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All that matters is the sound of my voice. Take a deep, deep breath. Hold it and breathe out. All that matters is the sound of my voice. Oh, I don't know about you, but that's pretty darn creepy. That kind of freaked me out a little bit. And I don't want somebody to literally pass out if they're driving. That's probably not a good thing. All right, stop that, Michael. Stop that, stop that. That's too creepy. So, yeah, hypnosis, hypnotized. You can be hypnotized on a variety of things. Smoking sensation for ptsd, that's a thing. For recall of hidden memories, that's a thing. The art of hypnosis really is an art. The science is there. But unfortunately something good can get misapplied and we get these kind of entertainment things that is taking a true medical scientific principle and then making it more for entertainment. I'm not for that, although I do like me a good hypnotist, a, you know, skit or bit. But the truth is, is that hypnosis, whether guided by a professional or self hypnosis, that that truly works. It is a thing. Nothing else matters but the sound of my voice. Creepy. All right, so what are we talking about? Well, I've got something hot, hot off the press because this just came out within the last 24 hours of when we're. So this came out on November 11, 2025. And this is in JAMA Network Open. Right, JAMA Network Open. This is a fascinating study that has Texas ties. So not only am I fascinated by this whole issue of self hypnosis and of course as it relates to things in the news, hot flash relief with the FDA removing or set to remove the black box warning on estrogen containing HRT products which we covered many times before, including like very recently on this show. So this is very timely because it is yet a reminder that it's not always about estrogen for hot flash relief. I get that that's kind of the Cadillac. That's the historic norm. But there's non estrogen alternatives that work on the candy receptors. We've covered that. That works centrally. And then now there's this. Extremely cost effective because it costs nothing. A self applied self use tool for hot flash relief that apparently based on this randomized clinical trial actually works. It's pretty darn fascinating. Remarkable. And this is the catch. It's one thing to say, well, a provider, a hypnotist got them there. No, no, no, no. This is self done, self, self guided hypnosis. With an audio tape. All right. Now the first, they had some coaching that's important. You got to tell them what to do and how to do this. But. But it actually was compared to sham hypnosis, meaning kind of like background white noise. Fascinating, fascinating. And I'm very proud that this does absolutely have Texas ties because this is from Waco, Texas. That's right. That is Baylor Bears. Sic em Bears. So that's from Baylor. Even though there is other people mentioned on this, on the authorship, including from Lincoln, Nebraska and from Knoxville, Tennessee. So Tennessee, Nebraska, and right here in my home state of Texas, out of Baylor University, Sick em Bears. All right, so here's what we're getting into. The title of what we're going to review is self administered hypnosis versus sham hypnosis for Hot Flashes. This is a randomized clinical trial. If you haven't heard of this thing, it's making its news around. You know the headlines and it's fascinating. So we have to talk about this. And it wasn't just at Baylor. All right. This was actually multi center. It was two armed, single, blind, randomized trial that spanned from March of 2019 to February of 2024. Good for them. I mean, this is a big deal. They had a total N of 250 postmenopausal women who were bothered by hot flashes. Right. They didn't just have to have hot flashes, obviously. They had to have bothersome hot flashes. And they were recruited at Baylor University in Waco. Once again, sic em Bears. And they were also recruited at the University of Michigan in Ann Arbor. Okay, so those are our two spots. We're going to talk about this from JAMA Network open. I thought this was so fascinating because hypnosis. Yeah, it's a thing. Probably don't do hypnosis if you're driving or operating heavy machinery. Tranquil. Reach back into the recesses of your subconscious. Oh, my gosh. I don't think I want to go to my subconscious. Some crazy stuff in there. Podcast family. I think we're gonna let the hypnotic metronome take us out. Oh, creepy. We come back, we're gonna tackle this self hypnosis. Get rid of them hot flashes. We'll be right back. SA this is Dr. Chapa's OBGYN no Spin podcast. Because if you get too close to the camera, you might be hypnotized. Hypnotized last night. Now where exactly do I stand? Do I stand like here? Or is it over here or is it just a little bit? Is it about here? No, Epic. I remember it was 1986. I mean I was like early teenager. I was sneaking David Letterman. It was a late show. That's like what grown ups did. I wanted to see what it was all about. I didn't get half those jokes. I mean, I, I didn't get that. But I do remember I've been hypnotized because he got too close to the camera. Isn't that weird? Like, I remember I've been hypnotized. David Letterman, 1986. Not a sponsor. Hypnosis really has been around for a while. It's been around the block. It was first done, I mean, 1843, that was the time that hypnosis was first described as potentially a medical tool. Hypnosis, 1843, that was Scottish surgeon James Braid. James Braid. And the reason it's hypnosis is that comes from the Greek word for sleep. So he was like, ah, these, they go into some kind of weird translation issue. Hence hypnos. So where you get hypnosis? 1843, useless trivia on the no Spin podcast. So it's been around. Yes, it is true. It is legit. I, I gotta tell you, historically, I've had my concerns. I thought it was kind of hokey. It's not. Hypnosis is real. Of course there's controversial. To what degree does it leave hypnosis? And then it enters into kind of planted thought slash guided behavior. And you know, is it kind of a placebo effect and people are going with it? It's unclear. But true hypnosis we know is a thing. True hypnosis is real. And I'm not minimizing that. For those who want to stop smoking, smoking cessation is a big deal. Michael told me that my cessation and sensation, sometimes my words switch. That's what happens when you're born on the border. So I said, I think in the intro, smoking cessation is what I was supposed to say. I may have said sensation. I don't know what a smoking sensation is. And that made me feel kind of good. Hey, I got a smoking sensation right now. Anyway, smoking cessation. So yeah, I mean it's a big deal. Hypnosis has been used for a lot of different things. And now according to this one of a kind RCT multicenter using sham therapy, hypnosis seems to work for hot flash relief. What are we listening to? What is this? Binaural beats for hypnosis, I am told. Oh, cool. Am I going to pass out? Am I going to give you some Weird subconscious thought that I don't want everybody to know by what binaural beats. Not a sponsor. All right, whatever. I mean, hey, whatever works. And that's the issue here. This, what Michael was playing here is this audio guide. I'm reading the description. Ooh, for calm and meditation. Yeah, I like that. Supposed to help put you to sleep by the binaural beats. By the way, I am a believer in binaural beats. My wife does EMDR therapy and it all has to do with the transmission of the neurons, what's firing in the brain. And I'm a believer in this. Guys, remember I'm pretty traditional. I'm very A plus B equals C in medicine. But there is something to this binaural beats. I tell my kids to use a certain beat frequency when they're studying. They think I'm nuts. Guys, it's about our brain is a machine. And whatever we can do to make that, you know, tune that up a little bit, I'm all for anyway. This is kind of neat. Binaural beats has nothing to do with what we're talking about. Shut that off, man. Shut that off. It's frustrating. All right, so now that we've gotten out of our binaural beats, man, that kind of gets in, gets in your ears a little bit. Let's talk about this very quick study. We're going to wrap it up very quickly because I just want to tell you what's going on. We've wasted enough time with nonsense. This is the first study to compare self guided hypnosis with an active control sham group which was white noise. And it works. Short of it is it works. Now I don't want to get into, you know, what's the specific kind of tool they use for hypnosis. You gotta read the study for that. But if you're interested in a non hormonal, non medication way and you don't wanna mess with your candy receptors or you have a patient who's interested in this, hey, this is a thing. Now it probably needs to be replicated in other studies, but the finding that this helped Overall like by 60%, especially at the three month endpoint, is nothing. Nothing that should be ignored. This is making again all of the new cycles and it. So this was multi center. It was self administered as we already talked about, using an N of 250 postmenopausal women who complained of bothersome and frequent hot flashes. Okay, after six weeks, here it is, guys of daily hypnotic recordings. Daily hypnotic recordings. Like this little binaural Beat thing that we just played, they had a 53% drop in both frequency and, and the intensity of hot flash. Now you're like six weeks. Great. Dude, dude, I need more time. I agree, I agree. And they did. So they went to three months. At three months of follow up, the reduction reached 60%. Actually 60.9% compared to the baseline. And the control was a drop of 40.9%. This was reassuring. And the good news is, is even in those patients who unfortunately can't use a traditional estrogen because of a diagnosis, meaning a history of breast cancer, they saw even better results. They had a 64% reduction as early as six weeks. So this is a big deal. I love it. I think this is neat. Good for Baylor. Sic em bears. And looking at this, and as the author described, quote, this was a major breakthrough and innovation. And almost all prior studies of mind body interventions have only used wait list psychoeducation or simple relaxation to compare the active hypnotherapy intervention, end quote. So first of its kind, actually using self guided hypnosis as an audio. Not just a little bit. Here, read this. Or you know, kind of like cognitive behavioral therapy, which I'm not opposed to that, that has a role for other things. But this is the first one to compare this using a set audio file with a sham. And. And it actually worked phenomenal. Again, as, as Elkin said, quote, a major breakthrough and innovation. A major breakthrough and innovation. And I completely, completely agree. All sessions, guys, all of them were self administered, which showed that women can do this themselves. You don't have to go in for a practice. So super affordable, no risk. You know, nobody wigged out with this. Although. Can I deviate for a minute? Michael, just quickly. I saw something on. What the hell was it Netflix? I don't know. Not a sponsor, One of those things. There's actually a documentary about somebody who used a teacher who used hypnosis on their students and the students committed suicide. Three students. Now I'm not saying that they're related. We have no proof that they were related. But this poor teacher took a lot of heat, even went through some litigation on this. It was just a whole, I mean, just tragic. Who knows? But was there teenage angst? Was the hypnosis at fault? Unclear. I'll be very clear. Unclear. But. But this got a lot of hit. Was it. I think it was Netflix or whatever it was. Anyway, some hypnosis thing is like a little documentary and again, not a sponsor, but fascinating, fascinating. All to say hypnosis, if done correctly, and this was not a licensed, you know, hypnotherapist. It was a, a principal who kind of wanted to do this. Like as an aside, probably not the best way to do it. But just FYI, if you're going to do that. But it wasn't Netflix Doc. It's on Prime Video and it's a docu series called Look Into My Eyes. Look into My Eyes. Look into My Eyes. That is true. It's again, so Prime Video, not a sponsor, just interesting. So these are the things that are out there that give hypnosis a bad name. But this Baylor study, I love it. Very good. Good for Baylor. My point is, talk to your patients. Hey, would you like to try an estrogen? Assuming you don't have any risk reduction and now the black box warning is gone. Would you to try a central agent, as long as it's affordable to you so that you don't go broke trying to get a candy receptor modulator. Or would you like to try some hypnosis? Everything, everything for patient benefit? I'm all for and this is wonderful. Good for Baylor and the other authors who participated in the study. I'll leave the links, of course, in our show notes and I think I've said what we're going to say. So anyway, hypnosis going all the way back to 1843. Wow, that's some wild, wild stuff. Just be careful not to hypnotize yourself, podcast family. As always, I guess not to hypnotize yourself when you're driving. Otherwise hypnotize yourself for hot flash relief. Yeah, that's a good thing. But don't do it when you're driving or operating heavy machinery. We're thankful for you, podcast family. Thanks for putting up with half of our silliness and the true concrete, hard hitting evidence based things that we talk about. We're thankful for you. And now that we've said all that, Michael, let's just wrap this up, man. Let's take it home. Foreign this has been Dr. Chapa Zobi Gyn. No Spin podcast Podcast family. Thank you for your support. Thank you for listening and as always, we'll see you on another episode of the no Spin Podcast. It.