Podcasts about cbo

Buy? Sell? Get you a CBO who can do both? Chris and Ian had plenty to analyze from the trade deadline. The guys broke down Christian Vazquez's exit, the arrivals of Eric Hosmer and Tommy Pham, and of course, had the scoop on the newest crop of Sox prospects. Got something to say? We love talking about what you want to hear about. Make sure to email us.   We're on Instagram. Make sure you follow us there.   Twitter Links: @SPChrisHatfield @IanCundall @SoxProspects Love the show? Want to help us out while also getting exclusive goodies? Support the podcast by contributing to us on Patreon! Go to Sox Prospects on Patreon for the details.

This week on Facing the Future, we have the privilege of hearing from Dr. Phillip Swagel, Director of the nonpartisan Congressional Budget Office. The CBO just released its annual long-term budget outlook which shows that after a brief couple of years of shrinking budget deficits, over the long-term the national debt will almost double, leading to restrained economic growth. Concord's chief economist Steve Robinson and policy director Tori Gorman also join the conversation.

This week on Facing the Future, we have the privilege of hearing from Dr. Phillip Swagel, Director of the nonpartisan Congressional Budget Office. The CBO just released its annual long-term budget outlook which shows that after a brief couple of years of shrinking budget deficits, over the long-term the national debt will almost double, leading to restrained economic growth. Concord's chief economist Steve Robinson and policy director Tori Gorman also join the conversation.

Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Brittany: Hi Dr. Cabral. Thank you for all that you do and the information you provide, it has been incredibly helpful in my healing journey. Wondering if there is any connection between hemorrhoids and candida or other gut bacterial overgrowth? Especially in women who have had a history with antibiotics from an early age, 10+ years of birth control pill use, and poor (refined carbohydrate/sugar) diet? I'm learning that poor liver function doesn't allow for proper filtration for various bodily functions and it dawned on me that there might be a connection between the two. Thanks for any insight or knowledge on this. Thanks!   Nikki: Would you have any ideas on why my toenails have a strong amber/orange tint to them? (I take DNS/vit D/vit C/cell boost/daily hair/magnesium/adrenal soothe/thyroid support) Thanks   Rob: Hi Dr Stephen j heard your interview in Hay Ferrugia podcast and was wondering where j can get more informed and info on managing and advice on my endomorph body soma type in order to break metabolic and hormone issues to turn myself into a more of a fat burner Cheers   Damian: Hi Dr Cabral. Thank you for everything you do. I am 25 years old and live in the UK. I recently lost my dad and have suffered from central nervous system fatigue for over a year and a half. I have my diet dialled in - vegetables, healthy fats, fish etc, only walk as more causes greater fatigue and heart palpates and body shaking, I use a sauna daily and practise calming rituals like meditation. However I feel like my body is broken and do not know what else I can do. Doctors don't seem to want to help me and I am struggling to live my life. Thank you, Damian   Shannon: Hi Dr Cabral. I'm starting week 2 of my 21 day detox. I'm struggling with the food list, as a lot of the foods listed are inflammatory causing (beans,lentils,hummus, asparagus,celery,garlic,shallot/onion,beets,snow peas,mushrooms,Brussels sprouts,artichoke,cauliflower, etc). I'm really confused how this detox is supposed to help people who have gut issues? Before starting the detox I had been following the FODMAP diet, eliminating all foods that cause inflammation. I felt relief and improvements, but also needed to go deeper with my healing. Now I'm incorporating all those foods back into my diet. My stomach is more bloated, gassy and I'm experiencing diarrhea. I thought perhaps the diarrhea was part of the detox? My sleep only improved on the 2 fasted days during the 1st week of detox. I'm still fatigued, not feeling any gut relief or losing weight. I'm not currently taking any supplements, only the shakes and detox pills. I've done your Candida/Metabolic, Minerals/Metals, Omega-3/Inflammation tests but I'm waiting for my results. I thought I'd get a jump start on detoxing and was planning on starting the CBO protocol after. I'm starting to question if I should stop this detox? Please share your thoughts and if this is normal? Thank you so much.   Maria: Hello and thank you for all that you do. I am really enjoying listening to your podcast and I'm also a member at equal life. I can really use some help with supporting my children's health. I have two girls who just turned six and seven. And they are constantly getting sick of something. It seems like every 3 weeks or so they have something new. Whether it's a cough, a cold, the stomach flu and so on. It's very frustrating. I feel like I do all the right things which is give them vitamins, make sure they're drinking enough water, make sure they're eating healthy food, getting outside, being active. But unfortunately they still get sick very frequently. Can you give me any recommendations as to what things I can do and should be doing for them and anything that you would suggest that I would add additionally.   Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/2368 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!

HEADLINE 1: Manchin and Schumer announce deal for energy and health care bill - CNNSenate Majority Leader Chuck Schumer and Sen. Joe Manchin on Wednesday announced a deal on an energy and health care bill, representing a breakthrough after more than a year of negotiations that have collapsed time and again.But it will face furious GOP opposition.The agreement contains a number of Democrats' goals. While many details have not been disclosed, the measure would invest $369 billion into energy and climate change programs, with the goal of reducing carbon emissions by 40% by 2030, according to a one-page fact sheet. For the first time, Medicare would be empowered to negotiate the prices of certain medications, and it would cap out-of-pocket costs at $2,000 for those enrolled in Medicare drug plans. It would also extend expiring enhanced subsidies for Affordable Care Act coverage for three years.The announcement comes at a crucial time for Congress, as the Senate is a little over a week away from starting a monthlong recess, when many Democrats will campaign for reelection. Manchin's support is notable given his stance earlier this month that he "unequivocally" wouldn't support the climate or tax provisions of the Democratic economic package, which appeared to torpedo any hope Democrats had of passing legislation to fight climate change in the near future. But Schumer and Manchin have been in revived talks since July 18 and locked down a deal Wednesday, according to a source familiar with the matter. Manchin had thrown cold water on doing tax and energy provisions as part of the deal, but ultimately agreed to it.The White House has signed off on this deal, Biden said in a statement.The deal still faces multiple hurdles before it can make it to Biden's desk, including the parliamentarian and having to pass both chambers of Congress, where practically any Democrat could sideline or delay passage.In a statement, Schumer's office said the bill would reduce US carbon emissions by roughly 40% by 2030. Clean energy tax credits would drive the majority of those emission reductions, a Democratic aide said.Tax credits for electric vehicles made it into the new deal, according to two Senate Democratic aides. Electric Vehicle tax credits will continue at their current levels, up to $4,000 for a used electric vehicle and $7,500 for a new EV. However, there will be a lower income threshold for people who can use the tax credits -- a key demand of Manchin's. Manchin had been staunchly opposed to electric vehicle tax credits throughout negotiations.The deal keeps the prescription drug prices changes that Manchin had previously agreed to, including empowering Medicare to negotiate the price of certain costly medications administered in doctors' offices or purchased at the pharmacy. It would also redesign Medicare's Part D drug plans so that seniors and people with disabilities wouldn't pay more than $2,000 a year for medication bought at the pharmacy. And, the deal would require drug companies to pay rebates if they increase their prices in the Medicare and private-insurance markets faster than inflation.Altogether, the drug price provisions would reduce the deficit by $288 billion over a decade, according to the Congressional Budget Office.The agreement also calls for extending the enhanced Affordable Care Act subsidies for three years. An earlier deal would have continued the beefed-up subsidies for two years, which meant they would have expired just after the 2024 presidential election -- a scenario that congressional Democrats did not want to encounter.The subsidies were expanded through this year as part of Democrats' $1.9 trillion coronavirus relief package, known as the American Rescue Plan, which was enacted in March 2021. They have made health care coverage on the Obamacare exchanges more affordable, leading to record enrollment this year.Enrollees pay no more than 8.5% of their income toward coverage, down from nearly 10%. And lower-income policyholders receive subsidies that eliminate their premiums completely. Also, those earning more than 400% of the federal poverty level have become eligible for help for the first time.Extending the enhanced subsidies would cost $64 billion over a decade, according to the CBO.To raise revenue, the bill would impose a 15% minimum tax on corporations, which would raise $313 billion over a decade. While details on the current deal remain scant, the House version of the Build Back Better package would have levied the tax on the corporate profits that large companies report to shareholders, not to the Internal Revenue Service. It would have applied to companies with more than $1 billion in profits and yielded a similar revenue-raising figure.The current deal also aims to close the carried interest loophole, which allows investment managers to treat their compensation as capital gains and pay a 20% long-term capital gains tax rate instead of income tax rates of up to 37%. Eliminating this loophole, which would raise $14 billion over a decade, has been a longtime goal of congressional Democrats.The package also calls for providing more funding to the IRS for tax enforcement, which would raise $124 billion.Democrats say families making less than $400,000 per year would not be affected, in line with a pledge by Biden. Also, there would be no new taxes on small businesses.In total, Democrats say the deal would reduce the deficit by more than $300 billion.HEADLINE 2: TRUDY BUSCH VALENTINE, NOT READY FOR PRIME TIME - ADVOCATETrudy Busch Valentine has been in the news a lot lately, largely a push near the primaries from her supporters but not every report lately has bode well for the billionaire candidate. After months of being largely unavailable for comment on the issues beyond simple platitudes she has started answering questions, and it's left many Missouri Democrats asking if we are actually serious about putting her forth in a general.At a recent town hall for the Chesterfield Township Dems TBV was asked questions about campaign finance reform, specifically regarding Citizen's United. Her response? Just tell me again what Citizens United is doing? Forgive me but a candidate for senate better damn well know what Citizens United is and how it affects campaign finance.On July 23rd A bizarre video posted by a St. Louis ward committeewoman shows Busch Valentine struggling with her position on transgender rights, rambling and stumbling over her words.“I respect the dignity of every human person. And transgender, I respect,” Busch Valentine says in the video. “If a man feels that they're a woman and wants to become a woman, I respect that. And I respect it the opposite way too. Those are things that have to be solved amongst families and amongst parents.”She then asserted that doctors should refrain from providing gender-affirming care to children until they're adults, something right-wing pundits and politicians have been asserting.“I only would say, wait until 18, when a person is an adult, to do everything that wouldn't allow going back to being maybe the sex that you were,” she said. “But I totally, totally support transgenders without a doubt and the LGBT community.”To be clear, Gender-affirming care for young people usually consists of puberty blockers and hormone treatment, with most of the effects reversible, contrary to what anti-trans politicians claim. Genital surgery is not performed on minors.And on Monday Trudy Busch Valentine was asked whether she supports a law prohibiting instruction on gender identity and sexual orientation.Specifically referencing Florida, where such teaching is forbidden in grades K-3 and restricted in later grades, and opponents say it has a chilling effect. LGBTQ+ teachers may be afraid to mention their identity or to display pictures of their partners in the classroom because they may be fired or sued by parents. She made a spontaneous reference to critical race theory, a theory about systemic racial injustice taught in law schools, which right-wing politicians wrongly claim is taught in elementary and secondary schools to make white children feel shame. Here is her word salad response in full: “I think there are so many things out there, including critical race theory, that just tries to take away the history of our country and the good things we've done and the bad things we've done,” Busch Valentine said on St. Louis CBS affiliate KMOV.Now, nearly all of these statements were adjusted in post by her team, but the damage was done. Is she capable of standing on her own two feet as a senator or is she to be propped up by a team? It sure seems to me she isn't prepared for this job. Personally I'm a Spencer Toder man, you can count this as an official endorsement. I can understand Kunce supporters though. TBV supporters I can't get behind, I've seen nothing to support she can win this thing or do the job once hired.HEADLINE 3: EXPLAINING KANSAS' CONFUSING ABORTION AMENDMENT - VOXNext week in Kansas, abortion rights will face the first test at the polls since the Supreme Court overturned Roe v. Wade.In 2019, Kansas's Supreme Court ruled that the state's constitution protects the right to an abortion. On Tuesday, voters will be asked to weigh in on a proposed amendment that would explicitly remove that right, opening the way for Kansas's Republican-controlled legislature to further restrict or ban abortion, just as neighboring Texas, Oklahoma, and Missouri have done.You'd be forgiven if you had trouble making sense of the amendment's text, which would add a paragraph to the state's constitution that says both “Kansas does not require government funding of abortion” and that people, through their elected officials, “may pass laws regarding abortion, including, but not limited to, laws that account for circumstances of pregnancy resulting from rape or incest, or circumstances of necessity to save the life of the mother.”The language could trip up your average voter, said Neal Allen, a political scientist at Wichita State University. “You could read it and think you were voting to eliminate state funding of abortion when there is no state funding to abortion,” he told Vox. “And there is language that refers to exceptions to preserve the health of the mother, and for rape and incest, but there's nothing about the amendment itself that would create those exceptions.”Supporters of the amendment, organizing under the banner of “Value Them Both” — a reference to valuing “women and unborn children” — have been working to convince votersthat a “yes” vote on the amendment would not lead to an abortion ban and would simply allow lawmakers to regulate the procedure.Many of their claims have been dubious at best, and have generated significant confusion. Value Them Both supporters have stressed in their advertisements that the amendment “restores our ability to place basic regulations on the abortion industry.” In fact, abortion remains highly regulated in Kansas. They say the amendment would merely allow lawmakers to impose rules like requiring parental consent, “stopping painful late-term abortions,” and barring public funding of abortion. But Kansas already requires parental consent, already bans public funding of abortion, and already bans abortion after 22 weeks.The language of the amendment is confusing, likely purposefully. So, Let us be clearIf the amendment passes, nothing could stop Republican lawmakers from passing a total or near-total abortion ban, and political experts say the likelihood of such restrictions moving forward in that context is very high.It will be a tight vote. A public poll of the campaign released last week found 47 percent of likely primary voters planned to vote for the amendment, and 43 percent planned to vote against it. But the pollsters also found Democrats were significantly more likely than Republicans to say the abortion amendment “increased the importance of voting in this upcoming election” — suggesting differences in motivation. Past political science research has found a “status quo bias” when it comes to abortion-related ballot measures; voters are more likely to reject measures on Election Day they otherwise tell pollsters they support. These dynamics bode well for advocates who want to keep the state constitution unchanged.For my Kansas listeners, do NOT rest on your laurels here. Vote NO on this amendment.Headline 4: Veterans and their spouses can now teach in Florida with no degree. School leaders say it 'lowers the bar'https://www.usatoday.com/story/news/education/2022/07/21/florida-education-program-military-veterans-teach/10117107002/ https://www.fldoe.org/teaching/certification/military/ Governor Ron DeSantis recently signed into law a bill that would give military veterans teaching certificates on a temporary basis in Florida. This ability to apply for temporary certification does not only apply to the veteran, but also their spouses as well. The law was passed with the hope of easing the strain of the 9000 open teaching positions around the state. According to the Florida Department of Education, to apply for the five year temporary certification, the applicant must have the following:Minimum of 48 months of military service with an honorable/medical dischargeMinimum of 60 college credits with a 2.5 grade point averagePassing score on a Florida subject area examination for bachelor's level subjectsEmployment in a Florida school district, including charter schoolsMany school leaders have been outspoken in opposition to this move. "There are many people who have gone through many hoops and hurdles to obtain a proper teaching certificate," said Carmen Ward, president of the Alachua County teachers union. "(Educators) are very dismayed that now someone with just a high school education can pass the test and can easily get a five-year temporary certificate." Alachua County school board members expressed their distaste for the new law at a recent workshop where the details were presented.While a subject area test may prove that these applicants may know the content that they are hired to teach, what it does not do is prove that the applicants know the intecencies of lesson planning, instruction, and assessment. These are all things that are taught in college and that teachers leaving a four year degree program are verse in before stepping foot in a class to student teach, let alone teach on their own. While FLDOE says that each person that is given the temporary certification will be put with a mentor, this mentor is another teacher from the building, usually in the same grade level or subject area. Mentor meetings with new teachers are historically quick check-ins where the new teacher can bounce ideas and problems off of the mentor. A mentor will not have the time to teach these skills to the new teacher in the meeting. This will increase the load again on experienced teachers or lead to them handing lesson plans to inexperienced, unprepared “educators” to teach students.There is also a worry around the state that these temporary certifications will be highly concentrated in the more underfunded, underperforming school districts. The worry from school officials is that higher paying, well performing schools will have the ability to attract traditionally certified teachers with experience. This would leave the bulk of the openings to be in the poorer districts, leaving an even more inexperienced staff in these schools.With many other states also facing teacher shortages, the Florida law could become a template for plans that are implemented in other states around the country.LAYOVER: Candidate Bethany Mann. Democratic Candidate for Missouri's 3rd Congressional District. LIGHTNING ROUND:LR 1 - Historic flooding in St. Louis - Washington PostTorrential downpours sparked flash flooding in St. Louis and surrounding areas Tuesday, killing at least one person and stranding residents in their cars and homes as the rainfall shattered a record set more than a century ago. The city had received more than 9 inches of rain by the afternoon, the most ever recorded there in a calendar day and about 2 inches more than the record of about 7 inches set in August 1915, when remnants of a hurricane that came ashore in Galveston, Tex., passed through the area. Firefighters had responded to about 70 rescues by late Tuesday morning On behalf of Gov. Mike Parson (R), who was out of the country Tuesday, Lt. Gov. Mike Kehoe (R) declared a state of emergency to assist local authorities in handling the disaster. Extreme precipitation events have increased substantially over the past century and are tied to warming from human-caused climate change. The heaviest such events increased by 42 percent in the Midwest between 1901 and 2016, with additional increases expected as the climate continues to warm, according to the U.S. government's National Climate Assessment.LR 2 - The attack on McMorrow backfired - PoliticoIn a fundraising email, Michigan State Sen. Lana Theis of Brighton said colleagues like McMorrow were “outraged” that they couldn't “groom and sexualize kindergartners.” The charge prompted McMorrow to make a spirited speech in the Senate in her own defense — a speech that went viral and made her a political celebrity on the left. The result? Theis' fundraising stunt netted her less than $300 while McMorrow went on to raise more than 1 Million dollars. LR 3 - Kansas City's Zero Fare Transit Program Shows Major Success - Next CityKansas City, Missouri, made national headlines in the fall of 2019 when its city council voted unanimously to become America's first large city to make public transportation free citywide. Now, two and a half years later, anyone living anywhere in the city can ride buses without paying a fare.Recently, A study conducted as part of the Urban League of Greater Kansas City's annual “State of Black Kansas City” report last year asked 1,686 riders for their feedback on what Zero Fare has enabled them to do. The responses show how a Zero Fare policy makes a big difference in these riders' ability to exercise the so-called “right to the city.”Almost 90% of the riders surveyed said they rode the buses more as a result of Zero Fare. About 92% said it allowed them to shop for food more often; 88% said they could see their .healthcare providers more easily or more often; 82% said it allowed them to get or keep a job; and 86% said it made them feel like city leadership is concerned about their needsBesides the increased mobility and financial benefits, nearly 80% of the residents surveyed also said Zero Fare increased their sense of safety on the bus. That points to one of the more counterintuitive benefits of eliminating fares: The buses became safer to ride. The total number of incidents where supervisors were called fell 39% in the first year of full Zero Fare transit, according to a 2021 Zero Fare impact analysis by the Mid-America Regional Council (MARC), the Kansas City area's metropolitan planning organization. Incidents per 100,000 riders fell 17%LR 4 - Justice Department files lawsuit against poultry producers in the US - Fox BusinessThe Justice Department filed a lawsuit Monday against some of the largest poultry producers in the U.S. along with a proposed settlement seeking to end what it claims have been longstanding deceptive and abusive practices for workersThe suit, filed in federal court in Maryland, names Cargill, Sanderson Farms and Wayne Farms, along with a data consulting company known as Webber, Meng, Sahl and Co. and its president.In its lawsuit, the Justice Department alleges the companies have been engaged in a multiyear conspiracy to exchange information about the wages and benefits of workers at poultry processing plants to drive down employee competition in the marketplace. The companies did not immediately respond to messages seeking comment.The government contends the data consulting firm helped to share the information about the workers' compensation with the companies and their executives. By carrying out the scheme, officials allege, the companies were able to compete less intensely for workers and reduce the amount of money and benefits they had to offer their employees, suppressing competition for poultry processing workers across the boardThe suit is the latest example of the Justice Department's antitrust enforcement targeting companies the government believes engage in anticompetitive behavior to stifle workers or harm consumers. It also comes as the department continues a broader investigation into labor abuses in the poultry industry.LR 5 - Foot of hail stacks up in parts of Colorado mountain town, snowplows used for removal-OUT THERE COLORADOAs storms pounded parts of Colorado on Wednesday evening, Estes Park got hit hard. Not only did the mountain town, found outside of Rocky Mountain National Park, get a lot of moisture in the form of heavy rain, about a foot of hail also stacked up on some local streets.While the hail that fell appears to be in the form of small pellets based on images and footage from the scene, thus less likely to cause impact damage, the hail can be seen covering roadways and reportedly caused travel concerns. In order to clear the roads, snowplows were called in.monsoonal precipitation continues through and Friday is still supposed to bring even more intense weather to the state, increasing flash flooding concerns around the state, especially in burn scar areas found along the Front Range.LR 6 - Lastly folks, go voteAugust 2nd will be a day for voting across much of the midwest. It is important to get out there and exercise your right to determine who represents you and what ballot measures pass. Be mindful of your polling places, they may have changed. Take time off work if need be, they have to allow it. Now, Get out there and vote!Outro: That's all the time we have this week, thank you for joining us. If you have a story you feel I should look into and possibly highlight on the show, please tweet me throughout the week @KevINMidMo or The Pod's parent account @TheHeartlandPODThis week's episode featured reporting and information from Out there Colorado, Fox Business, Politico, Next City, Washington Post, Usa Today, The Florida Department of Education, CNN, Vox, and The Advocate. https://heartlandpod.com/Twitter: @TheHeartlandPOD"Change The Conversation"

Fed Chair Powell says future rate increases may be smaller; GDP report due today will show state of the economy; federal debt lower than expected, CBO says To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

FII Fácil Entrevista: Marcelo Souza e Leonardo Gadelha - PICE11#FIPIE #PICE11Marcelo Souza: Sócio do Pátria, Presidente do Conselho de Administração da ARKE desde 2018 e da Essentia Energia (“Essentia”) desde 2020, e membro do Conselho de Administração da CBO e Hidrovias, atuou como conselheiro e Diretor Presidente da Argo Energia e como conselheiro e Diretor Financeiro da CPFL Energias Renováveis e possui mais de 20 anos de experiência profissional. Antes de ingressar no Pátria, trabalhou por dois anos na Econergy International Corporation como VP de Business Development e por cinco anos na Alliant Energy como Diretor Financeiro. Antes disso, trabalhou por seis anos na PwC como Gerente de Auditoria. É formado em Economia pela Pontifícia Universidade Católica de Minas Gerais, Pós-Graduado em Finanças Corporativas pela FGV e possui MBA pela Ohio University. Leonardo Gadelha: Vice-Presidente de Investimentos do time do Pátria Infraestrutura Energia Core. Leonardo possui mais de 6 anos de experiência no Pátria. Antes de juntar-se ao Pátria, Leonardo estagiou no Banco BBM. Leonardo graduou-se em Engenharia Mecânica-Aeronáutica pelo Instituto Tecnológico de Aeronáutica (ITA). #fiifacil #cashtfacil #fiitalk #DiogoArantes #fiiflix #FIINFRAEntrevista conduzida por Diogo ArantesPATRIA:https://www.pice11.com.br/---------------------------------------------------------------------------+ APP de FII - BAIXE o APPAPP Store: https://apps.apple.com/br/app/fii-f%C...Play Store: https://play.google.com/store/apps/de...

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Richard: Hi Dr. Cabral, I have recently been looking for a new blender and it seems like much to my surprise, all the descent premium or high end blenders have a plastic jar. After some time of doing research I had decided on purchasing the ninja but then found out that the jar of this particular blender is plastic. This is really concerning to me because it's something that I use everyday and I don't want to be ingesting chemicals from the plastic. I know a lot of these blenders claim that the plastic is BPA free but from what I understand, when BPA is not used they use other chemicals that are just as bad if not worse than BPAs. I also mix in hot water for my morning smoothies to warm them up a bit since I use a lot of frozen fruits so that would make things more problematic. I also use hot water to clean the blender since sometimes there are stains I need to remove. Is this a legitimate concern or am I missing something here? I would love to hear your thoughts on this and some potential alternatives. Thank you for all your help, it is much appreciated!   Kristen: Hello! I've learned and been helped so much through you! After a “virus” my chest feels so much pressure, I went to a cardio dr and all checks out. I do have MTHFR I read that “ Homozygous variants, and some heterozygotes, may see a decrease in the metabolic pathway that converts folate and folic acid (vitamin Bs) into active forms. There can be a build up of homocysteine (amino acid) which has been linked to cardiovascular issues. ” I'm trying to turn over every leaf to get to the bottom of the random pressure when I lay down. Is It possible they are related or is there a connection with either one of these issues. I've done 5 protocols in over a year with significant improvement! To which I'm soo grateful to you and your staff!   Darren: Good day Dr Cabral. I see un ayurveda, they extol the benefits of ghee. I use it but recently started looking at the nutrition facts label and all the grass fed New Zealand based ghee brands I have seen say they contain some trans fat. Is pure grass-fed ghee of transfat concern? ? If ghee has trans-fat, why is ghee called healthy? Or is it a misperception given New Zealand is often touted as favoured by nature when making milk, with a climate, soils, and plentiful water that generate an ideal environment for growing healthy grass and New Zealand livestock access open pasture year-round, meaning space to roam and follow their natural affinity outdoors. Care to make us understand? Thank you   Lori: Hi, I am considering enrolling in your certification program. I am wondering, however, how to utilize it to practice legally in IL and many other states where it seems only an RD or CNS are allowed to make nutritional recommendations to clients. Thank you! ~Lori   Hazel: Im at a loss for breakfast I have high oxalates, a latex alergy and spontaneous uticaria/ dermatographia. I am following your mediteranean diet Many thanks. I listen to all your podcasts   Cody: Hi Dr. Cabral - I get acid reflux, mild diarrhea, and intestinal pain on my left side when I eat mildly spicy or citrus foods. I was curious if I had H Pylori, and I did a stool test and upper endoscopy which both came back negative. I also did an organic acid test which showed high levels of yeast. Before I start the CBO protocol, I decided to try some supplements targeted towards H Pylori just in case due to my symptoms. I've been taking Manuka honey, 1/2 cup cabbage juice, and L. Reuteri. I was fine for 2 weeks, but I'm now starting to get intestinal pain on my left side. I was planning to add mastic gum, but I've put that on hold now. Would you recommend stopping the H Pylori supplements and starting the CBO protocol? Compared to the CBO protocol, I've taken much less potent antimicrobials/antifungals in the past which started out fine but then gradually gave me intestinal pain. This is what led me to trying a treatment targeted towards H Pylori, which testing says I don't have, in the hope that it would allow me to tolerate the CBO protocol better, but I'm already having pain which I suspect is from the strength of the Manuka honey. In addition, zinc supplements give me intestinal pain, but I also take DGL licorice which is fine. Thank you for your time and advice.   Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/2360 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? 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The recently signed gun law, S. 2938: Bipartisan Safer Communities Act, contained a surprise dingleberry postponing a regulation designed to save seniors money on their pharmaceutical drugs by prohibiting kickbacks to an industry few have heard of: Pharmacy Benefit Managers (PBMs). This little-known but extremely powerful industry deserves much of the blame for ever rising prescription drugs costs in the United States. In this episode, Jen gives you the scoop on PBMs and how they make their money at the expense of Americans who are most dependent on medications. Please Support Congressional Dish – Quick Links Contribute monthly or a lump sum via PayPal Support Congressional Dish via Patreon (donations per episode) Send Zelle payments to: Donation@congressionaldish.com Send Venmo payments to: @Jennifer-Briney Send Cash App payments to: $CongressionalDish or Donation@congressionaldish.com Use your bank's online bill pay function to mail contributions to: 5753 Hwy 85 North, Number 4576, Crestview, FL 32536. Please make checks payable to Congressional Dish Thank you for supporting truly independent media! View the shownotes on our website at https://congressionaldish.com/cd255-pharmacy-benefit-managers-pbms We're Not Wrong Berlin Meetup Contact Justin at WereNotWrongPod@gmail.com Background Sources Recommended Congressional Dish Episodes CD134: The EpiPen Hearing US Healthcare Landscape Jessi Jezewska Stevens. Apr 23, 2020. “A Brief History of the Great American Healthcare Scam.” Bookforum. Tanza Loudenback. Mar 7, 2019. “The average cost of healthcare in 21 different countries.” Insider. Chuck Grassley and Ron Wyden. 2019. “Insulin: Examining the Factors Driving the Rising Cost of a Century Old Drug [Staff Report].” U.S. Senate Finance Committee. “Health Insurance Coverage of the Total Population.” Kaiser Family Foundation. Sara R. Collins and David C. Radley. Dec 7, 2018. “The Cost of Employer Insurance Is a Growing Burden for Middle-Income Families.” The Commonwealth Fund. PBMs What are PBMs? JC Scott. Jun 30, 2022. “Drug manufacturers are root cause of high drug costs; PBMs drive costs down.” The Hill. Zach Freed. Jun 22, 2022. “The Pharmacy Benefit Mafia: The Secret Health Care Monopolies Jacking Up Drug Prices and Abusing Patients and Pharmacists.” American Economic Liberties Project. Adam J. Fein. Jun 22, 2021. “The Top Pharmacy Benefit Managers of 2020: Vertical Integration Drives Consolidation (rerun).” Drug Channels. “Flash finding: How drug money from sick people really works.” Nov 11, 2021. 46brooklyn. Adam J. Fein. Feb 3, 2019. “Don't Blame Drug Prices on ‘Big Pharma.'” The Wall Street Journal. How PBMs Make Money “DIR Fees.” National Association of Chain Drug Stores. “How PBMs Make Money: PBM Practices & Profits.” RxSafe. True North Political Solutions. Oct 25, 2017. “White Paper: DIR Fees Simply Explained.” Pharmacy Times. ACA “Vertical Integration” Loophole Peter High. Jul 8, 2019. “A View From Inside Cigna's $67 Billion Acquisition Of Express Scripts.” Forbes. Angelica LaVito. Nov 28, 2018. “CVS creates new health-care giant as $69 billion merger with Aetna officially closes.” CNBC. David Dayen. Oct 12, 2018. “Why the Aetna and CVS Merger Is So Dangerous.” The American Prospect. Jeff Byers. April 12, 2018. “Optum a step ahead in vertical integration frenzy.” Healthcare Dive. Graph: Optum opens up wider market for UnitedHealth Group Graph: Optum's pharmacy business contributes the majority of its revenue Susan Morse. May 10, 2017. “Secret weapon: UnitedHealth's Optum business is laying waste to old notions about how payers make money.” Healthcare Finance. Lobbying “Client Profile: Pharmaceutical Care Management Assn.” Open Secrets. The Demise of Independent Pharmacies Christine Blank. Oct 17, 2019. “Independents Prepare to Close Up Shop.” Drug Topics. Paulina Firozi. Aug 23, 2018. “The Health 202: Here's why rural independent pharmacies are closing their doors.” The Washington Post. What Is a Formulary? Ana Gascon Ivey. May 19, 2020. “A Guide to Medication Formularies.” GoodRx. Previous Delays in Rebate Regulation Paige Minemyer. Jan 29, 2021. “In a win for PBMs, Biden administration delays rebate rule.” Fierce Healthcare. Paige Minemyer. Jan 12, 2021. “PCMA sues Trump administration over rebate rule.” Fierce Healthcare. “Incorporating the Effects of the Proposed Rule on Safe Harbors for Pharmaceutical Rebates in CBO's Budget Projections—Supplemental Material for Updated Budget Projections: 2019 to 2029.” May 2019. Congressional Budget Office. The Gun Law Passage Process Office of the Clerk. May 18, 2022. “Roll Call 212 | Bill Number: S. 2938.” U.S. House of Representatives. Tampa Bay Times Editorial Board. May 12, 2022. “Republican lawmakers should be ashamed for failing to honor Justice Joseph Hatchett.” Miami Herald. Annie Karni. Apr 12, 2022. “House G.O.P., Banding Together, Kills Bid to Honor Pioneering Black Judge.” The New York Times. Background on Most Important Provisions Mary Katherine Wildeman. May 26, 2022. “Data show most school shootings carried out by young adults, teens.” CT Insider. Jeffrey Pierre. May 26, 2022. “Experts say we can prevent school shootings. Here's what the research says.” NPR. The Dingleberry Erik Sherman. Jun 30, 2022. “Gun Safety Bill Extends Drug Middlemen Protection From Anti-Kickback Measure.” Forbes. Molly Rutherford. Jun 28, 2022. “Gun legislation provision puts drug supply chain profits over patients.” The Hill. Marty Schladen. Jun 22, 2022. “Deep inside the gun bill: a break for prescription drug middlemen.” Iowa Capital Dispatch. Poland Train Station Taylor Popielarz, Maureen McManus and Justin Tasolides. Mar 25, 2022. “‘The help given is remarkable': Inside the Poland train station that's become a hub for Ukrainian refugees.” Spectrum News NY1. The Law and the Regulation S. 2938: Bipartisan Safer Communities Act Senate Vote: 65-33 (All Nos GOP) House Vote: 234-193 (All Nos GOP) Jen's Highlighted PDF of S. 2938: Bipartisan Safer Communities Act Fraud and Abuse; Removal of Safe Harbor Protection for Rebates Involving Prescription Pharmaceuticals and Creation of New Safe Harbor Protection for Certain Point-of-Sale Reductions in Price on Prescription Pharmaceuticals and Certain Pharmacy Benefit Manager Service Fees U.S. Health and Human Services Department November 30, 2020 Audio Sources The State of Competition in the Pharmacy Benefits Manager and Pharmacy Marketplaces November 17, 2015 House Committee on the Judiciary Witnesses: Bradley J. Arthur, R.Ph., Owner, Black Rock Pharmacy David Balto, Law Offices of David A. Balto PLLC Amy Bricker, R.Ph. Vice President of Retail Contracting & Strategy, Express Scripts Natalie A. Pons, Senior Vice President and Assistant General Counsel, CVS Health Clips 53:48 Bradley Arthur: The Big Three PBMs control almost 80% of the entire market and these PBMs have the upper hand both in negotiating the contract with the payer, as well as strongly influencing the actual plan design itself. The PBM industry typically states that they can use their economic power to harness enhanced market efficiencies, but for whom? However, the staggering annual revenues that continue to grow each year of the big three suggests that these efficiencies are going directly to their corporations' bottom lines. Small community pharmacies like mine are faced on a daily basis with the impact of the PBMs' disproportionate market power. Community pharmacies routinely must agree to take-it-or-leave-it contracts from the PBMs just to continue to serve our long-standing patients. As if that weren't enough, the PBMs also directly set the reimbursement rates for pharmacies, the very same pharmacies that stand in direct competition of some of these PBM-owned mail-order and specialty pharmacies. Therefore, it comes as no surprise that the PBMs present employer and government payers with carefully tailored suggested plans designs that steer beneficiaries to these PBM-owned entities. Drug Pricing in America: A Prescription for Change, Part I January 29, 2019 Senate Committee on Finance Witnesses: Kathy Sego, Mother of a Child with Insulin-Dependent Diabetes Douglas Holtz-Eakin, Ph.D., President, American Action Forum Mark E. Miller, Ph.D., Vice President of Health Care, Laura and John Arnold Foundation Peter B. Bach, MD, MAPP, Director, Memorial Sloan Kettering Center for Health Policy and Outcomes Clips 1:57:30 Sen. John Cornyn (R - TX): Can anybody on the panel explain to me why we have a general prohibition against kickbacks — they call them rebates — under the Social Security Act, but we nevertheless allow it for prescription drug pricing? What's the sound public policy reason for excluding prescription drug pricing from the anti-kickback rule under federal law? Douglas Holtz-Eakin: I can't explain that and won't pretend to. [laughter] Sen. Cornyn: I thought I was the only one who didn't understand the wisdom of that. Well, it's not a transparent arrangement and it does produce upward pressure on drug prices. And obviously, the negotiations between the PBM and the pharma in terms of what the net cost is, is not transparent, nor is it delivered to the consumer. Is it Dr. Miller? Dr. Bach? Peter Bach: It's delivered to the consumer indirectly through the reduction of the total cost of the benefit, but it is not delivered to the actual consumer using the drug, and that is a disassociation, that is a problem. Because it essentially reverses the structure of insurance. Lowering the total costs are people who use it the least, and raising the costs are people who use it the most, relative to if you allowed the rebate to be used at the point of sale, including all discounts. 1:59:49 Douglas Holtz-Eakin: If we had the negotiation be about the upfront price, so instead of a high list price and a rebate, you just negotiate a lower price, that would be the price that Ms. Sego would pay and insurance companies would look at that and say, okay, she's not paying as much as she used to, we're going to have to make up that money somewhere else and they might raise premiums. That means that people who don't have extreme insulin drug costs would pay a little bit more in a premium every month, and people who have extremely devastating medical conditions and high health care costs would get less costs. That's exactly what insurance is supposed to do. And so the rebate system is more than giving strange incentives on pricing. It's undercutting the purpose of insurance in general. Drug Pricing in America: A Prescription for Change, Part II February 26, 2019 Senate Committee on Finance Witnesses: Richard A. Gonzalez, Chairman and Chief Executive Officer, AbbVie Inc. Pascal Soriot, Executive Director and Chief Executive Officer, AstraZeneca Giovanni Caforio, M.D., Chairman of the Board and Chief Executive Officer, Bristol-Myers Squibb Co. Jennifer Taubert, Executive Vice President, Worldwide Chairman, Janssen Pharmaceuticals, Johnson & Johnson Kenneth C. Frazier, Chairman and Chief Executive Officer, Merck & Co., Inc. Albert Bourla, DVM, Ph.D., Chief Executive Office, Pfizer Olivier Brandicourt, M.D., Former Chief Executive Officer, Sanofi Clips 1:22:03 Albert Bourla: Adverse incentives that favor higher cost biologics are keeping biosimilars from reaching patients. In many cases, insurance companies declined to include lower cost biosimilars in their formularies because they would risk losing the rebates from covering higher cost medicines. I can't think of a more concerning example of a broken system and we need to do something about it. 1:33:35 Sen. Chuck Grassley (R - IA): So many of you have voiced support for the recent rebate rule proposed by the administration. Should the administration finalized this rule, will you commit to lowering your drug prices? Richard Gonzalez [CEO, AbbVie]: Mr. Chairman, we are supportive of the rule. We'd like to see it in its final form, obviously, to make a final decision, but we are supportive of taking the discount to the patient at the point of sale. Sen Grassley: Okay. AstraZeneca? **Pascal Soriot [CEO, AstraZeneca]**The same for us Senator, I would go one step further: if the rebates were removed from the commercial sector as well, we will definitely reduce our list prices. Sen Grassley: Okay. And Bristol? Giovanni Caforio [CEO, Bristol-Myers Squibb]: We have the same positions. Sen Grassley: Okay. Johnson and Johnson? Jennifer Taubert [EVP, J&J]: Yes, we're supportive, and that definitely would be my goal. We would just need to see the final legislation, provided that there aren't additional fees that are added into the system to compensate for the rebates. Sen Grassley: Merck? **Kenneth C. Frazier: I would expect that our prices would go down if we change the system. Again, on the commercial side as well as the Medicare side. Sen Grassley: Okay, Pfizer? Albert Bourla [CEO, Pfizer]: It is a very clear intention that we will not keep a single dollar from these rebates. We will try to move every single penny to the patients and we think if this goes also to the commercial plants that will be even better for more patients. Sen Grassley: Okay. Sanofi? Olivier Brandicourt [Former CEO, Sanofi]: Lowering list price has to be linked to better access and affordability at the counter for the patients. 1:35:20 Sen. Ron Wyden (D - OR): Is it correct that your company, and nobody else, sets the starting price for all drugs sold by Pfizer? Yes or no? Albert Bourla: It is a negotiation with PBMs and they are very powerful. Sen. Wyden: But you still get to set the list price? Albert Bourla: Yes, but we set this price and the rebate limit(?). 1:35:40 Sen. Ron Wyden (D - OR): Is it correct, when a hypothetical patient, let's call her Mrs. Jones, goes to pay for her drug at the pharmacy counter, her coinsurance is based on the price of the drug you set? Albert Bourla: It is correct in many cases. Sen. Wyden: Okay. I just want you all to know that the number one reason consumers are getting hammered, is because these list prices, which you have the last word with respect to where they are, are unaffordable. And the high prices are tied to what the consumer pays at the pharmacy counter. And all this other stuff you talk about, the rebates and the discounts and the coupons, all this other stuff is window dressing, all of that. And the fact is on Part D, 40% of the drugs don't even have a rebate. So I want it understood, particularly because I've asked you, Mr. Borla, I think you and others in the industry are stonewalling on the key issue, which is actually lowering list prices. And reducing those list prices are the easiest way for American consumers to pay less at the pharmacy counter. 2:12:45 Sen. Thomas Carper (D-DE): First is eliminating rebates to PBMs. That's the first one, eliminating rebates to PBMs. The second is value based arrangements. And the third is increasing transparency industry-wide on how you set your prices. 2:13:20 Richard Gonzalez: We clearly support providing the discount at the patient level, eliminating rebates essentially. 2:14:10 Pascal Soriot: If the rebates, as I said earlier, were to be removed from Part D and the commercial sector, we would actually reduce our list prices. 2:15:10 Giovanni Caforio: I would say that not only do we support all three elements that you mentioned, but I do believe those three elements together with the continued effort to develop a generic and biosimilar market would mean significant change, and would clearly alleviate the concerns that patients have today. 2:14:44 Jennifer Taubert: We are very supportive of all three elements that you outlined 2:15:52 Kenneth Frazier: We too support all three. 2:15:55 Albert Bourla: All three elements are transformational for our industry, will disrupt it. However, we do agree that these are the three things that need to be done and also I believe that will have significant meaningful results if we do. 2:16:10 Olivier Brandicourt: We support the three Senator, but we want to keep in mind at the end of the chain the patient has to benefit, so if rebates are removed it has to be to the benefit of patients. Sen. Thomas Carper (D-DE): Good, thanks. 2:18:10 Albert Bourla: 50% of the American people are in commercial plans and these rebate rules apply to Medicare. If the rules apply to all, definitely the list price will go down. 2:18:30 Albert Bourla: The list price is not irrelevant, it's very relevant for a lot of people because they have to pay list price during the deductible period. However if the rebate rule is applied, then they become irrelevant because the patients will not be paying the list price at the purchase point. 2:19:10 Sen. John Thune (R-SD): How would manufacturers respond if the rebate rule were finalized for government programs? I mean, what does that what does that mean for the commercial market? Albert Bourla: Senator, as I said before, all these proposals that they're discussing, [undistinguishable], eliminating the rebate rule, are transformational and will disrupt the way we do business. I don't know exactly how the system will evolve, and I really don't favor a bifurcated system. I would like to have a transparent single system across both parts. So we need to see how the whole thing will evolve. 2:25:26 Johnny Isakson (R-GA): Who sets the discount and who sets the rebate? 2:26:20 Richard Gonzalez: We negotiate with payers, so managed care and PBMs— Sen. Johnny Isakson (R-GA): You're a supplier though, so you have to go negotiate with the PBMs and those people, is that right? Richard Gonzalez: Correct, and they negotiate aggressively. Sen. Isakson: Is that pretty much true with everybody, that they're the major component between the end retail consumer price and the origin of the product? Richard Gonzalez: Yes, Senator. Sen. Isakson: Well, that seems like that's someplace we ought to focus, because that's where the distorted numbers come in. Johnson & Johnson, Janssen, in your testimony, you talked about your average list price of 8.1%, up, but an average net price change of only 4.6%. So while your gross went up 8.6, your net went down 4.6 In the same pricing period. How does that happen? If you're setting the price, how does it not go up on the bottom? Jennifer Taubert: Yeah, and in fact, in 2018, our net price actually declined 8.6%, so even more than that. The intermediaries in the system are very, very effective negotiators— Sen. Isakson: Tell me who the intermediaries are. Jennifer Taubert: Those would be the PBMs and the insurers. Sen. Isakson: …and the insurance companies? Jennifer Taubert: Right, and they set the formularies for patients. Sen. Isakson: And they're not the same. They're two different people? Jennifer Taubert: Yes, correct. 2:40:45 James Lankford (R-OK): All of you have mentioned the rebate issue has been a problem and that insurance companies and PBMs are very effective negotiators. Part of the challenge of this is, health insurance companies pay their PBM based on the quality of their negotiation skills, cutting a price off the list price. And so if a list price is higher and a rebate is higher, that also gives preference to them. So the difficulty is, as you raise list price, and the rebate gets larger, the insurance company gives that preference, making it harder for biosimilars. Am I tracking this correctly? 2:43:00 Albert Bourla: Here in the US, the penetration of biosimilars is much lower than in other places, but it is disproportional to different parts of the US healthcare system. For example, in open systems, systems where the decision maker it is a PBM, the one biosimilar we have has a market share of 5% in the US. In closed systems, in systems like Kaiser, for example, integrated healthcare systems where the one who decides has the whole cost of the healthcare system in its interest, we have 73%. 5% and 73% for the same product. I agree with what Mr. Fraser said that we need to create incentives, but I would add also that we need to break this rebate trap that creates significant disincentives for providers, and the healthcare system, and insurance companies. 3:19:25 Kenneth Frazier: If you went back a few years ago, when we negotiated to get our drugs on formulary, our goal was to have the lowest copay by patients. Today the goal is to pay into the supply chain the biggest rebate, and so that actually puts the patient at a disadvantage since they're the only ones that are paying a portion of the list price. The list price is actually working against the patient. 3:19:50 Sen. Steve Daines (R-MT): Why do we have a system today? Where you all are setting, I'll just say very, very high list prices, which is the starting point for negotiation. Why? Olivier Brandicourt: Senator, we're trying to get formulary position. With those list prices. High list price, high rebates. It's a preferred position. Unfortunately the preferred position doesn't automatically ensure affordability at the end. Kenneth C. Frazier: Senator, If you bring a product to the market with a low list price in this system, you get punished financially and you get no uptake because everyone in the supply chain makes money as a result of a higher list price. Drug Pricing in America: A Prescription for Change, Part III April 9, 2019 Senate Committee on Finance Witnesses: Steve Miller, MD, Former Executive Vice President and Chief Clinical Officer, Cigna Corporation Derica Rice, Former Executive Vice President and President, CVS Health and CVS Caremark William Fleming, Pharm.D., Segment President, Healthcare Services, Humana Inc. John Prince, Chief Executive Officer, OptumRx Mike Kolar, JD, Interim President & CEO, Senior Vice President and General Counsel, Prime Therapeutics LLC Clips Sen. Ron Wyden (D - OR): Pharmaceutical Benefit Managers first showed up decades ago, back when prescription drugs were being utilized more extensively. The PBMs told the insurance companies, “we're the ones who know drug pricing, we will handle the negotiations for you.” But there is little evidence that the pharmaceutical benefit managers have actually held down the prices in a meaningful way. In fact, most of the evidence shows just the opposite. Pharmaceutical Benefit Managers actually make more money when they pick a higher price drug over a lower price drug. Colleagues, let's remember that all the way through this discussion, benefit managers make more money when they pick a higher price drug over a lower price drug. The logic on this isn't exactly complicated, graduate-level economics. PBM profits are based on taking their slice of the prescription-drug pie. More expensive drugs means there's a bigger pie. When there's a bigger pie, [there are] bigger slices for the pharmaceutical benefit managers. 50:24 Mike Kolar: Rebates and the role they play have been key areas of focus in the drug cost debate. In our view, rebates are a powerful tool to offset high prices, which are set by pharmaceutical companies, and pharmaceutical companies alone. The fact that rebates are not offered on many of the highest cost drugs, and that studies show no correlation between prices and rebates underscore that rebates are a key to mitigating rather than causing high drug prices. We pass rebates through fully to our plans, and we believe our plans should be able to choose how to apply these rebates in ways that best serve their members and market needs by balancing premiums and cost sharing. 56:05 Sen. Chuck Grassley (R-IA): I'd like to talk about consolidation, including the recent integration of PBMs with insurance companies. Last year I wrote to the Justice Department on the issues, it reported that the three largest PBMs who are before us today now covers 71% of Medicaid, Medicare Part D enrollees and 86% of standalone Drug Plan enrollees. 57:45 Derica Rice: This is a highly competitive space. In addition to the three that you've pointed out here, CMS has noted there are over 60 PBMs across the US. Therefore, the competition, there's many options for the employers that are out there, government entities, as well as unions to choose from given their specific needs. 1:10:35 Sen. Debbie Stabenow (D-MI): So when we look at Express Scripts has 100 million Americans covered, CVS 90 million, OptumRx 65 million, Prime Therapeutics 27 million, Humana 21 million, and yet Americans still pay the highest prices in the world. Even though you are negotiating for millions of people. The VA has its own pharmacy benefit manager service, they negotiate for 9 million veterans, and they pay, on average, 40% less for the same drugs that the rest of the healthcare system pays for. Despite greater volume, you are unable to secure these kinds of low prices. With all due respect, you guys are pretty bad negotiators. Given the fact that the VA can get 40% less. And so I'd like to know from each of you why that's the case. Dr. Miller? Steve Miller [Former EVP and Chief Clinical Officer, Cigna Corporation]: Yes. Part of the equation is giving patients choice. At the VA, they actually limit their formulary more than any of us at this table do. So oftentimes, they'll have one beta blocker, one ace inhibitor. And so if it's going to get to that level of choice, then we could get better prices also. Sen. Stabenow: Let me jump in, in the interest of time. I know you create nationwide drug formularies, you have pre-authorization, you give preferred status to certain medications. So you don't use any of those tools that the VA is using? Because you do. Steve Miller: We definitely use those tools, but we also give people choice. It's crucial for both physicians and patients to have the choice of the products they want to be able to access. Many of our plans want us to have broad formularies and when you have more products, it means you move less market share. Sen. Stabenow: So basically you're saying a 40% premium gives them more choice. 1:24:30 Sherrod Brown (D-OH): If the administration's rebate rule were finalized as proposed, would you in some way be required to change the way you do business? Mike Kolar: Yes, Senator we would. John Prince: Yes. William Fleming: Yes. Derica Rice: Yes. Steve Miller: Yes. Sen. Brown: Thank you. 1:25:05 Sherrod Brown (D-OH): What percentage of prescriptions that you fill across Part D actually receive a rebate? Roughly what percentage? Mike Kolar: So Senator, approximately 8% of the prescriptions that we cover in Part D are associated with a rebate. Sen. Brown: Okay, Mr. Prince? John Prince: Senator, I don't know the exact number, I know our overall business is about 7%. Sen. Brown: Okay, thank you. William Fleming: About 7-8%. Derica Rice: Senator, I do not know the exact number but we pass through 100% of all rebates and discounts. Sen. Brown: [Grunt] Steve Miller: 90% of the prescriptions will be generic. Of the 10% that are branded, about two-thirds have rebates. So it's about seven-- Sen. Brown: 7-8% like the others. Okay. To recap, PBMs do not set drug prices. Forcing you to change the way you do business -- as the administration's rule would — will not change that fact. And while the rule might impact a small percentage of drugs and Part D that receive a rebate, it does nothing to lower costs, as your answer suggests, for the other 90% of prescriptions you fill. Most importantly, absolutely nothing in the proposed rule would require Secretary Azar's former employer or any other pharma company to lower the price of insulin or any other drug. It's important to establish that, so thank you for that. 1:41:40 Catherine Cortez Masto (D-NV): Let me ask you, Dr. Fleming, in your testimony, you say Humana's analysis of the rebate rule -- and we're talking about the administration's rebate rule now — found that approximately 17% of beneficiaries will see savings at the pharmacy counter as a result of this rule. Can you tell me a little bit more about who these people are? And what kind of conditions do they have? William Fleming: Senator, there will be a number of members who are taking brand drugs for which we get rebates and so it could vary all the way from the common chronic conditions, things like diabetes or hypertension or high cholesterol, all the way over to occasionally, not usually, but occasionally on the specialty drug side. When you think of some medications like treatments for rheumatoid arthritis, multiple sclerosis, places where there's competition. Cover Art Design by Only Child Imaginations Music Presented in This Episode Intro & Exit: Tired of Being Lied To by David Ippolito (found on Music Alley by mevio)

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Anonymous: Hi. Thanks so much for taking our questions on your show. I love hearing other people get their answers and learning while I listen. I heard on a previous show that fine lines or wrinkles around the mouth area is not a result of aging but from other causes. I am only 47 and have recently (within the last two years) noticed a significant increase in vertical lines around both my upper and lower lips. Is this from nutrient deficiencies or something else? I did the big 5 labs, have been working with an Equilife IHP, and have been using your products now for 8 months. I was hoping the increased nutrition plus protocols I've completed (21 day detox, CBO, parasites, heavy metal) would have helped but the lines just keep getting more noticeable. Is there any way to get these to go away or can I only hope to keep them from getting worse? Thank you so much for your help!   Wendy: Hi Dr Stephen, can i ask if EMS training is beneficial for weight loss, especially for people over 45 years old? Doing lots of high intensity activities may not be suitable for people aged 45 and above.   Paloma: Thank you so much and your team for all your hard work every single day! I was wondering whether some PMS symptoms are normal or does it always indicate hormonal imbalances?   Paloma: Me again! I once asked you whether you thought cardio was necessary if I got my 10k steps every day + 4x a week resistance training with bands & free weights and you said it wasn't. I'm a 25 year old Vata so I don't like doing a lot of cardio because I lose muscle very easily. You've been speaking a lot about cardio recently so I'm wondering whether your answer would be different now? I don't have a lot of free time so to implement some jogging or biking would mean taking out 1 or 2 days of resistance training…   Tina: First off thank you and your team for all you do. I am a 53 years old. I did the big 5, the gut and bacteria test, and mold test. I am 12 weeks into my protocol working with an IHP level 2. I have done the 14 day functional detox. I am 8 weeks into the CBO protocol. I just finished the intestinal cleanse. I did a parasite cleanse and liver flush. My morning cortisol is very low and my evening cortisol is very high. Thyroid was a little high. I've been taking supplements to support my hormones and I have been doing the deep sleep protocol because I was experiencing really bad insomnia. I still continue to wake up at least four times a night. I'm very thirsty, I wake up startled, I wake up starving , and of course then I have to go to the bathroom because I have been drinking. I've been doing the deep sleep protocol, I've been wearing blue blockers before bed. I recently bought a lief device because my HRV is very very low. On average my number is 16. I also still have very bad Reynards. My fingertips go numb and purple. I also have this scab in my nose that clears up but then comes back quickly. TPOab is 32. Which is very very low. Any other suggestions on what I could be doing? Is my rain barrel that full? Do I need to keep doing functional detoxes? Could it be lyme? Thank you !!   Ryan: Hey doc Cabral. Wanted to ask a question regarding Graves' disease vs hashimotos. When testing thyroid antibodies, i recently heard Amy myers say TSH receptor antibodies is more telling of graves and the thyroid peroxidase and thyroglobulin markers are more telling for hashi's I wanted your thoughts on this, as I am testing these markers every few months in conjunction with near daily red light therapy exposure to thyroid. I did see a reduction in TPO antibodies from about 158 in November last year to 45 this past February. So it is cool to think that it may be lowered due to that exposure. I am a previous Graves patient. But will be looking to get the TSH receptor antibody test next time. Have you seen red light therapy work for these issues? Have you ever noticed any difference in testing those anti body markers for different patients? If TPO is lowering is that a sign that inflammation as a whole for the thyroid is lowering?   Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/2353 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!

Programa de radio online que busca visibilizar a los actores de los nuevos negocios en Chile y Latinoamérica En este programa encontrarás 00:37 - IWANACASH, Meni Henigman - CEO & Founder 15:41 - GLOBAL66, Rodrigo Lama, CBO 31:20 - SANTIAGO HORROR FILM FESTIVAL, Gustavo Valdivia, Founder

Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Anonymous: I wrote in on FB and your support email and was referred to ask here. Can you tell me why the Omega 3 capsules and liquid has different EPA/DHA ratios and the liquid has added DPA. What would be the reason a person would select one option or the other besides not wanting a capsule or liquid?   Rani: I have searched the podcast archives and haven't found anything on this topic so I was wondering if you could touch on it. Could you explain the reticuloendothelial system (RES)? Specifically the iron recycling system. I see many practitioners talk about the iron recycling system & how supplementing with iron is unnecessary and possibly dangerous. I would love to get your explanation on this topic. Thank you as I value your knowledge and wisdom.   Samantha: Hi Dr. Cabral, Thank you for your time. 10 years ago I had what I thought was painful dermatitis/eczema on my hands, but looks like Chilblains. 2 years ago, my family and I found out we had mold toxicity and are still working through protocol with a functional practitioner (my suspicion is years ago, chilblains was my first symptom from an overactive immune response due to the unknown ongoing mold exposure). Do you have any insight on what root cause(s) is for chilblains and if it's related to histamine and what can be done to heal from the disease, not just manage it. Thank you, Samantha   Alicja (Ah-leets-yah): Hi Dr. Cabral, My question today is about protocols and sleep. I started CBO protocol and my sleep got worse. Every day when I took CBO supplements I woke up between 3:00-3:30 am. When I'm up at this time - there is no chance for me to go back to sleep. I took a break from the supplements and my sleep went back to normal. I'm not sure what that means. Meantime I got my stool test results that detected one protozoa (Entamoeba coli) so I decided to do parasite protocol. The same thing happened. I started taking supplements (Para Support) and I started waking up between 3:00-3:30am. What do you think is happening? Any thoughts how to work around that? I need my sleep for proper healing. As always I appreciate your help and thank you greatly!   Alicja (Ah-leets-yah):One more question: My test results also showed I have very low levels of pancreatic enzyme: elastase. (It should be more than 200 ug/mL and I only have 28) I take digestive enzymes with every meal. Is there anything else I could do? Do you think HCL would be better for me? Or should I take HCL together with digestive enzymes? Is low elastase reversible or most likely I'm gonna be stuck with low numbers for the rest of my life and rely on digestive enzymes for the rest of my life too? I would love to hear your thoughts. I trust your knowledge very much. Thank you for you your amazing work.   Summer: Hi Dr. Cabral! I'd love to hear your thoughts on plant based protein powders. I don't know if I can use actual company names or not, but I've used Genuine Health and Sun Warrior over the last few years and I notice that I CAN tolerated plant based protein in a powder but CANNOT tolerate most plant proteins in whole food form. Looks like both companies are calling their products fermented which also raises a couple of questions. I know you suggest cutting anything fermented if you have gut dysbiosis, but how could any of those ‘good healthy' fermented bacteria survive the processing required to make these powders? So is it necessary to cut these powders with gut dysbiosis? Is the purpose of the fermentation in these cases meant to purely break down the plant into a more digestible form rather than trying to use it to repopulate the gut with good fermented bacteria as you would do with homemade ferments like sauerkraut? I can understand that it might help break down the plant, but I don't see how any good bacteria would ever survive that processing. Thanks so much, and have a great day!   Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/2347 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Zoe: Hi there! Just listened your episode “how to cure constipation” as I am constipated right now. You mentioned that you would recommend an international cleanse. I didn't see the brand in the show notes. Could you please tell me which brand you recommend for that? Also I have already purchased the 21 day detox. Should I do a intensional cleanse first and then detox? Or is it okay to just start with the detox? I am getting my hormonal birth control out on the 22nd so I was planning on starting the detox on the day of removal or next day.   Anonymous: Dr. Cabral, by the time you answer this, I will have completed the CBO protocol and likely be continuing through the CBO Finisher. I am currently beginning month 3 of the CBO and have a need for more improvements in my constipation/trapped gas symptoms. I have been very diligent, and followed the protocol exactly as recommended. I tried the intestinal cleanse on week 6 and experienced the constipation and lack of motility in over two years, and I took the binder and 4 capsules 3x per day for 5 days with only one bowel movement. If this protocol does not provide any improvements, where do I go from here? What testing do you recommend? (I did the HMTA and Stool Test leading into the CBO). Thank you!!   Samantha: Hi Dr. Cabral, Thank you for all that you do! I would love your insight. I'm a 30-year-old woman from New York. I recently had surgery on my right side Bartholin gland. I had an allergic reaction to either the anesthesia or intravenous antibiotics they gave me during the procedure. I'm seeing an allergist in a few weeks to figure that out. I had dermatitis that spread all over my torso, chest, arms, and back; it was pretty severe. A dermatologist prescribed me a ten-day taper protocol of Prednisone (which was really intense!). At the time of writing this, I'm done with the Prednisone and the bumps from the allergic reaction are gone, but I'm still SO itchy and I'm breaking out in hives. The itching feels like it's coming from the inside out if that makes sense. Actually scratching the area doesn't provide relief. I've been diagnosed with mast cell activation syndrome and I'm listening to your previous podcasts about it now. I've also been taking allergy medication and eating a low histamine diet. This combination provides very slight relief. I feel hopeless and want to feel like myself again. Thank you for any guidance that you may have. With Gratitude, Samantha   Stefanie: Hi Dr. Cabral, You are truly amazing! I love all that you do and am so appreciated for finding equi.life and these podcasts! You are a blessing I have had hypothyroidism and addison's disease for 5 years. Recently my doctor discovered that I also have Polythemia Vera. In your experience have you seen all of these diseases to be related? I'm trying to find the right direction on how to naturally lower my red blood cell count without having to take blood medication to lower this. Have you worked with patients with polythemia vera? I would love any advice on where to begin healing this blood disorder.   Cassie: Hi Dr Cabral. Thank you for all you do for everyone here. It's appreciate by so many of us! I have this “anxiety rash” is what my doctor labeled it as, but it happens with any heightened emotion, happy or sad and when I'm nervous. It starts on my neck and moves to my chest and when it's really bad it goes to my arms. Splotches on my face can appear too and my cheeks are always sort of red anyways. Sometimes a trigger is as simple as a customer at work complimenting me, and I feel it happening, which I don't really understand. Or being excited about something. Not all the time, but sometimes it can feel like a rush of adrenaline. It's come to the point where I feel uncomfortable in my own skin and I've hidden it for years by not wearing shirts or anything that goes below my collar bones or people always ask what's wrong. I'm getting married this summer and it makes me nervous I'm going to be a red mess because I know I'll feeling all the emotions that day. Doctors have just thrown anxiety meds at me, and that is not what I'm looking for. I am a very active person, exercise a lot and eat pretty healthy, I have noticed the healthier I eat the better it is but I can't figure out triggers with food. Any advice is so greatly appreciated! Thank you, Cassie   Marleen: My bloodwork showed high B12 but I don't supplement how is this possible?   Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/2346 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!

Hour 4: Marc is joined by Rep.Jason Smith, US Congressman for Missouri's 8th Congressional District. The two discuss the CBO confirming Biden's biggest executive actions have a $532 billion price tag. Marc is also joined by Keath Hausher, President of Patriot Training Foundation to talk about his work with veterans and Marc's upcoming participation in an Honor Flight. The show concludes with more on Sam Page.

Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Khadijah: Hi! I have a few questions about POTS. Basically, last year my doctor prescribed me four different birth controls within five months since I was getting side effects, and these hormonal changes triggered PCOS. I broke out I. Terrible acne and my hair started falling out s my dermatologist prescribed spirolactone. When I was on this medication I was passing out, had terrible joint pain, and fainting. I was bed ridden for weeks my side effects were so bad. I went off out it realizing it was the medication, but it also caused lasting side effects including reactive hypoglycemia and POTs. I've changed my diet from vegan to keto and that's helped with the hypoglycemia, but my heart is still super irregular and I'll start sweating, getting incredibly anxious and have a very fast or very low heart rate. Also I just feel so tired and my hands and feet get cold and numb. How do I heal this? I want to exercise and go out without feeling awful, and drink alcohol and coffee without feeling like a may have a heart attack.   Alicja (Ah-leets-yah): Hi Dr. Cabral My question today is about ammonia levels. I run Candida, Metabolic and Vitamins Test and it showed I have a very high levels on Ammonia Excess (Orotic) I believe that also that high ammonia contributes to my bed sleep at night. How can I get rid of that ammonia? I once red that taking L-ornithine helps. What are your thoughts on that? Thank you so much for your answer. I appreciate your help and wish you and wonderful day.   Gregg: Hi Dr. Cabral - love the pod and the help you motivation you provide daily! Question: what are your thoughts on lectins and their effect on gut health? Others in the healthcare space have suggested that foods like beans, bell peppers and tomatoes can contribute to leaky gut due to their lectins creating microscopic tears in the intestinal wall. Are these valid concerns? Is there research to back this up? thanks again! gregg in seattle.   Komal: Hi I did my 21 day detox. Can I keep doing another round or is there a limit   Bridget: My friends 12 year old son was born with no eyebrows. He does have a few hairs that are blonde but you can't really see them unless you look hard. He has brown hair otherwise. Do you know what could cause this? As he gets older, the kids at school get meaner. He does have allergies to peanuts, animals and is a bit overweight. Other than that he seems like a healthy kid. Thanks so much for all of your hard work helping the community.   Summer: Hi doc! I'm over halfway through the CBO protocol now, and I'm noticing a huge increase in plaque and calculus build up on my teeth. Ever since I cleaned up my diet about 5 or 6 years ago, I noticed I would barely build up any plaque and never built up calculus. I couldn't believe how clean my teeth always felt and always got comments from the my dentist and hygienist. But now all of a sudden after starting this protocol, I always have ‘fuzzy' teeth and it drives me crazy! I was a dental assistant for 7 years and still work in the dental field. Do you think perhaps this could be a vitamin or mineral imbalance? I'm wondering if I'm getting too much of something. I take 1-2 scoops of DNS daily alongside my other supplements that I've always taken. The only supplements that have changed would be adding DNS, switching to EquiLife alkalizing vitamin c, omega 3, and daily thyroid support. I also started taking Hyland's bio plasma 12 cell salts religiously. I would love to hear your thoughts on this! Thanks for your time!   Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right!   - - - Show Notes and Resources: StephenCabral.com/2340 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Michael: Hi Stephen, hope you are keeping well. I'm an Addison's disease patient since July 2021 after a long few months trying to get a diagnosis - brain fog, weight loss, anxiety and panic attacks, adrenal crisis and OCD. I'm hearing a lot about different diets for autoimmune diseases and wondering your thoughts on cutting out gluten sugar and dairy to help. Currently taking hydro and fludrocortisone daily. Also in terms of vitamins what should I be taking daily just need some help getting my life back on track. Also I've had covid twice which def didn't help with addisons. Recently came across your podcast on adrenal fatigue and heard you have addisons as well. The thought of being on these heavy meds for life is kind of scary. I had all the symptoms you had and would love your opinion. Thanks Michael   Rachel: Hi there, Just wondering if you could do a podcast on your recommendations for children and supplements. I'd like to find out if it's necessary to provide children with Multivitamins and/or what supplements you suggest they take in conjunction with a balanced diet. Thank you.   Nicole: Hi Dr. Cabral. I have a question about my ectopic heartbeats. I've been battling chronic fatigue, stress, and gut issues for a few yrs now after having tragedy after tragedy in my family happen. Anyway I did do the oat test and HTMA as well as food sensitivity test and have a plan going forward to heal and seal my gut. However one very mysterious symptom I've been having ( out of a few actually) is that I get ectopic heartbeats all the time! Not just a few but hundreds a day. I did a heart ultrasound as well as 24 hr heart monitor and they found nearly 2500 pvc and pacs in a 24 hour period. These tend to happen during early morning and in the late afternoon into the evenings. They have gone away for weeks at a time entirely only to return once again for weeks- months. My cardiologist says they are benign and that its just anxiety. Wjat are your thoughts. I don't feel like I'm an anxious person although I do know with my ongoing health challenges and emotional stresses in the past this could have played a role to some degree. My thyroid panel is optimal at 30mg armour thyroid no no more antibodies present. Any help or advice would be greatly appreciated.   Sarah: Is it possible to completely get rid of thyroid antibodies? Mine has hovered around 300 for years and deciding if damage is done and should just go on thyroid med instead of chasing full reversal! Thankful for people like you putting in the time to help the world!   Courtney: Hello! Your story resonated with me as my 5 year old daughter has been on a daily 6ml antibiotic the last 2 years for recurring UTI's due to holding and reflux to the kidneys. Doctors believe she will grow out of it. I'm very concerned that the daily nitrofurantoin is ruining her gut flora and what this will mean for her future health. Even with the daily antibiotic she will have a UTI once every 3 months and will be on a full 10 day course of another antibiotic (keflex or Bactrum). She will be starting biofeedback when she is 6 (October). We give her a daily probiotic: Jarrow YumYum dophilius. What more can we do to help her break this cycle, get her off a daily antibiotic and get her gut health back? Thank you so much! Courtney   Rita: Hi! I've attempted the CBO protocol twice but can never seem to follow through properly all the way to 12 weeks. The problem is that I own a bakery and am always tasting our products for quality a few times a month, especially when we're creating new flavors. My bakery business truly brings me and my customers joy and fulfillment, so quitting that is currently not an option. I've taken the food sensitivity test and am highly sensitive to gluten, dairy and eggs. I don't need to have entire servings of our pastries but I'm wondering if this will affect the effectiveness of the CBO protocol during and after the process. I know I desperately need to rebalance my gut but don't know how to balance this with my livelihood. Please help! Thank you so much.   Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!      - - - Show Notes and Resources: StephenCabral.com/2339 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Ales: Hello Dr.Cabral, I have lot of trust in your discretion, and thus I have two questions I hope you can answer. 1. Lately I have been reading about deuterium depleted water and its benefits on our mitochondria. Is there any valid evidence on deuterium depleted water? 2. Speaking about mitochondria what's your take on eating only local, seasonal food, which logically is the way to go, and all cultures in past always ate this way. My question here is whether eating non-seasonal food affect mitochondrial health due to the energy (electrons) that is stored within all plant foods. Since all organisms react to circadian rhythms and seasonal changes, isn't it confusing and metabolically deranging for our bodies to consume let's say fruits in mid of a winter? If food is information for our mitochondria, then we should really avoid non-seasonal foods altogether. Please help me understand whether the body would prefer (which is very logical to me) to get nutrients & energy only from foods that it expects during cold months (maybe some root crops, but not fruits), while expecting and processing much differently fruits during summer months? Thank you   Simon: Hi Dr Cabral, I am having open surgery soon for an inguinal hernia. I know you've recommended a couple of times before to use the Daily Foundational Protocol (minus Omega 3) leading up to and after surgery and the Healthy Gut Support and Clean Gut Probiotic afterwards to improve health and reduce the impacts of antibiotics. If I wanted to 'go the extra mile' to promote wound healing; recover from a general anesthetic; and reduce the impact of antibiotics, is there anything else you would recommend? Would collagen assist with wound healing? How long should I wait before taking anti-inflammatory foods/supplements (knowing that many thin the blood)? Thanks!   Simon: Hi again - another quick question regarding inguinal hernia surgery: my surgeon is adamant that a mesh is the best surgical approach, however I have serious concerns with a plastic mesh being left inside my body to slowly dissolve. Assuming I go ahead with the mesh, what would you suggest as a long-term approach to reducing the toxic load my body takes on from the mesh? (assuming it takes a couple of years to dissolve)? Thanks!   Nicole: Hi Dr Cabral. Im so glad I found you and your wealth of knowledge. I have a question and also need some encouragement. I have been sick with chronic fatigue and major gut issues for 4 yrs when I first became pregnant. I recently met with one of your health coaches and discussed my results for my hair tissue analysis, OATs and food sensitivity test. We decided on a path that was right for me based off the results which include a few supplements and doing the CBO protocol based off of probably sibo and candida . However since that meeting my naturalpath and I have found that I am likely also suffering from crohns. The super sad part is so is my 3 yr old. :( my question is this, is there anything in addition to the cbo and citrocidal drops with the sensitive gut guide I and my 3 yr old should do? I do not have any food sensitivity besides dairy. I also need more encouragement that this crohns can be fully healed/ reversed! Thank you dr Cabral   Nicole: Hi Dr. Cabral. I have another question. My ANA recently went positive with no direct corilation to any direct "dis-ease" and I've developed progressively worse eye pain/dryness that drops do not fix. I've also get extremely bloating and painful abdomen everywhere as soon as I lay down to nap or go to bed. I KNOW my gut is a wreck. I eat soooo clean. Everything organic, lots of veggies, and I follow your daily nutritional support and greens each morning in a smoothie. I do intermittent fasting and the only thing I can think of that needs major work is my stress....we r in the middle of a move and its been challenging. I guess my question is what the heck am I missing? Food sensitivities are all negative besides dairy. I also have low thyroid...I've brought down my antibody levels there from 600 to under 15 and lowered my medication! So at least there is one win! Lol any help is greatly appreciated   Mrs. Rosen: what can do about low thyroid? anti bodies against thyroid?   Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/2332 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!

Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Patti: Thank you Dr. Cabral for all you do. My husband started doing the 7 day quarterly detoxes, DNS & Equilife supplements about 9 months. He can feel the inflammation decrease after the detox. He had symptoms of gall bladder issues & had medical tests @ 2 years ago & every thing was fine. When the 3 months is nearing to an end & his next detox is approaching, he gets those symptoms again. Should he do the CBO protocol or a lab? If so, which one. Thank you   Marion: I like to know what is the BEST probiotics brand product to take to lose the most weight.   Mariah: Thank you and your team for everything that you do to make the world a healthier one! Every time I lay down, I get a lot of bloating, very hard distension. Then when I get up, I feel pain on my upper abdomen which takes a few hours to subside again. But these two symptoms happen every time I lay down and get up. Nothing showed up in endoscopy. My Osteopath says I have mild hyper-mobility and she thinks that is a contributing factor to my bloating. Any suggestions?   Leah: Hi Dr Cabral, I try to live an overall healthy lifestyle. I eat, exercise, sleep, meditate etc in the most optimal way that I can. The problem is, I love my wireless headphones which I know isn't great. Especially the number of hours I wear them per day. While I know the radiation is bad, the convenience is so beneficial. Are there any tips that help with minimizing the effects or potential damages? Thanks so much!   Cara: Hi Dr. Cabral! A few weeks ago my daughter and I got a stomach bug. It was a few hours of vomiting and then just no appetite and rest for about 3 days. Some stomach cramping during recovery. However, Im curious about the vomit. After the emptying of food in my stomach, the bile that came out was a browner color. My daughters bile was regular color green/yellow. I know you can't give medical advice, but if you had no other stomach pains, acid reflux or anything, would you be worried about the bile being brown? When I looked this up it said it could be blood, or blocked intestine. The problem is going to even an FMD, would require multiple visits and getting to a GI MD. Im an IHP 2 and I have not been to an FMD in almost 3 years. Just curious what you would do in this situation. Thank you, Dr. Cabral!   Cara: Hi Again! I've owned a popular stainless steel gravity filter for 5 years. However, for the 2nd time Ive noticed rust in the bottom chamber. They say that if it comes off with 50/50 vinegar/water wash, it is just mineral build up. It didn't come off after this process. I noticed that the stainless steel spout had some rust in it too. I'm wondering if this is why I had a metallic taste in my mouth doing my last FM detox. Maybe coincidence. What would you be concerned of if you knew you and your daughters (mine is 6) had been drinking water that was coming in contact with potential rust? Thank you! Trying not to lose my mind with this situation... Also have you finished reviewing another water filtration option?   Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/2319 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!

It's episode 3! Our guest is Dr. Asia Muhammad - a doctor in Naturopathic medicine and three year resident for Digestive Health - and what topic could be more appropriate or exciting than poo!  Well not just poo, but how we can improve our digestion, anecdotes from practice - 1st date poos, longest duration without a poo, Elvis' death - ways to get more fiber, hydrating against constipation, the best way to poo, Luke's squattys, poo shame, holding a poo akin to holding ejaculate, tips for baddies with IBS, CBO, coffee enemas and SO MUCH MORE!Dr. Asia Muhammad values the power of lifestyle modifications to achieve optimal health. She uses evidence-based, science-based medicine to provide individualized attention to those in her practice. As a naturopathic doctor, she utilizes nutrition, exercise, supplementation through nutraceuticals, botanical medicine, and mind-body therapies such as hypnosis. She has a special interest in gastroenterology, mind-body medicine, and stress management, as increasing research demonstrates the role of stress in disease. She has received additional training in mind-body therapies, including hypnosis, guided imagery, biofeedback, autogenic training and progressive muscle relaxation. Asia received her Doctorate in Naturopathic Medicine from Southwest College of Naturopathic Medicine in 2014 and completed a three year independent residency at Arizona Digestive Health. She received her BS in Chemistry and Biology from Middle Tennessee State University in 2010.This episode is sponsored by Kion. Save 20% on a Kion Aminos subscription and 10% on one time purchases by pressing the link below: Zaddy & KionYou can find her at:https://www.instagram.com/dr.asiamuhammad/?hl=enhttp://www.asiamuhammad.comSubscribe or keep tuning in at:https://www.instagram.com/thelukecook...https://www.tiktok.com/@thelukecook?l...https://thelukecook.com

Tune in to hear:- Where are we at, as an industry, in terms of the application of behavioral sciences to the world of work? Where does Jez see us headed next or what's his outlook for the industry?- Compared to something like tech, where does the financial industry fall on the adoption curve of behavioral sciences? - In what field might we have the next big, unexplored vertical jump for applied behavioral sciences?- What was the case study about helping regular folks save more money and what practical things emerged from this study?- Why is a degree of granularity so important when making a behaviorally-driven plan?- How can we fight the idea that grand behavioral changes require grand behavioral interventions? - How did Jez help Mexico implement a country-wide campaign to tackle obesity using behavioral science? What can we learn from this example?https://www.goodreads.com/book/show/49190518-ripplehttps://www.cowryconsulting.com/consultants/jez-groomCompliance Code: 0934-OAS-5/26/2022

Tech companies order workers back to the office, CBO blames Biden's spending for inflation, review of the day's stories See omnystudio.com/listener for privacy information.

Gas Prices rise $.05 overnight to another all time high. A summer fuel shortage is coming. The CBO confirms Bidenflation is real. Joey Puddin Pop plays the blame game again. Democrats can now break the law with no ramifications.

In December 2021, Senator Joe Manchin appeared on Fox News to announce that he would not vote for Joe Biden's signature climate plan, Build Back Better. The reason he cited? A score given by the Congressional Budget Office. The Congressional Budget Office – or CBO for short – is the most important government agency you've never heard of. It acts as a budget referee, giving legislation a score on how it will impact the economy and the federal budget. Senator Chuck Grassley once called the CBO “God” on Capitol Hill. Its scores determine which legislation passes and which legislation dies.  But there's one big catch. The CBO is systematically leaving out the impacts of climate change and carbon pollution on the economy – and stacking the deck against climate legislation. Lawmakers have the power to change it. Will they? Guests:  Dr. Mark Paul is an assistant professor of economics and environmental studies at New College of Florida. You can read his article about the CBO in Noema.  The Carbon Copy is a co-production of Post Script Media and Canary Media. The Carbon Copy is supported by Nextracker. Nextracker's technology platform has delivered more than 50 gigawatts of zero-emission solar power plants across the globe. Nextracker is developing a data-driven framework to become the most sustainable solar tracker company in the world – with a focus on a truly transparent supply chain. Visit nextracker.com/sustainability to learn more. The Carbon Copy is supported by Scale Microgrid Solutions, your comprehensive source for all distributed energy financing. Distributed generation can be complex. Scale makes financing it easy. Visit scalecapitalsolutions.com to learn more.

1 (0s): this morning. How good is it to be in the new worship center? Woo. It's good to be in his house this morning. It's good to meditate on his word. It's good to be together to praise his name. Thank you, Jesus. That you are here. 0 (19s): God, we worship the God who Wiz. We worship the God who ever more be. He opened the freezer. He haughty the raging sea Baca holds the big . 0 (1m 29s): We seem to the God who said we seem to to God always. Cause he hung up on that cross and he rose up from that gray good. 0 (2m 20s): Now we now running free. We offer care except by his grace that the house and we won't be quiet. 0 (3m 11s): We shut out joy in the house. We won't be quiet, please. Shout out. 0 (3m 24s): 2 (4m 16s): Hey everybody. Hey, welcome. Wow, everybody's looking beautiful. Looking amazing. We've got like a gap over here. If you're looking for a spot anyway. Great to have you all here today. Turn and give your neighbor a high five. Yeah, both. Both of them. All right. Well we are, we are in the new worship center. I don't know if you realize that when you came in, but here we are. 2 (4m 56s): If you're unfamiliar with this building, we've got restrooms here in the back, right behind me. We've got more restrooms up the stairs, handicapped restrooms downstairs, and then more restrooms up the stairs in the back. We've got water as well. There's water drinking fountains right behind me here and then coffee out the patio right there. So check that out. We've also got some parking available. I don't know if you have found a spot, but check out the, the Klondex parking lot is available. It is paid parking, but we can validate your tickets at the info center. So don't be shy about that. And then all the other spots around the village are also welcomed. 2 (5m 39s): So, so glad you made it here. It's such an exciting day to be here such a long time coming. We've been working on this space for a year and it's just amazing to see it. So we're going to pray also. Oh, sorry. If you've got fifth grade and up kids, they're going to meet up the, in the back here, meet the teacher after a worship and they'll walk them over to, to their classes. So without let's pray and we'll jump back into worship. Jesus, we love you so much. This whole space, this new building. We just want to worship you Jesus, because that's what this is all about. It's all about making room for more people to experience you more people to come into a relationship with you and Jesus. 2 (6m 25s): We just want to do that. We just open ourselves up to you right now and we just pray that you administer that you'd be with us and God just be worshiped in this place today in Jesus name. Amen. 0 (6m 45s): to perhaps we will see I don't know. 0 (12m 16s): big songs of praise to shake. the truth. 0 (12m 58s): Mitch please. 0 (14m 47s): 3 (15m 32s): Yeah, 4 (15m 33s): God, you are faithful. Thank you, Lord. Thank you for your faithfulness, Lord God. Thank you for your power Lord. We are so honored to be in your presence today, Lord, we bless you. We thank you for meeting us here that we're two or three are gathered together in your name that you are there in their midst. Lord God that we celebrate you. We're thankful for you. We lift up your name, Jesus, and we celebrate and we worship you today. Lord. So thank you for this first Sunday in this new worship center. God hallelujah. We thank you, Lord. We bless you, Lord God. You've been faithful all through the process and Lord, we know that you will be faithful moving forward. 4 (16m 18s): So we, we bless you, Lord, we thank you for blessing us Lord and we just, God just wants to give you praise and say, thank you, Lord, God, Lord use this place for your kingdom. Work in this community. Lord God that we might be salt and light Lord to more and more people that we might see people saved and delivered, filled with the holy spirit transformed in Jesus name. Lord, give a new life, a new purpose in Jesus' name. So Lord God do something so wonderful and supernatural something beyond our expectations. We pray. We invite you Lord. We say yes, Lord Lord. 4 (16m 59s): We're committed to saying yes to you. Yes. To your plans and yes, to your purposes, we bless you, Lord. We love you. We're all in. We're so grateful that you indeed are all in with us. We love you because you first loved us. So we bless you, Lord. Thank you for this time in Jesus name. Amen. Amen. Turn to greet your neighbor. We'll come right back. 4 (19m 18s): Well, I tell ya, I feel like a little kid on the first day of school. I, I didn't quite give myself permission for service to like be too excited because there's just like so many things that are happening all at once. And so as I'm worshiping, I'm like, oh, I feel like it almost feels like the first day that we planted our church and back in 2003 where you're like, is anybody going to show up? Is everything going to go? Well, like what's going to happen? You know? And cause it's been a long, long time. April 9th, 2021 is when I first took a picture of the, for lease sign that was on the outside of this building. And going back 10 years ago, we tried to get this space 10 years ago and the timing was just not right. 4 (19m 60s): And so when I called John Hayashi, who owns the building on April 9th, 2021, I said, Hey, John, we're interested in your space. He said, I'll meet you down there like 15 minutes. And we met down here and on a handshake, it was hours. And we did, you know, the whole, you know, agreements and rental agreements and lease agreements and that sort of thing. But it was just so cool. So roughly like 59 weeks later, here we are. So it's been a lot, a lot of work. And so what I'd like to do is just kind of take you through some slides to show you I'll stand over here and just show you, this is kind of, hopefully I'm not blocking. You're fine. Okay, good. So how's that better? 4 (20m 40s): Okay, good. So this is when the building, before we got it, it was a, a antique store. And before that it was a clothing store called the wardrobe and many of us remember that. And so they had these pole posts were all built out with these, these boxes for, you know, putting shirts and clothes and that sort of thing for merchandising things. And so we got to get rid of all of those things. Let's go to the next slide there. And then we got to get rid of the drop ceiling. So the drop ceiling was a huge project because at first sight it looked like, oh, it's just some panels and some, you know, T-bar but there were like three panels deep of, you know, just the, the, the ceiling tiles. And so we took out truckloads and truckloads there's piles of insulation on top of the, the, the ceiling tiles and the T bar. 4 (21m 23s): And so it was a huge, huge undertaking and a there's de Bedford, the rockstar of the show. I'll talk more about Dave in just a moment, but he was here all the time. And then this picture represents the prayer nights that we had here in this space where we just decided to pray and give this space to the Lord and just really honor him and say, you can see on the back in the back there, there's pictures of people's names that are on that sound booth wall there. So over the course of the year, we just re recorded people's names that we're praying for. We want this person to get saved, this person getting healed, whatever it was. And then throughout the space, we wrote Bible verses on the concrete floor before the floors went in on the framing and all, all around. 4 (22m 8s): So Bible verses and promises of God. So this is kind of what it looks like before as the, as the place is kind of beginning to take shape. And so was just, as you can see, it was just a ton of fun. So keep going there. And so this is the nursery. So in the nursery required quite a bit of work. And so this is the kids' space in the back. So if you haven't seen that yet, go check it out. It's really been transformed. Here's the, the courtyard. And so beginning next week, let's leave that up for a minute beginning next week, we're going to have it like an 80 inch TV out on the courtyard. So if you're drinking coffee, sitting out on the tables, benches out there, you can enjoy it out there. But that, you know, we had to completely renovate this whole space, Stripe stock, a reset, go clean, just everything up. 4 (22m 50s): And so that was a labor of love to say the least next, Hey, there's my son and my wife, they're planting trees. You know, putting those trees out front just to soften the front next, Hey, there's our friend. Jim, Jim helped Aaron with polling on thousands of feet of cable to make all of this work. You know, so Jim was here, he built, built out the tech room in the back with desks and all that sort of stuff. Jim, Jim was here with Stephanie, like every Friday, Saturday for months and months and months volunteering their time to get so much of the infrastructure, the electrical infrastructure, and just donated hundreds and hundreds of hours to get this project done. 4 (23m 33s): Perry too, has been here nonstop and doing all kinds of electrical stuff as well. Just doing whatever we needed him to do. We call them up, Hey Perry, can you show up today? He's like, I can show up and he'd be here. And just taking care of stuff. Noah has been just constantly around here as well, doing all kinds of cleanup and there's been a ton of cleanup that is needed to happen. And so thanks Noah for that next slide there. Yeah. This is the floors going in. So obviously a lot of space here. So a lot of laminate flooring went in and so it's just beginning to take shape the paints in the floors, going down and starting to feel like a, a building, but we're still months away. Like we're still months away from being able to move in. So let's keep going. 4 (24m 13s): Is that the last seven? Okay, good. Good, good. So what I'd like to do, we could have shown you like a thousand pictures, but you kind of get the point, right? You kind of get the point. So what I'd like to do is just honor my name, those people who have donated their time and treasure and talent to get this thing done. And so I'm going to start with where it all begins with our elders. I'd like to honor Jim and Gary and Neil and Ron, because when we propose projects like this, it's a big project. We have to have the buy-in and the agreement with the elders. And I just want to honor our elders today. The guys that serve, they've been serving with me for a long time. 4 (24m 54s): They are men of faith, men of character, men of prayer, and they are so ready to do what God has called us to do. And they just go for it with Gusto because they believe in God's big plan for harvest church and for the gospel that he wants us to communicate. So I want to thank my elders. I want to thank John Hayashi. I texted John yesterday. He owns the building and I said, Hey, John, I've been giving him updates. You know, I said, Hey, John, tomorrow, we're having our first service in the new space. I just want to say, thank you so much for taking a chance on us and with us, his brother Howard is my doctor. One of my doctors and I had been to see Howard recently. 4 (25m 35s): And so I just said, Hey, John, your family that the high ashy claim has been such a blessing to our community. And I just want to say, thank you. And so this big, long taxed, and John's such a man of few words, all he responded was congratulations. So like I'll text him all this stuff and you'll say thanks or great. And, but John's been awesome. I want to thank the Pacific justice Institute. Initially, when we wanted to make this building a church, the city said, no, I don't think we want a church in the village. Downtown core. I said, is that, is that legal? And Patrick said, I think so. I said, I said, I've got a letter from the Pacific justice Institute saying that it's actually not legal to keep us out of the village downtown core. 4 (26m 18s): He said, really? He said, send it over to me and I'll run it by our city attorney and just see what he says well, within a day or so he emails me back and says, Hey, congratulations, let's move forward. We can't keep you out. And we want to bless you as you move forward. So it was like, the Lord just changed their hearts as I mean, because we never wanted to be like hard charging. We just want to do what we do with grace and with tenderness and with just faith that God's opening doors and we never want to kick a door down. So I just want to thank the Pacific justice Institute for what they did. And you saw the picture of Dave Bedford. Dave has been a part for 19 years of projects around here. We've been, we started at Lopez high school on the Mesa. We were there for a couple of years and we've been in this space next door for 17 years buying space and renovating space all along. 4 (27m 0s): And so when I talked to Dave about this space, he's like, I'm in, you know, I'm your guy. And so he's been here tirelessly to get the job done. And so I'm so thankful for Dave Bedford, Steven, Julie Schumann from SoCo data and they print, they print up all of our principals, everything that's in print is printed by those guys free of charge. They don't charge us a thing. So God bless Steve and Julie shoe Schuman of slow code data. Aaron looters, who's been a part of every project. I think for the last like 17 years has been just a blessing to us installing all of the, all of the sound, audio, video stuff. He's, he's one that's been behind all of that. Rich brown. One of our plumbers, we've had a few plumbers in here, but rich has done so much of the finished stuff. 4 (27m 44s): And so much of the infrastructure stuff regarding plumbing, my brother, Larry and another guy, Alex, both in charge of painting. So everything has been painted. Those guys did that painting. And so we're blessed to have people like that at our disposal, Sammy, Quavis the dry wall guy. We didn't originally plan to take out all the drywall, but the drywall was in such bad shape that Sammy said, Hey, let's just pull it all off because I could float it all. But it's going to take me twice as much time and let's just tear it off and start over. So that's what he did. And so Pete Kurzy, he did all the stucco repair around the building. See Mondello did all of the heating and air conditioning. It takes so many people to get a project like this across the finish line. 4 (28m 25s): So see, Mondello been a friend of mine since high school. He's done all of our HVAC stuff throughout all of the buildings. And he just did a wonderful job. Doug Wilson did the check valve and the trenching for all the, to get water to the building so that we could power these fire sprinklers. And so Dave's been, or Doug's been busy with that paradise plumbing. Travis white was also involved in the process. We had a bad sewer line here that he discovered because before we got here, he said, I was always here because they always had backup toilets. So we said, let me scope the line to tell you if the line's in good shape. So he scopes the line and the, the sewer line was completely gone. I mean, the, the bottom of it was complete. So all that sewer was running in. 4 (29m 5s): So we had to cut an 80 foot trench replaced the sewer line. And so Travis was all part of that. We had electrical engineers, we had architects, obviously. I'd like to think my friend, pastor Mike Sparrow, because Mike's been a friend of mine for decades, but we were at a crossroads in need of an architect. And Mike just happened to be walking through the community of the, our pro our property recently back going back about a year. And he had an architect with him and I said, we actually need an architect. And, and so we've, we're blessed with that introduction that Wayne's Stewart worked with MW Mike peachy and Wayne Stewart, who own MW architecture gave us a tremendous discounts on the work that was done here. 4 (29m 53s): And our project manager, Derek Carter has been just priceless for us. He's been on the he's. I called, I texted him last time, Derek, we're going to have our first service. He's like I got COVID. I can't go so brave for Derek, but so many, so many amazing people. Chris outlined with the floors of wood herb, with Cal flooring to the carpet, the sign shop guys did all of the sign, the printed signs that are in here, Ronnie and Janet . Janet told me this morning, she said, this is, this is the third building I've been in with you because she was in the beginning with us at Lopez high school, and then over here and now here. So running and Janet did the, the new fence and rod iron stuff out there. 4 (30m 36s): They've been so amazing chase with alpha, the whole team. We have so many electricians to thank because this project required so many electricians just to get it across the finish line. So alpha, they were great. They came in exactly when we needed them to come in to get us across the line. Corey sole Meyer, all the lights. He get consulted us with about all the lights and everything got her in here. So thank you, Corey, Larry and Carrie D I don't have my glasses on LD termites. Anyway, we had some termite issues. I should wear my glasses once in a while, but I just don't like those things. So anyway, the termites we had the windows tinted. Jim Schmidt was our tech assistant, built out the tech desk. 4 (31m 18s): Steve Henry built the wheelchair. He didn't build it, the lift, but he assembled the wheelchair lift. So you look at that thing, it looks pretty straight forward. It's not straightforward. It took weeks to get that thing assembled. And then we have the painter come in and paint, paint it. Cause it was all white. Like the back of it was anyway. Thank you, Stephen. An amazing, just he's an amazing man. So Luke and Aaron with Frank's lock and key, they have been so good. They've been such good friends to us over the years. They take such good care of us with this building and every building that we've ever had. Aaron and Luke have been amazing. I want to say, thanks to Patrick Holub, who is our planner or assistant planner on this project? 4 (31m 59s): He, he just did an amazing job, actually emailed the, the, the mayor, Karen Ray Ross, some says, I just want to say, thank you for your team, Karen. And I go back to high school. We've known each other for a long time. I said, man, your, your team just did a great job, including bill Robinson. And so they did a wonderful job walking us through the process process. I'd like to think our CBO and building inspector, Mark Myers, and his wife, Nancy and their team. They've been so good to us. The inspectors. I mean, they've done their job, but they've been so gracious and kind to us. And so now volunteers, again, Jim Owen, you saw Jim in the picture. Jim volunteered with Craig and Stephanie, his kids, countless hours of electrical work in this place mat lists, but they built the cabinet over the info center. 4 (32m 47s): Lynn Colette, who built the cross at the chapel in our old space. He also built the cross here. And it's just interesting how the Lord brought him by just at the right time. It's actually at the entrance. When you come in now, since then they've moved. I think theirs have moved. Now they're gone. So God brought him just for a moment. So we can have him build the cross Perry Lupin and his friend, Chris, again, tons and tons of electrical work. Cory, Joseph, my brother and his girlfriend AC they did tons. They rescued us at a moment when we needed some expertise with our panel back there, they came in and replaced the panel and just did a amazing workforce. Would not charge us. 4 (33m 27s): Chris Lacey, again, more electrical work. Sean D bull and Noah Clark did tons and tons of cleanups. Seth McMillan did the courtyard design and the install Maggie Sutherland was in charge of the design elements throughout, upstairs and downstairs just did an incredible job. Mark towns in a professional camera operator, worked with us to get cameras set up and ready to go. Jerry Shaw design drawings, Dan Hennessy, graphic design, Mike Ferris. He's been working tirelessly to get these windows cleaned up. And so Mike's a teacher, but he used to have a window cleaning business. Well, we couldn't get anybody to come out and clean windows we call and people wouldn't return the call. 4 (34m 9s): So I said, call Mike Ferris. So Mike came out on his own time and diamond and got our windows cleaned and did a great job. Steve rice, what can I say about Steve rice? He is always here. He's always, always here working behind the scenes. He's in the booth right now, working behind the scenes to make sure everything is working. And so I love that guy. Shannon Kessler with century 21, God has connected with Jack Hardy who gave us permission to use the century 21 parking lot over there. As Curtis mentioned, you can park over there. We'll validate your parking. So when you leave, you don't have to pay. That is a gift to us from century 21. And now the new owner of century 21 has agreed to the terms and is happy to help us. And so God bless those guys. 4 (34m 50s): Thank you, Shannon Kessler, for all of your hard work, making that happen. Anderson Burton, the construction company behind us, same deal. They gave us a parking agreement and they've been so, so gracious with us. And we're so thankful. Workday volunteers we've had many work days. There's too many volunteers dimension. I would miss people. And so I'll just say thank you to everyone who came out on workdays to get this place squared away and cleaned up and ready to go. Thank you to the people who prayed. We showed pictures of prayer meetings that happened in here. People prayed and people believed God for what he might want to do in this space. And it was the prayers of God's people and the grace of God that got us across the finish line so that we could sit here today and have shirts. 4 (35m 33s): So thanks to you prayed to those who gave financial gifts to make this happen. Thank you. Thank you. Thank you. Also, I don't want to forget my staff. We we've got such an amazing staff team. When I say staff, I mean paid staff, people who work here pretty much, all these people work full time. They are all like my elders, like the elders. I say mine because I just feel such ownership around them. But like the elders, th these guys and gals are so filled with faith and excitement about what God wants to do. They're willing to jump in and go. The extra mile to moderate was here until like 10 o'clock last night, just putting the finishing touches on everything. Working seven, eight hours on Saturday, the day is his day off. 4 (36m 14s): And so it's just to speak. Generally, the team has been working so hard. What's going on? You guys. So Tim, Tim mater, Curtis Henry, Jeremy Sutherland, Amanda Henry Jolene, Henry Carson, Lacey, Julie spill, or Leslie and Ron. So thank you guys for being the team that you are doing this 19 years. I'm so blessed to have the team that I have staff and elders and volunteers. You guys, we did this together. My God's grace. 4 (36m 54s): Amen. Thank you, Lord. Thank you, Lord. All right. Let's get into James chapter one, but before we do, let's go and stand up. I just feel like it's time to pray again, Lord. It's good to pray. That's really good to pray. So we, we praise you Lord God. And we say, thank you, Lord. Thank you for every person. And for those that we may have missed, ah, we're so thankful. And Lord forgive me for missing somebody. If we did Lord, Lord, thank you for who you've brought together and how you've knit us together for common purpose and common goals. Lord God. And I pray that you would continue to do that. You would knit our hearts together, that you would keep us unified and strong in Jesus name, powerfully declaring and proclaiming the gospel that people might be saved and sanctified and filled with the holy spirit and live new lives in you being born again and set free in Jesus name. 4 (37m 46s): So do what you want to do through us and with us, Lord God, we are yours and we are in your hands and we are your conduit. So work through us and administer through us. We pray, Lord, thank you for your grace. We love you in Jesus name. Amen. Amen. Go ahead and have a seat. We're going to be James chapter one verses one through 18. I'm pretty amped up there. So I'll start a slow down here. Hey, the title of the message. Faith that is tested is faith that endures. And so we're gonna be talking about testing the testing of our faith today. And I love that James, the half-brother of the Lord, Jesus Christ writes this epistle because he communicates something of power and something of clarity to a people who need power and clarity in their season of life. 4 (38m 34s): So James, the half-brother same mother, different father, Jesus had half siblings, same mom, obviously different father. So James writes this text for us as a believer in the Lord, Jesus Christ. We're going to unpack his story a little bit. As we talk about this person, James, who God used to pen these words in the book of James, it's encouraging for us to know his backstory a little bit because, and knowing his backstory, we realized that God worked wonderfully and supernaturally in his life to give him a kingdom gospel story. 4 (39m 14s): He took what was broken in James' life. What was faithless in James' life. And he did something wonderful and supernatural to bring about eternal kingdom fruit that no one could ever have expected. James one, one through 18 verse one. The first part of verse one says this letter is from James, a slave of God and of the Lord Jesus Christ. So James, the half-brother of Jesus could have said, James, the half-brother of Jesus James, it's the half brother of Jesus speaking, but he says, no, I'm going to do loss. We're talking about do loss. Last week, I do loss as a servant, a slave, a bond servant of the Lord, Jesus Christ. 4 (39m 57s): And I love a friend of mine pointed out earlier, or last week she said, she said, what's beauty beautiful about that term do loss. And that term servant or slave is that these people who are the bond servants that do loss of Lord Jesus Christ or serving at a free choice. So the backstory is that if a slave was released from his duties, but wanted to stay serving in the household of his master, he would be, he would get his ear pierced and you'd have a ring put in his ear. And it indicated that he was a bond servant by choice because his master was so, so good. And that's really our story, right? 4 (40m 37s): We, we are choosing by God's grace because our master is so, so good. We are choosing to be bond servants, slaves of the most high God. And so this is James. He is a bond servant, a slave of God, choosing to serve the Lord Jesus Christ because his master is so good. It's a half-brother they had the same mother, but different fathers. This is the same James that Jesus intentionally revealed himself to after his resurrection. So Jesus resurrects. And he goes after and finds his brother James to reveal himself so that he might know so that James might know that what has been said about his brother is true. 4 (41m 22s): Paul writes about it in first Corinthians 15 seven. It says then he, Jesus was seen by James and later by all the apostles. So after his resurrection, he was seen by and later by all of the apostles, many believe that it was in this moment, let James gave his life to the Lord and believed that Jesus indeed was the Messiah. Imagine growing up and your older brothers, you're being told that your older brother is the Messiah, right? Oh yeah. Your older brother, he's the Messiah. You're like not in this life. Like never, I can't believe it. I've watched this guy grow up, you know? And, and so James is having a hard time coming to grips with the reality as brothers, indeed the Messiah, until, until the resurrection, he watches his brother, be crucified and then buried and then resurrected from the dead. 4 (42m 13s): So many believe that it's at this moment that James became a believer until this resurrection, Jesus brothers did not believe he was the Messiah. I love that. Jesus seeks out his brother because I feel like he seeks everyone out individually. He goes after us, out of his great love for us in a great commitment to us. He seeks us out, revealing himself in wonderful and powerful ways so that we might believe he did the same thing then, and he's doing it now. He seeks us out by his grace and because of his abundant love is unconditional love. He seeks us out in our brokenness so that we might know his grace, his kindness, his love and his compassion. 4 (42m 56s): So again, even Jesus' brothers struggled with believing in John seven five in the new living translation. It says even Jesus brothers did not believe in him. And in mark chapter three, Jesus families didn't know Jesus family didn't know what to think about him in mark three 12, the second part there says he's out of his mind. They said, he's out of his mind. Maybe somebody has said that about you. And, and you're going to identify right now. So Jesus' family didn't believe him for the most part. They thought he was just a bit off and a little bit out of his mind. So James, the half-brother of Jesus, one who maybe like a lot of us struggled to believe that Jesus is who he claims to be one who after experiencing the resurrected Christ he chose to believe. 4 (43m 51s): And we all have that opportunity before us, will we choose to believe that Jesus is the Messiah, the savior of the world, will we choose by God's grace to be followers and disciples of the Lord? Jesus Christ, James one who after experiencing the resurrected Christ chose to believe he James chose to believe what, what I believe the holy spirit of God was trying to convince him of all along. Maybe you're on a journey of your life, where you feel like God's been trying to get your attention. Like the spirit of God has been trying to reveal the power of God and the grace of God to you. But you've been struggling to believe it into receive. 4 (44m 32s): It's the holy Spirit's always working in our hearts and lives to draw us to the savior and to draw us into a deeper respect and admiration and adoration of the Lord that we might know him and follow him. So I'm convinced that the holy spirit of God was working in James to bring him to a place of brokenness and repentance, acknowledging that Jesus is indeed the Messiah. James became a devoted follower of Jesus Christ, James, along with the rest of his brothers, the brothers of Jesus were with the apostles at Pentecost, according to acts chapter one. 4 (45m 12s): So they're present and they believe in are they're beginning to follow Jesus. According to acts chapter 15, James became a major leader in the church and the church of Jerusalem. So we see James who goes from a doubter, this place of doubting unbelief, questioning wondering about this, Jesus is he the Messiah. He goes from this place of doubting into a place of believing into a place of influence into a place of kingdom fruitfulness that is eternal. That's the beauty of what God will do in our lives. If we just say yes to him and submit to him and allow him to work through us and use us, he will do something radically to transform our lives. 4 (45m 60s): Often we, or sometimes we can minimize our effectiveness as Christians because of our past. But if we look throughout the scripture, everyone, that God got ahold of how to pass. And then everyone that God got ahold of had the opportunity to be used powerfully by God and was used powerfully as, as the Lord director. So if you've got a pass today, I've got to pass today. Anybody else got a past, thank God for our past, because we can learn from it, but let's never let our past hold us back. But let's say thank you Lord, for our past. Thank you. That you've cleansed me, forgiven me. That you've set me free and you've set me on a brand new path in Jesus name so that I can believe be all in and be a kingdom, a soul-winner for you, Lord Jesus. 4 (46m 43s): So James goes from a doubter to just a great man of prayer. It said that James prayed so much that they called him camel knees, camel knees, because his knees were worn out from prayer because he prayed so much. One of his nicknames was James. The, just according to anybody who knew him, he was the most righteous man who ever lived. He was a man of integrity, a man of intense discipline. He loved Jesus, loved the gospel, loved what God had done in his life and was all in camel knees. James, the just again, as far as people were concerned, no one was as righteous as James. 4 (47m 29s): And so we see his backstory and I love that these men and women of God have a backstory because as we sit here today, again, we all have a backstory, but God is able to, in spite of our backstory and because of our backstory use us and work through us wonderfully and supernaturally. So James, according to historians was martyred in the year 80, 62, he was taken to the temple Mount the top of the temple Mount at the pinnacle of the temple Mount. There are the pinnacle of the temple, which is about a three-story building. And the Pharisees were so angry with his message and his conviction and his commitment to Jesus that they said, we will throw you off this. 4 (48m 11s): Three-story building. If you don't recant your faith, if you do not deny Jesus, we will throw you off from the pinnacle of the temple. This is the same place. By the way that the devil took Jesus to tempt him, took him to the same place. And so it's the same place that James has an opportunity to stand firm and Jesus come life or death. He was going to stand firm. So they throw off, they throw them off, but it didn't kill him. Listen, God's not gonna allow you to expire until he's done with you. So he gets down, it gets up, he's begins to begin to intercede and pray for his is the people that had thrown him off. 4 (48m 53s): Those people who were persecuting him, begins to pray. And they're so distraught. They go down there and they finished them off by stoning him to death. But all the while James is faithful, he is faithful. He was at first one tells us a slave of God and of the Lord, Jesus Christ. What else does James? One, one tell us, it says, I'm writing to the 12 tribes, Jewish believers, scattered abroad, greetings. He's writing to the church. It's not just to Jewish believers, but he's writing to Gentile believers as well. 4 (49m 37s): He is speaking to the family of God, but just because you're born Jewish, doesn't actually make you Jewish spiritually. We'll see that in the scripture, you can be born a Gentile, but then be grafted into the family of God because of his grace and because of his mercy. And so if you're a Gentile, a believing Gentile today, meaning you're not a Jew, but you believe in the finished work of the Lord, Jesus Christ, that Jesus is your savior. You have been both adopted into the family of God and then grafted into the family of God. Let's take a look at some verses here in Romans 11, 17. It says this, but some of these branches from Abraham's tree, some of the people of Israel had been broken off. 4 (50m 17s): Why? Because they're N believing they've been broken off. And you Gentiles who were the branches from a wild olive tree had been grafted in. So now you also receive the blessing. God has promised Abraham and his children sharing in the rich nourishment from the root of God's special, all of tree. Isn't that neat? So at one point we are outside of the family of God. When we chose to believe and receive the grace and mercy of the Lord, Jesus Christ, he's adopted a sin and he's crafted a sin. I don't know if you've ever tried to graph two fruit trees together where you're trying to get multiple fruits off the same tree. You can successfully cut off one branch in and grafted into the next one. 4 (51m 1s): So you begin to grow fruit, a different of a different kind in that tree. This is essentially what God has done. He's grafted us into his family tree, Romans 2 28 and 29 says this for you are not a true Jew, just because you were born of Jewish parents or because you have gone through the ceremony of circumcision. No, a true Jew is one whose heart is right with God. So this is, this is what God is examining in our lives. He's examining our hearts. You say, well, my parents are Christians. And so I'm a Christian or my grandparents are Christian. So I'm a Christian it's in my heritage. So of course I'm a Christian. 4 (51m 42s): I was talking to one of my doctors recently. It's an, a guy that I just met. And at the end of the consultation, I just felt compelled. I said, Hey, do you know Jesus? Are you, are you a believer? And he laughs. He's like, of course I know Jesus. He's laughing at me, you know? And he said, well, that's kind of a convoluted story. I've got a, you know, Catholic background and blah, blah, blah. So there was more, there's more to this story. And I said, ha, I dunno why I just felt compelled to ask you that question. He said, that's your job. He knew I was a pastor apparently. And he's like, I get to ask you if you're a smoker, you get to ask me if you know, Jesus, I'm like, Hey, good. I've got permission now. 4 (52m 22s): I'm moving forward with that. So anyway, so we have to decide on our own. It doesn't matter what our background is. If we haven't made a personal decision for Jesus, then we're not in his family. And so you and me, our kids and our grandkids in our nieces and our nephews need to know Jesus. And so take the opportunity. It's apparently your job, right? You're a Christian. So you're supposed to be telling people about Jesus and then leading people into a place of salvation. No, true jewelers, 29 says is one whose heart is right with God. And true circumcision is not merely obeying the letter of the law. 4 (53m 4s): Rather. It's a change of heart produced by the spirit and a person with a change chart, seeks praise or receives praise from God and not from people. So there's a heart transformation that God wants to accomplish in our lives. And I've seen firsthand and too many people, heart transformations for God just works powerfully and wonderfully and supernaturally. So when people are yielded, when people are yielded, God just works in and through their lives. In spite of their past, in spite of their mistakes, God is faithful. All right, let's continue James one, verse two. Do your brothers and sisters, when trouble of any kind comes your way, consider it an opportunity for great joy. 4 (53m 48s): Is that your first response when trouble comes? Woo. Thank you, Lord. Right? That's the first thing that's just naturally flows out of our mouth. It's not actually what naturally flows out of our mouth, right? And Romans five, three, Paul says we can rejoice too. When we run into problems and trials, why for, we know that they help us develop in Durance faith. That is trusted is faith. That endures number one, in your notes, your faith must be tested if your faith is to endure. So the testing of your faith is actually part of the process that builds within us. The endurance that we need to face life, to face the next test to build us up. 4 (54m 31s): And our most holy faith. I like saying it's like building rebar into the foundation of our faith, that tests that we endure and go through, build us up, cause us to be strong in Jesus. So we might endure what God has asked us to endure on Wednesday morning, this past week, my son Curtis, and my son-in-law Logan, we all went on this backpacking trip, the three of us, and it's about seven miles in and we've been on this backpacking trip before. So we knew we could do it, but it was so hot that day. We'd never hiked that trail when it's been like the mid eighties. And so, you know, it's super hot, dry wind. And so you're just, you're just winded the whole time, first mile. 4 (55m 11s): We're like, oh, that was easy. You know? And then you get into the second mile where you're really beginning to climb and you're feeling the heat. And man, it was a test of endurance. Would we really make it like many of us have been through spiritual tests before and we know we can make it, but it seems like with every test with every new test, there's just a slightly different elements like that throws a curve ball into the scenario. Like I've been through this before kind of, but not exactly like this. So it causes us to dig deeper by God's grace to find the strength and the wisdom and the energy to do and to succeed in this test to get passed the test. 4 (55m 52s): So anyway, we, we were really, really struggling. I, I was, you know, I'm the old guy out there, so I'm struggling more than anybody. And, but I knew that I wasn't going to be the guy to throw in the towel because it was like, you know, there's like six or seven campsites before we get to the narrows where we were headed seven miles in. So we get to stop at a mile or two or three or four, but there was no way that we were stopping. And I think that's the beauty of the fellowship of the church. We spur each other on like, I'm not quitting because I know others are counting on me. Please don't quit because there's people around you who are counting on you. Don't be the person who throws in the towel because God will give you the grace to accomplish what you need to accomplish, to get through to the place that you need to get through to. 4 (56m 40s): So we're on this trail and seriously, we're sucking down so much water. We got to stop like every five minutes just to take a breath and get our legs back under us. Cause it's just a climb all the way. It's a climb. It's actually uphill both ways. It's kind of a weird deal, but it's not really, it makes the story better anyway. So it's not, it's not, but on the way to the trail and on the way to the, into the campsite, it's so, so much work. And so we just had to decide that we weren't going to give up there. You know, there's so many parallels in life in, you know, the work that we do, the hobbies that we have, the relationships that we have, there are so many parallels that can help us to understand spiritual truth. 4 (57m 24s): If we'll just listen and pay attention. And so there's, so somebody parallels, you know, you're hiking, you got 35 pounds on your back and you, you know, you can hike so much easier without 35 pounds on your way. There's so many things, the backpack and represent sand or you know, different things. We just need to be aware that in the test, whatever it is in life, God is building something of endurance in our lives. So that the next test we'll have endurance for this, for that, for the next test. So our faith wasn't tested in this scenario, but our stamina certainly was, everybody gets tested in many ways, but people who put their faith in Jesus will certainly certainly experience victory. 4 (58m 9s): So my challenge to us, when we're facing tests, let's get our eyes on Jesus. Often we're focused on the task, the test, the difficulty. But if we'll just shift and say, God, I know that you're going to get me through this by your grace. I'm going to develop something even Durance endurance that I've never had before in preparation for the next test or for the next thing that you asked me to do. So Lord build within me, whatever is needed so that I might have endurance James. One, three tells us for you know, that when your faith is tested, your endurance has a chance to grow back to James. 4 (58m 49s): She had his faith tested when he was told to recant or die. His faith was a life and death decision for him. I am convinced that along the way, in preparation for that faith test, there were many faith tests that built his endurance so that when it was a life and death scenario, he could say by God's grace and in his strength, I'm going to stand for him. And I will never recant my faith in Jesus Christ. So there was something, a preparation. We don't know what the future holds, but we know that there's preparation in our lives, building endurance in our lives so that we might stand firm until death in Jesus name, verse four, James one. 4 (59m 36s): So let it grow. Endorse. Let it grow for when your endurance is fully developed, you will be perfect and complete needing nothing. Isn't that the goal perfect, complete needing nothing. Jesus told us that is the goal. Matthew 5 48, but you are to be perfect. Jesus said, even as your father in heaven is perfect. So this is what God is trying to develop within our lives. Perfection. That word means mature. It means to be finished. It means to be complete. God is working in our lives so that we might experience perfection in Christ, as followers of the Lord, Jesus Christ, that we might be mature and finished and complete. 4 (1h 0m 16s): We'll never be perfect in our own works or own righteousness. That's why Jesus went to the cross, but there is a standard. And I think it's important for us to understand that there is a standard in Jesus. Sometimes we get a little loose with the grace of God and the unconditional love of God. And we kind of get loose with our living, but this is the standard James tells us, and Jesus tells us, but you are to be perfect. Even as your father in heaven is perfect. Perfect, mature, finished, complete in Jesus name. So verse four describes the results of the testing, that, that we would be perfect and complete needing nothing. So this is the result of what will happen when we allow endurance to grow in our lives. 4 (1h 0m 60s): And we decide to stand firm and decide to follow Jesus. First five gives us the steps to get through the testing so that we may become perfect and complete needing nothing. So verse five helps us to understand how do we accomplish this faith that is tested is faith. That endures, number one, your faith must be tested. If your faith is to endure and number two, your faith will be tested, but God will give you what you need. And we're encouraged in verse five, James one, if you need wisdom, if you need it and you will need it, I need it. We all need it every day with every test, with every circumstance and scenario, we need the wisdom of God. 4 (1h 1m 40s): So James tells us, I'm sure out of the function of the anointing of the holy spirit, but also just out of his own experience. If you need wisdom, ask our generous, God, I love that. He throws that in there that God is generous. Sometimes we see God as heavy handed and angry or whatever James is saying, ask your generous God, and he will give it to you. And he will not rebuke you for asking. He won't say, you'll keep asking for wisdom. Can't you just get it through your head. He's not going to say that. He's like, oh, you need wisdom. Let me help you with that. Right? He's just going to bless us with what is needed. He's a good, good father. But when you ask him, so you're asking for wisdom there's criteria here. But when you ask him, be sure that your faith is in God alone. 4 (1h 2m 23s): God is your plan. A and there is no plan B like Lord, I'm fully needing your wisdom and I'm not looking to the wisdom of the world or to the wisdom of my friends. I'm looking to the wisdom of your word through your spirit, that you would speak to me, guide lead and direct me. And that is my plan. And so Lord, if you don't speak, I'm not moving. I don't have a plan B. So you gotta just speak. We need to be completely devoted to him. And when you ask, be sure that your faith is in God alone, do not waiver for a person with divided. Loyalty is as unsettled as a wave of the sea that is blown and tossed by the wind. So maybe you're feeling unsettled today. 4 (1h 3m 5s): It may be because you're divided in your loyalty. And so we always need to be checking in with ourselves and my fully committed to you, Jesus. Or am I committed to you in this area, but not to you in this other area. I'm counting on your wisdom for this, but I got it figured out over here. Listen, we come to Christ by faith because we need his wisdom. But way before that we need salvation. We need just grace. We need his kindness because we have botched our lives apart from him. And when we come to faith in him, come to him by faith, he, he rebuilds restores, heals, sanctifies, delivers, fills he's about doing wonderful and supernatural things in our lives. 4 (1h 3m 53s): But we have to be careful for a person with divided loyalty. It's like that person who was just lukewarm, like I not quite all in kind of in, I'm not quite sure, lukewarm unsettled, divided, divided loyalties. That person is as unsettled as a wave of the sea that is blown and tossed by the wind. You know what happens when you're fully committed to Christ? You know what happens? Peace. You're settled in Jesus because you know that Jesus is the Lord of your life. And you're committed to the Lordship of Jesus Christ. No matter what test or temptation comes, you're settled. 4 (1h 4m 36s): And if there's a stumbling in the journey, you're quick to say, Lord, that's not my life. I do not want to do that. I'm repenting. And I'm getting right in alignment with you. There's just something of confidence. A holy spirit given breeds confidence, not arrogance because God opposes the proud, but it is a confidence is I'm a follower of Jesus. And so Jesus is the Lord of my life. In every arena. Every season, I'm going to trust him and follow him and believe him. There's just a peace and a confidence and a reassurance that comes when we make Jesus, the Lord of our lives. So don't waiver and quit wavering for a person with divided. Loyalties is as unsettled as the wave of the sea that is blown and tossed by the wind. 4 (1h 5m 16s): Such people get this such. People should not expect to receive anything from the Lord. Wow. Like he's like, it's challenging us. You really want my wisdom or you just want a quick fix. Do you really want what I have to say already? You just trying to find the easy way. Or do you have a plan B that you're going to be kind of comparing a, well, God judge this, but I've got to think this, or God says this, but you know, so-and-so says this, God says this, the world says this. What is your plan? Plan a God, no plan B no plan C nothing else. God is your priority. Those people should expect to receive whatever they need from the Lord. But people who are double double-minded first aid, their loyalty is divided between God and the world. 4 (1h 6m 3s): And they are unstable in everything. They do. You want stability in your life, stability like shakable stability in your life. Just make Jesus, the Lord of your life. Open up the word every day, allow the spirit of God to fill you the word of God to direct you be obedient. No plan B. My plan a Jesus is you. Everything else is submitted to that. I'm moving forward. You will find such stability in your life, such grace for your life, such peace in your life. Such joy such can temperament such God godliness. I mean, there's just so much joy and wonder that comes out of that. 4 (1h 6m 44s): Undivided loyalty to God. Faith that is tested is faith that endures your faith must be tested. If your faith is to endure, your faith will be tested, but God will give you what you need. Number three is we get ready to wrap up your faith tests will come in many forms, but God is the one who will reward your endurance. So beyond just the reward of peace and confidence in Jesus and, and assurance that God is with me and filling me and leading me and directing me in that. He's my Lord. He's my king. He's my everything. And in spite of it, in addition to all of those blessings, there's rewards coming for those who put their trust in the Lord. 4 (1h 7m 31s): First-time believers who are poor, have something to boast about for God has honored them. And that interesting for believers who are poor, have something to boast about for God has honored them. That's an interesting statement. The word poor is tapped by nos in the Greek. It's, it's a word that describes a person's state describes who the person is in their soul. It's it's also described a low li poor is described or defined as lowly in Matthew's gospel. Jesus uses that same word, tap by Nasir for himself. 4 (1h 8m 13s): He describes himself in this way in Matthew 1129 in the king James version, it says, Jesus said, take my yoke upon you and learn from me for, I am meek and lowly. Tap by nasi. Jesus is describing himself as meek and lowly in heart, and you shall find rest on to your souls and Matthew 1129 in the new living translation. That same verse says, take my yoke upon you. Let me teach you because I'm a humble and gentle as heart. You will find rest for your souls. For my yoke is easy to bear and the burden I give you is lights. 4 (1h 8m 53s): So there's a blessing for those who are poor tap by nice type tap ins. There there's a poor in spirit that God blesses because it speaks of dependence on him. Appreciation of him, a love for him. And Jesus has come to me because I'm the same and I will lift your burdens. I will bless you in second Corinthians, seven, six. We see it again, says, nevertheless, God that comfort with those that are cast down comfort. If us by the coming of Titus tap a top. I know. So it uses that word, tap on ice there, comfort to minister, to the people of God. 4 (1h 9m 36s): And so we see that there's a blessing for those who are lowly, who are poor in spirit verse 10 says, and those who are rich should boast that God has humbled them. It's so backwards, right? From our thinking. We think if you're poor in spirit report financially, that that you should be sad. And if you're rich, you should be happy, right? But the gospel turns the world's philosophy on its head. And he says those who are rich boast Shabbos, that God has humbled them. They will fade away like a little flower in the field. So the temporal nature of our riches and our wealth will fade verse 11, says the hot sun rises and the grass Withers, the little flower droops and falls, and its beauty fades away in the same way. 4 (1h 10m 19s): The rich will fade away with all of their achievements. And it's talking about worldly achievements, things that we've used our money to, to, to enrich our lives and to, to bless our lives instead of for the kingdom. So wealth can be a test and a temptation that test, this is the test around wealth. Will I trust God or will I trust my wealth? So that comes back to being double-minded person. Are you a single-minded that your trust is only in God doesn't matter how much wealth, much or little that I have is my trust in God, or as much my trust in my resource, the temptation while I serve God, or will I serve money? The Bible says you can't serve God and money. 4 (1h 11m 2s): So the temptation is what am I going to serve? What is going to be my priority? Am I going to protect my resource at all costs so that I have what I think I need for the future, or is God on throne of my life. And I will do whatever he asked me to do with my resource. You can't serve God and money. So a double-minded man is unstable in all his ways because there's a mix-up in that person's life about who is on the throne of his life. Sometimes God, sometimes money, sometimes relationships, sometimes whatever you fill in the blank, sometimes something else is on the throne of my life. And it's causing me to be unstable in all areas of my life and it's wreaking havoc in my life. And so we need to decide to be single-minded in our focus and our devotion, making Jesus, the Lord and the king of our lives in every arena and scenario with everything in our lives. 4 (1h 11m 54s): God Wes that verse 12, God blesses. Those who patiently endure testing and temptation afterward, they will receive the crown of life that God has promised to those who love him. And remember when you are being tempted, do not say God is tempting me. God has never tempted to do wrong. And he never tempts anyone else. What does that temptation come from? Right? You're right. We're always tempted by something. This is where it comes from. Temptation comes. I love it. When the Bible answers our questions for us temptation comes from our own desires, which entice us and drag us away. So you can't say, well, the devil made me do it because the devil, the world, the flesh and the devil is using the raw material that is in your life to entice you in a drag you away. 4 (1h 12m 39s): So if you've got unresolved sin or unresolved issues or unresolved, whatever in your life, the enemy is going to use that raw material to entice you and drag you away. So we have to be constantly doing business with the Lord, allowing him to examine our hearts and take, and we need to take a personal spiritual inventory. Lord, what is going on? What keeps getting my attention? What keeps tempting me to look away or tempting me to go a different direction. It's coming from our own desires, which entice us and drag us away. These desires give birth to sinful actions. And when sin is allowed to grow, it gives birth to death. 4 (1h 13m 20s): That's the process, right? We have to take captive every thought into the obedience of Christ. We have to recognize what's going on, going on in our hearts. And we have to repent. Hold short accounts. God, I'm struggling in this area. I need to bring it out into the light, confess it, get somebody around me who can help me walk with integrity in this area. And then you're not giving the enemy any raw material to work with because these desires, if we are not careful, these desires will give birth to sinful actions. And when sin is allowed to grow, it gives birth to death. The wages of sin is death, but the free gift of God is eternal life through Christ. Jesus. Our Lord, I know is his grace and his mercy are sufficient. 4 (1h 14m 1s): So don't be misled. Verse 16 says my dear brothers and sisters, whatever's good and perfect is a gift coming down to us from God, our father who created all the lights in the heavens. He never changes or casts a shifting shadow his. So he's the same yesterday. And today and forever, his ways are the same yesterday, today and forever. We get out of the testing. We get through the testing and we get out of the temptation the same way by surrendering to him not being double-minded but saying, yes, Lord, I want purity. I want integrity. I want honesty in my life. As a follower of the Lord, Jesus Christ, verse 18. He chose to give birth to us by giving us his true word. 4 (1h 14m 41s): And we out of all, creation became his prized possession, good stuff. Worship team come forward here, wrapping up faith that is tested his faith that endures your faith must be tested if your faith is to endure. So go through it. Allow God to strengthen you with endurance. Number two, your faith will be tested, but God will give you what you need. So just call it to the Lord. Number three, your faith test will come in many forms, but God is the one who will reward your endurance. And so with that, let's go and stand up and we're going to pray and we're going to worship some warm. So Lord, we stand up. We pray. And we thank you, Lord, for the message of truth. 4 (1h 15m 23s): Spoken to us out of James chapter one, we're grateful for what you will do as we unpack the rest of these five chapters, Lord, we, we, we commit to say yes and amen to whatever it is that you guide and direct us. And Lord do say yes and amen to your plans and purposes yet to say yes and amen to your Lordship and leadership in our lives. We want to be stable. Knots tossed to and fro but stable in Jesus name. So we trust you, Lord. We love you, Lord. Thank you for giving us insight into how to endure testing and temptation. We love you in Jesus name. Amen. 4 (1h 16m 2s): Amen. 0 (1h 16m 11s): his song is . 0 (1h 18m 3s): Yeah. 1 (1h 18m 30s): First. We're going to go out with a song of praise. If you feel comfortable, would you clap along? 0 (1h 18m 48s): Y . 1 (1h 21m 54s): Thank you, Jesus, for your presence. Thank you that we get to sing to you. We only want to sing. Thank you for this new worship center. Getting to be in your house this morning in your name, we pray. Amen.

After a tragedy like the one in Uvalde the conversation on guns ratchets up and people demand action, unfortunately not much ever gets accomplished.  This time a small group of bipartisan senators are trying to find common ground wherever they can, most likely on federal red flag laws which would keep guns out of the hands of people who could be a danger to others.  Ginger Gibson, deputy Washington digital editor at NBC News, joins us for why you shouldn't get your hopes up, a new CBO report that says high inflation will be around into next year, and some more takeaways from primary contests around the country as we make our way to the midterms. Next, we'll tell you about the ‘E-pimps' of OnlyFans.  Most people think that when you go onto the site and subscribe to a content creator you are actually dealing with that person directly.  While that might be true in a lot of cases, some accounts are being managed by marketing agencies who handle every aspect of running an account.  Everything from marketing on social media, writing their daily posts, and chatting with subscribers and selling personalized content.  The chatters in particular, are sometimes outsourced from places like the Philippines.  Ezra Marcus, contributor to the NY Times, joins us for what to know. See omnystudio.com/listener for privacy information.

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Nicole: Hi Dr. C! I have an Oura ring and get quite a lot of deep sleep, far above the average. Most nights I get over 3 hours of deep and it averages about 40% + of my sleep. I get normal amounts of rem, but was curious why I would get so much deep sleep. I am active and go to sleep around 9:30 most nights. Is there any negative reasons as to why my body would need so much deep sleep, or is it just more of a good thing? Thank you!!   Alicja: Dr. Cabral, I love your podcast and your wisdom, my question is about sauna. If you could have sauna in your house, would you choose infrared sauna or regular dry sauna? I'm asking because I just bought a house and will make some changes to it. I want to add a sauna and I'm not sure if IFR sauna would be better than regular dry sauna. Thanks in advance for your answer.   Tina: It's 4 AM and I'm wide awake! I went to bed around 9:30 PM and between then and now I literally woke up about 8 different times. I 53 years old and I did the big five labs plus the gut and parasite test. My hormones are low, I did the 14 day functional detox, a liver and gallbladder flush, and currently I am five weeks into the CBO protocol. I'm also six weeks into the protocol that my IHP level two gave me to follow. I'm doing adrenal soothe, adrenal energy, DHEA, The deep sleep protocol, magnesium, etc., I'm following my protocols and I'm having very little to no relief. I did two different parasite cleanses. I did the mold test and I have zero mold in my body. I don't know what's going on with me. I just need to sleep! I am unplugging two hours before sleep. I'm doing deep breathing and meditation almost daily. I'm doing theta healing with a health practitioner to calm my sympathetic nervous system because my cortisol levels are all messed up. My cortisol is at its high right before I go to sleep at night and in the morning it's very low.I'm lost at this point and I don't know what to do. Of course I will keep going with my protocols and after 12 weeks I'm supposed to test my hormones again to see where my levels are. I just don't understand why I wake up at least 10 times a night.   Amy: After having C VIRUS 8 months ago, I noticed my underarm odor got a very strong "onion" smell. Previously, I had very light, to no, body odor. I haven't changed anything in my diet (I don't eat a ton of onions or garlic) or supplements. What could be causing this? I'm a healthy, 38 yr old female. Thanks!   Jo: Hello Dr. Cabral, My 12 year old daughter recently had blood test done and showed her DHEA elevated. It was 200 above their normal range and her prolactin was 2 above average range. She also has a noticeable mustache and hair on the upper and lower parts of her back (thin but noticeable). She started her cycle at 9 and still has irregular cycles. Curious as to what you would recommend for this. Can not get into an endocrinologist until July. Thank you.   Briana: Hi Dr. Cabral! I searched the podcast archive for fecal microbiota transplantation (FMT) and found no results on the topic. Very interested to hear your thoughts/opinion on the procedure. Specifically in regards to how it may (or may not) benefit individuals with autism spectrum disorder. Thank you!!   Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/2304 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!

Thank a Democrat. Gas prices at all time highs for 16 consecutive days. First quarter GDP worse than reported. CBO undercuts Biden's claim of reducing the deficit. Half of European buyers of Russian energy open Ruble accounts. A recession is coming.

Hour 1 * Guest: Bryan Rust – Over the past 50 years, Rust Coins has been working to educate customers about precious metals – RustCoinAndGift.com * Guest: Kelly Finnegan, Senior Chemist Joins us on air. * Honest Money Report: Gold: $1845.60 Silver: $21.86. * TX school shooter Salvador Ramos posted about attack on Facebook – Officers responding to the scene shot Romas dead – Recorded as the second deadliest school shooting in US – He purchased guns legally at local gun store. * Salvador Ramos : Absont Father, Mother on Drugs, violent video gamer, Victim of bullying, Obsessed loner – The Predictible Pattern Continues. * Facebook, Apple, Amazon, Microsoft and Google are Flush with cash and positioned to emerge from a downturn stronger and more powerful despite the fact that they have lost $2.7 trillion in value so far this year. Hour 2 * Guest: Pete Sepp – President of National Tax Payers Union – (NTU) is the Voice of America's Taxpayers, mobilizing elected officials and citizens on behalf of tax relief and reform – NTU.org * CBO's Budget Outlook Projects Massive Rising Tide of Red Ink – Demian Brady. * Dr. Rand Paul Introduces ‘Penny Plan – Paul's three-penny plan would balance budget in five years. * More than 80% of people are dissatisfied with the direction the US is going, according to a Gallup poll Just 16% of those polled said they are satisfied with the direction of the country, and 83% said they were dissatisfied. * The Revolving Door Continues: Ms. Psaki, Biden's Top Press Liaison Will Join MSNBC as Host. * The US FDA's initial response to complaints about Abbott's infant formula plant was “too slow” and some decisions could have been “more optimal”, the FDA's top official said while facing a grilling from lawmakers. * 18 Major Airlines, FAA, and DOT to Be Sued Over COVID Vaccine Mandates – First lawsuit against Atlas Air has been filed – Plans to sue all major airlines. * Inconvenient truth for globalists: Arctic ice at 30-year high – Data contradict connection with rising levels of CO2 – Art Moore, WND.com * Is so-called ‘climate change' merely a way to control the populace? --- Support this podcast: https://anchor.fm/loving-liberty/support