Podcasts about international society

In this episode, we discuss the diagnosis and treatment of resistant hypertension, including a newer endothelin receptor antagonist (ERA) called aprocitentan (Tryvio®). Key Concepts The diagnosis of true resistant hypertension is based on requiring more than 3 antihypertensives (ACE inhibitor or ARB + calcium channel blocker + diuretic) to achieve goal BP, ruling out inaccurate BP readings, and ensuring patient adherence to their antihypertensive therapy. Non-pharmacologic therapy (especially dietary sodium restriction), medication adherence, and lifestyle changes are critical to the treatment of resistant hypertension. The preferred 4th line option for most patients with resistant hypertension is spironolactone. After adding spironolactone, additional therapies are based on expert opinion and patient-specific factors. These additional therapies may include beta blockers, alpha-2 agonists, alpha-1 blockers, hydralazine, minoxidil, and aprocitentan. References Carey RM, Calhoun DA, Bakris GL, et al. Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association. Hypertension. 2018;72(5):e53-e90. doi:10.1161/HYP.0000000000000084 Mancia G, Kreutz R, Brunström M, et al. 2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA). J Hypertens. 2023;41(12):1874-2071. doi:10.1097/HJH.0000000000003480

Dr. Jacqueline Barry is the Chief Clinical Officer at Cell and Gene Therapy Catapult, Dr. Kapil Bharti is a Senior Investigator at the National Eye Institute at the National Institutes of Health, and Dr. Jack Mosher is the Scientific Director at the International Society for Stem Cell Research (ISSCR). They discuss their work on the ISSCR's Best Practices for the Development of Pluripotent Stem Cell-Derived Cellular Therapies. They talk about the need for consistency and rigor in cell therapy development, and how the document can be navigated and applied across jurisdictions.

Hey friends! In this episode, I'm joined by the amazing Dr. Heather Quaile, DNP, as we dive into all things ISSWSH — that's short for the International Society for the Study of Women's Sexual Health (try saying that five times fast). We talk about how this incredible organization has exploded in size and why that matters for women everywhere. We get into the power of staying curious in sexual medicine, why funding research is still such a grind, and how hormones — yes, especially testosterone — play a huge role in sexual function. Heather and I also share some of our favorite takeaways from recent ISSWSH conferences, like new ways of looking at orgasm and sexual dysfunction that actually make sense. We don't shy away from the hard stuff either — off-label meds, outdated guidelines, and the frustrating lack of clarity around hormone therapy. But more than anything, this convo is about how we, as healthcare professionals, need to collaborate and push for change that reflects real women's needs. If you're curious about the future of female sexual medicine or just want to hear two clinicians geek out over the latest research, this episode is for you. Let's get into it! www.isswsh.org https://theshowcenter.com/ Sedona in October - ONE slot left: ⁠⁠⁠https://www.ascendretreats.com/menopause-and-sexual-health-2025⁠⁠⁠ ⁠⁠⁠Order my book⁠⁠⁠ "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" and ⁠⁠"Menopause Moment: Science, Hormones and Mindset for Optimal Longevity"⁠⁠ Listen to my Tedx Talk: ⁠⁠⁠Why we need adult sex ed⁠⁠⁠ ⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠ ⁠⁠⁠My Website⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠Waitlist is open⁠⁠ To learn more about GennaMD by Solv Wellness, visit ⁠⁠⁠gennaMD.com ⁠⁠⁠for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at ⁠⁠⁠gennaMDHCP.com⁠⁠⁠.   Thanks to our sponsor ⁠⁠⁠Midi Women's Health⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices

This spring, are you bombarded by wellness trends promising miraculous results? From detox juices to the surprising popularity of beef tallow, it's easy to get swept up in the hype. But what if some of these "healthy" habits are doing more harm than good? Join us as we dive into the science behind spring's most talked-about health fads. To explain these trends, journalist, health entrepreneur and bestselling author Liz Earle, joins us to share insights from her 40 year career in the wellness industry. Alongside Liz is Dr. Federica Amati, a scientist from Imperial College London, ZOE's Head Nutritionist, and author of the bestseller "Every Body Should Know This." Together, we'll put five popular trends under the microscope: detox drinks, red light therapy, beef tallow for skin, creatine, and high-cost probiotics. Discover what's fact and what's fiction, empowering you to make evidence-based choices. Finally, we'll share practical ZOE-approved tips for embracing spring with genuine, science-backed wellness strategies, helping you navigate the season of renewal with confidence.

Dr. Cynthia Bulik is a clinical psychologist and one of the world's leading experts on eating disorders. She is the Founding Director of the University of North Carolina Center of Excellence for Eating Disorders and also the founder director of the Centre for Eating Disorders Innovation at Karolinska Institutet in Stockholm, Sweden. Dr. Bulik is Distinguished Professor of Eating Disorders in the Department of Psychiatry at UNC, Professor of Nutrition in the Gillings School of Global Public Health, and Professor of Medical Epidemiology and Biostatistics at Karolinska Institute.  Dr Bulik has received numerous awards for her pioneering work, including Lifetime Achievement Awards from the National Eating Disorders Association, the Academy for Eating Disorders, and the International Society of Psychiatric Genetics. She has written over 750 scientific papers, and several books aimed at educating the public about eating disorders.  Currently, Dr. Bulik's focus  is in the reconceptualization of eating disorders as being a metabo-psychiatric diseases. Food Junkies is keen to explore this interest in how metabolic disease plays a role in disordered eating: can this construct be the  common ground to start to understand the muddy waters  between eating disorders and food addiction?  In This Episode, You'll Learn:

Kiera is joined by Fred Heppner of Arizona Transitions to talk through dental practice transitions. Their conversation includes when you should start thinking about your transition, what the economic outcomes will be any way you go, what a private indemnity group is (and how it can help), and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcrpt Kiera Dent (00:01) Hello, Dental A Team listeners. This is Kiera. And today I am so excited to welcome an incredible guest to our podcast, Fred Heppner. He's with Arizona Transitions. And honestly, I feel like right now in today's world, dentists need more than ever guidance and direction of like, what do we do? How do I transition my practice? What am I looking at for retirement? Do I go the DSO route? Do I do the legacy practice route? I just feel like there's so much confusion. And so trying to cut through that noise,   Fred is incredible. We met him and I just said, you know what? He's incredible. And so he said for him, it's whether a person is buying a dental practice or putting a dental practice up for sale, Fred truly can help you successfully navigate through that transition. He deals with complete transitions of dental offices and also practices securing a partner or an associate, which that is such a hard thing. Like, how do we do this? There's a million ways to slice and dice that pie because he's worked with so many different aspects of the dental industry. His experience allows him   to ensure that all parties are satisfied with the transition. So I'm super jazzed. Fred, welcome to the show today. How are you?   Fred Heppner (01:02) I'm   doing great. Thank you, Kiera. I gotta meet this guy. Who is this guy, Fred?   Kiera Dent (01:06) Well,   here he is, if I'm not mistaken. But truly, I'm so honored to have you on the podcast. When our team met you, they were like, Kiera, he's got to get on the podcast. And so just truly excited because like I said, this is a zone that I get excited to geek out on because we deal with it in consulting all the time. Our clients are constantly asking us like, what should we do? They want to bring on partners, they want to bring on associates, they want a retention model. ⁓ They want to know like,   I feel like your dental practice can be your greatest asset or your greatest burden, depending upon how you set it up. And so really being able to just dive in with you. And like I said, I think there's so much noise right now. The dentists are like, it's almost like ostrich in the sand. Like, I just don't want to even think about it. I'm going to put my head in the sand. I'm not going to pay attention. But the reality is like, let's educate, let's learn. Let's bring experts in like yourself. So that way dentists can feel more confident making the decision. I don't think it has to be scary. I don't think it's be daunting. We just need to be educated and.   Fred Heppner (01:41) Yeah, I agree.   No.   Kiera Dent (02:05) and hear wisdom and then do what feels right. So Fred, that was my intro, but anything else you want to add of how you got here or, mean, I'm just excited to riff with you today.   Fred Heppner (02:14) I appreciate the opportunity and I can tell you even from what you just said back in, back in 1983, when I started in the business of dentistry, the interesting thing was I didn't hear very often, Hey, what's your transition plan? Because oftentimes dentists were really just going to build a practice and then that was going to be their retirement and they would sell their practice and retire. Financial planners were, were non-existent to a large degree. And it was early on that I heard somebody and it really resonated with me.   They asked a young dentist who had just taken ownership or started a practice, when are you going to hang up your hand piece? And the dentist kind of, I just got started. What do mean? When am going to hang it up? I got, you know, I got 20, 30 years here. No, no, no. The moment you take ownership of a business, you want to consider what your transition plan out would be early on so that it doesn't spring it on.   Kiera Dent (02:51) Mm-hmm.   Mm-hmm.   Fred Heppner (03:09) We may   talk here later on about, what happens if you're not there? What happens if there's an injury or disability or illness and you can't practice dentistry? Now what? And let's consider talking about that maybe later on. So early in the game, it's appropriate to have some kind of idea of some kind of transition plan. Transition plan doesn't mean I have to value my business. I have to procure a buyer act to make sure that financially qualified. I have to get a contract. I have to get a lease. That's not a transition plan. In simple, think.   Kiera Dent (03:21) Yeah.   Fred Heppner (03:38) The transition plan is what do you want to do when you sell your practice, when you move on from dentistry? And you know, as well as I do, you have clients who have been in dentistry and practice for 25, 30, 35, 40 years. And if they stopped doing something that they've been doing for three decades, what are they going to do with their time? And that's, that's really high on the scale of importance in a transition plan, because ultimately they're going to sit back and say,   Kiera Dent (03:53) Mm hmm. Yeah.   Fred Heppner (04:08) I don't know that I want to be home. I don't know that my spouse wants me to be home all day. And you have to think about these things. So it's much more than I have a practice to sell. I've got a purchase price. I have to figure out how I'm going to sell everything and my staff and my patients and so on. It's more than that. So I think in the initial phases of somebody considering what's my transition plan that can pull their head out of the sand and look at a spot and say, what do I really want to do if I   Kiera Dent (04:12) Totally.   Fred Heppner (04:37) If I don't do this, what will I do? And then feels a whole bunch of other questions into the play. Number one, how much am I going to make from selling my practice? What are the economic outcomes? How much in proceeds will I have after all the fees associated with selling the business and the taxes associated with paying for the proceeds? Now, what have I got left? What is that? What does that number look like? Well, I have no idea. Well, I need to find out. That's why I have a business.   Kiera Dent (05:05) Mm-hmm.   Gosh, Fred, I am so grateful you brought this up because honestly, feel like so I don't know my financial advisor teases me all the time. He's incredible. And he's like, Kiera, you are the person that has every exit strategy. You're like, all right, so what's going to happen if this happens or what happens? And I love to play this game with my husband. I'm like, okay, so if there was a fire in our house in this location, how are we going to get out? Or if we had this, because I feel like when you have almost that North star, especially in your life of   Okay, this is how much I want when I wanna retire. This is when I wanna retire. This is like you said, if I want to, what am I gonna do when this doesn't, like when I'm no longer doing dentistry? Because you're right, I actually, ⁓ working at Midwestern ⁓ University in Arizona, I know a lot of dental students and I know a lot of dentists now. And ⁓ I've been gone from Midwestern for about now, about nine years. And ⁓ in those nine years, which does not seem that long, it's not even been a decade, ⁓   Fred Heppner (05:50) Mm-hmm.   Kiera Dent (06:05) There have been students who have gotten a disability. There have been students who have gotten cancer and can no longer practice dentistry. There are students that have already sold to DSOs. And I'm like, their life looks so different. The student I'm thinking about who ended up getting pretty sick and had to leave, thank goodness he had his ⁓ insurance on him, his disability insurance. But like when I met him,   there was no way that we ever would have thought like four or five years into practice. I went and saw him in his practice and now like he's not doing dentistry anymore. And so I think Fred, it's one of those things where I help him pray every dentist who's listening gets to work until they're 80, 90, however long they want to go that they get to practice their craft. but I think what you're talking about of let's think of what would I do if I couldn't do this anymore, whether by choice or whether by life, ⁓ and then be able to make decisions because I feel like   When you stair step it back, you're able to actually navigate today way more confidently than if you don't have a plan. And I think that gives you more security than anything else. ⁓   Fred Heppner (07:08) Amen. And if your practice   is stable, strong, producing a good profit and you are able to not only retire debt, but start to put away for your own retirement, you are much more in a direction of control also. So retirement may not be a year or a number. It sometimes is an event because injury, disability, illness, sudden death have no discrimination. It can happen to anybody.   And if there isn't a plan in place for that, which I would recommend dentists look into, ⁓ if they don't have them in their community, forming private indemnity groups, disability coverage groups, where if a group of 16, 17 dentists that per oculi are in the same community and know each other and respect each other would agree that if anything were to happen, the group would get activated and it would cover the practice a day at a time on rotation for all the membership.   until the practitioner returns from the injury or disability or the practice is sold because the dentist is incapacitated and can't come back. As a side note, I want to mention to you that I do this for six different groups here in the Valley in Phoenix where I live. And there are anywhere from about 12 to 22 dentists in each of those groups.   So if you're listeners or if anybody in the A team wants to know more about forming groups, I'm happy to pay it forward, provide it for you. It's important. It's really something that dentists, we're invincible. Nothing's going to happen to us, especially when they're 30 years old and they just graduated from Midwestern and they bought their first practice and they're fired up. And it's like, they are looking at nothing other than growth, development, coaching. They're not even thinking if something were to happen to them. So.   Kiera Dent (08:38) Mm-hmm.   hope. Right?   Mm-hmm.   Fred Heppner (08:57) Just as an aside,   let's you and I make sure that we talk more. And for any dentists who want to develop those kinds of groups, it is invaluable. And there are tons of stories that I could impart to you and impart to anybody who's willing to listen about dentists that have a mishap. ⁓ Jim Jorgensen here in Phoenix ⁓ owns Squaw Peak Dental for years. He was in Vegas with his wife, Terry, midnight. They were up in the hotel room and he flatlined. He had a massive heart attack.   Kiera Dent (09:15) Mm-hmm. Yep. Mm-hmm.   Fred Heppner (09:28) She kept him going until the paramedics arrived. He survived. We activated the group. We covered his practice for three months. He came back, continued to practice. A year later, he sold it. So he couldn't have done that. He would have lost that asset and lost the value that that asset has on the open market if that group hadn't been in place. So.   Kiera Dent (09:39) incredible.   Thank   I will. love that. And thank you for sharing that. And that's something I didn't even know existed. And I, I don't, I'm just very pro. Like, I remember when I was filling out our trust and I had to write my will and I was not very old, still like in my thirties, it was really weird. And it made me feel icky. And when you said the phrase earlier of like death, disability, illness, that has no discrimination. It hit me in my core of you're right. Like we do feel like we're invincible, but the reality is those three are hanging   out at any moment and we have no idea when they're going to strike us or our family or someone that we know. As icky as that is. And so I feel like it's like, let's just get, let's get prepared. Like when I had to figure out what's going to happen to me, if I ever am incapacitated and I called my brother, who's my power of attorney. I said, okay, this is what I want. Are you willing to do it? But now I don't like if it happens great. Like he knows, I know there's a plan in place and as much as I would hate for it to happen, there is a plan that's like, and I feel   Gosh, maybe I'm just a selfish egotistical human over here. It does give me a lot of empowerment to know that I know if something were to happen to me, things are good. And I will also say my whole team hates it, but I have an entire death plan of if Kiera Dent dies, I haven't made it so sweet that they want to kill me off. So like, that's my, that's my caveat. Like, let's not make it that good. But there's an entire plan because I realized...   If I don't have this plan in place, if things aren't able to be transferred quickly to people that I trust and that people need to execute on, this company would die and we would not be able to serve all the people that we have. And so as, as weird and as eerie as it is, I feel like Fred, there's so much empowerment that can happen because it's no longer scary. Just like getting an operations manual, just like getting all your systems in your practice in case someone leaves. I feel like it's the same thing for your business in your life. So Fred, like that's a great tip. And I think people should reach out and definitely connect with you.   Fred Heppner (11:42) maybe   for another future podcast. Coming to an A-Team podcast near you,   Kiera Dent (11:44) Like,   I mean, hey, I'm here for it.   Fred Heppner (11:50) I don't know.   It's really important. People take it for granted. And it's interesting because the people that are in the groups that I have and sponsor just sitting back and say to themselves, why wouldn't anybody not be involved in this type of group? So good for future.   Kiera Dent (12:05) That's helpful. Okay. All right. And Fred, just like, mean,   we'll, share it at the end too, but if people are interested, how do they connect with you? We'll just put it in the middle too. So people have the info and then of course we're going to continue on.   Fred Heppner (12:16) ArizonaTransitions.com is my website. ArizonaTransitions@gmail.com is my email. Best way to reach you.   Kiera Dent (12:23) And I'm sure people are   questioning, you work only in Arizona or do you work outside of Arizona just to clear that up for our listeners? Okay.   Fred Heppner (12:29) Good. Time for a little backstory. So   back in 1983, when I started in dentistry, I was a, I was a business coach, similar to how you operate and develop business systems and coaching and training for dentists and their teams to grow and essentially develop profitable and enjoyable practices. I did that for about 20 years. And then about 22 years ago, I really saw a void in Phoenix where I live. moved here in 1995.   of the transition space. just didn't see dental practice transitions being done with integrity, in my opinion. They could have been, but I saw some of the aftermath because dentists would call me and say, hey, I just bought this practice. Can you help me? It's a mess. So I would go in and assist them. Well, slowly but surely, I saw an opportunity to be able to jump into the transitions realm. So I jumped deep into ⁓ classroom study and book work on how to do business evaluations correctly.   Kiera Dent (13:04) Mm-hmm.   Fred Heppner (13:26) the International Society of Business Analysts was my education forum. ⁓ Casey Conrad, who is brilliant, he taught me how to do business valuations correctly. And by the way, he writes the curriculum for the organizations that provide accreditation to people who want to be a business analyst. So I'm learning from the guy who teaches everybody. And then I started studying large contract negotiations.   Kiera Dent (13:45) Mm-hmm. Amazing.   Fred Heppner (13:52) As I developed that understanding and saw that there were things that I could contribute to, I jumped into that realm and became more of ⁓ a transition specialist here in the greater Phoenix area. Well, along the way, I came upon a group called American Dental Sales, which is a large cooperative of 40 dental practice transition specialists, 23 different companies. They cover all 50 states and they had a void in Arizona that they needed to fill. So they approached me and said, we'd like you to come on board.   ⁓ I then met a guy named Hi Smith, who really was one of the preeminent dental practice brokers in the country. ⁓ He was in Naples, Florida. He had a place in Oregon, so he kind of commuted periodically. But Hi was very, very well regarded and still is. He's retired now. Hi was the transition specialist for the Pride Institute, a very well regarded practice management company out of California. And for 35 years.   Kiera Dent (14:44) Mm-hmm.   Fred Heppner (14:50) They referred all the business nationwide to High to develop any kind of transition plan or valuation or partnership or associate ship or practice sale. Well, he was a member of ADS and he actually, I want to say he took me under his wing to some degree because we just became very good friends and he became a really significant mentor of mine.   I fell ill and said, I'm not gonna be able to do this any longer, so you're gonna take over my book of business. and by the way, you're also gonna start doing seminars for the Pride Institute. And I'm gonna introduce you to the people over there so that when they need help, like I've been giving them for the last 30 years, you'll take over. So as a result, we were doing seminars all around the country. So four to five times a year, we'd be in Denver, Boston, Seattle, Orlando, Dallas, Chicago, Philadelphia, you name it.   Kiera Dent (15:30) Mm-hmm.   Fred Heppner (15:43) So people that would come to those meetings were Pride disciples, clients, and they would ask me to help them with their transition. So that became more of a establishing services for dentists that are outside of Arizona, not necessarily creating a footprint in each of those territories. The Pride Institute was purchased by Spear Practice Solutions about 10 or 12 years ago.   Kiera Dent (16:08) Mm-hmm.   Fred Heppner (16:09) So I got dragged kicking and screaming over to Spear and developed a really good relationship with the track practice growth partners at Spear and also Amy Morgan, who was the CEO at Pride out still with Spear. So that's the backstory to tell you that I've done transitions in 26 different States. And it's very easy for me to help provide consultation and guidance for transitions really anywhere.   Kiera Dent (16:12) Thank   Mm-hmm. Mm-hmm.   Awesome.   Fred Heppner (16:39) Florida, as an example, Florida requires a person to be a commercial real estate broker to broker business assets. So I have colleagues in Florida that I refer to. And with my affiliation with ADS, I have boots on the ground in pretty much every territory that if I don't think I can provide value to the client, I simply connect it with the people in my group and everything gets worked right.   Kiera Dent (17:04) That's awesome.   That's amazing. And it's such a fun story.   mean, I think our our paths have crossed on probably several levels. One of my business coaches is former pride. And as soon as you said that, I was like, Oh, my gosh, I bet we both know Liz. I'm sure we and all the different pieces. But I love that because I figured Arizona transitions might some of the listeners might feel like you can't help them and assist them. So I really wanted to clear that up that it's all across the nation in different areas. So all right, Fred, let's dive into like walk us through I know you've got some   Fred Heppner (17:11) Yeah, chances are.   yeah, ⁓ yeah, absolutely.   Kiera Dent (17:36) points.   I know you've got some things of like, what is the transition plan? Like how do doctors get to that level? What do they need to do if they're transitioning? Now again, this doesn't mean you're selling. Right now, I think there's a lot of options to sell, but also like prepping in case life, one of those three mysterious, hopefully never coming to you, like orbs is how feel. I feel like they're like floating around and hopefully they never strike. But what do we do? What are kind of the steps? What are some of the things you have for that?   Fred Heppner (17:56) Yeah, yeah.   Well,   I think the first step in any kind of relationship that I build with a client, it would be a true consultation. And in that sense, it's tell me what your ideal retirement plan or transition plan would look like. You've worked your practice for a number of years. At some point in time, you're going to decide that you will retire from the practice of dentistry. What do you want to do? What does that look like?   What would you be involved with? I'll give you a quick example. Jerry Cox, who's a dentist in Old Scottsdale here in Phoenix, called me and said, I'd like you to help me sell my practice. And I said, I'd be honored, thank you. So I went and saw him and we put together the plan and I asked him the question, what do you want to do? What do you want to do after you retire from practice? says, well, I like to do sculpture. And I said, really, Fred?   Kiera Dent (18:56) you   Fred Heppner (18:57) What have you done? kind of work have you done? He says, well, let me show you. He showed me pictures of the statue of Heather Farr. Heather Farr was an amateur golfer 25, 30 years ago or so, who played at ASU, who was an enormous success, played on the LPGA tour, and ultimately ⁓ developed breast cancer and died. Heather's statue ⁓ was sitting at Karsten Golf Course down near ASU, which they've now plowed.   Kiera Dent (19:20) Wow.   Fred Heppner (19:27) and also at Greyhawk Golf Club. And Jerry sculpted that statue. And I got goosebumps right now. Anyway, so as an example, Jerry has a studio at his house. He said, as soon as I sell, I'm doing that. So the point is in the transition planning phase, know what you want to do. Know what you will occupy your time. If it's turn.   Kiera Dent (19:33) Wow. Yeah.   So Fred, I'm gonna just like ask questions right here because, and   I'm gonna talk for myself. So guys, like this is my own therapy session. So thank you for being a part and a fly on the wall. Like sometimes we don't know. ⁓ So like I feel I'm very much, I know I wanna retire. I know I want more free time, ⁓ but I literally sit here and this, it's like, know how you think about like how time truly never ends. And if you think about like too hard, it actually creeps you out. Like that's kinda how I feel about like retiring of like,   Well, I know I don't want to keep working this hard. Like I don't want to be putting in as many hours, but I still love the impact. I still love the legacy, but I don't quite know what that looks like. And I feel like a lot of times people in their thirties, in their twenties, in their forties, I think as you get later on in life, you probably have more of that clear picture. But what about for those that are very fresh, like that truly maybe some people do, maybe I'm, maybe I'm the only one on my own planet. I don't think I am, but like, what do you do if you don't know what you want to do?   Fred Heppner (20:46) You're not alone. So good. part of the time, what did Chelsea, what did Kelsey Grammer say? I'm listening. So the, the, the idea is that there are portions of people that don't know. There are some that are very clear on what they want to do and there's some that are kind of, well, I'm not sure. My, my recommendation would be, think about it. Then don't answer right now, but think about it because I want you to know what you will be doing when.   Kiera Dent (20:48) Thank you. Thanks for my therapy today, Fred. I appreciate it. Thank you.   Hahaha ⁓   Fred Heppner (21:16) you stop doing this and it may change over time. It may kind of morph into, my God, I didn't know that I really enjoyed painting. Okay. Then, then that's maybe what you might do because as you retire from the proceeds of your sale of your business, you'll, you'll build out a studio in your home or in the Casita or wherever it is. So it, it's okay that you may not know. It's okay that a person may not know what they want to do, but it's important to start thinking about it.   Kiera Dent (21:26) Mm-hmm.   Fred Heppner (21:47) And then we can kind of move into the rest of the, ⁓ the rest of the questions, which I would say, is it a year that you'd like to finish working? Some dentists may want to finish when they're 55. Some may want to work until they're 65. Some may want to finish working when they're 50 or it might be a number. My investment portfolio has to be at $10 million liquid, not including asset hard assets like home.   vacation home, cars, anything like that, boats, whatever, ⁓ but that the liquid assets have a certain number because then I know through my financial planner, because he did a wealth timeline, another side note, right, Kiera? ⁓ He said that if you keep doing what you're doing and you retire at this age and you pull in social security and you have this mandatory required distributions from your portfolio,   Kiera Dent (22:16) Mm-hmm.   Right? Exactly.   Fred Heppner (22:41) you'll be able to have this much money when you're 99. So, and that's just a mathematical spreadsheet that most good financial planners have. And I highly recommend it for anybody who's in business, who's developing a portfolio for retirement. So it may not be, I don't know yet. Okay, good. Well think about it and know that I may circle back during our relationship and ask you, have you given much thought? Do know what you're going to do?   Kiera Dent (22:45) Mm-hmm.   Fred Heppner (23:09) Early on, is it important? Not as much as when it's a three to five year window. When it's a three to five year window from retirement, then we want to talk more significantly about it. Because that will be a good...   Kiera Dent (23:23) got it because that's what I was curious I was like should people be talking   when they're in their 20s 30s or is it something we're like start to think about it I know Ryan and I from Dentist advisors we we talk shop about this quite often of like there I mean there are studies that show that when you retire you actually start to atrophy in life and ⁓ there isn't as much of a purpose and so we talk often of like how can we continue that   mental stamina, the things that are going to fulfill us, whether it's working or something else of philanthropy, like whatever is going to keep you going as a human, whether you're working in the chair or you're not, I think is important. So that's I was curious of like, really probably connecting with you three to five years before we think we might retire, but with the caveat of, hey, if something were to happen to me, what would kind of be my exit strategy? your like death list like I do, like if I die, this is what's going to happen. It's creepy, but it's awesome.   Fred Heppner (24:15) No, it's, it's creepy and it is awesome. And at the same time, it's a really good conversation to have because if we're three to five years out, then one of the first things to do is say, okay, so what's going to happen if you're not here? And that carries on to the discussion we had earlier.   Kiera Dent (24:28) Mm-hmm.   The Dental A Team (24:31) Awesome. Thank you. And thank you, Fred. Thank you, all of you. And for all of you listening, thanks for listening. And I'll catch you next time on the Dental A Team Podcast.  

In 2014, the International Society for the Study of Women's Sexual Health together with the North American Menopause Society introduced the term “Genitourinary syndrome of menopause” to replace the prior term vulvovaginal atrophy. Ten years after that, in 2024, a related term “Genitourinary Syndrome of LACTATION, was introduced to better capture the genitourinary issues lactating women may experience. A new systematic review, soon to be released in the journal obstetrics and gynecology, provides new data on GSL prevalence and characteristics. This is a good reminder for any clinician who evaluates postpartum/lactating women to ask about GSL. How does sexual dysfunction fit into this question? Listen in to the next episode of Dr. Chapa's Clinical Pearls Podcast for more details.

Jehane Samaha is the National Urban Nursery Specialist with the US Forest Service. She develops trainings and networking for both urban foresters and nursery growers to improve tree stock quality, enhance connectivity in the urban nursery pipeline, and promotes climate-adaptive genetics for urban trees. Jehane is based in Philadelphia, serves on the board of UC (University City) Green, and previously worked at PHS (Pennsylvania Horticultural Society) and the Morris Arboretum.She is an ISA Certified Municipal Arborist® through the International Society of Arboriculture, and completed a master's thesis at UBS (University of British Columbia) on street tree species selection.

The potential of pluripotent stem cells and the ability to scale and differentiate them to generate large numbers of enriched cell populations has created new opportunities and approaches to treat human disease. Preclinical proof-of-principle data demonstrates that stem cell-derived neural grafts can be used to reverse symptoms of multiple neurological conditions, including Parkinson's Disease. Cell grafts enriched with dopaminergic neurons, can structurally and functionally integrate in the brain of Parkinson's Disease models to reverse motor deficits, a finding which has launched several clinical trials. While the results in animal models is essential proof-of-concept, the survival and integration of these cells is suboptimal compared to treatments from fetal-derived ventral midbrain grafts.  An area of preclinical and clinical research showing promise in influencing neuronal survival and plasticity is exercise. The benefits of exercise on neural function and disease progression have been widely reported and they have also been shown to enhance the survival and integration of transplanted cells in models of some neurological diseases. However, there is limited data on the benefit of exercise on the functional outcomes of neural grafts in Parkinson's Disease models. The guests on today's program will discuss their recent study looking at the effect of exercise on cellular engraftment and functional recovery in animal models of Parkinson's Disease and the implications for clinical outcomes. GuestsClare Parish, PhD, The Florey Institute of Neuroscience and Mental Health and University of Melbourne, Australia Niamh Moriarty, PhD, The Florey Institute of Neuroscience and Mental Health and University of Melbourne, AustraliaSupporting ContentPaper link: Exercise promotes the functional integration of human stem cell-derived neural grafts in a rodent model of Parkinson's disease HostJanet Rossant, Editor-in-Chief, Stem Cell Reports and The Gairdner FoundationAbout Stem Cell ReportsStem Cell Reports is the open access, peer-reviewed journal of the International Society for Stem Cell Research (ISSCR) for communicating basic discoveries in stem cell research, in addition to translational and clinical studies. Stem Cell Reports focuses on original research with conceptual or practical advances that are of broad interest to stem cell biologists and clinicians.X: @StemCellReportsAbout ISSCRWith nearly 5,000 members from more than 80 countries, the International Society for Stem Cell Research (@ISSCR) is the preeminent global, cross-disciplinary, science-based organization dedicated to stem cell research and its translation to the clinic. The ISSCR mission is to promote excellence in stem cell science and applications to human health.ISSCR StaffKeith Alm, Chief Executive OfficerYvonne Fisher, Managing Editor, Stem Cell ReportsKym Kilbourne, Director of Media and Strategic CommunicationsMegan Koch, Senior Marketing ManagerJack Mosher, Scientific AdvisorHunter Reed, Senior Marketing Coordinator

Collagen is everywhere—but not all collagen is created equal. In this episode, we're diving into the science-backed benefits of collagen, from skin elasticity and joint support to gut and bone health. We'll explore how patented peptides make a difference in absorption and efficacy, plus break down the latest research on how to get the most out of your collagen routine. Plus we're celebrating the fresh new look of our Pure Collagen!  Tune in as we answer your top collagen questions, including Can I put collagen in my coffee? Do I need vitamin C for absorption? And what's the deal with the social media rumors linking collagen to cancer? Whether you're a longtime collagen user or just curious about its benefits, this episode will give you the facts you need to support your body from the inside out! Also in this episode:  Get Pure Collagen for 15% off with code NEWLOOK What is collagen and why do we need it? What accelerates collagen loss? How can we support collagen production?  What sets Pure Collagen apart? Fortigel Current Medical Research and Opinion Osteoarthritis and Cartilage Journal of the International Society of Sports Nutrition Verisol Skin Pharmacology and Physiology Journal of Medicinal Food Nutrients Fortibone Nutrients Journal of Clinical Densitometry Journal of the American College of Nutrition Do I need to worry about heavy metals in collagen? Consumer Beware: These Popular Collagen Supplements Contain Heavy Metals Collagen is not a complete protein, do I need to supplement with something else? What's the difference between collagen and gelatin? What about collagen and cancer? Do I need vitamin C to absorb collagen?  Bio-C Plus Can I still put collagen in my coffee? Bone Broth Hot Cocoa | A Nutrient Dense Indulgence for Kids Smoothies and Shakes Ebook Is vegan collagen a thing?  Dosage and considerations For preventative health/wellness: 1 scoop/day Pregnancy/postpartum: 2 scoops/day Symptomatic (joint pain, etc): 2-3 scoops/day Perimenopause: 2 scoops/day Osteoporosis/osteopenia: 3 scoops/day Bone Builder Bundle Post-surgical: 4 scoops/day for 2 weeks   Sponsors for this episode:  Pure Collagen: The Ultimate Collagen Support for Skin, Joints, and Bones Shop now with code NEWLOOK   Pure Collagen is sourced from pasture-raised cows and we lab test every batch to ensure there are no heavy metals including mercury, lead, cadmium, and arsenic. But our purity isn't the only thing that sets our product apart from competitors, it is all about the extraction!    Pure Collagen is not just a protein powder or even just collagen peptides! Our product is made through a proprietary extraction method that produces bioactive peptides shown in research to stimulate new bone, joint cartilage tissue, and skin, hair, and nails via regenerative anti-aging effects. Our formula contains research supported patented peptides FORTIGEL, FORTIBONE, and VERISOL, 3 compounds that promote synthesis of collagen and stimulate focused cells to prevent breakdown while supporting new growth.   Fortigel supports chondrocytes for cartilage health to promote joint function and reduce joint pain. Verisol stimulates fibroblasts to support the production of collagen for improved structure and appearance of the skin, reduction of cellulite, healthy hair growth, and anti-aging effects. Fortibone stimulates osteoblasts to improve bone density and the body's mineralization processes while supporting bone strength.

What if creatine isn’t just for bodybuilders—but a potent, research-backed tool for women’s health, performance, and longevity? In this powerhouse episode, Angela sits down with Darren Candow, a leading expert on creatine and Professor and Director of the Aging Muscle and Bone Health Laboratory at the University of Regina, Canada. Darren is also the Director of Research for the Athlete Health and Performance Initiative and past Associate Dean of Graduate Studies and Research in the Faculty of Kinesiology and Health Studies. Together, they unpack the groundbreaking science behind one of the most misunderstood supplements. From brain energetics and mood stability to bone density, fat loss, and anti-aging, this is your comprehensive guide to creatine beyond the gym. Angela and Darren explore the myths, the mechanisms, and the real-world applications of creatine—especially for women navigating perimenopause, high stress, and cognitive load. Whether you’re looking to train smarter, improve memory and sleep, or simply age with more energy and resilience, this masterclass will change the way you think about creatine forever. KEY TAKEAWAYS: Creatine for Cognitive Health: It crosses the blood-brain barrier slowly but significantly, especially under stress or sleep deprivation. Dosage Evolution: 10g/day may be optimal for full muscle, brain, and bone saturation—especially in women. Bone Health & Aging: Combined with resistance training, creatine may help preserve bone density, especially post-menopause. Body Composition Benefits: Contrary to myth, creatine reduces body fat over time and improves lean mass, even in women. Mental Health & Resilience: Early evidence shows potential benefits for depression, anxiety, and sleep quality. Safer Than You Think: Creatine does not cause kidney issues or hair loss—these myths are finally being debunked with new data. Emerging Synergies: Stacks with protein, collagen, or taurine may enhance its effects—especially for brain and recovery support. TIMESTAMPS AND KEY TOPICS: 0:00 – Introduction 3:33 – Creatine’s impact on fat loss, strength, and performance in women 7:31 – Recovery, overtraining & HRV: how creatine supports your nervous system 13:31 – Creatine for mood, mental health, and inflammation 18:36 – Bone health benefits in postmenopausal women 22:03 – Muscle breakdown: why women respond differently than men 31:25 – GAA, taurine & stacks that supercharge brain performance 36:28 – Brain fog, stress & cognition: creatine’s impact on energy and focus 47:43 – Creatine and sleep: timing, dosage, and recovery benefits 52:07 – The perimenopause trifecta: mood, metabolism, and muscle 55:13 – Final verdict: What dose actually works—and is it safe? VALUABLE RESOURCES Click here for discounts on all the products I personally use and recommend Check out my blog to learn How Spermidine Can Reset Your Sleep and Hormonal Balance During Perimenopause A BIG thank you to our sponsors who make the show possible: Get 20% off the Creatine I love at trycreate.co/ANGELA20, and use code ANGELA20 to save 20% on your firsts order. LVLUP HEALTH: Slow aging, repair gut health boost collagen and recovery and more with LVLUP Health’s amazing products. Save 15% with code ANGELA at https://lvluphealth.com/angela For 10% off at Timeline visit www.timelinenutrition.com and use code ANGELA10 ABOUT THE GUEST Darren G. Candow, Ph.D., CSEP-CEP, FISSN is a Professor and Director of the Aging Muscle and Bone Health Laboratory, Director of Research for the Athlete Health and Performance Initiative and past Associate Dean-Graduate Studies and Research in the Faculty of Kinesiology and Health Studies at the University of Regina, Canada. The overall objectives of Dr. Candow’s research program are to develop effective lifestyle interventions involving nutrition (primarily creatine monohydrate) and physical activity (resistance training) which have practical and clinical relevance for improving properties of muscle, bone and brain health/function. Dr. Candow has published > 150 peer-refereed journal manuscripts (h-index: 49, i10-index: 107), received > $2 million in research support, and supervised over 20 MSc and PhD students. In addition, Dr. Candow serves on the editorial review boards for the Journal of the International Society of Sports Nutrition; Nutrients; Frontiers; Advanced Exercise and Health Sciences; Scientific Reports; and Longevity and as a Scientific Advisor for AlzChem and Create. Dr. Candow is also a fellow of the International Society of Sports Nutrition and a Canadian Society for Exercise Physiology-Clinical Exercise Physiologist. Darren G. Candow, PhD | CSEP-CEP | FISSN Professor Director-Aging Muscle and Bone Health Laboratory Director of Research-Athlete Health and Performance Initiative Faculty of Kinesiology & Health Studies University of Regina Google Scholar: https://scholar.google.ca/citations?hl=en&user=iUYFaeoAAAAJ&view_op=list_works&sortby=pubdate Instagram: https://www.instagram.com/dr.darrencandow/?hl=en ABOUT THE HOST Angela Foster is an award winning Nutritionist, Health & Performance Coach, Speaker and Host of the High Performance Health podcast. A former Corporate lawyer turned industry leader in biohacking and health optimisation for women, Angela has been featured in various media including Huff Post, Runners world, The Health Optimisation Summit, BrainTap, The Women’s Biohacking Conference, Livestrong & Natural Health Magazine. Angela is the creator of BioSyncing®️ a blueprint for ambitious entrepreneurial women to biohack their health so they can 10X how they show up in their business and their family without burning out. The High Performance Health Podcast is a top rated global podcast. Each week, Angela brings you a new insight, biohack or high performance habit to help you unlock optimal health, longevity and higher performance. Hit the follow button to make sure you get notified each time Angela releases a new episode.Anne Laure’s book: Tiny Experiments CONTACT DETAILS Instagram Facebook LinkedIn Affiliate Disclaimer: Note this description contains affiliate links that allow you to find the items mentioned in this video and support the channel at no cost to you. While this channel may earn minimal sums when the viewer uses the links, the viewer is under no obligation to use these links. Thank you for supporting the show! Disclaimer: The High Performance Health Podcast is for general information purposes only and do not constitute the practice of professional or coaching advice and no client relationship is formed. The use of information on this podcast, or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for medical or other professional advice, diagnosis, or treatment. Users should seek the assistance of their medical doctor or other health care professional for before taking any steps to implement any of the items discussed in this podcast. This Podcast has been brought to you by Disruptive Media. https://disruptivemedia.co.uk/

This year's International Society of Autism Research Meeting was filled with great presentations about causes, diagnosis, interventions, mechanisms, supports, understanding sex differences and different populations of those with autism. But not everyone could fly to Seattle to attend. This week's podcast provides a short summary of just some of the science presented. Michael Lombardo provided … Continue reading "News from the International Society for Autism Research Meeting, 2025"

Unpack how climate change is reshaping not just ecosystems but our emotional landscapes. This episode connects the rising trauma of a changing climate to the challenges faced by seafood systems in the Great Lakes and around the world. Through systems thinking and trauma-informed design, we examine how climate disruptions ripple through fisheries, communities, and the human psyche, as well as how new approaches can help us respond with care, clarity, and resilience. Episode Transcript Episode Guide 00:00 Intro to In Hot Water, Great Lakes Edition 02:40 Cheryl Dahle, design strategist for systems change, returns in this episode to  explain how a systems design approach is a relatively new way to problem solve through an examination of human behavior  06:21 Cheryl started her career as a journalist and, disillusioned, left to found a nonprofit, Future of Fish, working empower thriving, resilient ocean communities by driving innovation and investment to small-scale fisheries 15:45 Systems change in the seafood sector - how does it happen? 18:32 Having returned to journalism, Cheryl focuses on how the media covers climate change with the Solutions Journalism Network 29:10 In 2021, the International Society of Traumatic Stress Studies, Global Climate Change and Trauma released a detailed briefing paper describing the current state of knowledge and gaps on climate change and trauma. We asked Mary Foydor, a transdisciplinary designer about trauma-informed co-design, to tell us more about the links between climate change and trauma 30:13 The definition of trauma 31:11 Guiding principles to a trauma-informed approach to designing solutions 36:54 Climate change is a trauma that we're experiencing collectively 38:47 Joy-washing and the decolonization of trauma and trauma-informed design and care 41:14 Final words: Our future is uncertain, but open with possibilities. If we can hold open that space of uncertainty and invent into it, we have a really good chance.  Resources Recommend this series to anyone who enjoys seafood and is curious about how climate change is affecting our seafood-producing regions.      

Today we are joined by Dr. Denis Alexander, who will soon teach a class on Current Issues in Science and Theology (May 26-30). Denis is known for his research as a molecular biologist, so we start this conversation by discussing theistic evolution, genetics, DNA, and the difference between mind and brain. He also probes the implications of emerging issues and fields such as neuroscience, transhumanism, and AI. We are grateful to engage with someone who thoughtfully and insightfully participates in the scientific world, bringing Christian faith and reflection to bear on emerging knowledge and realities. If you are unsure whether his class is for you, Dr. Alexander assures us that this course suits those with no science background! BioDr. Denis Alexander is a prominent molecular biologist and Christian thinker known for his extensive work in the dialogue between science and religion. In 2006, Dr. Alexander co-founded The Faraday Institute for Science and Religion with Professor Bob White to conduct research and promote dialogue between the scientific and religious communities. He was the journal Science & Christian Belief editor from 1992 to 2013. He has been an active member of organizations such as Christians in Science and the International Society for Science and Religion. Throughout his career, Dr. Alexander has been a vocal proponent of the compatibility between scientific inquiry and religious faith, contributing significantly to discussions on how these fields intersect and inform each other. He'll join us from May 26-30 to teach on Current Issues in Science and Theology. He will also give an Evening Public Lecture in the Regent College Chapel on Monday, May 26, 2025.Previous Podcast AppearancesEvolution, Neanderthals and Original Sin (March 2021)Regent College Podcast Thanks for listening. Please like, rate and review us on your podcast platform of choice and share this episode with a friend. Follow Us on Social Media Facebook Instagram Youtube Keep in Touch Regent College Summer Programs Regent College Newsletter

On this episode of JHLT: The Podcast, the Digital Media Editors invite first author Peter Cho and senior author Abbas Ardehali, MD, to discuss the paper, “Severe primary graft dysfunction in heart transplant recipients using donor hearts after circulatory death: a United States Experience.” Peter is a third year medical student at Drexel University, and Dr. Ardehali is professor of surgery and medicine and the Director of the Heart, Lung, and Heart-Lung Transplant programs at UCLA. The episode explores: The study's findings regarding an increased incidence of severe PGD at 24 hours post-transplant in DCD over DBD recipients What risks weren't changed in DCD recipients—suggesting that DCD PGD is likely to be transient, and may have a different phenotype How NRP may impact the outcomes Mitigating the risk of PGD For the latest studies from JHLT, visit www.jhltonline.org/current, or, if you're an ISHLT member, access your Journal membership at www.ishlt.org/jhlt. Tune in again later this month for the Digital Media Editors' findings and observations from the ISHLT2025 Annual Meeting in Boston. Don't already get the Journal and want to read along? Join the International Society of Heart and Lung Transplantation at www.ishlt.org for a free subscription, or subscribe today at www.jhltonline.org.

The term "genitourinary syndrome of menopause" (GSM) was introduced in 2014 by the International Society for the Study of Women's Sexual Health and the North American Menopause Society (now the Menopause Society). This new term was created to replace older terms like vulvovaginal atrophy, urogenital atrophy, and atrophic vaginitis, and it encompasses the range of symptoms related to hormonal changes in the vulvovaginal and urinary tract areas that can occur during menopause. Recurrent UTIs are more likely in postmenopausal women not on vaginal estrogen therapy. IN this episode, we will highlight new data from the recent AUA meeting which looked at surprising benefits on postmenopausal vaginal estrogen in women with recurrent UTIs. Nonetheless, questions on the data remain. Listen in for details.

“You never know what anybody's potential is. I think about that now as a teacher, that we are expecting 17-, 18-year-olds to know what they want to do for the rest of their lives. It's so early in your life to make those decisions, and so much can change during those really formative years. I want to help them to be the best version of themselves in the field and achieve the goals that they would like to do.”Jennifer Sengin is the Raymond R. Neevel/Missouri Professor of Choral Music and Director of Choral Studies at the University of Missouri-Kansas City Conservatory (UMKC) where she leads the graduate choral conducting program and conducts the flagship ensemble, Conservatory Singers, and the Choral Union. In addition to ensembles, Dr. Sengin teaches graduate choral conducting and choral literature. In the summer of 2024, Dr. Sengin received the inaugural Newcomer Award from the Missouri Choral Directors Association.Prior to coming to UMKC, Dr. Sengin most recently served as the Associate Director of Choral Activities at Georgia State University. Under her direction, the GSU Treble Choir won first place in The American Prize and Dr. Sengin received 2nd place in conducting. The Treble Choir has been invited to perform at the National Collegiate Choral Organization Conference and twice at the Georgia Music Educators Association Conference. While at GSU, Dr. Sengin received two university-wide awards – the 2022-23 Non-Tenure Track Faculty Achievement Award and the 2021-22 GSU Instructional Effectiveness Award.An active guest conductor, clinician, adjudicator, and presenter, Dr. Sengin has conducted honor choirs throughout the country. Future engagements include guest conducting the Duruflé Requiem at Carnegie Hall with National Concerts.She recently participated as a Conducting Fellow with the American Choral Directors Association International Conductor Exchange Program to Germany where she led workshops in Hannover and Berlin. Dr. Sengin has presented sessions and served as a panelist at international, national, regional, and state conferences. In 2024, Dr. Sengin traveled to Helsinki, Finland to co-present at the International Society for Music Education World Conference. She currently serves on the National Board of the National Collegiate Choral Organization and as the Repertoire and Resource Chair for Youth and Student Activities for the ACDA Southwestern Region. She also sings in the award-winning professional ensemble, mirabai.Dr. Sengin holds degrees from The College of New Jersey (BM Music Education), Ithaca College (MM Choral Conducting), and Michigan State University (DMA Choral Conducting).To get in touch with Jennifer, you can email her at jsengin@umkc.edu.Email choirfampodcast@gmail.com to contact our hosts.Podcast music from Podcast.coPhoto in episode artwork by Trace Hudson

In this episode, I'm sharing my Boston Marathon experience from Hopkinton to Boston. Then we're diving into the science of fueling and hydration — specifically, electrolyte depletion: what it is, why it matters for performance, and how you can stay ahead of it. Whether you're training for your first marathon or refining your race-day strategy, this episode is packed with practical tips to help you feel strong, stay balanced, and go the distance.www.trainmk.com@melissa_kendterBurke, L. M., et al. (2011). Carbohydrates for training and competition. Journal of Sports Sciences.Stellingwerff, T. (2012). Contemporary nutrition approaches to optimize elite marathon performance. International Journal of Sports Physiology and Performance.Hew-Butler, T., et al. (2015). Statement of the Third International Exercise-Associated Hyponatremia Consensus Development Conference.Noakes, T. D. (2007). The central governor model of exercise regulation applied to the marathon. Sports Medicine.Rothschild, J. A., et al. (2020). Blood biomarker profiling and monitoring for endurance athletes. Journal of the International Society of Sports Nutrition.Precision Hydration. (n.d.). www.precisionhydration.com

In this episode of The Association Insights Podcast, we sit down with Rob Barnes, CAE, AAiP, CEO and co-founder of Betty—a groundbreaking AI knowledge assistant built specifically for associations.With three decades of association leadership across three countries, Rob brings a global lens and deep passion for community innovation. He shares how Betty is helping associations safeguard institutional wisdom, deliver member value in real time, and unlock strategic insights through what he calls the Association Knowledge Cycle.From preserving the expertise of retiring volunteers and staffers to enabling multilingual member support and accelerating certification design, Rob walks us through real-world use cases that show how AI—when deployed thoughtfully—can help associations work smarter, serve better, and build trust in new ways.

Join host Kate Boyle and her special guest Dr. Evelyn Higgins, a recognized authority in health and wellness and founder of Wired BioHealth, as they dive into a profound discussion on the science of addiction and pain management. Dr. Higgins shares insights on the role of genetics in addiction, the impact of epigenetics, and the science behind why certain individuals may be predisposed to addictive behaviors. Learn about the biomarkers of addiction and how understanding these can help in developing effective treatments and preventative strategies. If you or someone you know is affected by addiction or chronic pain, this episode offers valuable scientific knowledge and hope for change.   Connect with Dr. Evelyn Higgins: Dr. Evelyn Higgins is a globally recognized authority in health and wellness. She is the founder of Wired BioHealth and holds distinguished credentials as a Diplomate of the American College of Addictionology and Compulsive Disorders, a Diplomate of the American Board of Disability Analysts specializing in pain management, and a Certified Addictionologist. Throughout her illustrious career, Dr. Higgins has advised the U.S. Surgeon General, served as a Team Doctor for the 1996 Olympic Games, and had the honor of being an Olympic torchbearer. In 2021, she was nominated for Modern Healthcare's Top 25 Innovators in Healthcare. With over 35 years of clinical practice and consulting, Dr. Higgins has spent more than 17 years advancing the science of health optimization, wellness, and recovery, with a particular focus on behavioral wellness. She is the author of The Dr. Higgins Guide to Health & Wellness and The Mystery of Happiness. As a keynote speaker at the 2024 Addiction Studies Institute Conference at Ohio State Medical Center, a TEDx speaker, and a panelist at prominent international events—including the 2022 International Society of Substance Use Professionals Annual Conference in Abu Dhabi—Dr. Higgins is a leading voice in the convergence of epigenetics, neuroscience, and holistic health   Website: https://www.doctorhiggins.com/ https://www.wiredforaddiction.com/ Instagram: https://www.instagram.com/wiredbiohealth/ https://www.instagram.com/doctorevelynhiggins/ Facebook: https://www.facebook.com/evelyn.higgins.509/ https://www.facebook.com/WiredForAddiction/   Ready to escape to Serenity? Then come join our 2025 Pilates Retreat in Thailand! This retreat promises a full week of relaxation, exploration, and rejuvenation tailored for everyone. Get ready for daily Pilates, nourishing food, enriching activities, and meaningful connections with the beautiful backdrop of Thailand. Spaces are limited to only 16 participants so get in now and grab your spot on the link below: https://www.mindmovementhealth.com.au/thailand-retreat/   Connect with Kate: Website: MindMovementHealth.com.au Facebook: facebook.com/MindMovementHealth Instagram: instagram.com/MindMovementHealth Haven't subscribed to the podcast yet? Be sure to subscribe and leave us a review at: Apple Podcasts

If you've ever been curious about twins, nature vs. nurture, or how our closest relationships shape who we are, you'll want to dive straight into our latest conversation with Dr. Nancy Segal. From nature versus nurture debates to the unique bonds that connect twins, Dr. Segal shares her groundbreaking research and personal stories that reveal just how much twins can teach us about human behavior, relationships, and even ourselves. You'll hear incredible insights into the genetics of twinning, the emotional intensity of twin loss, and the surprising science behind topics like IVF, surrogacy, and even doppelgängers. Get ready for heartwarming stories, real-life drama including a remarkable court case about citizenship and twin brothers born through surrogacy to gay fathers—and plenty of wisdom from both Dr. Segal and Grandpa Wayne. Whether you're a parent of twins, know a set of twins, or have ever wondered what life would be like with a carbon copy of yourself, this episode is packed with unforgettable tales, expert advice, and thought-provoking discussions you won't want to miss. Stay tuned—these are stories you truly have to hear to believe! Nancy L. Segal is a distinguished researcher whose work explores the unique bonds between twins. In her studies, she discovered that twins whether identical or fraternal tend to grieve the loss of their twin sibling even more deeply than the loss of a parent. This remarkable finding highlights the profound kinship twins share. Segal's curiosity extends to the complex web of genetics and relationships, noting that identical twins share all their genes, which might, in theory, make their grief even more intense compared to losing a child, with whom they share only half their genes. While she has yet to study how the loss of a child compares to the loss of a twin, Segal continues to ask thought-provoking questions about family, genetics, and the human experience of loss. Dr. Nancy Segal is a distinguished professor of psychology, developmental psychologist, director of the Twin Studies Center, and published author. Dr. Nancy Segal is an American evolutionary psychologist and behavioral geneticist, specializing in the study of twins. She is the Professor of Developmental Psychology and Director of the Twin Studies Center, at California State University, Fullerton. Dr. Segal has studdied twin relationships for her entire career and continues to the is day, whe has developed facsinating takes on the topic of twin relationships. Dr. nancy Segal was a recipient of the 2005 James Shields Award for Lifetime Contributions to Twin Research from the Behavior Genetics Association and International Society for Twin Studies. Dr. Nancy Segal has published nine books on twins, with the latest book detailing a high-profile lawsuit against the US State Department that almost reached the US Supreme Court, appeared on the Oprah Winfrey Show and countless others, and is a twin herself. Dr. Nancy Segal is a board certified expert in her field. Studying the unique twinship helps shape our understanding of genetics, our own relationships with ourselves and others, and the nature of genetic predisposition. Join us as we dive into the inner thoughts of Dr. Nancy Segal and the attributes she has given on this subject.   (00:00) Twin Grief vs. Parental Grief (07:45) Twins in Schools: Separation Myth (11:43) Girls Mature Faster Than Boys (18:08) Immigration Lawsuit Victory (25:21) "Record-Breaking Twin Separation Surgery" (30:54) Twin Studies: Genes vs. Environment (36:35) Twins' Cheating Case Victory (37:25) Public Policy and Genetic Testing (42:52) Holocaust Twins Reunion Journey (50:26) "Influences in Partner Attractions" (53:54) Oldest Holocaust Twin Survivor's Memoir (58:33) Exploring Doppelganger Similarities (01:07:38) Twin Cloning and Family Bonds (01:10:01) Family Dynamics and Shared Traits (01:14:34) Subscribe and Follow Our Channels Connect with Nancy drnancysegaltwins.org Connect with Reena Friedman Watts: - Website: bettercalldaddy.com - LinkedIn: Reena Friedman Watts - Twitter: @reenareena - Instagram: @Reena Friedman Watts - YouTube: Better Call Daddy Don't forget to like, subscribe, and share this episode with someone who needs to hear a story of resilience and hope!    

SUMMARY In this episode of Whistlekick Martial Arts Radio, Sensei Neil Prime shares his journey in martial arts, starting from his early days in the late 1970s. He discusses his introduction to Wado karate, the influence of his instructor Sensei Shintani, and the evolution of his training from traditional karate to full contact. Sensei Prime reflects on the challenges of balancing martial arts with school and other sports, the importance of discipline, and the strategies he learned from renowned martial artists.   He emphasizes the significance of enjoyment in martial arts and the community aspect of training. He also discusses the importance of good people, diversity in training, and the influence of legendary figures like Joe Lewis, Bill Wallace and Sensei Shintani. He shares insights on cross-training, the need for international recognition in martial arts, and his current training practices, highlighting the significance of community and personal growth in the martial arts journey. TAKEAWAYS Neil Prime's martial arts journey began at a flea market in 1978. Sensei Shintani's unique approach focused on individual growth without harsh training methods. Sensei Shintani's background influenced his teaching style and philosophy. Neil has remained a part of the Shintani Wado-Kai Karate Federation since his training began. The mental discipline learned in martial arts translates well to other sports like golf and baseball. Neil's training evolved from traditional karate to include full contact sparring. The importance of strategy in martial arts was emphasized by mentors like Joe Lewis. Enjoyment and fun are crucial elements in martial arts training. Diversity in training is essential for growth. Cross-training helps students develop their own style. It's important to keep an open mind in martial arts. Training with legends offers unique perspectives on the sport. Community and collaboration are vital in martial arts. The journey in martial arts is about personal growth, not just rank. Teaching others helps reinforce your own knowledge.   This episode is sponsored by Kataaro. Please check out their site at www.kataaro.com and use the code WK10 to save 10% off your first order. And be sure to ask them about a wholesale account for school owners! All orders for Autism Awareness belts in March and April will see 50% of the PROFITS donated to the International Society for Autism Research!

With the International Society for Autism Research underway and a new wave of misunderstanding about scientific evidence in autism, it's time to think about what is science, how is it conducted, and why does it take so long? Who benefits from science and how? This is just the start, but gives a quick overview of … Continue reading "Why science?"

Nina Bernat is a double bass performer and educator based in New York City. In 2023, Nina was honored as a recipient of the Avery Fisher Career Grant and winner of the CAG Elmaleh Competition. Her recent first-prize awards include the Barbash J.S. Bach String Competition, the Minnesota Orchestra Young Artist Competition, the Juilliard Double Bass Competition, and the 2019 International Society of Bassists Solo Competition. In this episode, recorded live in San Francisco in 2025, Nina shares her background and discusses the program she performed at the 2025 San Francisco Winter Bass Bash. Enjoy! Recital program: Nina Bernat, double bass Keisuke Nakagoshi, piano Bach Suite No. 5 in C Minor, BV 1011 Prelude, Allemande, Courante Pantomime by Sofia Gubaidulina Prayer by Enrst Bloch Sonata for Violin by Aaron Copland photo credit: Titilayo Ayangade Subscribe to the podcast to get these interviews delivered to you automatically! Connect with us: all things double bass double bass merch double bass sheet music Thank you to our sponsor! Upton Bass - From Grammy Award winners and Philharmonic players like ME Max Zeugner of the New York Philharmonic, each Upton Bass is crafted with precision in Connecticut, USA, and built to last for generations.  Discover your perfect bass with Upton Bass today! theme music by Eric Hochberg

It's Wednesday, April 23rd, A.D. 2025. This is The Worldview in 5 Minutes heard on 125 radio stations and at www.TheWorldview.com.  I'm Adam McManus. (Adam@TheWorldview.com) By Jonathan Clark Nigerian Muslims have killed 20,000 Christians since 2015 Nigerian Muslims have killed over 20,000 Christians since 2015, according to a report by the International Society for Civil Liberties and Rule of Law. The report accuses various jihadist groups of targeting Christian communities in the southeast part of the African nation. The group also blames local government leaders for doing nothing about the violence. The report called on the United States to reinstate Nigeria on its list of Countries of Particular Concern and to classify Fulani Muslim jihadist herdsmen as an Entity of Particular Concern.  Nigeria is ranked seventh on the Open Doors' World Watch List of nations where it is most difficult to be a Christian.     Psalm 144:4-5 asks, “Have all the workers of iniquity no knowledge, who eat up My people as they eat bread, and do not call on the LORD? They are in great fear, for God is with the generation of the righteous.” Worldwide economic outlook looks more dim The International Monetary Fund released its latest World Economic Outlook yesterday. The report projects the world economy will grow 2.8% this year, down from a previous forecast of 3.3%.  Large economies like the U.S. and China are expected to weaken. U.S. economic growth is forecast to be 1.8% this year, down from a previous expectation of 2.7%.  The declining economic outlook comes during the uncertainty of what U.S. tariffs will look like.  Supreme Court likely to support parental opt-out right The U.S. Supreme Court heard arguments in a religious freedom case yesterday. Public schools in Montgomery County, Maryland don't let children opt out of classes that include sexually perverted lifestyles in storybooks. Parents are challenging this. They come from various backgrounds including Muslim, Christian, Roman Catholic, and Ukrainian Orthodox.  The conservative majority on the Supreme Court appeared likely to support parents in the case during the hearings yesterday.  Eric Baxtor, Senior Counsel at the Becket Fund for Religious Liberty, commented on the case, reports The Hill. BAXTOR: “Around 300 parents in Montgomery County, [Maryland] are just looking for the right to opt their children out of instruction that is highly controversial, tells kids that doctors guessed at their sex when they were born, and that they can choose for themselves who they are. “The board allowed opt-outs for an entire year and then overnight kind of withdrew them with no explanation. We're simply asking for that opt-out right to be returned.” Ephesians 6:4 says, “And you, fathers, do not provoke your children to wrath, but bring them up in the training and admonition of the Lord.” Maryland's physician-assisted suicide bills killed Speaking of Maryland, the state did not enact physician-assisted suicide bills during its most recent legislative session. This is the eighth time such deadly legislation has been introduced and the eighth time it has failed. Americans United for Life celebrated the defeat of the bills, crediting “numerous grassroots testimonies and thousands of letters speaking out.” Sadly, physician-assisted suicide is legal in 10 states and the District of Columbia. Secretary of State Rubio cuts staff by 15% U.S. Secretary of State Marco Rubio announced plans to overhaul the State Department yesterday. The changes will cut staff in the U.S. by 15% and close or consolidate over 100 bureaus around the world. It's part of President Donald Trump's “America First” foreign policy. In a press statement, Rubio said, “The sprawling bureaucracy created a system more beholden to radical political ideology than advancing America's core national interests. That is why today I am announcing a comprehensive reorganization plan that will bring the Department into the 21st Century.” Tammy Bruce, a State Department spokeswoman, added this in a press conference yesterday. BRUCE: “This is a whole of government, every department looking at how they can make their department more efficient, less burdensome, less bureaucratic. This is the State Department's version of that.” Alabama schools to display Ten Commandments, ban drag shows Lawmakers in Alabama passed several conservative bills last Thursday. One bill would require public schools to display the Ten Commandments. Republican State Rep. Phillip Rigsby, the sponsor of the bill, shared his mindset. RIGSBY: “In no way is this establishing a religion in the schools.  I think it gives us a good, at a minimum, moral compass.” Another bill would ban schools from promoting sexually perverted lifestyles through instruction or homosexual pride flags. And a third bill would prohibit schools and libraries from hosting drag performances.  Appearing on WDHN, Republican State Rep. Mack Butler explained why he believes children should be protected from drag shows in schools and libraries. BUTLER: “I'm a dad, you know, and if you look at all these sponsors of the bill, same thing: just dads trying to protect children. I'm just trying to take a stand for our children. Let them have their innocence. Just protect them.” The measures have passed in the state's House of Representatives and are awaiting approval by the Alabama State Senate.  Louisville Univ. pays $1.6 million to fired Christian psychiatrist And finally, University of Louisville officials agreed to a nearly $1.6 million settlement in a free speech case recently. Dr. Allan Josephson worked for the university's Division of Child and Adolescent Psychiatry and Psychology. The Christian psychiatrist spoke out against transgender drugs and surgeries. In response, the university demoted him, harassed him, and fired him. Travis Barham with Alliance Defending Freedom commented on the recent court victory for Josephson. He said, “After several years, free speech and common sense have scored a major victory on college campuses.” Close And that's The Worldview on this Wednesday, April 23rd, in the year of our Lord 2025. Subscribe for free by Amazon Music or by iTunes or email to our unique Christian newscast at www.TheWorldview.com. Or get the Generations app through Google Play or The App Store. I'm Adam McManus (Adam@TheWorldview.com). Seize the day for Jesus Christ.

Download my free guided meditation audio bundle here: https://thewellnessengineer.com/audiobundle   Save your seat at the Rheumatoid Arthritis and Autoimmunity Symposium - A groundbreaking event hosted by Dr. Micah Yu. Live May 12–18, 2025 | Free & Online. RSVP here: https://yu.myautoimmunemd.com/register?sa=sa02304049090547256a42cc0997f4cfc37b4ac399     Did you know that the pain you're feeling might be more than just inflammation? It could be your body's complex response to stress, trauma, and even the food on your plate. Join me and Dr. Micah Yu, MD, to explore a holistic approach to rheumatoid arthritis, covering personalized diets, stress management, and the truth about restrictive eating. Get ready to see your health and your path to healing in a whole new light!   In this episode you'll learn: ⏰ 03:06 - A medical student's experience with joint pain ⏰ 10:22 - No one anti-inflammatory diet is good for everyone  ⏰ 11:25 - Trauma can be a contributing factor for autoimmune disease ⏰ 12:24 -  The role of stress in triggering the immune system ⏰ 19:22 - Identifying protocols for individual patients ⏰ 26:55 - The ONE thing you can do to activate self-healing ⏰ 28:00 - What to watch out for when eating restrictive diets  Check out Dr. Micah Yu, MD's Bio: Dr. Yu is an integrative rheumatologist who incorporates complementary medicine with traditional rheumatology. He is quadruple board-certified in Rheumatology, Internal Medicine, Integrative Medicine, and Lifestyle Medicine. He obtained his MD from Chicago Medical School and holds a Masters in Healthcare Administration and Biomedical sciences. He completed his internal medicine residency and rheumatology fellowship at Loma Linda University in Southern California. He is a graduate of the Andrew Weil Integrative Medicine Fellowship at the University of Arizona. In addition, he is certified in functional medicine through the Institute of Functional Medicine. He is a member of the International Lyme and Associated Diseases Society(ILADS), International Society for Environmentally Acquired Illness(ISEAI), and American Academy of Environmental Medicine(AAEM). He has a very unique perspective on autoimmune disease and arthritis as he is both a patient with arthritis and physician. Dr. Yu was diagnosed with gout at the age of 17 and later diagnosed with spondyloarthritis as well. He is able to understand his patient's medical problems from a patient perspective. The foundation of his practice is to combine allopathic medicine with complementary medicine. He works with his patients to come up with a treatment plan that not only fights the disease but also is aligned with his patient's goals. Dr. Micah Yu, MD's gift and link: Are you or someone you love struggling with rheumatoid arthritis (RA) or another autoimmune condition? Join Dr. Micah Yu - who lives with RA himself - for his first-of-its-kind symposium with over 30 world-class experts who'll share cutting-edge science and real-life strategies to reduce inflammation, manage symptoms, and live with vitality and purpose—no matter where you are in your journey. The Rheumatoid Arthritis and Autoimmunity Symposium - A groundbreaking event hosted by Dr. Micah Yu (MD, MHA, MS, ABOIM, DipABLM, IFMCP). Live May 12–18, 2025 | Free & Online. RSVP here: https://yu.myautoimmunemd.com/register?sa=sa02304049090547256a42cc0997f4cfc37b4ac399    Connect with Dr. Micah Yu, MD: Website: https://drlifestyle.org/  Facebook: https://www.facebook.com/drlifestyleclinic  Instagram: https://www.instagram.com/drlifestyleclinic/    ***** Hi there! I am Jane Hogan, the Wellness Engineer, and the host of Wellness By Design. I spent 30 years designing foundations for buildings until the pain and inflammation of rheumatoid arthritis led me to hang up my hard hat and follow my heart. Now I blend my backgrounds in science and spirituality to teach people how to tap into the power of their mind, body and soul. I help them release pain naturally so they can become the best version of themselves.    Wellness By Design is a show dedicated to helping people achieve wellness not by reacting to the world around them but by intentionally designing a life based on what their own body needs. In this show we explore practices, methods and science that contribute to releasing pain and inflammation naturally.   Learn more at https://thewellnessengineer.com   Would you like to learn how to release pain by creating more peace and calm?  Download my free guided meditation audio bundle here: https://thewellnessengineer.com/audiobundle   Connect with Jane:  Facebook: https://www.facebook.com/JaneHoganHealth/ Instagram: https://www.instagram.com/janehoganhealth  

In this episode of The Association Insights Podcast, we're bringing you a special replay of one of our most engaging LinkedIn Live panels: The Future of Association Events. Originally hosted by OnWrd & UpWrd CEO Colleen Gallagher, this roundtable brings together an all-star lineup of association leaders, event strategists, and production experts to explore the biggest shifts shaping events in 2025 and beyond.From immersive tech and content strategy to data-driven decision-making and reimagining hybrid, this candid conversation is packed with actionable ideas for making your next event smarter, more inclusive, and more impactful.Panelists include:Lisa Astorga, CMP, DES, Director of Meetings, International Society on Thrombosis and Haemostasis (ISTH) Sven Bossu, CEO, AIPC - The International Association of Convention Centres Phil Alongi, CEO, Alongi MediaKara Dickerson, Founder, Content with Impact, LLCMatt Weingarden, Executive Vice President, Communities & Journals, American Marketing Association

SUMMARY In this episode, host Jeremy Lesniak engages in a deep conversation with Michael Calandra, a seasoned martial artist with a rich background in various styles including Ishinryu, Judo, and Taijiquan. They explore Michael's journey through martial arts, the importance of cross-training, and the principles that guide effective teaching.   The discussion also delves into the significance of self-defense training, the differences in teaching kids versus adults, and the complexities surrounding rank in martial arts. Michael emphasizes the need for a more holistic approach to martial arts training, focusing on principles rather than personalities, and the importance of adapting teaching methods to suit different age groups and skill levels.   In this conversation, Michael Calandra and Jeremy Lesniak explore the evolving standards in martial arts training, emphasizing the importance of adapting practices for longevity and health. They discuss the role of instructors in fostering student engagement and the necessity of injury prevention through proper body mechanics. The dialogue also touches on the impact of the Martial Truth podcast in sharing knowledge and experiences within the martial arts community.   TAKEAWAYS Michael Calandra has been training in Isshin-Ryu since 1979. Cross-training in various martial arts can enhance overall skills. Principles should take precedence over personalities in martial arts. Teaching methods should differ for kids and adults. Rank in martial arts should reflect individual progress, not just time served. Rank should reflect individual journeys and capabilities. Proper training can prevent injuries and promote longevity. Martial arts should adapt to the practitioner's body and age. Health benefits are integral to martial arts training. The martial arts community needs to be open to evolution. Injury prevention requires understanding body mechanics. Training should be enjoyable and sustainable for all ages. The podcast serves as a platform for sharing diverse martial arts perspectives. Martial arts can provide significant health benefits when practiced correctly. This episode is sponsored by Kataaro. Please check out their site at www.kataaro.com and use the code WK10 to save 10% off your first order. And be sure to ask them about a wholesale account for school owners! All orders for Autism Awareness belts in March and April will see 50% of the PROFITS donated to the International Society for Autism Research!

*DISCLAIMER* This episode covers adult topics that are not intended for young ears.   260. Sex After Cancer with Dr. Kris Christiansen   James 1:19 (NIV) My dear brothers and sisters, take note of this: Everyone should be quick to listen, slow to speak and slow to become angry,   **Transcription Below**   Questions We Discuss: What is common mis-information that you want to set straight as it relates to cancer and sex? If someone is walking their own cancer journey right now, what would you advise them to both do and avoid doing so that they can still enjoy the healthiest sex life possible with their spouse? What hope do you have to share with people who have battled cancer and still desire to connect intimately with their spouse?   Dr. Kris Christiansen is a board-certified family physician who specializes in sexual medicine. She attended medical school and completed her residency in family medicine at the University of Minnesota. She practiced full spectrum family medicine for 10 years and then pursued additional training to specialize in sexual medicine. She works as a sexual medicine specialist at two different clinics in the twin cities.   Her clinical interests include both male and female sexual dysfunction, and she loves working with individuals and couples to restore an important part of life. Dr. Christiansen is involved with teaching medical students and residents at the University of Minnesota Medical School, and she has presented at multiple local, national, and international medical conferences. She is involved with the International Society for the Study of Women's Sexual Health (ISSWSH) and serves on committees, collaborates with other experts to publish articles for medical journals, and edits informational articles for the society's new patient facing website. She is passionate about teaching patients, students, and colleagues about the importance of sexual health and well-being. In her free time, she started her own business called Intimate Focus which provides information and quality products to enhance and restore sexual health and wellness. She also enjoys shopping, hiking, and spending time with her family.   Dr. Kris Christiansen's Website   Previous Episodes featuring Dr. Kris Christiansen on The Savvy Sauce: 215 Enriching Women's Sexual Function, Part One with Dr. Kris Christiansen 216 Enriching Women's Sexual Function, Part Two with Dr. Kris Christiansen   Additional Place to Find More Episodes from The Savvy Sauce Related to This Topic: One-Stop Shop for Marriage and Intimacy Resources   Dr. Kris Christiansen's Recommended Websites for Sexual Health: The Menopause Society Mayo Clinic National Institutes of Health International Society for the Study of Women's Sexual Health American Urological Association International Society of Sexual Medicine Sexual Medicine Society of North America American Cancer Society ISSWSH International Society for the Study of Women's Sexual Health SMSNA Sexual Medicine Society of North America  ISSM International Society of Sexual Medicine The Menopause Society   Find a provider: For a women's sexual health provider, pelvic floor physical therapist, (non-Christian) sex therapist ABCST American Board of Christian Sex Therapists (for a Christian sex therapist)   Thank You to Our Sponsor: Leman Property Management Company   Connect with The Savvy Sauce on Facebook or Instagram or Our Website   Please help us out by sharing this episode with a friend, leaving a 5-star rating and review on Apple Podcasts, and subscribing to this podcast!   Gospel Scripture: (all NIV)   Romans 3:23 “for all have sinned and fall short of the glory of God,”   Romans 3:24 “and are justified freely by his grace through the redemption that came by Christ Jesus.”   Romans 3:25 (a) “God presented him as a sacrifice of atonement, through faith in his blood.”    Hebrews 9:22 (b) “without the shedding of blood there is no forgiveness.”    Romans 5:8 “But God demonstrates his own love for us in this: While we were still sinners, Christ died for us.”    Romans 5:11 “Not only is this so, but we also rejoice in God through our Lord Jesus Christ, through whom we have now received reconciliation.”    John 3:16 “For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life.”   Romans 10:9 “That if you confess with your mouth, “Jesus is Lord,” and believe in your heart that God raised him from the dead, you will be saved.”    Luke 15:10 says “In the same way, I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.”   Romans 8:1 “Therefore, there is now no condemnation for those who are in Christ Jesus”   Ephesians 1:13–14 “And you also were included in Christ when you heard the word of truth, the gospel of your salvation. Having believed, you were marked in him with a seal, the promised Holy Spirit, who is a deposit guaranteeing our inheritance until the redemption of those who are God's possession- to the praise of his glory.”   Ephesians 1:15–23 “For this reason, ever since I heard about your faith in the Lord Jesus and your love for all the saints, I have not stopped giving thanks for you, remembering you in my prayers. I keep asking that the God of our Lord Jesus Christ, the glorious Father, may give you the spirit of wisdom and revelation, so that you may know him better. I pray also that the eyes of your heart may be enlightened in order that you may know the hope to which he has called you, the riches of his glorious inheritance in the saints, and his incomparably great power for us who believe. That power is like the working of his mighty strength, which he exerted in Christ when he raised him from the dead and seated him at his right hand in the heavenly realms, far above all rule and authority, power and dominion, and every title that can be given, not only in the present age but also in the one to come. And God placed all things under his feet and appointed him to be head over everything for the church, which is his body, the fullness of him who fills everything in every way.”   Ephesians 2:8–10 “For it is by grace you have been saved, through faith – and this not from yourselves, it is the gift of God – not by works, so that no one can boast. For we are God‘s workmanship, created in Christ Jesus to do good works, which God prepared in advance for us to do.“   Ephesians 2:13 “But now in Christ Jesus you who once were far away have been brought near through the blood of Christ.“   Philippians 1:6 “being confident of this, that he who began a good work in you will carry it on to completion until the day of Christ Jesus.”   **Transcription**   Music: (0:00 – 0:09)   Laura Dugger: (0:10 - 1:22) Welcome to The Savvy Sauce, where we have practical chats for intentional living. I'm your host, Laura Dugger, and I'm so glad you're here.    Leman Property Management Co. has the apartment you will be able to call home, with over 1,700 apartment units available in Central Illinois.   Visit them today at lemanproperties.com or connect with them on Facebook.    Today's message is not intended for little ears. We'll be discussing some adult themes, and I want you to be aware before you listen to this message.   Not many people specialize in the same thing as our returning guest for today, Dr. Kris Christiansen. She specializes in sexual medicine, and today she's going to provide clarity, information, and direction for how to maximize sexual pleasure with our spouse after one receives a cancer diagnosis. Here's our chat.   Welcome back to The Savvy Sauce, Dr. Christiansen.   Dr. Kris Christiansen: (1:23 - 1:30) Well, thank you so much, Laura. We had so much fun last time, and I'm looking forward to this conversation again today.   Laura Dugger: (1:31 - 1:57) Likewise. I feel the same way. And it really wasn't that long ago that you were on The Savvy Sauce two times, so I'll make sure and link to both of those episodes in the show notes for today.   But hopefully everybody's already well acquainted with you, and that's why we're just kind of diving right into our topic today. So, for starters, how did this topic of sex after cancer become an interest of yours to study?   Dr. Kris Christiansen: (2:00 - 2:32) Well, so Laura, my job as a sexual medicine physician is that I work with both men and women and helping them with their sexual lives when they have problems or whatever. So, cancer is often a big part of that. So, through my journey with work, I've just developed a significant interest in learning how to really care for people to help restore this important part of life.   Laura Dugger: (2:33 - 2:52) Absolutely, because a lot is taken away when somebody gets that awful diagnosis, and so I'm very grateful for people like you who are experts. But is there any common misinformation that you would like to set straight as it relates to cancer and sex?   Dr. Kris Christiansen: (2:55 - 6:42) Well, interesting you say that, because there is so much misinformation out there just about sex in general. And then when we throw cancer in on top of that, it just makes it even more complicated. So, I think a common fear that people experience when they get that diagnosis that they hope they never hear, the C word, is that it's going to have a significant impact on their sexual intimacy.   And you know what, it can, but that doesn't mean that that chapter in life is closed. We just have to remember that sexual intimacy is much, much broader than just intercourse. So, if we can refer to this as PIV sex, penis in vagina sex, many people view it as kind of an all or none thing.   If they can't have vaginal intercourse or that PIV sex, then they don't want anything at all. Unfortunately, that just rules out or shuts out so much of sexual intimacy that God has intended for us. We may not be able to engage in the same activities for a time or even long term, but that doesn't mean that we can't connect.   So, if we try to remember that intimacy, sexual intimacy is all about giving and receiving pleasure, then there are so many more opportunities. So, we have to get beyond the fact that sexual intimacy, sexual intercourse is just vaginal intercourse because it's not. It's giving and receiving pleasure.   And however people want to connect or comfortable connecting, that they can still enjoy a very fruitful sex life. The other thing that is misunderstood and misconceptions is estrogen, vaginal estrogen, especially. Because, well, all women who enter menopause and you're in menopause for the rest of your life do experience some changes.   And it's so common that women experience the genital urinary syndrome of menopause. That's vaginal atrophy, or when the tissues get drier and thinner and there can be tearing and pain as well as bleeding and decreased sensation, decreased sensitivity. These things are common with aging, but oftentimes cancer treatments emphasize that or accelerate it or make it even worse.   And vaginal estrogen is really, really safe. It does not cause cancer. And most of the studies show that even in women who have breast cancer, that it doesn't cause recurrence.   So vaginal estrogen, being so safe, can really save our vaginas. And we're talking about vaginal health and bladder health. It's not just about sex, but it helps keep our bodies functioning properly and minimizing pain and discomfort.   So, if a woman is diagnosed with breast cancer and she's on treatment, then obviously we have to talk to the oncologist, make sure they're okay with that. But we get more and more studies showing it's safety and it's definitely effective and can help keep our tissues young.   Laura Dugger: (6:42 - 7:25) This is really helpful and brand new information to me. So someone, like you used that example, if they have breast cancer diagnosis and there's different types, but if they're doing the treatment where perhaps they go into early menopause or they have a hysterectomy or remove their ovaries and they even have an estrogen blocker so that they're not producing estrogen, for that type, you're still saying as long as you're working with the oncologist for that personal client, even in those situations, vaginal estrogen, which would be, I'm assuming, more of a cream or something you insert to the vagina, is that right? That that would be safe?   Dr. Kris Christiansen: (7:25 - 10:55) So, where it gets a little gray is if the woman is taking an aromatase inhibitor, which is the estrogen blocker. So, it pretty much wipes all estrogen out of her system. There's a little more risk there.   So most definitely we need to double check with the oncologist. But it often comes down to quality of life. I have a patient who, she was diagnosed with breast cancer, I believe, in her early 60s.   And she came to me at the sexual medicine clinic and she was just miserable. I mean, when we think of vaginal dryness, you think of, okay, it's annoying. You use a lubricant, right, and it's going to be just fine.   In the beginning, yes, that's the case. But this genital urinary syndrome of menopause, GSM, gets worse with time, especially with those anti-estrogen treatments. And for this poor woman, she couldn't exercise.   She loved to go hiking. She loved to go skiing. And just any kind of movement was painful.   And we don't think of that. We kind of take it for granted. But for some women who really experience severe side effects of the breast cancer treatments and causing dryness and irritation, it affects everything.   And for her, we tried all the non-hormonal things first. They didn't work. And her oncologist gave us the blessing saying, you know, we tried it.   This is really important to you. Let's give it a try. And so, we've monitored her, and the vaginal estrogen hasn't caused any problems.   So, a couple points on that. With the vaginal estrogen, yes, it comes as a cream. There's a tablet, which is like a little pill with an applicator that you insert in the vagina.   There are vaginal inserts. They look like little caplets that you just insert with the finger. There's a vaginal ring.   But with the localized treatment, it's meant to just act locally, meaning just on the vaginal tissues. And, oh, package insert. So, you know, here we tell patients, vaginal estrogen is safe.   Don't worry. It's not going to cause cancer, heart attack, strokes, or blood clots. But then they go home.   They get their prescription. They open up the patient insert, package insert, and it talks about risks and bad things that can happen and side effects. Unfortunately, the FDA says we have to use the class labeling or the side effects that are associated with systemic estrogen.   And it automatically gets applied to the localized or vaginal estrogen treatments. So, patients go home, they read that, and they think we're lying to them. But, unfortunately, it's just very misleading because we have plenty of studies to show that vaginal estrogen doesn't cause those terrible things.   And it's very safe. So, they just have to trust us. And there are groups and people out there trying to work with the FDA to get that class labeling effect removed because it just scares everybody away from using estrogen, which can be so helpful.   Laura Dugger: (10:57 - 11:04) Wow, that is helpful. Is there any other common misinformation you want to make sure we don't overlook before we continue on?   Dr. Kris Christiansen: (11:05 - 11:29) Well, I made a few notes here. No, I don't think so. Except that media, television, and all that other stuff that we see out there is so misleading when it comes to sexual intimacy.   Because sex in real life doesn't look like what you see in the movies. Yeah.   Laura Dugger: (11:30 - 11:45) Great, great point. And so, when somebody does get, like you said, that dreaded C-word diagnosis, what's a common path that they may experience as it affects them sexually?   Dr. Kris Christiansen: (11:48 - 14:00) Well, so, the different cancers are so different and treatments are so different that it's hard to generalize for everybody. But, you know, first thing most people experience is fear. What's this mean for me?   What's this mean for my life, my family? Am I going to be around in five years? So, it's that fear.   And the initial part of that journey is often involved with meeting with lots of doctors, having all the tests, trying to figure out what's going on, what we're going to do. And sexual intimacy often isn't part of that first steps that they take. So, but when things kind of finally settle down, then those questions start popping up.   What does this mean? It's important to talk with your cancer journey, your cancer team, the oncology team to find out what's going on. And it's important to ask all these questions because doctors really aren't very good about asking about sexual health and what that means to you.   Oncologists, generally speaking, they want to treat the cancer and their job is done when the cancer is treated, under control, gone, whatever. And they've done a good job. However, so many of us are just left afterwards saying, okay, thanks, cancer's gone, but now what?   And so, it's a matter of really trying to figure out what's important over time, learning what's going to work and what's not. And know that there are people out there to help you and that want to help you if it's not going as planned. You know, I just want to reiterate that people really need to advocate for themselves and they need to ask questions.   And if they're not getting the answers that they want, don't give up because there are people, organizations, information out there that can be helpful. So rather than just worrying about what's next, seek help.   Laura Dugger: (14:02 - 14:18) That's really great advice. And I think this may be an appropriate place to pause and just get some of those recommended places. Because if somebody, this is new to them and they don't know where to turn, do you have any places or websites off the top of your mind that you would recommend?   Dr. Kris Christiansen: (14:20 - 15:41) Well, so cancer.org, the American Cancer Society has a lot of resources on there. When it comes to menopause-type symptoms and such, menopause.org is the Menopause Society, which has a lot of information. And a website called PROSAYLA, it's P-R-O-S-A-Y-L-A.com, is a website that's managed by ISHWISH.   We've got all these acronyms. The International Society for the Study of Women's Sexual Health. So that is my go-to.   Okay, so that's the organization where there's so much research and science and such happening. And the PROSAYLA.org or prosayla.com, either one works, is a website where there are several articles written by experts in the field. So, these are articles backed by science.   It's not just somebody's opinion or somebody's blog. And I know there's an article on there about sex or cancer and sexuality. So, some generalities and some other references on that site too.   Laura Dugger: (15:42 - 15:51) Okay, that is super helpful information. We'll make sure and add links to those places as well. Anything else that you want to make sure we don't miss?   Dr. Kris Christiansen: (15:52 - 17:36) Well, when we talk about sexual concerns or sexual problems, we always try to approach it from a biopsychosocial aspect. Because those three different entities all play a big role in what works well and what doesn't. So, from the biological section, that's pain, medications, nerve problems, chronic medical problems.   So obviously cancer plays a big role in that. And with cancer treatments and such, pain may be part of that, nausea, fatigue. And so, we just don't feel the same going through these treatments because it's really hard.   As far as the psych bubble, I'm usually referencing a Venn diagram here. Psychological, so when we experience anxiety or depression or performance anxiety, that plays a big role. So, we need to take a step back and realize that what happens up here in our brain has a huge impact on how our bodies function physically.   And then as far as the social aspect, that's our relationships, our interpersonal relationships with our partner, our spouse, with our family and how things are going on at work. A cancer diagnosis and treatment can affect all of those. And so, it's not just a magic pill to improve your libido because if we don't treat all these other things, people continue to struggle with their sexual function.   Laura Dugger: (18:01 - 19:46) Duplexes, studios and garden style options located in many areas throughout Pekin. In Peoria, a historic downtown location and apartments adjacent to the OSF Medical Center provide excellent choices. 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Check them out on Facebook today or email their friendly staff at Leasing@LemanProps.com. You can also stop by their website at lemanproperties.com.   That's LEMANproperties.com. Check them out and find your place to call home today.    Also, Dr. Kris, are there any certain cancers or treatments that have the most detrimental impact on a person's sex life?   Dr. Kris Christiansen: (19:48 - 23:15) We know that cancers that affect the breast, for women, but men too get breast cancer, and also the genital area have the biggest impact. We've talked a fair amount about breast cancer. Many of the treatments for breast cancer result in early menopause.   If a woman is premenopausal when this happens, menopause can have a definite impact. The treatments can cause the pain and dryness and decrease sensitivity. Also, if surgery is involved in a mastectomy, it can affect our own body self-image.   From a more physical standpoint too, when we have the mastectomy and those nerves are cut, it decreases the sensitivity. For a lot of women, breast stimulation is really important as part of their sexual play. If now her breasts are gone and she can't feel anything when her husband is touching her breasts, that can be a really hard adjustment.   Any cancers that affect the genital area, uterine cancer, ovarian cancer, or anal rectal cancer for both men and women, and prostate cancer for men, those all have a huge impact. In addition to working with a lot of women who have breast cancer and overcoming and improving those areas, I work with a lot of men who have prostate cancer. Those treatments usually result in erection problems and urinary incontinence, which can be hard to deal with.   Men who have a prostatectomy, so if they have their prostate removed, then 100% of them are going to have erectile dysfunction in the beginning. It's going to take time for those nerves to recover, and it may take up to two years to see that full recovery. In those first few months when I'm working with men, I'm trying to be their cheerleader, saying, don't lose hope, don't give up, because this is going to get better.   It just takes time for those nerves to regrow. In the process, though, it is important to do whatever we can to make sure that that tissue stays healthy. Remember that the penis is actually muscle, muscle tissue, smooth muscle.   If we don't use a muscle for several months, atrophy sets in, which is a bad thing. With atrophy, the penis can shrink in size, and scar tissue potentially can set in, and it just makes that recovery less optimal than what it would have been. Trying to maintain the blood flow during those first few months or first year is really helpful.   Just to help maintain the blood flow and the oxygen to help keep the tissues healthy, so when the tenders do recover as best as they're going to, we get the best outcome.   Laura Dugger: (23:16 - 23:36) This may be an ignorant question, but then if erectile issues are present during that first time period, but it's crucial to have the blood flow to that area, what can men do to increase blood flow there, even if erection is difficult or impossible?   Dr. Kris Christiansen: (23:36 - 25:01) That's a great question. Taking a medication like Viagra or Cialis. Cialis is my favorite because it stays in the system for a good 36 to 48 hours every time you take it.   If you're just taking a low dose every day, it just encourages a little bit of that blood flow every day. Using a vacuum device, which I just happen to have one right here, looks like this. A penis goes inside the cylinder, we create a vacuum or suction, and it pulls the blood flow in.   It's not the most sexy thing, but using it and using the vacuum device several times a week just to get that blood flow going is a very helpful way to keep the tissues healthy. Getting an erection with the vacuum doesn't get those arousal-type feelings, so it looks a little weird, but it does work. For men who want to use this for sexual activity, you can get the erection within the tube, and then it comes with these tight rings that are stretched over the edge of the cylinder.   Once you get the full erection within the tube, you slide that ring off to maintain the erection.   Laura Dugger: (25:04 - 25:14) That's incredible just to pause and think of God's grace and these inventions and how incredible that there are solutions. Please continue, but I find that encouraging.   Dr. Kris Christiansen: (25:16 - 27:39) There are all kinds of encouraging things, but if you're in the middle of this journey, it can be sometimes hard to keep going when you're not getting the results that you want to. But we believe in a big God, and he created sexual intimacy, and it's a gift. Other ways to help manage erectile dysfunction and a couple other show-and-tell things here.   This medication is called Muse. The actual medication is a pellet that comes preloaded in this applicator. You insert it in the tip of the penis, the medication gets absorbed, and 10 minutes later, magic happens.   I don't prescribe this very often because it's really, really expensive, a little harder to find. But the advantage to this medication is that it doesn't need the nerves to work, whereas the medications like Viagra and Cialis, they need the nerves. Guys usually kind of turn white when I pull this out.   For our listeners, I'm holding an insulin syringe and needle. There is such a treatment where you can actually inject a tiny amount of medicine directly into the penis, and it will give you an erection. I tell men that with the pills like Viagra and Cialis, just in general with ED, it works in about 60% of men.   We can get this to work, the injections to work, in 90-95%. It's such a tiny needle that men say it feels like a poke or a pinch once they get past that initial shock that they think is going to hurt. The usual response is, oh, that wasn't so bad, and it's very effective.   This can work within four to six weeks, so whenever your surgeon says it's okay to engage in sexual activity again, this will work. Then last but not least is a penile implant. That's surgery, and that you have to wait at least a year, if not two, after the prostate surgery.   That works in 99.99%. Wow.   Laura Dugger: (27:40 - 27:56) We were focusing a lot on men for that one. Is there any medication or any other injections or anything like that for women, other than the vaginal cream or different ways to get estrogen in the vagina?   Dr. Kris Christiansen: (27:58 - 31:15) Yes, we've got all kinds of treatments. If a woman has breast cancer, or for whatever reason we want to avoid hormones as much as possible, then generally we're starting with a vaginal moisturizer, which is different than a lubricant. A lubricant is just for sexual activity and just to make things slipperier and feel better.   That often helps in the beginning, but as the GSM or the atrophy continues, the lubricant isn't enough. A moisturizer, think of like a facial moisturizer or a moisturizer for your hand, in order for it to work, you have to use it regularly, which is probably at least three times a week. These moisturizers can come in forms of a liquid that gets injected.   They're little capsules that you can insert. Reveri is a hyaluronic acid suppository, which you insert in the vagina and over time that can be really helpful. One of my favorites is this Rosebud Everyday Balm.   It's a really nice balm that you can put on the tissues inside the lips and inside the vagina. It's just really, really soothing. Again, you've got to use these things regularly.   It will take a good two months at least to see the full effect, so it doesn't work right away. Just like with the guys where they've got to be patient with the nerves, we have to be persistent and patient with things that can work. A vaginal moisturizer is really helpful.   A lubricant for sexual activity. There are over-the-counter and prescription medications that can help with arousal and orgasm. There are two approved medications for the treatment of low libido in premenopausal women.   One is Addi, which is a pill that you take every day, also known as the pink pill. Another treatment is Vilece, which is an injection. It comes in a pen, so you never see the needle and really don't feel the needle.   You give it to yourself about 45 minutes to an hour before sexual activity. Both of these medications are working on the brain chemistry because the brain is the biggest sex organ in the body. It's the most important sex organ.   It works on the brain chemistry and improving the dopamine and norepinephrine and the good sex positive hormones. Like I said, it's only approved for premenopausal women, but many of us do prescribe it for postmenopausal women. We have studies to show that it's safe and it's effective.   The drug companies didn't go through with all the rigmarole they had to do to get the FDA-approved indication for that. We've got all kinds of tricks up our sleeve.   Laura Dugger: (31:16 - 31:26) Absolutely. Just piggybacking on that, they wouldn't oftentimes follow through on all those studies, would you say primarily because of financial restraints?   Dr. Kris Christiansen: (31:27 - 31:41) Totally. To get a medication approved for female sexual function, it's multi-million, if not a billion dollars. Studies and everything that needs to be done, it's crazy.   That's why these meds are so expensive.   Laura Dugger: (31:42 - 32:14) Then you also mentioned earlier bringing in the quality of life. There are so many options to consider, but such a personal basis. I had another question that arose.   You kind of were answering that because this one works with the brain chemistry. I'm thinking the body parts may be functioning and you can do different things to have an erection or be aroused with your genitalia, but how is desire affected with cancer?   Dr. Kris Christiansen: (32:16 - 35:03) It's huge, unfortunately. Again, if we go back to that biopsychosocial model and for everything to work well, everything's got to be working well. If we have pain, of course that drives down desire.   We use the analogy of putting your hand on a hot stove. Pain with sex can hurt just as badly as that. I have women tell me it's 10 out of 10 pain feels like shards of glass.   Obviously, that's not pleasant. If we compare that to putting your hand on a hot stove, why in the world would you want to do that? We've got to take care of the pain.   When it comes to pain, it becomes imprinted in the brain and the body responds by just amplifying that pain. You've got more pain and you have less desire. Part of GSM or surgery or chemotherapy and other treatments, radiation, can affect the nerves.   We don't get those positive sensations and the arousal anymore. There's arousal in the brain as well as arousal in the genital area. If we're not getting that positive feedback that this just isn't fun anymore, it's hard to get enthused about engaging in that.   Sex therapy can be really helpful. Sex therapy isn't going to fix thin tissues, but a sex therapist is very skilled and trained at working with people and working with couples on trying to process this, working through the process and the changes that are happening. Sometimes it is a permanent change in sexual function, so there's grief involved.   Helping to process through some of that is really important. But again, if we take a step back and remember that sexual intimacy is more than just PIV sex, that there are all kinds of ways to be able to give and receive pleasure, as long as each person is comfortable with this. And moving beyond the thinking that, well, if I can't have intercourse, I'm not going to have anything at all, then that may mean you might not have anything at all for the rest of your life.   That makes me sad. We just have to take a step back, work through some of this, because it's a journey, it's a cancer journey, it's an aging journey, and try to make the most of it.   Laura Dugger: (35:04 - 36:32) I want to make sure that you're up to date with our latest news. We have a new website. You can visit thesavvysauce.com and see all of the latest updates. You may remember Francie Hinrichsen from episode 132, where we talked about pursuing our God-given dreams. She is the amazing businesswoman who has carefully designed a brand-new website for Savvy Sauce Charities, and we are thrilled with the final product. So, I hope you check it out.   There you're going to find all of our podcasts, now with show notes and transcriptions listed, a scrapbook of various previous guests, and an easy place to join our email list to receive monthly encouragement and questions to ask your loved ones so that you can have your own practical chats for intentional living. You will also be able to access our donation button or our mailing address for sending checks that are tax deductible so that you can support the work of Savvy Sauce Charities and help us continue to reach the nations with the good news of Jesus Christ. So, make sure you visit thesavvysauce.com.   What are some of those examples for someone if they can't have PIV sex anymore? What are ways that you encourage continuing to build intimacy and a knowing of one another and offering and receiving pleasure?   Dr. Kris Christiansen: (36:34 - 41:17) Well, starting with making sure each person is on the same page as far as what they're comfortable with. Okay? Communication is key.   To be able to talk about what you want, what you desire, what your needs are, and listening to your partner say that same thing, trying to make no judgments and not forcing anybody into anything, but just so that we can help understand each other. And when it comes to actual giving and receiving pleasure, whether that's with manual stimulation, with your hands, with your fingers, or if you have a massager, oral stimulation, using a vibrator. And a vibrator can be really helpful for women in menopause, women dealing with cancer treatments, and also for men if they need a little extra help with the stimulation because their nerves aren't working so well.   A vibrator, using it together in the context of giving and receiving pleasure can help, just help with the response, help with the enjoyment, and make it a little more fun, as long as everybody's okay with that. Using a lubricant is really important. And a good lubricant, you want to use a good lubricant because some of the more common ones, unfortunately, have ingredients in them that can actually hurt or irritate.   And like KY and Astroglide, sorry to name names here, but they're basic water-based lubricants, have either glycerin, parabens, or propylene glycol in them, and those can irritate, so we want to try to avoid those. A silicone-based lubricant doesn't have those preservatives, and it stays slippery longer. Where we have to be careful with that is that if you're using a silicone tool, otherwise known as a vibrator, you don't want to use those together because it can ruin the tool.   And if the man is struggling with ED, using too much, especially of a silicone lubricant, can make it too slippery. And too slippery is not so good for him. Oil-based lubricants, they're very nice, except if you're using condoms, it will degrade the condom and create other problems, potentially.   Other ways to stimulate, manually, orally, and when women have pain with intercourse, I'm going to bring in another show-and-tell here, the pain is often coming from the vulva, not so much in the vagina. We talk about vaginal dryness and vaginal atrophy, but the part that's most sensitive is often just right inside the little lips here. And so, if we have terrible pain with penetration, we want to avoid that.   However, the whole surrounding vulvar area is very rich in nerves, can be very much stimulated, and it can feel really good, however each person is comfortable stimulating that area. And another fun fact is that this entire structure is the clitoris. You know, when we think of the clitoris, we think of the glands, this tiny little magic button right here, which, by the way, has 10,000 nerve endings in it.   It's incredible. But the legs, the legs are the cruise of the clitoris, as well as the bulbs. They come down on either side of the vagina.   So, the vagina is here. However, this part of the clitoris can easily be stimulated, so the legs of the clitoris can be easily stimulated, just inside the labia majora, or the outer lips. So, using a vibrator here can be really pleasurable, and you're avoiding the part that hurts.   So, stimulating externally the clitoris, the labia, and wherever else feels good can be very fun. And so, if you try to approach it may be like a game, making it fun and exploring each other's bodies so that you can really figure out ways to make the other person feel good or experience pleasure without causing pain.   Laura Dugger: (41:18 - 41:43) That's so great. And like you had mentioned, if they go see a Christian sex therapist, they would say the same thing as you to stop when there is pain, because it just makes it worse over time. And so, I love that you've given us other options, if that is the case.   Is there ever a time where orgasm is no longer possible after cancer?   Dr. Kris Christiansen: (41:46 - 43:14) It's possible. Yes. Depending on the cancer and the treatment, that it can make it really difficult or even impossible to get there.   But that's where we want to not focus on orgasm as the ultimate goal, because if we engage in sexual activity with orgasm as the ultimate goal, your brain's not going to let you go there, whether it's the male or the female, either one, the brain is the biggest sex organ in the body. Just trying to go for the gold just won't let you get there. So, you have to relax and enjoy the journey regardless.   So even if the cancer or the treatment didn't necessarily affect orgasm or if it's just our brains, my encouragement is to approach a sexual encounter as an experience. Enjoy the experience. It's not a performance.   We don't want to perform because then we get in our head, and we get nervous and our muscles all tighten up. So, we don't want to perform. We want to enjoy the experience, and it can be very pleasurable.   Even if orgasm isn't part of the picture anymore, it doesn't mean you can't have fun and can't connect because you can.   Laura Dugger: (43:15 - 43:25) But then I guess also to offer the hope, if I ask it a different way, are there times that orgasm is still possible after a cancer diagnosis?   Dr. Kris Christiansen: (43:27 - 44:01) Absolutely. We always have hope. We always have hope.   Just because you're diagnosed with cancer doesn't mean you're not going to be able to engage in PIV sex or be able to experience an orgasm because that's always a possibility. Don't focus on just getting to the big orgasm. You want to slow down, enjoy the journey, and oftentimes it will come.   There are medications that help with blood flow, that help with arousal and orgasm, and sometimes they can be helpful. Sometimes they're not, but usually it doesn't hurt to try them.   Laura Dugger: (44:02 - 44:26) There you go. That's a very helpful reminder. It's a piece of the puzzle, not the whole thing.   But if someone right now is walking through their own cancer journey, what else would you advise them both to do and to avoid doing so that they can still enjoy the healthiest sex life possible with their spouse?   Dr. Kris Christiansen: (44:29 - 47:19) That's going to involve several pieces. One, first and foremost, maintain the communication about wants and desires, what hurts, what doesn't, what can we do, what do you want to try tonight? Maintaining the communication.   It's much better to prevent problems like the vaginal dryness and pain than to try to treat it after you've been dealing with it for years sometimes, or even months. If you have, say, breast cancer, just getting in the habit of using one of those vaginal moisturizers from the get-go even before the dryness starts can help prevent problems. Seeing a pelvic floor physical therapist can be really, really helpful.   A pelvic floor physical therapist is a physical therapist who specializes in these pelvic floor muscles that help support everything on the inside. And so if these muscles are too tight, causes pain, and if they're already too tight, doing tangles is the last thing that you want to do, because sometimes it means being able to relax them. Or women who have, who need pelvic radiation, say for uterine cancer, the gynecologic oncologist is usually really good about giving you a vaginal dilator and to use it, but they're not always really good at telling you exactly how to use it, how frequently and how long, so be sure and ask.   Because again, we want to maintain the integrity of the tissues, because it's better to maintain them than try to get it back. That's often quite hard. For guys, especially with prostate cancer, it means participating in that, we call it penile rehabilitation.   So, it's basically physical therapy for the penis. You know, its muscle, so we want to keep that muscle healthy and to help maintain healthy tissues. And just trying to be as good to ourselves as we can, giving ourselves and our partners grace when we need it, because it's a journey and it's not an easy one.   But we believe in a big God and he's there to help us through this and he delights when husband and wife can unite as one, whatever that looks like. And it makes him happy and he's there to try to keep this going for us.   Laura Dugger: (47:21 - 47:40) And you may have already answered this question with that, but I love how you're always encouraging and gentle and full of hope. So, any other hope that you want to share with anyone who's battled cancer or is in the midst of their journey, but they're still desiring to connect intimately with their spouse?   Dr. Kris Christiansen: (47:47 - 48:33) Sometimes it means asking for help. So, for finding a provider, whether that's a therapist, a gynecologist, a sexual medicine provider, or even your pastor counselor to help you through this. In the show notes, we'll put in websites where you can find a provider because not everybody is educated.   Hardly anybody's educated on this, unfortunately. But there are people out there throughout the country, throughout the world, where you can find to help guide you on this journey. Don't suffer in silence.   We're here to help. So be sure to reach out so we can help you.   Laura Dugger: (48:33 - 48:50) That's so good, Dr. Christiansen. And are there any other proactive measures that all of us can take to set us up for a healthy sex life into aging or any diagnoses that we may get in the future?   Dr. Kris Christiansen: (48:53 - 50:38) Well, treating our body like a temple, like God says. We have to take good care of ourselves. And just in general, going for your preventative visits and checking your cholesterol and your blood sugar and your blood pressure and screening for cancer so we can prevent them or catch them really early.   And it's so much easier to treat. But things like smoking and diabetes and being overweight and high blood pressure, high cholesterol, they impact sexual function very negatively, especially smoking. Guys are still surprised when I tell them, or I show them a picture of a cigarette with ashes that are kind of wilting off the end.   This is your penis. This is what happens with smoking. Okay.   So quitting smoking. And in women, we have those same little blood vessels and nerves that men do. And so not taking care of ourselves as far as weight, exercise and diabetes and all that stuff, that affects our sexual function, too.   So just making sure that we take a proactive stance on just taking really good care of our medical and our mental health because that's so important. And our spiritual health. Can't forget that, too.   Yeah. Just, you know, taking care of ourselves because aging does impact sexual function. As we get older, our endurance isn't quite what it used to be.   Certainly not as flexible as we used to be. Things kind of hurt. Achy joints and whatever.   So, the more we can take care of ourselves, the more we can enjoy that sexual intimacy, which does involve a little bit of physical exertion.   Laura Dugger: (50:39 - 51:03) Absolutely. Well, you've shared a lot of places where we can go to seek help. But I would love to know where we can continue to learn from you or a website where people can find out more of your offerings because you mentioned not many people are educated in this field or on this topic, but you are a great resource.   So where would you direct all of us after this chat?   Dr. Kris Christiansen: (51:05 - 52:23) Well, I started my own business called Intimate Focus, Intimate-Focus.com. Where my goal is to offer education and quality products that people can use to help equip them and enhance sexual intimacy. As part of my clinical career where I see patients, we'd often talk about using a good lubricant or getting a vibrator to help with those nerves that just aren't quite as effective anymore.   And so many times they told me they were just not comfortable going to an adult store or they didn't want to purchase them on Amazon because it could be a shared account and kids or whatever may see what they're ordering. So, this is a private and secure site and I don't even know how to sell your email so don't worry, that's not going to happen. Where you can purchase good quality products, I vet them out myself to make sure that they don't contain the ingredients that I encourage women to avoid and no pictures with nudity or anything like that because I want it to be a comfortable space or at least as comfortable as we can make it for everybody.   Laura Dugger: (52:24 - 52:43) Wonderful. Well, I'll certainly link that in the show notes as well. And Dr. Christiansen, you are already a friend of The Savvy Sauce, so you know that we're called The Savvy Sauce because savvy is synonymous with practical knowledge. And so, as my final question for you today, what is your Savvy Sauce?   Dr. Kris Christiansen: (52:46 - 53:15) Well, you know, James in the Bible is a very practical kind of guy and I love his advice that we should all be quick to listen, slow to speak and slow to become angry. And if we were all able to do that or at least just a little more of that, I think our world would be a much better place to live.   Laura Dugger: (53:16 - 53:42) This is so good. I cannot hear that verse enough and I just truly look so forward to the times that I get to spend with you. You are such a calming presence full of wisdom.   That's what we prayed for before we had the recording begin for today. And I am just overflowing with gratitude. So, thank you, Dr. Christiansen, for all that you've shared. Thank you so much for being my returning guest.   Dr. Kris Christiansen: (53:43 - 53:48) Well, thank you, Laura. This has been great. It's an honor to be on your show.   Laura Dugger: (53:50 - 57:32) One more thing before you go. Have you heard the term gospel before?   It simply means good news. And I want to share the best news with you. But it starts with the bad news.   Every single one of us were born sinners, but Christ desires to rescue us from our sin, which is something we cannot do for ourselves. This means there is absolutely no chance we can make it to heaven on our own. So, for you and for me, it means we deserve death and we can never pay back the sacrifice we owe to be saved.   We need a savior. But God loved us so much, he made a way for his only son to willingly die in our place as the perfect substitute. This gives us hope of life forever in right relationship with him.   That is good news. Jesus lived the perfect life we could never live and died in our place for our sin. This was God's plan to make a way to reconcile with us so that God can look at us and see Jesus.   We can be covered and justified through the work Jesus finished if we choose to receive what He has done for us. Romans 10:9 says, “That if you confess with your mouth Jesus is Lord and believe in your heart that God raised him from the dead, you will be saved.” So, would you pray with me now?   Heavenly Father, thank you for sending Jesus to take our place. I pray someone today right now is touched and chooses to turn their life over to you. Will you clearly guide them and help them take their next step in faith to declare you as Lord of their life?   We trust you to work and change lives now for eternity. In Jesus' name we pray. Amen.   If you prayed that prayer, you are declaring him for me, so me for him. You get the opportunity to live your life for him. And at this podcast, we're called The Savvy Sauce for a reason.   We want to give you practical tools to implement the knowledge you have learned. So, you ready to get started? First, tell someone.   Say it out loud. Get a Bible. The first day I made this decision, my parents took me to Barnes & Noble and let me choose my own Bible.   I selected the Quest NIV Bible and I love it. You can start by reading the book of John. Also, get connected locally, which just means tell someone who's a part of a church in your community that you made a decision to follow Christ.   I'm assuming they will be thrilled to talk with you about further steps, such as going to church and getting connected to other believers to encourage you. We want to celebrate with you too, so feel free to leave a comment for us here if you did make a decision to follow Christ. We also have show notes included where you can read scripture that describes this process.   And finally, be encouraged. Luke 15:10 says, “In the same way I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.” The heavens are praising with you for your decision today.   And if you've already received this good news, I pray you have someone to share it with. You are loved and I look forward to meeting you here next time.

In this episode of the Braun Performance & Rehab Podcast, Dan is joined by Quincy Johnson to discuss S&C considerations for the tactical athlete population. Quincy R. Johnson, Ph.D. is an Assistant Professor in the Department of Health, Sport and Exercise Sciences at the University of Kansas and is the Assistant Director of the Jayhawk Athletic Performance Laboratory. He received his degrees from Midland University and Oklahoma State University. Dr. Johnson's research interests focus on optimizing athletic performance, developing physiological profiles to support training and return to play approaches, long-term athletic development, and training load monitoring. These interests have led to professional roles within high school, collegiate, professional, and private athletic settings. In addition to his scholarly activity, Dr. Johnson has been an active strength and conditioning coach working with athletes from professional to peewee levels of sport. To add, he currently serves as the Associate Director of the Youth Exercise and Sport Center and Program Coordinator for Jayhawk Performance housed within the Dept. of Health, Sport and Exercise Sciences. Dr. Johnson is passionate about developing and creating opportunities for the next generation of exercise science professionals.Johnson is an active member of the National Strength and Conditioning Association (NSCA), Certified Strength and Conditioning Coaches Association (CSCCa), and American College of Sports Medicine (ACSM). Dr. Johnson holds certifications from the NSCA (CSCS*D, Certified Strength and Conditioning Specialist with Distinction; CPT*D, Certified Personal Trainer with Distinction), USA Weightlifting, Functional Movement Systems, and the International Society of Performance Analysis of Sport. Additionally, he currently serves as the Vice Chair of the NSCA's powerlifting special interest group and on the Board of Directors for the International Association of Strength and Conditioning.For more on Quincy be sure to check out @quincyjohnsonphd*SEASON 6 of the Braun Performance & Rehab Podcast is brought to you by Isophit. For more on Isophit, please check out isophit.com and @isophit -BE SURE to use coupon code BraunPR25% to save 25% on your Isophit order!**Season 6 of the Braun Performance & Rehab Podcast is also brought to you by Oro Muscles. For more on Oro, please check out www.oromuscles.com***Season 6 of the Braun Performance & Rehab Podcast is also brought to you by Firefly Recovery, the official recovery provider for Braun Performance & Rehab. For more on Firefly, please check out https://www.recoveryfirefly.com/ or email jake@recoveryfirefly.comEpisode Affiliates:MoboBoard: BRAWNBODY10 saves 10% at checkout!AliRx: DBraunRx = 20% off at checkout! https://alirx.health/MedBridge: https://www.medbridgeeducation.com/brawn-body-training or Coupon Code "BRAWN" for 40% off your annual subscription!CTM Band: https://ctm.band/collections/ctm-band coupon code "BRAWN10" = 10% off!Ice shaker affiliate link: https://www.iceshaker.com?sca_ref=1520881.zOJLysQzKeMake sure you SHARE this episode with a friend who could benefit from the information we shared!Check out everything Dan is up to by clicking here: https://linktr.ee/braun_prLiked this episode? Leave a 5-star review on your favorite podcast platform

Peak performance isn't reserved for the pros — it's for anyone bold enough to show up with heart, hustle, and intention.In this episode of Training Chats with Aloha Athletics, Coach Casey sits down with Dr. Jose Antonio, a leading expert in sports nutrition and co-founder of the International Society of Sports Nutrition, to break down the science of fueling like an athlete — without overcomplicating it. This one's for the grinders, the early risers, and the weekend warriors chasing their next breakthrough. Dr. Antonio's advice is applicable for all athletes no matter your sport of choice. Dr. Jose Antonio The ISSN - Check out their upcoming sports nutrition conference coming June 2025Sports Science Dudes Podcast: @aloha.athletics@Earthgrownlindsey@Casey_Lynn_McCullough

Patreon/Supercast Special Release - Disarming the Narcissist: Myths, Truths, & Strategies for Healing with Wendy Behary (264) This is a sneak peek of our episode with Wendy Behary - available only on our Premium Supercast and Patreon platforms. For as little as $5/month you can have access to special releases like this one, first-to-know about upcoming events and discounts and an ad-free feed. Click here to join & finish the episode!! Dr. Ann Kelley and narcissism expert, Wendy Behary, explore the complexities of narcissistic behavior, its development, and the challenges faced by those experiencing relationships with narcissists. Follow along as they dive into the myths, the spectrum of narcissistic traits, and the importance of understanding the underlying insecurities that drive behavior. Behary touches on the cultural implications and how it manifests in society today, as well as practical strategies for individuals to navigate relationships, highlighting the significance of maintaining one's own mental health and well-being. “Narcissism occurs along a spectrum within the human condition. Embodied in human nature itself is a tendency for narcissistic expression... and that isn't all bad.” - Wendy Behary About our Guest - Wendy Behary With 25+ years of professional experience and advanced level certifications, Wendy Behary is the founder and director of The Cognitive Therapy Center of New Jersey and The Schema Therapy Institutes of NJ-NYC-DC. She has been treating clients, training professionals and supervising psychotherapists for more than 25 years. Wendy was on the faculty of the Cognitive Therapy Center and Schema Therapy Institute of New York (until the Institutes merged in 2012), where she trained and worked with Dr. Jeffrey Young since 1989. She is a founding fellow and consulting supervisor for The Academy of Cognitive Therapy (Aaron T. Beck's Institute). Wendy served as the President of the Executive Board of the International Society of Schema Therapy (ISST) from 2010-2014 and served as the Training and Certification Coordinator for the ISST Executive Board from 2008-2010. She is currently the chair of the Schema Therapy Development Programs Sub-Committee for the ISST. Wendy Behary has co-authored several chapters and articles on Schema Therapy and Cognitive Therapy. She is the author of an international bestselling book, "Disarming the Narcissist...” translated in 16 languages. The Third Edition was recently released and was selected by Oprah Daily as one of the top books on the subject of Narcissism. Wendy has a specialty in treating narcissists and the people who live with and deal with them. As an author and subject matter expert on narcissism, she is a contributing chapter author of several chapters on schema therapy for narcissism for professional readers. She lectures both nationally and internationally to professional and general audiences on schema therapy, narcissism, interpersonal relationships, anger, and dealing with difficult people. Find Upcoming Events here!! Our Beyond Attachment Styles course is available NOW! Learn how your nervous system, your mind, and your relationships work together in a fascinating dance, shaping who you are and how you connect with others. Earn 6 Continuing Education Credits – Available at Checkout Online, Self-Paced, Asynchronous Learning with Quarterly Live Q&A's Integrative Attachment Therapy Course Information Therapists: THIS is our recommended course experience for the most comprehensive training on attachment out there. Use our link for a discount! Thanks for stopping by & for being on this journey with us! 

SUMMARY In this engaging conversation, Jeremy chats with 3 time World Kickboxing Champion Troy Dorsey. They discuss his journey in martial arts and boxing, exploring themes of resilience, the influence of family, and the competitive spirit that drives martial artists.   Troy shares personal anecdotes about his experiences in the ring and the life lessons learned through fighting, emphasizing the importance of pressing forward in the face of adversity. He also shares his experiences in combat sports, discussing the challenges of training, memorable fights, and the decision to retire.   He reflects on his transition to jiu-jitsu, the struggles of weight management, and the importance of perseverance in overcoming life's challenges. Dorsey emphasizes the joy of training for fun and the significance of maintaining a positive attitude through difficult times. TAKEAWAYS Life's challenges are akin to a fight. Pressing forward is essential in overcoming obstacles. Martial arts instills discipline and respect. Family support plays a crucial role in personal growth. Legacy and mentorship are vital in martial arts. The competitive spirit drives improvement and success. Fighting is a passion that transcends mere competition. Combat sports require immense physical and mental preparation. Memorable fights can inspire and motivate athletes. Retirement from fighting can be a difficult decision. Transitioning to new forms of training can be rewarding. Weight management is a significant challenge for fighters. Cutting weight can be dangerous and should be approached with caution. Training for enjoyment can enhance overall well-being. Perseverance is key to overcoming life's obstacles. Maintaining a positive mindset is crucial during tough times. This episode is sponsored by Kataaro. Please check out their site at www.kataaro.com and use the code WK10 to save 10% off your first order. And be sure to ask them about a wholesale account for school owners! All orders for Autism Awareness belts in March and April will see 50% of the PROFITS donated to the International Society for Autism Research!

Jeff Yorzyk has over 20 years of experience in sustainability across a broad range of sectors, and has held leadership roles in both commercial and consulting companies spanning program development, strategic management systems, product sustainability and life cycle assessment. Based in Berlin, Germany, HelloFresh is the leading meal kit provider in the world, operating in 14 markets. As director of sustainability for HelloFresh US, Jeff oversees packaging lifecycle management, operational and supply chain sustainability and regulatory compliance and permitting. Jeff also has participated in building the profession of sustainability, leading sustainability nonprofits such as the International Society of Sustainability Professionals (ISSP) in the development of the first professional credential for sustainability practitioners, and strategic partnering with GBCI for its independent delivery. Jeff Joins Sustainable Nation to Discuss: How HelloFresh addresses packaging impacts Life cycle emissions of HelloFresh compare to restaurant or supermarket trips Addressing food waste in production Advice and recommendations for sustainability professionals Jeff's Final Five Questions Responses: What is one piece of advice you would give other sustainability professionals that might help them in their careers?  I have two here. Number one is be ready to do anything, get dirty. In my own professional journey, I found that if I took the tasks or the projects that people didn't want to do because they looked boring or hard or just not exciting to people, they led me to some of the most exciting work that I ever did. So sometimes something that looks boring or just kind of a grind at the beginning actually turns into something really incredible. Never be afraid to take those things and, in fact, seek them out. Number two is keep a journal and ask yourself if you're making the impact you want through your career. It's a really broad field, and that's a good question to be asking ourselves regularly. I started my career in environmental consulting in the 1990s. That's really what we had available to us. We didn't have this thing called sustainability, but as I moved forward in my career, I noticed this thing called sustainability evolving and really was able to direct myself into it. So pay attention, keep a journal, and then take the jobs that people don't want because they don't have to be dirty jobs.Those things will usually lead you to some of your greatest successes.  What are you most excited about right now in the world of sustainability?  In a word, it's mainstream. To put a little more color behind that, we're in a fascinating period right now where companies are being asked to make ambitious goals, and they're also being really held accountable to achieve them. We've moved beyond this period of lofty goals and even, to some extent, talking about moonshots. I think for some of us in the field that has been a little bit confusing because the moonshot was this inspiring thing that we were looking to gather people around, and I think there's still room for that. But we're being held accountable as companies to have realistic plans underneath them and to convince people that they're achievable. These high expectations are coming together with these enhanced greenwashing laws to really create this interesting space for companies. I know this has created side effects like what they call green hushing and companies talking less about what they're doing, but I think it's pushing us in the right direction for us to really be a lot more realistic, but still quite ambitious.  What is one book you'd recommend sustainability leaders read?  I'm currently reading a book called the Customer is the Planet. It's quite new and really it has a nice mapping of environmental and social issues against the European ESRs standards. Anything that makes the European ESRs easier to digest and actually put in my brain is welcome to me. If you haven't read Natural Capitalism or The Natural Step or even Our Stolen Future, which are books from a previous century, they're fantastic and they're really great foundational reading.  What are some of your favorite resources or tools that really help you in your work?  I got my MBA in 2002 and that was my pivot from environmental consulting into sustainability. Right about that time, this guy named Joel Makower was starting up this website called GreenBiz. It's now called Trellis. They pivoted into a really network based approach. That has always been one of the key sources that I turn to. That newsletter has been very useful for me to observe things. You watch these things over time, you start to see trends, patterns, you see how things transform. It's really been a fantastic resource. Then LinkedIn. It took me a while to get the algorithm working for me, but it feeds a lot of really good content to me these days. I highly recommend both of those.  Where can our listeners go to learn more about you and the work being done at HelloFresh?  The HelloFresh website has a sustainability section. You can also go to our Instagram site @hellofresh. They really are great at putting some fun videos and reels in there and TikTok. They've done a great job, it actually gets quite funny. Then of course you can find me on LinkedIn under Jeff Yorzyk.

How much can a change in diet influence symptoms of mental health disorders? Why are a diversity of plants and whole foods so important to include, and ultra processed foods so important to remove? Why are inflammation and microbe diversity in the gut so key to this question? What does this research mean for the life-style medicine movement and to world food policy?In this episode we have the exploding new field of nutritional psychiatry to get to grips with, that is the way our diet can influence and even treat mental health conditions. We're going to be discussing the historical separation of mind and body by science, which has led to scepticism that diet could influence mental health outcomes; the new understanding of the importance of diversity in our microbiome and inflammation to our mood and mental state; our main topic which is going to be the radical results of recent trials showing large changes in cognitive and mental health outcomes when diet is altered; we'll get into the foods that can bring about that change and why they work; and we're going to be getting into the reasons for the broken industrialised food environment that has contributed to the current mental health epidemic in the west.Fortunately, to understand this complex new field, our guest today is the very scientist that risked her reputation to conduct the first trials, facing considerable pushback, only to shift the consensus remarkably quickly with some top science, Felice Jacka. She is the Deakin University Distinguished Professor of Nutritional Psychiatry in Melbourne, the founder and director of the Food & Mood Centre, and of the International Society of Nutritional Psychiatry; She has been cited in over 100 institutional directives for food policy including the World Health Organization and UNICEF; and she is also the author of two books on this for the general public, the children's book “There's a Zoo in my Poo” and for adults “Brain Changer: How diet can save your mental health” which we'll be covering today. Her impact has been so high on public health that in 2021 she was awarded the Order of Australia for her services to nutritional psychiatry.What we discuss:00:00 Intro08:50 The historic separation between mental and physical health. 10:35 People with mental health die about 20 years earlier. 13:30 The connection between the immune system and mental health. 16:20 New microbiome & chronic inflammation research's influence on psychiatry. 20:00 Epigenetics, mitochondria (energy generation) & neurotransmitter influences. 21:15 Gut brain axis & oxidative stress response.33:30 The SMILES trial results and their integration into the consensus. 38:30 Using the Press to shorten the usual 20 year gap between results and policy change. 43:00 Industrialised food is the leading cause of chronic disease & biodiversity loss. 45:00 ‘We're not going to tell people what to eat': the food lobby's ‘nanny state' argument. 50:00 Soil depletion and the soil microbiome. 50:50 The life-style psychiatry movement: Diet, sleep and exercise. 01:05:30 Take out ultra-processed foods - even the nutritionally balanced ones. 01:12:30 Cognitive ability and memory reduced by processed foods. 01:14:45 Nutritional and energetic equivalent foods have totally different outcomes for the microbiome. 01:19:15 Put in a variety of plants - 30 a week. 01:20:20 The mediterranean diet. 01:24:50 Polyphenol science so far. 01:27:00 Emulsifiers and artificial sugars - the mucosal lining of the gut. 01:30:15 Fermented foods - the waste products of the bacteria are beneficial. References:Felice Jacka, “Brain Changer: The Good Mental Health Diet”Felice Jacka, “There's a Zoo in my Poo”Melissa Lane et al, ‘Ultra‐Processed Food Consumption and Mental Health: A Systematic Review and Meta‐Analysis of Observational Studies' paperFelice Jacka' et al, ‘A randomised controlled trial of dietary improvement for adults with major depression (the 'SMILES' trial)' Paper

Today's episode offers a behind-the-scenes look at the 2025 International Society of Bassists Convention, taking place June 2-7 at Florida State University in Tallahassee, Florida. FSU bass faculty members and convention hosts Rodney Jordan and George Speed join Jason to discuss organizing this event, share upcoming highlights, and preview what attendees can expect during the week. Enjoy!   Subscribe to the podcast to get these interviews delivered to you automatically!   Connect with us: all things double bass double bass merch double bass sheet music   Thank you to our sponsor! Upton Bass - From Grammy Award winners and Philharmonic players like ME Max Zeugner of the New York Philharmonic, each Upton Bass is crafted with precision in Connecticut, USA, and built to last for generations.  Discover your perfect bass with Upton Bass today! theme music by Eric Hochberg

Welcome to Perimenopause WTF!, brought to you by Perry—the #1 perimenopause app and safe space for connection, support, and new friendships during the menopause transition. You're not crazy, and you're definitely not alone!  Download the free Perry App on Apple or Android and join our live expert talks, receive evidence-based education, connect with other women, and simplify your perimenopause journey.“Smashing the Taboo of Painful Sex During Perimenopause”There are a lot of challenges that can pop up during perimenopause, and some of these have to do with sexual function and the physical body; sometimes it can be uncomfortable to talk about sexual discomfort. But, that should not stop women from seeking out the experts that know how to help. From libido, arousal, and vulvar vaginal disorders, to hormones, pelvic muscles and UTI's, Dr. Jill Krapf and Dr. Sameena Rahman cover a lot of ground in this episode when it comes to pain during sex while in perimenopause, so don't miss out!Discover What's New at Perry!Whether you're navigating perimenopause or empowering others as a women's health professional, Perry has something for you. Explore our latest features:

Returning for a second study this month, the JHLT Digital Media Editors invite first author Charlotte Van Edom to discuss the paper, “Apixaban plasma levels in patients with HeartMate 3 support.” As a cardiologist in training and a PhD candidate at the University Hospitals Leuven in Belgium, Van Edom's work focuses on hemocompatibility and mechanical circulatory support, covering both short-term and long-term support. The episode explores: The evolution of the use and understanding of direct oral anticoagulants (DOACs) during LVAD support, including the increased focus on Factor Xa inhibitors Encouraging findings from the study and what clinical practices might need to change if introducing apixaban Additional studies exploring DOACs in LVAD patients For the latest studies from JHLT, visit www.jhltonline.org/current, or, if you're an ISHLT member, access your Journal membership at www.ishlt.org/jhlt. Treat or research pulmonary vascular diseases? Check out the first April episode for a study on sotatercept in PAH patients. Don't already get the Journal and want to read along? Join the International Society of Heart and Lung Transplantation at www.ishlt.org for a free subscription, or subscribe today at www.jhltonline.org.

Don Veinot is Co-Founder and President of Midwest Christian Outreach, a national apologetics ministry and mission to new religious movements. He has been involved in apologetics ministry for over 3 decades and is a charter member of the International Society of Christian Apologetics. He is also a staff researcher and writer for the Midwest Outreach Journal.What comes to mind when you hear the word "paganism"? For some your mind may travel back to Biblical times when Elijah challenged the prophets of Baal and Ashtoreth on Mount Carmel. Others may think of the early Roman empire who followed polytheism. It may take you to the Middle Ages or it may make you think of practices that are void of knowledge of the one true God which happen in remote villages around the world.But did you know Paganism is running rampant right now in 2025 in the United States? There are those who celebrate Pagan Pride Day with events taking place in cities across the country.Specifically there is an annual event called Paganicon where pagans from all over converge. The most recent Paganicon was held in the Twin Cities area in Minnesota. Our guest attended Paganicon 2025 last month and is here today with a report.

Send us a textIn this episode of Causes or Cures, Dr. Eeks speaks with Dr. David Amaral and Kathy Stein about the powerful impact of brain donations through Autism BrainNet in advancing our understanding of autism. Dr. Amaral offers a comprehensive overview of autism, exploring what science currently knows about its risk factors and potential causes. He discusses the rise rate of autism and explains how brain donations provide researchers with a rare and invaluable opportunity to study autism at the neurological level—offering insights that can't be uncovered any other way. He also shares key discoveries that have already emerged through Autism BrainNet's efforts.Kathy Stein joins the conversation to share a deeply personal story: that of her brother Ed, who lived with autism and viewed it as "a different way of seeing the world." After Ed's passing, Kathy donated his brain to Autism BrainNet, a decision she describes as a gift to science, one that reflects her commitment to supporting research that might bring answers to families in the future. Together, Dr. Amaral and Kathy explain how the brain donation process works, what it means for scientific discovery, and why it's an act of profound generosity.Dr. David Amaral is a distinguished professor in the Department of Psychiatry and Behavioral Sciences at UC Davis. He serves as the scientific director of Autism BrainNet and was the founding research director of the renowned MIND Institute, a center for autism research founded in collaboration with parents of children on the spectrum. He is also a past president of the International Society for Autism Research and currently serves as Editor-in-Chief of its journal, Autism Research.Kathy's brother Ed called Concord, New Hampshire home for 25 years. A beloved community member, Ed worked at the Concord Monitor, operating the advertisement insert machine until his retirement. A familiar and friendly face at the Concord Public Library, Ed had a wide range of passions—including steam trains, photography, travel, and musicals. He lived with warmth, curiosity, and an enduring grace that left an impression on all who knew him.You can contact Dr. Eeks at bloomingwellness.com.Follow Eeks on Instagram here.Or Facebook here.Or X.On Youtube.Or TikTok.SUBSCRIBE to her monthly newsletter here.Support the show

Don Veinot is Co-Founder and President of Midwest Christian Outreach, a national apologetics ministry and mission to new religious movements. He has been involved in apologetics ministry for over 3 decades and is a charter member of the International Society of Christian Apologetics. He is also a staff researcher and writer for the Midwest Outreach Journal.What comes to mind when you hear the word "paganism"? For some your mind may travel back to Biblical times when Elijah challenged the prophets of Baal and Ashtoreth on Mount Carmel. Others may think of the early Roman empire who followed polytheism. It may take you to the Middle Ages or it may make you think of practices that are void of knowledge of the one true God which happen in remote villages around the world.But did you know Paganism is running rampant right now in 2025 in the United States? There are those who celebrate Pagan Pride Day with events taking place in cities across the country.Specifically there is an annual event called Paganicon where pagans from all over converge. The most recent Paganicon was held in the Twin Cities area in Minnesota. Our guest attended Paganicon 2025 last month and is here today with a report.

The Empowered Eating Pep Talk

SUMMARY In this conversation, Tuari Dawson explores the themes of vulnerability, cultural identity, and the journey into martial arts. He discusses the impact of Bruce Lee as a role model, the lessons learned during adolescence, and the influence of American martial arts on his training. The conversation highlights the importance of community and belonging in martial arts, as well as the personal growth that comes from these experiences. In this conversation, Tuari explores the evolution of martial arts in America, the significance of cross-training, and the impact of military training on martial arts culture. He also discusses the politics of martial arts, the importance of building a strong foundation, and the concept of martial arts as an infinite game. The conversation emphasizes the need for connection, humor, and humanity in martial arts training, highlighting the shared experiences and struggles within the martial arts community. In this engaging conversation, Jeremy Lesniak and Tuari Dawson explore the evolution of podcasting, the importance of creativity and storytelling in martial arts, and the value of learning and growth through shared experiences. They discuss the challenges and rewards of podcasting, the significance of community, and the necessity of persistence in pursuing one's passions. The dialogue culminates in reflections on change and the impact of sharing one's journey with others. TAKEAWAYS Cultural identity plays a significant role in martial arts. Bruce Lee serves as a powerful role model for many. Adolescence often brings arrogance and overconfidence. Martial arts can provide a refuge from difficult environments. Community in martial arts is unique and essential. American martial arts have a profound influence globally. Lessons learned in martial arts extend beyond the dojo. Martial arts in the U.S. have evolved from a melting pot of styles. Cross-training was once common and is becoming popular again. Martial arts politics often stem from insecurity and fear. Military training has influenced the structure of martial arts. Martial arts is an infinite journey without a clear end. Connection among martial artists fosters community and understanding. Humor and humanity are essential in martial arts training. Looking for colleagues rather than sensei reflects a shift in perspective. Creativity plays a vital role in martial arts as an art form. Teaching is a privilege that comes with the responsibility to learn. To connect with Tuari: https://linktr.ee/Invisen   This episode is sponsored by Kataaro. Please check out their site at www.kataaro.com and use the code WK10 to save 10% off your first order. And be sure to ask them about a wholesale account for school owners!   All orders for Autism Awareness belts in March and April will see 50% of the PROFITS donated to the International Society for Autism Research!

You're losing hair… but is stress to blame?”Join us with globally recognized hair transplant surgeon Dr. Alan J. Bauman, MD, ABHRS, IAHRS, FISHRS, as he explains how stress impacts your scalp health—and what you can do to stop or even reverse the damage.Since founding Bauman Medical in Boca Raton, Florida, in 1997, Dr. Bauman has personally treated over 34,000 patients and performed more than 12,000 hair transplant surgeries. His compassionate, patient-first approach and artistic eye for restoration have made him one of the most sought-after hair loss specialists worldwide.He earned his M.D. from New York Medical College and completed his surgical residency at Mt. Sinai Medical Center and Beth Israel Medical Center in New York City. Dr. Bauman is board certified by the American Board of Hair Restoration Surgery (ABHRS), a Fellow of the International Society of Hair Restoration Surgery (FISHRS), and a member of the International Alliance of Hair Restoration Surgeons (IAHRS). ​Throughout his career, Dr. Bauman has received numerous accolades, including being voted "America's #1 Top Hair Restoration Physician" for eight consecutive years and being awarded "Hair Restoration Surgeon of the Decade" by Aesthetic Everything. Forbes recognized him as a "Top 5 Transformative CEO" and one of "Ten CEOs Transforming Healthcare in America." ​He holds advisory positions with organizations such as the World Trichology Society and has been involved in the research and development of advanced hair loss treatments. His expertise has been featured across various media platforms, including his YouTube channel, where he educates viewers on hair restoration topics.

Word-faith teachers claim that faith is a kind of power or force that we can utilize to our advantage to help us prosper physically, financially, and spiritually. This week philosopher and apologist Dr. Richard G. Howe will continue to unpack the problematic doctrines and practices of the word-faith prosperity heresy and give us sound, biblical insights as to how we can prevent and counter-act these false teachings.  Dr. Richard G. Howe is a writer as well as a public speaker and debater in churches, conferences, and university campuses on issues concerning Christian apologetics and philosophy. He is Norman L. Geisler Chair of Christian Apologetics at Southern Evangelical Seminary in Charlotte, North Carolina where he also serves as Professor of Philosophy and Apologetics and as the Provost. Dr. Howe is Past President of the International Society of Christian Apologetics.Related Links: Here are some of our related 4-page Profiles on the Word Faith Movement, popular Prosperity Gospel preachers, the occult and New Age / Mind Science religions: Watchman Fellowship Profile on the Word Faith Movement by Dr. Robert M. Bowman: www.watchman.org/WordFaith Watchman Fellowship Profile on the Benny Hinn by Justin Peters: www.watchman.org/Hinn Watchman Fellowship Profile on the Joel Osteen by Dr. Robert M. Bowman: www.watchman.org/Osteen Watchman Fellowship Profile on the Joyce Meyer by Tim Martin: www.watchman.org/Meyer Watchman Fellowship Profile on The Occult by James Walker: www.watchman.org/TheOccult Watchman Fellowship Profile on The Secret by James Walker: www.watchman.org/TheSecret Watchman Fellowship Profile on Christian Science by Craig Branch: www.watchman.org/ChristianScience Watchman Fellowship Profile on Unity School of Christianity by Rick Branch: www.watchman.org/Unity Watchman Fellowship Profile on Witchcraft / Wicca by Dr. Brady Blevins: www.watchman.org/Wicca Watchman Fellowship's Profile on Spiritual Abuse Recovery Workbook by David Henke: www.watchman.org/SA Additional ResourcesFREE: We are also offering a subscription to our 4-page bimonthly Profiles here: www.watchman.org/FreePROFILE NOTEBOOK: Order the complete collection of Watchman Fellowship Profiles (around 700 pages -- from Astrology to Zen Buddhism) in either printed or PDF formats here: www.watchman.org/NotebookSUPPORT: Help us create more content like this. Make a tax-deductible donation here: www.watchman.org/GiveApologetics Profile is a ministry of Watchman Fellowship For more information, visit www.watchman.org © Watchman Fellowship, Inc.

Dr. Matt Frakes shares his experience as Director of Performance Nutrition for the New York Giants, focusing on optimizing player performance through individualized nutrition strategies and building trusting relationships with athletes.• Breaking into sports nutrition careers requires networking, professionalism, and willingness to do grunt work before showcasing talent• College and pro settings differ dramatically—pros have more autonomy and often work with their own nutrition and training specialists• Athletes can build too much lean muscle mass relative to their skeletal structure, increasing injury risk• Performance nutrition requires an individualized approach considering body composition, position demands, and training phase• Nutritional strategies for brain health include omega-3 fatty acids, anti-inflammatory foods, and creatine supplementation• Recovery modalities like sauna, cryotherapy, red light therapy and compression are widely used at the professional level• Successful teams require strong interdisciplinary communication between performance staff, medical team and coachesDr. Frakes will be delivering the President's Lecture at the 22nd International Society of Sports Nutrition Conference, June 23-25 in Delray Beach, Florida.

******Support the channel******Patreon: https://www.patreon.com/thedissenterPayPal: paypal.me/thedissenterPayPal Subscription 3 Dollars: https://tinyurl.com/ybn6bg9lPayPal Subscription 5 Dollars: https://tinyurl.com/ycmr9gpzPayPal Subscription 10 Dollars: https://tinyurl.com/y9r3fc9mPayPal Subscription 20 Dollars: https://tinyurl.com/y95uvkao ******Follow me on******Website: https://www.thedissenter.net/The Dissenter Goodreads list: https://shorturl.at/7BMoBFacebook: https://www.facebook.com/thedissenteryt/Twitter: https://x.com/TheDissenterYT This show is sponsored by Enlites, Learning & Development done differently. Check the website here: http://enlites.com/ Dr. Christopher Federico is Professor of Political Science and Psychology at the University of Minnesota. He also serves as President of the International Society of Political Psychology. His research focuses in particular on the nature of ideology and belief systems, the psychological foundations of political preferences, and intergroup attitudes. He is co-author of Open Versus Closed: Personality, Identity, and the Politics of Redistribution, and a co-editor of the volumes At the Forefront of Political Psychology: Essays in Honor of John L. Sullivan, and The Political Psychology of Democratic Citizenship. In this episode, we start by talking about the foundations of political preferences, and liberal and conservative attitudes. We discuss an elite-driven view of ideological belief systems. We talk about the phenomenon of collective narcissism, and how it relates to in-group satisfaction, nationalism, and perceptions that the 2020 election in the US was illegitimate. We also talk about collective self-esteem, ideological uncertainty, and the link between religiosity and political ideology. Finally, we discuss the phenomenon of feelings of group-extinction threat, and how (white) people react to their perceived numerical decline.--A HUGE THANK YOU TO MY PATRONS/SUPPORTERS: PER HELGE LARSEN, JERRY MULLER, BERNARDO SEIXAS, ADAM KESSEL, MATTHEW WHITINGBIRD, ARNAUD WOLFF, TIM HOLLOSY, HENRIK AHLENIUS, FILIP FORS CONNOLLY, ROBERT WINDHAGER, RUI INACIO, ZOOP, MARCO NEVES, COLIN HOLBROOK, PHIL KAVANAGH, SAMUEL ANDREEFF, FRANCIS FORDE, TIAGO NUNES, FERGAL CUSSEN, HAL HERZOG, NUNO MACHADO, JONATHAN LEIBRANT, JOÃO LINHARES, STANTON T, SAMUEL CORREA, ERIK HAINES, MARK SMITH, JOÃO EIRA, TOM HUMMEL, SARDUS FRANCE, DAVID SLOAN WILSON, YACILA DEZA-ARAUJO, ROMAIN ROCH, DIEGO LONDOÑO CORREA, YANICK PUNTER, CHARLOTTE BLEASE, NICOLE BARBARO, ADAM HUNT, PAWEL OSTASZEWSKI, NELLEKE BAK, GUY MADISON, GARY G HELLMANN, SAIMA AFZAL, ADRIAN JAEGGI, PAULO TOLENTINO, JOÃO BARBOSA, JULIAN PRICE, EDWARD HALL, HEDIN BRØNNER, DOUGLAS FRY, FRANCA BORTOLOTTI, GABRIEL PONS CORTÈS, URSULA LITZCKE, SCOTT, ZACHARY FISH, TIM DUFFY, SUNNY SMITH, JON WISMAN, WILLIAM BUCKNER, PAUL-GEORGE ARNAUD, LUKE GLOWACKI, GEORGIOS THEOPHANOUS, CHRIS WILLIAMSON, PETER WOLOSZYN, DAVID WILLIAMS, DIOGO COSTA, ALEX CHAU, AMAURI MARTÍNEZ, CORALIE CHEVALLIER, BANGALORE ATHEISTS, LARRY D. LEE JR., OLD HERRINGBONE, MICHAEL BAILEY, DAN SPERBER, ROBERT GRESSIS, IGOR N, JEFF MCMAHAN, JAKE ZUEHL, BARNABAS RADICS, MARK CAMPBELL, TOMAS DAUBNER, LUKE NISSEN, KIMBERLY JOHNSON, JESSICA NOWICKI, LINDA BRANDIN, GEORGE CHORIATIS, VALENTIN STEINMANN, PER KRAULIS, ALEXANDER HUBBARD, BR, MASOUD ALIMOHAMMADI, JONAS HERTNER, URSULA GOODENOUGH, DAVID PINSOF, SEAN NELSON, MIKE LAVIGNE, JOS KNECHT, LUCY, MANVIR SINGH, PETRA WEIMANN, CAROLA FEEST, STARRY, MAURO JÚNIOR, 航 豊川, TONY BARRETT, BENJAMIN GELBART, NIKOLAI VISHNEVSKY, STEVEN GANGESTAD, AND TED FARRIS!A SPECIAL THANKS TO MY PRODUCERS, YZAR WEHBE, JIM FRANK, ŁUKASZ STAFINIAK, TOM VANEGDOM, BERNARD HUGUENEY, CURTIS DIXON, BENEDIKT MUELLER, THOMAS TRUMBLE, KATHRINE AND PATRICK TOBIN, JONCARLO MONTENEGRO, AL NICK ORTIZ, NICK GOLDEN, AND CHRISTINE GLASS!AND TO MY EXECUTIVE PRODUCERS, MATTHEW LAVENDER, SERGIU CODREANU, BOGDAN KANIVETS, ROSEY, AND GREGORY HASTINGS!

SUMMARY In this episode, Jeremy engages in a deep conversation with “Mama G” Germon Moriniere Bey, exploring the nuances of martial arts and martial science. They discuss the importance of authenticity in conversations, the distinction between self-defense and self-preservation, and Mama G's personal journey into African martial sciences. The conversation also touches on historical contexts, cultural representation, and the significance of competition in martial arts. Mama G's unique experiences and insights provide a rich perspective on the evolution and understanding of martial arts today. In this engaging conversation, she shares her profound insights on the legacy of martial arts, particularly the influence of Peter Urban, the challenges of being an anomaly in the martial arts world, and the importance of documenting and sharing knowledge. She discusses the darker aspects of fairy tales and their implications in martial arts, the representation of African heritage in modern media, and the significance of understanding history in martial arts practice. Germon also reflects on her personal journey, experiences in competition, and the impact of gun culture on youth, emphasizing the need for self-defense education and the importance of staying true to one's nature. TAKEAWAYS Martial arts can be viewed as both an art and a science. Self-preservation is a proactive approach compared to self-defense. Mama G's grandmother played a significant role in shaping her perspective. The journey into martial arts often stems from personal experiences and challenges. Historical context is crucial in understanding martial arts traditions. Competition can serve as a means to validate skills and earn a living. Cultural representation in martial arts is important for future generations. Peter Urban's legacy is significant in martial arts history. Documenting martial arts knowledge is essential for future generations. Fairy tales often have darker lessons relevant to martial arts. Media representation of African heritage is crucial for cultural identity. Understanding history enhances martial arts training and practice. Cultural identity can play a vital role in martial arts. Media can distort perceptions of martial arts traditions. Self-defense education is critical in today's society. This episode is sponsored by Kataaro. Please check out their site at www.kataaro.com and use the code WK10 to save 10% off your first order. And be sure to ask them about a wholesale account for school owners! All orders for Autism Awareness belts in March and April will see 50% of the PROFITS donated to the International Society for Autism Research!

SUMMARY In this episode, Sensei Gabe Siu discusses his journey into martial arts, the challenges of balancing work, family, and training, and the evolution of their martial arts school. Sensei Siu shares his early experiences with sports, the transition into teaching martial arts with his wife, and the importance of community connections in the martial arts world. He also touches on the significance of faith in their journey and the process of achieving black belts together. He discusses his connection with Whistlekick, the inception of the Free Training Day Pacific Northwest, and the impact of his injuries on his life and training. Lastly, he emphasizes the significance of building relationships within the martial arts community and the lessons learned through adversity. TAKEAWAYS Sensei Siu started martial arts later in life after marrying his wife Jenni. They began teaching martial arts in their garage with a few students. The couple built their martial arts program from the ground up. They used YouTube and other resources to develop their teaching methods. Community connections were vital for their growth as instructors. They faced challenges in establishing their school and curriculum. Gabe and Jenni achieved their black belts through a supportive network. Their journey reflects the integration of personal beliefs and martial arts. Competing in tournaments fosters community and friendships. Listening to podcasts can deepen your connection to a community. Starting a local event can be inspired by attending larger ones. Injuries can reshape a martial artist's journey and identity. Trusting in a higher purpose can provide clarity during tough times. Building connections in martial arts can lead to lifelong friendships. Navigating life after a concussion requires patience and support. Resilience is key in overcoming personal challenges. Community support is vital in the recovery process. To connect with Sensei Siu: https://www.facebook.com/siujag Instagram: gabe.kicks This episode is sponsored by Kataaro. Please check out their site at www.kataaro.com and use the code WK10 to save 10% off your first order. And be sure to ask them about a wholesale account for school owners! All orders for Autism Awareness belts in March and April will see 50% of the PROFITS donated to the International Society for Autism Research!

Dr. Tessier, of Life After Mold, is an environmental medicine expert, specializing in treating mold related illness and associated complex chronic illness conditions such as EDS, ASD, Lyme, EBV, MCAs, MCS and more.  She is a writer, speaker and international educator on the topic, and has been an executive board member of The International Society for Environmental Illness since 2017.She can be found on all major social media outlets with the handle “@LifeAfterMold” or check her website for the free e-book “Mold Prevention: 101”, and get on the waitlist for “The Mold Illness Roadmap” course!What You'll Learn in This Episode:Understanding the Importance of Mold Avoidance: Learn how to identify mold exposure in your environment (home, workplace, etc.) and the importance of taking preventive measures before considering treatments.Navigating Mold Treatment without Rushing: Discover the benefits of a gradual, thoughtful approach to mold detoxification, including the dangers of hasty decisions and how to find reliable professionals to support your journey.Harnessing the Power of Postbiotics and Probiotics for Healing: Explore how products like Power Biotic and Pectosol can support your body's healing process, helping to manage gut health and immune function while addressing mold colonization without exacerbating fungal issues.To  learn more about Dr. Lauren Tessier, head over to her website, Life After Mold, or visit her Instagram.___________________________________________________They say all disease begins in the gut—but at ecoNugenics, we believe vibrant health starts there too!If you're feeling sluggish, bloated, or just off, your gut might be trying to tell you something. Everyday toxins, stress, and even mold exposure can wreak havoc on your digestive health. That's where the 28-Day Detox & Gut Health Reset comes in—a science-backed program designed to help you restore balance, eliminate toxins, and optimize digestion.This comprehensive program features clinically proven natural ingredients that support gentle, effective detoxification with a structured yet sustainable approach to gut restoration. You'll also get four weekly doctor-led webinars, live Q&As, and guest lectures from leading experts.To support your journey, the program includes a detailed detox guide, gut-friendly recipes, and daily emails. Plus, you'll gain access to an online portal packed with expert resources, instructional videos, and structured protocols—along with a Gua Sha tool to enhance lymphatic drainage.And here's the best part—Dr. Lauren Tessier, featured in today's episode, hosts exclusive webinars as part of the program! It's time to give your body the reset it deserves. Are you ready to feel your best? Join the ecoNugenics 28-Day Detox & Gut Health Reset today! Learn more at econugenics.link/elmoreBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-lindsey-elmore-show--5952903/support.