1 00:00:04,360 --> 00:00:08,160 Speaker 1: Welcome to Wellness Unmask. I'm doctor Nicole Saffire, Board certified doctor. 2 00:00:08,720 --> 00:00:11,160 Speaker 1: I'm a mom, I'm a woman, and I'm just one 3 00:00:11,160 --> 00:00:13,800 Speaker 1: of those forever truth seekers as we embark on this 4 00:00:13,880 --> 00:00:16,960 Speaker 1: podcast journey together. It is our first episode. I thought 5 00:00:17,000 --> 00:00:19,200 Speaker 1: it's going to be important to talk about why I 6 00:00:19,200 --> 00:00:22,560 Speaker 1: am so into wellness. Sure, I'm a doctor and I'm 7 00:00:22,600 --> 00:00:25,400 Speaker 1: supposed to care about health and all of that medical stuff. 8 00:00:25,760 --> 00:00:28,120 Speaker 1: But it really wasn't until I found myself on the 9 00:00:28,200 --> 00:00:31,200 Speaker 1: other side of the exam table as the patient that 10 00:00:31,280 --> 00:00:34,760 Speaker 1: I decided to dig a little bit deeper. And let 11 00:00:34,760 --> 00:00:37,480 Speaker 1: me tell you, when they say doctors make the worst patients, 12 00:00:37,680 --> 00:00:41,239 Speaker 1: we absolutely do. So now I find myself living my 13 00:00:41,320 --> 00:00:45,360 Speaker 1: life a combination of traditional Western medicine, but I have 14 00:00:45,479 --> 00:00:51,320 Speaker 1: also done a deep dive into more Eastern techniques wellness, 15 00:00:51,440 --> 00:00:53,800 Speaker 1: natural remedies. I'm all about it. And let me tell 16 00:00:53,800 --> 00:00:54,880 Speaker 1: you a little bit about why. 17 00:00:55,640 --> 00:00:55,800 Speaker 2: So. 18 00:00:56,080 --> 00:01:00,080 Speaker 1: I would say for the last ten years of my life, 19 00:01:00,240 --> 00:01:03,240 Speaker 1: I had some very obvious symptoms and if it was 20 00:01:03,280 --> 00:01:06,440 Speaker 1: written in like an exam format, like if I was 21 00:01:06,480 --> 00:01:10,039 Speaker 1: sitting down taking my medical boards and they listed out 22 00:01:10,040 --> 00:01:14,000 Speaker 1: the symptoms lam dunk, I would have known exactly what 23 00:01:14,080 --> 00:01:18,760 Speaker 1: it was is so classic. Looking back, living it was 24 00:01:18,760 --> 00:01:22,320 Speaker 1: an entirely different experience. I would complain a little bit, 25 00:01:22,560 --> 00:01:25,880 Speaker 1: oh this hurts a little bit my eye. I would 26 00:01:25,880 --> 00:01:28,399 Speaker 1: wake up one morning and would be beat red and 27 00:01:28,520 --> 00:01:31,720 Speaker 1: incredibly painful, and ah, you know what, I'd give it 28 00:01:31,760 --> 00:01:35,039 Speaker 1: some time, give it some time. Year after year after year. 29 00:01:35,200 --> 00:01:37,840 Speaker 1: I would just kind of deal with it, tell my 30 00:01:37,920 --> 00:01:41,160 Speaker 1: husband a little bit about it. And then finally, when 31 00:01:41,240 --> 00:01:45,640 Speaker 1: symptoms kind of got pretty unbearable, I had to have 32 00:01:45,680 --> 00:01:50,000 Speaker 1: that big sigh and say, something's going on. And while 33 00:01:50,800 --> 00:01:53,920 Speaker 1: I love that I'm trying to manage myself being the 34 00:01:53,960 --> 00:01:57,640 Speaker 1: doctor and the patient, it's not working. I'm failing as 35 00:01:57,680 --> 00:02:01,560 Speaker 1: my own doctor and the patient, and also me is 36 00:02:01,600 --> 00:02:04,440 Speaker 1: suffering because of it. So I decided to go see 37 00:02:04,440 --> 00:02:07,600 Speaker 1: a rhumatologist. And one of the hardest things for me 38 00:02:08,120 --> 00:02:11,040 Speaker 1: going to see a doctor is I walk into the 39 00:02:11,080 --> 00:02:14,160 Speaker 1: room and I automatically think I know more than them, 40 00:02:14,560 --> 00:02:19,639 Speaker 1: which is ridiculous because, by no strets of the imagination, 41 00:02:20,400 --> 00:02:24,799 Speaker 1: do I know anything about rheumatology and autoimmune diseases other 42 00:02:24,840 --> 00:02:27,080 Speaker 1: than what I learned in medical school. And let me 43 00:02:27,080 --> 00:02:29,440 Speaker 1: tell you, at this point, just about everything I learned 44 00:02:29,440 --> 00:02:33,440 Speaker 1: in medical school is pretty outdated. It's quite antiquated. So 45 00:02:34,240 --> 00:02:36,959 Speaker 1: I'm going to remind myself that I am an expert 46 00:02:37,000 --> 00:02:41,160 Speaker 1: in one thing, and that's cancer. So it wasn't cancer 47 00:02:41,200 --> 00:02:44,519 Speaker 1: that was causing my symptoms. So I had to take 48 00:02:44,560 --> 00:02:47,760 Speaker 1: a back seat real fast and realize I don't even 49 00:02:47,840 --> 00:02:50,480 Speaker 1: I don't know anything about me, and I really needed 50 00:02:50,760 --> 00:02:53,560 Speaker 1: some help. That's really hard for people is to recognize 51 00:02:53,600 --> 00:02:57,040 Speaker 1: when you need help. For me specifically, I find it 52 00:02:57,240 --> 00:03:00,520 Speaker 1: very hard to admit that I'm not running at one 53 00:03:00,560 --> 00:03:04,200 Speaker 1: hundred percent, that I don't know what's going on, and 54 00:03:04,400 --> 00:03:07,400 Speaker 1: even more, I don't know how to fix it. But 55 00:03:07,520 --> 00:03:11,040 Speaker 1: thankfully I was able to find a doctor who did. 56 00:03:11,680 --> 00:03:13,680 Speaker 1: I had to go to a couple of rhumatologists. You 57 00:03:13,720 --> 00:03:16,920 Speaker 1: always you know, if you don't have that bond with 58 00:03:16,960 --> 00:03:19,880 Speaker 1: your doctor, if you don't feel like it's clicking, they're 59 00:03:19,880 --> 00:03:22,120 Speaker 1: not the right one for you. They may be brilliant, 60 00:03:22,240 --> 00:03:25,560 Speaker 1: they may be at the biggest name institutions, but it's 61 00:03:25,600 --> 00:03:28,400 Speaker 1: a feeling. It's a relationship. You have to have a 62 00:03:28,480 --> 00:03:31,160 Speaker 1: relationship with your doctor. You have to trust them, and 63 00:03:31,200 --> 00:03:33,799 Speaker 1: you have to trust that they are going to give 64 00:03:33,840 --> 00:03:37,920 Speaker 1: you honest advice and respect your decisions. You know, it 65 00:03:37,960 --> 00:03:40,920 Speaker 1: shouldn't be a paternalistic relationship. It has to be a conversation. 66 00:03:41,480 --> 00:03:43,560 Speaker 1: So I am very grateful that I have found someone 67 00:03:44,680 --> 00:03:47,400 Speaker 1: who calls me out on my bad behavior when I 68 00:03:47,480 --> 00:03:50,080 Speaker 1: have bad behavior, but she's also led me on a 69 00:03:50,080 --> 00:03:54,280 Speaker 1: path to feeling better. We started out with kind of 70 00:03:54,360 --> 00:03:58,720 Speaker 1: the very mildest of the medications. I had terrible side 71 00:03:58,720 --> 00:04:03,240 Speaker 1: effects of it, one being when I use the restroom 72 00:04:03,640 --> 00:04:07,440 Speaker 1: it looked like there was coffee from my yarn. It 73 00:04:07,480 --> 00:04:09,680 Speaker 1: was no longer ye yellow, it was brown, and it 74 00:04:09,720 --> 00:04:12,280 Speaker 1: was all because of the medication. So we have to 75 00:04:12,320 --> 00:04:15,560 Speaker 1: remember sometimes the treatments can be worse than the disease. 76 00:04:15,840 --> 00:04:19,159 Speaker 1: So I certainly had some side effects from the medications. 77 00:04:20,080 --> 00:04:26,159 Speaker 1: Over the years, I've gotten onto injections biologicals, which is 78 00:04:26,160 --> 00:04:28,960 Speaker 1: something I tried to put off for so long because 79 00:04:29,000 --> 00:04:31,839 Speaker 1: the thought of being on a weekly injection was just 80 00:04:31,920 --> 00:04:35,720 Speaker 1: something that I didn't want to relinquish myself. Too. It 81 00:04:35,760 --> 00:04:40,599 Speaker 1: also makes you somewhat immunal compromised, and I just didn't 82 00:04:40,600 --> 00:04:43,120 Speaker 1: want that. I didn't want I didn't want to be 83 00:04:43,240 --> 00:04:46,760 Speaker 1: wedded to a weekly injection, and I didn't want to 84 00:04:46,800 --> 00:04:50,760 Speaker 1: live my life being immuno compromised. It sounds, it's awful. 85 00:04:52,000 --> 00:04:54,960 Speaker 1: I was convinced to finally do it, and I'm glad 86 00:04:55,000 --> 00:04:58,720 Speaker 1: I did because my quality of life has gotten significantly 87 00:04:58,760 --> 00:05:02,240 Speaker 1: better in terms of of my disease flares and my 88 00:05:02,279 --> 00:05:05,040 Speaker 1: symptoms and just my ability to actually live my life. 89 00:05:06,279 --> 00:05:08,840 Speaker 1: And so I was really dependent just on the medications 90 00:05:08,880 --> 00:05:10,800 Speaker 1: in the beginning. That's what I was doing. That was 91 00:05:10,839 --> 00:05:13,920 Speaker 1: my treatment plan. It was all about the METS just fine, 92 00:05:14,000 --> 00:05:16,440 Speaker 1: because it's one of those illnesses where you know, you 93 00:05:16,480 --> 00:05:20,160 Speaker 1: do need some of the western medicines to help you sometimes. 94 00:05:20,320 --> 00:05:23,280 Speaker 1: But then COVID hit. And while I continued to work 95 00:05:23,320 --> 00:05:26,520 Speaker 1: full time during COVID as a physician, I had three kids. 96 00:05:26,880 --> 00:05:30,599 Speaker 1: I also found myself playing with some natural stuff a 97 00:05:30,600 --> 00:05:34,520 Speaker 1: little bit more. One of my favorite things is a 98 00:05:34,560 --> 00:05:36,720 Speaker 1: glass of champagne. Yes, yes, yes, I know. 99 00:05:37,000 --> 00:05:37,240 Speaker 2: I know. 100 00:05:37,400 --> 00:05:39,760 Speaker 1: I'm a doctor. I have an autommune disease. I shouldn't 101 00:05:39,800 --> 00:05:42,520 Speaker 1: be saying I enjoy alcohol, But you know what, I've 102 00:05:42,520 --> 00:05:46,799 Speaker 1: always said, everything in moderation, and I enjoy champagne. That's 103 00:05:46,920 --> 00:05:50,600 Speaker 1: the reality. But I also knew that champagne has a 104 00:05:50,600 --> 00:05:53,359 Speaker 1: pretty high sugar content, maybe not as high as like 105 00:05:53,520 --> 00:05:56,160 Speaker 1: some of the wines. Certainly not as high as some 106 00:05:56,200 --> 00:06:00,760 Speaker 1: of your SODA's or your fruity sweetened other bever, but 107 00:06:00,839 --> 00:06:03,360 Speaker 1: it definitely has a higher sugar content. And so I 108 00:06:03,400 --> 00:06:06,440 Speaker 1: wanted to do what I can to decrease my sugar 109 00:06:06,480 --> 00:06:10,839 Speaker 1: consumption because sugar in the body, obviously it raises your 110 00:06:10,839 --> 00:06:15,760 Speaker 1: blood sugar, and having an elevated blood sugar causes inflammation. Well, 111 00:06:15,760 --> 00:06:19,320 Speaker 1: an autoimmune disease is exactly that is inflammation in your body, 112 00:06:19,360 --> 00:06:23,200 Speaker 1: and your body's going crazy because it's so inflamed. So 113 00:06:23,440 --> 00:06:26,440 Speaker 1: you have to decrease that inflammation to help control that disease. 114 00:06:27,360 --> 00:06:30,679 Speaker 1: So I decided I wanted to decrease my champagne intake. 115 00:06:32,360 --> 00:06:33,919 Speaker 1: And one of the things that I did was I 116 00:06:34,000 --> 00:06:39,599 Speaker 1: actually switched to drinking a blanco tequila, which I know 117 00:06:39,680 --> 00:06:41,920 Speaker 1: that sounds so funny, like you don't go from champagne 118 00:06:41,920 --> 00:06:44,960 Speaker 1: to tequila for health reasons, but the reality is you 119 00:06:44,960 --> 00:06:47,560 Speaker 1: don't have the sugar boosts the same way. So that 120 00:06:47,720 --> 00:06:49,880 Speaker 1: was the first thing that I did, was I really 121 00:06:49,920 --> 00:06:54,360 Speaker 1: tried to decrease my sugar consumption by switching to a 122 00:06:54,480 --> 00:06:57,320 Speaker 1: very clean, smooth, blanco tequila. Now I didn't add anything 123 00:06:57,360 --> 00:07:00,000 Speaker 1: to it. I don't add anything that raises the blood sugar. 124 00:07:01,120 --> 00:07:02,920 Speaker 1: But that was one thing that I did. But in 125 00:07:02,960 --> 00:07:05,719 Speaker 1: addition to that, I also started to dabble with some 126 00:07:05,960 --> 00:07:10,400 Speaker 1: natural herbs, which I'm not talking about natural herbs that 127 00:07:10,480 --> 00:07:12,840 Speaker 1: you go and get in the back alley anywhere. I'm 128 00:07:12,840 --> 00:07:18,880 Speaker 1: talking about the herbs that you buy like rosemary, lavender, turmeric, ginger, 129 00:07:19,160 --> 00:07:23,520 Speaker 1: garlic in all of those. And I started growing them fresh, 130 00:07:24,320 --> 00:07:28,280 Speaker 1: making them into liquid tinctures, and then I started taking them, 131 00:07:28,440 --> 00:07:32,440 Speaker 1: and I found that by putting certain herbs together and 132 00:07:32,560 --> 00:07:35,080 Speaker 1: using them for various different things. You know, you can 133 00:07:35,240 --> 00:07:38,560 Speaker 1: use herbs to decrease your bodily inflammation, you can use 134 00:07:38,600 --> 00:07:43,880 Speaker 1: herbs to boost your immune system, grow your hair, your nails, 135 00:07:44,600 --> 00:07:50,320 Speaker 1: pain relief, verymenopausal symptoms. Who knew natural herbs could actually 136 00:07:50,320 --> 00:07:52,400 Speaker 1: help you with all of this? And some people say, 137 00:07:53,240 --> 00:07:55,840 Speaker 1: you know, natural stuff, it's a little bit. You know, 138 00:07:55,960 --> 00:07:59,360 Speaker 1: it's snake oil and all that stuff, and it's not real. Well, 139 00:07:59,480 --> 00:08:03,640 Speaker 1: let me tell you there's centuries of reports and data 140 00:08:03,760 --> 00:08:05,880 Speaker 1: showing yeah, some of that may be real. And you 141 00:08:05,920 --> 00:08:08,320 Speaker 1: know what, they don't have nearly the same side effects 142 00:08:08,760 --> 00:08:12,600 Speaker 1: as some of our Western medications. Nothing's affected my urine 143 00:08:12,840 --> 00:08:15,440 Speaker 1: like that first round of medications that I took for 144 00:08:15,560 --> 00:08:19,360 Speaker 1: my autoimmune disease. So, for me, it's been about decreasing 145 00:08:19,400 --> 00:08:23,240 Speaker 1: my sugar consumption, whether it be through my foods, the alcohol, 146 00:08:23,600 --> 00:08:27,520 Speaker 1: but also really incorporating natural herbs into my life that 147 00:08:27,720 --> 00:08:31,280 Speaker 1: has helped keep my disease in check. Yes, I'm still on. 148 00:08:32,320 --> 00:08:35,760 Speaker 1: I'm still on injections. I have to be when I 149 00:08:35,800 --> 00:08:38,320 Speaker 1: go off the injections, and believe me, I've tried. I 150 00:08:38,400 --> 00:08:41,600 Speaker 1: like to do this little test. My rheumatologist hates me 151 00:08:41,720 --> 00:08:43,600 Speaker 1: for it, but I'm like, what if I just stop 152 00:08:43,640 --> 00:08:46,080 Speaker 1: doing an injection for a couple of weeks, Let's just see, 153 00:08:46,120 --> 00:08:49,920 Speaker 1: Let's just see what happens well without fail every time 154 00:08:50,120 --> 00:08:54,440 Speaker 1: I flare. So I have relinquished myself to accept that 155 00:08:54,600 --> 00:08:58,280 Speaker 1: it is a combination between traditional Western techniques as well 156 00:08:58,320 --> 00:09:00,960 Speaker 1: as some of my natural techniques that gives me the 157 00:09:01,000 --> 00:09:04,160 Speaker 1: best harmony when it comes to my autoimmune disease. But 158 00:09:04,240 --> 00:09:08,360 Speaker 1: one of the things that I have been increasingly concerned 159 00:09:08,360 --> 00:09:11,880 Speaker 1: about is the rise in autoimmune disease. Now, for the 160 00:09:11,960 --> 00:09:15,319 Speaker 1: last several decades, it's been reported that autoimmune disease is 161 00:09:15,360 --> 00:09:17,240 Speaker 1: on the rise. I mean, we hear, we're talking about 162 00:09:17,280 --> 00:09:20,800 Speaker 1: it all the time. Cancer is on the rise, being 163 00:09:20,840 --> 00:09:23,319 Speaker 1: overweights on the rise, and all of a sudden, all 164 00:09:23,360 --> 00:09:27,080 Speaker 1: of this illness is on the rise, and the question 165 00:09:27,200 --> 00:09:30,440 Speaker 1: is why. Obviously, our lifestyle has a lot to do 166 00:09:30,520 --> 00:09:34,240 Speaker 1: with it. We sit too much, we eat too much, 167 00:09:34,559 --> 00:09:37,880 Speaker 1: and we stare at our phones way too much. All 168 00:09:37,920 --> 00:09:41,280 Speaker 1: of that affects the inflammation going on in our body, 169 00:09:41,800 --> 00:09:44,120 Speaker 1: and the more inflammation we have in our body, the 170 00:09:44,120 --> 00:09:46,960 Speaker 1: more likely things are to go awry, whether that is 171 00:09:46,960 --> 00:09:50,079 Speaker 1: an autoimmune disease, whether that is cancer or something else. 172 00:09:50,840 --> 00:09:54,480 Speaker 1: So certainly the way that we are living is contributing 173 00:09:54,520 --> 00:10:01,120 Speaker 1: to this. When COVID happen, having an autoimmune disease, I 174 00:10:01,200 --> 00:10:06,360 Speaker 1: was concerned because going into COVID I was relatively immunocompromised. 175 00:10:06,600 --> 00:10:09,200 Speaker 1: I'm not the same as being on this injection doesn't 176 00:10:09,200 --> 00:10:12,200 Speaker 1: make me as immunocompromised as say someone who's had a 177 00:10:12,240 --> 00:10:17,040 Speaker 1: bone marrow transplant, not even close. But there is still 178 00:10:17,120 --> 00:10:19,720 Speaker 1: the notion that if I were to get infected with 179 00:10:19,840 --> 00:10:22,760 Speaker 1: this virus that I could potentially have a more severe 180 00:10:22,840 --> 00:10:25,640 Speaker 1: course because I, quote unquote was one of those in 181 00:10:25,679 --> 00:10:30,600 Speaker 1: the immuno compromised camps. So I was nervous. My husband 182 00:10:30,679 --> 00:10:34,720 Speaker 1: is a brain surgeon. Is specialty is strokes and brain anerisms. 183 00:10:35,000 --> 00:10:37,080 Speaker 1: It's not like he could just say, sorry, guys, I 184 00:10:37,120 --> 00:10:40,680 Speaker 1: can't come in because I can't risk getting infected and 185 00:10:40,720 --> 00:10:43,720 Speaker 1: then bringing it home. My husband went to the hospital 186 00:10:43,760 --> 00:10:47,200 Speaker 1: every single day, didn't skip the beat. During COVID, I 187 00:10:47,320 --> 00:10:50,800 Speaker 1: too also was in the hospital and it was a 188 00:10:50,840 --> 00:10:54,240 Speaker 1: little bit of a scary time, and I ended up 189 00:10:54,240 --> 00:10:58,520 Speaker 1: getting COVID like everyone else did. It wasn't until like 190 00:10:58,640 --> 00:11:01,720 Speaker 1: November twenty twenty that I got COVID, and I got 191 00:11:01,720 --> 00:11:05,000 Speaker 1: pretty sick. I certainly got more sick than anybody else 192 00:11:05,040 --> 00:11:09,360 Speaker 1: in the house, but it was equivalent to like a 193 00:11:09,400 --> 00:11:12,440 Speaker 1: flu for me. My doctors were all very nervous about it, 194 00:11:12,920 --> 00:11:15,840 Speaker 1: trying to get me to take certain medications, and I 195 00:11:15,920 --> 00:11:20,320 Speaker 1: was confident that being hydrated, keeping my body moving, my 196 00:11:20,400 --> 00:11:22,600 Speaker 1: lungs moving, that I would I didn't need to take 197 00:11:22,640 --> 00:11:27,520 Speaker 1: those medications, and I didn't, so I got through it 198 00:11:27,600 --> 00:11:32,600 Speaker 1: just fine. And then the vaccine came out about six 199 00:11:32,640 --> 00:11:36,960 Speaker 1: weeks later, it became available for healthcare workers. I obviously 200 00:11:37,040 --> 00:11:41,000 Speaker 1: just recovered from COVID. I saw no utility to get 201 00:11:41,000 --> 00:11:43,960 Speaker 1: the vaccine on my own account. Because well, I just 202 00:11:44,040 --> 00:11:47,160 Speaker 1: had it, and I know how the immune system works. Therefore, 203 00:11:47,320 --> 00:11:52,040 Speaker 1: I have antibodies to this virus. It's a coronavirus. And 204 00:11:53,559 --> 00:11:56,439 Speaker 1: of course it was mandated from the hospitals. The hospital 205 00:11:56,480 --> 00:11:58,319 Speaker 1: says you have to get it, you have to get it. 206 00:11:58,400 --> 00:12:02,200 Speaker 1: And I tried to reason with people, saying, you know, 207 00:12:02,600 --> 00:12:05,600 Speaker 1: I'm not sure why we would vaccinate someone so recent 208 00:12:06,080 --> 00:12:12,079 Speaker 1: after an infection, especially if they have like an autoimmune disease, 209 00:12:12,440 --> 00:12:17,600 Speaker 1: because at that point their immune systems already been activated 210 00:12:17,640 --> 00:12:22,760 Speaker 1: by the virus. And like mine, I was sick with COVID. 211 00:12:22,960 --> 00:12:26,160 Speaker 1: My immune system was it was quite active during that time. 212 00:12:26,280 --> 00:12:28,520 Speaker 1: Let me tell you, I had all the feelings, all 213 00:12:28,520 --> 00:12:32,280 Speaker 1: of the symptoms. So why did I want to go 214 00:12:32,320 --> 00:12:34,800 Speaker 1: and get the vaccine right then? Has had my body 215 00:12:34,840 --> 00:12:38,800 Speaker 1: even quieted down yet from the infection, Like, let's let 216 00:12:38,800 --> 00:12:42,600 Speaker 1: it recover a little bit more. And so I delayed it. 217 00:12:42,640 --> 00:12:45,720 Speaker 1: I delayed getting the vaccine as long as I possibly could. 218 00:12:45,840 --> 00:12:50,400 Speaker 1: I tried appealing to say, you know, I don't really 219 00:12:50,440 --> 00:12:53,480 Speaker 1: want it right now. I am very concerned that there's 220 00:12:53,520 --> 00:12:58,280 Speaker 1: going to be negative implications when it comes to having 221 00:12:58,280 --> 00:13:00,400 Speaker 1: an autoimmune disease. I'm nerve risk. 222 00:13:00,320 --> 00:13:00,800 Speaker 2: That it's. 223 00:13:02,120 --> 00:13:05,280 Speaker 1: That it is going to activate my autoimmune disease and 224 00:13:05,320 --> 00:13:08,320 Speaker 1: it's going to give me a flare. There had already 225 00:13:08,320 --> 00:13:12,800 Speaker 1: been reports of inflammatory responses following the vaccine, and in fact, 226 00:13:12,840 --> 00:13:14,400 Speaker 1: that was one of the things that they were touting 227 00:13:14,440 --> 00:13:17,040 Speaker 1: about the vaccine was, Wow, you have such an amazing 228 00:13:17,120 --> 00:13:21,720 Speaker 1: inflammatory response to the vaccine, which is actually what you want. 229 00:13:22,000 --> 00:13:24,720 Speaker 1: You do. You want your body to react to a vaccine. 230 00:13:24,880 --> 00:13:28,840 Speaker 1: It produces the antibodies, and that's how vaccines work. My 231 00:13:28,960 --> 00:13:32,640 Speaker 1: concern was, but what about people who have autoimmune diseases? 232 00:13:32,920 --> 00:13:36,240 Speaker 1: What are we going to trigger their inflammation? Are we 233 00:13:36,280 --> 00:13:42,120 Speaker 1: going to trigger their autoimmune disease? And obviously it wasn't 234 00:13:42,200 --> 00:13:45,840 Speaker 1: a novel thought. Other people had it as well. I, 235 00:13:46,040 --> 00:13:49,360 Speaker 1: off the record, reached out to someone on the PESOR 236 00:13:49,480 --> 00:13:53,680 Speaker 1: Scientific Advisory Committee early on, only a few months after 237 00:13:53,679 --> 00:13:57,679 Speaker 1: the vaccine had been out, and I said a question, 238 00:13:57,840 --> 00:14:01,760 Speaker 1: this is a personal question, what about people with autoimmune diseases? 239 00:14:02,360 --> 00:14:06,240 Speaker 1: Are you seeing a flare in their symptoms? Do you 240 00:14:06,280 --> 00:14:08,440 Speaker 1: think that there's going to be a change in recommendations 241 00:14:08,480 --> 00:14:12,120 Speaker 1: for them? And the unofficial response that I was told 242 00:14:12,480 --> 00:14:18,040 Speaker 1: was it is a concern considered getting half the dose 243 00:14:18,160 --> 00:14:22,840 Speaker 1: if possible, and I was just taken aback, like, whoa 244 00:14:22,840 --> 00:14:27,600 Speaker 1: hold on a second, off record, you're telling me, as 245 00:14:27,640 --> 00:14:31,480 Speaker 1: a as an acquaintance, I should try to get a 246 00:14:31,560 --> 00:14:34,080 Speaker 1: lesser dose, which, by the way, you couldn't do that. 247 00:14:34,240 --> 00:14:37,960 Speaker 1: We had random pharmacists at all these pharmacies giving us 248 00:14:38,000 --> 00:14:40,080 Speaker 1: the vaccine. You think I'm going to say, I just 249 00:14:40,120 --> 00:14:43,520 Speaker 1: saw half the dose please, and they're going to be like, oh, yeah, sure, 250 00:14:43,560 --> 00:14:46,560 Speaker 1: I'll do that. No, that's not how it's going to work. 251 00:14:47,240 --> 00:14:49,840 Speaker 1: But the fact that there was even a suggestion to 252 00:14:49,960 --> 00:14:54,440 Speaker 1: decrease the dose to avoid an autoimmune flare told me 253 00:14:55,320 --> 00:14:58,520 Speaker 1: there must be some safety signal somewhere that this could 254 00:14:58,520 --> 00:15:02,080 Speaker 1: potentially flare the autoimmune disease. And I actually wrote about 255 00:15:02,120 --> 00:15:05,240 Speaker 1: my concerns. I wrote about it in the Wall Street Journal. 256 00:15:05,280 --> 00:15:09,120 Speaker 1: I wrote about it at Foxdigital dot Com. I said 257 00:15:09,160 --> 00:15:11,840 Speaker 1: that I was concerned that the vaccine was going to 258 00:15:11,880 --> 00:15:15,840 Speaker 1: cause too much inflammation in the body. And I specifically 259 00:15:15,880 --> 00:15:19,840 Speaker 1: mentioned it for the children because there was talk about 260 00:15:19,920 --> 00:15:25,240 Speaker 1: kids getting misc which is essentially an inflammatory response, almost 261 00:15:25,280 --> 00:15:29,160 Speaker 1: like an autoimmune response. They were getting that from COVID. Well, 262 00:15:29,160 --> 00:15:32,600 Speaker 1: now we're going to recommend giving them a vaccine that's 263 00:15:32,640 --> 00:15:36,400 Speaker 1: causing an even higher inflammatory response. What's that going to 264 00:15:36,400 --> 00:15:39,720 Speaker 1: do to kids? Are kids going to now get inflammation 265 00:15:39,880 --> 00:15:42,040 Speaker 1: from the vaccine? Are they going to get an autoimmune 266 00:15:42,080 --> 00:15:44,200 Speaker 1: disease from the vaccine? I had a lot of concerns 267 00:15:44,200 --> 00:15:48,000 Speaker 1: about this, and I was very vocal about it, especially 268 00:15:48,040 --> 00:15:51,280 Speaker 1: when it came to kids. And I was really turned 269 00:15:51,280 --> 00:15:54,400 Speaker 1: off on a lot of things from COVID. Obviously, I 270 00:15:54,400 --> 00:15:57,240 Speaker 1: think we all were, but when it came to the 271 00:15:57,280 --> 00:16:00,680 Speaker 1: autoimmune diseases, I just I was very concerned. We were 272 00:16:00,680 --> 00:16:04,360 Speaker 1: already seeing a rise in autoimmune disease pre COVID. COVID 273 00:16:04,400 --> 00:16:09,240 Speaker 1: infections was causing a flare of autoimmune disease, and now 274 00:16:09,400 --> 00:16:13,000 Speaker 1: several years later, it's well documented that the COVID vaccine 275 00:16:13,160 --> 00:16:18,480 Speaker 1: also flared autoimmune diseases and actually caused some new autoimmune 276 00:16:19,040 --> 00:16:23,600 Speaker 1: symptoms and disease in patients. So part of me thinks 277 00:16:23,600 --> 00:16:25,960 Speaker 1: that a lot of it caused a lot more harm 278 00:16:26,000 --> 00:16:30,200 Speaker 1: than good. And it's a little disconcerting moving into the 279 00:16:30,200 --> 00:16:35,080 Speaker 1: future with this rising autoimmune disease. And while I like 280 00:16:35,160 --> 00:16:37,680 Speaker 1: to fancy myself as someone who knows a lot about 281 00:16:37,680 --> 00:16:40,600 Speaker 1: autoimmune diseases, and I do, because I've had to read 282 00:16:40,600 --> 00:16:42,680 Speaker 1: a lot about them. I've lived with them now for 283 00:16:42,720 --> 00:16:46,280 Speaker 1: over a decade. I am not an expert, and that 284 00:16:46,400 --> 00:16:48,640 Speaker 1: is why I have my own rheumatologists. That's why I 285 00:16:48,680 --> 00:16:52,640 Speaker 1: listened to my rheumatologists most of the time. But I 286 00:16:52,720 --> 00:16:55,840 Speaker 1: wanted to bring on someone who I've known now for 287 00:16:55,880 --> 00:16:59,480 Speaker 1: almost two decades. His name is doctor Alexander Torres. He 288 00:16:59,800 --> 00:17:04,000 Speaker 1: is a board certified rheumatologist studied at Cleveland Clinic. He 289 00:17:04,119 --> 00:17:07,640 Speaker 1: opened up a private practice in Central Florida, and not 290 00:17:07,680 --> 00:17:12,320 Speaker 1: only does he focus on autoimmune diseases, all things rheumatology 291 00:17:12,600 --> 00:17:16,399 Speaker 1: and nephritis, but he also is interested in the health 292 00:17:16,400 --> 00:17:19,720 Speaker 1: and the lifestyle component. And I'm excited to have him 293 00:17:19,720 --> 00:17:21,639 Speaker 1: here with us today. And I'm sure you're going to 294 00:17:21,720 --> 00:17:24,800 Speaker 1: learn something too. You're listening to Wellness and mass. We'll 295 00:17:24,800 --> 00:17:30,240 Speaker 1: be right back with more, all right. While I know 296 00:17:30,440 --> 00:17:34,000 Speaker 1: a little bit about room meatology and all things autoimmune disease, 297 00:17:34,160 --> 00:17:36,480 Speaker 1: just essentially because well, I've kind of had to learn 298 00:17:36,480 --> 00:17:38,480 Speaker 1: about it in my own journey, but I am far 299 00:17:38,520 --> 00:17:41,240 Speaker 1: from an expert, which is why I am so excited 300 00:17:41,240 --> 00:17:44,320 Speaker 1: to have not only my friend, but a very important 301 00:17:44,359 --> 00:17:48,600 Speaker 1: roomatologist in the autommune world. Doctor Alexander Torres. He is 302 00:17:48,600 --> 00:17:51,679 Speaker 1: the owner of Highlands Advanced Roomatology and Arthritis Center in 303 00:17:51,760 --> 00:17:55,359 Speaker 1: Central Florida. I know doctor Torres because we did a 304 00:17:55,400 --> 00:17:59,200 Speaker 1: part of our residency in the same hospital way back when, 305 00:17:59,359 --> 00:18:01,240 Speaker 1: very long time. I don't want to say how long 306 00:18:01,280 --> 00:18:02,920 Speaker 1: ago because that's going to age me, but it was 307 00:18:02,960 --> 00:18:05,680 Speaker 1: a long time ago. But then he went off, he 308 00:18:05,760 --> 00:18:08,199 Speaker 1: went off to the Cleveland Clinic, to one of the 309 00:18:08,280 --> 00:18:12,000 Speaker 1: world renowned arthritis and autoimmune centers, and he has just 310 00:18:12,400 --> 00:18:15,440 Speaker 1: continued to just flourish ever since then. So, Alex, thank 311 00:18:15,480 --> 00:18:16,879 Speaker 1: you so much for joining us today. 312 00:18:17,320 --> 00:18:18,280 Speaker 2: Thanks for having. 313 00:18:19,560 --> 00:18:22,920 Speaker 1: So Alex, I'm going to call you doctor Tours or Alex, 314 00:18:23,000 --> 00:18:25,919 Speaker 1: I don't know. You're my friend, all right. So, Alex, 315 00:18:26,200 --> 00:18:28,560 Speaker 1: when it comes to autoimmune disease, first of all, from 316 00:18:28,600 --> 00:18:31,040 Speaker 1: a very basic level, can you just explain a little 317 00:18:31,080 --> 00:18:31,879 Speaker 1: bit what it is. 318 00:18:32,800 --> 00:18:36,560 Speaker 3: So the COMFLX in an human being, right and all 319 00:18:36,600 --> 00:18:39,919 Speaker 3: of us, basically means its own own cell or our 320 00:18:40,080 --> 00:18:43,359 Speaker 3: time as body of functioning. 321 00:18:43,520 --> 00:18:43,720 Speaker 2: Right. 322 00:18:43,840 --> 00:18:46,520 Speaker 3: In this case, this is the main system in your 323 00:18:46,560 --> 00:18:53,040 Speaker 3: body that it's active and main responsible to make sure 324 00:18:53,040 --> 00:18:56,600 Speaker 3: that he fights different type of infections, different type of 325 00:18:56,680 --> 00:19:00,080 Speaker 3: you know, malignant cells. You kind of ring nize what 326 00:19:00,160 --> 00:19:02,480 Speaker 3: is going on in your body that is not you 327 00:19:02,480 --> 00:19:05,480 Speaker 3: know that it is a foreign for example, and it's 328 00:19:05,760 --> 00:19:10,360 Speaker 3: basically what drives us on a dating basis. Now, you know, 329 00:19:10,560 --> 00:19:15,119 Speaker 3: we have talked to this in some detail. Now we 330 00:19:15,160 --> 00:19:17,280 Speaker 3: are seeing a lot of chronic illnesses that we are 331 00:19:17,400 --> 00:19:21,639 Speaker 3: noticing that is actually from an outoimmune standpoint. So the 332 00:19:21,680 --> 00:19:26,200 Speaker 3: imune system is as important as the cardivasketless system, as 333 00:19:26,320 --> 00:19:30,080 Speaker 3: your pulmentary system, as your brain system as well too, 334 00:19:30,160 --> 00:19:33,919 Speaker 3: or neurological systems. So it is extremely important now that 335 00:19:33,960 --> 00:19:37,280 Speaker 3: we have you know, better research in the last twenty 336 00:19:37,320 --> 00:19:40,359 Speaker 3: five years, we're understanding how it works in a better way, 337 00:19:40,760 --> 00:19:44,040 Speaker 3: and we understanding that it's made one of the main 338 00:19:44,080 --> 00:19:48,000 Speaker 3: culprits reasons as to why we're having this new. 339 00:19:49,840 --> 00:19:53,119 Speaker 2: Incidence of new conditions right now. 340 00:19:53,240 --> 00:19:57,640 Speaker 1: So so our immune system essentially it's kind of there 341 00:19:57,680 --> 00:19:59,520 Speaker 1: to protect us. I like to think of it as 342 00:19:59,600 --> 00:20:03,000 Speaker 1: like our home alarm system and if there's any foreign 343 00:20:03,000 --> 00:20:05,879 Speaker 1: invaders or anything of the sorts, like the allergens or 344 00:20:05,880 --> 00:20:08,399 Speaker 1: anything else, you know, it's there to protect us. But 345 00:20:08,480 --> 00:20:11,879 Speaker 1: an autoimmune diseases, it's like the wiring got wrong and 346 00:20:11,920 --> 00:20:14,679 Speaker 1: all of a sudden, your home alarm system is starting 347 00:20:14,720 --> 00:20:15,840 Speaker 1: to attack you itself. 348 00:20:15,920 --> 00:20:19,919 Speaker 3: Is that about right, Well, yes, that's what we understood before. 349 00:20:20,000 --> 00:20:24,120 Speaker 3: But now we you know, imagine your system completely different. 350 00:20:23,720 --> 00:20:25,879 Speaker 2: A new type of wire and EU system. 351 00:20:25,920 --> 00:20:28,840 Speaker 3: This is your immunological system, this is your your your 352 00:20:28,880 --> 00:20:30,119 Speaker 3: immune even or print. 353 00:20:30,960 --> 00:20:34,360 Speaker 2: But now we have external you know, causes. 354 00:20:33,920 --> 00:20:38,760 Speaker 3: That actually they're rewiring our immune system that is causing 355 00:20:38,840 --> 00:20:42,399 Speaker 3: this new alarm in in in you know us, you know, 356 00:20:42,600 --> 00:20:43,200 Speaker 3: around the world. 357 00:20:43,280 --> 00:20:46,160 Speaker 2: You know, things are changing immune wires, you know, we. 358 00:20:47,560 --> 00:20:49,440 Speaker 3: You know, for example, we used to have certain type 359 00:20:49,440 --> 00:20:52,639 Speaker 3: of diseases back in the sixties and the seventies, in 360 00:20:52,680 --> 00:20:55,680 Speaker 3: the eighties, that now it's completely different now. 361 00:20:56,160 --> 00:20:59,160 Speaker 2: So things are getting rewiring right now. 362 00:20:59,200 --> 00:21:03,160 Speaker 3: Even though we have immuoprint or initial immune printing, things 363 00:21:03,240 --> 00:21:05,200 Speaker 3: are getting rewired right now as we go. 364 00:21:06,119 --> 00:21:09,320 Speaker 1: So that's interesting. So that's kind of something similar to 365 00:21:09,359 --> 00:21:12,159 Speaker 1: what we're seeing in cancer. Like there is you know, 366 00:21:12,200 --> 00:21:16,040 Speaker 1: there's an intrinsic risk to developing cancer in our lifetime, 367 00:21:16,119 --> 00:21:18,960 Speaker 1: whether it's because of the genetics or the DNA that 368 00:21:19,000 --> 00:21:21,800 Speaker 1: we're born with, kind of the environment that we're raised in. 369 00:21:22,040 --> 00:21:24,760 Speaker 1: But we're also seeing a lot of external factors that 370 00:21:24,800 --> 00:21:28,000 Speaker 1: are all of a sudden changing our cancer risks. So 371 00:21:28,240 --> 00:21:31,439 Speaker 1: you think that is very similar for autoimmune diseases, that 372 00:21:31,520 --> 00:21:34,760 Speaker 1: some of our environment and toxins are what's causing the 373 00:21:34,840 --> 00:21:35,840 Speaker 1: rise in autoimmune disease. 374 00:21:35,920 --> 00:21:38,640 Speaker 2: Is that what you're saying, Well, you're extremely right. 375 00:21:38,720 --> 00:21:41,280 Speaker 3: I think that in the last for example, having a 376 00:21:41,440 --> 00:21:45,520 Speaker 3: rheumatologists for almost sixteen years, seventeen years already, I said. 377 00:21:45,359 --> 00:21:46,960 Speaker 1: We're not supposed to age us. 378 00:21:47,960 --> 00:21:50,680 Speaker 3: So I'm seeing things that I never used to see 379 00:21:50,840 --> 00:21:55,480 Speaker 3: growing now. For example, our American diet I think has 380 00:21:55,600 --> 00:21:58,400 Speaker 3: been one of the main culprits of how things are 381 00:21:58,520 --> 00:22:02,800 Speaker 3: changing in America. We are seeing immune mediated conditions that 382 00:22:02,880 --> 00:22:07,760 Speaker 3: we were not able to see before. For example, right 383 00:22:07,800 --> 00:22:11,280 Speaker 3: now the incidence and the prevalence of diabetes is much more, 384 00:22:11,600 --> 00:22:14,480 Speaker 3: the insulin resistance much more. We've seen that this as 385 00:22:14,520 --> 00:22:17,360 Speaker 3: a factor and how to work on the immune system. 386 00:22:17,800 --> 00:22:21,240 Speaker 3: We're seeing patients that having more rheumatory arthritis right now. 387 00:22:21,480 --> 00:22:23,880 Speaker 3: Before it used to be a two to one ration female. 388 00:22:24,200 --> 00:22:27,919 Speaker 3: Now we're seeing a much more prevalent, you know, amount 389 00:22:27,920 --> 00:22:31,040 Speaker 3: of patients with rheumatory arthritis connective tshe diseases. 390 00:22:31,400 --> 00:22:32,720 Speaker 2: So I think our diet. 391 00:22:32,480 --> 00:22:36,280 Speaker 3: Has changed dramatically since the sixties, seventies, eighties, and nineties, 392 00:22:36,280 --> 00:22:40,760 Speaker 3: and now we're seeing a much more you know, complex diagnosis. 393 00:22:40,800 --> 00:22:45,040 Speaker 2: And it's not what we used to see in medical books. 394 00:22:46,200 --> 00:22:49,600 Speaker 3: We used to read this nicoll like, oh and you 395 00:22:49,680 --> 00:22:53,080 Speaker 3: have bilevels, you know, symmetric joint disease, that this must 396 00:22:53,080 --> 00:22:54,080 Speaker 3: be rheumatory arthritis. 397 00:22:54,200 --> 00:22:57,879 Speaker 2: Not as complex. It's just not just black or white. 398 00:22:58,640 --> 00:22:59,440 Speaker 2: You know, it has. 399 00:22:59,520 --> 00:23:05,120 Speaker 3: Different up of of of of character, different outer immune 400 00:23:05,119 --> 00:23:09,320 Speaker 3: conditions in one UH for example, you know, not only 401 00:23:09,359 --> 00:23:11,800 Speaker 3: with with diet, but we have seen a lot lately with. 402 00:23:13,800 --> 00:23:16,359 Speaker 2: In your feel as well. We're seeing we've seen a 403 00:23:16,359 --> 00:23:17,200 Speaker 2: lot of patients with. 404 00:23:17,440 --> 00:23:21,720 Speaker 3: Certain type of checkpoint inhibitors that we use for a 405 00:23:21,720 --> 00:23:24,080 Speaker 3: certain type of cancer. So we're seeing a lot of 406 00:23:24,600 --> 00:23:29,399 Speaker 3: immune regulation that we've seen some rheumatic adverts events. Not 407 00:23:29,480 --> 00:23:34,600 Speaker 3: only that, we're seeing also post COVID, a lot of 408 00:23:34,680 --> 00:23:37,800 Speaker 3: patients with post COVID and not more than that, post 409 00:23:37,880 --> 00:23:39,320 Speaker 3: co vaccinations. 410 00:23:39,960 --> 00:23:46,520 Speaker 2: We've seen a dramatic increase of very random UH most 411 00:23:46,560 --> 00:23:48,600 Speaker 2: of outer immune. 412 00:23:48,320 --> 00:23:52,320 Speaker 3: Rutological characteristics that we've seen these patients in younger populations 413 00:23:52,320 --> 00:24:00,000 Speaker 3: such as early raynots, early phoridic or very general eye 414 00:24:00,160 --> 00:24:05,560 Speaker 3: you know ration in this you know, kids, teenagers, more 415 00:24:05,560 --> 00:24:08,640 Speaker 3: inflammatory arthritis and this you know population as well too. 416 00:24:08,680 --> 00:24:10,120 Speaker 2: So I think. 417 00:24:09,960 --> 00:24:15,520 Speaker 3: There's multiple variables that have changed throughout you know, decades, 418 00:24:15,560 --> 00:24:18,560 Speaker 3: and now not only now we're working with that immune system, 419 00:24:18,640 --> 00:24:21,200 Speaker 3: especially in cancer, we're seeing some actpates events from those 420 00:24:21,280 --> 00:24:25,359 Speaker 3: you know, immuno therapies because they're not chemotherapies as you know, 421 00:24:25,480 --> 00:24:28,160 Speaker 3: they're more you know, they're like immuno therapy. So we're 422 00:24:28,200 --> 00:24:32,040 Speaker 3: seeing more of that. And also we're becoming smarter. We're 423 00:24:32,080 --> 00:24:36,160 Speaker 3: able to understand how the immune system works. Were understand 424 00:24:36,240 --> 00:24:40,119 Speaker 3: how really what triggers things, and we're able to see 425 00:24:40,640 --> 00:24:43,920 Speaker 3: what kind of flags, were able to identify they are 426 00:24:44,320 --> 00:24:48,400 Speaker 3: main the main culprits in certain kinds of conditions. We're 427 00:24:48,520 --> 00:24:51,840 Speaker 3: understanding more interlukens as you know, certain type of inflammatory 428 00:24:51,880 --> 00:24:57,200 Speaker 3: signals or chemo coins we call it. We're able to identify. 429 00:24:57,720 --> 00:25:01,560 Speaker 3: We're now able to go to insight this cell and 430 00:25:01,720 --> 00:25:05,560 Speaker 3: know exactly what triggers, what what turns on that intra 431 00:25:05,680 --> 00:25:10,800 Speaker 3: cells signal that basically explode that inflammatory response and an 432 00:25:10,800 --> 00:25:14,879 Speaker 3: individual And now we understand too that what causes you know, 433 00:25:15,119 --> 00:25:17,879 Speaker 3: you understand that certain type of you know, immunotherapists can 434 00:25:17,960 --> 00:25:21,000 Speaker 3: do that, a certain type of instantly resistance. We know 435 00:25:21,040 --> 00:25:24,199 Speaker 3: that we can do that. Certain age gender can do 436 00:25:24,240 --> 00:25:27,639 Speaker 3: that as well too. You know, we're getting you know, 437 00:25:27,680 --> 00:25:33,280 Speaker 3: we're being much more you know, like you know, smarter, 438 00:25:33,400 --> 00:25:35,760 Speaker 3: I guess, and we're able to identify this kind of 439 00:25:36,240 --> 00:25:39,560 Speaker 3: new pathologies and obviously treatment based on that. 440 00:25:39,960 --> 00:25:43,240 Speaker 1: Well, it's interesting because you're right, we're smarter. We're able 441 00:25:43,280 --> 00:25:47,480 Speaker 1: to identify illness a little bit earlier, and so that's 442 00:25:47,600 --> 00:25:50,440 Speaker 1: you know, one of the criticisms of medicine is that, oh, 443 00:25:50,480 --> 00:25:53,600 Speaker 1: diseases aren't on the right rise, We're just diagnosing more, 444 00:25:53,720 --> 00:25:57,040 Speaker 1: and so it's really important to acknowledge the fact that, yes, 445 00:25:57,119 --> 00:26:00,400 Speaker 1: it's true we are able to diagnose more. We have 446 00:26:00,520 --> 00:26:05,600 Speaker 1: expanded diagnostic criterias which also allow for this increased prevalence. 447 00:26:05,680 --> 00:26:08,960 Speaker 1: But there's no denying that we have more disease. I mean, 448 00:26:09,680 --> 00:26:12,280 Speaker 1: you said something very interesting about COVID. I know I 449 00:26:12,320 --> 00:26:14,280 Speaker 1: want to talk more about it, and I know everyone 450 00:26:14,320 --> 00:26:17,560 Speaker 1: listening wants to. But pre COVID, we were already seeing 451 00:26:17,600 --> 00:26:21,520 Speaker 1: a rise in auto antibodies and the markers and autoimmune 452 00:26:21,560 --> 00:26:23,840 Speaker 1: disease in younger people. There was like a twenty twenty 453 00:26:23,960 --> 00:26:26,399 Speaker 1: NH study that kind of said that that was before 454 00:26:26,440 --> 00:26:32,800 Speaker 1: COVID type one diabetes, like you mentioned, ciliac, rheumatoid hashimodis, thyroiditis, 455 00:26:33,160 --> 00:26:36,480 Speaker 1: all have been increasing for the past few decades. So 456 00:26:37,280 --> 00:26:38,760 Speaker 1: you know, we have a lot of theories as to 457 00:26:38,800 --> 00:26:39,600 Speaker 1: why that is. 458 00:26:42,560 --> 00:26:43,200 Speaker 2: As well too. 459 00:26:43,960 --> 00:26:46,359 Speaker 3: We believe like this kind of microplastics they play a 460 00:26:46,359 --> 00:26:49,360 Speaker 3: big role as well too. But I thoroughly not only 461 00:26:49,520 --> 00:26:54,120 Speaker 3: on the diet on part of you know, the chemo exposures, 462 00:26:54,760 --> 00:27:01,080 Speaker 3: you know, fertilizer set et cetera. You know, American society 463 00:27:01,160 --> 00:27:05,720 Speaker 3: have traded to a much more sedentary lifestyle, much more. 464 00:27:07,119 --> 00:27:10,439 Speaker 2: Much more overweight. Our b and must have been going up. 465 00:27:10,680 --> 00:27:11,720 Speaker 2: You know, we have become. 466 00:27:11,560 --> 00:27:16,880 Speaker 3: Extremely instantly resistant, and that has been the key which 467 00:27:16,920 --> 00:27:19,800 Speaker 3: I believe it's the main problems that instantly resistance that 468 00:27:20,040 --> 00:27:23,040 Speaker 3: driven us to this kind of pendogenum and auto immune 469 00:27:23,119 --> 00:27:24,040 Speaker 3: issues right now. 470 00:27:24,640 --> 00:27:27,920 Speaker 1: As in a constant state of inflammation because the blood 471 00:27:27,960 --> 00:27:31,560 Speaker 1: sugars up and sugar causes inflammation, and that state of 472 00:27:31,560 --> 00:27:33,080 Speaker 1: inflammation is not good. 473 00:27:33,640 --> 00:27:34,000 Speaker 2: Correct. 474 00:27:34,040 --> 00:27:36,879 Speaker 3: And this is just on my own you know, my 475 00:27:37,000 --> 00:27:39,920 Speaker 3: own practice that I see many patients that are for example, 476 00:27:39,960 --> 00:27:43,359 Speaker 3: in this new medications on the GLP ones et cetera, 477 00:27:43,440 --> 00:27:47,359 Speaker 3: they're actually they're becoming much more you know, they're losing weight, 478 00:27:47,480 --> 00:27:48,680 Speaker 3: and I seen. 479 00:27:48,600 --> 00:27:49,480 Speaker 2: A lot of them just. 480 00:27:50,960 --> 00:27:54,160 Speaker 1: Being GLP ones, being like the Wagovis and the Manjarro 481 00:27:54,400 --> 00:27:57,400 Speaker 1: and ozempic quote unquote everyone's taken. 482 00:27:57,480 --> 00:27:58,360 Speaker 2: Yeah, correct. 483 00:27:58,359 --> 00:28:03,720 Speaker 3: And not only that, we also be that the medications 484 00:28:03,840 --> 00:28:06,520 Speaker 3: response as well, to work on this, you know, different 485 00:28:06,520 --> 00:28:09,399 Speaker 3: in this population as well too. We saw that the 486 00:28:09,440 --> 00:28:12,320 Speaker 3: recent medications that we had he had a certain type 487 00:28:12,320 --> 00:28:15,679 Speaker 3: of effectiveness. But now that we've see you know, a 488 00:28:15,680 --> 00:28:18,720 Speaker 3: certain type of patients using this kind of treatment, they 489 00:28:18,760 --> 00:28:22,639 Speaker 3: are actually they're becoming less insolent resistance. We're actually seeing 490 00:28:22,680 --> 00:28:25,480 Speaker 3: a much more better response in this as well. 491 00:28:26,440 --> 00:28:30,359 Speaker 1: That's interesting, you know, heading into COVID, one of my 492 00:28:30,560 --> 00:28:35,720 Speaker 1: big concerns was what are we doing by shielding the 493 00:28:35,800 --> 00:28:40,000 Speaker 1: kids so much from all the pathogens? Like we couldn't 494 00:28:40,040 --> 00:28:43,479 Speaker 1: they didn't we didn't have anything. Flu wasn't circulating, colds 495 00:28:43,480 --> 00:28:46,680 Speaker 1: weren't circulating. Everyone was so afraid of COVID that putting 496 00:28:46,760 --> 00:28:48,760 Speaker 1: us in the state of isolation. I mean, don't get 497 00:28:48,800 --> 00:28:52,000 Speaker 1: me started. Obviously, the mental health component was that's a 498 00:28:52,000 --> 00:28:57,280 Speaker 1: whole another episode. But this, this whole hygiene phenomenon is 499 00:28:57,320 --> 00:29:00,400 Speaker 1: one of those things that that hygiene hype of. This 500 00:29:00,760 --> 00:29:03,400 Speaker 1: has to do with autoimmune diseases too. And do you 501 00:29:03,480 --> 00:29:06,040 Speaker 1: think that maybe that can you explain what that is 502 00:29:06,080 --> 00:29:08,400 Speaker 1: and like maybe how that also played a role. 503 00:29:08,680 --> 00:29:11,800 Speaker 3: You know, if you like think one of the reasons 504 00:29:11,840 --> 00:29:14,240 Speaker 3: to that point is not known nowadays. 505 00:29:14,280 --> 00:29:16,320 Speaker 2: You know, back in the days, we used to have 506 00:29:16,480 --> 00:29:19,600 Speaker 2: the chicken pox, you know, get to get in times. 507 00:29:19,640 --> 00:29:22,200 Speaker 3: You know, if you happen that, you know, Jimmy, you 508 00:29:22,240 --> 00:29:24,520 Speaker 3: know your neighbor used to get chicken pox. I want 509 00:29:24,520 --> 00:29:26,320 Speaker 3: to make sure that Alex go with GM so he 510 00:29:26,360 --> 00:29:30,120 Speaker 3: can get some chicken So, yeah, we did. 511 00:29:30,080 --> 00:29:32,280 Speaker 1: Not recommend chicken pox parties. 512 00:29:32,880 --> 00:29:34,640 Speaker 2: Why I that's how I used to do. 513 00:29:34,880 --> 00:29:36,960 Speaker 3: That's how he used to be the smart way back 514 00:29:37,000 --> 00:29:39,480 Speaker 3: then in how the image just to recognize this, right, 515 00:29:41,200 --> 00:29:42,440 Speaker 3: we stopped doing that. 516 00:29:42,480 --> 00:29:45,760 Speaker 2: And you know, we are into a state of uh. 517 00:29:47,160 --> 00:29:51,080 Speaker 4: You know, a septic you know, areas that we have 518 00:29:51,240 --> 00:29:54,479 Speaker 4: to we clean, you know, enhance everyone, you know, kids 519 00:29:54,480 --> 00:29:57,120 Speaker 4: and table and please don't do that, Please don't go on. 520 00:29:57,280 --> 00:30:00,160 Speaker 2: Make sure that you wear a mask, make sure you 521 00:30:00,200 --> 00:30:01,000 Speaker 2: don't What. 522 00:30:01,000 --> 00:30:04,720 Speaker 1: About the hand sanitizer that you see everyone putting on constantly. 523 00:30:04,760 --> 00:30:07,920 Speaker 1: I'm like that rubbing rubbing alcohol. That can't be good 524 00:30:08,000 --> 00:30:12,080 Speaker 1: for you. Like, get some drums around you. 525 00:30:11,000 --> 00:30:12,800 Speaker 2: You know, I will tell you this. 526 00:30:14,320 --> 00:30:18,120 Speaker 3: And again, you know, there's many smart people out there. 527 00:30:18,360 --> 00:30:20,560 Speaker 3: There are you know, working in r eune system and 528 00:30:20,960 --> 00:30:23,720 Speaker 3: INFECTIOUSY sees people and you know, look. 529 00:30:23,640 --> 00:30:26,960 Speaker 2: Like my heart goes through them. But when you are 530 00:30:27,040 --> 00:30:27,840 Speaker 2: in the trenches. 531 00:30:27,960 --> 00:30:31,920 Speaker 3: In my office or my practice is basically in the trenches, 532 00:30:32,040 --> 00:30:36,600 Speaker 3: we serve underserved population here in Central Florida. I was 533 00:30:36,680 --> 00:30:40,120 Speaker 3: able to see something that I was not able to see. 534 00:30:42,040 --> 00:30:45,760 Speaker 3: And I think that once this virus came through the 535 00:30:45,800 --> 00:30:49,000 Speaker 3: way that we handle ourselves, it was not consonant. 536 00:30:49,040 --> 00:30:52,640 Speaker 2: But what that we're telling us, I was. 537 00:30:52,600 --> 00:30:55,840 Speaker 3: Not seeing, you know, most of our patient population that 538 00:30:55,920 --> 00:30:58,280 Speaker 3: were wearing masks, and I noticed I was noticing right 539 00:30:58,320 --> 00:31:00,920 Speaker 3: away that they were not. You know, there was still 540 00:31:00,960 --> 00:31:05,360 Speaker 3: contracting you know, COVID as well. Then vaccine came through 541 00:31:05,440 --> 00:31:08,120 Speaker 3: in and we had some our issues. You know, we 542 00:31:08,280 --> 00:31:10,520 Speaker 3: thought it wouldn't work, but then I noticed in my 543 00:31:10,600 --> 00:31:12,000 Speaker 3: patients that it didn't work. 544 00:31:12,160 --> 00:31:14,400 Speaker 2: And I noticed that a way like. 545 00:31:14,320 --> 00:31:16,000 Speaker 1: Well do you think do you think so? 546 00:31:16,080 --> 00:31:16,200 Speaker 3: Well? 547 00:31:16,240 --> 00:31:19,480 Speaker 1: First, of all, it's well documented people with autoimmune diseases 548 00:31:19,840 --> 00:31:23,400 Speaker 1: who got infected had the covid infection that could cause 549 00:31:23,400 --> 00:31:26,520 Speaker 1: a flare. That makes sense. Obviously, being infected with the 550 00:31:26,560 --> 00:31:30,200 Speaker 1: coronavirus causes inflammation and you could get a flare. But 551 00:31:30,400 --> 00:31:33,680 Speaker 1: do you think you know then come the vaccine. I 552 00:31:33,680 --> 00:31:37,840 Speaker 1: mean it's kind of twofold one. The vaccine itself was 553 00:31:37,960 --> 00:31:41,080 Speaker 1: kind of causing more of an inflammatory response than the 554 00:31:41,120 --> 00:31:45,240 Speaker 1: actual infection. So people with autommune diseases, did you see 555 00:31:45,240 --> 00:31:47,760 Speaker 1: that they were having more flares from the vaccine than 556 00:31:47,800 --> 00:31:50,800 Speaker 1: the actual infection? And then did you also see that 557 00:31:50,960 --> 00:31:54,400 Speaker 1: maybe the vaccine didn't work as well because maybe the 558 00:31:54,440 --> 00:31:56,520 Speaker 1: medications they were on or what do you think it was? 559 00:31:56,960 --> 00:31:58,320 Speaker 2: It was both ways. 560 00:31:58,840 --> 00:32:00,800 Speaker 3: First and foremost, most of this missions they are immune 561 00:32:01,000 --> 00:32:05,400 Speaker 3: suppress in a way, right, They're also even incompetent in 562 00:32:05,480 --> 00:32:07,320 Speaker 3: a way. So I didn't think they had a good 563 00:32:07,400 --> 00:32:13,160 Speaker 3: evening response, but also activated a very you know, erratic 564 00:32:13,240 --> 00:32:15,680 Speaker 3: immune system to start having symptoms I didn't have before, 565 00:32:16,120 --> 00:32:17,800 Speaker 3: and it was from the vaccine. 566 00:32:18,080 --> 00:32:19,800 Speaker 1: They had new symptoms as well too. 567 00:32:19,880 --> 00:32:22,440 Speaker 2: It was non consonant of what they usually have. 568 00:32:22,640 --> 00:32:25,400 Speaker 3: So for a patient, for example, if a psient only 569 00:32:25,560 --> 00:32:29,960 Speaker 3: always had inflammation or arthritis. Now they're starting having raynos, 570 00:32:31,000 --> 00:32:34,960 Speaker 3: starting having some rash there, sat hand, some dry dry mouth, 571 00:32:35,120 --> 00:32:38,680 Speaker 3: dry eye, which is secondary symptoms of these raumatic conditions 572 00:32:38,680 --> 00:32:39,200 Speaker 3: as well too. 573 00:32:39,560 --> 00:32:42,400 Speaker 1: It's like they're picking little they're picking symptoms from various 574 00:32:42,480 --> 00:32:43,360 Speaker 1: other diseases. 575 00:32:44,240 --> 00:32:46,200 Speaker 2: For example, this is my own experience. 576 00:32:46,280 --> 00:32:51,000 Speaker 3: I was completely healthy before, and I remember I received 577 00:32:51,040 --> 00:32:53,560 Speaker 3: my second shot shot of the COVID vaccine. 578 00:32:53,800 --> 00:32:54,920 Speaker 1: Do you have m RNA. 579 00:32:57,560 --> 00:32:58,720 Speaker 2: In two weeks after. 580 00:32:59,560 --> 00:33:01,560 Speaker 3: I'm a I'm a running so I like to you know, 581 00:33:01,720 --> 00:33:04,240 Speaker 3: train for you know, half marathons and marathons, and I 582 00:33:04,280 --> 00:33:06,640 Speaker 3: was running out. Remember it was around December that the 583 00:33:07,320 --> 00:33:12,920 Speaker 3: vaccine came around that and I started developing rainox myself. 584 00:33:13,480 --> 00:33:16,560 Speaker 1: Rainot's being where your blood vessels and your fingers when 585 00:33:16,560 --> 00:33:18,800 Speaker 1: it's cold, you have blood flow. 586 00:33:18,920 --> 00:33:21,560 Speaker 2: Yeah. Extremely, it was just nothing. It was just simple. 587 00:33:21,640 --> 00:33:24,959 Speaker 2: It was very very extreme, very quite evident. 588 00:33:25,200 --> 00:33:29,520 Speaker 3: It was a trifasic discoloration of my hands turning completely white, 589 00:33:30,080 --> 00:33:31,960 Speaker 3: then blueish and then then red. 590 00:33:32,520 --> 00:33:33,920 Speaker 2: And I didn't even have that before. 591 00:33:35,880 --> 00:33:38,680 Speaker 3: Another observation that I noticed that those symptoms that I 592 00:33:39,200 --> 00:33:42,680 Speaker 3: was having, they're weging off as well. So it seems 593 00:33:42,760 --> 00:33:47,600 Speaker 3: like a way hot my immune system is somehow resettling 594 00:33:48,080 --> 00:33:51,080 Speaker 3: to what it used to be before. So that's another 595 00:33:51,120 --> 00:33:54,479 Speaker 3: observation that I have seen the same way with my patients, 596 00:33:55,160 --> 00:33:59,720 Speaker 3: those patients that I have here well documented post vaccination 597 00:33:59,840 --> 00:34:02,960 Speaker 3: that developed some sort of an erratic immune system then 598 00:34:03,080 --> 00:34:09,280 Speaker 3: noble or nuancet or subsequent you know symptoms, those symptoms 599 00:34:09,320 --> 00:34:13,120 Speaker 3: are somehow you know, start getting somehow more quiet right now, 600 00:34:13,840 --> 00:34:15,600 Speaker 3: which is you know, pretty quite interesting. 601 00:34:16,960 --> 00:34:21,640 Speaker 1: Yeah, So were you recommending then for these patients, because 602 00:34:21,719 --> 00:34:24,120 Speaker 1: I mean a lot of the you know, the colleges, 603 00:34:24,280 --> 00:34:29,640 Speaker 1: I think even rheumatology recommended obviously full vaccination but then boosters. 604 00:34:30,160 --> 00:34:34,640 Speaker 1: But we have so many documented published papers now showing 605 00:34:34,719 --> 00:34:38,960 Speaker 1: that the vaccine itself was not could potentially worsen existing 606 00:34:39,000 --> 00:34:43,279 Speaker 1: autommun disease, but also as you're mentioning, they could start fresh. Like, 607 00:34:43,560 --> 00:34:45,840 Speaker 1: how do you have that conversation with your patients about 608 00:34:46,080 --> 00:34:48,880 Speaker 1: there the formal recommendation of getting all these boosters, but 609 00:34:49,200 --> 00:34:51,160 Speaker 1: when it could potentially be causing a problem. 610 00:34:51,160 --> 00:34:55,920 Speaker 3: You wants a trimming challenging because the trenches that were 611 00:34:56,160 --> 00:35:00,880 Speaker 3: it was not consonant of what that may source that 612 00:35:00,960 --> 00:35:02,680 Speaker 3: were telling us, right, they were telling us that. 613 00:35:02,719 --> 00:35:03,440 Speaker 2: This is what you need to do. 614 00:35:03,560 --> 00:35:05,320 Speaker 3: You need to do these vaccinations and then you have 615 00:35:05,400 --> 00:35:08,200 Speaker 3: to boost yourself every so quite often. And I was 616 00:35:08,800 --> 00:35:12,200 Speaker 3: I was not seeing that you needed that first and foremost, 617 00:35:12,320 --> 00:35:15,320 Speaker 3: and too it was causing a lot of problems. I 618 00:35:15,480 --> 00:35:17,560 Speaker 3: was seeing that on my patients and my visions that 619 00:35:17,600 --> 00:35:19,799 Speaker 3: I had to make a medical decision. Say look, doc, 620 00:35:20,160 --> 00:35:23,840 Speaker 3: but they're telling me to do this. In TV, I 621 00:35:23,920 --> 00:35:27,440 Speaker 3: had to actually sit down with our patients completely frustrated 622 00:35:27,440 --> 00:35:29,560 Speaker 3: about it. That this is something that is between the 623 00:35:29,640 --> 00:35:34,400 Speaker 3: patient and the doctor is extreme. It's like going to confession. 624 00:35:34,880 --> 00:35:38,080 Speaker 3: You know, it's something that is between you and the priests. 625 00:35:38,160 --> 00:35:40,000 Speaker 3: Then you have to create that bond with a patient 626 00:35:40,040 --> 00:35:42,839 Speaker 3: and you have to you know, you have to create 627 00:35:42,880 --> 00:35:47,200 Speaker 3: that bond and confidence with the patient. And I used 628 00:35:47,200 --> 00:35:49,160 Speaker 3: to tell them what I used to see with my 629 00:35:49,280 --> 00:35:51,520 Speaker 3: patient and what they were going through. And I had 630 00:35:51,600 --> 00:35:53,840 Speaker 3: to deal with that because they were all lost, you know, 631 00:35:53,920 --> 00:35:55,640 Speaker 3: they were confused on what they were telling that on 632 00:35:55,719 --> 00:35:57,880 Speaker 3: one end and now what I was seeing on one end. 633 00:35:58,400 --> 00:36:00,520 Speaker 3: And for me, I continued my practic to say way 634 00:36:00,640 --> 00:36:03,360 Speaker 3: I thought it was the best way because that's the 635 00:36:03,440 --> 00:36:05,680 Speaker 3: way that I was seen on a daily basis. 636 00:36:06,280 --> 00:36:12,080 Speaker 2: So in my case, I stopped recommending the vaccine. 637 00:36:11,680 --> 00:36:15,600 Speaker 3: On my rheumatic patients way before it was announced because 638 00:36:15,640 --> 00:36:17,840 Speaker 3: I was seeing something that it was not. 639 00:36:19,600 --> 00:36:20,520 Speaker 2: It was not nice. 640 00:36:22,000 --> 00:36:24,680 Speaker 3: A lot of patients that were very upset because, for example, 641 00:36:26,160 --> 00:36:30,680 Speaker 3: we had a lot of patients with you know, rheumatic issues. 642 00:36:30,440 --> 00:36:31,200 Speaker 2: That they developed it. 643 00:36:31,440 --> 00:36:35,240 Speaker 3: They then they have the the immunotherapy after or immuno 644 00:36:35,280 --> 00:36:38,080 Speaker 3: globlins after, and that's somehow neutralized. 645 00:36:38,480 --> 00:36:40,160 Speaker 2: They want to clonal adding bodies that were. 646 00:36:40,080 --> 00:36:42,560 Speaker 5: Given to them so they can not only with you know, 647 00:36:42,840 --> 00:36:48,440 Speaker 5: post COVID vaccination symptoms, but also they came with major 648 00:36:48,520 --> 00:36:51,560 Speaker 5: flairs because they were treated in the hospital for COVID 649 00:36:51,719 --> 00:36:53,000 Speaker 5: and even know therapy or. 650 00:36:52,960 --> 00:36:55,239 Speaker 2: Imuno globbles in order to kind of counter like that. 651 00:36:57,040 --> 00:36:58,920 Speaker 2: And that was that was the problem, you know. And 652 00:36:59,360 --> 00:37:00,880 Speaker 2: also to look at this Nicoll. 653 00:37:01,640 --> 00:37:04,719 Speaker 3: The beauty of this how things we were able to 654 00:37:04,840 --> 00:37:08,720 Speaker 3: identify that these vaccinations that were causing some post traumatic 655 00:37:08,800 --> 00:37:12,600 Speaker 3: conditions or some post traumatic accpurs events is that we 656 00:37:13,200 --> 00:37:16,440 Speaker 3: eventually decided to use tasignu zoom map, which is an 657 00:37:16,480 --> 00:37:21,640 Speaker 3: interlooken six blocker for you know COVID, you know, cytokind release, 658 00:37:22,160 --> 00:37:23,800 Speaker 3: you know, which is a medication that we give for 659 00:37:23,840 --> 00:37:26,640 Speaker 3: our patients and rumor to our threads. And that's when 660 00:37:26,719 --> 00:37:29,000 Speaker 3: we kind of figured out. So I said, look, something 661 00:37:29,120 --> 00:37:33,560 Speaker 3: is wrong here and this vaccination must be completely carefully 662 00:37:34,520 --> 00:37:39,279 Speaker 3: decided between a doctor and the patient. Could it's something 663 00:37:39,360 --> 00:37:41,319 Speaker 3: that you just couldn't be just thrown out there. Hey, 664 00:37:41,400 --> 00:37:44,600 Speaker 3: everyone needs to do this. Kids, especially kids, kids that 665 00:37:44,719 --> 00:37:46,040 Speaker 3: had the best immune system ever. 666 00:37:46,719 --> 00:37:48,120 Speaker 2: Let them be what they have to be. 667 00:37:48,840 --> 00:37:51,080 Speaker 3: You know, like we talked about the hypothesis, you know, 668 00:37:51,160 --> 00:37:54,319 Speaker 3: the hygiene hypothesis. You know, we saw the kids, kids 669 00:37:54,360 --> 00:37:56,759 Speaker 3: that we're not you know, the mortality rating kids, it 670 00:37:56,880 --> 00:37:58,319 Speaker 3: was extremely, extremely low. 671 00:37:59,640 --> 00:38:02,640 Speaker 2: And vaccinating these kids starts seeing patients. 672 00:38:03,200 --> 00:38:05,320 Speaker 3: I don't see pediatric patients that I had to do 673 00:38:05,480 --> 00:38:08,799 Speaker 3: it because again, you know, patients that are underserved. 674 00:38:09,160 --> 00:38:12,640 Speaker 2: So they were coming to me pasions that were nine, thirteen. 675 00:38:12,320 --> 00:38:15,200 Speaker 3: Years old, fifteen years old with rahmatic conditions that they 676 00:38:15,239 --> 00:38:16,800 Speaker 3: never had before post vaccination. 677 00:38:18,239 --> 00:38:20,880 Speaker 1: Yeah, I mean it's really upsetting, kind of post COVID 678 00:38:20,920 --> 00:38:23,360 Speaker 1: to kind of learn all about that. But I certainly 679 00:38:23,480 --> 00:38:26,680 Speaker 1: think that while again there's been a rise in autoimmune 680 00:38:26,680 --> 00:38:30,400 Speaker 1: diseases pre COVID, certainly the covid infections as well as 681 00:38:30,480 --> 00:38:33,960 Speaker 1: the vaccines have contributed to that rise. So we've touched 682 00:38:34,040 --> 00:38:38,200 Speaker 1: on the hygiene hypothesis, the fact that we don't let 683 00:38:38,239 --> 00:38:41,760 Speaker 1: our kids eat dirt anymore that could potentially have increased 684 00:38:41,760 --> 00:38:45,680 Speaker 1: their risk of autommune diseases and infections. You've touched upon 685 00:38:45,760 --> 00:38:48,320 Speaker 1: the fact that we live in a world of microplastics, 686 00:38:48,440 --> 00:38:52,920 Speaker 1: and microplastics are inserting themselves into all parts of our bodies. 687 00:38:53,280 --> 00:38:56,560 Speaker 1: But what about what about gut health and the microbio 688 00:38:57,000 --> 00:39:00,200 Speaker 1: What is your take on that in it's linked autommune. 689 00:38:59,719 --> 00:39:01,600 Speaker 2: Disease, sobinume it. 690 00:39:01,840 --> 00:39:04,640 Speaker 3: It's a very hot topic the same way ass you know, 691 00:39:04,760 --> 00:39:09,120 Speaker 3: microplastics as well too and post covid vaccinations, et cetera. 692 00:39:09,239 --> 00:39:09,879 Speaker 2: Microbiome. 693 00:39:10,640 --> 00:39:13,800 Speaker 3: It's very very interesting and complex to the fact that 694 00:39:13,920 --> 00:39:17,880 Speaker 3: we're we're altering our own normal flora based on the 695 00:39:18,000 --> 00:39:22,040 Speaker 3: recent or basically the last twenty five years diet. We're 696 00:39:22,160 --> 00:39:25,120 Speaker 3: becoming much more instantly resistance. We're seeing a lot of 697 00:39:25,200 --> 00:39:28,800 Speaker 3: patients with certain type of what we call glutent you know, 698 00:39:28,920 --> 00:39:32,799 Speaker 3: sensitivities or some real full blown sedate disease. We're seeing 699 00:39:32,800 --> 00:39:35,960 Speaker 3: a lot of patients with inflammatory arthritis that they're coming through, 700 00:39:36,280 --> 00:39:40,440 Speaker 3: you know, problems that they have that they start of overgrowth. 701 00:39:40,560 --> 00:39:43,600 Speaker 2: We believe in some sort of a growth overgrowth. 702 00:39:43,160 --> 00:39:46,160 Speaker 3: Of bacteria and that kind of like genetical code is start, 703 00:39:46,280 --> 00:39:48,600 Speaker 3: you know, kind of changing and creating this kind of 704 00:39:48,760 --> 00:39:55,520 Speaker 3: cascade of inflammatory response. So the microbiome or the or 705 00:39:55,600 --> 00:39:59,680 Speaker 3: the gut health is extremely important also in rahmatic conditions. 706 00:39:59,680 --> 00:40:01,480 Speaker 2: So we're learning that more often now. 707 00:40:02,880 --> 00:40:06,200 Speaker 1: So for people who are listening who maybe they have 708 00:40:06,280 --> 00:40:08,560 Speaker 1: an autom disease or they think that they might have one, 709 00:40:08,680 --> 00:40:11,440 Speaker 1: you know, what are some early indicators or what should 710 00:40:11,440 --> 00:40:13,680 Speaker 1: they do if they're kind of having some symptoms and 711 00:40:13,719 --> 00:40:15,040 Speaker 1: they're not really sure what they are. 712 00:40:15,960 --> 00:40:18,200 Speaker 3: I think that we always look, you know, if I 713 00:40:18,239 --> 00:40:21,920 Speaker 3: would to be their physicians, right of this big population 714 00:40:22,040 --> 00:40:24,000 Speaker 3: that comes to you as a dog in eyes to 715 00:40:24,280 --> 00:40:26,880 Speaker 3: feel pretty good. I have any gout issues, but lately 716 00:40:27,040 --> 00:40:29,320 Speaker 3: I am feeling this way. I'm feeling a little bloated. 717 00:40:29,400 --> 00:40:33,279 Speaker 3: I cannot tolerate it any specific type of food. But 718 00:40:33,600 --> 00:40:36,400 Speaker 3: every time I eat this kind of food or whatever, 719 00:40:36,840 --> 00:40:39,880 Speaker 3: I'm getting this X y Z symptoms. I'm getting more fatigue. 720 00:40:39,920 --> 00:40:41,800 Speaker 3: We're seeing a lot of more chronic fatigue. You know, 721 00:40:42,080 --> 00:40:47,239 Speaker 3: population insomnia, more inflamma or whatever. Why it's based on 722 00:40:47,600 --> 00:40:51,440 Speaker 3: process period as well too. So my recommendations is that 723 00:40:51,880 --> 00:40:55,959 Speaker 3: we still don't have the technology to I really identify 724 00:40:56,719 --> 00:41:01,839 Speaker 3: this kind of triggers in terms of what triggers any fly, 725 00:41:01,960 --> 00:41:04,040 Speaker 3: my chort or thritis orright not or in conditions are 726 00:41:04,080 --> 00:41:05,640 Speaker 3: based on what they eat. 727 00:41:06,120 --> 00:41:08,759 Speaker 2: We tell. What I tell to my patients is that look, 728 00:41:09,160 --> 00:41:12,239 Speaker 2: you know, your body warned than anyone else. So if 729 00:41:12,320 --> 00:41:13,600 Speaker 2: you happen that you eat, you know. 730 00:41:14,200 --> 00:41:16,520 Speaker 3: For example, I had a patient that doctor, every time 731 00:41:16,560 --> 00:41:19,399 Speaker 3: I eat white rice, I get my knuckles that get 732 00:41:19,440 --> 00:41:21,840 Speaker 3: completely inflamed. And for me, I'm trying to figure it 733 00:41:21,880 --> 00:41:25,520 Speaker 3: out exactly what is the main you know, path of 734 00:41:25,560 --> 00:41:26,520 Speaker 3: physiology on this. 735 00:41:26,680 --> 00:41:28,439 Speaker 2: It was like a white rice, why would you happen 736 00:41:28,520 --> 00:41:36,080 Speaker 2: over here? I basically tendure that to them. I constant nutritionist. 737 00:41:36,280 --> 00:41:39,040 Speaker 3: Obviously, I do the whole you know panel in terms 738 00:41:39,040 --> 00:41:44,319 Speaker 3: of fire issues and other gun autoimmune blood work as 739 00:41:44,360 --> 00:41:46,960 Speaker 3: well too, and then I refer to the gastrienteologiest as well. 740 00:41:47,760 --> 00:41:50,920 Speaker 1: So if someone's starting out kind of having some symptoms, 741 00:41:50,960 --> 00:41:53,040 Speaker 1: they're vague, they don't really know what's going on, do 742 00:41:53,120 --> 00:41:56,000 Speaker 1: you recommend putting together like a food diary for like 743 00:41:56,040 --> 00:41:57,960 Speaker 1: a few weeks or a month, just to see if 744 00:41:58,120 --> 00:42:00,600 Speaker 1: it's triggered by anything I do. 745 00:42:01,280 --> 00:42:01,440 Speaker 2: I do. 746 00:42:01,560 --> 00:42:05,360 Speaker 3: I am actually a fan of fasting, so I do 747 00:42:05,440 --> 00:42:08,680 Speaker 3: a little bit of a fasting usually. You know, you 748 00:42:08,719 --> 00:42:12,640 Speaker 3: know sixty eighteen six on occasion and televisions who identified 749 00:42:12,719 --> 00:42:15,520 Speaker 3: exactly what what are they're eating, what are they're eating 750 00:42:15,640 --> 00:42:18,399 Speaker 3: differently this time, what are they're doing that they were 751 00:42:18,480 --> 00:42:20,880 Speaker 3: not doing before? And when did they notice those symptoms? 752 00:42:20,880 --> 00:42:24,719 Speaker 3: So history is extremely important in this population to identify 753 00:42:24,840 --> 00:42:25,400 Speaker 3: those kind. 754 00:42:25,280 --> 00:42:27,280 Speaker 2: Of you know, trigger factors. 755 00:42:28,000 --> 00:42:31,719 Speaker 1: Yeah, rarely when autoimmune patients present, I imagine is it 756 00:42:32,120 --> 00:42:34,560 Speaker 1: very text white, textbook black and white. It's kind of 757 00:42:34,640 --> 00:42:36,600 Speaker 1: like an enigma and you get to be the little 758 00:42:36,800 --> 00:42:39,960 Speaker 1: puzzle puzzle put together a person trying to figure it 759 00:42:40,040 --> 00:42:40,359 Speaker 1: all out. 760 00:42:40,760 --> 00:42:41,840 Speaker 2: There's not that anymore. 761 00:42:42,600 --> 00:42:45,960 Speaker 3: It's it's impressive, like I have my residence, I'm my 762 00:42:46,080 --> 00:42:49,439 Speaker 3: medical students with me, and my medical students are always 763 00:42:49,719 --> 00:42:51,680 Speaker 3: you know, expecting, oh doctor, right, you know you have 764 00:42:51,800 --> 00:42:55,680 Speaker 3: that positive with positive A and a ssas straggin. But 765 00:42:55,760 --> 00:42:59,080 Speaker 3: the reality is not The reality they may have is 766 00:42:59,160 --> 00:43:02,160 Speaker 3: subtle A and A test, you know, and they may 767 00:43:02,239 --> 00:43:04,800 Speaker 3: have some stick of manifestations from dry and dry mouth. 768 00:43:04,680 --> 00:43:06,439 Speaker 2: And they still could have some short ones. 769 00:43:06,960 --> 00:43:07,080 Speaker 3: Uh. 770 00:43:07,560 --> 00:43:09,080 Speaker 2: So we're seeing a lot. 771 00:43:08,960 --> 00:43:12,040 Speaker 3: Of inflammatory arthritis and not necessarily will give you a 772 00:43:12,080 --> 00:43:13,640 Speaker 3: positive blood work. Uh. 773 00:43:13,920 --> 00:43:17,240 Speaker 2: Yeah, we're getting smarter, like like like like I just mentioned. 774 00:43:17,400 --> 00:43:20,600 Speaker 3: Uh, and we're able to identify certain type of you know, 775 00:43:20,880 --> 00:43:23,960 Speaker 3: auto any bodies that we're able to recognize, and you know, 776 00:43:24,160 --> 00:43:28,160 Speaker 3: through different you know labs, they're you know, providing us 777 00:43:28,400 --> 00:43:29,560 Speaker 3: you know, to health these patients. 778 00:43:30,000 --> 00:43:32,560 Speaker 2: But I will say six out of ten patients you 779 00:43:32,640 --> 00:43:34,680 Speaker 2: may have a negative blood work. We've seen a. 780 00:43:34,719 --> 00:43:37,759 Speaker 3: Lot of sponding arthritis patients, a lot of what people 781 00:43:38,040 --> 00:43:39,120 Speaker 3: we call SERA negative. 782 00:43:40,360 --> 00:43:40,560 Speaker 2: Yeah. 783 00:43:40,800 --> 00:43:44,480 Speaker 1: Hi, I'm one of those those sero negative, sero negative 784 00:43:44,520 --> 00:43:48,440 Speaker 1: spondal orthrop but the waste waste basket term patients. We 785 00:43:48,520 --> 00:43:49,720 Speaker 1: don't fit in a box. 786 00:43:49,920 --> 00:43:53,960 Speaker 3: But it's real, it's real, and we're we we're you know, 787 00:43:54,040 --> 00:43:56,839 Speaker 3: I'm doing I'm doing some political trials over here. 788 00:43:56,880 --> 00:44:01,000 Speaker 2: Responding authritis. We're working on a lot of signals central 789 00:44:01,040 --> 00:44:03,759 Speaker 2: Lugan's you know twenty three. 790 00:44:03,880 --> 00:44:07,720 Speaker 3: We're actually we're having possibly we're going through the process 791 00:44:07,800 --> 00:44:09,719 Speaker 3: right now, getting a phase one. We're working with a 792 00:44:09,840 --> 00:44:16,799 Speaker 3: cart therapy so or natural killer in Karta Carti. 793 00:44:16,719 --> 00:44:20,160 Speaker 1: Just for anybody listening is an amazing therapy that we've 794 00:44:20,280 --> 00:44:23,040 Speaker 1: used in pediatric cancers. But I mean it certainly is 795 00:44:23,080 --> 00:44:24,640 Speaker 1: a good starting point for a lot of things. 796 00:44:24,719 --> 00:44:27,960 Speaker 3: Yes, so we're seeing some evidence already they can work 797 00:44:28,040 --> 00:44:31,840 Speaker 3: incredibly on type of arthritis such as you know, lupus, 798 00:44:31,920 --> 00:44:34,480 Speaker 3: nefritas or certain type of fascularity. 799 00:44:34,560 --> 00:44:36,720 Speaker 2: So that's going to be we're going to be conducting 800 00:44:36,719 --> 00:44:39,200 Speaker 2: to us Studdi's pretty soon over here in phase one. 801 00:44:39,800 --> 00:44:41,520 Speaker 1: Well, I mean we've come a long way in terms 802 00:44:41,560 --> 00:44:44,759 Speaker 1: of treatment for these patients, and thankfully there's still people 803 00:44:44,880 --> 00:44:48,520 Speaker 1: like you doing a lot of research. Alex. Some takeaway 804 00:44:48,600 --> 00:44:50,960 Speaker 1: for those who either have an autommune disease or who 805 00:44:51,040 --> 00:44:53,120 Speaker 1: don't but they want to do everything they can to 806 00:44:53,200 --> 00:44:55,640 Speaker 1: try and prevent it. If you have just you know, 807 00:44:55,760 --> 00:44:58,719 Speaker 1: like three, what you should do, how you should live 808 00:44:58,800 --> 00:45:02,160 Speaker 1: your life? What you or what's your advice for people? 809 00:45:02,640 --> 00:45:05,960 Speaker 2: I think the number one, you know advice for me's 810 00:45:06,040 --> 00:45:06,840 Speaker 2: lifestyle changes. 811 00:45:07,000 --> 00:45:10,759 Speaker 3: If you think that you know you're Sedentarya, I think 812 00:45:10,800 --> 00:45:15,160 Speaker 3: it's important for anyone that may feel that they need 813 00:45:15,280 --> 00:45:15,960 Speaker 3: to kind. 814 00:45:15,840 --> 00:45:16,680 Speaker 2: Of reset everything. 815 00:45:16,760 --> 00:45:20,040 Speaker 3: Lifestyle changes such as a certain type and much more 816 00:45:20,480 --> 00:45:27,400 Speaker 3: healthy diet. It is extremely important low ser basically and 817 00:45:27,640 --> 00:45:33,160 Speaker 3: aerobic exercises. We're experience, you know, I basically advising every 818 00:45:33,200 --> 00:45:35,520 Speaker 3: one of my patients to do a lot of aerobic 819 00:45:35,680 --> 00:45:39,400 Speaker 3: or low aerobic exercises and want to try to implement. 820 00:45:39,960 --> 00:45:42,160 Speaker 1: Give it an example, what's an aerobic exercise? 821 00:45:42,480 --> 00:45:45,560 Speaker 3: So what I try to explain to my patients is 822 00:45:45,640 --> 00:45:48,640 Speaker 3: that in order for us to decrease the insulin resistance, 823 00:45:49,200 --> 00:45:51,320 Speaker 3: you not only just the diet, but we have to 824 00:45:51,400 --> 00:45:53,800 Speaker 3: improve what we call the lower aerobic you know, or 825 00:45:53,920 --> 00:45:55,440 Speaker 3: Zone two exercises. 826 00:45:56,000 --> 00:45:59,560 Speaker 2: And basically what that means is that loans low or. 827 00:45:59,680 --> 00:46:04,200 Speaker 3: Low aerobic exercise or zone to exercises induces your mitochondro 828 00:46:04,400 --> 00:46:08,279 Speaker 3: replication and mitochondra replications. Most of it the energy is 829 00:46:08,480 --> 00:46:12,600 Speaker 3: fatty acids or fatty oxidation. And what happens when you 830 00:46:12,880 --> 00:46:16,640 Speaker 3: do that, when you do that cardiovascular you decrease your 831 00:46:17,000 --> 00:46:20,920 Speaker 3: metabolically to improve dramatically, and you're decreasing insulin resistance. And 832 00:46:21,000 --> 00:46:25,840 Speaker 3: I strongly believe by decreasing insulin resistance, those general symptoms 833 00:46:25,880 --> 00:46:29,239 Speaker 3: of inflammatory response or auto immune response, if we want 834 00:46:29,239 --> 00:46:31,719 Speaker 3: to call it out way. Anything that is inflammatory, it's 835 00:46:31,760 --> 00:46:36,160 Speaker 3: not immune so I encourage that from our patients. So 836 00:46:36,320 --> 00:46:40,399 Speaker 3: I set them certain type of workouts that we lead 837 00:46:40,520 --> 00:46:43,719 Speaker 3: to that kind of like low or zone two or 838 00:46:43,920 --> 00:46:48,799 Speaker 3: low aerobic exercise about twenty to thirty five minutes at 839 00:46:48,920 --> 00:46:50,680 Speaker 3: least four times or five times a day. 840 00:46:51,719 --> 00:46:54,080 Speaker 1: I mean, I think we wait four or five times 841 00:46:54,120 --> 00:46:55,719 Speaker 1: a day or right, right? 842 00:46:57,280 --> 00:47:01,719 Speaker 2: Wow? Get doesn't mean I'm like, oh my. 843 00:47:01,800 --> 00:47:05,680 Speaker 1: God, I mean I think you're right. I mean, you 844 00:47:05,760 --> 00:47:08,040 Speaker 1: don't have to be a gym rat. You don't have 845 00:47:08,200 --> 00:47:10,279 Speaker 1: to be like the most fitness person, but you do 846 00:47:10,440 --> 00:47:12,080 Speaker 1: have to get your body moving a little bit more. 847 00:47:12,160 --> 00:47:14,600 Speaker 1: And as you're saying, we have to keep our sugars 848 00:47:14,640 --> 00:47:19,520 Speaker 1: down because sugar causes inflammation, and inflammation causes autoimmune disease. 849 00:47:20,400 --> 00:47:23,799 Speaker 2: Incredible, and that's I think people they don't they haven't 850 00:47:23,920 --> 00:47:24,680 Speaker 2: realized yet. 851 00:47:24,719 --> 00:47:29,440 Speaker 3: But autommute and systemic inflammatory process is the main you know, 852 00:47:30,040 --> 00:47:33,399 Speaker 3: you know, culporative almost every condition nowadays. 853 00:47:33,080 --> 00:47:36,200 Speaker 1: Everything well, isn't it truth? So by what we eat, 854 00:47:36,560 --> 00:47:39,080 Speaker 1: by if we take in less sugar or you know, 855 00:47:39,320 --> 00:47:43,440 Speaker 1: less ultra processed foods and like the processed breads and 856 00:47:43,640 --> 00:47:47,880 Speaker 1: sugar sugary sweet drinks, that decreases the sugar intake. But 857 00:47:48,320 --> 00:47:53,600 Speaker 1: the exercise actually upregulates some of the receptors on ourselves 858 00:47:53,880 --> 00:47:57,040 Speaker 1: so that we are able to use our insulin more efficiently. 859 00:47:57,360 --> 00:48:04,520 Speaker 2: Right, well, obviously instantly insular resistances and. 860 00:48:04,600 --> 00:48:08,280 Speaker 3: You should and how did we actually help that insulin 861 00:48:08,360 --> 00:48:12,279 Speaker 3: resistant to become you know, or resensitizers. There's a lot 862 00:48:12,320 --> 00:48:15,040 Speaker 3: of studies out there like if we do a little 863 00:48:15,080 --> 00:48:16,600 Speaker 3: bit of an insulin pulse. 864 00:48:16,440 --> 00:48:20,080 Speaker 2: Therapy, became resensitizos receptors again. And we've seen a lot 865 00:48:20,120 --> 00:48:20,880 Speaker 2: of study on that. 866 00:48:21,560 --> 00:48:23,080 Speaker 3: H It seems to be good when you have to 867 00:48:23,160 --> 00:48:26,280 Speaker 3: reset that body by a doing you know, lifestyle changes 868 00:48:26,400 --> 00:48:29,560 Speaker 3: like fasting, it could be a great form of resensitation 869 00:48:29,719 --> 00:48:32,520 Speaker 3: as well too, as well as zone to aerobic or 870 00:48:32,600 --> 00:48:35,120 Speaker 3: lower aerobic you know exercises. 871 00:48:36,000 --> 00:48:36,120 Speaker 2: Right. 872 00:48:36,160 --> 00:48:37,880 Speaker 1: Well, you heard it here, folks. If you want to 873 00:48:37,920 --> 00:48:40,719 Speaker 1: resensitize your body the insulin, you have to start your 874 00:48:40,760 --> 00:48:46,640 Speaker 1: fasting and you got to get exercising, all right. Thank 875 00:48:46,719 --> 00:48:50,520 Speaker 1: you so much, doctor Alexander Torres, rheumatologists, colleague and friend 876 00:48:50,560 --> 00:48:53,760 Speaker 1: of mine. We really appreciate you coming on wellness unmasked 877 00:48:53,800 --> 00:48:57,080 Speaker 1: and giving us all of your expert advice. It's great 878 00:48:57,080 --> 00:49:00,520 Speaker 1: seeing you more coming up on wellness and masked with 879 00:49:00,600 --> 00:49:06,240 Speaker 1: doctor Nicole Sapphire. Well, that was a lot to unpack 880 00:49:06,280 --> 00:49:09,600 Speaker 1: from doctor Alexander Torres, my friend and colleague. I certainly 881 00:49:09,800 --> 00:49:12,719 Speaker 1: learned a lot from him, and it is validating to 882 00:49:13,000 --> 00:49:17,279 Speaker 1: hear an expert say, yes, it is not just, you know, 883 00:49:17,440 --> 00:49:20,200 Speaker 1: intrinsic to us. It's not that we're just diagnosing more 884 00:49:20,239 --> 00:49:24,320 Speaker 1: autoimmune disease. We are seeing more autoimmune disease. And we 885 00:49:24,440 --> 00:49:26,920 Speaker 1: can point fingers all we want, and there are a 886 00:49:26,960 --> 00:49:30,239 Speaker 1: lot of finger pointing to do, but it boils down 887 00:49:30,320 --> 00:49:34,080 Speaker 1: to our lifestyle, the sedentary way we're living. We're not 888 00:49:34,200 --> 00:49:37,560 Speaker 1: moving our body enough. We're eating loads of crap. 889 00:49:37,880 --> 00:49:38,000 Speaker 2: You know. 890 00:49:38,120 --> 00:49:40,440 Speaker 1: I wrote all about it in my book Make America 891 00:49:40,520 --> 00:49:43,880 Speaker 1: Healthy Again from twenty twenty. I talked about the foods 892 00:49:43,920 --> 00:49:46,040 Speaker 1: we're eating and the fact we're not moving our body. 893 00:49:46,239 --> 00:49:49,120 Speaker 1: And as doctor Torres just told us, insulin is not 894 00:49:49,280 --> 00:49:52,200 Speaker 1: working in our body because of this, and therefore we 895 00:49:52,520 --> 00:49:56,319 Speaker 1: have baseline higher blood sugars than we should. And when 896 00:49:56,400 --> 00:49:58,239 Speaker 1: you have too much sugar in the blood, it's going 897 00:49:58,320 --> 00:50:02,880 Speaker 1: to cause inflammation. Inflammation leads to bad things, one of 898 00:50:02,920 --> 00:50:06,719 Speaker 1: which are autoimmune diseases. And autoimmune diseases. While they may 899 00:50:06,760 --> 00:50:08,920 Speaker 1: be manageable and you may be able to live with them. 900 00:50:09,040 --> 00:50:11,040 Speaker 1: They can also be deadly, and so we have to 901 00:50:11,120 --> 00:50:14,520 Speaker 1: do everything we possibly can to decrease the inflammation in 902 00:50:14,600 --> 00:50:17,360 Speaker 1: our body. You know, for me, it is getting my 903 00:50:17,480 --> 00:50:21,800 Speaker 1: body moving, trying to reduce the all of the crap 904 00:50:21,880 --> 00:50:24,640 Speaker 1: that we're eating, the process foods. As we know, I 905 00:50:24,800 --> 00:50:28,200 Speaker 1: love to incorporate natural herbs into my diet. I use 906 00:50:28,440 --> 00:50:31,719 Speaker 1: ginger and tumoric on a daily basis to get that 907 00:50:31,880 --> 00:50:35,320 Speaker 1: inflammation down in my body. And I also use lavender 908 00:50:35,440 --> 00:50:37,759 Speaker 1: to relax me. And I do everything I can to 909 00:50:37,800 --> 00:50:41,320 Speaker 1: get a good night's sleep because your sleep is so important. 910 00:50:41,840 --> 00:50:44,520 Speaker 1: And that's a wrap on this episode of Wellness on Mass. 911 00:50:44,640 --> 00:50:46,800 Speaker 1: I wanted you to learn a little bit about myself, 912 00:50:46,920 --> 00:50:49,200 Speaker 1: so you know why I'm on this wellness journey with you. 913 00:50:49,760 --> 00:50:52,800 Speaker 1: Just remember your health isn't a trend, it's our foundation. 914 00:50:53,120 --> 00:50:55,719 Speaker 1: If today's conversation is something that resonated with you, I 915 00:50:55,840 --> 00:50:58,000 Speaker 1: ask you please share it with someone you care about. 916 00:50:58,239 --> 00:51:00,959 Speaker 1: Thanks for listening to Wellness on Mass on America's number 917 00:51:01,000 --> 00:51:04,239 Speaker 1: one podcast network, iHeart. Follow Wellness on Mass with doctor 918 00:51:04,320 --> 00:51:07,719 Speaker 1: Nicole Saffire and start listening on the free iHeartRadio app. 919 00:51:07,800 --> 00:51:10,680 Speaker 1: Apple Podcasts or wherever you get your podcasts, and we'll 920 00:51:10,719 --> 00:51:11,440 Speaker 1: catch you next time.