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Hey guys, welcome to the doctor 
nurse podcast. 

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I'm your host, dr. 
Sandra pajetta. 

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And today on the podcast, we 
have Cynthia, Thurlow she is the

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founder and CEO of the everyday 
Wellness project. 

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And she is a masters prepared 
nurse practitioner from John 

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Hopkins. 
And she's the author of two 

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books, titled Primal, eating in 
the most recent book titled, 

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intermittent, fasting 
transformation, the 45 Day 

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program. 
She also hosts the everyday 

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Wellness podcast She has over 20
years of clinical experience in 

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cardiology in the emergency 
room, she respects conventional 

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medicine, but began to really 
dive into the root cause of 

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health problems and believes it 
stems from the food that we put 

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in our bodies. 
She believes there's a powerful 

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relationship between food and 
health and this led her to 

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pursue Advanced Training and 
nutrition and functional 

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testing, so that she can help 
others enjoy Optimal Health 

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before they need emergency. 
Care. 

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She's had a couple situations in
her life that have led her up to

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this point where she's decided 
she wanted to spend her life 

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passionately pursuing the 
mission of teaching, women to 

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focus in on changing their diets
to improve the wellness of their

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lives. 
She's had two TED talks, and one

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of which went viral with over 11
million views, not opportunity 

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has led to such an incredible 
career and opportunities that 

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she's been able to step into as 
a nurse practitioner before we 

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jump into the podcast episode. 
I would like to kind of give a 

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little bit bit of backstory. 
I reached out to Cynthia because

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I had a nursing student message 
me and asked if I would find a 

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functional medicine provider, I 
was having a really tough time 

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as I was struggling to find 
someone to come on and fill that

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role. 
I thought I would just randomly 

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message Cynthia as I saw. 
She had a really big following. 

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I couldn't believe she said yes 
to come on to the podcast. 

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She's been on some of the 
biggest health and wellness 

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podcast out there and she just 
talks Some of the greatest and 

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brightest Minds on health and 
wellness. 

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I really want to talk about this
topic because nurses need to 

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know how to take care of 
themselves. 

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And that is a huge part of us 
being resilient in our careers 

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and resilient in life. 
As I speak with nurses, that are

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getting burned out and then 
having Health scares and 

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problems, I started thinking how
can I help nurses and it's not 

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just about career Journeys and 
Yes, that is what I'm about but 

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I also want to help you along 
your career. 

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I don't just want to explain to 
you how people got to where they

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are. 
But I think that as nurses we 

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can help one another may be 
bridged and gaps of knowledge 

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that we may or may not have been
exposed to because of our 

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upbringings. 
I hope you enjoyed the episode 

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today. 
I tried to ask questions that 

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would pertain to a wide 
audience. 

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Now, let's hear a word from our 
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You've always wanted. 
Now, let's get on today's 

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episode. 
I am so happy to have you on 

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today, Cynthia, I just cannot 
wait. 

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This is total goals. 
Thank you know, it's really an 

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honor to connect with your 
community and I was telling my 

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PR group that if there's 
interest from fellow nurses to 

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interview me for their podcasts 
or their platforms, how 

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important I think it is. 
For those of us that are further

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ahead in this game, if you will,
to be able to speak to people at

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the beginning of their nursing 
careers or there, Advanced 

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practice nursing careers. 
I probably get DM almost every 

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day across social media. 
People saying, I want to do what

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you're doing. 
How did you get to where you 

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are? 
So it's always an honor to 

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connect with my fellow nurses 
and obviously support their 

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podcasts and and help inspire. 
You know, this generation nurses

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to do things differently and I 
think in a lot of ways, what I 

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chose to do was to take the 
path, Less Traveled on a lot of 

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different levels because I 
didn't start as a nurse. 

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I started as a polystyrene. 
Geron got into law school and 

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then was inspired to take 
pre-med classes, which is a long

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story. 
But ultimately got me into 

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nursing and a nurse practitioner
program. 

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I did a dual degree program many
years ago, and I'm so grateful. 

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I did because I would never have
been happy being an attorney. 

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And so, I really ended up 
exactly where I was meant to be.

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Yeah, which is so great. 
I love how you said looking back

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and helping those that are 
coming along the journey. 

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Because we are along a huge, 
Continuum of different spaces 

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and different. 
W in our lives. 

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And if we go back and we help 
others, that's exactly what you 

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said to me, when I messaged you 
and this is because I had a 

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nursing student reach out to me 
who said, find a functional 

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practicing nurse practitioner 
and I reached out to you, which 

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is again like home run shot in 
the darkness to see and then you

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responded. 
And I was like, oh my gosh and 

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this is for I wrote his name 
down Joshua. 

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Stacy's who I'm doing this for 
and that's because he got, he 

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asked me to find someone so that
I can have him on the podcast. 

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So here I am reach you back to 
him. 

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Reaching back to me. 
It's just awesome. 

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It's just incredible. 
So, I'm so happy to Dive Right 

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In. 
And as you were saying, kinda 

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what's your job role? 
What's your job title? 

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And I know you answer the 
question all the time. 

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Like how did you get here? 
And that's really the, the heart

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of the podcast is really for 
people to go. 

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So this is how she got here. 
This answers that question, 

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right? 
And so, let's start first with 

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kind of what you do, what your 
day-to-day life looks like, how 

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you see yourself and the roles 
that you occupy right now. 

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Well, if you want to hear 
something funny, my husband 

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knows that if we are Route, 
socially. 

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I mean, it's really feels like, 
it's just been fairly fairly 

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recently been more social. 
But if I'm out socially, and I 

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want to talk about what I do, I 
say I'm an entrepreneur. 

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However, if I don't want to talk
about what I do, depending on 

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where I am, I say I'm a nurse 
and a nurse practitioner because

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then people, they understand 
what that is. 

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Whereas if you say entrepreneur 
people and so the way that I 

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would describe myself. 
Now I'm still a mom, I'm still a

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wife, I'm still an MP. 
I'm very proud of that. 

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And in fact, when people 
introduce me another podcast and

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they don't know, Send that I'm a
nurse, I always forget them 

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because I think that's really 
important. 

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I would say like do not diminish
what I am because I am no longer

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in the traditional role of what 
people Envision and peace. 

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Do we're nurses. 
I would describe myself as a 

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podcast host. 
I'm really proud to be the host 

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of everyday Wellness. 
I'm also now the co-host of 

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intermittent fasting podcast and
the only Avalon I'm a speaker. 

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I always say like that's 
probably one of my favorite 

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things I do along with 
podcasting and then 

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entrepreneurial space means that
I'm a Creator. 

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So I am constantly eating 
solutions for what my given 

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clients now. 
It's client versus patient. 

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My clients are struggling with. 
So I've created multiple 

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programs. 
I've created very successful one

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on one programs as well as group
programs and so I always say 

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like being an entrepreneur is 
really wearing many hats all at 

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once and trying to navigate the 
ups and downs of the 

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unpredictability of being an 
entrepreneur. 

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But I can honestly tell you 
after six years, I can't imagine

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doing anything else because it 
is so aligned with who I am. 

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And, you know, I think I was 
always one of those people that 

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hold and I fucked against 
Authority. 

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I was always, I was always a 
people pleaser. 

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That was part of part of my 
personality. 

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I'm always saying I'm now 
performed people pleaser, but I 

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think I was always thinking of 
different ways to tackle 

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problems. 
Whether it was when I was an ER 

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nurse whether it was when I 
worked in cardiology and then 

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pay for 16 years, I kept seeing 
patterns and I kept you know, 

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identifying to my mostly my 
physician peers, we're not 

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making people that were banned 
dating. 

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The problem. 
And this is what I was 

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struggling with. 
I just said, ethically, we have 

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to do better, and unfortunately,
the kind of traditional 

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allopathic model is. 
I'm sure everyone that's 

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listening understands. 
Constraints Healthcare 

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Providers, to really focus on a 
lifestyle based medicine. 

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So, to answer your question, the
way I would describe myself, as 

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I have many titles, there's 
always the, the ones that are 

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most important come first, you 
know, mom and wife, but I'm a 

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nurse practitioner entrepreneur.
That's usually how I explain it.

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Love when, Entrepreneurs also 
really focus in on the two. 

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Most important roles that are 
given to you from, for me, it's 

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from the Lord. 
Like, it's completely bestowed 

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upon you as mom and wife, 
because those are the most 

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important things. 
And then the other things follow

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after that, I love that 
structure. 

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Because when you keep first 
things first, everything else 

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Falls in line solutely. 
So I just think that's just such

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great wisdom and a great way to 
define yourself. 

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And there's so much that you're 
involved in that, there's so 

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much in that bucket and that on.
Tripping or oh bucket. 

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That is just incredible but you 
didn't wake up one day and just 

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have all this stuff right? 
Like you've been grinding for 

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years, this has been a journey 
to this spot and so one of the 

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things that we focus in on at 
the doctor's podcast is the 

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journey and kind of that moment 
that you decided going back to 

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what you were kind of describing
about when you're thinking about

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going to law school and you're 
like wait a minute no. 

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Nursing like what was that 
decision? 

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What was that moment? 
That pivot and then walk me 

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through kind of how you got to 
this space that you are in right

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now. 
Yeah, well, it's Yeah, I got a 

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dog when I graduated college so 
I'd already decided I wasn't 

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really sure I was going to law 
school like I got in and then I 

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started looking to financial 
investment and my parents were 

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very clear. 
We will pay for undergrad 

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graduate schools on your dime 
which is completely appropriate 

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and you start thinking you're 
going to spend a hundred 

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thousand dollars. 
It's like am I going to is that 

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a good decision for me to be 
making? 

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And so I got a dog I always 
wanted a dog. 

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I got this amazing will be shown
fries and she changed my whole 

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world. 
I tell everyone I'm like I had 

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the most miserable to Experience
working for a Fortune 500 

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company, but it was the best 
experience because that fueled 

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my desire to get the heck out. 
And while I was working for this

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company, I was taking pre-med 
classes, initially, I thought I 

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wanted to be a physician. 
I have a lot of physicians in my

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family. 
A lot of nurses, in my family 

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and a lot of teachers. 
So, I'm a I come from a very 

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service oriented backgrounds, 
and I was sitting in, I think a 

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pharmacology class and this 
professor Watson and he said, 

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what are you doing in here? 
And I was maybe a year or two 

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older than the undergrads. 
It wasn't like, I was 

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significantly older. 
He said it's evident to me, 

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you're coming back to do 
something very specific. 

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I said I'm going to go to med 
school and he said, no, I don't 

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think you want to do that. 
He's like, I think you want to 

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be a nurse practitioner and I 
was like, no, no, no, I don't 

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want to give it to me. 
It's like, I heard years of my 

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family members sharing, funny 
stories, and sharing sad 

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stories. 
And he actually encouraged me to

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00:11:11,700 --> 00:11:14,500
talk to his sister, who was a 
nurse practitioner and that in 

227
00:11:14,500 --> 00:11:16,800
the 1990s. 
There were not a lot of nurse 

228
00:11:16,800 --> 00:11:20,000
practitioners. 
We were really not in the, the 

229
00:11:20,000 --> 00:11:23,700
volume that we that we see and 
peas and now, so, I've had it 

230
00:11:23,800 --> 00:11:26,600
Conversation with her and then 
that got me thinking, I can have

231
00:11:26,600 --> 00:11:29,300
a better quality of life and 
that was huge for me because I 

232
00:11:29,300 --> 00:11:33,600
have a mom that retired a couple
years ago, but had a hugely 

233
00:11:33,600 --> 00:11:37,700
successful trajectory for career
to the point where she wasn't 

234
00:11:37,700 --> 00:11:40,200
really around a whole lot. 
And so I was like, I don't want 

235
00:11:40,200 --> 00:11:42,900
that for my kid and all my 
physician, my female physician 

236
00:11:42,900 --> 00:11:46,200
family members were like the 
balance is a challenge, like you

237
00:11:46,200 --> 00:11:49,100
have to be honest. 
So then I went another Direction

238
00:11:49,100 --> 00:11:51,900
at around that time I became 
really interested. 

239
00:11:51,900 --> 00:11:53,700
This is back. 
You know 1990s. 

240
00:11:53,900 --> 00:11:56,400
Still when HIV and AIDS, there 
was no real treatment. 

241
00:11:56,400 --> 00:11:59,700
It was all, you know, all 
focused on symptom management 

242
00:11:59,900 --> 00:12:03,600
and I got very interested in HIV
and AIDS, which led me to two 

243
00:12:03,600 --> 00:12:07,600
options for doing a at that time
there were no, there were no dnp

244
00:12:07,600 --> 00:12:09,600
programs. 
It was you, you had a bachelor's

245
00:12:09,600 --> 00:12:12,500
to a master's program. 
And so I applied to some of the 

246
00:12:12,500 --> 00:12:14,800
big ones. 
But Hopkins was my first choice 

247
00:12:14,800 --> 00:12:18,600
because they were preeminent and
HIV and AIDS management and I 

248
00:12:18,600 --> 00:12:22,500
was accepted and I remember just
being so completely at peace 

249
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with that decision. 
My parents of course, completely

250
00:12:25,300 --> 00:12:27,500
freaked out. 
You know inner-city Baltimore in

251
00:12:27,500 --> 00:12:32,500
1990s was not all that safe but 
I loved it and so I went from 

252
00:12:32,600 --> 00:12:35,900
getting my second bachelor's to 
working as an ER nurse which I 

253
00:12:35,900 --> 00:12:37,500
love, I'm going to draw Nolan 
junkie. 

254
00:12:37,500 --> 00:12:40,900
I like sick people. 
I like the challenge of not 

255
00:12:40,900 --> 00:12:44,000
knowing what's coming through 
the door literally and so I did 

256
00:12:44,000 --> 00:12:48,000
that while I was doing my Jewel 
programs and for people that are

257
00:12:48,000 --> 00:12:50,700
out there, there were a lot of 
nurses back then, it was very 

258
00:12:50,700 --> 00:12:53,700
unsupportive of younger nurses. 
Going straight into a van. 

259
00:12:53,800 --> 00:12:55,700
Degrees. 
And I always used to think to 

260
00:12:55,700 --> 00:12:59,000
myself, like you, we all have 
the same choices like you could 

261
00:12:59,000 --> 00:13:02,500
also go to an advanced degree. 
You're choosing not to and I can

262
00:13:02,500 --> 00:13:05,600
respect that, but don't try to. 
This is where nurses. 

263
00:13:05,600 --> 00:13:08,700
Sometimes can be frustrating, 
they were trying to discourage 

264
00:13:08,700 --> 00:13:11,700
me like you're not worthy enough
and I kept saying I'll show you.

265
00:13:11,900 --> 00:13:15,300
And so I was an ER nurse or four
years and then I became I went 

266
00:13:15,300 --> 00:13:18,900
into Cardiology again, another 
adrenaline junkie fuel 

267
00:13:18,900 --> 00:13:22,000
environment and I loved it. 
I loved cardiologist everything 

268
00:13:22,000 --> 00:13:25,900
about the heart but then I got 
married and then I had children 

269
00:13:25,900 --> 00:13:30,700
and my boys are only two years 
apart, and it's amazing how life

270
00:13:30,700 --> 00:13:33,100
brings you a lot of levity. 
You start to see, like, I don't 

271
00:13:33,100 --> 00:13:38,400
want to be working full-time and
just exhausted and depleted, 

272
00:13:38,400 --> 00:13:42,100
when I come home. 
And so I, when I had the option 

273
00:13:42,100 --> 00:13:44,900
to be able to work part-time. 
So from the time I became a mom 

274
00:13:45,200 --> 00:13:46,400
as an MP. 
I work part-time. 

275
00:13:46,400 --> 00:13:49,400
And thankfully by that point, I 
had enough experience as an MP 

276
00:13:49,600 --> 00:13:53,100
that I could do that comfortably
and, you know, I kind of existed

277
00:13:53,100 --> 00:13:55,300
in this. 
Hey, He's of exhaustion, having 

278
00:13:55,300 --> 00:13:57,000
two little people and how my 
husband did a lot of 

279
00:13:57,008 --> 00:13:59,400
international travel. 
I was working part-time, but I 

280
00:13:59,408 --> 00:14:02,200
was otherwise a full-time mom 
and a part-time then p. 

281
00:14:02,400 --> 00:14:05,600
And then you know my old at 
novels are son developed 

282
00:14:05,600 --> 00:14:08,000
terrible X Sima. 
And I kept taking the 

283
00:14:08,000 --> 00:14:10,100
pediatrician and I kept asking, 
is it something? 

284
00:14:10,100 --> 00:14:13,100
I'm feeding him and it was like,
no, no just use these high 

285
00:14:13,100 --> 00:14:16,100
potency topical corticosteroids 
and it'll be fine. 

286
00:14:16,400 --> 00:14:19,000
And I kept question maybe, he 
has food allergies, maybe we 

287
00:14:19,000 --> 00:14:21,200
should get that tested. 
So we finally took him and I 

288
00:14:21,208 --> 00:14:24,100
expected something benign. 
I mean, honestly, The the 

289
00:14:24,100 --> 00:14:28,400
allergist words to me were carry
an EpiPen and pray and that was 

290
00:14:28,400 --> 00:14:33,200
not acceptable to me. 
And I felt so alone as a 

291
00:14:33,200 --> 00:14:36,000
healthcare provider because it 
all of a sudden you realize you 

292
00:14:36,000 --> 00:14:38,300
don't want to take your kid to a
restaurant, you don't want to 

293
00:14:38,300 --> 00:14:41,000
take your into someone's house 
because you're fearful that 

294
00:14:41,000 --> 00:14:42,800
there could be 
cross-contamination, he has 

295
00:14:42,800 --> 00:14:44,500
peanuts and tree nuts, 
allergies. 

296
00:14:44,600 --> 00:14:47,600
And so I'm sure most of your 
listeners, know, only 30% of 

297
00:14:47,600 --> 00:14:48,900
children were out there 
allergies. 

298
00:14:48,900 --> 00:14:53,300
He's not part of that 30%. 
He at 16 years old, still has 

299
00:14:53,300 --> 00:14:55,700
life. 
These allergies and that really 

300
00:14:55,700 --> 00:14:57,600
got me thinking. 
And then there was a book I read

301
00:14:57,600 --> 00:15:00,500
called the unhealthy truth. 
I'm a big proponent of reading 

302
00:15:00,900 --> 00:15:03,200
and I have probably in any one 
given point. 

303
00:15:03,200 --> 00:15:05,600
I'm probably have five books 
that I'm reading at one time, 

304
00:15:05,900 --> 00:15:07,900
but I read Robin O'Brien's book,
The unhealthy. 

305
00:15:07,900 --> 00:15:11,600
Sure that it made me mad life. 
So angry when you start to 

306
00:15:11,600 --> 00:15:15,500
understand the interrelationship
with how food is harvested, 

307
00:15:15,500 --> 00:15:16,400
what? 
Sprayed on it. 

308
00:15:16,400 --> 00:15:19,500
How that impacts our health and 
that that book is what started 

309
00:15:19,500 --> 00:15:22,100
it all. 
And so I really started to 

310
00:15:22,100 --> 00:15:24,500
second-guess everything I I was 
doing. 

311
00:15:24,600 --> 00:15:27,700
I started to, I was making my 
kit, all my kids food which is 

312
00:15:27,700 --> 00:15:30,400
tedious, but at that time, I 
have the time to be able to do 

313
00:15:30,400 --> 00:15:32,500
that. 
But really thinking do I want to

314
00:15:32,500 --> 00:15:35,100
go back into an academic center?
Hopkins was always trying to 

315
00:15:35,100 --> 00:15:39,200
recruit me to come and do my PhD
and I just was like, I don't 

316
00:15:39,200 --> 00:15:41,400
know how to make that work. 
With two little people at home, 

317
00:15:41,400 --> 00:15:44,500
they need my, they need my focus
and so it's just, you know, from

318
00:15:44,500 --> 00:15:46,600
a class and University in 
Washington. 

319
00:15:46,600 --> 00:15:49,300
DC area went there and took one 
class and hated it which is not 

320
00:15:49,300 --> 00:15:52,300
which talking to denigrate. 
Anyone that is gone that route I

321
00:15:52,308 --> 00:15:55,200
respected enormously Wasn't the 
right fit for me. 

322
00:15:55,500 --> 00:15:57,500
Then I did a wellness coaching 
program and that was it. 

323
00:15:57,900 --> 00:16:01,800
And then I read another book 
called ethiop's and that changed

324
00:16:01,800 --> 00:16:03,800
everything. 
I reached out to the author, I 

325
00:16:03,800 --> 00:16:05,300
was like, where did you get your
training? 

326
00:16:05,300 --> 00:16:07,200
This is exactly what lights me 
up. 

327
00:16:07,600 --> 00:16:10,700
And so I went down the rabbit 
hole of a functional nutrition 

328
00:16:10,700 --> 00:16:15,100
certification which then led to 
all this functional diagnostic 

329
00:16:15,100 --> 00:16:19,000
interpretation and testing which
again let me up and then around 

330
00:16:19,100 --> 00:16:23,600
2016 I said to my husband I got 
out of bed I'll never forget it.

331
00:16:23,700 --> 00:16:26,100
I did buy one morning without a 
business plan, so I don't 

332
00:16:26,100 --> 00:16:28,300
recommend this. 
I said, I can't do this anymore.

333
00:16:28,600 --> 00:16:30,000
He's like, what are you talking 
about? 

334
00:16:30,100 --> 00:16:33,300
I said, I cannot write another 
prescription so Cardiology, 

335
00:16:33,300 --> 00:16:35,400
right. 
A lot of scripts, a lot whether 

336
00:16:35,400 --> 00:16:39,700
it's in clinic, or the hospital.
So I feel so disconnected from 

337
00:16:39,700 --> 00:16:43,100
what I'm doing and it's I told 
the party line, when I was at 

338
00:16:43,100 --> 00:16:46,000
work, I did the evidence-based 
medicine, you know, the statins 

339
00:16:46,000 --> 00:16:47,800
for this, but that I did all of 
it. 

340
00:16:47,900 --> 00:16:50,900
And I started kind of getting in
trouble at work because I would 

341
00:16:50,900 --> 00:16:53,400
start tinkering with Stanton 
doses because I was like, well, 

342
00:16:53,400 --> 00:16:56,800
we do Your total cholesterol to 
be 100 like that's a predictor 

343
00:16:56,800 --> 00:16:59,600
of morbidity and mortality. 
Like this is a problem, but I 

344
00:16:59,600 --> 00:17:02,200
walked into work that morning 
and I said this is not about 

345
00:17:02,200 --> 00:17:06,599
you, this is about me, I'm no 
longer growing intellectually 

346
00:17:06,599 --> 00:17:08,300
and this practice have been 
really good to me. 

347
00:17:08,300 --> 00:17:09,500
So I always want to be clear 
about that. 

348
00:17:09,500 --> 00:17:11,900
They when I tell you, they did 
everything they could to keep 

349
00:17:11,900 --> 00:17:13,400
me. 
And then some they were really 

350
00:17:13,400 --> 00:17:15,700
very generous but I just said 
this isn't right. 

351
00:17:15,700 --> 00:17:19,400
So on April 1st 2016, I left 
clinical medicine within out 

352
00:17:19,400 --> 00:17:22,599
without a business plan without 
any idea how I was going to 

353
00:17:22,599 --> 00:17:25,099
recreate. 
At the income I was no longer. 

354
00:17:25,200 --> 00:17:29,300
I no longer would have and the 
blessing of my husband, which is

355
00:17:29,300 --> 00:17:32,200
pretty incredible. 
And within a year, I was 

356
00:17:32,200 --> 00:17:35,500
profitable and I made way more 
than I did as an NPC for anyone 

357
00:17:35,500 --> 00:17:38,400
that's listening thinking, you 
know, you can't replace that 

358
00:17:38,400 --> 00:17:40,000
income. 
I don't even, I think so 

359
00:17:40,000 --> 00:17:45,200
differently about where I was 
before and where I am now and my

360
00:17:45,200 --> 00:17:49,100
relationship with money is very 
different and you know, I value 

361
00:17:49,100 --> 00:17:52,700
and respect people's time 
enormously, but, you know, the 

362
00:17:52,700 --> 00:17:56,800
kind of current Model at least 
where I was when I was having as

363
00:17:56,800 --> 00:17:58,200
an example. 
When I went every year, we'd 

364
00:17:58,200 --> 00:18:00,100
have a review. 
I'm sure like most a year 

365
00:18:00,100 --> 00:18:01,900
review, sit down, everyone loves
you. 

366
00:18:01,900 --> 00:18:03,100
They love everything about your 
work. 

367
00:18:03,100 --> 00:18:06,100
You're an exceptional, 
exceptional and P and there and 

368
00:18:06,100 --> 00:18:08,900
then you look at like what your 
power Leeper hours and I'm like,

369
00:18:08,900 --> 00:18:11,900
this is not acceptable since I 
was like, wait a minute. 

370
00:18:11,900 --> 00:18:16,100
I know when I was an agency 
nurse in the ER I made more 

371
00:18:16,100 --> 00:18:19,400
money than this and I have more 
responsibilities now. 

372
00:18:19,700 --> 00:18:22,000
So, you know, for me, it was 
really the right decision. 

373
00:18:22,000 --> 00:18:23,500
It may not be the right decision
for everyone else. 

374
00:18:23,700 --> 00:18:26,700
But I can tell you that becoming
an entrepreneur allowed me to 

375
00:18:26,708 --> 00:18:30,100
grow and really powerful and 
profound ways that I would not 

376
00:18:30,100 --> 00:18:32,500
have been able to do. 
I'm an introvert and it's very 

377
00:18:32,500 --> 00:18:34,300
easy in medicine to hide as an 
introvert. 

378
00:18:34,300 --> 00:18:36,400
You control. 
When you walk in the patient's 

379
00:18:36,400 --> 00:18:39,300
room, you control when you walk 
into the patient exam room, you 

380
00:18:39,300 --> 00:18:42,500
control, you know how you 
interact with your patients all 

381
00:18:42,500 --> 00:18:45,700
based on your introverted self 
and then all of a sudden as 

382
00:18:45,700 --> 00:18:49,100
someone who is not why would not
describe as an extrovert and you

383
00:18:49,100 --> 00:18:53,000
have to completely grow some new
skills because you can't get 

384
00:18:53,000 --> 00:18:55,300
your business. 
Out there and think that you're 

385
00:18:55,300 --> 00:18:56,900
going to be able to do that 
behind closed doors. 

386
00:18:56,900 --> 00:19:01,300
You really do have to change the
trajectory of what you're doing 

387
00:19:01,500 --> 00:19:03,500
but that's like basically where 
it started from. 

388
00:19:03,500 --> 00:19:05,800
But I can tell you because a lot
of the questions get you know, 

389
00:19:05,800 --> 00:19:09,700
so 2016 you left clinical 
medicine, 2017, you were growing

390
00:19:09,700 --> 00:19:12,700
a business, you started 
attracting a very specific type 

391
00:19:12,700 --> 00:19:14,600
of woman. 
It was women, just like me who 

392
00:19:14,600 --> 00:19:17,800
felt really lost in the medical 
system, and you're done having 

393
00:19:17,800 --> 00:19:19,800
babies, you're not really 
dealing with contraception. 

394
00:19:19,800 --> 00:19:23,500
My husband's had a vasectomy, 
we're done, having kids, I'm not

395
00:19:23,600 --> 00:19:26,500
an apostle, but there's this 
gray nebulous area and there's 

396
00:19:26,500 --> 00:19:28,700
no Focus. 
Yeah, Madison and women that are

397
00:19:29,000 --> 00:19:32,500
north of 35, the really isn't 
the options are as follows, you 

398
00:19:32,500 --> 00:19:34,600
have heavy periods because your 
estrogen dominant. 

399
00:19:34,600 --> 00:19:36,300
So we're going to give you 
synthetic hormones. 

400
00:19:36,300 --> 00:19:38,500
We're going to give you an IED. 
We're going to ablate your 

401
00:19:38,500 --> 00:19:40,500
uterus or we'll just take it 
entirely, you know, it's like 

402
00:19:40,500 --> 00:19:43,700
time out. 
Not these are not options, but 

403
00:19:43,700 --> 00:19:48,400
so as I was kind of navigating 
things in 2016 and 2017. 2018, I

404
00:19:48,408 --> 00:19:51,300
decided, I'm an introvert. 
I should do something that will 

405
00:19:51,300 --> 00:19:53,500
challenge me in a safe way. 
So I was like, I'm gonna do it. 

406
00:19:53,700 --> 00:19:56,500
Talk on my husband was like what
I was like, yes, I'm gonna do it

407
00:19:56,500 --> 00:20:00,000
at all and so that blows my mind
that you did a TED talk in your 

408
00:20:00,000 --> 00:20:01,500
interview. 
Totally, I just terrible. 

409
00:20:01,700 --> 00:20:04,500
And you did a great job, like 
you just seem so comfortable at 

410
00:20:04,500 --> 00:20:05,300
their. 
Well, the great. 

411
00:20:05,300 --> 00:20:08,900
I mean, the irony is, I tend to 
I now have fixed this. 

412
00:20:08,900 --> 00:20:12,100
You know, I am work was speaking
coaches who were like, you're 

413
00:20:12,100 --> 00:20:14,600
great, you just have to stop 
moving but for me and like the 

414
00:20:14,600 --> 00:20:16,400
nervous energy. 
So my first talk was on 

415
00:20:16,400 --> 00:20:19,300
perimenopause as embarrassing, 
is that is and then my second 

416
00:20:19,300 --> 00:20:22,600
was on a subject. 
I knew a lot about, but during 

417
00:20:22,600 --> 00:20:25,400
the actual First, Ted Talk. 
I remember, looking out in the 

418
00:20:25,408 --> 00:20:27,800
crowd saying this is exactly 
what I want to do because I was 

419
00:20:27,800 --> 00:20:29,700
connecting with so many more 
people. 

420
00:20:30,000 --> 00:20:32,500
That was the big thing for me 
was that I have the ability to 

421
00:20:32,500 --> 00:20:36,300
impact more people doing this 
than I ever did with, you know 

422
00:20:36,300 --> 00:20:39,900
my 15, 16 patients in 
cardiology, which that many on a

423
00:20:39,900 --> 00:20:42,500
clinic schedules, a lot. 
Because Cardiology patients are 

424
00:20:42,600 --> 00:20:44,600
you don't generally get the I 
need to check your blood 

425
00:20:44,600 --> 00:20:47,100
pressure person, I would get 
that complicated. 

426
00:20:47,300 --> 00:20:49,900
I've been in the hospital for 
six weeks so the path that was 

427
00:20:49,900 --> 00:20:52,400
like mine or yeah. 
It's my bread and butter but now

428
00:20:52,400 --> 00:20:54,500
I get to impact people in a 
different Level and I actually 

429
00:20:54,500 --> 00:20:58,800
genuinely love Jing and so what 
a nurses do better than anybody,

430
00:20:59,000 --> 00:21:01,600
we take years. 
Yeah, that was really empowering

431
00:21:01,600 --> 00:21:03,500
to be up there. 
And in between the oh my God, I 

432
00:21:03,500 --> 00:21:05,700
can't believe I'm doing this 
because I'm an introvert. 

433
00:21:05,700 --> 00:21:08,500
It was like, this is kind of 
cool and so that's that's 

434
00:21:08,500 --> 00:21:10,300
initially where that kind of, 
that was the direction. 

435
00:21:10,300 --> 00:21:12,500
Things went in and then, 
obviously, in 2019 things 

436
00:21:12,500 --> 00:21:14,800
changed. 
It's like, you know, it's like 

437
00:21:14,800 --> 00:21:18,400
what happened in 2019? 
Well, before I did my second Ted

438
00:21:18,400 --> 00:21:22,400
Talk, I went on a vacation with 
my husband, came back, got home,

439
00:21:22,400 --> 00:21:24,600
when I know, is I got it. 
I thought I picked up a stomach 

440
00:21:24,600 --> 00:21:26,200
bug, you know, it's like I guess
trying to write it. 

441
00:21:26,200 --> 00:21:27,900
Oh, no. 
By the next afternoon. 

442
00:21:27,900 --> 00:21:29,400
I was like something's seriously
wrong. 

443
00:21:29,400 --> 00:21:33,000
I had really really significant 
substantial worse than labor, 

444
00:21:33,200 --> 00:21:35,700
abdominal pain. 
And so I called my primary care 

445
00:21:35,700 --> 00:21:37,400
provider and she's like, you 
realize, you need to go to the 

446
00:21:37,400 --> 00:21:39,700
ER, and I was like, no, no. 
What I want to go to the 

447
00:21:40,200 --> 00:21:40,900
governor's. 
Princess. 

448
00:21:40,900 --> 00:21:42,200
Exactly. 
I'm like, I don't want to go, I 

449
00:21:42,208 --> 00:21:43,200
don't know. 
This is going to pass. 

450
00:21:43,200 --> 00:21:45,000
She's like, no, it's not. 
You've been, you know, you've 

451
00:21:45,000 --> 00:21:47,000
been at you've had pain for over
12 hours. 

452
00:21:47,100 --> 00:21:52,600
So I got to the ER, I could not 
sit still and so all of us as 

453
00:21:52,600 --> 00:21:55,300
clinicians when a Shane has this
impending sense of Doom. 

454
00:21:55,300 --> 00:21:58,300
You take it seriously and I 
looked at the nurse who was not 

455
00:21:58,300 --> 00:22:00,600
taking me seriously because my 
vitals weren't all that bad. 

456
00:22:00,600 --> 00:22:02,100
I just couldn't, I was so 
uncomfortable. 

457
00:22:02,100 --> 00:22:05,000
I couldn't sit, I couldn't 
stand, I was walking the halls. 

458
00:22:05,000 --> 00:22:07,900
I didn't look all that bad and 
so I said to her, if you don't 

459
00:22:07,900 --> 00:22:09,600
figure out what's wrong with me,
I'm going to die. 

460
00:22:09,700 --> 00:22:12,300
And then all of a sudden, you 
know, they do labs and then my 

461
00:22:12,300 --> 00:22:15,000
white count was almost 20,000 
and then it was like an 

462
00:22:15,000 --> 00:22:17,800
emergency CAT scan and then it 
was an emergency surgical 

463
00:22:17,800 --> 00:22:20,500
consult. 
And so it turned out that I had 

464
00:22:20,500 --> 00:22:23,600
a ruptured appendix and I have 
pan colitis a whole length of My

465
00:22:23,608 --> 00:22:26,600
colon was inflamed and the 
surgeon looked at me and I 

466
00:22:26,600 --> 00:22:29,100
remember this very clear at 
like, 11:00 p.m. so it had taken

467
00:22:29,100 --> 00:22:30,800
like forever. 
I mean, it seemed like it took 

468
00:22:30,800 --> 00:22:32,300
forever. 
She said, if I take you to 

469
00:22:32,308 --> 00:22:34,400
surgery tonight, I have to take 
your call. 

470
00:22:34,400 --> 00:22:36,600
When I said time out, you're not
taking my colon. 

471
00:22:36,600 --> 00:22:37,600
She's like, you don't need your 
phone. 

472
00:22:37,600 --> 00:22:39,400
I was like, oh no. 
I need my:. 

473
00:22:39,400 --> 00:22:43,200
I need my colon. 
So I begged them to let me write

474
00:22:43,200 --> 00:22:46,900
it out to be able to get to a 
point where I could be in a 

475
00:22:46,908 --> 00:22:50,000
better position surgically but 
then it was like a Cascade of 

476
00:22:50,000 --> 00:22:52,700
complications. 
And for anyone listening there's

477
00:22:52,700 --> 00:22:55,600
nothing worse than A healthcare 
provider knowing you're sick, as

478
00:22:55,600 --> 00:22:58,600
you are and then you have one 
complication and I've never 

479
00:22:58,600 --> 00:23:01,600
other than hypothyroidism. 
I don't have any health issues 

480
00:23:01,800 --> 00:23:03,400
then I developed a small bowel 
obstruction. 

481
00:23:03,400 --> 00:23:06,700
So being a tiny person. 
I went from being a tiny person 

482
00:23:06,700 --> 00:23:10,300
to looking six months pregnant 
and then it was like, I had peer

483
00:23:10,300 --> 00:23:13,700
retroperitoneal abscesses and I 
had official, I mean it was like

484
00:23:13,700 --> 00:23:18,600
every side effect were untoward 
expectation related to this 

485
00:23:18,800 --> 00:23:20,800
shirt appendix. 
And even my surgeon like I had 

486
00:23:20,800 --> 00:23:23,400
five Specialists, Amy, I was 
sick a stink. 

487
00:23:23,700 --> 00:23:26,700
And I remember the whole first 
week, all I did was vomit which 

488
00:23:26,700 --> 00:23:29,700
eroded all the enamel on my 
teeth, which a little suffering.

489
00:23:29,800 --> 00:23:31,100
Yeah. 
Like a whole separate thing, but

490
00:23:31,100 --> 00:23:33,200
I remember when they're putting 
the NG tube down, I was like, I 

491
00:23:33,208 --> 00:23:36,700
didn't care, I am so sick, I do 
not even care. 

492
00:23:36,900 --> 00:23:40,000
But there was a point of which, 
and I say this to people that my

493
00:23:40,000 --> 00:23:42,700
patients would tell me that 
sometimes they felt a degree of 

494
00:23:42,700 --> 00:23:45,400
spiritual awareness. 
Something change something 

495
00:23:45,400 --> 00:23:49,600
shifted for them, and I do feel 
around a 5 when I was depressed 

496
00:23:49,600 --> 00:23:51,500
because I was like, I knew I was
really sick. 

497
00:23:51,500 --> 00:23:54,300
And my surgeon was seeing me 
three times a day, which is Lat,

498
00:23:54,400 --> 00:23:57,600
I was take something has to 
give, but everything felt like 

499
00:23:57,700 --> 00:23:59,600
this virtual. 
You know, whether you believe in

500
00:23:59,600 --> 00:24:02,000
God or you don't, I was given a 
choice. 

501
00:24:02,000 --> 00:24:04,000
And I was like, I have two young
boys. 

502
00:24:04,000 --> 00:24:06,900
I am not willing, this is not it
for me, but if I'm going to 

503
00:24:06,900 --> 00:24:08,600
choose to live, I'm going to 
look big. 

504
00:24:08,600 --> 00:24:12,100
And so, I left the hospital, 
after 13 days, I went home with 

505
00:24:12,100 --> 00:24:16,900
a ruptured appendix, a drain a 
central line and I prepared for 

506
00:24:16,900 --> 00:24:19,100
that second, Ted Talk. 
I went home for the first week. 

507
00:24:19,100 --> 00:24:22,100
I did nothing but sleep and I 
lost 15 pounds. 

508
00:24:22,100 --> 00:24:24,700
I look disgusting like Like I 
tell people all the time, the 

509
00:24:24,700 --> 00:24:27,400
camera really does add 15 pounds
because I look at that second 

510
00:24:27,400 --> 00:24:29,500
chance off. 
I'm like I look fairly normal 

511
00:24:29,700 --> 00:24:33,500
but I was so skinny and so 27 
days after I left the hospital I

512
00:24:33,500 --> 00:24:36,100
did that second Ted Talk and 
honest to God when I stepped off

513
00:24:36,100 --> 00:24:38,600
the stage I said to my coach 
because they had a coach is 

514
00:24:38,600 --> 00:24:41,100
assigned to I said that's the 
worst talk I've ever done 

515
00:24:41,300 --> 00:24:44,900
because they were very specific 
about keeping us to our time, 

516
00:24:44,900 --> 00:24:47,800
not allowing us to go over and 
so I skipped over a whole chunk 

517
00:24:47,800 --> 00:24:50,900
of stuff, I was going to talk 
about but it's amazing to me 

518
00:24:50,900 --> 00:24:53,400
that my brain despite having 
been so sad. 

519
00:24:53,700 --> 00:24:55,800
Adnan process. 
The trauma of being in the 

520
00:24:55,800 --> 00:24:58,800
hospital and allowed me to 
remember and commit to memory 

521
00:24:58,800 --> 00:25:01,400
that entire talk it up there and
execute it. 

522
00:25:01,500 --> 00:25:03,100
And I went home and said this is
great. 

523
00:25:03,100 --> 00:25:05,300
I did this talk. 
Check the box. 

524
00:25:05,400 --> 00:25:07,400
I told my kids were going to 
have this great summer. 

525
00:25:07,600 --> 00:25:10,900
I'm going to disconnect. 
And what happened was, exactly, 

526
00:25:10,900 --> 00:25:14,100
one of your three years ago 
yesterday, the talk went viral 

527
00:25:14,400 --> 00:25:16,800
and then it changed everything. 
And then there was no like 

528
00:25:16,800 --> 00:25:19,800
laid-back summer for my kids, it
changed everything. 

529
00:25:19,800 --> 00:25:22,300
I mean, it changed. 
Absolutely positively 

530
00:25:22,300 --> 00:25:24,900
everything. 
So, When we talk about Journeys 

531
00:25:24,900 --> 00:25:27,600
and we talk about people see, 
it's almost like the iceberg 

532
00:25:27,600 --> 00:25:31,100
mean if you see that people see 
just the bright shiny to 

533
00:25:31,100 --> 00:25:33,800
Chinatown, they don't see all 
the hard work behind the scenes.

534
00:25:33,800 --> 00:25:37,100
And so I always tell people 
like, I have worked very hard to

535
00:25:37,100 --> 00:25:40,200
get where I am, but people just 
see the bright shiny and I 

536
00:25:40,208 --> 00:25:43,500
always say there's so much more 
to it, but I do think through 

537
00:25:43,500 --> 00:25:47,000
great adversity comes great 
opportunity and this is 

538
00:25:47,000 --> 00:25:49,400
something really worth 
emphasizing to your listeners. 

539
00:25:49,400 --> 00:25:52,700
That we all have stuff that 
happens like every single one of

540
00:25:52,700 --> 00:25:55,800
us had But what do you do when 
it gets hard? 

541
00:25:55,800 --> 00:25:59,500
Like for me I am stubborn like I
am still going to do that talk. 

542
00:25:59,500 --> 00:26:02,300
I am still going to motor 
through that and I'm so glad I 

543
00:26:02,300 --> 00:26:06,800
did because I really think had I
not done that, I wouldn't be 

544
00:26:06,800 --> 00:26:08,800
worried. 
So it's like all these dots kind

545
00:26:08,800 --> 00:26:11,300
of aligned now and now it all 
makes sense to me, and then it 

546
00:26:11,300 --> 00:26:14,400
was like, I made a series of 
very calculated decisions 

547
00:26:14,500 --> 00:26:18,000
throughout 2019 and 2020. 
And we have a pandemic. 

548
00:26:18,000 --> 00:26:20,100
There's a lot of things that 
shifted in my business and I'm 

549
00:26:20,100 --> 00:26:23,600
so grateful that I was all 
online already because I can, I 

550
00:26:24,000 --> 00:26:26,900
Like the last two years have 
been phenomenal, tell everyone 

551
00:26:26,900 --> 00:26:29,100
that sometimes the universe kind
of guide you in a certain 

552
00:26:29,100 --> 00:26:32,500
direction but I think for a lot 
of us like I'm a very much an 

553
00:26:32,500 --> 00:26:35,000
intuitive person. 
Like whatever makes me feel 

554
00:26:35,000 --> 00:26:38,100
energetically very aligned and 
makes me feel good. 

555
00:26:38,100 --> 00:26:40,500
I generally will kind of lean in
that direction and is definitely

556
00:26:40,500 --> 00:26:42,900
certain so much to unpack right 
there. 

557
00:26:43,000 --> 00:26:46,700
But the bottom line and I think 
the takeaway is that you 

558
00:26:46,700 --> 00:26:49,000
decided. 
At one point you had this moment

559
00:26:49,000 --> 00:26:53,400
where you were just like, I am 
going to go big or go home. 

560
00:26:53,700 --> 00:26:56,800
And it's just this, I think this
is so huge and I want more 

561
00:26:56,800 --> 00:27:00,100
nurses to see this and to feel 
this in to embrace this, 

562
00:27:00,300 --> 00:27:02,500
whatever it is, that's bringing 
you Joy. 

563
00:27:02,500 --> 00:27:05,300
Whatever it is that you think 
this is what I'm supposed to be 

564
00:27:05,308 --> 00:27:08,200
doing. 
Go do it now. 

565
00:27:08,200 --> 00:27:11,300
Don't wait, don't delay because 
you don't know, like, you were 

566
00:27:11,300 --> 00:27:13,000
healthy. 
You were thin. 

567
00:27:13,200 --> 00:27:15,100
You had. 
Why did this happen? 

568
00:27:15,100 --> 00:27:17,200
How did this happen? 
You're living this lifestyle 

569
00:27:17,200 --> 00:27:19,800
you're involved in what you're 
eating and yet, it can still 

570
00:27:19,800 --> 00:27:22,600
happen to you. 
You can still be on the brink of

571
00:27:22,900 --> 00:27:23,600
this. 
Is it? 

572
00:27:23,800 --> 00:27:26,900
Like, oh my gosh, like how was I
here in Hawaii? 

573
00:27:26,900 --> 00:27:30,400
Now, I'm fighting for my life 
and it's a scary place. 

574
00:27:30,400 --> 00:27:32,800
I have a couple questions, one 
of which they didn't take your 

575
00:27:32,800 --> 00:27:35,000
appendix. 
So did they eventually take it? 

576
00:27:35,000 --> 00:27:38,700
Did you eventually have surgery 
or no, you know so I had my 

577
00:27:38,700 --> 00:27:41,400
appendix I did my second a talk 
with a ruptured appendix. 

578
00:27:41,400 --> 00:27:43,800
So I always say like I probably 
am the only person that's ever 

579
00:27:43,800 --> 00:27:45,500
done a TED talk with a ruptured 
appendix. 

580
00:27:45,500 --> 00:27:48,900
The irony is four days before 
they finally pulled my drain out

581
00:27:48,900 --> 00:27:51,100
like I had to think about what 
was I going to do? 

582
00:27:51,100 --> 00:27:55,300
If I had to go do this talk? 
Talk with a drainage like, was I

583
00:27:55,300 --> 00:27:57,600
going to tape it to the inside 
of my leg so people couldn't 

584
00:27:57,600 --> 00:27:58,400
see. 
I mean, it was like, we'd all 

585
00:27:58,400 --> 00:28:01,000
these crazy thoughts that, like,
by some miracle official had 

586
00:28:01,000 --> 00:28:04,100
fixed itself. 
I think, on a lot of levels that

587
00:28:04,100 --> 00:28:06,600
for me, it was like, reassuring.
I was like, okay, I did the Ted 

588
00:28:06,600 --> 00:28:09,300
Talk and then ten days later and
my appendix out, and, and my 

589
00:28:09,300 --> 00:28:13,000
surgeon who was amazing, said to
me, my body had totally walled, 

590
00:28:13,000 --> 00:28:14,800
it all off. 
Like it had protected me and 

591
00:28:14,800 --> 00:28:18,200
not, and she had said, it's not 
a question of if, but when it 

592
00:28:18,200 --> 00:28:20,900
would have created, like she was
concerned, I was gonna have a 

593
00:28:20,900 --> 00:28:24,600
even greater problem, but she 
and I had like ice In her office

594
00:28:24,600 --> 00:28:27,600
postoperatively, because in the 
other thing was that, I guess 

595
00:28:27,600 --> 00:28:30,000
she had seen a lot of appendix 
Cancers. 

596
00:28:30,200 --> 00:28:33,100
And so my parents obviously I 
wouldn't have my appendix 

597
00:28:33,100 --> 00:28:35,600
percentile for biopsy. 
So I was thrilled to know that 

598
00:28:35,600 --> 00:28:38,600
there was no evidence of any 
cancers but she said, had you 

599
00:28:38,600 --> 00:28:41,800
not been as healthy as you were.
I'm not sure you would have had 

600
00:28:41,800 --> 00:28:45,500
the same outcome, which to this 
day gives me chills because I 

601
00:28:45,500 --> 00:28:46,900
kept saying, I'm just so 
grateful. 

602
00:28:46,900 --> 00:28:49,700
Like she was such a good 
surgeon, she never gave up and 

603
00:28:49,700 --> 00:28:52,400
she tried to owner because I 
said, please do not. 

604
00:28:52,400 --> 00:28:54,200
I don't want, I don't want to 
Elect me. 

605
00:28:54,200 --> 00:28:56,600
I don't want to cost me back. 
Can you imagine to? 

606
00:28:56,600 --> 00:28:59,100
I mean if that would have been 
the case, I would have accepted 

607
00:28:59,100 --> 00:29:01,600
it. 
But with that being said, I was 

608
00:29:01,600 --> 00:29:04,800
so grateful that I had such good
care and that I had such a 

609
00:29:04,800 --> 00:29:07,000
talented team. 
I mean, it was like the irony 

610
00:29:07,000 --> 00:29:09,800
was when they had to call 
Interventional Radiology and in 

611
00:29:09,800 --> 00:29:11,700
the middle of the night, like, 
it just so happened. 

612
00:29:11,700 --> 00:29:14,900
The one guy who knew how to put 
this particular type of drainage

613
00:29:14,900 --> 00:29:16,900
just happened to be who's on 
call and I was like there's no 

614
00:29:16,900 --> 00:29:21,500
quinces so so I think for people
if we said that are listening, 

615
00:29:21,700 --> 00:29:24,700
our health is wealth. 
Had I not been Is healthy and 

616
00:29:24,700 --> 00:29:28,300
sometimes nurses do such a, we 
do herself, such a disservice of

617
00:29:28,300 --> 00:29:31,300
not take it, we take care of 
everyone else and then we don't 

618
00:29:31,300 --> 00:29:34,800
take care of ourselves and so 
this is really like Health as 

619
00:29:34,800 --> 00:29:37,200
well. 
It is a currency, it is zoned 

620
00:29:37,200 --> 00:29:40,400
for especially metabolic health 
and and I'm sure that will 

621
00:29:40,400 --> 00:29:42,700
probably touch on this that it 
distresses me when I look at 

622
00:29:42,700 --> 00:29:47,800
statistic over what's changed 
since 1997, when I started in 

623
00:29:47,800 --> 00:29:50,800
health care versus now, I mean, 
it's a whole new world that is 

624
00:29:50,800 --> 00:29:53,500
very different and so much to 
your point. 

625
00:29:53,600 --> 00:29:56,100
Oh yes. 
Yes, the appendix came out and I

626
00:29:56,100 --> 00:29:59,800
very happy showed all of my all 
of my photos on Instagram. 

627
00:29:59,800 --> 00:30:03,100
But the one thing that was 
interesting for me was, you 

628
00:30:03,100 --> 00:30:05,300
know, when patients and patients
would tell me, that's over the 

629
00:30:05,308 --> 00:30:06,800
years. 
But now I understand it. 

630
00:30:06,800 --> 00:30:10,400
The trauma of being in a 
hospital like the, you do get 

631
00:30:10,400 --> 00:30:13,100
some degree of PTSD. 
When they told me, when I needed

632
00:30:13,100 --> 00:30:15,600
to have surgery, I had to go 
back and back to the meno are 

633
00:30:15,600 --> 00:30:19,400
not that the Outpatient Center. 
I just saw my poor surgeon was 

634
00:30:19,400 --> 00:30:21,200
like, what's wrong? 
That's what we want you to be. 

635
00:30:21,208 --> 00:30:25,000
I'm like, no, no, no, she was 
like well, Wanted to anticipate.

636
00:30:25,000 --> 00:30:27,000
If there is a problem, we can 
just set it that you. 

637
00:30:27,000 --> 00:30:29,000
And I was like, no, no. 
There will be no problems. 

638
00:30:29,000 --> 00:30:31,900
I'm going to, I'm going home. 
I'm going home, I'm not staying 

639
00:30:31,900 --> 00:30:36,200
another night in the hospital, 
but it provides a lot of empathy

640
00:30:36,200 --> 00:30:38,600
for things that patient shared 
with me over the years, when 

641
00:30:38,600 --> 00:30:41,000
people would wake up and they're
like, what happened to me the 

642
00:30:41,000 --> 00:30:44,100
last two weeks, what, you know, 
and just the degree of 

643
00:30:44,100 --> 00:30:46,700
gratitude. 
I have for had a lot of good 

644
00:30:46,700 --> 00:30:49,400
nursing care, and I had some 
not-so-good nursing care, but 

645
00:30:49,400 --> 00:30:51,000
the really good nursing care. 
I had. 

646
00:30:51,000 --> 00:30:52,600
They were my lifeline. 
Yeah. 

647
00:30:52,600 --> 00:30:54,900
How incredibly right? 
Full, I was, and I'm still in 

648
00:30:54,900 --> 00:30:57,800
touch with almost all of them 
like we all stayed connected, 

649
00:30:57,800 --> 00:30:59,600
which was really, really, really
cool. 

650
00:30:59,600 --> 00:31:02,100
So special. 
So, one of the things that I 

651
00:31:02,100 --> 00:31:04,300
wanted to talk to you about, and
again, this is kind of 

652
00:31:04,300 --> 00:31:06,800
intersecting in between, are 
some of the other questions? 

653
00:31:06,800 --> 00:31:09,800
I typically, ask my, guess you 
talked about right then. 

654
00:31:09,800 --> 00:31:13,400
And there just a couple slides 
ago about the metabolic syndrome

655
00:31:13,400 --> 00:31:17,500
that's been affecting nurses. 
And, and for me, I know a lot of

656
00:31:17,500 --> 00:31:20,200
my listeners are 
African-American Hispanic and I 

657
00:31:20,200 --> 00:31:22,500
know that there's not a lot of 
options. 

658
00:31:22,500 --> 00:31:25,800
I feel like I'm watching My 
fellow African American and 

659
00:31:25,800 --> 00:31:28,600
Puerto Rican. 
Hispanic women just getting 

660
00:31:28,600 --> 00:31:32,400
larger and larger every year and
it breaks my heart as I see this

661
00:31:32,400 --> 00:31:34,300
and they're walking around with 
all this extra weight. 

662
00:31:34,300 --> 00:31:36,600
And you wrote this book about 
intermittent fasting. 

663
00:31:36,600 --> 00:31:40,000
I've read it, it's fantastic, 
the teen walk-in my baby. 

664
00:31:40,000 --> 00:31:43,400
I'm like listening, you know, 
and all the literature because I

665
00:31:43,400 --> 00:31:46,300
had a pretty pretty serious 
complication with the birth of 

666
00:31:46,300 --> 00:31:49,600
my son, I had gestational 
diabetes and then he was born, 

667
00:31:49,700 --> 00:31:53,100
macro soumik just large. 
And I was, and I've never been a

668
00:31:53,100 --> 00:31:55,500
big girl. 
I've always been quote unquote 

669
00:31:55,500 --> 00:31:59,400
skinny in a size, four to six, 
you know, I was always fine but 

670
00:31:59,400 --> 00:32:02,100
when he was born and he was in 
the ICU for four days dropping 

671
00:32:02,100 --> 00:32:05,400
his blood sugar hypoglycemia, 
they're talking about me going 

672
00:32:05,400 --> 00:32:07,900
home and leaving him in the 
hospital because he can't 

673
00:32:07,900 --> 00:32:11,600
regulate his blood sugars. 
I began, I had this aha moment I

674
00:32:11,608 --> 00:32:14,200
had this the same moment that 
you have, as I'm laying there, 

675
00:32:14,200 --> 00:32:17,600
cut open and they pulled him out
because I couldn't get him out. 

676
00:32:17,700 --> 00:32:22,000
I had the same moment of I'm 
sick, like, even though I know 

677
00:32:22,000 --> 00:32:23,500
I'm, well, it actually makes me 
emotional. 

678
00:32:23,700 --> 00:32:26,100
Think about it, but I just 
remember laying in the hospital 

679
00:32:26,100 --> 00:32:30,600
and just being, like, I'm sick. 
Like, even though I'm not fat, 

680
00:32:30,700 --> 00:32:33,100
there's something inside of my 
cells inside my body. 

681
00:32:33,100 --> 00:32:36,800
That's not well, and I began to 
dive into a similar, you know, 

682
00:32:36,800 --> 00:32:40,000
story that you're sharing or 
read a book that talked about 

683
00:32:40,000 --> 00:32:42,700
diet and exercise. 
And I was and it's by a guy 

684
00:32:42,700 --> 00:32:45,000
named Mike Adams, and it's kind 
of, whoo. 

685
00:32:45,300 --> 00:32:46,400
Whoo. 
Whoo and people are like, oh, 

686
00:32:46,400 --> 00:32:49,600
whatever. 
Hey guys, thanks for listening 

687
00:32:49,600 --> 00:32:51,600
to the podcast. 
I hope you're enjoying the 

688
00:32:51,600 --> 00:32:54,100
conversation. 
I want to take a second to 

689
00:32:54,100 --> 00:32:57,300
remind you guys to join the 
doctor nurse podcast, email 

690
00:32:57,300 --> 00:33:00,600
list. 
Weakly I send out emails about 

691
00:33:00,600 --> 00:33:05,000
podcast episodes blogs on 
creating with information about 

692
00:33:05,000 --> 00:33:08,800
nursing motherhood, Finance 
health and wellness. 

693
00:33:09,200 --> 00:33:12,300
How to build side hustles. 
It's all there. 

694
00:33:12,400 --> 00:33:15,500
I want to provide nurses with 
information that I'm gleaning. 

695
00:33:15,600 --> 00:33:17,800
As I grow my business, and my 
podcast. 

696
00:33:18,300 --> 00:33:22,100
And now I have to tell you guys 
about today's sponsor the doctor

697
00:33:22,100 --> 00:33:24,500
nurse podcast is sponsored by 
the network nurse. 

698
00:33:24,800 --> 00:33:28,200
You guys know that I love 
Savannah Arroyo and her whole 

699
00:33:28,200 --> 00:33:31,300
team at the net worth nurse. 
I've actually had her on my 

700
00:33:31,300 --> 00:33:34,400
podcast so check out her episode
if you're wanting to know more 

701
00:33:34,400 --> 00:33:38,200
about her and what she does, her
net worth nurse team is on a 

702
00:33:38,208 --> 00:33:42,000
mission to empower nurses to 
take control of their net worth.

703
00:33:42,400 --> 00:33:45,200
The net worth nurse is an 
educational site were nurses 

704
00:33:45,200 --> 00:33:47,800
come together to learn about 
wealth building strategies. 

705
00:33:48,400 --> 00:33:52,300
Their website has blogs 
instructional downloads video 

706
00:33:52,300 --> 00:33:56,300
courses on real estate and 
investing personalized coaching 

707
00:33:56,300 --> 00:33:59,500
and an interactive and growing 
community of like-minded 

708
00:33:59,500 --> 00:34:02,200
individuals. 
The net worth nurse has 

709
00:34:02,200 --> 00:34:05,000
everything you need to grow 
wealth. 

710
00:34:05,200 --> 00:34:08,600
Be sure to check them out in the
links in my show notes and let's

711
00:34:08,600 --> 00:34:13,199
get back to the conversation but
I was like I had no idea that 

712
00:34:13,199 --> 00:34:15,400
these were thoughts. 
That people felt about food and 

713
00:34:15,400 --> 00:34:18,699
nutrition. 
I just went deep and I love your

714
00:34:18,699 --> 00:34:22,000
book because it touches on every
single thing that I've spent the

715
00:34:22,000 --> 00:34:26,000
last three years of his life, 
trying to get a handle on, I've 

716
00:34:26,000 --> 00:34:30,300
lost 20 pounds pre-pregnancy. 
So I was I'm skinnier than I've 

717
00:34:30,300 --> 00:34:33,900
ever been and it's because I've 
been implementing the things 

718
00:34:33,900 --> 00:34:35,900
you've been talking about in 
your book. 

719
00:34:36,000 --> 00:34:38,900
And so I want to touch on a 
little bit about what 

720
00:34:38,900 --> 00:34:43,800
intermittent fasting is and 
really what the benefits are for

721
00:34:44,100 --> 00:34:47,800
anyone black white asian, 
whatever your race. 

722
00:34:47,900 --> 00:34:51,699
His background is, this can 
change your life and so if you 

723
00:34:51,699 --> 00:34:53,500
would kind of touch on that a 
little bit for my listeners, I 

724
00:34:53,507 --> 00:34:55,500
would be happy to. 
But I also want to acknowledge 

725
00:34:55,500 --> 00:34:58,100
what you have been through. 
I think our children can be our 

726
00:34:58,100 --> 00:35:02,700
most powerful motivator to 
really reflect on. 

727
00:35:03,000 --> 00:35:05,900
Are we doing the best for us? 
You know, that's, that's always 

728
00:35:05,900 --> 00:35:07,700
the thing. 
So I and I can see, you know, 

729
00:35:07,700 --> 00:35:10,000
the emotion in your face as 
you're sharing that story. 

730
00:35:10,000 --> 00:35:13,600
And I'm so, so grateful that you
are in a position now where you 

731
00:35:13,600 --> 00:35:16,200
can help, educate others about 
taking better care of 

732
00:35:16,207 --> 00:35:18,300
themselves. 
So when I'm thinking, Being 

733
00:35:18,300 --> 00:35:21,500
about intermittent fasting and 
especially for women and this is

734
00:35:21,500 --> 00:35:24,800
really the first book that is 
written specifically for our 

735
00:35:24,800 --> 00:35:27,500
unique needs. 
I would say we are not many men,

736
00:35:27,500 --> 00:35:31,200
we should not apologize for our 
physiology and I do agree with 

737
00:35:31,200 --> 00:35:34,700
you that there is a not enough 
being done to talk about 

738
00:35:34,700 --> 00:35:36,700
metabolic Health. 
But when we're speaking about 

739
00:35:36,700 --> 00:35:39,500
what intermittent fasting is 
it's just as easy as eating less

740
00:35:39,500 --> 00:35:42,500
often, and it's really 
strategically aligned with our 

741
00:35:42,500 --> 00:35:44,600
menstrual cycles. 
There are times in our cycle, we

742
00:35:44,600 --> 00:35:46,500
should fast. 
There are times when we should 

743
00:35:46,500 --> 00:35:48,800
not. 
I think That for every woman 

744
00:35:48,800 --> 00:35:52,400
that's listening that is curious
about intermittent fasting. 

745
00:35:52,600 --> 00:35:55,400
It's sometimes easiest to 
incorporate it in the philic, 

746
00:35:55,400 --> 00:35:57,000
Euler phase of our menstrual 
cycles. 

747
00:35:57,000 --> 00:36:00,200
Through from the day, we start 
bleeding up until ovulation. 

748
00:36:00,200 --> 00:36:03,100
And for those of you that don't 
have regular Cycles, if it makes

749
00:36:03,100 --> 00:36:04,900
it easier to align, with the 
lunar calendar. 

750
00:36:04,900 --> 00:36:07,600
But I do encourage women and I'm
just going to be my caveat. 

751
00:36:07,900 --> 00:36:09,900
I know more about the menstrual 
cycle. 

752
00:36:09,900 --> 00:36:14,100
Now, as a 50 year old woman, 
then I ever did, when I was 

753
00:36:14,100 --> 00:36:17,500
younger, when I had Cycles 
regularly, Etc. 

754
00:36:17,500 --> 00:36:20,700
So, I think it's important on 
all of us, understand like 

755
00:36:20,700 --> 00:36:23,900
what's happening with our bodies
during her menstrual cycles and 

756
00:36:23,900 --> 00:36:26,000
to understand for a lot of 
people that have a regular 

757
00:36:26,000 --> 00:36:29,200
Cycles, it's often times related
to an imbalance between the two 

758
00:36:29,200 --> 00:36:32,000
big players, estrogen and 
progesterone. 

759
00:36:32,200 --> 00:36:37,000
And if you have polycystic 
ovarian syndrome or PCOS and 25%

760
00:36:37,000 --> 00:36:40,400
of those women are thin. 
So, it is not just an issue with

761
00:36:40,400 --> 00:36:42,400
women that are overweight or 
obese. 

762
00:36:42,500 --> 00:36:44,500
It's really important, 
understand what you can do to 

763
00:36:44,500 --> 00:36:47,300
support your body and I want to 
make sure I also talked about 

764
00:36:47,300 --> 00:36:49,400
the fact like Really. 
Look at the statistic. 

765
00:36:49,400 --> 00:36:53,800
We know that there is a 
neglected in terms of our Focus 

766
00:36:53,800 --> 00:36:56,900
as Healthcare Providers on or 
underserved population. 

767
00:36:56,900 --> 00:37:00,200
So I'm thinking about people, 
that might be in the inner city 

768
00:37:00,200 --> 00:37:03,000
or they could be in rural areas.
But your respective, we look at 

769
00:37:03,000 --> 00:37:06,100
the data if we're looking at 
different like racial breakdowns

770
00:37:06,100 --> 00:37:08,700
of a piece of those that are 
becoming increasingly overweight

771
00:37:08,700 --> 00:37:11,800
and obese, it is 
disproportionately impacted by 

772
00:37:11,800 --> 00:37:13,800
Hispanic and African-American 
women. 

773
00:37:14,200 --> 00:37:17,800
And we can't have a conversation
without speaking to this fact. 

774
00:37:18,000 --> 00:37:21,500
That we need to be doing better 
for all of our female patients. 

775
00:37:21,600 --> 00:37:23,800
We need to be having 
conversations earlier. 

776
00:37:24,100 --> 00:37:27,100
Meaning, you know, we don't wait
till someone's diabetic way 

777
00:37:27,100 --> 00:37:29,200
before them. 
We look at a fasting insulin. 

778
00:37:29,200 --> 00:37:31,800
Now, this is something I 
probably ten times a day. 

779
00:37:31,800 --> 00:37:34,300
Tell people, I don't care if 
your A1C is okay. 

780
00:37:34,300 --> 00:37:36,500
And you're fasting, glucose 
isn't too bad. 

781
00:37:36,700 --> 00:37:39,100
What's your fasting insulin? 
What's your fasting leptin? 

782
00:37:39,400 --> 00:37:42,700
Because more often the first 
biomarker that Des regulates is 

783
00:37:42,700 --> 00:37:46,100
insulin, okay? 
So intermittent fasting amazing 

784
00:37:46,100 --> 00:37:48,300
strategy for women that are 
still getting their And so 

785
00:37:48,300 --> 00:37:51,900
cycle. 35, and under you really 
do have to be careful because 

786
00:37:51,900 --> 00:37:54,500
your body is primed for 
procreation, if you're choosing 

787
00:37:54,500 --> 00:37:59,000
not to have children right now 
or ever north of 35 up to 50 

788
00:37:59,000 --> 00:38:02,600
perimenopause, this is a time of
it's like reverse puberty. 

789
00:38:02,600 --> 00:38:04,100
There's no other way to describe
it. 

790
00:38:04,300 --> 00:38:07,700
They have to fast differently 
because they have you know, 

791
00:38:07,700 --> 00:38:09,900
their adrenals are helping to 
buffer. 

792
00:38:09,900 --> 00:38:13,400
The progesterone that is not 
being secreted by the ovaries 

793
00:38:13,600 --> 00:38:15,100
and so I remind women at this 
time. 

794
00:38:15,100 --> 00:38:17,400
Sleep counts type of exercise 
counts. 

795
00:38:17,900 --> 00:38:21,400
Lament or nutrition Etc. 
And then menopausal women 12 

796
00:38:21,400 --> 00:38:24,100
months of the menstrual cycle, 
your their little bit more like,

797
00:38:24,100 --> 00:38:26,600
then in that they don't have as 
much flux day-to-day 

798
00:38:26,600 --> 00:38:29,100
week-to-week. 
However, the lifestyle piece is 

799
00:38:29,100 --> 00:38:32,200
still critically important but 
in terms of benefits, so 

800
00:38:32,200 --> 00:38:34,200
obviously people come to 
intermittent fasting because 

801
00:38:34,200 --> 00:38:37,400
they're curious about changing 
body composition, weight loss 

802
00:38:37,400 --> 00:38:39,300
Etc. 
But there's so many amazing 

803
00:38:39,300 --> 00:38:41,300
benefits. 
So, first and foremost, the 

804
00:38:41,300 --> 00:38:44,300
thing that stood out to me 
first, the end of one was I so 

805
00:38:44,300 --> 00:38:47,100
much more energy because when 
insulin levels are low in the 

806
00:38:47,100 --> 00:38:50,000
body, guess what? 
And you free up stored fat, that

807
00:38:50,000 --> 00:38:53,300
helps fuel your brain and our 
brain loves fat. 

808
00:38:53,300 --> 00:38:56,100
And there's a particular one 
called beta-hydroxybutyrate the 

809
00:38:56,400 --> 00:38:59,500
that kind of diffuses across the
blood-brain barrier which we all

810
00:38:59,500 --> 00:39:01,500
know about. 
So energy is number one mental 

811
00:39:01,500 --> 00:39:04,700
Clarity, what woman doesn't 
want, more mental Clarity or man

812
00:39:04,700 --> 00:39:07,400
for that matter. 
More mental Clarity or, you 

813
00:39:07,400 --> 00:39:09,600
know, more energy. 
I think about something called 

814
00:39:09,600 --> 00:39:12,200
at often gee. 
You know, we're at the Crux of 

815
00:39:12,200 --> 00:39:16,300
two years of a pandemic etapa G.
Is this process we're learning 

816
00:39:16,300 --> 00:39:17,800
unfed state where our body goes 
in. 

817
00:39:17,900 --> 00:39:20,600
And recycles and gets rid of 
disordered organelles 

818
00:39:20,600 --> 00:39:23,900
mitochondria Etc. 
It is like taking out the trash 

819
00:39:24,000 --> 00:39:26,300
but this doesn't happen when 
you're eating all day long and 

820
00:39:26,300 --> 00:39:28,900
what have we been telling our 
patients for years snacks? 

821
00:39:28,900 --> 00:39:31,400
Many meals. 
Stoke your metabolism exactly 

822
00:39:31,400 --> 00:39:34,300
we're just making our patients 
fat so that's completely that's 

823
00:39:34,300 --> 00:39:37,100
completely an error. 
So it's Hoffa gee, I think about

824
00:39:37,100 --> 00:39:39,400
reducing our risk of certain 
types of neurocognitive 

825
00:39:39,400 --> 00:39:42,500
disorders Alzheimer's 
Parkinson's Etc. 

826
00:39:42,600 --> 00:39:45,000
Now I want to just speak about 
Alzheimer's. 

827
00:39:45,000 --> 00:39:46,600
There's a lot of good research 
coming out. 

828
00:39:46,600 --> 00:39:50,800
That's talking about Equally to 
women in middle age, that it's 

829
00:39:50,800 --> 00:39:53,800
the loss of estradiol signaling 
in the brain along with some 

830
00:39:53,800 --> 00:39:56,700
progesterone and testosterone. 
They can fuel the degree of 

831
00:39:56,700 --> 00:40:00,300
insulin resistance that drives 
type 3 diabetes, which is all 

832
00:40:00,300 --> 00:40:02,200
timer. 
So you want to take this very 

833
00:40:02,200 --> 00:40:04,600
seriously. 
It also reduces your risk of 

834
00:40:04,600 --> 00:40:06,600
developing certain types of 
cancers. 

835
00:40:06,700 --> 00:40:09,400
We know that it improves your 
biophysical markers. 

836
00:40:09,400 --> 00:40:12,800
We know that hypertension is a 
direct relationship with insulin

837
00:40:12,800 --> 00:40:14,600
resistance. 
It is not just too much salt in 

838
00:40:14,600 --> 00:40:16,400
your diet. 
You know, you really look at the

839
00:40:16,400 --> 00:40:17,800
research, that's not what it 
shows. 

840
00:40:17,900 --> 00:40:21,800
Shows so high, blood pressure, 
high triglycerides, low HDL. 

841
00:40:21,800 --> 00:40:24,800
You know, when we look at LDL, 
looking at particle size, just 

842
00:40:24,800 --> 00:40:27,500
looking at those biomarkers, 
they can all fasting glucose. 

843
00:40:27,500 --> 00:40:30,500
Can all be improved upon by 
eating less frequently. 

844
00:40:30,600 --> 00:40:32,700
I think about reduction in 
inflammation. 

845
00:40:32,900 --> 00:40:35,600
Now people you know, this is 
unfortunate because a catch-all 

846
00:40:35,600 --> 00:40:37,600
phrase inflammation, oxidative 
stress. 

847
00:40:37,700 --> 00:40:40,600
The lot of is the byproduct of 
our lifestyles and so again, 

848
00:40:40,600 --> 00:40:43,400
eating less often removing 
inflammatory foods which I know 

849
00:40:43,400 --> 00:40:45,600
can be very triggering. 
So I'm gonna try to skate by 

850
00:40:45,600 --> 00:40:49,200
that issue but those are like 
the big I think about, but for a

851
00:40:49,207 --> 00:40:53,300
lot of women in particular, the 
focus is on the weight loss and 

852
00:40:53,300 --> 00:40:56,600
the changes in body composition 
but I've had many women who all 

853
00:40:56,600 --> 00:40:58,800
of a sudden struggle with 
infertility that when they lose 

854
00:40:58,800 --> 00:41:02,500
weight, they aren't struggling 
with Avila ovulatory disorders 

855
00:41:02,500 --> 00:41:05,400
people that have PCOS that if 
you know cured themselves from 

856
00:41:05,400 --> 00:41:09,400
PCOS because they ask you know 
this ovulatory disorder is or 

857
00:41:09,500 --> 00:41:13,400
luteal phase defect is is better
supported in the body. 

858
00:41:13,700 --> 00:41:16,500
So I think there's a lot of 
benefits but I would say women 

859
00:41:16,500 --> 00:41:17,700
have to do it differently. 
Post. 

860
00:41:17,900 --> 00:41:20,700
An apostle women and men can 
generally do most days. 

861
00:41:20,700 --> 00:41:23,000
Otherwise women, if they're 
still cycling have to really 

862
00:41:23,000 --> 00:41:26,400
focus in on the follicular phase
and really backing off of it on 

863
00:41:26,400 --> 00:41:27,800
the luteal phase. 
Yeah. 

864
00:41:28,000 --> 00:41:30,700
So one of the things that I love
about your book and the reason 

865
00:41:30,700 --> 00:41:33,600
why it's something that I really
want to start pushing more to, 

866
00:41:33,600 --> 00:41:34,700
I'm going to just give it to my 
mom. 

867
00:41:34,700 --> 00:41:37,700
I'm giving it to everybody 
because I really feel like women

868
00:41:37,700 --> 00:41:40,000
aren't encouraged. 
Like, there's all this 

869
00:41:40,000 --> 00:41:41,900
literature out there. 
A lot of people like, talking 

870
00:41:41,900 --> 00:41:44,000
about intermittent fasting with 
women and how we shouldn't. 

871
00:41:44,000 --> 00:41:46,300
We need a certain level of fat 
in our body because, you know, 

872
00:41:46,300 --> 00:41:49,600
we've got all these hormones and
I love how you touch on these 

873
00:41:49,600 --> 00:41:51,900
things. 
You actually kind of tailor make

874
00:41:51,900 --> 00:41:54,600
where people are on their 
journey of life and you're like,

875
00:41:54,600 --> 00:41:56,200
this is the kind of intermittent
fasting, you should be doing. 

876
00:41:56,200 --> 00:41:58,500
This is when you should, this is
when you shouldn't and it's so 

877
00:41:58,500 --> 00:42:02,200
helpful and you give up, you 
have a PDF that's like so big 

878
00:42:02,200 --> 00:42:05,600
and so large. 
But full of like recipes and 

879
00:42:05,900 --> 00:42:09,000
meal plans and it's you can just
follow it for 45 days. 

880
00:42:09,000 --> 00:42:11,500
It's incredible. 
I walked away from your book 

881
00:42:11,500 --> 00:42:14,800
feeling like this is so doable. 
This is something that would 

882
00:42:14,800 --> 00:42:19,700
help every single person, every 
single The woman and man, who 

883
00:42:19,700 --> 00:42:24,400
was looking for how to do 
intermittent fasting safely and 

884
00:42:24,400 --> 00:42:27,600
to really be able to clear out 
some of the junk, in their 

885
00:42:27,600 --> 00:42:30,400
Pantry, get in there and figure 
out what to eat, what's the 

886
00:42:30,400 --> 00:42:31,900
right Foods. 
What should I be choosing? 

887
00:42:31,900 --> 00:42:34,700
What should I all the questions?
That people ask around it? 

888
00:42:34,700 --> 00:42:37,400
I feel like you just you touch 
on every single subject. 

889
00:42:37,400 --> 00:42:41,300
Like I wish I would have read 
this 15 years ago, I really do 

890
00:42:41,300 --> 00:42:42,900
because it would have where 
would I be? 

891
00:42:42,900 --> 00:42:45,500
Now I would be in such a 
different place and since I've 

892
00:42:45,500 --> 00:42:47,700
implemented a lot of the things 
that you talk about in the book,

893
00:42:47,900 --> 00:42:50,600
Don't have joint pain. 
I have endometriosis and that I 

894
00:42:50,600 --> 00:42:54,000
wasn't supposed to get pregnant 
and so I'm able to change 

895
00:42:54,000 --> 00:42:55,500
things. 
My periods are regular now and 

896
00:42:55,500 --> 00:42:57,800
they weren't before like, these 
are things that I struggle with.

897
00:42:57,800 --> 00:43:01,300
I was taking birth control and 
ended up getting a rare super 

898
00:43:01,300 --> 00:43:02,900
rare side, effect from birth 
control. 

899
00:43:02,900 --> 00:43:07,200
And so nobody wants did the work
that you're doing, which is what

900
00:43:07,200 --> 00:43:09,700
are you eating? 
I mean, mac and cheese and hot 

901
00:43:09,700 --> 00:43:12,300
dogs and all the other things 
that were just easy. 

902
00:43:12,300 --> 00:43:15,800
Every kid ate them. 
I poured milk over my cereal 

903
00:43:15,900 --> 00:43:19,700
that then I poured sugar on like
That's what I did growing up 

904
00:43:19,700 --> 00:43:22,700
because that's what we all did. 
And I know again, we weren't 

905
00:43:22,700 --> 00:43:25,800
very wealthy, but I also feel 
like that was just when I talked

906
00:43:25,800 --> 00:43:28,000
to my husband and they're kind 
of the same economics, you know,

907
00:43:28,000 --> 00:43:30,600
status of family life. 
You were like, yeah, I did that 

908
00:43:30,600 --> 00:43:32,100
too. 
And I'm like, cat, poor 

909
00:43:32,100 --> 00:43:34,300
Kool-Aid, and poured, three cups
of sugar in the cool. 

910
00:43:34,300 --> 00:43:38,100
I like it was just what we did 
and it's a changing of your 

911
00:43:38,100 --> 00:43:40,300
mindset. 
And again, once you see the 

912
00:43:40,300 --> 00:43:43,800
information you stare at it you 
can't look at the world the same

913
00:43:43,800 --> 00:43:46,800
way that changes you. 
And I think I agree with you. 

914
00:43:46,800 --> 00:43:49,700
So wholeheartedly Thank you for 
all the wonderful accolades and 

915
00:43:49,700 --> 00:43:52,400
this is the book. 
I wish I had before I went on a 

916
00:43:52,400 --> 00:43:54,500
pause. 
In fact, I tell people all gone 

917
00:43:54,700 --> 00:43:57,000
because I have, you know, the 
book is now being translated 

918
00:43:57,000 --> 00:44:00,800
into Chinese and German and 
Spanish and there's a check, 

919
00:44:00,800 --> 00:44:03,300
there's a check dialect, it's 
being translated into which is 

920
00:44:03,300 --> 00:44:06,000
really cool. 
But it also speaks to the fact 

921
00:44:06,000 --> 00:44:08,500
that we are missing 
opportunities with our patients.

922
00:44:08,500 --> 00:44:12,500
And if you were teaching the 
same Dogma to your patients that

923
00:44:12,500 --> 00:44:16,700
you learn 20 years ago, it is 
time to wake up because most of 

924
00:44:16,700 --> 00:44:20,500
what I was taught and I went To 
arguably a top five, if not top 

925
00:44:20,500 --> 00:44:24,800
one or two, in the country 
program, where you know, they do

926
00:44:24,800 --> 00:44:27,600
some Cutting Edge stuff and I 
tell people all the time, like I

927
00:44:27,600 --> 00:44:30,800
had to unlearn you know, that 
sounds bad and then if you go 

928
00:44:30,800 --> 00:44:33,800
down the rabbit hole of looking 
at the seven, you know, the 

929
00:44:33,800 --> 00:44:36,700
seven countries study. 
You look at ancel keys and how 

930
00:44:36,900 --> 00:44:40,700
the the focus was made was 
chosen to focus on vilifying 

931
00:44:40,700 --> 00:44:44,800
fats over vilifying sugar. 
They knew back in the 1950s that

932
00:44:44,800 --> 00:44:47,700
sugar was the culprit and so we 
have a nation. 

933
00:44:47,900 --> 00:44:50,800
It has, unfortunately, gotten 
addicted to highly processed 

934
00:44:50,800 --> 00:44:53,700
hyper. 
Palatable Foods, we have serious

935
00:44:53,700 --> 00:44:56,800
issues with metabolic health and
the last big study that I looked

936
00:44:56,800 --> 00:44:58,900
at from 2018, which is 
pre-pandemic. 

937
00:44:58,900 --> 00:45:01,200
You know, this is from UNC 
Chapel Hill, it's probably 

938
00:45:01,200 --> 00:45:02,700
worse. 
Now is eighty eight, eighty 

939
00:45:02,700 --> 00:45:06,800
percent of Americans are 
metabolically inflexible and so 

940
00:45:06,800 --> 00:45:09,400
for every person that's listed 
listening, you have a 

941
00:45:09,400 --> 00:45:13,900
responsibility to you and your 
patients to get yourself healthy

942
00:45:13,900 --> 00:45:16,000
because we will serve as an 
example. 

943
00:45:16,000 --> 00:45:19,000
Like that is one thing that 
Witter is really the manosphere 

944
00:45:19,000 --> 00:45:22,200
but it's a really kind of great 
place to get a pulse pulse sense

945
00:45:22,200 --> 00:45:26,000
of what's going on in the world.
And it's amazing how a lot of 

946
00:45:26,008 --> 00:45:28,100
these guys it. 
Because again, it's the 

947
00:45:28,100 --> 00:45:30,300
manosphere they'll talk about 
the fact that you know, they'll 

948
00:45:30,300 --> 00:45:31,900
do in to see their healthcare 
provider in there. 

949
00:45:31,900 --> 00:45:34,800
Like my healthcare provider 
isn't healthy and how can they 

950
00:45:34,800 --> 00:45:37,700
give me advice about lifestyle 
changes when they themselves 

951
00:45:37,700 --> 00:45:39,200
aren't listening to what they're
doing? 

952
00:45:39,600 --> 00:45:43,500
And so I've I'm a take some heat
for that, but we really do have 

953
00:45:43,500 --> 00:45:48,400
a responsibility to be talking 
to not only ourselves in In real

954
00:45:48,400 --> 00:45:50,700
about like what are we not doing
in our diets? 

955
00:45:50,700 --> 00:45:51,900
Or what are we doing in our 
lifestyle? 

956
00:45:51,900 --> 00:45:54,100
It no longer serves. 
That's why I prioritize sleep. 

957
00:45:54,200 --> 00:45:57,300
IE I would say, carnivore wish I
plenty of non-starchy 

958
00:45:57,300 --> 00:45:59,000
vegetables. 
I had a lot of animal-based 

959
00:45:59,000 --> 00:46:00,300
protein. 
It is. 

960
00:46:00,300 --> 00:46:04,000
So the antithesis of what I used
to teach my patients, snacks 

961
00:46:04,000 --> 00:46:08,400
mini-meals heart, healthy 
grains, Dairy is benign, no, no 

962
00:46:08,400 --> 00:46:09,800
dear. 
He's okay if you tolerate it, 

963
00:46:09,808 --> 00:46:12,200
but it should be full fat, it 
should only draw. 

964
00:46:12,200 --> 00:46:15,500
If you tolerate raw cheese, you 
know, give her this garbage of 

965
00:46:15,500 --> 00:46:17,600
like heart healthy grains. 
You need more. 

966
00:46:17,800 --> 00:46:20,800
Or animal-based protein. 
You need to don't buy and what 

967
00:46:20,800 --> 00:46:22,600
Bill Gates is trying to push in 
his agenda. 

968
00:46:22,600 --> 00:46:25,200
I'm sorry, make me I know it's 
all the time. 

969
00:46:25,200 --> 00:46:28,000
Like he should be an example of 
why you don't want to eat fake 

970
00:46:28,000 --> 00:46:31,100
meat because he has man boobs. 
He has some guy domestic. 

971
00:46:31,100 --> 00:46:33,700
Yeah, I was like yes 
gynecomastia people which is man

972
00:46:33,700 --> 00:46:35,600
boobs. 
I moved boobs. 

973
00:46:35,700 --> 00:46:37,800
And so I think that it's really 
important. 

974
00:46:37,800 --> 00:46:40,700
Like, like, let's be honest. 
Like the things that I teach my 

975
00:46:40,700 --> 00:46:43,700
patients and clients to do or 
things I do myself, is it sexy 

976
00:46:43,700 --> 00:46:45,300
to go to bed earlier? 
No. 

977
00:46:45,600 --> 00:46:49,800
Is it sexy that I meal prep? 
Is it sexy that see that? 

978
00:46:49,800 --> 00:46:52,000
I look at the back of everything
for seed oil. 

979
00:46:52,000 --> 00:46:55,000
Like sunflower oil, this has 
soybean oil and like, people are

980
00:46:55,000 --> 00:46:57,700
like, can you just eat it? 
I'm like, no, that's in it. 

981
00:46:57,700 --> 00:47:00,100
I'm not eating this. 
Like that's that is not-it's, 

982
00:47:00,100 --> 00:47:01,600
not fun. 
Yeah, I'm gonna be honest with 

983
00:47:01,600 --> 00:47:02,600
you. 
I've now the person in my 

984
00:47:02,600 --> 00:47:04,200
family. 
People are like, okay, we're 

985
00:47:04,200 --> 00:47:06,400
going to go get organic. 
Meet Cassandra won't eat. 

986
00:47:06,400 --> 00:47:08,500
I'm like, I won't like, I just 
won't anymore. 

987
00:47:08,500 --> 00:47:11,600
Yes, once you see it, like 
you're describing you just 

988
00:47:11,600 --> 00:47:13,400
start. 
Like, I can't I can't do this 

989
00:47:13,400 --> 00:47:14,700
anymore and I will be that 
person. 

990
00:47:14,700 --> 00:47:16,700
That's like I'll just eat before
and come. 

991
00:47:16,700 --> 00:47:18,900
Yeah, how about that? 
You know, and here's something 

992
00:47:18,900 --> 00:47:21,100
like super easy if people are 
listening and they're like this 

993
00:47:21,100 --> 00:47:24,200
is blowing my mind. 
If you do nothing else, read 

994
00:47:24,200 --> 00:47:28,300
food labels and don't consume 
seed or vegetable oils it'll get

995
00:47:28,300 --> 00:47:30,900
that is little get rid of most 
if not all what's in the grocery

996
00:47:30,900 --> 00:47:33,100
store. 
We know the number one fat 

997
00:47:33,100 --> 00:47:34,500
consumed. 
The United States right now is 

998
00:47:34,500 --> 00:47:38,100
soybean isn't that sad? 
Ya know when you see what it 

999
00:47:38,100 --> 00:47:40,400
does like the Omega you talk 
about this in your book, The 

1000
00:47:40,400 --> 00:47:44,500
omega-3, and omega-6 ratio, and 
how it is dramatically changed 

1001
00:47:44,500 --> 00:47:47,600
throughout history from like a 
one-to-one ratio. 

1002
00:47:48,100 --> 00:47:49,600
I think you said to like, 62 
water. 

1003
00:47:49,600 --> 00:47:52,800
You had some funny, it's 
unbelievable 20, that's what you

1004
00:47:52,800 --> 00:47:56,000
said 1220. 
I was like, whoa, like we are so

1005
00:47:56,000 --> 00:47:59,000
out of balance and so we can't 
blame just one thing. 

1006
00:47:59,000 --> 00:48:01,500
But what's the one thing that we
do every day? 

1007
00:48:01,700 --> 00:48:03,800
Hopefully, if you're the 
following a fasting diet, 2 

1008
00:48:03,800 --> 00:48:06,400
times David for not passing, 
you're eating it three to six 

1009
00:48:06,400 --> 00:48:08,500
times a day, we're doing it six 
times a day. 

1010
00:48:08,500 --> 00:48:10,700
What are we doing? 
Were eating and one of the 

1011
00:48:10,707 --> 00:48:13,100
questions I wanted to ask in 
this is just for me, personally,

1012
00:48:13,100 --> 00:48:16,400
I wear glucose monitor because 
of what happened with my son, 

1013
00:48:16,600 --> 00:48:19,200
and I know the now I'm at risk 
for type 2 diabetes. 

1014
00:48:19,200 --> 00:48:21,100
On top of the fact that I have a
family history of type 2, 

1015
00:48:21,100 --> 00:48:22,500
diabetes. 
And I know a lot of 

1016
00:48:22,500 --> 00:48:25,000
African-Americans, they're in 
the same boat. 

1017
00:48:25,000 --> 00:48:27,900
I know, I'm not the only 
African-American female who has 

1018
00:48:27,900 --> 00:48:30,900
a grandmother and a grandfather 
with diabetes, have a father 

1019
00:48:30,900 --> 00:48:33,500
with diabetes. 
And now I just had gestational 

1020
00:48:33,500 --> 00:48:37,100
diabetes, despite thinking I was
okay with my weight standpoint. 

1021
00:48:37,100 --> 00:48:39,200
Now that your doctor my life, 
I'm looking, and I'm thinking 

1022
00:48:39,200 --> 00:48:40,800
type 2 diabetes, he's coming for
me. 

1023
00:48:41,000 --> 00:48:44,300
And so I wear glucose monitor 
and I pay for it out of pocket, 

1024
00:48:44,300 --> 00:48:46,700
like I literally told my husband
I'm like we're budgeting this 

1025
00:48:46,700 --> 00:48:49,400
glucose monitor because I need 
to know what's going on every 

1026
00:48:49,400 --> 00:48:51,900
single second of the day and 
when I'm finding and I wanted to

1027
00:48:51,908 --> 00:48:55,900
ask you, I will find spikes 
after eating what I think is a 

1028
00:48:55,908 --> 00:48:59,000
pretty low carb meal. 
I'll have vegetables and you 

1029
00:48:59,000 --> 00:49:01,900
know the chicken and I'll have 
that and I'll spite my blood 

1030
00:49:01,900 --> 00:49:05,200
sugar will Spike especially if 
it's from a restaurant which I'm

1031
00:49:05,200 --> 00:49:07,400
very interesting and I think 
it's cooked and seed oil, it's 

1032
00:49:07,400 --> 00:49:10,100
exactly what it is. 
So first and foremost I applaud 

1033
00:49:10,100 --> 00:49:13,800
you for wanting to try and girl 
down that rabbit hole I would 

1034
00:49:13,800 --> 00:49:15,500
say once you see you can't 
unsee. 

1035
00:49:15,500 --> 00:49:17,400
So glucometer continuous 
glucose. 

1036
00:49:17,700 --> 00:49:21,500
A if you are insulin resistant 
diabetic you should demand like 

1037
00:49:21,500 --> 00:49:23,600
without question. 
And generally, they are covered 

1038
00:49:23,800 --> 00:49:25,800
for the rest of us. 
We may have had a pocket, but I 

1039
00:49:25,800 --> 00:49:28,700
tell everyone, if you don't go 
out to dinner at a restaurant 

1040
00:49:28,700 --> 00:49:31,700
for a month or two that will 
more than pay for your CGM, and 

1041
00:49:31,700 --> 00:49:34,200
I bet you that information will 
be valuable. 

1042
00:49:34,500 --> 00:49:38,000
So yes, I do Trend information. 
Like, when I go out to 

1043
00:49:38,000 --> 00:49:40,800
restaurants, I'm always curious 
to see something that seems 

1044
00:49:40,800 --> 00:49:43,100
fairly benign. 
Like, I had a piece of fish and 

1045
00:49:43,100 --> 00:49:47,600
some vegetables and if my CGM 
goes up I'm like so I always am.

1046
00:49:47,800 --> 00:49:50,300
Like, when I go to restaurants 
now, what do you cook your food 

1047
00:49:50,300 --> 00:49:52,300
in? 
What is the dressing made with? 

1048
00:49:52,300 --> 00:49:54,900
I mean, I am that person that 
occasion will bring pre-made 

1049
00:49:54,900 --> 00:49:58,200
dressing with me, or I ask my 
kids, they just, you know, 

1050
00:49:58,300 --> 00:50:00,000
they're teenagers. 
So, I'm totally. 

1051
00:50:00,000 --> 00:50:02,900
Yeah, I'm totally embarrassing. 
However, I will be the first 

1052
00:50:02,900 --> 00:50:05,900
person to say that this is one 
of many reasons why we try to 

1053
00:50:05,900 --> 00:50:08,200
really be careful about where we
eat out. 

1054
00:50:08,300 --> 00:50:10,700
There's no judgment. 
If people want to, I'll be the 

1055
00:50:10,700 --> 00:50:12,300
first person to say when I 
became an entrepreneur. 

1056
00:50:12,300 --> 00:50:14,900
My husband took over meal prep 
because I just don't have the 

1057
00:50:14,900 --> 00:50:17,600
same time and he does it works 
out. 

1058
00:50:17,700 --> 00:50:19,700
Beautifully. 
But I think when we're talking 

1059
00:50:19,700 --> 00:50:22,700
about metabolic Health, we're 
talking about, you know, knowing

1060
00:50:22,700 --> 00:50:24,600
what those numbers. 
Like, I was saying earlier, 

1061
00:50:24,600 --> 00:50:26,300
everyone should have their 
fasting insulin, everyone should

1062
00:50:26,308 --> 00:50:29,200
have a fasting glucose. 
Everyone, that is listening, can

1063
00:50:29,500 --> 00:50:32,800
grab a tape measure and measure 
their, we circumference, you can

1064
00:50:32,800 --> 00:50:34,900
find out what your blood 
pressure is your triglycerides, 

1065
00:50:34,900 --> 00:50:37,800
your ETL, all of, which are real
and, you know, all of which are 

1066
00:50:37,800 --> 00:50:39,800
really important. 
We talk about big metabolic 

1067
00:50:39,800 --> 00:50:41,500
Health markers. 
I probably add in, like, things 

1068
00:50:41,500 --> 00:50:44,500
like uric acid, and if you've 
read David perlmutter's book, 

1069
00:50:44,500 --> 00:50:48,000
drop acid, so good. 
He was such an amazing and Such 

1070
00:50:48,000 --> 00:50:51,000
an amazing interview like just 
blows my mind, he's brilliant 

1071
00:50:51,000 --> 00:50:54,000
but for people to start, you 
know, demanding of your 

1072
00:50:54,000 --> 00:50:57,200
healthcare provider like we are 
in a partnership and I 

1073
00:50:57,200 --> 00:51:00,400
understand that this information
is really important for me to 

1074
00:51:00,400 --> 00:51:03,200
know, like, why are we waiting 
for people to develop diabetes, 

1075
00:51:03,400 --> 00:51:06,200
people don't diabetes. 
It's a lifestyle mediated 

1076
00:51:06,300 --> 00:51:09,300
process and if we aren't talking
to our patients about sleep and 

1077
00:51:09,300 --> 00:51:13,100
Stress Management and exercise 
and nutrition, then we shouldn't

1078
00:51:13,100 --> 00:51:15,000
be putting them on more 
medications because we are 

1079
00:51:15,000 --> 00:51:17,400
failing them. 
Like, yeah, it is such an 

1080
00:51:17,400 --> 00:51:19,500
important. 
Hortense caveat and for people 

1081
00:51:19,500 --> 00:51:22,000
that you have family members 
that have had diabetes or you 

1082
00:51:22,000 --> 00:51:23,200
yourself as I just a tional. 
Diabetes. 

1083
00:51:23,200 --> 00:51:26,900
Does that mean that? 
There's some epigenetic pieces 

1084
00:51:26,900 --> 00:51:28,900
at play. 
Possibly, does that mean that's 

1085
00:51:28,900 --> 00:51:30,700
your destiny? 
Absolutely no, no. 

1086
00:51:30,700 --> 00:51:33,300
I refuse to believe that. 
I don't know much the same 

1087
00:51:33,300 --> 00:51:35,000
point. 
Like I'm a middle-aged woman and

1088
00:51:35,000 --> 00:51:37,500
there's this kind of 
conventional mindset of. 

1089
00:51:37,500 --> 00:51:41,400
Oh, you're going to gain 5 10, 
20 30 pounds in middle age and I

1090
00:51:41,400 --> 00:51:44,300
always say BS. 
Yeah, we know that as we are 

1091
00:51:44,300 --> 00:51:46,900
transitioning from perimenopause
and menopause, we become less 

1092
00:51:46,900 --> 00:51:49,700
insulin. 
That loss of estrogen, estrogen 

1093
00:51:49,700 --> 00:51:52,200
drives insulin, sensitivity, 
amongst other things. 

1094
00:51:52,500 --> 00:51:55,400
And so, I remind people that's 
even more why you need to have 

1095
00:51:55,400 --> 00:51:59,000
that CGM or a commoner. 
So, you understand, it could be 

1096
00:51:59,000 --> 00:52:01,600
that you have a low carb 
lifestyle like I do. 

1097
00:52:01,900 --> 00:52:05,500
But things like plantains. 
My body doesn't like I could eat

1098
00:52:05,500 --> 00:52:08,000
tropical fruits, till the cows 
come home but I need to plant a 

1099
00:52:08,000 --> 00:52:10,700
my blood sugar spikes. 
So it's that by individuality 

1100
00:52:10,700 --> 00:52:14,400
which is another thing we don't 
teach our nurses for advanced 

1101
00:52:14,400 --> 00:52:17,500
practice nurses about like the 
whole concept of you could have 

1102
00:52:17,700 --> 00:52:20,400
Ten patients and line them all 
up and they might all be able to

1103
00:52:20,408 --> 00:52:22,700
confirm necklace and might need 
different, you know, 

1104
00:52:22,700 --> 00:52:24,500
distributions of protein, fat 
and carbs. 

1105
00:52:24,500 --> 00:52:27,800
So you know dig deep and demand 
more of your Healthcare team. 

1106
00:52:27,800 --> 00:52:32,900
Like I mean, I fired the GYN who
said to me when I was early 40s 

1107
00:52:32,900 --> 00:52:34,800
and I was in the throes of 
perimenopause? 

1108
00:52:34,800 --> 00:52:37,500
Well, I pounds isn't a big deal.
I said five pounds is a big 

1109
00:52:37,500 --> 00:52:39,400
deal. 
If you're 5 foot 3, you know it,

1110
00:52:39,400 --> 00:52:42,200
because then if I chose becomes 
10 pounds becomes 20 pounds, 

1111
00:52:42,200 --> 00:52:45,800
becomes 30 pounds. 
And so that do me down this big 

1112
00:52:45,800 --> 00:52:47,500
rabbit hole so that people could
benefit. 

1113
00:52:47,600 --> 00:52:51,500
From not making the mistakes 
that I was making in my early 

1114
00:52:51,500 --> 00:52:53,000
40s. 
I will say this, what I could 

1115
00:52:53,000 --> 00:52:55,300
talk to you all day about this 
stuff because I have dope so far

1116
00:52:55,300 --> 00:52:56,700
down. 
I'm likin it right? 

1117
00:52:56,700 --> 00:52:59,900
And so it's something that I'm 
so passionate about but what 

1118
00:52:59,900 --> 00:53:03,000
you're describing is it takes a 
really small Rudder to move. 

1119
00:53:03,000 --> 00:53:06,100
A really big ship, those little 
five pounds even though it might

1120
00:53:06,100 --> 00:53:09,800
seem really small, it's taking 
you in a direction that if 

1121
00:53:09,800 --> 00:53:12,700
you're not paying attention and 
I think a lot of women are feel 

1122
00:53:12,700 --> 00:53:13,800
the same way. 
They're just not paying 

1123
00:53:13,800 --> 00:53:14,800
attention. 
You're a busy mom. 

1124
00:53:14,800 --> 00:53:17,300
You're struggling to get 
calories and you're just glad 

1125
00:53:17,300 --> 00:53:19,500
that you Add something in your 
mouth because you just you've 

1126
00:53:19,500 --> 00:53:22,300
been moving all day. 
And so I think bringing 

1127
00:53:22,300 --> 00:53:24,800
awareness to that bringing 
awareness to wait a minute. 

1128
00:53:24,800 --> 00:53:27,000
Hold on a second. 
Like I am heavier than I have 

1129
00:53:27,000 --> 00:53:28,900
been. 
Like I had noticed that the time

1130
00:53:28,900 --> 00:53:31,700
when I had my son closer a 
little tighter, I did notice 

1131
00:53:31,700 --> 00:53:34,400
these little things but I was so
busy getting my doctoral degree 

1132
00:53:34,400 --> 00:53:36,500
and doing all the other things 
that I didn't have time to 

1133
00:53:36,500 --> 00:53:38,200
really focus and check in with 
myself. 

1134
00:53:38,200 --> 00:53:39,800
And I think that's what you're 
encouraging people is. 

1135
00:53:39,800 --> 00:53:42,500
So like check-in and the glucose
monitor does that. 

1136
00:53:42,500 --> 00:53:44,900
It makes you check in with 
yourself and see how you're 

1137
00:53:44,900 --> 00:53:47,000
doing. 
And the only other, the one 

1138
00:53:47,000 --> 00:53:50,400
question that we From a listener
was she's been doing 

1139
00:53:50,400 --> 00:53:52,800
intermittent fasting skipping 
breakfast and she still feels 

1140
00:53:52,800 --> 00:53:55,000
like she's gaining weight. 
So could you maybe touch on that

1141
00:53:55,000 --> 00:53:56,600
real quick? 
Before we finish up the episode.

1142
00:53:56,800 --> 00:53:58,900
Oh this is this is definitely a 
rabbit hole. 

1143
00:53:58,900 --> 00:54:00,900
There can be a lot of reasons 
why we're weight loss her 

1144
00:54:00,900 --> 00:54:03,400
assistant. 
I remind women like what are you

1145
00:54:03,400 --> 00:54:05,500
consuming during your fasted 
State? 

1146
00:54:05,500 --> 00:54:07,500
You know, I'm not a fan of dirty
fasting. 

1147
00:54:07,500 --> 00:54:10,100
So I tell people if you want to 
get the best results, you have 

1148
00:54:10,100 --> 00:54:12,800
to be honest, like if you're 
having creamer, which is insulin

1149
00:54:12,800 --> 00:54:17,200
Enoch, if you are adding protein
to your coffee like collagen, 

1150
00:54:17,600 --> 00:54:19,000
Tides. 
I mean, these are the questions 

1151
00:54:19,000 --> 00:54:21,200
I get every day. 
Copious amounts of, you know, 

1152
00:54:21,200 --> 00:54:23,300
butter and MCT oil. 
Well guess what? 

1153
00:54:23,300 --> 00:54:27,300
You might be doing something as 
innocuous as jury founding and 

1154
00:54:27,300 --> 00:54:29,600
that could be driving it. 
But I think it also speaks to 

1155
00:54:29,600 --> 00:54:31,900
what your Sleep Quality. 
How do you manage your stress 

1156
00:54:31,900 --> 00:54:33,900
and especially if you are North 
as 35? 

1157
00:54:33,900 --> 00:54:36,600
I hate to harp on this. 
There's nothing that prepares 

1158
00:54:36,600 --> 00:54:40,100
you for how differently you have
to live your life in middle age 

1159
00:54:40,100 --> 00:54:41,700
and it's not bad. 
Like I don't, I'm not 

1160
00:54:41,700 --> 00:54:43,400
complaining about it. 
I'm just saying, like, what? 

1161
00:54:43,400 --> 00:54:45,700
I got away with the 20 and 30 is
very different than what I do 

1162
00:54:45,700 --> 00:54:47,400
now. 
So when someone is complaining 

1163
00:54:47,400 --> 00:54:49,500
way, Resistance. 
The first things I think about 

1164
00:54:49,500 --> 00:54:52,900
our are you clean fasting? 
Very, probably likely not number

1165
00:54:52,900 --> 00:54:54,000
two. 
How was your sleep? 

1166
00:54:54,000 --> 00:54:56,200
Because your sleep is terrible 
and you wake up three times at 

1167
00:54:56,200 --> 00:54:58,500
night and you're having hot 
flashes or just not sleeping. 

1168
00:54:58,500 --> 00:55:01,100
Well, that's a problem Stress 
Management because we know we 

1169
00:55:01,107 --> 00:55:04,100
have 40 times 40 times more 
cortisol receptors in our 

1170
00:55:04,100 --> 00:55:06,000
abdomen. 
So if you're stressed out that 

1171
00:55:06,000 --> 00:55:08,200
could be doing it. 
I think about like where are you

1172
00:55:08,300 --> 00:55:10,800
age-wise you know, are you on 
synthetic hormones? 

1173
00:55:10,800 --> 00:55:14,600
Are you, you know, low estrogen 
low progesterone and so there's 

1174
00:55:14,700 --> 00:55:17,800
a hormonal dysregulation. 
Remember I talked about labs Get

1175
00:55:17,800 --> 00:55:19,200
your lab checks, what's your gut
health? 

1176
00:55:19,200 --> 00:55:21,800
Like toxins your exposure? 
So there's a lot to unpack with 

1177
00:55:21,800 --> 00:55:24,300
that but I would start with the 
clean fasting piece for that 

1178
00:55:24,300 --> 00:55:26,700
young woman or a woman. 
Yes, it was young woman. 

1179
00:55:26,700 --> 00:55:29,200
Yeah, I would start there. 
And then also like, how do you 

1180
00:55:29,200 --> 00:55:31,200
structure your Macros during 
your feeding window? 

1181
00:55:31,200 --> 00:55:33,900
If you're eating, like a car 
dense, diet, guess what? 

1182
00:55:33,900 --> 00:55:35,400
Cute. 
You need protein. 

1183
00:55:35,400 --> 00:55:37,300
You need protein for multiple 
things. 

1184
00:55:37,400 --> 00:55:41,600
We are a nation of chronic under
Eaters of animal-based protein. 

1185
00:55:41,600 --> 00:55:44,600
So pushing those protein markers
that have satiety help, the 

1186
00:55:44,600 --> 00:55:47,500
muscle protein synthesis, really
critically important. 

1187
00:55:47,700 --> 00:55:49,700
And chain muscle mass especially
as we're getting older. 

1188
00:55:49,700 --> 00:55:52,800
So protein first facet they 
aren't part of that of that 

1189
00:55:52,800 --> 00:55:54,900
protein and then non starchy 
carbs. 

1190
00:55:54,900 --> 00:55:57,800
And I hate to say this for a lot
of women, a lot of what gets 

1191
00:55:57,800 --> 00:56:00,000
them into trouble as alcohol. 
It's not good for you. 

1192
00:56:00,000 --> 00:56:03,200
And it's one of those things I 
was recently listening to, and 

1193
00:56:03,200 --> 00:56:07,400
reading about how they're 
literally saying no alcohol is 

1194
00:56:07,600 --> 00:56:11,400
the best way to consume alcohol 
and that they're finding even 

1195
00:56:11,400 --> 00:56:13,600
one. 
Drink can increase your risk of 

1196
00:56:13,600 --> 00:56:16,500
breast cancer and especially for
one specially for women guys. 

1197
00:56:16,500 --> 00:56:20,100
I got hammered on Instagram over
the weekend by team decided to 

1198
00:56:20,100 --> 00:56:23,700
release a real that we have 
talked about and the amount of 

1199
00:56:23,700 --> 00:56:27,000
hate and people who were 
triggered by me saying, this is 

1200
00:56:27,000 --> 00:56:30,100
what work doesn't work for me 
and most middle-aged women. 

1201
00:56:30,400 --> 00:56:32,200
We have changes in liver 
detoxification. 

1202
00:56:32,200 --> 00:56:34,400
We have changed jobs and 
hormonal just, you know, 

1203
00:56:34,400 --> 00:56:36,800
regulation. 
Besides that's inflammatory. 

1204
00:56:36,800 --> 00:56:39,800
And I mean that hate came out in
the more from Healthcare 

1205
00:56:39,800 --> 00:56:43,000
professionals which I will add 
no nurses, they didn't identify 

1206
00:56:43,000 --> 00:56:45,800
themselves as a nurse, but there
were a couple others and I was 

1207
00:56:45,800 --> 00:56:47,400
just like, wow, this is very 
true. 

1208
00:56:47,600 --> 00:56:51,100
For people I don't jack I don't 
pass judgment on those who do 

1209
00:56:51,300 --> 00:56:53,600
but for me, it's the only thing 
I gave me hot flashes and 

1210
00:56:53,600 --> 00:56:56,200
destructive my sleep and that 
tells you like in my world sleep

1211
00:56:56,200 --> 00:56:59,600
is absolutely critical. 
Yeah, and so that's a 

1212
00:56:59,600 --> 00:57:02,800
non-negotiable but yeah, alcohol
is one of those things we live 

1213
00:57:02,800 --> 00:57:06,300
in a toxic like Diet culture and
a toxic mommy culture, where 

1214
00:57:07,000 --> 00:57:09,100
women are sloppy drunk. 
Yeah exactly. 

1215
00:57:09,100 --> 00:57:11,400
They're sloppy drunk and I'm 
like, you know, there's no, 

1216
00:57:11,400 --> 00:57:13,300
there's no judgment. 
I'm just saying observational, 

1217
00:57:13,300 --> 00:57:16,900
you can see the culture habits. 
It's like, is it serving you? 

1218
00:57:16,900 --> 00:57:20,000
Well, and Really examining your 
relationship with inflammatory 

1219
00:57:20,000 --> 00:57:22,200
food, definitely. 
Yeah. 

1220
00:57:22,200 --> 00:57:24,000
And if it's triggering, you is 
probably because there's 

1221
00:57:24,000 --> 00:57:27,100
something deeper inside your 
soul that you need to look at. 

1222
00:57:27,100 --> 00:57:31,100
And so, for the last question 
that I have on the podcast, I 

1223
00:57:31,100 --> 00:57:34,700
ask all my interviewers. 
If you could go back and tell 

1224
00:57:34,700 --> 00:57:37,800
Cynthia something at the start 
of her career for a new nurse 

1225
00:57:37,800 --> 00:57:40,500
that starting off in her career 
Journey that she's like where do

1226
00:57:40,500 --> 00:57:41,800
I start? 
Where do I get going? 

1227
00:57:42,000 --> 00:57:45,600
What would you go back and tell 
yourself oh gosh you know I feel

1228
00:57:45,600 --> 00:57:49,900
like being a people pleaser. 
That I was I stress myself out 

1229
00:57:49,900 --> 00:57:54,100
so much wanting to like always 
be like the best nurse that SNP 

1230
00:57:54,300 --> 00:57:58,500
and realizing we have training 
as nurses and then peas but you 

1231
00:57:58,500 --> 00:58:01,200
do a lot of that training as a 
new NP and a new nurse. 

1232
00:58:01,200 --> 00:58:03,100
And so I thought honest to God, 
I didn't sleep. 

1233
00:58:03,100 --> 00:58:05,500
Well, the first six months, I 
was a new nurse or a new one 

1234
00:58:05,500 --> 00:58:08,200
because I was so worried. 
I was going to make a mistake. 

1235
00:58:08,600 --> 00:58:12,800
Hmm, so I would tell myself to 
relax because I was in, you 

1236
00:58:12,800 --> 00:58:15,700
know, in each instance I was 
surrounded by people who wanted 

1237
00:58:15,700 --> 00:58:17,400
me to see it and wanted to train
me. 

1238
00:58:17,500 --> 00:58:21,300
Me and all those things that the
feeling stupid, the Imposter 

1239
00:58:21,300 --> 00:58:22,400
syndrome, that we all 
experience. 

1240
00:58:22,400 --> 00:58:25,000
That's very normal that will go 
away with time. 

1241
00:58:25,000 --> 00:58:27,500
I probably would have told 
myself to stress a little less 

1242
00:58:27,600 --> 00:58:30,300
because I was so conscientious 
which is not a bad thing, we 

1243
00:58:30,300 --> 00:58:31,800
should all be conscientious, 
right? 

1244
00:58:31,800 --> 00:58:33,600
I was always that person was 
like, you know, I couldn't stay 

1245
00:58:33,600 --> 00:58:35,800
out late if I was working the 
next day because I want to make 

1246
00:58:35,800 --> 00:58:38,500
sure I get a good night's sleep,
but obviously I think it's fine 

1247
00:58:38,500 --> 00:58:41,500
resources because I'm sure this 
probably hasn't changed. 

1248
00:58:41,500 --> 00:58:44,600
I know, nurses can be hard on 
one another but flying resources

1249
00:58:44,600 --> 00:58:47,000
like I always had a friendly 
face. 

1250
00:58:47,600 --> 00:58:48,900
Working in the ER, as a new 
nurse. 

1251
00:58:48,900 --> 00:58:52,700
Like I was always made sure that
I had a couple resources people 

1252
00:58:52,700 --> 00:58:55,400
that I could go to whether it 
was a physician or another nurse

1253
00:58:55,500 --> 00:58:58,400
same thing as an MP. 
Stay connected to your, your 

1254
00:58:58,400 --> 00:59:01,300
classmates. 
I can, honestly tell you that my

1255
00:59:01,300 --> 00:59:03,400
favorite, some of my favorite 
people in the world, are the 

1256
00:59:03,400 --> 00:59:06,600
women that I did my nursing 
program with. 

1257
00:59:06,600 --> 00:59:09,000
And then the women that I did my
mp / when I mean, these are 

1258
00:59:09,008 --> 00:59:10,600
women. 
Like, I talked to, we text 

1259
00:59:10,600 --> 00:59:13,600
almost every day still to this 
day and I just think the world 

1260
00:59:13,600 --> 00:59:15,600
of them. 
So stay connected to your peers 

1261
00:59:15,800 --> 00:59:18,900
and then don't feel. 
They're like some of us choose 

1262
00:59:18,900 --> 00:59:21,200
an area of medicine that we 
don't enjoy. 

1263
00:59:21,600 --> 00:59:24,400
Come on, have to stay. 
I mean, do something else. 

1264
00:59:24,400 --> 00:59:26,600
Like that's the one thing about 
nursing that doctors can't do 

1265
00:59:26,600 --> 00:59:28,500
doctors. 
Can't just pick up and go to 

1266
00:59:28,500 --> 00:59:31,400
another specialty. 
If you're in the ICU, hate it. 

1267
00:59:31,500 --> 00:59:33,700
Try something else. 
Don't feel like you have to stay

1268
00:59:33,700 --> 00:59:34,700
in something that you don't 
like. 

1269
00:59:34,700 --> 00:59:37,100
I mean, obviously I'm certainly 
an example of that. 

1270
00:59:37,100 --> 00:59:40,000
But depending on where you are 
life stages, you may want more 

1271
00:59:40,000 --> 00:59:41,600
excitement. 
You may want less and that's 

1272
00:59:41,600 --> 00:59:44,200
totally okay. 
Yeah, no I think that's great 

1273
00:59:44,200 --> 00:59:47,400
advice guys. 
Thank you so much for tuning. 

1274
00:59:47,600 --> 00:59:49,600
To the podcast today. 
Cynthia, thank you for your 

1275
00:59:49,600 --> 00:59:51,400
time. 
You're welcome, you're welcome. 

1276
00:59:51,400 --> 00:59:53,600
Yeah, this was awesome. 
I hope that everyone got 

1277
00:59:53,600 --> 00:59:56,700
something out of it and guys, 
check out her book, intermittent

1278
00:59:56,700 --> 01:00:00,500
fasting transformation, it is 
fantastic, I have read it. 

1279
01:00:00,500 --> 01:00:03,300
I'm telling you for someone who 
has spent the time, everything 

1280
01:00:03,300 --> 01:00:07,100
she's saying I have done and it 
has caused my joint pain to go 

1281
01:00:07,100 --> 01:00:11,000
away and it's caused my blood 
sugar's to be normal and I look 

1282
01:00:11,000 --> 01:00:14,000
wake up in a fasting blood sugar
in the 80s and that's, that's 

1283
01:00:14,000 --> 01:00:15,500
perfect. 
That's where I need to be, but 

1284
01:00:15,500 --> 01:00:18,500
you can't, you can't make 
changes if you You don't see 

1285
01:00:18,500 --> 01:00:21,200
where you are and you don't look
at the reality because I've 

1286
01:00:21,200 --> 01:00:23,900
actually had people message me 
and say you're wearing a glucose

1287
01:00:23,900 --> 01:00:25,500
monitor. 
I'm so scared. 

1288
01:00:25,500 --> 01:00:28,100
I don't want to know and it's 
like, don't be afraid. 

1289
01:00:28,200 --> 01:00:30,200
No, I can't more afraid of what 
you don't know. 

1290
01:00:30,200 --> 01:00:33,200
Yeah, then what you see then, 
you can change it well and it's 

1291
01:00:33,200 --> 01:00:36,000
all about reframing. 
If you know, what do you find? 

1292
01:00:36,000 --> 01:00:38,700
It's going to empower you to 
make better decisions. 

1293
01:00:38,700 --> 01:00:40,300
Yeah it does it changes you 
right? 

1294
01:00:40,300 --> 01:00:42,300
When you go to eat that cupcake 
you're like I don't want to see 

1295
01:00:42,308 --> 01:00:44,300
that Spike. 
Yeah, thank you Cindy. 

1296
01:00:44,300 --> 01:00:46,100
I hope you're welcome to fill 
rest of your day. 

1297
01:00:46,100 --> 01:00:48,400
Thanks you too. 
Mom and Dad. 

1298
01:00:48,700 --> 01:00:50,300
I love you Mama. 
Bye. 

1299
01:00:51,400 --> 01:00:54,400
So that's a wrap. 
Be sure to subscribe to the show

1300
01:00:54,400 --> 01:00:57,300
so you don't miss an episode and
leave me a review. 

1301
01:00:57,300 --> 01:01:00,100
If you like the show, I would 
love to get 5 stars. 

1302
01:01:00,100 --> 01:01:03,600
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1303
01:01:03,600 --> 01:01:07,900
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1304
01:01:07,900 --> 01:01:12,100
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1305
01:01:12,100 --> 01:01:14,900
information to help you on your 
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1306
01:01:14,900 --> 01:01:17,400
You can always message me at the
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1307
01:01:17,500 --> 01:01:20,200
At gmail.com with any career 
professions that you're 

1308
01:01:20,200 --> 01:01:22,800
interested in hearing about and 
just a friendly. 

1309
01:01:22,800 --> 01:01:26,200
Reminder, the information on 
this podcast is for educational 

1310
01:01:26,200 --> 01:01:29,200
purposes only and the 
information should not be used 

1311
01:01:29,200 --> 01:01:32,300
in substitute for Professional 
Care by a medical provider. 

1312
01:01:32,700 --> 01:01:36,200
The information in this podcast 
does not represent medical or 

1313
01:01:36,200 --> 01:01:38,100
professional advice or services.