Podcasts about MSA

MSA in 5 from Man Seeks Adventure Brad Fanshaw and Dave Marek have some great tips. EPISODE 116 Hear About: • Great Diners Along California's Hwy 1. • BALLARD TV Show with Maggie Q. VISIT US: www.ManSeeksAdventure.com FOLLOW US ON INSTAGRAM @manseeksadventure @Bradley_Fanshaw @davidwmarek

Progressive supranuclear palsy and corticobasal syndrome are closely related neurodegenerative disorders that present with progressive parkinsonism and multiple other features that overlap clinically and neuropathologically. Early recognition is critical to provide appropriate treatment and supportive care. In this episode, Teshamae Monteith, MD, FAAN speaks with Nikolaus R. McFarland, MD, PhD, FAAN, author of the article “Progressive Supranuclear Palsy and Corticobasal Syndrome” in the Continuum® August 2025 Movement Disorders issue. Dr. Monteith is the associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. McFarland is an associate professor of neurology at the University of Florida College of Medicine at the Norman Fixel Institute for Neurological Diseases in Gainesville, Florida. Additional Resources  Read the article: Progressive Supranuclear Palsy and Corticobasal Syndrome Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @headacheMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Monteith: Hi, this is Dr Teshamae Monteith. Today I'm interviewing Dr Nikolaus McFarland about his article on progressive supranuclear palsy and cortical basilar syndrome, which appears in the August 2025 Continuum issue on movement disorders. Welcome, how are you? Dr Farland: I'm great. Thank you for inviting me to do this. This is a great opportunity. I had fun putting this article together, and it's part of my passion. Dr Monteith: Yes, I know that. You sit on the board with me in the Florida Society of Neurology and I've seen your lectures. You're very passionate about this. And so why don't you first start off with introducing yourself, and then tell us just a little bit about what got you interested in this field. Dr Farland: I'm Dr Nicholas McFarlane. I'm an associate professor at the University of Florida, and I work at the Norman Fixel Institute for Neurological Diseases. I am a director of a number of different centers. So, I actually direct the cure PSP Center of Care and the MSA Center of Excellence at the University of Florida; I also direct the Huntington's clinic there as well. But for many years my focus has been on atypical parkinsonisms. And, you know, I've treated these patients for years, and one of my focuses is actually these patients who suffer from progressive supranuclear palsy and corticobasal syndrome. So that's kind of what this review is all about. Dr Monteith: You probably were born excited, but I want to know what got you interested in this in particular? Dr Farland: So, what got me interested in this in particular was really the disease and the challenges that's involved in it. So, Parkinson's disease is pretty common, and we see a lot of that in our clinic. Yet many times, roughly about 10 to 15% of my patients present with these atypical disorders. And they're quite fascinating. They present in different ways. They're fairly uncommon. They're complex disorders that progress fairly rapidly, and they have multiple different features. They're sort of exciting to see clinically as a neurologist. I think they're really interesting from an academic standpoint, but also in the standpoint of really trying to bring together sort of a team. We have built a multidisciplinary team here at the University of Florida to take care of these patients. They require a number of folks on that team to take care of them. And so, what's exciting, really, is the challenge of treating these patients. There are very limited numbers of therapies that are available, and the current therapies that we have often really aren't great and over time they fail. And so, part of the challenge is actually doing research. And so, there's actually a lot of new research that's been going on in this field. Recently, there's been some revisions to the clinical criteria to help diagnose these disorders. So, that's really what's exciting. The field is really moving forward fairly rapidly with a number of new diagnostics, therapeutics coming out. And hopefully we can make a real difference for these patients. And so that's what really got me into this field, the challenge of trying to treat these patients, help them, advocate for them and make them better. Dr Monteith: And so, tell me what the essential points of this article. Dr Farland: So, the essential points, really, of this article is: number one, you know, just to recognize the new clinical criteria for both PSP and corticobasal syndrome, the diagnosis for these disorders or the phenotypic spectrum has really expanded over the years. So, we now recognize many different phenotypes of these disorders, and the diagnosis has gotten fairly complicated. And so, one of the goals of this article was to review those new diagnostic criteria and the different phenotypic ways these diseases present. I wanted to discuss, also, some of the neuropathology and clinicopathological overlap that's occurred in these diseases as well as some of the new diagnostic tests that are available. That's definitely growing. Some of the new studies that are out, in terms of research and clinical trials. And then wanted to review some of the approaches for treatment for neurologists. Particularly, we're hoping that, you know, this article educates folks. If you're a general neurologist, we're hoping that recognizing these diseases early on will prompt you to refer these patients to specialty clinics or movement disorder specialists early on so they can get appropriate care, confirm your diagnosis, as well as get them involved in trials if they are available. Dr Monteith: And how has the clinical criteria for PSP and cortical basilar syndrome changed? Dr Farland: I think I already mentioned there's been an evolution of the clinical criteria for PSP. There's new diagnostic criteria that were recently published, and it recognizes the multiple clinical phenotypes and the spectrum of the disease that's out there, which is much broader than we thought about. Corticobasal clinical criteria are the Dr Armstrong criteria from 2013. They have not been updated, but they are in the works of being updated. But it does recognize the classic presentation of corticobasal syndrome, plus a frontal executive predominant and then a variant that actually overlaps with PSP. So, there's a lot more overlap in these two diseases than we originally recognized. Dr Monteith: And so, you spoke a bit about FTD spectrum. So why don't you tell us a little bit about what that is? I know you mentioned multiple phenotypes. Dr Farland: What I really want to say is that both PSP and corticobasal syndrome, they're relatively rare, and what- sort of as to common features, they both are progressive Parkinson disorders, but they have variable features. While they're commonly associated with Parkinson's, they also fit within this frontotemporal lobar spectrum, having features that overlap both clinically and neuropathologically. I just want folks to understand that overlap. One of this pathological overlap here is the predominant Tau pathology in the brain, an increasing recognology- recognition of sort of the pathological heterogeneity within these disorders. So, there's an initial description, a classic of PSP, as Richardson syndrome. But now we recognize there are lots of different features to it and there are different ways it presents, and there's definitely a lot of clinical pathological overlap. Dr Monteith: Why don't we just talk about some red flags for PSP? Dr Farland: Yeah, sure. So, some of the red flags for PSP and even corticobasal syndrome are: number one is rapid progression with early onset of falls, gait difficulty, falling typically backwards, early speech and swallow problems that are more prominent than you see in Parkinson's disease, as well as eye gaze issues. So, ocular motor features, particularly vertical gaze palsy. In particular what we talk about is the supranuclear gaze palsy, and one of the most sensitive features that we've seen with these is downgaze limitation or slowed downgaze, and eventually a full vertical gaze palsy and followed supranuclear gaze palsy. So, there's some of the red flags that we see. So, while we think about the lack of response to levodopa frequently as something that's a red flag for Parkinson's, there are many times that we see Parkinson's patients, and about a quarter of them don't really respond. There's some features that don't respond to levodopa that may not be so specific, but also can be helpful in this disease. Dr Monteith: And what about the red flags for cortical basilar syndrome? Dr Farland: So, for cortical basilar syndrome, some of the red flags again are this rapidly depressive syndrome tends to be, at least in its classical present presentation, more asymmetric in its presentation of parkinsonism, with features including things like dystonic features, okay? For limb dystonia and apraxias---so, inability to do a learned behavior. One of those red flags is a patient who comes in and says, my hand doesn't work anymore, which is something extremely uncommon that you hear in Parkinson's disease. Most of those patients will present, say, I might have a tremor, but they very rarely will tell you that I can't use my hand. So look out for that sign. Dr Monteith: And let's talk a little bit about some of the advances in the fields you mentioned, evolving biomarker and imaging capacities. So, how are these advances useful in helping us understand these conditions, especially when there's so much heterogeneity? Dr Farland: I might start by talking a little bit about some of the clinical criteria that have advanced. Why don't we start there and just discuss some of the advances? I think in PSP, I think, originally we had both probable and possible diagnoses of PSP, and the diagnostic criteria were basically focused on what was what's called “classical PSP” or “Richardson syndrome”. But now we recognize that there are multiple phenotypes. There's an overlap with Parkinsonism that's slower in progression and morphs into PSP, the classical form. There's a frontal behavioral variant where patients present with that frontal behavioral kind of thing. There's a speech-language variant that can overlap with PSP. So they have prominent speech language, potentially even apraxia speech. So, recognition of these different phenotypes is sort of a new thing in this field. There's even overlap with cortical basal syndrome and PSP, and we note that the pathology can overlap as well. So, I think that's one of the things that have changed over time. And these were- recently came out in 2017 in a new publication in the Movement Disorders Society. So, in terms of diagnostic tests as well---and there's been quite a bit of evolution---really still to date, our best diagnostic test is imaging. MRI is really one of our best tests currently. Currently blood tests, spinal fluid, there's new biomarkers in terms of skin… they're still in the research phase and not necessarily very specific yet. So, we rely heavily on imaging still; and for PSP, what we're looking for largely are changes in the brain stem, and particularly focused on the midbrain. So disproportionate midbrain atrophy compared to the pons and the rest of the midbrain is a fairly specific intensive sign for PSP. Whereas in MSA we see more of a pontine atrophy compared to the midbrain. So that can be really helpful, and there are lots of different new measurements that can be done. PET scans are also being used as well. And there are new PET markers, but they still remain kind of research-based, but are becoming more and more prevalent and may be available soon for potential use. Although there's some overlap with PET tracers with Alzheimer's disease and different Tau isoforms. So, something to be wary about, but we will be seeing some of these soon coming out as well. More kind of up-to-date things include things like the spinal fluid as well as even some of the skin biopsies. And I think we've heard some word of recent studies that have come out that potentially in the very near future we might actually have some Tau protein tests that we can look at Tau either in spinal fluid or even in a skin biopsy. But again, still remains research-based and, we still need more information as to whether these tests can be reproducible and how sensitive or specific they are. Dr Monteith: It sounds like, when really approaching these patients, still, it's a lot of back to the history, back to the clinical and some basic imaging that we should be able to identify to distinguish these types of patients, and we're not quite where we need to be yet for biomarker. Dr Farland: I totally agree with you. I think it starts, really, with the clinical exam and that's our main focus here; and understanding some of the new clinical criteria which are more sensitive, but also specific, too. And they're really useful to look at. So, I think reviewing those; patients do progress, following them over time can be really useful. And then for diagnosis, getting imaging if you suspect a patient has an atypical presentation of parkinsonism, to look for signs or features that might be specific for these different disorders. Dr Monteith: Why don't we take a typical case, a typical patient that you would see in clinic, and walk us through the thought process---especially, maybe they presented somewhat early---and the different treatment approaches to helping the patient, and of course their family. Dr Farland: Yeah, sure. So, a typical patient might be someone who comes in with, like, a three year history of progressive gait problems and falling. And let's say the patient says, I'm falling backwards frequently. They may have had, like, a rib fracture, or they hit their head once, and they're describing some speech issues as well. Now they're relying on a walker and family members saying they rarely let them be by themselves. And there may be some slowing of their cognitive function and maybe a bit of withdrawal. So that's a typical patient. So, the approach here is really, what are some of the red flags? I think already you hear a red flag of a rapidly progressive disease. So, Parkinson's disease patients rarely have frequent falls within the first five years. So, this is within three years or less. You're already hearing early onset of gait problems and falling, and particularly falling backwards rather than forwards as often Parkinson's disease patients do. You're hearing early speech problems and maybe a subtle hint of cognitive slowing and some withdrawal. So, a lot of things that sort of are red flags. So, our approach really would be examining this patient really closely. Okay? We'd be listening to the history, looking at the patient. One thing is that some of these patients come in, they may be in a wheelchair already. That's a red flag for us. If they're wearing sunglasses---sometimes we see that patients, they have photosensitivity and they're in a chair and they're wearing sunglasses---you take the glasses off and you look at their face and they have that sort of a facial stare to them---not just the masked face, but the stare---and their eyes really aren't moving. So, another kind of clue, maybe this is probably something atypical, particularly PSP is what I'm thinking about. So, the approach is really, do a thorough exam. I always recommend looking at eye movements and starting with volitional saccades, not giving them a target necessarily, but asking them to look up and then look down. And then particularly look at the speed of downgaze and whether they actually have full versions down, are able to do that. That's probably your most sensitive test for a patient who has PSP. Not the upgaze, which can be- upgaze impairment in older patients can be nonspecific. So, look for that down gaze. So, if I can get out one message, that's one thing that can be easily done and examined fairly quickly for diagnosis of these patients. And then just look for signs of rigidity, bradykinesia, maybe even some myelopraxia, and then look at their gait carefully so that there's a high suspicion. Again, if there's some atypical features, imaging is really important. So, my next step would be probably getting an MRI to evaluate whether- do they have brain somatrophy or other widespread atrophy or other signs? You need to think about your differential diagnosis for some of these patients as well. So, common things are common; vascular disease, you can't have vascular parkinsonism or even signs of NPH. Both of those can present with progressive gait difficulty and falls. So, the gait may look more like Parkinson's rather than ataxic gait that we see in classic PSP, but still they have early gait issues, and that can be a mimicker of PSP, So looking for both of those things in your imaging. Think about sort of autoimmune potentially causes. So, if they have a really rapid progressive cause, there are some rare autoimmune things. There have been recent reports of things like IgLON5, although there's limited cases, but we're doing more screening for some of those autoimmune causes. And then even some infectious causes like Whipples, that are rarely present like this. Okay? And have other signs and features. Dr Monteith: So, let's say you diagnose this patient with PSP and you're assessing the patients to see how you can improve their quality of life. So, what are some potential symptomatic managements that will help our patient? Dr Farland: I recommend for most all of these patients… while the literature indicates that many patients with PSP, and especially corticobasal syndrome, don't respond well to levodopa. So, the classic treatment for parkinsonism. However, we all recommend a trial of levodopa. These patients may respond partially to doses of levodopa, and we try to push the doses a bit higher. So, the recommended trial is usually a dose up to roughly 1000 milligrams of levodopa per day. And give it some time, at least two, if not actually three months of a trial. If not well-tolerated, you can back off. If there's no response at all or no improvement, then slowly back off and taper patients off and ask them to tell you whether they feel like they're actually worsening. So, many patients, sometimes, don't recognize the improvements, or family members don't recognize it until we actually taper them back off. And they may end up saying there are some other things that even recognize. Even some nonmotor benefits can be seen with levodopa. In some cases, we do keep them on levodopa, but levodopa's our best therapy for this. Dopamine agonists, MAO inhibitors, have all been sort of tried and they've been studied, but often don't really help or fail to help benefit these patients and could be fraught with some other side effects. I think many people do also turn to Amantadine as a treatment for Parkinson's, gait problems, freezing, if you see it in these disorders. Yet Amantadine is fraught with issues of side effects, including cognitive issues, and I think is not well-tolerated. But there are the rare patient who actually does respond to this or claims they respond to this. By and large, these patients relentlessly progress, unfortunately. So, beside treatment of other symptoms, I think it's really important to recognize that they require supportive cares and therapy. So, starting those early on and getting your allied healthcares kind of involved. So that includes people like physical, occupational therapy for the gait issues, the falls, occupational therapy for doing daily activities. Speech language pathology can be really a critical player for these because of the early speech and language issues, as well as swallow difficulties. Swallow is compared quickly in these patients. And so, we do recommend the screening evaluation, then often following patients either every six- or even annually, at least, with a swallow evaluation. And we recommend the fluoroscopic-guided kind of modified barium swallow for these patients.  Dr Monteith: And how does that differ if, let's say, the patient had cortical basilar syndrome? What are some of the symptomatic treatments that would be high on your consideration? Dr Farland: So actually, these patients also have a very similar approach, and they often have some overlapping features. Maybe a little bit of difference in terms of the level of apraxia and some dystonic features that you see in corticobasal syndrome. So, as I mentioned earlier that these patients have a more typ- when they present, typically have a more asymmetric presentation. And one of the biggest issues is this limb apraxia. They may have abnormal movements as well as, like, the alien limb-type phenomena as well. So, the focus of therapy, while similar in the sense we focus on the parkinsonism, I do always try levodopa and try to ramp up the doses to see if it benefits. It does often fail, but it's definitely worth trying. The other focus of these patients is trying to treat symptoms. Dystonia, those features… in some cases, we can help; if it's painful or uncomfortable, muscle relaxants can be used. If it's vocal, things like Botox can be really helpful. Often times it is more palliative than actually restorative in terms of function, but still can be really helpful for patients who ask about pain and discomfort and trying to treat. And then of course, again, the focus on our supportive care. We need to build that network and build that team of folks, the therapists, the physical, occupational, and the speech therapist to help them. If they have language problems---like either in PSP or corticobasal---I'll also include my request to a speech language pathologist to work on cognitive function. That's a special, additional thing you have to ask for and then specifically request when you make a referral to a speech language pathologist. Dr Monteith: That is so important. I think keeping the simulation, keeping the social support, and I would probably guess that you would also include screening for sleep and mood disorder. Dr Farland: Absolutely. Mood disorders are really big in these diseases. Patients are suffering terribly. You do hear about labile mood in both of these diseases, particularly PSP; and even what's called pseudobulbar palsy, where the mood is not always congruent with the affect. So they may laugh or cry inappropriately, and particularly the crying can be very disturbing to family and caregivers to see that. And so, treating those things can be really important. So always asking about the mood issues. Depression in particular is something that we're very sensitive about, and there is a higher incidence of suicidal ideations. Asking about that and feeling and making sure that they are in a safe environment can be really important. Dr Monteith: Thank you so much. Dr Farland: Thank you. Dr Monteith: Today I've been interviewing Dr Nikolaus McFarland about his article on progressive supranuclear palsy and cortical basilar syndrome, which appears in the August 2025 Continuum issue on movement disorders. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Ocean Power Technologies CEO Philipp Stratmann joined Steve Darling from Proactive to announce the signing of a Master Services Agreement with Unique Group, a UAE-headquartered global leader in subsea technologies and offshore engineering. The new agreement marks a significant expansion of the strategic collaboration originally announced in July 2024, further solidifying OPT's presence in the Middle East. Under the terms of the MSA, Unique Group will serve as OPT's exclusive execution partner for all non-defense WAM-V® Unmanned Surface Vehicle projects in the United Arab Emirates, creating a framework for expanded regional deployment and operational growth. As part of the initial rollout, Unique Group will lease one OPT WAM-V 22 USV, with structured provisions for revenue sharing, purchase options, and joint fleet expansion. This arrangement enables both companies to rapidly scale capacity to meet customer demand while maintaining flexibility in ownership and financing. The agreement also lays the foundation for OPT to establish a dedicated Maintenance, Repair, and Overhaul hub in the UAE, providing localized technical support for WAM-V operations across the region. The MRO hub is expected to enhance service responsiveness, extend asset lifecycles, and reduce operational downtime for customers. Stratmann highlighted that the MSA supports a long-term growth framework, including joint execution of customer projects, technology transfer, and continuous vehicle upgrades, while safeguarding the proprietary innovations of both partners. With the UAE serving as a global hub for offshore operations and subsea technologies, this partnership expansion positions OPT and Unique Group to capture new opportunities across commercial, industrial, and governmental maritime applications. #proactiveinvestors #oceanpowertechnologiesinc #nyseamerican #optt #PhillipStratmann, #USGovernmentContract, #OffshoreAutonomy, #MaritimeSecurity, #CommercialPlatforms, #GrowthStrategy, #BuoyBusiness, #VehicleBusiness, #InternationalExpansion, #ReadyToDeploy #AutonomousVehicles #MaritimeTech #CleanEnergySolutions #AUVSI #SustainableTechnology #MarineInnovation #EnergyEfficiency #UncrewedSystems #GlobalExpansion

MSA in 5 from Man Seeks Adventure Brad Fanshaw and Dave Marek have some great tips. EPISODE 115 Hear About: • Monterey Car Week, the cars, the Fun, the Money! • A Hangover Burger in Anaheim. VISIT US: www.ManSeeksAdventure.com FOLLOW US ON INSTAGRAM @manseeksadventure @Bradley_Fanshaw @davidwmarek

Multiple system atrophy is a rare, sporadic, adult-onset, progressive, and fatal neurodegenerative disease. Accurate and early diagnosis remains challenging because it presents with a variable combination of symptoms across the autonomic, extrapyramidal, cerebellar, and pyramidal systems. Advances in brain imaging, molecular biomarker research, and efforts to develop disease-modifying agents have shown promise to improve diagnosis and treatment. In this episode, Casey Albin, MD speaks with Tao Xie, MD, PhD, author of the article “Multiple System Atrophy” in the Continuum® August 2025 Movement Disorders issue. Dr. Albin is a Continuum® Audio interviewer, associate editor of media engagement, and an assistant professor of neurology and neurosurgery at Emory University School of Medicine in Atlanta, Georgia. Dr. Xie is director of the Movement Disorder Program, chief of the Neurodegenerative Disease Section in the department of neurology at the University of Chicago Medicine in Chicago, Illinois. Additional Resources Read the article: Multiple System Atrophy Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @caseyalbin Full episode transcript available here Dr. Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Albin: Hello everyone, this is Dr Casey Albin. Today I'm interviewing Dr Tao Xie about his article on diagnosis and management of multiple system atrophy, which appears in the August 2025 Continuum issue on movement disorders. Welcome to the podcast, and please introduce yourself to our audience. Dr Xie: Thank you so much, Dr Albin. My name is Tao Xie, and sometimes people also call me Tao Z. I'm a mood disorder neurologist, professor of neurology at the University of Chicago. I'm also in charge of the mood disorder program here, and I'm the section chief in the neurodegenerative disease in the Department of Neurology at the University of Chicago Medicine. Thank you for having me, Dr Albin and Dr Okun and the American Academy of Neurology. This is a great honor and pleasure to be involved in this education session. Dr Albin: We are delighted to have you, and thank you so much for the thoughtful approach to the diagnosis and management. I really want to encourage our listeners to check out this article. You know, one of the things that you emphasize is multiple system atrophy is a fairly rare condition. And I suspect that clinicians and trainees who even have a fair amount of exposure to movement disorders may not have encountered that many cases. And so, I was hoping that you could just start us off and walk us through what defines multiple system atrophy, and then maybe a little bit about how it's different from some of the more commonly encountered movement disorders. Dr Xie: This is a really good question, Dr Albin. Indeed, MSA---multisystem atrophy----is a rare disease. It is sporadic, adult-onset, progressive, fatal neurodegenerative disease. By the name MSA, multisystem atrophy. Clinically, it will present with multiple symptoms and signs involving multiple systems, including symptoms of autonomic dysfunction and symptoms of parkinsonism, which is polyresponsive to the levodopa treatment; and the symptom of cerebellar ataxia, and symptom of spasticity and other motor and nonmotor symptoms. And you may be wondering, what is the cause- underlying cause of these symptoms? Anatomically, we can find the area in the basal ganglia striatonigral system, particularly in the putamen and also in the cerebellar pontine inferior, all of the nuclear area and the specific area involved in the autonomic system in the brain stem and spinal cord: all become smaller. We call it atrophy. Because of the atrophy in this area, they are responsible for the symptom of parkinsonism if it is involved in the putamen and the cerebral ataxia, if it's involved in the pons and cerebral peduncle and the cerebellum. And all other area, if it's involved in the autonomic system can cause autonomic symptoms as well. So that's why we call it multisystem atrophy. And then what's the underlying cellular and subcellular pathological, a hallmark that is in fact caused by misfolded alpha-synuclein aggregate in the oligodontia site known as GCI---glial cytoplasmic increasing bodies---in the cells, and sometimes it can also be found in the neuronal cell as well in those areas, as mentioned, which causes the symptom. But clinically, the patient may not present all the symptoms at the same time. So, based on the predominant clinical symptom, if it's mainly levodopa, polyresponsive parkinsonism, then we call it MSAP. If it's mainly cerebellar ataxia, then we call it MSAC. But whether we call it MSP or MSC, they all got to have autonomic dysfunction. And also as the disease progresses, they can also present both phenotypes together. We call that mixed cerebellar ataxia and parkinsonism in the advanced stage of the disease. So, it is really a complicated disease. The complexity and the similarity to other mood disorders, including parkinsonism and the cerebellar ataxia, make it really difficult sometimes, particularly at the early stages of disease, to differentiate one from the other. So, that was challenging not only for other professionals, general neurologists and even for some movement disorder specialists, that could be difficult particularly if you aim to make an accurate and early diagnosis. Dr Albin: Absolutely. That is such a wealth of knowledge here. And I'm going to distill it just a little bit just to make sure that I understand this right. There is alpha-synuclein depositions, and it's really more widespread than one would see maybe in just Parkinson's disease. And with this, you are having patients present with maybe one of two subtypes of their clinical manifestations, either with a Parkinson's-predominant movement disorder pattern or a cerebellar ataxia type movement disorder pattern. Or maybe even mixed, which really, you know, we have to make things quite complicated, but they are all unified and having this shared importance of autonomic features to the diagnosis. Have I got that all sort of correct? Dr Xie: Correct. You really summarize well. Dr Albin: Fantastic. I mean, this is quite a complicated disease. I would pose to you sort of a case, and I imagine this is quite common to what you see in your clinic. And let's say, you know, a seventy-year-old woman comes to your clinic because she has had rigidity and poor balance. And she's had several falls already, almost always from ground level. And her family tells you she's quite woozy whenever she gets up from the chair and she tends to kind of fall over. But they noticed that she's been stiff,and they've actually brought her to their primary care doctor and he thought that she had Parkinson's disease. So, she started levodopa, but they're coming to you because they think that she probably needs a higher dose. It's just not working out very well for her. So how would you sort of take that history and sort of comb through some of the features that might make you more concerned that the patient actually has undiagnosed multiple systems atrophy? Dr Xie: This is a great case, because we oftentimes can encounter similar cases like this in the clinic. First of all, based on the history you described, it sounds like an atypical parkinsonism based on the slowness, rigidity, stiffness; and particularly the early onset of falls, which is very unusual for typical Parkinson disease. It occurs too early. If its loss of balance, postural instability, and fall occurred within three years of disease onset---usually the motor symptom onset---then it raises a red flag to suspect this must be some atypical Parkinson disorders, including multiple system atrophy. Particularly, pou also mentioned that the patient is poorly responsive to their levodopa therapy, which is very unusual because for Parkinson disease, idiopathic Parkinson disease, we typically expect patients would have a great response to the levodopa, particularly in the first 5 to 7 years. So to put it all together, this could be atypical parkinsonism, and I could not rule out the possibility of MSA. Then I need to check more about other symptoms including autonomic dysfunction, such as orthostatic hypertension, which is a blood pressure drop when the patient stands up from a lying-down position, or other autonomic dysfunctions such as urinary incontinence or severe urinary retention. So, in the meantime, I also have to put the other atypical Parkinson disorder on the differential diagnosis, such as PSP---progressive supranuclear palsy---and the DLBD---dementia with Lewy body disease.---Bear this in mind. So, I want to get more history and more thorough bedside assessment to rule in or rule out my diagnosis and differential diagnosis. Dr Albin: That's super helpful. So, looking for early falls, the prominence of autonomic dysfunction, and then that poor levodopa responsiveness while continuing to sort of keep a very broad differential diagnosis? Dr Xie: Correct. Dr Albin: One of the things that I just have to ask, because I so taken by this, is that you say in the article that some of these patients actually have preservation of smell. In medical school, we always learn that our Parkinson's disease patients kind of had that early loss of smell. Do you find that to be clinically relevant? Is that- does that anecdotally help? Dr Xie: This is a very interesting point because we know that the loss of smelling function is a risk effect, a prodromal effect, for the future development of Parkinson disease. But it is not the case for MSA. Strange enough, based on the literature and the studies, it is not common for the patient with MSA to present with anosmia. Some of the patients may have mild to moderate hyposmia, but not to the degree of anosmia. So, this is why even in the more recent diagnosis criteria, the MDS criteria published 2022, it even put the presence of anosmia in the exclusion criteria. So, highlight the importance of the smell function, which is well-preserved for the majority in MSA, into that category. So, this is a really interesting point and very important for us, particularly clinicians, to know the difference in the hyposmia, anosmia between the- we call it the PD, and the dementia Lewy bodies versus MSA. Dr Albin: Fascinating. And just such a cool little tidbit to take with us. So, the family, you know, you're talking to them and they say, oh yes, she has had several fainting episodes and we keep taking her to the primary care doctor because she's had urinary incontinence, and they thought maybe she had urinary tract infections. We've been dealing with that. And you're sort of thinking, hm, this is all kind of coming together, but I imagine it is still quite difficult to make this diagnosis based on history and physical alone. Walk our listeners through sort of how you're using MRI and DAT scan and maybe even some other biomarkers to help sort of solidify that diagnosis. Dr Xie: Yeah, that's a wonderful question. Yeah. First of all, UTI is very common for patients with MSA because of urinary retention, which puts them into a high risk of developing frequent UTI. That, for some patients, could be the very initial presentation of symptoms. In this case, if we check, we say UTI is not present or UTI is present but we treat it, then we check the blood pressure and we do find also hypertension---according to new diagnosis criteria, starting drop is 20mm mercury, but that's- the blood pressure drop is ten within three minutes. And also, in the meantime the patients present persistent urinary incontinence even after UTI was treated. And then the suspicion for MS is really high right at this point. But if you want increased certainty and a comfortable level on your diagnosis, then we also need to look at the brain MRI mark. This is a required according to the most recent MDS diagnosis criteria. The presence of the MRI marker typical for MSA is needed for the diagnosis of clinically established MSA, which holds the highest specificity in the clinical diagnosis. So then, we have- we're back to your question. We do need to look at the brain MRI to see whether evidence suggestive of atrophy around the putamen area, around the cerebellar pontine inferior olive area, is present or not. Dr Albin: Absolutely. That's super helpful. And I think clinicians will really take that to sort of helping to build a case and maybe recognizing some of this atypical Parkinson's disease as a different disease entity. Are there any other biomarkers in the pipeline that you're excited about that may give us even more clarity on this diagnosis? Dr Xie: Oh, yeah. This is a very exciting area. In terms of biomarker for the brain imaging, particularly brain MRI, in fact, today there's a landmark paper just published in the Java Neurology using AI, artificial intelligence or machine learning aid, diagnoses a patient with parkinsonism including Parkinson's disease, MSA, and PSP, with very high diagnostic accuracy ranging from 96% to 98%. And some of the cases even were standard for autopsy, with pathological verification at a very high accurate rate of 93.9%. This is quite amazing and can really open new diagnosis tools for us to diagnose this difficult disease; not only in an area with a bunch of mood disorder experts, but also in the rural area, in the area really in need of mood disorder experts. They can provide tremendous help to provide accurate, early diagnosis. Dr Albin: That's fantastic and I love that, increasing the access to this accurate diagnosis. What can't artificial intelligence do for us? That's just incredible. Dr Xie: And also, you know, this is just one example of how the brain biomarker can help us. Theres other---a fluid biomarker, molecular diagnostic tools, is also available. Just to give you an example, one thing we know over the past couple years is skin biopsy. Through the immunofluorescent reaction, we can detect whether the hallmark of abnormally folded, misfolded, and the phosphorate, the alpha-synuclein aggregate can be found just by this little pinch of skin biopsy. Even more advanced, there's another diagnosis tool we call the SAA, we call the seizure amplification assay, that can even help us to differentiate MSA from other alpha-synucleinopathy, including Parkinson disease and dementia with Lewy bodies. If we get a little sample from CSF, spinal cerebral fluids, even though this is probably still at the early stage, a lot of developments still ongoing, but this, this really shows you how exciting this area is now. We're really in a fast forward-moving path now. Dr Albin: It's really incredible. So, lots coming down the track in, sort of, MRI, but also with CSF diagnosis and skin biopsies. Really hoping that we can hone in some of those tools as they become more and more validated to make this diagnosis. Is that right? Dr Xie: Correct. Dr Albin: Amazing. We can talk all day about how you manage these in the clinic, and I really am going to direct our listeners to go and read your fantastic article, because you do such an elegant job talking about how this takes place in a multidisciplinary setting, if at all possible. But as a neurointensivist, I was telling you, we have so much trouble in the hospital. We have A-lines, and we have the ability to get rapid KUBs to look at Ilias, and we can have many people as lots of diagnosis, and we still have a lot of trouble treating autonomiclike symptoms. Really, really difficult. And so, I just wanted to kind of pick your brain, and I'll start with just the one of orthostatic hypotension. What are some of the tips that you have for, you know, clinicians that are dealing with this? Because I imagine that this is quite difficult to do without patients. Dr Xie: Exactly. This is indeed a very difficult symptom to deal with, particularly at an outpatient setting. But nowadays with the availability of more medication---to give an example, to treat patients with orthostatic hypertension, we have not only midodrine for the cortisol, we also have droxidopa and several others as well. And so, we have more tools at hand to treat the patient with orthostatic hypertension. But I think the key thing here, particularly for us to the patient at the outpatient setting: we need to educate the patient's family well about the natural history of the disease course. And we also need to tell them what's the indication and the potential side effect profile of any medication we prescribe to them so that they can understand what to expect and what to watch for. And in the meantime, we also need to keep really effective and timely communication channels, make sure that the treating physician and our team can be reached at any time when the patient and family need us so that we can be closely monitoring, their response, and also monitoring potential side effects as well to keep up the quality of care in that way. Dr Albin: Yeah, I imagine that that open communication plays a huge role in just making sure that patients are adapting to their symptoms, understanding that they can reach out if they have refractory symptoms, and that- I imagine this takes a lot of fine tuning over time. Dr Xie: Correct. Dr Albin: Well, this has just been such a delight to get to talk to you. I really feel like we could dive even deeper, but I know for the sake of time we have to kind of close out. Are there any final points that you wanted to share with our listeners before we end the interview? Dr Xie: I think for the patients, I want them to know that nowadays with advances in science and technology, particularly given a sample of rapid development in the diagnostic tools and the multidisciplinary and multisystemic approach to treatment, nowadays we can make an early and accurate diagnosis of the MSA, and also, we can provide better treatment. Even though so far it is still symptomatically, mainly, but in the near future we hope we can also discover disease-modifying treatment which can slow down, even pause or prevent the disease from happening. And for the treating physician and care team professionals, I just want them to know that you can make a difference and greatly help the patient and the family through your dedicated care and also through your active learning and innovative research. You can make a difference. Dr Albin: That's amazing and lots of hope for these patients. Right now, you can provide really great care to take care of them, make an early and accurate diagnosis; but on the horizon, there are really several things that are going to move the field forward, which is just so exciting. Again today, I've been really greatly honored and privileged to be able to talk to Dr Tao Xie about his article on diagnosis and management of multiple system atrophy, which appears in the August 2025 Continuum issue on movement disorders. Be sure to check out Continuum Audio episodes for this and other issues. And thank you again to our listeners for joining us today. Dr Xie: Thank you so much for having me. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Take a leadership journey with Sally Starrfield and I as she shares powerful leadership nuggets to enhance not only your Leadership & Work/Life Harmony... but also that of those you're leading!Sally Starrfield, MSA, SPHR, is a traveling Corporate Facilitator and an HR and Educational Consultant based in Durham, North Carolina. She has a passion for fostering a culture of collaboration and diversity.    Sally worked at Duke University for fourteen years, holding positions as the Assistant Director for Academic Affairs at the Talent Identification Program and the Director of Duke Pre-College. Prior to her work in pre-college programs at Duke, Sally served in leadership roles in public schools including as a Middle School Assistant Principal and Facilitative Leadership Trainer for administrators and teachers.  Sally earned a Master's degree in School Administration from North Carolina State University, a Senior Professional in Human Resources certification from HRCI, and a Certificate in Leadership from Duke University. She also holds a Bachelor of Science in English Education and Anthropology from Florida State University.   LinkedIn:https://www.linkedin.com/in/sallystarrfield

MSA in 5 from Man Seeks Adventure Brad Fanshaw and Dave Marek have some great tips. EPISODE 114 Hear About: • The Days of the Long Three Martini Lunch May be Gone! • The Dark Web, What is it Really? VISIT US: www.ManSeeksAdventure.com FOLLOW US ON INSTAGRAM @manseeksadventure @Bradley_Fanshaw @davidwmarek

Send us a textThe Pegasus III was in pursuit of the New Desides remnant forces. All the while, they were being harassed by Neo Zeon forces. Meanwhile, Cray and his remaining forces mount a surprise attack on the orbiting platform Penta as their final gambit to destabilize the Earth Federation Government. Notebook LLM takes on this chapter.Gundam Sentinel Podcast/Gundam Book Club is performing a critical analysis and commentary and is protected by the Fair Use clause of the United States Copyright law. Gundam content is copyright and/or trademark of Sunrise Inc., Bandai, Sotsu Agency, or its original creator.  Gundam Sentinel content is copyright and/or trademark of Model Graphix, or its original creator.  Gundam Sentinel Podcast/Gundam Book Club  is in no way affiliated with or endorsed by Sunrise, Bandai, Sotsu, Model Graphix or any of their subsidiaries, employees, or associates and makes no claim to own Gundam or any of the copyrights or trademarks related to it. Copyrighted content used in Gundam Sentinel Podcast/Gundam Book Club  is used in accordance with the Fair Use clause of the United States Copyright law. Music used in this episode is being used under the "Fair Use" clause.  Please email gundamsentinelpodcast@gmail.com with any questions.References:https://gundam.fandom.com/wiki/MSZ-010_ΖΖ_Gundamhttps://gundam.fandom.com/wiki/MSA-0011_S_Gundamhttps://en.wikipedia.org/wiki/The_End_(Earl_Grant_song)https://www.youtube.com/watch?v=AJsFC26ciCg (The End) on Youtube with lyricsModel Graphix Special Edition "Gundam Wars III" - Gundam Sentinel The Battle of "Real Gundam".

Tiziana Life Sciences CEO Ivor Elrifi joined Steve Darling from Proactive to announce that the first participant has been enrolled and dosed in the company's Phase 2a clinical trial of intranasal foralumab for patients with Multiple System Atrophy at Brigham and Women's Hospital in Boston, Massachusetts. Elrifi explained that the six-month open-label study will evaluate whether foralumab can reduce harmful neuroinflammation by activating regulatory T cells through a novel intranasal, non-systemic delivery method. Participants will receive treatment across eight dosing cycles, with the goal of assessing whether the therapy can slow disease progression and improve quality of life. MSA is a rare, rapidly progressing neurodegenerative disorder that impairs movement, balance, and autonomic function. With an estimated 15,000–50,000 cases in the United States and no FDA-approved therapies to alter disease course, there is an urgent need for innovative treatments. The trial is part of Tiziana's broader clinical strategy exploring foralumab in neuroinflammatory and neurodegenerative diseases, where earlier studies have shown promising signs of stabilizing or improving patient function in conditions like multiple sclerosis. #proactiveinvestors #tizianalifescienceslts #nasdaq #tlsa #newceo #ivorelrifi #Foralumab #AlzheimersResearch #Neuroinflammation #BiotechNews #PETscan #ClinicalTrials #AlzheimersTreatment #PharmaUpdates #HealthcareInnovation

MSA in 5 from Man Seeks Adventure Brad Fanshaw and Dave Marek have some great tips. EPISODE 113 Hear About: • The New Adventure and Off-Grid Travel VISIT US: www.ManSeeksAdventure.com FOLLOW US ON INSTAGRAM @manseeksadventure @Bradley_Fanshaw @davidwmarek

Chris Holman welcomes back Shibani Putatunda, Economic Specialist, with the Michigan Center for Data and Analytics What is going on in Michigan's labor market this month? How did Michigan's unemployment rate compare with the U.S. and other states in May? Which industries saw the greatest change in number of jobs during May? What happened in the Michigan regions this month? What would you say is the key takeaway for Michigan's labor market this month? Where can we find more information on Michigan's labor market? » Visit MBN website: www.michiganbusinessnetwork.com/ » Watch MBN's YouTube: www.youtube.com/@MichiganbusinessnetworkMBN » Like MBN: www.facebook.com/mibiznetwork » Follow MBN: twitter.com/MIBizNetwork/ » MBN Instagram: www.instagram.com/mibiznetwork/ LANSING, Mich. – Michigan's seasonally adjusted jobless rate edged down by one-tenth of a percentage point over the month to 5.4 percent, according to data released today by the Michigan Department of Technology, Management & Budget. Employment was reduced by 5,000 over the month, and the number of unemployed people fell by 1,000. Michigan's labor force receded by 7,000 during May. “Michigan's labor market remained stable over the month, with a minor unemployment rate reduction in May,” said Wayne Rourke, labor market information director for Michigan's Center for Data and Analytics. “Statewide payroll jobs also rose over the month and over the year.” The U.S. unemployment rate remained constant for the third consecutive month at 4.2 percent. Michigan's jobless rate in May was 1.2 percentage points above the national rate. Over the year, the national unemployment rate rose by two-tenths of a percentage point, while the statewide rate increased by 0.9 percentage points since May 2024. Labor force trends and highlights After two years of jobless rates that increased or remained stable over the month, Michigan's unemployment rate decreased in May to 5.4 percent, a rate last seen during February 2025. Michigan's total workforce edged down by 0.1 percent over the month, while the national labor force receded by 0.4 percent since April. Total employment fell by 0.2 percent over the year. In comparison, the U.S. total number of employed advanced by 1.3 percent during the same period. The May statewide labor force participation rate decreased by one-tenth of a percentage point over the month to 61.9 percent. Michigan's employment-population ratio also fell by a tenth of a percentage point to 58.5 percent during May. Detroit metro area jobless rate recedes in May The Detroit-Warren-Dearborn Metropolitan Statistical Area's (MSA) seasonally adjusted unemployment rate decreased by one-tenth of a percentage point to 5.0 percent during May. Employment in the Detroit MSA rose by 4,000, while unemployment fell by 3,000, resulting in a slight labor force increase of 1,000 over the month. Over the year, the Detroit MSA unemployment rate advanced by 0.7 percentage points. Employment fell by 5,000 and unemployment advanced by 16,000 since May 2024. Michigan payroll employment increases in May According to the monthly survey of employers, Michigan seasonally adjusted nonfarm payroll jobs advanced by 10,000, or 0.2 percent, during May.

The next Voice for our Scars of Gold campaign, is the lovely soul that is Clare. Clare talks us through her experience of being diagnosed, and living with Fibromyalgia, and Endometriosis. Clare shares how tricky it was to have doctors take her pain seriously, particularly as someone who struggles with her mental health, often having organic physical symptoms brushed off as anxiety. Clare speaks on the medical gaslighting she has experienced, and the mental and physical toll having to fight to be heard takes on a person, on top of these already debilitating diagnosis'. Clare also shares about her life as a young carer, for her mum with MSA (Multiple System Atrophy) - a rate neurological condition. She talks us through navigating this challenging time in her life, while also experiencing her own chronic health symptoms/conditions. Clare's story is informative, touching, and a powerful insight into living with multiple chronic health conditions. It also serves as a reminder of the importance of self advocacy - especially for young people (particularly those with mental health conditions) who are so often dismissed. Thank you Clare for being another fantastic Voice for our Scars of Gold Campaign! Scars of Gold is a health awareness campaign sharing the voices of 100 women facing their mortality at a young age with life changing or incurable health conditions. Produced by charity @mortalandstrong (No.1209448).#podcast #podcastprevious #interview #mortalandstrong #scarsofgold #kintsugi #fibromyalgia #MSA #healthpodcast #endometriosis #endo Hosted on Acast. See acast.com/privacy for more information.

MSA in 5 from Man Seeks Adventure Brad Fanshaw and Dave Marek have some great tips. EPISODE 112 Hear About: • IndyCar's Palou Rewrites Racing History! • A Rise in Violet Cocktails. • DoomsDay Bunkers Become L.A. Meetups VISIT US: www.ManSeeksAdventure.com FOLLOW US ON INSTAGRAM @manseeksadventure @Bradley_Fanshaw @davidwmarek

MSA in 5 from Man Seeks Adventure Brad Fanshaw and Dave Marek have some great tips. EPISODE 111 Hear About: • How Did Christmas in July Get Started? • A Fresh Tequila Sour Cocktail VISIT US: www.ManSeeksAdventure.com FOLLOW US ON INSTAGRAM @manseeksadventure @Bradley_Fanshaw @davidwmarek

Danovick vient tout just d'être finisher sur le 135KM du Québec Méga Trail. Quand je l'ai vu à St-Tite-Des-Caps, il était au bord de l'abandon. Il nous racconte comment il s'est rendu jusqu'au bout.Magasinez dès maintenant chez Altitude Sports et profitez d'un rabais jusqu'à 20% sur votre première commande avec le code promo : UPIKA. Cliquez ici pour commander

Every summer, the Missouri Soybean Association hosts two golf tournaments to raise funds for their Political Action Committee. MSA's Director of Policy Ben Travlos says there was a strong turnout for both of the events.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

MSA in 5 from Man Seeks Adventure Brad Fanshaw and Dave Marek have some great tips. EPISODE 110 Hear About: • A.I. Songs Killing Music • Are You Stuck • Naming Industrial Items VISIT US: www.ManSeeksAdventure.com FOLLOW US ON INSTAGRAM @manseeksadventure @Bradley_Fanshaw @davidwmarek

In episode 216, host Galit Friedlander and returning guest Liana Blackburn (Britney Spears, Lady Gaga, Taylor Swift, Dancing with the Stars, The Voice, Cirque Du Soleil, and more), explore the evolution from performer to guide and what it means to lead from embodiment, worthiness, and creative sovereignty. Now a somatic practitioner and sought-after teacher, Liana shares how she helps passionate creatives connect more deeply with their body and being, and live in alignment with their values, on and off the dance floor. We also get into money mindset shifts, building supportive creative containers, and how to navigate the emotional side of dance, from learning choreography with confidence to knowing when it's okay to walk out of class. Follow Galit: Instagram - https://www.instagram.com/gogalit Website - https://www.gogalit.com/ On-Demand Fitness Courses- https://galit-s-school-0397.thinkific.com/collections You can connect with Liana Blackburn on Instagram @iamlianablackburn or via iamlianablackburn.com. Learn more about Liana's October 2025 retreat by visiting iamlianablackburn.com/retreats

On this fifth episode of the MSA in 5 from Man Seeks Adventure Brad Fanshaw and Dave Marek have some great tips. EPISODE 109 Hear About: • Celebrity Beefs, Whet the Famous Arguse it Can Be Big Dollars! • Reverend Palmer Cocktail for Summer • Declutter, Just Not Too Much VISIT US: www.ManSeeksAdventure.com FOLLOW US ON INSTAGRAM @manseeksadventure @Bradley_Fanshaw @davidwmarek

Register here for the live online event to learn about ‘Unlocking BRRRR Deals in Little Rock on Thursday, July 17th at 8PM Eastern. Keith discusses the competitive nature of short-term rentals (STRs) and the need for hosts to offer luxury amenities to attract guests. Long time investing pro, Alex, joins us to cover the BRRRR strategy in Little Rock, Arkansas, an investor-advantaged market, emphasizing its low property taxes and stable cash flow. They explain the BRRRR process, including: buying, renovating, renting, refinancing, and repeating.  The strategy allows investors to scale their portfolios with minimal initial capital, offering a 0% management fee in year one and 4% in year two.  Resources: Register here for the live online event to learn about ‘Unlocking BRRRR Deals in Little Rock on Thursday, July 17th at 8PM Eastern. Show Notes: GetRichEducation.com/561 For access to properties or free help with a GRE Investment Coach, start here: GREmarketplace.com GRE Free Investment Coaching: GREinvestmentcoach.com Get mortgage loans for investment property: RidgeLendingGroup.com or call 855-74-RIDGE  or e-mail: info@RidgeLendingGroup.com Invest with Freedom Family Investments.  You get paid first: Text FAMILY to 66866 Will you please leave a review for the show? I'd be grateful. Search “how to leave an Apple Podcasts review”  For advertising inquiries, visit: GetRichEducation.com/ad Best Financial Education: GetRichEducation.com Get our wealth-building newsletter free— text ‘GRE' to 66866 Our YouTube Channel: www.youtube.com/c/GetRichEducation Follow us on Instagram: @getricheducation Complete episode transcript:   Automatically Transcribed With Otter.ai    Keith Weinhold  0:01   Welcome to GRE I'm your host. Keith Weinhold, anymore when you own short term rentals like Airbnbs and vrbos, you are in an all out arms race competing to provide amenities like never before. Then what happens when you take the popular burr real estate strategy and overlay it with one of the most investor advantaged markets in all of America. It's a lucrative opportunity. You'll see how and why today on get rich education.    Keith Weinhold  0:32   Mid south home buyers, I mean, they're total pros, with over two decades as the nation's highest rated turnkey provider, their empathetic property managers use your ROI as their North Star. So it's no wonder that smart investors just keep lining up to get their completely renovated income properties like it's the newest iPhone. They're headquartered in Memphis and have globally attractive cash flows, an A plus rating with the Better Business Bureau, and now over 5000 houses renovated their zero markup on maintenance. Let that sink in, and they average a 98.9% occupancy rate, while their average renter stays more than three and a half years. Every home they offer has brand new components, a bumper to bumper, one year warranty, new 30 year roofs. And wait for it, a high quality renter. Remember that part and in an astounding price range, 100 to 180k I've personally toured their office and their properties in person in Memphis. Get to know mid south enjoy cash flow from day one. Start yourself right now at mid southhomebuyers.com that's mid southhomebuyers.com   Speaker 1  1:58   You're listening to the show that has created more financial freedom than nearly any show in the world. This is get rich education.   Keith Weinhold  2:14   Welcome to GRE from North Conway, New Hampshire to North port, Florida and across 188 nations worldwide. I'm Keith Weinhold, and this is get rich education, happy July, the second half of the year. And my favorite month of the year is your Airbnb fancy enough, because anymore STRS short term rentals have gotten so competitive that hosts treat their properties like white lotus level hotels. Now, STRS were never passive, but they become even less so it is active income. Once upon a time, Airbnb hosts could just sort of drop a few colorful throw pillows on their fold out couch and make a killing. But no more those days are so far gone. The STR game has changed drastically. I mean, you used to be able to list a basic home with generic furniture that you got at Costco, minimal amenities, no Wi Fi, and still get it booked, but today, it will sit empty unless you offer more than just a place to sleep. You have to build an experience for Airbnb guests. Now, increasingly, hosts are doing things like adding outdoor kitchens, arcade machines, putting greens, even basketball. And now, though these upgrades do cost a lot up front, they can pay off. These amenity types can double your nightly rate, but they come with more responsibility and more to maintain. I mean, more guests are expecting a flawless experience. The trend is that Airbnbs are becoming full scale hospitality operations, and if you don't treat it like one, you're going to fall behind. So simply having a nice house that just no longer cuts it, running a short term rental today is nothing like it was even two or three years ago. You used to be able to stand out with a decent bed and colorful throw prolos, but now guests are basically comparing your place to boutique hotels. Hosts are deeply investing in design, forward furniture, layered lighting and featuring spaces that some market as what they call moments like cozy reading corners in these luxurious bathroom setups, adding things like welcome guides and even complete brand identities with a proper. Name and even a logo and a story to give the place some personality, even writing up a history for your property, even if it's not that historic. Now, these sorts of tactics, they actually do, seem to work. Guests will give you more bookings, better reviews, and guests even share the space on social media like it's somewhat of a lifestyle destination now sometimes STR hosts, they team with these other platforms to add welcome champagne in ice buckets on site, sommeliers, private chefs, daily, housekeeping on demand. 24/7 textable concierges, heated plunge pools and other amenities through you partnering with some of these platforms and these upgrades don't come cheap. The publication called the playbook, they featured an STR in Sag Harbor, New York, where the property owner invested $85,000 into overhauling the landscaping and adding a James Turrell Inspired LED light installation. But overall, these improvements boost rental revenue by an average of 40% over what the property was collecting previously. All right, so this is a case study now, though, this STR trend of offering deep hospitality and luxury amenities has turned into more of a job and less about passive income. You know, really, this is free market capitalism, because this is competition to see who can provide the best service at the lowest price, but that's what it is. So this is making real estate less of a good and more of a service. Short term rentals soaring supply, day rate compression and AI driven pricing tools. That means that the just this all nice house with good photos thing that no longer cuts it. It is an amenities arms race now, and of course, this is a national trend. It doesn't mean that it's happening absolutely everywhere. In some places, hosts are able to charm guests simply with something like a freshly baked loaf of banana bread, but the consensus is whether they spend a little or a lot, Airbnb hosts unanimously say that they've got to work harder in order to keep guests happy. It's become more of a business and less of a side hustle than it used to be. You've got more hosts leaning into higher upfront investments because they know guests will pay for a sort of turnkey, Instagrammable experience. And this really is a classic early adopter issue, just like a lot of things, Airbnb launched in 2007 by the way, so this sort of first wave of Airbnb hosts back around 2012 to 2015 they were riding a blue ocean back then. There was virtually no competition. There weren't any standards, and there were plenty of bookings, and that made a lot of hosts pretty fat and happy. But that's not where we are now, really. The bottom line is that in many markets, short term rentals have transitioned from partial passivity to all out hospitality. That's the Airbnb arms race. The average Airbnb nightly rate for North America. Do you care to venture a guess at the average nightly rate? It is approximately $216 per night, and that right there is up 26% from 2020 so it is not up as much as house prices over that five year period from 2020 really, the Airbnb rate is up about as much as the long term rental rate.    Keith Weinhold  8:58   While we're talking numbers a quarter recently ended. Let's hit on our asset class rundown. What's happened to home prices in the past year? Well, when you aggregate all these sources, Zillow, Freddie, Mac case, Shiller, FHFA, in totality, home prices are up 2% single family rents are up 3% apartment rates are down 1% due to their oversupply. The 30 year mortgage rate was 6.9% a year ago, and it's 6.8 now. CPI inflation is 2.4% expressed in year to date terms. Now the SP5 100 is up 5% in the first half of this year, ending near 6200 the dollar is down. That means that it takes more of them to buy gold, which is over $3,300 an ounce, gold is up 27% just from the start of this year, and the oil price is still depressed in the 60s. Per dollar for a barrel, Bitcoin still strong, ending the quarter at 106kthat's your asset class rundown, which we do about quarterly.    Keith Weinhold  9:57   Hey, I really enjoyed meetingside. Of you on this year's terrific real estate guys Investor Summit at sea was concluded about a week ago. It was two days on land in Miami, followed by a week of conferences and fun aboard a Caribbean cruise ship. I really got to meet you and get to know you, because we had nine days together, and as one of the faculty members, I hosted a table at dinner every night, and each night the attendees rotated around to my table, so I got to meet a lot of you and really get to know you, and you got to know me. Yeah, it was as interesting for me to meet you in person, perhaps, as it was for you to meet me, because I like to hear what you're doing in real estate, investing, in everything else. I gave a main stage presentation that was almost an hour of all me, all GRE and also served on five different panel discussions. Oh, it's such a unique event. Get this, I was kind of dressed up to give my main stage presentation, which so many of you, by the way, told me afterwards, that that was your favorite presentation of them all, all week long, because each faculty member made a main stage presentation. But what I want to tell you is, just a few hours after I presented, on the cruise ship, I was shirtless in the water throwing a football around at the beach in St Thomas Virgin Islands. What an event. Fantastic to meet a number of you in person. So far today, I hope what I've shared with you has been informative. Next. It's something informative and really actionable that you can make lucrative that's next. I'm Keith Weinhold. You're listening to get rich education.    Keith Weinhold  11:45   The same place where I get my own mortgage loans is where you can get yours. Ridge lending group and MLS, 42056, they provided our listeners with more loans than anyone because they specialize in income properties. They help you build a long term plan for growing your real estate empire with leverage. Start your pre qual and even chat with President Caeli Ridge personally, while it's on your mind, start at Ridge lendinggroup.com. That's Ridge lendinggroup.com.    Russell Gray  12:16   You know what's crazy your bank is getting rich off of you, the average savings account pays less than 1% it's like laughable. Meanwhile, if your money isn't making at least 4% you're losing to inflation. That's why I started putting my own money into the FFI liquidity fund. It's super simple. Your cash can pull in up to 8% returns, and it compounds. It's not some high risk gamble like digital or AI stock trading. It's pretty low risk because they've got a 10 plus year track record of paying investors on time in full every time. I mean, I wouldn't be talking about it if I wasn't invested myself. You can invest as little as 25k and you keep earning until you decide you want your money back, no weird lock ups or anything like that. So if you're like me and tired of your liquid funds just sitting there doing nothing, check it out. Text family to 66866, to learn about freedom. Family investments, liquidity fund again. Text family to 66866.   Russell Gray  13:30   Hi. This is Russell Gray, co host of real estate guys radio show, and you're listening to get rich education with Keith Weinhold, don't quit your Daydream. You Keith,   Keith Weinhold  13:38   welcome back to get rich Education. I'm your host. Keith Weinhold, we're talking to a guest not only about an investor advantaged market, but when you overlay a certain strategy with it, this can be highly lucrative for investor returns, and we're with a long time investing pro Alex, welcome onto the show.    Alex Craig  14:04   Hi Keith, thank you.    Keith Weinhold  14:05   Well talking about top US cashflowing market, let's get right to it. Tell us about yours.   Alex Craig  14:11   Little Rock, Arkansas. It's a market that we've been in since 2012. I personally invest there. I've got about 75 doors of multi family, single family. And the reason why it works is just cash flow. Over the years, we've had investors from around the country that have owned portfolios where maybe they're somewhere in Phoenix or Dallas, where they're kind of speculating. This is not a speculation market, and that's why it works for myself. It's consistent. It's very linear, and linear is a word that we use a lot to describe. And if you're going to be a cash flow investor, and that's why I'm in it, it's you want a linear market. You don't want ups or downs, and then you want to make sure it's a growing market too. And Little Rock checks all the boxes of what you would want in a stable cash flow environment market.   Keith Weinhold  14:57   And I think a lot of our investor listeners are. Already pretty keen on that. You get a high ratio of rent income to purchase price. You have laws that heavily favor landlords over tenants. But Alex, in today's environment, people are more conscious about rising operating expenses and higher mortgage expenses, and that's really one advantage that Arkansas can give right now, is with those low property taxes   Alex Craig  15:20   Keith,it's so interesting you mentioned that because I did have a conversation with a client of ours that had a property in another market that he had mentioned how his property taxes had gone up and gone up substantially, which that's to expect. I mean, after COVID, there was a lot of markets saw a huge boost, especially with markets that saw hedge funds come in. Hedge Funds, I believe, ruined a lot of markets, raised the prices. And another reason I like Little Rock, it flies under the radar. You think is Little Rock is a small market, but it's really not. It's, I mean, the population of the city is 250,000 but the metro area, which is a 50 mile radius around Little Rock, is much bigger. And the entire, not only the entire market, metro area, feeds off little rock, really, the entire state does too. But that being said, because it's floating under the radar, the property tax have remained low. They've taken a little bit of bump over the years, because the values steadily go up, but they started low anyway. So with operating costs of insurance, insurance has gone up for a lot of for my own properties in other markets, it's going up, and it's going up in Little Rock too. I mean, it's just the name of insurance, but property taxes have remained low. They've always been low, and that's really a big help as to why this market works for us.   Keith Weinhold  16:30   Talking about flying under the radar, you're talking about, therefore evading a lot of that hedge fund money. Tell us more about the market and some of those anchors and drivers.   Alex Craig  16:40   It's a blue collar town. You've got logistics. Is a market, or is a segment of the industry that has really come on strong over the last few years, Amazon has really put a footprint in the market. Healthcare is a huge, huge market, like I mentioned earlier, not only does the region feed off the direct to the entire state, it's the hub of healthcare for the entire state of Arkansas, of course, it's government. Government provides a lot of jobs. The good thing about government jobs is they're maybe not on a national level anymore, but on a local, state level, they're very it's hard to get let go from a government job, unless now, not on a federal level, but it's very steady, so a lot of steady blue collar jobs, and that's what you want for a strong resident base, especially in the type of properties and 1000 to $1,200 price range, you want those blue collar study growing jobs.   Keith Weinhold  17:31   Yes, you do have those there. It's funny. I'm smiling a bit because I used to be a state government employee, and there's just no way that they ever would have fired me. I was so protective I had to quit in order for them to have to replace me at that job. I'm wondering about the new supply that's come on, Alex, because a number of markets have added supply. I know, for example, that Redfin reports that little rock median home price appreciation is up 7.3% year over year, and with the dynamics going on in the market recently, that typically tells us that there hasn't been that much new supply added. Is that what's going on there?   Alex Craig  18:11   No, there hasn't been a lot of new supply. I just think with little rock and every other market, the mortgage rates have gone up. Home ownership is down during COVID. It was really hard to get an investment property. For what we did, sending out our list every week. It was basically send out our properties, people hitting send and not even knowing what they were reserving. Rates were just low, right? Everybody's jumping in. It was hard to get inventory. So now what we have is, you know, higher rates that scares some people off. It pushes some people out on the market, but it also creates opportunity. I feel like this is the easiest time I've been investing in real estate since 2007 that was the foreclosure crisis, Great Recession, and it was a lot of foreclosures on the market, and that's how I built a big chunk of my portfolio. But now it's just a matter of there's not as many people in it. So for us, there's just more acquisitions for us to go out and get. There's still distressed homes on the market where individuals don't want to hire a realtor, they just want all cash offers. They're ready to get rid of them, and that's where we step in. And without as much competition like I said, we kind of fly under the radar. I feel it creates more just supply inventory for us and for me as an investor, but also for our clients too   Keith Weinhold  19:23   with that in mind, and again, a lot of our audience is already on board, knowing that little rock in Arkansas is a good cash flow market with stable, long term fundamentals, but in order to make it more profitable, you've overlaid it with a certain strategy there in Little Rock. Tell us about that.    Alex Craig  19:45   So the BRRRR strategy, yes, it's able to work now because there's not as many buyers in the market. So basically, the way the burrs strategy works is we acquire a property. I'm just going to use very round, simple numbers for simple math makes it easier on me   Keith Weinhold  19:58   and we're talking the BRRRR. Strategy that's buy, renovate, rent, refinance, and repeat. Those are the five investor steps.   Alex Craig  20:07   correct. And so that's what we do, is we buy. Let's just say the B. Let's take the B, for example, we buy a home, and we buy it for 60,000 where I'm just talking like if I own the home, and then I put $20,000 into the deal. So now I'm all into it for 80,000 and you have to remember, there's some in between, cost of closing costs. I'm just talking just very general strategy. You buy it for 60, you put 20 into it, and all of a sudden you're in it for 80, and the value comes back at 100 so you're in it for 80% of the after repair value. Most Fannie Mae lenders will do 75% so if you purchase a house outright, you put 20% down, but if you are doing a refinance, you're able they'll do it at 75% so instead of buying a home and putting it down payment upfront, you're using equity in the deal. And that's what the burst strategy is, buy renovate. So we buy it, we renovate it, we refinance it, we rent it out, and then you repeat it. So it allows for investors to scale their portfolios quicker and stretch their money a little bit further. So if you've got, I've got $50,000 and I want to invest in real estate, if you purchase a home, you're bound by the down payment. Once you put that down payment, it's, I wouldn't call it sunk cost, but that money's gone for reinvesting. The burr model allows you to stretch that money a little bit further. Now, like I said, I gave pretty basic numbers to the deal, but that's what you're going for. Some equity in the deal, and that's what we're able to provide for ourselves and for our clients.   Keith Weinhold  21:38   So let's review that numbers on a little rock burp, making a $60,000 purchase with a pre renovated property. Then the investor puts another 20k into it for the renovation. So now they're all in for 80k and they get a 100k appraisal on that property, and then they can borrow, say, 75% of that there, that is the refi portion, the fourth letter of the BRRRR acronym. So therefore they've got 80k into it, and they got 75k back, meaning they would only have 5k into it, but maybe another 5k for closing costs, and now they only have 10k in to a 100k property. That's the appeal. That's what we're talking about here with the BRRRR   Alex Craig  22:22   strategy. I mean, you're exactly right. And as I mentioned, I use some really basic numbers, because when you're using, you know, 100,060 and 20 makes them very basic. It's pretty hard to find out a deal worth 100,000 these days, even when we started in the industry, 100,000 was a pretty cheap after pair value. Probably the mean value of the homes that we're dealing in is probably about 140 to 140 to 160 but same principle, based on those same logic that what we just talked about, I wouldn't say, you know, five or 10k out of pocket, but if you're talking about purchasing a deal with 25% down versus doing a bur you're probably going to be in it at 15% Out of pocket costs 10 to 15% as opposed to putting a down payment of 25% but the big thing is, you're getting money back, and you're not putting as much so just it's great for scale. I don't know if you'll talk about DSCR lending very much on your show, but that's something that a lot of our clients, and that does 80% so we have a lot of clients going that route now too.   Keith Weinhold  23:21   Okay, so you could do 80% with debt service coverage ratio loans, but to drop back in our example, to help be clear, the investor has 80k of their own skin in the game into the property, 60k for the purchase, 20k for the renovation, even though they only have 80k in it appraises for 100k that ARV, that after repair value. Why is the after repair value 100k when you only have 80k into it? Why is it more?   Alex Craig  23:49   that's based off comparable sales? So when you're in it at 80, and you're going to refinance it through a lender, they're going to send an appraiser out, and appraiser is going to pull comparable sales within that neighborhood. So just because you're in an 80 the appraiser is going to go pull three comps, very similar to that home. So if we're selling a three bedroom one bath, they're going to pull three comps at a three bedroom one bath, relatively the same size look, if it's got a carport, they're going to try to find three houses with the carport. So in theory, that's what they're doing. They're pulling comparable sales and developing new value based on recent sales.   Keith Weinhold  24:23   So it's that you have this knowledge to buy in neighborhoods and buy in certain sub markets, where, when you know that capital is added and renovations are made and a rehab period that they do tend to appraise for that value based on the comparables that are already there.   Alex Craig  24:40   Yeah. I mean, if we were to take the same house at 60,000 and didn't do any work, he would then say, well, you've got some comparables here versus 100 but you could never sell this home for 100 these are the things you have to do, and that's what we do during the first R the renovate of the acronym is to renovate the home to the condition that the. Appraisers feel that are comparable for the neighborhood, and that's a real important part, is comparable to the neighborhood. We could go in and put in a Jacuzzi tub and grain of countertops. We actually, we do put a lot of grain in, because we get it so cheap. But you could go in and fix it up to the nines, but it's not going to appraise for any more than the others, because the appraiser would say, we over improved it. So we improve it to what we know, what the kind of the standard for the neighborhood? Because you could over improve these things for sure and not get that return on that investment.   Keith Weinhold  25:28   That is a great answer. There is a specific improvement target that you know that needs to be hit. Tell us more about this burr process, because to an out of area investor, it can sound pretty intimidating if they had to manage contractors remotely themselves,   Alex Craig  25:43   there definitely is a need to have a team on the ground that you trust, that you feel comfortable with, and that's what we've done. I've been doing it in multiple markets for myself since 2007 and we built into a business model in 2010 like I said, expanded Little Rock in 2012 and we've been doing this for 15 years now for other investors. So we've got that name and that reputation of taking care of our investors, that's the important part. And we do see a lot of investors get burned, because you can find a realtor to go to help you find deals, but usually the realtor relationship is thesis to end. It's okay, I found you a deal, but then there's so many other things afterwards, and the renovations, where I see so many people get burned, and you know, we manage approximately 1200 homes between two markets, and that's where I see when property owners come to us, they've been burned the most. It's like they've paid somebody $50,000 they didn't finish the job, they didn't do what they say they're going to do. So the renovation that we're the team on the ground, we've got a in House Project Manager, we've got a network of subcontractors. We tend to act as the contractor, subbing things out. We've got in house property management. We've got all the tools, but it's really between both. In the markets in which I operate. I've got about 30 employees within property management, renovations, acquisitions, so the team on the ground is and then the back in the property management part is the long, ongoing accountability. So if something doesn't work out, that's the way we said it. If we say it's going to rent for 1200 and we rent it out for 900 Well, we really got a big egg on our face. You do a few of those, and that's how you don't stay in business anymore. And there's, and I like to say, about every five years the market corrects itself into getting the wrong players out of the business. COVID was super easy, easy to find deals, easy to sell deals. But once the market changed and it became a little more competitive and rates rose, that's the people that have been around for the long time, been in it for the long haul, that stick around. They've got the established business model and their reputation. So every five years, a good correction in the market eliminates those bad players.   Keith Weinhold  27:47   So you have this vetted, proven in play system that investors can get into besides just identifying the property, it comes with that system, those contractors or that investor just has one point of contact with you there for updates on the renovation.   Alex Craig  28:03   Yeah. I mean, I feel like we know these neighborhoods. I like I feel we know these neighborhoods like the back of our hand. We've been investing in them for a decade plus, and we know the areas you want to be in, the areas you don't want to be in. And we have a lot of investors will call us either they already own the property or they're a current client, and they'll say, Hey, I could get this deal for 30,000 and it's worth 100 and I'm like, Well, that sounds too good to be true, especially if it's on the open market. If it was that good of a deal, it's already gone. We just know the market, where to be. We know what to pay. We could, pretty much just through our experience, identify a house we know probably within about five to 10% before we even dive into comparable sales of what it's worth. We could walk through a house within probably about three to five minutes and peg the renovation costs probably within about 10% now we still order an inspection, and that's where we uncover the things that we can't see, that maybe there's a bunch of rotted out joist or a foundation problem that we didn't see. So, but there's things aside we could walk through and we pretty much know, okay, it needs a roof that's 7000 it needs an air conditioner that's six flooring, two. So that's the expertise that we bring and like. So then the management part of it, on the back end, that kind of ties it all together with accountability.   Keith Weinhold  29:22   And I know that your typical project renovation cost tends to be about 25k just for simplicity, we use 20k in that example, and your completion times are shorter than others that have inexperienced crews. So tell us about that typical renovation time. Alex.   Alex Craig  29:39   every day we're accomplishing 500 so 25,000 divided by 500 comes to 50 days, 50 days. So we'll knock that out in about 50 days. And we just have a large network of subcontractors that we've been working with for years. If you weren't in the business, I think that'd be really hard to accomplish, and there's just a lot that. Goes into it. I mean, the renovating the homes, it's the once, it's the worst, it's the hardest thing that we do. For sure, it's definitely the most scheduling, but it's where, if you don't know what you're doing, a great deal turns into, how do I get out of this?   Keith Weinhold  30:15   Right, absolutely. Now, in our example, we used where an investor puts 60k into it for the purchase to start with, because I see the burst strategy is a good strategy. If someone doesn't have a lot of capital, like they would for maybe a new build property, can one even finance that initial purchase amount?   Alex Craig  30:35   Yeah, so private lending. So that's the part that makes if you've only got 50 grand to facilitate this entire process, and you want to try to repeat it as many times as you can. 50,000 would not be enough just to pay cash. So yes, we have private lending. We set that up. Sometimes we lend it ourselves. Sometimes we outsource it to some of our strategic partners, but we'll lend the money to buy and renovate the home. A typical what that loan would look like it's about 3.3 points of loan origination. So if you've got an $80,000 loan, that's $2,400 most lenders do require for you to bring that up front, and now you're in it for an $80,000 loan at 12% which, five years ago, that sounded crazy to borrow at 12% but with for private lending, that's not bad at all, especially you want to get in and out of it quickly. So if we're renovating the home, and you know, 50 days, if you're already pre approved with your lender, and they have all your documents by the time we finish renovating the home, the appraisals lined up, and you could be in and out of these private loans in about 90 days. That love that depends on the lending side, that you're giving the lender what they need. But ideally you want to be in these things about 90 to 120 days. So $80,000 loan at 12% that $800 a month. So if you're in it for 90 days, 800 times 320, 700 plus the loan origination fee. But that's how you do it. That's the you're just borrowing money to finance the acquisition, the rehab and the refinance   Keith Weinhold  32:03   that is an option for you if you don't have the cash here to come in with these burr strategy properties. Alex, tell us more about it. Really, what I would like to know is, when an investor gets their appraisal, their after repair value, how many want to sell it for a profit, and how many want to hold it with a tenant for long term income   Alex Craig  32:26   so far, zero. Want to sell it for a profit. If you're all in it for add and then you're selling for 100 once you sell it, there are other fees involved. You got to hire a realtor. Right now is a great time to hold it's a slow real estate market. I don't think Little Rock from an aspect, is where home ownership is down. I think that's a nationwide thing. So I think if you're going into this, you certainly want to look at it from perspective. This is a buy and hold. I don't think this is the best market to get into to buy something. Flip it with a in the example, we use a $20,000 margin with buyer concessions, realtor commissions. That's a lot of work involved. And let's just say it did work out. You sold it for 100 but you had to pay 2% closing in an agent fee, and you got some holding cost. Let's just say you netted 8000 that might be good for a six month return, but I feel like there's a lot of risk. I feel like our job as what we do for our clients, is to minimize risk. So someone came and said, Hey, I want to flip it. I would say, Well, I don't think it's the best market for it right now. I think you want to get into this buy and hold.   Keith Weinhold  33:29   Yes, Alex has been doing this for a long time, and he's a specific expert right there in that local market. Buy and hold is a strategy that most likely makes sense. And he also strongly recommends pay cash if possible, instead of using that 12% short term private lending option, like he mentioned before, because that can cut out about four to 5k worth of transactional cost. And then if you do buy and hold what Alex and his company offer there in Little Rock is essentially a cash flow boost, 0% management fee in year one and only 4% in year two. So that gives you some extra cash flow runway as well. And Alex, before I ask you if you have any last thoughts, I want to announce to you the audience, that we have a live event virtually next week, on July 17, at 8pm eastern for Little Rock BRRRRproperties that Alex is CO hosting with our investment coach, Naresh, where you can find these bird deals in this cash flowing market. In Little Rock you'll see actual bird deals recently completed with full breakdowns of their purchase prices, sort of these case studies, where you can see some real numbers and what the rehab budgets are and what the actual timelines were, and what the refi outcomes were like, and explore BRRRR ready properties that are currently available to own, if you so choose, on this upcoming live event that you can attend from the comfort of your own home. Learn the full process, from acquisition to renovation to property management to the financing of them, and again, everything is all handled by local experts, so that you don't have to live with the nightmare of remotely managing contractors, which I couldn't imagine doing. So whether you're a first time investor or you're scaling your portfolio, this is your chance to get boots on the ground, insight and a proven road map to burr success and really one of the most accessible markets in the country. Again, Alex here is CO hosting the event along with GRE investment coach, Naresh Vissa. It is a free, live virtual event again next week, Thursday, July 17, at 8pm Eastern. Sign up is open now at gre webinars.com it ought to be great. Alex, teaming with local experts like you has been of real benefit to our audience. Do you have any last thoughts about either Little Rock or burrs or the events that you're going to co host with our audience next week?   Alex Craig  35:57   So here's my last thought, as you were, you know, kind of concluding and I was reviewing what we had talked about. And one of the questions we get sometimes it's a fair question. It's like, well, if this is such a great deal, why don't you keep all the deals? So we hear that from time to time, and the simple answer is, we do. We do keep a lot of deals, and we're buying more real estate now, like I said, I feel like it's the easiest time to get into real estate. So we do, we do keep a lot. We're building a very large portfolio right now, but the house flipping to investors is just another business model that we have. And Property Management too. And we love property management, and we love building investor relationships. We've had a lot of investors we've had been with us since day one that we've developed really tight relationships with. So yes, we do keep a lot of the properties, and we sell properties too, and we and helps us build our management company, which you don't hear too many people say this, but we actually love property management. That's a hard thing to love, but we actually like it.   Keith Weinhold  36:54   That is more weird than Tom wheelwright loving taxes, perhaps, but Right. But I want to deal with somebody that really loves what they're doing, especially when they're protecting our asset and probably more importantly, when it comes to property management, protecting our time. So that's right, Alex, well, our viewers and listeners are really looking forward to it next week, again, that live event Thursday, July 17, at 8pm Eastern is something that you can sign up for now at grewebinars.com. Alex, we're looking forward to it next week.   Alex Craig  37:27   Bye, Keith, thank you.   Keith Weinhold  37:34   Oh yeah. Terrific overview on why the burr strategy can be so profitable. And our event next week. Now, when you rent your primary residence, which you would typically do in a high cost area, and then you own rental property elsewhere, typically a low cost area, do you know what that's called? Yeah, there is a name for that. Last week we spoke to two listener guests in California that are doing just that. That is called rentvesting. And yes, Little Rock is surely a popular low cost market for rentvesting. I have been on the ground myself in Little Rock with Alex's associate to do an on the ground tour of properties. There you want to tap into a system where you've got the guiding hand of both experience and belief. That's what you're doing here. As like he said, Alex personally owns 75 doors there. That is belief, and he's been doing this for out of area investors for 15 years. That's the experience part real proof of concept at next week's event, you'll be introduced to this same system where you can lean on their team for acquisition, renovation and management. Little Rock has an MSA population of about 770,000 but I think more importantly today, savvy investors are conscientious of keeping their expenses down, and for good reason, since they've been up all over the place. Now, the purchase price is 140 to 160k for these BRRRR optimized single family rentals. Remember that we used 100k just for ease of an example there, usually when you buy income property, you're really in at close to 25% of the purchase price when you add up the down payment and closing costs, but this way, you're in for just about half of that at 10 to 15% another low expense is that property tax, statewide, Arkansas Property Tax is just 610 of 1% so that's half the national average. And then your management expense is definitely going to be low for the first two years, because it is 0% in year one and 4% in year two. And these are properties that you can actually be pretty proud of. You'll learn more about this. Scope of work with a renovation on the webinar, often granite countertops in the kitchen is a live, remote event. So this means that you can have any of your questions answered in real time. Should you have them? As you can imagine, demand is high for these properties, and this is a chance to get connected directly with the team that makes it happen. We might never get Alex on an event like this again, and is co hosted with our GRE investment coach, Naresh. It's next week. It's free, Thursday, July 17, at 8pm Eastern, 5pm Pacific. Sign up now, or your future self might not be able to forgive yourself. You can do that now at grewebinars.com Until next week, I'm your host. Keith Weinhold, don't quit your Daydream.   Speaker 3  40:56   Nothing on this show should be considered specific, personal or professional advice. Please consult an appropriate tax, legal real estate, financial or business professional for individualized advice. Opinions of guests are their own. Information is not guaranteed. All investment strategies have the potential for profit or loss. The host is operating on behalf of get rich Education LLC, exclusively.   Keith Weinhold  41:19   You know, whenever you want the best written real estate and finance info, oh, geez, today's experience limits your free articles access and it's got pay walls and pop ups and push notifications and cookies disclaimers. It's not so great. So then it's vital to place nice, clean, free content into your hands that adds no hype value to your life. That's why this is the golden age of quality newsletters, and I write every word of ours myself. It's got a dash of humor, and it's to the point because even the word abbreviation is too long, my letter usually takes less than three minutes to read, and when you start the letter, you also get my one hour fast real estate video. Course, it's all completely free. It's called the Don't quit your Daydream letter. It wires your mind for wealth, and it couldn't be easier for you to get it right now just text. GRE to 66866, while it's on your mind, take a moment to do it right now. Text, gre to 66866   Keith Weinhold  42:35   The preceding program was brought to you by your home for wealth, building, getricheducation.com.

*Disclaimer: The audio quality in this episode is unfortunately below our standards but we felt that the content was too valuable not to share it* In episode 215, host Galit Friedlander and guest Stephanie Scull (dancer for Pharrell, Usher, America's Got Talent and founder of her own successful styling/costuming brand) get into the real-talk intersection of dance, identity, and personal style. Stephanie shares how her path took her from competitive dance and the fashion world to working major jobs in LA and what made her say yes to pivoting towards her own business. From audition looks to headshot rules to what “comfortable” really means when you're getting dressed for a career-defining moment, this one is full of practical gems and big-picture energy. We talk about boundaries, burnout, why dancers often forget their power, and how to use clothes to show the world who you are, before you even move. Follow Galit: Instagram - https://www.instagram.com/gogalit Website - https://www.gogalit.com/ Fit From Home - https://galit-s-school-0397.thinkific.com/courses/fit-from-home You can connect with Stephanie Scull on Instagram at https://www.instagram.com/scullysculls/. Stephanie's website is https://www.scullystyles.com. Listen to DanceSpeak on Apple Podcasts and Spotify.

In episode 215, host Galit Friedlander and guest Stephanie Scull (dancer for Pharrell, Usher, America's Got Talent and founder of her own successful styling/costuming brand) get into the real-talk intersection of dance, identity, and personal style. Stephanie shares how her path took her from competitive dance and the fashion world to working major jobs in LA and what made her say yes to pivoting towards her own business. From audition looks to headshot rules to what “comfortable” really means when you're getting dressed for a career-defining moment, this one is full of practical gems and big-picture energy. We talk about boundaries, burnout, why dancers often forget their power, and how to use clothes to show the world who you are, before you even move. Follow Galit: Instagram - https://www.instagram.com/gogalit Website - https://www.gogalit.com/ Fit From Home - https://galit-s-school-0397.thinkific.com/courses/fit-from-home You can connect with Stephanie Scull on Instagram at https://www.instagram.com/scullysculls/. Stephanie's website is https://www.scullystyles.com. Listen to DanceSpeak on Apple Podcasts and Spotify.

On this fifth episode of the MSA in 5 from Man Seeks Adventure Brad Fanshaw and Abby Iverson have some great tips. EPISODE 108 Hear About: • Watermelon Mojito • F1 The Film • Relationships • American Roadt Trips VISIT US: www.ManSeeksAdventure.com FOLLOW US ON INSTAGRAM @manseeksadventure @Bradley_Fanshaw @davidwmarek

On Thursday's Mark Levin Show, Iran's nuclear ambitions and ballistic missile development pose an existential threat to Israel and American civilization, which cannot be ignored. Israel, possibly with U.S. assistance, will take military action to neutralize this threat, as Iran will not go away on its own. Iran's actions, including attacks via proxies and American casualties, demand a decisive military response, which is self-defense rather than nation-building. These radical Democrats, fifth-columnists, and isolationists lack any strategy and moral clarity. Also, the people of Israel are never discussed by the media. They face severe challenges every day, especially in Tel Aviv, where ballistic missiles from Iran target hospitals and public areas, forcing families into bomb shelters. They are in constant fear with a disrupted quality of life. Media outlets ignore these struggles and ignore the regime's history of killing and maiming American soldiers. Later, Zuhdi Jasser calls in and addresses the mindset of the isolationists and fifth columnists who deliberately ignore the existential threat posed by Iran's theocratic regime and its proxies like Hezbollah and the Houthis. He emphasizes that these groups are driven by a radical theology that glorifies suicide bombing, chaos, and the targeting of non-combatants, with the ultimate goal of triggering an apocalyptic scenario tied to the return of the 12th Imam. Jasser asserts that Iran's uranium enrichment is clearly aimed at developing nuclear weapons, not peaceful purposes, and warns that the regime would use such weapons, likening its leadership to a cult willing to commit national fratricide. Finally, Sayyid Qutb's book Milestones, promotes pure Islam and strict shariah, rejecting Western values and most modern Muslims as ignorant (jahiliyyah). Groups like CAIR, ISNA, ICNA, MSA, and MPAC dismiss devout Muslims who oppose their views. Qutb's ideas fuel sectarian violence and terrorism by groups like Hamas and al-Qaida, and states like Iran, which pursues nuclear weapons through deception (taqiyya). Western appeasement fails to counter this clash with democratic values. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Brethren, this Short Talk Bulletin Podcast episode was written by Bro Stewart M. Pollard, and first published in October 1979. At a conference of Grand Masters, a request was fielded by the MSA to provide real and timely information about membership retention. Here, we find just such a discussion. Enjoy, and do share this and […]

On this fifth episode of the MSA in 5 from Man Seeks Adventure Brad Fanshaw and Abby Iverson have some great tips. EPISODE 107 Hear About: • Be a Lucky Person • Eat Lettuce Wraps • NYC Spots for History Buffs VISIT US: www.ManSeeksAdventure.com FOLLOW US ON INSTAGRAM @manseeksadventure @Bradley_Fanshaw @davidwmarek

On this fourth episode of the MSA in 5 from Man Seeks Adventure Brad Fanshaw and Abby Iverson have some great tips. EPISODE 106 Hear About: • Best Places In Yellowstone • Make a Mexican Martini • Denim Comes of Age VISIT US: www.ManSeeksAdventure.com FOLLOW US ON INSTAGRAM @manseeksadventure @Bradley_Fanshaw @davidwmarek

In episode 214, host Galit Friedlander and guest Kwasi Ohene-Adu (dancer, technologist, and founder/CEO of Groovetime) get into a conversation that's part dance history, part tech-forward vision, and fully rooted in the reality of what dancers are navigating today. From street performing and coding his own programs in college to building a platform that connects dance trends, AI, and digital ownership, Kwasi shares what he's learned and where he believes the industry is headed. This episode covers everything from soft power and viral culture to how dancers can create new revenue paths without waiting on the old system to catch up. Expect stories, sharp insights, and future-focused ideas—plus a few unexpected laughs along the way. Follow Galit: Instagram - https://www.instagram.com/gogalit Website - https://www.gogalit.com/ On-Demand Workout Programs -https://galit-s-school-0397.thinkific.com/collections Learn more about investing in Groovetime by visiting https://www.startengine.com/offering/groovetime. Check out Groovetime on Instagram and TikTok. Listen to DanceSpeak on Apple Podcasts and Spotify.

Episode 70. I denne episoden intervjuer vi professor og nevrolog Ole-Bjørn Tysnes ved Universitetet i Bergen og Haukeland universitetssykehus. Han forklarer oss hva som kjennetegner de ulike atypiske parkinsonistiske syndromene: MSA (multisystem atrofi), PSP (progressiv supranukleær parese), CBD (cortikobasal degenerasjon) og demens med Lewy-legemer.  Lise Elveseter og Jeanette Koht intervjuer. Redaksjon: Karoline Haslum Kongsvik (lege i spesialisering), Anna Bjerkreim (lege i spesialisering), Lise Elveseter (nevrolog) og Jeanette Koht (nevrolog, ph.d).  Jingle: Christoffer E. Hørbo og Are Brean Klipp og lyd: Lise Elveseter Logo: Tilde Rasmussen   Følg oss på Facebook og Instagram!               

Send us a textNotebook LLM takes on chapter 2 of Gundam Sentinel.  Task Force Alpha enters Pezun airspace.  Ryuu Roots learns about the abilities of the Instructor Corp.  Shin Crypt launches in the FAZZ to engage with the New Decides and Josh Offshore in the Xeku Eins.   In this episode we will also cover the Nero, Zeta Plus and the influence of the Moon and Gundam.Gundam Sentinel Podcast/Gundam Book Club is performing a critical analysis and commentary and is protected by the Fair Use clause of the United States Copyright law. Gundam content is copyright and/or trademark of Sunrise Inc., Bandai, Sotsu Agency, or its original creator.  Gundam Sentinel content is copyright and/or trademark of Model Graphix, or its original creator.  Gundam Sentinel Podcast/Gundam Book Club is in no way affiliated with or endorsed by Sunrise, Bandai, Sotsu, Model Graphix or any of their subsidiaries, employees, or associates and makes no claim to own Gundam or any of the copyrights or trademarks related to it. Copyrighted content used in Gundam Sentinel Podcast/Gundam Book Club is used in accordance with the Fair Use clause of the United States Copyright law. Music used in this episode is being used under the "Fair Use" clause.  Please email gundamsentinelpodcast@gmail.com with any questions.References:https://gundam.fandom.com/wiki/MSA-0012_λ_Gundam (Lambda Gundam)https://www.youtube.com/watch?v=zNz1bKjNet0&feature=share (Japanese Zeta Plus video)https://gundam.fandom.com/wiki/Von_Braun (Von Braun City)https://en.wikipedia.org/wiki/Wernher_von_Braun (Wernher von Braun)https://en.wikipedia.org/wiki/Buzz_Aldrin (Buzz Aldrin)https://en.wikipedia.org/wiki/Gus_Grissom (Gus Grissom)

In episode 213, host Galit Friedlander and guest, Gerran Reese (Beyoncé, Kaytranda, Dancing With the Stars, Nike, Monsters of Hip-Hop), deconstruct the topic of virality in the dance world, Gerran's journey from a young working dancer in PDX to becoming a sought-after teacher in LA/globally, and the deeper work of staying true to yourself in an industry that doesn't always make it easy. Follow Galit: Instagram - https://www.instagram.com/gogalit Website - https://www.gogalit.com/ On-Demand Workout Programs -https://galit-s-school-0397.thinkific.com/collections You can connect with Gerran Reese on Instagram. Listen to DanceSpeak on Apple Podcasts and Spotify.

Charley Wayman is the Director of Marketing at MSA Design, where she leads strategic marketing and business development initiatives across the firm's architecture, interiors, and graphics disciplines. A proud graduate of the University of Cincinnati's College of DAAP with a degree in Fashion Product Development, Charley brings a unique blend of creativity, strategy, and relationship-building to her work. She currently serves on the Board of Housing Opportunities of Northern Kentucky, is an alumna of the Queen City Game Changers, and will soon graduate from the Cincinnati USA Regional Chamber's WE Lead program.Originally from Clarksville, Ohio, Charley now lives in Ludlow, Kentucky with her husband and their beloved dogs (and one cat). She's a self-proclaimed book nerd (on a mission to read at least 40 books for her 40th year), bourbon enthusiast, sneaker collector, wannabe health junkie, and lifelong lover of leopard print. Before joining MSA, she worked with the Building Industry Association of Northern Kentucky, supporting advocacy for the building industry. Charley thrives on trying new things, traveling, cheering on the Bengals as a season ticket holder, and leaning into her Enneagram 7 spirit. Her top strengths—Positivity, WOO, Achiever, Learner, and Strategic—are the heart of how she shows up in life and leadership. 

Although the margins are thin in Multifamily, there are niches that provide outsized returns without undue risk. One example is government-sponsored affordable housing. By creating public-private partnerships, it takes a lot of risk off the table, Jesse Sells, Co-Founder and COO of Impact Growth Capital, recently began a partnership with the Southern Nevada Regional Housing Authority for a $300 million development to develop 600 new Multifamily units in Las Vagas. Jesse, with his brother Sam, are raising a $300 million fund to create similar opportunities in other similarly growing MSA's.

On this third episode of the MSA in 5 from Man Seeks Adventure Brad Fanshaw and Abby Iverson have some great tips. They will tell you about: • What is Mountain Dew Made With? • How to Live With Big Failure. • Designer Tells What to Wear. VISIT US: www.ManSeeksAdventure.com FOLLOW US ON INSTAGRAM @manseeksadventure @Bradley_Fanshaw @davidwmarek

Looking to break into the home service industry through business acquisitions? In this episode of Jackquisitions, we sit down with Elias Yusef, a 24-year-old entrepreneur who's quickly making a name for himself by acquiring and scaling blue-collar service businesses. Based in Denver, Colorado, Elias shares how he transitioned from selling appliances to owning a fast-growing plumbing company, using creative deal structures and relentless outreach to land his first acquisition. His story offers a blueprint for aspiring entrepreneurs who want to grow through home service business acquisitions and enter the trades without large upfront capital.Elias walks us through how he sourced deals through cold calling, built a team of experienced operators, and executed a management services agreement (MSA)—a unique acquisition model that minimizes financial risk while maximizing upside. With ambitious plans to hit a $10 million revenue run rate by the end of the year and scale to $27 million, Elias reveals his playbook for growth through acquisitions, operational excellence, and mentorship from seasoned industry professionals.

On this second episode of the MSA in 5 from Man Seeks Adventure Brad Fanshaw and Abby Iverson have some great tips. They will tell you about: • Where the World of Bartenders is Headed • Common Rental Car Mistakes • Old Time Curse Words VISIT US: www.ManSeeksAdventure.com FOLLOW US ON INSTAGRAM @manseeksadventure @Bradley_Fanshaw @davidwmarek

In episode 212, host Galit Friedlander welcomes beloved ballet educator and coach Lisa Ebeyer (Jackson Ballet, Snow White, and LA's go-to ballet whisperer for commercial dancers) for a no-holds-barred convo on dancing through every season of life—without apology. Join Galit and Lisa as they talk about ditching perfectionism, keeping your body strong without surgery, and why “every age is a transitional time.” From her early pro career at 16 to falling back in love with dance at 48, Lisa shares what it means to keep showing up, stretch your big toe (yes, really), and coach with zero BS. This episode is equal parts wisdom, grit, and the kind of honesty dancers don't hear enough of. Follow Galit: Instagram - https://www.instagram.com/gogalit Website - https://www.gogalit.com/ Fit From Home - https://galit-s-school-0397.thinkific.com/courses/fit-from-home You can connect with Lisa Ebeyer on Instagram: @lisaebeyer Listen to DanceSpeak on Apple Podcasts and Spotify.

Brad and Dave are Traveling and we wanted to bring you the new MSA in 5 so the mics are handled this time by Abby and Alec. They will tell you about: • The Top 50 Bars in the world • Why Sitting on the Floor Could Extend Your Life • Porsche's 2025 911 GT3, and Why it Could be the Last of a Kind VISIT US: www.ManSeeksAdventure.com FOLLOW US ON INSTAGRAM @manseeksadventure @Bradley_Fanshaw @davidwmarek  

Let us know how you're enjoying the show or ideas for any future topics!On this episode of "It's Settled", we're joined by Indiana based attorney George Patrick, a longtime partner of Ametros. George shares how he found his way into the workers' compensation space, the moments that confirmed he was in the right field, and what drives him to serve his clients with care and integrity. He opens up about the mentors who shaped his path, the industry groups he's involved in, and the lesson he's learned along the way. We also dive into George's experience working with Ametros and why he is a firm believer in professional administration. From navigating the complexities of Medicare to understand what is actually covered, George explains why self-administering a Medicare Set Aside account can be overwhelming, and why having a trusted partner makes all the difference. Whether you are a fellow attorney, an industry professional, or handling an MSA, this episode offers real insights from someone who truly cares about doing right by his clients.Ametros is changing the way injured individuals navigate healthcare by providing them with post-settlement medical management tools for their settlement funds. Ametros helps drive more simplified, secured, and supported settlements and saves money by working closely with injured workers, insurers, employers, attorneys, and Medicare to create a seamless experience.Learn how Ametros can support you.

April 22 The Family Business of Real Estate Investing: Daniel Aldana Journey Daniel Aldana dove into real estate through Pace's free Facebook group and never looked back. After getting his license in 2022, he discovered SubTo, joined the community, and later became part of the Gator Tribe. Real estate is a full family affair—his mom and dad are in SubTo too! The trio thrives with the support of the MSA program, which Daniel credits for giving them the tools and confidence to succeed in the game of creative real estate. Creative Real Estate Facebook Group: https://www.facebook.com/groups/creativefinancewithpacemorby ➡️ Get Your First Deal at the No One Left Behind Challenge: subto.sjv.io/55yex2 ➡️ Use Creative Title for Your Creative Deals: https://getcreativetitle.com/?utm_source=gcpodcast&utm_medium=audio&utm_campaign=podbean ➡️ Learn more about SubTo: https://subto.sjv.io/RG6EDb ➡️ Become a Top Tier Transaction Coordinator: https://toptiertc.pxf.io/yqmoxW ➡️ Discover the Gator Method: https://gator.sjv.io/K0ZEY9 ➡️ Official Merch: https://www.brandedbills.com/pages/bb-x-pace-morby ➡️ Get to the SquadUp Summit Conference: https://www.squadupsummit.com/?utm_source=gcpodcast&utm_medium=audio&utm_campaign=podbean ➡️ Learn the MPI Strategy and Protect your Wealth: https://schedule.mpiunlimited.com/pacemorby   PLUG IN & SUBSCRIBE Instagram: https://www.instagram.com/pacemorby/  YouTube: https://www.youtube.com/@PaceMorby TikTok: https://www.tiktok.com/@pacemorby  X: https://x.com/PaceJordanMorby

Brethren, this Short Talk Bulletin Podcast episode was written by PSGW Bro Stewart M. Pollard, Past Executive Secretary of the MSA, and is brought to us by VW Bro David Koncz, PM – United #8, Brunswick ME. Here we find an excellent discussion of the various encounters MW Bro Pollard had while travelling throughout most […]

Episode Notes The Muslim Students Association at the University strives to create an inclusive and supportive environment for Muslim students, with a special focus on the holy month of Ramadan. Vice President of MSA Amirah Radwan shares insights into the events and initiatives organized by the organization, as well as her vision and goals for MSA's future.

Will your taxes go up? Stay the same? Go down, even? Jeffrey Levine is Chief Planning Officer at Focus Partners, Professor of Practice in Taxation at the American College of Financial Services, and the Lead Financial Planning Nerd at Kitces.com. In other words, he's one of the savviest tax minds in the country. Jeff returns to the show today on Your Money, Your Wealth® podcast number 524 with Joe Anderson, CFP® and Big Al Clopine, CPA, with his thoughts on what will happen to taxes under the new administration, saving for retirement in a Roth IRA vs. a traditional IRA, managing inherited retirement accounts, and the future viability of Social Security. Plus, what should you do with required minimum distributions when you don't need the money to live on? How do you calculate the maximum amount you should convert from your retirement account to a tax-free Roth account, and how much should you convert - or not - to keep RMDs under control? Finally, how can minor beneficiaries avoid probate? Free financial resources & episode transcript: https://bit.ly/ymyw-524 LIMITED TIME SPECIAL OFFER: DOWNLOAD The DIY Retirement Guide by Friday April 11, 2025! WATCH Take Control of Your Retirement Plan on YMYW TV ASK Joe & Big Al for your Retirement Spitball Analysis SCHEDULE your Free Financial Assessment SUBSCRIBE to YMYW on YouTube DOWNLOAD more free guides READ financial blogs WATCH educational videos SUBSCRIBE to the YMYW Newsletter Timestamps: 00:00 - Intro: This Week on the YMYW Podcast 01:05 - Will These Historic Low Tax Rates Be Extended? Insight from Jeff Levine, CFP®, CPA/PFS, ChFC®, RICP®, CWS, AIF, BFA™, MSA 19:54 - Make These 3 Investments for a Happy Retirement and Watch Take Control of Your Retirement Plan on YMYW TV 21:06 - What to Do With Required Minimum Distributions When You Don't Need the Money to Live On? (Judi, San Diego) 24:40 - How Much NOT to Convert to Roth to Keep RMDs Under Control? (DH from SoCal) 32:26 - LIMITED TIME SPECIAL OFFER: Download the DIY Retirement Guide by Friday, April 11, 2025! 33:39 - How to Calculate How Much Roth Conversion I Should Do? (Joe, voice) 38:42 - How Can I Reduce My Required Minimum Distributions? (Joel, CA) 40:18 - How Can Minor Beneficiaries Avoid Probate? (Esther, San Francisco) 46:04 - YMYW Podcast Outro

Can moving from single-family homes to multifamily properties change your real estate game? Jon Sprinkle says yes—and he's living it. Episode Summary: In this episode, Dave Dubeau sits down with Cleveland-based real estate entrepreneur Jon Sprinkle, who shares his journey from building a modest single-family home portfolio to making the leap into multifamily investing. With 25 years of experience, Jon opens up about the pivotal moment that pushed him to shift focus—a mastermind group that showed him a scalable path forward. You'll hear Jon talk about: Why he left the “hamster wheel” of flipping and single-family rentals The value of masterminds and community in making big investment leaps The importance of building long-term partnerships over one-off deals His natural role as a “uniter” and strategic planner in multifamily ventures How he's building broker relationships to find off-market opportunities Why Cleveland's MSA is his primary focus—and what his future expansion plans might look like Jon also shares the mindset shifts needed to grow beyond small deals, the challenges of finding good multifamily properties, and why relationships still rule in commercial real estate. About Jon Sprinkle: Jon is the founder of Alpha Nova LLC and a longtime real estate investor with a knack for connecting people and building lasting teams. His current focus is on acquiring and scaling multifamily properties across the Cleveland area and beyond.   - Get Interviewed on the Show! - ================================== Are you a real estate investor with some 'tales from the trenches' you'd like to share with our audience? Want to get great exposure and be seen as a bonafide real estate pro by your friends? Would you like to inspire other people to take action with real estate investing? Then we'd love to interview you! Find out more and pick the date here: http://daveinterviewsyou.com/

In episode 211 host Galit Friedlander and guest, powerhouse performer and educator Rob Bynes (Beyoncé's Renaissance Tour, Super Bowl LV, Bad Bunny and more), dive into what really fuels longevity in the dance industry. From getting scouted before he even had a headshot to performing on some of the biggest stages in the world, Rob shares the mindset shifts, self-talk tools, and career pivots that have kept him grounded and growing. We get into training like an athlete, managing pressure under global spotlights, and how Rob's faith plays into his career decisions. Follow Galit: Instagram - https://www.instagram.com/gogalit Website - https://www.gogalit.com/ Fit From Home - https://galit-s-school-0397.thinkific.com/collections You can connect with Rob Bynes on Instagram. Listen to DanceSpeak on Apple Podcasts and Spotify.

This week's conversation, Chris Gentry discusses the development and implementation of My Service Area (MSA), a tool designed to optimize customer base management for service businesses. The discussion covers the importance of route density, effective service area navigation, and leveraging data for marketing and business growth. Chris emphasizes the value of referral systems and address-based pricing strategies, while also hinting at future integrations of AI to enhance the functionality of MSA. The conversation highlights the need for service businesses to adapt to data-driven decision-making to improve efficiency and profitability.

In episode 210, host Galit Friedlander sits down with Miller Daurey, a breakout dance star who left the industry at 19 and made his return three decades later. Join Galit and Miller as they get real about what it's like to step away from dance, the fears that kept him from coming back, and what's changed after 30 years. They dive into how class culture has evolved, the highs and lows of re-entering the scene, and why getting "back to great" isn't always a straight path. Plus, they break down hot topics like filming culture in studios, where AI can for awry, and why dancers love to call themselves rusty after missing class for two minutes (I do it too!). Follow Galit: Instagram - https://www.instagram.com/gogalit Website - https://www.gogalit.com/ Fit From Home - https://galit-s-school-0397.thinkific.com/courses/fit-from-home You can connect with Miller Daurey on Instagram: https://www.instagram.com/backtogreat. Listen to Miller's Hey Dancer Podcast: Apple: https://podcasts.apple.com/us/podcast/hey-dancer/id1784126648 Spotify: https://open.spotify.com/show/2jHsC6gn7MylDprwzmjc13?si=Z9F_EH7rQF-G18nlVPjSzg YouTube: https://www.youtube.com/playlist?list=PLwFxLwtPydHKVZMsgnIp9Mn9W6tTj-MST Listen to DanceSpeak on Apple Podcasts and Spotify.

Episode Summary: Megan, a Senior Talent Agent at McDonald Selznick Associates (MSA), to explore the world of dance representation. Megan shares her unique journey from being a dancer to becoming an agent and provides invaluable insights into what makes a successful client in the dance industry. She discusses the qualities MSA looks for in dancers, such as professionalism, strong communication, and the ability to respond quickly to opportunities. Megan highlights the importance of keeping your casting materials up-to-date, including headshots, resumes, and performance clips, and provides advice on how dancers can stand out when submitting to agencies. She also touches on the expanding role of social media and personal branding, explaining that while it's not crucial to be an influencer, having a professional presence is key. In addition, Megan talks about the various trends in the dance industry, including the growing embrace of diversity and the rise of specialty skills like roller skating. She concludes by emphasizing the importance of being true to oneself and finding the right team to support individual goals in the dance world. Whether you're aspiring to sign with an agency or grow your career, this episode is packed with valuable tips. Show Notes: (0:00) Introduction to Megan, Senior Talent Agent at MSA (3:00) Megan's Journey from Dancer to Talent Agent (7:45) Overview of MSA and its Expansion into Different Departments (12:30) What Makes an Ideal Client for MSA (16:20) The Importance of Communication and Professionalism in Dance Careers (20:45) How Dancers Can Submit to MSA: Materials and Process (24:15) The Role of Social Media and Personal Branding in Dance Careers (28:50) Trends in the Dance Industry: Embracing Diversity and Specialty Skills (35:00) Building Long-Term Careers: Transitioning from Dancing to Choreography and Creative Roles (40:30) The Impact of Special Skills on Dance Careers (44:15) Q&A Session with Mentees: Submitting to Agencies, Getting Noticed by Choreographers (50:00) Final Thoughts on Developing Your Dance Career and Finding the Right Team Biography: Megan Hunt is a Senior Talent Agent at McDonald Selznick Associates (MSA), bringing a wealth of experience from her work in both Los Angeles and New York's entertainment industries. With a background that includes a position as Junior Agent in MSA's Education Department, Megan has built a successful career by fostering relationships and connecting talent with opportunity. She also co-hosted The Hollywood Dance Podcast alongside Tony Selznick, a co-founder of MSA and a legendary figure in the Hollywood dance community. Known for her ability to navigate complex challenges with creative solutions, Megan excels in management, production, public speaking, and client relations. Her passion for understanding people's goals and collaborating to create meaningful projects is central to her work. A graduate with honors from Portland State University, she continued her education at The School for Radio & TV Broadcast in Orange County, California. Connect on Social Media: https://www.instagram.com/megnhunt https://www.facebook.com/megan.hunt.58 Website https://msaagency.com/

On this episode, Paul Thurrott, Leo Laporte, and Richard Campbell explore the Windows KB5052086 update, the new Linux kernel drama, quantum computing, and more. Microsoft has announced the very first QPU, powered by topological qubits! Can the hosts possibly comprehend how this works? Later, Paul strongly emphasizes how AI can save users lots of time. Finally, Richard features a whisky that was recently brought to his 30th wedding anniversary! Windows Dev channel: "Important" update because of the coming change to Recall soon, so here's an update that will wipe out all your data. One guess about what that means. Plus, a nice change to the Recall pop-up Release Preview (24H2): A preview of the preview that we'll preview next time Release Preview (23H2): Basically the same features as above, keeping the two aligned Microsoft deprecates location history in Windows 11 - depreciation junction, what's your function? Microsoft Edge gets more WebUI 2-based performance improvements Clipchamp just keeps getting better Microsoft 365 Microsoft: Just kidding about that MSA and Entra ID sign-in experience change Outlook mobile is getting a new font picker, a recall email feature (finally), and a minimize email message feature. ExpressVPN (TWiT sponsor) rewrote its VPN protocol in Rust AI Microsoft announces a Quantum computing breakthrough, first quantum processor Flareup in Linux kernel management maps directly to what we see with AI - Two extremes but a clear middle ground Long story short, AI is all about saving you time - this is the "many small things, not one big thing" argument Copilot gets new voice capabilities In case you were worried, OpenAI formally rejects buyout offer OpenAI will also simplify its model offerings Google Gemini now remembers what you said, unlike your husband xAI launches Grok3 model but only for X Premium subscribers Xbox Avowed launches, with many other Game Pass titles coming through the end of February Microsoft announced a generative AI model for video games Sony just had its best-ever PS5 sales quarter Tips and Picks Tip of the week: Find your AI "ah-ha" moment App pick of the week: Notion. And iA Writer 2 for Windows is here RunAs Radio this week: Managed DevOps Pools with Eliza Tarasila Brown liquor pick of the week: Signal Hill Hosts: Leo Laporte, Paul Thurrott, and Richard Campbell Download or subscribe to Windows Weekly at https://twit.tv/shows/windows-weekly Check out Paul's blog at thurrott.com The Windows Weekly theme music is courtesy of Carl Franklin. Join Club TWiT for Ad-Free Podcasts! Support what you love and get ad-free shows, a members-only Discord, and behind-the-scenes access. Join today: https://twit.tv/clubtwit Sponsors: uscloud.com zscaler.com/security 1password.com/windowsweekly

On this episode, Paul Thurrott, Leo Laporte, and Richard Campbell explore the Windows KB5052086 update, the new Linux kernel drama, quantum computing, and more. Microsoft has announced the very first QPU, powered by topological qubits! Can the hosts possibly comprehend how this works? Later, Paul strongly emphasizes how AI can save users lots of time. Finally, Richard features a whisky that was recently brought to his 30th wedding anniversary! Windows Dev channel: "Important" update because of the coming change to Recall soon, so here's an update that will wipe out all your data. One guess about what that means. Plus, a nice change to the Recall pop-up Release Preview (24H2): A preview of the preview that we'll preview next time Release Preview (23H2): Basically the same features as above, keeping the two aligned Microsoft deprecates location history in Windows 11 - depreciation junction, what's your function? Microsoft Edge gets more WebUI 2-based performance improvements Clipchamp just keeps getting better Microsoft 365 Microsoft: Just kidding about that MSA and Entra ID sign-in experience change Outlook mobile is getting a new font picker, a recall email feature (finally), and a minimize email message feature. ExpressVPN (TWiT sponsor) rewrote its VPN protocol in Rust AI Microsoft announces a Quantum computing breakthrough, first quantum processor Flareup in Linux kernel management maps directly to what we see with AI - Two extremes but a clear middle ground Long story short, AI is all about saving you time - this is the "many small things, not one big thing" argument Copilot gets new voice capabilities In case you were worried, OpenAI formally rejects buyout offer OpenAI will also simplify its model offerings Google Gemini now remembers what you said, unlike your husband xAI launches Grok3 model but only for X Premium subscribers Xbox Avowed launches, with many other Game Pass titles coming through the end of February Microsoft announced a generative AI model for video games Sony just had its best-ever PS5 sales quarter Tips and Picks Tip of the week: Find your AI "ah-ha" moment App pick of the week: Notion. And iA Writer 2 for Windows is here RunAs Radio this week: Managed DevOps Pools with Eliza Tarasila Brown liquor pick of the week: Signal Hill Hosts: Leo Laporte, Paul Thurrott, and Richard Campbell Download or subscribe to Windows Weekly at https://twit.tv/shows/windows-weekly Check out Paul's blog at thurrott.com The Windows Weekly theme music is courtesy of Carl Franklin. Join Club TWiT for Ad-Free Podcasts! Support what you love and get ad-free shows, a members-only Discord, and behind-the-scenes access. Join today: https://twit.tv/clubtwit Sponsors: uscloud.com zscaler.com/security 1password.com/windowsweekly