Podcasts about Rei

As we round out June 2025, we did not want to leave it without reflecting on what Pride month means to us and to the LGBTQIA+ community. Join host CH as she reflects on what Pride has ultimately come to mean to her, and some of the key lessons it has taught her - namely, the importance of standing up for kindness, acceptance, and understanding in a world often divided by differences. It seems Pride represents even MORE to us this year than in recent years past. And, it serves as an important reminder about embracing diversity, learning from different life experiences, and the enduring importance of being an ally to each other.   Show Notes Key mentions from this episode: Outside with Pride is REI's annual campaign in support of the LGBTQIA+ community. CH participated in the very first of these when it launched in 2016. @OsloPride (via Instagram) is the organization that ran the campaign about the importance of showing LGTBQIA+ allyship. @kris.and.dave (via Instagram) are one of CH's faves for being a great of example of what allyship looks like in practical terms. The Stonewall Uprising of 1969 served as the catalyst to what is now the modern day Pride movement. Highly recommended read for those who may not know or be aware of how Pride came to be.

El magazín matinal de Ràdio Molins de Rei. Actualitat, entreteniment, cultura, opinió, participació. Els matins més complets a "la ràdio nostra". Amb Oriol Romeu, Sílvia Artés i Roger Tuset. podcast recorded with enacast.com

Wholesalers sometimes throw away leads just because a few of them need the 70% rule, which can't simply work on certain things. Or so they thought.Joining us today is wholesaler rockstar Brian Iregbu. He is a creative financing expert who has made great deals in real estate through his practical way of doing things.In this episode, Brian will share next-level strategies to profit from almost every deal in an easier way than you think. How to do things like Brian? Get all the information by joining the TTP Training Program.---------Show notes:(1:05) Beginning of today's episode(3:00) The foundation of REI investing is finding discounted properties(7:57) Explaining how their process works when it comes to offering deals and purchasing agreements(11:20) How did he get into real estate?(12:18) What does their lead generation look like?----------Resources:PodioBrian Iregbu on YoutubeBrian Iregbu on InstagramClubhouseTo speak with Brent or one of our other expert coaches call (281) 835-4201 or schedule your free discovery call here to learn about our mentorship programs and become part of the TribeGo to Wholesalingincgroup.com to become part of one of the fastest growing Facebook communities in the Wholesaling space. Get all of your burning Wholesaling questions answered, gain access to JV partnerships, and connect with other "success minded" Rhinos in the community.It's 100% free to join. The opportunities in this community are endless, what are you waiting for?

El magazín matinal de Ràdio Molins de Rei. Actualitat, entreteniment, cultura, opinió, participació. Els matins més complets a "la ràdio nostra". Amb Oriol Romeu, Sílvia Artés i Roger Tuset. podcast recorded with enacast.com

Send us a textThis week's episode is deeply personal. Dr. Mark Amols shares the journey that led him to become a fertility doctor—from his early days as a nurse, to witnessing a friend's struggle with infertility, to navigating his own fertility challenges with his wife. You'll learn how these experiences shaped his mission to make fertility care more compassionate, more accessible, and more affordable. It's not just a career—it's a calling.If you've ever wondered who's behind the mic each Tuesday, this is the episode that lets you in.Thanks for tuning in to another episode of 'Taco Bout Fertility Tuesday' with Dr. Mark Amols. If you found this episode insightful, please share it with friends and family who might benefit from our discussion. Remember, your feedback is invaluable to us – leave us a review on Apple Podcasts, Spotify, or your preferred listening platform. Stay connected with us for updates and fertility tips – follow us on Facebook. For more resources and information, visit our website at www.NewDirectionFertility.com. Have a question or a topic you'd like us to cover? We'd love to hear from you! Reach out to us at TBFT@NewDirectionFertility.com. Join us next Tuesday for more discussions on fertility, where we blend medical expertise with a touch of humor to make complex topics accessible and engaging. Until then, keep the conversation going and remember: understanding your fertility is a journey we're on together.

Dr. Natalie Crawford, double board certified OBGYN and REI, provides an in-depth roadmap for anyone preparing to start their pregnancy journey, covering everything from fertility tracking to preconception health. Key Topics Covered: 1. Birth Control and Fertility Transition - When and how to stop different birth control methods - Impact of birth control on fertility - Recommended waiting periods before trying to conceive - Hormonal vs. non-hormonal contraception effects 2. Fertility Tracking Methods - Understanding the fertile window - Cervical mucus monitoring - Basal body temperature tracking - Ovulation predictor kits (OPKs) -Pros and cons of different tracking techniques 3. Age and Fertility Considerations - Fertility potential by age group - When to seek fertility evaluation - Egg quality and reproductive aging - Recommended timelines for conception attempts 4. Preconception Health Preparation - Importance of prenatal vitamins - Lifestyle modifications for fertility - Nutrition and diet recommendations - Exercise and stress management strategies -Male health considerations 5. Preconception Medical Preparation - Scheduling preconception consultations - Essential medical screenings Want to receive my weekly newsletter? Sign up at ⁠⁠⁠⁠nataliecrawfordmd.com/newsletter⁠⁠⁠⁠ to receive updates, Q&A, special content and freebies If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every Tuesday. Plus, be sure to follow along on Instagram ⁠⁠⁠⁠@nataliecrawfordmd,⁠⁠⁠⁠ check out ⁠⁠⁠⁠Natalie's YouTube channel Natalie Crawford MD⁠⁠⁠⁠, and if you're interested in becoming a patient, check out ⁠⁠⁠⁠Fora Fertility. ⁠Join the Learn at Pinnacle app ⁠to earn FREE CE Credit for listening to this episode! This episode is brought to you by ⁠The Pinnacle Podcast Network⁠! Learn more about Pinnacle at ⁠learnatpinnacle.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Você já desejou apagar o passado e recomeçar? Em Romanos 8:1, o apóstolo Paulo anuncia uma verdade gloriosa: “Agora, pois, já nenhuma condenação há para os que estão em Cristo Jesus.” Esse é o Perdão do Rei — a libertação total e definitiva da culpa e do juízo. Neste episódio, vamos explorar a profundidade dessa promessa e por que ela é diferente de tudo o que o mundo ensina. Não é por penitência, boas obras ou sacrifício pessoal que recebemos perdão — é por estarmos “em Cristo.” Ele já pagou nossa dívida. O perdão que recebemos silencia a culpa do passado, traz paz ao presente e garante segurança para o futuro. Descubra hoje como viver com a certeza de que você está perdoado, aceito e eternamente seguro nos braços do Rei. Para mais ensinamentos bíblicos, visite nosso site: https://www.wisdomonline.org/?lang=Portuguese

Summer is here in San Diego and so are the tourists. With our near perfect weather and beaches, it's no surprise that our city is a big travel destination. But if you live here — it can be easy to take it all for granted. This summer, you might consider taking a staycation instead. From luxury hotels to beautiful campsites, San Diego has plenty of options for you to take a trip right here at home. This hour, we explore how to plan your perfect staycation in San Diego. Whether a hotel bed or sleeping bag is more your style, there's plenty of options out there. Plus, we talk about how to make the most out of traveling with kids. Guests: Jackie Bryant, business development strategist at San Diego Magazine Shelby Stanger, host of REI podcast “Wild Ideas Worth Living" Jennifer Kolari, child and family therapist and founder of Connected Parenting Jackie Bryant's staycation recommendations: Hotels/Resorts Seabird Resort - Oceanside (kid friendly/adult) Mission Pacific Resort - Oceanside (kid friendly/adult) Gaylord Pacific - Chula Vista Alila Marea Resort - Encinitas Inn at Moonlight Beach - Encinitas Harrah's Resort - Valley Center Lafayette Hotel - North Park (kid friendly) Town and Country Resort - Mission Valley - (kid friendly) Manchester Grand Hyatt - Downtown San Diego (kid friendly) Lazy H Ranch - Valley Center Catamaran - Mission Bay Bahia Resort - Mission Bay Bianchi Pizza and Pasta Hotel Marisol - Coronado  Read more on Jackie Bryant's Guide to Local Spa and Resorts The Hotel Del Coronado Read Jackie Bryant's Review on the hotel's renovations Nobu Read San Diego Magazine's look into Coronado's Nobu Veranda Read San Diego Magazine's look into Coronado's Veranda Food and Drink Merenda Wine Bar - https://www.sdcl.org/blogs/post/learn-a-language-with-rosetta-stone/ Read Jackie Bryant's Review on Merenda Little Fox Cups and Cones - Oceanside Read Jackie Bryant's Review on Little Fox Cups and Cones Wrench and Rodent - Oceanside Read more in Jackie Bryant's article on food trends in San Diego

In this episode of the podcast, we're hosting a special Ask Me Anything session, tackling real-life questions from the WIIRE Community. Covering a range of topics—from creative financing and property management to lending and scaling—this episode offers practical, experience-backed insights for women at all stages of their real estate investing journey. We're answering questions submitted through the WIIRE Community; a platform we receive constant praise for being both educational and supportive. We share relatable advice, personal experiences, and actionable tips that you can immediately apply to your own investing strategies. Whether you're wondering how to find your first off-market deal, navigate a tricky lending scenario, or manage tenants with less stress, this episode is packed with valuable gems from women doing the work. Tune in for straight talk, shared wisdom, and plenty of inspiration.Lastly, doors will be opening for The WIIRE Community opening again in July and spots will go quick, so make sure your name is on the waiting list to be the first to know when it happens!  Resources:Simplify how you manage your rentals with TurboTenantGrab your spot in The WIIRE CommunityLeave us a review on Apple PodcastsLeave us a review on SpotifyJoin our private Facebook CommunityConnect with us on Instagram

Thank You To Our Partners, The Institute, AutoFlow, AutoLeap, Shop Dog Marketing, In-BoundWatch Full Video EpisodeIn our episode today…I want to discuss the benefits of the recent camping trip my wife and I enjoyed in Northern Michigan.As our listeners well understand - we talk a lot about getting outside our comfort zones on this podcast - and while that is usually in the context of practicing our communication skills, today, the topic is more about stepping AWAY… Specifically from people, electronics, and modern comforts or modes of transportation, and instead highlight the benefits of immersing yourself in nature and rebooting your mind.My wife, Betsy, and I did our stepping away together by stepping onto a ferryboat and taking a nearly 2-hour trip West into Lake Michigan. We traveled from Fishtown in Leland (tip of the pinky on the Michigan map) and docked at South Manitou Island, where we would hike and camp with only the things we carried.South Manitou is a 10-mile circumference, barely inhabited island in the Sleeping Bear National Lakeshore. Its pristine fresh water is as blue as the Caribbean, just not as warm!If our adventure intrigues you, you'll enjoy this episode, as I hope to challenge and encourage you to seek out a similar type of adventure, as well as learn why I think this topic merits greater emphasis in our modern lives, now more than ever.Today's WOTD is: GarrulousGAIR-uh-lusadjectiveContaining many and often too many words.Talkative. Verbosity.“He delivered a rather garrulous speech.”Some Context:This camping trip has been on the calendar for me and my wife most of the year.Our anniversary gift(s) to ourselves has involved a mix of ordering camping gear online -to frequent trips to REI.What's important to note is that I have virtually no real experience ‘camping' or ‘backpacking.'Sure, I am into rucking as a fitness regime, and that builds strength to carry heavy loads long distances - hiking and backpacking involve practical gear, and as light a load as you can possibly make to bring what you need to survive.Our goals were threefold. 1.) Unplug and disconnect from devices, noise, and distraction2.) Immerse ourselves in nature3.) Reboot and return refreshed - with the “Three Day Effect” (which we'll explain)My hope was that this will improve for my wife and I both, our creative minds, our ability to focus and solve problems, and in general become more adept with backpacking and camping to take longer adventures together!UNPLUG:On the goal of disconnecting:Listen. I've felt like stepping away from constant connection for a while now.I've done something of an Irish Goodbye with Facebook. That is, I never said anything, I just sort of left it. There are so many reasons, many of which our Speak Up listeners are familiar with. Despite benefiting from a social media presence in my career, I am no fan of social media.I could tell you more about alarming statistics of wasted human time (i.e. that the equivalent of 200,000 entire human lifetimes are spent endlessly scrolling social media)I could talk about how companies like Meta are harvesting every piece of data they can about you to manipulate you to a.) spend more time on their ecosystem and b.) spend money with their advertisers.I could tell you I'm sick of being distracted…But the real catalyst for me was regarding some exchanges I observed among even respected friends. Public disputes were becoming more common - toxic groupthink was becoming more normalized - and antithetical points...

Send us a textThis is a Replay of an episode first published in March 2024. The heart and hustle behind the Meyers' self-storage empire. This episode shares the personal and professional evolution of the Meyers', from overworked landlords to self-storage magnates. Christina opens up about their initial leap of faith into the industry, while Scott details their transition into education and mentorship, shaping the country's leading self-storage community. The couple candidly explores the balance of business and marriage, sharing invaluable insights on partnership and conflict resolution. Topping off their narrative, they delve into their mission-driven business model, which has not only spurred financial success but also ignited a passion for philanthropy, leaving a lasting impact on communities and setting a heartfelt example for entrepreneurs everywhere. WHAT TO LISTEN FOR3:22 - The Road to Teaching5:04 - Family Dynamics in Business9:39 - Behind the Scenes Insights19:48 - A Future Focused on Philanthropy Leave a positive rating for this podcast with one click CONNECT WITH CHRISTINAWebsite | You Tube| Facebook| X | LinkedIn | InstagramCONNECT WITH USWebsite | You Tube | Facebook | X | LinkedIn | Instagram Follow so you never miss a NEW episode! Leave us an honest rating and review on Apple or Spotify.Attend the Self Storage Academy in Seattle, WA August 21-23https://selfstorageacademy.com/

Também confunde Praia d'el Rey em Óbidos com Pedras d'el Rei em Tavira? Eu confundo! E o vinho Terras d'el Rei? Que ainda veio confundir mais as coisas? Ouça, mas é, e não pense mais nisso!

Neste episódio profundo da série A ORDEM, exploramos como a história não é apenas cenário, mas meio através do qual Deus governa, forma e envia sua Igreja. A partir de São Boaventura, da patrística e da escatologia adventista, refletimos sobre os sete tempos da salvação, a tensão entre Reino de Deus e reinos dos homens, e a função da liderança espiritual no tempo do fim. A ordem eclesiástica não é uma estrutura neutra — ela é parte da missão. E liderar hoje é preparar a Igreja para o retorno do Rei. Um episódio essencial para quem deseja compreender o papel escatológico da liderança na IASD.

BOMBA!!! Oda está planejando um retcon?Se for, eu passo o pano =) Hoje tivemos um cast longo, mas muito bem justificado! VAMBOOOORA!✅ Sanji tem Haki do Rei?✅ Shanks tem a marca do Abismo?✅ Revelamos o mistério do tempo em Elbaph!!!✅ Harald é o traidor?

The ICE agents are going to win. The "really tough people" that are wearing their ballistic vests that they got at REI or somewhere and their gasmasks are the ones that are going to beat up. But they just don't care.I'm all for protests. It identifies those who disagree with you. But they always go to the extreme. We've got to learn to understand that they want this violence.

Ali Chamenei „darf nicht länger existieren“, sagt Verteidigungsminister Israel Katz. US-Präsident Trump will innerhalb von zwei Wochen entscheiden, ob ein Luftschlag gegen den Iran erfolgt. Der Iran soll Zeit bekommen, sich doch noch für einen Deal zu entscheiden.Kann der Euro eine neue Leitwährung werden? Gunther Schnabl, Leiter des Flossbach von Storch Research Institute, hat Zweifel: „Solide Staatsfinanzen sind immer die Grundlage für die Stabilität der Währung“, sagt er im Gespräch mit Alexander Wiedmann. Die EZB-Politik sei derzeit zu locker, um langfristig Vertrauen zu schaffen.Schnabl ist neuer Kolumnist des CEO.Table, den Sie unter diesem Link testen können: table.media/testenWie gestaltet sich die Mitarbeitersuche in Zeiten von Künstlicher Intelligenz und Fachkräftemangel? Sibylle Reiß, Personalchefin bei TUI, setzt auf flexible Arbeitszeitmodelle, Weiterbildung und Ehrlichkeit gegenüber den Bewerbern. Der Einsatz von KI sei eine Win-Win-Situation – auch Mitarbeiter profitieren, sagt Reiß im Gespräch mit Michael Bröcker.Table.Briefings - For better informed decisions.Sie entscheiden besser, weil Sie besser informiert sind – das ist das Ziel von Table.Briefings. Wir verschaffen Ihnen mit jedem Professional Briefing, mit jeder Analyse und mit jedem Hintergrundstück einen Informationsvorsprung, am besten sogar einen Wettbewerbsvorteil. Table.Briefings bietet „Deep Journalism“, wir verbinden den Qualitätsanspruch von Leitmedien mit der Tiefenschärfe von Fachinformationen. Alle Informationen zum Trade.Table:https://table.media/aktion/tradetableAudio-Werbung Table.Today: jan.puhlmann@table.media Hosted on Acast. See acast.com/privacy for more information.

Neste podcast: Clóvis de Barros faz uma recapitulação do peso das consequências na obra Édipo Rei, encerrando a narrativa dessa história clássica.

Can you really raise millions of dollars for diverse asset classes—using only LinkedIn? In this game-changing episode, Nick Stromwall shares how he raised over $6 million in just two years, built a presence that attracts capital daily, and positioned himself across multifamily, industrial, and oil & gas investments. He unpacks the simple content strategies that built trust fast, the mindset shift that helped him start without a big track record, and why he believes clarity and speed are the ultimate power moves in capital raising. If you're an investor or entrepreneur looking to scale your influence and inflows, this episode is your blueprint. 5 Key Takeaways from Nick Stromwall's Episode:LinkedIn as a Capital Machine: Nick consistently raised millions using daily content that built credibility, created conversations, and attracted inbound interest.No Website? No Problem. He proved you don't need fancy marketing assets to raise capital—you just need consistency, clarity, and a genuine message.Clarity Drives Connection: His success came from clearly communicating who he helps, what he invests in, and what kind of partner he's looking for.Diversified Investment Strategy: Nick participates in multifamily, industrial, and oil & gas deals, using joint ventures and LP positions to diversify his portfolio.Speed Creates Momentum: His advice: Don't wait to be perfect—start fast, iterate in public, and refine as you grow. Action beats hesitation every time.About Tim MaiTim Mai is a real estate investor, fund manager, mentor, and founder of HERO Mastermind for REI coaches.He has helped many real estate investors and coaches become millionaires. Tim continues to help busy professionals earn income and build wealth through passive investing.He is also a creative marketer and promoter with incredible knowledge and experience, which he freely shares. He has lifted himself from the aftermath of war, achieving technical expertise in computers, followed by investment success in real estate, management skills, and a lofty position among real estate educators and internet marketers.Tim is an industry leader who has acquired and exited well over $50 million worth of real estate and is currently an investor in over 2700 units of multifamily apartments.Connect with TimWebsite: Capital Raising PartyFacebook: Tim Mai | Capital Raising Nation Instagram: @timmaicomTwitter: @timmaiLinkedIn: Tim MaiYouTube: Tim Mai

Dr. Natalie Crawford, double board certified OBGYN and REI, breaks down the complex world of reproductive hormones, providing you with a comprehensive guide to understanding their menstrual cycle, hormone function, and reproductive health. Key Topics Covered: 1. Hormone Basics -The HPO (Hypothalamus-Pituitary-Ovary) Axis -How hormones communicate in the body -Roles of key hormones: GnRH, FSH, LH, Estrogen, Progesterone 2. The Menstrual Cycle Explained -Egg development and ovulation process -Hormone fluctuations throughout the cycle -Normal cycle length and characteristics 3. Hormone Health Insights -Identifying normal vs. abnormal cycles -Impact of prolactin and thyroid hormones -Importance of hormone testing 4. Common Misconceptions -Estrogen dominance -Hormone balance -Effects of biotin on hormone testing Want to receive my weekly newsletter? Sign up at ⁠⁠⁠⁠nataliecrawfordmd.com/newsletter⁠⁠⁠⁠ to receive updates, Q&A, special content and freebies If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every Tuesday. Plus, be sure to follow along on Instagram ⁠⁠⁠⁠@nataliecrawfordmd,⁠⁠⁠⁠ check out ⁠⁠⁠⁠Natalie's YouTube channel Natalie Crawford MD⁠⁠⁠⁠, and if you're interested in becoming a patient, check out ⁠⁠⁠⁠Fora Fertility. Join the Learn at Pinnacle app to earn FREE CE Credit for listening to this episode! This episode is brought to you by The Pinnacle Podcast Network! Learn more about Pinnacle at learnatpinnacle.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome to the first episode of a special new focus for the HeySue Podcast: the Never Ask for the Sale Series. These new episodes are inspired by the September 2025 launch of Sue Heilbronner's newest book, Never Ask for the Sale: Supercharge Your Business with the Power of Passionate Ambivalence. Never Ask is based on the philosophy or sales technique Sue calls “passionate ambivalence,” the freedom to be as passionate as you are about a possible sale and equally unattached to whether you close any specific business. Sue argues in Never Ask that executing on this mindset will propel the success of solopreneurs, startup founders, service providers, company account executives, and anyone who is selling or influencing in a context that depends primarily on themself. The Never Ask series will focus on sellers, founders and CEOs Sue believes exhibit features of passionate ambivalence in their approach to selling and growing their companies. Kevin Brown left corporate America and cofounded (with Keah Kalantari) a sports chalk company called Friction Labs a decade ago. There is a lot of talk these days about category creation. Friction Labs didn't create the category of chalk for, say, rock climbing, but it did create the notion that professional and amateur climbers alike could have better climbing chalk. Friction Labs took a generic category and made it differentiated through pure innovation in both the product, branding, and positioning. In the pod, Kevin talks about how he started this journey, by offering a risk-free way for influential climbers to literally get their hands on Friction Labs chalk. It worked. Climbers loved the product, and sponsored athletes quickly led to a major full-chain rollout of the product line at REI followed by a number of global retailers. A key to the company's growth is Kevin's full alignment between this product category and his love of climbing (Kevin is a serious climber and bouldering club owner). He is as passionate an entrepreneur as I've ever met. His ambivalence shows up in the money-back guarantee he has used since Day 1. He has told climbers, gymnasts, golfers, tennis players, and major retailers that if they don't like the product, or if the product doesn't sell, he will offer a full no-questions-asked refund. He's had to do this almost not at all. If you love sports. If you love sweating outside. If you love from-the-heart selling, you'll love this episode, here and on YouTube. You can order Never Ask for the Sale at www.heysue.com/preorder. Get chalked for your next sweaty adventure at www.frictionlabs.com. You can see this and future episodes of the HeySue podcast on YouTube at www.youtube.com/sueheilbronner

This episode is granola as f*ck. If driving by an REI gives you butterflies, you're in the right place!!!!!We're covering a lot: the Air India crash (the day after I booked a flight..cool), my current fitness routine, the Titan sub doc, and a Yosemite trip recap that spirals into a death stat deep dive because I couldn't stop Chatting how many people have died there.. because my dark mind is incapable of stfu. :'))BUT FIRST- I have a rant.Online modern feminism is starting to subtly shame women like me. Women who are married, live soft, bake bread, do skincare… and hustle. I love being a wife. I also love making my own money. And somehow… that's a problem? Apparently I'm not tearing down the patriarchy fast enough because I also make my husband sandwiches and enjoy my life.You can have the soft life and the bag. You can be taken care of by a man and still be a feminist. You don't have to pick- and the right man won't make you.Also: I rank road trip snacks, talk US Open golf for no reason, and spiral about everything I say because 4 years in I still give a sh*t about how people percieve me!!REVIEW THE SHOW ⭐️⭐️⭐️⭐️⭐️ https://open.spotify.com/show/4ijzUBunTIHgVmahB0ISEN BECOME A PATRON! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.patreon.com/tjms⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ KEEP IN TOUCH!INSTAGRAM »⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/jacquelinemonroe/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ TIKTOK » jacqueline.monroe EMAIL THE SHOW!⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ tjmsshow@gmail.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ MY MUSIC GUY⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://soundcloud.com/robmonmusic⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ SPONSORSSpotify for Podcasters

Tom and Linda Bosworth set out for what should have been a fun off-road day in the New Mexico backcountry- but when their Jeep rolls over miles from help, everything changes. Stranded with scorching heat, limited water, and no way to call for help, they face impossible choices that push them to their limits. How far will they go to survive- and will rescue come in time?Support us on Patreon for as little as $1 a month, with benefits starting at the $3 tier!Follow us on Instagram at offthetrailspodcastFollow us on Facebook at Off the Trails PodcastIf you have your own outdoor misadventure (or adventure) story that you'd like us to include in a listener episode, send it to us at offthetrailspodcast@gmail.com  Please take a moment to rate and review our show, and a big thanks if you already have!Episode Sources:YouTube - I Shouldn't be Alive, The Westerner, USFS, Wikipedia, REI, Reddit**We do our own research and try our best to cross-reference reliable sources to present the most accurate information we can. Please reach out to us if you believe we have mispresented any information during this episode, and we will be happy to correct ourselves in a future episode.

Rei has been pugging but everyone else is running Horrific Visions and is either horrified or enjoying their M.A.S.K.s!

In this episode of the Women Invest in Real Estate podcast, we're diving into the pivotal mindset and operational shifts you need to scale a real estate portfolio beyond five properties. We address the unique challenges that women investors often face and explore how many stall out by not treating real estate as a true business. The conversation offers actionable insights on building a strong team, creating streamlined systems, and embracing delegation. We also discuss the importance of paying yourself, investing in a property manager, and tracking your time to uncover what can be delegated. From the value of surrounding yourself with like-minded peers to the power of creating SOPs, this episode is packed with practical advice to help listeners overcome scaling roadblocks and take their investing to the next level. Whether you're just getting started or looking to grow, this is a must-listen for serious real estate entrepreneurs.If you've struggled to scale your business because of fear of losing your sanity? Hint: it's easier than you think! Join us on June 18 at 12pm CT for our free webinar! Lastly, doors will be opening for The WIIRE Community opening again in July and spots will go quick, so make sure your name is on the waiting list to be the first to know when it happens! Resources:Simplify how you manage your rentals with TurboTenantSecure your seat for our free webinar on June 18 at 12pm CTGrab your spot in The WIIRE CommunityConnect with the WIIRE Bookkeeper Leave us a review on Apple PodcastsLeave us a review on SpotifyJoin our private Facebook CommunityConnect with us on Instagram

Today on the show Colin is joined by Monday regulars Producer Dave and Eoin Comerford (who is suffering from a case of outdoor industry insider overexposure) to preview and make predictions for Switchback Spring!It was about a year ago that The Rock Fight broke the news of a new national outdoor trade show from the organizers of The Running Event and now the event is here! After hitting a quick Lightning Round of industry topics, the guys get into what they think will go down in Nashville. Here's the rundown, with time codes, for today's episode:TARIFF WATCH 2025! What does the new trade handshake with China mean for the outdoor industry? (8:00)According to remarks made by REI CEO Mary Beth Laughton wants the retailer to be more welcoming to casual participants. Does this mean that REI is going to get more casual? (15:10)Previewing Switchback Spring! What we are expecting from this new show. (27:00)Our predictions! Colin, Eoin, and Producer Dave all make a prediction for Switchback Spring. (38:27)The Parting Shot: Colin awards the first ever Rock Fighter of the Week to journalist Maggie Slepian. Check out hundreds of wildly cool products by visiting and shopping at Garage Grown Gear!Thanks for listening! The Rock Fight is a production of Rock Fight, LLC. Sign up for NEWS FROM THE FRONT, Rock Fight's semi-weekly newsletter by heading to www.rockfight.co and clicking Join The Mailing List.Please follow and subscribe to The Rock Fight and give us a 5 star rating and a written review wherever you get your podcasts.Want to pick a fight with The Rock Fight? Send your feedback, questions, and comments to myrockfight@gmail.com.

Send us a textWhat do you get when you combine a data-driven investor, an overloaded entrepreneur, and the future of self-storage? A revolution. Scott Meyers sits down with Noah Starr, CEO of Tract IQ, to unpack his wild journey—from quitting his corporate job, to acquiring his first facility all in the same week—and how those life-altering decisions set him on a path to transform the self-storage industry through data. Noah explains how pain points in the underwriting process led him to acquire and rebuild Tract IQ, a powerful data platform that's reshaping how investors analyze deals and mitigate risk. Scott and Noah dive into transparency, rent control legislation, investor pitfalls, and why the next phase of the industry belongs to those who understand—and act on—the data. WHAT TO LISTEN FOR2:07 The Wildest Week: Job Quit, Engagement, House & First Facility3:09 From Investor to Tech CEO: The Birth of Tract IQ8:13 The Power Shift to Third-Party Management13:21 The Data Doesn't Lie: Rent Trends & Transaction Lows14:38 California's Rent Control & the Rise of Transparency22:21 Hedge Funds, Overbuilding, and Overconfidence31:02 If Noah Were Investing Again: What He'd Do Differently Leave a positive rating for this podcast with one click  CONNECT WITH GUEST:NOAH STARR, Co-Founder, Chief Executive Officer of Tract IQWebsite | LinkedIn | About Noah | YouTubeCONNECT WITH USWebsite | You Tube | Facebook | X | LinkedIn | Instagram Follow so you never miss a NEW episode! Leave us an honest rating and review on Apple or Spotify.Attend the Self Storage Academy in Seattle, WA August 21-23https://selfstorageacademy.com/

Was passiert, wenn das Leben leise anklopft – und du erst hörst, wenn es schreit?In dieser tiefgehenden und ehrlichen Folge spreche ich mit der wundervollen Natascha. Eine Frau, die scheinbar alles hatte: Karriere im Marketing, kreative Verantwortung in einem internationalen Unternehmen, ein Haus, Familie – und dennoch spürte: „Da fehlt etwas.“Als ihr Körper in Form einer Brustkrebsdiagnose die Reißleine zog, begann ihre eigentliche Reise:Zurück zu sich.Zurück zu ihrer Intuition.Zurück zu dem, was sie wirklich liebt: Yoga, Bewusstseinsarbeit und Verbindung.Du erfährst in diesem Gespräch:

Send us feedback or episode suggestions.What does it take to transform 121 years of automotive legacy into a modern digital ecosystem? Catherine Dubut, Director of Global UX Strategy at Ford Pro, joins Chris Strahl to share how her team is reengineering the organization's fragmented product landscape into a scalable, unified digital assembly line.With over 80 legacy sites, 20+ global markets, and deeply siloed teams, the scale and complexity of Ford Pro's challenge was immense. Catherine explains how her team brought structure to chaos—combining elements from outdated systems, building new foundations where needed, and stitching them together into a single, coherent design system. From establishing governance and cross-functional collaboration to introducing micro frontends and scaling adoption, this episode offers a playbook for modernizing UX at enterprise scale.Key themes:Designing for fleets, not just drivers—multiple users, journeys, and roles per customerReplatforming 80+ tools across legacy systems and international business unitsBuilding a design system through consolidation, extension, and future-proofingUsing micro frontends to bridge disparate tech stacks across Ford ProMeasuring success through design efficiency, team adoption, and developer alignmentView the transcript of this episode.Check out our upcoming events.If you want to get in touch with the show, ask some questions, or tell us what you think, send us a message over on LinkedIn.GuestCatherine Dubut is Director of Global UX Strategy at Ford Pro, the commercial business of Ford Motor Company. She oversees a global team of individual contributors and managers across design, user research, information architecture, and content strategy. Catherine is a seasoned UX leader with a track record of designing impactful experiences, driving UX practice maturity, and digital transformation at dynamic brands at places like Samsung Electronics, REI, and Intuit. Based in Seattle, Catherine's been involved in design community activities including organizing local events, mentoring underrepresented UX professionals, public speaking, and writing. She enjoys exploring cities, outdoors, architecture, and other adventures with her husband, daughter, and terrier mix rescue.HostChris Strahl is co-founder and CEO of Knapsack, host of @TheDSPod, DnD DM, and occasional river guide. You can find Chris on Twitter as @chrisstrahl and on LinkedIn.SponsorSponsored by Knapsack, the design system platform that brings teams together. Learn more at knapsack.cloud.

The average expected day to get the first deal in doing wholesaling is 90 days. However, our guest got his deal after 31 days just by being proactive in his REI business! How did he do it? Let's find out.Today we have Daniel Vasquez in the show. A 27-year-old investor who gave up his job to do wholesaling full time after hitting a five-figure deal after 31 days of trying it out in Indiana. Listen and learn how this rockstar outsmart the wholesaling arena!Want to be like Daniel? Visit the TTP Training Program and learn more about wholesaling.---------Show notes:(0:55) Beginning of today's episode(1:47) How this young wholesaler closed 4 deals in 90 days(4:50) Average price point in his market(5:20) Building your wins in your own backyard(11:32) What does his day look like as a full time REI wholesaler/investor?(14:24) Picking up a lead in the absentee owner's list(22:11) Daniel's goal in the next few years----------Resources:BatchleadsDeal MachineTo speak with Brent or one of our other expert coaches call (281) 835-4201 or schedule your free discovery call here to learn about our mentorship programs and become part of the TribeGo to Wholesalingincgroup.com to become part of one of the fastest growing Facebook communities in the Wholesaling space. Get all of your burning Wholesaling questions answered, gain access to JV partnerships, and connect with other "success minded" Rhinos in the community.It's 100% free to join. The opportunities in this community are endless, what are you waiting for?

What does it take to scale from zero to over $52 million in self-storage assets in just six years? In this insightful episode, Joe Downs reveals how he raised $15 million and built a portfolio of over 20 self-storage facilities by mastering off-market deals, partnering strategically, and adapting to market conditions. He breaks down his transition from multifamily to self-storage, explains how he built a vertically integrated team from scratch, and shares the exact steps that helped him launch and scale a real estate investment company while still working his W2 job. If you're an investor looking to break into self-storage—or scale fast—Joe's story is a must-listen. 5 Key Takeaways from Joe Downs' Episode:From Multifamily to Storage: Joe started in multifamily but found more scalability, deal flow, and operational control in self-storage.Off-Market Deal Mastery: Nearly all 20+ facilities were sourced off-market, using direct mail, broker relationships, and seller outreach.Built a Vertically Integrated Team: Joe hired third-party management initially but quickly transitioned to a fully integrated in-house team across operations, construction, and marketing.Raised $15M with Limited Prior Experience: By building trust, showing transparency, and proving capability, Joe successfully raised millions—even before having a massive track record.Balanced Scaling While Employed: Joe built the business part-time at first, making strategic hires and systemizing early so he could transition out of his W2 and into full-time investing.About Tim MaiTim Mai is a real estate investor, fund manager, mentor, and founder of HERO Mastermind for REI coaches.He has helped many real estate investors and coaches become millionaires. Tim continues to help busy professionals earn income and build wealth through passive investing.He is also a creative marketer and promoter with incredible knowledge and experience, which he freely shares. He has lifted himself from the aftermath of war, achieving technical expertise in computers, followed by investment success in real estate, management skills, and a lofty position among real estate educators and internet marketers.Tim is an industry leader who has acquired and exited well over $50 million worth of real estate and is currently an investor in over 2700 units of multifamily apartments.Connect with TimWebsite: Capital Raising PartyFacebook: Tim Mai | Capital Raising Nation Instagram: @timmaicomTwitter: @timmaiLinkedIn: Tim MaiYouTube: Tim Mai

Tune into our weekly LIVE Mastermind Q+A Podcast for expert advice, peer collaboration, and actionable insights on success in the Probate, Divorce, Late Mortgage/Pre-Foreclosure and Aged Expired niches!In today's episode of the All The Leads Mastermind podcast, the focus was on turning objections into opportunities when working divorce leads. The team tackled a subscriber question about handling attorneys who say, “I already have a realtor,” and shared strategies for positioning yourself as a neutral, value-driven resource. They also explored the growing issue of outbound calls being flagged as spam, with tips on how to test your number, avoid call blocking, and protect your reputation with the carriers. A standout moment came when a subscriber described how they use ChatGPT and property photos to create rehab estimates and scope of work reports—an efficient way to generate offers and impress sellers. The conversation wrapped with advice for investors on building buyer networks through REI groups and Facebook communities, and a reminder that the most effective lead conversion strategies blend phone, mail, online credibility, and real relationships—executed with consistency and empathy.

We interviewed Eddie Speed, America's most experienced note buyer and owner of Colonial Funding Group LLC. He brings over four decades of expertise and 50,000+ closed note deals to Deal-Maker Richmond. As a pioneering force in the note buying industry, Eddie specializes in helping real estate investors and property owners unlock hidden value in their seller-financed portfolios.***DON'T KNOW WHERE TO START WITH FRANCHISING? Grab Bob Bernotas' free course for a limited time only at edu.franchisewithbob.com/idealINTERVIEW HIGHLIGHTS[00:00-02:22] A Journey into Note Investing[02:23-07:52] Deep Dive into Selling Notes[07:53-11:07] Challenges in the Rental Property Market[11:08-14:45] Owner Financing can be your solution[14:46-15:51]Sponsor: Franchising made easy[15:52-21:55] Is Notes investing better than REI?[21:56-23:01] Playing with both strategies[23:02-29:32] Diversify with notes[29:33-34:23] Intro to Notes investing[34:24-36:49] Investor Q&ASpecial mention: Warren Buffetthttps://noteschool.comAny questions?*** Grab my 10k/month passive income strategy and weekly newsletters at https://tinyurl.com/iwg-strategy BOOK IS OUT! Grab Your Copy and learn how to get your feet wet in real estate investing

On today's episode of The Wholesome Fertility Podcast, I am joined by Hannah Davis (@rooted.with.hannah), a Registered Dietitian and certified meditation teacher who specialises in women's health, hormones, and autoimmune conditions. After being diagnosed with Hashimoto's while navigating early motherhood, Hannah shifted her clinical nutrition practice to focus on uncovering the deeper root causes of symptoms like fatigue, cycle irregularities, and PCOS. We dive into how nervous system dysregulation often underlies hormonal imbalances and why functional testing, mineral status, and emotional safety are crucial for true healing. From decoding PCOS types to understanding thyroid antibodies and the connection between trauma and calcium retention, Hannah offers a deeply integrative and compassionate lens for supporting women on their fertility and healing journeys. This conversation is packed with practical tools and fresh insights—don't miss it! Key Takeaways: PCOS is not just about ovarian cysts—it's a metabolic and inflammatory condition with many root causes. Nervous system regulation is foundational for hormone balance, digestion, and fertility. Functional lab testing (like Dutch and HTMA) reveals hidden patterns traditional labs may miss. Excess calcium in tissues may indicate trauma or over-supplementation with Vitamin D. Diet, stress, sleep, and gut health all influence autoimmune and hormonal symptoms. Guest Bio: Hannah Davis, RD (@rooted.with.hannah) is a Registered Dietitian and certified meditation teacher with advanced training in functional nutrition, lab testing, and spiritual psychology. She specialises in supporting women with hormonal imbalances, autoimmune conditions like Hashimoto's, and chronic fatigue through an integrative approach that blends clinical science with deep nourishment and nervous system healing. After navigating her own health challenges postpartum, Hannah now helps women reclaim their energy, resilience, and sense of safety through 1:1 coaching and group programs at Pivot Nutrition Coaching. She's especially passionate about working with mothers, self-healers, and cycle-breakers who are ready to feel like themselves again. Links and Resources: Follow Hannah on Instagram Visit the Pivot Nutrition Coaching website Book Mentioned: The Body Keeps the Score by Bessel van der Kolk   For more information about Michelle, visit www.michelleoravitz.com  To learn more about ancient wisdom and fertility, you can get Michelle's book at: https://www.michelleoravitz.com/thewayoffertility  The Wholesome Fertility facebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/  Instagram: @thewholesomelotusfertility Facebook: https://www.facebook.com/thewholesomelotus/  Disclaimer: The information shared on this podcast is for educational and informational purposes only and is not intended as medical advice. Please consult with your healthcare provider before making any changes to your health or fertility care. ------------- Transcript: # Audio: TWF 340- Hannah [00:00:00] [00:01:00] Welcome to the Wholesome Fertility Podcast. I'm Michelle, a fertility acupuncturist here to provide you with resources on how to create a wholesome approach to your fertility journey. **Michelle:** Welcome to the podcast, Hannah.  **Hannah:** thanks for having me. **Michelle:** So I'm very excited to have you on. We're gonna be talking about a lot of really cool topics, but before we get started, I always like to start out with kind of like an origin story and learn how you got into the work that you're doing.  **Hannah:** Yeah. I am a registered dietician. I've been mainly practicing medical nutrition therapy for the last 10 years in a more clinical setting. And you know, and then [00:02:00] I became a mom. I have two. One's almost eight, you gotta say almost eight. And the other one's, and the other one's nine. So they're really, they're really young and I, you know, working at the hospital part-time and I started noticing. **Hannah:** My own symptoms of, of things that just felt like off. And simultaneously I was also becoming more interested in learning about more integrative functional nutrition. And so that really led me down. It, it started off as, oh. A way for me to kind of figure out what was going on with me, because of course, like so many of my, the clients I work with now you know, you go to the doctors, you ask for some labs to be done and they just say, oh, you're absolutely fine. **Hannah:** You might just be stressed. You're stressed out, you're a young mom. Of course it's normal to feel exhausted all of the time and stuff like that. So, I just was like really interested [00:03:00] in doing more digging and so I, we got some training in advanced lab testing and more like integrative functional nutrition. **Hannah:** And so. From there I was able to figure out what's going on with me, and I, I actually have an autoimmune condition. It's called Hashimotos. And so that really affects, you know, your, your energy levels, your, your gut health, your immune system obviously is involved. So I, it was so incredibly validating and it really excited me. **Hannah:** I was like, I feel. If I can figure out a way to use advanced lab testing and combine that with my. More of my more clinical, you know, expertise and combine that together to really like, help women feel empowered about how to support their health and, and how they feel and their showing up in their lives every [00:04:00] day. **Hannah:** And so it just really, really excited me. So that's kind of what got me started with that. And then I, I pivoted towards, towards that about three years ago started my own virtual practice working more in like the women's health space. So like hormones, gut health, autoimmune conditions. **Hannah:** And then I, as I was doing more of that work, I was like, okay, there's. I'm seeing a common theme here. These women at their root, cause a lot of the time is nervous system dysregulation. And I got really. Tired of just saying over and over again. You know, you need to manage your stress a little bit better. **Hannah:** I wanted to be able to give them so much more than that. And obviously I knew that from my own journey. I really had to integrate that. And so, but I wanted to like, figure out how to help my, my clients integrate that. So then I became a certified meditation [00:05:00] teacher. And spent a year studying spiritual psychology, which is like a blend of Eastern ritual and practices with western psychology. **Hannah:** That, yeah. Yeah, yeah. So now I really like to supplement my, programs with giving my clients tools on how to regulate their nervous systems as well. And so, we'll, you know, you know, it's more of like life coaching almost. And then maybe we'll integrate some, some things like, meditation or breath work together. **Hannah:** It really just depends on what the, how the client wants to be supported. So  **Michelle:** Awesome.  **Hannah:** Yeah.  **Michelle:** You know it's interesting 'cause I  **Hannah:** Yeah. **Michelle:** an episode on. Nervous system. Really the vagal tone and  **Hannah:** Yes. **Michelle:** there's a link with a weaker vagal tone and things like endometriosis or  **Michelle:** PCOS, and I thought that was just fascinating. [00:06:00]  **Michelle:** So, yeah, I'd love to really kind of dig deep on all of these things. So just for people listening and they're kind of like hearing nervous system for the first time. 'cause well maybe they've listened to my podcast, maybe not when I talked about the nervous system. But what should people, like, explain the nervous system, explain how the nervous system ties into certain conditions. **Hannah:** I mean, that's a very, like, that's pretty broad because it's like, you know, it really depends on what. **Michelle:** the nervous system like tie into certain conditions?  **Hannah:** I don't know what condition it doesn't, honestly. Uh, the more, the more I get like deep in the weeds with this, so, you know, a lot of my clients we, you know, so I am typically working with people with autoimmune conditions and hormone. I balances gut health, that kind of stuff. And I, you know, I would say the nervous system impacts all of those areas [00:07:00] because ideally, especially when we're talking about women's health and like hormones, things like that we really just want to create safety in the body, right? **Hannah:** So that we can. Manufacture hormones and ovulate naturally and things like that. So, and then, you know, inflammation's another, another piece of that. It really just, it's a great way to, like, it just connects to everything right. **Michelle:** Yeah, well the vagus nerve is incredibly important when it comes to gut health. the stronger the vagal tone, the better the vagus nerve, the better. It's able to lower inflammation in the body.  **Hannah:** Mm-hmm. Mm-hmm. **Michelle:** fascinating and interesting. And so what are some of the things that you do suggest for people. they wanna regulate their nervous system and support that aspect.  **Hannah:** So First of all, I think it's important to just figure out what are the systems for that client? What are [00:08:00] the systems that are working for them and what's not? And really get really honest about that. And then, you know, it could be something like starting a. **Hannah:** Very doable meditation practice or some breath work like before, before meals, right? Getting into rest and digest me activating that vagus nerve so that we can digest our food properly. So it really just depends on what is feels a lot most aligned for the client and, and is doable for them. But also I think another big piece of this, which is not really talked about often is eating for blood sugar balance. **Hannah:** Because even like blood sugar swings throughout the day can cause fluctuations in your mood and your anxiety and cravings and all, all of, and even inflammation as well. So  **Michelle:** that  **Hannah:** like a whole body [00:09:00] approach. Mm-hmm. **Michelle:** It's such a good point. And I remember like looking into this and researching like just really the gut brain connection and. And it's interesting 'cause you can see it really go both ways. So if you have imbalanced gut microbiome that can ima impact your brain and your mood and your state and your emotions. **Michelle:** And it actually is linked with certain emotional um, imbalances or like mental disorders. It's really fascinating. And then they found. On the flip side that people who meditated for many years, like Tibetan monks, they had a really vast microbiome that was a lot more enriched and had a lot more diversity. **Michelle:** So it's really fascinating how you really can literally get it at both ends or either end.  **Hannah:** yeah. Like I tell my clients all the time, if you're breathing into your shoulders, the majority of the time it's gonna signal, [00:10:00] or that's gonna signal to the brain that you're in fight or flight. So it's gonna send all the blood to your extremities. It's not gonna be sending the blood to, you know, your, your GI track and your, you know, your organs there. **Hannah:** And so. it's gonna be a lot harder to digest your foods, whereas if you are really taking these deep breaths into your belly, it's sending all the blood there. And that's, that's a, and I mean, I often get skipped, you know, people are just like, no, just gimme a, just gimme a meal plan. I wanna feel better. **Hannah:** I wanna lose weight, or I wanna, you know, but it's like, you really gotta think about not just what you're eating, but how you're eating, like what your nervous system state is. You know, when you're, when you're eating food.  **Michelle:** That's so true. It's  **Hannah:** Mm-hmm. **Michelle:** true. And it was funny 'cause I was reading about that and it was one of the things to do is just stand. This is why they say like, don't drive and eat at the same time. Because when you're driving naturally, you're gonna be in a little bit more of a fight or flight or kind of ready for anything and. Also just to kind of throw it out [00:11:00] there, it's not bad to be in that state, in that sympathetic state. It's part of life. It's just that sometimes you need that and then sometimes you need the other. But what you're saying is so true, like it's actually like becoming mindful of getting yourself into that state and maybe  **Michelle:** doing those exercises to get yourself in more parasympathetic state, which is more of  **Michelle:** the rest and digest, so that you're priming your body when you do eat. To digest better. So I think  **Hannah:** Yeah. Of course, and, you know, if you're digesting better, you're absorbing nutrients better, which is gonna impact your energy levels, your mood, your hormones, everything. So yeah, there really, I feel like the more I get into it, the, more I see that there really isn't an aspect of our health, our med, our metabolic health, everything that is not touched by, your nervous system. **Michelle:** Yeah, it's really fascinating. I like, the more I dig into this, the more I'm just like so [00:12:00] amazed at how Willy, you know, it's the nervous system is kind of like this wiring of like. Information.  **Michelle:** It's almost like information that kind of signals to your body, all kinds of different states, but especially that safety. **Michelle:** I agree with you. You know, when you, when you feel safe, you can be more creative. And what does that mean really in the body fertility and it also regeneration growth.  **Michelle:** So yeah, it's pretty cool,  **Hannah:** Yeah. And I mean, hormones, that's how hormones work too. They're just chemical messengers in your body. **Michelle:** right? and so talk about PCOS, 'cause I know that you work with P-C-O-S-A lot just to cover. 'cause I think of people don't really understand it fully because it is you know, there's so many different types of PCOS and people get confused and sometimes people show PCOS symptoms, but then some doctors, and we don't know if they're just not like looking. Thoroughly into it. Dismiss it. Oh, that's not PCOS. So  **Hannah:** Right.  **Michelle:** that and just kind of, **Hannah:** Yeah.  **Michelle:** [00:13:00] it is,  **Hannah:** Okay, well, we'll just start what, like, so what is PCOS? So PCOS stands for polycystic ovarian syndrome. So a lot of people get confused by that right off the bat. They think, oh, so that mean I have cysts on my ovaries. Does that mean that I have it? So it's actually not a physical ovarian condition, like of the presence of cyst, but it's rather a hormonal condition and it's a, what I like to call a spectrum condition. **Hannah:** You know, 'cause there's different varieties and there's different root causes. It's important to understand, first of all what kind of PCOS you have and what the root causes are which is why we, we use functional lab testing in practice. But but yeah, I think a lot of women often it's like a long confusing road full of mixed messages of like just lose weight advice,  **Michelle:** Yeah,  **Hannah:** [00:14:00] you know. **Michelle:** really thin. PCOS patients, so that's where it can get so confusing for  **Hannah:** Right, right, right. And so, A-P-C-O-S isn't in an ovarian condition, you know, what exactly is going on? I mean, in a nutshell, it's basically, blood sugar issues plus inflammation, plus genetic susceptibility, which is going to lead to the ovaries to begin to produce large amounts of androgens. **Hannah:** So, you know, and I say genetic susceptibility because, you know, just because you have like insulin sensi or insulin resistance or diabetes, that doesn't mean you automatically are gonna get PCOS. Some people just have really sensitive ovaries right. And so they're, they're going to develop the, the condition, so I like to talk to my clients about well first of all, we start by running some tests [00:15:00] to find out, you know, what what their root causes are. And then we're gonna really go deep with, you know, working on the blood sugar issues with the inflammation, real food strategies lifestyle interventions, things like that. **Michelle:** One of the things that I find is pretty common just in my own practice, is that. **Michelle:** there's a huge link of gut imbalance  **Michelle:** or, you know, gut microbiome  **Michelle:** imbalance and inflammation, you know, that is part of the contributor to the inflammation and can really impact PCOS conditions.  **Hannah:** Yeah. Because you know, if we, if that inflammation in the gut is going unchecked you know, that's also gonna drive that insulin resistance even more.  **Michelle:** Yeah.  **Michelle:** what are some of the tests that you do for PCOS? Functional  **Hannah:** Well, yeah. Well, first of all, I, I like to start with a Dutch test. It's a, have you heard of [00:16:00] Dutch? The Uhhuh? Yeah. Oh, you do? Okay. Yeah. So I would run a Dutch you know, so that we,  **Michelle:** out just for people  **Hannah:** yeah. Yes, **Michelle:** I've never heard of it before. So it's dried urine testing for comprehensive, or I forget  **Hannah:** it's a Dr. It's a. Yeah, yeah. Dried urine test for comprehensive hormones. I know I used to think, oh, it's of Dutch, like it's from the Dutch, like, you know, but it's just an abbreviation.  **Michelle:** right, right.  **Hannah:** But yes, it's a very unique way to look at hormones. 'cause traditionally before this test was available, you would have to rely on blood work for hormones. **Hannah:** And, you know, saliva for cortisol, which is okay, but it's just not great. So this test really helps us get a lot more specific, a lot more personalized, and helps us get some answers that would probably. Be left unanswered if we were just, you know, looking at, at blood work alone. So, you know, it's gonna tell us, you know, give us a snapshot [00:17:00] of all three sex hormones, estrogen, progesterone, testosterone. **Hannah:** It's gonna show us how they're being metabolized in the liver. And then what I really like is it looks at your cortisol awakening response. So someone is struggling with sleep, mood, energy levels. Things like that that could also be driving your symptoms and, and your inflammation as well. So I, mm-hmm. **Michelle:** cortisol is your friend in the morning.  **Hannah:** Yes. Yeah. Yeah. And then I like that it also has that organic acid test at the end there, which some of those other markers are gonna be important for looking at, for hormone production. So it's nice if they include that. So I, I like to do a Dutch, I also like to do HTMA testing, which stands for hair tissue mineral analysis. **Hannah:** Because, you know, you know, when we're looking at hormones it's, you know, we, we also wanna be, look thinking about minerals too because and not just like, our minerals through blood [00:18:00] work, but more on a cellular level. Like what is the body doing with those minerals? And how is your body utilizing them? **Hannah:** Are they even getting up into the cell? So, and we can, you know, you know, minerals, they impact hormones, which means they're gonna impact PCOS. So I like that one too. And it's like a little, it's a, it's a nice way to, I like it 'cause it's, it shows your body's like, it's like a blueprint. It shows you your stress pattern. **Hannah:** know how your body is using minerals after you've maybe gone through a season of. Really high stress and you know, the fertility journey too is so stressful on its own that I'm like, yeah, let's look at what your body does with all this stress and how we can really like, you know, deeply nourish your body and, you know, make it feel safe for ovulation. **Michelle:** Yeah, I know that there's a lot of minerals that you can't really test in blood and for example, magnesium. That's a **Hannah:** Mm-hmm. **Michelle:** one to test for. So does this test for magnesium as well, like all [00:19:00] minerals or,  **Hannah:** yeah, yeah. It looks at all of the minerals. Specifically the ones that I'm gonna be focusing on. The minerals that impact PCS would be magnesium, zinc, calcium, iron selenium iodine. So, you know, and in a nutshell, you know, these, these minerals. they can exacerbate insulin resistance, hormonal imbalances, oxidative stress, which is important for like egg quality, sperm quality, things like that. **Hannah:** So women, get your men to your partner.  **Michelle:** Yes.  **Michelle:** So, so this is a hair test.  **Hannah:** yeah, it's a hair. They're using just like a teaspoon amount of your hair to analyze the mineral content in your tissues. **Michelle:** Fascinating. I know they've done those for like heavy metals and, and just testing the  **Hannah:** Yeah, yeah,  **Michelle:** I haven't heard of the mineral testing yet.  **Hannah:** yeah. And this, yeah. And this test does include heavy metals and we look at, mm-hmm.  **Michelle:** heavy metals. Oh, [00:20:00] okay.  **Hannah:** Mm-hmm. Mm-hmm. **Michelle:** it's really high. Just like for people that don't have symptoms sometimes I almost feel like it's like high for everybody.  **Hannah:** The heavy metals. Yeah. Yeah. You know, and  **Michelle:** somebody who's not, who doesn't have like,  **Hannah:** yeah, and I mean, we we're exposed to heavy metals all of the time. It's, you know, it's, there's, it's kind of impossible to get around it, you know? It's in our food, our water, the soil, you know. And so my approach is, you know, we might see like an acute. **Hannah:** Exposure to the heavy metals. But what we wanna see is that you, you're able to detox and excrete those heavy metals safely. You know, that's why, you know, we have our detox organs, our liver, right? And so if I ever see those metals like pushing into the tissues, it's just a really good indication that, hey, your liver needs some. **Hannah:** Some attention, like we need to work on supporting that. And also working on not just our [00:21:00] detoxification organs, but our drainage pathways. So like our lymphatic system you know, making sure we're having daily bowel movements that we're sweating all of that. All of that stuff. Yeah.  **Michelle:** Yeah. **Michelle:** for sure. I think that that's key is really detoxifying, and I think that it, you had a good point. You mentioned the word safely because  **Michelle:** that can be an issue, like if you detoxify too harshly. I'm really big on that, especially when you're trying to conceive and you're actively trying, you definitely don't wanna do something that's so strong that it actually circulates more toxins in your bloodstream.  **Hannah:** That's right. Yeah. **Michelle:** So they have like binders, right? Or things  **Hannah:** Yeah, That is one approach for me. I rarely will do like a heavy metal detox with somebody. I will just wanna work with them on, you know, first the foundational things of, are we optimizing the gut health, the, you know, the liver function are we getting those drainage pathways [00:22:00] open? **Hannah:** Because your body should be able to do all that on its own if it's, you know, optimal. but I mean, if someone's already doing like a gut protocol or something with me, then yeah, they, they'll be taking like those types of supplements and then it'll, it'll still act on the heavy metals and things like that, as. **Michelle:** Interesting. So, what are some of the nutrient and lifestyle interventions specifically that you would do for PCOS? Or have you seen, because I, I do know that  **Hannah:** yeah.  **Michelle:** different types, so that could  **Hannah:** Yes.  **Michelle:** the type,  **Hannah:** Yes. Yeah. **Michelle:** the things that people should kind of like look out for, think about?  **Hannah:** Yeah. Yeah. So the first step is, is gonna be improving the quality of your food choices. So, you know, removing inflammatory oils, added sugars a lot of like processed, like ultra processed carbohydrates and, you know, with chemical and artificial additives. Things like that, you wanna replace them with whole real foods. **Hannah:** It's really that simple.  **Michelle:** Yeah. I [00:23:00] know,  **Hannah:** Yeah. Yeah. And then also, you know, the goal is to eat a sufficient amount of carbohydrates to promote ovulation, but while still focusing on those whole real. Food sources, like starchy veggies fruits and then unprocessed whole grains and legumes.  **Michelle:** So really from natural sources,  **Michelle:** complex car carbs. So it's not like simple carbs, not white, you know, avoid those like.  **Hannah:** Yeah. Right. So you, and you would want to make sure you're getting adequate amount of carbohydrates, but you know, if we're also dealing with insulin resistance, then we also need to be talking about you know, maintaining adequate calorie intake and just aiming for. Balance across all the macronutrients. **Hannah:** So, you know, we're pairing those carbohydrates with good quality sources of protein and healthy fats. And, if you're eating a more whole food carbs diet like. Your carbs are coming [00:24:00] from fruits like, and like root vegetables and things like that, then those foods are naturally gonna have more fiber in them, which is also gonna help with things like insulin resistance. **Hannah:** And then I would also be focusing on gut nourishing foods, like, bone broth probiotics from fermented foods, cultured. Products. And then lots of prebiotic fibers. So it also just making sure you're eating a wide range of, plant fibers. Like we're not just eating the same, spinach every day. **Hannah:** You know, let's really mix that up. Maybe like arugula, kale, you know. So that would be the where, where I would start with foods strategies. And then for lifestyle I would be really focusing on exercise. This is a really crucial tool in repairing insulin sensitivity and managing blood sugar levels. **Hannah:** So first I would just focus on increasing your daily movement. So, you know, maybe try tracking your steps. And then maybe you would wanna consider adding in some resistance [00:25:00] training and some short hit style workouts. Since those really show the most metabolic improvements. In general I would avoid, I would avoid like, really long duration cardio on a regular baseball basis, since that's like very stressful on the body. **Hannah:** So exercise is number one. Stress management is key. I know we've already kind of touched on that a little bit. You know, that's a big piece of hormonal. Balance balance since the, your adrenal health, you know, has the ability to impact the function of your sex hormones. I would just evaluate the sources of your stress. **Hannah:** You know, I like to think of it like a bucket, like a stress bucket, and we have all these different inputs pouring in. Some of those things we can't really remove, but some things we can, you can control your nutrition and your sleep quality. You know, you can maybe work on energetic boundaries, right? **Hannah:** Maybe you wanna include things like meditation or [00:26:00] journaling, acupuncture, right? Those are all really nice ways to support yourself. And then sleep. Sleep is also like so major. That's when you know when you're, you can get good quality sleep at night. That's when your, your body's repairing tissue. **Hannah:** And it, it has a lot to do with your hormones, like in like your like your hunger hormones, those ones and then also like cortisol, melatonin, things like that. Everything that just keeps all of the systems working together smoothly. So, yep. Do you. **Michelle:** of sleep. There's a, there like a lot of times we'll increase sugar cravings 'cause you want that quick energy. So  **Hannah:** Yes, **Michelle:** that's one example of how that can impact  **Hannah:** exactly. Yeah. Yeah. If you have like one poor night of sleep, it increases your hunger hormone levels pretty significantly. So we'll see that that issue popping up time and time again. Yeah, so.[00:27:00]  **Michelle:** yeah. And I also have heard, in some  **Michelle:** of like go, literally pivot into autoimmune and how you can address that in the case of Hashimoto's? **Michelle:** 'cause it is so prevalent and a lot of people have it. The first thing that I say is, cut out gluten, corn, and dairy and soy if you can. Now, I always say if you can't do all of them, at least cut out the gluten entirely and talk to us about like what you've done and what you've found to be helpful. **Michelle:** 'cause it is something that if you catch early, you really can sh shift a lot just from diet alone.  **Hannah:** Oh, yes. Yeah, and I've helped. Hundreds of women with that. Exactly. Just you know, we [00:28:00] see, I've seen different stages of, Hashimoto's. You know, so if it's like, you know, stage one where we're seeing the presence of antibodies and maybe they have symptoms, maybe they don't. A lot of those women typically will present with like subclinical hypothyroidism. **Hannah:** So like their thyroid labs look fine. But they're like, I, feel tired all the time. I'm constipated. I can't lose weight, you know? So the first thing I would start with is kinda getting ahead of things with, 'cause the majority of your immune system is in your gut. So I would be doing a GI would run a stool sample, a GI map and see what's going on there. **Hannah:** Because there's different things that could be driving. That immune response. Yeah. It could be coming from things in the diet like gluten. And that test certainly will show us if you're having an immune response to gluten. So in those cases, I would have those clients cut, cut that out. And some people they, they don't, they don't run the test and they [00:29:00] cut out gluten, but they just feel better without it. **Michelle:** See that a lot.  **Hannah:** mm-hmm. I do too. Just kind of anecdotally. I was just gonna say that I think it is because of like, what, what they're spraying on our crops.  **Michelle:** Yeah, **Hannah:** Yep. know that it can impact hormones like big time, that's  **Hannah:** Mm-hmm.  **Michelle:** one for sure.  **Hannah:** Yeah. So, and then, you know, obviously if there's a inflammation or like leaky gut.  **Hannah:** You know, we're gonna wanna address that anyway because that could be driving that immune response and making your symptoms worse, making the antibodies levels worse, right? So I really wanna just get ahead of it with the gut number one. **Hannah:** And then I like to do mineral testing as well, since so many minerals, not only impact PCOS, but they impact your thyroid.  **Michelle:** That's a huge  **Hannah:** Yes, selenium. This is a common thing that I see. I'll see really high amounts of calcium in the [00:30:00] tissues. And that's gonna block your thyroid hormone from getting up into the cell. **Hannah:** So like maybe their thyroid panel looks great, but that, or they're already taking a thyroid medication, but they're, they feel like it's not doing anything for them. I'm like, look, you have a lot of calcium in your tissues. And so like, that's your thyroid hormone's not even getting up into the cell. So of course you wouldn't feel an impact there. **Hannah:** And that also is. **Michelle:** actually? What causes that? Calcification?  **Hannah:** So, I typically see that from over supplementing with vitamin D. So, that will pull the calcium out of the bone and teeth. And put it into the tissues. Yeah. A lot of people get put on vitamin D by their doctor, like maybe they had low levels at one point, and then their doctor never talked to them about weaning off of the vitamin D. **Hannah:** They just kept taking it.  **Michelle:** too high. Yeah.  **Hannah:** Yeah. Or they'll start them off like a really high dose, like I've seen like 50,000 units of, of vitamin. Yeah. [00:31:00] And they, and they just keep taking it like, then they're never told like, Hey, you're actually supposed to tapered off of that after a couple months. I've also seen an influx of people on vitamin D, zinc you know, ever since the pandemic. **Hannah:** So they just kept taking it and they don't know how that's impacted their. Mine. So, so yeah, that's one culprit. I, I'll see. The other thing that I notice, and this is pretty prevalent in the autoimmune community is, and I don't think it's talked about a lot, is significant trauma and certain types of trauma. **Hannah:** It, it's like we call when we see this pattern on an htm. It, we call it a calcium shell where the calcium and the magnesium levels are really high in the tissues. And then we are like really depleted in things like potassium and sodium and other secondary minerals. And it's kind of like the body's way of shielding itself from feeling [00:32:00] big, like feeling really big emotions. **Hannah:** So like a lot of these clients, I, I'll talk to them about this and they have such a flat effect, like with the then we start moving the calcium out of the tissues and then they become, they're, it's like they really need more emotional support throughout that process. It's very interesting. I'm about to actually do an HTMA on myself. **Hannah:** It's been a couple of years, but I've just gone, I'm grieving my mom right now and I, yeah, and it's just been a really rough couple of months. I've just been just going through the motions and kind of in that, like taking care of her, taking care of my girls. Like just everything that we've gone through leading up to this point. **Hannah:** And I'm like, I am so curious to know what's going on with my minerals right now. I would not be surprised if I was having calcium going into my tissues. 'cause I believe that's what was my pattern last [00:33:00] time I ran the test a few years ago. So.  **Michelle:** Oh, that's interesting.  **Hannah:** It's like, yeah, this is my, my unique pattern, you know, so I see that a lot with Hashimoto's and yeah, and, and it's interesting because that pattern, like the high calcium in the tissues and the low potassium, that's really really common with like thyroid stuff in general because, you know, first of all, that calcium's blocking the thyroid. **Hannah:** Hormone from getting up into the cell. It's also gonna be blocking insulin signaling. So there is gonna be a lot of blood sugar swings, and that's gonna be driving the inflammation, making that worse. And then the low potassium, well, you know, potassium is needed for thyroid function as well. So, I see that pattern a lot with that population and it's so fascinating. **Hannah:** And I would just say like, I wouldn't say it's like. It's more like anecdotal, right? Like and you probably see that too in your practice. Yeah. Yeah.  **Michelle:** For different things, not this [00:34:00] specifically, but Yeah. **Michelle:** I mean, you see a lot of that and that's, that matters just because studies are very expensive to have and you can't  **Hannah:** Mm-hmm. **Michelle:** rely just on studies. You have to really rely on data in general, like your own experience  **Hannah:** Oh, absolutely. **Michelle:** there's so much information that you can get just from that. And then, couple of things. One of the things is, I know that Zyme has been shown to really help, it's an enzyme, it's a pro oleic enzymes that break apart, like fibrous tissue. So I'm curious to  **Hannah:** Oh **Michelle:** if it would help with excess calcium or, you know, deposits because it, it works to break down  **Hannah:** yeah,  **Michelle:** really needed in the body.  **Hannah:** yeah. Yeah.  **Michelle:** up.  **Hannah:** Yeah. That is interesting. Yeah, because when we see, usually the calcium in the tissues is also associated with things like restless leg syndrome, kidney stones, gallstones, all that stuff, you know, because it's just calcification of the tissues. [00:35:00] Right. What I do is I'll get, if that person is, has actually been on vitamin D what I'll do is I'll say, okay, let's just pause on the vitamin D and then I'll get them on, a form of vitamin K two that will target that calcium in the tissues and, and bring it, redirect it back to the bones. So we'll do that for several months. And if that person's still concerned about their, their vitamin D levels and say, let's just get that checked, you know, and depending on where you're at with that, you, you either, you know, probably need supplementation time from time to time, or maybe just during the winter, right? **Hannah:** But it's not a long term. You know, supplement for you because of this pattern, this pattern that you typically have. **Michelle:** Another thing that I was gonna mention is, we were talking about like, antibodies.  **Michelle:** I remember, One of my patients mentioning she had like a, 'cause I was talking to an REI and I was gonna have him, I had him on the podcast and so she had some questions and she had a very low amount of [00:36:00] antibodies that are considered normal. And he said no, because the presence of any antibody, and that's what's crazy to me.  **Hannah:** Mm-hmm.  **Michelle:** normal in labs  **Hannah:** Yeah. Well, yeah. Yeah. The reference ranges for conventional labs or like in more like conventional healthcare settings. They're not, they're designed to show like if you have a chronic disease or not. Not necessarily if you're optimal. Right. Like thriving, you know? **Michelle:** have any, even if it's like minute, it means that there's an autoimmune, like  **Hannah:** Right. And.  **Michelle:** your thyroid.  **Hannah:** Yeah, and I mean, my first thought is like, and just because I've worked in that arena for so long, is I think it's just because they need to have a diagnose, a diagnosis for a chronic disease, number one, so that they can build insurance and blah, blah, blah.  **Michelle:** Yeah, yeah, yeah.  **Hannah:** So they typically can't treat you. They can't, they [00:37:00] technically can't treat you. **Hannah:** Like they don't really run on a, it's more of like a sick care model. It's not really, they can't really treat you for like prevention. Right. That's not like that that's not how insurance companies work. So, I think that that's, that's my theory on that. But, you know, but to, to answer your question, yes, I, I see, low levels that aren't considered Hashimoto's,  **Michelle:** Right?  **Hannah:** but I would label that early stages or stage one, and I would say, let's work, let's, let's order GI Map. **Hannah:** Let's look at what your minerals are doing like that impact your thyroid. Let's just, just start helping you feel better right away so that we can go into remission. I would much rather my client like, just go ahead and work on those things instead of waiting until it's like, you know, now we're seeing tissue damage, you know, and there's a lot of practices. **Hannah:** I don't,  **Michelle:** it if it's early enough, like, but if it's  **Hannah:** yeah.  **Michelle:** really like far gone,  **Hannah:** Yeah. It can, and I don't know if you've run [00:38:00] across this a lot in your practice or with your clients, but I've been told a lot of times that they weren't even able to request or see a specialist or an endocrinologist, I guess, until they were able to see tissue damage. And it's like, wouldn't you wanna just prevent the tissue damage? **Michelle:** crazy to me. Yeah.  **Hannah:** Mm-hmm. Yeah, so I'm, you know, I just like to get on it like right away, even if it's like, you know, your antibodies are like five, you know?  **Michelle:** yeah, yeah, yeah, yeah. Really low, but still,  **Hannah:** Yeah. Really low. Yeah. It's worth working on. Yeah. **Michelle:** I had actually just recently, I had a case where her TSH was like five and she's young, she's in her twenties. And I'm  **Hannah:** Mm-hmm.  **Michelle:** not normal.  **Hannah:** Mm-hmm. **Michelle:** just a little abnormal. **Michelle:** But that's not a little abnormal for try somebody trying to conceive.  **Hannah:** Yeah.  **Michelle:** and under. So if you  **Hannah:** Mm-hmm. **Michelle:** the thing. If you go to a general doctor or even an ob, they are a little more general in women's health.  **Hannah:** Yeah. **Michelle:** they're not going [00:39:00] to look at it the same way as an REI is gonna look at it, which is a reproductive endocrinologist and they're gonna  **Hannah:** Right.  **Michelle:** it a completely different perspective.  **Michelle:** Yeah, so it's, so those things I think a lot of people just don't realize and they're going in and they get the wrong information or they don't get like the full information and many years go by and it's kind of like, you know, that's why it's so important to really get ahead of it. **Hannah:** Yeah, absolutely. I think you're, you're worthy of feeling better, you know, if, does it have to be something that's chronic or.  **Michelle:** Right.  **Hannah:** Like full on disease state before just feeling better. **Michelle:** Yeah, for sure. So for people who, you know, are curious and wanna learn more about what you do,  **Michelle:** um, what are some of the things that you offer online? Where can people find you? I.  **Hannah:** So for people who are wanting to work one-on-one with me or maybe just start off with [00:40:00] a consultation or some have some labs done you can find me at through Pivot Nutrition Coaching. So the website is pivot nutrition coaching com. And then if, for my social media, I'm on Instagram with Hannah. **Michelle:** Awesome. I'll have all the notes anyway. If anybody like is curious or wants to know exactly how it's written out or find the link, you can find those on the episode notes. So Hannah, thank you so much for coming on today. It was a great conversation. I love really digging deep on just what goes on with these conditions that so many people hear about that are trying to conceive, but they don't really understand it. **Michelle:** And I think. There's so much power and knowledge and understanding and kind of like going beneath the surface. So I think this is one of the things that I like to do on the show is really to educate people on like really what's going on. So you've really shared some great, valuable information, so thank you so much, Hannah.[00:41:00]  **Hannah:** Thank you so much for having me and I, I think that this is such an important, important conversation to have and a valuable platform, so it's really an honor to be here. And hope we can chat again soon. **Michelle:** Thank you.         

In this episode of Uncontested Investing, let's dive deep into the world of emerging real estate markets—what they are, how to spot them, and why they present some of the best opportunities for investors looking to get ahead of the curve.   We break down the key indicators like job growth, migration patterns, and infrastructure investments that signal when a market is about to take off. Plus, we share real-world examples of once-overlooked cities that turned into major success stories—and how you can get in early on the next wave.   If you're serious about growing your portfolio in smart, sustainable ways, this episode will show you how to think like a market analyst and act like a pioneer.   Key Talking Points of the Episode   00:00 Introduction 01:00 Seasonal buying strategies: Pittsburgh in winter, Arizona in summer 02:37 The power of suburbs and sister cities: Nashville vs. Memphis 03:38 Military bases and high-cap opportunities 05:14 Resources for tracking migration data 06:37 The 26-50 tier of cities: where hidden gems are found 08:40 Manufacturing resurgence: Detroit, Pittsburgh, Charleston, TX markets 10:10 Two-hour commute range: balance remote life and urban access 11:38 Job growth, diversified industries, population growth 13:33 Holding costs to watch: taxes, insurance, and more 15:25 College towns evolving into full-blown metros 16:35 The BRRR strategy in an emerging market 18:07 Short-term rentals: disaster relief and traveling professionals 19:57 National associations and REI networking groups for on-the-ground intel Quotables   “If you can't find the right opportunity in a big city, look two hours outside of it.”   “Buy when it's not pretty. That's when you get in before the REITs do.”   “The best time to plant a tree was 20 years ago. The second best time is today—same goes for investing in an emerging market.”   Links   RCN Capital https://www.rcncapital.com/podcast https://www.instagram.com/rcn_capital/ info@rcncapital.com   REI INK https://rei-ink.com/

Jason Palliser reveals how he dominates Tampa using 34 lead strategies—without a budget. Discover the tech, tactics, and toughest lesson that reshaped his entire investment strategy. One blueprint. Zero excuses. Full takeover.See full article: https://www.unitedstatesrealestateinvestor.com/the-blueprint-to-unleashing-citywide-takeovers-for-real-estate-domination-with-jason-palliser/(00:00) - Introduction to Real Estate Investing Success(00:23) - Meet Jason Palliser: Two-Day Investment Blueprint Creator(00:40) - Ready to Talk Real Estate Investing(00:58) - Jason's Background and Personal Life(02:18) - Pet Rescue, Foster Stories, and Family Life(02:40) - What Is the Two-Day Investment Blueprint?(06:50) - Tech Meets Real Estate: Automation Without Coding(07:38) - Why Jason Got Into Real Estate: One Word(09:07) - Jason's Favorite Part of Investing: Helping People(09:28) - The Lowest Point in Jason's REI Journey(12:55) - How Lease Options Saved Jason From a Loss(14:01) - How Jason's Banking Background Gives Him an Edge(15:22) - The Power of a 22-Point Investment Checklist(15:40) - Helping People Build Freedom Without a Budget(16:25) - Favorite Tech: Custom Lead Follow-Up Tools(18:42) - What's Jason's Current Portfolio Look Like?(19:27) - Jason's Thoughts on Airbnb Arbitrage(21:49) - How to Sell the Arbitrage Pitch to Property Owners(22:37) - How to Connect with Jason Palliser(25:53) - Jason's Secret Weapon: Junk Removal Partnerships(26:10) - What Jason Is Most Grateful for in REI(27:33) - Final Question: Jason's Definition of Success(29:12) - Closing Message from Antonio HolmanContact Jason Palliserhttps://www.2dayblueprint.com/optin-613798311707325410355Follow us on social:Facebook, ⁠⁠⁠⁠⁠⁠https://www.facebook.com/UnitedStatesREI/⁠⁠⁠⁠⁠⁠Instagram, ⁠⁠⁠⁠⁠⁠https://www.instagram.com/unitedstatesrei/⁠⁠⁠⁠⁠⁠Twitter, ⁠⁠⁠⁠⁠⁠https://twitter.com/unitedstatesrei⁠⁠⁠⁠⁠⁠LinkedIn, ⁠⁠⁠⁠⁠⁠https://www.linkedin.com/company/unitedstatesrei⁠⁠⁠⁠⁠⁠TikTok, ⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@unitedstatesrei?⁠⁠⁠⁠⁠⁠Spotify, ⁠⁠⁠⁠⁠⁠https://open.spotify.com/show/6f2Xz83KMZA43OUIUmuJ34?si=DxWjeG6ESOmRii9Eivvb8Q&dl_branch=1⁠⁠⁠⁠⁠⁠Helping you learn how to achieve financial freedom through real estate investing.Enjoy listening to United States Real Estate Investor content to gain more knowledge and strategies of real estate investing and real estate investment in finance, landlording, property wholesaling, property rehabbing, entrepreneurship, building wealth, learning, teaching, professional networking, property law, tips and tricks, inspiration, motivation, and creating true financial freedom.⁠⁠⁠⁠⁠⁠United States Real Estate Investor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Universe Media Mastering: Your audio, more listenable.

In this episode of the podcast, we dive into the power of staying in your zone of genius as a real estate investor. Reflecting on our own journeys, sharing lessons learned from missteps, and how identifying and leaning into our individual strengths has improved both profitability and lifestyle. The discussion highlights the importance of delegation, avoiding shiny object syndrome, and recognizing red flags—like spreading yourself too thin across multiple markets. We also emphasize the value of documenting your tasks to better understand where your time is best spent and how to build a team that supports your growth. With a strong focus on mindset and strategy, we want to remind listeners that investing in your time and surrounding yourself with the right people can make all the difference. Want more? Join our webinar on June 18 at 12pm CT to learn how we scaled our businesses to 70+ doors, without losing our sanity!This episode is a must-listen for anyone seeking clarity and focus in their real estate business. Resources:Simplify how you manage your rentals with TurboTenantGrab your seat for our webinar on June 18 - HURRY, seats are limited!Grab your spot in The WIIRE CommunityLeave us a review on Apple PodcastsLeave us a review on SpotifyJoin our private Facebook CommunityConnect with us on Instagram

Send us a textWhat if your self-storage facility could also be your most powerful marketing tool? Scott Meyers sits down with CJ Strattle and Sherry Miller of On the Move to explore how branded rental trucks are redefining marketing, operations, and revenue in the storage industry. From CJ's roots in the business to the company's family-driven innovation, the conversation dives deep into turnkey solutions, competitive advantages, and why even major REITs are revisiting this “old-school” concept. They also share insights from the recent ISS conference, discusses trends in tech, security, and market dynamics, and gives a behind-the-scenes look at how On the Move quietly became the fourth-largest rental fleet in the U.S.—without anyone outside the industry even knowing. WHAT TO LISTEN FOR1:06 “Rent with me, use this truck for free” – the family legacy4:17 Taking control: Why On the Move exists6:19 A patented solution from CJ's grandfather10:54 Turnkey truck branding made simple13:13 ISS 2025: New tech, new vendors, new energy16:25 They sold the show truck at the show!30:52 Think outside the truck: Monetizing ad space Leave a positive rating for this podcast with one click CONNECT WITH GUESTS:CJ STRATTLE, President & CEO of On the MoveLinkedIn | Website | YouTube | InstagramSHERRY MILLER, Director of Sales at On The MoveLinkedIn  CONNECT WITH USWebsite | You Tube | Facebook | X | LinkedIn | Instagram Follow so you never miss a NEW episode! Leave us an honest rating and review on Apple or Spotify Attend the Self Storage Academy in Seattle, WA August 21-23https://selfstorageacademy.com/

Rei had a good pug, Kura had a bad pug. Eric's tank is back in action and Nick is ranting about leveling.

In this exclusive interview, I chat with Peter Hlynsky, CEO of MEC (Mountain Equipment Company), one of Canada's most iconic outdoor retailers. Peter shares his remarkable journey from CFO to CEO over five years at MEC, detailing his passion for the outdoors that initially drew him to the company rather than retail specifically.MEC's origin story is captivating - it began in the early 1970s, when University of British Columbia students drove to REI in Washington, bought climbing gear, and sold it from their van on campus. This evolved into Canada's premier outdoor retail cooperative with 21 stores by 2020, becoming what Peter describes as "a candy store for the outdoors."The company's unique employee culture sets MEC apart in the competitive outdoor retail landscape. Staff members genuinely live the lifestyle they sell through "Rad Days" - paid outdoor adventures where employees test gear and bring back real-world experiences. This authentic product knowledge enables staff to provide honest recommendations, sometimes even steering customers away from products that don't fit their specific needs.Peter discusses MEC's significant transformation from a member-owned cooperative to a private company, maintaining the "member" terminology and benefits that resonate with Canadian consumers. The recently relaunched membership program includes purchase-based discounts, exclusive access to popular store events, and MEC's legendary "rock solid guarantee" - one of the industry's most comprehensive return policies.A significant development is MEC's return to Canadian ownership after being acquired by private equity in 2020. Peter and Chief Merchandising Officer Chris Beyer joined the new Canadian ownership group, led by Tim Gu, bringing manufacturing expertise that is particularly valuable for MEC's private label products, which comprise one-third of their business alongside branded products from Patagonia, Arc'teryx, and Yeti.The merchandising strategy balances premium branded products with MEC's highly-regarded private label offerings, providing similar quality at lower prices without wholesale markups. This combination creates a compelling value proposition that competitors struggle to match.Looking ahead, Peter sees significant growth opportunities as competitors exit the market following the COVID-19 pandemic. Atmosphere closed standalone stores, and regional players shuttered operations, creating organic growth potential. MEC plans opportunistic store expansion in underserved Canadian markets, capitalizing on available real estate from retailer closures.Peter's retail advice emphasizes focusing relentlessly on core competencies rather than chasing trending business models. For MEC, this means maintaining its specialty outdoor retailer identity through exceptional in-store service, curated product assortments, and a consistent customer experience across all channels.The episode highlights how authentic brand positioning, employee engagement, and customer-centric policies can sustain competitive advantages in challenging retail environments. MEC's successful transition from a cooperative to a company while preserving its brand values demonstrates effective change management in retail transformation. Michael LeBlanc is the president and founder of M.E. LeBlanc & Company Inc, a senior retail advisor, keynote speaker and now, media entrepreneur. He has been on the front lines of retail industry change for his entire career. Michael has delivered keynotes, hosted fire-side discussions and participated worldwide in thought leadership panels, most recently on the main stage in Toronto at Retail Council of Canada's Retail Marketing conference with leaders from Walmart & Google. He brings 25+ years of brand/retail/marketing & eCommerce leadership experience with Levi's, Black & Decker, Hudson's Bay, CanWest Media, Pandora Jewellery, The Shopping Channel and Retail Council of Canada to his advisory, speaking and media practice.Michael produces and hosts a network of leading retail trade podcasts, including the award-winning No.1 independent retail industry podcast in America, Remarkable Retail with his partner, Dallas-based best-selling author Steve Dennis; Canada's top retail industry podcast The Voice of Retail and Canada's top food industry and one of the top Canadian-produced management independent podcasts in the country, The Food Professor with Dr. Sylvain Charlebois from Dalhousie University in Halifax.Rethink Retail has recognized Michael as one of the top global retail experts for the fifth year in a row, the National Retail Federation has designated Michael as on their Top Retail Voices for 2025, Thinkers 360 has named him on of the Top 50 global thought leaders in retail, RTIH has named him a top 100 global though leader in retail technology and Coresight Research has named Michael a Retail AI Influencer. If you are a BBQ fan, you can tune into Michael's cooking show, Last Request BBQ, on YouTube, Instagram, X and yes, TikTok.Michael is available for keynote presentations helping retailers, brands and retail industry insiders explaining the current state and future of the retail industry in North America and around the world.

Properties for Sale on the North Side?  We want to buy them. Email: StraightUpChicagoInvestor@gmail.com Have a vacancy? We can place your next tenant and give you back 30-40 hours of your time. Learn more: GCRealtyInc.com/tenant-placement Has Property Mgmt become an opportunity cost for you? Let us lower your risk and give you your time back to grow. Learn more: GCRealtyinc.com ============= Wonderful Togbey joins us to explain how he's grinded to build a rental portfolio of 20 doors and is actively scaling! Wonderful shares his start in REI back in Omaha, Nebraska. He breaks down a deal in Bronzeville that closed right at the onset of COVID that came equipped with non-paying tenants! Wonderful reflects on lessons learned from gut renovations including considerations on layouts to maximize rents. He has multiple examples of pivoting while under, and even getting a second job to get deals done. This episode is a motivating one with countless stories showcasing perseverance and grit. If you enjoy today's episode, please leave us a review and share with someone who may also find value in this content! ============= Connect with Mark and Tom: StraightUpChicagoInvestor.com Email the Show: StraightUpChicagoInvestor@gmail.com Guest: Wonderful Togbey Link: Wonderful's Instagram Link: How to Win Friends & Influence People (Book Recommendation) Link: Eric Workman (Network Referral) Guest Questions 02:17 Housing Provider Tip - Leverage Google Earth and other tools for measurements and floor plans! 03:55 Intro to our guest, Wonderful Togbey! 09:21 Starting real estate investing in Omaha, NE. 13:40 Challenging Bronzeville Deal with COVID looming! 19:51 The power of long term investing and dealing with non-paying tenants.  30:16 Wonderful's first gut rehab project and buying another property simultaneously! 36:38 Cultivating perseverance in real estate. 41:56 Lessons learned from redeveloping a building. 47:41 Wonderful's long term investing goals. 50:36 Management systems for small investors. 52:14 What is your competitive advantage? 52:50 One piece of advice for new investors. 53:34 What do you do for fun? 53:45 Good book, podcast, or self development activity that you would recommend?  54:23 Local Network Recommendation?  54:52 How can the listeners learn more about you and provide value to you? ----------------- Production House: Flint Stone Media Copyright of Straight Up Chicago Investor 2025.

What does it take to raise over $100 million in just four years—while building a portfolio that spans more than $2 billion across real estate, debt, and business acquisitions? In this powerhouse episode, Sam Silverman, founder of Silverman Capital, lays it all out. From leaving corporate America to mastering capital raising at scale, Sam shares why he focuses on operator selection over deal structure, how he aligns interests with investors, and the real reason capital raisers get stuck. If you're serious about scaling your capital and doing it right, this conversation is a masterclass in execution, clarity, and strategy.5 Key Takeaways to learn from this episode:Quality Over Control: Sam prioritizes partnering with best-in-class operators, even if it means taking a back seat in management—because investor outcomes matter most.Capital Raising Is a Full-Time Business: Treating capital raising like a company, not a side hustle, is what helped Sam scale to $100M+ in four years.Clear Operator Standards: His selection criteria include access to proprietary deals, operational excellence, and a track record of investor-first outcomes.Why Most Capital Raisers Fail: According to Sam, they're focused on promoting deals instead of providing value—and they lack the systems to nurture real investor relationships.Fund of Funds Done Right: Sam uses the FoF model to offer his LPs better terms, diversification, and deal access—while keeping his firm lean and efficient.About Tim MaiTim Mai is a real estate investor, fund manager, mentor, and founder of HERO Mastermind for REI coaches.He has helped many real estate investors and coaches become millionaires. Tim continues to help busy professionals earn income and build wealth through passive investing.He is also a creative marketer and promoter with incredible knowledge and experience, which he freely shares. He has lifted himself from the aftermath of war, achieving technical expertise in computers, followed by investment success in real estate, management skills, and a lofty position among real estate educators and internet marketers.Tim is an industry leader who has acquired and exited well over $50 million worth of real estate and is currently an investor in over 2700 units of multifamily apartments.Connect with TimWebsite: Capital Raising PartyFacebook: Tim Mai | Capital Raising Nation Instagram: @timmaicomTwitter: @timmaiLinkedIn: Tim MaiYouTube: Tim Mai

Executive leader and board member Wilma Wallace joins Roy to discuss her experience recruiting and mentoring leadership teams at Gap and REI during her extensive career at both legacy brands. After spending over 20 years in senior roles at Gap, Wilma served as Chief Diversity and Social Impact Officer, as well as Chief Legal Officer at REI. In 2024, she retired to focus on impacting change, particularly from an equity, access, and justice perspective, on several boards. Her work centers social impact, environmental justice, and human rights in both the for-profit and non-profit sectors. Wilma and Roy discuss accounting for and addressing changing levels of trust across organizations, internal succession planning versus seeking external candidates, the link between alignment of purpose and successful performance in leadership teams, and much more.     Highlights from our conversation include:How Wilma evaluates candidates' leadership abilities (4:18)Creating an environment that fosters high potential future leaders (6:48)Recruiting external talent (8:26)Leadership assessment practices at Gap & REI (11:08)Ensuring that an organization's culture stays dynamic and resilient (14:01)Leading and hiring through periods of growth and change (17:35)Ways in which leaders should be vetting culture and values before taking on new leadership roles (20:30)What gives Wilma hope about the next generation of leaders (23:00)Visit HowIHire.com for transcripts and more on this episode.Follow Roy Notowitz and Noto Group Executive Search on LinkedIn for updates and featured career opportunities.Subscribe to How I Hire:AppleSpotifyAmazon

Cody and Jonathan discuss Rob Katz's return as the CEO of Vail; what's going on with REI; the sale of Pieps; the latest way to speed up Mt. Everest; the Most Canadian News; the return of the Blister Book Club; what we're reading & watching; and more.Note: We Want to Hear From You! We'd love for you to share the stories or topics you'd like us to cover next month on Reviewing the News; your most pressing mountain town advice questions; or you spiciest hot takes for us to rate. Email those to us at info@blisterreview.comRELATED LINKSSkratch Labs: Fuel SmartBLISTER+ Get Yourself CoveredTOPICS & TIMES:Jonathan's Mtn Bike Fuel (1:34)Does BLISTER+ Cover Owl Attacks? (2:32)Blevins' Corner: Katz Back as CEO of Vail (5:26)REI: What's Going On? (18:42)New Ways to Get Up Everest Fast (31:51)The Sale of Pieps (42:08)EV Battery Breakthrough? (47:58)Most Canadian News (57:28)What We're Reading & Watching: (57:28)Alex Hutchinson, The Explorer's Gene (57:37)Will Cockrell, Everest, Inc. (1:01:44)Blister Book Club is back (1:05:14)The Last of Us (1:06:20)The NFL Draft / Peak Optimism (1:14:03)Mountainhead (1:17:14)Andor (1:23:10)CHECK OUT OUR OTHER PODCASTS:Blister CinematicCRAFTED Bikes & Big IdeasGEAR:30 Hosted on Acast. See acast.com/privacy for more information.

In this episode, Erica Kiang shares her inspiring journey from the fashion industry to becoming a successful real estate syndicator. After recognizing the need for passive income, Erica dove into real estate and quickly found her niche in syndications. She emphasizes the power of networking, mentorship, and understanding the distinct roles within a general partnership. Erica breaks down the basics of syndications—how they pool capital from passive investors, the pros and cons of being a limited versus general partner, and the importance of conservative underwriting. She also explains compensation structures and the value of partnering with strong operators. Throughout the episode, Erica offers practical resources for aspiring investors and shares her long-term goal of building passive income while fostering community within the real estate space. This conversation is a must-listen for anyone looking to break into syndications or scale their investment strategy!  Resources:Simplify how you manage your rentals with TurboTenantConnect with Erica on InstagramGrab your spot in The WIIRE CommunityLeave us a review on Apple PodcastsLeave us a review on SpotifyJoin our private Facebook CommunityConnect with us on Instagram

This episode is brought to you by BIgCommerceAs the retail marketing playbook continues to evolve, staying relevant takes more than just keeping up — it means rethinking how and where you engage your audience.In this episode of Retail Remix, host Nicole Silberstein sits down with Sarah Crockett, Global Chief Marketing Officer at DSW, to talk shop. With experience leading marketing at brands like Vans, REI and Backcountry, Sarah brings a wide-angle lens to what's working — and what's changing — in the world of retail marketing. Together, they unpack:How DSW is navigating the latest shifts in consumer expectations and retail strategy;The challenges of marketing during unpredictable economic periods;How to keep pace with rapid technological evolutions across search and social; andHer secret weapon for staying on top of social trends. RELATED LINKSGet a closer look at DSW's brand in action.Explore the latest marketing insights from Retail TouchPointsCheck out past episodes of Retail Remix Tired of rigid ecommerce platforms and hidden fees? BigCommerce gives you the flexibility to build and scale your store your way — with no extra fees for using the tools you love. Whether B2C or B2B, BigCommerce powers ecommerce that works for you. Learn more at bigcommerce.com/retailremix

“It takes the same energy to think small as it does to think big. So dream big and think bigger.” – Daymond John.This perfectly captures today's guests—Ken and John Fothergill from Southern New Hampshire—two brothers who've built a thriving wholesaling business, even during the pandemic.They'll share how they got started, how they make it work as a team, the tools they use to lock up deals, and how they keep it fun while hitting big profits. If you want to keep hitting the right REI goals be sure to join the TTP Training Program now for more!---------Show notes:(0:50) Beginning of today's episode(5:08) Feed that professional obsession that you have(5:51) Balancing real estate investing while working full time(8:50) You need to be able to give situations to people where they can be successful(14:47) Prequalifying based on the four pillars(26:58) What does the next 5 years look like for their business?----------Resources:DealMachine (Code: TTP)ZillowTruliaJohn Fothergill on InstagramJohn Fothergill on FacebookJohn Fothergill's Email Address: jfothergill10@gmail.com Kenny Fothergill on InstagramKenny Fothergill on FacebookKen Fothergill's Email Address: kg fothergill3@gmail.com To speak with Brent or one of our other expert coaches call (281) 835-4201 or schedule your free discovery call here to learn about our mentorship programs and become part of the TribeGo to Wholesalingincgroup.com to become part of one of the fastest growing Facebook communities in the Wholesaling space. Get all of your burning Wholesaling questions answered, gain access to JV partnerships, and connect with other "success minded" Rhinos in the community.It's 100% free to join. The opportunities in this community are endless, what are you waiting for?

How does a former restaurateur and retail franchisee pivot into managing nearly $19M in real estate assets? In this compelling episode, Brian Plumer shares his journey from struggling to sell his first fix-and-flip in 2008 to now owning over 1,000 units across multifamily and self-storage. Hear how a pandemic pivot, relentless learning, and hands-on experience led him to raise capital, partner on syndications, and build Litmus Capital Investments. Brian opens up about his early failures, the mindset shifts that fueled his success, and why self-storage has become his secret weapon for scalable, resilient investing. 5 Key Takeaways from Brian Plumer's Episode:From Retail to Real Estate: Brian's first failed flip turned into a long-term rental—and his gateway into passive income and multifamily investing.Self-Storage Strategy: Pivoting to self-storage gave Brian access to off-market deals with seller financing, lower management headaches, and powerful cash flow.Raising Capital with Credibility: He started small—$250K from friends and family—and learned that confidence, transparency, and trust are more important than pitch decks.Fund of Funds Future: Inspired by the HERO Alliance, Brian is building toward a fund-of-funds model to scale without taking on asset management roles.Consistency Beats Speed: Whether taking baby steps or giant leaps, Brian emphasizes staying the course, finding mentors, and building relationships as the key to long-term success.About Tim MaiTim Mai is a real estate investor, fund manager, mentor, and founder of HERO Mastermind for REI coaches.He has helped many real estate investors and coaches become millionaires. Tim continues to help busy professionals earn income and build wealth through passive investing.He is also a creative marketer and promoter with incredible knowledge and experience, which he freely shares. He has lifted himself from the aftermath of war, achieving technical expertise in computers, followed by investment success in real estate, management skills, and a lofty position among real estate educators and internet marketers.Tim is an industry leader who has acquired and exited well over $50 million worth of real estate and is currently an investor in over 2700 units of multifamily apartments.Connect with TimWebsite: Capital Raising PartyFacebook: Tim Mai | Capital Raising Nation Instagram: @timmaicomTwitter: @timmaiLinkedIn: Tim MaiYouTube: Tim Mai

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

Learn how I made $20,000 wholesaling a property from a seller who was behind bars in my latest REI deal breakdown! From getting the lead through direct mail to closing the deal. Learn why mailing the right list and understanding your market are crucial, and how older calls can be the juiciest deals in direct mail campaigns. Get inspired and pick up some tips for your own investing journey!   Contact me greg@velocityhousebuyers.com Instagram @grego_37

On the ways in which we can respectfully learn from Indigenous cultures about creating instances of meaning, integrity, health and happiness. The Seven Circles encompass a series of interconnected, intersecting circles to help us all live well.  (0:00)- Introduction and Guest Introduction (2:54) - Overview of "The Seven Circles" (3:49) - Movement as an Antidote to Addiction (10:28) - Connection to Land and Environmentalism (16:46) - Spiritual Aspects of Land and Prayer (21:46) - Ceremony and Its Role in Wellness (38:11) - Resources for Allies and Cultural Revitalization (38:42) - Final Thoughts and Gratitude Chelsey Luger is a writer, multimedia journalist and wellness advocate whose work focuses largely on reclaiming healthy lifestyles and positive narratives in Indigenous communities. She is Anishinaabe, an enrolled member of the Turtle Mountain Band of Chippewa (maternal) and Lakota from Cheyenne River and Standing Rock (paternal). She holds a BA in history and Native American studies from Dartmouth College, and an MS in journalism from Columbia University. Luger has written for the Atlantic, Self Magazine, the Huffington Post, Well + Good, Indian Country Today and more. She is a former VJ (on-air talent), script writer, and producer for NowThis News. She is a trainer/facilitator for the Native Wellness Institute and is the cofounder of Well For Culture, an Indigenous wellness initiative. Luger has worked as talent, cultural consultant, producer, content creator and copywriter for brands such as Nike, Athleta On Running and REI. She is originally from North Dakota and now resides in O'odham Jeved (Arizona) with her husband, Thosh Collins, and their children. Chelsey and Thosh are the authors of The Seven Circles: Indigenous Teachings for Living Wellnow available everywhere books are sold.