Podcasts about lupron

Dr. Deb Muth 0:00 Welcome back to Let’s Talk Wellness Now. I’m your host, Dr. Zab, and we are continuing our discussion this week on 0:08 peptides. And so, if you haven’t heard our first conversation about peptides, 0:13 please go back and look at that episode. We talk all about the manufacturing, the safety, the quality of peptides, and we 0:20 dove into GLP1s. And today we’re going to dive into peptides for sexual 0:26 wellness, immune function, growth hormone, and all the amazing fun things 0:32 we can do with peptides. So, as usual, grab your cup of coffee or tea, settle 0:37 in, and let’s talk wellness now. And we’re going to take a short pause from our sponsor. I know we’ve got to do 0:44 that, you guys. They’re who keep us on the air. So, I’m going to pause for just a minute and be right back after this 0:50 message from our sponsor. Ladies, it’s time to reignite your vitality. Primal 0:56 Queen supplements are clean, powerful formulas made for women like you who want balance, strength, and energy that 1:03 lasts. Get 25% off at primal queen.com. Serenity Health. That’s primalqueen.com. 1:10 Serenity Health. Because every queen deserves to feel in her prime. All 1:15 right, everybody. We are back. And are you ready? We are talking all things peptide and I am opening the show today 1:23 with sexual wellness. Yes, I’m going there, you guys. I am going there. You 1:29 know, this has really become a big issue for people um of all ages. It’s not just 1:3 4us older people. It’s younger people, too. And there’s a whole variety of reasons why we have sexual dysfunction. 1:42 And when we’re talking about sexual dysfunction, we’re not just talking about it doesn’t work, right? Or I can’t 1:48 reach orgasm. A lot of it is around desire and um the thought of it and 1:54 wanting to connect, wanting to be kinder to one another, wanting to be touching 2:00 one another. A lot of it resolves or revolves around that. And so there are some peptides that can help us and I’m 2:08 really excited to be able to talk about those today. So the first one is called PT-141. 2:14 This targets the brain not the periphery. Right? So for many women I 2:20 will always tell you sex starts between here. It is a brain thing for us. It is 2:26 not necessarily a physical thing. For guys that’s a little different. It’s very physical. For women it’s all in our 2:32 brain. So tip for you men that are listening. You have to prime your woman’s brain first if you want her to 2:38 have sex with you that night. You have to be nice to her. You have to bring her flowers. Do the dishes for her. Do 2:45 something kind. Bring her a cup of coffee or tea or a glass of wine. Take her to dinner. You have to woo her. And 2:51 I don’t care how long you’ve been married. That has to happen. And tip number two, don’t say anything stupid 2:57 that day. I’m just being honest. When you guys say things that make us upset, 3:03 that lingers with us for the rest of the day. And it’s it’s a turnoff for us. And 3:08 for a lot of women, we can’t get past that when it comes time to snuggle at night. And sex doesn’t always have to be 3:14 at night either. So, you can tell I really love talking about this conversation, but we’re going to get into the peptide part of it because this 3:21 is going to help people. So, um, PT-141 is marketed as I’m going to slaughter 3:28 this name, Vali, and it represents a fundamentally different approach to 3:34 sexual dysfunction than the PDE5s inhibitors like Slenden, Viagra, 3:40 Tedataphil, which is Seialis. And while the PDE5 inhibitors work specifically by 3:47 enhancing blood flow to the genital tissues, PT-141 works centrally in the brain by 3:54 modulating neural s neural circuits involved in the sexual desire and 4:00 arousal. Now PT-41 is a cyclic hpatipeptide. It’s seven amino acid 4:07 peptide arranged in a cyclic structure that acts as a melanoortin receptor 4:13 agonist and with particularly the infinity for MC3R and MC4R subtypes. 4:20 It’s actually a metabolite of the melanotan 2, a peptide originally 4:26 developed for tanning that was also found to enhance sexual desire in early 4:31 studies. Now the melanoortin system in the brain is involved in multiple functions including energy homeostasis 4:39 but it also is involved in sexual motivation and arousal behaviors. The FDA approved PT-141 in 2019 specifically 4:48 for the treatment of acquired generalized hypoactive sexual desire 4:54 HSDD in permenopausal women. So for the first time we have a medication that was 5:01 approved by the FDA to use for women for sexual dysfunction. We have had all of 5:07 these seialis tedataphil viagros for men but we had nothing for women. And so 5:12 this is amazing that this is available for women and approved by the FDA. It’s a big deal. This represents the first 5:19 and only FDA approved medication specifically targeting these circuits of sexual desire rather than the peripheral 5:27 arousal mechanisms. And this indication is quite specific, meaning it was developed at some point, not lifelong. 5:35 So I if you’ve had sexual dysfunction your entire life, this medication was 5:40 not approved for you. But if it’s something that you developed over time, like when you went through pmenopause or 5:46 menopause or some women have this experience happen after childirth, that’s what we’re talking about here. 5:53 Now, it’s also not just um supposed to be used if you dislike your partner, 5:59 right? If your relationship is bad and you dislike your partner, this probably isn’t going to fix a ton. It might help 6:05 a little bit, but that’s not what it’s meant for. So, you really have to know what you’re using it for and why. And 6:11 the other thing that I would say is this is something that we don’t go to if your hormones are not balanced properly. You 6:17 have to balance your hormones properly before using something like this because it still may not work. Now, the only 6:24 caveat to that is if you’re a woman that has a risk of breast cancer and can’t use hormones, then that’s a different 6:31 story and we would have that conversation about whether or not this medication would be appropriate for you. Now, the FDA label specifies PTA1 uh 6:39 PT-141 as it not being indicated for HSDD in causes where low sexual desire 6:46 is due to coexisting medical or psychiatric conditions, problems with relationships, like we had talked about, 6:53 side effects to medications or other substance use. This specifically reflects the importance of differential 6:59 diagnosis. Low sexual desire can have many root causes and PT-41 is only 7:05 appropriate when those causes have been ruled out. Now, I have I used PT41 in 7:10 people who have sexual dysfunction issues as a result of using 7:16 anti-depressants. Yes, I have. I’ve used Flynn in that effect as well. And it 7:21 does work sometimes, but it doesn’t work completely. But you need to know that that is not what the approval is for the 7:27 FDA. So that is done in something that we call off label use. So very important 7:33 to know. Now in these clinical trials leading to FDA approval, this was published by Kinsburg and colleagues in 7:40 obstetrics and gyne gynecology in 2019. PT-141 demonstrated statistically 7:46 significant improvements in sexual desire and decreases in distress related 7:51 to low desire compared to placebo. The effects manifest over 45 minutes to 7:56 several hours after the injection and the mechanisms involved modulation of dopamine and melanoorton pathways in the 8:04 hypothalamus and the brain regions that involved sexual motivation. Now cardiovascular effects of PT 141 require 8:12 careful attention. This drug causes transient increases in blood pressure about 3 to four points and transient 8:20 decreases in heart rate. And because of this, it is contraindicated in patients 8:25 with uncontrolled hypertension or known cardiovascular disease. And it has been studied in patients who’ve had recent 8:32 cardiovascular events or sorry hasn’t been studied hasn’t been studied in patients who’ve had recent 8:39 cardiovascular events. So patients need to have their blood pressures checked before starting therapy. Nausea is 8:45 extremely common. It is one of the biggest things I often will tell people to take an anti-nausea medicine if 8:52 they’re going to do this because the last thing you want to do is inject this medication and think it’s going to give 8:57 you this great time with your partner and you’re so nauseated that you can’t even perform, don’t want to kiss, don’t 9:05 want to do anything. It it can be pretty profound for some people. um it does affect about 40% of the patients in 9:12 clinical trials which is why many clinicians require or recommend an 9:17 anti-nausea medication like I had just said other common adverse effects include flushing injection site 9:24 reactions headache in about 13% of the population which I have seen worse if 9:30 people are prone to headaches and the headaches are pretty intense so I will also have them premedicate if they have 9:36 that um sensitivity ity with a Tylenol or Advil, Alie, whatever it is they 9:42 typically use for their headaches to help prevent that from occurring. Now, some patients also experience a 9:50 generalized hyperpigmentation of their skin, particularly in areas with chronic friction, and this may not be reversible 9:57 after discontinuation. So from an integrative perspective, PT-41 10:03 represents one tool in addressing female sexual dysfunction, but it should never be the first or only intervention. And 10:11 low sexual desire in women is complex. Multiffactorial involving hormonal imbalances, low testosterone, estrogen 10:18 deficiency, progesterone imbalances, thyroid dysfunction, adrenal dysfunction, and with elevated or 10:24 disregulated cortisol levels, sleep deprivation, relationship issues, unresolved trauma, including sexual 10:31 trauma, chronic pain, body image concerns, and medication side effects such as SSRIs are notorious for this. So 10:39 a comprehensive hormone panel including total and free testosterones, estradile, 10:45 progesterone, DHEA, thyroid function in cortisol assessment, ideally four-point 10:51 cortisol, salivary should precede any pharmacological intervention. And additionally, addressing the 10:57 psychological component and relationship dimensions through appropriate therapy is necessary. I have a lot of patients 11:03 that say, “This is just too much work for sex. I don’t want the side effects. I don’t want to deal with this.” and that’s totally fine. But for some 11:09 people, their sexual dysfunction is actually causing more problems on their 11:14 relationship and they want to do something to fix that. And just know that if you’re using a peptide like this 11:20 that comes with some of these side effects and you have to premedicate for it, it is not the end of the world. Um, 11:27 but it may be a possibility that you may need that. So, let’s dive into body composition and growth hormone access. 11:34 So Tesmarellin is the only FDA approved GH 11:40 analog. Tesarelin is marketed as Agrifta and Agria SV. It is a synthetic analog 11:48 of human growth hormone releasing hormone. So GH RH human growth hormone 11:53 releasing hormone. These things are such long names it’s confusing and it’s difficult to spit out, right? It 11:59 consists of 44 amino acids. The structure is identical to our own 12:05 body’s growth hormone GHR um with the addition of trans3 hexonol group which 12:14 stabilizes the molecule that extends its half-life compared to the native GHR. 12:19 The mechanism of tesmarellin is elegant in its preservation of physiological 12:24 growth hormone GH secretion patterns and rather than administering an exogenous 12:30 growth hormone directly, tesmarillin binds to the GH receptor in the anterior 12:36 pituitary gland stimulating the indogenous pulsatile release of GH. So 12:42 you know it it’s slower in that stimulation and it pulsates instead of a direct rise and fall. This pusile 12:49 pattern more closely mimics natural GH secretion which occurs in bursts 12:54 primarily during sleep. The GH then stimulates the liver to produce insulin-like growth factor IGF-1 which 13:01 exerts many of the downstream metabolic effects including lipolytic effects on 13:07 the atapost tissue. So fat atapose and how we break that down. The FDA approved 13:13 tesmarellin in 2010 for a very specific narrow indication, the reduction of 13:19 excess abdominal fat in HIV infected patients with lipodistrophe. This 13:25 condition characterized by abnormal fat redistribution with accumulation of visceral body fat and the loss of 13:32 subcutaneous fat in face and limbs developed as a complication of an 13:37 antiviral therapy particularly with older protease inhibitor reg uh 13:42 regimens. The visceral fat accumulation in patients is not just cosmetic. It’s associated with increased cardiovascular 13:49 risk, insulin resistance, and inflammatory markers. The pivotal trial that led to the FDA approval included 13:56 work by Stanley and colleagues published in the annuals of internal medicine in 2014. It demonstrated that tesmarillan 14:03 significantly reduced the visceral atapose measured by CT scan by approximately 15 to 20% which is a 14:10 significant difference to placebo over a short period of time only 26 weeks. Now, 14:16 interestingly, the total body uh weight typically remained stable or even 14:21 increased slightly as the reduction of visceral fat was sometimes offset by increases in lean body mass or 14:28 subcutaneous fat. This highlights an important point. Tesmearellin is not a weight loss drug in its conventional 14:34 sense. Its effects are specifically on body composition and fat redistribution. 14:40 Now the glucose metabolism effects of tesmarellin do require careful monitoring because GH and IGF1 can 14:47 induce insulin resistance. Tesmearellin can increase glucose levels and hemoglobin A1C and in these clinical 14:54 trials glucose tolerance and new onset diabetes occurred in some patients. So 14:59 this creates a therapeutic paradox while res reducing visceral fat we should theoretically improve metabolic health. 15:07 The GH mediated insulin resistance can worsen the glycemic control and patients 15:12 with diabetes require particularly close monitoring. The potential need for adjustment in diabetic medications can 15:19 occur. So I already know what you guys are thinking. Can I use Tesmarellin and 15:24 GLP1 at the same time? And the answer is yes. Especially in those people that we 15:30 know have an insulin resistance already or are prone to that, we can use lowd 15:36 dose micro doing GLP-1 along with tesmarellin to help prevent this from 15:42 occurring um or reduce the risk of it occurring. Now there are some other adverse related problems to growth 15:49 hormone access which include fluid retention which can uh manifest as uh 15:55 ankle swelling, joint pain, muscle pain, paristhesas, carpal tunnel syndrome is 16:01 common to see. Of course you can always see injection site reactions reported about 26 to 30% of the time in the trial 16:08 participants. And this also theoretically has a concern about IGF-1 elevation potentially promoting 16:14 malignancy through long-term data is limited. So we have to be cautious about 16:20 this but it is a growth hormone and anything that is a growth hormone can cause cells to grow and it cannot 16:26 necessarily differentiate between healthy cells and bad cells. So the drug is contraindicated is contraindicated in 16:33 patients with active cancer and in patients with the disruption of the HPA access from conditions like pituitary 16:40 tumors, pituitary surgery, head of radiation um and traumatic brain injury. 16:46 Now off label use of tesmarellin for general anti-aging or body composition 16:51 optimization in non-HIV population, it doesn’t have FDA approval. There is no 16:58 FDA studies. um that promote this, but practitioners do prescribe it for these 17:04 purposes under an experimental and not supported by FDA approved indications. 17:10 And um from an integrative medical standpoint, optimizing natural growth 17:15 hormone secretion through lifestyle interventions, high quality sleep is important. GH primarily is excreted 17:22 during sleep and deep sleep waves. So improving your deep sleep is important. Intermittent fasting can also increase 17:28 growth hormone by five-fold as demonstrated in a Hartman and colleagues uh study from the journal of clinical 17:35 endocrinology and metabolism in 1992. And highintensity interval training, adequate dietary protein, blood sugar 17:42 control, these all can help naturally increase your growth hormone. So, let’s 17:47 dive in now and talk about bone health. peptide hormones um such as oh I’m gonna 17:54 I’m gonna really slaughter this name. Terraparatide is a true bonebuilding 18:01 peptide. It’s marketed as forio. It’s a recumbent form of the first 34 amino 18:08 acids out of 85 of the human parathyroid hormone PTH. It represents a unique 18:13 approach to osteoporosis treatment because it’s one of the few truly anabolic anabolic bone therapies meaning 18:21 it actively binds new bone rather than simply preventing bone loss. The biology 18:26 of parathyroid is fascinating and seemly contraindicated or uh contradictory. 18:32 Continuously sustained elevations of PTH as occurs in hyperarathyroidism 18:37 is catabolic to bone. So people who have hyperarothyroidism typically have significant bone loss 18:44 especially before it’s diagnosed and it causes causes increased bone 18:49 reabsorption loss of bone density increased fracture risk and however 18:55 intermittent exposure to PTH as achieved with once daily uh injections of forio 19:01 has the opposite effect. This intermittent exposure preferentially stimulates osteoblasts bone building 19:08 cells over osteoclasts bone reabsorbing cells and it leads to 19:13 the net bone formation. So terraparatide binds to the PTH receptors on 19:20 osteoblasts and renal tubular cells in bone. It increases the number of 19:25 activity of osteoblasts stimulating the differentiation of osteoblast precursor cells and may 19:32 reduce osteoblast apoptosis basically programmed cell death allowing this bone 19:37 building cell to work longer. The result is increased bone formation, improved bone architecture and tbacular 19:45 connectivity and ultimately increased bone mineral density um particularly in the hip and the spine which is so 19:51 difficult to regain. The FDA approved this medication in 2002 based on pivotal 19:57 studies by Near and colleagues published in the New England Journal of Medicine in 2001 which demonstrated significant 20:05 reductions in vertebral and non-vebral fractures in post-menopausal women with 20:11 osteoporosis. specifically uh reduced new vertebral fractures by 20:17 65% and nonvettebral fragility fractures by 53% 20:23 compared to placebo over a median followup of 21 months. This is really 20:29 incredible because we have not seen this kind of um change uh in other 20:35 medications that we’ve used for osteoporosis. So current FDA approval 20:40 indicates uh this for post-menopausal women with osteoporosis at high risk for 20:46 fracture, men with primary or hypoconatal osteoporosis at high risk for fracture 20:53 and men and women with glucocord cord glucocordide 21:00 induced osteoporosis at high risk for fracture. The high risk qualifier is 21:05 important. uh terrapeptide is reserved for patients with severe osteoporosis, 21:11 multiple fractures, very low low bone density and those who have failed or are 21:16 intolerant of other therapies. The most significant concern for this medication 21:21 is highlighted in a boxed warning with rat toxicology studies where it caused 21:27 osteioaroma which is a bone cancer in a dose dependent and treatment duration dependent manner. The revolence of this 21:34 finding to humans is debated. Rats have fundamentally different bone biology than humans with continuous bone growth 21:41 throughout life and different PTH receptors. Now post marketing 21:46 surveillance in humans hasn’t shown a clear increase in osteocaroma risk but 21:51 theoretically concerns persist and because of this terapeptide is 21:57 contraindicated in patients at risk baseline risk for osteioaroma 22:02 including those with pageantss disease of the bone unexplained elevations of alkaline phosphate prior skeletal 22:10 radiations bone metastases or skeletal malignancies and pediatric patients or young adults 22:16 with open hyes. There’s also a lifetime treatment duration of only 2 years and 22:22 terrapeptide can cause transient hypercalcemia. So an elevated blood calcium and as PTH normally increases 22:31 calcium levels by enhancing bone reabsorption, increasing renal calcium 22:36 reabsorption and promoting activation of vitamin D which increases intestinal calcium absorption. Some patients 22:43 experience orthostatic hypotension within 4 hours of injecting requiring 22:48 caution in at risk populations for blood pressure. Common side effects include 22:53 muscle pain, joint pain, pain in the limbs, nausea, headache, and dizziness. So from an integrative bone health 23:00 perspective, terrapeptides should be part of a comprehensive strategy. Adequate calcium intake, 500 to a,000 23:08 milligrams of calcium a day from food and supplements combined. and vitamin D. 23:13 Getting vitamin D levels of at least 50 to 80 are essential for the drug to work 23:20 optimally. But beyond this, bone health requires vitamin K2, which directs calcium into the bones rather than soft 23:27 tissues, magnesium as a co-actor in bone metabolism, trace minerals like boron, 23:33 copper, silica, and of course, adequate protein intake, which many of us, especially as women, don’t do 0.8 8 to 1 23:42 gram of protein per kilogram of body weight, weightbearing exercise. Of 23:47 course, these all provide mechanical signals that complement the biochemical 23:52 symbol uh signals of terrapeptide. Sequential therapy is also critical. The 23:58 bone mass gains from terraparatide can be lost if patients don’t transition to 24:05 an anti-resorbbitive agent a bisphosphinate after completing this therapy and the anabolic effects to 24:12 build bone but maintaining the new bone requires preventing excess reabsorption. 24:18 So positive things about this but there are definitely some concerns as well. So 24:23 the next one we’re going to talk about is Lu Prolrooide. It is marketed under 24:29 the multiple brand names of Lupron, Depo, Eligard, and it’s a synthetic 24:34 nonapeptide analog of naturally occurring ginonadotropen releasing 24:39 hormone G&R, also called luteinizing hormone releasing hormone, LHR. 24:46 It’s a fascinating example of how manipulating natural hormonal feedback systems can create therapeutic effects. 24:53 So, G&RH is normally secreted in a pulsatile fashion by the hypothalamus 24:59 and travels to the anterior pituitary where it binds to G&R receptors and 25:05 stimulates the release of luteinizing hormone LH and follical stimulating hormone FSH. These ginatotropins signal 25:13 the ovaries or the testes to produce sex hormones, estrogen, progesterone in 25:18 women, testosterone in men. Uh, luoprololi lupron as a GNR agonist 25:26 initially mimics the action of natural G&R causing an acute flare response with 25:33 uh increased LHFSH secretion which temporarily increases sex hormone 25:38 production. However, the continuous administration which is in the depo 25:44 formulations, the GNR receptors in the pituitary become desensitized and 25:50 downregulated. And after about 2 to four weeks of continuous exposure, LH and FSH 25:56 secretion is profoundly suppressed, leading to what’s termed as chemical 26:01 castration. Testosterone levels in men drop to castrated levels less than 50 26:08 and estrogen production is marketkedly suppressed in women. This bifphasic 26:13 response creates both therapeutic applications and management challenges in prostate cancer where tumor growth is 26:20 typically androgen dependent and the ultimate goal is testosterone suppression. However, the initial 26:27 testosterone surge during the flare phase can temporarily worsen symptoms potentially causing increased bone pain, 26:34 urinary obstruction, or even spinal cord compression in patients with metastatic 26:40 disease. This is why uh luoprolide is often started with an anti-ad androgen 26:47 like bicladamide for the first two to four weeks to block the effects of the 26:52 testosterone surge. The FDA has approved lupalide for multiple indications across 26:59 formulations. In oncology, it’s used for palletive treatment of advanced prostate cancers. In gynecology, various 27:06 formulations are approved for endometriosis, for pain management and lesion reduction and for fibroids. 27:13 Typically for pre-operative uh hematological improvement in anemic patients. In pediatrics, it’s used for 27:20 central precocious p puberty basically to halt the premature sexual development of these young people. Now, there are 27:28 adex uh adverse effect profile that reflects profound hormonal suppression. 27:34 In men treated for prostate cancer, hot flashes affect about 59% of the patients. Other common effects include 27:41 general pain, swelling, bone pain. Um long-term use of these medications leads 27:47 to metabolic changes. It increases fat mass. It decreases lean mass. It worsens 27:53 insulin sensitivity, disrupts the cholesterol uh lipid panels, increases 27:59 diabetic risk, has some concerns over cardiovascular disease. And the metaanalysis have shown increased risks 28:06 of heart infarction, myocardial inffection, sudden cardiac death, and stroke in populations receiving 28:13 long-term androgen deprivation therapy. The bone effects are particularly dramatic. Without sex hormones, bone 28:20 density decreases significantly, typically 3 to 4% per year during the 28:26 first two to three years of therapy. And this bone loss may not fully be reversible after the the therapy 28:32 discontinues. The American Society of Clinical Oncology recommends bone density monitoring and consideration of 28:39 bisphosphinates uh in men receiving long-term androgen deprivation. In women treated for 28:46 endometriosis or fibroids, the estrogen suppression creates a hypoestrogenetic state similar 28:54 to menopause. Hot flashes affect 90% of patients with other common effects 29:00 including headaches, emotional irritability, decreased sex drive, vaginal dryness, bone density loss. And 29:08 because of these bone concerns and treatment duration with endometriosis, typically limited to six months, though 29:14 some formulations allow for longer use with adback hormonal therapy to 29:20 partially mitigate these side effects. The mood and cognitive effects can be s 29:25 significant. I’ve seen it over the years. the depression, the memory impairment, difficulty focusing and 29:31 concentrating. It can be very very traumatic and the quality of life that 29:37 happens for these uh women and men can be unbearing for many of them. Um, from 29:44 an integrative perspective, patients receiving this medication need comprehensive support care. Bone health 29:51 interventions using calcium, vitamin D, vitamin K2, weightbearing exercise, 29:58 cardiovascular risk management becomes critical, including blood pressure monitoring, lipid management, diabetes 30:05 screening. For hot flashes management, some patients respond to black coohos, 30:10 sage, or vitamin E. Though evidence is mixed and individual response varies, 30:16 omega-3s may help with the mood and the inflammation, resistance training becomes specifically important to 30:22 preserve lean muscle mass in the face of hormonal suppression. 30:27 Now there’s something called calcetonin salamon which is marketed as miaelin. 30:34 It is a nasal spray. It is now discontinued. And foral is the new 30:39 synthetic polyeptide hormone of 32 amino acids identical to calcetonin of salamon 30:47 origin. It represents an interesting case study in how initial promise gives 30:52 way to safety concerns that regulate a therapy to historical footnote status. 30:58 Calcetonin is naturally occurring hormone in humans. It’s secreted by the paraphalicular sea cells in the thyroid 31:04 gland. Its primary physiological role is to lower blood calcium levels by 31:10 directly inhibiting osteoclast activity, reducing bone reabsorption, increasing 31:16 renal calcium secretion or excretion, and possibly reducing the intestinal 31:21 calcium absorption. So, salamon calcetonin is used therapeutically because it’s more potent and longer 31:27 acting than human calcetonin. The FDA initially approved calceton and salmon 31:34 for several indications post-menopausal osteoporosis in women more than five 31:39 years post-menopausal when alternative treatments are not sustainable. Padet’s 31:44 disease for bone and hypercalcemium as emergency treatments. The nasal spray formulation is particularly popular for 31:53 osteoporosis because it offered a non-injectable alternative to bisphosphinates. 31:58 However, in 2012, the European Medicine’s Agency, EMA, conducted a 32:05 comprehensive safety safety review after a poolled analysis of 21 clinical trials 32:10 involving over 10,000 patients showed a statistically significant increase in 32:15 malignancy risk in patients treated with calceton salamon compared to compared to 32:21 placebo. The overall malignancy rate was 4.1% in calcetonin treated patients 32:28 versus 2.9% in placebo patients. The types of cancer 32:34 varied with no single cancer type predominating, making it difficult to establish a clear mechanistic link. 32:41 However, the signal was concerning enough that the EMA restricted the use of calcetonin containing medicines. In 32:48 the United States, the FDA issued communications about malignancy signal and conducted its own review. While they 32:56 didn’t fully withdraw the drug, the cons consensus shifted dramatically. The nasal spray formulations miaelson was 33:03 voluntarily discontinued by the manufacturer and current clinical practice guidelines now consider 33:10 calcetonin salamon as a second line or lower option for osteoporosis. While 33:15 behind bisphosphinates, dennism mob, uh, terrapeptide, the analesic effect of 33:21 calcetonin in bone pain, particularly in acute vitibbral, uh, compression 33:26 fractions from osteoporosis or pageantss disease may still provide a role for short-term use in these selected 33:32 patients. The mechanism of this pain relief is unclear, but may involve 33:38 effects of endorphin systems and/or direct actions on pathways. The history serves as an important reminder in 33:45 peptide medicine. Initial approval and early clinical use does not guarantee 33:50 long-term safety effects. Post marketing surveillance and poolled analysis of the clinical trial data can reveal adverse 33:58 effects that weren’t apparent in initial studies. It also underscores why newer 34:04 agents with better safety profiles um have largely replaced calcetonin in 34:10 clinical practice. So this is really an important thing. Not one thing stays the same forever. We have to change as we 34:18 identify new and better products as we identify problems and concerns. I will 34:24 always tell my patients if you are uncertain of taking a new drug which we 34:30 all should be wait five years. Within five years we are going to find the 34:36 problems that they didn’t find in the clinical studies. Remember, a lot of these clinical studies are small, small 34:43 groups, short periods of time. It’s expensive to do these trials. So, if you 34:49 wait for five years, in the first two to three years, you will see the problem start to emerge. And what are you going 34:55 to look for? You’re going to look for the the news um commercials from lawyers 35:02 suing a drug. And they will tell you what the problem is. and then you can decide, is this something that I want to 35:09 use or not. Don’t jump on bandwagon and be the first one to do this, especially 35:14 if you’re sensitive. You know, give it time so you can see exactly what’s going on. So, I’m going to end our show on 35:22 this and we are going to pick up on part three of peptide therapy in our next 35:28 segment where we’re going to talk about the investigational peptides and some 35:34 exciting things that are happening with that. So, I want to thank you for joining me today on Let’s Talk Wellness 35:39 Now. It’s always a pleasure having a conversation with you guys and I hope this brings value to you with what we’re 35:45 talking about. If you have ideas for topics that you want me to discuss, 35:51 please message us, you can share your comments on Facebook, you can email us, 35:58 um you can get a hold of us however you would like to share that. I do look at the comments below in the episodes as 36:04 well. So you can place your comments there. And once again, one of the best things you can do for me is like, 36:11 subscribe, and share so that we can spread the messages of what we’re doing. 36:16 I do this at no cost. I don’t make any money out of this. I do this as an 36:21 educational purpose for everybody else. I love doing it, but it really helps us 36:28 on the algorithms if you would be just willing to like, subscribe, and share. 36:33 So, thank you for spending your time with me. I know time is important.The post Episode 257 – Peptides for Sexual Wellness & Hormonal Health: PT-141, Growth Hormones, Bone Health & More! first appeared on Let's Talk Wellness Now.

It's true! I increased my bone density 5% in just two years, without any hormones, medications, or special supplements. All the goodies are in here. Faster Way To Fat Loss Osteoporosis Modifications for Pilates Puff Puff Pilates NEW - Transcript: Hey everybody, it's Lynda Lippin. Welcome back to the Pilates Goddess podcast. I am so thrilled to be here with you in February 2026. Even though you know, things in this world are really hard right now. Things in this country are really hard right now. 0:19 I'm personally having an OK entrance into 2026, so the biggest thing that's happened over the last two years for me is that I did manage to pay off a chunk of debt that I really needed to pay off. 0:44 I worked my little butt off to do that and I also managed to increase my bone density by 5% in the last two years. That's right, 5%, another 3% and I will be back to normal range and not in osteopenia anymore. 1:07 And I also managed to pack on about 20 lbs of muscle but net lose about 20 lbs. So you know, I am just happy with how the body is working right now. And in addition to all of this, because I have so much arthritis in my joints and they are indeed going to need to be replaced, I'm seeing a physiatrist at Mount Sinai and we're kind of working through some stuff. 1:32 But realistically, you know, I can't 'cause my joints any much more harm. And right now it's good for me to be in less pain to kind of reset my nervous system, get my sleep back on point, maybe get off more of the gabapentin because THC seems to be working well for my pain. 1:54 That the injections that I'm getting, steroid injections, in my hip and shoulder and my neck will keep me pain free enough to avoid the joint replacements for another year or two. 2:12 That's all I'm doing. Like I know I need the joints replaced, but I'm not ready to do that now. And the way forward is to basically shoot 3 in 1 oil in there like the Tin Man. But I got to tell you, I had my left hip injected last Thursday and it felt so much better. 2:38 I had kind of a rough Thursday, you know, because the injection site gets sore and I was tired and whatever, But by the time I went out on Saturday, I was feeling like significantly better. I can walk stairs now without having to hold on to the banister, which is really exciting. 2:56 My balance is better. I don't have to limp when I first get up from bed or the couch, which was starting to happen. And I'm getting my shoulder injected next Thursday and I am so excited because my left shoulder is so clunky and so fucked up that if to just have that smoothed out a little is gonna be awesome. 3:21 Now, these things are temporary, right? So an injection might last, you know, three to six months. So I just figure, you know it somewhere between probably two and four times a year, I will need to go get these shots. 3:37 And when I'm tired of that, I'm gonna get my joints replaced and I will then be bionic and even more awesome than I am now. All right, in other news, Puff Puff Pilates is going really well. 3:55 I, as I'm sure you can all imagine, am really enjoying this Stoner Pilates goddess era of my life. I am thrilled to be open about my use of cannabis, about my use of cannabis for pain, for anxiety, regulation, for sleep, for all kinds of things. 4:18 I've been doing it for 47 years, my friends, but it's finally legal, so I talk about it. And if you want to know if I talk about it with my doctors as freely as I do here and with friends and whoever wants to hear about it, yeah, I do. 4:35 My doctors all know what I do. They all know how much plant I use, how I use it, and they're all fans because I'm doing well. So let's kind of deep dive into what I've done for the Osteoporo Osteopenia and why. 4:59 As you may know, if you've been a long time listener of the podcast or you know me or you've read some of my articles, my struggles with endometriosis. For most of my life I had pretty severe endometriosis with bladder and bowel involvement. 5:16 I was in pain, I had to pee all the time, felt like I had a urinary tract infection even though I didn't for like 2 years. That was fun and finally had a total abdominal hysterectomy about 30 years ago after a year of being on Lupron, which is an injection that a monthly injection that essentially stops any kind of sex hormone in your body. 5:47 So it stops estrogen, it stops progesterone, it stops testosterone, all the things, right. I therefore have had low estrogen levels, which are intrinsic, you know, crucial to bone strength for much of my life. 6:09 In addition, I struggled a lot with food when I was like 12/13/14 and and a little bit after that. My mother was bipolar and there was just a lot of dysregulation going on around me and people didn't always notice really what I was doing. 6:34 So I regulated food and I was eating literally 600 calories a day. I remember 600 calories a day. I was writing down my meals, and that's really not enough calories to build bone for an adolescent girl. 6:52 So in addition to the hormonal challenges, you also have kind of the old anorexia challenges. But now I'm good with food, right? And I'm really good with exercise. 7:09 During the two years prior to my last bone density scan, I was in horrible, horrible chronic pain from long COVID. And with that chronic pain, I could not do a lot of strength training or high intensity exercise. 7:31 I had to really stick to very low intensity Pilates, you know, yoga, very low intensity in home, like walking and cardio workouts and such things as that. Pain started to abate. 7:48 I discover that my bone density is like down. I went from normal. I went from like at least 0.3 to -1.8. So I looked at the results of that DEXA scan. 8:06 I saw osteopenia in my lumbar spine and I said hell no, no, no, no, not today. Osteopenia. I am not dealing with this shit. I do not have time. So the first thing that I did is I know of an extraordinarily effective online at based community based resistance training program called Faster Weight of Fat Loss. 8:37 I've talked about it on here before. The founder, Amanda Tress, is a friend of mine. I was a beta coach for her for many moons and knew her before. Faster way. And it's effective and basically half an hour a day, half an hour to 45 minutes. 8:58 So I let my husband know that I was signing back up for the program. I reached out, I signed back up, and because I'm a pretty talented personal trainer who knows you know how to do things, I was easily able to translate all of the resistance workouts where they were using kettle bells or dumbbells into one dumbbell and bands and tubing. 9:36 I live in a studio apartment with my husband. All of my workout equipment fits into a small drawer. I use heavy tubing. I mean, I have metal doors so my my doors can take the weight. I overhead press, you know, 30 lbs of tubing. 9:56 I chest press 60 lbs of tubing off the door right now. It you know, I'm using heavy stuff and I use also looped mini bands for things like preacher curls and concentration curls. I've really broken down the entire program into doable band and tubing and I just started working out. 10:24 Now, when I first started back on faster way, I was certainly not using this level of resistance. I think I was using maybe a 10 LB tubing and maybe a 20 LB tubing and that was like as far as that was going. And then I, you know, as things get easier or sometimes I can tell, you may think this is funny, but I connect my tubing to the bottom of my bathroom door, which faces my galley kitchen and my microwave. 11:01 So if I'm doing chest pressing and I get super close to the microwave, I know it's time for me to up the resistance and get something new. And then I start further back so that I am consistently challenging myself. 11:19 If you've ever used looped mini bands at all the colored ones, I now deadlift with the extra heavy. The heavy and the light. So you know, it's it's a lot it's a lot of poundage, but being consistent and doing the work has led to me having 5% more bone density without having to take medication. 11:54 I didn't start any hormone therapy. I haven't taken any shots. There's nothing else is going on. I'm resistance training and if you don't do classical Pilates, but you're doing some other form of of Pilates that might be a little faster paced, that might use slightly lighter resistance. 12:19 I want you to understand that that work is not necessarily going to give you bone strengthening benefits in the way that working on classical Pilates equipment will. Now why is that? Because the springs are heavier, there's no ball bearings in the wheels on the reformers, so a lot more strength is required and a lot more strain through the larger muscles. 12:46 And every single exercise is modifiable for osteopenia or osteoporosis. I don't give a shit what anybody says. You can go on my website, go to lintalippman.com/everything and you will see teacher workshops that I recorded, very simple ones for Matt and for all of the apparatus just talking about osteoporosis modifications. 13:15 So I started doing more Pilates. I added in the faster weight of fat loss resistance training and I'll put a link to all these things in the show notes. But doing the consistent work led to me increasing my bone mass and my strength and my muscle mass. 13:37 Now it was very interesting and I want to talk to you about this because I think this is important for everyone to hear. OK, this is not just me patting myself on the back. It is important for everyone to hear is that we can all do this. 13:54 It just requires the work. If you're not the kind of person who wants to exercise with an app then and or you are comfortable with working out at home, but you want somebody say on Zoom to be watching your form and help put you through that, then you know, contact me, contact some online trainers and get somebody to do that with you. 14:19 OK, That's a thing people do that if you are not comfortable working out at home, but you want to go to your gym, then go to your gym. There's also a gym track actually in faster way to fat loss. So if you want to go to the gym, they take you through the whole workout using the equipment you would commonly find any any gym. 14:42 But again, if you want to use tubing, if you want to use free dumbbells or free weights, if you want to use kettle bells, that's, you know, easy, easy, easy to do. So when I went to see the physiatrist at Mount Sinai for my intro visit, we kind of talked about my joints and my body. 15:03 And he saw where I could move and where I couldn't move. And, you know, we started talking about injections and joint replacements and things. So when I came back into him after I had had, you know, the X-rays and the MRI of the neck and I came back in to get my hip injected, he said to me, do you want to have a phone call in two weeks about this hip injection? 15:33 Or would you rather come back in and let me do your shoulder? And I of course, was like, let me come back in and do my shoulder. So I'm doing that next week. But he said to me that my range of motion and my strength were remarkable. 15:51 That was the word he used - remarkable. He he informed me that my hypermobility has both hurt me and helped me over the course of my life. And that I know! We discussed the fact that I was right over the past few years in prioritizing strength and protection around my joints as much as I could instead of prioritizing mobility. 16:16 That I was right in prioritizing strength so that now I have the bone mass if I need to get joint replacements. Yeah. Hello. And he was like, you have done remarkably. You have the most mobility and the most strength in these really horrible joints. 16:40 He's like, if I, if I looked at you move and I looked at your X-rays and didn't know they were connected to the same human, I wouldn't necessarily believe that they were connected to the same human. So I was thrilled. I was thrilled with that because frankly, my friends, this is what I do. 17:00 This is what I do for my clients. This is what I do for, you know, my loved ones and this is what I do for myself. What I'm really good at is binding those areas of weakness in the body, getting the nervous system to calm down enough so that the body is able to move in a better way and then really work on strength and mobility. 17:33 I view it almost as trying to put, say, a badly arthritic shoulder in the best place. I envision where the bones could be or should be for the best movement. And then what I do strength-wise is basically try to build enough scaffolding around that joint using some of the muscles that maybe aren't there or overstretched or aren't working so well. 18:06 Build scaffolding around that so that the majority of the time the joint holds in place and functions properly. There are a few positions which some of my Pilates teachers have seen over the past six months where that shoulder is clearly not, not able to work properly. 18:27 And I and I, I can picture Melissa Castro at Real Pilates just going, "don't do that. I don't like that shoulder!" when I was on the chair. So this happens. But you know, we age or if we are prone to arthritis, our joints get arthritic. 18:50 If we were prone to hypermobility, sometimes we moved our joints in inappropriate ways, dislocated things, had things popped back in. We've had car accidents, we've had boat accidents, we've had falls. We've, you know, lived and I view the role of exercise, the role of Pilates, the role of anything that we're doing literally to keep us feeling and functioning at our highest levels for as long as we can. 19:23 Feel and function at your best for as long as you can. OK, That's all I'm asking. That's all I wish for you. So, my friends, you know I love you so much. I know life is really hard right now in these United States and in this world, OK? 19:46 I am feeling for the people in Maine and Minnesota and and California and Chicago, and like everywhere, I am feeling deeply, deeply for all of us. 20:04 And I wish you all the best, but I'm telling you right now, if you can get your body to feel and function as best as it can, and I promise you that is at a much higher level than you may think. 20:22 Because I am feeling and functioning at a much higher level than even my like Mount Sinai physiatrist thinks I should be. That is a great place to start because if you're doing better, then you can help other people do better. 20:41 So I leave you with that. If you'd like to get in touch with me about anything I spoke about today, feel free to reach out lynda[AT]lyndalippin.com. Spelled like my name. DM me on social media, register for a Puff Puff Pilates event if you're in New York City. 21:00 I'll be at Mighty Lucky on a February 22nd for Awaken Bake and I will talk to you guys soon. Bye.   Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

  Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. What is ovarian hyperstimulation syndrome (OHSS)? OHSS is a condition that can occur after ovarian stimulation, most often during IVF cycles, when the ovaries respond excessively to fertility medications. Who is at highest risk for OHSS? Patients at increased risk include women with a high egg count, younger patients, and patients with PCOS (polycystic ovary syndrome). Does pregnancy increase the risk of OHSS? Yes; a fresh embryo transfer can increase the risk because the pregnancy hormone (hCG) may worsen or prolong OHSS symptoms. How has the risk of OHSS decreased in modern IVF treatment? The use of GnRH agonist (Lupron) trigger shots has dramatically reduced the risk by quickly lowering estrogen levels and preventing severe symptoms. How is OHSS treated? Treatment focuses on symptom management; medications such as cabergoline (Dostinex) and letrozole may be used to lower estrogen levels and shorten symptom duration. When should patients call their doctor about OHSS symptoms? Patients should call immediately if they experience low urine output, an inability to drink fluids, severe abdominal pain, shortness of breath, or pain or swelling in the arms or legs. Why is it important to call your doctor if you are concerned? OHSS can be serious, and early evaluation and treatment are critical. Patients should always contact their doctor if they are worried about symptoms. This podcast was sponsored by U.S. Fertility. 

TESTO DELL'ARTICOLO ➜ https://www.bastabugie.it/8376LA BAMBINA TRANS DI NATIONAL GEOGRAPHIC ORA DICE: ''MI HANNO ROVINATO LA VITA'' Forse ricorderete Avery Jackson, il volto simbolo dell'ideologia gender infantile. E ricorderete quando, a nove anni, finì sulla copertina del National Geographic come "prima bambina transgender". Oggi, a diciassette anni - secondo quanto riportato su X dall'attivista Diana Alastair, femminista "old school" e "gender critical", impegnata da anni a difendere spazi, sport e istituzioni riservati alle donne - Avery avrebbe annunciato di identificarsi come non binario e asessuale, ma senza nessun risvolto positivo. Anzi. Avery Jackson, infatti, avrebbe dichiarato di non provare più alcuna attrazione sessuale verso nessuno ed è - tra l'altro - una condizione che non sorprende chi conosce gli effetti del Lupron, il farmaco usato per bloccare la pubertà e che negli Stati Uniti viene somministrato anche ai minori che si "dichiarano" trans.Avery ha ricevuto il cosiddetto "gold standard" delle cure di affermazione di genere: ovvero iniezioni di Lupron, lo stesso principio attivo impiegato per castrare chimicamente i criminali sessuali. Un modus operandi sui bambini che definire drammatico è poco, se pensiamo anche alle parole della presidente della WPATH (la World Professional Association for Transgender Health), il chirurgo transgender Marci Bowers che ha ammesso pubblicamente che questi "bloccanti" provocano una castrazione chimica, impedendo per sempre le capacità sessuali. Nei delinquenti adulti l'effetto è reversibile, nei bambini e adolescenti no. Il farmaco, infatti, ha fermato la crescita ossea, lo sviluppo cerebrale e la maturazione emotiva di Avery, rendendolo sterile e privandolo di un'intera fase della vita. Lui stesso ha dichiarato che la transizione «ha rovinato la mia vita», parole che pesano come un macigno su chi ha celebrato la sua storia come esempio di "liberazione".Su questo tema si sta muovendo drasticamente il Regno Unito, anche se bisogna sottolineare come il pericolo di trasformare i minori in "cavie" sia sempre dietro l'angolo. Il paese d'Oltremanica, infatti, ha già annunciato e ha già limitato drasticamente i bloccanti della pubertà per i danni irreversibili documentati su fertilità, funzione sessuale e sviluppo cognitivo. Allo stesso tempo è stato annunciato uno studio che dovrebbe coinvolgere almeno 220 bambini, anche di soli 11 anni, per il quale la dottoressa Hilary Cass ha dichiarato: siccome «clinici, bambini e famiglie credono con passione» ai benefici dell'approccio affermativo, serve uno studio per chiarire e avere evidenze scientifiche. L'intera vicenda - soprattutto la storia di Avery Jackson - conferma quanto possa essere pericolosa un'ideologia quando viene vista quasi come una "fede", più solida delle evidenze scientifiche e mediche. La prova, insomma, che l'industria della transizione infantile non si ferma davanti a nulla, nemmeno davanti al dolore di chi, come Avery, oggi porta sulle spalle una vita spezzata e ingannata.

Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In this episode, our docs take a deep dive into one of the most pivotal decisions in an IVF cycle: when and how to trigger for egg retrieval. They break down the thought process behind choosing between an HCG trigger and a Lupron trigger, explaining why the choice isn't one-size-fits-all. One of the biggest advantages of a Lupron trigger is its ability to dramatically reduce the risk of ovarian hyperstimulation syndrome (OHSS), a key consideration for patients with a high response to medication. But Lupron doesn't work for everyone. The docs explain why patients with hypothalamic amenorrhea must use HCG to ensure proper follicle release, and why a fresh embryo transfer also requires an HCG trigger for optimal luteal support. The docs also discuss the many clinical clues that guide trigger timing. These include a patient's historical response to stimulation, whether they're planning a fresh or frozen transfer, and crucial hormonal cues such as a drop in estrogen that can signal impending ovulation. They even share how sometimes they bring patients into the office for an ultrasound on retrieval day to confirm that spontaneous ovulation hasn't occurred. Finally, they cover the selective use of combined HCG + LH triggers, and which patients benefit most from this approach.  This is a must-listen for anyone wanting a behind-the-scenes look at how reproductive endocrinologists make one of the most important calls in an IVF cycle. This podcast was sponsored by US Fertility.

Geo Espinosa, ND, LAc, CNS, a well-known naturopathic doctor specializing in urological health at NYU Langone Hospital, and host of the upcoming Prostate Cancer Summit 2.0, scheduled for December 13th-17th, a free online event designed to provide comprehensive information on prostate cancer diagnosis, treatment, and management. 

Geo Espinosa, ND, LAc, CNS, a well-known naturopathic doctor specializing in urological health at NYU Langone Hospital, licensed acupuncturist, and certified Functional Medicine practitioner, discusses prostate health, including the latest advances in prostate cancer treatment and the importance of a balanced approach between natural and conventional medicine. Dr. Espinosa also highlights the upcoming Prostate Cancer Summit 2.0, scheduled for December 13th-17th, a free online event designed to provide comprehensive information on prostate cancer diagnosis, treatment, and management. The conversation covers PSA testing, new diagnostic tools, advanced treatment options like androgen deprivation therapy, and the benefits of exercise and diet in managing prostate health.

In this episode of SHE MD Podcast, Katie Thurston, former star of season 17 of The Bachelorette, sits down with Mary Alice Haney and Dr.Thaïs Aliabadi to discuss fertility, breast cancer, and navigating life as a public figure. They explore Katie's journey from the Bachelorette, her stage 4 breast cancer diagnosis, fertility preservation, and strategies to maintain confidence and resilience. Listen to gain guidance on self-advocacy, genetic testing, and building supportive communities while taking control of their health journey. This episode delivers hope, practical advice, and inspiration, empowering listeners to prioritize their wellness, advocate for their care, and embrace life fully, even in the face of serious health challenges.Subscribe to SHE MD Podcast for expert tips on PCOS, Endometriosis, fertility, and hormonal balance. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women's health and well-being.Sponsors:Mirena - To learn more, visit mirena.com and ask your provider if Mirena could be an option for you. To view the full prescribing information, visit mirena.com/piRocket Money - Cancel your unwanted subscriptions and reach your financial goals faster with Rocket Money. Go to rocketmoney.com/shemd today.Peloton - Let yourself run, lift, sculpt, push, and go. Explore the new Peloton Cross Training Tread+ at onepeloton.comDavid's Protein - David is giving my listeners an exclusive offer – buy four cartons and get the fifth free at davidprotein.com/shemdCymbiotika - Go to Cymbiotika.com/Shemd for 20% off plus free shippingGet Joy - As a listener of SheMD, you'll get 50% off your first subscription order of Get Joy's Freeze Dried Raw Dog Food plus two exclusive gifts: a free scoop and a 4oz bag of treats. Shop getjoyfood.com/shemd to support your dog's gut health and overall wellnessWhat You'll Learn How Katie Thurston navigated fertility preservation and freezing eggs Strategies for managing stage 4 breast cancer with optimism and resilience The importance of genetic testing and early breast cancer detection Building supportive communities and advocating for your own healthKey Timestamps (00:00) Introduction with Katie Thurston, Mary Alice Haney, and Dr. Thaïs Aliabadi (04:03) Katie's journey navigating a cancer diagnosis and her personal life (05:15) Early cancer diagnosis, fertility preservation, and freezing eggs (13:10) Navigating treatment, clinical trials, and holistic wellness approaches (19:30) History of family cancer and genetic testing (29:00) Journey to starring on The Bachorlette (34:30) Online dating, relationships, and finding love while managing health (39:54) Daily life of treatment, including Lupron injections, scans, and managing side effects (47:00) Advocacy, the Booby Broadcast, and educating others on breast health and genetic testing (53:30) Reflecting on confidence, personal growth, and lessons from public life (57:35) Episode wrap-up, actionable advice for listeners, and resourcesKey Takeaways Fertility preservation and proactive health decisions empower long-term wellness Building strong support systems helps navigate the emotional toll of cancer Genetic testing and early detection are critical for personalized care Confidence and self-advocacy improve outcomes and mental health Publicly sharing your journey can inspire, educate, and save livesGuest BioKatie Thurston first appeared on television in 2020 on The Bachelor before stepping into the spotlight as The Bachelorette. Ultimately finding love on her own terms, she married comedian Jeff Arcuri, and together they now reside in New York City. Shortly after her move, Katie was diagnosed with stage IV breast cancer—a journey she now shares openly to raise awareness and empower others to advocate for their health.Links Instagram: https://www.instagram.com/thekatiethurston/Resources MentionedWisdom Panel – Free genetic testing for personalized breast cancer screening and prevention strategies https://www.thewisdomstudy.org/Booby Broadcast – Katie Thurston's community for breast cancer support on Instagram https://www.instagram.com/thekatiethurston/Nodal – Online platform for matching surrogates and intended parents https://www.nodal.com/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

On this powerful episode, Ali sits down with Lacy Nicole—who you may have seen in the headlines for dating Jesse Lally from the hit reality show The Valley—but her story goes far deeper than Bravo antics. Lacy has endured the unthinkable: she survived a kidnapping before even beginning her infertility journey, and then faced years of debilitating reproductive health struggles—stage four endometriosis, adenomyosis, fibroids, ovarian cysts, polyps, 28 ER visits, and multiple surgeries. She opens up about Lupron shots, induced menopause, internal bleeding, chronic fatigue, and the emotional toll of IVF, miscarriages, anxiety, and PTSD. She also talks about finding strength in the endo community, her current egg freezing journey, and finally finding a medical team who advocates for her care. Raw, honest, and inspiring, Lacy's story is a testament to resilience, community, and refusing to stay silent. This is an episode you—and anyone navigating infertility or chronic illness—won't want to miss.EPISODE SPONSORS: BEAUTIFUL BIRD AND WORK OF ARTAli's Children's Book Series about IVF, IUI and Family Building Through Assisted Reproductive Technology https://www.infertileafgroup.com/booksThe latest book in the Work of ART series, “Beautiful Bird” tells the story of three parents, one incredible boy and a family built with love—and a little bit of science.Pre-orders are available now! The first 150 copies will be Personalized, Signed and Numbered! Don't miss out on this limited edition! Tap the link in bio and stories to order your copy today.When Helen decides to have a baby on her own, she welcomes Jack Bird into the world through IUI with the help of her friend, Aaron. But when Jack is born and needs extra care in the NICU, Aaron and his partner, Blake, fall in love with Jack, too. Together, the three join forces to raise Jack, proving that family isn't about how you start—it's about how you grow.Order yours now at https://www.infertileafgroup.com/booksFor bulk orders of 10 or more books at 20% off, go to https://www.infertileafgroup.com/bulk-order-requestFERTILITY RALLYIG: @fertilityrallywww.fertilityrally.comNo one should go through infertility alone. Join the Worst Club with the Best Members at fertilityrally.com. We offer 5 to 6 support groups per week, three private Facebook groups, tons of curated IRL and virtual events, and an entire community of more than 500 women available to support you, no matter where you are in your journey.Join today at link in bio on IG @fertilityrally or at www.fertilityrally.com/membershipBELIIG: @belibabywww.belibaby.com Are you thinking about growing your family? Whether you're just starting to plan or are actively trying to conceive, preconception health is key. Beli has vitamins to help both women and men optimize their health before pregnancy. With essential nutrients like Folate, Iodine, and Zinc, Beli ensures your body is ready for this exciting next step. Give yourself and your future baby the best foundation for a healthy start.Visit Belibaby.com today and use code IAF15 for 15% off your first order. Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacySupport this podcast at https://redcircle.com/infertile-af/donationsSupport this podcast at — https://redcircle.com/infertile-af-infertility-and-modern-family-building-through-art/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Suzanne: Thank you for your time in advance. In late 2021, my husband was diagnosed with Stage IV prostate cancer. He underwent six rounds of chemo along with Eligard injections. After his last scans, whole body and bone, we were told the cancer is "stabilized". He is currently on 300 mg of Nubeqa 2x a day (down from 4 x because I asked about it) and Lupron injections every 3 months. We have consciously changed our diet (no added sugar, no alcohol, no processed foods) and he is doing pretty well, although, he does fatigue and sweat easily. My question is whether you believe that taking a couple of your home tests would be beneficial for him? I worry about these powerful drugs he is being given and have noticed a reluctance from the doctor about reducing his drugs any further. Thank you again!                                                Sheena: Hi Dr C! Hope you and your team are well. I recently went for blood work. I fasted for 14 hours and was wondering what your thoughts are specifically regarding my Lipid Panel and Iron Panel. My triglycerides is 1.83, Total 4.05, HDL 1.72 and LDL 1.63 (all mmol/L). For iron my levels are 37 umol/L, iron binding 0.70 umol/L, and ferritin 44 ugL. My Dr says she's concerned with my triglycerides. How can I lower it? And shes concerned with my ferritin and iron levels so shes sending me for a Hemochromatosis blood test to see why the levels are off. (My fasting glucose is 4.9, hbA1c is 5.2, TSH is 1.04 and Auto CBC is 3.8). Would love your thoughts and any food and supplementation recommendations would be appreciated! Love you and all the best to everyone on their health journey!                                                            Madhia: Hello My Dr is giving me a hard time to prescribe MRI for my breast exam. Do you have any Dr you can recommend that would help me in greater Los Angeles area?                                                                                                 Margie: My son, who is 46 years old has had Alpha-Gal for approximately 10 years. Now his wife has also been diagnosed with it. I am aware it is caused by a tick bite. He constantly has mass cell inflammation including breathing and allergy issues. Could you please explain specifically how this disease affects the body's immune system and which of your protocols should be used to bring the body back into balance. Will that particular protocol bring the body back into balance enough so that it will relieve the mass cell inflammation and they can return to eating mammal meat?                                                     Jackie: Hi Dr. Cabral thank you for all that you do. You have made a tremendous impact in my and my clients lives. My husband has just finally been diagnosed after 10 years of misdiagnosis with neurogenic TOS. We have a great rehab team working on the biomechanics and we are exploring Big 5 root causes. I was wondering what natural pain management methods you would recommend during the process pain is 10/10 and conventional medicines wants to basically kill the nerve or put him on Lyrica which neither are an option for us. We are exploring accupuncture, grounding and adrenal sooth/inflammasoothe/cbd protocol. Any other alternative inflammation reduction techniques or devices you would recommend? Could you do a podcast on natural pain management strategies for people with chronic pain?          Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3495 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

I use Depot Lupron in my practice quite a bit for patients who have implantation issues, mostly related to endometriosis. We can also use it for women who have fibroid uterus, adenomyosis, as well. Tune in, and I hope you get a chuckle just like I do when I share this stuff with you. Today on the Egg Whisperer Show Podcast, I'm sharing about the 10 things that you need to know to survive Depot Lupron. Think of this as your Depot Lupron survival guide. Here is a sampling of the top 5: 1. The first thing to realize is that you have to be prepared for dryness. I'm talking like communion wafer level of dryness. We're talking about dryness in your vagina. Thank you, Depot Lupron. 2. Practice self care. 3. Mood change can occur with Depot Lupron, so you want to be prepared and be a proactive participant in what's happening. 4. Eat like an adult, not like a garbage disposal teenager. 5. Keep your eye on the prize. As one of my patients says, “My race is not done yet, but I know love conquers all eventually. I'm here for it and I'm going to fight the good fight until I'm done. You can, too. Let's go, girl.” Read the full show notes on Dr. Aimee's website Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, August 18th, 2025 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   Get Dr. Aimee's brand new Conception Kit here. Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org. Other ways to connect with Dr. Aimee and The Egg Whisperer Show: Subscribe to my YouTube channel for more fertility tips!Subscribe to the newsletter to get updates

Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In this listener Q&A episode, the docs take on an emotionally tough but important topic: what to do after a failed IVF cycle. They dive deep into strategies to improve egg numbers, enhance embryo quality, and increase the chances of implantation success in future cycles. The conversation includes how a hysteroscopy can help detect fibroids or polyps that might create inflammation in the uterus, the impact of bacterial inflammation, and diagnostic tools like the ReceptivaDx test, which checks for the inflammatory marker BCL-6. BCL-6 may be linked with inflammation from endometriosis. The docs also touch on evaluating sperm DNA fragmentation and exploring the uterine microbiome. For those with positive signs of inflammation, treatment options such as Lupron or even laparoscopy to remove endometriosis are discussed. And don't miss the discussion on progesterone timing for frozen embryo transfer cycles—why the number of hours of exposure to progesterone can be critical for opening the window of implantation at just the right time. Tune in for a practical, science-based guide to navigating next steps after IVF doesn't go as planned. This episode was sponsored by ReceptivaDx.

They told us hormone blockers were “safe,” “temporary,” and “reversible.”But the truth is slowly coming to light… and it's horrifying.Puberty blockers, like Lupron, were never originally designed for children. They were used to treat advanced prostate cancer in men and endometriosis in women. The side effects were serious even then—osteoporosis, cognitive issues, and hormonal dysfunction.So how did they end up being pushed on thousands of children?Follow the money

In episode 88 of the Summits Podcast, co-hosts Vince Todd, Jr. and Daniel Abdallah are joined by Joe Fazzini, a Carmel, Indiana based triathlon athlete and coach. Tune in as Joe shares his prostate cancer survivorship journey, how fitness inspires him, and his plan to give back to the Indiana cancer community. Follow Joe on Instagram at @diamond-lake-sports as he participates in the 2024 Subaru CASA Cycling Challenge with a goal to ride 300 miles in 24 hours to fundraise for the Heroes Foundation! Contribute to Joe's fundraising efforts here: https://bit.ly/JoeFDonate

In this episode of the Dr. Geo Prostate Podcast, Dr. Geo unpacks President Joe Biden's recent diagnosis of Gleason 9 advanced prostate cancer. With real talk and real science, Dr. Geo dives deep into what this diagnosis means medically, why it's raising eyebrows, and how it could have been caught earlier—even with access to the best healthcare in the world.

We're back for Episode 24 of the MANIA Podcast, here's what we covered this week: 0:00 - Phones Off! What's This About? 1:22 - The Johnny Depp Trial and the Megapint 3:22 - Courtroom Fashion Advice & Diddy's Trial Strategy 5:20 - Mental Clarity and Stepping Away from Social Media 7:11 - Golfing with Celine Dion's Son & Dealing with "Old" People Stories 9:28 - The Hilarious Neighbor Party Mix-Up 13:46 - Discussing Tom Dwan's Recent Struggles & Mental Health 17:07 - Psychosis, Bipolar, Schizoaffective Disorder, and Drug Use 24:46 - Beware of Fake Supplements on Amazon! 29:50 - Poker, Testosterone, and Gender Differences 39:38 - 14-Year-Old's AI Heart App & the Future of Medicine 43:11 - The Challenges of Diagnosing Endometriosis 50:52 - Lupron, Medications, and the Marijuana vs. Pain Meds Debate 53:55 - Psychedelics, Conspiracy Theories, and Mainstreaming Marijuana 56:07 - The Weirdness of Being Sober Around People on Ecstasy 57:08 - Drinking Moderately vs. Getting Wasted 1:03:00 - Poker Players, Weed, and Studio Antics 1:04:17 - The Performance Enhancing Effects of Being "A Little Drunk" 1:06:20 - A Drunken Monte Carlo Adventure with Phil Ivey 1:08:33 - Reflecting on Past Wild Drinking Nights 1:10:30 - Hot Tub Stories and Trainwreck Tendencies 1:12:53 - Podcast Hiatus & Future Plans 1:13:52 - Theo Von's Solo Shows and French Accents 1:14:16 - Closing Thoughts and Christmas Love This episode of MANIA Podcast covers a wide range of compelling topics, offering insights into the lives and perspectives of Daniel and Amanda Negreanu. Discussions span from the intriguing details of the Johnny Depp trial and courtroom appearances to a deep dive into mental health conditions like psychosis, bipolar disorder, and schizoaffective disorder, prompted by recent events in the poker world. The conversation also touches on significant health topics such as the impact of testosterone on women's mental clarity, particularly in fields like poker, and the challenges of diagnosing and treating endometriosis, highlighting the need for more research and understanding in women's health. Beyond personal health, the episode delves into consumer awareness, specifically warning about the prevalence of counterfeit supplements on platforms like Amazon due to commingled inventory. It also explores the evolving landscape of medicine with the potential of AI for diagnosis, discusses the controversial history and potential therapeutic uses of psychedelics and marijuana, and shares humorous anecdotes about past wild nights and the differences between moderate drinking and getting drunk, offering a candid look at personal growth and lifestyle changes. Check out my MasterClass: https://www.masterclass.com/classes/daniel-negreanu-teaches-poker Use PROMO CODE KIDPOKER20 to get 20% off at https://contendersclothing.com/?rfsn=2748061.19d46 Follow Me, Daniel Negreanu, Online Here: https://linktr.ee/dnegspoker https://twitter.com/RealKidPoker https://www.instagram.com/dnegspoker/ https://www.facebook.com/DNegsPoker

Dr. Natalie Crawford discusses IVF answering questions about fertility treatment preparation and potential challenges. She explains why starting early with suppression medications like birth control, progesterone, or Lupron can help align egg growth for a more effective cycle. She breaks down the benefits of using a low-dose gonadotropin protocol to reduce the risk of ovarian hyperstimulation syndrome (OHSS), and emphasizes the importance of checking hormone levels, particularly FSH and LH, before starting to ensure your body will respond well to the trigger shot. Dr. Crawford shares lifestyle recommendations that support fertility, including adopting an anti-inflammatory diet, reducing exposure to environmental toxins, and considering supplements tailored to individual needs. She also highlights the value of comprehensive fertility testing and understanding the financial aspects of treatment so you can make informed decisions every step of the way. Want to receive my weekly newsletter? Sign up at ⁠⁠nataliecrawfordmd.com/newsletter⁠⁠ to receive updates, Q&A, special content and my FREE TTC Starter Kit! Don't forget to ask your questions on Instagram for next week's For Fertility's Sake segment when you see the question box on Natalie's page ⁠⁠@nataliecrawfordmd.⁠⁠ You can also ask a question by calling in and leaving a voicemail. Call 657–229–3672 and ask your fertility question today!     Thanks to our amazing sponsors! Check out these deals just for you: Quince- Go to ⁠⁠Quince.com/aaw ⁠⁠for free shipping on your order and 365-day returns Ritual-Go to ⁠⁠ritual.com/aaw⁠⁠ to start Ritual or add Essential For Women 18+ to your subscription today. Calm - Go to ⁠⁠calm.com/aaw⁠⁠ for 40% off unlimited access to Calm's entire library. AquaTru - Go to ⁠⁠aquatru.com⁠⁠ and use code AAW for 20% off! Green Chef - Go to greenchef.com/50aaw and use code 50AAW to get 50% off your first month, then 20% off for two months with free shipping. If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every Sunday. Plus, be sure to follow along on Instagram ⁠⁠@nataliecrawfordmd,⁠⁠ check out ⁠⁠Natalie's YouTube channel Natalie Crawford MD⁠⁠, and if you're interested in becoming a patient, check out ⁠⁠Fora Fertility. Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us a textAre all IVF cycles created equal? Not even close. In this episode of Taco Bout Fertility Tuesday, Dr. Mark Amols dives deep into the science of IVF priming—covering everything from birth control pills, estrogen, progesterone, and Lupron to the emerging role of androgen priming with DHEA and testosterone. Learn how synchronization, FSH receptor upregulation, and strategic suppression can make or break your cycle success. Whether you're a poor responder, have PCOS, elevated FSH, or premature ovarian failure, this episode will help you understand which IVF priming protocol may be right for your body. It's time to move beyond cookie-cutter fertility care and personalize your path to pregnancy.Thanks for tuning in to another episode of 'Taco Bout Fertility Tuesday' with Dr. Mark Amols. If you found this episode insightful, please share it with friends and family who might benefit from our discussion. Remember, your feedback is invaluable to us – leave us a review on Apple Podcasts, Spotify, or your preferred listening platform. Stay connected with us for updates and fertility tips – follow us on Facebook. For more resources and information, visit our website at www.NewDirectionFertility.com. Have a question or a topic you'd like us to cover? We'd love to hear from you! Reach out to us at TBFT@NewDirectionFertility.com. Join us next Tuesday for more discussions on fertility, where we blend medical expertise with a touch of humor to make complex topics accessible and engaging. Until then, keep the conversation going and remember: understanding your fertility is a journey we're on together.

In this episode of SHE MD, hosts Mary Alice Haney and Dr. Thaïs Aliabadi welcome Kate Bond, an actress best known for her roles in Chicago Med, Good Trouble, and the reboot of MacGyver. For over a decade, Kate silently struggled with endometriosis, a chronic condition that affects millions of women but is notoriously difficult to diagnose. Her story highlights the frustrations many women face in the healthcare system when dealing with this condition and getting dismissed by most doctors. Kate and the hosts explore the challenges of her diagnosis, the impact on daily life, and the knowledge you need to be your own health advocate.Access more information about the podcast and additional expert health tips by visiting SHE MD Podcast and Ovii. Sponsors: One Skin: Visit OneSkin.co/SHEMD and use code SHEMD at checkout for 15% off your first purchasePurely Elizabeth: Visit purelyelizabeth.com and use code SHEMD at checkout for 20% off. Purely Elizabeth. Taste the ObsessionSaks.com: Shop Saks.coCymbiotika: Go to Cymbiotikia.com/SHEMD for 20% off your order + free shipping today.Zoe: As a ZOE member, you'll get an at home test kit and personalized nutrition program to help make smarter food choices that support your gut. That's ZOE.com and use code SHEMD10 to get 10% off your membership.Momentous: Go to livemomentous.com and try it today for 20% off with code SHEMD, and start living on purpose.iRestore: Reverse hair loss with @irestorelaser and get $625 off with code shemd at https://www.irestorelaser.com/SHEMD! #irestorepodKATE BOND'S TAKEAWAYS:Endometriosis symptoms often include severe pelvic pain, painful periods, and gastrointestinal issues that can significantly impact daily life and work.Proper diagnosis and treatment of endometriosis often require finding a doctor who listens, shows empathy, and is curious about solving the patient's health puzzle.Suppression therapy after endometriosis surgery is crucial for long-term management and prevention of symptom recurrence.Proactive health screenings, including genetic testing and colonoscopies, are important for early detection of related health issues, especially for those with endometriosis.Some endometriosis treatment includes laparoscopic surgery with an experienced surgeon who can diagnose and treat endometriosis; hormonal suppression, like progesterone IUDs, often helps manage symptoms; Dietary changes may be necessary to address related GI issues like SIBO.IN THIS EPISODE: (00:00) Intro(03:25) Kate Bond's endometriosis diagnosis journey(04:50) Dr. Aliabadi explains endometriosis in detail(09:52) Kate describes severe endometriosis symptoms(21:15) Endometriosis impacts career and life(24:50) Treatment options for endometriosis explained(29:08) SIBO and endometriosis connection discussed(33:54) Importance of early colonoscopy screening(42:35) Life improvements after endometriosis treatment(45:02) Endometriosis impact on family planningRESOURCES:Kate Bond's InstagramGUEST BIOGRAPHY:Kate Bond grew up in an A-frame house at the end of a long dirt road in rural Georgia. She is an actress whose credits include Chicago Med, Good Trouble, and the reboot of MacGyver. She's a passionate unionist and serves on the board of directors of the Los Angeles local of SAG-AFTRA. Her story isn't just about making it in the entertainment industry—it's about breaking through barriers, both systemic and personal, and redefining what success looks like when life throws you curveballs. For over a decade, Kate silently struggled with endometriosis, a chronic condition that affects millions of women but is notoriously difficult to diagnose. Like so many others, she was dismissed by doctors, told that her pain was “normal,” and forced to keep pushing forward—because when you're trying to build a career in Hollywood, there's no calling in sick.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Hablo con el Dr. Hector Oliva sobre el estrógeno vaginal. Nos explica:-la diferencia entre el estrógeno vaginal y sistémico-que los riesgos son muy muy bajos porque el estrógeno vaginal tiene un efecto local y no sube los niveles de estrógeno en la sangre-que el estrógeno vaginal ayuda con síntomas urinarios y genitales y está recomendado si una persona tiene estos síntomas debido a tener el estrógeno vaginal bajo, sea de perimenopausia, menopausia, o medicamentos como Lupron o Dienogest.¿Quién es el Dr. Hector Oliva?El Dr. Héctor Oliva vive en Guatemala y tiene una especialidad en cirugía de mínima invasión y es un cirujano pélvico de endometriosis del Grupo Endogt.También tiene una Alta especialidad en peri-post menopausia y es el presidente de la Asociación Guatemalteca de Climaterio y Menopausia.Para contactar con el Dr. Oliva:Su página web: https://drhectoroliva.com/Instagram: @drhectoroliva y @grupoendogtPara más información en español sobre la endometriosis, ve a mis recursos:MI PÁGINA WEB: www.endoenloprofundo.comINSTAGRAM: @endo.en.lo.profundo

Diana Ash had suffered from irritable bowel syndrome much of her life, but in 2019, she believed the IBS symptoms she felt were something altogether different.  Her concerns were proven correct when an ultrasound indicated a mass near her abdomen the size of a “mini football.”  Not long after that, she was diagnosed with Stage 1C Ovarian Cancer.  Diana underwent an oophorectomy, a surgical procedure that successfully removed one ovary and one fallopian tube.  After the surgery, she had to undergo BEP chemotherapy, an extremely aggressive regimen.  However, she achieved survivorship and has written a book about her experience.   Diana Ash led an active lifestyle in her hometown of Ottawa, Ontario, Canada.  She enjoyed hiking, running and diving; but ever since she was a small child, Diana dealt with irritable bowel syndrome.  In 2019, in addition to IBS' typical symptoms, she experienced fatigue and loss of appetite.  When she sought medical attention, she was told her problem was IBS and nothing more.  To Diana, that was not a satisfactory response.   She insisted on blood work and an ultrasound.  The latter revealed a mass near her abdomen.  It measured 10 X 16 cm, or as she said, “the size of a mini football.” Diana pressed doctors for more information and accurate information, and she was eventually diagnosed with Stage 1C ovarian cancer.  She was shocked with the diagnosis, but relieved that her cancer had been caught at an early stage, which is not typical for those diagnosed with ovarian cancer.   Diana underwent an oophorectomy, a surgical procedure which removed one of her ovaries and one of her fallopian tubes.  The surgery was a success, but her surgeon said the procedure was the easy part of her treatment.  Next up was an extremely aggressive chemotherapy regimen.  BEP chemotherapy includes cisplatin, bleomycin and etoposide.  Diana experienced the usual side effects, but was even more difficult was her being told that she would no longer be able to run or dive.   There was also the matter of childbearing.  She received a Lupron injection, which meant she had to deal with its side effects while dealing with the side effects from her chemo regimen.  She was eventually able to freeze some of her eggs, which will enable her to have kids.   Diana Ash achieved survivorship and wants to help others diagnosed with cancer.  Fueled by a message emphasizing optimism and self-advocacy, she wrote “Take Back The Power,” available on Amazon.  The book was written in English, but as a bilingual Canadian, she hopes to one day translate the book into French.   Additional Resources:   Diana's Book: “Take Back The Power,” a guide for young women with cancer      

In this episode, we dive into the essential tips every bird owner needs to know. From quick first-aid steps for emergencies to understanding the root causes of feather plucking, we cover it all with Dr. Octavio. Learn how to optimize your parrot's diet with the right balance and discover the importance of sunlight and probiotics for their well-being. Plus, we tackle common health concerns like overweight birds and the use of hormone implants. Tune in for expert advice and practical solutions to keep your parrot thriving from an avian vet!Key Points: Parrot first aid tipsParrot bleeding tipsProbiotics and Prebiotics for BirdsSunlight for birds - Why and how much?Cockatiels and night frights!How to tell if your bird is overweight?Parrot diet - seeds, pellets, vegetables, fruitParrot plucking and the root causeWhat do healthy feathers look like?Do x-rays have to be done with anesthesia?Hormone implants and Lupron - do they work? Are they good?Most common bacteria and infections in birds!Special Guests:

Welcome to another episode of the Fertility in Focus Podcast! In this episode, we are joined by actress and singer-songwriter Lenne Klingaman, who shares her deeply personal and powerful journey through fertility challenges, including pregnancy loss, IVF, and finding hope along the way.Lenne, who recently launched her album Phoenix, tells her story of resilience and healing through music, exploring how creativity and support helped her navigate the emotional complexities of fertility struggles. Her story is both inspiring and comforting for anyone on a similar path.In this episode, you will learn:The importance of finding mental health support during fertility challenges.How personal passions, like music, can offer healing and connection.The emotional impact of pregnancy loss and recurrent miscarriages.Lenne's experience with IVF and overcoming an ectopic pregnancy.The powerful role of hope and resilience in her journey to becoming a mother.Timestamps:[00:01] Introduction to Lenne Klingaman and her background in music and acting[01:03] Lenne's early fertility journey and her first pregnancy loss[06:08] Navigating grief and finding support during the pandemic[09:57] Impact of multiple miscarriages and the toll on mental health[12:20] Lenne's experiences with IVF and an unexpected ectopic pregnancy[18:40] The creation of Phoenix and using music as a path to healing[21:15] Finding faith, resilience, and a support network during the journey[24:37] How Lenne's story helps bring light to the emotional aspects of infertility[28:53] Advice and encouragement for others on their fertility pathListen to Lenne Klingaman album and connect with her on social media for more updates on her journey and music. https://lenneklingaman.bandcamp.com/album/phoenixAbout Dr. Christina Burns:Dr. Christina Burns is the founder and Doctor of Chinese Medicine at the Naturna Institute. Committed, compassionate, and highly skilled in multiple disciplines, Dr. Burns has been in practice since 2004. She empowers both women and men to achieve their optimal life and health goals through natural medicine practices, integrative nutrition, lifestyle management, and personalized mind-body programs. Dr. Burns holds advanced certifications in acupuncture, herbs, nutrition, life coaching, and yoga therapy. She is also the best-selling author of "The Ultimate Fertility Guidebook."Connect with Dr. Christina Burns:Website: https://www.christinaburns.com/Instagram: https://www.instagram.com/drchristinaburns/Order the Ultimate Fertility Guidebook: https://a.co/d/hq0nFOoJoin the Eating for Optimal Fertility Course: https://naturna.mn.co/Order Junk Juice: https://junkjuicemagic.com/Follow along with the Naturna Institute:Book an Appointment: https://naturna.janeapp.com/#/listInstagram: https://www.instagram.com/naturna_life/ 

Shownotes and Transcript Join us for an emotionally charged and revealing episode on Hearts of Oak, where we delve into the life of Jeff Younger, a man whose personal battle has become a public spectacle at the heart of the transgender debate. From his roots in Silicon Valley to a contentious family court saga in Texas, Younger shares his journey through advocacy, legal battles, and his unwavering fight for his child's future. This episode not only explores his fight against child gender transition but also touches on the systemic issues within family law, the political divide within America, and how his faith has guided him through chaos. Tune in for an episode that promises to challenge your views on family, identity, and the essence of parental rights. Jeff Younger, a Texan, has been embroiled in a high-profile legal fight to prevent his son, James, from undergoing transgender medical treatments advocated by his ex-wife, Anne Georgulas. After a move to California, known for its transgender sanctuary laws, Younger faced new challenges when the case was sealed from the public by Judge Michelle Kazadi, sparking outrage over transparency and rights. Despite losing a political bid in Texas, Younger's case continues to draw national attention, highlighting the clash over transgender issues, parental rights, and medical ethics in the U.S. Connect with Jeff...

I use Depot Lupron in my practice quite a bit for patients who have implantation issues, mostly related to endometriosis. We can also use it for women who have fibroid uterus, adenomyosis, as well. Tune in, and I hope you get a chuckle just like I do when I share this stuff with you. Today on the Egg Whisperer Show Podcast, I'm sharing about the 10 things that you need to know to survive Depot Lupron. Think of this as your Depot Lupron survival guide. Here is a sampling of the top 5: 1. The first thing to realize is that you have to be prepared for dryness. I'm talking like communion wafer level of dryness. We're talking about dryness in your vagina. Thank you, Depot Lupron. 2. Practice self care. 3. Mood change can occur with Depot Lupron, so you want to be prepared and be a proactive participant in what's happening. 4. Eat like an adult, not like a garbage disposal teenager. 5. Keep your eye on the prize. As one of my patients says, “My race is not done yet, but I know love conquers all eventually. I'm here for it and I'm going to fight the good fight until I'm done. You can, too. Let's go, girl.” Read the full show notes on Dr. Aimee's website Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, September 16, 2024 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org. Other ways to connect with Dr. Aimee and The Egg Whisperer Show: Subscribe to my YouTube channel for more fertility tips!Subscribe to the newsletter to get updates

Originally Released March 1, 2022Episode Summary:In this episode, we dive deep into the topic of dysmenorrhea, pelvic pain, endometriosis, adenomyosis, and other related conditions with Dr. Dan Martin, Medical and Scientific Director for the Endometriosis Foundation of America. We explore the complexities of diagnosing and treating pelvic pain, the importance of patient advocacy, and the societal normalization of pain in women. Dr. Martin provides valuable insights into the symptoms, challenges, and evolving treatments for conditions like endometriosis and adenomyosis, aiming to empower listeners with knowledge and actionable steps for managing their health.Discussion Points:What is the difference between dysmenorrhea and pelvic pain? Dr. Martin explains the nuances between dysmenorrhea and various forms of pelvic pain, highlighting how each condition presents itself and what symptoms to look out for.How can women effectively describe their pain to healthcare providers? Learn about the key descriptors and monitoring practices that can help women communicate their pain more effectively to doctors, leading to better diagnoses and treatment plans.Why do so many women feel dismissed by their doctors when reporting pain? We discuss the societal and medical reasons behind the normalization of pain in women and what can be done to advocate for proper care.What are the common misconceptions about diagnosing endometriosis? Dr. Martin clarifies the challenges in diagnosing endometriosis, including the limitations of imaging and the importance of laparoscopic procedures for accurate detection.When should women be concerned about pelvic pain and seek medical attention? Find out the key indicators that suggest when pelvic pain might require a doctor's evaluation and what the initial steps should be for managing pain at home.How effective are NSAIDs and birth control pills in managing pelvic pain? We explore the roles of NSAIDs and hormonal treatments like birth control pills in managing symptoms and the conditions under which they are most effective.What is the role of laparoscopy in diagnosing pelvic pain conditions? Understand when a laparoscopy is recommended and what it can reveal about conditions like endometriosis and adenomyosis that other diagnostic tools might miss.What are the potential risks and benefits of treatments like Lupron and surgical interventions? Dr. Martin discusses various treatment options for endometriosis and pelvic pain, including the controversial use of Lupron and the considerations for surgical interventions.How do conditions like adenomyosis and uterine fibroids differ from endometriosis? Learn the differences between these common gynecological conditions and how each affects women's health differently.What are the current research trends and future directions in treating pelvic pain and endometriosis? Get an overview of the latest research developments and what they could mean for the future of managing pelvic pain and related conditions.“A lot of that is coming from the normalization of pain in women. Some of this pain is not normal. If the pain is getting worse, if it's severe, it's not responding to medication, that's not normal pain.” - Dr. Dan MartinResourcesResources on EndometriosisLearn about the Endometriosis Foundation of AmericaIf you're passionate about advancing women's...

Dr. Natalie Crawford answers voicemail questions about endometriosis. Questions Answered: TTC soon for second child and have endo. I recently got off BC and my periods are irregular. Should I see my doctor now? Can endometriosis outside of the uterine tract still impact fertility? My doctor gave me the option between surgery and trying a new medication, Lupron, before my embryo transfer. What are your thoughts? Do you have any insights on silent endometriosis? Is there any way to know if it's impacting my fertility? Want to receive my weekly newsletter? Sign up at nataliecrawfordmd.com/newsletter to receive updates, Q&A, special content and my FREE TTC Starter Kit! Don't forget to ask your questions on Instagram for next week's For Fertility's Sake segment when you see the question box on Natalie's page @nataliecrawfordmd. You can also ask a question by calling in and leaving a voicemail. Call 657–229–3672 and ask your fertility question today!      Thanks to our amazing sponsors! Check out these deals just for you: Quince- Go to Quince.com/aaw for free shipping on your order and 365-day returns Ritual-Go to ritual.com/AAW to start Ritual or add Essential For Women 18+ to your subscription today. Apostrophe- Get your first visit for only five dollars at Apostrophe.com/AAW or use the code AAW at checkout. Honeylove- Get 20% OFF by going to honeylove.com/AAW If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every Sunday. Plus, be sure to follow along on Instagram @nataliecrawfordmd, check out Natalie's YouTube channel Natalie Crawford MD, and if you're interested in becoming a patient, check out Fora Fertility. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Chatting with Candace, Candace Horbacz critiques the recent Olympic opening ceremony for its controversial portrayal of drag queens and religious themes, arguing it's unsuitable for a family-friendly event. She also discusses the MrBeast scandal involving Ava Chris Tyson, exploring leaked messages, public backlash, and issues within the LGBT community regarding misconduct. Candace shares her personal experience with Lupron and highlights broader healthcare concerns, emphasizing the need for personal advocacy. Additionally, she comments on Elon Musk's remarks about gender identity and speculates on political developments, including potential changes in the Democratic nomination and presidential race. Timestamps 00:00:00 - Olympics Opening Ceremony Controversy00:13:48 - MrBeast Scandal00:24:14 - Elon Musk's Controversial Comments00:34:21 - Political PredictionsFollow Candice Horbacz on socials: https://link.me/candicehorbaczSupport The Podcast on Patreon: https://www.patreon.com/candicehorbaczSupport the Show.

Hoy hablo con Andrea Ruiz. Conversamos sobre:-Lupron, que es parte de una categoría de medicamentos llamados GnRh que baja tu estrógeno a niveles menopáusicos. -como varios estudios que comparan los medicamentos GnRh con otros medicamentos hormonales muestran que todos ellos proporcionan un alivio similar de los síntomas.-como el Lupron pueden tener efectos secundarios graves, e incluso incapacitantes, a largo plazo que continúan en algunos pacientes mucho después de dejar de tomar el medicamento.Quién es Andrea Ruiz?Andrea es Presidenta de la Asociación de Pacientes con Endometriosis y Adenomiosis del Perú. Hablamos en el episodio 3 sobre la nueva ley de endometriosis en Perú y su importancia para la comunidad de endometriosis en Perú.Para contactar con Andrea:INSTAGRAM @endometriosisperuFACEBOOK: Pacientes Endometriosis Perú. https://www.facebook.com/endometriosisperu¿Quieres más información en español sobre la endometriosis?LUPRON: https://insixteenyears.com/lupron-2/MI PÁGINA WEB: www.endoenloprofundo.comINSTAGRAM: @endo.en.lo.profundo

There is a fantastic piece done by Nathaniel Blake at The Federalist titled, Strangling For Sexual Sport Is Exactly The Kind Of Thing We Should ‘Kink-Shame'. The percentage of young women who have been choked during sex is horrifyingly high. This is happening because it is what porn is showing young men to do. In his piece, Blake critiques an article written by the New York Times in which the writer seems genuinely concerned that young women are being choked during sex. But, the writer can not bring herself to criticize it, for fear of kink shaming, and instead advocates for porn literacy. We also take a look at how Graham Linehan was canceled for speaking out against the lie of transgenderism and now is receiving some justice after his career was destroyed for speaking the truth. What does God's Word say? 1 Peter 3:7 ESV  Likewise, husbands, live with your wives in an understanding way, showing honor to the woman as the weaker vessel, since they are heirs with you of the grace of life, so that your prayers may not be hindered.Proverbs 31:10-11 ESVAn excellent wife who can find? She is far more precious than jewels. The heart of her husband trusts in her, and he will have no lack of gain.Philippians 4:3 ESV  Yes, I ask you also, true companion, help these women, who have labored side by side with me in the gospel together with Clement and the rest of my fellow workers, whose names are in the book of life.Episode 1,550 Links:Strangling For Sexual Sport Is Exactly The Kind Of Thing We Should ‘Kink-Shame'"Children are basically being experimented on with puberty blockers. Lupron, which is a drug that's supposed to be meant for end-stage prostate cancer treatment, is being given to young girls. 35 psychologists have quit the Tavistock in three years.Father Ted creator Graham Linehan tells how his trans views cost him his career, friends and marriage during six-year 'nightmare' ordealComedian, Mark Grimshaw pretends Graham Linehan has been misogynistic toward women … by whom he surely means men “Trans” teen arrested for threatening to sh*ot up a school. Andrea, who identifies as Alex was arrested in Maryland after writing a 129-page manifesto detailing plans for a mass shooting. It's time to have a national conversation about the uptick in “trans” violence.Ukrainian flags fly in the chamber of the UNITED STATES House of Representatives as they vote to send more of your hard-earned money to a corrupt foreign regime. And just like that they shout “UKRAINE! UKRAINE!”while happily working to secure Ukraine's borders, not ours.4Patriots https://4Patriots.com/Todd Stay connected when the power goes out and get free shipping on orders over $97.    Alan's Soaps https://alanssoaps.com/TODD Use coupon code ‘TODD' to save an additional 10% off the bundle price.  Bioptimizers https://bioptimizers.com/todd Use promo code TODD for 10% of your order and get up to 2 travel size bottles of Magnesium Breakthrough free.      Bonefrog   https://bonefrogcoffee.com/todd Use code TODD at checkout to receive 10% off your first purchase and 15% on subscriptions.  Bulwark Capital  Bulwark Capital Management (bulwarkcapitalmgmt.com) Call 866-779-RISK or visit online to get their FREE Common Cents Investing Guide. GreenHaven Interactive Digital Marketing https://greenhaveninteractive.com Your Worldclass Website Will Get Found on Google!  Liver Health https://GetLiverHelp.com/Todd Order today and get your FREE bottle of Nano Powered Omega3 and free bonus gift. Native Path Krill https://nativepathkrill.com/todd For a limited time get Native Path Antarctic Krill Oil for as little as $23 per bottle.

Dive into the intricate world of fertility treatments in this episode of Taco Bout Fertility Tuesday with your host, Dr. Mark Amols. This week, we're zooming in on trigger shots—those crucial injections that help synchronize ovulation with reproductive procedures like IUI and IVF. But what are trigger shots exactly, and why are they so important? Dr. Amols will guide you through the different types of trigger shots, including hCG and Lupron, and explain how each one functions to optimize fertility treatment outcomes.Discover why hCG is favored for its longer half-life and lower cost, and how it mimics natural hormones to kickstart ovulation. We'll also explore the strategic use of Lupron to reduce the risks of ovarian hyperstimulation syndrome, and why sometimes, a combination of both is used. Dr. Amols will shed light on the biological processes involved, from how trigger shots lead to the resumption of meiosis in eggs, to their role in ensuring egg maturation and readiness for fertilization.Packed with scientific insights and peppered with Dr. Amols' straightforward explanations, this episode is not just for those undergoing fertility treatments, but anyone interested in the science of human reproduction. So, grab your taco and settle in for a detailed exploration of how timing truly is everything in the world of fertility medicine. Whether you're a patient, a healthcare provider, or a curious listener, this episode promises to enhance your understanding of one of the pivotal aspects of reproductive technology.Thanks for tuning in to another episode of 'Taco Bout Fertility Tuesday' with Dr. Mark Amols. If you found this episode insightful, please share it with friends and family who might benefit from our discussion. Remember, your feedback is invaluable to us – leave us a review on Apple Podcasts, Spotify, or your preferred listening platform. Stay connected with us for updates and fertility tips – follow us on Facebook. For more resources and information, visit our website at www.NewDirectionFertility.com. Have a question or a topic you'd like us to cover? We'd love to hear from you! Reach out to us at TBFT@NewDirectionFertility.com. Join us next Tuesday for more discussions on fertility, where we blend medical expertise with a touch of humor to make complex topics accessible and engaging. Until then, keep the conversation going and remember: understanding your fertility is a journey we're on together.

We chat about some Canadian topics. What is going on with the Green tech grift, the Canadian pensions, house rental prices vs income, gov dental plans, jabs for kids in Ontario, digital inclusion and the challenge of implementing CBDC, CBSA threatening strike amidst another software implementation, and some comical government of Canada moments on video.   In the last part we get into Climate Change - the movie - clips, kids and gender confusion - they grow out of it, the dangers of Lupron, heart failure, neuropathy and cancer up since jabs...   To gain access to the second half of show and our Plus feed for audio and podcast please clink the link http://www.grimericaoutlawed.ca/support.   For second half of video (when applicable and audio) go to our Substack and Subscribe. https://grimericaoutlawed.substack.com/ or to our Locals  https://grimericaoutlawed.locals.com/ or Rokfin www.Rokfin.com/Grimerica Patreon https://www.patreon.com/grimericaoutlawed   See links to the stuff Graham chatted about: https://x.com/WallStreetApes/status/1768425722467725505 https://x.com/JoshWalkos/status/1773407184933605870 https://kirschsubstack.com/p/new-survey-confirms-that-vaccines?utm_source=post-email-title&publication_id=548354&post_id=143114791&utm_campaign=email-post-title&isFreemail=true&r=24pqe&triedRedirect=true&utm_medium=email https://substack.com/app-link/post?publication_id=1073841&post_id=143363456&utm_source=post-email-title&utm_campaign=email-post-title&isFreemail=true&r=24pqe&token=eyJ1c2VyX2lkIjozNTc5MjA2LCJwb3N0X2lkIjoxNDMzNjM0NTYsImlhdCI6MTcxMjUxODg5MiwiZXhwIjoxNzE1MTEwODkyLCJpc3MiOiJwdWItMTA3Mzg0MSIsInN1YiI6InBvc3QtcmVhY3Rpb24ifQ.M-uey8WcM1AnICJoVzk8IrSu_O34DQtkzA1D_L5M_54 https://x.com/GreenThumbprper/status/1778127857534824505 https://x.com/PlumberAlberta/status/1770932796275515879 https://x.com/canindependent/status/1772435627688038855 https://substack.com/app-link/post?publication_id=548354&post_id=143114791&utm_source=post-email-title&utm_campaign=email-post-title&isFreemail=true&r=24pqe&token=eyJ1c2VyX2lkIjozNTc5MjA2LCJwb3N0X2lkIjoxNDMxMTQ3OTEsImlhdCI6MTcxMjE1OTg3OSwiZXhwIjoxNzE0NzUxODc5LCJpc3MiOiJwdWItNTQ4MzU0Iiwic3ViIjoicG9zdC1yZWFjdGlvbiJ9.rSADQvi73v3dR2iRTzbYw_geL5PGu-94qRtlPh5PHFY https://substack.com/app-link/post?publication_id=579356&post_id=142739289&utm_source=post-email-title&utm_campaign=email-post-title&isFreemail=true&r=24pqe&token=eyJ1c2VyX2lkIjozNTc5MjA2LCJwb3N0X2lkIjoxNDI3MzkyODksImlhdCI6MTcxMTExMjUzNiwiZXhwIjoxNzEzNzA0NTM2LCJpc3MiOiJwdWItNTc5MzU2Iiwic3ViIjoicG9zdC1yZWFjdGlvbiJ9.sgH7ssarF-c9flUQmtX1BKQHH-fpPQZYL2pF8_cgkcw https://substack.com/redirect/812a317e-7e9a-4431-ad8e-c749e6d5f97e?j=eyJ1IjoiMjRwcWUifQ.546JY9nFUTO_OtDYXDY02L-g7Q4QjzDSJSbGz0LSQH4   Links to topics Darren discussed: https://www.youtube.com/watch?v=88VhAPiMPrY https://www.youtube.com/watch?v=u6fi_LqQ51o https://www.youtube.com/watch?v=PWLESi1wKBo https://www.albertadentalassociation.ca/cdcp/ https://www.youtube.com/watch?v=ovsgeBcX8Ao https://doi.org/10.34989/sdp-2023-22 https://www.cppinvestments.com/the-fund/ https://www.reuters.com/world/americas/canadas-top-business-executives-urge-pension-funds-ramp-up-domestic-investments-2024-03-06/ https://www.cppinvestments.com/for-canadian/cpp-fund-facts/#:~:text=Myth%20%E2%80%93%20CPP%20is%20bankrupt%2C%20or,and%20secure%20for%20future%20generations   If you would  rather watch: https://rumble.com/v4oz0kn-outlawed-round-up-4.11.24-spent-pensions-and-canadian-green-tech-grifting.html https://rokfin.com/stream/47527 https://grimericaoutlawed.locals.com/post/5504955/outlawed-round-up-4-11-24-spent-pensions-and-canadian-green-tech-grifting https://www.youtube.com/watch?v=JRqWcyFJEyI   Support the show directly: https://grimerica.ca/support-2/ Outlawed Canadians YouTube Channel: https://www.youtube.com/@OutlawedCanadians Our Adultbrain Audiobook Podcast and Website: www.adultbrain.ca Our Audiobook Youtube Channel:  https://www.youtube.com/@adultbrainaudiobookpublishing/videos Darren's book www.acanadianshame.ca Check out our next trip/conference/meetup - Contact at the Cabin www.contactatthecabin.com Other affiliated shows: www.grimerica.ca The OG Grimerica Show www.Rokfin.com/Grimerica Our channel on free speech Rokfin Join the chat / hangout with a bunch of fellow Grimericans  Https://t.me.grimerica https://www.guilded.gg/chat/b7af7266-771d-427f-978c-872a7962a6c2?messageId=c1e1c7cd-c6e9-4eaf-abc9-e6ec0be89ff3   Get your Magic Mushrooms delivered from: Champignon Magique  Get Psychedelics online Leave a review on iTunes and/or Stitcher: https://itunes.apple.com/ca/podcast/grimerica-outlawed http://www.stitcher.com/podcast/grimerica-outlawed Sign up for our newsletter http://www.grimerica.ca/news SPAM Graham = and send him your synchronicities, feedback, strange experiences and psychedelic trip reports!! 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Q&A episode 6 includes: * Diet tips for diabetic PCa guys * Lupron or alternatives * What is PSMA averse * If radiation worked how can it come back * Prostate App updates * Prostate night at the Royals   Watch more episodes and submit your questions at https://www.prostatenetwork.org/qa

In this podcast, I'm going to share an incredible potential natural alternative to help slow the signs of dementia. The drug Lupron works to suppress certain cancers because it suppresses certain sex hormones. New research has also shown that Lupron can decrease dementia symptoms. Lupron is a potent suppressor of luteinizing hormone. Luteinizing hormone is made by the pituitary gland and signals the body to produce hormones like progesterone and testosterone. As we age, luteinizing hormone increases significantly. Patients with Alzheimer's have higher amounts of luteinizing hormone than people with normal cognitive function. High levels of luteinizing hormone significantly decrease progesterone. Progesterone is a very powerful neurosteroid, so it supports the development of neurons. Women have more progesterone, so they often have fewer adverse effects if they experience a traumatic brain injury. Progesterone minimizes inflammation in the brain cells, enhances serotonin, prevents apoptosis, and decreases blood-brain barrier leakage. After menopause, progesterone significantly decreases in women. For men, this decline can happen around 70 years of age. Melatonin can suppress luteinizing hormone, which indirectly increases progesterone. Research on mice has shown that melatonin and exercise may help halt dementia symptoms. DHEA and pregnenolone also work to suppress luteinizing hormone and increase progesterone. DHEA also suppresses cortisol. To decrease luteinizing hormone with melatonin, you'll need a much larger than average dose. You can also stimulate melatonin by going to bed with the lights turned down, increasing sun exposure, or sitting by a campfire. Around 95% of melatonin can be obtained from the sun's infrared rays. DATA: https://pubmed.ncbi.nlm.nih.gov/25310... https://en.wikipedia.org/wiki/Progest... https://www.ncbi.nlm.nih.gov/pmc/arti... https://www.ncbi.nlm.nih.gov/pmc/arti... https://www.lifeextension.com/magazin...

Katie Boyce shares her expert insights on endometriosis care, treatment options, and the importance of patient advocacy for long-term management. DetailsEpisode SummaryIn this second episode of Fempower Health's four-part series on endometriosis, we speak with guest Katie Boyce, a Board Certified Patient Advocate with a robust background in biochemistry and astrophysics. We discuss the complexities of endometriosis care from patient and specialist perspectives. We explore the treatment options for endometriosis as well as its causes and the critical importance of specialized care. Through Katie's personal journey with endometriosis and her experience working with endometriosis patients, she shares expert insights on the nuances of endometriosis diagnosis, the controversy surrounding various treatments, and the hopeful future of new medical advancements.Key TakeawaysWhat makes endometriosis a particularly challenging condition to understand, diagnose, and treatPros and cons of popular endometriosis treatments, including the debated use of drugs like Lupron and Orilissa, and what the latest research saysThe critical role of expert surgery for endometriosis and fertility concerns, and why choosing the right surgeon matters for long-term outcomesHow endometriosis patients can navigate the healthcare system to find the best care for endometriosis, including tips for vetting doctors and making informed treatment decisions.Promising new treatments for endometriosis and the future of research in the field, offering hope to those affected by the condition"The journey to managing endometriosis is as much about empowerment and informed choices as it is about medical treatment." - Katie BoyceRelated to this episode:Resources for EndometriosisConnect with Kate Boyce and follow her on InstagramPart 1 of 4: Innovations in Endometriosis Diagnosis, Pelvic Pain Management, and Patient SupportIf you're passionate about advancing women's health, there are many ways you can support the Fempower Health Podcast. Here's how:Subscribe and Listen: Tune in to new episodes every Tuesday by subscribing to the Fempower Health Podcast on iTunes or Spotify or your favorite podcast platform. Your regular listenership is invaluable!Leave a Review: Help us grow by leaving a review on iTunes or Spotify. Your feedback not only supports us but also helps others discover our podcast.Share with Others: Spread the word by sharing episodes with friends, family, or anyone interested in women's health. Every share helps!Engage with Our Community: Follow us on

In this episode of BackTable OBGYN, Dr. Mark Hoffman is joined by Dr. Sarah Rassier, a minimally invasive gynecologic surgeon and Director of the Fibroid Clinic at Mayo Clinic, to discuss the multiple treatment modalities of fibroids with a focus on laparoscopic myomectomy. Drs. Hoffman and Rassier discuss the various factors they consider when deciding on the most suitable approach for a myomectomy. Specifically, they touch on pre-surgical patient optimization, the use of laparoscopic techniques in surgery, and the significance of efficient incision planning and closure. Dr. Rassier also highlights the practice of using preventative measures, such as iron infusions and Lupron, in certain patients to manage fibroids before surgical intervention. The conversation wraps up with a discussion about how future developments could potentially revolutionize fibroid management. --- SHOW NOTES 00:00 - Introduction and Overview of the Podcast 03:32 - Discussion on Fibroids and Their Different Treatment Options 06:40 - The Future of Fibroid Treatment 09:17 - Patient-Centered Decision Making in Fibroid Treatment 11:40 - Preparation and Approach for Myomectomy 13:18 - Discussion on the Use of MRI in Fibroid Treatment 15:55 - The Role of Laparoscopy in Myomectomy 29:00 - Umbilicus vs. Suprapubic Approach 32:04 - Cosmetic Considerations in Surgery 32:27 - - C-sections After Myomectomies? 34:51 Instruments and Techniques for Fibroid Removal 36:28 - Minimizing Blood Loss in Surgery 38:47 - The Importance of Efficient Closure in Surgery 44:46 - Tissue Extraction Techniques 49:02 - The Future of Myomectomy

“Intersex” is often considered part of the “LGBTQIA+” community. But how do people with this condition feel about their inclusion that category?The more accurate and respectful term, “disorders of sexual development,” encompasses more than 40 different medical diagnoses. Today's guest, James Linehan, has one such DSD. Undiagnosed until age 16, hypogonadotropic hypogonadism prevented James from experiencing normal puberty. James had to undergo extensive treatment, and will forever remain a lifelong medical patient, causing a cascade of impacts on his mind, body, and relationships.James' lived experiences give him a unique perspective on today's fraught gender wars. After decades of living with his condition, James learned that his unique form of suffering is now being needlessly inflicted on vulnerable, otherwise physically healthy youth. Puberty blockers (GnRH agonists, such as Lupron), which are now commonly prescribed off-label to gender-questioning youth, induce conditions like James', raising major ethical concerns.Today we break down myths vs facts of DSDs and address what happens when identity politics and culture wars seek to appropriate real medical conditions faced by truly disadvantaged minorities. James expresses his frustration with the politicization of these conditions and the misrepresentation of the experiences of individuals with disorders of sexual development. We discuss the impact of his condition on fertility, relationships, and mental health.Throughout the episode, James challenges misconceptions and encourages listeners to approach these topics with empathy and a willingness to learn. James's story sheds light on the complexities of living with a disorder of sexual development and the resilience required to navigate the medical and emotional challenges associated with it.James Linehan is an IT and AI consulting professional with a background as an instructional resource specialist and an adjunct lecturer in sociology. He has a disorder of sexual development called hypogonadotropic hypogonadism, which he has been managing, medically, and learning about for over 40 years. James is passionate about raising awareness and understanding of diverse disorders of sexual development beyond the limited representation commonly discussed. He emphasizes the exploitation of individuals with DSDs and advocates for informed consent and ethical medical practices. He criticizes the politicization of intersex conditions and the distortion of narratives by trans activism. He wishes to share this long-term study about his condition, emphasizing that it is important to understand that Lupron causes iatrogenic hypogonadotropic hypogonadism. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4380912/Episode mentioned:30. Surviving Gender Malpractice: Brian's Detransition StoryArticle on Lisa Selin Davis' blog: My Body is a Puberty Blocker00:00 Start00:04 Medicalization and human rights04:28 Being politicized as a medical condition09:03 Learning disabilities and neurologic problems15:06 The good old days19:09 Medically induced puberty24:06 Infertility and treatment drawbacks26:09 Painful and messy pellet injections30:41 Puberty blockers and inadequate penile tissue38:05 Emotions during puberty41:15 Missed adolescent development43:39 Infertility and relationships49:57 Misinformation about transgender and hormones52:39 Developmental disorders in gender dysphoria56:43 Hormones and child development01:02:07 Replicating Mother Nature's cocktail01:07:23 XX males and biological sex01:10:27 Trauma of medicalization and fertility01:15:17 Ambitious doctors and unethical practices01:21:10 Endocrinologists and growth hormones01:24:38 Attempt to convert gay males To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend!Learn more about Do No Harm.Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com.Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi.Check out my shop for book recommendations + wellness products.Show notes & transcript provided with the help of SwellAI.Special thanks to Joey Pecoraro for our theme song, “Half Awake,” used with gratitude and permission.Watch NO WAY BACK: The Reality of Gender-Affirming Care (our medical ethics documentary, formerly known as Affirmation Generation). Stream the film or purchase a DVD. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration.Have a question for me? Looking to go deeper and discuss these ideas with other listeners? Join my Locals community! Members get to ask questions I will respond to in exclusive, members-only livestreams, post questions for upcoming guests to answer, plus other perks TBD. ★ Support this podcast on Patreon ★

October 13, 2023 Ray, Mark, and Scott discuss questions from the Urology Coding and Reimbursement Group.Are injections like Lupron and Prolia and the administration given by an advanced practice provider subject to the 85% reimbursement or are these reimbursed at 100% even if given by a nurse practitioner?Are 11006 and 97606 appropriate here for wound vac?OPERATION: Debridement of Fournier's gangrene.DRAINS: Wound VAC, 16-French Foley catheter.OPERATIVE TECHNIQUE: The patient was brought into the operating room, placed in supine position on the operating room table. After administration of IV antibiotics and anesthesia, the patient was repositioned in dorsal lithotomy position, prepped and draped in the usual sterile fashion. The wound measured approximately 30 cm x 14 cm and went from the left inguinal region through the left perineum and to the posterior left buttocks. Using a curettage, we proceeded with additional debridement of all the raw surfaces. Spot electrocautery was used as needed for hemostasis and the wound was irrigated copiously with antibiotic irrigation. The sharp debridement was done to the level of the dartos fascia and Colles fascia. Once we had finished the sharp debridement, we went ahead and decided to place a wound VAC. A black sponge was placed into the wound and then carefully placed using the sticky plastic and put it to suction. Given the location, it was a bit challenging but we were able to place the wound VAC to suction. Given that the wound extended near the posterior buttocks, it was near the anus which would likely be an issue for maintaining suction if the patient had a bowel movement. The patient tolerated the procedure well.Mark Painter and PRS ConsultingSchedule a call with Mark Painter / PRS ConsultingUrology Documentation, Coding, and Billing CertificationFor Urologists and APPs (Click Here for Pricing, More Information, and Registration)Documentation, Coding, and Billing Fellowship - Urology (DCB-FS) For Coders, Billers, and Admins (Click Here for Pricing, More Information, and Registration)Documentation, Coding, and Billing Specialist Certification (DCB-SC)Documentation, Coding, and Billing Master Certification (DCB-MC)Urology Advanced Coding and Reimbursement Seminar(Click Here for More information and Registration) Las Vegas, December 1 & 2, 20238 am - 4:30 pm Friday, 8 am - 3:30 pm SaturdayNew Orleans, January 26 & 27, 20248 am - 4:30 pm Friday, 8 am - 3:30 pm SaturdayReserve your spot and save!As a Urology Coding and Reimbursement Podcast listener, you get access to a discount (expires 8/31/23).Use code: 24UACRS733Get signed up today and get peace of mind knowing you will be prepared for all the upcoming changes.The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.Click Here to Start Your Free Trial of AUACoding

In this two-part journey, Shauna and Rosalina detail the mental, emotional, financial, and physical struggle of hormone therapy through — and following — treatment. At points, Shauna felt like she was one continuous experiment, fighting fire with fire and piling on medications that put her in a dark place for the better part of a year. Rosalina and Shauna are on their five-year medication regimen, with Rosalina having experienced menopausal-like symptoms of insomnia, hot flashes, brain fog, and joint pain that lasted over a year and a half.With the help of a new workout regimen, Rosalina no longer experiences joint pain, but her other symptoms vary from week to month. She has found other coping mechanisms to help with insomnia and shared them with Shauna, who has also been having sleepless nights and hot flashes. Shauna shifted gears with a new oncologist at the end of 2022, who — along with a newfound support group — guided Shauna with empathy and compassion as she navigated the oftentimes treacherous lanes of hormonal therapy.Episode Timestamps:[00:01:35] Housekeeping Items/Updates[00:02:18] Rosalina's Update - Side Effects of Hormone Therapy[00:07:19] Rosalina's Brain Fog and Fatigue[00:11:28] Shauna's Joy of Having a Period Again[00:15:39] Shauna's Update - Revisiting Hormone Therapy[00:20:13] Starting Verzenio[00:24:52] Diarrhea and It's Many Joys[00:28:54] To Guinea Pig or Not To Guinea Pig[00:35:59] Side Effects and Symptoms[00:39:51] Advice to Your Former SelfListen to Our Hormone Therapy Part 1 episode in S2Click here to leave us a voicemail about what advice would you give to individuals or organizations who are considering supporting breast cancer awareness and research efforts through donations or other means?Resources:The Monarch Trial: https://pubmed.ncbi.nlm.nih.gov/32954927/Verzenio Copay Assistance: https://www.verzenio.com/savings-supportIf you enjoy this episode, please share it with your friends. Help us reach more women by subscribing and rating us on Apple Podcast, Spotify, and YouTube.You can follow us on Instagram @TYFTSpodcast and email us at tyftspodcast@gmail.comPlease consider donating to our “Buy Me A Coffee” page. Your generous support will greatly assist us in continuing to produce quality content for our listeners. Every donation will get a shoutout on our podcast, as well as a free TYFTS sticker.www.buymeacoffee.com/tyftspodcastIf you want to submit a quote about your breast cancer journey, submit one here: Submit A Quote

Fertility clinics are dealing with an especially high volume of patients these days. Some centers in NYC, for example, are telling patients they can't see them for a few months. It's now become the norm to do multiple IVF cycles before achieving success. That said, many doctors are so busy that they don't have time to think about the protocol they are designing for you. While the standard medication protocols work well for many,  some ladies require more creativity than others. Generally, this is the case with women who have low ovarian reserve and/or mysterious issues with implantation failure. As always, my goal is to get you to realize your dream of a baby, and fast. I love to emphasize the importance of integrative medicine to get you to your goal in no time. And part of that is getting in the know about your options for IVF treatment. In today's session, we dive into a more Western approach to IVF protocols and inform you on how to get the most out of these treatments. I've chosen a popular fertility drug called Lupron and explained some common uses.Tune in as we give you the scoop on the various uses of lupron in IVF cycles.You'll Learn: How lupron works   Who its forThe pros and consThanks so much for listening to our podcast! If you enjoyed this episode and think others would love to hear it, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode or want to be a guest on the show? Leave a comment in the section below or visit the website to contact me!www.naturnalife.comSubscribing to The Podcast:If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts, Stitcher, Spotify, Amazon, or whatever your favorite podcast app is!Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. So if you have a minute, please leave a review on Apple Podcasts! 

The Left's Humiliation Ritual For Americans and how to respondTHE SHOW: The Left's Humiliation Ritual For AmericansTHE THESIS: The Left, and to some degree all of The Party, is putting Americans through a series of humiliation rituals. We are being told we must pretend Rachel Levine, the deeply ill and deranged man (he is obsessed with “transing” homeless kids) who helps run HHS is a woman. Sam Brinton, the deeply ill head of our nuclear waste protection efforts, who believes he is neither man nor woman, teaches classes on how to get sexual pleasure out of humiliating others and who apparently steals the ~$2,500 purses of women, is paraded about as someone we should consider healthy and well enough to protect our nation's stores of nuclear waste. We must realize what this is--humiliation rituals--and respond by remembering who we are: people created by God who will not be mocked. Let us be GRATEFUL for that so we will face this trial as a testimony to the greatness of God. THE SCRIPTURE & SCRIPTURAL RESOURCES: Galatians 6:77 Do not be deceived: God cannot be mocked. A man reaps what he sows.THE NEWS & COMMENT:Humiliation ritual: you will allow yourself to be held captive in your car by rageful people beating on your doors and windows. NYC mother-of-three refuses to take plea deal and now faces seven years in prison after slamming into group of BLM protesters in 2020 - sending 50 flying across Third Ave - when they attacked her BMWKathleen Casillo, 54, rejected a plea deal for a second time on TuesdayShe appeared in Manhattan Criminal Court where she was offered six days of community service and one-year license suspension, but still opted for a trial Casillo, of Queens, plowed her BMW into a group of BLM protesters in 2020 She previously claimed the demonstrators came up to her car and called her 'a white privilege b**ch' before banging on the vehicle, which caused her to panicHumiliation ritual: These are your rulersJanet Yellen blames Americans' 'splurging' for record-high inflation; Stephen Colbert notes Biden administration dismissed inflation as 'small risk' last yearEXCLUSIVE: Biden's” married”, “non-binary” nuclear waste bureaucrat who stole woman's $2,325 bag from airport hosted SPANKING seminar at kink conference just weeks later - under 'NuclearNerd' nickname that's still in use on fetish hookup websiteDOE Refuses to Say if “Nonbinary” Nuclear Waste “Bureaucrat” Sam Brinton is Still Getting Paid While on LeaveHumiliation ritual: Limiting your access to food is good for you. Netherlands to close up to 3,000 farms to comply with EU rules; Government tries to cut down on nitrogen pollution in a move set to reignite tensions with farmers who say the industry is unfairly targetedHumiliation ritual: Friends of The Party get to steal from youHumiliation ritual: This “healthy” “woman” has solid mental health and can help others[AUDIO] - Caitlyn Jenner on Kanye: "All I can say on that subject...I've known obviously Kanye for a long time...He's always been very very good to me...I just wish him the best...He's got challenges."Humiliation ritual: This is reasoned and valuable discourse[AUDIO] - CNN Host Laments HIV Patients Not Allowed to Donate BloodHumiliation ritual: This is wholesome entertainment for your children[AUDIO] - Mama has a mustache--sponsored by AbbVie, the pharmaceutical company that sells the chemical castration drug Lupron to convicted pedophiles and "transgender children."Humiliation ritual: These are your truth-tellersTIME argues that “election denier” only refers to Republicans, therefore Hakeem Jeffries can't be an election denier. Yes, reallyIf Donald Trump went out to Mar-a-Lago with family and friends for a weekend getaway and FIVE Secret Service rental cars mysteriously self-immolated on a tarmac near a jet fuel depot, you can sure as hell bet there'd be mainstream media journos trying to get to the bottom of it[AUDIO] - The Mockingbirds--starring NBC--deny the Hunter Biden laptop and emailsHumiliation ritual: These are your Republicans[AUDIO] - WATCH: Jonah Goldberg meltdown of babbling when trying to explain why Hunter's laptop behind censored had no effect on the electionHumiliation ritual: These are your fellow, freedom-loving AmericansHow many Democrats were so terrified by The Party that they wanted to slam us all in prison for not being similarly terrified? 4Patriots https://4patriots.com Protect your family with Food kits, solar generators and more at 4Patriots. Use code TODD for 10% off your first purchase. 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A recent CBS News article claims, in its very title in fact, to separate “medical facts from misinformation” around so-called “gender-affirming care.” However, rather than separate the facts from the falsehoods, the article peddles lies and half-truths, assuming the conclusions it claims to prove in a thinly veiled piece of progressive propaganda. And that's about the nicest thing that can be said about it.  The first dead giveaway about the piece is how it smuggles transgender ideology into its chosen language and terminology. Rather than refer to boys and girls, or young males and females, the author refers to “kids with testes” and “those with ovaries.”   The piece then claims to set the record straight about what is involved in diagnosing gender dysphoria and administering “gender-affirming care.” Here, too, its claims could not be further from the truth. According to the author, “the process informing these treatments is a long and intensive one.” This directly conflicts with an increasing number of testimonies from whistleblowers and de-transitioners who sought out this kind of care, not to mention the information given by providers like Planned Parenthood.   According to a whistleblower and former case manager at Washington University Transgender Center at St. Louis Children's Hospital, “[T]he majority” of young people who came to them “received hormone prescriptions.” Likewise, Helena Kirschner, a young woman who detransitioned, received testosterone as a teenager after her very first visit to Planned Parenthood.    It's notable that Planned Parenthood doesn't even cover up this information. On some office webpages, the abortion giant happily promotes that “[i]n most cases your clinician will be able to prescribe hormones the same day as your first visit. No letter from a mental health provider is required.” Getting high-powered, life-altering drugs on your first visit hardly involves a “long and intensive” diagnosis process.   The piece also falsely presents the effects of chemical “transition” interventions as reversible and harmless, peddling the lie that puberty blockers are like a “pause button” for puberty, which can be stopped and restarted with no long-term effect. Contrary to this claim, recent studies have found that the lasting adverse effects of the puberty-blocking drug Lupron, which is used to halt puberty primarily in young girls, include brittle bones and faulty joints. The piece also tries to soften the truth about cross-sex hormones by saying that some of their effects are reversible. However, changes caused in secondary sexual characteristics, such as deepened voices, facial hair, breast growth, and infertility are not reversible in the least.   At the heart of most transgender propaganda is the claim that transitioning children has mental health benefits and can save them from suicide. Unsurprisingly, this piece repeats that claim while ignoring the facts that do not line up. The piece cites a popular but deeply flawed study among trans-advocates that those who received cross-sex hormones as minors had better mental health outcomes than those who received them as adults.   However, the study's flawed design makes it impossible to sufficiently isolate cross-sex hormones, or lack thereof, as the determining factor of mental health outcomes. In fact, better research shows the opposite conclusion. For example, in states where youth were able to access chemical “transition” interventions without parental consent, youth suicide rates were higher than those who required parental consent. Additionally, the longest-term study on the effects of transitioning has found that those who transition are over 19 times more likely to commit suicide than the general population.   Far from causing harm, denying irreversible and sterilizing chemical and surgical interventions actually helps children who are distressed by their bodies. Granted time and space, many learn to accept their bodies and God-given identities. However, propaganda pieces like this one published by CBS confuse those called to care for children and only contributes to their harm. If journalists and media outlets really want to dispel misinformation and help vulnerable children, they should stop blindly repeating the lies of gender ideologues.  This Breakpoint was co-authored by Jared Eckert. For more resources to live like a Christian in this cultural moment, go to breakpoint.org.  

Women who have repeatedly experienced implantation failure, recurrent pregnancy loss and miscarriages have reason to hope. Join Dr. Carrie Bedient from The Fertility Center of Las Vegas, Dr. Abby Eblen from Nashville Fertility Center and Dr. Susan Hudson from Texas Fertility Center as they chat with Dr. Bruce Lessey about ReceptivaDX™, a revolutionary fertility test that is recommended for situations where IVF doesn't yield results despite favorable circumstances. He explains how endometrial biopsy analysis can help determine whether women have endometriosis and which steps to take next to help them have a successful pregnancy. We also talk about Lupron suppression treatment and new tests that may be coming to improve implantation outcomes. Have questions about infertility? Visit FertilityDocsUncensored.com to ask our docs. Selected questions will be answered anonymously in future episodes.

While as a society, so many people spend so much time "affirming" peoples feelings, especially when it comes to transgender and gender identity, we are missing the obvious piece behind what these gender transitioning drugs are doing to the health of individuals.Have people truly taken the time to consider how damaging gender transitioning medications like testosterone, estrogen, or even Lupron, is effecting the health of these people?Sadly - there is NOT enough long term studies on these medications and it is truly heartbreaking witnessing so many people ignore the health consiquences of changing your biology.In this episode, we chat about this in detail, especially one specific puberty blocking medication, Lupron.Be sure to tune in to hear the full show.Subscribe and hang out with me every Wednesday to stay up to date on this show.  If you enjoy, please share this on your social media and tag me (@brookebacci) and give me a rating/review. Thank you!Sponsors: Magic Mind - productivity and energy shotINFORMED20 to save 20%https://magicmind.superfiliate.com/INFORMED20All natural women's homeopathic hormone supplement $10 off with linkMenopause - https://modere.co/3XRHVVZMenstrual - https://modere.co/3IkPxKTOrganic Herbal Remedies Use Code BROOKE10 to save 10%https://earthley.com/ref/brookebacci/Amazon Storefront(Book recommendations, wellness supplements and more)https://www.amazon.com/shop/brookebrewer20?ref_=cm_sw_r_cp_ud_aipsfshop_aipsfbrookebrewer20_FCY5VKK29ERGZAXM03T8Primally Pure Deodorant and natural skin care productshttp://www.primallypure.comUse code BROOKEB at checkout for 10% ofMASA chips - Seed oil Free Tortilla Chipshttp://www.masachips.com/brookebacciUse code BROOKEBACCI to save 10%Sources:FDA Lupron Lab Reports https://www.accessdata.fda.gov/drugsatfda_docs/label/2010/020263s035lbl.pdfLupronhttps://www.justtheinserts.com/wp-content/uploads/2022/10/Lupron-Infographic.pdfCommon Meds in transitioninghttps://transline.zendesk.com/hc/en-us/articles/229373208-What-are-commonly-used-medications-for-transition-CDC study 1 in 4 https://www.cdc.gov/healthyyouth/data/yrbs/supplemental-mmwr/students_by_sexual_identity.htm

I use Depot Lupron in my practice quite a bit for patients who have implantation issues, mostly related to endometriosis. We can also use it for women who have fibroid uterus, adenomyosis, as well. Tune in, and I hope you get a chuckle just like I do when I share this stuff with you. Today on the Egg Whisperer Show Podcast, I'm sharing about the 10 things that you need to know to survive Depot Lupron. Think of this as your Depot Lupron survival guide. Here is a sampling of the top 5: 1. The first thing to realize is that you have to be prepared for dryness. I'm talking like communion wafer level of dryness. We're talking about dryness in your vagina. Thank you, Depot Lupron. 2. Practice self care. 3. Mood change can occur with Depot Lupron, so you want to be prepared and be a proactive participant in what's happening. 4. Eat like an adult, not like a garbage disposal teenager. 5. Keep your eye on the prize. As one of my patients says, “My race is not done yet, but I know love conquers all eventually. I'm here for it and I'm going to fight the good fight until I'm done. You can, too. Let's go, girl.” Read the full show notes on Dr. Aimee's website Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, May 1, 2023 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   Get Dr. Aimee's brand new Conception Kit here. Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org. Other ways to connect with Dr. Aimee and The Egg Whisperer Show: Subscribe to my YouTube channel for more fertility tips!Subscribe to the newsletter to get updates

THE THESIS: The Left, and to some degree all of The Party, is putting Americans through a series of humiliation rituals. We are being told we must pretend Rachel Levine, the deeply ill and deranged man (he is obsessed with “transing” homeless kids) who helps run HHS is a woman. Sam Brinton, the deeply ill head of our nuclear waste protection efforts, who believes he is neither man nor woman, teaches classes on how to get sexual pleasure out of humiliating others and who apparently steals the ~$2,500 purses of women, is paraded about as someone we should consider healthy and well enough to protect our nation's stores of nuclear waste. We must realize what this is--humiliation rituals--and respond by remembering who we are: people created by God who will not be mocked. Let us be GRATEFUL for that so we will face this trial as a testimony to the greatness of God. THE SCRIPTURE & SCRIPTURAL RESOURCES: Galatians 6:77 Do not be deceived: God cannot be mocked. A man reaps what he sows.THE NEWS & COMMENT:Humiliation ritual: you will allow yourself to be held captive in your car by rageful people beating on your doors and windows. NYC mother-of-three refuses to take plea deal and now faces seven years in prison after slamming into group of BLM protesters in 2020 - sending 50 flying across Third Ave - when they attacked her BMWKathleen Casillo, 54, rejected a plea deal for a second time on TuesdayShe appeared in Manhattan Criminal Court where she was offered six days of community service and one-year license suspension, but still opted for a trial Casillo, of Queens, plowed her BMW into a group of BLM protesters in 2020 She previously claimed the demonstrators came up to her car and called her 'a white privilege b**ch' before banging on the vehicle, which caused her to panicHumiliation ritual: These are your rulersJanet Yellen blames Americans' 'splurging' for record-high inflation; Stephen Colbert notes Biden administration dismissed inflation as 'small risk' last yearEXCLUSIVE: Biden's” married”, “non-binary” nuclear waste bureaucrat who stole woman's $2,325 bag from airport hosted SPANKING seminar at kink conference just weeks later - under 'NuclearNerd' nickname that's still in use on fetish hookup websiteDOE Refuses to Say if “Nonbinary” Nuclear Waste “Bureaucrat” Sam Brinton is Still Getting Paid While on LeaveHumiliation ritual: Limiting your access to food is good for you. Netherlands to close up to 3,000 farms to comply with EU rules; Government tries to cut down on nitrogen pollution in a move set to reignite tensions with farmers who say the industry is unfairly targetedHumiliation ritual: Friends of The Party get to steal from youHumiliation ritual: This “healthy” “woman” has solid mental health and can help others[AUDIO] - Caitlyn Jenner on Kanye: "All I can say on that subject...I've known obviously Kanye for a long time...He's always been very very good to me...I just wish him the best...He's got challenges."Humiliation ritual: This is reasoned and valuable discourse[AUDIO] - CNN Host Laments HIV Patients Not Allowed to Donate BloodHumiliation ritual: This is wholesome entertainment for your children[AUDIO] - Mama has a mustache--sponsored by AbbVie, the pharmaceutical company that sells the chemical castration drug Lupron to convicted pedophiles and "transgender children."Humiliation ritual: These are your truth-tellersTIME argues that “election denier” only refers to Republicans, therefore Hakeem Jeffries can't be an election denier. Yes, reallyIf Donald Trump went out to Mar-a-Lago with family and friends for a weekend getaway and FIVE Secret Service rental cars mysteriously self-immolated on a tarmac near a jet fuel depot, you can sure as hell bet there'd be mainstream media journos trying to get to the bottom of it[AUDIO] - The Mockingbirds--starring NBC--deny the Hunter Biden laptop and emailsHumiliation ritual: These are your Republicans[AUDIO] - WATCH: Jonah Goldberg meltdown of babbling when trying to explain why Hunter's laptop behind censored had no effect on the electionHumiliation ritual: These are your fellow, freedom-loving AmericansHow many Democrats were so terrified by The Party that they wanted to slam us all in prison for not being similarly terrified?

Today we're talking about the Senate's passing of the Respect for Marriage Act and how Christians should respond. We look at the reasons why this bill is so dangerous for religious liberty and discuss our utter disappointment in the weak Republicans who voted this in. Then, we're joined by Pedro Gonzalez, associate editor at Chronicles: A Magazine of American Culture, to discuss his new report, "The Transgender Leviathan," which is a deep dive into the world of trans culture and ideology. We discuss how lucrative the transgender medical industry is, who is profiting from "gender-affirming care," specifically surgeries and drugs that ruin young peoples' bodies, and why exactly these entities feel incentivized to keep encouraging these "treatments." We cover the story of John Money's horrific experiments on David Reimer, a boy raised as a girl under medical advice. We talk about how it's both Democrats and Republicans who have contributed to this issue and ask how conservatives should respond and what we can do. --- Timecodes: [00:56] Christmas merch [03:48] Respect for Marriage Act [23:10] Interview with Pedro begins [34:00] Lupron [43:45] David Reimer and John Money [59:25] Bipartisan contribution --- Today's Sponsors: Genucel — go to genucel.com/ALLIE and get the skincare package for 75% off. Use code "ALLIE" at checkout for an extra special discount! Good Ranchers — change the way you shop for meat today by visiting GoodRanchers.com/ALLIE and use promo code 'ALLIE' to get two Black Angus NY strip steaks & two pasture raised chicken breasts FREE for Black Friday (now extended)! Annie's Kit Clubs — all subscriptions are month-to-month, and you can cancel anytime! Go to AnniesKitClubs.com/ALLIE and get your first month 75% off! Covenant Eyes — protect you and your family from the things you shouldn't be looking at online. Go to coveyes.com/ALLIE to try it FREE for 30 days! --- Links: The Transgender Leviathan: https://reports.americanprinciplesproject.org/ CNN: "Senate passes bill to protect same-sex and interracial marriage in landmark vote" https://edition.cnn.com/2022/11/29/politics/same-sex-marriage-vote-senate/index.html Alliance Defending Freedom: "What You Should Know About the Respect for Marriage Act" https://adflegal.org/article/what-you-should-know-about-respect-marriage-act --- Relevant Episodes: Ep 588 | What the Media Won't Tell You About Ukraine & Zelenskyy | Guest: Pedro Gonzalez https://apple.co/3Ff0gWH Ep 647 | Who Defines Marriage & Why It Matters https://apple.co/3OMlCxT Ep 335 | Understanding the Biblical Telos of Gender https://apple.co/3ENMTLH Ep 115 | "Equality" Act https://apple.co/3isUXu5 Ep 636 | How BDSM, Porn, & Pedophilia Are Tied to Transgender Ideology | Guest: Genevieve Gluck https://apple.co/3OQ3TWb Ep 653 | Losing Custody of Your "Trans" Daughter | Guest: Jeannette Cooper https://apple.co/3u9oL1n --- Christmas Merch: Full collection: https://shop.blazemedia.com/collections/allie-stuckey?sort_by=created-descending#MainContent "Thrill of Hope" crewneck (white): https://shop.blazemedia.com/collections/allie-stuckey/products/a-thrill-of-hope-crewneck-sweatshirt-white "Thrill of Hope" crewneck (green): https://shop.blazemedia.com/collections/allie-stuckey/products/a-thrill-of-hope-crewneck-sweatshirt-olive "Raise a Joyful Ruckus" crewneck (green): https://shop.blazemedia.com/collections/allie-stuckey/products/raise-a-joyful-ruckus-crewneck-sweatshirt "Raise a Joyful Ruckus" crewneck (blue): https://shop.blazemedia.com/collections/allie-stuckey/products/raise-a-joyful-ruckus-crewneck-sweatshirt-blue "You Better Watch Out" sticker: https://shop.blazemedia.com/collections/allie-stuckey/products/you-better-watch-out-sticker --- Buy Allie's book, You're Not Enough (& That's Okay): Escaping the Toxic Culture of Self-Love: https://alliebethstuckey.com/book Relatable merchandise – use promo code 'ALLIE10' for a discount: https://shop.blazemedia.com/collections/allie-stuckey Learn more about your ad choices. Visit megaphone.fm/adchoices

You know those IDIOT REPUBLICANS who think that SCIENCE hasn't TOTALLY PROVEN that puberty blockers and hormones are AWESOME????? And TOTALLY REVERSIBLE????? Well two MOUTH-BREATHING IDIOTS who probably also HATE CRT and PUPPIES are so BIGOTED they don't even ACCEPT the MEDICAL CONSENSUS.(Show notes a bit longer and more in-depth than usual this week to help everyone follow along, double-check stuff, etc.)Show notes/Links:Carole hooven DESTROYS jon stewartThe state lawshttps://www.kff.org/other/issue-brief/youth-access-to-gender-affirming-care-the-federal-and-state-policy-landscape/Jesse on the state laws in 2020The vote went down after the episode was recorded, but Florida has now banned yuth gender medicine, with exceptions for those already receiving it and future research projectshttps://www.nytimes.com/2022/11/04/health/florida-gender-care-minors-medical-board.htmlThe full episode of Stewart's show: https://tv.apple.com/us/episode/the-war-over-gender/umc.cmc.1jj39s607lehulo4k0iscsarp“I don't send someone to a therapist when I'm going to start them on insulin.”https://www.theatlantic.com/magazine/archive/2018/07/when-a-child-says-shes-trans/561749/“Historically, mental health professionals have been charged with ensuring ‘readiness' [she puts that in scare quotes] for phenotypic transition, along with establishing a therapeutic relationship that will help young people navigate this very same transition. These 2 tasks are at odds with each other because establishing a therapeutic relationship entails honesty and a sense of safety that can be compromised if young people believe that what they need and deserve (potentially blockers, hormones, or surgery) can be denied them according to the information they provide to the therapist.” This excerpt strongly suggests she doesn't believe in the traditional gatekeeping role a mental-health clinician might play in a situation like this, helping to determine if a young person will benefit from transitioning.https://jamanetwork.com/journals/jamapediatrics/article-abstract/2504256Kids — sorry, sorry — “adolescents” — getting double mastectomies at 13 or 14https://pubmed.ncbi.nlm.nih.gov/29507933/“Suicide Attempts among Transgender and Gender Non-Conforming Adults: Findings of the Naitonal Transgender Discrimination Survey.”https://williamsinstitute.law.ucla.edu/wp-content/uploads/Trans-GNC-Suicide-Attempts-Jan-2014.pdfn.b.: “Without such probes, we were unable to determine the extent to which the 41 percent of NTDS participants who reported ever attempting suicide may overestimate the actual prevalence of attempts in the sample.” And:Finally, it should be emphasized that the NTDS, like all similar surveys, captured information about suicide attempts, not completed suicide. Lacking any information about completed suicide among transgender people (due primarily to decedents not being identified by gender identity or transgender status), it may be tempting to consider suicide attempt data to be the best available proxy measure of suicide death. Data from the U.S. population at large, however, show clear demographic differences between suicide attempters and those who die by suicide. While almost 80 percent of all suicide deaths occur among males, about 75 percent of suicide attempts are made by females. Adolescents, who overall have a relatively low suicide rate of about 7 per 100,000 people, account for a substantial proportion of suicide attempts, making perhaps 100 or more attempts for every suicide death. 13 suicides per 100,000 in a GIDS samplehttps://link.springer.com/article/10.1007/s10508-022-02287-7Insanely high rate of 2.8% in a Belgian clinical samplehttps://biblio.ugent.be/publication/8706800/file/8707586.pdfT H E G U I D E L I N E SStewart: So these, the guidelines that you wrote, because you were responsible with the endocrine board for writing guidelines of care for endocrinology.Safer: The Endocrine Society, yesStewart: The endocrine society.Yes.Stewart: And that was based on, uh, research papers, data, the things that you saw. Intervening with gender affirming care which may be just being respectful or, as they get older some of these other things. You've seen that have a reduction in depression, a reduction in suicide — that's what you've studied.Safer: Absolutely.Nothing about mental health improvement, lotta assessment-talk, “low evidence” at best https://academic.oup.com/jcem/article/102/11/3869/4157558?login=false#99603239The Ibuprofen System For Evidence Assessmenthttps://www.ncbi.nlm.nih.gov/books/NBK470778/table/app2.t2/Erica Anderson and Laura Edwards-Leeper take their concerns to the Washington Posthttps://www.washingtonpost.com/outlook/2021/11/24/trans-kids-therapy-psychologist/Jesse's interview with Anderson on BARPodRutledge: We don't have enough data, we don't have enough to show that these drugs are effective and that these children are better off. And that we should encourage…Stewart: You don't have enough, or it's not enough for you? I've got some bad news for ya. Parents with children who have gender dysphoria, have lost children, to suicide, and depression. Rutledge : They absolutely have.Stewart: —because it's acute. And so these mainstream medical organizations have developed guidelines through peer reviewed data, and studies. And through those guidelines, they've improved mental health outcomes.Rutledge's read on the evidence is perfectly reasonableHere's Sweden's National Board of Health and Welfare:For adolescents with gender incongruence, the [National Board of Health and Welfare] deems that the risks of puberty suppressing treatment with GnRH-analogues and gender-affirming hormonal treatment currently outweigh the possible benefits, and that the treatments should be offered only in exceptional cases. … To minimize the risk that a young person with gender incongruence later will regret a gender-affirming treatment, the NBHW deems that the criteria for offering GnRH-analogue and gender-affirming hormones should link more closely to those used in the Dutch protocol, where the duration of gender incongruence over time is emphasized.https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/kunskapsstod/2022-3-7799.pdfAnd here's Finlands' Council for Choices in Health Care, via an unofficial translationIn light of available evidence, gender reassignment of minors is an experimental practice. Based on studies examining gender identity in minors, hormonal interventions may be considered before reaching adulthood in those with firmly established transgender identities, but it must be done with a great deal of caution, and no irreversible treatment should be initiated. Information about the potential harms of hormone therapies is accumulating slowly and is not systematically reported. It is critical to obtain information on the benefits and risks of these treatments in rigorous research settings.https://segm.org/sites/default/files/Finnish_Guidelines_2020_Minors_Unofficial%20Translation.pdfNHS headed same wayhttps://www.engage.england.nhs.uk/specialised-commissioning/gender-dysphoria-services/user_uploads/b1937-ii-specialist-service-for-children-and-young-people-with-gender-dysphoria-1.pdfDutch stuffhttps://www.tandfonline.com/doi/full/10.1080/0092623X.2022.2121238https://www.tandfonline.com/doi/full/10.1080/0092623X.2022.2046221Depression and suicidality linked to blockers, perhaps rarelyhttps://www.accessdata.fda.gov/drugsatfda_docs/label/2016/019732s042,020517s038lbl.pdfThttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3693622/“Testosterone Therapy is Associated With Depression, Suicidality, and Intentional Self-Harm: Analysis of a National Federated Database”https://www.sciencedirect.com/science/article/abs/pii/S1743609522012449#:~:text=Testosterone%20use%20was%20independently%20associated,testosterone%20deficient%20sub%2Dgroup%20analysisThe book to read on Thttps://www.amazon.com/Story-Testosterone-Hormone-Dominates-Divides/dp/1250236061The desistane literature is by no means “debunked,” and if you actually read the studies, no, the clinicians who wrote them did not confuse a bunch of merely gender nonconforming kids for genuinely gender dysphoric onesThese studies aren't perfect and come from different contexts, but they consistently tell the same storyhttp://www.sexologytoday.org/2016/01/do-trans-kids-stay-trans-when-they-grow_99.htmlThat story probably doesn't apply to kids who socially transition at a young age https://www.nytimes.com/2022/05/04/health/transgender-children-identity.htmlhttps://publications.aap.org/pediatrics/article/150/2/e2021056082/186992/Gender-Identity-5-Years-After-Social-Transition?autologincheck=redirected%3fnfToken%3d00000000-0000-0000-0000-000000000000Even at the bigger clinics that do take a multidisciplinary approach, and where kids could theoretically get comprehensive, holistic care, that isn't always happeninghttps://www.reuters.com/investigates/special-report/usa-transyouth-care/In interviews with Reuters, doctors and other staff at 18 gender clinics across the country described their processes for evaluating patients. None described anything like the months-long assessments de Vries and her colleagues adopted in their research. At most of the clinics, a team of professionals – typically a social worker, a psychologist and a doctor specializing in adolescent medicine or endocrinology – initially meets with the parents and child for two hours or more to get to know the family, their medical history and their goals for treatment. They also discuss the benefits and risks of treatment options. Seven of the clinics said that if they don't see any red flags and the child and parents are in agreement, they are comfortable prescribing puberty blockers or hormones based on the first visit, depending on the age of the child. “For those kids, there's not a value of stretching it out for six months to do assessments,” said Dr Eric Meininger, senior physician for the gender health program at Riley Hospital for Children in Indianapolis. “They've done their research, and they truly understand the risk.”2020 Finnish studyhttps://pubmed.ncbi.nlm.nih.gov/31762394/Those who did well in terms of psychiatric symptoms and functioning before cross-sex hormones mainly did well during real-life. Those who had psychiatric treatment needs or problems in school, peer relationships and managing everyday matters outside of home continued to have problems during real-life. … Medical gender reassignment is not enough to improve functioning and relieve psychiatric comorbidities among adolescents with gender dysphoria. Appropriate interventions are warranted for psychiatric comorbidities and problems in adolescent development.Jack Turban misinterpreting it:https://archive.ph/wip/x6LGWGIDS study comparing a group of kids with serious mental health problems who were delayed access to youth gender medicine to a group of kids who were able to start sooner because their mental health was solid enoughhttps://pubmed.ncbi.nlm.nih.gov/26556015/Severely distorted UW study also found no improvement among kids who went on youth gender medicineYet another study out of GIDS, on kids from 12 to 15 years old who went on blockers, found no mental-health improvements, full-stophttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0243894Littman defends Littman's research methodshttps://link.springer.com/article/10.1007/s10508-020-01631-zThat dumb chartWe also have chartshttps://www.newscientist.com/article/mg21929361-000-multiple-personalities-takedown-of-a-diagnosis/http://www.fmsfonline.org/?ginterest=RecoveredMemoriesInTheCourts“Another significant issue raised with us is one of diagnostic overshadowing – many of the children and young people presenting have complex needs, but once they are identified as having gender-related distress, other important healthcare issues that would normally be managed by local services can sometimes be overlooked.”https://cass.independent-review.uk/wp-content/uploads/2022/03/Cass-Review-Interim-Report-Final-Web-Accessible.pdfNHS changes course on the safety/reversibility of blockers in 2020https://www.transgendertrend.com/nhs-no-longer-puberty-blockers-reversible/[Michael Hobbes got mad at me for posting this because he doesn't like Transgender Trend, but holy hell is that stupid: They are simply summing up and putting into writing a change to the NHS website, and they're citing a BBC report on the same subject. -Jesse]OLD LANGUAGE: The effects of treatment with GnRH analogues are considered to be fully reversible, so treatment can usually be stopped at any time after a discussion between you, your child and your [multidisciplinary team]NEW LANGUAGE: Little is known about the long-term side effects of hormone or puberty blockers in children with gender dysphoria. Although the Gender Identity Development Service (GIDS) advises this is a physically reversible treatment if stopped, it is not known what the psychological effects may be. It's also not known whether hormone blockers affect the development of the teenage brain or children's bones. Side effects may also include hot flushes, fatigue and mood alterations.Serious Lupron side effectshttps://www.statnews.com/2017/02/02/lupron-puberty-children-health-problems/For years, Sharissa Derricott, 30, had no idea why her body seemed to be failing. At 21, a surgeon replaced her deteriorated jaw joint. She's been diagnosed with degenerative disc disease and fibromyalgia, a chronic pain condition. Her teeth are shedding enamel and cracking. None of it made sense to her until she discovered a community of women online who describe similar symptoms and have one thing in common: All had taken a drug called Lupron. Thousands of parents chose to inject their daughters with the drug, which was approved to shut down puberty in young girls but also is commonly used off-label to help short kids grow taller. The drug's pediatric version comes with few warnings about long-term side effects. It is also used in adults to fight prostate cancer or relieve uterine pain and the Food and Drug Administration has warnings on the drug's adult labels about a variety of side effects. More than 10,000 adverse event reports filed with the FDA reflect the experiences of women who've taken Lupron. The reports describe everything from brittle bones to faulty joints. In interviews and in online forums, women who took the drug as young girls or initiated a daughter's treatment described harsh side effects that have been well-documented in adults.Caroline Jemsbyhttps://www.journalismfund.eu/journalists/carolina-jemsbyGULDSPADENhttps://archive.ph/wip/GFuryClip in questionhttps://drive.google.com/file/d/1bL4WWMCs46dCKweZzz0gBj1AqE62k3oj/view?usp=sharingFull unlocked interview with JesseGLAAD is glad journalists are falling in linehttps://www.glaad.org/blog/jon-stewart-sets-record-straight-gender-affirming-carehttps://www.glaad.org/blog/john-oliver-explains-why-gender-affirming-care-is-so-importantBut sometimes nothttps://www.glaad.org/gap/jesse-singalJesse's response to the original version of his page (he hasn't yet responded to the new one, which went up after this, because life is short): The TikTok Doc yeets some teetshttps://www.nytimes.com/2022/09/26/health/top-surgery-transgender-teenagers.htmlWhoops:Dr. Gallagher of Miami said that she follows up with patients for up to a year. “I can say this honestly: I don't know of a single case of regret,” Dr. Gallagher said in May, adding that regret was much more common with cosmetic procedures. But one of her former top surgery patients, Grace Lidinsky-Smith, has been vocal about her detransition on social media and in news reports. “I slowly came to terms with the fact that it had been a mistake born out of a mental health crisis,” Ms. Lidinsky-Smith, 28, said in an interview.So basically, these clinicians are claiming top surgery has incredibly low regret rates, but they're simply not bothering to keep in touch with their patients. And one year is not very long for followup on this — if you give a kid top surgery at 15 or 16, one of the questions is whether, as their peers sexually develop and start families, they'll at some point wish they had breasts. It's a totally natural, important question, and you can't answer it if your patients are disappearing into the void just one year after you perform surgery on them.Age guidelineshttps://www.cdc.gov/hiv/policies/law/states/minors.htmlOliver: So the benefits of providing care are immense and the risks of withholding it are dire. A survey of around 28,000 trans people found that of those who wanted hormone therapy and didn't receive it 58% reported suicidal thoughts in a given year, which is why the three major professional associations of Child and Adolescent doctors, psychologists and psychiatrists have endorsed gender affirming care and condemned efforts to deny it. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0261039This study is ridiculous and doesn't even show any correlation between access to hormones and improvement on the more serious suicide measures anywayOliver: You may have seen or heard from a small subset of people who D transitioned but it is worth noting such cases are rare and highly individualized. Studies show an average of just 2% of people who transition expressed regret. And the vast majority of those who have opted to detransition did so not because of changes in their gender identity but due to external factors such as stigma and lack of social support. Supposedly 1% - 2% regret ratehttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099405/Lost to follow datahttps://docs.google.com/spreadsheets/d/1Yog0cUgVufxoTY64q-ll1wr7XcBhuqKD/edit?usp=sharing&ouid=102378063559486309340&rtpof=true&sd=trueOliver is relying not on a study of detransitioners, but on individuals who currently identify as transhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8213007/Littman study of detransitionershttps://pubmed.ncbi.nlm.nih.gov/34665380/Reasons for detransitioning were varied and included: experiencing discrimination (23.0%); becoming more comfortable identifying as their natal sex (60.0%); having concerns about potential medical complications from transitioning (49.0%); and coming to the view that their gender dysphoria was caused by something specific such as trauma, abuse, or a mental health condition (38.0%). Homophobia or difficulty accepting themselves as lesbian, gay, or bisexual was expressed by 23.0% as a reason for transition and subsequent detransition. The majority (55.0%) felt that they did not receive an adequate evaluation from a doctor or mental health professional before starting transition and only 24.0% of respondents informed their clinicians that they had detransitioned.  This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.blockedandreported.org/subscribe

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