Podcasts about rma

The government has given itself new powers to override councils, if they their decisions will negatively impact economic growth, development or employment. Housing and RMA reform minister Chris Bishop has said the new regulation would stop councils stalling on housing developments. But the opposition said Bishop is annointing himself the chief council despot and it's a massive over-reach. While councils said they shouldn't be blamed for a lack of housing growth. Political reporter Giles Dexter reports.

A new regulation will give the government power to override council plans it considers harmful to the economy. RMA reform minister Chris Bishop says the move is temporary, while the Resource Management Act is overhauled. He spoke to Corin Dann.

A social housing block that has sat empty in central Wellington for more than a decade will soon lose its heritage status - and there's hopes it could be demolished this side of Christmas. The Gordon Wilson flats on The Terrace have sat empty since 2012, with Victoria University buying the land in 2014. But the buildings held heritage status, making permission to demolish the buildings difficult to acquire. But now the government will progress legislation to remove the flats' heritage status, allowing demolition. “The amendment will remove the flats' protected heritage status and will make its demolition a permitted activity under the RMA. This means the building can finally be demolished, without a resource consent,“ Housing Minister Chris Bishop says. He joined Nick Mills to discuss the decision. LISTEN ABOVESee omnystudio.com/listener for privacy information.

Why This Episode Is a Must-Listen Today's retirees face more uncertainty than ever: market swings, inflation, and the disappearance of traditional pensions. In this episode of Inspired Money, host Andy Wang brings together four of the leading voices in retirement planning for a candid, practical conversation—one that moves beyond “rules of thumb” to reveal actionable ways to create reliable income and lasting peace of mind for your retirement years. If you want clarity in your retirement income plan, ideas to maximize your savings, or strategies for a fulfilling next chapter, this episode is packed with the real-world wisdom you need. A Word From Our Sponsor If you're looking for a standing desk to improve your posture, comfort, and overall work setup, I highly recommend the Ergonofis Sway Desk—it's beautifully designed, incredibly sturdy, and sustainably made. Check it out at my affiliate link: inspiredmoney.fm/standingdesk (I may earn a commission if you make a purchase, at no extra cost to you.) Meet the Expert Panelists Jamie Hopkins, Esq., LLM, MBA, is the Chief Wealth Officer at WSFS Bank and Chief Executive Officer of Bryn Mawr Capital Management. A nationally recognized retirement planning expert, Jamie has dedicated his career to improving financial security for Americans through leadership roles in wealth management, financial education, and nonprofit advocacy. He is the founder and president of the FinServ Foundation, a nonprofit focused on expanding access to financial services careers. With a background in law, finance, and academia, Jamie brings a multidisciplinary approach to helping individuals and institutions build sound retirement income strategies. www.jamiehopkins.com www.bmt.com  Dana Anspach, CFP®, RMA®, is the founder and CEO of Sensible Money. She's dedicated her career to helping people create sustainable retirement income plans. She's the author of "Control Your Retirement Destiny" and "Social Security Sense." Dana's hands-on experience makes her a wealth of practical knowledge. https://www.sensiblemoney.com  Kerry Hannon is a nationally recognized workplace futurist, personal finance expert, and best-selling author who has spent over three decades guiding Americans—especially midlife professionals and women—through career transitions, entrepreneurship, and retirement planning. Her forthcoming book, Retirement Bites: A Gen X Guide to Securing Your Financial Future—now available for pre-order on Amazon—offers empowering, practical advice to help the overlooked generation take charge of their next chapter with confidence and purpose. https://kerryhannon.com   Roger Whitney, CFP®, CIMA®, CPWA®, AIF®, the "Retirement Answer Man," is a Certified Financial Planner with 27+ years in finance. Author of "Rock Retirement" and founder of the Rock Retirement Club, he's also the voice behind the popular Retirement Answer Man podcast that has over 8 million downloads. https://www.rogerwhitney.com Key Highlights: Retirement Isn't Just About Maximizing Returns—It's About Reliable Income and Peace of Mind Dana Anspach reminds us: “A good retirement plan shouldn't be tied to where that pogo stick is on its trajectory. It's one that focuses on stability of cash flows over time.” The panel discusses why shifting your mindset from maximizing account balances to managing sustainable cash flow is key to peace of mind. Work, Entrepreneurship, and Purpose Play Critical Roles in a Modern Retirement Kerry Hannon points out that working longer—whether through career extension, entrepreneurship, or passion projects—can boost both financial security and life satisfaction. “How can you continue to work longer? It's a dramatic way to give yourself some security in retirement if you can stay working longer.” The episode explores creative ways Gen X and boomers are redefining "retirement." There's No One-Size-Fits-All: Frameworks vs. Rules Roger Whitney insists that “the answer to almost every question...is ‘It depends'.” No single formula fits everyone; a personalized, evolving plan that balances what you want out of life with practical financial strategies is essential. The episode delves into why regular reviews and customized “guardrails” are more important than rigid withdrawal rules. Guardrails, Buckets, and Behavioral Coaching Are More Vital Than Ever Jamie Hopkins and Dana Anspach review popular strategies like bucket and guardrails approaches, emphasizing that tools and behavioral coaching work best when tailored to each retiree's unique needs and anxieties. Jamie also warns about new financial threats: “I think that fraud...is going to become rampant. It's the biggest concern out there...it's a big concern.” Call-to-Action If you've been feeling uncertain about your own retirement income plan, here's your assignment for the week: Take 30 minutes to map out your expected sources of income in retirement—pensions, Social Security, savings, investments—and identify any potential gaps. Just getting it on paper can give you clarity and a starting point to make smarter, more confident decisions.  Thanks for tuning in to Inspired Money. Keep learning, stay intentional, and as always—be inspired to take action.  Find the Inspired Money channel on YouTube or listen to Inspired Money in your favorite podcast player. Andy Wang, Host/Producer of Inspired Money

We discuss coups, color revolutions and the changing face of political manipulation in the world. The world is not what it seems even in non-military political manipulation. The hybrid and grey zone conflict is real. Color revolution have hijacked Western democracy and precipitated he slow decline of modern civilization. References Global Instances of Coups from 1950 to 2010: A New Dataset Colpus Dataset KGB defector Yuri Bezmenov's warning to America A Retrospective on RMA, 2000-2020. Edward Luttwak Coup d'État: A Practical Handbook, Revised Edition Bruce Bueno de Mesquita and Alastair Smith The Dictator's Handbook: Why Bad Behavior is Almost Always Good Politics Oleg Karpovich Color Revolutions: Techniques in Breaking Down Modern Political Regimes Ervand AbrahamianThe Coup: 1953, The CIA, and The Roots of Modern U.S.-Iranian Relations David Talbot The Devil's Chessboard: Allen Dulles, the CIA, and the Rise of America's Secret Government Georgii Samoilovich Isserson G.S. Isserson and the War of the Future: Key Writings of a Soviet Military Theorist My Substack. Email at cgpodcast@pm.me

We discuss coups, color revolutions and the changing face of political manipulation in the world.The world is not what it seems even in non-military political manipulation. The hybrid and grey zone conflict is real. Color revolution have hijacked Western democracy and precipitated he slow decline of modern civilization.ReferencesGlobal Instances of Coups from 1950 to 2010: A New DatasetColpus DatasetKGB defector Yuri Bezmenov's warning to AmericaA Retrospective on RMA, 2000-2020.Edward Luttwak Coup d'État: A Practical Handbook, Revised EditionBruce Bueno de Mesquita and Alastair Smith The Dictator's Handbook: Why Bad Behavior is Almost Always Good PoliticsOleg Karpovich Color Revolutions: Techniques in Breaking Down Modern Political RegimesErvand AbrahamianThe Coup: 1953, The CIA, and The Roots of Modern U.S.-Iranian RelationsDavid Talbot The Devil's Chessboard: Allen Dulles, the CIA, and the Rise of America's Secret GovernmentGeorgii Samoilovich Isserson G.S. Isserson and the War of the Future: Key Writings of a Soviet Military TheoristMy Substack.Email at cgpodcast@pm.me

Today on Politics Friday John MacDonald was joined by National's Hamish Campbell and Labour's Duncan Webb to discuss some of the biggest stories of the week. The Government will soon be issuing fines to parents of repeatedly absent students – will this work? Is it a new idea? Campbell almost manages to explain the RMA changes in one sentence, but what do they mean for New Zealanders? And is there a place for more dairy cows in Canterbury, along with a passenger rail? LISTEN ABOVE See omnystudio.com/listener for privacy information.

The government is billing its Resource Management consultation as the country's biggest ever change to national direction. It comes hot on the heels of the fast track changes and leading up the full RMA replacement due next year. Announcements were released under six ministers' names on everything from housing to mining to agriculture - and some of it's got environmental groups up in arms. Political reporter Russell Palmer has more.

Federated Farmers is welcoming proposed changes to the Resource Management Act. The Government's released three discussion documents proposing amending 12 current national directions and four new ones. They include changes to freshwater management, regulation of farming practices and revising mine consent processes. Mark Hooper, their RMA Spokesperson, told Mike Hosking that while the guidelines are complex and there's a lot to wade through, the intent here is very much to get a simpler and better outcome. The rewritten Resource Management Act isn't expected to come until next year, so he says the intent of this release is to hopefully provide a bit more guidance and certainty for local authorities, so they can get on with their planning. LISTEN ABOVE See omnystudio.com/listener for privacy information.

On the Heather du Plessis-Allan Drive Full Show Podcast for Thursday, 29 May 2025, the Government has announced sweeping changes to RMA rules. RMA Minister Chris Bishop joins Heather in studio. Why Heather thinks we should give New Zealand born overstayers citizenship to allow them to work and stay here. The Government is passing a law that will protect the Aussie owned banks from a class action lawsuit from its Kiwi customers. Class action lawyer Scott Russell explains what's going on. Plus, the Huddle weighs in on Labour's Ginny Anderson's booboo. Get the Heather du Plessis-Allan Drive Full Show Podcast every weekday evening on iHeartRadio, or wherever you get your podcasts. LISTEN ABOVESee omnystudio.com/listener for privacy information.

Slashing certain consenting laws, allowing more quarries and mining and reducing farming red tape all feature in the proposed Government reform of the Resource Management Act. The Associate Environment Minister has described current climate regulations as 'out of proportion' to the environmental risk. Consultation's opened until July 27. RMA reform minister Chris Bishop says the country needs more energy, renewables and infrastructure - and the Government hopes to send a clear message. LISTEN ABOVESee omnystudio.com/listener for privacy information.

On the Early Edition with Ryan Bridge, Friday the 30th of May Full Show Podcast 2025, the Ministry of Education's been ordered to prosecute parents who who don't regularly send their children to school, Darfield school Principal Andy England shares his thoughts. Beef and Lamb NZ are praising the government's RMA announcement Chairperson Kate Acland explains it's benefits. New data on plane arrivals shows Air New Zealand is falling behind, Aviation Commentator Peter Clark shares his thoughts. Europe Correspondent Vincent McAviney shares the latest on police naming the man charged in relation to a car crash during the Liverpool parade. Get the Early Edition Full Show Podcast every weekday on iHeartRadio, or wherever you get your podcasts. LISTEN ABOVE See omnystudio.com/listener for privacy information.

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]   

Join hosts Dr. Abby Eblen from Nashville Fertility Center, Dr. Susan Hudson from Texas Fertility Center, and Dr. Carrie Bedient from the Fertility Center of Las Vegas as they dive into the role of three key hormones in pregnancy: thyroid hormone, prolactin, and insulin. In this episode, we discuss the thyroid's function and why it's problematic if it works too fast or slow. We explore common thyroid tests, how thyroid issues can impact pregnancy, and their connection to prolactin levels. We also break down prolactin's role, what affects its levels. We discuss the difference between a micro- and macro-adenoma and treatment for both. Additionally, we touch on galactorrhea, a condition causing unexpected breast discharge, and the importance of discussing it with your doctor. We then shift to insulin and its link to diabetes. We explain type 1 diabetes (an autoimmune condition) and type 2 diabetes (where insulin doesn't work effectively), along with the importance of hemoglobin A1C testing. Maintaining proper blood sugar levels before pregnancy is crucial, as poorly controlled diabetes can lead to birth defects, pregnancy complications, and delivery risks. Tune in for expert insights on optimizing hormonal health for pregnancy.This episode was brought to you from ReceptivaDx and RMA of New York.

New Zealand's livestock numbers are on the decline. Latest figures from Stats NZ show a 21% drop in sheep numbers over the past 10 years – a total decline of 6.2 million sheep since 2014. The number of dairy cattle also fell 13% over the same period, coinciding with the increase in land being converted for forestry. Associate Agriculture Minister Andrew Hoggard told Mike Hosking he believes the costs around RMA and other rules and regulations are partially responsible. He says one farmer he visited gave up and converted entirely to forestry as dealing with the wetland rules and requirements were too hard and costly. Hoggard hopes the work they're doing around RMA will allow farmers to make smart decisions on their farms as opposed to giving up and planting trees. LISTEN ABOVE See omnystudio.com/listener for privacy information.

After years of being a Tanta looking for love, Jen decided she was ready to be a mom: with or without a partner. In this episode of Oversharing, Jen walks us through the IVF process of using a donor and how she felt about shopping for sperm. We dive into the sacrifices and worries that come with pregnancy and Jen shares the ways that motherhood has changed her, including how she approaches being a first grade teacher.Find us on Instagram: @keepoversharing If you live in PA, leave more about RMA here:https://rmanetwork.com/our-locations/rma-philadelphia/philadelphia-pa/

Here on the Fertility Forward podcast, we often say that knowledge is power — and that you are your own best advocate! Joining Rena and Dara on the show today are two passionate guests who are dedicated to educating women about infertility, fertility benefits, healthcare coverage, and women's health. We're thrilled to welcome Dr. Taraneh Nazem, a double board-certified Reproductive Endocrinologist, Infertility Specialist, and Obstetrician-Gynecologist at RMA of New York's Westside office, along with Carissa Simek, one of Dr. Nazem's patients. In today's episode, Carissa opens up about how her desire for better fertility coverage led her to change jobs — and the incredible fertility journey she's walked with Dr. Nazem. They discuss the panel discussions they've led, the catalyst behind Carissa's decision to preserve her fertility, and how advocating for fertility education has empowered Carissa in her own life. We also explore the conversation around freezing eggs versus embryos, the biggest challenges Dr. Nazem faces in her field, and how infertility treatments can impact daily life. For all this and much more, don't miss this insightful conversation! 

Order my new book: Finally F**kn Fertile Using Yoga Meditation & Breathwork to Conceive! https://www.lisapinedayoga.com/store/p1/FINALLY_F%2ACKING_FERTILE_Using_Yoga%2C_Meditation_%26_Breathwork_to_Conceive.htmlDID YOU KNOW PCOS can be managed by some medications and even improve egg quality? In the latest episode of The Dismantling You Podcast I interview Dr. Cary Dicken  Topics we discussed:*PCOS*Endometriosis*Egg Freezingand so much moreCary L. Dicken, MD, joined RMA of New York – Long Island in the fall of 2020. She comes to us from the Sher Institute for Reproductive Medicine in New York City, where she served as Associate Medical Director for over six years. Dr. Dicken is board certified in both Obstetrics & Gynecology and Reproductive Endocrinology & Infertility. She has been recognized by her peers and patients as an outstanding and compassionate physician. Dr. Dicken is a caring and warmhearted fertility specialist while still being honest and upfront with her patients. She is proud to be a reproductive endocrinologist and loves spending her days helping individuals/couples create the families they want.Contact Dr. Cary DickenWebsite: https://www.rmalongislandivf.com/physicians/cary-l-dicken-mdInstagram: @dr.cary.dicken

In this episode, we discuss whether the government's RMA reforms could be the policy that kills the housing crisis — or creates a whole new one.You'll learn:What the new RMA changes actually mean for the property marketWhether this could lead to a housing oversupply in some parts of the countryAnd when these changes are expected to kick in and how they'll impact house prices in NZIf you're a property investor or developer, this is one policy shift you can't afford to ignore.For more from Opes Partners:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sign up for the weekly Private Property newsletter⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠TikTok⁠⁠⁠⁠⁠

In this insightful and informative episode of the pregnantish podcast, first airing in honor of National Infertility Awareness Week '25, we're joined by Dr. Karen Tang, a board-certified gynecologist and minimally invasive gynecologic surgeon and the author of "It's Not Hysteria: Everything You Need to Know About Your Reproductive Health (but Were Never Told)" From media stories to medical discussions, fertility and infertility is full of misconceptions! This episode delves into how and why we should shift the conversation from fear-based, negative messaging about reproductive health to one that's positive, empowering, and focused on achieving the reproductive goals people desire. This episode's Midroll features Dr. Lucky Sekhon, Board Certified OBGYN & Fertility Doctor who practices at RMA of NY, the episode sponsor, to tackle some of the more common myths and why sexual and reproductive health education needs a major overhaul. Both doctors in this conversation have used their platforms, including on social networks like Instagram and TikTok, to educate audiences and tackle misinformation. After all, in a recent pregnantish survey of over 800 people, we learned that social media is the #1 way people today access fertility information and education. With 1 in 6 facing infertility and 1 in 4 navigating pregnancy loss today, there's nothing niche about this topic. This episode is a celebration of breaking down barriers, busting myths and encouraging people to take control of their fertility so they can best advocate for their health. Thank you to episode sponsor RMA of New York, a global leader in reproductive medicine who is partnered with US Fertility and its network of premier reproductive medicine practices. Get the facts about your reproductive health at rmany.com. Hosted on Acast. See acast.com/privacy for more information.

My fun fact of the week, not that it's that fun or even new, given it's been around if you could be bothered looking. In Hawke's Bay there are 56 mayors, chairs and councillors spread across five councils. Just for Hawke's Bay. Not Mexico City, or London, or New York. Hawke's Bay, in little old regional New Zealand. This is contained in an excellent piece well worth reading over the long weekend to be found on the Newsroom website. Broadly it looks into amalgamation of councils. The good news is amalgamation is coming. In my view it cannot come fast enough. This small land is festooned with councils and boards and groups who do little other than add to inflation with cost, plus accounting. The trick, and part of it is the Government's Water Done Well programme, is once they spin those duties out to new entities you won't need as many councils and councils won't have a ratepayer base to be able to afford stuff anyway. But here is where it might go wrong: 1) Fiefdoms. Too many still argue they are more important than they are. 2) The Government says they won't enforce this change. They will act on the communities' will. Big, big mistake. On the upside there is talk of as few as 13 unitary authorities. That would mean 11 regional councils gone. Good, do it as quick as you like. We are grossly over-councilled in this country, with 67 currently. We have authorities for handfuls of thousands of people. It's absurd and that's before you get to the quality, or lack of it. The savings are huge, with $5 billion on the RMA side alone. By the time you read the article you are left uplifted by the possibility that one of your more boring topics, local body representation, might, just might, be heading somewhere good. My hope is if it does head somewhere good, we may at last start to pay attention to it, be invested in it and it becomes a virtuous circle of success, productivity and positivity. And if that doesn't fizz you up for a good Easter, nothing does. See omnystudio.com/listener for privacy information.

How can data enable doctors to best support their patients? Reproductive endocrinologist and associate research director Dr. Phillip Romanski joins us in conversation to discuss the annual Pacific Coast Reproductive Society Conference (PCRS), everything he learned, and what he spoke about. Tune in to hear Dr. Romanski's perspective on mosaic embryo transfers before we dive into the complex world of segmental mosaic embryos and fully segmental aneuploid embryos. We discuss Preimplantation Genetic Testing, how to personalize care on an ongoing basis, and how in vitro maturation and in vitro gametogenesis will shape the future of fertility. Join us today to hear all about the topics covered at this year's conference, the developments RMA doctors are focused on today, and more. Thanks for listening.  

Gareth Hughes and Tim Hurdle discuss supermarkets, ferries and RMA reform 

Last week, the government announced its plans for reforming the Resource Management Act, or the RMA, introducing two acts to replace the current RMA. The plan is to bring the two acts before the select committee next year, passing them just before the next election.  For our weekly catch up News and Editorial Director and Monday Wire Host, Joel, spoke to the ACT Party's Simon Court about this reform, working with the opposition, and the lack of a Treaty clause. We also talked about concerns that the health and police system in Aotearoa are failing, following an 11-year old being misidentified as a 20-year old by police and being administered antipsychotic drugs. But first, we touched on the RMA reform.

This week on the Monday Wire: For our weekly catch up with Te Pāti Māori's Takutai Kemp, News and Editorial Director and Monday Wire Host, Joel, speaks to her about Finance Minister, Nicola Willis' plans to combat Aotearoa's supermarket duopoly, Green MP, Tamatha Paul's comments about police, and Te Pāti Māori's recent calls for mandatory police body cameras. For our weekly catch up with The ACT Party's Simon Court, Joel speaks to him about the Resource Management Act, or RMA reforms and concerns about the country's health and police system, following an 11-year old being misidentified as a 20-year old by police, and administered antipsychotic drugs. On Friday, they spoke to the spokesperson for People Against Prisons Aotearoa and Criminology Lecturer at the University of Auckland, Dr Emmy Rākete, about Tamatha Paul's comments about police practices in the country, the reaction they have received, and whether the reaction has been justified. They speak to the Chief Executive Officer of Consumer NZ, Jon Duffy, about Nicola Willis' plans to combat the supermarket duopoly and how the organisation are feeling about these developments. On Friday, they also spoke to a Senior Politics and International Relations Lecturer at the University of Auckland, Tim Fadgen, about US President Donald Trump's ‘overreach' in American universities, and if we should expect similar occurrences at New Zealand universities. And Global Innovator, Matt Hart, joins Joel in studio to continue our discussion around the Netflix series ‘Adolescence,'  fandoms, and exploring the role of soft power. Whakarongo mai

Gareth Hughes and Tim Hurdle discuss supermarkets, ferries and RMA reform Go to this episode on rnz.co.nz for more details

Why This Episode Is a Must-Watch Planning for retirement can feel overwhelming with its complexities and uncertainties. This episode of "Inspired Money" tackles the essential question: How do you turn your savings into reliable income that will last throughout retirement? We bring together a panel of four esteemed experts to share proven strategies, actionable insights, and industry wisdom to help you craft a solid retirement income plan. Whether you are just beginning to think about retirement or looking to refine your strategy, this episode offers valuable advice on diversifying your income, managing taxes, and inflation-proofing your financial future. Meet the Expert Panelists Wade Pfau, PhD, CFA, RICP®, is one of the foremost thought leaders in retirement income planning. He's a professor at The American College of Financial Services, a partner at McLean Asset Management, and the author of the widely acclaimed "Retirement Planning Guidebook." Holding a PhD in Economics from Princeton University, Wade's research has shaped how retirees and financial professionals approach sustainable income strategies. Mary Beth Franklin, CFP®, is a leading authority on Social Security and Medicare. A veteran financial journalist, she's spent over 40 years educating both consumers and financial advisors. She's also the author of "Maximizing Your Social Security Retirement Benefits." If you want to get every dollar you're entitled to, Mary Beth's insights are invaluable. William Bengen revolutionized the way we think about retirement withdrawals and is author of "A Richer Retirement". Best known for creating the "4% Rule," his research has guided countless retirees toward sustainable spending strategies. With an Massachusetts Institute of Technology background in aerospace engineering and a second career in financial planning, Bill brings both precision and practicality to the table. Dana Anspach, CFP®, RMA®, CFP®, RMA®, is the founder and CEO of Sensible Money, LLC. She's dedicated her career to helping people create sustainable retirement income plans. She's the author of "Control Your Retirement Destiny" and "Social Security Sense." Dana's hands-on experience makes her a wealth of practical knowledge. Key Highlights: The Importance of a Diversified Income Portfolio Bill Bengen reveals insights into maintaining a balanced portfolio with an optimal stock allocation to protect against market volatility. He notes, "You need to keep a healthy allocation to stocks to ensure your portfolio generates enough return." Tax Efficient Withdrawal Strategies Wade Pfau discusses maximizing the longevity of retirement funds through strategic tax withdrawal strategies, emphasizing, "Managing an effective marginal tax rate in a strategic manner can have a huge impact on the sustainability of funds in retirement." Social Security as a Foundational Income Source Mary Beth Franklin underscores the critical role of Social Security, providing guidance on maximizing benefits while addressing public concerns about its future reliability. Inflation Risks The episode highlights the threat of inflation and offers strategies to protect retirement income, with Bill Bengen noting that "Inflation is the greatest risk to retirees. Call-to-Action This week, take a closer look at your retirement income plan. Start crafting or refining your strategy to ensure that you have a diversified mix of income sources, consider the impact of inflation, and explore avenues for making your withdrawals more tax-efficient. Planning and flexibility are your keys to a secure financial future. Find the Inspired Money channel on YouTube or listen to Inspired Money in your favorite podcast player. Andy Wang, Host/Producer of Inspired Money

The Government's made several housing announcements today - including allocating $100 million to be lent to developers for housing infrastructure on the outskirts of cities. Minister Chris Bishop also confirms the Government will cut RMA red tape limiting development on new land. He says the housing crisis is holding us back economically and socially. RMA lawyer Johanna King says these changes could work out for farmers - who can build extra spaces on their land without restrictions getting in the way. LISTEN ABOVESee omnystudio.com/listener for privacy information.

Questions to Ministers RYAN HAMILTON to the Minister of Finance: What recent reports has she seen on the economy? Rt Hon CHRIS HIPKINS to the Prime Minister: Does he stand by all his Government's statements and actions? DEBBIE NGAREWA-PACKER to the Minister responsible for RMA Reform: What is his reaction, if any, to the Kaiwhakahaere for Ngati Ruanui's statement regarding proposed changes to the RMA that "This move breaches both our settlement and the Government's obligations under the Treaty of Waitangi"? CATHERINE WEDD to the Minister of Justice: How is the Government progressing with its plan to restore stronger consequences for crime? Hon BARBARA EDMONDS to the Minister of Finance: Does she agree that the Treasury is the Government's lead economic and financial adviser; if so, does she have confidence in advice from the Treasury? CHLÖE SWARBRICK to the Prime Minister: E tautoko ana ia i nga korero me nga mahi katoa a tona Kawanatanga? Does he stand by all of his Government's statements and actions? Hon WILLIE JACKSON to the Minister for Maori Development: Is he across everything in his portfolio; if not, why not? SAM UFFINDELL to the Minister for Social Development and Employment: What recent announcement has she made about the Annual General Adjustment? Hon WILLOW-JEAN PRIME to the Minister for Children: Does she stand by all her statements and actions? Dr CARLOS CHEUNG to the Minister of Police: What recent reports has he seen on the effectiveness of the community beat teams? Hon GINNY ANDERSEN to the Minister of Police: Does he stand by his statement regarding record levels of methamphetamine in waste-water testing, "Well, I don't know whether that's dealers dumping methamphetamine"; if not, why not? SCOTT WILLIS to the Minister of Health: Does he stand by his statement that "Our Government is focused on delivering timely, quality healthcare for all New Zealanders"; if so, has he contracted the build of the inpatient building for the Dunedin Hospital yet? Question to Member Hon Dr DUNCAN WEBB to the Chairperson of the Justice Committee: Will he report the Principles of the Treaty of Waitangi Bill to the House before all submissions have been processed and considered by members?

The Prime Minister accidentally ponders Winston's health and diet, an Indian FTA, the Investment Summit, changes to RMA, a lift in GDP, Winston wanting us out of the Paris Climate Agreement and whether the latter's war of words with Chris Hipkins will win the Nats the 2026 election by default.See omnystudio.com/listener for privacy information.

Just two days ago, the government announced a complete overhaul of the Resource Management Act.  The RMA as it is would be dismantled and then split into two acts; a planning act regulating the use and development of land, and a Natural Environment Act focusing on the use and protection of land, air, water and other natural resources. Minister Responsible for RMA Reform Chris Bishop and Under-Secretary Simon Court said that the reforms were intended to streamline development more efficiently while also protecting the environment. The week before, the Greens issued a call for the compassionate release of 77-year old inmate Dean Wickliffe, who is currently on a hunger strike at the Spring Hill Corrections Facility after being arrested for being made houseless in violation of his probation conditions. And Green Party Co-Leader Chloe Swarbrick made a renewed call to the government calling on them to support a members bill of hers that would sanction Israel for their occupation of the Palestinian territories. For their weekly catchup, Oto spoke to the Green Party's Ricardo Menendez March for the party's take on all of these issues.

On today's episode, the government wants bipartisan support to repeal and replace the RMA, we cross to the US to get the latest on yesterday's bombshell that senior Trump administration officials discussed plans to bomb Yemen in a group messaging app, investigations are underway into how the police mistook an 11-year-old for a 20-year-old, and Auckland Council are set to decide on which stadium proposal to support in the city.

Labour leader Chris Hipkins says compromises will need to be made in reforming the Resource Management Act. The Government's replacing the Act with a new planning framework, including rules around land development and environment protections. It's seeking cross-party support. Hipkins told Mike Hosking the country's administration can't keep putting infrastructure projects on hold. He says that if there are projects underway, even if they're not the administration's first choice, they'll keep doing them. Labour also wants clarity around the Treaty of Waitangi's role in the reform. Cabinet's decided on ruling out incorporating a Treaty clause in the legislation, despite the Expert Advisory Group recommending the current clause be carried over. Hipkins told Mike Hosking they want to make sure Treaty settlements are respected. He says saying you want to respect the Treaty but then saying you don't want to put it into law is contradictory. LISTEN ABOVE See omnystudio.com/listener for privacy information.

On the Mike Hosking Breakfast Full Show Podcast for Wednesday the 26th of March, the national stadium debate is continuing to drag on - and Rugby World Cup CEO Martin Snedden is calling for some action. The government has written to Labour and the Greens asking for cross party support for its RMA reform - Mike asks Chris Hipkins whether Labour will get on board. And Mike loves the idea of people needing a qualification to be able to become a local councillor or Mayor. Get the Mike Hosking Breakfast Full Show Podcast every weekday morning on iHeartRadio, or wherever you get your podcasts. LISTEN ABOVE See omnystudio.com/listener for privacy information.

It's the law that governs almost everything about New Zealand's land, air, and water management - the government's finally revealed its plans to replace the behemoth that is the Resource Management Act. Political reporter Giles Dexter joins Lisa Owen.

On today's episode, Prime Minister Christopher Luxon joins us to discuss changes to the RMA, there are concerns from hospital specialists over plans to outsource procedures to the private sector, an 11-year-old was mistaken for a 20-year-old and admitted to a mental health facility, the All Whites have qualified for the 2026 World Cup, and an early painting by Goldie has sold for nearly $90,000.

There are hopes reforms to the Resource Management Act have walked the line between development and environment. The Government's new framework for planning includes new acts around development of land and on protection of the natural environment. Each act includes a set of national policy direction for simplifying and streamlining local government plans and decision-making. RMA Expert Advisory Group chair Janette Campbell told Mike Hosking they're confident it's hit a balance. She says they had a clear direction to protect the environment bottom line, and they've done that with the Environment Act. LISTEN ABOVE See omnystudio.com/listener for privacy information.

On the Mike Hosking Breakfast Full Show Podcast for Tuesday 25th of March, the Government is adjusting the RMA again – will this change be the end of it all? The Prime Minister is back from India and talking Kainga Ora, councils stopping the clock, and our national debt. Australian singer Pete Murray is coming back to New Zealand after 17 years to play some shows, so he came on for a chat. Get the Mike Hosking Breakfast Full Show Podcast every weekday morning on iHeartRadio, or wherever you get your podcasts. LISTEN ABOVE See omnystudio.com/listener for privacy information.

Christopher Luxon says the country needs to get faster at building things. The Government's announced it is replacing the Resource Management Act with a new planning framework, including new Acts around development of land and on protection of the natural environment. It comes after the Government also announced plans to allow trusted builders to approve their own work and look at whether consenting authorities are fit-for-purpose. The Prime Minister told Mike Hosking too many things are standing in the way of getting things done. He says it currently takes 19 months to build a standard three or four-bedroom house here and is 50% more expensive than in Australia. LISTEN ABOVE See omnystudio.com/listener for privacy information.

Land owners will have more control of their property under the Government's new Resource Management Act system. It's scrapping the RMA to replace it with two acts focused on land use and environmental protections. Cabinet is hoping to pass it before the next election - to be in place before councils start 2027 long-term plans. RMA Reform Minister Chris Bishop says building and expanding will become much smoother. "So as long as you meet the standards and you're using your own property - you can go off and do it. So fewer plans, fewer resource consents, much more standardisation - a much simpler system." LISTEN ABOVESee omnystudio.com/listener for privacy information.

On the Heather du Plessis-Allan Drive Full Show Podcast for Monday, 24 March 2025, Children's Minister Karen Chhour says she's shocked by revelations of Oranga Tamariki's grievous privacy breaches, including informing a woman's former partner of her address - leading to her physical abuse. RMA Reform Minister Chris Bishop tells Ryan Bridge he's ready to rip up the RMA - but what's it going to be replaced with? Ryan has a bouquet for a Rotorua councilor .... and Local Government NZ argues councils never spend money on stupid vanity projects. Plus, former All White Ben Sigmund remembers the last time New Zealand qualified for the FIFA World Cup - and the party that followed. Get the Heather du Plessis-Allan Drive Full Show Podcast every weekday evening on iHeartRadio, or wherever you get your podcasts. LISTEN ABOVESee omnystudio.com/listener for privacy information.

There's potential for some bi-partisanship as the Government reveals key features of a replacement Resource Management Act system. Two replacement acts will include clearer environmental boundaries and prioritise property rights. RMA Reform Minister Chris Bishop says it also has common sense ideas - like standardised zoning countrywide. He says he'll reach out to Labour and the Greens to look for areas where they can work together. Newstalk ZB senior political correspondent Barry Soper explains further. LISTEN ABOVESee omnystudio.com/listener for privacy information.

When is the right time to have children? What if you put having a family on the back burner and then something tragic happens that prevents you from conceiving? Today, we are joined by cancer survivor and RMA client Alexandria Touris and her doctor, our very own Matthew Lederman, to discuss navigating fertility with cancer. Tuning in, you'll hear all about how Alexandria's life was turned upside down when she received her cancer diagnosis, her egg retrieval process, the kind of support system she had, and her personal opinion (and words of wisdom) about freezing your eggs if having a family may ever be on the cards for you. Dr. Lederman also explains that cancer is affecting younger women before sharing some of the difficult questions he asks his patients to individualize their care. Finally, we discuss what we are grateful for today. To hear all this and even be reminded to be kind and pay it forward, be sure to press play now!

Today's Topics:1. Sound Signature Review 6.180 – the Centurion Arms Maximus-L on the 5.56 standard untuned MK18. Oh, my goodness gracious. Yet another hybrid design on the market?! The humanity! Dedicated 5.56 model, Inconel, light weight…. Does it bring the performance? This is the introductory discussion for the report published today with this episode. (00:06:37)2. The Walther PPK-SD chambered in .32ACP. We got it back from RMA! What was fixed? Apparently, a common issue. No more light strikes! A quick update on this potential future test host and the slow progress of its proving ground. (00:28:57)Sponsored by - Silencer Shop, Top Gun Range Houston, Legion Athletics, Capitol Armory, and the PEW Science Laboratory!Legion Athletics: use code pewscience for 20% off your first order and double points!Magpul: Use code PSTEN to receive $10 off your order of $100 or more at Magpul

Episode 143: Recovery in the News In this episode of Recovery in the Middle Ages, we run down the latest news from the world of recovery, giving our take on the headlines that matter to those on the sober path. We discuss the tragic passing of Melissa Trachtenberg, which may have been related to alcoholic liver disease. Then, we discuss The New York Times' long-overdue admission that red wine is not, in fact, the health elixir it was once hyped up to be—turns out, the “glass of wine a day” myth doesn't hold up under scrutiny. Finally, we highlight a success story worth celebrating: Blac Chyna marks two years of sobriety, proving that transformation is possible and that the journey to recovery is as much about growth and self-discovery as it is about abstaining from booze.  Recovery in the News: Has Red Wine lost its Health Halo?  Michelle Trachtenberg, known for her roles in "Buffy the Vampire Slayer" and "Harriet the Spy," passed away at the age of 39.  Angela White, formerly known as Blac Chyna, recently marked two years of sobriety. She has been open about her struggles with alcohol and the positive changes sobriety has brought to her life The Week in Weird: Assemblyman Chris Rogers (D-Santa Rosa) puts forth bill number 666, in hopes of making Bigfoot the state cryptid of California. *This podcast does not provide medical advice, diagnosis, or treatment. Always seek the advice of your healthcare provider with any questions you may have regarding a medical condition or treatment.* Please remember to SUBSCRIBE to the podcast on your favorite platform to get the latest episode delivered right to your devices as soon as it's released. LINKS: www.soberliningsplaybook.com We are a listener-supported podcast. If you like what we're doing here at RMA and want to support the show, JOIN THE RECOVERY IN THE MIDDLE AGES PATREON  Our sole mission is to help other people achieve sobriety and become their best, most authentic selves. As little as $3 a month makes a big difference and helps us keep the lights on.  https://www.patreon.com/RecoveryintheMiddleAges As always, we thank you for your support.  RMA ON YOUTUBE FOLLOW US ON TWITTER  Facebook Page We also have a Facebook Group! Request to join the group. It's a private space for continuing the discussion of what Nat and Mike talk about on the podcast. Hope to see you there. PLEASE leave us a 5 star review on I-Tunes if you're enjoying the show and SUBSCRIBE to get the latest episodes.  Email: MikeR@middleagesrecovery.com Natx@middleagesrecovery.com We all have a story. Tell us yours and we'll share it on the show! E-Mail your story to miker@middleagesrecovery.com If you're in trouble with substance abuse and need help, reach out. There are thousands of people who have put problems with addiction in their rear-view mirrors and you can be one of them. While we neither endorse nor condemn any particular program, the sheer number of available AA and NA meetings suggest that reaching out to those organizations would be a good first step, (but maybe not the last step), on your road to recovery.   https://www.aa.org/ https://www.na.org/meetingsearch/ Marijuana Anonymous (just in case): This Naked Mind   ONE IN THE GOOSE TWO IN THE POOSE!

Fertility treatment is constantly evolving, with new advancements offering patients more options and greater success rates. In this episode, I'm joined by Dr. Catha Fischer, a board-certified reproductive endocrinologist at RMA of New York, to discuss what's on the horizon in reproductive medicine. Dr. Fischer shares insights into the latest breakthroughs in fertility treatments, from advancements in IVF technology to the potential of artificial intelligence in embryo selection. We also talk about how egg freezing has evolved, the role of lifestyle and nutrition in fertility, and what patients should consider when looking at emerging treatments. If you're curious about the future of fertility care, this episode is for you! In this episode, we cover: The biggest advancements in fertility care today How artificial intelligence is shaping embryo selection The evolution of egg freezing and its growing success rates The impact of lifestyle and nutrition on fertility What patients should know about new and emerging fertility treatments The future of personalized fertility care Read the full show notes on my website. Visit Dr. Catha Fischer's website at Spring Fertility. IVF Class: Do you have questions about IVF? Click here to join me for The IVF Class. The next live class call is on Monday, March 10, 2025, at 4pm PST, where I'll explain IVF and Egg Freezing, and there will be time to ask your questions live on Zoom. Other ways to reach me: Visit my YouTube channel for more fertility tips! Subscribe to the newsletter to get updates. Join Egg Whisperer School. Request a Consultation with me. Dr. Aimee Eyvazzadeh is one of America's most well-known fertility doctors. Her success rate at baby-making gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

Paul Kanning is a farmer in Montana who grows mostly red lentils and yellow peas as well as wheat and canola. He also serves as the chairman of the USA Dry Pea and Lentil Council. Lewi Crow is a Risk Management Specialist with the USDA Risk Management Agency that services Wyoming, Montana and the Dakotas. Lewi and Paul talk about the importance of RMA and crop insurance, but also the process behind developing crop insurance programs for pulse crops. “ As an individual farmer, I have to provide them data and the way I do that is by making transactions, right? And so selling pulses in the fall helps establish the harvest price for the fall. That's the only way that they can come up with the data is by farmers putting product out in the stream… That makes the whole wheel turn.” - Paul Kanning ”...some of the things that I do with that is reviewing plant dates, basically just kind of pulling apart crop programs and reviewing all aspects of it that goes on with rates and t-yields for individual counties, rotation requirements, various things that farmers tend to encounter when choosing crop insurance.” - Lewi CrowThis Week on Growing Pulse Crops:Meet Paul Kanning, a pulse crop farmer in Montana and the chairman of the USA Dry Pea and Lentil Council, and Lewi Crow, a Risk Management Specialist with the USDA Risk Management Agency Understand what the RMA provides for producers and the insight they can offer when making production decisionsMake a note of these important dates:January 15th is when the harvest price is released Beginning of March is when projected prices for this 2025 crop year are releasedMarch 15th is the sales closing date for most of the spring seeded crops so Lewi recommends reviewing your crop insurance prior to that date Growing Pulse Crops is produced by Dr. Audrey Kalil and hosted by Tim Hammerich of the Future of Agriculture Podcast.

On this episode of Talking Away The Taboo, Natalie Richeimer, MS, CGC, Genetic Counselor, Education and Outreach Manager at Jscreen, Bat-Sheva L. Maslow MD, REI, RMA, and Rena Fox, RNC-OB, BSN, join Aimee Baron, MD to talk about genetics and Infertility. The introductory episode of our 5-part IWSTHAB x JSCREEN Podcast series dives into the genetic aspect of fertility and recurrent pregnancy loss (RPL) workups, setting the stage for an engaging and informative series that blends expert knowledge with deeply personal stories. Moderated by Dr. Aimee Baron of IWSTHAB, in this epsiode, we speak to Natalie, a reproductive genetic counselor, will explain what a genetic counselor does and how genetics factor into infertility evaluations. Dr. Batsheva Maslow (REI) will provide a medical perspective on infertility evaluations and how certain diagnoses and/or findings can help direct treatment. And finally,  Rena Fox will share her personal journey as part of a carrier couple who chose IVF for genetic reasons, shedding light on the real-life implications of genetic fertility challenges.  More about Natalie:  Natalie Richeimer, MS, CGC, is a board certified genetic counselor at jscreen with clinical experience in adult, pediatric, and reproductive genetic counseling. She holds a master's degree in human genetics and genetic counseling from the Keck Graduate Institute. Natalie is a native Torontonian, who lives in Los Angeles with her husband and two boys. She has published research in the Journal of Genetic Counseling on the impact of orthodox Jewish clergy's role in prenatal genetic counseling. Prior to her work as a genetic counselor, Natalie worked as a high school STEM teacher for 7 years in Los Angeles. She is passionate about reproductive health education and community engagement. Natalie has a special interest in outreach, with the goal of increasing awareness of and access to genetic counseling. Natalie has partnered with local organizations and high schools to provide community education. More about Dr. Maslow: Dr. Bat-Sheva Lerner Maslow is double board-certified in OB/GYN and Reproductive Endocrinologist and Infertility and is the lead physician at the Reproductive Medical Associates of New Jersey - Jersey City office. Dr. Maslow has a special interest in education, research, and the clinical care of single women considering proactive fertility preservation.  Outside of the office, Dr. Maslow lectures and writes on the intersection of halakha and reproduction. She serves as the Director of Medical Education for the North American Yoatzot Halacha Program and is a board member of several organizations related to Jewish women and health. She maintains an active educational presence on social media discussing issues related to reproduction in the Jewish community.  Dr. Maslow attended Barnard College and the Albert Einstein College of Medicine. She completed residency in Obstetrics & Gynecology at the University of Pennsylvania and fellowship in Reproductive Endocrinology & Infertility at the University of Connecticut, where she also completed a master's degree in clinical and translational research More about Rena:  Rena is an experienced nurse with 6 years in labor and delivery and 2 years in reproductive endocrinology and infertility (REI). Having personally gone through IVF, she combines professional expertise with personal insight to provide compassionate care and support to those navigating fertility challenges. Connect with us: -Check out our Website - Follow us on Instagram and send us a message -Watch our TikToks -Follow us on Facebook -Watch us on YouTube

Episode 142: RMA, RFK and the San Patrignano Experiment In this episode of Recovery in the Middle Ages, we take a look at Robert F. Kennedy Jr.'s plan to address addiction in America, which leans heavily on his personal recovery experience and the model of Italy's San Patrignano rehab center. Kennedy's proposal centers around creating “wellness farms” across rural America, where people struggling with addiction can live and work in therapeutic communities, focusing on organic farming and communal living as an alternative to incarceration. This approach is inspired by San Patrignano's long-term, work-based rehab program, which has seen success for those who stick with it. But there's a lot of pushback, as critics point out the lack of medically assisted treatment and the potential for coercive practices, which have plagued San Patrignano in the past. Kennedy's skepticism toward pharmaceutical treatments like methadone and his promotion of alternative therapies like cannabis and psychedelics are also raising eyebrows, with many worried that his approach could undermine evidence-based practices that have proven effective in addiction treatment. Recovery in the News: A study on fruit flies has identified that acetylcholine, a brain signal integral to memory and motivation, plays a crucial role in alcohol-induced sleep disturbances.  A recent survey indicates that nearly half of Americans, particularly younger generations, plan to reduce their alcohol consumption in 2025, driven by health concerns and the rising popularity of non-alcoholic alternatives.  *This podcast does not provide medical advice, diagnosis, or treatment. Always seek the advice of your healthcare provider with any questions you may have regarding a medical condition or treatment.* Please remember to SUBSCRIBE to the podcast on your favorite platform to get the latest episode delivered right to your devices as soon as it's released. LINKS: www.soberliningsplaybook.com We are a listener-supported podcast. If you like what we're doing here at RMA and want to support the show, JOIN THE RECOVERY IN THE MIDDLE AGES PATREON  Our sole mission is to help other people achieve sobriety and become their best, most authentic selves. As little as $3 a month makes a big difference and helps us keep the lights on.  https://www.patreon.com/RecoveryintheMiddleAges As always, we thank you for your support.  RMA ON YOUTUBE FOLLOW US ON TWITTER  Facebook Page We also have a Facebook Group! Request to join the group. It's a private space for continuing the discussion of what Nat and Mike talk about on the podcast. Hope to see you there. PLEASE leave us a 5 star review on I-Tunes if you're enjoying the show and SUBSCRIBE to get the latest episodes.  Email: MikeR@middleagesrecovery.com Natx@middleagesrecovery.com We all have a story. Tell us yours and we'll share it on the show! E-Mail your story to miker@middleagesrecovery.com If you're in trouble with substance abuse and need help, reach out. There are thousands of people who have put problems with addiction in their rear-view mirrors and you can be one of them. While we neither endorse nor condemn any particular program, the sheer number of available AA and NA meetings suggest that reaching out to those organizations would be a good first step, (but maybe not the last step), on your road to recovery.   https://www.aa.org/ https://www.na.org/meetingsearch/ Marijuana Anonymous (just in case): This Naked Mind  

Episode 141: The Return of RMA-Recovery in the News Edition It's been a minute, we know — but Mike and Nat are BACK, rested, refreshed and ready to serve up a new episode packed with recovery bon mots, musings, and thought-provoking insights. This week we're diving into the latest conversations around sobriety, cultural norms, and health, giving our take on three recent articles from The New York Times that challenge the narrative that drinking is normal and safe. First up: I Quit Drinking Four Years Ago. I'm Still Confronting Drinking Culture by Charles Blow. Blow reflects on his journey to sobriety, unpacking the emotional and cultural challenges faced when stepping away from alcohol. Why does society romanticize drinking while casting suspicion on those who abstain? Next: Alcohol Carries New Risks in Middle Age by Cari Blum. There are clearly heightened health risks associated with alcohol consumption in middle age, and new research reveals just how impactful booze in any quantity is on our health as we age. Finally: When It Comes to Drinking, There Are No Good Answers by Rachael Bedard. This article takes a hard look at the conflicting messages around alcohol consumption, from moderate drinking myths to the growing body of research linking alcohol with serious health concerns, including cancer and liver disease. After a long break, we're back with sharper perspectives, plenty of laughs, and the same witty repartee that RMA is known for throughout the universe. Before I forget, this week's Week in Weird is all about Drones and Orbs, and anal probing! Nat is an expert! *This podcast does not provide medical advice, diagnosis, or treatment. Always seek the advice of your healthcare provider with any questions you may have regarding a medical condition or treatment.* Please remember to SUBSCRIBE to the podcast on your favorite platform to get the latest episode delivered right to your devices as soon as it's released. LINKS: www.soberliningsplaybook.com We are a listener-supported podcast. If you like what we're doing here at RMA and want to support the show, JOIN THE RECOVERY IN THE MIDDLE AGES PATREON  Our sole mission is to help other people achieve sobriety and become their best, most authentic selves. As little as $3 a month makes a big difference and helps us keep the lights on.  https://www.patreon.com/RecoveryintheMiddleAges As always, we thank you for your support.  RMA ON YOUTUBE FOLLOW US ON TWITTER  Facebook Page We also have a Facebook Group! Request to join the group. It's a private space for continuing the discussion of what Nat and Mike talk about on the podcast. Hope to see you there. PLEASE leave us a 5 star review on I-Tunes if you're enjoying the show and SUBSCRIBE to get the latest episodes.  Email: MikeR@middleagesrecovery.com Natx@middleagesrecovery.com We all have a story. Tell us yours and we'll share it on the show! E-Mail your story to miker@middleagesrecovery.com If you're in trouble with substance abuse and need help, reach out. There are thousands of people who have put problems with addiction in their rear-view mirrors and you can be one of them. While we neither endorse nor condemn any particular program, the sheer number of available AA and NA meetings suggest that reaching out to those organizations would be a good first step, (but maybe not the last step), on your road to recovery.   https://www.aa.org/ https://www.na.org/meetingsearch/ Marijuana Anonymous (just in case): This Naked Mind