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All right, what's up, everyone? 
Doctor Zach here. 

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Check it out. 
So today's podcast is going to 

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be focused on vitamins, minerals
and supplements that are going 

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to be on your boards. 
But I'm joined by a good friend 

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of mine, long old school friend 
of mine. 

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All right, so Doctor Romina just
got certified as a. 

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Functional medicine physician. 
All right. 

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And where'd you get it at, by 
the way? 

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Institute of Functional Medicine
at the Cleveland Clinic. 

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There you go. 
So we're not talking any jokes 

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here. 
We're talking about some real 

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knowledge that we're going to 
drop on you. 

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Not only for the boards, but 
we're going to drop all types of

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real life uses for the things 
that we're going to talk about 

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today because it's great to have
them for the boards. 

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But people are going to are 
going to ask you, well, what do 

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I need this for? 
What is it good for? 

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How is it going to benefit my 
lifestyle? 

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And then we're going to also 
talk about how the boards are 

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going to ask these questions. 
So with that, a little bit of 

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background, Doctor Romina, what 
made you go into functional 

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medicine? 
I mean, traditional medicine, 

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you and I kind of did. 
And then I went off into 

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education. 
You went off into functional 

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medicine. 
So we had a bigger purpose. 

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What drove you into that? 
Well, I saw the way that people 

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were getting treated in 
conventional medicine. 

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It's standard vantage approach 
to everything and people aren't 

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necessarily getting better. 
And so the reason why I went to 

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medicine, which we all normally 
do, is because we really want to

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help people, right? 
And yes, it's good in the acute 

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setting, but to get to root 
cause and to truly treat 

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patients as a whole instead of 
just a body of organs and 

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illnesses, considering the mind,
body and spirit and lifestyle 

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components, which of me drove me
into functional medicine? 

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Absolutely. 
And I think there's a bigger 

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passion, a bigger project here 
with myself and Doctor Mina, 

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where we actually have found in 
my space of education, Doctor 

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Romina with you. 
And I'm gonna say this for both 

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of us, a lot of misinformation 
out there. 

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Yeah, absolutely. 
A lot. 

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So when it comes to any type of 
supplements and any type of 

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vitamins and minerals or even 
things that are taught about the

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boards, many of my students will
know that I'm like, wait a 

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minute, what you may have 
learned may be slightly 

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incorrect and we double and 
triple check everything. 

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You obviously went on and did 
your fellowship in in functional

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medicine just so we are 
providing the correct 

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information because so much 
stuff out there is actually 

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wrong. 
Yeah, you have to be careful 

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what your source is, but the 
data shows and and see what fits

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for people. 
Constantly evolving as your 

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field does and as education 
does. 

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I mean, if those of you that are
taking the boards or have taken 

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the boards, you know how much 
the boards are constantly 

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evolving as is functional 
medicine. 

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All the data that we're 
gathering as well too. 

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So for the boards before we get 
to real life, I'm going to talk 

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about the B vitamins and we're 
going to go one by one about the

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ones that are high yield. 
And then Dr. Mina is going to 

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add in anything that she wants 
that will be real life for any 

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of these B vitamins. 
So we're going to start with B1.

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So B1 obviously is known as 
thiamine, synonymous, right. 

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Like they're not, they're people
may think, well B1 or thiamine, 

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yeah, I mean a lot of it's 
interchangeable. 

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It is interchangeable, right. 
So yeah, B1 is timing. 

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But in the hospital setting, we 
kind of see this a lot with I 

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mean you've been I see who ER we
kind of pump people with this, 

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right, especially when they have
alcohol. 

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Related Alcohol withdrawal or 
malnourished. 

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Malnourished. 
Refeeding syndrome, Yeah, we 

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talk about stuff like that in 
GI. 

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Yeah, I totally didn't even 
think about that. 

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Yeah. 
So refeeding syndrome, we talk 

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about it with alcohol 
withdrawals, alcoholism, all of 

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these different things that 
deplete our our actual levels of

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thymine or vitamin B1. 
So a couple of things that we're

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going to look at with vitamin B1
is Wernicke's. 

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So we learned that way back when
and now here we are teaching and

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talking about it. 
So do you have any functional 

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uses for Thymine, just like a 
day-to-day type of a situation, 

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or is it just kind of a good 
thing to just have in your body,

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period? 
Yeah, I think along with the 

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rest of the the B vitamins, if 
you can't get it from food or if

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your body is off balance and not
able to absorb it, absolutely 

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throw it in there. 
So and then we'll kind of get 

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into as we get into more of the 
BS because Doctor Romina has 

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helped me with my vitamin 
regimen as well too. 

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And we talk about B complex. 
So once we get through all the 

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BS, we'll kind of get into the 
whole idea of AB complex, right.

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So with that mean we talk about 
Wernicke's. 

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So for the boards, let's focus 
on that specifically. 

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So we've got Wernicke's 
encephalopathy. 

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So if we break down the words, 
Wernicke's is obviously the 

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person who discovered it. 
But encephalopathy is going to 

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be encephalo, which is brain and
then pathy, which is pathology. 

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But what happens is that you 
develop a receptive and 

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expressive aphasia. 
So what does that mean? 

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Sounds like fancy words, but how
many times have we been around 

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people that were completely 
intoxicated? 

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Probably more times than we'd 
like. 

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Academically and not 
academically. 

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Exactly. 
It doesn't matter where it was 

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in that school or not in that 
school, we won't say. 

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But nonetheless that receptive 
is the ability of that patient 

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or that client or that 
individual to understand what is

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being said to them, that 
expressive aphasia or the 

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ability to speak clearly or for 
anybody to understand them is 

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that expressive. 
So think about somebody who's 

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completely intoxicated and 
you're like, look, we need to 

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get home. 
You are belligerent, right? 

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I mean, let's go home. 
They're not receptive. 

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They're not receiving what we're
saying to them. 

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That's our receptive aphasia. 
But at the same time, when you 

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try to hear them talk, they're 
kind of belligerent. 

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They're like, go, I want to eat 
like, you're like, dude, what 

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are you saying? 
I don't understand what you're 

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saying. 
So their expressive ability is 

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also decreased as well, too. 
So Thymine is kind of one of the

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big board questions. 
Vitamins are kind of easy 

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because for the sake of the 
boards, they're going to be 

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freebie questions, right? 
I mean, even on our boards when 

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they popped up, they weren't 
really hard questions. 

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It was kind of like you knew it 
and you didn't like there wasn't

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really a lot of depth to 
vitamins. 

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Maybe the Wernickes kind of 
tying it in, but that's about 

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it. 
But for the sake of the NCLEX 

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for sure, know what that mean. 
So the next one is B3 and B3 is 

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nice and So what is your take on
B3 as far as like over the 

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counter as far as what the 
benefits of it? 

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Could be. 
Oh yeah, it leads into so many 

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cofactors in the pathways. 
So if you think about energy, 

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you probably have gone through 
Krebs cycle. 

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All. 
Those biochemical pathways, 

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yeah, But how it ties into real 
life, it affects your energy 

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level. 
So you could do that and also 

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detox pathways. 
So it's very useful and there's 

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different ways to to get it 
these days. 

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You could get it by now, but you
also see it at IV infusion 

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clinics, right? 
It's like big. 

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Yeah, I think all the B vitamins
are kind of kind of making their

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way into into the IV scene as 
well too for the sake of the 

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boards. 
I think the real big take away 

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for Nice and is it is over the 
counter. 

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All these ones that we're 
talking about are over the 

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counter. 
So why do the boards like it for

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that simple fact because well, 
as we know you can walk into any

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pharmacy, any type of grocery 
store and there's a whole 

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section now that's just 
dedicated to vitamins, mineral 

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supplements with niacin. 
It is very much so for the 

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boards. 
They like it because of 

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cholesterol and because of the 
fact that it can help lower 

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lower cholesterol because the 
fact it's used for energy and 

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there's a side effect to it that
the boards love and it's called 

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a nice and flush. 
So the thing about nice and 

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flush and nice and in general 
that I would take away for the 

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boards for our students is 
absolutely know that it's over 

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the counter energy cholesterol. 
So now people are going to be 

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using it overconsumption. 
Is that an issue that you deal 

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with, with your patients where 
like they just kind of grab, 

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grab, grab, grab, grab and they 
take, take, take, take, take? 

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I think that's spread across. 
If you're just overly consuming 

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all vitamins, you can be too 
healthy, right? 

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Too much of a good thing could 
be a little bit much a. 100%, 

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The big thing is balance. 
And with niacin, if you over 

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consume it or there's 
overconsumption, we're worried 

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about that niacin flush and how 
the boards like to get you is 

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they try to get you as if this 
is an anaphylactic reaction. 

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And the fact is it's not, it's 
just a transcutaneous flushing, 

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so that's treated with an onset,
Give them some aspirin, they'll 

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be fine. 
So that is V3B6 kind of boring, 

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but we need to know it. 
So B6 is pyridoxine really. 

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Do you have any? 
Aside from adding in the B 

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complex, you really haven't had 
the use for it because. 

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You know, I'm kind of thinking 
back like. 

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That's exactly what the boards 
I. 

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Would say that's probably the. 
The yeah, because we want to, we

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want to make sure for TB, so 
tuberculosis, we utilize B6 in 

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in conjunction with isoniazid. 
And we use that still present 

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day in practice. 
Yeah, absolutely. 

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Part of that ripe regimen that 
we talk about, right. 

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So remember rifampin isoniazid 
which is the I pierzanamide and 

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at them butyl. 
But with isoniazide it is very 

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bad or toxic. 
So remember your liver is in 

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danger but also it causes that 
peripheral neuropathy and as we 

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said in real life you're still 
utilizing it till today 

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conjunction with isoniazide, 
isoniazide B6 to prevent that 

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peripheral neuropathy. 
Great board question again, 

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freebie questions move on to B9.
So folate folic acid very 

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important. 
So Doctor Amina, not only is a 

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physician not only is certified 
in Functional Medicine, but is 

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also a vet from the Air Force. 
OK, I forgot to preface this 

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whole podcast with that. 
A vet from the Air Force. 

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A mother of two. 
Two. 

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Crazy little boys. 
My little nephews right there. 

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Yeah, so we've got mom vet. 
I mean you're super into health 

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and Wellness obviously, but not 
just the nutritional aspect, but

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also into the the like yoga and 
hit and all these things. 

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Fitness. 
Yoga. 

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Yeah. 
So how do you balance all that? 

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I mean, just kind of doing a 
little bit of a a tangent right 

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now, but how do you balance all 
that doing? 

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I mean literally mom, wife, 
doctor, functional Dr. So you 

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took on a whole another scope. 
How do you to say less do it 

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all? 
Well, definitely needs a lot of 

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support. 
Family support is huge. 

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It takes a village, so I 
couldn't do it without all the 

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support, both like family and 
then husband, right? 

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Like it takes a team to do it. 
So with that and my biggest I 

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firmly believe if you don't make
time for your Wellness and your 

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health now, you're going to pay 
for it in your last second of 

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life because it's very common 
these days, especially here. 

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Aging is frowned upon because 
people are decrepit, right? 

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But that's not the way people 
live. 

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Like, you look at the Blue Zones
and people that take care of 

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themselves, they're living into 
their hundreds and they're 

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independent. 
So you can do that if you put it

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in now. 
So even if it's a little bit 

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while, I'm maybe stepping 
outside, getting a fresh a 

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breath of fresh air, taking in 
breath, work, mindfulness, going

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for a walk, getting yoga. 
And I have to squeeze it in 

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maybe first thing in the morning
because maybe the day is packed,

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there's always something and hit
do 15 minutes. 

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That's all I need, right? 
Yeah, get the heart rate up. 

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I tell people all the time, look
what we do in. 

226
00:11:57,120 --> 00:11:59,000
It's on the podcast as well, 
too, right? 

227
00:11:59,680 --> 00:12:01,520
I do the breathing exercise as 
well too. 

228
00:12:01,520 --> 00:12:04,240
We do it in our life course. 
We do it at the end of sessions 

229
00:12:04,240 --> 00:12:06,800
just to get a little bit of 
anxiety, a little bit of stress 

230
00:12:06,800 --> 00:12:09,920
release. 
It's surprising how much a 

231
00:12:09,920 --> 00:12:13,360
little bit of breathwork can 
take you so, so far as far as 

232
00:12:13,360 --> 00:12:15,840
your your mental health, right? 
Just going to give you a little 

233
00:12:15,840 --> 00:12:18,400
Peace of Mind. 
But you did talk about one thing

234
00:12:18,400 --> 00:12:20,760
and because we're talking about 
real life and boards here, we 

235
00:12:20,760 --> 00:12:22,360
kind of want to make this a 
little bit more interesting 

236
00:12:22,360 --> 00:12:24,400
than, oh, here you go board 
stuff. 

237
00:12:24,880 --> 00:12:30,440
You talk about Blue Zones. 
OK, So to my audience, do you 

238
00:12:30,440 --> 00:12:32,320
mind explaining what a Blue Zone
is? 

239
00:12:32,320 --> 00:12:35,920
Because there's a documentary on
Netflix talking about these 

240
00:12:35,920 --> 00:12:38,240
areas in the world. 
But if you would be so kind as 

241
00:12:38,240 --> 00:12:39,800
to explain to us what a Blue 
Zone is. 

242
00:12:39,880 --> 00:12:43,120
Of course, yeah. 
It's the way that certain areas 

243
00:12:43,120 --> 00:12:45,880
of the world, they're located. 
There's only one in in the 

244
00:12:45,880 --> 00:12:49,000
United States, Loma Linda, CA. 
But the rest of them, if you 

245
00:12:49,240 --> 00:12:54,560
think about Japan, we also have 
like Greece and a couple other 

246
00:12:54,560 --> 00:12:56,760
places. 
But generally what you've 

247
00:12:56,760 --> 00:13:00,360
noticed as that the main 
factors, of course you could do 

248
00:13:00,360 --> 00:13:04,400
lifestyle, do the right things, 
eat right, mental health, all 

249
00:13:04,400 --> 00:13:07,720
that, but the biggest 
commonalities was a sense of 

250
00:13:07,720 --> 00:13:11,320
community, a sense of purpose 
and relationships, and that's 

251
00:13:11,320 --> 00:13:13,600
what kept people going. 
Really. 

252
00:13:13,800 --> 00:13:15,960
So it wasn't just diet. 
There was a lot more than. 

253
00:13:16,880 --> 00:13:20,880
Yes, and that tells us why it's 
so important to get a holistic, 

254
00:13:21,920 --> 00:13:24,400
A holistic approach to our 
health. 

255
00:13:24,400 --> 00:13:26,600
OK, so I want you to name those 
three things again. 

256
00:13:26,600 --> 00:13:31,120
I'm going to show you all as 
students, how as, as, maybe as 

257
00:13:31,120 --> 00:13:34,280
practicing nurses, as students, 
as those of you that have 

258
00:13:34,280 --> 00:13:36,160
graduated. 
Those three things that you talk

259
00:13:36,160 --> 00:13:37,480
about Blue zones have. 
They have. 

260
00:13:37,520 --> 00:13:39,320
What were those three things? 
Community. 

261
00:13:39,320 --> 00:13:41,120
Community and collects high 
yield. 

262
00:13:41,280 --> 00:13:44,480
Is that all right? 
Yeah, you have that support 

263
00:13:44,480 --> 00:13:48,280
system, OK, right. 
Like loneliness is a bad factor 

264
00:13:48,280 --> 00:13:50,240
against you community. 
Exactly. 

265
00:13:50,240 --> 00:13:52,000
So community, yeah. 
What else is there? 

266
00:13:52,000 --> 00:13:54,120
Relationships. 
Relationships so supportive. 

267
00:13:54,120 --> 00:13:55,480
Relationships. 
Supportive relationships. 

268
00:13:55,480 --> 00:13:57,480
So what do we do? 
I say this all the time, every 

269
00:13:57,480 --> 00:13:59,240
time we're on a podcast, every 
time we're on a free weekly 

270
00:13:59,240 --> 00:14:00,200
zoom. 
I always talk about our 

271
00:14:00,200 --> 00:14:02,400
community and how everyone is so
supportive. 

272
00:14:02,640 --> 00:14:04,760
When you jump into the course, 
the first thing I say is I don't

273
00:14:04,760 --> 00:14:07,680
want any negativity in here 
because, well, we're not going 

274
00:14:07,680 --> 00:14:10,360
to allow it, period, Whether it 
be from our end or from 

275
00:14:10,360 --> 00:14:12,880
students, and we don't allow it.
And what's the last one? 

276
00:14:13,040 --> 00:14:14,760
Sense of purpose? 
And a purpose. 

277
00:14:14,760 --> 00:14:17,040
And what I always say, our whole
staff says this. 

278
00:14:17,320 --> 00:14:21,800
Remember your purpose. 
As a matter of fact, I believe 

279
00:14:22,120 --> 00:14:25,000
it is in our coloring book. 
You know, I love that because 

280
00:14:25,080 --> 00:14:28,680
art is therapeutic. 
There's so many ways to have 

281
00:14:28,680 --> 00:14:32,000
stress relief and especially 
while people are gearing up to 

282
00:14:32,000 --> 00:14:34,160
study, kind of take care of your
health. 

283
00:14:34,200 --> 00:14:38,120
You know, in many ways it's so 
funny because we actually 

284
00:14:38,120 --> 00:14:41,680
created this. 
Our team was very adamant about 

285
00:14:41,680 --> 00:14:45,200
doing stuff for mental because 
obviously we talk about it so 

286
00:14:45,200 --> 00:14:47,960
much and it says right there, 
remember why you started. 

287
00:14:48,360 --> 00:14:50,160
So look at that. 
Remember why you started. 

288
00:14:50,480 --> 00:14:52,640
The best is yet to come, just 
little coloring doodles. 

289
00:14:52,640 --> 00:14:54,680
You call out the nursing 
doodles. 

290
00:14:54,680 --> 00:14:58,400
And it's so encouraging, yeah. 
But like, it's not just for kids

291
00:14:58,440 --> 00:14:59,360
people. 
People like. 

292
00:14:59,680 --> 00:15:02,160
They don't realize that art can 
be coloring, colored pencils, 

293
00:15:02,160 --> 00:15:04,320
markers, or actually painting or
whatever there. 

294
00:15:04,320 --> 00:15:07,080
Is so much out there, people do 
art therapy. 

295
00:15:07,240 --> 00:15:08,960
Oh yeah. 
Yeah, and art is not limited to 

296
00:15:08,960 --> 00:15:10,800
what you see, It can be what you
hear too. 

297
00:15:10,800 --> 00:15:13,000
Because as you know, I love 
making music. 

298
00:15:13,400 --> 00:15:18,560
So I remember those days, right?
But yeah, so now I totally went 

299
00:15:18,560 --> 00:15:20,200
on to change it because we start
talking about B90. 

300
00:15:20,200 --> 00:15:22,960
That kind of prompted the whole 
mother thing because we use 

301
00:15:22,960 --> 00:15:27,720
folate and folic acid and you 
clearly prescribe or not 

302
00:15:27,720 --> 00:15:30,520
prescribe, but obviously, yeah, 
prescribe it, yeah as well too. 

303
00:15:30,800 --> 00:15:33,760
So main purposes that you use it
for real life. 

304
00:15:34,080 --> 00:15:35,320
Yeah. 
I mean, of course you go back to

305
00:15:35,320 --> 00:15:37,320
alcoholism. 
That's also one of the vitamins 

306
00:15:37,320 --> 00:15:39,360
you throw in there. 
And the big banana bags, right, 

307
00:15:39,360 --> 00:15:41,040
when you're acutely in the 
hospital, yeah. 

308
00:15:41,240 --> 00:15:43,520
The yellow bags, Yeah, the 
yellow banana bags. 

309
00:15:43,760 --> 00:15:46,200
So that's the one. 
And then also, especially if you

310
00:15:46,200 --> 00:15:48,520
have like bariatric surgery, 
also, again, if you're 

311
00:15:48,520 --> 00:15:54,000
malnourished, but again within 
the Wellness, Wellness realm to 

312
00:15:54,080 --> 00:15:56,440
optimize your health, it's one 
of those vitamins. 

313
00:15:56,440 --> 00:15:58,680
The B vitamins folate is one of 
them. 

314
00:15:58,760 --> 00:16:01,120
Absolutely. 
And then because it sparked the 

315
00:16:01,120 --> 00:16:04,280
whole bomb thing, we use it. 
So for the sake of the boards, 

316
00:16:04,760 --> 00:16:09,240
obviously alcohol for sure. 
We use it as one of the main B 

317
00:16:09,240 --> 00:16:13,800
vitamins that gets depleted in 
that, but the boards love it for

318
00:16:13,800 --> 00:16:15,640
prenatals. 
Why is that? 

319
00:16:15,640 --> 00:16:18,760
Because as a further teaching 
for the intervention type of a 

320
00:16:18,760 --> 00:16:23,720
question, somebody's going to 
come and say, well I don't 

321
00:16:24,680 --> 00:16:28,080
really, I'm not pregnant right 
now so I don't need to take it. 

322
00:16:28,080 --> 00:16:31,160
But in actuality, we start them 
when they start to think of 

323
00:16:31,160 --> 00:16:31,840
conceal. 
Exactly. 

324
00:16:32,120 --> 00:16:34,080
You want to. 
You want to build up the the 

325
00:16:34,160 --> 00:16:35,760
amount in your body. 
Yeah. 

326
00:16:35,760 --> 00:16:39,560
And and the main reason is, is 
that and this is kind of what 

327
00:16:39,560 --> 00:16:42,600
you know the unfortunately a lot
of the world that we, yeah we 

328
00:16:42,600 --> 00:16:45,920
all maybe those of you that are 
listening and those that are in 

329
00:16:45,920 --> 00:16:49,320
the medical field or that have 
pursued the medical field, we 

330
00:16:49,320 --> 00:16:52,840
kind of understand a lot more 
than the normal person does. 

331
00:16:53,520 --> 00:16:56,600
And in that aspect a lot of 
people are, they're not Privy to

332
00:16:57,000 --> 00:17:02,160
or do not have any type of 
healthcare, let alone prenatal 

333
00:17:02,160 --> 00:17:04,400
care. 
So they don't know that things 

334
00:17:04,400 --> 00:17:08,000
that they were doing may lead to
neural tube defects and that's 

335
00:17:08,000 --> 00:17:10,319
one of the biggest reasons why 
the boards love it. 

336
00:17:11,000 --> 00:17:14,119
This is one that they may ask 
you the dose and the reason why 

337
00:17:14,119 --> 00:17:17,520
they may ask you to dose is 
because if you're going to start

338
00:17:17,520 --> 00:17:20,839
somebody on prenatal vitamins, 
you want their folic acid to be 

339
00:17:20,839 --> 00:17:25,480
at 400 to 800 micrograms. 
But now let's take it to farm 

340
00:17:25,480 --> 00:17:28,760
and let's take it to mental 
health because we could use or 

341
00:17:28,760 --> 00:17:34,560
neuro, we could take phenotoen, 
which is going to deplete our B9

342
00:17:34,640 --> 00:17:36,680
levels. 
And in that situation, we're 

343
00:17:36,680 --> 00:17:39,080
going to double the amount of 
folic acid. 

344
00:17:39,080 --> 00:17:41,680
We're going to go up from 800 to
1600 micrograms. 

345
00:17:41,960 --> 00:17:43,960
So a board question right there 
for the teaching for the 

346
00:17:43,960 --> 00:17:48,000
intervention or straight freebie
or to tie it to a diagnosis of 

347
00:17:48,000 --> 00:17:50,560
neuro 2 defects. 
So a lot of great questions that

348
00:17:50,560 --> 00:17:55,320
come out of folic acid and the 
last B vitamin that we talked 

349
00:17:55,320 --> 00:17:59,280
about is probably the one that 
is the most common people that 

350
00:17:59,280 --> 00:18:03,000
majority people know about and 
it is cobalamin. 

351
00:18:04,520 --> 00:18:07,400
We can't even say it without 
laughing at this point. 

352
00:18:08,880 --> 00:18:13,880
So yeah, there is definitely a 
Cobalamin, but when we look at 

353
00:18:13,880 --> 00:18:17,080
our vitamins, unfortunately a 
lot of our vitamins that we take

354
00:18:17,080 --> 00:18:20,240
over the counter, multivitamins,
they're in what form do you 

355
00:18:20,240 --> 00:18:22,720
typically see? 
Oh yeah, it's not the well 

356
00:18:22,720 --> 00:18:26,080
absorbed form form. 
It's not the well absorbed form.

357
00:18:26,360 --> 00:18:29,040
Yeah, so it's typically going to
be written out as 

358
00:18:29,040 --> 00:18:32,840
cyanocobalamin. 
Myself, Doctor Mina, we kind of 

359
00:18:32,840 --> 00:18:35,000
say, like, if you look at 
cyanocobalamin in your vitamins 

360
00:18:35,840 --> 00:18:38,920
and you're taking it orally, 
probably the whole thing is no 

361
00:18:38,920 --> 00:18:40,120
good. 
Yeah, I mean and. 

362
00:18:40,360 --> 00:18:43,840
Because it's not methylated. 
Yeah, it's so funny because this

363
00:18:43,840 --> 00:18:46,280
is our nerdy side coming out 
because in biochemistry they say

364
00:18:46,600 --> 00:18:48,920
in order to activate you must 
methylate. 

365
00:18:49,600 --> 00:18:51,280
So yeah, we are to the right. 
Crowd I'm. 

366
00:18:52,000 --> 00:18:54,360
Just saying, we're total nerds 
and we own it. 

367
00:18:54,440 --> 00:18:57,480
OK, it's all good. 
So yeah, it's not methylated. 

368
00:18:57,480 --> 00:18:59,320
So the one that you're looking 
for is you definitely want 

369
00:18:59,320 --> 00:19:02,360
methyl cobalamin. 
But for Cobalamin, there's a lot

370
00:19:02,360 --> 00:19:06,360
of things that we we see it 
either we're you know patients 

371
00:19:06,360 --> 00:19:08,120
are deficient in or and or need 
it. 

372
00:19:08,120 --> 00:19:10,840
So what are some common ones 
that you see in real life? 

373
00:19:10,840 --> 00:19:11,880
Oh yeah. 
Anemia. 

374
00:19:12,200 --> 00:19:15,000
Yeah, pernicious anemia, right 
or yeah, where we're losing our 

375
00:19:15,000 --> 00:19:18,600
intrinsic factor. 
So like gastric bypass 

376
00:19:18,600 --> 00:19:22,680
surgeries, you know when they 
cut out a portion of the stomach

377
00:19:22,680 --> 00:19:26,160
that produces intrinsic factor 
and I'm a slow down here. 

378
00:19:26,160 --> 00:19:30,040
So you understand intrinsic 
factor produced by the stomach 

379
00:19:30,520 --> 00:19:35,720
helps us with B12 absorption 
like we need it to actually 

380
00:19:35,720 --> 00:19:38,440
absorb that B12. 
What other situations have you 

381
00:19:38,440 --> 00:19:42,680
seen maybe in your actual real 
life patients where like you 

382
00:19:42,720 --> 00:19:45,040
need B12? 
Yeah, I mean of course in the 

383
00:19:45,040 --> 00:19:47,120
hospital if you're deficient, 
but if you're looking at the 

384
00:19:47,120 --> 00:19:51,040
Wellness and the optimal to 
thrive people, I mean you see 

385
00:19:51,040 --> 00:19:52,600
it, it's everywhere. 
It's one of the ones you want 

386
00:19:52,600 --> 00:19:55,000
the injections, you want to have
the energy. 

387
00:19:55,440 --> 00:19:57,960
It does build into multiple 
pathways in the body. 

388
00:19:58,160 --> 00:20:02,680
It goes back to all the the. 
The biochemical pathways, that's

389
00:20:02,680 --> 00:20:04,920
key to it. 
So if you're not getting it from

390
00:20:04,920 --> 00:20:06,960
food, if you're vegetarian. 
There you go. 

391
00:20:06,960 --> 00:20:08,760
Or vegan. 
Or vegan, Yes. 

392
00:20:09,080 --> 00:20:12,520
Not saying that it's impossible.
You'll have to find the right 

393
00:20:12,520 --> 00:20:16,960
supplements, right? 
So those are real life issues 

394
00:20:16,960 --> 00:20:18,640
when you're deficient. 
Yeah, absolutely. 

395
00:20:18,640 --> 00:20:22,240
And a lot of people, you know, 
more so than I've seen ever in 

396
00:20:22,240 --> 00:20:24,320
the past. 
A lot of people are tending to 

397
00:20:24,520 --> 00:20:28,920
trend towards that. 
Do you see a lot of vegan diets 

398
00:20:28,920 --> 00:20:30,720
now? 
A lot of vegetarian diets now, 

399
00:20:30,720 --> 00:20:32,840
more so than you've ever seen in
the past? 

400
00:20:32,840 --> 00:20:34,640
Or is that just something that 
I'm noticing as well too? 

401
00:20:34,680 --> 00:20:35,640
I. 
Think you know, it's. 

402
00:20:36,040 --> 00:20:40,120
I think before it was more 
cultural beliefs, but I'm seeing

403
00:20:40,120 --> 00:20:43,120
it more because there's so many 
factors, right? 

404
00:20:43,360 --> 00:20:47,280
There's some people that don't 
want to eat meat or maybe it's 

405
00:20:47,280 --> 00:20:49,200
just a preference. 
But yeah, I'm seeing more and 

406
00:20:49,200 --> 00:20:52,680
more veer away from animal. 
Yeah, yeah. 

407
00:20:53,080 --> 00:20:57,520
But I think it goes back to also
clarifying misinformation, 

408
00:20:57,520 --> 00:21:00,640
right? 
Animal meat is so good for you 

409
00:21:00,640 --> 00:21:03,760
if it's the right type. 
Like if you want to get organic 

410
00:21:03,760 --> 00:21:07,200
grass fed, it's good quality, 
it's well absorbed, B12, 

411
00:21:07,200 --> 00:21:11,000
multiple other minerals and 
vitamins, It's the best way to 

412
00:21:11,000 --> 00:21:14,880
get Red meat is OK in of course 
moderation and the right type. 

413
00:21:15,000 --> 00:21:17,160
Yeah, absolutely. 
And again, that's not to say 

414
00:21:17,160 --> 00:21:21,800
that any type of veganism or 
vegetarian diet is not, you 

415
00:21:21,840 --> 00:21:25,120
know, it's not a good diet. 
It's just said that there are 

416
00:21:25,120 --> 00:21:27,680
other ways or decent ways to be 
able to do it. 

417
00:21:27,680 --> 00:21:30,280
But again, if you're an animal 
rights activist or if you're, of

418
00:21:30,400 --> 00:21:32,920
course you know, cultural or 
religious or this and that, then

419
00:21:32,920 --> 00:21:34,880
there are ways to get that B12 
as well. 

420
00:21:34,880 --> 00:21:36,240
Protein powders. 
Protein powders. 

421
00:21:36,240 --> 00:21:37,360
There you go. 
Pea proteins. 

422
00:21:37,600 --> 00:21:39,040
That's like one of the good 
ones, too. 

423
00:21:39,080 --> 00:21:43,160
Yeah, yeah, absolutely. 
Pea protein, yeah, all these 

424
00:21:43,160 --> 00:21:45,520
things. 
They have a lot of good B12 

425
00:21:45,520 --> 00:21:48,000
because again, the way the 
boards are going to ask this is 

426
00:21:48,840 --> 00:21:52,240
I do like now because we're 
starting to see a lot of that. 

427
00:21:53,840 --> 00:21:55,520
What's it called? 
We, we see a lot of gastric 

428
00:21:55,520 --> 00:21:58,800
bypass and gastric sleeves now 
we're seeing a lot of those 

429
00:21:58,800 --> 00:22:01,720
surgeries being being done, a 
lot of those procedures being 

430
00:22:01,720 --> 00:22:05,720
done. 
So with that, we definitely want

431
00:22:05,800 --> 00:22:08,480
to educate them on that 
intrinsic factor not being made 

432
00:22:08,480 --> 00:22:10,520
and the B12 maybe having to be 
taken. 

433
00:22:10,520 --> 00:22:14,000
So again, if you're taking an IM
or intramuscular, the 

434
00:22:14,320 --> 00:22:18,320
cyanocobalamine is just fine. 
However, if you're going to take

435
00:22:18,320 --> 00:22:20,000
it orally, we want methyl 
cobalamine. 

436
00:22:20,000 --> 00:22:22,880
And again, in those people that 
have had gastric bypass, gastric

437
00:22:22,880 --> 00:22:26,800
sleeves, vegan diets, vegetarian
diets as well too. 

438
00:22:27,600 --> 00:22:30,000
So those are your B twelves. 
But again, that comes out to be 

439
00:22:30,000 --> 00:22:33,240
complex. 
So now, Doctor Amina, when you 

440
00:22:33,600 --> 00:22:36,800
talk to your patients because 
you do everything individually, 

441
00:22:37,160 --> 00:22:39,960
right now, what's the benefit of
doing it individually? 

442
00:22:39,960 --> 00:22:42,240
That's like I tell my students 
as well too. 

443
00:22:42,240 --> 00:22:47,000
Like, I got to answer your 
question to you, not as a whole.

444
00:22:47,080 --> 00:22:51,440
So what is the benefit of seeing
each individual patient? 

445
00:22:51,880 --> 00:22:54,280
It's like each student, right? 
Everyone learns differently. 

446
00:22:54,840 --> 00:22:58,640
Each person is made differently.
So it's not going to be a 

447
00:22:58,640 --> 00:23:02,440
standard approach. 
Yes, you may have like a common 

448
00:23:03,000 --> 00:23:08,040
disease, like diabetes, right? 
But everyone in mainstream in 

449
00:23:08,200 --> 00:23:10,280
conventional medicine gets the 
standard approach. 

450
00:23:10,280 --> 00:23:12,160
But what's your root cause, 
right? 

451
00:23:13,120 --> 00:23:16,160
So a common one. 
Everyone's tired, everyone's 

452
00:23:16,160 --> 00:23:18,080
anxious. 
But what's your root cause, 

453
00:23:18,080 --> 00:23:20,160
right? 
You don't want to just throw a 

454
00:23:20,160 --> 00:23:21,360
medicine. 
You don't want to throw like 

455
00:23:21,360 --> 00:23:25,200
Benzos and SSRI. 
You want to figure out what's 

456
00:23:25,200 --> 00:23:27,920
the trigger, what's the root 
cause and it could be anything. 

457
00:23:27,920 --> 00:23:29,480
Is it lifestyle? 
Is it? 

458
00:23:29,840 --> 00:23:33,160
Are you not sleeping enough? 
Is there like anxiety that's 

459
00:23:33,160 --> 00:23:35,840
building up, You're not 
relieving maybe past traumas 

460
00:23:35,840 --> 00:23:40,360
that build up, Maybe you're just
not getting enough movement, 

461
00:23:40,680 --> 00:23:43,640
maybe you're not eating right, 
maybe deficient environment. 

462
00:23:44,280 --> 00:23:48,320
I mean, there's so many very 
causes that if you try to get to

463
00:23:48,320 --> 00:23:52,280
it, it pulls you a long way. 
It helps you thrive and have a 

464
00:23:52,280 --> 00:23:55,200
longer, more fulfilling life. 
Absolutely, absolutely. 

465
00:23:55,200 --> 00:23:57,640
And so we talked about like the 
whole mental aspect of it. 

466
00:23:58,000 --> 00:24:00,920
And it's kind of, it's kind of 
funny because we actually got 

467
00:24:00,920 --> 00:24:03,520
this right in front of us. 
We started taking this little 

468
00:24:03,520 --> 00:24:08,880
elixir and it's definitely 
something that for us, for us 

469
00:24:08,880 --> 00:24:12,960
people that are constantly on 
the go, go, go, go, go that are,

470
00:24:13,120 --> 00:24:16,520
you know, studying hard, that 
have jobs, families, whatever it

471
00:24:16,520 --> 00:24:19,520
is that we've got going on in 
our life and still trying to 

472
00:24:19,520 --> 00:24:21,480
build. 
It's important to have that, 

473
00:24:21,840 --> 00:24:25,240
that nootropic. 
And you talk about, you know, 

474
00:24:25,240 --> 00:24:28,400
all the different things that 
that you get, all the different 

475
00:24:28,400 --> 00:24:30,840
benefits from this. 
And we talk about that 

476
00:24:30,840 --> 00:24:34,800
Ashwagandha. 
OK, so now you need to school me

477
00:24:34,800 --> 00:24:36,960
in on Astrogandha and my 
students on Astrogandha because 

478
00:24:36,960 --> 00:24:40,440
it is in this nootropic called 
magic mind that we take. 

479
00:24:40,640 --> 00:24:42,600
I mean, we're about to take one 
right now. 

480
00:24:42,920 --> 00:24:45,560
It's so funny because this thing
is amazing. 

481
00:24:45,880 --> 00:24:48,480
And I'm introducing Dr. Romina 
to this, but Doctor Mina read it

482
00:24:48,480 --> 00:24:51,160
was like Ashwagandha, right? 
So talk to me about that because

483
00:24:51,160 --> 00:24:52,800
it's a nootropic and 
ashwagandha. 

484
00:24:53,240 --> 00:24:55,280
What about it? 
Yeah, it's like so much out 

485
00:24:55,280 --> 00:24:57,000
there, right? 
But I was also looking at the 

486
00:24:57,080 --> 00:25:00,120
other ingredients, right, 
Ashwagandha, it's one of those, 

487
00:25:00,280 --> 00:25:02,560
you can call it a nootropic, can
call it Adaptogen because 

488
00:25:02,560 --> 00:25:07,000
there's many uses. 
It's one of the I would say if 

489
00:25:07,000 --> 00:25:10,200
you want to do like a one hit 
for everything, that's the one. 

490
00:25:10,680 --> 00:25:12,360
Right. 
Because it gets you everything. 

491
00:25:12,400 --> 00:25:14,600
Right, it does. 
It gets you. 

492
00:25:15,080 --> 00:25:17,640
Hormones. 
It gets your hormones helps like

493
00:25:17,960 --> 00:25:21,040
it's it's the one hit. 
But what's really interesting is

494
00:25:21,200 --> 00:25:23,600
you combine it with all these 
other ones, right? 

495
00:25:23,880 --> 00:25:28,120
And so I think that's just so 
cool because you if you have 

496
00:25:28,120 --> 00:25:30,520
like caffeine, but you don't 
want to like be jittery 

497
00:25:31,040 --> 00:25:33,840
especially too much, it kind of 
takes the edge off, but you want

498
00:25:33,840 --> 00:25:36,440
the focus. 
And so you have not only Dash 

499
00:25:36,440 --> 00:25:39,040
Waganda because yes, it helps 
with it. 

500
00:25:39,040 --> 00:25:40,080
I mean, you have to take it 
every day. 

501
00:25:40,080 --> 00:25:41,400
It's not going to hit right 
away. 

502
00:25:41,400 --> 00:25:43,280
It's one of. 
Those you have to, you have to. 

503
00:25:43,280 --> 00:25:45,320
Consistently. 
Yeah, we've got to do it because

504
00:25:45,520 --> 00:25:48,040
that's, I mean that's why we do 
this on a consistent basis, 

505
00:25:48,640 --> 00:25:52,360
which I mean, look, Magic Mind 
was kind to offer our students 

506
00:25:52,360 --> 00:25:55,240
before we get into more of it. 
They were actually really kind 

507
00:25:55,240 --> 00:25:59,000
to offer our students and nurses
and anybody that's listening to 

508
00:25:59,000 --> 00:26:02,480
the podcast and discount. 
So in January, this coming 

509
00:26:02,480 --> 00:26:06,960
January, they're going to help 
crush 2024 with your New Year's 

510
00:26:06,960 --> 00:26:08,800
resolution. 
So you're going to get one month

511
00:26:08,800 --> 00:26:11,880
free when you're subscribing for
three months. 

512
00:26:12,200 --> 00:26:15,080
And that is amazing. 
And all you got to do is go to 

513
00:26:15,080 --> 00:26:23,080
magicline.com/J ANNCLEX, so Jan 
and then Nclex. 

514
00:26:23,400 --> 00:26:26,720
And you can use that with my 
code and it's an extra 20% off 

515
00:26:27,440 --> 00:26:29,600
right now, which gets you a 
total of 75% off. 

516
00:26:29,600 --> 00:26:33,040
So enjoy it because at the end 
of the day, that astrogando with

517
00:26:33,040 --> 00:26:36,960
the stress and anxiety and 
everything like that helps me. 

518
00:26:36,960 --> 00:26:38,680
And nootropics, we're big on 
period. 

519
00:26:39,000 --> 00:26:44,200
Adaptogens, we're big on period.
So the one thing about this is I

520
00:26:44,200 --> 00:26:46,240
want you to tell me honestly 
what you think about the taste. 

521
00:26:46,240 --> 00:26:47,680
Let's do this. 
Yo, let's do it all. 

522
00:26:48,040 --> 00:26:50,160
Right, here we go. 
Cheers. 

523
00:26:52,040 --> 00:26:52,760
Cheers. 
All right. 

524
00:26:57,840 --> 00:27:01,000
So the one thing I always get 
scared of, because I've been 

525
00:27:01,000 --> 00:27:02,520
already, I've taken this so many
times. 

526
00:27:03,200 --> 00:27:05,640
I take it so consistently. 
I always get scared of taste. 

527
00:27:06,360 --> 00:27:11,000
I'm very sensitive to taste, so 
I don't like too sweet, I don't 

528
00:27:11,000 --> 00:27:13,560
like bitter, I like that happy 
medium. 

529
00:27:13,600 --> 00:27:15,400
What was your honest opinion 
right now? 

530
00:27:16,800 --> 00:27:18,400
You know, the after taste is 
kind of fruity. 

531
00:27:18,440 --> 00:27:20,920
It is but not too sweet. 
No, exactly. 

532
00:27:20,960 --> 00:27:22,760
I don't like too sweet. 
Like I don't like that 

533
00:27:23,080 --> 00:27:25,800
artificial sweet taste where it 
kind of sticks in your mouth 

534
00:27:25,800 --> 00:27:27,480
like. 
I don't think this is really 

535
00:27:27,480 --> 00:27:30,800
good for me, but this not. 
Yeah, exactly, exactly. 

536
00:27:30,800 --> 00:27:31,680
I. 
Do like it. 

537
00:27:32,000 --> 00:27:35,920
And The thing is, I really like 
how you have many good 

538
00:27:35,920 --> 00:27:39,320
ingredients to balance out, 
including national granddad. 

539
00:27:39,520 --> 00:27:43,440
But looking at it closer, 
there's other nootropics that 

540
00:27:43,440 --> 00:27:47,040
you use like there's rhodiola, 
there's and so those you can 

541
00:27:47,040 --> 00:27:50,840
also use for mood balancing 
depending on and we can maybe 

542
00:27:50,840 --> 00:27:53,960
like talk about that later when 
you get into hormones and like 

543
00:27:53,960 --> 00:27:55,960
adrenals and stress and stuff. 
Oh yeah, we have a whole 

544
00:27:56,040 --> 00:27:57,680
endocrine section section on 
that, yeah. 

545
00:27:57,920 --> 00:27:59,760
There's certain things that 
targets that too. 

546
00:28:00,040 --> 00:28:02,520
And then you got like lion's 
mane, which helps with focus 

547
00:28:02,680 --> 00:28:04,760
Mushrooms, right? 
The good mushrooms? 

548
00:28:05,800 --> 00:28:07,000
Good. 
Glad you got turmeric 

549
00:28:07,160 --> 00:28:08,640
anti-inflammatory. 
Absolutely. 

550
00:28:09,160 --> 00:28:13,080
Then you got like phosphatoodal 
serine and L theanine, which if 

551
00:28:13,080 --> 00:28:15,960
you, if you think about green 
tea, L theanine, to even get a 

552
00:28:16,000 --> 00:28:18,200
good amount you have to like 
drink so much throughout the 

553
00:28:18,200 --> 00:28:19,920
day, right? 
I mean, to have it mixed in 

554
00:28:19,920 --> 00:28:22,200
here, that's brilliant. 
Oh yeah, absolutely. 

555
00:28:22,320 --> 00:28:24,960
We love it. 
We're huge fans of Magic Mind 

556
00:28:25,320 --> 00:28:29,040
and which leads us to a couple 
of other things that we should 

557
00:28:29,040 --> 00:28:30,880
have in our body as well to 
board. 

558
00:28:30,880 --> 00:28:35,760
Related going back to that as 
well too is iron and vitamin C 

559
00:28:36,040 --> 00:28:38,920
Now both of them work 
synergistically iron. 

560
00:28:40,080 --> 00:28:43,320
So real life what? 
Where do we get iron from? 

561
00:28:43,560 --> 00:28:45,880
Where do we see deficiency? 
What are the problems without 

562
00:28:45,880 --> 00:28:49,680
having iron in real life? 
Yeah, you can get iron from lots

563
00:28:49,680 --> 00:28:52,080
of food. 
Spinach, like there's certain 

564
00:28:52,080 --> 00:28:54,360
fruits, other vegetables. 
Of course. 

565
00:28:54,360 --> 00:28:55,880
If you eat meat, you can get 
meat. 

566
00:28:56,760 --> 00:28:59,680
And of course you need it. 
You need it to hold on to 

567
00:28:59,920 --> 00:29:02,000
hemoglobin. 
Hold on to that. 

568
00:29:02,000 --> 00:29:03,960
Hemoglobin. 
Yeah, need our red blood cells 

569
00:29:03,960 --> 00:29:06,200
to function properly. 
Energy, right? 

570
00:29:06,240 --> 00:29:07,680
Then you've got energy, if 
you're like. 

571
00:29:08,000 --> 00:29:10,400
Oxygen levels, everything, 
everything. 

572
00:29:11,000 --> 00:29:14,440
So people that become anemic, 
you see the first sign or 

573
00:29:14,440 --> 00:29:17,160
symptom and we're talking about 
boards now where people that are

574
00:29:17,160 --> 00:29:20,320
going to be anemic, the first 
thing they may complain about is

575
00:29:20,320 --> 00:29:22,680
actually fatigue. 
You know, you you might they 

576
00:29:22,680 --> 00:29:25,480
might start feeling lightheaded 
or if you get a little bit more 

577
00:29:25,480 --> 00:29:27,520
severe, they get pale. 
You know, again, they're not 

578
00:29:27,520 --> 00:29:31,080
holding on to that hemoglobin. 
So the thing about iron is for 

579
00:29:31,080 --> 00:29:36,120
the sake of the boards and you 
having to little boys is it's 

580
00:29:36,120 --> 00:29:40,640
not found in milk And and that's
a big deal because a lot of 

581
00:29:40,640 --> 00:29:46,560
people they're, you know, 
globally their primary source of

582
00:29:46,560 --> 00:29:49,360
nutrition is actually milk 
because it's successful, it's 

583
00:29:49,360 --> 00:29:53,040
filling, right, Especially in 
poverty stricken you know areas 

584
00:29:53,040 --> 00:29:55,720
as well too where milk kind of 
gets you through. 

585
00:29:56,000 --> 00:29:57,840
That's just kind of how it was 
growing up. 

586
00:29:57,840 --> 00:29:59,920
That's kind of how it is in 
other areas of the world. 

587
00:30:00,520 --> 00:30:02,760
But that leads to in the long 
term that anemia. 

588
00:30:03,040 --> 00:30:06,840
So remember with iron you're not
going to find it in any type of 

589
00:30:06,840 --> 00:30:10,800
milk unless it's a cereal or 
fortified. 

590
00:30:10,880 --> 00:30:14,240
So we want to look for that word
fortified and then also if we're

591
00:30:14,240 --> 00:30:17,720
going to give iron, give it with
vitamin C Vitamin C and iron 

592
00:30:17,720 --> 00:30:20,160
absorption go hand in hand. 
So for the sake of the boards, 

593
00:30:20,160 --> 00:30:24,280
remember that which leads us 
into our subsequent topic which 

594
00:30:24,280 --> 00:30:27,880
is Calcium. 
So calcium and vitamin D So I 

595
00:30:27,880 --> 00:30:31,040
know for a fact that there is a 
whole plethora of real life 

596
00:30:31,480 --> 00:30:35,200
applications to calcium and 
vitamin D So please enlighten 

597
00:30:35,200 --> 00:30:35,520
us. 
Oh my gosh. 

598
00:30:36,200 --> 00:30:39,640
Yes, of course. 
So there's so much data out 

599
00:30:39,640 --> 00:30:42,080
there on vitamin D, Yeah, we 
actually dropped a whole bunch 

600
00:30:42,120 --> 00:30:45,160
of information on my Instagram. 
Too, Yeah, Yeah, which will drop

601
00:30:45,160 --> 00:30:48,080
in the bio, by the way. 
We're gonna put it in our 

602
00:30:48,080 --> 00:30:51,040
podcast, and we'll put the link 
to Doctor Romina Actual, 

603
00:30:51,040 --> 00:30:54,280
Instagram and Podcasts and all 
that good stuff as well, too, so

604
00:30:54,280 --> 00:30:55,640
you can start following Doctor 
Romina. 

605
00:30:56,120 --> 00:30:58,280
Yeah, So what about the vitamin 
D? 

606
00:30:58,800 --> 00:31:02,160
And calcium helps with, you know
preventing osteoporosis of the 

607
00:31:02,320 --> 00:31:06,560
virus but then also goes deeper,
it plays into mood especially. 

608
00:31:06,560 --> 00:31:08,920
I mean, you know, you call it 
the sunshine vitamin, but 

609
00:31:08,920 --> 00:31:11,520
there's so many factors that 
affect that right absorption 

610
00:31:11,680 --> 00:31:15,080
whether if your skin can absorb 
it, if you're getting seasonal 

611
00:31:15,080 --> 00:31:17,600
affective disorders from the. 
Mental health, right there. 

612
00:31:17,640 --> 00:31:18,240
Yeah. 
Right. 

613
00:31:18,240 --> 00:31:21,120
If you're in a place that or 
winter, winter, right, you're 

614
00:31:21,120 --> 00:31:23,960
not going to get much sunlight. 
So you need it because it'll 

615
00:31:23,960 --> 00:31:27,360
affect your bones, affects your 
mood, it affects your gut. 

616
00:31:27,800 --> 00:31:30,640
I mean it. 
It's so tied into everything. 

617
00:31:31,040 --> 00:31:33,880
Vitamin D especially. 
I kind of feel like nowadays, I 

618
00:31:33,880 --> 00:31:36,960
mean, you know, throughout what 
it's been a while since I 

619
00:31:36,960 --> 00:31:41,680
graduated medical school. 
And you know, when nowadays I 

620
00:31:41,680 --> 00:31:45,400
kind of noticed that even when 
we get blood work done, people 

621
00:31:45,400 --> 00:31:48,000
are ordering vitamin D levels 
and vitamin B12 levels because 

622
00:31:48,000 --> 00:31:53,520
of the importance of it. 
And like we found that there is 

623
00:31:53,680 --> 00:31:55,560
a deficiency in a huge 
population. 

624
00:31:55,560 --> 00:31:58,320
There's a big percentage 
especially like I would say, 

625
00:31:58,320 --> 00:32:02,600
especially in the United States,
because I would say overseas 

626
00:32:02,640 --> 00:32:06,240
other countries, they're more 
open, have a better, I would say

627
00:32:06,240 --> 00:32:10,000
quality of ingredients, OK, Like
the developed countries, right. 

628
00:32:10,000 --> 00:32:13,320
Whereas in the States it's very 
common to be deficient. 

629
00:32:13,680 --> 00:32:16,960
Do you think that that 
deficiency is increased post 

630
00:32:17,040 --> 00:32:19,080
COVID since now people are 
working at home? 

631
00:32:19,640 --> 00:32:21,840
I think so. 
So I'm curious to see what the 

632
00:32:21,840 --> 00:32:24,880
data shows on that because I do 
feel that a lot of people that 

633
00:32:24,880 --> 00:32:28,120
are working from home and how 
about us that were studying for 

634
00:32:28,120 --> 00:32:29,480
boards or are studying for 
boards. 

635
00:32:29,480 --> 00:32:32,040
Do you think that we're getting 
that proper amount of sunlight 

636
00:32:32,720 --> 00:32:36,760
that we really need to convert 
that vitamin D into you know the

637
00:32:36,760 --> 00:32:41,800
beneficial active form of it And
I don't think that we maybe we 

638
00:32:41,800 --> 00:32:43,960
maybe kind of cooped up a little
bit too much there. 

639
00:32:44,280 --> 00:32:46,080
So for the sake of the boards, 
what do we need to know? 

640
00:32:46,080 --> 00:32:52,800
I think calcium being a big deal
with osteoporosis, so know the 

641
00:32:52,800 --> 00:32:58,120
reasons why osteoporosis occurs.
So one of the main ones that I 

642
00:32:58,120 --> 00:33:02,640
want to talk about is a common 
drug over the counter which is a

643
00:33:02,640 --> 00:33:05,400
proton pump inhibitor. 
So a lot of people suffer from 

644
00:33:05,400 --> 00:33:09,040
GERD. 
How often do you see people with

645
00:33:09,040 --> 00:33:12,440
GERD that kind of pop these 
pills over the counter, but yet 

646
00:33:12,440 --> 00:33:16,840
you could help them, yeah, 
decrease just consuming 

647
00:33:17,080 --> 00:33:18,680
chemicals with their natural 
way. 

648
00:33:18,680 --> 00:33:21,560
So what are some of your pieces 
of advice for people that suffer

649
00:33:21,560 --> 00:33:25,080
from that acid reflux or that 
GERD? 

650
00:33:25,200 --> 00:33:27,800
Yeah, and absolutely do 
everything conventionally. 

651
00:33:27,960 --> 00:33:31,400
If you need to get a scope upper
and lower or whatnot, make sure 

652
00:33:31,400 --> 00:33:32,840
there's nothing serious going on
right? 

653
00:33:32,880 --> 00:33:37,640
But then after that PP is or the
proton pump inhibitors are not 

654
00:33:37,640 --> 00:33:40,760
the long term goal to keep on 
that right. 

655
00:33:41,160 --> 00:33:42,840
Again, it has so many side 
effects. 

656
00:33:43,240 --> 00:33:44,880
So yeah, you want to get down to
root cause. 

657
00:33:45,680 --> 00:33:47,920
What are you eating? 
What time are you eating? 

658
00:33:47,960 --> 00:33:50,800
Are you sleeping right? 
After, right, Yeah, the smoking.

659
00:33:50,800 --> 00:33:52,000
Drinking. 
Exactly. 

660
00:33:52,000 --> 00:33:53,600
Yeah. 
A lot of these things hereditary

661
00:33:53,600 --> 00:33:55,960
like family history things of 
that nature again signs and 

662
00:33:55,960 --> 00:33:59,000
symptoms risk factors that all 
your select all that applied 

663
00:33:59,000 --> 00:34:01,440
questions right there. 
So again with proton pump 

664
00:34:01,440 --> 00:34:04,200
inhibitors, you know that it 
decreases calcium absorption, 

665
00:34:04,560 --> 00:34:07,360
which in the long term as Doctor
Romina I just pointed out is not

666
00:34:07,360 --> 00:34:08,719
something we want to be on long 
term. 

667
00:34:08,719 --> 00:34:10,440
We want to kind of get under the
root cause. 

668
00:34:10,440 --> 00:34:13,560
We want to do things the the 
correct way as well too. 

669
00:34:14,080 --> 00:34:18,320
So those are our main ones for 
the boards. 

670
00:34:18,320 --> 00:34:19,440
I mean I thank you so much for 
joining us. 

671
00:34:19,800 --> 00:34:23,360
Any words, last words to my 
students on just study tips on 

672
00:34:23,360 --> 00:34:24,880
how to keep their anxiety down, 
how about that? 

673
00:34:24,960 --> 00:34:28,159
Yes. 
Even if you feel like you don't 

674
00:34:28,159 --> 00:34:31,040
have time, you do because you're
going to come back, clear your 

675
00:34:31,040 --> 00:34:34,280
mind, find something that makes 
you happy, and reset something 

676
00:34:34,280 --> 00:34:36,159
small. 
Yeah, And it, like we said, 

677
00:34:36,159 --> 00:34:39,280
little baby steps, do something 
a little bit for yourself. 

678
00:34:39,560 --> 00:34:41,239
There's nothing wrong with that.
There's no guilt in that. 

679
00:34:41,760 --> 00:34:44,199
And I think a lot of people feel
that, oh, I'm taking my time 

680
00:34:44,199 --> 00:34:46,880
away from studying to go on the 
treadmill for 10 minutes or go 

681
00:34:46,880 --> 00:34:49,960
for a walk outdoors or do 
something for my own say. 

682
00:34:50,360 --> 00:34:52,280
Just reset start small. 
Reset. 

683
00:34:52,360 --> 00:34:54,040
I love it. 
Doctor Mina, thank you again for

684
00:34:54,040 --> 00:34:56,679
joining us and we will see you 
on the next step, so take care.