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Are we Prepared for a Monkeypox Outbreak?

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What is the COVID-19 Omicron BA.5 variant?

• Recent COVID-19 update
• What is the BA.5 COVID-19 variant
• Symptoms of the Ba.5 COVID-19 variant
• What is different about this variant
• How you should prepare to deal with this new variant
• Why you should be worried

Links/Resources:

• Dr. Berry\'s Website
• DrBerryPierreTV
• Dr. Pierre\'s Healthchecks
• Dr. Berry\'s Twitter
• Dr. Berry\'s Instagram
• Dr. Berry\'s Clubhouse
• Dr. Berry\'s TikTok page
• What is the BA.2 COVID Variant?
• CDC COVID Data Tracker
• The Omicron BA.5 variant is driving COVID reinfections across the US.

Sponsors:

• Lunch and Learn Community Online Store\\xa0(code Empower10)
• Pierre Medical Consulting\\xa0(If you are looking to expand your social reach and make your process automated then Pierre Medical Consulting is for you)
• Dr. Pierre\'s Resources\\xa0\\u2013 These are some of the tools I use to become successful using social media
• My Amazon Store\\xa0\\u2013 Check out all of the book recommendations you heard in the episode

High Blood Pressure Update with Dr. Berry Pierre

• 2022 Update on High Blood Pressure
• High Blood Pressure Facts
• Risk Factors and Complications of High Blood Pressure

Links/Resources:

• Dr. Berry\'s Website
• DrBerryPierreTV
• Dr. Pierre\'s Healthchecks
• Dr. Berry\'s Twitter
• Dr. Berry\'s Instagram
• Dr. Berry\'s Clubhouse
• Dr. Berry\'s TikTok page
• LLP172
• American Heart Health Month
• New Guidance on Blood Pressure Management in Low-Risk Adults
• Mayo Clinic
• Hypertension: New Guidelines from the International Society of Hypertension

Sponsors:

• Lunch and Learn Community Online Store\\xa0(code Empower10)
• Pierre Medical Consulting\\xa0(If you are looking to expand your social reach and make your process automated then Pierre Medical Consulting is for you)
• Dr. Pierre\'s Resources\\xa0\\u2013 These are some of the tools I use to become successful using social media
• My Amazon Store\\xa0\\u2013 Check out all of the book recommendations you heard in the episode

Gun Violence The Public Health Crisis

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Autism in Black 2022 Conference Recap with Maria Davis-Pierre, LMHC

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A Black Father Raising Autistic Children

• Recap of 2022 Autism in Black Conference
• Discussion on the importance of black fathers raising their autistic children
• Lack of research associated with black fathers and autistic children
• Importance of community & support for black fathers

Links/Resources:

• Dr. Berry\'s Website
• DrBerryPierreTV
• Dr. Pierre\'s Healthchecks
• Dr. Berry\'s Twitter
• Dr. Berry\'s Instagram
• Dr. Berry\'s Clubhouse
• Dr. Berry\'s TikTok page
• African American Fathers Raising An Autistic Child
• Autism in Black

Sponsors:

• Lunch and Learn Community Online Store\\xa0(code Empower10)
• Pierre Medical Consulting\\xa0(If you are looking to expand your social reach and make your process automated then Pierre Medical Consulting is for you)
• Dr. Pierre\'s Resources\\xa0\\u2013 These are some of the tools I use to become successful using social media
• My Amazon Store\\xa0\\u2013 Check out all of the book recommendations you heard in the episode

COVID-19 Vaccine Approved For Kids

• FDA approval of Covid-19 vaccine for Kids
• COVID-19 update
• COVID-19 stats for kids
• Waiting on CDC approval
• Differences between Moderna & Pfizer COVID-19 vaccines

Links/Resources:

• Dr. Berry\'s Website
• DrBerryPierreTV
• Dr. Pierre\'s Healthchecks
• Dr. Berry\'s Twitter
• Dr. Berry\'s Instagram
• Dr. Berry\'s Clubhouse
• Dr. Berry\'s TikTok page
• FDA Authorizes Moderna and Pfizer-BioNTech COVID-19 Vaccines for Children Down to 6 Months of Age

Prior Episodes

• Should I wait to get the COVID-19 Vaccine?
• My Covid Vaccine Experience
• My Final Covid-19 Vaccine Experience
• New Covid-19 Vaccine On The Block
• Why did the FDA pause the Johnson and Johnson Vaccine?
• How did we get a covid-19 vaccine back so fast?

Sponsors:

• Lunch and Learn Community Online Store\\xa0(code Empower10)
• Pierre Medical Consulting\\xa0(If you are looking to expand your social reach and make your process automated then Pierre Medical Consulting is for you)
• Dr. Pierre\'s Resources\\xa0\\u2013 These are some of the tools I use to become successful using social media
• My Amazon Store\\xa0\\u2013 Check out all of the book recommendations you heard in the episode
• Autism in Black Conference

Autism in Black Conference with Maria Davis-Pierre, LMHC

Sponsors\\xa0

• Autism in Black Conference
• Lunch and Learn Community Online Store\\xa0(code Empower10)
• Pierre Medical Consulting\\xa0(If you are looking to expand your social reach and make your process automated then Pierre Medical Consulting is for you)
• Dr. Pierre\'s Resources\\xa0\\u2013 These are some of the tools I use to become successful using social media
• My Amazon Store\\xa0\\u2013 Check out all of the book recommendations you heard in the episode

\\xa0

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Getting Out of Your Comfort Zone

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More Violence Against Healthcare Workers

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What is the Monkeypox Virus?

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One Million Deaths and Counting

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Physicians Need to Stand Up for Patients Rights

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How I Used Sports Medicine to Change the Life of Many

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How Masks Are Making Passengers Crazy

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Give Your Doctor Credit

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Why your Doctor has to be a Brand?

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What is the BA.2 COVID Variant?

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Natural Ways to Improve Your Vision with Jake Steiner

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The Black Side of Autism with Maria Davis-Pierre, LMHC

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How to Make an Impact Despite the Obstacles

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Dealing with Covid-19 As A Family

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Lifting as we climb in today's society with Dr. Nyame

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Heart Health Month with Dr. Berry Pierre

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How Anxiety, Depression and Stress May Lead to Your Next Level of Expansion with Rachelle

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My Love and Hate Relationship with the CDC

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Covid-19 Omicron Variant

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The Future of Telehealth with Dr. Laura Purdy

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Your Annual Checkup with Dr. Berry

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The Future of Medicine Is In Our Hands with Dr. Kimberly Jackson

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Succeed Without Sacrificing Your Faith & Fulfillment with Brad Bellard

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Lessons Learned As A Health Content Creator

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Moving Forward with Autism in the Black Community with Maria Davis-Pierre, LMHC

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Getting into medical school is all in your mind with Dr. Renee Volny Darko

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Damn that is a tough question with Dr. Nii Darko

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Sex Confidence 101 with Dr. Jacqueline Sherman

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Hope and optimism during times of crisis with Dr. Cindy

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The Latest Covid-19 Update

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Our First Funnel Hacking Live Experience with Maria Davis-Pierre, LMHC

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The 7 Naturopathic Secrets to Transform Your Health with Dr. Samm

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How COVID 19 Has Broken The Health Care Workers?

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The Importance of having a value ladder in business

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Why did the FDA approve the Pfzier covid-19 vaccine?

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4 Ways the Pandemic Has Changed How We Eat with Dr. Monique

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Your Pandemic Pounds Have a Story to tell with Dr. Bollie

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Dealing with the Delta Variant

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How to Turn Your Job Into a Hobby with Dr. Melva

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What Happens When Your Doctor Gets Sued

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Taking control of Your Mental Health to Live Better with Dr. Ericka

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Travel Wellness Summer 2021 with Dr. Yvette

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How and What to Feed Your Child For Wellbeing, Longevity and Joy!!

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Covid-19 and the Delta Variant

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How Does Heart Disease Play Out In Men

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Men's Mental Health Is The Problem

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Understanding Prostate Cancer

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Men's Health Month

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Where Has The Flu Gone?

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To Wear A Mask Or Not

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Time For Your Annual Checkup

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Hypertension Awareness Month

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How Did We Make a Covid-19 Vaccine So Fast?

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Why did the FDA pause the Johnson and Johnson Vaccine?

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The Inaugural Autism in Black Conference with Maria Davis-Pierre LMHC

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Don't Forget About the Kidneys with Dr. Frita

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What is Colorectal Cancer?

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New Covid-19 Vaccine On The Block

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My Final Covid Vaccine Experience

When I released my first episode detailing my experience with getting the first of two vaccine doses against the coronavirus, the total number of coronavirus cases stood at approximately 15 million. Unfortunately as I type this out the number stands at 27 million and likely by the time you read it that number will be outdated.

That was less a month ago and I think that\'s all I need to say about the state of the coronavirus not only here in the United States but across the world.

On today\'s episode I discuss how my experience getting the second and final dose of the COVID-19 vaccine and what it means to be fully protected for me and my family and friends.

Text LUNCHLEARNPOD to 44222 today or sign up at www.listentodrberry.com to join the mailing list.

Remember to subscribe to the podcast and share the episode with a friend or family member.

Listen on\\xa0Apple Podcast,\\xa0Google Play,\\xa0Stitcher,\\xa0Soundcloud,\\xa0iHeartRadio,\\xa0Spotify

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Sponsors:

• Lunch and Learn Community Online Store\\xa0(code Empower10)
• Pierre Medical Consulting\\xa0(If you are looking to expand your social reach and make your process automated then Pierre Medical Consulting is for you)
• Dr. Pierre\'s Resources\\xa0\\u2013 These are some of the tools I use to become successful using social media
• My Amazon Store\\xa0\\u2013 Check out all of the book recommendations you heard in the episode

\\xa0

Links/Resources:

• Youtube Episode
• CDC

Social Links:

• Join the lunch and learn community \\u2013\\xa0https://www.drberrypierre.com/joinlunchlearnpod
• Follow the podcast on Facebook \\u2013\\xa0http://www.facebook.com/lunchlearnpod
• Follow the podcast on Twitter \\u2013\\xa0http://www.twitter.com/lunchlearnpod\\xa0\\u2013 use the hashtag #LunchLearnPod\\xa0if you have any questions, comments, or requests for the podcast
• For More Episodes of the Lunch and Learn with Dr. Berry Podcasts\\xa0https://www.drberrypierre.com/lunchlearnpodcast/

If you are looking to help the show out

• Leave a Five Star Review on\\xa0Apple Podcast\\xa0because your ratings and reviews are what is going to make this show so much better
• Share a screenshot of the podcast episode on all of your favorite social media outlets & tag me or add the hashtag. #lunchlearnpod

Download the MP3 Audio file, listen to the episode however you like.

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How To Rise Above Others Wants with Sarah McGriff

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My Covid Vaccine Experience

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Should You Wait To Get The Covid-19 Vaccine?

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COVID-19, No End in Sight

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Back in action

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Shooting for the stars with Dr. Noble

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A wake up call after the death of a hero

Links/Resources:

• Racial Disparities In Cancer Not Even Yet But Getting Better
• A quick update on colon cancer screening
• How bad is colon cancer in the African American community?
• Why colon cancer is a major killer in African Americans

Social Links:

• Join the lunch and learn community \\u2013\\xa0https://www.drberrypierre.com/joinlunchlearnpod
• Follow the podcast on Facebook \\u2013\\xa0http://www.facebook.com/lunchlearnpod
• Follow the podcast on twitter \\u2013\\xa0http://www.twitter.com/lunchlearnpod\\xa0\\u2013 use the hashtag #LunchLearnPod\\xa0if you have any questions, comments or requests for the podcast
• For More Episodes of the Lunch and Learn with Dr. Berry Podcasts\\xa0https://www.drberrypierre.com/lunchlearnpodcast/

If you are looking to help the show out:

• Leave a Five Star Review on\\xa0Apple Podcast\\xa0because your ratings and reviews are what is going to make this show so much better
• Share a screenshot of the podcast episode on all of your favorite social media outlets & tag me or add the hashtag. #lunchlearnpod

Download the MP3 Audio file, listen to the episode however you like.

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Uplifting and Empowering Women Doctors with Dr. Archana Shrestha

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Mental Wellness in the Black Community with Tiara Riley

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No place for discrimination in medicine with Dr. Kat Ogle

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Discrimination in the Medical Field with Dr. Petrina Craine

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Matters of the Heart with Dr. Crystal Maxwell

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Tips For The Resident Physicians

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COVID-19, the Epidemiological Perspective with Velton Showell, MPH

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COVID-19 The Hospitalist Experience

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Doctors can study OUTSIDE the boarders with Dr. Kimberly Brown

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Healthful Strategies For Finding Nutritional Balance During the Coronavirus Pandemic with Marlisa Brown

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COVID-19 and the African-American Community with Dr. Nicole Rochester

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LLP146: Urinary Incontinence: You are not alone with Dr Fenwa Milhouse

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LLP145: Navigating a Medical Success Story with Dr. Brittany Brinley

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LLP144: Implicit Bias With Dr. Kristyn Smith

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LLP143: Caring For The Caregivers

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LLP142: Understanding Colon Cancer with Dr. Austin Chiang

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LLP141: Mamba Mentality with Dr Brooke Williams

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Weekly Wrap up with Dr Berry 2-22-20

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LLP140: Reverse Insulin Resistance Permanently With Robby Barbaro, MPH

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LLP139: Level Up Your Health With The Lunch and Learn Community

Download the MP3 Audio file, listen to the episode however you like.

Download Episode 139

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LLP138: Empower Yourself For Better Health

Remember to subscribe to the podcast and share the episode with a friend or family member.

Listen on\\xa0Apple Podcast,\\xa0Google Play,\\xa0Stitcher,\\xa0Soundcloud,\\xa0iHeartRadio,\\xa0Spotify

Sponsors:

• Lunch and Learn Community Online Store\\xa0(code Empower10)
• Pierre Medical Consulting\\xa0(If you are looking to expand your social reach and make your process automated then Pierre Medical Consulting is for you)
• Dr. Pierre\'s Resources\\xa0\\u2013 These are some of the tools I use to become successful using social media
• My Amazon Store\\xa0\\u2013 Check out all of the book recommendations you heard in the episode

Social Links:

• Join the lunch and learn community \\u2013\\xa0https://www.drberrypierre.com/joinlunchlearnpod
• Follow the podcast on Facebook \\u2013\\xa0http://www.facebook.com/lunchlearnpod
• Follow the podcast on twitter \\u2013\\xa0http://www.twitter.com/lunchlearnpod\\xa0\\u2013 use the hashtag #LunchLearnPod\\xa0if you have any questions, comments or requests for the podcast
• For More Episodes of the Lunch and Learn with Dr. Berry Podcasts\\xa0https://www.drberrypierre.com/lunchlearnpodcast/

If you are looking to help the show out

• Leave a Five Star Review on\\xa0Apple Podcast\\xa0because your ratings and reviews are what is going to make this show so much better
• Share a screenshot of the podcast episode on all of your favorite social media outlets & tag me or add the hashtag.#lunchlearnpod

Download Episode 138

Download the MP3 Audio file, listen to the episode however you like.

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LLP137 Getting ready for the break

• Join the lunch and learn community \\u2013\\xa0https://www.drberrypierre.com/joinlunchlearnpod
• Follow the podcast on Facebook \\u2013\\xa0http://www.facebook.com/lunchlearnpod
• Follow the podcast on twitter \\u2013\\xa0http://www.twitter.com/lunchlearnpod\\xa0\\u2013 use the hashtag #LunchLearnPod\\xa0if you have any questions, comments or requests for the podcast
• For More Episodes of the Lunch and Learn with Dr. Berry Podcasts\\xa0https://www.drberrypierre.com/lunchlearnpodcast/

If you are looking to help the show out

• Leave a Five Star Review on\\xa0Apple Podcast\\xa0because your ratings and reviews are what is going to make this show so much better
• Share a screenshot of the podcast episode on all of your favorite social media outlets & tag me or add the hashtag.#lunchlearnpod

Download the MP3 Audio file, listen to the episode however you like.

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LLP136: An update on Autism in Black with Maria Davis-Pierre, LMHC

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LLP135: Surviving the Holidays Without Gaining Weight with Dr. Sylvia Gonsahn-Bollie

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LLP134: How I learned to be a patient.

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LLP133: Meet the Physician IMG Advisor and Coach with Dr. Nina Lum

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LLP132: Why we have to be aware of Endometriosis with Dr. Anila Ricks-Cord

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LLP131: Why You Should Learn These Lifesaving Skills with Dr. Sabine Elisee

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LLP130: Why Vaping Is The New Health Crisis with Dr. Andrew Berry

Sponsors:

• Lunch and Learn Community Online Store (code Empower10)
• Pierre Medical Consulting (If you are looking to expand your social reach and make your process automated then Pierre Medical Consulting is for you)
• Dr. Pierre\'s Resources - These are some of the tools I use to become successful using social media
• My Amazon Store - Check out all of the book recommendations you heard in the episode

Links/Resources:

• The E-Cig Vaping Health Crisis: Medical Overview
• Pathology of Vaping-Associated Lung Injury
• Twitter

Social Links:

• Join the lunch and learn community \\u2013\\xa0https://www.drberrypierre.com/joinlunchlearnpod
• Follow the podcast on Facebook \\u2013\\xa0http://www.facebook.com/lunchlearnpod
• Follow the podcast on twitter \\u2013\\xa0http://www.twitter.com/lunchlearnpod\\xa0\\u2013 use the hashtag #LunchLearnPod\\xa0if you have any questions, comments or requests for the podcast
• For More Episodes of the Lunch and Learn with Dr. Berry Podcasts\\xa0https://www.drberrypierre.com/lunchlearnpodcast/

If you are looking to help the show out

• Leave a Five Star Review on\\xa0Apple Podcast\\xa0because your ratings and reviews are what is going to make this show so much better
• Share a screenshot of the podcast episode on all of your favorite social media outlets & tag me or add the hashtag.#lunchlearnpod

Download Episode 130 Transcript

Download the MP3 Audio file, listen to the episode however you like.

\\xa0

Episode 130 Transcript...

Introduction

Dr. Berry:
Welcome to another episode of the Lunch and Learn with Dr. Berry. I\'m your host, Dr. Berry Pierre, your favorite Board Certified Internist. Founder of drberrypierre.com, as well the CEO of Pierre Medical Consulting. Helping you empower yourself for better health with the number one podcast for patient advocacy, education and affirmation. This week we are going to be talking with Dr. Andrew Berry who is a Board Certified Internist and also a second year GI fellow, gastroenterology fellow. But we are going to be talking about a topic of vaping because that\'s something that\'s right along his alley as known as the GI fellow. But he is very well versed in lots of different academic related topics. And we got together thinking, you know what, let\'s talk about a subject at hand that if you are a smoker, if you know a smoker and you\'ve heard about this this new, this trend. I would say new, but this trend of e-cigarettes and vaping, let\'s talk about vaping.

Let\'s talk about what we\'re hearing in the news about vaping. Whether it\'s harmful, whether it\'s good for you. Who should be vaping? So we\'re gonna be talking about vaping on this episode today and I think it\'s a good one because it is something that, again, I listened to this episode and I was getting so much education from it and I know you will too. So again, Lunch and Learn community and like always, if you have not done so, please subscribe to this podcast. Leave us a five star review especially from my Apple podcasts users. Your help is greatly appreciated and like always, if you remember to share with not one but maybe 10 friends and let them know how much of an amazing episode this was today. So we\'re talking about vaping. Get ready to sit back for another amazing episode here on the Lunch and Learn with Dr. Berry.

Episode

Dr. Berry Pierre:
Alright Lunch and Learn community, you just heard another amazing introduction for a topic that I think you are really in for a treat for. Again, when you turn on your TV, read the blogs. This is definitely something that has been really on front page news now. Especially, I work in a hospital setting and people keep asking me about it. People keep asking me vaping, vaping, vaping. What is vaping? How dangerous is vaping? Why are so many people dying from vaping? And I figured, hey, you know what, let\'s get someone who knows what they\'re talking about on the subject.

So again, I want to thank, I like to call the real Dr. Berry to talk about a topic. It\'s so funny because I call myself Dr. Berry but it\'s a funny thing. People like be able to call me by my first name some weird reason. I\'m not sure why. But I like be able call my first name, but I still want it to attach the doctor to it. So alright, sure. I\'ll be Dr. Berry. But we have the real Dr. Berry - Dr. Andrew Berry who\'s going to be really educating us today Lunch and Learn community on just what vaping is and just why we should be really, really worried about it. So, Dr. Berry, thank you for joining the podcast today.

Dr. Andrew Berry:
Thanks for having me. I appreciate it. This is definitely a topic that\'s hot and we want to hit the hot topics that are relevant to all markets. I appreciate you having me on.

Dr. Berry Pierre:
So Dr. Berry before we get into this amazing topic, tell the Lunch and Learn listeners about yourself, who you are, why this topic is such a hot button topic for you and that way we can get into the meat of it.

Dr. Andrew Berry:
Actually a GI fellow currently. So basically one more year of training and then I\'m out in the practice, treating all your stomach problems. But right now I\'m still in training. Internal Medicine Board Certified, so obviously something that you\'re familiar with. You deal with people all the time and training the next wave of internal medicine physicians, which is highly appreciated. Also did my training, medical school. Some of my rotations were actually in West Palm Beach where you were.

Dr. Berry Pierre:
So funny because first of all Lunch and Learn community, Dr. Berry sent me a CV, I think 20 plus pages. So I\'m already impressed at a CV and I\'m seeing some of my former residents. Amongst some of the persons, I\'m like, how does he know Dr. Kaplan? I tried to figure out. And then I\'m trying to be like, hold on. Now it\'s called JMP North campus, then we\'ll see at the time when I was there? And then I was trying to go back and I was like, I couldn\'t remember. I couldn\'t remember if you were there at the same time I happened to be there. I definitely, because I heard name, just for some reason it was so crazy because I was seeing all of these publications. Her name just stood out. How she get there?

Dr. Andrew Berry:
I think it\'s a small world. But I think you were there when I was there, just like vaguely. So I saw you in passing, I didn\'t have the privilege to work with you.

Dr. Berry Pierre:
Yes. I saw some of the posters that are like 2014 so I wasn\'t sure if, because that would have been my last year, uh, as, as a residence. I wasn\'t sure where you were your student that year or wasn\'t sure we just hadn\'t crossed there or was just that in passing.

Dr. Andrew Berry:
Yeah. I\'m not sure, who knows? Probably both.

Dr. Berry Pierre:
So definitely well-read. And like I said again Lunch and Learn community I\'m not joking. The CV really is like 20 plus pages. Just amazing story. And especially for someone who, as a person who does academic medicine, I\'m loving it. Oh wow, okay. This is a person who is really, really well-read. So definitely a person I want to make sure that we get to try to touch on a whole bunch of different topics as we can. And so today we\'re talking about vaping. Just for those maybe someone who does not know what would vaping is. What is vaping, just so for the general community?

Dr. Andrew Berry:
Everybody knows smoking taking off big time in the last couple of decades, middle of 1950s, 1960s. The big social stigma. But ever since let\'s say 2012, there\'s been a trend for this new thing called vaping, which is electronic cigarettes. So instead the smoke you get the tobacco coming out, you just get to smell the vape. It is a little shot of a smoke in the air, disappears and dissipates. And it\'s not like tobacco, it\'s usually nicotine based and nowadays they\'re becoming more THC, cannabis based also. But now it\'s becoming a little bit more of an issue because there\'s more illnesses and patients having symptoms that are arriving from these vaping products.

Dr. Berry Pierre:
What\'s interesting because I love how you touched on the fact that it is nicotine based because I think sometimes people think that if they do the vaping or is it, first of all, question, is e-cigarettes and vaping, is that similar from a reference standpoint?

Dr. Andrew Berry:
It\\u2019s interchangeable. So initially e-cigs you know, a way to ween known adult smokers off of tobacco products, cigarettes. But now it\'s becoming more cool slang term to call it vaping. And there\'s even more other terms for it. But that\'s what everybody thinks. E-cigs is what\'s called two years ago and an older crowd, but they think it\'s the trending way.

Dr. Berry Pierre:
Okay, perfect. And I love the fact that you touched on that it\'s nicotine based because I think some people make a fuse the fact that if they\'re vaping that they\'re not getting the nicotine aspect that they would get like in a regular cigarette?

Dr. Andrew Berry:
Yeah. In fact, they\'re actually getting more. Some of the studies have shown that they\'re actually more nicotine in these products. We\'re used to the patch and the gum to wean smokers off, which is FDA approved, as you probably use in your clinics and in a hospital setting. But the vaping is not FDA approved to wean smokers off. It is just a means to do so for adult known smokers. But the nicotine product content is actually in some of these products much higher than traditional cigarettes and/or patches or gum.

Dr. Berry Pierre:
Wow. So, okay. Alright. Lunch and Learn community, I always tell you guys that sometimes, I have to learn from my guests as well. So it has definitely, some really strange, but very interesting thing to hear the fact that you\'re not really putting it away from the nicotine because if it\'s not more that you\'re going to get in this, the vaping aspect of it. When did it all start? How long has this been around? Why is this such a hot topic now? What would you say?

Dr. Andrew Berry:
Yeah, exactly. So it\'s been really going relevant a little bit since 2012. But 2017 is when you noticed a huge rise up to the point that over the last three years, well currently this year is about 8 million adults using e-cigs or vape products and about 5 million children also vaping, which is crazy. Because of 2017, so it\'s two years ago, it\'s 11% of high school students admitted to vaping on a daily regular basis. However, 2019, so just in two years, it\'s up to 27%. So over two and a half times increase. One out of four high school students are actively vaping on a daily basis.

Dr. Berry Pierre:
Wow, that\'s crazy. Okay. Alright. Especially because you said kids, so I\'m thinking like, is he 16, 17? So that young they\'re starting to vape?

Dr. Andrew Berry:
Yeah. Even in middle school. So in middle school were about 5% right now, which is one out of 20 middle school students admit to using vape products on a daily basis. And this is also people that admit to it. So as you and I both know, the numbers are actually higher.

Dr. Berry Pierre:
Exactly. If our patient says they drink two drinks a day, it\'s probably closer to four. So that\'s definitely a point I agree with wholeheartedly. For sure. When we talk about just vaping, why do you think like this I guess boom? And I don\'t know if we should even be calling it. Why do you think this level of popularity just exploded in such a short timeframe?

Dr. Andrew Berry:
Yeah, exactly. So it\'s not even much advertising was needed. Multiple hypothesis, event thrown out there. One is social media. This is something that can be spread easily in social media. The market uses social media in the last two, three, four years. It\'s skyrocketed. Instagram, Twitter, all the above. And they can do these tricks, these vape tricks. So there\'s all these YouTube videos, millions and millions of views regarding tricks with the vape, the smoke, they play it to music, EDM music to Friday night, vape night where they\'ve smoke, vape and play music and just do stuff like that.

Dr. Berry Pierre:
Wow. When you say vape tricks, what type of tricks are you doing?

Dr. Andrew Berry:
You having some sort of fan product in the room or they huff and puff at the vape and then swirl smoke around with their hand. In addition to music and EDM and then they hold and they make music videos out of it. I mean from a third party viewer, not in my words, but it\'s cool.

Dr. Berry Pierre:
So funny. I\'ve seen those videos and really never paid it any mind that that\'s what they were actually doing in those videos. Okay, that\'s weird. I\'ll take it back. I used to say that\'s cool too. I used to be like, okay that\\u2019s nice.

Dr. Andrew Berry:
Exactly. And a couple of years ago when this first started and like 2017, there\'s principals and high school teachers even coming out now saying, they didn\'t even notice these people. They thought it was a USB drive. So one of the main companies, Juul, which is one of the hottest companies in the last couple of years, worth billions of dollars. You could stick their little vape into a USB drive on your laptop and looks like you\'re charging a USB drive. (Wow). So no one knows people are smoking in the classroom. They\'re actually, the goal, it\'s not like a cigarette where you, let\'s say in 1999 you\'d go in the bathroom and hide, sit there, you\'re faking constipation, sitting there for 10 minutes trying to smoke a cigarette and hide it and spray cologne. Now people are vaping purposely. They want, they\'ve tried today vape. Every time the teacher turns their head, someone, their friend takes a picture, they post it and it goes viral. So it\'s the opposite, which is kind of, that\'s why it\'s\\u2026

Dr. Berry Pierre:
And do they even get like that smell that tends to linger? If you\'re smoking a cigarette, obviously there\'s like a cigarette type smell, but when they vaping is that just like not there?

Dr. Andrew Berry:
Yeah, exactly. Very good point. So 80% of Juul\'s sales and which is the best surrogate for the market because it\'s the best company. Biggest company sells flavored e-cigs. So when you smoke these, they actually smell like fruits, female student high schools perfume. You literally can\'t tell the difference. And it goes away fairly quick. So that\'s why this whole, we\'ll get to that in a second, about this whole ban, to try to ban these flavored products first and foremost.

Dr. Berry Pierre:
Interesting. Okay. Alright. Like I said Lunch and community, I am being educated along with you guys. Because again, this is a topic that again, because I\'m internist so I take care of a lot of adults. And most of the time I take care a lot of older adults. So a lot of times the cigarettes and I\'m trying to get out their hands. I\'ll never ever usually having to say like, hey, stop that vaping machine. I\'m never having to say that. So this is definitely seems like a problem that\'s been pushed towards a younger crowd.

Dr. Andrew Berry:
Correct. And the marketing, the Juul company has specifically said they\'ve never marketed toward young crowd. They have been, they have had some small social media promoters, some actors and all that that they sort of pay as years ago. But right now they are currently not marketing to this crowd. And that is the whole litigation legality issues currently going on with this company and all the other electronic cig vaping companies. The government is warning and trying to prevent any sort of marketing for a younger crowd. That is the number one topic right now.

Dr. Berry Pierre:
I\'m naive to this topic. Are kids able to buy these things? Is there an age or how are so many of these young kids able to get this stuff?

Dr. Andrew Berry:
Exactly. So up until recently, most States had age of 16 or 18. But nowadays about 18 or about 20 of the States have now enforced new regulations saying that you have to be 21 to buy these products. Also the company which has been forced upon the company by the government is coming forth with these age verification systems where they only sell certain amount of products, certain amount of refills over certain periods for checking IDs stronger. The government is making them do this. They\'ve had to spend a hundred a million dollars to try to give incentives to retailers to install these new age verification systems.

Dr. Berry Pierre:
So obviously with something that is so popular with a crowd that will only get older, which means there\'s going to be a long-term customer. Why has it been come such a problem? What has been the catalyst to say like, oh, we gotta do something about this vaping.

Dr. Andrew Berry:
Exactly. So with success of companies, these first couple of companies comes, want from other companies in third parties to create more products so they can get a share of the market. So it is these, some of these new products mainly containing THC components. And usually black market, which means they label it as one certain product, but they actually just use the label. They print it illegally from other outside the United States and they put these third party products in it that you don\'t even know what\'s in the product. And a lot of them have some sort of THC components. But mainly that\'s part of the answer to your question. The other half is over about in July or August this year is a little long answer, but this is their important in this content.

I\'m from Wisconsin, so go figure. It all started, in Wisconsin, in July of this year. There was about six patients over a two month period that they just were wondering, they couldn\'t figure out their diagnosis. They are these young patients presenting to the hospital. Let\'s give you an example. I have the perfect example for you. July 7th, 18 year old who ran track, just graduated high school, presented at urgent care with breathing issues. She had an x-ray with some infiltrates. She was sent home with antibiotics. She never got better. She came back in a few days, a chest pain. She couldn\'t breathe. She had shallow to keep breathing. Give her oxygen and she actually became worse. She had been to the ICU, she became oxygen mask dependent, almost intubated.

In the end there had 6 or 5 other cases like this, about six. And the doctors were confused, wondering what\'s going on. They frantically reviewed all the records and the only thing that the patients had in common was a history of vaping. They\'re all young. In Illinois, the neighboring state had similar issues also. And the first death ever reported from vaping ruling out all other causes with full vaping history and objective data was in August in Illinois. That\'s what triggered it all. Once you heard the word death in vaping, then every newspaper every day since August has had multiple stories as you probably are aware.

Dr. Berry Pierre:
Well, to the point where even when I started to do a little research for this discussion. I just type in the letter V and it already knew that I wanted to talk about vaping. It was as like Google is like, oh you must want to talk about vaping real quick. Fun facts about vaping, what to worry about vaping things, everything was like, oh wow. You right almost everyone\'s like writing an article now about just this how has become such a problem. And I know you touched a little bit on the fact that this introduction of the THC related products. Was that always a goal in mind? Did it start out with, was it always just to be nicotine but the THC folks, hold on we can maybe get in here as well.

Dr. Andrew Berry:
Exactly. So nicotine was the original goal. But you know, the culture of America in general over the last five years has been more open to the concept of THC for different recreational or medicinal uses. It\'s still not approved under federal law or I believe 21 States plus or minus okay it under state law for recreational or medicinal purposes. So obviously it\'s a free market. The United States is a free market. People jump on it. So they\'re thinking, wow, we\'ve got these vapes going. Now what about introducing THC? And we know people will try to do it because it\'s another way to hide or kind of disclose their use of THC product.

Dr. Berry Pierre:
Where these THC products, where they also in this flavor contraption so it didn\'t even smell like THC?

Dr. Andrew Berry:
Yeah, that\'s a tough topic actually. The flavor ones are mainly the nicotine. But I think there\'s some of these third party companies, newer players in the market now that are trying to introduce some sort of flavor THC product to mass that traditional smell that you may smell as a third party viewer walking in public.

Dr. Berry Pierre:
So we\'re now all of a sudden the microscope is on, right? And now we\'re like, really going in on vaping and everything else. So of course, I\'m going to be the devil\'s advocate. Is this an overreaction? So I think we should start there because I already know that there\'s someone listening who vapes and are like, no, my vaping is great. No, I\'m never letting the vape go. So there\'s going to be someone there who\'s like, no, no, no, they\'re just over-exaggerating. Is this an over exaggeration or is this something we really should be worried about?

Dr. Andrew Berry:
Very good point. I think there is a small, small component of over exaggeration because you\'re so tuned into this now. So you see somebody in the hospital, you rule everything else and have easy scapegoat. Oh they vape a lot. They vape daily. It must be that causing their lung illness or maybe they got an infection. I had a patient who had a mycoplasma positive infection that told me quote, I vaped more than anyone else you\'ll ever know, end quote. So I\'m like, okay, it must be that. But yeah, so there is actually, they actually made a formal definition of probable cases of vape or probable component or for sure objectively determined this diagnosis. And it confirmed case describes someone who has vaped in the past 90 days presenting with haziness or CDs in their chest scan and no signs of infection or other plausible diagnosis.

So that\'s their CDC official definition. But I agree with you, this definitely going to be over reporting now and we need to find, people are frantically finding, when you do your article search over the last 24 hours, there\'s institutions and academic centers trying to do all these tests to figure out some sort of objective way of what is actually causing this. Is it the vape? I have a feeling it\'s actually the traditional Juul product may not be the issue. It\'s just these THC laden third party products that are being intertwined or switched over with not really a marketed and monitored products. So I think there\'s just something, the component of like spice, the drug, sometimes people take. It\\u2019s like a grab bag. You don\'t know what you\'re getting.

Dr. Berry Pierre:
Now, question. Especially because I know we\'ve talked a little bit, I know we\'re getting on the Juul and now is Juul the same phrase when I think about iPod? There\'s a lot of MP3 players but then the standard we always think about is iPod. Is jewel the main maker of those devices or is there different ones? But Juul just happens to be the big dog?

Dr. Andrew Berry:
There\'s different ones. But Juul is the big dog. It\'s so big. In fact the two major tobacco companies, Altria and Philip Morris bought a huge stake in Juul last year. They paid like $12 billion for 35% stake. And Philip Morris did similar thing this year. However they were gonna merge. But because this whole new vaping issue, they called up their merger in last couple of weeks on Wall Street.

Dr. Berry Pierre:
So this topic\\u2026

Dr. Andrew Berry:
This is huge. This decision and this vaping, illnesses and deaths have actually changed stock market prices drastically to CEO, owes, have quit in the last two weeks. It\'s a very volatile market per se.

Dr. Berry Pierre:
So right now we don\'t really even have a direct causation of why it causes a problem. We know it causes lung damage, but we\'re not necessarily sure how it even does that?

Dr. Andrew Berry:
No, the best objective scientific as you know, something that you would be okay. You\'d read in a journal, which I\'m sure you do all the time, came out October 2nd in New England journal. So that\'s six days ago. It took 17 patients that have lung biopsies that have confirmed cases. So as of right now, today there\'s about 1,080 confirmed cases of vaping related illnesses or vaping related long illnesses and 19 confirmed deaths. So they took 17 patients. Most of them are men. Median average age is 35 and they all had a history of vaping and three quarters of them are with marijuana or cannabis oils and they actually got this stylogy from the lungs to see what\'s going on at a molecular level. And they just had a vague answer. There\'s no real one thing going on. There\\u2019s edema, there\'s a possibly organizing pneumonia and there\'s sloughing off of the epithelial cells at the lung level. But there\'s no one finding and they couldn\'t trace it to one product. That\'s the problem. The people in the CDC think it just might be one or two bad apples in the group, but that is the best like objective study today just came out in last couple of days.

Dr. Berry Pierre:
Lunch and Learn community, we\'ll definitely make sure we put a link to that journal article so that you can read that yourself and then you get educated. When you have something like that, when you have something that we don\'t even really know how it causes the problems, so of course again I\'ll be the patient, Dr. Berry, how do I avoid this if you can\'t even tell me how to avoid?

Dr. Andrew Berry:
I mean the easiest answer, you know these answers, stop. The CDC actually, they\'re not telling you, what they are telling you to stop by the polite way they\'re saying it is just stop in the meantime until we know what\'s going on. So a lot of these electronic cigarette users AKA vapers now, because it\'s cooler term. Successfully, studies have shown that they, it\'s been somewhat success for smokers that have weaned off as you probably you don\'t recommend it maybe, but you\'re okay with it. That\'s how a lot of physicians feel.

Dr. Berry Pierre:
Someone will say, well are they in totality? Are they better than regular cigarettes? Are you telling me Dr. Berry that I should go and smoke regular cigarettes again?

Dr. Andrew Berry:
Patients have said that. I had a patient today that literally said, I asked the history and I wanted to get more vaping questions and he says he was 50 pack your smoker. He\'s like, at least I don\'t vape, that\'s the bad thing for me.

Dr. Berry Pierre:
Unfortunately we know how we know how patients think. Because I already know I\'ve got someone who\'s probably listening to this like, whoa, I think they\'re telling me that I should just go back to the regular cigarettes. (No). So are we saying that they should go back to your regular cigarettes until this vaping thing goes round? I wish this was a facetious question, but I\'m 100% sure someone is thinking that.

Dr. Andrew Berry:
Correct. And I think the best answer to suffice all parties would be, if you\'re relying on this to wean off cigarettes and keep you off cigarettes, I\'m not gonna adhere to or support this decision. But I would be okay with continued vaping products. However, I would highly caution against anything THC or cannabis space, vaping products, especially sold online or at small retail stores, not regulated with licensed state. But a lot of people are getting these online because no one, a lot of States don\'t have it. And then the demographic is the younger person, they\'re all online people trying to do stuff without under the radar.

Dr. Berry Pierre:
Right. Well we have their parents and guardians anyway, so what better place to a dude is than order it through the internet. So what tips would you give for now? I\'m personally, I\'m being educated, so what tips would you give a person in the health field that needs to understand the importance of this vaping topic and how to talk to their patients and I guess get them to quit or just getting them to stress to stay away from the THC related products, if anything?

Dr. Andrew Berry:
Very valid discussion point right there. I think you just tell them the facts. So if you tell them the facts, it\'s such a dynamic thing and tell them that you\'re staying on top of it. I feel like every physician should at least stay on top of this subject since it\'s so popular. I mean, I\'m a GI physician and I\'ve had cases consult cases that I think related to their THC laden vape products, after ruling out everything else. I have one or two in the last couple of months I feel. But I think telling them the truth and let them know, be honest and tell them that we don\'t know. So why would you want to take something that\'s such sketchy that you don\'t know what\'s actually happening currently? I think the best thing would be tell them they should be stay up to date and we should all just work on this together. Figure out what\'s actually causing the issues. Obviously you want to caution to decrease their usage overall.

Dr. Berry Pierre:
Especially the THC. I got question, is there any THC that I can do vaping? Is there any that have been federally stamped and given the okay or should I just be really staying away from all THC related products right now?

Dr. Andrew Berry:
Personally I would say there is small of them. But I think there is some states that have traditionally been selling the THC, especially the medical aspect. Physical stores that have been doing it for a while. And it\'s a tricky, tricky subject because it\'s not really regulated. So I wouldn\'t do it. I know the numbers are small. So you look at all the people that vape across the country in the world, you\'re saying, okay, only 19 deaths.

Dr. Berry Pierre:
Exactly and of course people always, well only have 19 people.

Dr. Andrew Berry:
Exactly. There\'s 19 people that got in a car accident today. But these are young healthy people. That\'s the thing. Okay. I mean these are people that shouldn\'t be getting sick, shouldn\'t in the ICU. There\'s gruesome photos online if you Google them of kids on ventilators, even one kid holding a sign that once you got extubated, I want to start a no vaping campaign. It went viral.

Dr. Berry Pierre:
This is definitely a topic. So I got to ask especially in your professional career, where you\'re at right now, where do you see vaping going from here? Because you\'re saying, you\'ve got CEOs dropping out, you\'ve got people losing a lot of money because of this, I don\'t want to call it a roadblock, but definitely there\'s bumps in the road. Where do you see vaping going?

Dr. Andrew Berry:
Well, on September 11th this year, President Trump wanted to ban vaping. Everybody\'s talk on banning flavored vapes because that\'s targeting those younger people. That\\u2019s the main target of their goal.

Dr. Berry Pierre:
Younger people aren\'t doing the non-flavored ones or is it just most of the time if it\'s flavored?

Dr. Andrew Berry:
I think they\'re getting a hook. I think a lot of them start on the flavor and then they advanced or progressed to the THC one. 80% of Juul sales are flavored, so the government is trying to hit the Juul market by stopping their flavored and they think if they can do that, they can stop the overall trend. My personal opinion from an economic standpoint is that this whole regulation, they\'d probably will find some trace it to a couple companies, maybe a couple of chemicals, and that will wean out those companies and chemicals. And I think it actually may make Juul stronger because they don\'t have any THC products. It\'s all nicotine. So once they prove that their product is safe, I feel like a lot of kids will go back to it. (Wow). And it may get a little bit worse. That\'s my own opinion though.

Dr. Berry Pierre:
And I know especially because I know you talked about the almost three quarters of it being THC related. So we still got like that 25% that the nicotine related issues that are kind of still happening as well too.

Dr. Andrew Berry:
Correct or inhalational issues. I think some of these are having heat or caustic burns to the lung, sort of like a chemical pneumonitis. So that\'s on the differential. So the heat is, might be an effect also, but three quarters of them it is sure fire three quarters, I\'ve checked all the numbers. Three quarters are usually men. Three quarters are usually younger under the age of 35 and three quarters. Usually THC is some sort of derivative. So those are the unhappy triad of things to avoid.

Dr. Berry Pierre:
Dr. Berry I wanted to thank you for really educating us and educating, especially me on a topic that is, like I said, as popular as it has been. Again, I felt like it just popped up out of nowhere. And then all of a sudden I see this crisis and almost every article that I read, I\'m like, okay, alright. Write down my favorite again. I typed the vape again, nope. I typed the vape again, Nope. Read article. Everything just pop that in over. Thank you for helping enlightening us for such an important topic at hand that really does not seem to be, I guess by your words, does not seem to be going away anytime soon.

Dr. Andrew Berry:
No, I think it\'s just heating up literally.

Dr. Berry Pierre:
So before I let you go, I always love to really spotlight a guess. And like I said, I, I talked about it a little bit, especially in the beginning the fact that you got CV that\'s 24 pages. But tell people about just about yourself and where can they find you and what\'s next for you. Because like I said, I know you\'ve got about a year and some change before you\'re out here, but clearly you\'re doing some things that I would love for our Lunch and Learn community, be able to follow it along. Tell us about your social media, any other ventures you may have coming up.

Dr. Andrew Berry:
I appreciate you letting me on. Basically, I\'m not sure. Open mind. Just like the stock market, diversify your portfolio. You never know what opportunity you\'re going to get or were going to happen. Obviously, you never know. Obviously I\'m set for medicine. I\'d probably gonna do private practice, but academic twist to it. I like to publish on a lot of topics. A lot of my publications are not on the same topic.

Dr. Berry Pierre:
Yeah, which I know. I was like, wow, you were very wide range with it too. I know my fellows typically hyper focused, GI stuff, and I\'m like, oh no, no, that\'s not even the case.

Dr. Andrew Berry:
Yeah. Some of the hot topics I like to hit because I think, well I talk about men to a syndrome when you\'re gonna see five this year. Might talk about vaping when you\'re gonna see five this hour. So I don\'t know, a social media, I like to follow a lot of things. An Instagram doctor pub med, and just something funny fitting. I guess Twitter I use sometimes mainly just to catch up on literature, but mainly Instagram. It\'s a great story. People want quick things as you do on your page. You\'ve got a lot of links, a lot of quick things people are. It\\u2019s an inpatient market out there.

Dr. Berry Pierre:
Yeah. You right. Especially for attention. You gotta snatch their attention like, hey stop real quick.

Dr. Andrew Berry:
You\'ve got to mix out audio, video, you gotta mix links. I don\'t know. You just got to keep it hot. No one wants to read about the same stuff. So that\'s the fact that you do all these podcasts and different people, different subjects keep the viewers on their toes, you know.

Dr. Berry Pierre:
Perfect. We would definitely appreciate your efforts. Remember Lunch and Learn community, all of his links will be in the show notes as well. Definitely follow him. I know you were talking about a YouTube page as well too. You have a YouTube as well?

Dr. Andrew Berry:
I have a YouTube page. I have a lecture that I gave a similar topics. I put it on YouTube. It\'s got video, audio. I got a little bit everything. You gotta hit all the markets.

Dr. Berry Pierre:
And remember Lunch and Learn community, if you want to watch videos, he\'s got stuff for you. If you want to just read, he\'s got a lot of stuff to read, I\'m telling you. That\'s all I get. I\'m not being facetious. There\'s a lot of stuff to read if you want to read. In fact, I was very interested and I have to get a read on the online symptom checker, I was like, oh, that\'s a topic.

Dr. Andrew Berry:
That\'s one of the topics I really like too. I have done some TV stuff with that and some of the vaping, it\'s a hot topic.

Dr. Berry Pierre:
What made you do that before I let you go? What made you like thinking, oh, you know what, we tackle there.

Dr. Andrew Berry:
Everybody, just like you and I know. Everyone, every day you\'re going to see somebody that comes and says, well, I looked it up online web MD, this and this, and we all have the same reaction internally, a little different externally. It just made me want to do it and I just checked the accuracy of these symptom checkers and let\'s just say it\'s not good.

Dr. Berry Pierre:
Not good. I love it. Here Lunch and learn community, please don\'t go to web MD and all these other places and click a couple of buttons and then come and tell me you have cancer. I don\'t want to hear it because web MD is always gonna sell high because they don\'t want to be the ones who say like, oh whoa, whoa we told them they had cancer and they didn\'t believe me. It was just a migraine. I guess that\'s all it was.

Dr. Andrew Berry:
Exactly. And now I guess right now a new study we could do, hopefully one of your viewers maybe wants to do this. You can check these injectors now for vaping. See if that\'s in a differential.

Dr. Berry Pierre:
It\'s so funny because as we\'ve talked about it, I have not had one of my residents like throw it out in a different ritual.

Dr. Andrew Berry:
We can tell who\'s listening your podcast now so hopefully whoever does it definitely a listener.

Dr. Berry Pierre:
Exactly. So again Dr. Berry, thank you for really putting us on game. Putting the word out there. This is something that everyone needs to know and we\'ll make sure that happens. Such an important topic of vaping as it is.

Dr. Andrew Berry:
Thanks for having me. I appreciate your time.

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\\xa0

• Official Website - thefastingdoctor.com
• Instagram
• Facebook
• Book Recommendations
• Furmili S. ER, Ramos M., Fung J. Therapeutic use of intermittent fasting for people with type 2 diabetes as an alternative to insulin. BMJ Case Rep. 2018.
• Varady KA, Bhutani S, Klempel MC, Kroeger CM, Trepanowski JF, Haus JM, et al. Alternate day fasting for weight loss in normal weight and overweight subjects: a randomized controlled trial. Nutr J. 2013;12(1):146.
• Eshghinia S, Mohammadzadeh F. The effects of modified alternate-day fasting diet on weight loss and CAD risk factors in overweight and obese women. J Diabetes Metab Disord. 2013;12(1):4.
• Dunlop EA T, AR. mTOR and autophagy: a dynamic relationship governed by nutrients and energy. Semin Cell Dev Biol.36:121-9.

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Download Episode 122 Transcript

Episode 122 Transcript...
Introduction

Dr. Berry:
And welcome to another episode of the Lunch and Learn with Dr. Berry. I\'m your host, Dr. Berry Pierre, your favorite Board Certified Internist. Founder of drberrypierre.com as well as a CEO of Pierre Medical Consulting. Helping you empower yourself for better health with the number one podcast for patient advocacy, education and promotion. This week we are talking about intermittent fasting and have amazing guest, Dr. Cecily Clark-Ganheart, who is Board Certified in Maternal Fetal medicine, Obesity Medicine Specialist. And she\'s going to talk to us about how to incorporate intermittent fasting in your nutritional lifestyle change. Guys remember the theme for the past few episodes has been about nutrition and making that nutritional transition in your life, to live a longer, healthier life. Because that\'s always the goal. And I wanted her to come on this podcast because I have a lot of guests who have inquiring about intermittent fasting. Some of the pros, some of the cons, some of the benefits associated with it.

So I said, instead of me just telling you what I know from an internist standpoint, let me tell it from someone who\'s actually in the trenches physically. Actively doing it as we speak and having so much success to the point where she\'s lost over 50 pounds incorporating the lifestyle of intermittent fasting, low carbs. And guys, she fast for 18 hours a day. So again, first of all, full disclaimer. You do not start going all the way to 18 hours fasting. You have to work to get there and we\'re going to talk about that mental process and that mental transition of working up to get to the point where you can actually fast for 18 hours a day, lose 50 pounds, still incorporating a great diet. Things going to be another one, things going to be really highly requested because of the amount of gems that gets dropped during this episode. You guys are definitely in for a treat. Of course like always make sure you subscribe to the podcast, especially if this is your first time listening. Again, appreciate you listen to the show today. But if this the first time listening, subscribe to our podcast. Leave five star review. Four star review is okay. With five star review, letting us know how we did about today\'s episode in our discussion on intermittent fasting. Again, you guys have a great and blessed day.

Episode

Dr. Berry:
Alright, Lunch and Learn community. Just heard another amazing introduction from a guest who I\'m actually very interested to talk to, especially for us subject as when we talk about nutrition that we\'ve been doing for the past couple of weeks. I get a lot of questions about fasting and is it safe and what can I do to better my chances. So I say, you know what, let me get someone who, this is what they do. This is the expert. This is their field per se. Let me have them answer it and see if we can get there. So again, Dr. Cecily thank you for joining the podcast and getting ready to enlighten us because I know you\'re about to do that. Again, I\'m excited. Like I said, you\'ve been highly recommended. I just want to say I have had a few people are like, no, no, no, no, you gotta give a passing doctor on the show. That\'s what it gets.

Dr. Cecily Clark-Ganheart:
I\'m happy. I\'m excited to be here. And I love talking all things intermittent fasting and just how it pertains to health. I think it\'s a tool that people don\'t really think about and it\'s highly underutilized and it can make such a big difference in health.
Dr. Berry:
I love it. So we did a little bit introduction on your bio, but I do have listeners who like to skip passing, get right into the meat and potatoes. For some of who may have read a bio and then they are like, that\'s great and all that. What is something that may not be necessarily in your bio, but you want people to know about you and your journey?

Dr. Cecily Clark-Ganheart:
So what\'s probably not in my bio, my bio does talk about, and I won\'t rehash, it talks about my own health journey and things of that nature. How I got into intermittent fasting. It was basically the only thing that I hadn\'t tried before in order to lose weight. And then also combine that with the lower carb approach. And so for me, I found it worth very well. It was the first time that I had long sustaining weight loss without feeling like I was on some strict regimented program where I had to count calories or worry about stuff like that. And so for me, I think just in general there\'s a lot of misconceptions about intermittent fasting and I\'m sure we\'ll get into some of those later. But it really is easier than I think what a lot of people make it seem like it really isn\'t that complicated.

Other things that I encourage people to do and that I\'ve gotten into myself that\'s not in my bio, I think you also have to pay attention to the role of gut health. Just overall in our physical health, the gut microbiome. Some people say, our GI tract is like our second brain. There\'s so many different disease processes and signals and changes that all start in the GI system. So I think doing other like healthy eating habits to support a good micro biome is also important. So for myself, for some examples, I like to do fermentation and I like gardening and I ferment my own stuff at home. One, it\'s cheaper. Two, it\'s better than taking a probiotic because the probiotic can\'t compare to what you\'re getting in a natural from it for people used to eat all the time. And it\'s really easy. And I encourage people, once you start refining your nutrition, I encourage you to look at some other more quote unquote ancestral ways of eating and just see what people did before industrialization because all of the diseases that we are treating now in the medical system really are modern diseases. They\'re diseases of industrialization. So we used to die of different things before industrialization. (I love it). Now we\'re dying from a whole host of different things that have just been created by us thinking that we were outsmarting nature.

Dr. Berry:
Well especially because it\'s so interesting because first of all Lunch and Learn community, I need you to follow her Instagram because she actually will show you the fermenter process. So this isn\'t something that she\'s just talking, she shows you, oh see this is what I do. Now of course when you first look, that\'s interesting. But when you just listen and understand the process, okay. Because I think that\'s what always gets people anytime they have to make any type of change transition. Just that newness of it is very difficult for people. So when we talk about just fascinating, and even though like the fermentation and all that, when you hear those words, they\'re like, what does that mean? You mean I can\'t eat? That\'s always a big thing, right? I can\'t eat. So for a person who says, you know what, maybe I\'m thinking about your intermittent fasting, but what is it? What would you say to that person?

Dr. Cecily Clark-Ganheart:
So the easiest way to describe intermittent fasting is just, it\'s a period of gut rest. It\'s a period where you are not intaking any food. You can drink water, but nothing with the caloric content that just allows your system to reset. That\'s how I like to describe it. Now, there\'s several different things going on when we say you\'re resetting your system. But it really is just simply, you just not eating for a period of time and you pick the period of the time. That\'s the beautiful thing. You decide how long you want to go for without eating. And that\'s why it\'s different than starvation because when you\'re starving, you don\'t get to choose when you eat again. You\\u2019re praying that food comes around so you can eat it. With the intermittent fasting, you can eat whenever you want. You\'re just making a conscious decision that you know what, for 12 hours, for 16 hours, for 18 hours, whatever you set your schedule to. I\'m going to allow my body to actually have time to repair itself, to lower my insulin levels, to do some other beneficial things that my body\'s not able to do if I\'m constantly eating every two to three hours all around the clock.

Dr. Berry:
What\\u2019s interesting, especially when people hear about the intermittent fasting, the time is always one of their biggest markers. It\'s usually how long I gotta do it and what can I eat when I\'m not like or drinking on that process. Do you have any, especially when we talking about the different types of intermittent fasting, is there any pros and cons one way or the other in terms of if someone\'s a beginner or someone\'s on late stage? What would you, especially in the beginning stages for sure?

Dr. Cecily Clark-Ganheart:
Yes. I think if you\'re just starting off, probably the easiest to do, especially if you are used to a lot of nighttime eating and again, if you\'re a constant grazer, honestly starting off with just like a sunset to sunrise fast might be the easiest place for you to begin. Because I think it\'s intimidating for some people to hear that, oh my gosh, I have to go 18 hours without eating. One big thing to keep in mind is that sleep counts is fasting. So sleep! Use that time to not eat. So that\'s saying that you\'re going 18 hours starting at 8:00 AM. Do you know what I mean? All while you\'re working in things, if you stop eating by 7:00 PM and during the summer hours and early fall, it\'s still going to be light outside. That counts is eating. Getting your last meal in before dark.

So if you just did 7:00 PM to 7:00 AM that\'s 12 hours and you\'d be surprised how many of us don\'t even go 12 hours without eating. That seems that should be natural. But if you are eating at nine, 10, 11 at night or say you ate at 8:00 PM but before you go to sleep you have to drink, name some sugary beverage, that\'s not fasting. It\'s your drinks too. If their calories in it or artificial sweeteners, all of that is not counted as fasting. So for a lot of people, if they can just begin with not eating after dark and waiting like even an hour or two after waking up in the morning before eating something, especially if you\'re changing your nutrition, you\'re going to see benefits. And so then after that, if you start with that as your foundation, then you just basically start extending after that.

So if you ate at 7:00 PM the night before, instead of eating at 7:00 AM the next day you push that back a few hours. That\'s how you\'re going to get your 16 hour fasting. And then keep going from there that you can get up to your 18 hours. There\'s all sorts of different terms. There\'s one meal a day. There\\u2019s people hear about the five two diet, which is just a play on intermittent fasting. There\'s several different things that you can do, but I would say rather than getting caught up in which method you\'re doing, just start with 12 hours and then as you noticed, you\'re not hungry. The next thing I tell people, if you\'re not hungry, don\'t eat. So don\'t eat at 7:00 AM just because it\'s been 12 hours.

Dr. Berry:
Because it\'s like the clock watching and in a second\\u2026 (Exactly). 7:01, alright I will not going to eat.

Dr. Cecily Clark-Ganheart:
Exactly. But then I would ask you before you do that, are you hungry? Because if you\'re not hungry, why are you eating? And that\'s the whole thing. You have breakfast, lunch, dinner, two snacks and I got to eat on clock. Oh it\'s time to eat. Whoever told us in nature it was, this position of the sun is time to eat. You ate when you were hungry. So I think by starting just with that concept and getting to know true hunger cues that\'s going to help you just become a natural, intermittent faster.

Dr. Berry:
What I love that you talked about is, because I think a lot of times people will say, well I didn\'t eat anything. But then they\'ll neglect the fact that drinking soda, I was drinking juice, I was maybe I had a nibble here and there and we don\'t really realize how much we\'re actually eating and drinking after seven before seven. So I think sometimes is having that eye opening experience, wow, I\'m really eating a lot after the times where I probably really shouldn\'t need to eat. Because I know a lot of my patients that was always that big, oh, I gotta have something before bed. I gotta have a snack, I gotta have something. It\'s something that they, quote unquote had to have that we\'ll tend to get them in trouble. So I love that aspect of just starting when the sun goes down, when the sun goes up, this kind of seat. That way they\'re not clock watching per se, because again, like I said, that tends to happen. The second they realize 7:01 hits, all of a sudden they\'re running for a meal. And I asking themselves that question, I wasn\'t actually hungry or was I eating because I\'m quote unquote allowed to eat.

Dr. Cecily Clark-Ganheart:
Exactly. And so that\'s the thing. I mean it\'s about getting used to your true hunger cues. The other problem is because of a lot of the sugary-refined processed carbohydrates our hunger cues are truly off. And so I do this with my kids a lot too. They\'ll run up and they\'re like, I\'m hungry. I\'m like, okay, here I have like the fish that we made and Broccoli, there you go. Oh I don\'t want that. All right. I guess you\\u2019re not hungry. Because if you\'re hungry, you\'re getting eat what is in front of you. Right? I know when I\'m hungry, maybe I would have preferred a salmon young for dinner. But you know what? That cabbage right there looks good too. And that\'s what we have. Somebody eat that, you\'ll eat when you\'re hungry. And so I think if you can get up or if you\'re picking at something and you\'re like, blah, blah, blah, or if the phone rings and now you\'re distracted for 45 minutes and now you\'re no longer hungry, you realize that that wasn\'t a true hunger cue either.
And so what I noticed a lot for myself and people that I work with is that when they start intermittent fasting, the thing they say is, I thought I would be starving at the end of my window and I\'ve actually not. And so that\'s when we start having that conversation. What do you want to go longer? Because if you\'re not hungry you don\'t have to break just because it\'s the time. I\'m giving you a time just because a lot of people do better with goals up front. Something very finite, but it\'s people realizing that once your insulin levels are coming down, once some of these other factors that mediate hunger, like growing, you know, or decreasing and etc. You don\'t have that urge to constantly snack either. And a lot of people are surprised by that.

Dr. Berry:
It was interesting, you talked about hunger cues. Does the fasting help modify them or does it, are we able to bring it to light and say, well see, were you actually really hungry or is because you\'re fasting now as you\'re hungry. How would you say that the hunger cues are affecting? And we\'ll even go back a little bit further. For Lunch and Learn community, you may not know, what are hunger cues and what are some of the things that you\'ve seen, especially with the clients that you work with and even self as affected in one way or the other?

Dr. Cecily Clark-Ganheart:
Yeah, so I think the hunger cues, when we go back and we\'re talking about the gut, there\'s a lot of signals and different hormones that originate the gut that then provides feedback back to the brain to mediate hunger or not. I think of the famous experiment with the dog and the bell where it\'s like every time you were going to feed the dog, you ring the bell. And so then all of a sudden all the same physiologic processes would start happening if you rang the bell but didn\'t give them food. And that is an example of how our hunger cues can get intertwined with things that are external cues that aren\'t necessarily your body truly saying, I need to eat right now for nourishment. So it\'s just time or think about other things like stress.

Stress eating is a big thing. But you\'re not necessarily hungry when you\'re stressed, but you may eat when you\'re stressed because it either gives you relief, it either pacifies you with sugary food. Again, stress eating, usually you\'re not stressed eating out on Brockway, right? You\'re doing it on high. I mean probably not. You\'re better than me. That\'s not what I should say. You\'re stressed eating on things that are typically poor quality nutrient foods that have a high glycemic index that are very sugary and sugar triggers a reward response in the brain. So this may be getting a little too geeky, but I mean there\'s a chemical called dopamine. And so if that is stimulated that its makes us feel good, we feel better. So sugar can do that, but then that feeling goes away and I\'m stressed again.

Okay, now I feel better that I had that piece of cake. Okay. But I\'m still stressed, better than I had that extra. And so it can become vicious cycle like that. So there\'s so many other external stimuli that we are either getting rewarded from or mistaken as hunger. And unfortunately they tend to be the foods that are not the best for us. Then if we\'re talking about internally, some of the things that intermittent fasting can help do over time. We\'ve already talked about insulin and that\'s also the same premise behind lower carbohydrate way of living or Keto in general. If you\'re not having to stimulate your insulin as often, you\'re going to have lower levels of that in the body. Insulin in itself, it signals storage so you can have a hard time getting rid of that or different things like that.

If your insulin levels are chronically high. So with intermittent fasting, if you\'re not eating, those levels are coming down. In turn, those work with other hormones in your body that when they\'re high they tend to produce hunger or produced cues to eat. By lowering those, because you\'re not eating as frequently. That\'s why we think any way people are not having that constant feeling of hunger because people will tell you the longer they fast, the longer they practice intermittent fasting consistently. Also if they are improving their nutrition, I still think nutrition is important as well in all of this. Over time they\'re less hungry and that\'s just uniform around the board.

Dr. Berry:
It is very interesting because I just recently myself went to a low carb Keto lifestyle type and you hit it right on it because really thought like I would be, because we ate a lot of rice versus everything else. I don\'t eat that no more. I really thought I\'d be starving, but I get that\'s really not the case. Which is still surprising to me that I\'m like wow, I guess I\'m not as hungry as I as I though because I would remember the opposite where I\'d feel like, oh I didn\'t have a meal. My meal wasn\'t quote unquote complete if it didn\'t have rice, especially rice. I always felt like, oh this meal, I\'m not even quote unquote full yet.

The fact that I essentially token out away and that felling is in air. That was definitely a very interesting point as well. Because there\'s always gonna be attracted, right? Regardless of whatever lifestyle change you have. And I\'m pretty sure you heard every reason in the book at hand. But I always get people when we talk about anytime we change it, is there any evidence behind it? They don\'t really read them but they always want to know of this type of evidence associated with fasting. I want to talk about your personal journey just in general just so we can kind of get that out the way.

Dr. Cecily Clark-Ganheart:
In terms of the evidence, so there is a lot of evidence for intermittent fasting. And so when we say intermittent fasting, again the research has looked at different fasting protocols. So for instance, you have animal models. Sometimes people are like, oh that\'s in rats and I\'m not a rat. And I get that you\'re not a rat. But I mean also you don\'t necessarily want to start testing out something on six week old infants either. Right? So you got to start in the lab somewhere. I mean it\'s for human safety. But looking at the animal models, several studies have shown when you do kind of like the Ad Lib Diet basically meaning kind of how most of us prior to intermittent fasting kind of function. Ad Lib meaning you eat whenever you want and what you want as much as you want.

And so for some reason you decided to stop. So mice will do the same thing. So if they have chronic access to food, they\'ve looked at their metabolic changes versus when they intentionally restrict the periods of time that the mice can eat. And so that\'s where they first started seeing some of these improvements in micro neurologic function in terms of rats that were showing maybe some signs of like Parkinson\'s disease and other neurodegenerative diseases weren\'t showing it as much as the rats who ate all the time around the clock. Looking at different inflammation markers that are associated with condition called metabolic syndrome, which basically several different conditions. They were showing that those inflammation markers went down, that they were having less visceral fat, which is basically fat around your abdomen. Central obesity as well as what we also call it. Those studies have shown that there are at a cellular level. There is something going on with the intermittent fasting.

That\'s where some of this research and at term or concept called autophagy has come into play, which is a basically a self-healing mechanism that the body uses to remove damaged proteins. Well, the body can only do that when it\'s not overloaded. But if we\'re eating all the time, the body is spending all its time in the feed state processing, so you\'re not able to get those levels. So that\'s where they think some of the therapeutic benefits of fasting come in. While this is not, I guess, science, if we just look at human culture throughout the ages, every major religion has fasting as a part of their dots. If you\'re looking at, I\'m not gonna promote, tell people one religion versus the other, but I\'m just saying if you look at religion in itself, a commonality is fasting and prayer.

If you were ill, you needed to fast for a while. We\\u2019re now starting to see some of that adamant, you\\u2019re a level, why that doctrine actually does make sense to have a period of time. And you\'ll see people quoted through history, Benjamin Franklin, one of best medicines, rest and fasting. I mean, people would set this off. This is not anything new. It\'s just we forgot, because we were more sophisticated now, whatever. And we have access to a lot of foods. So then to take it out of using that as a bridge to get into. You have human studies as well. One of my favorite ones, and I\'ll send you the link for it, talks about intermittent fasting in normal weight people. And so even though you know the clientele I\'ve worked with, my patients are going to be overweight or obese.

I like this study because there\'s this concept that once you hit goal weight or normal weight, whatever that is for you, now you stop fasting. Because if you fast at a normal weight, now all of a sudden you have an eating disorder. But if you\'re heavy, it\'s okay because you got to get rid of that fat. But like once your BMI hits normal, why are you fasting? So this study was actually done in people of normal weight or who were just slightly overweight and they did a variation on alternate day fasting and they saw improved metabolic markers still because just because you look a certain way, does it mean that your metabolism and your inflammation markers and all of that are where they should be. It\'s just manifest it how I might manifest it. So for me, if I go back to eating very high sugary foods, I can put on 30 pounds easily. That would not be difficult for me. Other people just they don\'t gain weight but they still could drop dead from a heart attack. And you\'re like why? What happened? Because it doesn\'t mean that you\'re metabolically healthy just because you look skinny.

Dr. Berry:
That\\u2019s always so funny because I think a lot of times people are like almost perplexed when they see on the outside looks fit, look skinny, that has all of these other hypertension, diabetes, all these other medical record. For some reason it should be that to the obesity aspect. Oh, that\'s why you have that. But when a person is an obese, for some reason, I can\'t explain why.

Dr. Cecily Clark-Ganheart:
Exactly. And so that showed improvement in health markers for that. If we\'re looking at diabetes, granted it\'s only a study of three people, the reason the case series is impressive is because they took people who I belonged standing type two diabetes. So they were on insulin for years. And traditionally a lot of people are like, oh my gosh, what if I get diabetes once I go on insulin? Like that\'s it. It\'s just a matter of years before the amputation hits or before whatever hits. It\'s coming.

Dr. Berry:
That\'s so funny. Because I don\'t know how many times I heard that. That is\\u2026

Dr. Cecily Clark-Ganheart:
Yeah, it\'s just like people are like, oh well, all right, I gotta take this insulin now. I mean you might have to seek it for a little bit, but come on, let\'s look at your nutrition. So they did combined a low carbohydrate approach. So they weren\'t Keto per se, but they reduced their sugary intake. And then they did varying fasting periods and it was like, I think within nine months or something like that, I can\'t remember the exact time frame. Most of these people were off insulin and they were on high doses. Some on like over a hundred units a day. And they were able to come off insulin using a combination of a lower carb approach and intermittent fasting, which then goes challenged that dogma that once you have, and I\'m talking about type two diabetes. Type one diabetes is a different thing that\'s a whole different mechanism.

But, so if we think of a type two diabetes is more of a lifestyle disease. They were able to show through changes in lifestyle that you were able to reverse that. And then there\'s several other studies that go over again, like autophagy and it\'s applications and potentially cancer therapy and protecting against some of the adverse effects of chemotherapy. So there\'s a lot of work in this area. And so I think to, for people who are referring to it, just as a fad. One, you haven\'t looked into it because it\'s not. There\\u2019s actually evidence behind it.

Dr. Berry:
What led you on the journey where you realize that you know what, intermittent fasting is for me or that\'s a way I want to go? And let\'s talk a little bit about your regimen. Because when I had Dr. Lisa Folden, she\'s been on the meal prep. And when I asked her, what are the issue that thing happens with meal prep. Is people, they Google and they see these images. Or they Google and they read stuff and they\'re like, oh, I can\'t do that. And that\'s always a big thing. Oh, I can\'t make my foods look like that. Oh, I can\'t stop eating for 12 hours. What was some of the events that led you on that path? What\'s your day to day now with that process?

Dr. Cecily Clark-Ganheart:
So what led me down that path was, when I had my second son in 2014. At the time of delivery, I was around like 260, 264 pounds when I had him. And so I was like, okay, I had been diagnosed with metabolic syndrome after all of that. And so I was like, all right, well I need to do something differently. Okay, I\'m pre-diabetic. So we already know where this goes.

Dr. Berry:
Insulin, amputation.

Dr. Cecily Clark-Ganheart:
So I was like, okay, that\'s where I\'m going. So I need to, I\'m only pre-diabetic right now so I can get a hold on it. So that\'s what led me realizing I needed to make a lifestyle change. The problem was after that I did more of the same thing because I really hadn\'t heard of intermittent fasting yet at that point. So I mean, I did lose weight. I started like your traditional calorie counting, working out, running all of these things. And so gradually I was able to get down to just around 200 pounds and then the weight just started coming back. And so I was like, I was doing everything that I thought I was supposed to be doing and then I\'m gaining weight again. And then I was like, well, if I\'m just gaining weight then why am I even doing this?

I gained more weight. So around that time in 2017 though, I was like, okay, really though I need to figure this out. And on the chat board actually is where I heard about a book called Obesity Code and that\'s by Dr. Jason Fung. So I pick that up and read it and it actually made sense as to what he was talking about. And so I said, okay, well I\'m just going to give that a try. And in his book, it\'s not his focus really. He talks about nutrition a little bit. That\'s not the main focus. It\'s to get you to understand the mechanisms of intermittent fasting. So I started with that, but then subsequently read a book called Deep Nutrition by Dr. Cate Shanahan that discusses more ancestral ways of eating. And so in a more ancestral approach is going to be lower and refined carbohydrates. So it kind of all still goes together.
So that\'s what led me to it. And then I was seeing results. For me, my typical regimen is closer to like an 18 hour fast each day. But sometimes I go longer or sometimes I go shorter. But that\'s typically what my period looks like. And then during my eating window though, I also don\'t snack or keep snacking to a minimum. So can I say I never have a snack? No, I can\'t say that, but I certainly make a conscious effort then if that day\'s going to include eating lunch and dinner to really mainly just eat a good lunch and a good dinner and not stack in between that. Because what we\'re thinking is if we\'re thinking that insulin has a role in obesity, and obviously there are other hormones, nothing\'s like that simple where it\'s X plus Y, you know?

I definitely admit that we\'re probably over simplifying some of the explanation. But at the end of the day, this is the premise of it. Every time you eat, you spike insulin. So insulin in itself, the insulin you make in your body is not a bad thing. It\'s just when you have it in excess. Because we need insulin to live. If not, that\'s where you start getting type one diabetes, right? So I mean, you do need it. But the problem is when you\'re needing it and increasing amounts, increasing amounts, and if you keep stimulating it all the time with frequent snacking, without doing gut rest, this leads to just higher baseline levels of insulin even when you\'re not eating. And so insulin signal storage, so signals fat storage, but it also can play into other signaling for inflammation. And then your high blood pressure or polycystic ovarian syndrome. I think of that as a disease of androgen. Excess meaning too many like meal steroid type hormones, which yes, but also insulin excesses at a key in that as well. So there\'s so many other things that insulin influences where it works in perfect harmony when your insulin levels are regulated and normal. But in excess, anything can be bad. Why? I still try not to snack during my eating window per se because I don\'t just want to keep. I don\'t want to do that.

Dr. Berry:
Is there any issue during your period as far as foods you try to stay away from, during that period as well too? Or is it because it\'s my period and I can go and I can go in blank?

Dr. Cecily Clark-Ganheart:
Agree. I still try to stay away from refined carbohydrates during my eating windows. So things that I\'m going to eat are pretty much stuff that either grew from somewhere, or it\'s an animal, something like that. I\'ve really tried to stay away from package food. And also I think a big misconception is that, diet pop is fine. No, those artificial sweeteners we see can stimulate worse than what just regular sugar would do. So it\'s not been saying, well I\'m not eating. Because it says zero calories, but it still has that very sweet taste. I try to stay away from juices. I am not at my brother and I go back and forth on this all the time because he just lost his eyes at me. But I am not a fan of smoothies that you can tell me you make them however any kind of way.

Especially if you\'re buying them at a juice bar or something like that. Have you ever just blended pure Kale doesn\'t taste good. If that taste good, they have put something. I mean this is the thing or what I tell people is, think about an apple. So I don\'t know if you\'re having like a green apple smoothie or something like that. In a day, it is probably very difficult for any one person to eat five or six apples in a day. I eat one apple. But it\'s going to be difficult just for you to sit there and say, I\'m gonna eat five apples. You could easily have apples in a smoothie. So again, I think there\'s a misconception that just because the sugar is natural, that it\'s fine. I think when we\'re eating fruit in its whole form, there\'s only so much of it that you\'re going to be able to eat. So you\'re still naturally limiting how much sugar you\'re taking in in a day. If you\'re eating it, you have to process all the refuge with it. You know you\'re going to get cool. But once you blend something, you can easily have two smoothies. Well how much went into that?

Again, I\'m not saying have I not ever had a sweetened beverage, have I never had a pop since I\'ve started intermittent fasting? No, that\'s not true. But I can tell you prior to intermittent fasting and changing my nutrition, it would have been nothing for me to have three or four diet drinks in a day. Thinking I was doing well because I was only having a diet drink and all of that stuff messes with your insulin. So on a day to day basis I try to stick with water, plain tea or coffee as the beverages I drink. I do brew my own Kombucha at home so I may have like a little bit of that here or there. I try to stick with real natural foods stuff not made out of a factory or plants.

Dr. Berry:
I love it. Because I think you answered my next question as far as different types of lifestyle adaptions you can also apply while on the intermittent fasting. Because I would assume especially with the clientele you work with, when they initially start it\'s the time factor. The hurdle that they go over. I\'m pretty sure you probably do just as much as education when it\'s time to go when it actually is time for them to eat. Okay. That is time for eat. I need you to kind of look at the type of foods you\'re eating as well too. I\'m not sure if saying it would offset their fasting is correct. I guess that\'s probably a good question. Can you have a bad faster who may go 12 hours, 14 hours, but because of what they do with the rest of the time, it offsets some of the benefits?

Dr. Cecily Clark-Ganheart:
So I think initially you\'ll probably see some improvement even if you don\'t change your diet right away because you\'re going to eat less of those sugary process carbohydrate foods. Usually if you\'re increasing the time between meals. So you may start to see an initial benefit. But I think we\'re, a lot of people hit plateaus from, because they aren\'t realizing, okay, now I need to focus on my nutrition. The other thing is because I see a lot of people who are hoping to become pregnant, we don\'t recommend intermittent fasting during pregnancy. So my thing is you gotta get your nutrition down because when you\'re pregnant, your nutrition is all that you have to control how much weight you\'re going to gain during pregnancy. Contrary to popular belief, we\'re all not supposed to gain 60 to 80 pounds when we\'re pregnant. You\\u2019re having a seven pound, eight pound baby, where did 70 pounds go?

I was like that too. I gained like 60 pounds with my son who was only seven pounds, two ounces. Like, okay. Clearly he didn\'t use all of that 60 pounds that I gained. So the thing is, I think we need to also focus on nutrition because that there\'s so many other benefits to having a nutritious diet rather than thinking of intermittent fasting as a mechanism that you can eat whatever you want. Honestly, I don\'t even have people do extremely strict carbohydrate moderation. I think people automatically assume, because I\'m seeing lowering your carbs. I\'m saying, you can never have another carb again. And I\'m like, that\'s not what I\'m saying. I have people who do fantastic on 20 grams or less of carbs a day. And they might love it and they feel great.

I have other people who come to me and the first time I see them, they\'re eating 400 plus grams of carbs a day. I am not going to get someone in a week to go from and sustain because again, this is about sustainability. I\'m not going to be able to get them to go from 400 to 20 grams all in a week\'s period. So what I find is that even just gradually reducing it and people, a lot of people are shocked. They\'re like, oh, you have people who really eat, a hundred, 150 grams of carbs a day and you add intermittent fasting and they lose weight. I\'m like, yes. And they\'re like, but you have to do, I\\u2019m like, we took away a lot of the processed stuff they were eating and now we added periods of gut rest. You would be surprised.

The next thing I\'ll hear people say is, well, they possibly can\'t be in ketosis if they eat a hundred grams of carbs a day. Well, if you\'re 400 pounds and you add intermittent fasting and you\'re eating a hundred grams of carbs a day, I can pretty much guarantee you are in Ketosis, right? Because it\'s this state relative to each. By everyone body compass. So I think we get into a lot of things and that intimidates people where it\'s all of these rules. And I just go back to, if we kind of simplify it, I tell them they can still have carbs, but I want their carbs primarily to come from vegetables that are in low glycemic index. Then I want their dessert now to be fruits. So think of fruit as dessert. To me, dessert is not something you have to have every day. That\'s just me.

So if fruit is now becoming your dessert, you can still have it, but you\'re not doing that every day. And then you\'re adding a period of gut rest, which is forcing you to mobilize your own fat stores. And I think just doing those different things, people actually see a lot of difference and they\'re surprised that how much a change they can note without feeling like restricted.

Dr. Berry:
Especially with some of the clients that you worked with, I think when you Google you hear some of the common questions and even better misconceptions and we\'ve talked about a lot of them, but are there any others that you hear questions even sometimes bother your mind like huh?

Dr. Cecily Clark-Ganheart:
I know. So we already talked about the starving misconception. The thing that I find most interesting is the conception or question I get all the time. Can women fast? Women\\u2019s shouldn\'t fast? (Interesting). I don\'t get that. But yeah, men fast and, but then women can\'t fast. And I said, well that\'s very nice that in caveman days the men would give all their foods to the wife. Probably not. I\'m sure they were both not eating together, but women can fast. I think the issue is that we are equating fasting to an actual state like Anorexia where we see when people have true Anorexia, you can have irregular cycles. It\'s the same question I\'ve heard people say, well can women do Keto? Because don\'t women need carbs in order for their cycles to\\u2026 So people will ask that too. No. Again, people are thinking that you\'re taking something, you\'re mistaking fasting with a medical condition and they\'re different.

So there may be, you\'ll see people who do intermittent fasting along with a more real foods, whole foods diet approach, who talk about this is the first time in my life that had normal cycles. Because they\'re self-healing their self correcting some of those issues. I think as with anything, and I don\'t think fasting is not any difference. If you take fasting too far to where you are now nutrient deprived. But again, most people, if you\'re still eating two meals a day, especially in the U.S. you\'re not going to be lacking calories. That\'s why I think we have to, we\'re not in the desert, you still have food. So you really don\'t, in my opinion, have to worry that you\'re not getting nutrients if you\'re really just cutting down from three meals a day to two meals a day. There are now hopefully better nutrition quality than what you were eating before.

Your nutrients should be fine. But yeah, if you take fasting too long and you\'re doing regularly 20 day fast or something of that nature, yeah, you probably will see a change in your menstrual cycles after doing that chronically. But with 16 hours of fasting a day, 18 hours, even one meal a day. If you\'re eating nutritiously during those periods, it really shouldn\'t be an issue for most women. So yes, women can do intermittent fasting. Women can do low carb. You can do both eating before you work out. So there\'s this concept that you have to have that free nutrition, before you go lift weights or run or if you work out in a fasted state. You will be surprised at how much better you feel and the results that you\'ve noticed actually.

Bodybuilders tapped into this a while ago. Think Terry Crews. He lifts fast and when you are in the fasted state actually working out, you have the higher levels of growth hormone, which not to a point where it\'s going to be detrimental, but it actually preserves that muscle and makes it more receptive to during that recovery time period. Within, you may go and have your meals so you don\'t have to eat before you work out. Remember there\'s something called like fight or flight or adrenal access. So if your body is sitting there trying to process food while you\'re trying to divert. You\'re having competing processes going on. So you can work out fast and a lot of people, I prefer to work out fasted and I just feel better when I do it. Other people say fasting will slow your metabolism. It doesn\'t slow your metabolism either.

Just think about it again, fasting, we\'re now using it for therapeutic purposes or for weight loss. The fasting was just a period of people\'s lives because again, they stopped eating after dark. And then when they got up in the morning, they were either tending to work outside or doing something like they didn\'t eat as soon as they got up. So just by virtue they were fasting. If you go 12-hours without a meal and all of a sudden your body starts to shut down and go into some hybernation state, the human race would not be here.

All of these things that we think need to happen for survival. We\'ve been surviving for years without doing all of these things that now all of a sudden (Feel we have to do) every two to three hours. So I think those are the biggest misconceptions that I see. And I think people really just have to realize, you will not die if you don\'t eat for 12 hours. You really well.

Dr. Berry:
I know you talked about pregnant women avoiding intermittent fasting. Is there anybody else who should maybe stay away from this type of?

Dr. Cecily Clark-Ganheart:
I would say during pregnancy we already touched on stuff. The time also with breastfeeding, that\'s not the time to try to do 16 hour fast or anything like that. Eating disorders. So if you have a history of eating disorders, you really want to work with your physician prior to doing that to make sure your issues surrounding that have resolved. Because again, especially if you may have had like anorexia or something like that in the past, we don\'t necessarily have data either way to say that it\'s going to make that condition worse or it\'s going to make it better. But I think you need to make sure you\'re being monitored by someone so that if they see that you\'re starting to develop those habits again, they can help get you into therapy or whatnot.

So I personally wouldn\'t recommend it for people with a history eating disorders. We talked about the case reports with diabetes and how it\'s used as a treatment. So it\'s not that she can\'t fast if you have diabetes. But again, you need to be monitored by a physician if you\'re doing that because you probably need medications adjusted. You don\'t want to go hypoglycemic. So the interesting thing is, and this concept I find interesting because when you do have studies of people who do prolonged fasting and maybe like an extended fast for like 48 hours or you know, whatever. If you look at their glucose levels, they actually are pretty low. Where if you were getting a lab result back, it probably would deem it as a critical lab value that their blood sugar is hypoglycemic. But you don\'t have symptoms of hypoglycemia because your insulin levels are low.

So if the insulin is low and your blood sugar is low and you\'re producing ketones, your body runs off of the ketones. This is also why a lot of people who are strict Keto will notice that they have natural low blood sugar levels because your body is using the ketones. So the same thing with fasting. So you\'re not going to be hypoglycemic or have symptoms in someone who is adapted like that. The problem is with intermittent fasting and a diabetic who has not adapted to having low insulin levels is now all of a sudden you think, okay, well I\'m going to fast, but I\'m still taking my same dose as the insulin. Now you have low blood sugar, high insulin, that\'s a different state. Your problem. Now you have symptoms of hypoglycemia, so you really do need to work with your doctor. It\'s the same way though, like when you start reducing your carbohydrates. I tell my patients, especially during pregnancy, if they\'re on insulin, I\'m like, hey, if you have a change in your diet, I need to know that because I need to change your insulin. Your insulin prescription is based on your diet, so this is why we really shouldn\'t be surprised that changing your diet can read your need of insulin because I am prescribing you insulin based on what you\\u2019re telling to eat.

Dr. Berry:
A lot of time, I think especially my diabetic patients, they know sometimes we have to get on them. That a lot of times I\'m not even necessarily prescribing it for the weight base, which is should be. When I\'m prescribing it because what you eat and I got to come back your mouth and that\'s why you\'re on the dose that you\'re on.

Dr. Cecily Clark-Ganheart:
Correct. And so it\'s one of those things, it\'s like, well if you are going to start, I would say the same thing with low carb. If you are on hundreds of units of insulin and now all of a sudden you\'re like, okay, I\'m going to go low carb. I\'m not saying you shouldn\'t go lower carb. You need to call your doctor because that same insulin dose now is going to be probably not appropriate because now you\'ve made a lifestyle change. So that\'s what you have to be careful about. And then especially type one diabetics because type one we\'ve already discussed, you need insulin as a type one diabetic. You don\'t make it. So you really have to be cautious. That needs to work with the healthcare provider on that. And never would say anyone who\'s taking just general medication stuff. Sometimes we don\'t think about blood pressure medications, but there\'s some several different classes of blood pressure medications and some of them, not all of them, but work with making you urinate more, go to the bathroom more because you get rid of excess fluid.

When your insulin levels lower, that acts as a natural diuretic as well. You will notice lots of people who do intermittent fasting initially because eventually it equals out. But who lose a lot of water weight. They\\u2019re diuresing extra water. So again, your health care provider needs to be involved in this because they may need to adjust doses of medication. They may need to do different things. So it\'s not that you can\'t fast per se. And I know a lot of people are like, oh, I don\'t want to talk to my doctor about it because they\'ll tell me not to do it. But I mean go talk to them. Because the thing is, they may tell you not to do it, but if you tell them you are doing it, then they will adjust. They\'ll document all in the chart and you know, whatever.
But at the end of the day, you need someone to manage your medications. The other thing I would say is that this goes back into misconception time. But people get so worried about, oh my gosh, I\'m taking my medication. Is that breaking my fast? If you are prescribed a medication, assuming that it doesn\'t say don\'t take on an empty stomach because you do have some medications which should not be taken on an empty stomach. Ibuprofen should not take in state on an empty stomach. Regularly you\'re going to have a GI bleed. So there there\'s some things that shouldn\'t be taken but I wouldn\'t worry about unless you\'re drinking your medication with a smoothie about your medication breaking fast.

Dr. Berry:
Good old green apples smoothie.

Dr. Cecily Clark-Ganheart:
Because eventually I\'m never going to have a smoothie company endorsement. Losing my endorsement potential. But there a water company. That\'s what I need to find. I think a water company. That\'s something too, again, before you are playing around with your medications and not taking something or doing this or the other. You you really need to talk to your healthcare provider because that in itself can be dangerous not because of the fasting. It\'s because you\'re self-adjusting medication. And so that\'s something you need. And obviously this is not medical advice for you to go start doing anything. You should talk with your healthcare provider, but these are just some cautions that you should keep in mind.

Dr. Berry:
Always talk to your doctor. Especially I think in this day and age where there\'s so much information out there that could have some good effects or also some bad effects. Always want to make sure you\'re talking to a professional to make sure you get yourself in order before causing any problems. Before we go, I do love the aspect of highlighting my guests and all of the amazing things that they do. First of all, congratulations. I know you recently, just got certify Obesity Medicine Specialist. Definitely congratulations on that aspect as well. I like to call this like the Promo period where any books, any courses, any clienteles or anything that you wanted like say, hey like this is what I\'m doing right now. Please feel free. Because I think when people hear this and they get enamored by the guests and sometimes they want to follow up and see what else guests can all kind of offer them.

Dr. Cecily Clark-Ganheart:
I think the easiest way to find me is my handles the same. My websites the same just across all platforms. So if you go to my website, it\'s www.thefastingdoctor.com. I\'m also thefastingdoctor on Instagram and thefastingdoctor on Facebook. And I have a Facebook group and a newsletter so you could sign up for either, or. I\'m going to this fall actually start launching two different programs. One\'s going to be like small group coaching for people who feel like they want a more personalized kind of approach. But also just a large group forum where we\'ll have basking schedules available and then host weekly Q and A\'s. So if you sign up for my newsletter or follow me on Instagram or on Facebook, any of those sites, once that\'s available, all the information will be there.

Dr. Berry:
Before I get you out of here, I always ask my guess this, how is what you\'re doing helping others to take better control their health?

Dr. Cecily Clark-Ganheart:
So I think how it helps it just realizes or helps people recognize that the weight loss and being healthy says it\'s really not some magic kind of thing where you, you need something super complicated to do. I think if you just focus on periods of gut breasts and trying to eat whole foods, things that are not in a package, I think those are the easiest places to start. And then in terms of adding physical activity, it could be as something like walking 30 minutes a day. You don\'t have to join a gym. I mean, not saying you shouldn\'t, I\'m just saying though that people will have all these reasons like well they are able to lift weights five times a week, they have access to a trainer and they have access to this. And it\'s like you don\'t need access really to any of that.

You need access to quality foods and you need to give your gut a rest. And while quality food can be expensive, if you save the money from that one meal that you skipped, you probably then have more money available to buy more nutritious foods. So I think that\'s the take home. That is my message. I just want to realize and empower people to know that health isn\'t just for a certain group of people who have access to wealth or whatever. Health really can be for anyone. And probably some of the most healthiest people in the world are the people who actually have access to police.

Dr. Berry:
Very good point. I love it. I want to say thank you for joining podcast and really helping to enlighten on a subject that is gaining, I guess traction per say in just the everyday talk when people are making the transformation, transition to one, be more nutritious and they want to think of different ways to do it. This is definitely one of them. Again, thank you for taking the time out and much appreciated. Like I said, we will definitely be looking out for the program, for the groups. And again, remember Lunch and Learn community, all, every book, everything, every link she noted. We\'ll make sure it\'s in the show note so you don\'t have to write anything now. We\'ll make sure we get that to you.

Dr. Cecily Clark-Ganheart:
Thank you.

Download the MP3 Audio file, listen to the episode however you like.

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[showhide type="post" more_text="Episode 104 Transcript..." less_text="Show less..."] Introduction: Dr. Berry And welcome to another episode of the Lunch and Learn with Dr. Berry. I\\u2019m your host, Dr. Berry Pierre, your favorite Board Certified Internist. Founder of Dr. Berry.com as well as Pierre Medical Consulting. Helping you empower yourself with better health with the number one podcast, where patient advocacy helping you empower yourself with better health. This week we have an amazing guest. A good friend of mine, Dr. Shanicka Scarbrough who is going to educate us on how we bridge the gap. We get to talk about National Minority Health Month. We get to talk about a lot of her endeavors. Because she\'s a phenomenal woman who just does absolutely amazing things and is probably busier than me, right? And I know I know a lot of people say I\'m busy. With this one, she is a busy one. Like this kind of doors and my works, like she makes me work a little harder when I see the amount of work that she gets done. So quick bio. I know you guys need that credibility boost so you know like hey, make sure Dr. Berry is just talking to anybody. Dr. Shanicka Scarbrough a.k.a. America\'s favorite family medicine doctor. Graduated from the University of Illinois College of Medicine in 2009. She completed her family medicine residency program at Advocate Christ Medical Center in 2012. Since then she has gained invaluable experience as a board-certified family physician. She has had the privilege of owning and operating a private medical practice. She is a bestselling author with four titles including As the Wind Blows Vol. 1 and 2. As well as her Daily Journal Series where she emboldens women to take one step closer to Christ and a longtime physician entrepreneur where she teaches at a physician and physicians in training how to start her medical practice. Currently, Dr. Shanicka is the Medical Director of Black Doctor.org and works as a wound care specialist in Sacramento where she lives with her husband Pastor Darrell Scarbrough and their three rambunctious dogs. Dr. Shanicka mission is to be transparent about her life in hopes and share her testimonies will help bring others closer to God. Haven\'t been the featured MC of the Diva M.D. radio show on urban broadcast media as well as a variety of other platforms on television social media. She speaks in various educational inspirational settings travels internationally including Haiti and many countries in Africa to extend her knowledge skills and expertise around the globe and you do and you\'ll have the links to her website and her daily general series that I think you guys all need to pick up because it\'s absolutely amazing. And like I said you know this is amazing person right. And again weekly, we talk a lot about her work with Black Doctor.org or we talk a lot about her work with the international mission trips as she does. So you just got to sit tight and be ready for another great episode but remember before you do that make sure you hit that subscribe button. Make sure you share this with a friend of yours. Tell them to hit the subscribe button and leave 5-star review. Dr. Shanicka 5 star review. Let her know she did an amazing job and you guys have a great take. You\'re ready for an amazing episode. Episode Dr. Berry: All right, Lunch and Learn community. Again, you heard amazing intro from not only a person I respect in the health community especially when it talked about minority health and it talked about physician empowerment. But a friend of mine, Dr. Shanicka Scarbrough, who is, you know, really helped educate us on, you know, obviously when rational minority health needs. You know, what the roadblocks of being an author. You know, why, as she kinda, taken upon herself to get physician out there, own way. You know, put the pen and paper. So definitely excited about today show. And again, Dr. Shanicka Scarbrough, thank you for coming. Dr. Shanicka Scarbrough: Thank you so much for having me, Dr. Berry. Dr. Berry: Again, again, Lunch and Learn community, I can\'t hide this person enough. Again, I think, things were going on almost 3 years now I think and it\'s (Yes, sir). Quite some time and as see, we both see each other grow. Its pace is been absolutely amazing and I\'m the biggest geek fan. I watch a lot of my colleagues from afar. Do amazing things. So I knew Lunch and Learn community, that I needed to get her, you know, to educate us a little bit and talk about some things I think is important. Especially in this month that we\'re in now when we talk about National Minority Health Month. Again, first of all, before that, Dr. Shanika, please tell Lunch and Learn community a little bit about yourself and you know, they may not know, they may not read the bio about of. Dr. Shanicka Scarbrough: Absolutely. Again, thank you, Dr. Berry, for having me on your podcast, Lunch and Learn. This is an amazing platform. I am a geek as well, looking from afar (laughing). And all of you guys do some amazing things and watching you all, do your amazing things is actually what motivated me and some of the positions that I have now, to be able to amplify that. So, super excited about that and we can talk about that and just a bit. And I am back, Dr. Shanicka Scarbrough, formerly Dr. Shanicka Williams. Scarbrough came two and a half years. No. Yeah. Two and a half years. Now, my husband is a pastor. We are originally held from Chicago. Then we moved all the way to Sacramento, California. Our work, he has called to pastor church. My church, Homboss church in Sacramento. So I\'m super excited about what God is doing in the city of Sacramento itself and our church community. I am a Board Certified Family Medicine Physician. I went to the University of Illinois at Chicago College of Medicine (laughing), in hometown 2009. And did a residency in family medicine. I\'m an advocate of Christ in 2012. Since then, I have a multitude of opportunities and things to do within the family medicine scope. That\'s really shaped to why become as a physician as well as some of the physicians that I currently have. I am currently the medical director of Black Doctor.org as of September of 2018. And I am a skilled wound care physician and that\'s a wound care specialist where I going to nurse and council. I take care patients who have wounds, all types of wounds, diabetic wounds, pressure ulcers, so any wounds that inspection, any wound that you can think of, I\'m taking care of those, in the nursing homes. And over the past, since September, actually been able to prop of my lifestyle to fit the way I wanted to look. You know, as a physician. It\'s always a tough thing to do. (You\'re right about that). Yeah. (Laughing). That\'s always a tough thing to do but I think right now, I think I fit that sweet spot. So, yeah. I\'m excited about what happens in medicine, what happens in the African-American community, as far as the physician, and the growth of physician in medicine, increasing the diversity in medicine. So all of that is important to me. Dr. Berry: Love it. So again, Lunch and Learn community until you see, some special. I usually, I guess. I got a lot of special friends and she\'s definitely one of them and you know, I thought of, depending on where you listen to his month of April, National Minority Health Month which obviously, I\'m biased, right? Because a minority, as a physician, I\\u2019m keying to a lot of the different concerns that the, especially the African-American male faces on a daily basis when it comes to healthcare. Obviously, tell us, especially with the month going on as it is in your role at Black Doctor.org. What does national minority health month kinda mean to you? Dr. Shanicka Scarbrough: Yeah, absolutely. So, I\'ve always had a passion for the African-American community, not just because I\'m an African-American or I\'m an African-American physician. But because of our inequality in health. I have a passion for any person or group of people that are marginalized, that is decent advantage, especially when it comes to healthcare because that\'s my profession. That is what I see the most. So, everything that I do is centered around career wise and education wise and getting the word out is centered around education, educating the minority population on health disparities, things that they need to know, to live a healthier life and that is ultimately how I became to be the medical director of BlackDoctor.org. So national minority health month is huge for me because I feel like, it is my duty (strong word). It is. It is my duty, not just in April, right? Not just in February, you know. It\'s my duty on a daily basis to educate and whatever that\'s look like. That\'s what I\'m gonna do. Whatever capacity or rule that I\'m in. That\'s what I\'m gonna do. So I\'m a first lady of the church. We have the first lady\'s health initiative where we are around the country. We have chapters around the country that focus on health in the African-American churches. So I didn\'t want just to be a pastor\'s wife. I didn\'t want just to be a pastor\'s wife right? I used my platform to educate and that it\'s all about. So National Minority Health Month has just been an exemplification of what my goal is to do on a daily basis, every day of the year. Dr. Berry: And it\'s so important, right? Lunch and Learn community. We talked about various diseases here in a podcast, where diabetes, heart diseases, and immortality and birth. You\'ve heard them (Absolutely). And the minority seems to be more adversely affected by it, right? So it\'s definitely something that drives a lot of us to really want to do more because we need to do more, right? It\'s a duty. A lot of us really feel like it is our duty to do more because if we don\'t if we continue to trend, right? It\'s not gonna be good. Dr. Shanicka Scarbrough: It\'s detrimental to our community. Absolutely. Dr. Berry: I like. Actually, it\'s a first lady, what is that? Dr. Shanicka Scarbrough: So a first lady is just a pastor\'s wife. (Right). If you are a pastor\'s wife, your pastor having a church, you are considered especially in the African-American community to be the first lady of that church. And if you can even see me but I\'m putting up air clothes, as I\'m talking. So you know, there are a lot of people like you know, that take that rule very seriously and you know, unfortunately, but fortunately, people, they follow you, like that. Because you have that rule. So I don\'t want to be, miss in my responsibilities and that\'s what God is calling me to do. Any opportunity, it\'s not just a title to me. Any opportunity that I have, I gonna push God\'s agenda, all the time, every time. (Love it). And He has a passion for the marginalized. Dr. Berry: Speaking of roles, as a medical director, again, I\'ve always been familiar about Black Doctor.org has been, one of those websites, even as a medical student, as a student, oh ok, this is speaking to me, right? And I\'m always, always keen to stuff that, kinda speech directly to me. SO that, I actually love the way website. Obviously, you have been the director. What\'s the rule kinda and tell them what some say that you know what, I can do this? Dr. Shanicka Scarbrough: I\'m always pushing whether act to do this. That is always the question of my life, am I qualify for this? Am I doing just fine? But, so, actually, Black Doctor.org, I became aware of them because they are Chicago-based company. Maybe a company. And I\'ve always loved looking at their articles, receiving their newsletter, all of those things. So kinda develop he relationship with the CEO, over the course of many years. I did a few educational Facebook live for them while I\'m living in Chicago and even came back. And you know, once I move, but because of that relationship, the rapport that I built with the CEO, I was able to relate to him some of my passions, some of my desires and some of my frustrations, about the way medicine was going and share with him some of the jobs I was working in frustrated me. And you know he\'s a business mind and ok, let\\u2019s create some solutions. All right! Let\'s do it. Officially, as of September of 2018, I became their very first medical director Black Doctor.org and my role is essentially is to create programs and services that ultimately connect positions with the patient. And one of my ideas was what we just launched last month. Web video connects directory. Is a directory, culturally sensitive positions. So that patients can go on our site. Our site already has over a hundred thousand kids a day where patients are looking for doctors. So we have to find a doctor feature. Now, we are building our list of African-American physicians that are culturally sensitive physicians. You don\'t have to be African-American to be a part of our directory, but it does mean that you have a passion for decreasing the health disparities in the African- American community. So yeah, so we\'re building that directory right now as we speak and positions across the nation are joining and we are hearing testimonials of a patient coming to the doctor office saying I found you on Black Doctor.org and I trust you. That in itself, ok look, we are on the right track. We are growing, we supposed to do. In the ultimate goal is to really bridge that gap and help disparities present patients with physicians that they trust so that they can get good access to care, that\'s the bottom line. That\'s our ultimate goal in any of the products and services that we create. Dr. Berry: Now was especially that first business of just connecting patients to physicians. Was that something that a lot of the viewers and people come to a website that ask for, hey, how do I found one in Detroit? How do I found one where I living? Dr. Shanicka Scarbrough: Absolutely, we would see that questions all of the time. Like our facebook page, in our customer support, asking where can they find physicians that look like them or as culturally sensitive. You would also see it. Even if some of our doctor\'s work. People don\'t know that we have a small community or even a large community of doctors where we talk to each other across the nation and we would get the question of, hey looking for African-American doctor in Philly, that you now, see OBG. We would have those conversations among ourselves because we want to refer our patients to people that we trust. So it was twofold, you know. Not only with the consumers asking but also the doctor. I wanna, need a doctor that I wanna send my patient too for, especially to care or happy is. I\' m so, we are definitely trying to fill that void and make that easier for people to connect. Dr. Berry: And Lunch and Learn community, I wanna really stress on, I think we talked about this in the past. It\'s already been shown that if you\'re doctor shares similar characteristic like you, it kinda looks like you, you are one more likely to follow the direction, you\'re more likely to take the medication was supposed to and see them when actually supposed to. It adds to the cycle of becoming healthy and getting healthier. When you actually follow the direction of the doctor. Dr. Shanicka Scarbrough: Absolutely, absolutely. Dr. Berry: I remember, there was a doctor, I forget, where the person I suppose to be while back where the family didn\'t speak in English, English were not there primary language and the physician actually upset that the person can\'t speak in English. Speaking of a non-culturally competent physician. Like that\'s where a lot of people run into. They run a lot of physicians who don\'t respect their culture, don\'t look like them and can\'t relate to them and this is no way they can possibly treat them to best of ability. So I\'m definitely excited about this, the connection. That\\u2019s really it is. I know a lot of time when people talk about these disparities. They always say they would just go to, they can\'t really find them. It\'s not that they don\'t want to go to OB, they really don\'t want to go to PH, and they really can\'t. They don\'t know where they\'re at. (Exactly). Not a twofold part because again actually, me and Dr. Shanicka talked about all time, a lot of us physician, we don\'t do that a bit job, let folks over here, right? If you\'ve heard Dr. Shanicka, she let you know she\'s in the building, when she\'s here. There is no question about it. But a lot of us, unfortunately, what we did during medical school, during our residency, we get to a place, we don\'t tell people, hey this is why you need to come to me. Definitely thankful for, Black DOctor.org just can able to say hey we gonna do the legwork for you. Dr. Shanicka Scarbrough: Yeah. And we\'re also, our goal is to be able to offer cultural sensitive training as well. So hospitals and organizations can offer webinars or seminars or some type of didactic so that they are able actually to get culturally sensitive training, right. For all of the physicians. You know, we need it. I\'m not just saying that just African-American. Listen. If I have Chinese patients or I have Korean patients, or I have Muslim patients, I wanna know culturally acceptable, right? (That\'s so true.) We can all use it, you know. That the United States is supposed to be united. (Talk about it). Laughing. Just say it. Dr. Berry: Speaking of United, again I want to, you know, Dr. Shanicka business right, before. For those again, if this is the first time you\\u2019ve heard of her. She does now only amazing work here in the United States, but she, let her said, her passport is full. She might already on the second book. I don\'t know even know. Right? She probably in the second book. Because she is, not only the Christian to the world of health care right? In the United States and try to get us together. But she does outside the country. Can you tell Lunch and Learn community, just a little about your international work, right? What\'s influenced you? Again I\'m in awe in some of the stuff that you do. Dr. Shanicka Scarbrough: Laughing. Let me just tell you. The guy blesses my feet. He\'s definitely blessed my feet. In the past year and a half, I wanna say. I have been to Africa five times. In Haiti in May, it would be at least three or four times. I try to lost count. But I go again, I go again in May. I was, actually really blessed to come across a young lady Sheryl Posla, a missionary for Christ, whose vision and the mission was so completely in line with everything that I stand for. That I have not on a mission trip without her and her team yet. So every trip that she\'s goes on that I\'m able to go on. I just go. I just go. We\'ve been in too many parts of Africa. We\'ve been to South Africa with our church as well. We\'ve been to South Africa, West Africa. You know, a lot of different parts. Burkina Faso, Chad, Cameron, like Kenya, it has been, which the other one, I trying to, I see it in my head and I can\'t, oh Ivory Coast. Dr. Berry: If you like Lunch and Learn, I tell you, you thought I\'m playing if I said she\'s in the second book. I think you know, the first book is like, put away somewhere. Dr. Shanicka Scarbrough: No. Claim it, claim it. It\'s not yet but claims it. I\'ll take it. Yeah. So you know, her vision. I\'m a Christian. I\'m a follower of Christ. What we do is we spread the Word. Not only, will a lot of these countries not let you in. You know just to talk about Christ. Period. So she has few bringing medical care and treatment to countries all over the world and just so happen over the past two and a half, it\'s been, Africa. But she goes wherever she leads her. And you know also, try to save souls. We have awesome times. We were usually gone for 10 days. We usually go three or four times a year. It has been you know, be most. I don\'t even know how to describe it. Amazing experience. If any physicians, whether you are a Christian or Muslim. Whatever you know, whatever you are, that holds no bearing for what God is calling you to do. But if you are a physician and have not done a mission trip. It puts the United States healthcare system on the front line. Ok. When you see so many people that do not have access to care and the appreciation that they have for members to come and bring them medical care, to bring them to health education, to try to treat their diseases. I\'ve seen miracles happened. I\'ve seen patients who were ostracized by their country or by their tribe because of medical condition that they have that easily fixable, right? But they didn\'t have access to care. Just the stigma, you know, laid upon them. Just the feeling of gratitude to be able to assist them and to help them, to love on them. To come across the country for them. It just, it has been an amazing ride. If you are a physician and you have not done medical mission trips, you know, please, please, please. Get with the organization and go. Dr. Berry: Try to have Dr. Shanicka. (Get with me). And I think, you said a great point because I remember going to, I believe it is Jamaica and the act of gratitude. Like they were so happy that I was just saying hey, this is what you should take for blood pressure. Something that we take for granted. I\'ll be honest, we take for granted over it sometimes right? Just abilities, oh just take this medication, just do this here. And when you go to the country that you know. Yes, we have some resource unavailability here in the United States. Like it doesn\'t even compare, right? Doesn\'t even compare when you go to these countries and just as you see the look of their face and just happy to talk to them. Because they are happy because they know the work that you have do just to come to their country. You know what, thank you. I\'ve never heard so many thank you when I did a medical trip because they were just so thankful that I was just there to take blood pressure and to do vitals. It\'s just an amazing thing, with that sentiment. So you have heard basically what does mean. Dr. Shanicka Scarbrough: I am, oh my gosh. Yes. As many times as financially possible that I can go, absolutely I am all over. And when I say it put the US healthcare system in the front line. I hear some of these surgeons that are going out and operating, for instance, like cataract surgery, there\'s a doctor out in Kenya who does cataract surgeries and it costs the patient maybe $20. Now $20 to them is a lot of money, you know, and they have to gather their resources and they have to do the things they have to do to get that $20 but what can you get? You can\'t get to get Starbucks by yourself and get free and a cup of coffee and a Donut, $20 you understand what I\'m saying? That it costs, you know, thousands and thousands of dollars putting people in debt for surgeries that could be, you know, costs pennies on the dollar. So it, you know, it frustrates me the way our health, the direction our healthcare is turning to. It\'s really frustrating. And not only that and that\'s a whole another soapbox to get into. Dr. Berry: Well probably, we probably have to do a separate episode. Where do we upset about with them? Dr. Shanicka Scarbrough: Because you know, I can go in and I can go in all day long, (Yes.) on our healthcare system. Then I won\'t do it on this podcast Dr. Berry. Dr. Berry: No, that\'s a future one, that\'s a future one. Lunch and Learn community, she already says she\'ll come back for a second one so we don\'t, we gonna talk about the ills of our healthcare system. Just to get a look on our side. Dr. Shanicka Scarbrough: Yeah, absolutely. I\'m all for it. I\'m all for it. We got to make a change. Right? If we don\'t talk about it, we can\'t do anything about it. Dr. Berry: I agree. It is speaking to talk about it. One thing that what I love about you as you love the document, right? One thing is people are gonna know what you\'re doing because you\'re going to let people know what you\'re doing. Right? Can you talk about just how important it is to really document one story and you know, get their truth out there? Dr. Shanicka Scarbrough: Absolutely. So I don\'t do it just so people can know what I\'m doing. I\'d do it because I want people\'s lives to be transformed. If I, if I could be honest with you, I\\u2019d transparent with you if I\\u2019d never posted again on a social media site. But if you were to look back from my post from 2010 where I was just posting to be posted versus you know, the posts that you see now, all of my posts have some transformative message. Then I want you to get that, you know, if you are not born to get it anywhere else, you scroll past my page and at least gave it for me. You know, sometimes people say that your life is, you know, maybe the only Bible people read, you know. So, and I want to be a testament. I want to be a testament to God\'s goodness. I want to be a testament of if it mobilizes you to do good for someone else. Awesome, I\'ve done my job. So that\'s, that is the intent behind my content of sharing with people. Is, I really want people\'s lives to be transformed. Whether their health, whether it\'s spirituality, whether you know, whatever the case may be. I want you to be transformed. Dr. Berry: And speaking of that, can we, can we just, can we talk about the, your, your, your journal series just to bring the Lunch and Learn community, just kind of talking about it again. And that\'s where I really want to really, really dive deep. And because I think one thing about you that I love is that your word is so consistent. It\'s been consistent for three plus years. Through ups, through downs. It\'s, it\'s just been this like, I want you, and depending on who you are, whatever the subject is, I just want you to do better. Dr. Shanicka Scarbrough: Yeah, no, that\'s that. That\'s it right there. You said it in a nutshell. That\'s how the Her Daily series, Her Daily Journal series was born. Um, I was literally in the car with my husband driving to you know, San Francisco or Oakland. Driving somewhere is fun . And God spoke to me and I said I needed to write a journal a month for the next year. And you know, see how that transform people\'s lives. And what it is, is every for the month or for the year of 2018. The beginning, the end of 2017 to almost the end of 2018, I literally live in front of everyone watching. Wrote 12 books in 12 months and each one detailing some biblical principle. That you know, that and it\'s mostly geared towards women. That they can use to help them in their everyday lives. And that was one of the most difficult but amazing journeys I\'ve ever taken in my life. To be able to hear God speak one thing and then see Him bring it to finish 12 months later. And the close of the journals was at the death of my mom right after the death of my mom. So that final journal was, was dedicated to her. And actually, her death actually brought everything full circle for me and brought everything into perspective for me. And, and it just made me just love God more. So that was an amazing journal, that journal, you know, those journals are out and they can be used every, every month for the rest of your life. Yeah. I have people that are going through the journals for the second time. We\'re now doing a hard daily journal live online book club for women. So on the last day of each month, we go over the journal. That you know, what was going on for that month. For April, we\'re going up a prayer daily chats with God, how much talks about how to pray prevalently and what that means, what does it mean to pray. So yeah, it\'s, it\'s been exciting. I\'ve been, you know, I get so many messages about, you know, women\'s lives are being transformed by these journals and it\'s just a blessing. I didn\'t write one of them. Okay. I didn\'t write one of them. It was the Holy Spirit that led me the entire way. I thought I had a list of topics I was going to cover and God was like, (I got this, I got this) Laughing. I got this. Exactly. And you can actually see as I\'m going through them again, you can actually see my progression as I get close to Christ. And that\'s, that\'s the model. You know that these journals helped embolden women to take one step closer to Christ. And you can literally if you did journal by journal starting from December. December, what\'s the first one you can see my journal, my journey of growth. And that\'s what epitomizes for me is that I want women to grow as they continue to go through each of the journals. Dr. Berry: I love it. And, and, and it\'s so, so interesting, especially because again, we, we\'ve known each other for a while. So, ah, you know, we used to watch, I used to watch and take care of your mom and I could just see the love that was there. I could see, you know, that I can see regardless of what was going on, you are there to brighten up her day. And she brightens up. And again, Lunch and Learn community, you know, we\'re fear at the logo, so leave it I guess to say we\'ve actually been rocking the, again for a good time, but you know, pretty close. I definitely am happy for, for everything that\'s been going on, but especially the accumulation of the journal series. You know that. Dr. Shanicka Scarbrough: I appreciate that. Thank you for your support. You\'ve always been very, very supportive and I\'m very appreciative of that. Absolutely. Dr. Berry: So, so you\'ve, you\'ve taken, you\'ve taken what God\'s kind of put your heart into your mind, right? And put it on paper. But then when I noticed, right, again, again, cause I get it, I\'m watching from afar. You did channel that energy to get other people to do the same. What, what was, what was that motivation and how did, like, because again, you dropped 12 books, I figured you\'re like, Oh wow, (laughing). Oh, I\'m bringing you along with me. (Yeah) It gets again, right? Because again, this the subject, you, the, you, the word you is always objective, right? But whoever that you is, I\'m going to bring you along with me and I want you to tell your story. Like what was that thought process? And, and again, as I said, I\'m always surprised at the stuff you do. So I just very you, regardless of whatever you want to do, you just go ahead and do it. Dr. Shanicka Scarbrough: Hey, you know what? That\'s the whole point is to be obedient, right? If God gives you something, you want to be obedient in what He tells you to do. And that\'s what I\'ve been and you know, really focusing on over the past couple of years is number one, being able to hear him clearly and then two, you know, acting on what he tells me to do. I don\'t want to just be a consumer, you know, I want to be able to give, you know, give what you told me to do and do it because it\'s not about me. It\'s about the fruit. It\'s about the people that are being blessed by it and the lives that are being changed by it. And that\'s basically the concept. Um, and I believe you\'re speaking of as the wind blows series. Yes. Yeah. So those are, those are two analogies that I\'ve done and I\'ll probably continue those, but everybody has a story. Everybody has a testimony. Everybody has something that they have gone through that they have overcome. And you know, I want it to be able to share that with people. I want you to hear other people\'s struggles and let them know that you are an overcomer, that you can overcome this, that just because you\'re in the situation that you\'re in right now, it doesn\'t mean that number one, God doesn\'t love you. And number two, that he\'s not going to bring you out of it. You just got to trust him. So to be able to see people tell their testimonies and even watching them, watching them write it and the transformations that they had reliving it as they put their pens and paper and you know, the cleansing that came from releasing their stories. Some of these people, they never shared their stories with anyone before in life. So to be able to open up their heart on, on pen and paper and to share with the world is huge for them. And to see the feedback given to them because they were so transparent and because they were so open and willing to share their story of redemption. I think that\'s what it\'s all about. You know? How, how did God transform you? How did, how did he shift? How did he change you? You know what? What steps did you take to become, you know, who you are now? How did you overcome the abuse? How did you overcome the addiction? How did you overcome depression? Right? So those are, those are all stories that need to be told. Um, and I think if more people open up their mouths right, then more people will be transformed. Dr. Berry: Now, was it difficult to get them to put that on the paper to get them to open their mouth of that was, that was where they, in a way, it was there some issue, (No). That we caused them to say like, I\'ve been, I didn\'t want to do it before. Dr. Shanicka Scarbrough: Well, as some, sometimes some people didn\'t actually know that that\'s what they were supposed to do until they saw the calling. Does that make sense? (Yeah). So they were like, oh wait, I do have a story. Oh, oh wait, I did survive the abuse. He tried to kill me and I did survive that. Maybe I\\u2019m rape. Right? For some people, it was a revelation. Other people, this was the first step to the full book that they needed to, right? So one of them, my authors wrote just a, uh, a snippet of her story and we just finished her book. Lishel Evans, Breakthrough. We just finished her, but she completed her whole book. So it was a stepping stone and something that gave her the courage to say, listen, I want to tell more of my story and I want, I want people to hear it so that they can be transformed. Dr. Berry: Beautiful. Like I say it again. Let me, like we alluded earlier, Lunch and Learn community. When you know, when you have special guests like Dr. Shanicka and you can just kind of see the different facets of her life and her work. But you can always see at the end, right? It\'s always about, you know, becoming a better you. When we talk about national minority when we\'re talking about a National Minority Health Month. But how can we help our minority community to become better again? Right? When we talk about international work, like how can someone become better, right? So that\'s a theme that a, is such a sight to see. And sometimes I, and I, I like to, I always, I always like to get on my friend, right? Because a lot of times we\'re doing so much great work that we don\'t really have the time. Right. So like the lay it all out say, Oh wow, look at all the stuff I\'m doing it right. So this is why I started to like to brag on because they, cause they won\'t brag on the cell. That too humble. Fortunately for me, right? Humility sometimes still working on it. Right. So like I can recognize like when I\'m doing something and I could recognize when they\'re doing so again, that\'s why, you know, I said yeah she, we, she gotta be on the show because we got and we just got to talk about her and you know how she can help us become better us. Dr. Shanicka Scarbrough: Oh, that\'s amazing. Thank you. Dr. Berry: Before I let you go, because I know I\'ve been long talking to you. Right? I want, you know, just, you know, just some, some quick caveats like how is, I probably already said it right when I, how is what you\'re doing, you know, not only, you know, empowering other women really to the better, better excels and better control of their health and everything else. But like just like the world, how are you, how are you doing that? Dr. Shanicka Scarbrough: Oh boy. But no. That\'s, you know, to sum it all up, whenever you see me do, you may be in a different position, you know, next week or you might see me in a different country next month. Just know that everything that I do has a purpose. I\'m still working on me. I\'m still, you know, that still has some things in me that I, that needs to be ironed out and, and kicked out and punch that. (Laughing).It tells something. But I\'d like to share that journey because the transparency on that journey, whether it\'s, you know, you know I have a post on my Vimeo right now that yeah, I gained, I gained 20 pounds. I like to be transparent and my journey to show that you know, number one I\'m human. Number two, you are human, you know, and if you know God is still working on me, he\'s still working on you, (yes) right? So health-wise, mentally, physically, spiritually, however, I can get you to a place where you are healthier, you are smarter, you are spiritually field, and you, you know, you are everything to make your home, then that\'s what I\'m going to do. I come to bear fruit. That\\u2019s it. Dr. Berry: Love it. We appreciate it. Where can others, you know, find you, right? Where can others find you, whether it be at, like a or where the media international or list them links out cause you know, they\'re gonna want, they\'re gonna want to read the books. They\'re going to want to read a series. Like, tell them. Dr. Shanicka Scarbrough: Yeah. Absolutely. So everything can be found at www.shanicka.com. That is, um, that\'d be www.shanicka.com. You can find some free gifts for health. You know, a free shopping cart lists that you can take to the grocery store to help you shop for better foods. And you\'ll also find my books. You\'ll also find how to join the Her Daily Journal. If you want to go directly to the book club, you just go to www.herdailyjournal.com and it has us, you can donate to mission partners for Christ, you know so that we can continue our medical missions. It has everything on that one site and finds out where, you know, all of my social media handles, everything is on that site. Oh d, oh wait! I used to do a radio show, The Diva MD show. (Laughing). Dr. Berry: Again. Honestly, regardless if she says she used to do blank. I\'m a believer. Okay. There are no reasons. Like she\'s already shown me three years of work to say that she probably could do whatever, you know we put in front of her so it\'s a believer. Dr. Shanicka Scarbrough: That was a health show. So you know, if you want to go back into the archives and listen to some old health shows, we can do that as well. Dr. Berry: Perfect. And again, Lunch and Learn community, if you\'re driving, you know, at work, take a shower, whatever. All of these links will be in the show notes. Because again, you definitely, this is definitely a person. If you can only follow one person on a social media platform, this is definitely a person I think you should choose you guys. Absolutely amazing. Again, Dr. Shanicka thank you for coming to the Lunch and Learn community and you know, really blessing us, educating us, putting our thoughts into motion of how we can be better us. Dr. Shanicka Scarbrough: I appreciate you Dr. Berry for having me. This is an amazing opportunity and all of the work that you\'re doing is, is phenomenal. You know, I follow the blog, I follow, I get all of your emails. Yes, and the podcast. Dr. Berry: I apologize for this. Dr. Shanicka Scarbrough: But that great information, they\'ll make sure that you guys are subscribing to this podcast because you know we are movers and shakers and medicine so we want to make sure that you guys are aware and hanging out with Dr. Berry. Dr. Berry for Lunch and Learn. Dr. Berry: Yes, thank you. And again, Lunch and Learn community. See you guys next week. You have a blessed week. Dr. Shanicka Scarbrough: Take care. [/showhide]

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LLP103: Autism awareness, the black experience with Maria Davis-Pierre, LMHC

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LLP102: Getting the best of medicine and media with Dr. Amber Robins

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LLP101 Celebrating National Physicians Week

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LLP037: Five types of chest pain that can kill you

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LLP036: The odd couple - Healthcare workers and hurricanes

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LLP035: The pain of sickle cell disease

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LLP034: Why you have to get out of your own way

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LLP033: Death, dying and tough conversations with Maria Davis-Pierre LMHC

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LLP032: Taking good care of your liver

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LLP031: Do you trust your doctor?

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LLP030: Sexually Transmitted Diseases & Usher

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LLP029: Why prostate cancer should be at the top of men's health concern

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LLP028: Looking out for lupus and what's up next

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LLP027: Why blood sugar isn't important in diabetes

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LLP026: Why being the family counselor is too big a burden

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LLP025: Spotting the signs of domestic violence

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LLP024: Why cigarettes and heart disease are a deadly combination

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LLP023: Do you really need an antibiotic?

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LLP022: Finding out my child has autism and raising sliblings. Part 2

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LLP021: Finding out my child has autism

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LLP020: Why skin cancer is much scarier than the news will have you believe

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LLP019: Lets talk about Heart Disease and how to prevent it

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LLP018: Are you really suffering from migraines

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LLP017: How many ways to spot sleep apnea

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LLP016: How bad is colon cancer in the african american community?

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LLP015: Why Public Health matters to me and you

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LLP014: Dont forget these questions the next time you are having surgery

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LLP013: Learn the deadly signs and symptoms of a stroke

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LLP012: Getting to the bottom of your depression

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LLP011: Get your mental health in control before life happens

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LLP010: Dr. Berry discusses vaccines and Autism

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LLP009: Dr. Berry changes his mind on Medical Marijuana

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LLP008: Why Colon Cancer should be a very big deal

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LLP007: Reasons why you have high blood pressure

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LLP006: Why you are having sleep issues and what you can do about it

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LLP005: Why testosterone is so important to the morning quickie

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LLP004: Lets talk about Mens Health Month

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LLP003: Why do men die younger than women

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LLP002: Why my past failures didnt stop my future successes

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LLP001: Affirmation 2016 and what started it all

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LLP 000: The Introduction to the Lunch and Learn with Dr. Berry Podcast

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