← You Are Not Broken
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Welcome to the you are not broken podcast. I'm your host, Dr. Kelly Casperson, a board certified urologist, thought leader and conversation starter on midlife living, hormones and sexuality. Enjoy the show.
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Hey everybody. Welcome back to the you're not broken podcast. I am in Seattle. I did an event last night with the Pacific Northwest urology resident symposium. I talked to them about social media and how life changing it is and my why behind it. And I also moderated a panel about working with industry which was super awesome. So that's what I did last night. I'm in my hotel room today, I'm drinking a cup of coffee with you and recording episode 300 of the you are not broken podcast. How many podcasts make it to 300? I don't know. I gotta Google that. So before I get started, I want to talk about some events in 2025 that I'm going to be at that I want you guys to buy tickets. The first one is January 29th. It is in Bellevue, Washington. We are doing an M Factor screening. I'll put the links down in the show notes or go to my Instagram for it. Put on by hot paws Cary grand skin. It's going to be at this amazing location in Bellevue. We're going to screen the M Factor documentary. If you haven't seen it yet, you're living under a rock. And then I'm going to kind of do a little stage show, talk about my why and then do a lot of Q and A because the Q and A at the M Factor documentaries is fire. Because everybody's fired up from watching the documentary. I was talking to the residents. There's 32 urology residents at this conference yesterday. And like, I do my thing, I tell my story. Like one person asked a question. One person. Like my women at my sex med and menopause things. One person doesn't ask a question. Like, we could literally bring pajamas and go until the morning and order in coffee. So it was kind of a shock. I was like, holy shit, Nobody actually has questions. And then I was like, what's wrong with you? Where's your Curiosity? Okay, so January 29th, Bellevue. Yes. I see a couple of people saying, yes, I'll be in Bellevue. Get your tickets. I think it starts at like 7. It's, it's a little bit later. So go to dinner with your girlfriends. And then come January 29th, Bellevue, M Factor screening. Get your tickets. Then March 1st, so Hot right now. Event happening in Sydney, Australia. Sydney Opera House. The tickets are at this point, I think halfway Sold out. And it's still two months away. So I know Sydney's big. Australia is big. Get your tickets now because you probably won't be able to get them closer to the event because it's going fast. There's somebody else that's going to be announced to be there who hasn't been announced yet. And once they get announced, then it's really going to get sold out. So come for me. Stay for all the other people. Sydney, Australia, March 1st. Get your tickets now. Sydney Opera House again. I'll put the link below and the link is in my Instagram. Then the next one just announced May 16th and 17th at Miraval in Arizona. I'm going to do a retreat with Dr. Lauren Stryker. Hilarious. We're hilarious together. And Dr. Ellen Gendler, who's a dermatologist. So urologist, dermatologist, gynecologist, walk into Miraval and have a retreat. So, yeah, somebody asked if I'm going to be at ISSwish. No, because Ishwish in Atlanta in 2025 is the same weekend as Sydney, Australia. Sorry, I know you guys will have to give me everything, give me the updates of what happened at isswish. You know, last year, Ishwish was for anybody who doesn't know, Ishwish is the International society for the study of Women's Sexual health. It was in California. And I did like a, I did like an almost two hour podcast afterwards from all the notes that I took. So I'm gonna have to have somebody else take the notes and then be on my podcast and tell me what happened at Ishwish and we can talk about it. That's a good plan. I think I already know who I'm gonna ask. This is gonna be good. Okay, so that's May, May 16th through 17th, Miraval. I think there's space for 50 people. It's non medical, general midlife perimenopause, menopause, post menopause. There's. We do not have an age restriction on it, but come learn all about sex med, hormones and skin and hair, which is awesome. So somebody said, I started your the estriol on my face two days ago. Yay. Is Premarin cream as safe as estradiol? Yeah. Well, nobody's done a head. I have not seen a head to head trial looking at premarin versus estradiol in the vagina. There's two different creams in America available. Premarin is conjugated equine estrogen. Estrogen. Estradiol is straight up Bioidentical estradiol. They're both good. They've both been around for decades. I usually go with the estradiol for two reasons. Number one, the tube size is bigger and number two, it's cheaper, so. Oh, that's a good question. This is a whole podcast. What's better, Estrogen patch or oral dose? Pros and cons of both. That's my very short answer. If I was on a deserted island and needed hormones, I would take oral if that was all that was available. But most people now do transdermal. Can we get a vaginal cream without phthalates? Yeah, just get it compounded. Products that have to be shelf stable need things in them. It's my understanding. I'm not a chemist, but you can always get things compounded and get it in a cream, get it in a gel, get it in an ointment. Anything that they can do, just tell them you don't want phthalates in it. If phthalates. If phthalates ain't your thing. Okay, so that was May, October is the next one, and it's going to be October 17th through 19th in Sedona. So I did my first retreat last year in Sedona. More medical focused. So this retreat is smaller. It's only about 20 people. It's very nice. Somebody saw me at Cafe Adagio this week. I told my friend, there's a famous person. You say hi to me, it's totally fine. I was actually having coffee with three sex therapists, which was super fun. So coffee and talking. I'm starting to make a living from it, you guys. It can be done. Let me tell you so more medically based nurse practitioners. PAs, MD. You can use your CME. This is October 17th through 19th in Sedona. I'll put the link in the podcast. Show notes and the link is in my Instagram bio. Do I think HRT can help with oab? Yes. Do I? Somebody else asked another. Really? Oh, somebody said surgical menopause. Is progesterone still useful? Yes. Progesterone is not necessary, but it's useful. We have progesterone receptors all over our bodies. Progesterone helps bones. In high enough doses, it helps hot flashes, certainly helps the brain. A lot of people say it helps with their anxiety. Really helps with sleep. So progesterone for the win. There's a story behind that. The story is, previous medication was medroxyprogesterone acetate. That was the progestin used in the Women's Health Initiative. And if Anything increases your risk of breast cancer. It's probably medroxyprogesterone acetate. So then they said, don't use progesterone, but micronized oral progesterone, which is bioidentical, which is what your body makes, is not medroxyprogesterone acetate. They are apples and oranges. But that's where to understand where? Because part of my teaching is helping people understand and not just say, yes, no, maybe, but understand it. So understanding why people are like, you don't need progesterone if you don't have a uterus, you don't need it is like trying to not have people take hrt, especially if it was the not bioidentical stuff. So he said, sleeping better than ever since starting pee. The real stuff, not synthetic. Yeah, exactly. Okay, you guys, so that was the thing. January 29th, Seattle. March 1st, Sydney Opera House. May 16th and 17th, Miraval in Arizona. October 17th through 19th, Sedona. So come on, come all for all those things. The point of this recording is that this is episode 300 of the podcast, which I just like pause for the cause that, like five years happened January 1st. This is now 300 episodes of the podcast. Raise your hand if you were with me from the start because there's not many of you and I love you and I love the new followers and I specifically, especially love the people who. Who share this podcast. Like, I shared it with my friends, I shared it with my patients, I shared it with my coworkers. I share it all the sharing, share it with my husband, all the people who've shared this podcast. To make it a big podcast is freaking amazing, as I tend to do. I checked the Apple podcast health and fitness rankings yesterday, and it was like 55. So anything in a hundred if you're on the Apple app, if you're big enough to be numbered on the Apple app, big on us. So this is just telling us how hungry people are for accurate medical information and all the things. So the point of this podcast, nine minutes in, is things I think everyone should know. So if I could say this is what the world should know. Again, this is focused on our niche, our genre, why we listen to this podcast. I'm going to list them. I'm going to see if you guys come up with any more, and I'll add them. Okay, Number one, vaginal estrogen for every body post menopause. It's safe, it's effective. It decreases urinary tract infections by 50%. It keeps people Sexually active because it keeps your skin healthy. It's cheap. The package warning on it is wrong. We're petitioning the FDA to get that removed. So number one, in things I wish everyone should know, vaginal estrogen is for everybody. Number two, testosterone is in everybody, everybody, everybody's body. Women make four times the amount of testosterone. This is always so funny when people are like, if we give women testosterone, they're just going to convert it to estrogen. Two points on that. Number one, in women's bodies, naturally they have four times the amount of testosterone than estrogen, so their bodies aren't even converting at all to estrogen. Number two, when we give trans men testosterone, they're not all on blockers. They don't convert to estrogen. Number three, we've got multiple papers where we give women testosterone and then we check their estrogen level before and after we have that published data. Their estrogen does not go up and they're not on blockers. So number two, testosterone is in every body. Number three, 10 minute visits are not health care for anybody who doesn't know. I just quit my. I'm not brave enough to do an entire podcast episode on this yet, but never say never. I just quit my insurance based career as a urologist to go into cash based medicine. Because I want to talk to you more than 10 minutes. I want to hear you, I want to know you. I want a doctor patient relationship. I want to create what used to exist and now can't exist in insurance based medicine. So cash it is, come one come all. Belly opening Bellingham, Washington March 2025. Okay, so 10 minute visits aren't healthcare. That's a number three. It's very hard to do hormones and manage hormones in a 110 minute appointment once a year. It's impossible. Number four, penis in vagina sex is just one type of sex. I just did a reel yesterday. Last night actually there was like these effing medical health websites. Well, I'll just say that basically the headline says scientists discovered the right amount of sex for men to have to protect their heart. That's the clickbait. The nice thing about this article is they actually linked the scientific paper to it. So I got to read it. Correlation study. They researched men and women. It's true for both of them. If you had too much sex. Again, correlation. If you have more than 103 sexual episodes a year. And this is. No, they don't. They didn't ask about masturbation, they just asked about vagina or anus. You actually had an increased risk of death. Where's that clickbait article? So, point being, penis in vagina sex is just one type of sex. Would a Canadian person be able to get an appointment with you? Drive down, I'm 20 miles. I always joke I'm 20 miles south of the Canadian border and I'm like, maybe the Canadians don't know what that means. And I need to convert that into kilometers. I'm a couple of kilometers south of the Canadian border. Drive on down. Number five, menopause is normal, Suffering is not. The majority of animals, and I don't just mean mammals. I mean insects. There's fruit flies. This is true. Some yeast strains. This is true. Organisms outlive their ability to reproduce. So you don't like have a baby and die. Except for like some insects do that. So they think there's an evolutionary benefit of keeping the body going past the ability to bear children so that you maximize the potential of years that you can have children is like to make the body live longer than that. That is not uniquely human. Do not let people tell you this bullshit of there's only four other mammals. This is not true. Now most mammals don't have periods. Most mammals will self resorb their uterine lining. They don't bleed all over the place. Probably safer, right? Blood smells. But this myth of like only four whales go into menopause in humans, that's not true. Other wild apes and chimpanzees and animals in zoos, they don't have babies up until they die. You're the only person I listen to on live on Instagram. Oh my God, I love that. Okay, so that was number five. Menopause is normal. Suffering is not. Don't tell people you can't suffer because you're going through something. That's normal. Breaking a leg is normal. Having a baby get stuck in your birth canal is normal. We don't tell people that's normal. Just suffer. Number six, alcohol causes cancer. That's news to some people. I was at a dinner last night with doctors and they're like, yeah, but everybody knows that. And I'm like, no, everybody doesn't know that. So the irony of vaginal estrogen having a cancer warning on its label when it doesn't cause cancer, combined with alcohol, which causes seven different cancers and has no alcohol warning, right? Do do, do, do. Where can you find info about the upcoming clinic? Kellycaspersonmd.com clinic There you go. My website slash clinic. Right now there's just an email to fill out. We're actually sending out the first email for, like, the email list of interested people for the clinic is big, just has like 2,800 people on it. But not everybody there, like, wants to come, understands that I'm not taking insurance, all the things. So we're actually gonna send out the first email to that group of people within the week. So get on it. Number seven, osteoporosis can be reversible. Not in everybody. Otherwise we would do that. But the amount of people who believe that you can't improve your bone health is astounding. They just think it's a fixed state. You're bones are dynamic. They're not like metal rods. They're like living organisms. Like a plant, if you take away what it needs, it doesn't do as well. If you give it what it needs, it does better. So osteoporosis is reversible. Probably not in everybody. Otherwise we would be doing it a lot more. But the belief that it's not reversible is very fixed. And I've seen it time and again where women come in and they tell me, they're like, oh, I was osteoporosis. Now I'm osteopenia. Osteopenia. Now I'm normal. Like, you can do it, but you can't do it sitting on a couch, eating like crap, not moving, not being on hormones, right? Like, it's a combo package for exercise, strength resistance, protein intake, hormones, all that. And it takes a while to improve. So they usually recommend checking adexa like a year after you start. So this is. It happened slowly, it slowly gets better. Okay, number eight, estrogen doesn't cause cancer. Hormones are food. They help our bodies thrive, can feed cancer. Cancers are hungry little bitches. And they love the hormones because they're like, this is what I need to be to build. But food doesn't cause the hormones. Being the food doesn't cause. My analogy for this in my next book is oxygen feeds fire, but oxygen doesn't cause fire. The hormones are oxygen. You gotta take the oxygen away when you're fighting cancer, but it doesn't cause the cancer. Ergo, they're safe. There's actually multiple studies looking at testosterone being breast protective, progesterone being breast protective. And then women in the Women's Health Initiative who are on estrogen only had a 20, 20 to 30% decreased risk of breast cancer. So hormones are breast protective. Okay, Number nine, because I'm keeping track. Perimenopause is real, and birth control isn't the only options. Do I need to expand on that or is that just a fact? Like, it's real. I see you. Just because doctors didn't get trained in it doesn't mean it's not real. Oh, somebody just. This is worse saying, I'm a fitness pro and I've been on. First of all, shout out to the fitness pros. You guys are awesome. I've been on pellets. My muscles, not an issue, but I have extreme hair loss and my hormones are out of whack. Well, yeah, pellets. Pellets will make your hormones out of whack. They're not natural levels. They tend to be high levels. Listen to my hair episode with the amazing dermatologist at Chicago Skin Doc for Instagram to talk about options for hair loss. I would also see somebody for options for lowering. Lowering your hormones if they're too high. Number 10, exercise is the best medicine there is. Not a drug, pill, supplement, anything that is as good as exercise in bone health, muscle health, metabolic health, brain health, moods, sleep, makes you look sexy as fuck. Exercise is awesome. And some people don't like the word exercise. It sounds like work. Just start moving your body. Start moving your body. Whether that's mobility, I love a good mobility exercise. On the body platform. They've got tons of mobility. So it's not like. It's not like yoga, but it's like kind of stretching and moving and it feels. When you're done, your body feels so fantastic. See also lift weights. Should I take hormones if I've been through menopause for several years? Yeah, it's an option for you. Most people can take hormones. Check out my podcast episode Man, I want to say it's 291 with Dr. Corrine Men, where we review the recently published paper that Dr. Susan Davis did digging into the data on safety on women greater than 10 years post menopause. It's very insightful and I really think 2025, the tide is turning on this correlate. This is number 11. Correlation does not equal causation. This is interesting. When people say like, estrogen causes cancer, something like that, that doesn't mean it causes cancer in everybody. It means if you take a crap ton of estrogen for years, some people will get a uterine cancer more than other people if they're not protected by progesterone. That's very nuanced. But to just say that an estrogen causes cancer is way scary. Same with correlation and causation. As far as, like, if you have more sex, it prevents heart Disease. That's not what the study showed. But people will take that leap. So much research is what's correlated. You look for themes. People who smoke tend to make less money. Okay, does that mean cigarettes make you poor? Well, yeah, they're kind of expensive. But I'm trying to give you, like, some things are correlated together. So, like, a correlation doesn't equal causation is very different than like, meth gives you bad teeth. Meth absolutely gives you bad teeth. But maybe people who use meth don't wear hats much. Right. So meth makes you not wear hats. That's a correlation, not the causation. And sussing that out and somebody on Instagram yesterday was like, shouldn't people know that? I'm like, no. This sort of like, logic, these logic things aren't natural to the brain. What's natural to the brain is making associations quickly. That the thinking fast and slow by Daniel Kahneman, the Nobel prize winning economist, is like, there's two layers of brain, the logical brain and then the really fast moving brain. And so it's like you actually have to be taught that correlation doesn't equal causation because it's like that's your slower, more logic part of your brain. Okay, number 12, along the same lines. This is again the list of things I wish everybody knew. Safe doesn't mean no risk. Everybody's always like, is it safe? Is it safe? Is it safe? And it's like, what do you mean by that? Like, what do you mean by is it safe? Right? Like, does it cause cancer in everybody? Does it kill you? Are cars safe? Yeah, cars are relatively safe. So we choose to use them daily. But they'll kill you, right? I think the same thing, maybe less. More of an extreme example. And I hesitate to use this example, but it's like, guns, right? Are guns safe? Is like, well, they're designed to kill you, but we have like 300 million of them in this country or more. So it's like when people ask, is it safe? There's always some underlying concern. And then when you say like, yes or no, you erase the fact that like, things might have risks, but for the most part, they're not gonna kill you. The medications, right? Is spironolactone safe? Is testosterone safe? Is vaginal estrogen safe? I would say for the vaginal estrogen, yeah. Like, all of these things are very safe. It doesn't mean they don't have side effects. That's the nuance I want people to know. Does an estrogen patch increase blood Clots and stroke risk. No, that one's easy. That's. That's a thing I wish people would know. I'm going to add that to that. That's number 13. Plenty of studies on that blood clots. I'm writing it down. So glad I'm listening. Just had a certified menopause provider tell me that I can't take hormones because I had breast cancer and my low libido is all in my head. Needless to say, I walked out. Yeah. Was it a 10 minute visit? So, first of all, sorry. Second of all, libido is all in our heads. Let's be honest, let's be truthful. Where are moods created? Moods are created in the brain. And I'm saying that a little tongue in cheeky, because it's like you guys, lots of shit's created in the head. The term it's all in your head is kind of created to kind of gaslight people. You're making it up or you just need to think better thoughts or like all that shit. But like, moods are in the brain. Libido is in the brain. Hormones act in the brain to change moods. One of them is libido. So I hope that sussed it down for you. Yeah. Somebody said risk seems to be a better word than safe. I agree even with that, though, like, all this stuff is. This is going back to number 10. Number three, 10 minute visit is not healthcare. In taking any medications. There's a risk. The corollary to that is there's risk in not taking medications. And I think that's not discussed as much in health care of, like, there's a risk to your bones and to your cardiovascular system for not taking hormones. There is. Does that mean I think everybody should be on hormones? No. That's too radical of a statement to say on social media. Your body is aging. You can give it things it needs to help preserve function or you cannot. There's risks to taking those things and there's risks to not taking those things. That's the complexity. And like on a 10,000 foot view, that's why this podcast is so effing successful is because my worldview is that women are intelligent and they can deal with this and we don't need to dumb it down. But to go around being like, I thought it was safe and then I had a blood clot, it's like, it can be safe and you can get a blood clot from, you know, whatever medication we're talking about. So birth control, very safe. Safer than pregnancy. But there's risks with it. Right? Not safe in everybody. And that's the nuance that I think traditional healthcare, current traditional healthcare has taken away. It's like these things are complex. We've had to dumb them down because of time. And some people can't understand the complexity. But by and large, women are smart. It's real messed up if none of you doctors will take Medicaid and women in Medicaid need help too. Preach. Don't preach to me, man. You can't keep a business open with those sort of dollars. You have to. You need to talk to the the insurance people and be like, you need to pay living wages so that doctors can pay receptionists and nurses and the people who take out the trash and the people who insure the building and the people who clean the carpet. That's health care. It's all the people. And if Medicare gives you $23, you can't do that. No other business would take that business. So don't complain to the doctors about not taking these incredibly low paying insurance. It's not insurance. My opinion, it's not insurance if nobody can take it. And same with physical therapy. You cannot do a one hour physical therapy visit for $42. You have to pay for Internet and electricity and your website maintenance guy and your computers and you need to put down the de icing on the sidewalks and have insurance for when people fall. You cann not take these crappy insurances and actually build a business to keep the doors open. So don't get upset at the doctors about this and don't get upset at the physical therapist about this. Talk to your insurance provider and be like, I want insurance that actually can afford to keep these places open. Because you're losing a ton of physical therapists and you're losing a ton of doctors in this system. Oh, number 14, this is interesting. I will leave. I will leave us with this one. Use it or lose it is a myth. Anybody telling you you need to put something in your vagina to prevent atrophy. That's a myth that does not exist. We do not have that data. But. And there is some data, there's a new study and I need to get her on my podcast that if you take a vibrator and you put it on the outside of the vulva, you're not putting anything inside the vagina. It's just outside on the vulva. I think it's five to 10 minutes three times a week, just sitting, chilling, vibrating the vulva. It actually improves like in sclerosis. It Improves atrophy scores. This is on like exams by trained people. Decreases actual intimacy. Increases like sexual function. I get always get a little triggery when people are like, you should have sex, otherwise bad things will happen. But there's something to like improving blood flow and vibration that helps the pelvis. So penis is not a magic wand by any means. And I never want anybody to have intimacy when have intimacy when it hurts. So all of those things, information about testosterone for help with incontinence when estradiol alone isn't working. Yeah, there's a couple of papers on incontinence for stressing for testosterone for stress incontinence. Certainly off label. Certainly most people do not know about those papers. But I know several people whose stress incontinence has gotten better when being on testosterone. How do you sign up to be in the vibrator vulva vibrator study for Science? It was happening in California. That's where that study was. Can a 68 year old woman who's never been on HRT start taking estrogen? This is like the number one question you guys. Go back to episode 291, listen to that. And vaginal estrogen. Always start your 92 year old mother on vaginal estrogen. And then as far as systemic goes, the transdermal is safest and the data is overblown about the risks. So. All right, you guys, what I'm asking for you, that was 14 things that I think everybody should know. And where does somebody apply testosterone cream most commonly is like thigh leg estriol and facial moisturizer. Yes, why not? Oh, test blood for estrogen levels when on estradiol. That's a fantastic question. Not standard of care to do. So we go by symptom resolution and how you're feeling, but you can. So to me, like if a woman's like, I don't know if I want more and I don't know and blah blah, blah, blah blah. And there is not established guidelines for what estradiol levels should be. And everybody absorbs transdermal at a different. Some people are like super absorbers, some people it takes them a lot to absorb. So I, I, it's not great. I, I check estrogen levels commonly. Not that that's standard of care. Not that I'm telling people that that should be standard of care. But I'm like, dude, but no skin off my back. If you want some labs drawn just to see where you are, like it's perfectly fine. Can osteoporosis be reversed with progesterone without estradiol. We've got some progesterone only data. Geralyn Prior, MD. She's out of Vancouver. She's got the progesterone data. I can't say that with a resounding yes, but I do know that there is some data looking at Dexa. Okay, if still getting a period, can you go on progesterone only to help with sleep? Absolutely. How high can testosterone be before side effects? That's gonna be different for everybody. Okay, I think that's it. Things I think everybody should know. That was 14 things smattered in with Q and A's. I think you guys like this podcasting, Instagram, me going off the cuff stuff. So I will do it more if you guys approve of that. And then just to rehash where I wanna see you, I wanna see you in Bellevue, Washington for the M Factor screening on January 29th. I want to see you in the Sydney Opera House on March 1st. I want to see you May 16th through 17th at Miraval in Arizona. And I want to see you October 17th through 19th in Sedona with me. So last one, the Sedona one is healthcare providers more. But last year we had a pilot and a lawyer which was awesome. We were so happy they were there. So if you are like smart, curious, want to know about sex med and hormones and you're not a prescriber, you're still welcome. But it is more prescriber how to centric because it's like, then it's like learning the nuts and bolts. So Sedona in October 202517 through 19, that is almost halfway sold out already. That's only 20 slots. So once people get to the whole like, hey, I think I should know how to prescribe and do this and I believe that hormones help. How do you actually do it? The nuts and bolts of it, that is what that course is about. So name of that conference. That is the Kelly Casperson retreat in Sedona. So link on Instagram link tree and I'll put the links in this podcast show notes how to sign up for Sedona. Go to my link tree on Instagram. There'll be a link for the Sedona signup and then I'll put that link in the podcast show notes. So love you guys. Until next time, things I think everybody should know. Love ya.
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Thank you for listening to this week's episode of youf Are Not Broken. If you want to dig deeper with me, sign up for my adult sex education masterclass where you learn adult things like communication skills, anatomy lessons and desire types, and how to talk to your doctor about sexual health concerns. If you want the Adult Sex Education Masterclass for free, join my monthly membership for more in depth exclusive content, more time with yours truly. A private podcast, coaching and educational empowerment and you can watch my interviews live and get them immediately without advertising. Head over to www.kellycaspersonmd.com for the membership and adult Sex Ed Masterclass members get the Master class for free. This podcast is presented solely for educational, entertainment and informational purposes only. I am a doctor but not your doctor in this format and all of my platforms and guests including on this podcast are not giving individual medical advice or practicing medicine. See and consult with your own care team for your individual needs and concerns. This podcast is not intended as a substitute for the care and advice of a physician, therapist or other qualified professional. This podcast does not constitute the practice of medicine, in case you were curious about that and no doctor patient relationship is formed. But I still love you. Using the information on this podcast or any of my platforms is at your own risk. Until next time. Remember you are not broken.