say hi 13:35 on the count of three we'll just say hi 13:35 on the count of three we'll just say hi good energy. Ready? One two three. Hi 13:41 good energy. Ready? One two three. Hi 13:41 good energy. Ready? One two three. Hi >> energy. [laughter] 13:44 >> energy. [laughter] 13:44 >> energy. [laughter] And even if you're watching the replay, 13:46 And even if you're watching the replay, 13:46 And even if you're watching the replay, just get the energy going. [laughter] 13:48 just get the energy going. [laughter] 13:48 just get the energy going. [laughter] I find it really makes a big difference. 13:51 I find it really makes a big difference. 13:51 I find it really makes a big difference. So, she should be here any minute. She 13:53 So, she should be here any minute. She 13:54 So, she should be here any minute. She said she had one or two things going on. 13:56 said she had one or two things going on. 13:56 said she had one or two things going on. You'd be here in a couple minutes. 13:57 You'd be here in a couple minutes. 13:57 You'd be here in a couple minutes. >> I'm here. 13:58 >> I'm here. 13:58 >> I'm here. >> Oh, there she is. Well, we just Did you 14:01 >> Oh, there she is. Well, we just Did you 14:01 >> Oh, there she is. Well, we just Did you hear our our beginning? We got all 14:03 hear our our beginning? We got all 14:03 hear our our beginning? We got all juiced up. All the good energy. 14:05 juiced up. All the good energy. 14:05 juiced up. All the good energy. >> I did. Thank you. 14:07 >> I did. Thank you. 14:07 >> I did. Thank you. >> Okay. So, I'm just going to put you with 14:09 >> Okay. So, I'm just going to put you with 14:09 >> Okay. So, I'm just going to put you with me for a second and 14:12 me for a second and 14:12 me for a second and >> Okay. So, let me just do one other 14:14 >> Okay. So, let me just do one other 14:14 >> Okay. So, let me just do one other thing. 14:14 thing. 14:14 thing. >> I'm excited. I had two patients this 14:17 >> I'm excited. I had two patients this 14:17 >> I'm excited. I had two patients this week tell me, "Oh, we've got a we've got 14:19 week tell me, "Oh, we've got a we've got 14:19 week tell me, "Oh, we've got a we've got a live Q&A this week. I'm so excited. 14:22 a live Q&A this week. I'm so excited. 14:22 a live Q&A this week. I'm so excited. They're coming." [laughter] 14:25 They're coming." [laughter] 14:25 They're coming." [laughter] >> That's what's so fun. I I I just when 14:28 >> That's what's so fun. I I I just when 14:28 >> That's what's so fun. I I I just when someone hears something on a Q&A or 14:31 someone hears something on a Q&A or 14:31 someone hears something on a Q&A or whatever and, you know, and then they 14:33 whatever and, you know, and then they 14:33 whatever and, you know, and then they can change their behavior. But Q&A are 14:35 can change their behavior. But Q&A are 14:35 can change their behavior. But Q&A are so helpful because we get to answer your 14:37 so helpful because we get to answer your 14:37 so helpful because we get to answer your questions and really, you know, focus on 14:40 questions and really, you know, focus on 14:40 questions and really, you know, focus on on on all everybody because sometimes we 14:41 on on all everybody because sometimes we 14:41 on on all everybody because sometimes we anticipate what people need, but it's 14:43 anticipate what people need, but it's 14:43 anticipate what people need, but it's always good. 14:44 always good. 14:44 always good. >> I think it's amazing that even my 14:46 >> I think it's amazing that even my 14:46 >> I think it's amazing that even my patients want to come to the Q&A because 14:48 patients want to come to the Q&A because 14:48 patients want to come to the Q&A because I kind of feel like, well, you guys know 14:50 I kind of feel like, well, you guys know 14:50 I kind of feel like, well, you guys know know everything already, 14:52 know everything already, 14:52 know everything already, but they still want to come. [laughter] 14:55 but they still want to come. [laughter] 14:55 but they still want to come. [laughter] >> Um, everybody, I'm getting going to give 14:56 >> Um, everybody, I'm getting going to give 14:56 >> Um, everybody, I'm getting going to give you I see some people want to record 14:58 you I see some people want to record 14:58 you I see some people want to record this. I'm going to give you a record 14:59 this. I'm going to give you a record 14:59 this. I'm going to give you a record tomorrow. You'll get a recording of 15:01 tomorrow. You'll get a recording of 15:01 tomorrow. You'll get a recording of this, so don't worry. And I have found 15:03 this, so don't worry. And I have found 15:03 this, so don't worry. And I have found when I let anybody else record it, it 15:05 when I let anybody else record it, it 15:05 when I let anybody else record it, it messes up my recording. So I'm I I on it 15:10 messes up my recording. So I'm I I on it 15:10 messes up my recording. So I'm I I on it happened once and I'm like, "Okay." So, 15:12 happened once and I'm like, "Okay." So, 15:12 happened once and I'm like, "Okay." So, but I promise you, you will get the 15:13 but I promise you, you will get the 15:14 but I promise you, you will get the recording. You don't have to give it 15:15 recording. You don't have to give it 15:15 recording. You don't have to give it back. It doesn't have an expiration 15:17 back. It doesn't have an expiration 15:17 back. It doesn't have an expiration date. So, do not worry. 11. 15:21 date. So, do not worry. 11. 15:21 date. So, do not worry. 11. >> And we've got some housekeeping, too. 15:23 >> And we've got some housekeeping, too. 15:23 >> And we've got some housekeeping, too. Right. So, um, so [clears throat] first 15:25 Right. So, um, so [clears throat] first 15:25 Right. So, um, so [clears throat] first of all, you know, I'm already seeing 15:27 of all, you know, I'm already seeing 15:27 of all, you know, I'm already seeing some questions in the chat. So, we're 15:29 some questions in the chat. So, we're 15:29 some questions in the chat. So, we're going to um take on questions where 15:32 going to um take on questions where 15:32 going to um take on questions where where people are raising their hands, 15:34 where people are raising their hands, 15:34 where people are raising their hands, >> right? So, go raise your hand. If you 15:36 >> right? So, go raise your hand. If you 15:36 >> right? So, go raise your hand. If you have a question, raise your hand. Okay? 15:38 have a question, raise your hand. Okay? 15:38 have a question, raise your hand. Okay? >> And then the other thing is this is uh 15:41 >> And then the other thing is this is uh 15:41 >> And then the other thing is this is uh this is not medical advice. I am not 15:44 this is not medical advice. I am not 15:44 this is not medical advice. I am not legally uh able to give you medical 15:47 legally uh able to give you medical 15:47 legally uh able to give you medical advice. This is purely educational. Um 15:50 advice. This is purely educational. Um 15:50 advice. This is purely educational. Um don't give me too many details about 15:52 don't give me too many details about 15:52 don't give me too many details about your particular case. um try to uh frame 15:56 your particular case. um try to uh frame 15:56 your particular case. um try to uh frame things as general as possible. So pa so 16:00 things as general as possible. So pa so 16:00 things as general as possible. So pa so Dr. Milman if you had a patient with 16:02 Dr. Milman if you had a patient with 16:02 Dr. Milman if you had a patient with such um you know try to keep all the 16:07 such um you know try to keep all the 16:07 such um you know try to keep all the irrelevant details out because that 16:09 irrelevant details out because that 16:10 irrelevant details out because that makes it more specific and and then it 16:13 makes it more specific and and then it 16:13 makes it more specific and and then it just it does feel like I'm I'm um giving 16:16 just it does feel like I'm I'm um giving 16:16 just it does feel like I'm I'm um giving medical advice and then there's a 16:18 medical advice and then there's a 16:18 medical advice and then there's a certain point at which I'll have to say 16:19 certain point at which I'll have to say 16:19 certain point at which I'll have to say no. So, so be just be we we can we will 16:23 no. So, so be just be we we can we will 16:23 no. So, so be just be we we can we will skirt the line as best as we can and I 16:26 skirt the line as best as we can and I 16:26 skirt the line as best as we can and I and I always do but you know this works. 16:28 and I always do but you know this works. 16:28 and I always do but you know this works. This is what we found 16:30 This is what we found 16:30 This is what we found >> has worked because unfortunately this 16:34 >> has worked because unfortunately this 16:34 >> has worked because unfortunately this has been the whole problem. We want a 16:36 has been the whole problem. We want a 16:36 has been the whole problem. We want a hundred of you Dr. Milman. We want so 16:38 hundred of you Dr. Milman. We want so 16:38 hundred of you Dr. Milman. We want so many of you because there just aren't 16:40 many of you because there just aren't 16:40 many of you because there just aren't people I mean Dr. Milman is has done has 16:43 people I mean Dr. Milman is has done has 16:43 people I mean Dr. Milman is has done has been practicing an integrative approach 16:45 been practicing an integrative approach 16:45 been practicing an integrative approach to osteoporosis for over 18 years and 16:47 to osteoporosis for over 18 years and 16:47 to osteoporosis for over 18 years and there just aren't people that have done 16:49 there just aren't people that have done 16:49 there just aren't people that have done this and have the experience and um yeah 16:52 this and have the experience and um yeah 16:52 this and have the experience and um yeah and for those who don't know Dr. Milman 16:55 and for those who don't know Dr. Milman 16:55 and for those who don't know Dr. Milman and I created a course because we really
Housekeeping, Program Information, and Q&A Format 16:57 and I created a course because we really 16:57 and I created a course because we really needed to teach other practitioners how 17:00 needed to teach other practitioners how 17:00 needed to teach other practitioners how to do this since that was such a 17:01 to do this since that was such a 17:01 to do this since that was such a problem. So we'll also put that note you 17:04 problem. So we'll also put that note you 17:04 problem. So we'll also put that note you know Melanie put that in the chat to the 17:06 know Melanie put that in the chat to the 17:06 know Melanie put that in the chat to the practitioner um we have a directory of 17:09 practitioner um we have a directory of 17:09 practitioner um we have a directory of people who've actually you know been 17:11 people who've actually you know been 17:11 people who've actually you know been trained in this method as well. So 17:13 trained in this method as well. So 17:13 trained in this method as well. So anyway I'm going to so what what you 17:15 anyway I'm going to so what what you 17:15 anyway I'm going to so what what you need to do is raise your hand Dr. Milman 17:17 need to do is raise your hand Dr. Milman 17:17 need to do is raise your hand Dr. Milman will call on you and um we will just get 17:20 will call on you and um we will just get 17:20 will call on you and um we will just get started. We also have a dead end time. 17:23 started. We also have a dead end time. 17:23 started. We also have a dead end time. I'm going to tell them I we never go 17:25 I'm going to tell them I we never go 17:25 I'm going to tell them I we never go less than this. So I'm just going to 17:26 less than this. So I'm just going to 17:26 less than this. So I'm just going to tell you I I have not Dr. Milman. Dr. 17:29 tell you I I have not Dr. Milman. Dr. 17:29 tell you I I have not Dr. Milman. Dr. Milman would be here five hours. Am I 17:31 Milman would be here five hours. Am I 17:31 Milman would be here five hours. Am I right? But I've learned that really you 17:36 right? But I've learned that really you 17:36 right? But I've learned that really you we get too saturated. So we will be here 17:38 we get too saturated. So we will be here 17:38 we get too saturated. So we will be here for two hours but no more. So just um so 17:42 for two hours but no more. So just um so 17:42 for two hours but no more. So just um so just know that and she's going to do the 17:44 just know that and she's going to do the 17:44 just know that and she's going to do the best she can with all the questions and 17:47 best she can with all the questions and 17:47 best she can with all the questions and if we don't get to everything. 17:48 if we don't get to everything. 17:48 if we don't get to everything. >> Yeah. And someone says the audio keeps 17:50 >> Yeah. And someone says the audio keeps 17:50 >> Yeah. And someone says the audio keeps freezing. Is everybody finding that? 17:54 freezing. Is everybody finding that? 17:54 freezing. Is everybody finding that? >> No, it's fine. 17:55 >> No, it's fine. 17:55 >> No, it's fine. >> Okay. 17:57 >> Okay. 17:57 >> Okay. >> I have all sorts of cords here so it 18:00 >> I have all sorts of cords here so it 18:00 >> I have all sorts of cords here so it doesn't freeze. So the replay is 18:01 doesn't freeze. So the replay is 18:01 doesn't freeze. So the replay is perfect. So I'm sorry. Sometimes that 18:02 perfect. So I'm sorry. Sometimes that 18:02 perfect. So I'm sorry. Sometimes that happens different places and our air is 18:04 happens different places and our air is 18:04 happens different places and our air is all 18:05 all 18:05 all >> okay. She says it's okay now. 18:07 >> okay. She says it's okay now. 18:07 >> okay. She says it's okay now. >> Okay. All right. So I'm going to get out 18:09 >> Okay. All right. So I'm going to get out 18:09 >> Okay. All right. So I'm going to get out of the picture and Dr. Milman will just 18:12 of the picture and Dr. Milman will just 18:12 of the picture and Dr. Milman will just call on you and you can show your video 18:15 call on you and you can show your video 18:15 call on you and you can show your video unmute and ask your question and 18:20 unmute and ask your question and 18:20 unmute and ask your question and put it in the chat also. And 18:21 put it in the chat also. And 18:21 put it in the chat also. And >> if your if your question is in the chat 18:24 >> if your if your question is in the chat 18:24 >> if your if your question is in the chat raise your hand. 18:25 raise your hand. 18:25 raise your hand. >> Raise your hand. That's the most 18:26 >> Raise your hand. That's the most 18:26 >> Raise your hand. That's the most important. It's just too hard for me to 18:27 important. It's just too hard for me to 18:27 important. It's just too hard for me to focus on the chat and somebody who's on 18:30 focus on the chat and somebody who's on 18:30 focus on the chat and somebody who's on screen. So, it's just easier that way. 18:32 screen. So, it's just easier that way. 18:32 screen. So, it's just easier that way. Maryanne, you're up. 18:34 Maryanne, you're up. 18:34 Maryanne, you're up. >> Let me just change this for a second. 18:35 >> Let me just change this for a second. 18:35 >> Let me just change this for a second. I'm not going to pin you. I have to fix 18:37 I'm not going to pin you. I have to fix 18:37 I'm not going to pin you. I have to fix you, Dr. 18:37 you, Dr. 18:37 you, Dr. >> And when I call you, go ahead and take 18:39 >> And when I call you, go ahead and take 18:39 >> And when I call you, go ahead and take yourselves off mute. 18:40 yourselves off mute. 18:40 yourselves off mute. >> I have to fix this thing for one second. 18:42 >> I have to fix this thing for one second. 18:42 >> I have to fix this thing for one second. >> Hi, Marian. 18:43 >> Hi, Marian. 18:43 >> Hi, Marian. >> Hi there. Thank you for taking me. Um, I 18:47 >> Hi there. Thank you for taking me. Um, I 18:47 >> Hi there. Thank you for taking me. Um, I wanted to know what drug you use after 18:52 wanted to know what drug you use after 18:52 wanted to know what drug you use after um doing. 18:54 um doing. 18:54 um doing. Ah okay good question excellent 18:57 Ah okay good question excellent 18:57 Ah okay good question excellent question. Okay so um what I expect is 19:03 question. Okay so um what I expect is 19:03 question. Okay so um what I expect is um usually I'm finding um like a 10 to a 19:09 um usually I'm finding um like a 10 to a 19:09 um usually I'm finding um like a 10 to a even 18% probably not 18 maybe 16% 19:14 even 18% probably not 18 maybe 16% 19:14 even 18% probably not 18 maybe 16% increase in lumbar spine with aity but 19:17 increase in lumbar spine with aity but 19:17 increase in lumbar spine with aity but not much of an increase in the hips. So 19:21 not much of an increase in the hips. So 19:21 not much of an increase in the hips. So um if the hips are still -3.5 after aity 19:26 um if the hips are still -3.5 after aity 19:26 um if the hips are still -3.5 after aity then it's it's reasonable to follow 19:28 then it's it's reasonable to follow 19:28 then it's it's reasonable to follow avenity with prolia because prolia can 19:31 avenity with prolia because prolia can 19:31 avenity with prolia because prolia can do a good job at the hips. Um and that's 19:34 do a good job at the hips. Um and that's 19:34 do a good job at the hips. Um and that's a perfectly good way to go is avenity 19:37 a perfectly good way to go is avenity 19:37 a perfectly good way to go is avenity into prolia and then make sure that um 19:41 into prolia and then make sure that um 19:41 into prolia and then make sure that um with prolia that the rebound is 19:44 with prolia that the rebound is 19:44 with prolia that the rebound is meticulously handled. um only three 19:47 meticulously handled. um only three 19:47 meticulously handled. um only three injections which is a 1 and a half year 19:50 injections which is a 1 and a half year 19:50 injections which is a 1 and a half year course and it has to be followed by IV 19:53 course and it has to be followed by IV 19:53 course and it has to be followed by IV reclass and maybe even a little bit of 19:56 reclass and maybe even a little bit of 19:56 reclass and maybe even a little bit of fossamax with IV reclass if the the 19:59 fossamax with IV reclass if the the 19:59 fossamax with IV reclass if the the rebound is really intense but usually 20:02 rebound is really intense but usually 20:02 rebound is really intense but usually with uh the one and a half years on 20:05 with uh the one and a half years on 20:05 with uh the one and a half years on prolia the um the rebound is is pretty 20:09 prolia the um the rebound is is pretty 20:09 prolia the um the rebound is is pretty uh reasonable. It's when the longer and 20:12 uh reasonable. It's when the longer and 20:12 uh reasonable. It's when the longer and longer on prolia, the more rebound you 20:15 longer on prolia, the more rebound you 20:15 longer on prolia, the more rebound you get. But um that's that's that's the way 20:18 get. But um that's that's that's the way 20:18 get. But um that's that's that's the way I would go. 20:20 I would go. 20:20 I would go. >> Okay. And if the hips aren't a problem 20:25 >> Okay. And if the hips aren't a problem 20:25 >> Okay. And if the hips aren't a problem >> then what would you put somebody on? 20:27 >> then what would you put somebody on? 20:27 >> then what would you put somebody on? Like Fosmax or 20:29 Like Fosmax or 20:29 Like Fosmax or >> uh IV re probably reclassed. 20:32 >> uh IV re probably reclassed. 20:32 >> uh IV re probably reclassed. >> Reclass. Okay, great. Um I have one 20:36 >> Reclass. Okay, great. Um I have one 20:36 >> Reclass. Okay, great. Um I have one other question if I'm permitted to ask 20:39 other question if I'm permitted to ask 20:39 other question if I'm permitted to ask too. Well, I would I would like actually 20:42 too. Well, I would I would like actually 20:42 too. Well, I would I would like actually to um have you have us come back around 20:46 to um have you have us come back around 20:46 to um have you have us come back around to you if it just so that everybody kind 20:49 to you if it just so that everybody kind 20:49 to you if it just so that everybody kind of ask at least one. And I'm realizing I 20:52 of ask at least one. And I'm realizing I 20:52 of ask at least one. And I'm realizing I better plug in before um too long here. 21:01 >> Okay. 21:01 >> Okay. >> All right. Um we'll try to get back to 21:03 >> All right. Um we'll try to get back to 21:03 >> All right. Um we'll try to get back to you, Maryanne. 21:04 you, Maryanne. 21:04 you, Maryanne. >> Okay. Thank you. 21:05 >> Okay. Thank you. 21:05 >> Okay. Thank you. >> All right, Diane. 21:08 >> All right, Diane. 21:08 >> All right, Diane. Hello. Um, I just recently heard about 21:12 Hello. Um, I just recently heard about 21:12 Hello. Um, I just recently heard about lympha treatments. Um, I've been doing 21:14 lympha treatments. Um, I've been doing 21:14 lympha treatments. Um, I've been doing on, but I just heard about lympa 21:17 on, but I just heard about lympa 21:17 on, but I just heard about lympa treatments. I know the machines or the 21:19 treatments. I know the machines or the 21:19 treatments. I know the machines or the studies came out of Italy and not very 21:23 studies came out of Italy and not very 21:23 studies came out of Italy and not very many, but a few clinics are offering 21:24 many, but a few clinics are offering 21:24 many, but a few clinics are offering them. Do you uh think they can make a 21:26 them. Do you uh think they can make a 21:26 them. Do you uh think they can make a good supplement or not? 21:28 good supplement or not? 21:28 good supplement or not? >> And thank you. 21:29 >> And thank you. 21:29 >> And thank you. >> I don't know that much about lympha. Uh 21:32 >> I don't know that much about lympha. Uh 21:32 >> I don't know that much about lympha. Uh we just heard we being Margie and I, one 21:36 we just heard we being Margie and I, one 21:36 we just heard we being Margie and I, one of our graduates has a lympha machine uh 21:39 of our graduates has a lympha machine uh 21:39 of our graduates has a lympha machine uh that she has in her um she she has an 21:42 that she has in her um she she has an 21:42 that she has in her um she she has an osteo strong location and um you know 21:46 osteo strong location and um you know 21:46 osteo strong location and um you know the the study data looked promising but
Q&A: Osteoporosis Medication Strategies 21:50 the the study data looked promising but 21:50 the the study data looked promising but I can't say that I've looked at the 21:51 I can't say that I've looked at the 21:51 I can't say that I've looked at the primary literature and I don't really 21:53 primary literature and I don't really 21:53 primary literature and I don't really like to make a call until I do that. Uh 21:56 like to make a call until I do that. Uh 21:56 like to make a call until I do that. Uh I know the machines are quite expensive. 21:59 I know the machines are quite expensive. 21:59 I know the machines are quite expensive. It looks like it's a kind of a pulsed 22:03 It looks like it's a kind of a pulsed 22:03 It looks like it's a kind of a pulsed PEMF device. Like most PMF devices are 22:07 PEMF device. Like most PMF devices are 22:08 PEMF device. Like most PMF devices are just um the it's just a certain 22:11 just um the it's just a certain 22:11 just um the it's just a certain frequency and a um a a certain um 22:15 frequency and a um a a certain um 22:15 frequency and a um a a certain um wavelength and frequency and there's not 22:18 wavelength and frequency and there's not 22:18 wavelength and frequency and there's not a pulsation where that changes and in 22:20 a pulsation where that changes and in 22:20 a pulsation where that changes and in lympha it looks like it changes. So 22:24 lympha it looks like it changes. So 22:24 lympha it looks like it changes. So that's a very interesting kind of 22:26 that's a very interesting kind of 22:26 that's a very interesting kind of device. Um, 22:29 device. Um, 22:29 device. Um, but I I I I think it's um it may be 22:33 but I I I I think it's um it may be 22:33 but I I I I think it's um it may be worth a it may be worth a try. I am a 22:36 worth a it may be worth a try. I am a 22:36 worth a it may be worth a try. I am a big believer in PEMF, so it's it's very 22:39 big believer in PEMF, so it's it's very 22:39 big believer in PEMF, so it's it's very possible, very plausible. 22:49 >> Hey, Margie, is there would you would 22:49 >> Hey, Margie, is there would you would you want to um do you [clears throat] 22:51 you want to um do you [clears throat] 22:51 you want to um do you [clears throat] have anything? 22:52 have anything? 22:52 have anything? >> Yeah. No, I I'm the same way with you. 22:53 >> Yeah. No, I I'm the same way with you. 22:53 >> Yeah. No, I I'm the same way with you. until I really research something and 22:56 until I really research something and 22:56 until I really research something and really make sure that it's, you know, 23:01 really make sure that it's, you know, 23:01 really make sure that it's, you know, that it's very effective and there's 23:02 that it's very effective and there's 23:02 that it's very effective and there's good studies on it, I I don't recommend 23:04 good studies on it, I I don't recommend 23:04 good studies on it, I I don't recommend it yet. So, it looks like it has 23:06 it yet. So, it looks like it has 23:06 it yet. So, it looks like it has potential, but we really don't know. And 23:08 potential, but we really don't know. And 23:08 potential, but we really don't know. And what we do know though with all of this 23:10 what we do know though with all of this 23:10 what we do know though with all of this is we do know that exercise, there's so 23:13 is we do know that exercise, there's so 23:13 is we do know that exercise, there's so many amazing benefits from exercise. And 23:16 many amazing benefits from exercise. And 23:16 many amazing benefits from exercise. And so, you know, all these additions may 23:19 so, you know, all these additions may 23:20 so, you know, all these additions may may, you know, help that as well. But 23:22 may, you know, help that as well. But 23:22 may, you know, help that as well. But sometimes people think oh I'll do that 23:24 sometimes people think oh I'll do that 23:24 sometimes people think oh I'll do that in lie of but never in lie of it's only 23:26 in lie of but never in lie of it's only 23:26 in lie of but never in lie of it's only in addition to unless unless you can't 23:29 in addition to unless unless you can't 23:29 in addition to unless unless you can't you know. 23:30 you know. 23:30 you know. >> Yeah. No I I would absolutely agree with 23:32 >> Yeah. No I I would absolutely agree with 23:32 >> Yeah. No I I would absolutely agree with that. Yes. Wendy. 23:41 >> Yeah. Hi. Sorry. I was loved your recent 23:42 >> Yeah. Hi. Sorry. I was loved your recent podcast episode with Margie on can you 23:45 podcast episode with Margie on can you 23:45 podcast episode with Margie on can you reverse osteoporosis naturally and you 23:48 reverse osteoporosis naturally and you 23:48 reverse osteoporosis naturally and you mentioned some several case studies with 23:50 mentioned some several case studies with 23:50 mentioned some several case studies with women who were at least 10 years 23:53 women who were at least 10 years 23:53 women who were at least 10 years post-menopausal that you actually put on 23:55 post-menopausal that you actually put on 23:55 post-menopausal that you actually put on HRT. 23:56 HRT. 23:56 HRT. >> I do. 23:56 >> I do. 23:56 >> I do. >> I was wondering what your process is to 23:58 >> I was wondering what your process is to 23:58 >> I was wondering what your process is to determine if somebody is post 10 years 24:03 determine if somebody is post 10 years 24:03 determine if somebody is post 10 years which they were telling us not to do 24:05 which they were telling us not to do 24:05 which they were telling us not to do that. 24:05 that. 24:05 that. >> Yeah. What's your process of determining 24:07 >> Yeah. What's your process of determining 24:07 >> Yeah. What's your process of determining if they can go on HRT, especially if 24:10 if they can go on HRT, especially if 24:10 if they can go on HRT, especially if they haven't been on it? 24:11 they haven't been on it? 24:11 they haven't been on it? >> Yeah. So, risk stratification is 24:15 >> Yeah. So, risk stratification is 24:15 >> Yeah. So, risk stratification is absolutely essential when anybody's 24:17 absolutely essential when anybody's 24:18 absolutely essential when anybody's going on HRT. So, you know, the first 24:20 going on HRT. So, you know, the first 24:20 going on HRT. So, you know, the first thing I'm looking at personal history of 24:23 thing I'm looking at personal history of 24:23 thing I'm looking at personal history of any kind of female cancer, uterine, 24:25 any kind of female cancer, uterine, 24:25 any kind of female cancer, uterine, ovarian, or breast. I'm looking at 24:27 ovarian, or breast. I'm looking at 24:27 ovarian, or breast. I'm looking at family history. I'm looking at dense 24:29 family history. I'm looking at dense 24:29 family history. I'm looking at dense breasts. And then I uh there's an 24:32 breasts. And then I uh there's an 24:32 breasts. And then I uh there's an American Cancer Institute breast cancer 24:35 American Cancer Institute breast cancer 24:35 American Cancer Institute breast cancer risk tool and I I I remember part of the 24:37 risk tool and I I I remember part of the 24:37 risk tool and I I I remember part of the URL is BC risk. Um but that's American 24:41 URL is BC risk. Um but that's American 24:41 URL is BC risk. Um but that's American Cancer um either association or I think 24:45 Cancer um either association or I think 24:45 Cancer um either association or I think probably American Cancer Association and 24:48 probably American Cancer Association and 24:48 probably American Cancer Association and you run through that tool and if a 24:51 you run through that tool and if a 24:51 you run through that tool and if a person comes up a lifetime or not 24:54 person comes up a lifetime or not 24:54 person comes up a lifetime or not lifetime but um uh it's either next 24:57 lifetime but um uh it's either next 24:57 lifetime but um uh it's either next three years or next five years um if the 25:00 three years or next five years um if the 25:00 three years or next five years um if the percentage is is uh 5% or less then from 25:05 percentage is is uh 5% or less then from 25:05 percentage is is uh 5% or less then from that perspective they're a good 25:07 that perspective they're a good 25:07 that perspective they're a good candidate and then I also go to the um 25:11 candidate and then I also go to the um 25:11 candidate and then I also go to the um uh the 25:13 uh the 25:13 uh the uh it's a cardiovascular risk calculator 25:17 uh it's a cardiovascular risk calculator 25:18 uh it's a cardiovascular risk calculator as well and making sure that that person 25:21 as well and making sure that that person 25:21 as well and making sure that that person is for a 10-year risk of heart attack or 25:24 is for a 10-year risk of heart attack or 25:24 is for a 10-year risk of heart attack or stroke that they're less than I think 25:27 stroke that they're less than I think 25:27 stroke that they're less than I think the it's 10%. Um, and so if they meet 25:32 the it's 10%. Um, and so if they meet 25:32 the it's 10%. Um, and so if they meet those two criteria, they don't have a 25:34 those two criteria, they don't have a 25:34 those two criteria, they don't have a personal history, and then they are 25:37 personal history, and then they are 25:37 personal history, and then they are willing to do all of the things that I 25:39 willing to do all of the things that I 25:39 willing to do all of the things that I require in my practice for surveillance,
Q&A: Lympha Treatments and PEMF Devices 25:43 require in my practice for surveillance, 25:43 require in my practice for surveillance, which is yearly mammogs, um, one to one 25:48 which is yearly mammogs, um, one to one 25:48 which is yearly mammogs, um, one to one and a half year pelvic ultrasounds to 25:50 and a half year pelvic ultrasounds to 25:50 and a half year pelvic ultrasounds to make sure that the endometrium isn't um, 25:53 make sure that the endometrium isn't um, 25:54 make sure that the endometrium isn't um, isn't proliferating, and then also um, 25:58 isn't proliferating, and then also um, 25:58 isn't proliferating, and then also um, uh, doing a Dutch test every year. So I 26:00 uh, doing a Dutch test every year. So I 26:00 uh, doing a Dutch test every year. So I look at estrogen metabolites. Then if 26:03 look at estrogen metabolites. Then if 26:03 look at estrogen metabolites. Then if that person after all of that knows all 26:06 that person after all of that knows all 26:06 that person after all of that knows all of the evidence. So they have to go 26:08 of the evidence. So they have to go 26:08 of the evidence. So they have to go through my module on know your risk know 26:11 through my module on know your risk know 26:11 through my module on know your risk know all the studies that I require them to 26:15 all the studies that I require them to 26:15 all the studies that I require them to know and then if they are okay with 26:18 know and then if they are okay with 26:18 know and then if they are okay with taking that risk because the risk is 26:20 taking that risk because the risk is 26:20 taking that risk because the risk is absolutely not zero but we don't think 26:23 absolutely not zero but we don't think 26:23 absolutely not zero but we don't think that it's high either. certainly is not 26:27 that it's high either. certainly is not 26:27 that it's high either. certainly is not as high as uh the original WHI study 26:30 as high as uh the original WHI study 26:30 as high as uh the original WHI study showed. And there is the thing about the 26:33 showed. And there is the thing about the 26:33 showed. And there is the thing about the timing hypothesis and I'm very careful 26:36 timing hypothesis and I'm very careful 26:36 timing hypothesis and I'm very careful about that. So I have a lower estradiile 26:39 about that. So I have a lower estradiile 26:39 about that. So I have a lower estradiile blood target level for someone who's 26:42 blood target level for someone who's 26:42 blood target level for someone who's older than someone who's younger. And so 26:45 older than someone who's younger. And so 26:45 older than someone who's younger. And so if they are all okay accepting that 26:48 if they are all okay accepting that 26:48 if they are all okay accepting that risk, then I will um offer uh BHRT. But 26:52 risk, then I will um offer uh BHRT. But 26:52 risk, then I will um offer uh BHRT. But I'm very uh cautious. 26:55 I'm very uh cautious. 26:55 I'm very uh cautious. >> Yeah, it sounds great that you're very 26:57 >> Yeah, it sounds great that you're very 26:57 >> Yeah, it sounds great that you're very conservative. Would you consider vaginal 26:59 conservative. Would you consider vaginal 26:59 conservative. Would you consider vaginal estradile 27:01 estradile 27:01 estradile HRT? And do you believe it is systemic? 27:04 HRT? And do you believe it is systemic? 27:04 HRT? And do you believe it is systemic? Because people say it stays within the 27:06 Because people say it stays within the 27:06 Because people say it stays within the vagina, but then I'm hearing that it 27:07 vagina, but then I'm hearing that it 27:07 vagina, but then I'm hearing that it could be more systemic than they think. 27:11 could be more systemic than they think. 27:11 could be more systemic than they think. >> Um, so I would say that every 27:14 >> Um, so I would say that every 27:14 >> Um, so I would say that every gynecologist 27:16 gynecologist 27:16 gynecologist across the United States would give any 27:19 across the United States would give any 27:19 across the United States would give any woman vaginal estradile. Now maybe if 27:23 woman vaginal estradile. Now maybe if 27:23 woman vaginal estradile. Now maybe if the she had a per personal history of a 27:25 the she had a per personal history of a 27:25 the she had a per personal history of a female cancer. No. But but other than 27:28 female cancer. No. But but other than 27:28 female cancer. No. But but other than that um even just conventional um obgyn 27:33 that um even just conventional um obgyn 27:34 that um even just conventional um obgyn will give vaginal estradi because the 27:36 will give vaginal estradi because the 27:36 will give vaginal estradi because the the thought is that it's mostly going to 27:40 the thought is that it's mostly going to 27:40 the thought is that it's mostly going to stay local and not go systemic. It's not 27:43 stay local and not go systemic. It's not 27:43 stay local and not go systemic. It's not going to pull up the estradiol level 27:45 going to pull up the estradiol level 27:45 going to pull up the estradiol level that much because I actually do so much 27:49 that much because I actually do so much 27:49 that much because I actually do so much testing on the sensitive estradi that I 27:52 testing on the sensitive estradi that I 27:52 testing on the sensitive estradi that I can see a woman go from maybe negative 27:55 can see a woman go from maybe negative 27:55 can see a woman go from maybe negative um or less than 2 and a half which was 27:57 um or less than 2 and a half which was 27:57 um or less than 2 and a half which was the very very bottom of the sensitivity 28:00 the very very bottom of the sensitivity 28:00 the very very bottom of the sensitivity range and they might go up to I don't
Q&A: Hormone Replacement Therapy (HRT) and Risk Assessment 28:03 range and they might go up to I don't 28:03 range and they might go up to I don't know maybe four or or five pogs per mill 28:07 know maybe four or or five pogs per mill 28:07 know maybe four or or five pogs per mill which is certainly a little tiny bit but 28:10 which is certainly a little tiny bit but 28:10 which is certainly a little tiny bit but it's not enough to get somebody into 28:12 it's not enough to get somebody into 28:12 it's not enough to get somebody into bone supporting range. Um although it 28:15 bone supporting range. Um although it 28:15 bone supporting range. Um although it can be very helpful for women with um 28:19 can be very helpful for women with um 28:19 can be very helpful for women with um menopausal eurogenital um symptoms and 28:22 menopausal eurogenital um symptoms and 28:22 menopausal eurogenital um symptoms and also uh a little bit for libido as well. 28:26 also uh a little bit for libido as well. 28:26 also uh a little bit for libido as well. So it can be very very helpful to women 28:29 So it can be very very helpful to women 28:29 So it can be very very helpful to women and um I encourage all my patients to 28:32 and um I encourage all my patients to 28:32 and um I encourage all my patients to consider it if they if um they have 28:35 consider it if they if um they have 28:35 consider it if they if um they have those kind of of issues especially women 28:38 those kind of of issues especially women 28:38 those kind of of issues especially women with recurrent UTI and not as good with 28:42 with recurrent UTI and not as good with 28:42 with recurrent UTI and not as good with for incontinence a little bit. It helps 28:44 for incontinence a little bit. It helps 28:44 for incontinence a little bit. It helps a little bit with incontinence but it 28:46 a little bit with incontinence but it 28:46 a little bit with incontinence but it does help with recurrent UTI. 28:49 does help with recurrent UTI. 28:49 does help with recurrent UTI. >> Thank you. Appreciate it. 28:50 >> Thank you. Appreciate it. 28:50 >> Thank you. Appreciate it. >> You're welcome Naomi. 29:00 Yes. Hello. Um, hi. 29:00 Yes. Hello. Um, hi. >> Um, I haven't had the CTX done for 29:05 >> Um, I haven't had the CTX done for 29:05 >> Um, I haven't had the CTX done for several years and I just had one done 29:07 several years and I just had one done 29:07 several years and I just had one done now. It It's called the collagen type 1 29:11 now. It It's called the collagen type 1 29:11 now. It It's called the collagen type 1 C tipeptide 29:13 C tipeptide 29:14 C tipeptide and the my result is 721. 29:17 and the my result is 721. 29:17 and the my result is 721. And I was wondering um is I don't know 29:20 And I was wondering um is I don't know 29:20 And I was wondering um is I don't know if that's good, bad, indifferent. What 29:22 if that's good, bad, indifferent. What 29:22 if that's good, bad, indifferent. What is a what is a good range for that test? 29:26 is a what is a good range for that test? 29:26 is a what is a good range for that test? >> All right. So, I'm going to teach you 29:28 >> All right. So, I'm going to teach you 29:28 >> All right. So, I'm going to teach you because you are absolutely asking me to 29:30 because you are absolutely asking me to 29:30 because you are absolutely asking me to interpret your CTX, 29:33 interpret your CTX, 29:33 interpret your CTX, >> right? Okay. So, I'm going to teach you. 29:36 >> right? Okay. So, I'm going to teach you. 29:36 >> right? Okay. So, I'm going to teach you. So, um, so it would be very appropriate 29:39 So, um, so it would be very appropriate 29:39 So, um, so it would be very appropriate for you to ask me what the optimal range 29:41 for you to ask me what the optimal range 29:41 for you to ask me what the optimal range is for CTX 29:44 is for CTX 29:44 is for CTX because 29:44 because 29:44 because >> Yeah, that's 29:45 >> Yeah, that's 29:45 >> Yeah, that's >> I don't really need I don't really need 29:47 >> I don't really need I don't really need 29:47 >> I don't really need I don't really need to know that your CTX was 721. I don't 29:51 to know that your CTX was 721. I don't 29:51 to know that your CTX was 721. I don't really need to know that you haven't had 29:52 really need to know that you haven't had 29:52 really need to know that you haven't had a CTX for a while. So, um, so yeah, I 29:57 a CTX for a while. So, um, so yeah, I 29:57 a CTX for a while. So, um, so yeah, I will give you I will give you the 29:59 will give you I will give you the 29:59 will give you I will give you the optimal range for CTX. It's 250 to 350 30:03 optimal range for CTX. It's 250 to 350 30:03 optimal range for CTX. It's 250 to 350 and in between 350 to 4 400 is a little 30:06 and in between 350 to 4 400 is a little 30:06 and in between 350 to 4 400 is a little bit of a gray area, but um over 400 most 30:11 bit of a gray area, but um over 400 most 30:11 bit of a gray area, but um over 400 most likely uh uh people are are losing bone 30:15 likely uh uh people are are losing bone 30:15 likely uh uh people are are losing bone above 400. 30:18 above 400. 30:18 above 400. >> Thank you. That's phenomenal. just make 30:20 >> Thank you. That's phenomenal. just make 30:20 >> Thank you. That's phenomenal. just make it very general [clears throat] next 30:21 it very general [clears throat] next 30:21 it very general [clears throat] next time. 30:23 time. 30:23 time. >> Okay. Thank you. You're welcome. Renee, 30:26 >> Okay. Thank you. You're welcome. Renee, 30:26 >> Okay. Thank you. You're welcome. Renee, >> hello. Thank you. Love your work. Um, 30:29 >> hello. Thank you. Love your work. Um, 30:29 >> hello. Thank you. Love your work. Um, this is a lab draw question. on the day 30:32 this is a lab draw question. on the day 30:32 this is a lab draw question. on the day of your lab, whether you're having a 30:35 of your lab, whether you're having a 30:35 of your lab, whether you're having a hormone panel or a thyroid panel, um 30:38 hormone panel or a thyroid panel, um 30:38 hormone panel or a thyroid panel, um fasting early in the morning as 30:40 fasting early in the morning as 30:40 fasting early in the morning as possible, no B vitamins. 30:43 possible, no B vitamins. 30:43 possible, no B vitamins. Do you have your patients um take their 30:46 Do you have your patients um take their 30:46 Do you have your patients um take their thyroid med or put um put on their cream 30:49 thyroid med or put um put on their cream 30:50 thyroid med or put um put on their cream or take their um estrogen? Yeah. So, 30:53 or take their um estrogen? Yeah. So, 30:53 or take their um estrogen? Yeah. So, that's actually a really really good 30:56 that's actually a really really good 30:56 that's actually a really really good question because I do um for thyroid I I 31:01 question because I do um for thyroid I I 31:01 question because I do um for thyroid I I I always want to know the trough and I I 31:03 I always want to know the trough and I I 31:04 I always want to know the trough and I I always just want want them not to take 31:06 always just want want them not to take 31:06 always just want want them not to take thyroid medication in the morning. But 31:09 thyroid medication in the morning. But 31:09 thyroid medication in the morning. But for estrogen cream and testosterone 31:12 for estrogen cream and testosterone 31:12 for estrogen cream and testosterone cream, I like to know both sometimes. 31:15 cream, I like to know both sometimes. 31:15 cream, I like to know both sometimes. So, I like to know the low point and I 31:17 So, I like to know the low point and I 31:17 So, I like to know the low point and I like to know the high point. And the low 31:19 like to know the high point. And the low 31:19 like to know the high point. And the low point is you don't take your cream in 31:22 point is you don't take your cream in 31:22 point is you don't take your cream in the morning. Progesterone is okay. It's 31:24 the morning. Progesterone is okay. It's 31:24 the morning. Progesterone is okay. It's very short-lived. It doesn't even it 31:27 very short-lived. It doesn't even it 31:27 very short-lived. It doesn't even it doesn't carry over very much to the next 31:29 doesn't carry over very much to the next 31:29 doesn't carry over very much to the next day at all. So, you can always take 31:31 day at all. So, you can always take 31:31 day at all. So, you can always take progesterone. Um, and then the peak is 31:35 progesterone. Um, and then the peak is 31:35 progesterone. Um, and then the peak is you take the cream in the morning and 31:38 you take the cream in the morning and 31:38 you take the cream in the morning and then you wait until 2 or 3:00 in the 31:42 then you wait until 2 or 3:00 in the 31:42 then you wait until 2 or 3:00 in the afternoon. That's your peak. 31:44 afternoon. That's your peak. 31:44 afternoon. That's your peak. >> Okay. 31:45 >> Okay. 31:45 >> Okay. >> Um, so sometimes I want to know the 31:47 >> Um, so sometimes I want to know the 31:47 >> Um, so sometimes I want to know the peak. Sometimes I want to know the 31:49 peak. Sometimes I want to know the 31:49 peak. Sometimes I want to know the trough and then if somebody is on a 31:51 trough and then if somebody is on a 31:51 trough and then if somebody is on a patch, you want to try to get it midway. 31:54 patch, you want to try to get it midway. 31:54 patch, you want to try to get it midway. So that's where the most steady state 31:56 So that's where the most steady state 31:56 So that's where the most steady state time is for you to take it. And so if 32:00 time is for you to take it. And so if 32:00 time is for you to take it. And so if it's if it's um like one and a half days 32:04 it's if it's um like one and a half days 32:04 it's if it's um like one and a half days during a 3day cycle, that should be mid 32:07 during a 3day cycle, that should be mid 32:07 during a 3day cycle, that should be mid that should be mid mid peak mid 32:10 that should be mid mid peak mid 32:10 that should be mid mid peak mid midcycle. 32:12 midcycle. 32:12 midcycle. >> Okay. And then the thyroid med. So you 32:15 >> Okay. And then the thyroid med. So you 32:15 >> Okay. And then the thyroid med. So you would want to draw that as early as you 32:17 would want to draw that as early as you 32:17 would want to draw that as early as you possibly can like if the lab not taking 32:20 possibly can like if the lab not taking 32:20 possibly can like if the lab not taking it if or does it matter? 32:21 it if or does it matter? 32:21 it if or does it matter? >> No, I don't think so. I mean I I I do I 32:25 >> No, I don't think so. I mean I I I do I 32:25 >> No, I don't think so. I mean I I I do I like to see it in a fasting state. Yeah. 32:27 like to see it in a fasting state. Yeah. 32:28 like to see it in a fasting state. Yeah. And and as early as you can. Yeah. I 32:29 And and as early as you can. Yeah. I 32:30 And and as early as you can. Yeah. I don't want to see it at at 1:00 if 32:33 don't want to see it at at 1:00 if 32:33 don't want to see it at at 1:00 if somebody's intermittent fasting and 32:34 somebody's intermittent fasting and 32:34 somebody's intermittent fasting and they're doing it at 1:00. I'd rather see 32:36 they're doing it at 1:00. I'd rather see 32:36 they're doing it at 1:00. I'd rather see it at like 8 to 10 in the morning, 32:39 it at like 8 to 10 in the morning, 32:39 it at like 8 to 10 in the morning, something like that. 32:40 something like that. 32:40 something like that. I've had some controversy with local 32:42 I've had some controversy with local 32:42 I've had some controversy with local providers I'm trying to train and I'm 32:45 providers I'm trying to train and I'm 32:45 providers I'm trying to train and I'm like how as far as um getting the labs 32:49 like how as far as um getting the labs 32:49 like how as far as um getting the labs that I think are good. So, well, they're 32:52 that I think are good. So, well, they're 32:52 that I think are good. So, well, they're different questions, right? So when you 32:55 different questions, right? So when you 32:55 different questions, right? So when you when you do it with the um when when you 32:59 when you do it with the um when when you 32:59 when you do it with the um when when you take your thyroid medication and then 33:01 take your thyroid medication and then 33:01 take your thyroid medication and then you go into the lab, you're asking what 33:04 you go into the lab, you're asking what 33:04 you go into the lab, you're asking what do what do what do I look like 33:07 do what do what do I look like 33:07 do what do what do I look like after I take thyroid medication? So 33:10 after I take thyroid medication? So 33:10 after I take thyroid medication? So that's more of a peak level again, 33:12 that's more of a peak level again, 33:12 that's more of a peak level again, right? You're doing a peak and a trough. 33:14 right? You're doing a peak and a trough. 33:14 right? You're doing a peak and a trough. And sometimes sometimes if I'm trying to 33:17 And sometimes sometimes if I'm trying to 33:17 And sometimes sometimes if I'm trying to figure out um especially in an older
Q&A: Lab Testing, CTX, and Thyroid/Estrogen Protocols 33:20 figure out um especially in an older 33:20 figure out um especially in an older woman and looking at estradiol levels, 33:23 woman and looking at estradiol levels, 33:23 woman and looking at estradiol levels, I'm I'm I'm more often than not I'm 33:26 I'm I'm I'm more often than not I'm 33:26 I'm I'm I'm more often than not I'm doing both. I'm doing like one time I do 33:29 doing both. I'm doing like one time I do 33:29 doing both. I'm doing like one time I do a peak, the other time I do a trough. Um 33:31 a peak, the other time I do a trough. Um 33:31 a peak, the other time I do a trough. Um if I look at if I'm trying to do a 33:34 if I look at if I'm trying to do a 33:34 if I look at if I'm trying to do a trough and um and it looks really low, 33:38 trough and um and it looks really low, 33:38 trough and um and it looks really low, I'll do a peak the next time and just 33:40 I'll do a peak the next time and just 33:40 I'll do a peak the next time and just make sure they're in that range that I 33:42 make sure they're in that range that I 33:42 make sure they're in that range that I like. 33:43 like. 33:43 like. >> Okay, great. Thank you so much for your 33:45 >> Okay, great. Thank you so much for your 33:45 >> Okay, great. Thank you so much for your work. Thank you. 33:46 work. Thank you. 33:46 work. Thank you. >> You're welcome. Thank you. Hey, Irma. 33:49 >> You're welcome. Thank you. Hey, Irma. 33:49 >> You're welcome. Thank you. Hey, Irma. How are you? 33:51 How are you? 33:51 How are you? >> I'm good. Dr. Milman, I'm getting 33:53 >> I'm good. Dr. Milman, I'm getting 33:53 >> I'm good. Dr. Milman, I'm getting better. Margie, thank you for this. 33:56 better. Margie, thank you for this. 33:56 better. Margie, thank you for this. >> Good. 33:57 >> Good. 33:57 >> Good. >> So, I wanted just to acknowledge this 33:59 >> So, I wanted just to acknowledge this 33:59 >> So, I wanted just to acknowledge this whole thing that Margie has created. She 34:01 whole thing that Margie has created. She 34:02 whole thing that Margie has created. She brought something out of a seed, right? 34:04 brought something out of a seed, right? 34:04 brought something out of a seed, right? Planted a seed so long ago and it's 34:06 Planted a seed so long ago and it's 34:06 Planted a seed so long ago and it's morphed into this incredible program. 34:08 morphed into this incredible program. 34:08 morphed into this incredible program. So, thank you both for this. So my 34:11 So, thank you both for this. So my 34:11 So, thank you both for this. So my question is, 34:12 question is, 34:12 question is, >> thank you for your work too, Irma. She's 34:14 >> thank you for your work too, Irma. She's 34:14 >> thank you for your work too, Irma. She's a rock star. 34:15 a rock star. 34:16 a rock star. >> Yeah. Can I say something here? Oh, 34:17 >> Yeah. Can I say something here? Oh, 34:17 >> Yeah. Can I say something here? Oh, wait. Let me get my video. Can I have to 34:19 wait. Let me get my video. Can I have to 34:19 wait. Let me get my video. Can I have to say something too because Irma, let's 34:22 say something too because Irma, let's 34:22 say something too because Irma, let's just give Irma credit where credit is 34:24 just give Irma credit where credit is 34:24 just give Irma credit where credit is due. When I So I've been a physical 34:26 due. When I So I've been a physical 34:26 due. When I So I've been a physical therapist doing this forever. But when I 34:28 therapist doing this forever. But when I 34:28 therapist doing this forever. But when I decided and I really figured out I 34:31 decided and I really figured out I 34:31 decided and I really figured out I really have to become a health coach. I 34:33 really have to become a health coach. I 34:33 really have to become a health coach. I really wanted to learn more. Who was my 34:35 really wanted to learn more. Who was my 34:35 really wanted to learn more. Who was my very first mentor with health coaching? 34:38 very first mentor with health coaching? 34:38 very first mentor with health coaching? It was was Irma. So Irma and I have 34:39 It was was Irma. So Irma and I have 34:39 It was was Irma. So Irma and I have known each other give yourself credit. 34:42 known each other give yourself credit. 34:42 known each other give yourself credit. You've done so much and helped so many 34:45 You've done so much and helped so many 34:45 You've done so much and helped so many people all over and really made a big 34:47 people all over and really made a big 34:47 people all over and really made a big difference in this space way before way 34:50 difference in this space way before way 34:50 difference in this space way before way before anybody was doing this. So hats 34:53 before anybody was doing this. So hats 34:53 before anybody was doing this. So hats off to you Irma. I have to just you know 34:56 off to you Irma. I have to just you know 34:56 off to you Irma. I have to just you know I'm glad you appreciate us but we really 34:58 I'm glad you appreciate us but we really 34:58 I'm glad you appreciate us but we really really appreciate you and you've changed 35:00 really appreciate you and you've changed 35:00 really appreciate you and you've changed so many lives. So yay Irma. 35:01 so many lives. So yay Irma. 35:01 so many lives. So yay Irma. >> Thank you Irma. 35:02 >> Thank you Irma. 35:02 >> Thank you Irma. >> Yeah Irma's been on all my summits and 35:05 >> Yeah Irma's been on all my summits and 35:05 >> Yeah Irma's been on all my summits and given so much good information. So thank 35:07 given so much good information. So thank 35:07 given so much good information. So thank you Irma. But okay, I had to say that 35:09 you Irma. But okay, I had to say that 35:09 you Irma. But okay, I had to say that because I'm such a big fan of yours, 35:11 because I'm such a big fan of yours, 35:11 because I'm such a big fan of yours, Irma. 35:12 Irma. 35:12 Irma. >> Such a humbling experience, right, for 35:14 >> Such a humbling experience, right, for 35:14 >> Such a humbling experience, right, for us all because we're just trying to do 35:16 us all because we're just trying to do 35:16 us all because we're just trying to do the good work, right, and help each 35:17 the good work, right, and help each 35:17 the good work, right, and help each other and women are so dynamic. So, Dr. 35:20 other and women are so dynamic. So, Dr. 35:20 other and women are so dynamic. So, Dr. Milman, you've been doing this for so 35:22 Milman, you've been doing this for so 35:22 Milman, you've been doing this for so long and I hope this question isn't too 35:24 long and I hope this question isn't too 35:24 long and I hope this question isn't too broad, but in your experience, what's 35:27 broad, but in your experience, what's 35:27 broad, but in your experience, what's the greatest DEXA score that you've seen 35:29 the greatest DEXA score that you've seen 35:29 the greatest DEXA score that you've seen your patients increase doing the 35:32 your patients increase doing the 35:32 your patients increase doing the combination of weight training, HRT, 35:35 combination of weight training, HRT, 35:35 combination of weight training, HRT, diet, gut health, supplements? Wow. Um, 35:39 diet, gut health, supplements? Wow. Um, 35:39 diet, gut health, supplements? Wow. Um, yeah, that's that's a really good 35:41 yeah, that's that's a really good 35:41 yeah, that's that's a really good question. Um, 35:45 question. Um, 35:45 question. Um, well, I saw 35:48 well, I saw 35:48 well, I saw um one of my patients yesterday went 35:51 um one of my patients yesterday went 35:51 um one of my patients yesterday went from a negative 35:54 from a negative 35:54 from a negative 3.4 to 1.7 in the hip and a negative 36:01 3.4 to 1.7 in the hip and a negative 36:01 3.4 to 1.7 in the hip and a negative 2.9 to -1.5. 36:05 2.9 to -1.5. 36:05 2.9 to -1.5. That was pretty good. Um, I saw a 1 and 36:11 That was pretty good. Um, I saw a 1 and 36:11 That was pretty good. Um, I saw a 1 and a half standard deviation 36:15 a half standard deviation 36:15 a half standard deviation with another patient in the lumbar 36:17 with another patient in the lumbar 36:17 with another patient in the lumbar spine. That was really good. Um, 36:21 spine. That was really good. Um, 36:21 spine. That was really good. Um, so my patient yesterday, she went from 36:25 so my patient yesterday, she went from 36:25 so my patient yesterday, she went from um osteoprotic to osteopenic completely 36:28 um osteoprotic to osteopenic completely 36:28 um osteoprotic to osteopenic completely everywhere. 36:29 everywhere. 36:30 everywhere. um she was osteoprotic in two places and 36:32 um she was osteoprotic in two places and 36:32 um she was osteoprotic in two places and went to osteopenic and that was over the 36:35 went to osteopenic and that was over the 36:35 went to osteopenic and that was over the course of about a 4-year period. She was 36:38 course of about a 4-year period. She was 36:38 course of about a 4-year period. She was definitely on hormones. Um yeah, I think 36:42 definitely on hormones. Um yeah, I think 36:42 definitely on hormones. Um yeah, I think one and a half standard deviations in 36:44 one and a half standard deviations in 36:44 one and a half standard deviations in the lumbar spine and about a standard 36:46 the lumbar spine and about a standard 36:46 the lumbar spine and about a standard deviation in the hip. Not on meds, 36:48 deviation in the hip. Not on meds, 36:48 deviation in the hip. Not on meds, right? No avenity like Aventity they do 36:51 right? No avenity like Aventity they do 36:51 right? No avenity like Aventity they do better. Avenity and prolan reclass they 36:53 better. Avenity and prolan reclass they 36:53 better. Avenity and prolan reclass they do better than that. But but yeah, and 36:56 do better than that. But but yeah, and 36:56 do better than that. But but yeah, and th those are both 36:58 th those are both 36:58 th those are both the really really high achievers. 37:01 the really really high achievers. 37:01 the really really high achievers. They're on hormones. They're they're on 37:04 They're on hormones. They're they're on 37:04 They're on hormones. They're they're on hormones. I I can't do that without it.
Q&A: Community Recognition and Success Stories 37:07 hormones. I I can't do that without it. 37:07 hormones. I I can't do that without it. >> The the point is the point the point 37:09 >> The the point is the point the point 37:09 >> The the point is the point the point that you're making is so important. The 37:11 that you're making is so important. The 37:11 that you're making is so important. The time commitment, right? It's not one 37:14 time commitment, right? It's not one 37:14 time commitment, right? It's not one year, six months. It's one to four or 37:16 year, six months. It's one to four or 37:16 year, six months. It's one to four or five years staying on the course, 37:18 five years staying on the course, 37:18 five years staying on the course, tweaking, staying on the course. So, 37:20 tweaking, staying on the course. So, 37:20 tweaking, staying on the course. So, thank you. 37:21 thank you. 37:21 thank you. >> Yeah, sure. 37:24 >> Yeah, sure. 37:24 >> Yeah, sure. We just did. Did you hear um Irma? Did 37:27 We just did. Did you hear um Irma? Did 37:27 We just did. Did you hear um Irma? Did you Did you hear that podcast that we 37:29 you Did you hear that podcast that we 37:29 you Did you hear that podcast that we just did? 37:32 just did? 37:32 just did? >> No, I I didn't hear that, but I will go 37:34 >> No, I I didn't hear that, but I will go 37:34 >> No, I I didn't hear that, but I will go back and listen. 37:35 back and listen. 37:35 back and listen. >> Yeah. So, it's uh can you reverse 37:37 >> Yeah. So, it's uh can you reverse 37:37 >> Yeah. So, it's uh can you reverse osteoporosis naturally? And so, the 37:40 osteoporosis naturally? And so, the 37:40 osteoporosis naturally? And so, the point of that wasn't wasn't to say yes. 37:43 point of that wasn't wasn't to say yes. 37:43 point of that wasn't wasn't to say yes. The point of that was to get give some 37:44 The point of that was to get give some 37:44 The point of that was to get give some case studies and say 37:47 case studies and say 37:47 case studies and say what do you what do you do and what do 37:49 what do you what do you do and what do 37:49 what do you what do you do and what do you see and actually what kind of 37:51 you see and actually what kind of 37:51 you see and actually what kind of improvements do you see with different 37:52 improvements do you see with different 37:52 improvements do you see with different kinds of hormones? We did hormones on 37:56 kinds of hormones? We did hormones on 37:56 kinds of hormones? We did hormones on and and um in reversing 37:59 and and um in reversing 37:59 and and um in reversing hyperarathyroidism because those are 38:01 hyperarathyroidism because those are 38:01 hyperarathyroidism because those are kind of the really big ones that you see 38:03 kind of the really big ones that you see 38:03 kind of the really big ones that you see where you can you can really um reverse 38:08 where you can you can really um reverse 38:08 where you can you can really um reverse significantly. 38:10 significantly. 38:10 significantly. >> Thank you. And here's Kathy. 38:13 >> Thank you. And here's Kathy. 38:13 >> Thank you. And here's Kathy. >> Hi, Dr. Miller. So nice to see you. 38:16 >> Hi, Dr. Miller. So nice to see you. 38:16 >> Hi, Dr. Miller. So nice to see you. >> Good to see you.
Q&A: DEXA Score Improvements and Patient Outcomes 38:18 >> Good to see you. 38:18 >> Good to see you. >> Um, so I've been hearing about this new 38:22 >> Um, so I've been hearing about this new 38:22 >> Um, so I've been hearing about this new I don't know if it's new. The parasite 38:24 I don't know if it's new. The parasite 38:24 I don't know if it's new. The parasite cylo something or other that lives on 38:27 cylo something or other that lives on 38:27 cylo something or other that lives on fresh produce. Have you heard about 38:29 fresh produce. Have you heard about 38:29 fresh produce. Have you heard about that? There is this outbreak. 38:33 that? There is this outbreak. 38:33 that? There is this outbreak. >> Oh, you're talking about psychospora. 38:35 >> Oh, you're talking about psychospora. 38:35 >> Oh, you're talking about psychospora. >> Yeah. and um I live on salads and love 38:39 >> Yeah. and um I live on salads and love 38:39 >> Yeah. and um I live on salads and love fresh produce and I'm just wondering if 38:41 fresh produce and I'm just wondering if 38:41 fresh produce and I'm just wondering if you have any ideas about how to protect 38:45 you have any ideas about how to protect 38:45 you have any ideas about how to protect yourself. [snorts] 38:46 yourself. [snorts] 38:46 yourself. [snorts] Well, um 38:49 Well, um 38:49 Well, um I saw the other day 38:52 I saw the other day 38:52 I saw the other day um 38:54 um 38:54 um well I have one um so you can get these 38:59 well I have one um so you can get these 38:59 well I have one um so you can get these um ozone bubblers. 39:02 um ozone bubblers. 39:02 um ozone bubblers. Have Have you seen those ozone bubblers? 39:05 Have Have you seen those ozone bubblers? 39:05 Have Have you seen those ozone bubblers? Um, so you know, I don't really 39:07 Um, so you know, I don't really 39:07 Um, so you know, I don't really understand this because cycllospora, 39:10 understand this because cycllospora, 39:10 understand this because cycllospora, this may be this might be just a a super 39:14 this may be this might be just a a super 39:14 this may be this might be just a a super v virilent strain of cycllospora because 39:17 v virilent strain of cycllospora because 39:18 v virilent strain of cycllospora because usually this is an opportunistic 39:21 usually this is an opportunistic 39:21 usually this is an opportunistic infection that only imuno compromised 39:24 infection that only imuno compromised 39:24 infection that only imuno compromised people get. So, I'm a little bit um I 39:28 people get. So, I'm a little bit um I 39:28 people get. So, I'm a little bit um I haven't seen it enough, but um 39:32 haven't seen it enough, but um 39:32 haven't seen it enough, but um but uh yeah, like o ozone ozone bubbling 39:35 but uh yeah, like o ozone ozone bubbling 39:35 but uh yeah, like o ozone ozone bubbling into the water. So, you fill up the the
Q&A: Parasites, Food Safety, and Ozone Bubblers 39:37 into the water. So, you fill up the the 39:38 into the water. So, you fill up the the the sink full of water, put your veggies 39:40 the sink full of water, put your veggies 39:40 the sink full of water, put your veggies in there and put the ozone bubbler in 39:42 in there and put the ozone bubbler in 39:42 in there and put the ozone bubbler in there and have it have it ozenated. 39:45 there and have it have it ozenated. 39:45 there and have it have it ozenated. >> Cool. Thank you. 39:46 >> Cool. Thank you. 39:46 >> Cool. Thank you. >> Or what about Brio? Brio might work too. 39:50 >> Or what about Brio? Brio might work too. 39:50 >> Or what about Brio? Brio might work too. Rio um throat stuff and 39:53 Rio um throat stuff and 39:53 Rio um throat stuff and >> probably would do the Yeah, I probably 39:55 >> probably would do the Yeah, I probably 39:55 >> probably would do the Yeah, I probably would do the throat. I'll grab I'll grab 39:57 would do the throat. I'll grab I'll grab 39:57 would do the throat. I'll grab I'll grab mine, show you which one it Yeah, it's 39:59 mine, show you which one it Yeah, it's 39:59 mine, show you which one it Yeah, it's the oral rinse. 40:01 the oral rinse. 40:01 the oral rinse. >> Okay. 40:11 >> I don't know if I can 40:11 >> I don't know if I can I've got some. Put a few drops in water 40:13 I've got some. Put a few drops in water 40:14 I've got some. Put a few drops in water and then wash your veggies in that 40:15 and then wash your veggies in that 40:16 and then wash your veggies in that water. 40:17 water. 40:17 water. >> Yeah, this one. the 40:18 >> Yeah, this one. the 40:18 >> Yeah, this one. the >> Yeah, I got it. 40:19 >> Yeah, I got it. 40:20 >> Yeah, I got it. >> SOS. They have a different I don't know. 40:22 >> SOS. They have a different I don't know. 40:22 >> SOS. They have a different I don't know. I probably would like do like that much 40:26 I probably would like do like that much 40:26 I probably would like do like that much kind of thing. 40:27 kind of thing. 40:27 kind of thing. >> Like a tablespoon or something. 40:31 >> Like a tablespoon or something. 40:31 >> Like a tablespoon or something. >> A couple ounces maybe. 40:33 >> A couple ounces maybe. 40:33 >> A couple ounces maybe. >> Okay. 40:34 >> Okay. 40:34 >> Okay. >> Okay. This is my my oenator. Who did I 40:37 >> Okay. This is my my oenator. Who did I 40:38 >> Okay. This is my my oenator. Who did I buy this from? Hold. I think I bought 40:41 buy this from? Hold. I think I bought 40:41 buy this from? Hold. I think I bought this from Do you guys know who Holder 40:42 this from Do you guys know who Holder 40:42 this from Do you guys know who Holder Clark is? 40:45 Clark is? 40:45 Clark is? >> Anybody know who Holder Clark is? Extra 40:47 >> Anybody know who Holder Clark is? Extra 40:47 >> Anybody know who Holder Clark is? Extra credit. Extra credit points. 40:51 credit. Extra credit points. 40:51 credit. Extra credit points. >> You guys, you guys know 40:53 >> You guys, you guys know 40:53 >> You guys, you guys know >> the crystals lady. 40:55 >> the crystals lady. 40:55 >> the crystals lady. >> It's a Hi, Dot. It's a zapper lady. Dot. 41:00 >> It's a Hi, Dot. It's a zapper lady. Dot. 41:00 >> It's a Hi, Dot. It's a zapper lady. Dot. >> Yes. Yes. I know about her. 41:02 >> Yes. Yes. I know about her. 41:02 >> Yes. Yes. I know about her. >> The zapper lady. 41:03 >> The zapper lady. 41:03 >> The zapper lady. >> This is Naomi. I know. 41:05 >> This is Naomi. I know. 41:05 >> This is Naomi. I know. >> Yeah. I have I have like a little mini I 41:10 >> Yeah. I have I have like a little mini I 41:10 >> Yeah. I have I have like a little mini I have a mini little ozenator. And I Yeah, 41:15 have a mini little ozenator. And I Yeah, 41:15 have a mini little ozenator. And I Yeah, this was from Dr. Clark. [laughter] 41:17 this was from Dr. Clark. [laughter] 41:17 this was from Dr. Clark. [laughter] Oh my gosh, I haven't used this for a 41:20 Oh my gosh, I haven't used this for a 41:20 Oh my gosh, I haven't used this for a while, but it does have a little bubbler 41:22 while, but it does have a little bubbler 41:22 while, but it does have a little bubbler on it. And you can do ozone bubbling. 41:25 on it. And you can do ozone bubbling. 41:25 on it. And you can do ozone bubbling. And then um I was just seeing that um I 41:29 And then um I was just seeing that um I 41:29 And then um I was just seeing that um I get I get some stuff from Thera. And I 41:33 get I get some stuff from Thera. And I 41:33 get I get some stuff from Thera. And I was seeing that they have an ozone 41:34 was seeing that they have an ozone 41:34 was seeing that they have an ozone bubbler, too. Thera, I don't think the 41:37 bubbler, too. Thera, I don't think the 41:37 bubbler, too. Thera, I don't think the these ozone bubblers aren't very 41:39 these ozone bubblers aren't very 41:39 these ozone bubblers aren't very expensive. I I don't think this wasn't 41:42 expensive. I I don't think this wasn't 41:42 expensive. I I don't think this wasn't This was less than $200. 41:45 This was less than $200. 41:45 This was less than $200. >> I have the Thera one and it's $108. 41:49 >> I have the Thera one and it's $108. 41:49 >> I have the Thera one and it's $108. >> $180. There you go. 41:50 >> $180. There you go. 41:50 >> $180. There you go. >> No. 108. 41:52 >> No. 108. 41:52 >> No. 108. >> $108. Yeah. That's great. 41:55 >> $108. Yeah. That's great. 41:55 >> $108. Yeah. That's great. >> And it works pretty good. 41:57 >> And it works pretty good. 41:57 >> And it works pretty good. >> Yeah. And And so do you do that with 41:59 >> Yeah. And And so do you do that with 41:59 >> Yeah. And And so do you do that with your with your veggies? You just put it 42:02 your with your veggies? You just put it 42:02 your with your veggies? You just put it put it in the sink and bubble into the 42:04 put it in the sink and bubble into the 42:04 put it in the sink and bubble into the sink kind of thing. 42:05 sink kind of thing. 42:05 sink kind of thing. >> Yeah. I use a bowl because I don't think 42:07 >> Yeah. I use a bowl because I don't think 42:07 >> Yeah. I use a bowl because I don't think this the sink is too cleanliness. But 42:11 this the sink is too cleanliness. But 42:11 this the sink is too cleanliness. But but anyway, I did put it in a big bowl. 42:13 but anyway, I did put it in a big bowl. 42:13 but anyway, I did put it in a big bowl. Yes. 42:13 Yes. 42:14 Yes. >> Okay. 42:14 >> Okay. 42:14 >> Okay. >> It it works good. 42:16 >> It it works good. 42:16 >> It it works good. >> Good. Yeah, that's that's what I I would
Q&A: TBS, DEXA, and Bone Health Metrics 42:19 >> Good. Yeah, that's that's what I I would 42:19 >> Good. Yeah, that's that's what I I would do that or the brio. 42:21 do that or the brio. 42:21 do that or the brio. >> Thank you. That's very helpful. 42:23 >> Thank you. That's very helpful. 42:23 >> Thank you. That's very helpful. >> Yeah. Yeah. 42:26 >> Yeah. Yeah. 42:26 >> Yeah. Yeah. All right. We have kitty cats. 42:29 All right. We have kitty cats. 42:29 All right. We have kitty cats. We have kitty cats to show off. Here's 42:31 We have kitty cats to show off. Here's 42:31 We have kitty cats to show off. Here's the kitty cat. 42:34 the kitty cat. 42:34 the kitty cat. Say hi. 42:35 Say hi. 42:35 Say hi. >> Hi. 42:38 >> Hi. 42:38 >> Hi. Give me kisses. 42:44 All right. 42:44 All right. Okay. Who's next? Deborah. 42:56 We always have show and tell, huh, 42:56 We always have show and tell, huh, Margie? Deborah, you're next. 42:59 Margie? Deborah, you're next. 42:59 Margie? Deborah, you're next. >> Yeah. Can you hear me? 43:01 >> Yeah. Can you hear me? 43:01 >> Yeah. Can you hear me? >> Yes. 43:02 >> Yes. 43:02 >> Yes. >> Okay. Um well I know you said you don't 43:05 >> Okay. Um well I know you said you don't 43:05 >> Okay. Um well I know you said you don't want um a million details but um 43:09 want um a million details but um 43:09 want um a million details but um >> in the last three and a half years my 43:12 >> in the last three and a half years my 43:12 >> in the last three and a half years my dexa my t-core in the spine that's the 43:16 dexa my t-core in the spine that's the 43:16 dexa my t-core in the spine that's the one that's the worst one went from a 43:18 one that's the worst one went from a 43:18 one that's the worst one went from a minus4 to a minus 3.5. 43:21 minus4 to a minus 3.5. 43:21 minus4 to a minus 3.5. However, the TBS got worse. 43:25 However, the TBS got worse. 43:25 However, the TBS got worse. >> And what I'm on I'm on bioididentical 43:28 >> And what I'm on I'm on bioididentical 43:28 >> And what I'm on I'm on bioididentical hormone replacement with um do I name 43:32 hormone replacement with um do I name 43:32 hormone replacement with um do I name drop who I'm with or not who I'm working 43:34 drop who I'm with or not who I'm working 43:34 drop who I'm with or not who I'm working with. You don't care. You don't want to 43:35 with. You don't care. You don't want to 43:36 with. You don't care. You don't want to know that. 43:36 know that. 43:36 know that. >> Okay. Okay. You don't want to know that. 43:38 >> Okay. Okay. You don't want to know that. 43:38 >> Okay. Okay. You don't want to know that. I'm working with I'm working with um 43:41 I'm working with I'm working with um 43:41 I'm working with I'm working with um >> well a highly respected naturopath that 43:43 >> well a highly respected naturopath that 43:43 >> well a highly respected naturopath that she says she knows what she's doing. I 43:45 she says she knows what she's doing. I 43:45 she says she knows what she's doing. I believe her. Um and I'm on um a lot of 43:49 believe her. Um and I'm on um a lot of 43:49 believe her. Um and I'm on um a lot of bone supporting supplements. uh 43:51 bone supporting supplements. uh 43:51 bone supporting supplements. uh resistance training 43:54 resistance training 43:54 resistance training and I'm just trying to increase my 43:55 and I'm just trying to increase my 43:56 and I'm just trying to increase my protein and um 43:59 protein and um 43:59 protein and um uh resistance training. But anyways, the 44:02 uh resistance training. But anyways, the 44:02 uh resistance training. But anyways, the the TBS 44:04 the TBS 44:04 the TBS has declined 44:06 has declined 44:06 has declined and 44:08 and 44:08 and an endocrinologist of course is telling 44:11 an endocrinologist of course is telling 44:11 an endocrinologist of course is telling me drugs, you know, which I'm not a fan 44:14 me drugs, you know, which I'm not a fan 44:14 me drugs, you know, which I'm not a fan of, but um anyway. 44:17 of, but um anyway. 44:17 of, but um anyway. >> Okay. So I'll I'll try to unpack this in 44:20 >> Okay. So I'll I'll try to unpack this in 44:20 >> Okay. So I'll I'll try to unpack this in pieces. 44:21 pieces. 44:21 pieces. >> Okay. 44:22 >> Okay. 44:22 >> Okay. >> So um [clears throat] so the improvement 44:26 >> So um [clears throat] so the improvement 44:26 >> So um [clears throat] so the improvement in Lspine was something togative 44:29 in Lspine was something togative 44:29 in Lspine was something togative -3.5gative -4 togative 3.5. 44:33 -3.5gative -4 togative 3.5. 44:33 -3.5gative -4 togative 3.5. >> Yes. 44:34 >> Yes. 44:34 >> Yes. >> Okay. That's a sizable that's a sizable 44:37 >> Okay. That's a sizable that's a sizable 44:37 >> Okay. That's a sizable that's a sizable increase. 44:39 increase. 44:39 increase. >> Okay. 44:40 >> Okay. 44:40 >> Okay. >> And um I would be happy about that. um 44:45 >> And um I would be happy about that. um 44:45 >> And um I would be happy about that. um the TBS it all is all about degrees 44:50 the TBS it all is all about degrees 44:50 the TBS it all is all about degrees right so 44:51 right so 44:52 right so you know I have I'll have patients and 44:55 you know I have I'll have patients and 44:55 you know I have I'll have patients and um I think it's it's very hard for 44:59 um I think it's it's very hard for 44:59 um I think it's it's very hard for patients because they don't have the 45:01 patients because they don't have the 45:01 patients because they don't have the context that I have right um in that 45:05 context that I have right um in that 45:05 context that I have right um in that that that it's like if the TBS goes from 45:11 that that it's like if the TBS goes from 45:11 that that it's like if the TBS goes from 1 45:13 1 45:13 1 22 45:15 22 45:15 22 to 1.24 45:17 to 1.24 45:18 to 1.24 and it's still going from kind of the 45:20 and it's still going from kind of the 45:20 and it's still going from kind of the middle range into a little bit more into 45:23 middle range into a little bit more into 45:23 middle range into a little bit more into the little little higher range or the 45:27 the little little higher range or the 45:27 the little little higher range or the and it still stays in like a partially 45:29 and it still stays in like a partially 45:29 and it still stays in like a partially degraded area. 45:32 degraded area. 45:32 degraded area. Is that really a decrement? Right. It's 45:36 Is that really a decrement? Right. It's 45:36 Is that really a decrement? Right. It's it's all a it's all about 45:39 it's all a it's all about 45:39 it's all a it's all about um how much has it changed? You want me 45:42 um how much has it changed? You want me 45:42 um how much has it changed? You want me to tell you the the numbers? 45:44 to tell you the the numbers? 45:44 to tell you the the numbers? >> I could. 45:45 >> I could. 45:45 >> I could. >> I don't know that I know the ranges off 45:48 >> I don't know that I know the ranges off 45:48 >> I don't know that I know the ranges off the top of my head. Um I know like one 45:52 the top of my head. Um I know like one 45:52 the top of my head. Um I know like one uh so the question would be is um 45:56 uh so the question would be is um 45:56 uh so the question would be is um >> is not for you but for somebody for 46:00 >> is not for you but for somebody for 46:00 >> is not for you but for somebody for anyone who has a um a a TBS that goes 46:05 anyone who has a um a a TBS that goes 46:06 anyone who has a um a a TBS that goes from like if it goes from partially 46:08 from like if it goes from partially 46:08 from like if it goes from partially degraded up to degraded and it's and 46:11 degraded up to degraded and it's and 46:11 degraded up to degraded and it's and it's gone and it's really uh jumped a 46:14 it's gone and it's really uh jumped a 46:14 it's gone and it's really uh jumped a lot. You could give a couple of numbers 46:17 lot. You could give a couple of numbers 46:17 lot. You could give a couple of numbers as to what those are. 46:21 as to what those are. 46:21 as to what those are. Okay. Um, in the three and a half years, 46:24 Okay. Um, in the three and a half years, 46:24 Okay. Um, in the three and a half years, it went starting 1.071 46:42 >> 1.01 to 1.754. 46:42 >> 1.01 to 1.754. >> No, 1.071. 46:45 >> No, 1.071. 46:45 >> No, 1.071. >> Oh, 071 46:47 >> Oh, 071 46:47 >> Oh, 071 >> to 1.0. 054 46:51 >> to 1.0. 054 46:51 >> to 1.0. 054 >> 1.071 46:52 >> 1.071 46:52 >> 1.071 to 1.054 46:55 to 1.054 46:55 to 1.054 >> 54 46:57 >> 54 46:57 >> 54 down by 0.02. 47:01 down by 0.02. 47:01 down by 0.02. Um 47:03 Um 47:03 Um and then what what are the ranges of 47:06 and then what what are the ranges of 47:06 and then what what are the ranges of that? That looks like completely 47:09 that? That looks like completely 47:09 that? That looks like completely degraded. 47:10 degraded. 47:10 degraded. >> Yes. 47:11 >> Yes. 47:11 >> Yes. >> And what is the range of completely 47:13 >> And what is the range of completely 47:14 >> And what is the range of completely degraded? 47:16 degraded? 47:16 degraded? um 47:18 um 47:18 um that I can't tell you off the top of my 47:20 that I can't tell you off the top of my 47:20 that I can't tell you off the top of my head, but it was it was in that degraded 47:25 head, but it was it was in that degraded 47:25 head, but it was it was in that degraded range. I mean, it was not on the board. 47:27 range. I mean, it was not on the board. 47:27 range. I mean, it was not on the board. >> Both of them were degraded. 47:29 >> Both of them were degraded. 47:29 >> Both of them were degraded. >> Both of them. Yes. 47:31 >> Both of them. Yes. 47:31 >> Both of them. Yes. >> Yeah. I probably wouldn't really um if I 47:35 >> Yeah. I probably wouldn't really um if I 47:35 >> Yeah. I probably wouldn't really um if I mean, if it looked like it was going 47:37 mean, if it looked like it was going 47:37 mean, if it looked like it was going from 47:38 from 47:38 from Well, 47:41 Well, 47:41 Well, I I don't know if I can solve this 47:43 I I don't know if I can solve this 47:43 I I don't know if I can solve this without like pulling 47:46 without like pulling 47:46 without like pulling pulling a chart and looking at a a TBS 47:50 pulling a chart and looking at a a TBS 47:50 pulling a chart and looking at a a TBS range. Um 47:53 range. Um 47:53 range. Um maybe maybe Margie could do um Margie 47:58 maybe maybe Margie could do um Margie 47:58 maybe maybe Margie could do um Margie could you 48:01 could you 48:01 could you might not have the data either. Um 48:04 might not have the data either. Um 48:04 might not have the data either. Um Margie could could you ask Claude what 48:06 Margie could could you ask Claude what 48:06 Margie could could you ask Claude what the ranges are for degraded partially 48:09 the ranges are for degraded partially 48:09 the ranges are for degraded partially and partially degraded. 48:11 and partially degraded. 48:11 and partially degraded. >> I believe that Irma just put some 48:13 >> I believe that Irma just put some 48:13 >> I believe that Irma just put some numbers in the chat. 48:15 numbers in the chat. 48:15 numbers in the chat. Melanie, you just did. 48:17 Melanie, you just did. 48:18 Melanie, you just did. >> Okay. Oh, okay. Irma did. Okay. 48:20 >> Okay. Oh, okay. Irma did. Okay. 48:20 >> Okay. Oh, okay. Irma did. Okay. >> 13123 48:26 neg. Yeah. 48:26 neg. Yeah. Okay. Yeah. Yeah. This sounds right. 48:29 Okay. Yeah. Yeah. This sounds right. 48:29 Okay. Yeah. Yeah. This sounds right. Yeah. Sound they sounded really low. 48:32 Yeah. Sound they sounded really low. 48:32 Yeah. Sound they sounded really low. It's it you It's the the TVs went from 48:35 It's it you It's the the TVs went from 48:36 It's it you It's the the TVs went from really low to really low. 48:38 really low to really low. 48:38 really low to really low. >> Yep. 48:40 >> Yep. 48:40 >> Yep. >> Yeah. I I don't know. Um, if 48:45 >> Yeah. I I don't know. Um, if 48:45 >> Yeah. I I don't know. Um, if this is not inconsistent with a t-core 48:48 this is not inconsistent with a t-core 48:48 this is not inconsistent with a t-core of -3.5. 48:52 >> Okay. 48:52 >> Okay. >> So, so here's here's the way that I 48:54 >> So, so here's here's the way that I 48:54 >> So, so here's here's the way that I would think about this. And remember 48:56 would think about this. And remember 48:56 would think about this. And remember that um this only TBS is only refer to
Q&A: Medication Sequences and Rebound Effects 49:01 that um this only TBS is only refer to 49:01 that um this only TBS is only refer to the spine, not to the hip at all. 49:05 the spine, not to the hip at all. 49:05 the spine, not to the hip at all. So, um, so, um, I would, if if this were 49:10 So, um, so, um, I would, if if this were 49:10 So, um, so, um, I would, if if this were my patient, I would tell her to take a 49:12 my patient, I would tell her to take a 49:12 my patient, I would tell her to take a win. Her Lspine improved significantly. 49:17 win. Her Lspine improved significantly. 49:17 win. Her Lspine improved significantly. And if she were on bioididentical 49:20 And if she were on bioididentical 49:20 And if she were on bioididentical hormones, then I I might maybe mistrust 49:24 hormones, then I I might maybe mistrust 49:24 hormones, then I I might maybe mistrust the TBS or I I'm not quite sure. U, but 49:29 the TBS or I I'm not quite sure. U, but 49:29 the TBS or I I'm not quite sure. U, but I I would um I would have my patient 49:32 I I would um I would have my patient 49:32 I I would um I would have my patient take a win. 49:34 take a win. 49:34 take a win. Do you think uh if I rememeasured it in 49:36 Do you think uh if I rememeasured it in 49:36 Do you think uh if I rememeasured it in a year that's long enough or do I really 49:38 a year that's long enough or do I really 49:38 a year that's long enough or do I really have to wait two years um before 49:41 have to wait two years um before 49:42 have to wait two years um before >> because because of the fact that it 49:44 >> because because of the fact that it 49:44 >> because because of the fact that it doesn't it doesn't appear to me to be um 49:47 doesn't it doesn't appear to me to be um 49:47 doesn't it doesn't appear to me to be um it's a little suspicious. I um I would 49:50 it's a little suspicious. I um I would 49:50 it's a little suspicious. I um I would have my patient repeat it in a year. 49:53 have my patient repeat it in a year. 49:53 have my patient repeat it in a year. >> Okay. 49:55 >> Okay. 49:55 >> Okay. Okay. Yeah. All right. I just don't want 49:57 Okay. Yeah. All right. I just don't want 49:58 Okay. Yeah. All right. I just don't want to be pushed onto a drug. And that's 50:01 to be pushed onto a drug. And that's 50:01 to be pushed onto a drug. And that's what they 50:02 what they 50:02 what they >> So, so my criteria are um uh -3.5 and 50:08 >> So, so my criteria are um uh -3.5 and 50:08 >> So, so my criteria are um uh -3.5 and worse. 50:10 worse. 50:10 worse. History of fractures. These are all 50:13 History of fractures. These are all 50:13 History of fractures. These are all ores. Uh history of fractures and then 50:16 ores. Uh history of fractures and then 50:16 ores. Uh history of fractures and then CTX is above 900. The CTX is nice and 50:20 CTX is above 900. The CTX is nice and 50:20 CTX is above 900. The CTX is nice and low and nice and optimal. Then I know 50:22 low and nice and optimal. Then I know 50:22 low and nice and optimal. Then I know the the bones are stable. if the P1 and 50:25 the the bones are stable. if the P1 and 50:25 the the bones are stable. if the P1 and P is nice and nice nice and high. Um, if 50:28 P is nice and nice nice and high. Um, if 50:28 P is nice and nice nice and high. Um, if the person is doing uh strength training 50:31 the person is doing uh strength training 50:31 the person is doing uh strength training and they're doing hormones and they're 50:33 and they're doing hormones and they're 50:33 and they're doing hormones and they're looking at their diet and they're doing 50:35 looking at their diet and they're doing 50:35 looking at their diet and they're doing all the gut stuff and all of that, then 50:38 all the gut stuff and all of that, then 50:38 all the gut stuff and all of that, then I'm pretty happy to like, you know, let 50:42 I'm pretty happy to like, you know, let 50:42 I'm pretty happy to like, you know, let it coast along and see how things go. 50:44 it coast along and see how things go. 50:44 it coast along and see how things go. >> Okay, that's great. 50:47 >> Okay, that's great. 50:47 >> Okay, that's great. Thank you. 50:49 Thank you. 50:49 Thank you. >> Yeah. 50:51 >> Yeah. 50:51 >> Yeah. All right, Susan. 51:00 Oh, hi. Oh, hi. Can you hear me? 51:00 Oh, hi. Oh, hi. Can you hear me? >> Yes. 51:01 >> Yes. 51:01 >> Yes. >> Yeah. Thanks. Thank you so much for uh 51:03 >> Yeah. Thanks. Thank you so much for uh 51:03 >> Yeah. Thanks. Thank you so much for uh taking all these wonderful questions. 51:05 taking all these wonderful questions. 51:05 taking all these wonderful questions. >> Do you ever recommend a second round of 51:08 >> Do you ever recommend a second round of 51:08 >> Do you ever recommend a second round of Inanity injections? 51:10 Inanity injections? 51:10 Inanity injections? >> Yeah, I do. I mean, I have somebody 51:12 >> Yeah, I do. I mean, I have somebody 51:12 >> Yeah, I do. I mean, I have somebody right now who started at a -5 and um she 51:17 right now who started at a -5 and um she 51:17 right now who started at a -5 and um she went uh well, probably what we're going 51:21 went uh well, probably what we're going 51:21 went uh well, probably what we're going to do is she went from a neg five to 51:23 to do is she went from a neg five to 51:23 to do is she went from a neg five to maybe a -4, 51:26 maybe a -4, 51:26 maybe a -4, 4.3, 51:28 4.3, 51:28 4.3, something like that. Maybe 4.2. So, 51:31 something like that. Maybe 4.2. So, 51:31 something like that. Maybe 4.2. So, that's still pretty, you know, pretty 51:34 that's still pretty, you know, pretty 51:34 that's still pretty, you know, pretty low. And then her hips were bad. Um 51:38 low. And then her hips were bad. Um 51:38 low. And then her hips were bad. Um worse than negative 3.5. So, we're going 51:40 worse than negative 3.5. So, we're going 51:40 worse than negative 3.5. So, we're going to do a round of prolia and then we'll 51:43 to do a round of prolia and then we'll 51:43 to do a round of prolia and then we'll do a round of reclass and then a couple 51:47 do a round of reclass and then a couple 51:47 do a round of reclass and then a couple years later we'll probably do another we 51:50 years later we'll probably do another we 51:50 years later we'll probably do another we probably restart her on a vanity. 51:52 probably restart her on a vanity. 51:52 probably restart her on a vanity. >> Okay. Um, have you ever had a patient 51:55 >> Okay. Um, have you ever had a patient 51:55 >> Okay. Um, have you ever had a patient who after doing the first year of 51:59 who after doing the first year of 51:59 who after doing the first year of Evanity and then went on two years of 52:03 Evanity and then went on two years of 52:03 Evanity and then went on two years of Fosamax 52:05 Fosamax 52:05 Fosamax and after those and then after those two 52:08 and after those and then after those two 52:08 and after those and then after those two years lost most of the 18% that was 52:11 years lost most of the 18% that was 52:11 years lost most of the 18% that was gained in the spine. 52:13 gained in the spine. 52:13 gained in the spine. >> Oh no. 52:14 >> Oh no. 52:14 >> Oh no. >> Yeah. Yeah. Yeah. So, so the 52:17 >> Yeah. Yeah. Yeah. So, so the 52:17 >> Yeah. Yeah. Yeah. So, so the recommendation is is now and now it's 52:20 recommendation is is now and now it's 52:20 recommendation is is now and now it's been a year since since that last DEXA, 52:24 been a year since since that last DEXA, 52:24 been a year since since that last DEXA, but the recommendation is now to go onto 52:28 but the recommendation is now to go onto 52:28 but the recommendation is now to go onto a second round of Ianity. 52:30 a second round of Ianity. 52:30 a second round of Ianity. >> So, there weren't any CTXs done to like 52:35 >> So, there weren't any CTXs done to like 52:35 >> So, there weren't any CTXs done to like what was happening in there? 52:36 what was happening in there? 52:36 what was happening in there? >> Yeah, there there was a CTX. 52:39 >> Yeah, there there was a CTX. 52:39 >> Yeah, there there was a CTX. don't remember what it is, but I just 52:41 don't remember what it is, but I just 52:41 don't remember what it is, but I just >> I mean the FASA Max should have brought 52:43 >> I mean the FASA Max should have brought 52:43 >> I mean the FASA Max should have brought the CTX's like maybe into the 120 range 52:46 the CTX's like maybe into the 120 range 52:46 the CTX's like maybe into the 120 range or something like that. And if it wasn't 52:49 or something like that. And if it wasn't 52:49 or something like that. And if it wasn't if it was at 350 or 400, you would know 52:51 if it was at 350 or 400, you would know 52:51 if it was at 350 or 400, you would know that the Fox Fossamax wasn't enough to 52:54 that the Fox Fossamax wasn't enough to 52:54 that the Fox Fossamax wasn't enough to catch the rebound from Aventity. So 52:58 catch the rebound from Aventity. So 52:58 catch the rebound from Aventity. So >> yeah, I think unfortunately 53:00 >> yeah, I think unfortunately 53:00 >> yeah, I think unfortunately there was no testing done in those two 53:03 there was no testing done in those two 53:03 there was no testing done in those two years. Oh, no. 53:04 years. Oh, no. 53:04 years. Oh, no. >> It was only after the two years was up 53:06 >> It was only after the two years was up 53:06 >> It was only after the two years was up that uh getting this getting the second 53:09 that uh getting this getting the second 53:09 that uh getting this getting the second DEXA because the DEXAs are only every 53:12 DEXA because the DEXAs are only every 53:12 DEXA because the DEXAs are only every two years. I don't know why they're not 53:14 two years. I don't know why they're not 53:14 two years. I don't know why they're not every year, but 53:15 every year, but 53:15 every year, but >> Well, the CTX can catch them though. I 53:18 >> Well, the CTX can catch them though. I 53:18 >> Well, the CTX can catch them though. I mean, 53:18 mean, 53:18 mean, >> Right. Exactly. But 53:20 >> Right. Exactly. But 53:20 >> Right. Exactly. But >> and then the other thing too, Susan, is 53:22 >> and then the other thing too, Susan, is 53:22 >> and then the other thing too, Susan, is that you know, I have patients who are 53:24 that you know, I have patients who are 53:24 that you know, I have patients who are on meds and they get Dexas every year. 53:26 on meds and they get Dexas every year. 53:26 on meds and they get Dexas every year. They um the insurance companies will do 53:28 They um the insurance companies will do 53:28 They um the insurance companies will do DEXA more often when you're on meds. 53:31 DEXA more often when you're on meds. 53:31 DEXA more often when you're on meds. even Medicare. 53:33 even Medicare. 53:33 even Medicare. >> I think so. 53:34 >> I think so. 53:34 >> I think so. >> Yeah. I Well, anyway, that's what 53:37 >> Yeah. I Well, anyway, that's what 53:37 >> Yeah. I Well, anyway, that's what happened. And 53:38 happened. And 53:38 happened. And >> that's why you all have to advocate for 53:40 >> that's why you all have to advocate for 53:40 >> that's why you all have to advocate for yourself, 53:41 yourself, 53:41 yourself, >> right? Right. Well, when I found this 53:43 >> right? Right. Well, when I found this 53:43 >> right? Right. Well, when I found this out, then I asked my primary Well, 53:47 out, then I asked my primary Well, 53:47 out, then I asked my primary Well, obviously I'm talking about myself. Um, 53:49 obviously I'm talking about myself. Um, 53:49 obviously I'm talking about myself. Um, asked primary doctor for the I think it 53:52 asked primary doctor for the I think it 53:52 asked primary doctor for the I think it was the CTX and then, um, actually asked 53:56 was the CTX and then, um, actually asked 53:56 was the CTX and then, um, actually asked for the calcium, the cardiac calcium
Q&A: Lab Draws, Hormone Panels, and Testing Protocols 53:58 for the calcium, the cardiac calcium 53:58 for the calcium, the cardiac calcium scoring and the LPA. 54:01 scoring and the LPA. 54:01 scoring and the LPA. uh just to make sure I didn't have any 54:03 uh just to make sure I didn't have any 54:03 uh just to make sure I didn't have any problems with the vanity first time 54:04 problems with the vanity first time 54:04 problems with the vanity first time around, but I just wanted to make sure, 54:06 around, but I just wanted to make sure, 54:06 around, but I just wanted to make sure, you know, four years later and older. 54:08 you know, four years later and older. 54:08 you know, four years later and older. >> And if anybody has any like really like 54:12 >> And if anybody has any like really like 54:12 >> And if anybody has any like really like um like like Susan, I might get a 54:15 um like like Susan, I might get a 54:15 um like like Susan, I might get a consultation from Dr. McCorm. I don't 54:18 consultation from Dr. McCorm. I don't 54:18 consultation from Dr. McCorm. I don't think you you need one because of the 54:20 think you you need one because of the 54:20 think you you need one because of the fact that you don't have the CTX to like 54:22 fact that you don't have the CTX to like 54:22 fact that you don't have the CTX to like even look at it, but um yeah, you pro 54:26 even look at it, but um yeah, you pro 54:26 even look at it, but um yeah, you pro maybe maybe I I would do a consultation 54:29 maybe maybe I I would do a consultation 54:29 maybe maybe I I would do a consultation with Dr. McCormack about this because 54:31 with Dr. McCormack about this because 54:31 with Dr. McCormack about this because it's not very often that that Avenity's 54:35 it's not very often that that Avenity's 54:35 it's not very often that that Avenity's rebound isn't captured with a FOSMAX, 54:39 rebound isn't captured with a FOSMAX, 54:39 rebound isn't captured with a FOSMAX, but 54:40 but 54:40 but but like 54:42 but like 54:42 but like >> not having the CTX, you just don't know. 54:44 >> not having the CTX, you just don't know. 54:44 >> not having the CTX, you just don't know. You just don't know. 54:45 You just don't know. 54:46 You just don't know. >> Right. Right. 54:47 >> Right. Right. 54:47 >> Right. Right. >> Yeah. 54:48 >> Yeah. 54:48 >> Yeah. >> Okay. Well, well, thanks. 54:50 >> Okay. Well, well, thanks. 54:50 >> Okay. Well, well, thanks. >> But I still think I still think Dr. 54:52 >> But I still think I still think Dr. 54:52 >> But I still think I still think Dr. McCormack is a it's a he's a really 54:54 McCormack is a it's a he's a really 54:54 McCormack is a it's a he's a really really good resource for anybody who has 54:57 really good resource for anybody who has 54:57 really good resource for anybody who has really complicated medication questions 55:00 really complicated medication questions 55:00 really complicated medication questions that like I can't answer cuz 55:04 that like I can't answer cuz 55:04 that like I can't answer cuz >> Yeah. But you but you do think that like 55:06 >> Yeah. But you but you do think that like 55:06 >> Yeah. But you but you do think that like a a a period of four years between 55:09 a a a period of four years between 55:09 a a a period of four years between vanity injections is is an okay time 55:13 vanity injections is is an okay time 55:13 vanity injections is is an okay time period to wait for starting a second 55:16 period to wait for starting a second 55:16 period to wait for starting a second round. Well, what you have to look at is 55:19 round. Well, what you have to look at is 55:19 round. Well, what you have to look at is the time period between the end of 55:21 the time period between the end of 55:21 the time period between the end of Fossamax. 55:28 >> Oh, yeah. Well, I did. Yeah. 55:28 >> Oh, yeah. Well, I did. Yeah. >> Two years, right? That's two years, not 55:30 >> Two years, right? That's two years, not 55:30 >> Two years, right? That's two years, not four, 55:32 four, 55:32 four, >> right? The the the four It was four 55:35 >> right? The the the four It was four 55:35 >> right? The the the four It was four years ago that I had the one year of 55:38 years ago that I had the one year of 55:38 years ago that I had the one year of injections and then two years 55:40 injections and then two years 55:40 injections and then two years >> Yeah. 55:40 >> Yeah. 55:40 >> Yeah. >> of Phosmax after that before the DEXA. 55:43 >> of Phosmax after that before the DEXA. 55:43 >> of Phosmax after that before the DEXA. And now, so it's been three years. So do 55:45 And now, so it's been three years. So do 55:45 And now, so it's been three years. So do you so so do you understand why the the 55:49 you so so do you understand why the the 55:49 you so so do you understand why the the time period is the is the is is at the 55:51 time period is the is the is is at the 55:51 time period is the is the is is at the end of Fossamax. Do you understand why? 55:55 end of Fossamax. Do you understand why? 55:55 end of Fossamax. Do you understand why? >> Sounds like no you don't. 55:57 >> Sounds like no you don't. 55:57 >> Sounds like no you don't. >> No 55:58 >> No 55:58 >> No >> because because an anti-resorptive 56:01 >> because because an anti-resorptive 56:01 >> because because an anti-resorptive makes it more difficult for the 56:03 makes it more difficult for the 56:03 makes it more difficult for the anabolics to work. 56:05 anabolics to work. 56:05 anabolics to work. >> So you want to make sure that the 56:06 >> So you want to make sure that the 56:06 >> So you want to make sure that the anti-resorptive has completely worn off. 56:10 anti-resorptive has completely worn off. 56:10 anti-resorptive has completely worn off. So now they they it completely worn off 56:13 So now they they it completely worn off 56:13 So now they they it completely worn off is not a proper explanation in in any 56:17 is not a proper explanation in in any 56:17 is not a proper explanation in in any sense. Actually I very much misspoke but 56:21 sense. Actually I very much misspoke but 56:21 sense. Actually I very much misspoke but it's worn off enough that the anabolic 56:24 it's worn off enough that the anabolic 56:24 it's worn off enough that the anabolic effects will you can get them again. 56:27 effects will you can get them again. 56:27 effects will you can get them again. Okay. I think two years from Bossamax to 56:29 Okay. I think two years from Bossamax to 56:30 Okay. I think two years from Bossamax to Avenity is probably enough. But 56:33 Avenity is probably enough. But 56:33 Avenity is probably enough. But >> oh, well, it's only been one month 56:35 >> oh, well, it's only been one month 56:35 >> oh, well, it's only been one month because 56:36 because 56:36 because >> it's been one month since the end of 56:38 >> it's been one month since the end of 56:38 >> it's been one month since the end of Fossamax, 56:40 Fossamax, 56:40 Fossamax, >> right? Because because when I had the 56:42 >> right? Because because when I had the 56:42 >> right? Because because when I had the DEXA two years ago, I was told just I 56:46 DEXA two years ago, I was told just I 56:46 DEXA two years ago, I was told just I know this sounds crazy, just stay on the 56:48 know this sounds crazy, just stay on the 56:48 know this sounds crazy, just stay on the Fossamax and we'll retest you in two 56:51 Fossamax and we'll retest you in two 56:51 Fossamax and we'll retest you in two years. 56:52 years. 56:52 years. >> Uh yeah, one month, one month from the 56:54 >> Uh yeah, one month, one month from the 56:54 >> Uh yeah, one month, one month from the end of Fossamax into Avenity is not 56:57 end of Fossamax into Avenity is not 56:57 end of Fossamax into Avenity is not enough. 56:58 enough. 56:58 enough. >> Okay. theity the is going to have a 57:02 >> Okay. theity the is going to have a 57:02 >> Okay. theity the is going to have a really really hard time working um 57:05 really really hard time working um 57:05 really really hard time working um against that that that anti-absorptive. 57:08 against that that that anti-absorptive. 57:08 against that that that anti-absorptive. >> Yeah. What what do you recommend for a 57:10 >> Yeah. What what do you recommend for a 57:10 >> Yeah. What what do you recommend for a length of time to to be off the 57:13 length of time to to be off the 57:13 length of time to to be off the >> Yeah, I was thinking a couple of years 57:15 >> Yeah, I was thinking a couple of years 57:15 >> Yeah, I was thinking a couple of years but this is not exactly my forte but I 57:18 but this is not exactly my forte but I 57:18 but this is not exactly my forte but I think at least a couple of years. Irma, 57:20 think at least a couple of years. Irma, 57:20 think at least a couple of years. Irma, do you have an opinion on how long? 57:24 do you have an opinion on how long? 57:24 do you have an opinion on how long? The question was the question was how 57:26 The question was the question was how 57:26 The question was the question was how long do you have to be on off of 57:28 long do you have to be on off of 57:28 long do you have to be on off of >> how long do you have to be off of 57:30 >> how long do you have to be off of 57:30 >> how long do you have to be off of Fosamax in order to go onto an anti to 57:33 Fosamax in order to go onto an anti to 57:33 Fosamax in order to go onto an anti to go onto an anabolic? 57:35 go onto an anabolic? 57:35 go onto an anabolic? >> I think it's tracking the the CTX. So 57:38 >> I think it's tracking the the CTX. So 57:38 >> I think it's tracking the the CTX. So I'm not exactly sure from a timing point 57:40 I'm not exactly sure from a timing point 57:40 I'm not exactly sure from a timing point of 57:40 of 57:40 of >> but it's but but but because the 57:43 >> but it's but but but because the 57:43 >> but it's but but but because the bisphosphinates sit in the bones for 57:45 bisphosphinates sit in the bones for 57:45 bisphosphinates sit in the bones for such a long period of time I think it's 57:47 such a long period of time I think it's 57:47 such a long period of time I think it's longer than that because I remember at 57:49 longer than that because I remember at 57:49 longer than that because I remember at least um Dr. McCormick saying that in 57:53 least um Dr. McCormick saying that in 57:53 least um Dr. McCormick saying that in kind of an emergency situation it was 57:56 kind of an emergency situation it was 57:56 kind of an emergency situation it was like at least six months. Um or that you 58:00 like at least six months. Um or that you 58:00 like at least six months. Um or that you wanted to like you or before you would 58:02 wanted to like you or before you would 58:02 wanted to like you or before you would do dental work it was six months. 58:05 do dental work it was six months. 58:05 do dental work it was six months. >> Um I would give it way longer than that 58:08 >> Um I would give it way longer than that 58:08 >> Um I would give it way longer than that to start an anabolic because a venity is 58:10 to start an anabolic because a venity is 58:10 to start an anabolic because a venity is expensive and you know all of that. 58:14 expensive and you know all of that. 58:14 expensive and you know all of that. >> Um anyway 58:15 >> Um anyway 58:15 >> Um anyway >> I would get I would get a consultation 58:17 >> I would get I would get a consultation 58:17 >> I would get I would get a consultation with Dr. McCormack. 58:19 with Dr. McCormack. 58:19 with Dr. McCormack. Guess who I'm speaking to right after 58:21 Guess who I'm speaking to right after 58:21 Guess who I'm speaking to right after this tonight? Dr. McCormick. And so he's 58:24 this tonight? Dr. McCormick. And so he's 58:24 this tonight? Dr. McCormick. And so he's coming on my podcast for probably doing 58:26 coming on my podcast for probably doing 58:26 coming on my podcast for probably doing two podcasts, but one is going to be on 58:28 two podcasts, but one is going to be on 58:28 two podcasts, but one is going to be on questions like this. So write your 58:30 questions like this. So write your 58:30 questions like this. So write your questions. Well, write McCormick next 58:32 questions. Well, write McCormick next 58:32 questions. Well, write McCormick next time. 58:33 time. 58:33 time. >> Well, Margie, the question is is how 58:35 >> Well, Margie, the question is is how 58:35 >> Well, Margie, the question is is how long after being 58:37 long after being 58:37 long after being >> I know this question, but I'm saying 58:39 >> I know this question, but I'm saying 58:39 >> I know this question, but I'm saying since I'm talking to him, if you have 58:41 since I'm talking to him, if you have 58:41 since I'm talking to him, if you have questions like this, don't let's not 58:43 questions like this, don't let's not 58:43 questions like this, don't let's not give them to Dr. Milman that you know 58:45 give them to Dr. Milman that you know 58:45 give them to Dr. Milman that you know because we don't know exactly, but I'm 58:46 because we don't know exactly, but I'm 58:46 because we don't know exactly, but I'm saying if you have a question for Dr. 58:48 saying if you have a question for Dr. 58:48 saying if you have a question for Dr. McCormick since I'm going to have a 58:49 McCormick since I'm going to have a 58:49 McCormick since I'm going to have a podcast with him, just write McCormick 58:51 podcast with him, just write McCormick 58:51 podcast with him, just write McCormick and I'll see them in the chat. 58:53 and I'll see them in the chat. 58:53 and I'll see them in the chat. >> Well, I know a lot, but I can answer 58:55 >> Well, I know a lot, but I can answer 58:55 >> Well, I know a lot, but I can answer some of them. 58:55 some of them. 58:55 some of them. >> Yeah. So, if there's a one that we don't
Q&A: Course Information and Community Feedback 58:57 >> Yeah. So, if there's a one that we don't 58:57 >> Yeah. So, if there's a one that we don't know, but I'll ask him this one in spec 58:59 know, but I'll ask him this one in spec 58:59 know, but I'll ask him this one in spec specifically. 59:00 specifically. 59:00 specifically. >> Oh, good. Thank you. Thank you so much, 59:02 >> Oh, good. Thank you. Thank you so much, 59:02 >> Oh, good. Thank you. Thank you so much, Margie. Thank Thank you both so much. 59:05 Margie. Thank Thank you both so much. 59:05 Margie. Thank Thank you both so much. >> Yeah, you're welcome. Kristen, 59:13 >> hi Dr. Milman. Uh, thank you both you 59:13 >> hi Dr. Milman. Uh, thank you both you and Margie for doing this. It's very 59:15 and Margie for doing this. It's very 59:15 and Margie for doing this. It's very helpful and much appreciated your time. 59:18 helpful and much appreciated your time. 59:18 helpful and much appreciated your time. >> Yeah. 59:19 >> Yeah. 59:19 >> Yeah. >> Yeah. If I just a question what you'd 59:21 >> Yeah. If I just a question what you'd 59:21 >> Yeah. If I just a question what you'd recommend to um a patient who just had a 59:24 recommend to um a patient who just had a 59:24 recommend to um a patient who just had a declining PM1P over like seven, eight 59:28 declining PM1P over like seven, eight 59:28 declining PM1P over like seven, eight months by labs despite doing like high 59:31 months by labs despite doing like high 59:31 months by labs despite doing like high protein bow building supplements, 59:33 protein bow building supplements, 59:33 protein bow building supplements, weightbearing and HRT. 59:35 weightbearing and HRT. 59:35 weightbearing and HRT. >> Oh, okay. Um, so one of the things that 59:40 >> Oh, okay. Um, so one of the things that 59:40 >> Oh, okay. Um, so one of the things that you can't really do anything about 59:42 you can't really do anything about 59:42 you can't really do anything about [laughter] 59:43 [laughter] 59:43 [laughter] is if this and it's a good thing, not a 59:46 is if this and it's a good thing, not a 59:46 is if this and it's a good thing, not a bad thing is when the CTX falls, the 59:49 bad thing is when the CTX falls, the 59:49 bad thing is when the CTX falls, the P1NP falls with it, right? 59:52 P1NP falls with it, right? 59:52 P1NP falls with it, right? >> So you have to look at the ratio. So 59:55 >> So you have to look at the ratio. So 59:55 >> So you have to look at the ratio. So let's say that the CTX was 500 and the 59:59 let's say that the CTX was 500 and the 1:00:00 let's say that the CTX was 500 and the P1 NP was 75, right? So a tenth of 500 1:00:05 P1 NP was 75, right? So a tenth of 500 1:00:05 P1 NP was 75, right? So a tenth of 500 would be 50 and 75 is better than that. 1:00:08 would be 50 and 75 is better than that. 1:00:08 would be 50 and 75 is better than that. Right? Now let's say the CTX falls to 1:00:12 Right? Now let's say the CTX falls to 1:00:12 Right? Now let's say the CTX falls to 250 1:00:13 250 1:00:13 250 and 25 + 12 1/2 is 37 12. So if the CTX 1:00:21 and 25 + 12 1/2 is 37 12. So if the CTX 1:00:21 and 25 + 12 1/2 is 37 12. So if the CTX fell to 250, which it should on HRT, 1:00:25 fell to 250, which it should on HRT, 1:00:25 fell to 250, which it should on HRT, then if the P1 MP is better than 37.5, 1:00:28 then if the P1 MP is better than 37.5, 1:00:28 then if the P1 MP is better than 37.5, it has the same ratio. P1MP's gone down, 1:00:32 it has the same ratio. P1MP's gone down, 1:00:32 it has the same ratio. P1MP's gone down, but it's really gone down because the 1:00:34 but it's really gone down because the 1:00:34 but it's really gone down because the CTX has gone down. 1:00:35 CTX has gone down. 1:00:35 CTX has gone down. >> Oh, see, I didn't realize that uh if a 1:00:37 >> Oh, see, I didn't realize that uh if a 1:00:38 >> Oh, see, I didn't realize that uh if a CTX goes down, a PM1 is going to fall. 1:00:41 CTX goes down, a PM1 is going to fall. 1:00:41 CTX goes down, a PM1 is going to fall. >> Yeah, it does. It it does. But see how 1:00:44 >> Yeah, it does. It it does. But see how 1:00:44 >> Yeah, it does. It it does. But see how that ratio was maintained. So, the fact 1:00:47 that ratio was maintained. So, the fact 1:00:47 that ratio was maintained. So, the fact that that at at 500 the um P1MP was at 1:00:53 that that at at 500 the um P1MP was at 1:00:53 that that at at 500 the um P1MP was at 75, which is way better than 50. It was 1:00:55 75, which is way better than 50. It was 1:00:55 75, which is way better than 50. It was 50% better than 50. 1:00:58 50% better than 50. 1:00:58 50% better than 50. But if the the CTX falls down to to to 1:01:04 But if the the CTX falls down to to to 1:01:04 But if the the CTX falls down to to to um 250 and you have that same 50% 1:01:08 um 250 and you have that same 50% 1:01:08 um 250 and you have that same 50% increase in the P1 NP, the P1 NP is just 1:01:11 increase in the P1 NP, the P1 NP is just 1:01:11 increase in the P1 NP, the P1 NP is just followed the CTX. P1P NP is just as good 1:01:15 followed the CTX. P1P NP is just as good 1:01:15 followed the CTX. P1P NP is just as good as it was with the CTX at 500 as it is 1:01:19 as it was with the CTX at 500 as it is 1:01:19 as it was with the CTX at 500 as it is with 250 because of the ratio. 1:01:22 with 250 because of the ratio. 1:01:22 with 250 because of the ratio. >> And even you so you don't even worry 1:01:23 >> And even you so you don't even worry 1:01:24 >> And even you so you don't even worry about if it falls below. there's that 1:01:25 about if it falls below. there's that 1:01:25 about if it falls below. there's that range and I think the optimal range what 1:01:27 range and I think the optimal range what 1:01:28 range and I think the optimal range what if it's like around 21. 1:01:30 if it's like around 21. 1:01:30 if it's like around 21. >> Well, so 1:01:31 >> Well, so 1:01:31 >> Well, so >> still okay if the ratio is okay. 1:01:33 >> still okay if the ratio is okay. 1:01:33 >> still okay if the ratio is okay. >> So it's it's it's one10enth. 1:01:37 >> So it's it's it's one10enth. 1:01:37 >> So it's it's it's one10enth. >> Um so um and the ratio or the 1:01:42 >> Um so um and the ratio or the 1:01:42 >> Um so um and the ratio or the CTX optimals 250 to 350 1:01:45 CTX optimals 250 to 350 1:01:45 CTX optimals 250 to 350 and then one10enth of CTX for P1 NP is 1:01:50 and then one10enth of CTX for P1 NP is 1:01:50 and then one10enth of CTX for P1 NP is appropriate. But if it's better than 1:01:52 appropriate. But if it's better than 1:01:52 appropriate. But if it's better than that, that's what we're really we're 1:01:54 that, that's what we're really we're 1:01:54 that, that's what we're really we're really going for. And when you look at 1:01:55 really going for. And when you look at 1:01:56 really going for. And when you look at the meds, the when you look at the 1:01:57 the meds, the when you look at the 1:01:58 the meds, the when you look at the anabolic meds, the P1MPPS are so much 1:02:00 anabolic meds, the P1MPPS are so much 1:02:00 anabolic meds, the P1MPPS are so much better than a tenth of the CTXes. 1:02:04 better than a tenth of the CTXes. 1:02:04 better than a tenth of the CTXes. >> Okay. And HRT will cause that P N1P to 1:02:08 >> Okay. And HRT will cause that P N1P to 1:02:08 >> Okay. And HRT will cause that P N1P to go down too. 1:02:09 go down too. 1:02:09 go down too. >> CTX to go down. 1:02:10 >> CTX to go down. 1:02:10 >> CTX to go down. >> Oh, but you said Yeah, but you said the 1:02:13 >> Oh, but you said Yeah, but you said the 1:02:13 >> Oh, but you said Yeah, but you said the PN1 P also follows goes down. 1:02:15 PN1 P also follows goes down. 1:02:15 PN1 P also follows goes down. >> It follows it. It follows it. 1:02:18 >> It follows it. It follows it. 1:02:18 >> It follows it. It follows it. >> Okay. But you just look at the ratio. 1:02:19 >> Okay. But you just look at the ratio. 1:02:19 >> Okay. But you just look at the ratio. Just look at the ratio. 1:02:21 Just look at the ratio. 1:02:21 Just look at the ratio. >> Okay. 1:02:22 >> Okay. 1:02:22 >> Okay. >> Yeah. I mean, I can I you know, I I was 1:02:25 >> Yeah. I mean, I can I you know, I I was 1:02:25 >> Yeah. I mean, I can I you know, I I was in in in 1:02:27 in in in 1:02:27 in in in clinic the other day and my patients um 1:02:31 clinic the other day and my patients um 1:02:32 clinic the other day and my patients um uh she was on forte. She was on her 14th 1:02:35 uh she was on forte. She was on her 14th 1:02:35 uh she was on forte. She was on her 14th month of Forto and compared to her 10th 1:02:38 month of Forto and compared to her 10th 1:02:38 month of Forto and compared to her 10th month, her P1NP to CTX ratio changed. 1:02:43 month, her P1NP to CTX ratio changed. 1:02:43 month, her P1NP to CTX ratio changed. And it was this the ratio was going 1:02:45 And it was this the ratio was going 1:02:45 And it was this the ratio was going down. Not just the P1P was following the 1:02:48 down. Not just the P1P was following the 1:02:48 down. Not just the P1P was following the CTX, but it was greater than that. And I 1:02:52 CTX, but it was greater than that. And I 1:02:52 CTX, but it was greater than that. And I could tell that the forte wasn't working 1:02:54 could tell that the forte wasn't working 1:02:54 could tell that the forte wasn't working as well. 1:02:55 as well. 1:02:55 as well. >> Okay, great. Thank you so much for the 1:02:58 >> Okay, great. Thank you so much for the 1:02:58 >> Okay, great. Thank you so much for the clarification. 1:02:59 clarification. 1:02:59 clarification. >> Uhhuh. Kristen, 1:03:04 the another Kristen. 1:03:04 the another Kristen. >> Yes. Hi. I wasn't sure which one was 1:03:07 >> Yes. Hi. I wasn't sure which one was 1:03:07 >> Yes. Hi. I wasn't sure which one was before. Um, so 1:03:10 before. Um, so 1:03:10 before. Um, so in a nutshell, my my CTX has jumped way 1:03:15 in a nutshell, my my CTX has jumped way 1:03:15 in a nutshell, my my CTX has jumped way up again. 1:03:17 up again. 1:03:17 up again. I was on FOSMAX 20 years ago for six 1:03:20 I was on FOSMAX 20 years ago for six 1:03:20 I was on FOSMAX 20 years ago for six years. I had a hip fracture when I had a 1:03:23 years. I had a hip fracture when I had a 1:03:23 years. I had a hip fracture when I had a hip replacement done. Um, I think there 1:03:26 hip replacement done. Um, I think there 1:03:26 hip replacement done. Um, I think there may be a connection to that. And um, Dr. 1:03:30 may be a connection to that. And um, Dr. 1:03:30 may be a connection to that. And um, Dr. McCormick has suggested that I take a 1:03:33 McCormick has suggested that I take a 1:03:33 McCormick has suggested that I take a shortterm fosmax 6 months to bring down 1:03:36 shortterm fosmax 6 months to bring down 1:03:36 shortterm fosmax 6 months to bring down the CTX. I asked my PCP today about this 1:03:40 the CTX. I asked my PCP today about this 1:03:40 the CTX. I asked my PCP today about this new information about HRT and you seem 1:03:42 new information about HRT and you seem 1:03:42 new information about HRT and you seem to be a big fan of HRT. 1:03:44 to be a big fan of HRT. 1:03:44 to be a big fan of HRT. >> I'm not doing that at all. So, is that 1:03:48 >> I'm not doing that at all. So, is that 1:03:48 >> I'm not doing that at all. So, is that that's another option, right? 1:03:51 that's another option, right? 1:03:51 that's another option, right? >> That's another option. Yeah. 1:03:53 >> That's another option. Yeah. 1:03:53 >> That's another option. Yeah. >> Okay. But nobody seems to be interested. 1:03:56 >> Okay. But nobody seems to be interested. 1:03:56 >> Okay. But nobody seems to be interested. So, where would I need this? There are 1:03:58 So, where would I need this? There are 1:03:58 So, where would I need this? There are lots of hormone providers that are uh 1:04:02 lots of hormone providers that are uh 1:04:02 lots of hormone providers that are uh they're 1:04:04 they're 1:04:04 they're trained by A4M or they're trained by the 1:04:06 trained by A4M or they're trained by the 1:04:06 trained by A4M or they're trained by the National Menopause Society. Um yeah, and 1:04:10 National Menopause Society. Um yeah, and 1:04:10 National Menopause Society. Um yeah, and and so it's um there there are a lot of 1:04:14 and so it's um there there are a lot of 1:04:14 and so it's um there there are a lot of providers that that are that will will 1:04:17 providers that that are that will will 1:04:17 providers that that are that will will prescribe to older women. There there 1:04:19 prescribe to older women. There there 1:04:19 prescribe to older women. There there really are. You just you have to find 1:04:21 really are. You just you have to find 1:04:21 really are. You just you have to find them. 1:04:22 them. 1:04:22 them. >> Okay. I'm kind of going with Dr. 1:04:25 >> Okay. I'm kind of going with Dr. 1:04:25 >> Okay. I'm kind of going with Dr. What state are you in? 1:04:27 What state are you in? 1:04:27 What state are you in? >> Where are you? 1:04:28 >> Where are you? 1:04:28 >> Where are you? >> Massachusetts. 1:04:29 >> Massachusetts. 1:04:29 >> Massachusetts. >> Massachusetts. 1:04:30 >> Massachusetts. 1:04:30 >> Massachusetts. >> Massachusetts. Um, 1:04:33 >> Massachusetts. Um, 1:04:33 >> Massachusetts. Um, >> so that's another thing. I can't do an 1:04:35 >> so that's another thing. I can't do an 1:04:35 >> so that's another thing. I can't do an arrow because there's nobody here 1:04:38 arrow because there's nobody here 1:04:38 arrow because there's nobody here and I'd like to try to do that. I can't. 1:04:41 and I'd like to try to do that. I can't. 1:04:41 and I'd like to try to do that. I can't. Um, I'm considering taking your 1:04:42 Um, I'm considering taking your 1:04:42 Um, I'm considering taking your >> Well, on is growing all the time and we 1:04:45 >> Well, on is growing all the time and we 1:04:45 >> Well, on is growing all the time and we have um Melanie can probably drop in the 1:04:48 have um Melanie can probably drop in the 1:04:48 have um Melanie can probably drop in the link uh and uh to uh the ONERO map if 1:04:53 link uh and uh to uh the ONERO map if 1:04:53 link uh and uh to uh the ONERO map if she has it. 1:04:55 she has it. 1:04:55 she has it. >> Yeah, I check it periodically but I 1:04:57 >> Yeah, I check it periodically but I 1:04:57 >> Yeah, I check it periodically but I don't see anything locally. 1:04:58 don't see anything locally. 1:04:58 don't see anything locally. >> Oh, so Irma, are you saying that 1:05:00 >> Oh, so Irma, are you saying that 1:05:00 >> Oh, so Irma, are you saying that Belchure Town, Massachusett Oh, that's 1:05:02 Belchure Town, Massachusett Oh, that's 1:05:02 Belchure Town, Massachusett Oh, that's where Dr. McCormack is. Yeah. 1:05:04 where Dr. McCormack is. Yeah. 1:05:04 where Dr. McCormack is. Yeah. >> Yeah. Um, so would it make any sense for 1:05:07 >> Yeah. Um, so would it make any sense for 1:05:08 >> Yeah. Um, so would it make any sense for me to take your program? I've been 1:05:09 me to take your program? I've been 1:05:09 me to take your program? I've been doing, you know, a wide array of things 1:05:12 doing, you know, a wide array of things 1:05:12 doing, you know, a wide array of things for years and I don't know if if that 1:05:16 for years and I don't know if if that 1:05:16 for years and I don't know if if that makes sense. 1:05:17 makes sense. 1:05:17 makes sense. >> I I mean, quite frankly, I think it 1:05:19 >> I I mean, quite frankly, I think it 1:05:19 >> I I mean, quite frankly, I think it always makes sense because I'm going 1:05:23 always makes sense because I'm going 1:05:23 always makes sense because I'm going into um lab interpretation and people 1:05:26 into um lab interpretation and people 1:05:26 into um lab interpretation and people can kind of follow along with me. They 1:05:28 can kind of follow along with me. They 1:05:28 can kind of follow along with me. They get their labs, they they get their 1:05:31 get their labs, they they get their 1:05:31 get their labs, they they get their labs, they they try to figure out, they 1:05:34 labs, they they try to figure out, they 1:05:34 labs, they they try to figure out, they interpret them for themselves.
Q&A: Calcium Supplementation and Absorption 1:05:37 interpret them for themselves. 1:05:37 interpret them for themselves. um if they have questions, they bring 1:05:39 um if they have questions, they bring 1:05:39 um if they have questions, they bring them to the Q&As's. Then if there's 1:05:42 them to the Q&As's. Then if there's 1:05:42 them to the Q&As's. Then if there's something that's abnormal with their 1:05:44 something that's abnormal with their 1:05:44 something that's abnormal with their labs or not optimal, then there are 1:05:47 labs or not optimal, then there are 1:05:47 labs or not optimal, then there are protocols um supplement protocols to try 1:05:50 protocols um supplement protocols to try 1:05:50 protocols um supplement protocols to try to reverse that. And so I think it can 1:05:53 to reverse that. And so I think it can 1:05:53 to reverse that. And so I think it can be really helpful. And I just feel that 1:05:57 be really helpful. And I just feel that 1:05:57 be really helpful. And I just feel that um that even if you're working with good 1:05:59 um that even if you're working with good 1:05:59 um that even if you're working with good practitioners, having the knowledge base 1:06:01 practitioners, having the knowledge base 1:06:02 practitioners, having the knowledge base yourself is is a good thing. No, before 1:06:05 yourself is is a good thing. No, before 1:06:06 yourself is is a good thing. No, before we go any further, why don't you take 1:06:07 we go any further, why don't you take 1:06:07 we go any further, why don't you take this time just to explain because it is 1:06:10 this time just to explain because it is 1:06:10 this time just to explain because it is coming up. There is another cohort 1:06:13 coming up. There is another cohort 1:06:13 coming up. There is another cohort coming another the class is coming up in 1:06:15 coming another the class is coming up in 1:06:15 coming another the class is coming up in in August and maybe someone wants to I 1:06:18 in August and maybe someone wants to I 1:06:18 in August and maybe someone wants to I know I see that there are people on this 1:06:20 know I see that there are people on this 1:06:20 know I see that there are people on this call who've gone through the program 1:06:22 call who've gone through the program 1:06:22 call who've gone through the program like maybe Kathy or someone wants to 1:06:24 like maybe Kathy or someone wants to 1:06:24 like maybe Kathy or someone wants to just 1:06:25 just 1:06:25 just >> Yeah. Yeah. 1:06:27 >> Yeah. Yeah. 1:06:27 >> Yeah. Yeah. >> Let me tell tell you about it a little 1:06:29 >> Let me tell tell you about it a little 1:06:29 >> Let me tell tell you about it a little bit and then I I think this is very a 1:06:32 bit and then I I think this is very a 1:06:32 bit and then I I think this is very a very appropriate time for me to tell you 1:06:34 very appropriate time for me to tell you 1:06:34 very appropriate time for me to tell you a little bit about it. Um so it is a 1:06:38 a little bit about it. Um so it is a 1:06:38 a little bit about it. Um so it is a 14-week program. uh the the class 1:06:41 14-week program. uh the the class 1:06:41 14-week program. uh the the class materials online life lifetime access to 1:06:45 materials online life lifetime access to 1:06:45 materials online life lifetime access to the program materials. There's um 1:06:48 the program materials. There's um 1:06:48 the program materials. There's um there's videos on the science and the 1:06:51 there's videos on the science and the 1:06:51 there's videos on the science and the curriculum. There are resources, 1:06:53 curriculum. There are resources, 1:06:53 curriculum. There are resources, handouts um that walk you through self 1:06:56 handouts um that walk you through self 1:06:56 handouts um that walk you through self assessments and walk you through um some 1:07:00 assessments and walk you through um some 1:07:00 assessments and walk you through um some action steps. And then um part of it 1:07:04 action steps. And then um part of it 1:07:04 action steps. And then um part of it like I said is you going and getting 1:07:07 like I said is you going and getting 1:07:07 like I said is you going and getting some functional medicine labs, some 1:07:09 some functional medicine labs, some 1:07:09 some functional medicine labs, some essential labs for osteoporosis. 1:07:12 essential labs for osteoporosis. 1:07:12 essential labs for osteoporosis. And then and then the interpretations 1:07:16 And then and then the interpretations 1:07:16 And then and then the interpretations are um and the protocols are within the 1:07:19 are um and the protocols are within the 1:07:19 are um and the protocols are within the science curriculum. And then we have 1:07:21 science curriculum. And then we have 1:07:21 science curriculum. And then we have these Q&As's and the bonus module um 1:07:25 these Q&As's and the bonus module um 1:07:25 these Q&As's and the bonus module um that's coming out this time is going to 1:07:28 that's coming out this time is going to 1:07:28 that's coming out this time is going to be on peptides. So, we're going to do um 1:07:31 be on peptides. So, we're going to do um 1:07:32 be on peptides. So, we're going to do um some peptides that are um involved in 1:07:35 some peptides that are um involved in 1:07:35 some peptides that are um involved in repair and tissue repair and um and 1:07:39 repair and tissue repair and um and 1:07:39 repair and tissue repair and um and fracture healing and uh and growth 1:07:42 fracture healing and uh and growth 1:07:42 fracture healing and uh and growth hormone signaling in uh increasing 1:07:45 hormone signaling in uh increasing 1:07:45 hormone signaling in uh increasing tieumirs um increasing cardiovascular 1:07:49 tieumirs um increasing cardiovascular 1:07:49 tieumirs um increasing cardiovascular health, increasing sleep um and 1:07:52 health, increasing sleep um and 1:07:52 health, increasing sleep um and increasing gut health. So those peptides 1:07:55 increasing gut health. So those peptides 1:07:55 increasing gut health. So those peptides um we're going to be talking about in 1:07:57 um we're going to be talking about in 1:07:57 um we're going to be talking about in RNR this time. Um and if 1:08:02 RNR this time. Um and if 1:08:02 RNR this time. Um and if >> Uhhuh. 1:08:03 >> Uhhuh. 1:08:03 >> Uhhuh. >> No, I I think the key is this who who 1:08:06 >> No, I I think the key is this who who 1:08:06 >> No, I I think the key is this who who this is appropriate for is if you want 1:08:07 this is appropriate for is if you want 1:08:07 this is appropriate for is if you want to become really knowledgeable. So you 1:08:10 to become really knowledgeable. So you 1:08:10 to become really knowledgeable. So you really want to have a good understanding 1:08:12 really want to have a good understanding 1:08:12 really want to have a good understanding of the why and what's going on. Have 1:08:15 of the why and what's going on. Have 1:08:15 of the why and what's going on. Have someone if you don't have a functional 1:08:17 someone if you don't have a functional 1:08:17 someone if you don't have a functional medicine doctor and really want as we 1:08:19 medicine doctor and really want as we 1:08:19 medicine doctor and really want as we know Dr. Milman knows has been doing 1:08:21 know Dr. Milman knows has been doing 1:08:21 know Dr. Milman knows has been doing this for such a long time. so she can 1:08:23 this for such a long time. so she can 1:08:23 this for such a long time. so she can help you through the course and so it's 1:08:25 help you through the course and so it's 1:08:25 help you through the course and so it's been you become very knowledgeable and
Q&A: HRT Delivery Methods and Safety Considerations 1:08:27 been you become very knowledgeable and 1:08:27 been you become very knowledgeable and then you're a partner in your care and 1:08:30 then you're a partner in your care and 1:08:30 then you're a partner in your care and you know both of us feel that knowledge 1:08:31 you know both of us feel that knowledge 1:08:31 you know both of us feel that knowledge is power and so that's why it's so 1:08:34 is power and so that's why it's so 1:08:34 is power and so that's why it's so helpful but I saw that Kathy's here some 1:08:36 helpful but I saw that Kathy's here some 1:08:36 helpful but I saw that Kathy's here some other people who've gone through it if 1:08:37 other people who've gone through it if 1:08:37 other people who've gone through it if anybody wants to say 1:08:39 anybody wants to say 1:08:39 anybody wants to say >> I can say something I've taken Dr. 1:08:41 >> I can say something I've taken Dr. 1:08:41 >> I can say something I've taken Dr. Milman's class four times and 1:08:43 Milman's class four times and 1:08:43 Milman's class four times and [clears throat] I've gotten more and 1:08:45 [clears throat] I've gotten more and 1:08:45 [clears throat] I've gotten more and more out of it every time. And I love 1:08:47 more out of it every time. And I love 1:08:47 more out of it every time. And I love the different modules and how um you 1:08:51 the different modules and how um you 1:08:51 the different modules and how um you teach how things like blood sugar, which 1:08:53 teach how things like blood sugar, which 1:08:53 teach how things like blood sugar, which I never knew I had a problem with, and 1:08:55 I never knew I had a problem with, and 1:08:56 I never knew I had a problem with, and heart health and stress and all these 1:08:59 heart health and stress and all these 1:08:59 heart health and stress and all these different um organ system. I had I found 1:09:02 different um organ system. I had I found 1:09:02 different um organ system. I had I found that I had a parathyroid tumor and my 1:09:05 that I had a parathyroid tumor and my 1:09:05 that I had a parathyroid tumor and my CTX went from 1027 to 351. That was a 1:09:09 CTX went from 1027 to 351. That was a 1:09:10 CTX went from 1027 to 351. That was a huge game changer. But there's so much 1:09:13 huge game changer. But there's so much 1:09:13 huge game changer. But there's so much information and um you can learn at your 1:09:17 information and um you can learn at your 1:09:17 information and um you can learn at your own pace and there's a great community 1:09:20 own pace and there's a great community 1:09:20 own pace and there's a great community of people and I live on the East Coast 1:09:22 of people and I live on the East Coast 1:09:22 of people and I live on the East Coast so I'm going out to California and I'm 1:09:25 so I'm going out to California and I'm 1:09:25 so I'm going out to California and I'm meeting up with one of my classmates. 1:09:28 meeting up with one of my classmates. 1:09:28 meeting up with one of my classmates. >> Who are you? Who is it? 1:09:30 >> Who are you? Who is it? 1:09:30 >> Who are you? Who is it? >> Susan. 1:09:31 >> Susan. 1:09:31 >> Susan. >> Who? 1:09:32 >> Who? 1:09:32 >> Who? >> Susan. Susan. 1:09:34 >> Susan. Susan. 1:09:34 >> Susan. Susan. >> Oh. Oh Susan. 1:09:36 >> Oh. Oh Susan. 1:09:36 >> Oh. Oh Susan. >> Yeah. I'm so excited. 1:09:39 >> Yeah. I'm so excited. 1:09:39 >> Yeah. I'm so excited. >> She's on here, too. 1:09:41 >> She's on here, too. 1:09:41 >> She's on here, too. >> I am here, too. 1:09:43 >> I am here, too. 1:09:43 >> I am here, too. >> It's super the course. I would would 1:09:45 >> It's super the course. I would would 1:09:45 >> It's super the course. I would would recommend it to everybody. 1:09:47 recommend it to everybody. 1:09:47 recommend it to everybody. >> Thank you, Kathy. 1:09:48 >> Thank you, Kathy. 1:09:48 >> Thank you, Kathy. >> As would I. I've done it. I've only done 1:09:50 >> As would I. I've done it. I've only done 1:09:50 >> As would I. I've done it. I've only done it three times. [laughter] 1:09:53 it three times. [laughter] 1:09:53 it three times. [laughter] >> I How many have you How many times are 1:09:55 >> I How many have you How many times are 1:09:55 >> I How many have you How many times are are you up to, Irma? 1:09:58 are you up to, Irma? 1:09:58 are you up to, Irma? >> Um, this would be the fifth. [laughter] 1:10:04 >> One of the things that I want to say is 1:10:04 >> One of the things that I want to say is that yes, Dr. Milman is very very smart, 1:10:08 that yes, Dr. Milman is very very smart, 1:10:08 that yes, Dr. Milman is very very smart, very curious and will spend the time 1:10:12 very curious and will spend the time 1:10:12 very curious and will spend the time answering questions in depth and there's 1:10:14 answering questions in depth and there's 1:10:14 answering questions in depth and there's a steep learning and it's just um the 1:10:17 a steep learning and it's just um the 1:10:17 a steep learning and it's just um the community is the thing that really gets 1:10:18 community is the thing that really gets 1:10:18 community is the thing that really gets me jazzed how the ladies come together 1:10:20 me jazzed how the ladies come together 1:10:20 me jazzed how the ladies come together and they feel they don't feel 1:10:21 and they feel they don't feel 1:10:22 and they feel they don't feel intimidated to ask questions. So the 1:10:24 intimidated to ask questions. So the 1:10:24 intimidated to ask questions. So the space is is um safe to ask questions and 1:10:27 space is is um safe to ask questions and 1:10:27 space is is um safe to ask questions and there's a lot of deep learning. 1:10:30 there's a lot of deep learning. 1:10:30 there's a lot of deep learning. >> Yeah, the community is great. Yeah, I 1:10:33 >> Yeah, the community is great. Yeah, I 1:10:33 >> Yeah, the community is great. Yeah, I think that's one of the reasons why 1:10:35 think that's one of the reasons why 1:10:35 think that's one of the reasons why people keep coming back. So, we have we 1:10:39 people keep coming back. So, we have we 1:10:39 people keep coming back. So, we have we have 76 in our last cohort, we had 76 1:10:43 have 76 in our last cohort, we had 76 1:10:43 have 76 in our last cohort, we had 76 alumni. 1:10:44 alumni. 1:10:44 alumni. So, I teach two of the classes on 1:10:47 So, I teach two of the classes on 1:10:47 So, I teach two of the classes on exercise and then stress and happiness. 1:10:50 exercise and then stress and happiness. 1:10:50 exercise and then stress and happiness. So, it's always fun whenever I come. I 1:10:51 So, it's always fun whenever I come. I 1:10:51 So, it's always fun whenever I come. I love seeing the people and it's um yeah, 1:10:54 love seeing the people and it's um yeah, 1:10:54 love seeing the people and it's um yeah, it's it's a really good environment and 1:10:56 it's it's a really good environment and 1:10:56 it's it's a really good environment and people are just very knowledgeable. If 1:10:58 people are just very knowledgeable. If 1:10:58 people are just very knowledgeable. If you're the type of person that really 1:10:59 you're the type of person that really 1:10:59 you're the type of person that really wants a good understanding of what's 1:11:02 wants a good understanding of what's 1:11:02 wants a good understanding of what's going on and help help from someone who 1:11:04 going on and help help from someone who 1:11:04 going on and help help from someone who has done this for so long, I think 1:11:06 has done this for so long, I think 1:11:06 has done this for so long, I think that's I mean that's how it started. I 1:11:08 that's I mean that's how it started. I 1:11:08 that's I mean that's how it started. I actually asked I I'm so excited because 1:11:10 actually asked I I'm so excited because 1:11:10 actually asked I I'm so excited because years ago I asked Dr. Milman I said you 1:11:13 years ago I asked Dr. Milman I said you 1:11:13 years ago I asked Dr. Milman I said you know what it was after my summit and I 1:11:15 know what it was after my summit and I 1:11:15 know what it was after my summit and I said oh my gosh everyone's writing me 1:11:17 said oh my gosh everyone's writing me 1:11:17 said oh my gosh everyone's writing me where do I find Dr. Milleman? Can she 1:11:18 where do I find Dr. Milleman? Can she 1:11:18 where do I find Dr. Milleman? Can she see people online? I'm like, "No, no, 1:11:20 see people online? I'm like, "No, no, 1:11:20 see people online? I'm like, "No, no, no." She And in those days, I think you 1:11:22 no." She And in those days, I think you 1:11:22 no." She And in those days, I think you were allowed to see people if they came 1:11:24 were allowed to see people if they came 1:11:24 were allowed to see people if they came to California initially, but that was 1:11:27 to California initially, but that was 1:11:27 to California initially, but that was like during COVID or something. But 1:11:29 like during COVID or something. But 1:11:29 like during COVID or something. But anyway, that law changed. So, I'm like, 1:11:30 anyway, that law changed. So, I'm like, 1:11:30 anyway, that law changed. So, I'm like, "No, if you're not in California, you 1:11:32 "No, if you're not in California, you 1:11:32 "No, if you're not in California, you cannot see her." So, that's when I said, 1:11:34 cannot see her." So, that's when I said, 1:11:34 cannot see her." So, that's when I said, "Is there any way you would do a course 1:11:36 "Is there any way you would do a course 1:11:36 "Is there any way you would do a course maybe that you could put this 1:11:37 maybe that you could put this 1:11:37 maybe that you could put this information help people on their path?" 1:11:40 information help people on their path?" 1:11:40 information help people on their path?" And she said, "Yes." And then she came 1:11:42 And she said, "Yes." And then she came 1:11:42 And she said, "Yes." And then she came back years later and asked me, "Well, I 1:11:45 back years later and asked me, "Well, I 1:11:45 back years later and asked me, "Well, I do the practitioner training for the 1:11:47 do the practitioner training for the 1:11:47 do the practitioner training for the people who want one-on-one." So, it's 1:11:49 people who want one-on-one." So, it's 1:11:49 people who want one-on-one." So, it's all all good stuff. But anyway, the 1:11:51 all all good stuff. But anyway, the 1:11:51 all all good stuff. But anyway, the course is very very special and I think 1:11:53 course is very very special and I think 1:11:53 course is very very special and I think it's I think I I just don't think 1:11:55 it's I think I I just don't think 1:11:55 it's I think I I just don't think there's anything out there where you get 1:11:57 there's anything out there where you get 1:11:57 there's anything out there where you get a physician working with you and helping 1:11:59 a physician working with you and helping 1:11:59 a physician working with you and helping you on your path and and getting such an 1:12:01 you on your path and and getting such an 1:12:01 you on your path and and getting such an understanding of what's going on and 1:12:03 understanding of what's going on and 1:12:03 understanding of what's going on and people get better. I mean, this is the 1:12:05 people get better. I mean, this is the 1:12:05 people get better. I mean, this is the integrative approach we know works. So, 1:12:07 integrative approach we know works. So, 1:12:07 integrative approach we know works. So, very exciting. Anyways, 1:12:09 very exciting. Anyways, 1:12:09 very exciting. Anyways, >> yeah, we actually there's somebody who's 1:12:12 >> yeah, we actually there's somebody who's 1:12:12 >> yeah, we actually there's somebody who's who's talking about being from Canada 1:12:14 who's talking about being from Canada 1:12:14 who's talking about being from Canada and we have a new graduate from our the 1:12:17 and we have a new graduate from our the 1:12:18 and we have a new graduate from our the bone health academy program where where 1:12:20 bone health academy program where where 1:12:20 bone health academy program where where we're teaching other practitioners uh 1:12:23 we're teaching other practitioners uh 1:12:23 we're teaching other practitioners uh this method and um she actually is in 1:12:27 this method and um she actually is in 1:12:28 this method and um she actually is in Canada and so she um she can allow 1:12:32 Canada and so she um she can allow 1:12:32 Canada and so she um she can allow people in Canada to buy 1:12:36 people in Canada to buy 1:12:36 people in Canada to buy from her full script dispenser. 1:12:38 from her full script dispenser. 1:12:38 from her full script dispenser. So in the in the past, people from 1:12:42 So in the in the past, people from 1:12:42 So in the in the past, people from Canada weren't able to get things from 1:12:44 Canada weren't able to get things from 1:12:44 Canada weren't able to get things from Full Script because it was they needed a 1:12:46 Full Script because it was they needed a 1:12:46 Full Script because it was they needed a practitioner in Canada to buy buy from 1:12:50 practitioner in Canada to buy buy from 1:12:50 practitioner in Canada to buy buy from and um and so she's she we have that 1:12:53 and um and so she's she we have that 1:12:53 and um and so she's she we have that that resource now too. 1:12:57 that resource now too. 1:12:57 that resource now too. Okay, Sue 1:13:15 Hi. Did you call Sue Cullen? 1:13:15 Hi. Did you call Sue Cullen? >> Oh, no. Sue Rivera. Oh, 1:13:17 >> Oh, no. Sue Rivera. Oh, 1:13:17 >> Oh, no. Sue Rivera. Oh, >> okay. Sorry. 1:13:18 >> okay. Sorry. 1:13:18 >> okay. Sorry. >> I stepped away for a sec. 1:13:29 >> Okay. You hear me? 1:13:30 >> Okay. You hear me? >> Mhm. 1:13:30 >> Mhm. 1:13:30 >> Mhm. >> Okay. Hi. I'm new to all of this. I 1:13:33 >> Okay. Hi. I'm new to all of this. I 1:13:33 >> Okay. Hi. I'm new to all of this. I there's a lot of technical stuff that I 1:13:35 there's a lot of technical stuff that I 1:13:35 there's a lot of technical stuff that I don't understand. Um but uh I've had I 1:13:39 don't understand. Um but uh I've had I 1:13:39 don't understand. Um but uh I've had I went from osteopenia to osteoporosis 1:13:42 went from osteopenia to osteoporosis 1:13:42 went from osteopenia to osteoporosis and um I I am on estradiol 1:13:47 and um I I am on estradiol 1:13:48 and um I I am on estradiol uh one milligram twice a twice a week. 1:13:50 uh one milligram twice a twice a week. 1:13:50 uh one milligram twice a twice a week. Dr. Bissinger is actually the person who 1:13:54 Dr. Bissinger is actually the person who 1:13:54 Dr. Bissinger is actually the person who who prescribed it. Um and I have an 1:13:58 who prescribed it. Um and I have an 1:13:58 who prescribed it. Um and I have an appointment with him next week as a m or 1:13:59 appointment with him next week as a m or 1:14:00 appointment with him next week as a m or in a couple of weeks. Um, I have been on 1:14:03 in a couple of weeks. Um, I have been on 1:14:03 in a couple of weeks. Um, I have been on Fossimax 1:14:05 Fossimax 1:14:05 Fossimax for since 2022 1:14:08 for since 2022 1:14:08 for since 2022 and I'm making very slow progress, good 1:14:11 and I'm making very slow progress, good 1:14:11 and I'm making very slow progress, good progress in not going backwards. Um, my 1:14:16 progress in not going backwards. Um, my 1:14:16 progress in not going backwards. Um, my um the issue is my hips, my neck is fine 1:14:20 um the issue is my hips, my neck is fine 1:14:20 um the issue is my hips, my neck is fine uh more or less. I mean, it's 1:14:21 uh more or less. I mean, it's 1:14:21 uh more or less. I mean, it's osteopenia. It's not normal, but it's 1:14:23 osteopenia. It's not normal, but it's 1:14:23 osteopenia. It's not normal, but it's it's doing better. Um, but my question 1:14:27 it's doing better. Um, but my question 1:14:27 it's doing better. Um, but my question is this. I've been on Fosmax and my um 1:14:32 is this. I've been on Fosmax and my um 1:14:32 is this. I've been on Fosmax and my um my rheatologist is the one who 1:14:34 my rheatologist is the one who 1:14:34 my rheatologist is the one who prescribed it and he is talking about 1:14:37 prescribed it and he is talking about 1:14:37 prescribed it and he is talking about taking me off that now. Well, not now. 1:14:40 taking me off that now. Well, not now. 1:14:40 taking me off that now. Well, not now. I'm not sure exactly when and having me 1:14:43 I'm not sure exactly when and having me 1:14:43 I'm not sure exactly when and having me take a a vac a medication holiday so to 1:14:46 take a a vac a medication holiday so to 1:14:46 take a a vac a medication holiday so to speak and he's talking about putting me 1:14:48 speak and he's talking about putting me 1:14:48 speak and he's talking about putting me on Prolia after that. And Prolia scares 1:14:51 on Prolia after that. And Prolia scares 1:14:51 on Prolia after that. And Prolia scares me because of the rebound. 1:14:54 me because of the rebound. 1:14:54 me because of the rebound. Can you He started me on Fosmax and I've 1:14:57 Can you He started me on Fosmax and I've 1:14:57 Can you He started me on Fosmax and I've I've been reading uh that when you you 1:15:00 I've been reading uh that when you you 1:15:00 I've been reading uh that when you you first start on medication, you should 1:15:02 first start on medication, you should 1:15:02 first start on medication, you should really start on a different type of med. 1:15:04 really start on a different type of med. 1:15:04 really start on a different type of med. I don't remember what it's called. Um 1:15:07 I don't remember what it's called. Um 1:15:07 I don't remember what it's called. Um but this is 1:15:08 but this is 1:15:08 but this is >> an anabolic. 1:15:09 >> an anabolic. 1:15:09 >> an anabolic. >> Yeah. And this is what I am, you know, I 1:15:11 >> Yeah. And this is what I am, you know, I 1:15:12 >> Yeah. And this is what I am, you know, I am where I am. And the question is where 1:15:14 am where I am. And the question is where 1:15:14 am where I am. And the question is where where's the best place to go from here? 1:15:17 where's the best place to go from here? 1:15:17 where's the best place to go from here? >> Yeah. Yeah. 1:15:20 >> Yeah. Yeah. 1:15:20 >> Yeah. Yeah. Well, so this is a a complicated 1:15:23 Well, so this is a a complicated 1:15:23 Well, so this is a a complicated question and it really depends on a lot 1:15:26 question and it really depends on a lot 1:15:26 question and it really depends on a lot of things, right? And um so if we get
Q&A: Final Questions and Closing Remarks 1:15:30 of things, right? And um so if we get 1:15:30 of things, right? And um so if we get into too many of those things, I'm 1:15:32 into too many of those things, I'm 1:15:32 into too many of those things, I'm definitely giving you medical advice. 1:15:34 definitely giving you medical advice. 1:15:34 definitely giving you medical advice. But I will say that um 1:15:38 But I will say that um 1:15:38 But I will say that um it is my opinion and um I have 1:15:41 it is my opinion and um I have 1:15:41 it is my opinion and um I have literature to back this up is that about 1:15:45 literature to back this up is that about 1:15:45 literature to back this up is that about 3 years into um bisphosphinates you 1:15:49 3 years into um bisphosphinates you 1:15:49 3 years into um bisphosphinates you really 1:15:51 really 1:15:51 really you may be decreasing the quality of 1:15:53 you may be decreasing the quality of 1:15:53 you may be decreasing the quality of your bones 1:15:54 your bones 1:15:54 your bones >> and the phosamax. 1:15:56 >> and the phosamax. 1:15:56 >> and the phosamax. >> Yeah. The bisphosphinates don't build 1:15:58 >> Yeah. The bisphosphinates don't build 1:15:58 >> Yeah. The bisphosphinates don't build quality. They don't 1:16:01 quality. They don't 1:16:01 quality. They don't >> they do not 1:16:02 >> they do not 1:16:02 >> they do not >> because the 1:16:03 >> because the 1:16:03 >> because the >> build some density but they don't build 1:16:06 >> build some density but they don't build 1:16:06 >> build some density but they don't build quality 1:16:07 quality 1:16:07 quality and that is exactly why at 5 years you 1:16:11 and that is exactly why at 5 years you 1:16:12 and that is exactly why at 5 years you must take a drug holiday because of the 1:16:15 must take a drug holiday because of the 1:16:15 must take a drug holiday because of the fact that the um at traumatic uh 1:16:19 fact that the um at traumatic uh 1:16:19 fact that the um at traumatic uh fractures of the femur osteoncosis of 1:16:23 fractures of the femur osteoncosis of 1:16:23 fractures of the femur osteoncosis of the jaw those all become um more 1:16:26 the jaw those all become um more 1:16:26 the jaw those all become um more prevalent and you just have to think 1:16:30 prevalent and you just have to think 1:16:30 prevalent and you just have to think about the fact that why why would that 1:16:34 about the fact that why why would that 1:16:34 about the fact that why why would that be occurring? And the reason is because 1:16:37 be occurring? And the reason is because 1:16:37 be occurring? And the reason is because it's shutting down the osteoclast. So um 1:16:41 it's shutting down the osteoclast. So um 1:16:41 it's shutting down the osteoclast. So um it's actually killing the osteoclasts. 1:16:44 it's actually killing the osteoclasts. 1:16:44 it's actually killing the osteoclasts. So and we need um we need remodeling to 1:16:49 So and we need um we need remodeling to 1:16:49 So and we need um we need remodeling to happen in our bones. So we need some 1:16:51 happen in our bones. So we need some 1:16:51 happen in our bones. So we need some osteoclass. We need some osteoclass to 1:16:54 osteoclass. We need some osteoclass to 1:16:54 osteoclass. We need some osteoclass to take out the micro fractures that are in 1:16:56 take out the micro fractures that are in 1:16:56 take out the micro fractures that are in the bone. and then the osteoblasts which 1:16:58 the bone. and then the osteoblasts which 1:16:58 the bone. and then the osteoblasts which are the building cells to build them 1:17:00 are the building cells to build them 1:17:00 are the building cells to build them back up. That's natural remodel 1:17:03 back up. That's natural remodel 1:17:03 back up. That's natural remodel modeling. When you go in with a 1:17:04 modeling. When you go in with a 1:17:04 modeling. When you go in with a bisphosphinate and you kill a bunch of 1:17:07 bisphosphinate and you kill a bunch of 1:17:07 bisphosphinate and you kill a bunch of osteoclasts then that natural remodeling 1:17:10 osteoclasts then that natural remodeling 1:17:10 osteoclasts then that natural remodeling doesn't happen. So you do have you do 1:17:13 doesn't happen. So you do have you do 1:17:13 doesn't happen. So you do have you do have an increase of density but in the 1:17:15 have an increase of density but in the 1:17:15 have an increase of density but in the middle of the bone its quality is is 1:17:17 middle of the bone its quality is is 1:17:17 middle of the bone its quality is is decreasing because the microfaractures 1:17:20 decreasing because the microfaractures 1:17:20 decreasing because the microfaractures are accumulating. So 1:17:23 are accumulating. So 1:17:23 are accumulating. So >> what shows that? Because when I'm 1:17:25 >> what shows that? Because when I'm 1:17:25 >> what shows that? Because when I'm looking at my numbers, my numbers look 1:17:27 looking at my numbers, my numbers look 1:17:27 looking at my numbers, my numbers look like they're getting better now. 1:17:29 like they're getting better now. 1:17:29 like they're getting better now. >> That's because your density is 1:17:30 >> That's because your density is 1:17:30 >> That's because your density is increasing. 1:17:31 increasing. 1:17:31 increasing. >> So what what shows what you're talking 1:17:34 >> So what what shows what you're talking 1:17:34 >> So what what shows what you're talking about? 1:17:36 about? 1:17:36 about? >> Well, we know it theoretically. 1:17:38 >> Well, we know it theoretically. 1:17:38 >> Well, we know it theoretically. >> Oh, okay. 1:17:41 >> Oh, okay. 1:17:41 >> Oh, okay. I mean, I he hasn't done the DEXA or not 1:17:45 I mean, I he hasn't done the DEXA or not 1:17:45 I mean, I he hasn't done the DEXA or not the DEXA, he does the DEXA, the other 1:17:46 the DEXA, he does the DEXA, the other 1:17:46 the DEXA, he does the DEXA, the other ones, the um what are they called? 1:17:50 ones, the um what are they called? 1:17:50 ones, the um what are they called? >> TBS. 1:17:51 >> TBS. 1:17:51 >> TBS. >> I'm sorry. The the TVs. like you're 1:17:54 >> I'm sorry. The the TVs. like you're 1:17:54 >> I'm sorry. The the TVs. like you're getting better now. That's 1:17:58 getting better now. That's 1:17:58 getting better now. That's >> Melanie, can you mute Valerie 1:18:00 >> Melanie, can you mute Valerie 1:18:00 >> Melanie, can you mute Valerie >> talking about? 1:18:01 >> talking about? 1:18:02 >> talking about? >> Yeah, I'm getting feedback here. 1:18:04 >> Yeah, I'm getting feedback here. 1:18:04 >> Yeah, I'm getting feedback here. >> So, Sue, I I you know, I wonder if if 1:18:07 >> So, Sue, I I you know, I wonder if if 1:18:07 >> So, Sue, I I you know, I wonder if if we're not like getting kind of too deep 1:18:09 we're not like getting kind of too deep 1:18:09 we're not like getting kind of too deep into this and I I don't really want to 1:18:12 into this and I I don't really want to 1:18:12 into this and I I don't really want to badmouth your your doctor and make you 1:18:15 badmouth your your doctor and make you 1:18:15 badmouth your your doctor and make you like think that that you know I'm trying 1:18:17 like think that that you know I'm trying 1:18:17 like think that that you know I'm trying to do that. So, 1:18:18 to do that. So, 1:18:18 to do that. So, >> No, no, I understand. 1:18:20 >> No, no, I understand. 1:18:20 >> No, no, I understand. >> Yeah. 1:18:20 >> Yeah. 1:18:20 >> Yeah. >> But what do I do? [laughter] 1:18:23 >> But what do I do? [laughter] 1:18:23 >> But what do I do? [laughter] Well, 1:18:23 Well, 1:18:24 Well, >> PCN, what is that? The PCN NP something. 1:18:27 >> PCN, what is that? The PCN NP something. 1:18:27 >> PCN, what is that? The PCN NP something. Those tests, 1:18:28 Those tests, 1:18:28 Those tests, >> P1 NP and CTX. 1:18:30 >> P1 NP and CTX. 1:18:30 >> P1 NP and CTX. >> Yeah, that one. Those three, those two. 1:18:32 >> Yeah, that one. Those three, those two. 1:18:32 >> Yeah, that one. Those three, those two. I mean, yeah, the CTX and P1MP. Um, 1:18:34 I mean, yeah, the CTX and P1MP. Um, 1:18:34 I mean, yeah, the CTX and P1MP. Um, those have not been done. Those tests. 1:18:36 those have not been done. Those tests. 1:18:36 those have not been done. Those tests. >> Well, you don't need to do them while 1:18:38 >> Well, you don't need to do them while 1:18:38 >> Well, you don't need to do them while you're on a bisphosphinate. you don't 1:18:41 you're on a bisphosphinate. you don't 1:18:41 you're on a bisphosphinate. you don't need to do them because they're going to 1:18:42 need to do them because they're going to 1:18:42 need to do them because they're going to be because the CTX is going to be 1:18:44 be because the CTX is going to be 1:18:44 be because the CTX is going to be artificially not artificially the CTX is
Course Details, Early Bird Information, and Farewell 1:18:48 artificially not artificially the CTX is 1:18:48 artificially not artificially the CTX is going to be reduced because of killing 1:18:50 going to be reduced because of killing 1:18:50 going to be reduced because of killing off the osteoclass and the P1NP is going 1:18:53 off the osteoclass and the P1NP is going 1:18:53 off the osteoclass and the P1NP is going to follow with it anyway. So, I mean, my 1:18:57 to follow with it anyway. So, I mean, my 1:18:57 to follow with it anyway. So, I mean, my my um if I have a patient who came into 1:19:00 my um if I have a patient who came into 1:19:00 my um if I have a patient who came into me in that situation, yeah, 1:19:03 me in that situation, yeah, 1:19:03 me in that situation, yeah, >> I would try I would look at their and I 1:19:06 >> I would try I would look at their and I 1:19:06 >> I would try I would look at their and I don't want you to tell me all of this 1:19:08 don't want you to tell me all of this 1:19:08 don't want you to tell me all of this data because I'm going to get into 1:19:11 data because I'm going to get into 1:19:11 data because I'm going to get into territory right away where I'm giving 1:19:13 territory right away where I'm giving 1:19:13 territory right away where I'm giving you medical advice. Okay. 1:19:15 you medical advice. Okay. 1:19:15 you medical advice. Okay. >> Yeah. 1:19:15 >> Yeah. 1:19:15 >> Yeah. >> Okay. So, I would have to look at how 1:19:18 >> Okay. So, I would have to look at how 1:19:18 >> Okay. So, I would have to look at how bad is this patient's bones? Do they 1:19:21 bad is this patient's bones? Do they 1:19:21 bad is this patient's bones? Do they really need to be on an anti-resorptive? 1:19:24 really need to be on an anti-resorptive? 1:19:24 really need to be on an anti-resorptive? it, you know, are they barely 1:19:26 it, you know, are they barely 1:19:26 it, you know, are they barely osteoporotic? Are they severely 1:19:28 osteoporotic? Are they severely 1:19:28 osteoporotic? Are they severely osteoporotic? Do they do they need an 1:19:31 osteoporotic? Do they do they need an 1:19:31 osteoporotic? Do they do they need an anabolic? Um, I would be asking myself 1:19:34 anabolic? Um, I would be asking myself 1:19:34 anabolic? Um, I would be asking myself these questions. I do not believe that 1:19:36 these questions. I do not believe that 1:19:36 these questions. I do not believe that people who are barely 1:19:39 people who are barely 1:19:39 people who are barely um osteoprotic need to be on a 1:19:43 um osteoprotic need to be on a 1:19:43 um osteoprotic need to be on a bisphosphinate. That's what I believe 1:19:45 bisphosphinate. That's what I believe 1:19:45 bisphosphinate. That's what I believe because I believe that the quality of 1:19:47 because I believe that the quality of 1:19:47 because I believe that the quality of the bone is not good. 1:19:50 the bone is not good. 1:19:50 the bone is not good. And so, you're not building good bone. 1:19:53 And so, you're not building good bone. 1:19:53 And so, you're not building good bone. and um and you're you're just kind of 1:19:56 and um and you're you're just kind of 1:19:56 and um and you're you're just kind of pushing off the inevitable. I like to 1:19:59 pushing off the inevitable. I like to 1:19:59 pushing off the inevitable. I like to see people do something like my my you 1:20:04 see people do something like my my you 1:20:04 see people do something like my my you know the way that I practice um and the 1:20:07 know the way that I practice um and the 1:20:07 know the way that I practice um and the way that we teach in RNR to do the root 1:20:10 way that we teach in RNR to do the root 1:20:10 way that we teach in RNR to do the root cause analyses and just see what 1:20:13 cause analyses and just see what 1:20:13 cause analyses and just see what possibly is making those bones break 1:20:15 possibly is making those bones break 1:20:15 possibly is making those bones break down and try to fix that instead of so 1:20:19 down and try to fix that instead of so 1:20:19 down and try to fix that instead of so that so that's where I would be. Um, 1:20:24 that so that's where I would be. Um, 1:20:24 that so that's where I would be. Um, >> so I'm not sure where to go from this. 1:20:27 >> so I'm not sure where to go from this. 1:20:27 >> so I'm not sure where to go from this. >> Well, but you understand that I'm not 1:20:29 >> Well, but you understand that I'm not 1:20:29 >> Well, but you understand that I'm not here to be able to tell you, right? 1:20:32 here to be able to tell you, right? 1:20:32 here to be able to tell you, right? >> Yeah. 1:20:32 >> Yeah. 1:20:32 >> Yeah. >> I I just can't. I I can't legally and I 1:20:36 >> I I just can't. I I can't legally and I 1:20:36 >> I I just can't. I I can't legally and I and it would be absolutely inappropriate 1:20:38 and it would be absolutely inappropriate 1:20:38 and it would be absolutely inappropriate of me to do so because I don't know your 1:20:40 of me to do so because I don't know your 1:20:40 of me to do so because I don't know your whole history. 1:20:43 whole history. 1:20:43 whole history. Hm. 1:20:48 I thought I had the impression that the 1:20:48 I thought I had the impression that the Fossil Max was doing a good job and 1:20:50 Fossil Max was doing a good job and 1:20:50 Fossil Max was doing a good job and apparently that's not necessarily the 1:20:51 apparently that's not necessarily the 1:20:51 apparently that's not necessarily the case. 1:20:52 case. 1:20:52 case. >> I I think that that a three or four 1:20:55 >> I I think that that a three or four 1:20:55 >> I I think that that a three or four years into it, it's fine. 1:20:58 years into it, it's fine. 1:20:58 years into it, it's fine. >> It's fine. 1:20:59 >> It's fine. 1:20:59 >> It's fine. >> But you go longer than five and it's 1:21:02 >> But you go longer than five and it's 1:21:02 >> But you go longer than five and it's it's it's really not building quality 1:21:04 it's it's really not building quality 1:21:04 it's it's really not building quality bone. And 1:21:06 bone. And 1:21:06 bone. And >> yeah. 1:21:07 >> yeah. 1:21:07 >> yeah. >> And you're saying that being off 1:21:09 >> And you're saying that being off 1:21:09 >> And you're saying that being off everything for a period of time is a 1:21:11 everything for a period of time is a 1:21:11 everything for a period of time is a good thing. 1:21:17 Yeah, I I I think we're gonna have to I 1:21:17 Yeah, I I I think we're gonna have to I think we're going to have to move on. 1:21:24 >> Yeah. All right. I'll be the the 1:21:24 >> Yeah. All right. I'll be the the business about the Prolia. 1:21:26 business about the Prolia. 1:21:26 business about the Prolia. There are risks with Prolia as far as 1:21:28 There are risks with Prolia as far as 1:21:28 There are risks with Prolia as far as rebound. Correct. 1:21:35 >> Yes, this is true. 1:21:35 >> Yes, this is true. And that's what I'm worried about 1:21:37 And that's what I'm worried about 1:21:37 And that's what I'm worried about because that's what that that what's 1:21:40 because that's what that that what's 1:21:40 because that's what that that what's Yeah, that's what he's considering for 1:21:42 Yeah, that's what he's considering for 1:21:42 Yeah, that's what he's considering for me as the next step after the holiday. 1:21:46 me as the next step after the holiday. 1:21:46 me as the next step after the holiday. >> Um so so Sue, we're going to have to 1:21:49 >> Um so so Sue, we're going to have to 1:21:49 >> Um so so Sue, we're going to have to move on because we've spent an a sizable 1:21:52 move on because we've spent an a sizable 1:21:52 move on because we've spent an a sizable amount of time with you and um hopefully 1:21:56 amount of time with you and um hopefully 1:21:56 amount of time with you and um hopefully why don't you listen to the discussion, 1:21:58 why don't you listen to the discussion, 1:21:58 why don't you listen to the discussion, okay? and try and pick up some other 1:22:02 okay? and try and pick up some other 1:22:02 okay? and try and pick up some other things [clears throat] that you might 1:22:04 things [clears throat] that you might 1:22:04 things [clears throat] that you might that um that you you might learn from 1:22:08 that um that you you might learn from 1:22:08 that um that you you might learn from this. But um 1:22:11 this. But um 1:22:11 this. But um I 1:22:14 I 1:22:14 I the thing that I really want to say to 1:22:16 the thing that I really want to say to 1:22:16 the thing that I really want to say to you, I can't say. 1:22:18 you, I can't say. 1:22:18 you, I can't say. >> Can you email it to me? 1:22:20 >> Can you email it to me? 1:22:20 >> Can you email it to me? >> No, I can't. I'm sorry. I can't. I 1:22:24 >> No, I can't. I'm sorry. I can't. I 1:22:24 >> No, I can't. I'm sorry. I can't. I can't. 1:22:25 can't. 1:22:25 can't. >> All right. 1:22:27 >> All right. 1:22:27 >> All right. It just it has to do with old school 1:22:30 It just it has to do with old school 1:22:30 It just it has to do with old school thinking, right? That has to do with 1:22:33 thinking, right? That has to do with 1:22:33 thinking, right? That has to do with that. So, that's a hint. All right, 1:22:37 that. So, that's a hint. All right, 1:22:37 that. So, that's a hint. All right, Jackie. 1:22:46 I um thank you so much for this. I have 1:22:46 I um thank you so much for this. I have was I've been diagnosed with 1:22:48 was I've been diagnosed with 1:22:48 was I've been diagnosed with osteoporosis and I'm just so overwhelmed 1:22:51 osteoporosis and I'm just so overwhelmed 1:22:51 osteoporosis and I'm just so overwhelmed because I'm a caregiver and I just don't 1:22:54 because I'm a caregiver and I just don't 1:22:54 because I'm a caregiver and I just don't have time to do much and I 1:22:56 have time to do much and I 1:22:56 have time to do much and I >> but when I heard the podcast I just felt 1:22:59 >> but when I heard the podcast I just felt 1:22:59 >> but when I heard the podcast I just felt so like wow you know I mean there's 1:23:01 so like wow you know I mean there's 1:23:01 so like wow you know I mean there's there's hope and and I I really 1:23:03 there's hope and and I I really 1:23:03 there's hope and and I I really appreciate that you and Margie spent 1:23:05 appreciate that you and Margie spent 1:23:05 appreciate that you and Margie spent that time to give all that information. 1:23:07 that time to give all that information. 1:23:07 that time to give all that information. So my question is because I'm a 1:23:10 So my question is because I'm a 1:23:10 So my question is because I'm a caregiver I'm working full-time. I don't 1:23:11 caregiver I'm working full-time. I don't 1:23:11 caregiver I'm working full-time. I don't really have time to do and I'm one of 1:23:13 really have time to do and I'm one of 1:23:13 really have time to do and I'm one of those overachievers. So if I start to 1:23:15 those overachievers. So if I start to 1:23:15 those overachievers. So if I start to get information and I can't do I get 1:23:17 get information and I can't do I get 1:23:17 get information and I can't do I get overwhelmed. So 1:23:18 overwhelmed. So 1:23:18 overwhelmed. So >> yeah, 1:23:19 >> yeah, 1:23:19 >> yeah, >> now that I'm listening to that people 1:23:21 >> now that I'm listening to that people 1:23:21 >> now that I'm listening to that people have taken this over and over, I'm 1:23:23 have taken this over and over, I'm 1:23:23 have taken this over and over, I'm thinking maybe I should just sign on 1:23:27 thinking maybe I should just sign on 1:23:27 thinking maybe I should just sign on even if I can't do anything just because 1:23:29 even if I can't do anything just because 1:23:29 even if I can't do anything just because I'll get my you know get more 1:23:31 I'll get my you know get more 1:23:31 I'll get my you know get more information and and you know for the 1:23:34 information and and you know for the 1:23:34 information and and you know for the future and you know maybe I'll I can 1:23:36 future and you know maybe I'll I can 1:23:36 future and you know maybe I'll I can take it another time when I'm more 1:23:38 take it another time when I'm more 1:23:38 take it another time when I'm more prepared to. So, I'm just asking, does 1:23:40 prepared to. So, I'm just asking, does 1:23:40 prepared to. So, I'm just asking, does that sound like something 1:23:42 that sound like something 1:23:42 that sound like something >> What state are you in? 1:23:45 >> What state are you in? 1:23:45 >> What state are you in? >> You know what? It's So, 1:23:47 >> You know what? It's So, 1:23:47 >> You know what? It's So, >> are you in California? 1:23:49 >> are you in California? 1:23:49 >> are you in California? >> No, I'm in Honolulu. 1:23:51 >> No, I'm in Honolulu. 1:23:51 >> No, I'm in Honolulu. >> Oh, okay. All right. Um Okay. Do you 1:23:54 >> Oh, okay. All right. Um Okay. Do you 1:23:54 >> Oh, okay. All right. Um Okay. Do you have um two hours on Thursday at 3:00 1:23:58 have um two hours on Thursday at 3:00 1:23:58 have um two hours on Thursday at 3:00 Pacific? 1:24:00 Pacific? 1:24:00 Pacific? >> Um possibly. you know, it depends on 1:24:03 >> Um possibly. you know, it depends on 1:24:03 >> Um possibly. you know, it depends on when I have meetings and things. But I 1:24:05 when I have meetings and things. But I 1:24:05 when I have meetings and things. But I mean, now these are 1:24:06 mean, now these are 1:24:06 mean, now these are >> So, if you could try to carve off 1:24:09 >> So, if you could try to carve off 1:24:09 >> So, if you could try to carve off >> Yes. 1:24:10 >> Yes. 1:24:10 >> Yes. >> 2 hours 1:24:12 >> 2 hours 1:24:12 >> 2 hours >> um from 3:00 to 5:00 Pacific time, you 1:24:16 >> um from 3:00 to 5:00 Pacific time, you 1:24:16 >> um from 3:00 to 5:00 Pacific time, you could come to the Q&As's and you would 1:24:19 could come to the Q&As's and you would 1:24:19 could come to the Q&As's and you would and you would pick up and it would like 1:24:21 and you would pick up and it would like 1:24:21 and you would pick up and it would like be like being in this Q&A almost every 1:24:24 be like being in this Q&A almost every 1:24:24 be like being in this Q&A almost every week for 14 weeks. And I I promise you, 1:24:27 week for 14 weeks. And I I promise you, 1:24:27 week for 14 weeks. And I I promise you, you would learn some stuff. 1:24:29 you would learn some stuff. 1:24:29 you would learn some stuff. >> Okay. I yeah I I was you know originally 1:24:31 >> Okay. I yeah I I was you know originally 1:24:31 >> Okay. I yeah I I was you know originally I thought there's no way I have time for 1:24:33 I thought there's no way I have time for 1:24:33 I thought there's no way I have time for this but I mean not just time to attend 1:24:37 this but I mean not just time to attend 1:24:37 this but I mean not just time to attend the Q&As's but to do all the things that 1:24:40 the Q&As's but to do all the things that 1:24:40 the Q&As's but to do all the things that you need to do but there's so much 1:24:42 you need to do but there's so much 1:24:42 you need to do but there's so much information that I feel like wow if I 1:24:44 information that I feel like wow if I 1:24:44 information that I feel like wow if I could just get it in little pieces just 1:24:46 could just get it in little pieces just 1:24:46 could just get it in little pieces just to get me started and then that way 1:24:49 to get me started and then that way 1:24:49 to get me started and then that way >> but that's what we do is is that like 1:24:52 >> but that's what we do is is that like 1:24:52 >> but that's what we do is is that like you know module one is about um you know 1:24:56 you know module one is about um you know 1:24:56 you know module one is about um you know the the bone turnover markers and and 1:24:59 the the bone turnover markers and and 1:24:59 the the bone turnover markers and and how you can how you should be getting 1:25:01 how you can how you should be getting 1:25:01 how you can how you should be getting them and you like h how how you you 1:25:05 them and you like h how how you you 1:25:05 them and you like h how how you you actually take them and how you interpret 1:25:08 actually take them and how you interpret 1:25:08 actually take them and how you interpret them and what they're good for and then 1:25:10 them and what they're good for and then 1:25:10 them and what they're good for and then we we talk about it. 1:25:12 we we talk about it. 1:25:12 we we talk about it. >> Okay, great. 1:25:13 >> Okay, great. 1:25:13 >> Okay, great. >> And then what and what to ask my doctor 1:25:14 >> And then what and what to ask my doctor 1:25:14 >> And then what and what to ask my doctor for like what kind, 1:25:17 for like what kind, 1:25:17 for like what kind, >> you know, I have a regular, you know, 1:25:19 >> you know, I have a regular, you know, 1:25:19 >> you know, I have a regular, you know, practitioner and they're not really 1:25:21 practitioner and they're not really 1:25:21 practitioner and they're not really wellversed in this. So, at least 1:25:22 wellversed in this. So, at least 1:25:22 wellversed in this. So, at least >> you can order them yourself, too. 1:25:25 >> you can order them yourself, too. 1:25:25 >> you can order them yourself, too. >> Oh, okay. Great. All right. All right. 1:25:27 >> Oh, okay. Great. All right. All right. 1:25:27 >> Oh, okay. Great. All right. All right. All right. Well, that's my main 1:25:28 All right. Well, that's my main 1:25:28 All right. Well, that's my main question. I actually have to go and take 1:25:30 question. I actually have to go and take 1:25:30 question. I actually have to go and take care of my person right now. So, I'm 1:25:31 care of my person right now. So, I'm 1:25:31 care of my person right now. So, I'm going to sign off. But, thank you for 1:25:33 going to sign off. But, thank you for 1:25:33 going to sign off. But, thank you for answering my question and I think I'll 1:25:34 answering my question and I think I'll 1:25:34 answering my question and I think I'll sign up and then get my feet wet and get 1:25:36 sign up and then get my feet wet and get 1:25:36 sign up and then get my feet wet and get the information that I need to get 1:25:38 the information that I need to get 1:25:38 the information that I need to get started. 1:25:39 started. 1:25:39 started. >> I I I would be honored to help you. 1:25:43 >> I I I would be honored to help you. 1:25:43 >> I I I would be honored to help you. >> Great. Thank you. Thank you so much. 1:25:45 >> Great. Thank you. Thank you so much. 1:25:45 >> Great. Thank you. Thank you so much. You're welcome. And 1:25:46 You're welcome. And 1:25:46 You're welcome. And >> I just want to say something about that 1:25:48 >> I just want to say something about that 1:25:48 >> I just want to say something about that because 1:25:49 because 1:25:50 because >> overwhelm is a real problem when it 1:25:51 >> overwhelm is a real problem when it 1:25:51 >> overwhelm is a real problem when it comes to bone health. And what happens 1:25:53 comes to bone health. And what happens 1:25:53 comes to bone health. And what happens with overwhelm is we do nothing. there's 1:25:55 with overwhelm is we do nothing. there's 1:25:55 with overwhelm is we do nothing. there's so much and you just stop in your tracks 1:25:58 so much and you just stop in your tracks 1:25:58 so much and you just stop in your tracks because you don't know where to start. 1:25:59 because you don't know where to start. 1:25:59 because you don't know where to start. But what I've seen work is you take one 1:26:02 But what I've seen work is you take one 1:26:02 But what I've seen work is you take one step at a time. You know, you learn one 1:26:04 step at a time. You know, you learn one 1:26:04 step at a time. You know, you learn one thing. Okay, let's do that. And you 1:26:06 thing. Okay, let's do that. And you 1:26:06 thing. Okay, let's do that. And you build on these habits and you build and 1:26:08 build on these habits and you build and 1:26:08 build on these habits and you build and people do and that's when people really 1:26:10 people do and that's when people really 1:26:10 people do and that's when people really do well and they look back and they're 1:26:12 do well and they look back and they're 1:26:12 do well and they look back and they're like, "Wow, this diagnosis was a 1:26:14 like, "Wow, this diagnosis was a 1:26:14 like, "Wow, this diagnosis was a blessing because I've done all these 1:26:16 blessing because I've done all these 1:26:16 blessing because I've done all these things." So that's, you know, one thing, 1:26:18 things." So that's, you know, one thing, 1:26:18 things." So that's, you know, one thing, get you on this course, learn more and 1:26:21 get you on this course, learn more and 1:26:21 get you on this course, learn more and that's how people really, really make a 1:26:24 that's how people really, really make a 1:26:24 that's how people really, really make a difference. And I've seen this, as I 1:26:25 difference. And I've seen this, as I 1:26:25 difference. And I've seen this, as I said, I've been doing this for over 30 1:26:27 said, I've been doing this for over 30 1:26:27 said, I've been doing this for over 30 years, but so don't worry that you can't 1:26:28 years, but so don't worry that you can't 1:26:28 years, but so don't worry that you can't do everything. You know, you just start 1:26:30 do everything. You know, you just start 1:26:30 do everything. You know, you just start with one thing and you build on it. 1:26:33 with one thing and you build on it. 1:26:33 with one thing and you build on it. >> Yeah. No, that's right. That's right. 1:26:35 >> Yeah. No, that's right. That's right. 1:26:35 >> Yeah. No, that's right. That's right. And yeah, the access to the materials 1:26:38 And yeah, the access to the materials 1:26:38 And yeah, the access to the materials doesn't go away, 1:26:39 doesn't go away, 1:26:39 doesn't go away, >> right? Um, one of the reasons why people 1:26:42 >> right? Um, one of the reasons why people 1:26:42 >> right? Um, one of the reasons why people have come back as alumni is they love 1:26:45 have come back as alumni is they love 1:26:45 have come back as alumni is they love the community. But the other thing too 1:26:46 the community. But the other thing too 1:26:46 the community. But the other thing too is they're like, "Well, life happened 1:26:49 is they're like, "Well, life happened 1:26:49 is they're like, "Well, life happened and I didn't do what I wanted to do and 1:26:51 and I didn't do what I wanted to do and 1:26:52 and I didn't do what I wanted to do and I wanted some support to stay in the 1:26:55 I wanted some support to stay in the 1:26:55 I wanted some support to stay in the momentum. I wanted to keep keep with 1:26:58 momentum. I wanted to keep keep with 1:26:58 momentum. I wanted to keep keep with with, you know, with with you and with 1:27:01 with, you know, with with you and with 1:27:01 with, you know, with with you and with the the rest of the community and and 1:27:03 the the rest of the community and and 1:27:03 the the rest of the community and and just keep momentum." So that's one of 1:27:06 just keep momentum." So that's one of 1:27:06 just keep momentum." So that's one of the reasons why people, you know, take 1:27:08 the reasons why people, you know, take 1:27:08 the reasons why people, you know, take the alumni over and over again. 1:27:11 the alumni over and over again. 1:27:11 the alumni over and over again. >> And then I guess if I can't like I I'm 1:27:13 >> And then I guess if I can't like I I'm 1:27:13 >> And then I guess if I can't like I I'm sure I can attend some and I'll hope to 1:27:15 sure I can attend some and I'll hope to 1:27:15 sure I can attend some and I'll hope to attend most, but if I can't, it's 1:27:16 attend most, but if I can't, it's 1:27:16 attend most, but if I can't, it's recorded so I can just listen. 1:27:18 recorded so I can just listen. 1:27:18 recorded so I can just listen. >> Yep, that's exactly right. 1:27:20 >> Yep, that's exactly right. 1:27:20 >> Yep, that's exactly right. >> Okay, I think I will sign off. Thank you 1:27:21 >> Okay, I think I will sign off. Thank you 1:27:21 >> Okay, I think I will sign off. Thank you so much. 1:27:22 so much. 1:27:22 so much. >> Yes, you're welcome. Hey, Judy. 1:27:26 >> Yes, you're welcome. Hey, Judy. 1:27:26 >> Yes, you're welcome. Hey, Judy. >> Hello. 1:27:27 >> Hello. 1:27:27 >> Hello. >> How are you? 1:27:29 >> How are you? 1:27:29 >> How are you? >> I'm good, thank you. And I'm looking 1:27:32 >> I'm good, thank you. And I'm looking 1:27:32 >> I'm good, thank you. And I'm looking forward to seeing you. I have an 1:27:34 forward to seeing you. I have an 1:27:34 forward to seeing you. I have an appointment with you in um mid to end I 1:27:37 appointment with you in um mid to end I 1:27:37 appointment with you in um mid to end I can think it's end September end of 1:27:39 can think it's end September end of 1:27:39 can think it's end September end of September but um 1:27:41 September but um 1:27:41 September but um >> right me too 1:27:41 >> right me too 1:27:42 >> right me too >> in in the meantime uh I just thought I 1:27:46 >> in in the meantime uh I just thought I 1:27:46 >> in in the meantime uh I just thought I would ask you my my CTX and uh has 1:27:50 would ask you my my CTX and uh has 1:27:50 would ask you my my CTX and uh has doubled since last year so again and I'm 1:27:54 doubled since last year so again and I'm 1:27:54 doubled since last year so again and I'm wondering 1:27:55 wondering 1:27:55 wondering >> and so and my P1 MP has gone up also and 1:27:58 >> and so and my P1 MP has gone up also and 1:27:58 >> and so and my P1 MP has gone up also and the CTX used to be in the normal range 1:28:01 the CTX used to be in the normal range 1:28:01 the CTX used to be in the normal range and now it's um not in the normal range 1:28:04 and now it's um not in the normal range 1:28:04 and now it's um not in the normal range anymore. 1:28:05 anymore. 1:28:05 anymore. >> Um and uh my cortisol is too high in the 1:28:10 >> Um and uh my cortisol is too high in the 1:28:10 >> Um and uh my cortisol is too high in the morning. Um as well and I'm just 1:28:13 morning. Um as well and I'm just 1:28:13 morning. Um as well and I'm just wondering um 1:28:15 wondering um 1:28:15 wondering um in terms of looking for the cause, the 1:28:17 in terms of looking for the cause, the 1:28:18 in terms of looking for the cause, the root cause of what could have uh I can't 1:28:20 root cause of what could have uh I can't 1:28:20 root cause of what could have uh I can't do a a DEXA for another year. Um, but 1:28:25 do a a DEXA for another year. Um, but 1:28:25 do a a DEXA for another year. Um, but I'm just curious about um looking for 1:28:29 I'm just curious about um looking for 1:28:29 I'm just curious about um looking for the root cause of such a um a change 1:28:33 the root cause of such a um a change 1:28:33 the root cause of such a um a change when I've been doing all the things. 1:28:35 when I've been doing all the things. 1:28:35 when I've been doing all the things. >> Um I strength train and I 1:28:38 >> Um I strength train and I 1:28:38 >> Um I strength train and I >> do you know I do all those things. So 1:28:42 >> do you know I do all those things. So 1:28:42 >> do you know I do all those things. So I'm just wondering where I might um 1:28:44 I'm just wondering where I might um 1:28:44 I'm just wondering where I might um look. My my gut is actually feeling 1:28:47 look. My my gut is actually feeling 1:28:47 look. My my gut is actually feeling good. But I did decide that I should do 1:28:50 good. But I did decide that I should do 1:28:50 good. But I did decide that I should do the GI map. So I just did that. I 1:28:53 the GI map. So I just did that. I 1:28:53 the GI map. So I just did that. I haven't gotten a response yet, 1:28:55 haven't gotten a response yet, 1:28:56 haven't gotten a response yet, >> but maybe there's some inflammation that 1:28:57 >> but maybe there's some inflammation that 1:28:57 >> but maybe there's some inflammation that I'm not aware of. So, I don't have those 1:28:59 I'm not aware of. So, I don't have those 1:29:00 I'm not aware of. So, I don't have those results yet, but I'm wondering if um you 1:29:02 results yet, but I'm wondering if um you 1:29:02 results yet, but I'm wondering if um you have any suggestions or any ideas about 1:29:05 have any suggestions or any ideas about 1:29:05 have any suggestions or any ideas about why um it might have gotten so wor so 1:29:08 why um it might have gotten so wor so 1:29:08 why um it might have gotten so wor so much worse. 1:29:10 much worse. 1:29:10 much worse. >> Yeah. Well, I mean, obviously you're my 1:29:13 >> Yeah. Well, I mean, obviously you're my 1:29:13 >> Yeah. Well, I mean, obviously you're my patient and I know your history quite 1:29:15 patient and I know your history quite 1:29:15 patient and I know your history quite well and um and so 1:29:26 Um, 1:29:26 Um, so the I I think that 1:29:30 so the I I think that 1:29:30 so the I I think that that in order for this to be a question 1:29:32 that in order for this to be a question 1:29:32 that in order for this to be a question that would be maybe illustrative for 1:29:36 that would be maybe illustrative for 1:29:36 that would be maybe illustrative for others, 1:29:38 others, 1:29:38 others, >> um, 1:29:39 >> um, 1:29:39 >> um, I could talk about kind of the general 1:29:41 I could talk about kind of the general 1:29:42 I could talk about kind of the general framework of what we do when we look at 1:29:45 framework of what we do when we look at 1:29:45 framework of what we do when we look at for, you know, root cause problems. Um, 1:29:49 for, you know, root cause problems. Um, 1:29:49 for, you know, root cause problems. Um, and so Judy has mentioned that uh 1:29:52 and so Judy has mentioned that uh 1:29:52 and so Judy has mentioned that uh cortisol is high in the morning. So we 1:29:54 cortisol is high in the morning. So we 1:29:54 cortisol is high in the morning. So we know that cortisol breaks down the bones 1:29:56 know that cortisol breaks down the bones 1:29:56 know that cortisol breaks down the bones really quickly and um and so kind of me 1:30:01 really quickly and um and so kind of me 1:30:01 really quickly and um and so kind of me knowing her lifestyle, I want to know 1:30:03 knowing her lifestyle, I want to know 1:30:04 knowing her lifestyle, I want to know why why her cortisol is high because it 1:30:07 why why her cortisol is high because it 1:30:07 why why her cortisol is high because it doesn't seem like it should be. Um but 1:30:10 doesn't seem like it should be. Um but 1:30:10 doesn't seem like it should be. Um but um so um she has clean clean eating, 1:30:15 um so um she has clean clean eating, 1:30:15 um so um she has clean clean eating, clean clean um lifestyle 1:30:18 clean clean um lifestyle 1:30:18 clean clean um lifestyle and um you know we want to know whether 1:30:21 and um you know we want to know whether 1:30:21 and um you know we want to know whether she's working out and I think I think 1:30:24 she's working out and I think I think 1:30:24 she's working out and I think I think she is um maybe not doing as much 1:30:28 she is um maybe not doing as much 1:30:28 she is um maybe not doing as much strength training as she'd like to. um 1:30:33 strength training as she'd like to. um 1:30:33 strength training as she'd like to. um no hormones 1:30:35 no hormones 1:30:36 no hormones and so hormones can always be an issue. 1:30:39 and so hormones can always be an issue. 1:30:39 and so hormones can always be an issue. She's talking about getting a GI map to 1:30:41 She's talking about getting a GI map to 1:30:42 She's talking about getting a GI map to evaluate her gut. Um food sensitivities 1:30:46 evaluate her gut. Um food sensitivities 1:30:46 evaluate her gut. Um food sensitivities can be an issue and I think that she and 1:30:49 can be an issue and I think that she and 1:30:49 can be an issue and I think that she and I have addressed that in the past. Um 1:30:56 I have addressed that in the past. Um 1:30:56 I have addressed that in the past. Um let's see what else. Um sleeping. So, I 1:30:59 let's see what else. Um sleeping. So, I 1:31:00 let's see what else. Um sleeping. So, I would want to know if she's sleeping 1:31:01 would want to know if she's sleeping 1:31:02 would want to know if she's sleeping well or if she's not. If she's not, then 1:31:05 well or if she's not. If she's not, then 1:31:05 well or if she's not. If she's not, then you know, then maybe not only do we want 1:31:08 you know, then maybe not only do we want 1:31:08 you know, then maybe not only do we want to know a cortisol number in the 1:31:10 to know a cortisol number in the 1:31:10 to know a cortisol number in the morning, but we want to know cortisol at 1:31:12 morning, but we want to know cortisol at 1:31:12 morning, but we want to know cortisol at the at at at um midnight or at bedtime 1:31:16 the at at at um midnight or at bedtime 1:31:16 the at at at um midnight or at bedtime to find out whether or not cortisol 1:31:19 to find out whether or not cortisol 1:31:19 to find out whether or not cortisol needs to be dampened at night to help 1:31:21 needs to be dampened at night to help 1:31:21 needs to be dampened at night to help her sleep. And then she'd go back into a 1:31:24 her sleep. And then she'd go back into a 1:31:24 her sleep. And then she'd go back into a healing mode. Uh and then 1:31:28 healing mode. Uh and then 1:31:28 healing mode. Uh and then um then you know we look at heart health 1:31:31 um then you know we look at heart health 1:31:31 um then you know we look at heart health because heart circulation affects the 1:31:34 because heart circulation affects the 1:31:34 because heart circulation affects the bones as m as well other types of 1:31:37 bones as m as well other types of 1:31:37 bones as m as well other types of inflammation 1:31:39 inflammation 1:31:39 inflammation uh and I don't remember her inflam 1:31:42 uh and I don't remember her inflam 1:31:42 uh and I don't remember her inflam inflammatory numbers. So that's how we 1:31:44 inflammatory numbers. So that's how we 1:31:44 inflammatory numbers. So that's how we go about trying to like kind of work 1:31:47 go about trying to like kind of work 1:31:47 go about trying to like kind of work this whole thing through. We do testing 1:31:50 this whole thing through. We do testing 1:31:50 this whole thing through. We do testing where we can. We do symptom assessment 1:31:52 where we can. We do symptom assessment 1:31:52 where we can. We do symptom assessment where we can. And more than that, Judy, 1:31:56 where we can. And more than that, Judy, 1:31:56 where we can. And more than that, Judy, I think I'm going to have to um 1:32:01 I think I'm going to have to um 1:32:01 I think I'm going to have to um probably not not delve into in any depth 1:32:05 probably not not delve into in any depth 1:32:05 probably not not delve into in any depth because, you know, I'm trying to teach 1:32:08 because, you know, I'm trying to teach 1:32:08 because, you know, I'm trying to teach people not not for me not to give them 1:32:10 people not not for me not to give them 1:32:10 people not not for me not to give them medical advice. And I think I think that 1:32:13 medical advice. And I think I think that 1:32:13 medical advice. And I think I think that that's my general 1:32:16 that's my general 1:32:16 that's my general um 1:32:19 um 1:32:19 um uh answer to your question. 1:32:22 uh answer to your question. 1:32:22 uh answer to your question. >> Okay. Okay. That's that's fine. My um 1:32:25 >> Okay. Okay. That's that's fine. My um 1:32:25 >> Okay. Okay. That's that's fine. My um that's why I didn't give you the numbers 1:32:26 that's why I didn't give you the numbers 1:32:26 that's why I didn't give you the numbers because I know this is general. I just 1:32:29 because I know this is general. I just 1:32:29 because I know this is general. I just wondered if there's something that I 1:32:30 wondered if there's something that I 1:32:30 wondered if there's something that I could be um looking for that I haven't 1:32:33 could be um looking for that I haven't 1:32:33 could be um looking for that I haven't thought about. Um my I actually I did 1:32:37 thought about. Um my I actually I did 1:32:37 thought about. Um my I actually I did have sleep apnnea and now I I'm on a 1:32:39 have sleep apnnea and now I I'm on a 1:32:39 have sleep apnnea and now I I'm on a device and that I don't have that 1:32:42 device and that I don't have that 1:32:42 device and that I don't have that anymore. So it's just curious to me why 1:32:44 anymore. So it's just curious to me why 1:32:44 anymore. So it's just curious to me why why 1:32:46 why 1:32:46 why >> Yeah. So maybe maybe a a cortisol 1:32:49 >> Yeah. So maybe maybe a a cortisol 1:32:49 >> Yeah. So maybe maybe a a cortisol tracing so that um that 1:32:52 tracing so that um that 1:32:52 tracing so that um that >> that we can see what what your cortisol 1:32:54 >> that we can see what what your cortisol 1:32:54 >> that we can see what what your cortisol looks like at night potentially since 1:32:57 looks like at night potentially since 1:32:57 looks like at night potentially since it's it's high in the morning. 1:32:59 it's it's high in the morning. 1:32:59 it's it's high in the morning. >> Okay. Okay. Thank you. Thank you. I look 1:33:01 >> Okay. Okay. Thank you. Thank you. I look 1:33:01 >> Okay. Okay. Thank you. Thank you. I look forward to seeing you and maybe it'll be 1:33:03 forward to seeing you and maybe it'll be 1:33:03 forward to seeing you and maybe it'll be different by then. 1:33:05 different by then. 1:33:05 different by then. >> All right. 1:33:06 >> All right. 1:33:06 >> All right. >> Okay. Um I think Jackie maybe has 1:33:10 >> Okay. Um I think Jackie maybe has 1:33:10 >> Okay. Um I think Jackie maybe has already asked a question. I don't know 1:33:13 already asked a question. I don't know 1:33:13 already asked a question. I don't know if that's the same Jackie. Irene, 1:33:19 >> that's a different Jackie. 1:33:19 >> that's a different Jackie. >> Oh, a different Jackie. Come on up. 1:33:22 >> Oh, a different Jackie. Come on up. 1:33:22 >> Oh, a different Jackie. Come on up. >> Hi. Thank you. 1:33:24 >> Hi. Thank you. 1:33:24 >> Hi. Thank you. >> Um, I only eat twice a day at 7 and 1:33:27 >> Um, I only eat twice a day at 7 and 1:33:27 >> Um, I only eat twice a day at 7 and 11:30 in the morning and I'm starting to 1:33:29 11:30 in the morning and I'm starting to 1:33:29 11:30 in the morning and I'm starting to take calcium supplements with some other 1:33:31 take calcium supplements with some other 1:33:31 take calcium supplements with some other stuff. And my question is, is it better 1:33:34 stuff. And my question is, is it better 1:33:34 stuff. And my question is, is it better to space out the calcium supplement when 1:33:36 to space out the calcium supplement when 1:33:36 to space out the calcium supplement when I'm eating the food or to take it at 1:33:38 I'm eating the food or to take it at 1:33:38 I'm eating the food or to take it at seven in the morning when I eat 1:33:39 seven in the morning when I eat 1:33:39 seven in the morning when I eat breakfast and to take the second dose at 1:33:41 breakfast and to take the second dose at 1:33:41 breakfast and to take the second dose at five o'clock when I only take essential 1:33:44 five o'clock when I only take essential 1:33:44 five o'clock when I only take essential amino acids to increase my protein? 1:33:46 amino acids to increase my protein? 1:33:46 amino acids to increase my protein? Which do you think is best with food or 1:33:48 Which do you think is best with food or 1:33:48 Which do you think is best with food or better spaced out? 1:33:51 better spaced out? 1:33:51 better spaced out? Well, so um there's a concept called the 1:33:54 Well, so um there's a concept called the 1:33:54 Well, so um there's a concept called the fractional absorption of of calcium and 1:33:57 fractional absorption of of calcium and 1:33:57 fractional absorption of of calcium and then basically the sweet spot of taking 1:34:01 then basically the sweet spot of taking 1:34:01 then basically the sweet spot of taking um enough calcium for good absorption 1:34:04 um enough calcium for good absorption 1:34:04 um enough calcium for good absorption but not too much to have bad absorption 1:34:07 but not too much to have bad absorption 1:34:07 but not too much to have bad absorption because the percentage absorption 1:34:10 because the percentage absorption 1:34:10 because the percentage absorption of calcium goes down the more calcium 1:34:12 of calcium goes down the more calcium 1:34:12 of calcium goes down the more calcium you take at one time. So the sweet spot 1:34:15 you take at one time. So the sweet spot 1:34:15 you take at one time. So the sweet spot is about 390 mg. So, um, so you can look 1:34:20 is about 390 mg. So, um, so you can look 1:34:20 is about 390 mg. So, um, so you can look at, um, I think 5, uh, 5:00 p.m. is a 1:34:24 at, um, I think 5, uh, 5:00 p.m. is a 1:34:24 at, um, I think 5, uh, 5:00 p.m. is a perfect time, uh, when there's there's 1:34:27 perfect time, uh, when there's there's 1:34:27 perfect time, uh, when there's there's no food because that basically if you 1:34:30 no food because that basically if you 1:34:30 no food because that basically if you stay within that kind of 390 and below 1:34:34 stay within that kind of 390 and below 1:34:34 stay within that kind of 390 and below range, you're going to get the best 1:34:35 range, you're going to get the best 1:34:35 range, you're going to get the best fractional absorption at that point in 1:34:38 fractional absorption at that point in 1:34:38 fractional absorption at that point in time. And then either um taking it with 1:34:42 time. And then either um taking it with 1:34:42 time. And then either um taking it with a meal that doesn't have um calcium in 1:34:46 a meal that doesn't have um calcium in 1:34:46 a meal that doesn't have um calcium in it uh would be the next best. 1:34:51 it uh would be the next best. 1:34:51 it uh would be the next best. >> But I'm taking it twice a day. 1:34:53 >> But I'm taking it twice a day. 1:34:53 >> But I'm taking it twice a day. >> I get it. I get it. So, um, so 390 at 1:34:58 >> I get it. I get it. So, um, so 390 at 1:34:58 >> I get it. I get it. So, um, so 390 at 5:00 p.m. when there's there's no food, 1:35:01 5:00 p.m. when there's there's no food, 1:35:01 5:00 p.m. when there's there's no food, you're going to have a really nice 1:35:03 you're going to have a really nice 1:35:03 you're going to have a really nice fractional absorption at that point 1:35:05 fractional absorption at that point 1:35:05 fractional absorption at that point because you don't have calcium adding to 1:35:07 because you don't have calcium adding to 1:35:07 because you don't have calcium adding to it to push it over to 500. And it 1:35:10 it to push it over to 500. And it 1:35:10 it to push it over to 500. And it depends on how much you're taking each 1:35:11 depends on how much you're taking each 1:35:12 depends on how much you're taking each time, too. So, 1:35:15 time, too. So, 1:35:15 time, too. So, >> okay. So, maybe 7 a.m. with food and 1:35:18 >> okay. So, maybe 7 a.m. with food and 1:35:18 >> okay. So, maybe 7 a.m. with food and 5:00 p.m. without food would be okay or 1:35:21 5:00 p.m. without food would be okay or 1:35:21 5:00 p.m. without food would be okay or better. 1:35:23 better. 1:35:23 better. So, I would look at what you're eating 1:35:25 So, I would look at what you're eating 1:35:25 So, I would look at what you're eating at 7:00 a.m. and what you're eating at 1:35:27 at 7:00 a.m. and what you're eating at 1:35:28 at 7:00 a.m. and what you're eating at 11:30 and pick the um the the time when 1:35:31 11:30 and pick the um the the time when 1:35:31 11:30 and pick the um the the time when you have the least amount of calcium in 1:35:33 you have the least amount of calcium in 1:35:33 you have the least amount of calcium in your food. 1:35:35 your food. 1:35:35 your food. >> Okay? 1:35:37 >> Okay? 1:35:37 >> Okay? >> And this is an exercise that I have 1:35:39 >> And this is an exercise that I have 1:35:39 >> And this is an exercise that I have people do in RNR. I think it's really 1:35:41 people do in RNR. I think it's really 1:35:41 people do in RNR. I think it's really important to know how much calcium 1:35:43 important to know how much calcium 1:35:43 important to know how much calcium you're getting from your food. 1:35:46 you're getting from your food. 1:35:46 you're getting from your food. >> Okay. All right. Thank you so much. 1:35:48 >> Okay. All right. Thank you so much. 1:35:48 >> Okay. All right. Thank you so much. >> Uhhuh. Irene. 1:36:01 >> Is it Reena? Maybe. 1:36:01 >> Is it Reena? Maybe. >> Oh, yeah. Um, well, there was Irene 1:36:04 >> Oh, yeah. Um, well, there was Irene 1:36:04 >> Oh, yeah. Um, well, there was Irene before you, but but 1:36:06 before you, but but 1:36:06 before you, but but >> Okay. I didn't know if you were just 1:36:08 >> Okay. I didn't know if you were just 1:36:08 >> Okay. I didn't know if you were just reading my name. 1:36:08 reading my name. 1:36:08 reading my name. >> You're next. You're next. So, Irene, 1:36:11 >> You're next. You're next. So, Irene, 1:36:11 >> You're next. You're next. So, Irene, you're you're still on mute. 1:36:36 >> All right, let's have Reena come on. 1:36:36 >> All right, let's have Reena come on. >> Thank you. Thank you for taking my call. 1:36:39 >> Thank you. Thank you for taking my call. 1:36:39 >> Thank you. Thank you for taking my call. >> Yes. 1:36:39 >> Yes. 1:36:39 >> Yes. >> Um 1:36:45 >> Oops. 1:36:45 >> Oops. Okay. Um, so I've been on Prolia for 1:36:48 Okay. Um, so I've been on Prolia for 1:36:48 Okay. Um, so I've been on Prolia for about 10 years and I recently had a 1:36:52 about 10 years and I recently had a 1:36:52 about 10 years and I recently had a dental extraction and 1:36:55 dental extraction and 1:36:56 dental extraction and maybe getting an implant. So I know that 1:36:58 maybe getting an implant. So I know that 1:36:58 maybe getting an implant. So I know that means a pause in the prolia or 1:37:01 means a pause in the prolia or 1:37:01 means a pause in the prolia or potentially. 1:37:03 potentially. 1:37:03 potentially. Um, and I also have fractures in my foot 1:37:07 Um, and I also have fractures in my foot 1:37:07 Um, and I also have fractures in my foot at the same time all this is going on. 1:37:11 at the same time all this is going on. 1:37:11 at the same time all this is going on. So, I'm meeting with the endocrinologist 1:37:13 So, I'm meeting with the endocrinologist 1:37:13 So, I'm meeting with the endocrinologist and I know that he's been urging me to 1:37:16 and I know that he's been urging me to 1:37:16 and I know that he's been urging me to try reclass for a while 1:37:20 try reclass for a while 1:37:20 try reclass for a while and I and I'm now just learning that 1:37:22 and I and I'm now just learning that 1:37:22 and I and I'm now just learning that there's this rebound with Prolia. 1:37:25 there's this rebound with Prolia. 1:37:26 there's this rebound with Prolia. So, do you think that following 1:37:30 So, do you think that following 1:37:30 So, do you think that following Prolia with reclass is a good idea? I've 1:37:32 Prolia with reclass is a good idea? I've 1:37:32 Prolia with reclass is a good idea? I've never had CTX or P P1NP testing. Should 1:37:38 never had CTX or P P1NP testing. Should 1:37:38 never had CTX or P P1NP testing. Should I do that first? 1:37:40 I do that first? 1:37:40 I do that first? Yeah. So, the longer that you've been on 1:37:43 Yeah. So, the longer that you've been on 1:37:43 Yeah. So, the longer that you've been on Prolia, the the um more rebound 1:37:47 Prolia, the the um more rebound 1:37:47 Prolia, the the um more rebound it it um that happens. Anything past a 1:37:52 it it um that happens. Anything past a 1:37:52 it it um that happens. Anything past a year and a half will have vigorous 1:37:54 year and a half will have vigorous 1:37:54 year and a half will have vigorous rebound. 10 years is going to have an 1:37:57 rebound. 10 years is going to have an 1:37:57 rebound. 10 years is going to have an extreme rebound. 1:37:59 extreme rebound. 1:38:00 extreme rebound. Um 1:38:01 Um 1:38:01 Um this kind of rebound should be followed 1:38:04 this kind of rebound should be followed 1:38:04 this kind of rebound should be followed by somebody who really knows what 1:38:07 by somebody who really knows what 1:38:07 by somebody who really knows what they're doing. So, um, if my patient 1:38:11 they're doing. So, um, if my patient 1:38:11 they're doing. So, um, if my patient came to me in this situation, I would 1:38:13 came to me in this situation, I would 1:38:13 came to me in this situation, I would have them go to Dr. McCormack and have 1:38:16 have them go to Dr. McCormack and have 1:38:16 have them go to Dr. McCormack and have Dr. McCormack handle the rebound. 1:38:20 Dr. McCormack handle the rebound. 1:38:20 Dr. McCormack handle the rebound. >> Okay. 1:38:22 >> Okay. 1:38:22 >> Okay. And I can reach him. 1:38:24 And I can reach him. 1:38:24 And I can reach him. >> He does consultations all over the 1:38:26 >> He does consultations all over the 1:38:26 >> He does consultations all over the country. you can tell them that you were 1:38:28 country. you can tell them that you were 1:38:28 country. you can tell them that you were on a Q&A with with me and Margie and 1:38:32 on a Q&A with with me and Margie and 1:38:32 on a Q&A with with me and Margie and that and that you are looking at a 1:38:35 that and that you are looking at a 1:38:35 that and that you are looking at a potential um really difficult prolia 1:38:38 potential um really difficult prolia 1:38:38 potential um really difficult prolia rebound and that we we um think that you 1:38:42 rebound and that we we um think that you 1:38:42 rebound and that we we um think that you you need an kind of a semi-urgent 1:38:46 you need an kind of a semi-urgent 1:38:46 you need an kind of a semi-urgent appointment. 1:38:48 appointment. 1:38:48 appointment. >> Okay. Thank you. 1:38:49 >> Okay. Thank you. 1:38:49 >> Okay. Thank you. >> I'll put I'll put it in the chat for 1:38:50 >> I'll put I'll put it in the chat for 1:38:50 >> I'll put I'll put it in the chat for you. His I put it earlier, but I'll put 1:38:52 you. His I put it earlier, but I'll put 1:38:52 you. His I put it earlier, but I'll put his consultation. 1:38:53 his consultation. 1:38:53 his consultation. >> Do you agree with me, Margie? Oh, 1:38:55 >> Do you agree with me, Margie? Oh, 1:38:55 >> Do you agree with me, Margie? Oh, absolutely. I, as I said, I'm speaking 1:38:58 absolutely. I, as I said, I'm speaking 1:38:58 absolutely. I, as I said, I'm speaking to him right after, so I can mention 1:38:59 to him right after, so I can mention 1:39:00 to him right after, so I can mention your name. [laughter] 1:39:01 your name. [laughter] 1:39:01 your name. [laughter] I can let him know that you might be 1:39:04 I can let him know that you might be 1:39:04 I can let him know that you might be >> Reena. Yeah. Yeah. He's the best person 1:39:07 >> Reena. Yeah. Yeah. He's the best person 1:39:08 >> Reena. Yeah. Yeah. He's the best person who comes from an integrative approach, 1:39:09 who comes from an integrative approach, 1:39:09 who comes from an integrative approach, but has had so much experience with the 1:39:11 but has had so much experience with the 1:39:11 but has had so much experience with the medications. And so that's who we like 1:39:14 medications. And so that's who we like 1:39:14 medications. And so that's who we like to refer to because he can help you 1:39:16 to refer to because he can help you 1:39:16 to refer to because he can help you figure out, all right, what can I do? 1:39:18 figure out, all right, what can I do? 1:39:18 figure out, all right, what can I do? There's very few people who have his mix 1:39:21 There's very few people who have his mix 1:39:21 There's very few people who have his mix of knowledge and expertise with 1:39:23 of knowledge and expertise with 1:39:23 of knowledge and expertise with medications. So yeah, I agree totally. 1:39:26 medications. So yeah, I agree totally. 1:39:26 medications. So yeah, I agree totally. Dr. Milman, I'll put his number in the 1:39:28 Dr. Milman, I'll put his number in the 1:39:28 Dr. Milman, I'll put his number in the chat right now. 1:39:30 chat right now. 1:39:30 chat right now. >> So Irene, can you can you come on? 1:39:34 >> So Irene, can you can you come on? 1:39:34 >> So Irene, can you can you come on? >> We skipped over you. 1:39:35 >> We skipped over you. 1:39:35 >> We skipped over you. >> Can you hear me? 1:39:37 >> Can you hear me? 1:39:38 >> Can you hear me? >> Barely. We can barely hear you. Can you 1:39:40 >> Barely. We can barely hear you. Can you 1:39:40 >> Barely. We can barely hear you. Can you turn up your mic? 1:39:43 turn up your mic? 1:39:43 turn up your mic? >> Now is that any better? 1:39:46 >> Now is that any better? 1:39:46 >> Now is that any better? Uh, and I'm just hearing a lot of echoey 1:39:50 Uh, and I'm just hearing a lot of echoey 1:39:50 Uh, and I'm just hearing a lot of echoey kind of 1:39:52 kind of 1:39:52 kind of >> if not just chat t type it in chat if we 1:39:55 >> if not just chat t type it in chat if we 1:39:55 >> if not just chat t type it in chat if we can't hear you and we can take someone 1:39:56 can't hear you and we can take someone 1:39:56 can't hear you and we can take someone else in the meantime. The other person 1:39:58 else in the meantime. The other person 1:39:58 else in the meantime. The other person who couldn't um who who can't doesn't 1:40:01 who couldn't um who who can't doesn't 1:40:01 who couldn't um who who can't doesn't know how to raise her hand for some um 1:40:03 know how to raise her hand for some um 1:40:03 know how to raise her hand for some um is having issues was so I told her that 1:40:06 is having issues was so I told her that 1:40:06 is having issues was so I told her that you could just call on her. 1:40:08 you could just call on her. 1:40:08 you could just call on her. >> Uh is that Heather with her hand raised 1:40:11 >> Uh is that Heather with her hand raised 1:40:11 >> Uh is that Heather with her hand raised right there? 1:40:12 right there? 1:40:12 right there? >> Oh, did you get it? Did you figure it 1:40:13 >> Oh, did you get it? Did you figure it 1:40:13 >> Oh, did you get it? Did you figure it out, Heather? Oh, good. 1:40:14 out, Heather? Oh, good. 1:40:14 out, Heather? Oh, good. >> [laughter] 1:40:19 >> So, Heather, we can take you while 1:40:19 >> So, Heather, we can take you while Irene's gonna um type in the chat. 1:40:36 No, maybe she it was earlier that she 1:40:36 No, maybe she it was earlier that she had mentioned she couldn't come on. 1:40:44 Okay. 1:40:44 Okay. Um, Heather, can you unmute? 1:41:03 >> Oh, there's Heather 1:41:03 >> Oh, there's Heather >> there. Can you hear Heather now? 1:41:05 >> there. Can you hear Heather now? 1:41:05 >> there. Can you hear Heather now? >> Yes. 1:41:06 >> Yes. 1:41:06 >> Yes. >> Okay, there you go. 1:41:08 >> Okay, there you go. 1:41:08 >> Okay, there you go. >> Hello, Dr. Nelum. How are you today? 1:41:11 >> Hello, Dr. Nelum. How are you today? 1:41:11 >> Hello, Dr. Nelum. How are you today? >> I'm good, thank you, Heather. I I think 1:41:13 >> I'm good, thank you, Heather. I I think 1:41:13 >> I'm good, thank you, Heather. I I think this is hard for you because people have 1:41:16 this is hard for you because people have 1:41:16 this is hard for you because people have so many questions and like you said, you 1:41:18 so many questions and like you said, you 1:41:18 so many questions and like you said, you can't give that advice and I see it in 1:41:21 can't give that advice and I see it in 1:41:21 can't give that advice and I see it in your face sometimes. It's like, oh gosh. 1:41:25 your face sometimes. It's like, oh gosh. 1:41:25 your face sometimes. It's like, oh gosh. But anyways, I am 66. 1:41:27 But anyways, I am 66. 1:41:27 But anyways, I am 66. >> Well, I'm trying. 1:41:29 >> Well, I'm trying. 1:41:29 >> Well, I'm trying. >> Oh, you're doing your best. Absolutely. 1:41:31 >> Oh, you're doing your best. Absolutely. 1:41:31 >> Oh, you're doing your best. Absolutely. I think that's you in a bad situation. 1:41:34 I think that's you in a bad situation. 1:41:34 I think that's you in a bad situation. But anyways, um I'm 66 years old. I just 1:41:39 But anyways, um I'm 66 years old. I just 1:41:39 But anyways, um I'm 66 years old. I just was recently diagnosed with um 1:41:42 was recently diagnosed with um 1:41:42 was recently diagnosed with um osteoporosis 1:41:44 osteoporosis 1:41:44 osteoporosis mild 1:41:46 mild 1:41:46 mild and I'm seeing a physiootherapist. 1:41:49 and I'm seeing a physiootherapist. 1:41:49 and I'm seeing a physiootherapist. Uh it's in the left hip 1:41:52 Uh it's in the left hip 1:41:52 Uh it's in the left hip and the S left SI joint 1:41:56 and the S left SI joint 1:41:56 and the S left SI joint and I have a a narrowing in my left hip. 1:42:01 and I have a a narrowing in my left hip. 1:42:01 and I have a a narrowing in my left hip. So, I was on the internet the other day 1:42:03 So, I was on the internet the other day 1:42:03 So, I was on the internet the other day quickly and I seen uh Margie, I guess it 1:42:07 quickly and I seen uh Margie, I guess it 1:42:07 quickly and I seen uh Margie, I guess it is, uh come up and I thought, well, this 1:42:10 is, uh come up and I thought, well, this 1:42:10 is, uh come up and I thought, well, this be interesting 1:42:12 be interesting 1:42:12 be interesting >> to find out. Again, all these numbers 1:42:14 >> to find out. Again, all these numbers 1:42:14 >> to find out. Again, all these numbers like I'm just I'm kind of overwhelmed 1:42:16 like I'm just I'm kind of overwhelmed 1:42:16 like I'm just I'm kind of overwhelmed with it all. 1:42:17 with it all. 1:42:17 with it all. >> Yeah. 1:42:18 >> Yeah. 1:42:18 >> Yeah. >> But I just wonder, you know, to be 1:42:21 >> But I just wonder, you know, to be 1:42:22 >> But I just wonder, you know, to be proactive. 1:42:23 proactive. 1:42:23 proactive. I do have a family history. I have four 1:42:26 I do have a family history. I have four 1:42:26 I do have a family history. I have four sisters that have osteoporosis 1:42:29 sisters that have osteoporosis 1:42:30 sisters that have osteoporosis that are on medication, but I'm I'm not 1:42:32 that are on medication, but I'm I'm not 1:42:32 that are on medication, but I'm I'm not there and I hope I never have to be. Um 1:42:36 there and I hope I never have to be. Um 1:42:36 there and I hope I never have to be. Um would would the exercises be enough to 1:42:40 would would the exercises be enough to 1:42:40 would would the exercises be enough to help? So whenever somebody says, so I 1:42:45 help? So whenever somebody says, so I 1:42:45 help? So whenever somebody says, so I think actually this last podcast that we 1:42:47 think actually this last podcast that we 1:42:47 think actually this last podcast that we did, you should you should watch it 1:42:49 did, you should you should watch it 1:42:49 did, you should you should watch it because we we did a couple of case 1:42:51 because we we did a couple of case 1:42:52 because we we did a couple of case studies and and um and how much people 1:42:56 studies and and um and how much people 1:42:56 studies and and um and how much people are seeing of an improvement with 1:42:59 are seeing of an improvement with 1:42:59 are seeing of an improvement with exercise with the weight training with 1:43:01 exercise with the weight training with 1:43:01 exercise with the weight training with Oniero. And Margie, you had some of the 1:43:04 Oniero. And Margie, you had some of the 1:43:04 Oniero. And Margie, you had some of the you had numbers that that um Oh, I I 1:43:09 you had numbers that that um Oh, I I 1:43:09 you had numbers that that um Oh, I I guess you you had some numbers from 1:43:11 guess you you had some numbers from 1:43:11 guess you you had some numbers from Claudia. Did you want to repeat? 1:43:13 Claudia. Did you want to repeat? 1:43:13 Claudia. Did you want to repeat? >> I don't remember exactly the numbers, 1:43:15 >> I don't remember exactly the numbers, 1:43:15 >> I don't remember exactly the numbers, but people have I mean, this is the 1:43:17 but people have I mean, this is the 1:43:17 but people have I mean, this is the beautiful thing. So, Belinda Beck, Dr. 1:43:19 beautiful thing. So, Belinda Beck, Dr. 1:43:19 beautiful thing. So, Belinda Beck, Dr. Dr. Belinda Beck, who actually is the 1:43:22 Dr. Belinda Beck, who actually is the 1:43:22 Dr. Belinda Beck, who actually is the person who created ONERO and she ran the 1:43:24 person who created ONERO and she ran the 1:43:24 person who created ONERO and she ran the Lyftmore trials and the study and all 1:43:27 Lyftmore trials and the study and all 1:43:27 Lyftmore trials and the study and all the research and so I've had interviews 1:43:29 the research and so I've had interviews 1:43:29 the research and so I've had interviews with her several times and yes you can 1:43:33 with her several times and yes you can 1:43:33 with her several times and yes you can increase your bone density and there are 1:43:34 increase your bone density and there are 1:43:34 increase your bone density and there are people who you know there were people 1:43:36 people who you know there were people 1:43:36 people who you know there were people and this is what Dr. Claudia Tamasi as 1:43:38 and this is what Dr. Claudia Tamasi as 1:43:38 and this is what Dr. Claudia Tamasi as well. So yes, you can increase with the 1:43:40 well. So yes, you can increase with the 1:43:40 well. So yes, you can increase with the onero um but it's not like just simple 1:43:42 onero um but it's not like just simple 1:43:42 onero um but it's not like just simple weight training you know this is whole 1:43:44 weight training you know this is whole 1:43:44 weight training you know this is whole body and it's um you know it's a little 1:43:47 body and it's um you know it's a little 1:43:47 body and it's um you know it's a little more intense. However, people have 1:43:48 more intense. However, people have 1:43:48 more intense. However, people have increased their bone density with the 1:43:50 increased their bone density with the 1:43:50 increased their bone density with the exercise and they continue that's what 1:43:53 exercise and they continue that's what 1:43:53 exercise and they continue that's what she said like there are people three 1:43:55 she said like there are people three 1:43:55 she said like there are people three four years continuing to increase bone 1:43:57 four years continuing to increase bone 1:43:57 four years continuing to increase bone density. Um according to Dr. Claudia, 1:44:00 density. Um according to Dr. Claudia, 1:44:00 density. Um according to Dr. Claudia, she sees the greatest gains when people 1:44:02 she sees the greatest gains when people 1:44:02 she sees the greatest gains when people combine that with the um hormone 1:44:05 combine that with the um hormone 1:44:05 combine that with the um hormone replacement, you know, the two of them 1:44:06 replacement, you know, the two of them 1:44:06 replacement, you know, the two of them together, but she sees also I mean I I'm 1:44:09 together, but she sees also I mean I I'm 1:44:09 together, but she sees also I mean I I'm I've been doing Oniero for it's years 1:44:11 I've been doing Oniero for it's years 1:44:12 I've been doing Oniero for it's years now and people continue to increase and 1:44:14 now and people continue to increase and 1:44:14 now and people continue to increase and I have as well and so yeah, so you can 1:44:17 I have as well and so yeah, so you can 1:44:17 I have as well and so yeah, so you can but it depends where you're at. You 1:44:18 but it depends where you're at. You 1:44:18 but it depends where you're at. You know, both Dr. Milman and I if you have 1:44:21 know, both Dr. Milman and I if you have 1:44:21 know, both Dr. Milman and I if you have root causes like it's the combination is 1:44:24 root causes like it's the combination is 1:44:24 root causes like it's the combination is what's so important. You need to look at 1:44:26 what's so important. You need to look at 1:44:26 what's so important. You need to look at your root causes and see what's going on 1:44:29 your root causes and see what's going on 1:44:29 your root causes and see what's going on because if you're missing that piece, 1:44:31 because if you're missing that piece, 1:44:31 because if you're missing that piece, you know, it's really the combination of 1:44:33 you know, it's really the combination of 1:44:33 you know, it's really the combination of the root causes, the diet, the exercise, 1:44:37 the root causes, the diet, the exercise, 1:44:37 the root causes, the diet, the exercise, you know, all of those things and the 1:44:38 you know, all of those things and the 1:44:38 you know, all of those things and the stress reduction. It's really the 1:44:40 stress reduction. It's really the 1:44:40 stress reduction. It's really the combination that's most effective. So, 1:44:42 combination that's most effective. So, 1:44:42 combination that's most effective. So, yes, exercise can help, but why would 1:44:45 yes, exercise can help, but why would 1:44:45 yes, exercise can help, but why would you want to miss all these other pieces? 1:44:47 you want to miss all these other pieces? 1:44:47 you want to miss all these other pieces? That's sort of how we look at it. So, 1:44:49 That's sort of how we look at it. So, 1:44:49 That's sort of how we look at it. So, but yeah, 1:44:50 but yeah, 1:44:50 but yeah, >> that's a great point. It's exciting that 1:44:52 >> that's a great point. It's exciting that 1:44:52 >> that's a great point. It's exciting that the exercise is I mean it's so exciting 1:44:55 the exercise is I mean it's so exciting 1:44:55 the exercise is I mean it's so exciting to me because there's nothing better 1:44:57 to me because there's nothing better 1:44:57 to me because there's nothing better than being strong and you know it's it's 1:45:00 than being strong and you know it's it's 1:45:00 than being strong and you know it's it's exciting as you get older to actually 1:45:01 exciting as you get older to actually 1:45:02 exciting as you get older to actually improve your strength. But it's all the 1:45:03 improve your strength. But it's all the 1:45:03 improve your strength. But it's all the pieces I think is so important. I would 1:45:06 pieces I think is so important. I would 1:45:06 pieces I think is so important. I would never tell someone to miss a step and 1:45:07 never tell someone to miss a step and 1:45:07 never tell someone to miss a step and only do exercise. 1:45:10 only do exercise. 1:45:10 only do exercise. >> Oh, okay. I I'm Can you hear me? 1:45:13 >> Oh, okay. I I'm Can you hear me? 1:45:13 >> Oh, okay. I I'm Can you hear me? >> Yes. 1:45:14 >> Yes. 1:45:14 >> Yes. >> Yeah. I'm from Canada, so I I didn't I 1:45:17 >> Yeah. I'm from Canada, so I I didn't I 1:45:17 >> Yeah. I'm from Canada, so I I didn't I didn't know this was from the States, 1:45:20 didn't know this was from the States, 1:45:20 didn't know this was from the States, but I mean, we I can certainly get help 1:45:23 but I mean, we I can certainly get help 1:45:23 but I mean, we I can certainly get help here, too. Um, I'm just trying to be 1:45:26 here, too. Um, I'm just trying to be 1:45:26 here, too. Um, I'm just trying to be proactive, right? So, I do see my GP in 1:45:30 proactive, right? So, I do see my GP in 1:45:30 proactive, right? So, I do see my GP in uh a week, and I don't take calcium. I'm 1:45:33 uh a week, and I don't take calcium. I'm 1:45:34 uh a week, and I don't take calcium. I'm not on vitamin D. Um, so 1:45:37 not on vitamin D. Um, so 1:45:37 not on vitamin D. Um, so >> vitamin K, 1:45:38 >> vitamin K, 1:45:38 >> vitamin K, >> no, 1:45:40 >> no, 1:45:40 >> no, >> vitamin K might be the most important 1:45:42 >> vitamin K might be the most important 1:45:42 >> vitamin K might be the most important supplement for for bones. 1:45:45 supplement for for bones. 1:45:45 supplement for for bones. I mean, some of these ba this basic 1:45:47 I mean, some of these ba this basic 1:45:47 I mean, some of these ba this basic stuff. Um, 1:45:49 stuff. Um, 1:45:49 stuff. Um, >> yeah, I know. I'm very basic. Like, I I 1:45:51 >> yeah, I know. I'm very basic. Like, I I 1:45:52 >> yeah, I know. I'm very basic. Like, I I hear all these numbers and people 1:45:53 hear all these numbers and people 1:45:53 hear all these numbers and people talking and I'm thinking, "Oh my god, I 1:45:55 talking and I'm thinking, "Oh my god, I 1:45:55 talking and I'm thinking, "Oh my god, I hope I don't go down that road." 1:45:57 hope I don't go down that road." 1:45:57 hope I don't go down that road." >> Well, I mean, I've I've had a lot of 1:46:00 >> Well, I mean, I've I've had a lot of 1:46:00 >> Well, I mean, I've I've had a lot of students from Canada and welcome to join 1:46:03 students from Canada and welcome to join 1:46:03 students from Canada and welcome to join us. So, and then you'll learn and then 1:46:07 us. So, and then you'll learn and then 1:46:07 us. So, and then you'll learn and then you'll get get on some basic supplements 1:46:09 you'll get get on some basic supplements 1:46:09 you'll get get on some basic supplements and 1:46:10 and 1:46:10 and >> you can um Yeah. And then as 1:46:15 >> you can um Yeah. And then as 1:46:15 >> you can um Yeah. And then as I don't so 1:46:23 some of my patients improvements in 1:46:23 some of my patients improvements in numbers I have in at the on the top of 1:46:25 numbers I have in at the on the top of 1:46:25 numbers I have in at the on the top of my head but the the I know we we just 1:46:29 my head but the the I know we we just 1:46:29 my head but the the I know we we just did a podcast and I had a a a situation 1:46:32 did a podcast and I had a a a situation 1:46:32 did a podcast and I had a a a situation where one of my patients was was really 1:46:35 where one of my patients was was really 1:46:35 where one of my patients was was really just like the improvement that she had 1:46:38 just like the improvement that she had 1:46:38 just like the improvement that she had that one particular year was pretty much 1:46:41 that one particular year was pretty much 1:46:41 that one particular year was pretty much from Monero. 1:46:42 from Monero. 1:46:42 from Monero. And um and I it might have been a half a 1:46:46 And um and I it might have been a half a 1:46:46 And um and I it might have been a half a standard deviation um but it was only a 1:46:49 standard deviation um but it was only a 1:46:49 standard deviation um but it was only a year um and I I found that really 1:46:53 year um and I I found that really 1:46:53 year um and I I found that really profound you know to have that kind of 1:46:55 profound you know to have that kind of 1:46:55 profound you know to have that kind of improvement in just a year and like 1:46:57 improvement in just a year and like 1:46:57 improvement in just a year and like Margie says that when you get into the 1:47:00 Margie says that when you get into the 1:47:00 Margie says that when you get into the your fourth year now you've quadrupled 1:47:02 your fourth year now you've quadrupled 1:47:02 your fourth year now you've quadrupled that and so you you can you can gain 1:47:06 that and so you you can you can gain 1:47:06 that and so you you can you can gain gain some some um in mus muscle strength 1:47:10 gain some some um in mus muscle strength 1:47:10 gain some some um in mus muscle strength and bone 1:47:12 and bone 1:47:12 and bone uh by doing that. 1:47:14 uh by doing that. 1:47:14 uh by doing that. >> Yeah. 1:47:15 >> Yeah. 1:47:15 >> Yeah. >> But we're gonna have to move on because 1:47:16 >> But we're gonna have to move on because 1:47:16 >> But we're gonna have to move on because we we don't um we want to give 1:47:19 we we don't um we want to give 1:47:19 we we don't um we want to give [clears throat] everyone a chance. So, 1:47:20 [clears throat] everyone a chance. So, 1:47:20 [clears throat] everyone a chance. So, >> okay. Thank you very much both of you. 1:47:23 >> okay. Thank you very much both of you. 1:47:23 >> okay. Thank you very much both of you. >> You're welcome, Linda. 1:47:31 >> Hi. I know you've talked a lot about CTX 1:47:32 >> Hi. I know you've talked a lot about CTX and the P1NP this evening. It's evening 1:47:34 and the P1NP this evening. It's evening 1:47:34 and the P1NP this evening. It's evening for me. Uh I'm in New York State, but 1:47:37 for me. Uh I'm in New York State, but 1:47:37 for me. Uh I'm in New York State, but how often do you reme do you recommend 1:47:39 how often do you reme do you recommend 1:47:39 how often do you reme do you recommend that the CTX and the P1NP be repeated 1:47:44 that the CTX and the P1NP be repeated 1:47:44 that the CTX and the P1NP be repeated uh for someone who has um had a year of 1:47:48 uh for someone who has um had a year of 1:47:48 uh for someone who has um had a year of event and then one dose of reclass? 1:47:57 Uh I'm so sorry. I was just reading this 1:47:57 Uh I'm so sorry. I was just reading this thing about Dr. Greger said that all the 1:48:02 thing about Dr. Greger said that all the 1:48:02 thing about Dr. Greger said that all the studies on the benefits of K's were 1:48:04 studies on the benefits of K's were 1:48:04 studies on the benefits of K's were deemed fraudulent. This is absolutely 1:48:07 deemed fraudulent. This is absolutely 1:48:07 deemed fraudulent. This is absolutely not true. So Dr. Greger um said that the 1:48:12 not true. So Dr. Greger um said that the 1:48:12 not true. So Dr. Greger um said that the benefits of of K were deemed fraudulent. 1:48:15 benefits of of K were deemed fraudulent. 1:48:15 benefits of of K were deemed fraudulent. this was true that there were a couple 1:48:18 this was true that there were a couple 1:48:18 this was true that there were a couple of studies in the big landmark Japanese 1:48:21 of studies in the big landmark Japanese 1:48:21 of studies in the big landmark Japanese study that got received um got um 1:48:24 study that got received um got um 1:48:24 study that got received um got um rescended and those got taken out and it 1:48:28 rescended and those got taken out and it 1:48:28 rescended and those got taken out and it got reanalyzed 1:48:30 got reanalyzed 1:48:30 got reanalyzed and the and there was still benefit and 1:48:33 and the and there was still benefit and 1:48:33 and the and there was still benefit and it didn't really change the results that 1:48:35 it didn't really change the results that 1:48:35 it didn't really change the results that much and PubMed did not retract the 1:48:40 much and PubMed did not retract the 1:48:40 much and PubMed did not retract the article that was redone with these other 1:48:43 article that was redone with these other 1:48:43 article that was redone with these other these up. There were a couple of studies 1:48:46 these up. There were a couple of studies 1:48:46 these up. There were a couple of studies where they took them out of the 1:48:48 where they took them out of the 1:48:48 where they took them out of the analysis, but PubMed did not retract all 1:48:51 analysis, but PubMed did not retract all 1:48:51 analysis, but PubMed did not retract all of that data. So that and and and to say 1:48:54 of that data. So that and and and to say 1:48:54 of that data. So that and and and to say that that that data was fraudulent, 1:48:59 that that that data was fraudulent, 1:48:59 that that that data was fraudulent, I I don't think that that's true. And 1:49:01 I I don't think that that's true. And 1:49:01 I I don't think that that's true. And then um you don't need Dr. McCormack to 1:49:05 then um you don't need Dr. McCormack to 1:49:05 then um you don't need Dr. McCormack to tell you that you can be on estrogen or 1:49:08 tell you that you can be on estrogen or 1:49:08 tell you that you can be on estrogen or HRT with Prolia. 1:49:11 HRT with Prolia. 1:49:11 HRT with Prolia. Okay, Linda, let's go with you. Okay. 1:49:14 Okay, Linda, let's go with you. Okay. 1:49:14 Okay, Linda, let's go with you. Okay. So, uh, so I know you've talked a lot 1:49:17 So, uh, so I know you've talked a lot 1:49:17 So, uh, so I know you've talked a lot about CTX and the P1NP, 1:49:20 about CTX and the P1NP, 1:49:20 about CTX and the P1NP, but my my question is is 1:49:23 but my my question is is 1:49:23 but my my question is is if you have a patient that's done the 1:49:25 if you have a patient that's done the 1:49:25 if you have a patient that's done the one-year course of a vanity and then 1:49:28 one-year course of a vanity and then 1:49:28 one-year course of a vanity and then follows up immediately with um reclass, 1:49:32 follows up immediately with um reclass, 1:49:32 follows up immediately with um reclass, how often would you repeat the CTX and 1:49:36 how often would you repeat the CTX and 1:49:36 how often would you repeat the CTX and do you always do the P1 and P at the 1:49:39 do you always do the P1 and P at the 1:49:39 do you always do the P1 and P at the same time? 1:49:40 same time? 1:49:40 same time? Yeah. So, um, so for a venity usually, 1:49:45 Yeah. So, um, so for a venity usually, 1:49:45 Yeah. So, um, so for a venity usually, um, that's a pretty easy rebound and you 1:49:49 um, that's a pretty easy rebound and you 1:49:49 um, that's a pretty easy rebound and you don't even need to get the CTX and the 1:49:51 don't even need to get the CTX and the 1:49:51 don't even need to get the CTX and the P1 NP at the transition point. Mo like 1:49:55 P1 NP at the transition point. Mo like 1:49:55 P1 NP at the transition point. Mo like for prolia, prolia those is the biggest 1:49:57 for prolia, prolia those is the biggest 1:49:57 for prolia, prolia those is the biggest one where you really need to know what 1:49:59 one where you really need to know what 1:49:59 one where you really need to know what the CTX and the P1 NPS are into the 1:50:03 the CTX and the P1 NPS are into the 1:50:03 the CTX and the P1 NPS are into the transition. But usually all we do for 1:50:06 transition. But usually all we do for 1:50:06 transition. But usually all we do for avenity to reclass is three months into 1:50:09 avenity to reclass is three months into 1:50:09 avenity to reclass is three months into the reclass we check the CTX and the 1:50:11 the reclass we check the CTX and the 1:50:11 the reclass we check the CTX and the P1NP make sure that the reclass is 1:50:14 P1NP make sure that the reclass is 1:50:14 P1NP make sure that the reclass is sufficiently 1:50:16 sufficiently 1:50:16 sufficiently reducing the CTX. The CTX should be like 1:50:19 reducing the CTX. The CTX should be like 1:50:19 reducing the CTX. The CTX should be like 200 or something like that 200 or less. 1:50:23 200 or something like that 200 or less. 1:50:23 200 or something like that 200 or less. And then if that's the case, then 1:50:27 And then if that's the case, then 1:50:27 And then if that's the case, then right around the year mark, then it it 1:50:31 right around the year mark, then it it 1:50:31 right around the year mark, then it it gets rechecked to see whether another 1:50:34 gets rechecked to see whether another 1:50:34 gets rechecked to see whether another dose of reclass is needed and when 1:50:37 dose of reclass is needed and when 1:50:37 dose of reclass is needed and when another dose of reclass is needed. 1:50:41 another dose of reclass is needed. 1:50:41 another dose of reclass is needed. >> Okay. So that's that's the protocol that 1:50:44 >> Okay. So that's that's the protocol that 1:50:44 >> Okay. So that's that's the protocol that you would normally follow. 1:50:47 you would normally follow. 1:50:47 you would normally follow. >> It is a very easy rebound. 1:50:50 >> It is a very easy rebound. 1:50:50 >> It is a very easy rebound. >> What do you mean by easy rebound? 1:50:53 >> What do you mean by easy rebound? 1:50:53 >> What do you mean by easy rebound? It it just you just do you can even do 1:50:55 It it just you just do you can even do 1:50:55 It it just you just do you can even do fossamax with it. it because so so the 1:51:00 fossamax with it. it because so so the 1:51:00 fossamax with it. it because so so the so um prolia the reason why the rebound 1:51:03 so um prolia the reason why the rebound 1:51:03 so um prolia the reason why the rebound is so bad is because the um the what 1:51:08 is so bad is because the um the what 1:51:08 is so bad is because the um the what happens is that the class the osteoclass 1:51:10 happens is that the class the osteoclass 1:51:10 happens is that the class the osteoclass don't get killed like a in a 1:51:12 don't get killed like a in a 1:51:12 don't get killed like a in a bisphosphinate they just get um they get 1:51:16 bisphosphinate they just get um they get 1:51:16 bisphosphinate they just get um they get split into two and these are called 1:51:18 split into two and these are called 1:51:18 split into two and these are called osteomorphs and then when the re when 1:51:21 osteomorphs and then when the re when 1:51:21 osteomorphs and then when the re when the prolia is gone they fuse back 1:51:24 the prolia is gone they fuse back 1:51:24 the prolia is gone they fuse back together And but this whole time these 1:51:28 together And but this whole time these 1:51:28 together And but this whole time these osteomorphs are being generated. So now 1:51:31 osteomorphs are being generated. So now 1:51:31 osteomorphs are being generated. So now you got a ton of osteoclasts that are 1:51:33 you got a ton of osteoclasts that are 1:51:33 you got a ton of osteoclasts that are active all at the same time and then 1:51:36 active all at the same time and then 1:51:36 active all at the same time and then they just start breaking down all the 1:51:39 they just start breaking down all the 1:51:39 they just start breaking down all the bone that you that you just built and um 1:51:44 bone that you that you just built and um 1:51:44 bone that you that you just built and um and you really have to shut these 1:51:46 and you really have to shut these 1:51:46 and you really have to shut these osteoclast down really quickly and you 1:51:48 osteoclast down really quickly and you 1:51:48 osteoclast down really quickly and you have to know the right time. So and 1:51:51 have to know the right time. So and 1:51:51 have to know the right time. So and prolia is a drug that lasts anywhere 1:51:54 prolia is a drug that lasts anywhere 1:51:54 prolia is a drug that lasts anywhere from 6 to 9 months. So you need to know 1:51:57 from 6 to 9 months. So you need to know 1:51:57 from 6 to 9 months. So you need to know when the se when these osteoclasts are 1:52:00 when the se when these osteoclasts are 1:52:00 when the se when these osteoclasts are starting to get active and when they 1:52:03 starting to get active and when they 1:52:03 starting to get active and when they when they hit a certain point is that's 1:52:05 when they hit a certain point is that's 1:52:05 when they hit a certain point is that's when you trigger the IV reclass a venity 1:52:08 when you trigger the IV reclass a venity 1:52:08 when you trigger the IV reclass a venity just doesn't have this kind of a problem 1:52:12 just doesn't have this kind of a problem 1:52:12 just doesn't have this kind of a problem because the mechan because the mechanism 1:52:14 because the mechan because the mechanism 1:52:14 because the mechan because the mechanism isn't the same as with prolia. 1:52:17 isn't the same as with prolia. 1:52:17 isn't the same as with prolia. >> Okay. Right. 1:52:20 >> Okay. Right. 1:52:20 >> Okay. Right. Very easy rebound. Really easy rebound. 1:52:23 Very easy rebound. Really easy rebound. 1:52:24 Very easy rebound. Really easy rebound. >> Okay. Thank you. 1:52:25 >> Okay. Thank you. 1:52:25 >> Okay. Thank you. >> You're welcome. D. 1:52:34 >> Hi. 1:52:34 >> Hi. >> Hi. 1:52:34 >> Hi. 1:52:34 >> Hi. >> Um what I'd like to know is um what the 1:52:38 >> Um what I'd like to know is um what the 1:52:38 >> Um what I'd like to know is um what the research says about someone who is 1:52:42 research says about someone who is 1:52:42 research says about someone who is osteoporosis in the hip and femoral 1:52:45 osteoporosis in the hip and femoral 1:52:45 osteoporosis in the hip and femoral neck. um 1:52:49 neck. um 1:52:49 neck. um 2 point le it's less than -3 in the high 1:52:53 2 point le it's less than -3 in the high 1:52:53 2 point le it's less than -3 in the high twos um but spine is fine. What does the 1:52:57 twos um but spine is fine. What does the 1:52:57 twos um but spine is fine. What does the research say about the osteob? Will that 1:53:01 research say about the osteob? Will that 1:53:01 research say about the osteob? Will that help the spine? 1:53:06 help the spine? 1:53:06 help the spine? >> Um I'm gonna let Margie answer this 1:53:08 >> Um I'm gonna let Margie answer this 1:53:08 >> Um I'm gonna let Margie answer this question. 1:53:09 question. 1:53:09 question. >> Okay. So here's the deal on osteob. 1:53:14 >> Okay. So here's the deal on osteob. 1:53:14 >> Okay. So here's the deal on osteob. So osteob boost when they did the 1:53:17 So osteob boost when they did the 1:53:17 So osteob boost when they did the research, you know, they were looking 1:53:19 research, you know, they were looking 1:53:19 research, you know, they were looking for improvement. So they were looking at 1:53:21 for improvement. So they were looking at 1:53:21 for improvement. So they were looking at bone density. They didn't really see 1:53:23 bone density. They didn't really see 1:53:23 bone density. They didn't really see that that that didn't happen in the 1:53:25 that that that didn't happen in the 1:53:25 that that that didn't happen in the research. So then sometimes when the 1:53:27 research. So then sometimes when the 1:53:28 research. So then sometimes when the research doesn't show what they were 1:53:29 research doesn't show what they were 1:53:29 research doesn't show what they were looking for, they then try to look back. 1:53:32 looking for, they then try to look back. 1:53:32 looking for, they then try to look back. So all it showed was there was less bone 1:53:34 So all it showed was there was less bone 1:53:34 So all it showed was there was less bone loss in one vertebrae. So it's just one 1:53:37 loss in one vertebrae. So it's just one 1:53:37 loss in one vertebrae. So it's just one vertebrae L1. So the research was never 1:53:41 vertebrae L1. So the research was never 1:53:41 vertebrae L1. So the research was never for never for osteoporosis. It was for 1:53:43 for never for osteoporosis. It was for 1:53:43 for never for osteoporosis. It was for osteopenedia to prevent bone loss. So 1:53:46 osteopenedia to prevent bone loss. So 1:53:46 osteopenedia to prevent bone loss. So the research is not robust. There was 1:53:48 the research is not robust. There was 1:53:48 the research is not robust. There was actually articles written in I think 1:53:50 actually articles written in I think 1:53:50 actually articles written in I think osteoporosis international saying you 1:53:53 osteoporosis international saying you 1:53:53 osteoporosis international saying you know what kind of research is this? And 1:53:56 know what kind of research is this? And 1:53:56 know what kind of research is this? And truthfully you know we know exercise 1:53:58 truthfully you know we know exercise 1:53:58 truthfully you know we know exercise works. Um and you know it's just on you 1:54:01 works. Um and you know it's just on you 1:54:02 works. Um and you know it's just on you wear it on the hip. So to me 1:54:04 wear it on the hip. So to me 1:54:04 wear it on the hip. So to me [clears throat] you know I I just I 1:54:06 [clears throat] you know I I just I 1:54:06 [clears throat] you know I I just I don't see the value of it. I think there 1:54:09 don't see the value of it. I think there 1:54:09 don't see the value of it. I think there >> on the bottom good. 1:54:11 >> on the bottom good. 1:54:11 >> on the bottom good. >> Yeah. So anyway, so I don't so to me I'm 1:54:14 >> Yeah. So anyway, so I don't so to me I'm 1:54:14 >> Yeah. So anyway, so I don't so to me I'm not a fan because I don't see the 1:54:16 not a fan because I don't see the 1:54:16 not a fan because I don't see the research really isn't showing there's 1:54:18 research really isn't showing there's 1:54:18 research really isn't showing there's any great improvement and the thing and 1:54:21 any great improvement and the thing and 1:54:21 any great improvement and the thing and then there were some people that had to 1:54:22 then there were some people that had to 1:54:22 then there were some people that had to drop out of the study because it caused 1:54:24 drop out of the study because it caused 1:54:24 drop out of the study because it caused back pain. So I if I the one I like if 1:54:28 back pain. So I if I the one I like if 1:54:28 back pain. So I if I the one I like if anyone's going to do vibration is the 1:54:31 anyone's going to do vibration is the 1:54:31 anyone's going to do vibration is the low intensity is the Maridon low 1:54:33 low intensity is the Maridon low 1:54:33 low intensity is the Maridon low intensity vibration unit. Um but again 1:54:36 intensity vibration unit. Um but again 1:54:36 intensity vibration unit. Um but again to me the key is the exercise. These are 1:54:38 to me the key is the exercise. These are 1:54:38 to me the key is the exercise. These are all adjunks, but you know, I don't I 1:54:41 all adjunks, but you know, I don't I 1:54:41 all adjunks, but you know, I don't I don't find that the research is 1:54:42 don't find that the research is 1:54:42 don't find that the research is supportive. Like sometimes what happens 1:54:44 supportive. Like sometimes what happens 1:54:44 supportive. Like sometimes what happens is there can be so many claims, you 1:54:47 is there can be so many claims, you 1:54:47 is there can be so many claims, you know, oh, and then the newspapers get a 1:54:49 know, oh, and then the newspapers get a 1:54:49 know, oh, and then the newspapers get a hold of it and oh, it's so great, you 1:54:51 hold of it and oh, it's so great, you 1:54:51 hold of it and oh, it's so great, you know, and people get so excited, but if 1:54:53 know, and people get so excited, but if 1:54:53 know, and people get so excited, but if you look at what it actually showed, it 1:54:56 you look at what it actually showed, it 1:54:56 you look at what it actually showed, it isn't very positive. So that's that's my 1:54:59 isn't very positive. So that's that's my 1:54:59 isn't very positive. So that's that's my I wouldn't I I don't think it's worth 1:55:01 I wouldn't I I don't think it's worth 1:55:01 I wouldn't I I don't think it's worth it. 1:55:09 >> Okay. So Melanie dropped in Irene's 1:55:09 >> Okay. So Melanie dropped in Irene's question. So unfortunately Irene is 1:55:13 question. So unfortunately Irene is 1:55:13 question. So unfortunately Irene is giving 24-hour 1:55:15 giving 24-hour 1:55:15 giving 24-hour calcium numbers 1:55:17 calcium numbers 1:55:17 calcium numbers um in millim moles per day and I'm 1:55:22 um in millim moles per day and I'm 1:55:22 um in millim moles per day and I'm thinking that um Irene might be in a 1:55:26 thinking that um Irene might be in a 1:55:26 thinking that um Irene might be in a different country because we we look at 1:55:30 different country because we we look at 1:55:30 different country because we we look at milligrams per day here. So I don't 1:55:32 milligrams per day here. So I don't 1:55:32 milligrams per day here. So I don't know. Um, she is saying that her 1:55:37 know. Um, she is saying that her 1:55:37 know. Um, she is saying that her endocrinologist 1:55:39 endocrinologist 1:55:40 endocrinologist showed that th that was a loss of 1:55:42 showed that th that was a loss of 1:55:42 showed that th that was a loss of calcium. 1:55:44 calcium. 1:55:44 calcium. I can't confirm that cuz I don't I don't 1:55:47 I can't confirm that cuz I don't I don't 1:55:47 I can't confirm that cuz I don't I don't I don't know millim moles compared to 1:55:49 I don't know millim moles compared to 1:55:49 I don't know millim moles compared to millig. 1:55:51 millig. 1:55:51 millig. Somebody wants to put it in claude. 1:55:54 Somebody wants to put it in claude. 1:55:54 Somebody wants to put it in claude. Melanie, can you put this in claude and 1:55:57 Melanie, can you put this in claude and 1:55:57 Melanie, can you put this in claude and change um 6.66 66 millm moles per day of 1:56:02 change um 6.66 66 millm moles per day of 1:56:02 change um 6.66 66 millm moles per day of calcium to milligrams per day and then 1:56:06 calcium to milligrams per day and then 1:56:06 calcium to milligrams per day and then 10.62 1:56:08 10.62 1:56:08 10.62 her endocrinologist tested her kidneys 1:56:11 her endocrinologist tested her kidneys 1:56:11 her endocrinologist tested her kidneys and confirmed all is normal. 1:56:13 and confirmed all is normal. 1:56:13 and confirmed all is normal. Um, so what I do, um, Melanie, I don't 1:56:17 Um, so what I do, um, Melanie, I don't 1:56:17 Um, so what I do, um, Melanie, I don't think you have to. I'll just say what I 1:56:18 think you have to. I'll just say what I 1:56:18 think you have to. I'll just say what I do. When, uh, 24-hour urine calciums are 1:56:21 do. When, uh, 24-hour urine calciums are 1:56:21 do. When, uh, 24-hour urine calciums are high, then I also look at the, um, first 1:56:26 high, then I also look at the, um, first 1:56:26 high, then I also look at the, um, first of all, I look at the serum calcium 1:56:27 of all, I look at the serum calcium 1:56:27 of all, I look at the serum calcium level. If the serum calcium is over 10, 1:56:30 level. If the serum calcium is over 10, 1:56:30 level. If the serum calcium is over 10, I look at PTH. So, serum calcium and PTH 1:56:35 I look at PTH. So, serum calcium and PTH 1:56:35 I look at PTH. So, serum calcium and PTH and 24-hour urine calcium. If they're 1:56:37 and 24-hour urine calcium. If they're 1:56:37 and 24-hour urine calcium. If they're all elevated, then I'm worried about 1:56:39 all elevated, then I'm worried about 1:56:39 all elevated, then I'm worried about parathyroid disease. 1:56:42 parathyroid disease. 1:56:42 parathyroid disease. Um if the serum cal if the if the serum 1:56:46 Um if the serum cal if the if the serum 1:56:46 Um if the serum cal if the if the serum calcium is in the right range um 1:56:49 calcium is in the right range um 1:56:49 calcium is in the right range um actually if it is um if if if it's in 1:56:53 actually if it is um if if if it's in 1:56:53 actually if it is um if if if it's in the right range and then the PTH is 1:56:57 the right range and then the PTH is 1:56:57 the right range and then the PTH is normal or um in the right range 1:57:00 normal or um in the right range 1:57:00 normal or um in the right range especially with D.VA using D.VA's Steven 1:57:02 especially with D.VA using D.VA's Steven 1:57:02 especially with D.VA using D.VA's Steven Boon's calculator 1:57:05 Boon's calculator 1:57:05 Boon's calculator and the 24-hour urine calcium is high, 1:57:10 and the 24-hour urine calcium is high, 1:57:10 and the 24-hour urine calcium is high, then I think about things like metabolic 1:57:13 then I think about things like metabolic 1:57:13 then I think about things like metabolic acidosis. And metabolic acidosis is when 1:57:17 acidosis. And metabolic acidosis is when 1:57:17 acidosis. And metabolic acidosis is when either there is um too high of um 1:57:23 either there is um too high of um 1:57:23 either there is um too high of um acidity level in the body because of 1:57:24 acidity level in the body because of 1:57:24 acidity level in the body because of either toxicity 1:57:26 either toxicity 1:57:26 either toxicity or diet. sugar, high sugar diets will 1:57:30 or diet. sugar, high sugar diets will 1:57:30 or diet. sugar, high sugar diets will cause um an acidic pH. Um so I'm looking 1:57:34 cause um an acidic pH. Um so I'm looking 1:57:34 cause um an acidic pH. Um so I'm looking at the first morning pH. And if it's 1:57:37 at the first morning pH. And if it's 1:57:37 at the first morning pH. And if it's acidic, then I give potassium and 1:57:41 acidic, then I give potassium and 1:57:41 acidic, then I give potassium and magnesium. There's an electrolyte drink. 1:57:44 magnesium. There's an electrolyte drink. 1:57:44 magnesium. There's an electrolyte drink. It's called um seeking health optimal 1:57:47 It's called um seeking health optimal 1:57:47 It's called um seeking health optimal electrolytes. And often after a month or 1:57:51 electrolytes. And often after a month or 1:57:51 electrolytes. And often after a month or so, I can redo the 24-hour 1:57:54 so, I can redo the 24-hour 1:57:54 so, I can redo the 24-hour urine calcium and see that to come down. 1:57:57 urine calcium and see that to come down. 1:57:57 urine calcium and see that to come down. So then I have to if I know that they 1:58:00 So then I have to if I know that they 1:58:00 So then I have to if I know that they need more electrolytes, maybe they just 1:58:02 need more electrolytes, maybe they just 1:58:02 need more electrolytes, maybe they just need more minerals and more 1:58:05 need more minerals and more 1:58:05 need more minerals and more electrolytes, but also maybe they have 1:58:08 electrolytes, but also maybe they have 1:58:08 electrolytes, but also maybe they have some toxicity or something that's 1:58:10 some toxicity or something that's 1:58:10 some toxicity or something that's driving that. And then I try to figure 1:58:12 driving that. And then I try to figure 1:58:12 driving that. And then I try to figure that out. So that's kind of the whole 1:58:15 that out. So that's kind of the whole 1:58:16 that out. So that's kind of the whole 24-hour urine calcium in a nutshell. 1:58:28 >> hi Dr. from Milman. Um, thank you so 1:58:28 >> hi Dr. from Milman. Um, thank you so much and thank you to Margie as well. 1:58:30 much and thank you to Margie as well. 1:58:30 much and thank you to Margie as well. This has been um, great. A lot of 1:58:32 This has been um, great. A lot of 1:58:32 This has been um, great. A lot of wonderful information. Um, I have a 1:58:35 wonderful information. Um, I have a 1:58:35 wonderful information. Um, I have a question regarding um, HRT. Do you 1:58:37 question regarding um, HRT. Do you 1:58:38 question regarding um, HRT. Do you prefer bio identical HRT in like a patch 1:58:41 prefer bio identical HRT in like a patch 1:58:41 prefer bio identical HRT in like a patch or cream form or something like by Juva, 1:58:44 or cream form or something like by Juva, 1:58:44 or cream form or something like by Juva, which is a pill, but my gynecologist is 1:58:48 which is a pill, but my gynecologist is 1:58:48 which is a pill, but my gynecologist is saying that it's as close to 1:58:49 saying that it's as close to 1:58:49 saying that it's as close to bioididentical as a cream um, or a patch 1:58:54 bioididentical as a cream um, or a patch 1:58:54 bioididentical as a cream um, or a patch would be. and actually has even gone to 1:58:58 would be. and actually has even gone to 1:58:58 would be. and actually has even gone to say that it's better because um it has 1:59:01 say that it's better because um it has 1:59:01 say that it's better because um it has both the 1:59:03 both the 1:59:03 both the um estrogen and uh the progesterone 1:59:06 um estrogen and uh the progesterone 1:59:06 um estrogen and uh the progesterone together. Um so there's no you know with 1:59:10 together. Um so there's no you know with 1:59:10 together. Um so there's no you know with compounding facilities um things could 1:59:12 compounding facilities um things could 1:59:12 compounding facilities um things could be off. So okay so um I never um 1:59:18 be off. So okay so um I never um 1:59:18 be off. So okay so um I never um recommend an oral estrogen. Oral 1:59:21 recommend an oral estrogen. Oral 1:59:21 recommend an oral estrogen. Oral estrogens are associated with clots in 1:59:23 estrogens are associated with clots in 1:59:24 estrogens are associated with clots in the legs um and um increased risk of 1:59:27 the legs um and um increased risk of 1:59:27 the legs um and um increased risk of stroke. So um once or estrogen goes 1:59:31 stroke. So um once or estrogen goes 1:59:31 stroke. So um once or estrogen goes through the liver and goes through first 1:59:33 through the liver and goes through first 1:59:33 through the liver and goes through first pass metabolism, it increases the 1:59:36 pass metabolism, it increases the 1:59:36 pass metabolism, it increases the clotting pathway and that does not 1:59:39 clotting pathway and that does not 1:59:39 clotting pathway and that does not happen with topical or vaginal estrogen. 1:59:43 happen with topical or vaginal estrogen. 1:59:43 happen with topical or vaginal estrogen. So, I never ever ever 1:59:47 So, I never ever ever 1:59:47 So, I never ever ever not ever even once have I ever 1:59:51 not ever even once have I ever 1:59:51 not ever even once have I ever [laughter] 1:59:52 [laughter] 1:59:52 [laughter] um uh prescribed oral estrogen. Not 1:59:55 um uh prescribed oral estrogen. Not 1:59:55 um uh prescribed oral estrogen. Not ever. So um so then when I'm looking at 2:00:00 ever. So um so then when I'm looking at 2:00:00 ever. So um so then when I'm looking at and the the level is something like two 2:00:02 and the the level is something like two 2:00:02 and the the level is something like two times the um normal risk of of in the 2:00:07 times the um normal risk of of in the 2:00:07 times the um normal risk of of in the general population of clotting oral 2:00:09 general population of clotting oral 2:00:09 general population of clotting oral estrogens are at two times higher risk. 2:00:13 estrogens are at two times higher risk. 2:00:13 estrogens are at two times higher risk. Um so I don't care whether it's combined 2:00:15 Um so I don't care whether it's combined 2:00:15 Um so I don't care whether it's combined with progesterone or not. I would just 2:00:17 with progesterone or not. I would just 2:00:17 with progesterone or not. I would just never do that. Um uh bioididentical 2:00:21 never do that. Um uh bioididentical 2:00:21 never do that. Um uh bioididentical um 2:00:23 um 2:00:23 um means that 2:00:26 means that 2:00:26 means that um so I I only recommend bioididentical 2:00:31 um so I I only recommend bioididentical 2:00:31 um so I I only recommend bioididentical um hormones. That doesn't mean that so 2:00:34 um hormones. That doesn't mean that so 2:00:34 um hormones. That doesn't mean that so that means that it's estradiol 2:00:36 that means that it's estradiol 2:00:36 that means that it's estradiol and it's not something like a conjugated 2:00:39 and it's not something like a conjugated 2:00:40 and it's not something like a conjugated estrogen which which 2:00:43 estrogen which which 2:00:43 estrogen which which obs used to to give back in the day. 2:00:46 obs used to to give back in the day. 2:00:46 obs used to to give back in the day. That's that's a lot of where the um 2:00:49 That's that's a lot of where the um 2:00:49 That's that's a lot of where the um higher risk came from was the conjugated 2:00:52 higher risk came from was the conjugated 2:00:52 higher risk came from was the conjugated estrogens. 2:00:53 estrogens. 2:00:53 estrogens. So 2:00:55 So 2:00:55 So So if I'm giving a topical estrogen, the 2:00:58 So if I'm giving a topical estrogen, the 2:00:58 So if I'm giving a topical estrogen, the um the 2:01:01 um the 2:01:01 um the the pathway or the decision tree for the 2:01:04 the pathway or the decision tree for the 2:01:04 the pathway or the decision tree for the patient is this the patch. Um you you 2:01:08 patient is this the patch. Um you you 2:01:08 patient is this the patch. Um you you put it on twice a week. Um, there could 2:01:11 put it on twice a week. Um, there could 2:01:11 put it on twice a week. Um, there could be if a p person is sensitive to 2:01:14 be if a p person is sensitive to 2:01:14 be if a p person is sensitive to adhesive, they might have a problem with 2:01:16 adhesive, they might have a problem with 2:01:16 adhesive, they might have a problem with a patch. If they're in a hot tub or a 2:01:18 a patch. If they're in a hot tub or a 2:01:18 a patch. If they're in a hot tub or a sauna or they're sweating a lot, patch 2:01:21 sauna or they're sweating a lot, patch 2:01:21 sauna or they're sweating a lot, patch might fall off. Um, if they swim, then 2:01:24 might fall off. Um, if they swim, then 2:01:24 might fall off. Um, if they swim, then the patch might not be convenient. The 2:01:27 the patch might not be convenient. The 2:01:27 the patch might not be convenient. The creams only come from compoundingies. 2:01:30 creams only come from compoundingies. 2:01:30 creams only come from compoundingies. Uh, the patches only come from 2:01:33 Uh, the patches only come from 2:01:33 Uh, the patches only come from commercialies. 2:01:34 commercialies. 2:01:34 commercialies. So, the patches are covered by regular 2:01:37 So, the patches are covered by regular 2:01:37 So, the patches are covered by regular insurance. And then the creams. Um, 2:01:40 insurance. And then the creams. Um, 2:01:40 insurance. And then the creams. Um, yeah. I mean, do compounding pharmacies 2:01:43 yeah. I mean, do compounding pharmacies 2:01:43 yeah. I mean, do compounding pharmacies make some mistakes in concentration? 2:01:46 make some mistakes in concentration? 2:01:46 make some mistakes in concentration? I think that they I mean I it would be 2:01:50 I think that they I mean I it would be 2:01:50 I think that they I mean I it would be would be ridiculous of me to say that 2:01:52 would be ridiculous of me to say that 2:01:52 would be ridiculous of me to say that they never miss make mistakes. So, they 2:01:54 they never miss make mistakes. So, they 2:01:54 they never miss make mistakes. So, they could um I work with certain 2:01:57 could um I work with certain 2:01:57 could um I work with certain compoundingies that I've been working 2:01:59 compoundingies that I've been working 2:01:59 compoundingies that I've been working with for 10 years. So I, you know, have 2:02:02 with for 10 years. So I, you know, have 2:02:02 with for 10 years. So I, you know, have complete confidence in them as far as um 2:02:07 complete confidence in them as far as um 2:02:07 complete confidence in them as far as um concentration and and being as good as a 2:02:10 concentration and and being as good as a 2:02:10 concentration and and being as good as a compounding pharmacy is going to be. 2:02:13 compounding pharmacy is going to be. 2:02:13 compounding pharmacy is going to be. So did that answer your question? 2:02:15 So did that answer your question? 2:02:15 So did that answer your question? >> It does. Um, one more thing though, the 2:02:18 >> It does. Um, one more thing though, the 2:02:18 >> It does. Um, one more thing though, the Bjuva that it is it it is estradile. So 2:02:21 Bjuva that it is it it is estradile. So 2:02:22 Bjuva that it is it it is estradile. So I will say does that matter? Um, because 2:02:24 I will say does that matter? Um, because 2:02:24 I will say does that matter? Um, because it's still 2:02:25 it's still 2:02:25 it's still >> Okay. 2:02:26 >> Okay. 2:02:26 >> Okay. >> No. No. any oral estrogen, no matter 2:02:30 >> No. No. any oral estrogen, no matter 2:02:30 >> No. No. any oral estrogen, no matter what it is, whether it's bioididentical 2:02:32 what it is, whether it's bioididentical 2:02:32 what it is, whether it's bioididentical or whether it's synthetic or whether 2:02:35 or whether it's synthetic or whether 2:02:35 or whether it's synthetic or whether it's a conjugated aquin estrogen, it 2:02:37 it's a conjugated aquin estrogen, it 2:02:37 it's a conjugated aquin estrogen, it increases the clotting risk by two times 2:02:41 increases the clotting risk by two times 2:02:41 increases the clotting risk by two times over the general population. 2:02:43 over the general population. 2:02:43 over the general population. >> That's unbelievable information. I can't 2:02:45 >> That's unbelievable information. I can't 2:02:45 >> That's unbelievable information. I can't believe doctors um offer that. 2:02:49 believe doctors um offer that. 2:02:49 believe doctors um offer that. >> Um um 2:02:50 >> Um um 2:02:50 >> Um um >> you don't have to answer that. 2:02:52 >> you don't have to answer that. 2:02:52 >> you don't have to answer that. >> Yeah, [laughter] I won't even tell you 2:02:53 >> Yeah, [laughter] I won't even tell you 2:02:53 >> Yeah, [laughter] I won't even tell you what I think, right? because I mean it 2:02:56 what I think, right? because I mean it 2:02:56 what I think, right? because I mean it was kind of similar to the other patient 2:02:58 was kind of similar to the other patient 2:02:58 was kind of similar to the other patient that 2:02:59 that 2:02:59 that >> totally totally thank you so much. 2:03:01 >> totally totally thank you so much. 2:03:01 >> totally totally thank you so much. >> All right, so here's the deal. It's now 2:03:04 >> All right, so here's the deal. It's now 2:03:04 >> All right, so here's the deal. It's now like we have like five more minutes 2:03:06 like we have like five more minutes 2:03:06 like we have like five more minutes because as I said we put the limit on. 2:03:09 because as I said we put the limit on. 2:03:09 because as I said we put the limit on. So before just one though I just wanted 2:03:12 So before just one though I just wanted 2:03:12 So before just one though I just wanted to talk about the course because there's 2:03:14 to talk about the course because there's 2:03:14 to talk about the course because there's an early bird special just so that's 2:03:16 an early bird special just so that's 2:03:16 an early bird special just so that's it's tell them just give them the 2:03:18 it's tell them just give them the 2:03:18 it's tell them just give them the information when it starts. 2:03:20 information when it starts. 2:03:20 information when it starts. >> Yeah. Okay. So the cohort starts August 2:03:23 >> Yeah. Okay. So the cohort starts August 2:03:23 >> Yeah. Okay. So the cohort starts August 15th and so that's on a Saturday because 2:03:26 15th and so that's on a Saturday because 2:03:26 15th and so that's on a Saturday because and so it starts on a Saturday because 2:03:28 and so it starts on a Saturday because 2:03:28 and so it starts on a Saturday because that's when we drop in the first bit of 2:03:31 that's when we drop in the first bit of 2:03:31 that's when we drop in the first bit of content. So contents come in on Saturday 2:03:34 content. So contents come in on Saturday 2:03:34 content. So contents come in on Saturday into the portal and then we have the 2:03:35 into the portal and then we have the 2:03:36 into the portal and then we have the live Q&As's on Thursdays and um we have 2:03:40 live Q&As's on Thursdays and um we have 2:03:40 live Q&As's on Thursdays and um we have the new peptide module coming out. So 2:03:43 the new peptide module coming out. So 2:03:43 the new peptide module coming out. So there's lots and lots of good 2:03:45 there's lots and lots of good 2:03:45 there's lots and lots of good information. There's I don't know how 2:03:47 information. There's I don't know how 2:03:47 information. There's I don't know how many bonus bonus modules there are. 2:03:50 many bonus bonus modules there are. 2:03:50 many bonus bonus modules there are. There's six or seven of them, maybe 2:03:51 There's six or seven of them, maybe 2:03:51 There's six or seven of them, maybe eight. So, you get to work on the bonus 2:03:54 eight. So, you get to work on the bonus 2:03:54 eight. So, you get to work on the bonus modules in your own time. If you come in 2:03:56 modules in your own time. If you come in 2:03:56 modules in your own time. If you come in early, like if you come in now, you can 2:03:59 early, like if you come in now, you can 2:03:59 early, like if you come in now, you can start working on the bonus modules. Uh, 2:04:02 start working on the bonus modules. Uh, 2:04:02 start working on the bonus modules. Uh, and um there's it's just a really great 2:04:05 and um there's it's just a really great 2:04:05 and um there's it's just a really great course and I, you know, I I love 2:04:08 course and I, you know, I I love 2:04:08 course and I, you know, I I love teaching it and and I think you guys 2:04:11 teaching it and and I think you guys 2:04:11 teaching it and and I think you guys will feel really supported and and I I 2:04:15 will feel really supported and and I I 2:04:15 will feel really supported and and I I just I really don't think that it 2:04:17 just I really don't think that it 2:04:17 just I really don't think that it matters where you start from. 2:04:20 matters where you start from. 2:04:20 matters where you start from. um that you can get a lot out of it and 2:04:22 um that you can get a lot out of it and 2:04:22 um that you can get a lot out of it and that you just build. And if if it if 2:04:25 that you just build. And if if it if 2:04:25 that you just build. And if if it if it's it's too much effort, then you do 2:04:28 it's it's too much effort, then you do 2:04:28 it's it's too much effort, then you do the effort that you can. And even if you 2:04:31 the effort that you can. And even if you 2:04:31 the effort that you can. And even if you pick up one small thing a week, you're 2:04:33 pick up one small thing a week, you're 2:04:34 pick up one small thing a week, you're going to be in so much better off than 2:04:37 going to be in so much better off than 2:04:37 going to be in so much better off than you are in 14 weeks. And [snorts] you 2:04:39 you are in 14 weeks. And [snorts] you 2:04:40 you are in 14 weeks. And [snorts] you know the price is really um I had to 2:04:43 know the price is really um I had to 2:04:43 know the price is really um I had to price it compared to like how much 2:04:45 price it compared to like how much 2:04:45 price it compared to like how much access you have to me and and 10 weeks 2:04:48 access you have to me and and 10 weeks 2:04:48 access you have to me and and 10 weeks of of access to me two two hours a lot 2:04:53 of of access to me two two hours a lot 2:04:53 of of access to me two two hours a lot of people most of the time most of the 2:04:55 of people most of the time most of the 2:04:55 of people most of the time most of the time all the questions get answered in 2:04:57 time all the questions get answered in 2:04:57 time all the questions get answered in that two hours most of the time. Um, and 2:05:01 that two hours most of the time. Um, and 2:05:01 that two hours most of the time. Um, and we usually have 120 people uh in the 2:05:05 we usually have 120 people uh in the 2:05:05 we usually have 120 people uh in the class and um and so 2:05:09 class and um and so 2:05:09 class and um and so any anything else that you can think of? 2:05:11 any anything else that you can think of? 2:05:11 any anything else that you can think of? >> I think it's important to let them know 2:05:12 >> I think it's important to let them know 2:05:12 >> I think it's important to let them know how much it is because the price is much 2:05:14 how much it is because the price is much 2:05:14 how much it is because the price is much less until August 1st. When does it when 2:05:17 less until August 1st. When does it when 2:05:17 less until August 1st. When does it when does the early bird 2:05:18 does the early bird 2:05:18 does the early bird >> Yeah, I mean the early bird's 7.97 and 2:05:21 >> Yeah, I mean the early bird's 7.97 and 2:05:21 >> Yeah, I mean the early bird's 7.97 and then Margie has a coupon which makes it 2:05:23 then Margie has a coupon which makes it 2:05:23 then Margie has a coupon which makes it $6.97. 2:05:25 $6.97. 2:05:25 $6.97. >> Great. So the coupon Melanie, do you 2:05:27 >> Great. So the coupon Melanie, do you 2:05:27 >> Great. So the coupon Melanie, do you have all the information? Well, we'll 2:05:28 have all the information? Well, we'll 2:05:28 have all the information? Well, we'll send it out in the replay. He did did 2:05:30 send it out in the replay. He did did 2:05:30 send it out in the replay. He did did drop it in and and yeah. 2:05:34 drop it in and and yeah. 2:05:34 drop it in and and yeah. >> Okay. But we'll also have it in the 2:05:35 >> Okay. But we'll also have it in the 2:05:35 >> Okay. But we'll also have it in the replay. Um so I I think we're going to 2:05:38 replay. Um so I I think we're going to 2:05:38 replay. Um so I I think we're going to end questions because we could go on for 2:05:40 end questions because we could go on for 2:05:40 end questions because we could go on for another hour and I think two hours we 2:05:42 another hour and I think two hours we 2:05:42 another hour and I think two hours we we've noticed that two hours is really a 2:05:45 we've noticed that two hours is really a 2:05:45 we've noticed that two hours is really a lot of time and um but this is I wanted 2:05:49 lot of time and um but this is I wanted 2:05:49 lot of time and um but this is I wanted people to get a feel. The other reason 2:05:50 people to get a feel. The other reason 2:05:50 people to get a feel. The other reason that we do this is that people, you 2:05:53 that we do this is that people, you 2:05:53 that we do this is that people, you know, I think it's good to sort of if 2:05:55 know, I think it's good to sort of if 2:05:55 know, I think it's good to sort of if you're going to invest in a program, get 2:05:57 you're going to invest in a program, get 2:05:57 you're going to invest in a program, get a sense of what a Q&A would be like. You 2:05:59 a sense of what a Q&A would be like. You 2:05:59 a sense of what a Q&A would be like. You know, you get the material and then 2:06:01 know, you get the material and then 2:06:01 know, you get the material and then you'll discuss the material in terms of 2:06:04 you'll discuss the material in terms of 2:06:04 you'll discuss the material in terms of a Q. So, you just get to understand the 2:06:05 a Q. So, you just get to understand the 2:06:05 a Q. So, you just get to understand the level and how Dr. Milman helps people. 2:06:08 level and how Dr. Milman helps people. 2:06:08 level and how Dr. Milman helps people. It's very different when you're in the 2:06:09 It's very different when you're in the 2:06:09 It's very different when you're in the class because you're working all 2:06:10 class because you're working all 2:06:10 class because you're working all together and you know, and you have 2:06:12 together and you know, and you have 2:06:12 together and you know, and you have information to start with. So, is there 2:06:15 information to start with. So, is there 2:06:15 information to start with. So, is there any 2:06:16 any 2:06:16 any >> So, somebody Helen's asking if there's 2:06:18 >> So, somebody Helen's asking if there's 2:06:18 >> So, somebody Helen's asking if there's another Q&A. We usually do this a couple 2:06:21 another Q&A. We usually do this a couple 2:06:21 another Q&A. We usually do this a couple times a year. Um 2:06:24 times a year. Um 2:06:24 times a year. Um I um can a person that's had breast 2:06:27 I um can a person that's had breast 2:06:27 I um can a person that's had breast cancer take um no. No. Um people who 2:06:32 cancer take um no. No. Um people who 2:06:32 cancer take um no. No. Um people who have had breast cancer um there are 2:06:35 have had breast cancer um there are 2:06:35 have had breast cancer um there are herbs that I recommend that wouldn't be 2:06:37 herbs that I recommend that wouldn't be 2:06:37 herbs that I recommend that wouldn't be good for somebody who has breast cancer 2:06:40 good for somebody who has breast cancer 2:06:40 good for somebody who has breast cancer and I don't think it's responsible to 2:06:42 and I don't think it's responsible to 2:06:42 and I don't think it's responsible to have um people that are that complicated 2:06:45 have um people that are that complicated 2:06:45 have um people that are that complicated in the class when we're talking about 2:06:47 in the class when we're talking about 2:06:47 in the class when we're talking about hormones. So, no, I don't allow that. 2:06:51 hormones. So, no, I don't allow that. 2:06:51 hormones. So, no, I don't allow that. Um, 2:06:52 Um, 2:06:52 Um, >> okay. So, I think I'm gonna put it back 2:06:53 >> okay. So, I think I'm gonna put it back 2:06:54 >> okay. So, I think I'm gonna put it back to everybody so we can see everybody. 2:06:55 to everybody so we can see everybody. 2:06:56 to everybody so we can see everybody. Sorry we didn't get to get to every 2:06:57 Sorry we didn't get to get to every 2:06:57 Sorry we didn't get to get to every single person. Um, oh, look who Marty's 2:07:00 single person. Um, oh, look who Marty's 2:07:00 single person. Um, oh, look who Marty's here. Marty's here. How many times have 2:07:01 here. Marty's here. How many times have 2:07:01 here. Marty's here. How many times have you taken the class? 2:07:02 you taken the class? 2:07:02 you taken the class? >> Marty's here from Australia. Marty. 2:07:06 >> Marty's here from Australia. Marty. 2:07:06 >> Marty's here from Australia. Marty. [laughter] 2:07:10 >> Marty. 2:07:10 >> Marty. >> Unfortunately, I missed out on asking 2:07:12 >> Unfortunately, I missed out on asking 2:07:12 >> Unfortunately, I missed out on asking questions. I got questions. A 2:07:16 questions. I got questions. A 2:07:16 questions. I got questions. A >> Oh, well I I joined late because I had 2:07:18 >> Oh, well I I joined late because I had 2:07:18 >> Oh, well I I joined late because I had strength training. So 2:07:19 strength training. So 2:07:19 strength training. So >> Oh, well good for you, Marty. 2:07:21 >> Oh, well good for you, Marty. 2:07:21 >> Oh, well good for you, Marty. >> Good for you. Well, you've had some good 2:07:23 >> Good for you. Well, you've had some good 2:07:23 >> Good for you. Well, you've had some good improvements, haven't you, Marty? 2:07:25 improvements, haven't you, Marty? 2:07:25 improvements, haven't you, Marty? Marty's taken the class multiple times. 2:07:27 Marty's taken the class multiple times. 2:07:27 Marty's taken the class multiple times. >> Yeah. I hope they've stayed that way. 2:07:29 >> Yeah. I hope they've stayed that way. 2:07:29 >> Yeah. I hope they've stayed that way. I'm about to do tests again, so 2:07:32 I'm about to do tests again, so 2:07:32 I'm about to do tests again, so >> don't say that, Marty. 2:07:35 >> don't say that, Marty. 2:07:35 >> don't say that, Marty. And there's Susette. Susette was in my 2:07:37 And there's Susette. Susette was in my 2:07:37 And there's Susette. Susette was in my last class. 2:07:40 last class. 2:07:40 last class. Suzette, do you like it? 2:07:42 Suzette, do you like it? 2:07:42 Suzette, do you like it? >> Suzette, 2:07:42 >> Suzette, 2:07:42 >> Suzette, >> would you recommend it, Susette? Yeah. 2:07:44 >> would you recommend it, Susette? Yeah. 2:07:44 >> would you recommend it, Susette? Yeah. Yes. I was thinking um when the 2:07:47 Yes. I was thinking um when the 2:07:47 Yes. I was thinking um when the questions were coming about the um you 2:07:49 questions were coming about the um you 2:07:50 questions were coming about the um you know the oral estrogen and the the other 2:07:52 know the oral estrogen and the the other 2:07:52 know the oral estrogen and the the other doctor with the um bisphosphinate like I 2:07:55 doctor with the um bisphosphinate like I 2:07:55 doctor with the um bisphosphinate like I I I knew what you were going to say. I 2:07:57 I I knew what you were going to say. I 2:07:57 I I knew what you were going to say. I was going to say you wind up knowing 2:07:59 was going to say you wind up knowing 2:07:59 was going to say you wind up knowing more than a lot of the general 2:08:01 more than a lot of the general 2:08:01 more than a lot of the general practitioners after the class and 2:08:03 practitioners after the class and 2:08:03 practitioners after the class and wondering why they're recommending what 2:08:05 wondering why they're recommending what 2:08:05 wondering why they're recommending what they're recommending and then you know 2:08:06 they're recommending and then you know 2:08:06 they're recommending and then you know trying to find good help. So I would 2:08:09 trying to find good help. So I would 2:08:09 trying to find good help. So I would recommend it you know yeah a million 2:08:11 recommend it you know yeah a million 2:08:12 recommend it you know yeah a million times over. Phenomenal. And I'll be your 2:08:14 times over. Phenomenal. And I'll be your 2:08:14 times over. Phenomenal. And I'll be your an in the alumni group this time, too. 2:08:16 an in the alumni group this time, too. 2:08:16 an in the alumni group this time, too. >> Okay. Great to see you. 2:08:18 >> Okay. Great to see you. 2:08:18 >> Okay. Great to see you. >> Yeah, that is the problem. And hopefully 2:08:20 >> Yeah, that is the problem. And hopefully 2:08:20 >> Yeah, that is the problem. And hopefully that's our goal, Dr. Milman and I. 2:08:22 that's our goal, Dr. Milman and I. 2:08:22 that's our goal, Dr. Milman and I. That's why we're training practitioners, 2:08:23 That's why we're training practitioners, 2:08:23 That's why we're training practitioners, too, because we want to change that. We 2:08:25 too, because we want to change that. We 2:08:26 too, because we want to change that. We want to change what's out there. 2:08:27 want to change what's out there. 2:08:27 want to change what's out there. Unfortunately, not everybody comes from 2:08:30 Unfortunately, not everybody comes from 2:08:30 Unfortunately, not everybody comes from the same perspective or, you know, they 2:08:31 the same perspective or, you know, they 2:08:31 the same perspective or, you know, they don't they don't learn all this in 2:08:33 don't they don't learn all this in 2:08:33 don't they don't learn all this in medical school and so they don't have 2:08:34 medical school and so they don't have 2:08:34 medical school and so they don't have the knowledge base and it's just 2:08:36 the knowledge base and it's just 2:08:36 the knowledge base and it's just unfortunate. So, we want everyone to do 2:08:38 unfortunate. So, we want everyone to do 2:08:38 unfortunate. So, we want everyone to do as well as they can. [laughter] 2:08:41 as well as they can. [laughter] 2:08:41 as well as they can. [laughter] Anyway, all right. So, how if you want 2:08:43 Anyway, all right. So, how if you want 2:08:43 Anyway, all right. So, how if you want to write anything in the chat, anything 2:08:45 to write anything in the chat, anything 2:08:45 to write anything in the chat, anything you've gained from tonight, that'll 2:08:46 you've gained from tonight, that'll 2:08:46 you've gained from tonight, that'll always 2:08:47 always 2:08:47 always >> make sure to to get um Margie's coupon 2:08:50 >> make sure to to get um Margie's coupon 2:08:50 >> make sure to to get um Margie's coupon and um and I'll just I if if anybody um 2:08:56 and um and I'll just I if if anybody um 2:08:56 and um and I'll just I if if anybody um like if the early bird expires on you, 2:08:59 like if the early bird expires on you, 2:08:59 like if the early bird expires on you, call my clinic, tell them you were in 2:09:01 call my clinic, tell them you were in 2:09:01 call my clinic, tell them you were in the live Q&A, tell them you want 2:09:04 the live Q&A, tell them you want 2:09:04 the live Q&A, tell them you want Margie's coupon, and we'll off we'll 2:09:06 Margie's coupon, and we'll off we'll 2:09:06 Margie's coupon, and we'll off we'll we'll keep it. We'll keep we'll keep the 2:09:09 we'll keep it. We'll keep we'll keep the 2:09:09 we'll keep it. We'll keep we'll keep the early bird for you. 2:09:11 early bird for you. 2:09:11 early bird for you. >> No. Well, that's that's good. [laughter] 2:09:14 >> No. Well, that's that's good. [laughter] 2:09:14 >> No. Well, that's that's good. [laughter] Anyway, everybody, how I always end my 2:09:16 Anyway, everybody, how I always end my 2:09:16 Anyway, everybody, how I always end my classes is we think of a word and we'll 2:09:18 classes is we think of a word and we'll 2:09:18 classes is we think of a word and we'll just all So, Dr. Milman, you want to 2:09:20 just all So, Dr. Milman, you want to 2:09:20 just all So, Dr. Milman, you want to pick the word? What word would you like 2:09:23 pick the word? What word would you like 2:09:23 pick the word? What word would you like to pick? 2:09:24 to pick? 2:09:24 to pick? >> Um, 2:09:25 >> Um, 2:09:26 >> Um, how about um 2:09:29 how about um 2:09:29 how about um confidence? 2:09:31 confidence? 2:09:31 confidence? >> Confidence. Okay, that's a good one. So, 2:09:33 >> Confidence. Okay, that's a good one. So, 2:09:34 >> Confidence. Okay, that's a good one. So, thank you so much everybody for coming. 2:09:36 thank you so much everybody for coming. 2:09:36 thank you so much everybody for coming. I hope everybody got something out of 2:09:38 I hope everybody got something out of 2:09:38 I hope everybody got something out of today. I'm sure you did. Am I right? You 2:09:41 today. I'm sure you did. Am I right? You 2:09:41 today. I'm sure you did. Am I right? You can. [laughter] 2:09:42 can. [laughter] 2:09:42 can. [laughter] Yeah. Whenever you're with Dr. Milman, I 2:09:45 Yeah. Whenever you're with Dr. Milman, I 2:09:45 Yeah. Whenever you're with Dr. Milman, I always learn things. I have I've become 2:09:47 always learn things. I have I've become 2:09:47 always learn things. I have I've become a genius from you, Dr. Milman. 2:09:51 a genius from you, Dr. Milman. 2:09:51 a genius from you, Dr. Milman. [laughter] No, it's true. You always 2:09:53 [laughter] No, it's true. You always 2:09:53 [laughter] No, it's true. You always learn things and you're always so 2:09:54 learn things and you're always so 2:09:54 learn things and you're always so generous with sharing your information 2:09:56 generous with sharing your information 2:09:56 generous with sharing your information and helping people. And that's why we 2:09:59 and helping people. And that's why we 2:09:59 and helping people. And that's why we get along so well because you know you 2:10:02 get along so well because you know you 2:10:02 get along so well because you know you have such a big heart and your goal is 2:10:04 have such a big heart and your goal is 2:10:04 have such a big heart and your goal is to really make a difference for people 2:10:06 to really make a difference for people 2:10:06 to really make a difference for people which you really do. So on that note 2:10:08 which you really do. So on that note 2:10:08 which you really do. So on that note everybody okay so we're gonna say bye. 2:10:11 everybody okay so we're gonna say bye. 2:10:11 everybody okay so we're gonna say bye. Thank you Dr. Milman. Confidence. Ready? 2:10:14 Thank you Dr. Milman. Confidence. Ready? 2:10:14 Thank you Dr. Milman. Confidence. Ready? So those three things. One two three. 2:10:17 So those three things. One two three. 2:10:17 So those three things. One two three. Bye. Thank you. Thank you Dr. Milman. 2:10:23 Bye. Thank you. Thank you Dr. Milman. 2:10:23 Bye. Thank you. Thank you Dr. Milman. >> Confidence. Woohoo. Confidence. 2:10:30 Oh, unmute everybody. Not everybody's 2:10:30 Oh, unmute everybody. Not everybody's unmuted. Wait, unmute. We have to do 2:10:32 unmuted. Wait, unmute. We have to do 2:10:32 unmuted. Wait, unmute. We have to do this again. Unmute. And we'll just say 2:10:36 this again. Unmute. And we'll just say 2:10:36 this again. Unmute. And we'll just say that it 2:10:39 that it 2:10:39 that it Thank you, Dr. 2:10:41 Thank you, Dr. 2:10:41 Thank you, Dr. >> Dr. B. Bye. Thank you. 2:10:44 >> Dr. B. Bye. Thank you. 2:10:44 >> Dr. B. Bye. Thank you. >> Bye everybody. 2:10:50 >> Bye everybody. 2:10:50 >> Bye everybody. >> Confidence. 2:10:51 >> Confidence. 2:10:51 >> Confidence. >> See you guys all soon. 2:10:52 >> See you guys all soon. 2:10:52 >> See you guys all soon. >> Kitty cat. 2:10:54 >> Kitty cat. 2:10:54 >> Kitty cat. >> Bye. 2:10:55 >> Bye. 2:10:55 >> Bye. >> Bye. 2:10:57 >> Bye. 2:10:57 >> Bye. Save the chat. Thank you, Melanie. 2:11:07 >> Meeting chat. Why can't I save the chat? 2:11:07 >> Meeting chat. Why can't I save the chat? Oh, no. Melanie, can you save the chat? 2:11:09 Oh, no. Melanie, can you save the chat? 2:11:09 Oh, no. Melanie, can you save the chat? I can't seem to save the chat
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