Podcasts about Empowerment

The first “post-COVID” US presidential election is upon us. As most of the people in the world have endured national elections, it is the US's turn in a year that has seen or will see the majority of the world's people experience national elections, from Senegal to Sri Lanka, from Mexico to Mozambique, from India to the European Union. But the pandemic has receded and life cycles beset with perpetual spectacle are back in full effect. The distractions and serial stimuli are stronger than ever in a social structure that grows bloodier with each passing day. Can we pause long enough to ask ourselves how we renew our focus to act as swiftly as we did during the pandemic to intervene in the affairs of society? In Session 34 of In Class, in the wake of the existential crisis triggered by the 2020 US election season, we examined “The Power of the Pause.” The “Summer of The Reckoning” was behind us, as was the 2020 elections, the political culmination of a once-in-a-lifetime convergence of disease, state violence and electoral politics. Now, poised on the brink of a match between the bloody politics of white nationalism and the pragmatic politics of blunting state violence, we must ask ourselves amid the nonstop noise: “can we recapture our imaginations from the frenetic pace of distraction and consumption and take decisive action?”JOIN KNARRATIVE: https://www.knarrative.com it's the only way to get into #Knubia, where these classes areheld live with a live chat.To shop Go to:TheGlobalMajorityMore from us:Knarrative Twitter: https://twitter.com/knarrative_Knarrative Instagram: https://www.instagram.com/knarrative/In Class with Carr Twitter: https://twitter.com/inclasswithcarrSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

En Ivoox puedes encontrar sólo algunos de los audios de Mindalia. Para escuchar las 4 grabaciones diarias que publicamos entra en https://www.mindaliatelevision.com. Si deseas ver el vídeo perteneciente a este audio, pincha aquí: https://www.youtube.com/watch?v=XQBX2nVIue0 El Despertar de la Humanidad es inminente, ¿estás listo para evolucionar? Los tiempos están transformándose, y con ellos, nuestras oportunidades de crecer. Abrirse al cambio es clave para avanzar con conciencia y propósito. Únete a Almudena Moreno y explora tu camino propio de transformación. Almudena Moreno Experta en Auto-Liderazgo, Empowerment, Trainer y Life Coach, lectora de Registros Akáshicos, Mentora y Terapeuta del Alma. Más información en: https://www.mindalia.com/television/ PARTICIPA CON TUS COMENTARIOS EN ESTE VÍDEO. -----------INFORMACIÓN SOBRE MINDALIA--------- Mindalia.com es una ONG internacional, sin ánimo de lucro, que difunde universalmente contenidos sobre espiritualidad y bienestar para la mejora de la consciencia del mundo. Apóyanos con tu donación en: https://www.mindalia.com/donar/ Suscríbete, comenta positivamente y comparte nuestros vídeos para difundir este conocimiento a miles de personas. Nuestro sitio web: https://www.mindalia.com SÍGUENOS TAMBIÉN EN NUESTRAS PLATAFORMAS Facebook: / mindalia.ayuda Instagram: / mindalia_com Twitch: / mindaliacom Odysee: https://odysee.com/@Mindalia.com *Mindalia.com no se hace responsable de las opiniones vertidas en este vídeo, ni necesariamente participa de ellas.

The contemporary US and global Social Structure, like the formations that preceded it, shape mass opinion with words, frequently without proof of fact and increasingly it seems without sustained thinking. What happens when the word is given on a subject, a person, the meaning of an event or an era? What is a word? What is the word? What does the word of celebrity mean in fact, if anything? What does it signify? What does it say about the giver(s) and the audience(s)? What is the value and impact of mediation and Cultural Meaning-Making in today's society, when stories–narratives–penetrate more deeply into Governance formations and deliberations than ever before? And at a moment when others using other words to feed narratives that fuel anti-social, fascist and oppressive objectives are poised to fuel a potentially disastrous scenario in the United States in a little over six weeks?JOIN KNARRATIVE: https://www.knarrative.com it's the only way to get into #Knubia, where these classes areheld live with a live chat.To shop Go to:TheGlobalMajorityMore from us:Knarrative Twitter: https://twitter.com/knarrative_Knarrative Instagram: https://www.instagram.com/knarrative/In Class with Carr Twitter: https://twitter.com/inclasswithcarrSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of "Crafting a Meaningful Life," host Mary Crafts welcomes her friend and humanitarian leader, Heidi Totten, to discuss the empowering journey of crafting one's life purpose. This insightful conversation covers Heidi's transformative experiences in Kenya and how she has devoted herself to uplifting communities through 100 Humanitarians. Set against the compelling backdrop of personal purpose versus external missions, Heidi shares her belief that purpose comes from within, using Kenya as a vehicle to enrich her own and others' lives. Delve into the nuances of finding and living one's purpose as Heidi narrates her remarkable journey from corporate life to becoming a changemaker in Africa. The episode explores the intertwined themes of self-identity, empowerment, and the profound difference that purposeful endeavors can make. With engaging stories about innovative projects like garden towers and water systems, Heidi illustrates how small acts of service in Kenya resonate with larger global impacts. Mary and Heidi's conversation highlights how each individual's purpose is to be their best self, offering a compelling narrative that prompts listeners to reflect on their path to a meaningful life.   About the Guest: Heidi Totten is a visionary leader and the founder of 100 Humanitarians, an organization dedicated to fostering self-reliance and economic development in Kenya. With a background that spans corporate careers and entrepreneurial adventures, Heidi is a consummate manifestor and advocate for global change. Having taken over 28 trips to Kenya, she has instigated profound transformations within communities by implementing innovative solutions like garden towers to support sustainable agriculture. Her work focuses on empowering women and families to grow their own food and create economic opportunities, leaving a lasting impact on many lives. Key Takeaways: Finding Purpose: Discover how internal growth and being your best self is the true path to finding and fulfilling your purpose. Impact of Small Actions: Learn how small innovations, like garden towers, can catalyze significant economic and sustainable change in communities. Cultural Exchange and Empowerment: Understand the importance of empowering women in Kenya to create local economies and make transformative choices for future generations. Being Present: Embrace the power of living in the moment and making intentional choices without succumbing to societal pressures or comparisons. Building a Legacy: Find insight into how even small, impactful changes can create a legacy of transformation and hope.   Resources: 100 Humanitarians Website: Visit the 100 Humanitarians website Heidi Totten's Social Media: Follow Heidi Totten on her Facebook page.  Visit Mary Crafts Website: Marycraftsinc.com

How can we help a child who may not have the words to express their own grief? How can communities be support systems to those who have adopted?Cameron Lee Small's story began with loss. At the age of three years old, he was adopted from his birth country of South Korea and placed in a home thousands of miles away in America. As he grew up and began to understand the complexity of emotions that can arise as an adoptee, he realized the need for support and care for others who shared his journey. Through his practice as counselor and his interactions with other adoptees and their families, Cameron has seen the impact loss and trauma can play in the lives of those who have walked this path. And because of his own personal experience, he has been able to help adoptees and their families navigate a way forward towards healing. In his book, **The Adoptee's Journey: From Loss and Trauma to Healing and Empowerment**, Cameron shares glimpses of his story and search for his birth mother as well as practical ways adoptees can regain their sense of agency and identity in the complexities of their story. In this insightful conversation, Davey talks with Cameron about the kinds of questions that can come in an adoptee, how parents and caregivers can help children regulate who have experienced trauma, and why it is so important for churches to be adoption informed so that they can best serve families who adopt. If you are an adoptee or an adoptive parent or you know someone who is, this episode will help you understand the nuances of the emotional experience many adoptees feel and how you can love and serve those who have welcomed children into their home through adoption. Website: therapyredeemed.wordpress.com Instagram: instagram.com/therapyredeemed Book: The Adoptee's Journey: From Loss and Trauma to Healing and Empowermenthttps://amzn.to/4kay5tK Additional Adoption Resources:Cam's Minneapolis TEDx Talk: tedxminneapolis.com Virtual TEEN ADOPTEE Support Groups: https://mailchi.mp/25796625a7ab/virtual-group-for-teen-adoptees Adoptive Parenting Consultation Group [3-Month Coaching with Cameron]: https://community-adoption-support.mailchimpsites.com/ 10 Facts about Adoptees: https://therapyredeemed.com/wp-content/uploads/2022/11/10-facts-about-adoptees.pdf

Send us a textModern motherhood meets food truth. In this powerful episode, Joey Pinz sits down with Real Food Advocate Nikki Cheak to reveal how today's food industry preys on busy, well-meaning mothers—and what they can do about it.Nikki shares her journey of transforming her family's nutrition by decoding deceptive labels, ditching processed foods, and empowering her kids to make healthy choices. She understands the chaos of motherhood—school drop-offs, sports schedules, picky eaters—and offers real solutions that fit real lives.This is more than a talk about food. It's about helping mothers break free from confusion, guilt, and exhaustion. It's about understanding that being healthy isn't about being perfect—it's about being consistent. And that starts with small, smart swaps.✨ Top 3 Highlights: 1. How mothers can read labels like pros

Send us a textIn this soul-stirring and joy-filled episode, Joey Pinz welcomes Rabbi Alon Ferency, a spiritual guide and creativity coach whose life story is as rich and unexpected as a Dungeons & Dragons quest. From Peace Corps service in Cameroon to LA's music scene, and finally to the pulpit, Alon's journey has been guided by deep curiosity, playfulness, and a powerful inner calling.Together, Joey and Alon explore the sacred role of creativity, the importance of letting go, and the powerful link between spirituality and artistic expression. How can a Dungeon Master teach us about the divine? What does it mean when a song, once written, no longer belongs to its creator? And how does one find peace through play?With laughter, honesty, and insight, Alon opens up about leaving the rabbinate, the complexities of modern spirituality, and the surprising wisdom of fantasy games. Whether you're an artist, seeker, or simply curious about living more authentically, this episode will inspire you to lean into wonder.

This is the final episode of the TL10 Foundations series—and it's at the HEART of everything. If you want to lose weight and be DONE with the struggle…  If you're tired of feeling stuck in sabotage cycles and never feeling “good enough”… Then this is the episode you need to hear. In this final step, I walk you through how to: Step into THE IDENTITY of a woman who's FREE of the weight struggle 2. Build the identity of a woman who is DONE struggling (and loving her life and results) 3. Claim THE IDENTITY of a woman who Because true transformation isn't just about what you eat or how much you weigh, it's about who you decide to be. You're not here to hustle for worthiness.  You're here to be BE FREE. (goodbye, weight struggle!) Grab your journal. Let this episode land deep. And come do this healing with us inside TL10—where weight loss meets EMPOWERMENT and freedom. xo Brenda PS. TL10 Summer of Freedom is officially underway. If you want to lose weight this summer AND heal your relationship with food, your body, and yourself—join us inside The Last 10.  This summer, you will lose weight AND break free from: Old habits and sabotaging patterns   Emotional Eating Patterns and Stress Eating   Weight that doesn't feel good on your body   Outdated beliefs about who you're allowed to be Step into FREEDOM in this area of your life. JOIN TL10 here and get started TODAY: www.brendalomeli.com/the-last-10 INSTANT ACCESS

Adam creates a hypnosis session to help a client feel that they are the master of their life and destiny and to harness a feeling of Sovereign Empowerment to help them rule their life in the way that aligns with their values.  Adam Cox is one of the world's most innovative hypnotists and is known for being the hypnotherapist of choice for Celebrities, CEO's and even Royalty. To book a free 30-minute consultation call to consider working with Adam go to: https://go.oncehub.com/AdamCox Adam's rates for hypnotherapy in pounds and US dollars are here: https://www.adamcox.co.uk/hypnotherapist.html  You can contact Adam at adam@adamcox.co.uk Further information on Adam is here: https://linktr.ee/AdamCoxOfficial  Tags: Adam Cox, the hypnotist, NLP, asmr, hypnosis, hypnotherapy, hypnotist, stress, sleep, worry, meditation, guided meditation, hypnotism, anxiety, hypnosis for confidence,  hypnosis for worthiness, hypnosis for retirement, future life hypnosis, quantum hypnosis, new level of living, courage hypnosis, 

Send us a textIn this episode of The StrongHer Way, Alisha Carlson pulls back the curtain on why willpower isn't your problem—it's your systems. If you've ever blamed yourself for not sticking to the latest diet, skipping a workout, or losing control around food, this one's for you. We're not here to slap another rulebook in your hand—we're here to burn the old one and write a new story based on identity, mindset, and real empowerment.Alisha challenges the toxic diet culture narrative and walks you through how to actually change your habits by shifting your self-concept, upgrading your environment, and creating systems that make health easier and sustainable—even on your busiest, most chaotic days.This episode is your permission slip to stop white-knuckling your way to health. You don't need more willpower. You need a better strategy.What You'll Learn:Why dieting based on willpower is setting you up to failHow your identity and beliefs drive your actions more than motivationThe difference between shame-driven change and identity-based growthHow to shape your environment and systems for effortless follow-throughWhy trusting yourself around food is one of the most empowering shifts you can makeConnect + Take Action:

This was a fire Questions & Answers discussion! After our Monday evening talk earlier this week, we explore some of the ecological, economical, political & sociological implications of Kālī sādhana. I make a case for overcoming all guilt and shame in the quest of personal self-expression, especially for women who are so often socialized to feel that their every impulse and desire is morally and culturally problematic. We discuss what it would be like to remove all barriers to a woman's being and, for lack of a better word, wild-ness and how Kālī sādhana demands just this. Along the same lines, we discuss the "taboo of menses": can I woman enter a temple and do sādhana during the time of her month? is there any reason behind this idea? We explore the reverence that Kaula Marga has for menses as the most potent and magical substances, with a reference to Mā' yoni in Kamakhya, Assam and Ambuvachi, when Mā bleeds. And then we compare this to the Dakshina marga or Brahmanical orthodox view that blood of all kinds is an impure and polluting substances to have a more well-rounded view of the issue across the entire spectrum of the tradition! Such wonderful questions and rich reflections. Thank you all for coming and participating! Jai Mā Kālī!And here is a playlist (our signature series, our flagship course), all of our talks on Mā.Support the showLectures happen live every Monday at 7pm PST and Friday 10am PST and again Friday at 6pm PST.Use this link and I will see you there:https://www.zoom.us/j/7028380815For more videos, guided meditations and instruction and for access to our lecture library, visit me at:https://www.patreon.com/yogawithnishTo get in on the discussion and access various spiritual materials, join our Discord here: https://discord.gg/U8zKP8yMrM

In celebration of Asian American and Pacific Islander (AAPI) Heritage Month, a dynamic group of industry leaders gathered for MediaVillage's fourth annual AAPI Leadership Roundtable to discuss the ongoing evolution of inclusion in the media and advertising sectors. The panel featured Suzie Bao, VP Group Account Director for McDonald's at IW Group; Bernice Chao, Chief Creative Officer at Aster and Founder of Asians in Advertising; Irene Kwak, EVP of Client Growth at Starcom; Jinie Kwak, Executive Director of Global Communications and Marketing at VML; and David Lai, President and Head of Global Data, Analytics & Transformation at Publicis Collective.

Happiness Solved with Sandee Sgarlata. In this episode, Sandee interviews Spencer Snakard. In this engaging conversation, Sandee Sgarlata interviews Spencer Snakard, an executive transformation coach, who shares her journey from psychology to coaching. They discuss the importance of personal growth, identity, and breaking through upper limits, especially for women leaders. Spencer shares success stories of her clients, emphasizing the power of mindset and the ability to overcome fear. The conversation highlights the significance of recognizing one's identity and the potential for transformation in both personal and professional realms. In this conversation, Spencer Snakard and Sandee Sgarlata explore the themes of happiness, personal growth, and reinvention. They discuss the importance of practicing happiness as a daily choice, the discomfort that comes with self-exploration, and the process of reinventing oneself during life transitions. The conversation emphasizes the need for emotional awareness, vulnerability, and the courage to shed old identities to embrace a more authentic self. They also touch on the significance of implementing learned concepts into daily life to achieve desired outcomes.Guest Bio:Spencer Snakard is an Executive Coach, Speaker, and Retreat Host with three decades of experience. She helps visionary entrepreneurial women break FREE from hidden constraints that limit their earnings, impact, and fulfillment. As a result, her clients create exponential growth... while working less and enjoying life more! Through her signature Transforming Millions™ methodology, Spencer empowers her clients to overcome self-limiting beliefs, unlock their full potential, and make bold moves to achieve life-changing results like seven-figure businesses that come with more freedom, fulfillment, and ease. Known for her playful approach & sharp insights, Spencer combines her background in Psychology and Ontology as a Professional Certified Coach to create profound & lasting change. Spencer's work has been featured on top business podcasts, and her show Transforming Millions™ is available on ExpandiTV, YouTube, and Podcast platforms everywhere!TakeawaysSpencer Snakard's journey into coaching was driven by a desire to help others live their best lives.The importance of staying in one's lane and recognizing personal strengths.Many individuals have the power and potential to live fulfilling lives.Our past does not have to define our future; we can create our own reality.Recognizing and overcoming the identity we take on is crucial for personal growth.Fear is a natural part of the process, but it can be navigated.Success stories illustrate the transformative power of coaching.Mindset work is about daily awareness and recognizing when we fall into old patterns.The armor we put up in response to fear can be recognized and managed.Empowerment comes from the ability to choose how we respond to challenges. It's a practice.Happiness is a choice.You have to be comfortable being uncomfortable.Is this moving me toward what I want?You have to shed what's not you.Courage and vulnerability are two sides of the same coin.You can't just own yourself into oblivion.You have to be aware and conscious to choose.Most people don't implement what they learn.You can create the desired results you want.Connect with Spencer:Website: www.SpencerSnakard.comwww.TransformingMillions.comLinkedIn: www.SpencerSnakard.com/linkedinYouTube: www.SpencerSnakard.com/youtubeFacebook: SpencerSnakard.com/facebookConnect with Sandee: Website: www.sandeesgarlata.comPodcast: www.happinesssolved.comFacebook: www.facebook.com/coachsandeesgarlataTwitter: www.twitter.com/sandeesgarlataInstagram: www.instagram.com/coachsandeesgarlata

Ever feel trapped in your own box? In this brutally honest episode, Mss Francois (the Multi-talented and Super Sexy powerhouse from Trinidad and Tobago) exposes the immigrant journey nobody talks about—being kicked to the curb with her belongings in garbage bags just months after arriving in America.She doesn't sugarcoat it: "It sucked. I hated it." But from those black trash bags emerged unfiltered wisdom on building success when nobody believes in you. Discover why strangers often lift you higher than your own family, why your phone contacts list might be sabotaging your future, and how to escape the perfection trap that's killing your progress.This isn't your typical "work hard and succeed" pep talk. It's a no-bullshit conversation about recognizing when fear of success is more paralyzing than fear of failure, why your team doesn't need to be physically near you to change your life, and how humor can literally heal your body while building your confidence.Follow Mss Francois: LinkedIn: https://www.linkedin.com/in/mss-francois-31350a1b3/ Facebook: https://www.facebook.com/MssFrancois/ Instagram: https://www.instagram.com/mss_francois/ TikTok: https://www.tiktok.com/@mss_francois Twitter: https://x.com/Mss_Francois?s=09 YouTube: https://www.youtube.com/c/TheMssFrancoisShow1As always we ask you to comment, DM, whatever it takes to have a conversation to help you take the next step in your journey, reach out on any platform!Twitter, FaceBook, Instagram, Tiktok, LinkedinDISCLOSURE: Awards and rankings by third parties are not indicative of future performance or client investment success. Past performance does not guarantee future results. All investment strategies carry profit/loss potential and cannot eliminate investment risks. Information discussed may not reflect current positions/recommendations. While believed accurate, Black Mammoth does not guarantee information accuracy. This broadcast is not a solicitation for securities transactions or personalized investment advice. Tax/estate planning information is general - consult professionals for specific situations. Full disclosures at www.blackmammoth.com.

Annual late summer rites of ritual combat—football season—converge this year with the four-year cycle of federal presidential election season. As the first (and only?) presidential debate looms, has the shakeup at the top of the Democratic ticket led to much appreciable change in the US Social Structure? The answer: It's Debatable. This week, as we prepare to undertake the second iteration of our Introduction to Africana Studies Course in Knubia, we put electoral politics in the US in larger frameworks of developments in the US and global social structure. We also ask, on the cusp of Sonia Sanchez's 90th birthday, the guiding question: “Uh huh, but how do it free us?”JOIN KNARRATIVE: https://www.knarrative.com it's the only way to get into #Knubia, where these classes areheld live with a live chat.To shop Go to:TheGlobalMajorityMore from us:Knarrative Twitter: https://twitter.com/knarrative_Knarrative Instagram: https://www.instagram.com/knarrative/In Class with Carr Twitter: https://twitter.com/inclasswithcarrSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Michelle Gladieux is known as a human potential whisperer. She's written the award- winning book Communicate with Courage and she's President of Gladieux Consulting, a team of 7 teaching communication and leadership topics, offering executive coaching and strategic planning around the U.S. Michelle has 18 years collegiate teaching experience at three universities, accepting her first faculty position teaching organizational leadership at age 23. She's started her career as an HR and Training Director in the cold storage, robotics, and construction industries and visits conferences as a keynote speaker. Michelle has mentored thousands of people across companies, government, military and beyond, and her positive effect is evident after just one interaction.

On this episode of The Wholesome Fertility Podcast, I am joined by Dr. Nirali Jain (eggspert_md), a board-certified OB/GYN and reproductive endocrinologist at Reproductive Medical Associates (RMA). Dr. Jain shares her expert insights on fertility preservation for individuals undergoing cancer treatment, a crucial yet often overlooked aspect of reproductive care. We explore what options are available for fertility preservation, including egg and sperm freezing, and why it's so important to initiate these discussions before starting chemotherapy or radiation. Dr. Jain also explains the difference between Letrozole and Clomid, the impact of estrogen-sensitive cancers on IVF treatments, and innovative approaches like random-start cycles and DuoStim protocols. Whether you're facing a cancer diagnosis or simply thinking proactively about your reproductive future, this conversation is filled with knowledge and reassurance. Key Takeaways: Why it's essential to discuss fertility before starting cancer treatment. The role of Letrozole in estrogen-sensitive cancers and fertility preservation. Differences between Letrozole and Clomid, and why Letrozole is often preferred. How new protocols like DuoStim and random-start cycles are improving outcomes. Why fertility preservation is important even for those without a cancer diagnosis. Guest Bio: Dr. Nirali Jain (@eggspert_md) is a board-certified OB/GYN and fertility specialist at Reproductive Medicine Associates (RMA) in Basking Ridge, New Jersey. She earned both her undergraduate degree in neurobiology (with a minor in dance!) and her medical degree from Northwestern University, before completing her residency at Weill Cornell/NYP, where she served as co-Chief Resident, and her fellowship in reproductive endocrinology and infertility at NYU Langone. Deeply passionate about women's health and fertility preservation, Dr. Jain blends the latest research and cutting-edge treatments with compassionate, patient-centered care. Her interests include third-party reproduction and oncofertility, and she is especially passionate about supporting patients navigating fertility preservation through a cancer diagnosis. Outside of the clinic, Dr. Jain is a trained dancer, a dedicated global traveler, and an adventurer working toward hiking all seven continents with her husband. Her diverse experiences, from international medical rotations to personal connections with friends and family navigating infertility, have shaped her into a warm, resourceful, and determined advocate for her patients. Links and Resources: Visit RMA websiteFollow Dr. Nirali Jain on Instagram For more information about Michelle, visit www.michelleoravitz.com To learn more about ancient wisdom and fertility, you can get Michelle's book at: https://www.michelleoravitz.com/thewayoffertility The Wholesome Fertility facebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/ Instagram: @thewholesomelotusfertility Facebook: https://www.facebook.com/thewholesomelotus/ Disclaimer: The information shared on this podcast is for educational and informational purposes only and is not intended as medical advice. Please consult with your healthcare provider before making any changes to your health or fertility care. --  Transcript:   # TWF-Jain-Nirali (Video) ​[00:00:00]  **Michelle Oravitz:** Welcome to the podcast Jain.  **Dr. Nirali Jain:** Thanks so much for having me **Michelle Oravitz:** Yeah, so. **Michelle Oravitz:** I'm very excited to talk about this topic, which, um, actually you don't really hear a lot of people talking about, which is how to preserve your fertility if you're going through a cancer diagnosis and if you have to go through treatments. 'cause obviously that can impact a lot on fertility. **Michelle Oravitz:** I have, um, seen actually like a colleague of mine go through. And she also preserved her fertility and, and now she has a baby boy. so it's really nice. **Michelle Oravitz:** to **riverside_nirali_jain_raw-video-cfr_michelle_oravitz's _0181:** so nice. **Michelle Oravitz:** So I'd love for you first to introduce yourself and kind Of give us a background on how you got into this work. **Dr. Nirali Jain:** Of course. Um, so I am Dr. Narly Jane. I am, um, an OB GYN by training, and then I did an additional, after completing four years of residency in OB GYN and getting board certified in that, I did an additional training in reproductive endocrinology and [00:01:00] infertility or otherwise known as REI. So now I'm a fertility specialist. **Dr. Nirali Jain:** Um, I trained at Northwestern in Chicago, so I went to undergrad and medical school there. And then, um, home has always been New Jersey for me, so I moved back out east to New Jersey. Um, I did all my training actually in New York City at Cornell for residency and NYU for fellowship. Um, and then moved to the suburbs. **Dr. Nirali Jain:** Um, and now I'm a fertility specialist in, in Basking Ridge at Reproductive Medical Associates.  **Michelle Oravitz:** Very impressive background. That's awesome.  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** I'd love to hear just really. About what your process is. If a person has been diagnosed with cancer, like what is the process? What are some of the things that you address if they are trying to preserve fertility, and what are some of the concerns going  **Dr. Nirali Jain:** yeah, yeah. All great questions. So, you know, there's a lot of us, uh, the Reis. Are a very small, [00:02:00] there's a very small number of us. So in terms of specializing in fertility preservation, technically we all are certified to treat patients with cancer and kind of move them through fertility preservation before starting chemotherapy. **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** Um, luckily we've been working closely with oncologists in the past several years just to establish some type of streamlined system because having a diagnosis of cancer and hearing all that information. Especially when you're young is so hard. So I think that's, that's where my interest started in terms of being able to speak to and counsel cancer patients. **Dr. Nirali Jain:** I think it is a very specific niche that you really have to be comfortable with in our field. Um, I. So I'll kind of walk you through, you know, what it, what does it look like, right? Um, you go into your oncologist's office suspecting that you have this, this lump. I'll take breast cancer, for example. It could really be any kind of cancer. **Dr. Nirali Jain:** Um, but breast cancer in a reproductive age patient or someone that's in those years where you're starting [00:03:00] to think about building a family, planning a family, um, or if you have kids at home, that's usually the type of patient that we see come in with a breast cancer diagnosis. So. Kinda just taking that, for example, um, the minute that you're diagnosed, it's really your oncologist's responsibility to counsel you on what treatment options are going to be offered to you. **Dr. Nirali Jain:** And then based off of the treatment options, it's important to know how that affects your reproduction. So how does it affect your ovaries in the short term, in the long term, um, in any way possible. So. Once a patient is initially referred from their oncologist to myself or any other fertility specialist, they come into my office and we just have a 30 minute conversation really talking about family planning goals. **Dr. Nirali Jain:** Any kids that they've had in the past either naturally conceived or through um, IVF, and then we talk about where they're at in their relationship. Are they married, are they not? Are they with a partner, [00:04:00] a male partner, a female partner, whatever it might be. It's important to know the social standpoint, um, especially in this sensitive phase of life. **Dr. Nirali Jain:** So patient patients usually spend anywhere from 30 minutes to an hour. Um, just kind of talking through where they're at, how they're feeling, what their ultimate childbearing goals are. And then from there we do an ultrasound and that's when I'm really able to see, you know, the, the reproductive status. **Dr. Nirali Jain:** So what do the ovaries look like? What does the uterus look like? Is there something that I need to be concerned about from a baseline GYN standpoint? Um, and all of those conversations are happening in real time. So. I think one of the things is patients come in and they're like, I'm already so overwhelmed with all this information from my oncologist, and now my fertility specialist is throwing all this information at me. **Dr. Nirali Jain:** Luckily, the way I like to frame it is you come in and you just let go. Like you let us do the work because in the background we're the ones talking to your oncologist. We're the [00:05:00] ones giving that feedback and creating a timeline with your oncologist. Um, and really I think just getting in the door is the hardest part. **Dr. Nirali Jain:** So once patients are here to see us, we go through the whole workup. We do anything that we would do for a normal patient that came in for fertility preservation. And then based off of where they're at in their journey, we talk about what makes sense for them, whether that means freezing embryos, freezing eggs, they're very similar in terms of the, the few weeks leading up to the egg retrievals. **Dr. Nirali Jain:** So I have that whole conversation just at the initial visit. And then from there we talk about the timeline behind the scenes and make sure that it works with their lives before moving forward. **Michelle Oravitz:** So for people listening to this, why, and this might be an obvious question, but to some it might not be,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** why would somebody want to preserve. eggs or sperm. 'cause I've had actually some couples  **Dr. Nirali Jain:** Yep. **Michelle Oravitz:** come to me where the husband preserved the sperm and they had to go through IVF just because he was going [00:06:00] through cancer treatments. So he had to preserve the sperm ahead of time.  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** people need to consider doing that before doing cancer treatments?  **Dr. Nirali Jain:** So there are certain cancer treatments that do affect the ovaries and the sperm health, and you know, for men and women, it affects your reproductive organs. In a similar way, um, depending on the type of chemotherapeutic agent, there are some that are more dangerous in terms of, um, being toxic to your ovaries or toxic to your sperm. **Dr. Nirali Jain:** And those are the instances where we are really thinking about what's the long-term impact because there's medications that oncologists do give patients, and our oncologists are amazing, the ones that we work with, Memorial Sloan Kettering from Reproductive Medical Associates through RMA, um, and. **Dr. Nirali Jain:** They're just so good at what they do and are so well-trained, so they know in the back of their mind, is this going to impact your ovaries or your sperm health or not? Um, and I [00:07:00] think that any chemotherapy, you know, your ovaries are these, these small organs that are constantly turning over follicles every month. **Dr. Nirali Jain:** So every month we're losing those eggs, and if they don't become. If an egg isn't ovulated, it doesn't become a baby, it's just gonna die off. So I counsel even patients that don't have cancer, I counsel them on fertility preservation as young as possible. You know, between the ages of 28 and 35, that's like the best time to preserve your fertility. **Dr. Nirali Jain:** So in cancer patients, there's an extra level added to that where even if they are a little bit younger, a little bit older. Your eggs are not gonna be the same quality. There's gonna be higher level of chromosomal errors, more DNA breakage, um, and, and bigger issues that lead to issues with conceiving naturally afterwards. **Dr. Nirali Jain:** So I think that it's important to consider how that chemotherapy is going to affect them or how surgery would affect them if it was, for example, a GYN cancer where [00:08:00] we're removing a whole ovary, you know, what, what do we have to do to preserve your fertility in that case? And those are important conversations to have. **Michelle Oravitz:** Yeah. for sure. I know that a lot of people are also concerned, you know, with going through the IVF process, you're taking in a lot of estrogen, a lot of hormones, and many cancers are actually estrogen sensitive. So I wanted to talk to you about that. 'cause I know that the data shows that it's. It's been fine, which some people might find surprising, but I wanted you to address that and just kind of **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** from your perspective.  **Dr. Nirali Jain:** That's so interesting that you asked that question because I actually, my whole I I graduated fellowship last year and my entire, like passion project in fellowship was looking at one of the drugs that we use to suppress the estrogen levels specifically in cancer patients. Um, and I had presented this at a few of our reproductive meetings. **Dr. Nirali Jain:** Um, A SRM is one of our annual meetings where all of the reiss get together. A lot of male fertility [00:09:00] specialists come and we kinda just talk about. Specific things and fertility preservation for cancer patients is, has been an ongoing topic of interest for all of us. Um, and it's important to know that there are different medications that we can offer. **Dr. Nirali Jain:** Letrozole is the one that I, um, have a particular love for and I, uh, you know, I use all the time for my patients, um, for different reasons, but it suppresses the exposure that your body has to estrogen. And there's mixed data, um, out there in terms of, you know, does Letrozole suppression actually impact, you know, does it help or. **Dr. Nirali Jain:** Or does it have no impact on your future risk of cancer after treatment? Um, and that honestly is still up for debate. But what we do know is that there's no increased risk of cancer recurrence in patients that have undergone fertility preservation with or without Letrozole. Um, Letrozole is one of those things that we can give, and the way it works is basically. **Dr. Nirali Jain:** It masks that [00:10:00] conversion. It, it doesn't allow for conversion from those androgens in the male hormones over to estrogen. Um, and so your body doesn't really see that estrogen exposure. It stays nice and low throughout your cycle, and it does help with actually ovarian maturation and getting mature eggs harvested and, um, helps a little bit with, with quality too. **Dr. Nirali Jain:** So I think that it's really nice in terms of having that available to us, but know that. It's not, it's not essential that you have it, really, the data showing plus minus. Um, but there are certain things that we can do to protect the ovaries, protect your exposure to estrogen. Um, and so that shouldn't be top of mind of concern when we're going through fertility preservation, even with an estrogen sensitive cancer. **Michelle Oravitz:** Actually, so, uh, on a different topic, kind of going back to that, so Letrozole versus Clomid, I, it's like a, the questions I personally feel just based on what I've heard and like my own research that Letrozole would be kind of like the more. [00:11:00] Um, the, it's, it's a little better, but I know that it really depends on the person as well.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** they might do better with Clom, but I'd love to hear your perspective and kind of pick your brain on this.  **Dr. Nirali Jain:** totally. You're choosing all the, all the right questions because these are all of my, my specific interests and niches. So  **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** Letrozole is basically, you know, we use Letrozole and Clomid in. Patients that don't have cancer and patients that come in for an intrauterine insemination, that's kind of the most common scenario where we're thinking about, you know, which medication is better? **Dr. Nirali Jain:** Letrozole or Clomid and Clomid used to be the, the most common medication that we use, we dose patients, you know, have 50 milligrams of Clomid, give them five days of the medication. It's an oral pill. Feels really easy and. The way it works is really, it recruits more than one follicle, so it really helps with the release of, um, more than one follicle growing more than one follicle in the ovary. **Dr. Nirali Jain:** Um, but it has a little bit [00:12:00] higher of a risk of twins because that's exactly what it's good at. Um, Clomid, not so much in the cancer. In the cancer front, it's not really used there because it's considered, from a scientific perspective, it's considered like a selective estrogen receptor modulator. So it doesn't necessarily suppress your estrogen levels in the same way that Letrozole does versus. **Dr. Nirali Jain:** Letrozole is an aromatase inhibitor, so it really blocks the chemical conversion of one drug or one hormone to the other hormone. Um, the reason we love Letrozole so much, and I don't mean to like gush over Letrozole, but um, it's a mono follicular agent, so it works really well at recruiting one follicle  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** you know, every OB-GYN's nightmare in a way is having multiples when you didn't intend on having multiples at all. **Michelle Oravitz:** so  **Dr. Nirali Jain:** Um. **Michelle Oravitz:** were saying that, um, there's more of a chance of twins, it's Clomid, not letrozole.  **Dr. Nirali Jain:** Yes, there's a higher chance with Clomid versus Letrozole. And I mean, don't get me wrong, there's a chance of twins with [00:13:00] any type of assisted reproductive technology. Even when we're doing single embryo transfers, there's a chance that it's gonna split. So, um, the chance is always there just like it is in the natural world. **Dr. Nirali Jain:** But we know for a fact that. CLO is really good at recruiting many follicles. It's good for certain patients that don't respond well to Letrozole. Um, but Letrozole is kind of our, our go-to drug these days just because of all the benefits that we've seen.  **Michelle Oravitz:** Awesome.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** These are all fun things to ask because I, I love talking to our eis 'cause there's so much information that I'm always  **Dr. Nirali Jain:** totally. **Michelle Oravitz:** learn a lot from my patients in my own research, but it's really cool. Picking your guys' brains. So another question I have, and I have actually talked to Dr. Andrea Elli, he's been on,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** and he does a lot of endometriosis and, and immune related work as well,  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** so. I'd love to know just from your perspective. One thing that I do know from, based on what I've heard is that the, [00:14:00] guess like you were just saying, that breast cancer or estrogen sensitive breast cancer doesn't seem to be affected by IVF cycles, however, and endometriosis lesions do get affected.  **Dr. Nirali Jain:** Yeah. **Dr. Nirali Jain:** that's a great question. So, you know, every, there are so many complex G mind diagnoses that the, that our patients come in with. Um, and endometriosis is a big one because there is clear data that endometriosis is linked to infertility. So we think about, you know, when a patient comes in with endometriosis, we really do think about the different treatment options and what are the short-term and long-term impacts of the hormones that we're giving 'em. **Dr. Nirali Jain:** Um, these days, again, kind of going back to Letrozole, we, letrozole is something that I give all of my endometriosis patients because it helps suppress their estrogen because we know.  **Michelle Oravitz:** interesting.  **Dr. Nirali Jain:** is very responsive to estrogen and leads to this dysfunctional regulation of all the endometrial tissue that can really flare in a, [00:15:00] in a cycle, or shortly after a cycle. **Dr. Nirali Jain:** I. So we really, for endometriosis patients, the, the best treatment is being on birth control because we don't see that hormonal fluctuation. The up and down of the estrogen and the progesterone, that's what leads to those flares. Um, so I really, I watch patients closely after their cycles too, because you definitely can have an endometriosis flare and we say the best treatment for endometriosis is pregnancy, right? **Dr. Nirali Jain:** That's when you're suppressed, that's when you're at your lowest. Um, and patients, my endo patients feel so good in pregnancy because they have. Hormones that are nice in that baseline, they're not getting periods of course. Um, and that's truly, truly the best treatment.  **Michelle Oravitz:** That's interesting.  **Dr. Nirali Jain:** But it is important to consider when you're going through infertility treatments. **Dr. Nirali Jain:** How does my endometriosis affect the short and long-term effects of the fertility medications? And really not to, not to say that they're bad in any way. I think a lot of endometriosis patients go through IVF and have success and do really, really well, and that's kind of the push that they need. [00:16:00] Um, but it's important to be mindful of the bigger picture here. **Dr. Nirali Jain:** It's not just, you're not just a number of. A patient with endo coming in, getting the same protocol. It's really individualized to the extent of your lesions, what symptoms you're having, what grade of endometriosis, where your lesions are. So we're the RAs are thinking about everything before we actually start your protocol. **Michelle Oravitz:** It's crazy how in depth it is, and it's, it, there's just so, it's so multifaceted,  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** when it's females  **Dr. Nirali Jain:** totally. **Michelle Oravitz:** are a little, I mean, they can, you know, there, there's definitely a number of things, but it's not as complicated and interconnected  **Dr. Nirali Jain:** Exactly. Exactly. That's so true. **Michelle Oravitz:** And so one question I actually have, this is kind of really off topic, but something that I was curious about. **Michelle Oravitz:** 'cause I heard about a while  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** a, a type of cancer treatment that was used. I'm not sure exactly what it was, but for some reason it actually caused follicles to grow, [00:17:00] or to multiply. And they were **Dr. Nirali Jain:** Interesting. **Michelle Oravitz:** this definitely. Puts, um, the whole idea of like a woman being born with all the follicles she'll ever have on its head, I thought that was really Interesting. **Michelle Oravitz:** Now I learned a little bit about it. I don't think it really went further than that,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** one of those things that they're like, Hmm, this is interesting. I don't know, it was kind of a random side effect of this chemo drug. I dunno if it was a chemo drug or a cancer drug.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** ever heard of that. **Michelle Oravitz:** So I was just **Dr. Nirali Jain:** I haven't, I mean, that's interesting. I feel like I'd have to look into that because that would be definitely a point of interest for a lot of Reis. But it kind of does go back to the point of, you know, women are really born with all the eggs we're ever gonna have. So it's about a million, and then it just goes down from there. **Dr. Nirali Jain:** And the, by the time you start having periods, I like to kind of show my patients a chart, but you have a couple hundred thousand eggs and you ovulate one egg a month. That's, you know. Able to [00:18:00] progress into a fertilized egg and then into a, an embryo into a baby, um, if that's your goal. But otherwise, patients that are having periods and not trying to actually get pregnant, we're losing hundreds of eggs a month. **Dr. Nirali Jain:** So.  **Michelle Oravitz:** Mm.  **Dr. Nirali Jain:** It's important to kind of think about that decline, and it's important to know that that rate can be faster in patients with cancer, patients with low ovarian reserve. And sometimes when you have the two compounded, that's when a fertility specialist is definitely, you know, in the queue to, to have a discussion with you in terms of what that means and how you can reach your family building goals despite being faced with that, with that challenge. **Michelle Oravitz:** Yeah. **Michelle Oravitz:** I mean, 'cause we know oxidative stress is one of the things that can cause, uh,  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** quality eggs, but it's also can cause cancer. **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** um, similar, you know, like things that really deplete the body could definitely impact. Um, and then what are your thoughts? I know I'm asking you all kinds of random questions, **Dr. Nirali Jain:** I love it. **Michelle Oravitz:** are your thoughts about doing low simulation in certain [00:19:00] circumstances versus high stem? **Michelle Oravitz:** Sometimes people don't respond as well to higher stems.  **Dr. Nirali Jain:** Yeah, that's a great point. I think that it kind of all goes back to creating an individualized protocol. If. A patient's going to a practice and basically just getting a protocol saying, this is our standard. We start with our standard of, you know, I, I think about the standard, which is 300 of the FSH or that pen that you dial up, and then 150 units of that powder vial. **Dr. Nirali Jain:** And we have patients mixing powders all the time, and that's kind of our blanket protocol that we give patients. But that's not really what's happening behind the scenes. And if you're given a protocol that's, and being told, you know, this is kind of what we give to everyone, it's probably not the right fit for you. **Michelle Oravitz:** Yeah, I  **Dr. Nirali Jain:** Um, there are certain patients that respond to a much lower dose and do really, really well, and then some patients that need a much higher dose. Um, and I think it's, that's kind of like the fun part of being an REI of being able to individualize the [00:20:00] protocol to the patient. Um, and I know for a fact there are so many, luckily, you know, we have so many leaders in REI that have been. **Dr. Nirali Jain:** Have dedicated their entire careers to researching these different protocols and how they can help different patients. Um, patients with lower a MH, you know, might benefit from a duo stim protocol, for example. That's kind of the first one that comes to mind, but a protocol where we're using those follicles from the second half of a cycle. **Dr. Nirali Jain:** I would've never thought that those were the follicles that  **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** would be better than the first half of the cycle,  **Michelle Oravitz:** Wait,  **Dr. Nirali Jain:** but, **Michelle Oravitz:** that. Explain that. Um, because I think that that's kind of a unique  **Dr. Nirali Jain:** mm-hmm.  **Michelle Oravitz:** that I haven't heard of.  **Dr. Nirali Jain:** Yeah, so there's this new day. It's still kind of developing, but um, kind of going back to, you know, what's an individualized protocol? Duo STEM is one of the newer protocols that we've started using. I, I've used it once or twice in patients. Um, but it goes back to the research that shows that you might actually have two different periods of time in a menstrual cycle where you could potentially recruit [00:21:00] follicles. **Dr. Nirali Jain:** You could have a follicular phase where there's a certain cohort of follicles recruited, and then you have a follicle that forms creates a corpus glut.  **Michelle Oravitz:** um, protocols  **Dr. Nirali Jain:** Yep. And then you basically go through the follicular protocol and then a few days after a retrieval, instead of waiting for a new follicular cohort or follicular recruitment from the first half of your menstrual cycle, you actually use the luteal phase and you recruit those follicles that would've actually died off or have been prematurely recruited in a prior cycle. **Dr. Nirali Jain:** So **Michelle Oravitz:** that's So  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** you just do a similar, I guess, um, medicine,  **Dr. Nirali Jain:** go right back into it.  **Michelle Oravitz:** do the same exact thing, but right after ovulation.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** Fascinating. That's really interesting.  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** has been your experience with that?  **Dr. Nirali Jain:** I think it's, honestly, it's mixed. Um, so far, you know, our data from fertility and sterility and A SRM, it, it shows support for these DUO STEM [00:22:00] protocols, saying that if patients don't have that great quality of eggs or if they have a very low number, maybe they'd benefit from starting the meds earlier and recruiting follicles. **Dr. Nirali Jain:** A little bit earlier. Um, so we've seen positive results so far. A lot of work to be done in terms of really understanding it. Um, and of course, as a new attending, I have a lot more experience to kind of build on. Um, but I, I have seen success from it. **Michelle Oravitz:** That's fascinating. Are there any other new technologies, like new add-ons, um, that you've seen, that you've found to be really cool or interesting?  **Dr. Nirali Jain:** I think the biggest thing, actually, kind of going back to our whole topic for today is fertility preservation cancer patients. One of the biggest things that I've learned recently is that we used to start fertility, um, patients. You know, only in the beginning of the cycle days, two or three is technically like when most. **Dr. Nirali Jain:** Most clinics, um, start patients, but for our cancer patients, sometimes you don't have that time. You don't wanna wait a full month to [00:23:00] restart, um, your, you know, your menstrual cycle and then do the fertility preservation and then delay chemotherapy a full month. So we started doing what we call random starts. **Dr. Nirali Jain:** So you basically start a patient whenever they come in. You know, it could be the day after your consultation, the day of your consultation. I've kind of seen all of the above. Um, and we've seen really good success with random starts, per se. Um, and we've been doing a lot more of that, where it's not as dependent on where you're at in your cycle. **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** Um, obviously there's a difference in outcomes. You might not be a great candidate for it, so definitely it's worth talking to your doctor about it. But it kind of gives relief to our cancer patients where if you have a new cancer diagnosis and you're like, oh, I just finished my period, like, I can't even start a cycle until next month. **Dr. Nirali Jain:** That's not always true. Um, so it's always worth it to go into see a fertility specialist and just get, you know, get the data that you need right away, and then you can make a decision later on. **Michelle Oravitz:** For sure. Um, Yeah. **Michelle Oravitz:** and I wanted to kind of cover a lot of different topics 'cause I know that [00:24:00] some people are gonna wanna hear what you have to say that don't necessarily, or, uh, have cancer. But it is important. I, I think that, you know, if you get to thirties and you haven't gotten married or you don't have a partner, I think it's really important to preserve your fertility in general.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** important thing. And then if you were going through a cancer diagnosis and you decided to preserve your fertility, um, guess more for women because they're eventually going to be thinking about transfers after they go through treatment. So what are some of the things that they would need to consider as far as that goes? **Michelle Oravitz:** Like after the  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** then they go through the cancer treatments. Um, and then what, how long should they  **Dr. Nirali Jain:** yeah. Like what does it look like? So I've had patients that come back, you know, in my fellowship training I did a, a couple research projects on patients that came back to pursue an embryo transfer, um, after chemotherapy agent. And basically compared them to how they did, um, [00:25:00] compared to patients that didn't have cancer and just froze their embryos or froze their eggs and then came back to pursue a transfer and. **Dr. Nirali Jain:** I think the, the most reassuring thing from the preliminary data that we have is saying that there's no difference in pregnancy rates and no difference in life birth,  **Michelle Oravitz:** Awesome.  **Dr. Nirali Jain:** of whether they had chemotherapy or not. After freezing those eggs and going through fertility preservation.  **Michelle Oravitz:** Amazing.  **Dr. Nirali Jain:** Um, in terms of where your body needs to be, I think the oncologist, we, we wait for their green light. **Dr. Nirali Jain:** We wait for their signal to say, you know, she's safe to carry a pregnancy.  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** And then once we do that, we basically treat you like any other patient. So if you're coming in for a cycle, if you're having periods, then it's reasonable to try a natural cycle protocol, wait for your body to naturally ovulate an egg. **Dr. Nirali Jain:** And instead of obviously hoping that egg will fertilize, we, um, use a corpus luteum. We use the progesterone from the corpus luteum to really support this embryo being implanted into the uterus. Um. Yeah. [00:26:00] And then there's also another side. I mean, some patients don't get their periods back and they always ask like, what if I never get my period back? **Dr. Nirali Jain:** What if I'm just like in menopause because of the chemotherapy agents? And for that, we can start you on a synthetic protocol or basically an estrogen dependent protocol where you take an estrogen pill for a certain number of days. We monitor your lining, then we start progesterone, um, to support your hormones from that perspective instead of relying on your ovaries to release the progesterone that they need, um, and then doing the embryo transfer a few, few days after progesterone starts. **Dr. Nirali Jain:** So there's definitely different protocols depending on where your menstrual health is at after the chemotherapy or after the cancer treatment. Um, but it's important to kind of just know that. That there's options. It doesn't mean that it's the end of the road if you all of a sudden stop getting your period. **Michelle Oravitz:** Yeah, for sure. I mean, 'cause you, technically speaking, you can really control a lot of that. More so for transfers  **Dr. Nirali Jain:** Yep. **Michelle Oravitz:** Retrievals really is kind of like what [00:27:00] eggs you have, what the quality is. But people can be in complete menopause and you guys can still control their cycles for transfer, which is kind of. A huge difference  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** in the  **Dr. Nirali Jain:** exactly. That's exactly right. Yeah. **Michelle Oravitz:** interesting. Any other, um, new, new things that you're, you guys are excited about? I always like to hear about like the new and upcoming things  **Dr. Nirali Jain:** Of course.  **Michelle Oravitz:** actually before, which I thought was fascinating. Yeah.  **Dr. Nirali Jain:** I feel like there's always like updates and, and new data and things like that coming out, but just know, I think it's important for patients to know, like we're constantly, we're, the reason I chose to even pursue this field was because it's new. Right. There's something that we are discovering every day, every year, and that's what makes our, our conferences so important to attend, um, to really just stay up to date. **Dr. Nirali Jain:** Um, but we are, uh, constantly updating our embryology standards, the way we thaw our eggs, and the success rate associated with a thaw and [00:28:00] how we treat our embryos and the media that we use, right? Like, so we're really thinking about the basic science perspective every single day, and that's what makes this field so unique. **Michelle Oravitz:** It is really awesome. And so do you guys specialize specifically on, um. Egg freezing and, and I mean specific fertility preservation in patients that do that have cancer that are going through treatments, do you guys specialize specifically in that? I mean, I know you do range  **Dr. Nirali Jain:** Yeah. Yeah, because it's such a small community, we all have our own niches and we all kind of have our own interests and  **Michelle Oravitz:** Yeah.  **Dr. Nirali Jain:** no like specific training. There are a couple courses that you take that I took in in training as well, just to kind of understand what it sounds like to, I. Council of fertility preservation, patient with and without cancer. **Dr. Nirali Jain:** Um, and then, you know, you kind of just learn by experience and you form a niche for something that you're passionate about. 'cause that's what makes you, you know, really thorough in, in your treatment. [00:29:00] So that's one of my interests. Um, and, but I would say,  **Michelle Oravitz:** training for that. It's just like  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** just know how to treat that in  **Dr. Nirali Jain:** exactly.  **Michelle Oravitz:** especially if you're interested in doing that.  **Dr. Nirali Jain:** Exactly. That's exactly right. It's kind of, it just comes with the experience comes with your mentors and who you're surrounded by, and everyone kind of helps each other get to that point. But there are several specialists in our practice at RMA that specialize specifically in fertility preservation in cancer patients. **Dr. Nirali Jain:** So we have a close communication with our oncologist and they know who to refer to within the practice because everyone has their own little interests.  **Michelle Oravitz:** Amazing.  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** Um, definitely. I, like I said, I really enjoy picking your brain because it's a lot of fun for me. I, I do  **Dr. Nirali Jain:** Totally.  **Michelle Oravitz:** acupuncture, so  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** and I, I think that it's just so crazy that our fields don't work together. I mean, we kind of do, but I think, I just feel like it would be so great  **Dr. Nirali Jain:** exactly.[00:30:00]  **Michelle Oravitz:** the expertise because you guys have immense. Benefits like in, in, uh, technology and incredible innovations and, and then the natural aspect of really understanding the, the body. And I, I just think that it would work so amazing together if it was more of like a thing. 'cause it, I know in China they actually combine the two  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** eastern.  **Dr. Nirali Jain:** Yeah, I mean I think that that's so important and there is data that shows, you know, there's actually a recent study that came out just a few weeks ago on the benefits of acupuncture for fertility patients. And we know that, I mean, I recommend it to all of my patients, specifically the day of the embryo transfer. **Dr. Nirali Jain:** We, luckily, we offer it on site at RMA and we have acupuncturists that come in and, and do a session before and after the embryo transfer, and I think. A lot of that is targeted towards stress relief. But I also think that holistically it's important to feel at your best when we're doing something that's so crucial to your, to your health. **Dr. Nirali Jain:** So to really focus on the diet, focus on stress relief, [00:31:00] focus on meditation, yoga, whatever it takes to get to your best wellbeing when you're going through fertility treatments, um, is so important. So I appreciate  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** like you that really specialize in the other side of. Of this, because I do consider it still part of the holistic medicine that we need to really maximize success for our patients. **Michelle Oravitz:** Awesome. Well,  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** Jane, this is such a pleasure Of talking to you. You've given us some, so much great information and we've definitely dived into a, do a topic that I don't typically, I haven't yet spoken about. But, um, that being said, it's such an important topic to talk about. And thank you so much for coming on today. **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** course. **Michelle Oravitz:** I get off, how can people find you?  **Dr. Nirali Jain:** That's a great question. So I have, um, a social media page. I, it's called Expert nc. So like EGG,  **Michelle Oravitz:** I  **Dr. Nirali Jain:** um, expert nc. Try, tried to make it a little bit humorous. Um, but I'm all over social [00:32:00] media and would love to hear from anyone that is listening. I, you know, every, every day I get different, um, dms and I'm happy to respond. **Dr. Nirali Jain:** I love hearing about everyone else's. Stories and things like that. Um, so that is kind of my main, main social media platform. Um, and then through like RMA and Reproductive Medical Associates, we also have a YouTube channel. We have an Instagram page, um, of our office available, um, as well that is public. **Dr. Nirali Jain:** So you can find us pretty easily if you just kind of hit Google. But um, yeah, I'm kind of developing my social media platform as the expert and I hope it grows.  **Michelle Oravitz:** Love it. Great.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** was such a pleasure talking to you. Thank you. so much **Dr. Nirali Jain:** Thank you. **Michelle Oravitz:** today.  **Dr. Nirali Jain:** Of course. Thank you so much for having me.  [00:33:00]   

I recently had the opportunity to give a presentation at the Hong Kong Chinese Martial Arts and Culture Conference on a subject that's deeply personal to me—the preservation of Chinese martial arts and its impact on society and educational empowerment. I thought I'd share it on the podcast! The post 422. Traditional Chinese Martial Arts in Educational Empowerment and Societal Development first appeared on Sifu Mimi Chan.

Start your day off on the right foot with Morning Affirmations – inspiring quotes and personalized affirmations to help you make positive changes every day. Change your mindset, change your life.

Send us a textSummer House Season Finale & The Valley RecapSummaryIn this episode of We Wine Whenever, Wendy and Kelli discuss the season finale of Summer House, focusing on the complex relationships and dynamics among the cast. They delve into trust issues, the impact of reality TV on friendships, and the drama surrounding Jesse and Sierra. The conversation also touches on themes of empowerment and codependency in relationships, as well as speculations about the upcoming reunion and the future of the show. In this conversation, Wendy and Kelli discuss various themes surrounding reality TV, focusing on the dynamics of relationships, alcohol consumption, and the impact of public perception on celebrity families. They delve into specific episodes of 'The Valley,' analyzing the interactions between cast members, particularly Nia and Danny, and the accusations they face. The discussion also touches on generational differences in drinking habits, the complexities of self-diagnosing alcoholism, and the challenges of maintaining friendships amidst drama.TakeawaysTrust issues are prevalent in the relationships on Summer House.Reality TV can complicate friendships and loyalty among cast members.Boundaries and respect are crucial during party dynamics.Rumors can significantly impact relationships, as seen with Jesse.Breakups can lead to personal growth and moving on.Empowerment in relationships can sometimes lead to codependency.The reunion may reveal more about the cast's dynamics and future.Humor and light-hearted moments can balance the drama in reality TV.The future of cast members like Lexi remains uncertain but intriguing.Fans are eager to see how relationships evolve in the next season. Nia and Danny are seen as a sincere couple.Alcohol consumption can be misunderstood in social contexts.Self-diagnosis is crucial in understanding alcoholism.Generational trends show a divide in drinking habits.Friendship dynamics can lead to betrayal and drama.Public perception can heavily influence celebrity relationships.The importance of accountability in parenting is highlighted.Nia's background adds depth to her character.Accusations against Danny may stem from jealousy.The role of Jason is pivotal in relationship dynamics.Support the showhttps://www.wewinewhenever.com/

The Soft Life is Political SeriesHosted by Monica Wisdomwww.blackwomenamplified.comWelcome to the final episode of The Soft Life is Political, sisters. I'm Monica Wisdom, and today we close this chapter together—and open the one you've been waiting to write. We've talked self‑forgiveness, narrative rewrites, and the power of our wisdom. Now it's time to choose ourselves, unapologetically, and craft a life that reflects our deepest truth.In this episode, you'll discover how to release the old story that kept you serving every expectation but your own, how to give yourself full permission to rest, to heal, to say no without guilt, and how this collective awakening of Black women is the revolution our spirits have been craving. ✔︎ Why it's essential to close the book on chapters written by others and honor the lessons they brought✔︎ What choosing yourself first looks like in practice—rest as strategy, boundaries as freedom, joy as resistance✔︎ How our shared awakening after decades of hustle and sacrifice creates a new standard for living authentically✔︎ The radical power of picking up your pen and declaring your next chapter in a voice no one else can writeThis is your call to arms. Your invitation to stop shrinking, stop waiting for permission, and start living on your terms. It's time to reclaim your story, your body, your voice, and step into the soft life you deserve.Stay connected at www.blackwomenamplified.com to explore the entire series, join our community of fierce sisters, and visit the Amplified Shop for merch that celebrates your evolution. You are the author of your life. Your next chapter is waiting. Let's make it legendary.

Financial literacy has two parts 1) knowing your numbers and 2) knowing the terms people use in the industry. Michelle has always been passionate about numbers, especially business numbers once she became a business owner. Later, when she got her personal finance knowledge and certifications, though, she became OBSESSED. You don't have to be as passionate as Michelle or Lauren, but you should at least start talking about personal finance and learning. And it's easier to learn now more than ever. No longer are “they” able to gatekeep finance knowledge from you. Michelle then opens up and shares her story of racking up over $500,000 in debt – and that didn't include a mortgage! She proves that learning her numbers, learning the terminology, and talking about her situation improved her life. Michelle started digging herself out debt by debt (some of which had been written off by the lenders over time). Lauren reminds the listeners that we shouldn't try to keep up with others because we don't even know if they own the things they have. Trying to keep up could mean piling on a lot of debt. If you're looking to start today, get honest with yourself about your debt. Know your numbers! And make sure you give yourself permission to build and have wealth. It's not amoral (and you can always give it away). Michelle closes by reminding us that we're not alone in our personal finance journey. If you liked this episode, you'll also like episode 161: Beyond Broke: Unleash Your Financial Potential.About Michelle:Michelle Campbell is the author of Bluebird, a memoir that candidly explores themes of trauma, heartbreak, and the resilience found in life's struggles. She is also the founder of a nonprofit organization dedicated to empowering individuals through financial literacy and fostering economic stability. MICHELLE CAMPBELL was born and raised in Omaha, Nebraska, and began her educational journey in South Dakota before relocating to Atlanta, Georgia, to continue her studies. During her academic pursuits, she launched a real estate investment firm, marking the beginning of her entrepreneurial path. Over the years, Michelle expanded her ventures into various industries, including horticulture, where she founded an interiorscape company, and logistics, where she established a commercial trucking business. Drawing on the insights and expertise gained across these diverse fields, she transitioned into a career in the financial services industry. She enjoys traveling, cooking, exploring diverse cuisines, organizing, dancing, indulging in spa treatments, and spending quality time with her cherished Pomeranian.Connect with Michelle:https://bymichellecampbell.com/https://www.facebook.com/profile.php?id=61561259970143https://www.instagram.com/bluebirdmemoir/https://www.linkedin.com/in/michelle-c-1a697b318/Connect with Lauren:https://www.realadultingiseasy.com/⁠⁠⁠https://twitter.com/AdultingIsEasy https://www.instagram.com/adultingiseasyreal/About Lauren:Lauren Keen Aumond is passionate about personal finance. She hosts the Adulting Is Easy podcast, where she helps make adulting easier for listeners by making money easier. Lauren became a millionaire at age 31 through high income, investing in stocks, and owning and managing real estate. She was able to leave her 9-5 at age 33 and now manages her short- and long-term rentals on the west coast of Florida with her husband. For fun, Lauren plays tennis, spends time with her family, drinks red wine, travels, and boats.

If you've contemplated leaving a toxic relationship but then get confused and question your decision because of the 'good times,' then this episode is for you. This episode explores the fluctuating dynamics of toxic relationships, focusing on the cycle of extremes in good and bad experiences, which leads to abuse and trauma bonding. The host, Deborah Ashway, LCMHCS, LCAS, discusses the psychological tactics used by abusers, including intermittent reinforcement and love bombing, to maintain control over their victims. The discussion includes insights from the book 'Why Does He Do That?' by Lundy Bancroft and findings from Chuck Derry's research on abusive men. The episode emphasizes the ways to influence the release from the cycle and the importance of recognizing these manipulative behaviors, setting boundaries, and reclaiming one's sense of self. Deborah offers advice on moving forward and the benefits of cutting ties with manipulative individuals.00:00 Introduction to Toxic Relationships00:46 Understanding Trauma Bonding01:49 The Cycle of Abuse03:31 Do Abusers Know What They're Doing?05:29 Benefits Abusers Gain11:49 Motivations to Stop Abuse14:35 Empowerment and Setting Boundaries18:17 Personal Reflections and Moving ForwardTo learn more or connect with the host visit:www.InnerSourceTherapy.com

It's a real issue for the majority of Christian women I coach on a regular basis. In today's episode, I'm talking about how to put together an offer, price it confidently, and make an impact on your followers and future customers. There's no reason your “help” needs to be free anymore. Sometimes, helping can—and should—have a dollar sign on it.  Important Links: Join my free 3-day bootcamp and finally get clarity on what you're selling, who it's for, and how to shape it into something that people want to buy. Sign up for Offer Blueprint Bootcamp today!  Episode 540 Save TIME & MONEY by running your biz on a single platform- check out my software, Equipt360

Marking the one hundredth anniversary of Baldwin's birth and preparing to offer the second iteration of Introduction to Africana Studies in Knubia this September, today's session explores some of the ways that studying experiences and circumstances of African people requires us to see beyond ourselves, to see our interdependency, and to avoid traps built on political and social exclusion.JOIN KNARRATIVE: https://www.knarrative.com it's the only way to get into #Knubia, where these classes areheld live with a live chat.To shop Go to:TheGlobalMajorityMore from us:Knarrative Twitter: https://twitter.com/knarrative_Knarrative Instagram: https://www.instagram.com/knarrative/In Class with Carr Twitter: https://twitter.com/inclasswithcarrSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Divine order starts with submission to God.Leadership and casting the vision over casting control.Cover her calling, don't compete with it.Creating an atmosphere of peace, not pressure.You can champion her voice without making her the head.Stay spiritually, emotionally, and practically present.The first step is to repent and then reset.A strong man isn't always right, but he is always willing to get it right.True headship is sacrificial leadership.Jesus laid down His life for His bride. That's the model. That's the mandate.Connect with us to get more Turned Onwww.turnedon.comFollow on IG @angelikenorrie and @davidnorrie.turnedonOfficial FB Community Page https://www.facebook.com/TurnedOnCommunity

Join host Keith Reza and special guest Niya Palmer (writer/producer of She the People) as they pull back the curtain on creating bold comedy in today's political climate. They break down the challenges of TV production, the evolving role of AI in writing, and navigating Hollywood's hidden hierarchies—including how writing credits really work.   This candid conversation dives into the highs and lows of fast-paced showbiz, the power of authentic storytelling, and how social media impacts creativity and mental health. Niya shares hilarious behind-the-scenes stories, career advice for aspiring writers, and why empowerment matters in entertainment.   A must-listen for comedy fans, aspiring creators, and anyone curious about how hit shows get made!   Niya's Socials IG: https://www.instagram.com/niyapalmertrusty/  Takeaways

Loving greetings and a joyous Mother's Day to each one of you. Just as the universe lovingly mothers us all, so have each of us been equipped to express this unconditional love to all who cross our path, including ourselves! And that is why I have chosen our theme throughout the month of May to […]

Send us a textWhat do sprint triathlons, marketing strategies, and business growth have in common? According to marketing powerhouse and endurance athlete Laura Patterson — everything.

•Experiment• In einem imaginären Garten treffen neun Schwarze Menschen aufeinander, die unterschiedlicher nicht sein könnten. Ein wahrgewordener (Alb-)Traum? Gnadenlos witzig, todernst, lebensnah. Von Lamin Leroy Gibba SWR 2024 www.wdr.de/k/hoerspiel-newsletter Von Lamin Leroy Gibba.

We review the 2024 Democratic National Convention and its emphasis on “unity,” “joy” and “multicultural patriotism” as Trump and the GOP intensify their voter-suppression gamble on selling a vision of a white nationalist patriarchy and the international landscape that could alter the race continues to shift. The third Saturday in Black August comes one day after the United Nations' “International Day for the Remembrance of the Slave Trade and Its Abolition,” established in 1998 to mark the night of August 22-23 1791, which marks the beginning of the Haitian Revolution. Our framing question this week: What might it mean to project the vision of “Black to an American future?”JOIN KNARRATIVE: https://www.knarrative.com it's the only way to get into #Knubia, where these classes areheld live with a live chat.To shop Go to:TheGlobalMajorityMore from us:Knarrative Twitter: https://twitter.com/knarrative_Knarrative Instagram: https://www.instagram.com/knarrative/In Class with Carr Twitter: https://twitter.com/inclasswithcarrSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Join us for an enlightening discussion with Carol Look, a seasoned psychotherapist who has embraced Emotional Freedom Techniques (EFT), commonly known as tapping, to help clients overcome self-sabotage. Carol shares her insights on how tapping can effectively address behaviors like procrastination, perfectionism, and neglecting self-care, which often serve as unconscious protection mechanisms. By helping clients uncover the hidden benefits of staying stuck, she guides them in transforming their emotions, beliefs, and behaviors to achieve the life they truly desire. Listen in as we explore the transformative power of tapping in confronting fears related to public visibility. Whether it's the fear of public speaking or success, Carol explains how EFT can help calm the body's stress response, allowing individuals to rewire their nervous systems and embrace self-acceptance. Through a guided demonstration, we illustrate how to manage fears of shining, enabling you to step confidently into the spotlight and share your talents with the world.   Connect with Carol:Website: www.carollook.com    Get access to the free video: The #1 Mistake People Make That Keeps Them STUCK!  Along with powerful weekly abundance tips to make sure that you keep moving forward at https://www.carollook.com Let's keep the conversation going!Website: www.martaspirk.com Instagram: @martaspirk Facebook: Marta Spirk Want to be my next guest on The Empowered Woman Podcast?Apply here: www.martaspirk.com/podcastguest  Watch my TEDx talk: http://bit.ly/martatedx  

The Battle for Your Mind: Winning the War WithinTake every thought captive—or be taken captive by your thoughts.Episode Title:Anxiety Isn't the Boss - Take practical and spiritual steps to fight fear and trust God deeply.Why This Series Now?:After reorienting around prayer and rest, many men still struggle silently with anxiety, shame, distraction, and negative self-talk. This series would dive deep into mental and spiritual strongholds, renewing the mind, and learning how to replace lies with truth—equipping men for lasting transformation.Epsiodes In The Series:5/9 - Whose Voice Are You Listening To?Discern the difference between God's voice, your voice, and the enemy's lies.5/16 - Silencing ShameHow to shut down the inner critic and walk in your identity as a son.5/23 - Anxiety Isn't the BossTake practical and spiritual steps to fight fear and trust God deeply.5/30 - Renew Your Mind, Rewire Your LifeRomans 12:2 as a blueprint for transformation through mental renewal.6/3 - Replacing Lies with TruthHow to identify false beliefs and anchor your thoughts in Scripture.Challenge Statement:Build a rhythm of prayer that doesn't fade when the moment ends.Free 5-Day Bible Plan:It's called “Breaking Free from the Idol of Productivity”Each day is short, powerful, and Scripture-based—designed to help you walk in freedom and trust God again with your work.GET YOUR FREE DEVOTIONALTake time to think about this, pray about it, and take one small step in obedience. Remember, divine interruptions aren't just obstacles—they're opportunities for God to do something amazing in your life.Links to Connect with Ron:Website: www.newpathnewyou.comInstagram: @rcooljrFacebook: Ron CoolYouTube: New Path New YouDon't forget to subscribe and leave a review to help us reach more men seeking purpose! Share your stories of bold obedience with Ron on social media, and let's encourage each other on this journey.Find your Community: Men DiscipleshipBecome a NPNY Supporter! - Now Tax Deductible!One TimeMonthly For Married Couples! - The Abundantly Expectant Marriage Podcast - with Ron and Rachel Cool Website: AEMARRIAGE.com

In this powerful episode of Culture Uncut, DJ Nova Fresh and Trey Way dig into the disturbing allegations surrounding Diddy and Cassie, unpacking the layers of abuse, victimhood, and power dynamics that define the case.

How can we break barriers for women in God's service? In this episode, host Tina Yeager sits down with husband-and-wife co-authors Amy and Rob Dixon to explore the important topic of breaking gender barriers in church leadership and service. Drawing from their experiences, latest picture book Penny Preaches, and years of ministry, Amy and Rob share compelling stories and practical insights about empowering both women and men to use their God-given gifts fully within the church. Together, they discuss the power of seeing role models, the impact of tradition and history on church culture, and how to have healthy, grace-filled conversations around challenging topics. Whether you're a church leader, parent, or someone wanting to better understand the value of egalitarianism in faith, this episode will encourage you to rethink how we can all flourish by embracing the diverse callings God places on each of our lives. Key Takeaways from the Conversation: The Power of Models: Amy and Rob remind us how critical it is for children—especially girls—to see women in leadership roles within their faith communities. “It's hard to be what you can't see,” Rob shares, highlighting how exposure and representation fuel confidence and ambition. Gifts Without Gender Limits: The church thrives when everyone is able to use their God-given gifts freely, regardless of gender. Amy notes, “God has gifted us each individually with good gifts, and they're not sectioned off by gender.” Imagine the impact if the whole team was on the field, not just half! Moving Beyond Fear: The resistance to women in leadership often stems from fear—fear of change, of lost power, or simply the unknown. Rob reflects on how churches can move forward together and men can serve as allies, supporting rather than fearing women stepping into their callings. Healing from Past Wounds: Amy's openness about her own wounds from the church is a powerful reminder that you're not alone—and that healing comes, in part, from supportive communities and looking at the “fruits” of service. Creating Space for Dialogue: These conversations aren't always easy, but the key is humility and honest, scripture-centered discussion. The church has a unique opportunity to model healthy disagreement and mutual respect to the wider world. For Parents and Leaders:Penny Preaches isn't just for girls—it's for every child (and parent) eager to see what happens when everyone is empowered to serve God. Boys, too, benefit from seeing strong, Spirit-led women in their midst. Ready to Get Involved? Grab a copy of Penny Preaches at IVPress.com, AmyDixonBooks.com, or wherever books are sold. Stay connected with our guests: Amy Dixon: amydixonbooks.com Rob Dixon: doctorrobdixon.com Final Thought Let's keep the conversation going—with courage and humility—as we build faith communities where every person's gifts can truly flourish. Whether you're stepping into leadership or cheering others on, remember: the church is at its best when all its members are included. We're thrilled to accompany you on this journey of faith, growth, and transformation. As always, we appreciate your support! Please subscribe and share this episode. We can't wait for you to join us for future episodes of Flourish-Meant. To book Tina as a speaker, connect with her life coaching services, and more, visit her website: https://tinayeager.com/ Optimize your mind and body with my new favorite, all-inclusive supplement, Cardio Miracle! I love the energy and focus this health-boosting drink mix provides without toxins, caffeine, or sugar! Get a discount on your purchase with my link: http://www.cardiomiracle.com/tinayeager Use the code TINA10 at checkout. To flourish in all seasons of life with the highest quality nutraceutical health supplements that benefit charitable causes, shop NutraMedix wellness supplements. Be sure to use my link  https://www.nutramedix.com/?rfsn=7877557.b6c6785 and add my special code TINA to get 10% off your entire purchase! If you're a writer, subscribe to Inkspirations Online (devotional publication by writers for writers): https://www.inkspirationsonline.com/ Manage stress and anxiety in 10 minutes a day with the course presented by 15 experts, Subdue Stress and Anxiety https://divineencouragement.onlinecoursehost.com/courses Connect with Tina at: Facebook: https://www.facebook.com/tyeagerwriting/ Linked In: https://www.linkedin.com/in/tinayeager/ Instagram: https://www.instagram.com/tina.yeager.9/ YouTube: https://www.youtube.com/c/TinaYeager Pinterest: https://www.pinterest.com/tyeagerwrites/ Goodreads: https://www.goodreads.com/author/show/3865622.Tina_Yeager

Returning from Kemet [Egypt], this week's session draws its title and focus from Black August's admonition to “study, fast, train and fight.” As 2024's tumultuous and transformative season of world and US politics continues to unfold, we ask ourselves the critical question raised by Africana Cultural Meaning-Makers from Earth Wind and Fire to Michael Jackson, among many others: Do we remember the time? JOIN KNARRATIVE: https://www.knarrative.com it's the only way to get into #Knubia, where these classes areheld live with a live chat.To shop Go to:TheGlobalMajorityMore from us:Knarrative Twitter: https://twitter.com/knarrative_Knarrative Instagram: https://www.instagram.com/knarrative/In Class with Carr Twitter: https://twitter.com/inclasswithcarrSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Tired of feeling burned out, overwhelmed, and disconnected from your true potential? In this powerful episode, we welcome Life Coach and Entrepreneur Rebecca Whitman, who shares her transformative wisdom for women ready to reclaim their lives and own their authority. Rebecca dives deep into her 7 Pillars of Abundance which provides us with a roadmap for achieving balance and creating a life you truly desire!In this episode, we explore:

There's some Souls that leave their footprints in your heart after spending only a short time in your life. Others continue to weave back in year after year :-) Karen and I have been friends and colleagues for about 15 years and what a delight to Circle back and feature her on the podcast again. I was able to ask her questions I've never asked her before tying together not just her Master Theta healer wisdom and expertise, but more ways that Theta healing has supported her personal life, marriage and parenthood. In this delicious and heartfelt conversation we also discussed... -How Theta healing can integrate traumas, limiting beliefs and ceilings we place upon ourselves, that shrink our happiness and our abundance -How Theta healing literally turned one of her client's financial situation around to the tune of PLUS $14 million! -How Theta healing integrated her own shame and fear of rejection to embrace her sexuality and deepen her connection with her partner -How Theta healing with me supported the growing of all my chakras, how she channeled seeing me walking in a forest with my beloved to be, and even my deceased mom showed up in the session! -How we each sense what's going on in our clients emotionally or physically and what a privilege and honor it is to walk through Shadows to the Light together -And she took us through a Live Theta healing session at the end, a quickie xox where we got to experience so much self-love, Universal support and even my request for easier and more orgasms!  -The live Theta healing session supported us in embodying our future self so that instead of getting caught up in the circumstances around us, we are being our future self who's already on the other side of the challenges and receiving our Glory -I encourage you to download her Self-Love Meditation and book a Theta healing session with her. She is one of the few practitioners who I trust and who supports me in being my best self.  ➡️ Go check out patreon.com/allanapratt for Exclusive content! About Karen Abrams:   Karen Abrams is a UCLA educated entrepreneur, Master Theta Healer, gifted intuitive, and international bestselling author. For over 20 years, she has helped entrepreneurs and professionals release self-sabotaging habits and gain confidence, financial security and personal fulfillment. Karen works with clients worldwide to transform their subconscious beliefs and break free from trapped emotions, traumas and limiting mindsets, to build the financial and personal success they desire and deserve. She is known for integrating her energetic work with practical tools to bring about powerful results. Karen's keen sense of humor, insight, and healing abilities have made her a rising star on radio, podcasts and the international telesummit circuit in the Human Potential movement. A brief and powerful Theta Healing meditation that helps you love yourself at a whole new level: https://thinktheta.lpages.co/love-yourself-meditation/ YT: https://www.youtube.com/@karenabrams IG: https://Instagram.com/ThinkTheta FB: https://facebook.com/ThinkTheta X: https://twitter.com/thinktheta Website: https://thinktheta.com Schedule your Intimacy Breakthrough Experience with me today https://allanapratt.com/connect Scholarship Code: READYNOW ________________________________________________________ ❤️ Finding the One is Bullsh*t. Becoming the One is brilliant and beautiful, and ironically the key to attracting your ideal partner. Move beyond the fear of getting hurt again. Register for Become the One Introductory Program. http://allanapratt.com/becomeintro Use Code: BTO22 to get over 40% off ________________________________________________________ ❤️ We're thrilled to partner with Magic Mind for this episode. Go to https://magicmind.com/INTIMATECONVERSATIONS40 to avail exciting offers! ________________________________________________________ ❤️ Let's stay connected: Exclusive Video Newsletter: http://allanapratt.com/newsletter Instagram - @allanapratt [ / allanapratt ] Facebook - @coachallanapratt [ / coachallanapratt ]

Want to send your student to college without going into debt? Join me for the second part of my conversation with Shellee Howard on how to make college more affordable and accessible for your family.   Shellee is the founder and CEO of College Ready and a certified independent college strategist. She specializes in helping families navigate the complex world of college admissions and funding.   In part two of our conversation, we discuss: The critical steps to take if you're starting the college prep process late Key factors colleges consider in applications and how to enhance them The importance of community service, leadership, and extracurricular activities How to identify the right colleges based on fit and financial considerations Tips for effectively negotiating financial aid and scholarships effectively   Tune in now to gain the knowledge you need to help your child succeed in their college journey! If you missed part one, be sure to listen to that episode before diving into this one.   And as a special gift, Shellee is offering a complimentary 30-minute consultation for listeners who want to assess their child's college readiness. You can grab that opportunity at collegereadyplan.info.   Connect with Shellee: College Ready's website: https://collegereadyplan.com/  College Ready's Instagram: https://www.instagram.com/collegereadyplan/    Shellee's Podcast: Parents: Is Your Teen College Ready?   Shellee's Books on Amazon: How to Send Your Child to College Without Losing Your Mind or Your Money The College Admissions Plan Simplified  

188  Developing healthy boundaries is an absolutely essential part of having a great intimate relationship, especially as highly sensitive people.They are a way to take care of yourself, each other, and the relationship.  I teach 3 types of boundaries, and today we are diving into the 2 psychological, or energetic types of boundaries: Protection boundaries, and containment boundaries. (Please listen to episode 51 for Relationship Boundary Basics.)When you use these kinds of boundaries skillfully, you will be able to create more closeness in your relationship, and leave beyond patterns and behaviors that create extra division, conflict,  and animosity.The thing is, many HSPs are a bit weak in these particular boundaries. So let's change that starting now! Dive in to hear what these two types of boundaries are, whether or not you need to strengthen them for yourself, and how and when to implement them. For each type, you will hear 2 or 3 tips to grow stronger boundaries (including two visualizations you can use over and over again), so you can feel less pain, resentment, and regret, and be more skillful at communicating and connecting with your partner. Listen in.SHOW NOTES:CHECK OUT THE COURSES MENTIONED: Stop Taking It So Personally Coaching Privately with Hannah ENJOYING THE PODCAST?Don't miss an episode! Subscribe via Apple Podcasts, Spotify, or Stitcher. ALWAYS CHECK THAT YOU ARE STILL RECEIVING DOWNLOADS (if not click arrow in upper righthand corner).Get the HSHM Podcast Map, so you can quickly identify the episodes most helpful for your unique relationship-- AND support the podcast for as little as $3) HERE. Hop on Hannah's Email list for more direct support for your relationship right into your inbox.

In this conversation, Dr. Jennie Berkovich and Emma Jones explore the critical issue of burnout in healthcare professionals. They discuss the definitions, symptoms, and broader context of burnout, emphasizing its prevalence across various professions. The conversation highlights the importance of recognizing early signs of burnout, understanding risk factors, and the role of compassion fatigue. Practical strategies for preventing burnout are shared, along with insights into the cultural influences that contribute to burnout in medicine. The discussion concludes with a focus on the importance of work-life balance and living a fulfilled life.Emma Jones, MD is a practicing hospice and palliative care physician who has also worked as a pediatric oncologist and general pediatrician. With over a decade of experience mentoring residents and fellows, she has become a guide and uplifter for countless healthcare professionals navigating the turbulence of the modern medical system.In The Phoenix Blueprint, Dr. Jones shares the skills and practices that have allowed her to emerge stronger from burnout and rediscover her calling to serve patients and colleagues. Drawing from yoga traditions while respecting each person's unique path, she provides a step-by-step guide to help those in healthcare rise like a phoenix from the ashes.A mother of two teenage girls, Dr. Jones lives with her physician husband and family in the Boston area. Her goal is to be a lighthouse of inspiration every day, illuminating the way for patients and co-workers alike to find renewal in the face of adversity. The Phoenix Blueprint is her first book.

This episode is sponsored by Lockton, click here to learn more Watch the full video on YouTube - click hereSeason 6 opens with a deep dive into the 2025 Working Relations Index (WRI)—and the numbers are telling. Toyota, Honda, and GM continue to rise, while Ford and Stellantis slide further down. The gap between the top and bottom OEMs? The largest since 2008.Jan brings together Dave Andrea and Dr. Angela Johnson from Plante Moran, along with returning guest Sig Huber, to explain what's behind the scores and what they mean for supplier relationships in today's automotive world.Toyota didn't just maintain its lead; it widened it. The difference? Consistency, buyer accessibility, and a move to streamline supplier systems into a single platform. Suppliers asked for more visibility, and Toyota delivered.GM, after several senior leadership changes, continues to show steady progress. A renewed focus on transparency, buyer empowerment, and cross-functional alignment is changing how suppliers experience the company. And it's working.On the other hand, Ford's story is death by a thousand cuts. There was no single failure—just a build-up of delays, unclear communications, and internal silos that made it hard for suppliers to get what they needed.Stellantis, still at the bottom, might be in the early stages of a turnaround. Leaders like Marlo Vitous and Antonio Filosa are more visible, engaged, and pushing for change, and suppliers are noticing. One of the biggest takeaways? Empowerment at the buyer level. Toyota's edge comes from enabling people on the ground to make decisions. GM is starting to adopt that mindset. Ford and Stellantis are still catching up. Suppliers want faster answers, stronger advocacy, and relationships built on trust—not red tape.And yes—getting buyers back in the office made a difference, too. Suppliers responded positively to buyers being on-site and re-engaging face-to-face. One team even linked their score improvement directly to getting buyers back in three days a week.They end the episode with a reminder of why the WRI matters. Good supplier relationships lead to better outcomes. In the top 3 OEMs, there's a same-year correlation between WRI scores and financial results. The message to OEMs is that relationships drive performance, and the numbers prove it.Themes discussed in this episode:Understanding the significance of the Automotive OEM-Supplier Working Relations Index (WRI) Study as a tool for assessing industry performance and supplier relationsThe growing gap between top and bottom OEMs in supplier trust, with the widest WRI spread since 2008The influence of leadership changes, such as Vice Presidents of Purchasing, on supplier relations and organizational performanceHow unpredictability and organizational complexity continue to hurt Stellantis' supplier relationsHow Toyota's long-term mindset and consistent buyer behavior keep it on top of supplier rankingsThe importance of trust and collaboration between OEMs and suppliers in navigating future challengesThe direct impact of empowered buyers on supplier trust and decision-making speedThe proven connection between high WRI scores and same-year OEM financial performanceFeatured guest: Dave AndreaWhat he does: Dave Andrea is a principal at

Dr. Judith Joseph is a New York-based psychiatrist, studying happiness. Throughout her life, she's been a high-achiever, graduating from medical school at Columbia and opening her own clinical research institute. She now says she was "pathologically productive" to try to mask feelings of inadequacy. Through her research, and her own experience, Dr. Joseph identified what she refers to as "high-functioning depression". On the outside, she had it all, but she was wrestling with fatigue, poor concentration, and restlessness. In her new book “High Functioning: Overcome Your Hidden Depression and Reclaim Your Joy”, she shares what she's learned with Hoda.

Coming from Aswan, Egypt, on Elephantine Island, this is the final leg of our annual three region study tour of Kemet. One of the questions raised by our Africana Studies Framework is the question of perspective and intent: when people have the same material facts, how and why we interpret them helps define how we live our lives and work, sometimes for a better society and sometimes to counter the negative effects of other human interests and objectives that obstruct creating a better society.JOIN KNARRATIVE: https://www.knarrative.com it's the only way to get into #Knubia, where these classes areheld live with a live chat.To shop Go to:TheGlobalMajorityMore from us:Knarrative Twitter: https://twitter.com/knarrative_Knarrative Instagram: https://www.instagram.com/knarrative/In Class with Carr Twitter: https://twitter.com/inclasswithcarrSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Hey Angels!Want to build wealth AND a thriving marriage? In this juicy episode of Quality Queen Control, Asha Christina sits down with Krystal and Dedric Polite, stars of Hulu and A&E's 50/50 Flip. This power couple shares their journey to real estate millions, the secrets to balancing a hit docu-series, and the keys to a rock-solid marriage while raising a family. They drop gems on creating generational wealth, tackling challenges, and keeping the spark alive.Ready to level up your life and love? Tune in for inspiration to chase your dreams without compromising what matters most!What You'll Learn: How to build wealth through real estate, tips for a successful marriage, and strategies to raise a family while creating a legacy.Join the A-Team: Rate, review, and follow on Spotify or Apple Podcasts! Connect with Asha @ashachristinafoster on Instagram.

”This VBAC has changed who I am as a woman.” Proactive preparation matters in birth!!While we don't want to obsess about it in an unhealthy way, prep work can make a huge difference in your birth experience. Chelsea is an amazing example of how that prep pays off. After a very long, exhausting 40+hr labor and Cesarean birth, Chelsea knew she needed a different experience the next time around. Chelsea took charge of what she could during her second pregnancy. She did deep internal work, vigorously prepped her mind and body, educated herself, and invested in an empowering birth team. Her intuition led Chelsea to birth at home, and it was a completely different experience from her first in so many powerful ways!Chelsea's Podcast: Growing Up Raising UsNeeded Website: Code VBAC20 for 20% OffCoterie Diapers - Use code VBAC20 for 20% OffHow to VBAC: The Ultimate Prep Course for ParentsSupport this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Are you a member of Knarrative? If not, we invite you to join our community today by signing up at: https://www.knarrative.com. As a Knarrative subscriber, you'll gain immediate access to Knubia, our growing community of teachers, learners, thinkers, doers, artists, and creators. Together, we're making a generational commitment to our collective interests, work, and responsibilities. Join us at https://www.knarrative.com and download the Knubia app through your app store or by visiting https://community.knarrative.com.JOIN KNARRATIVE: https://www.knarrative.com it's the only way to get into #Knubia, where these classes areheld live with a live chat.To shop Go to:TheGlobalMajorityMore from us:Knarrative Twitter: https://twitter.com/knarrative_Knarrative Instagram: https://www.instagram.com/knarrative/In Class with Carr Twitter: https://twitter.com/inclasswithcarrSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Lasting change begins with a shift in both mindset and behavior. Many people remain stuck in self-defeating patterns because of unconscious narratives, emotional triggers, and a disconnection from their body's inner wisdom. Change isn't just about willpower or information—it's about learning to rewire the brain through small, intentional actions that generate powerful emotional feedback loops. Identity transformation happens not through repetition, but through experiences that create a sense of success. In a world flooded with conflicting advice and manipulative marketing, reclaiming agency requires tuning into your own signals, building self-trust, and recognizing that behavior change is a design challenge—not a character flaw. Empowerment comes from realizing that the ability to change is built into who we are as humans. In this episode, I speak with Tom Bilyeu, Dr. Rangan Chatterjee, and Dr. BJ Fogg about cracking the nut of behavior change. Tom Bilyeu is a filmmaker and serial entrepreneur best known as the co-founder of Quest Nutrition, a billion-dollar company built to combat metabolic disease through value-driven innovation. After nearly a decade of chasing financial success and feeling unfulfilled, he realized the importance of loving the struggle itself. This insight led him and his partners to shift focus from profit to purpose. Quest quickly became the second fastest-growing company in North America, according to Inc. Magazine. After achieving significant personal wealth, Tom turned to the other global crisis he saw—disempowering mindsets. To address this, he co-founded Impact Theory, a media studio with his wife, Lisa Bilyeu. Their mission is to scale mindset transformation by producing empowering content that shifts the cultural subconscious. Just as Disney built the most magical place on Earth, the Bilyeus aim to build the most empowering one. Dr. Rangan Chatterjee is regarded as one of the most influential doctors in the UK. A practicing GP for the last two decades, Dr. Chatterjee wants to inspire people to transform their health by making small, sustainable changes to their lifestyles. Host of the #1 Apple podcast, Feel Better, Live More, and presenter of BBC 1's Doctor in the House, Dr. Chatterjee is the author of 5 Sunday Times bestselling books and his TED Talk, “How to Make Diseases Disappear,” has now been viewed over 4.8 million times. His newest book is Happy Mind, Happy Life: The New Science of Mental Well-Being. Dr. BJ Fogg is a behavior scientist, author, and founder of the Behavior Design Lab at Stanford University, where he has researched human behavior since 1998. He developed the groundbreaking “Behavior Design” system, which explains how behavior works and how to design it effectively. Over the past decade, his lab has focused on practical applications—from helping people navigate coronavirus-related challenges to training climate change professionals in behavior change strategies. BJ is also the creator of the “Tiny Habits” method, a simple, science-backed approach to habit formation that has helped over 40,000 people make lasting life changes. His work empowers individuals and organizations to design behavior that benefits both people and the planet. He shares his insights in the New York Times best-selling book, Tiny Habits: The Small Changes That Change Everything. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN10 to save 10%. Full-length episodes can be found here: Why Your Mindset Matters If You Want Health And WealthHow to Make Change That Lasts with Dr. Rangan ChatterjeeHow to Make Behavior Change Stick