Dumb Blonde - Dr. Cordovez: Bunnie's Dr. on Sleep, Obesity, & Medicine

Episode Date: June 9, 2025

This week, Bunnie brings on her personal doctor and friend, Dr. Leah Cordovez - a calm, no-BS physician who blends science and nature to actually know her patients. They talk about Dr. C’s ...wild journey from Panama to private practice, what it’s like treating Bunnie’s weekly “emergencies,” and why the bond between doctor and patient matters more than we think. Dr. C also answers your questions about sleep, endometriosis, weight, poop (yes, really), and how to actually feel better without shame, shortcuts, or guesswork.Dr. Cordovez: Be Well Watch Full Episodes & More:www.dumbblondeunrated.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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Starting point is 00:02:53 And Bunny XO. Jelly rolls like bunny XO. Miss Bunny. Is this thing on? We can totally keep our relationship private. No, do you want to or no? No, no, I'm fine. Okay. I was like. I don't want to like out you two. No, do you want to or no? No, no, I'm fine. Okay, I was like, oh.
Starting point is 00:03:05 But I don't wanna like out you two. No, I wanted to brag to everybody. What are you kidding? You fucking put up with my shit all the time. Like. What shit? No, there's no shit. I literally have a crisis every fucking week.
Starting point is 00:03:18 Oh my God. Every week I'm texting this woman. I'm like, what is happening? I have a new one. I have a new one I haven't even touched you about. I fricking have like this pain in my left side that this is gonna get graphic, I'm sorry. But.
Starting point is 00:03:33 Hi Mary, are you recording? Yep. Oh, are you? Okay, well. Okay. We can do it on the podcast. Cause I have no shame. All right, so I was just about to tell you guys my ailment,
Starting point is 00:03:42 but let me welcome my favorite human in the world, Dr. Leah Cordova, but I call her Dr. C. And this woman I'm telling you is just a gift from God. And once you guys hear her story and actually get to like hear her speak today on the podcast, you guys are gonna fall in love with her just as much as I am. Dr. C, thank you for being here.
Starting point is 00:04:03 Thank you for having me. It's so cool. Dude, I'm happy to have you here. You just have always had the best energy. Thank you. It's amazing. So I was just going into why I love you so much too is because I literally call you every week with a crisis. You're like my personal doctor.
Starting point is 00:04:19 I love it. Anytime I have an ailment, which is every day, I literally text this woman freaking out. I'm like, do I need a CAT scan? Do I need to do this? What's happened? Like last week, my eye, that was a crazy thing that was going on with my eye and she healed it.
Starting point is 00:04:36 It was fine. And she always is so calm. You're so calm. Like when I call you freaking out, you're just like, no, this is how you got to do it. Let's do this. Don't freak out. Everything's fine. So yeah,
Starting point is 00:04:47 well, calm, it doesn't come easy, but it comes with time. And all of the things that you send me are super easy. It's so much better to just call me. Don't, don't even worry about freaking out. I've seen everything at least 10 times. Yeah, it makes it easy. Yeah. So I was just telling you about my new ailment. So while you're here, let's talk about it. What you got. I keep having this pain on my left hand side when I orgasm, when I poop and sometimes when I pee it like, and I I've Googled it and they said it's diverticulitis. Okay. And I'm like freaking out now because you know how I am.
Starting point is 00:05:23 I try to fix things. So just at rest, it doesn't hurt. No, at rest, it doesn't hurt. But if I'm like freaking out now because you know how I am. I try to fix things. So just at rest, it doesn't hurt. No, at rest it doesn't hurt. But if I'm pushing out or if my muscles are spasming, it hurts. So that means that something moving in there has to move. So something has to move in there to irritate it, which means it's probably something that's inflamed, a ligament, a muscle. It might be a little bit of an ovarian cyst, but something is irritated in there.
Starting point is 00:05:48 Up here this high? It could be. Your hip flexor can be up that high. But if it's something that comes and goes, and I tell everybody this, the bad, bad things come and stay. Yeah, they're not going to come say, hi, I'll be back next week. If it's really bad, it's going to come and stay. Yeah, they're not going to come say hi, I'll be back next week. If it's really bad, it's going to come and stay. Diverticulitis doesn't let you go until you do something about it. So see what I'm saying? She always calms me down. I would say it's something inflamed. And if it persists a long, long time, or it gets worse or it lasts longer, or it starts happening at rest,
Starting point is 00:06:23 then that's when I'd want to see you and maybe think about an ultrasound or a scan. But nothing is as good as somebody who knows you. And I think that helps it be calm. I know you, I know how healthy you are, and it's easy for me to, no, it's not that, but it's not that ridiculous. It ain't. It's not ridiculous.
Starting point is 00:06:42 She looks at my blood work too. This woman knows the roadmap to my soul. Well, it's easy to work with Dani, right? Yeah. And so how do you and Dani know each other? Cause all of you guys know Dani who comes on the podcast. You guys absolutely love her. She is friends with Dani.
Starting point is 00:06:56 Also, how do you guys know each other? Well, we're colleagues. So she's an integrative nurse practitioner and I am a doctor who did internal medicine. So I trained in the Western internal medicine system and I did a two year fellowship in integrative medicine. So what that means is I can, I can bring the science and the nature into whatever needs to be done to make you better.
Starting point is 00:07:20 So Danny does a lot of integrative and I do a mixture of both. Yes. So we're similar, but just a little different. I love that. It's like, yeah, it's like your own little flair on it. I dig it so much. So my husband was telling me that you have a really cool story and I told him, I wanted to be wowed on the podcast. So he gave me like little bits and pieces of it, but I want to hear your story. Like, where did you come from? Why did you get into medicine? All that jazz. Yeah. So I'm from Panama.
Starting point is 00:07:51 OK. And I don't think I've ever known anything else. It's always been I've always known that I was going to be a doctor. But life in Panama was not easy. There was there was not a lot of opportunities, so I had to keep taking turns and changing directions to do what I needed to do. We moved from Panama to a little town called Mount Pleasant, which is about 30 or 40 miles from here. And then I went to Vanderbilt for school.
Starting point is 00:08:26 After that, I decided I'm going to go back home and, and practice. Anybody who knows me knows I've said this a million times. I was going to practice on a mountain and get paid in mangoes. But then I got married and I ended up here in Nashville. It just has always felt like the thing that I had to do. It was never easy, but whatever direction life took me, I went with it until I could get back on track. And so I ended up working at St. Thomas for a lot of years and I just couldn't figure
Starting point is 00:09:01 out what was missing from my practice. And it ends up that it's the time and the relationship with your patient. It's not possible for someone to call you and say, hey, my right side or my left side hurts. And then be able to think through what it could be unless you know that patient. So then I decided to leave the practice of medicine at St. Thomas and I opened up my little practice where I can spend as much time as I need to to get to know my patient.
Starting point is 00:09:33 And that is that practicing medicine calmly is so cool. I love that. So let's circle back because you breeze over so much. So you grew up in Panama and you even as a child you just knew that you wanted to help people always always while all the other little girls were playing with Barbies. Yeah. I had a little box of Band-Aids and I would go to watch the boys play soccer just waiting for one of them to fall. And then I'd, I'd put band-aids and hydrogen peroxide and that was my thing. Always. So like a nurturer from the start. Was there
Starting point is 00:10:13 anything that happened to you in your childhood that maybe pushed you in that direction? Or do you think maybe it was like from the past life that you were like a medicine woman or something? You know, I want to believe in a past life. I had some sort of magic. I believe you did for sure. I'm so into that. And listen, I just did, you can do your past lives. I don't know if you guys know this,
Starting point is 00:10:36 but you can do your past lives and your soul contracts on chat GPT now. Are you kidding? Yes, we need to do yours. And I would love to see it because I was, I was a healer in a lot of my past lives. I was also a hooker in one. I was also like a military person.
Starting point is 00:10:51 Like it's crazy. But when you go back in your past lives, you start seeing this and you're just like, this makes so much sense as to why I have been the way I've been my entire life. So I would be curious to see if maybe you were like a medicine woman and maybe one of your past lives. I hope so. Yeah. I hope so.
Starting point is 00:11:07 Because you're like a medicine woman now. It feels so natural. It feels so natural. Yeah, I love it. I love it. So how do you get, how do you go to school, medical school in Panama? How does that happen? Well, it wasn't easy. Okay, it wasn't easy. I remember I was a little bit lost. So so it was there was a big event that happened my senior year in college and just didn't have the money to to re enroll and I was kind of rolling around what am I
Starting point is 00:11:40 going to do? I'm never going to get this done. This is going to be horrible. I did that for a while, just trying to find my way. I audited classes while I took the MCATs and I just kept spinning my wheels. But somebody I met in Miami when I was 21 years old,
Starting point is 00:12:00 which by the way, is a whole other story. Oh yeah, Miami back in the days was lit. Oh my God. It was lit. Yeah. So good. Somebody in Miami said, why don't you just go to medical school in Panama? And I said, what?
Starting point is 00:12:11 Okay. So I found the number I called and I said, how much does it cost to go to medical school? And they said $19. Oh, what? $19 a semester. Seriously? Can I, like, can it, where do I apply?
Starting point is 00:12:26 Sign me up. So, uh, is it the same type of medical school that you would have in the US? It's a little bit harder. Wow. Yes. So it's six years instead of four years. Wow. And, um, and 2,500 people, at least the year that I applied 2,500 people took the psychological aptitude test.
Starting point is 00:12:48 And if you pass that, then you could take the, uh, the entrance exams. So 2,500 people applied, 130 people got in and 30 of us graduated. So it's no freaking joke, but I applied. I applied. I got in. I moved to Panama and I lived with a friend. And of course, everybody said, it's not going to work. You're not going to be able to do it. It's, it's, you're wasting your time going there. But I knew that that's what I had to do.
Starting point is 00:13:22 And nothing, nothing. things distracted me for sure, but nothing could take that. It wasn't okay to do anything else. Yeah. It was just etched in your soul. Etched in my soul. So I lived wherever I had to live. Yes.
Starting point is 00:13:42 Survival mode survival mode for six years and and and and finished. Wow. Yeah. So all six years just trying to make it grueling and then you finally graduate. Yeah. What happens after you graduate? Do you just instantly get into a practice? Because I heard you say that you were going to get paid by mangoes. That's what I wanted. Yeah. Mangoes and chickens. Yeah. So I love that. You're like, I'm a doctor.
Starting point is 00:14:10 Just pay me a mangoes and chicken. Green mangoes and mangoes. I love that. Not the green ones. The space between my first and second semester of the last year of medical school, I came to visit my mother here and I met the man who would be my husband. And is your family from Panama? Yes. And then your mom moved
Starting point is 00:14:34 here? Yes. Okay, gotcha. Yes. My father's still there. I have siblings there, sister here, but it was love. And he tried living there, didn't work. We moved back and that lasted 11 years. Yeah, no, it's great. No, I love that. 11 years is a good run, man. Yeah, yeah, yeah. It's a good run.
Starting point is 00:15:03 So was he a doctor too? No. No, okay. So you moved to the US, what was it like doing medicine in Panama and then coming here to do medicine? Was it kind of like a culture shock a little bit? It was a little bit of a culture shock.
Starting point is 00:15:17 I was amazed at how much sooner things get taken care of here. So by the time a patient comes to the doctor in Panama, it is super far gone. So yeah, breast cancers were, yeah, were super advanced. It's just not a culture where self-care is a priority, maybe because there's just not that, not the, not the availability, not the money. I worked at the, at the public hospital. So it was, it was pretty rough. So when I came here, I thought, girl, that's nothing.
Starting point is 00:15:55 Right. I've seen so many times. Yeah. So, but we also had stuff that, that you don't see here, right? So pancreatitis here is usually from alcohol use and pancreatitis there is from a scorpion bite. So, yeah, so I was always just a little off on my on my diagnostic skills and we couldn't. Like you've been bit by a scorpion. Right.
Starting point is 00:16:20 Exactly. And yeah, I was off for about six months until I until I caught on that we had changed latitudes. Yeah, the tropical diseases that didn't exist here, that was a, that was a switch and parasites are, are so, so common there, not so common here. Just big differences like that. But in a third world country, in a system where medicine is taught clinically, you have to put your hands on the patient, listen, feel, percuss. You have to figure out what's going on before you order any imaging. So that was incredibly valuable.
Starting point is 00:17:06 That was really cool to bring with me. Wow. Yeah, before we could order an X-ray, you had to know how high up the fluid was, in what lung. Wow. Yeah. Yeah. So that just made you like precision sharp whenever you got here.
Starting point is 00:17:19 Yeah. Yeah. Because you just know what to look for. Yeah, that helps a lot. You know what doesn't belong in your epic summer plans? Getting burned by your old wireless bill. While you're planning beach trips, barbecues and three-day weekends, your wireless bill should be the last thing holding you back.
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Starting point is 00:20:47 Yeah. Yeah, it was wild. St. Thomas is actually, aren't they the ones who the, what is it called, vascular surgeon there was like, you do not have a brain aneurysm. And then I got a second opinion too and he was like, you do not have a brain aneurysm. And I was just like, oh my God, thank you.
Starting point is 00:21:03 But yeah, St. Thomas is like a prestigious hospital. And what did you do there? So were you like emergency medicine? So I, when I came from Panama, so even if you've done a residency in another country, you have to do another one here. Yikes. So when I came from Panama, uh, uh, I applied to several residencies and, um, and, and the one at Baptist, it used to be Baptist St. Thomas was the, was the best fit for me.
Starting point is 00:21:31 Um, so I did a residency there and residencies are generally July 1st through June 30th. At the end of my residency year, I didn't feel like I knew enough. So I did a chief residency year. residency year, I didn't feel like I knew enough. So I did a chief residency year and by the time that year was over on June 30th was my last day as chief. July 1st at 9 o'clock I was in the office ready to see a patient. So during a residency you can't have patients or you're under somebody? You're under somebody. So it's the residency, the clinic with the residents.
Starting point is 00:22:06 But once you go from being a resident to being an attending, you get paid three or four times more. Yeah. And it's all you. That's right. That's a lot of freaking mangoes. Yeah, that's a lot. You get a lot more mangoes.
Starting point is 00:22:22 But it's all you. You can't turn around and go, what do you think this is But it's all you. It's all you can turn around and go, what do you think this is? It's all you. And I could not wait. So yeah. I love the tenacity that you have. Yeah. Yeah. It always had to happen, Bunny. Like it always had to happen. There was no, there was no compromising. It just had to happen. I love that. So when you finally get to see your first patient, what's the diagnosis? What happened? Listen, I still, like, I feel like
Starting point is 00:22:52 if I could look that chart up and apologize to him. No. This is a horrible story. I don't think I should say it. We can always cut it if you want me to. Okay, listen. Because you got to tell it now. Okay, I got to tell it. Okay, so internist, so internal medicine is everything you can't cut it. Okay, listen, so you got a talent now. Okay, I got a talent.
Starting point is 00:23:05 Okay, so internal medicine is everything you can't cut out, right? So blood pressure, diabetes, thyroid, anything you can't cut out is what I take care of. So most of my patients are either high blood pressure or diabetes, or a third. On the first day of my, of my first gig, I was seeing other doctors patients that were being put on my schedule just overflow while I built up my clinic. Notoriously internists are horrible at rashes. Oh. Yeah, horrible at rashes. So the very first patient, bless his sweet soul, was a rash. And where's the rash? Right.
Starting point is 00:23:55 My very first patient with his sweet wife Oh no. came for help with a rash on his, on his glands. And I remember thinking with a rash on his on his glands. And I remember thinking- His what? His glands? It's the, you know, his penis. Okay. His penis.
Starting point is 00:24:14 Okay. Gotcha. I thought it was butthole. I instantly went for butthole. No, I wish it was the butthole. It would have felt better like with him facing the other way, you know? I don't gotta look you in the eye, buddy. I know that he with him facing the other way. You know, I know that he could see it in my face when I went, uh, uh, yeah. And today I have the
Starting point is 00:24:34 maturity to say, I don't know. But that day, uh, I just, uh, uh, did we ever figure out what the rush was? Well I gave him a little cream. Oh, I love cream. And it got better. Oh, good. So I can't, I cannot say that I knew exactly what that was. Yeah. But it was the most, it was the hardest.
Starting point is 00:25:01 God's got a sense of humor, right? Yes. Yes. It was, it was the one thing I probably could never sense of humor, right? Yes, yes. It was the one thing I probably could never have solved on the first day of my first job. Why was it? Can I ask, was it like herpes or was it like a heat rash or was it like you just, it was like fell under an umbrella of just rash?
Starting point is 00:25:18 It was, it was, listen, I would not have even, if I had that somewhere on my body, I would probably not have gone to the doctor. It was such a subtle, tiny little rash that, I mean, I cannot imagine what my face was like when I was like. His wife probably made him go. She's probably like, you're fucking around,
Starting point is 00:25:39 we're going to the doctor. You know what I'm saying? That's why she was there with him. Maybe they both seemed super sweet. They were a super sweet couple, but I don't know. Yeah. I still don't know. I've never seen anything like it again.
Starting point is 00:25:54 And it got better. Yeah. I love that. She's like, I gave him cream, it cleared up. Cleared up, yeah. So take me on the journey of leaving St. Thomas and opening your own practice. Is that's got to be a scary jump.
Starting point is 00:26:08 It was. Well, I did not know. I didn't know how hard it was going to be or else I wouldn't have done it. Oh, shit. It was so, so complicated. So it started because every patient became really important to me. And I find myself, I found myself, no, hold on, you're too complicated. You get the spot right before lunch,
Starting point is 00:26:32 or you're too complicated. You get the spot the last one of the day. And I ended up working through lunch, staying an extra hour. So my difficult patients, I would take time away from myself or my kids to take care of. And so it started rumbling in my mind. How can I deliver this differently?
Starting point is 00:26:49 Because what I need to do is form that bond. I think the bond is so therapeutic. I cannot practice medicine unless we have established that I love you, I respect you, I'm going to take care of you and you're safe. It was hard. It was really hard to do. And so that it's another point in my life where I couldn't not do it. Right.
Starting point is 00:27:16 It was just something inside of you. It was like, you have to do it. You have to do it. You have to do it. So I don't remember. It took a lot of years to finally be okay with saying to the ton of patients that I was taking care of that I had to go. It kept me a long time.
Starting point is 00:27:36 And did some of them follow you? Yes. Okay. Yes. Good. Yes. It's wonderful that some of them could. And the ones that didn't, I still truly love.
Starting point is 00:27:48 And I and I recently realized that I don't think that they know how important they are to me, because when somebody says, hey, you remember me? Of course, like, of course, I remember how's your mom has your grandma, what happened to your son? So, of course, it was just too much. So we went into private practice the year that COVID hit. Oh, goodness. And thank goodness that we were able to see COVID athletes because that kind of carried us for a while there. Every athlete that had COVID had to be, had to have a cardiac clearance. So that kept us alive.
Starting point is 00:28:29 Yeah, for a while. But it's because you're following your heart and you're leading with love that God always takes care of you every jump that you take. 100%. 100%. Even on the days that are so dark and scary, I know that something good will come with the dawn. I know that something good will come.
Starting point is 00:28:50 Yeah, I know it, I feel it. I know that my days are just trying to spread that love and create those bonds that we're supposed to have. I think that this time on earth is for us to be able to touch each other, smell each other, taste really good food, drink really good drinks, and have fun in a physical way. But fundamentally, we are here to love one another. So why people would waste any time being assholes? Yeah
Starting point is 00:29:27 I don't understand. Yeah, I don't understand that I literally was just lecturing one of my friends the other day because she just every time she texts me it's about some drama And I'm like stop polluting your life. You have this life to live and not forever like it's just yeah fucking Have fun. Correct. Red joy. Yeah. Yeah fucking happy like it's it's not that hard to choose happiness every day Yeah, so tell me what your practice does now because you said that you take, you know Modern medicine and mix it with integrative medicine. So for the listeners at home, what exactly does that entail? Yes, so really you cannot practice medicine, or at least my type of medicine, without truly knowing the patient.
Starting point is 00:30:10 So we sit down and we talk about how are you sleeping? What are you eating? How do you feel? And we get beyond just the basic lab. So I have a wonderful, wonderful new patient that he was having trouble controlling his cholesterol. He had been everywhere on every medicine, was getting energy treatments for it, and cholesterol and triglycerides were still super high. Well, we talked, we talked about his family history, we did some investigating, I put a glucose monitor on him. He's got insulin resistance, which was driving high cholesterol. Fixing that, fix the cholesterol. So I've heard Danny say, and everyone has heard Danny say, things that are caused
Starting point is 00:30:57 by lifestyle can be solved by lifestyle. Every once in a while you need medicine, but most of the time, if you can fix it with changing your life, change your life. Yes. Yeah. I fully 100% believe in that. Yeah.
Starting point is 00:31:11 Any ailment I've ever had has been from a food I was eating or not working out enough or not sleeping. So I, you know me, I'm like, I will not take medicine unless I have to. She prescribed me some eye drops the other day and I fricking found some Reddit group that like was dedicated, it's called the floxies. It was dedicated to fricking this type of, and I was like, I love you, I'm not putting this in my eye. And she's like, it's fine, don't do it.
Starting point is 00:31:36 Yeah, no problem. That's the other thing that I, without a relationship, a two-way relationship, you would not have been able to tell me, hey, let's do erythromycin instead of Cipriro. Because it doesn't bother me. We could have used either one, but for you to say, let's do that, fine.
Starting point is 00:31:55 It's not me, it's you. Oh yeah. One thing I'm gonna do is advocate. Yeah, yes, yes. And you should, everyone should. Everyone should. Everyone should. But I preach that on the front of the mountaintops on this podcast is anything, doesn't matter if it's medical, lifestyle, anything, always advocate for yourself. Always speak up.
Starting point is 00:32:16 Always, always, always. You're going to find your people. You'll find your tribe and they'll listen to you. Yes, that's right. That's right. So, so once you get down to what, what is going on with this person, somebody who's asthma, I couldn't get her under control, I would not have known. She's exposed to carfumes, because in the morning, she worked at the, at the daycare, greeting the children. So she was out there under the carport. Wow. So fixing that fixed her asthma and so much, so much easier. So that's integrative medicine is not just jumping to the medicine, although you did need a little bit. Something was really wrong with your eye. But fixing what's causing it is is just as important as giving a medicine. Yeah, absolutely.
Starting point is 00:33:06 So that's my flavor is mixing what can we do with what can I give you or what other supplements can we use and that works. But I now have obesity medicine that I love. Which is, is it like a peptide or what is it? No, it's medicine for for obesity. OK, so being fat is not fun. Right. Right.
Starting point is 00:33:29 And it's not easy to change your weight or your metabolic set point. That unlocking that. Is he if I could, if I could shout something from the mountaintops, it's start with loving where you are, what you've got. Because if you hate it, you're not going to take care of it. Well, and that and you also feed your mind negative, you know, what your mind feels the body will follow. And I truly am a huge believer in that. 100%. 100%. 100%.
Starting point is 00:34:01 So what is this obesity medicine called? So I wish I could do more of it. but it is basically people come in and say, I'm having trouble losing weight. Right. Then we sit down and we talk what's going on. How are you eating? How are you sleeping? How are you moving?
Starting point is 00:34:17 And I really enjoyed doing studying for the obesity medicine because there were so many things that I did not know were caused by just how much adipose tissue, just how much fat is around. So things like exchanging oxygen in your lungs is a little bit more complicated when there's more fat than lean muscle capillaries don't get good blood flow when there's more fat than muscle. So I remember telling my trainers, man, I feel like I'm going to pass out. And, and my trainers would say, keep on going. But it is 2025 and it's time for people to know that you don't have to suffer to make changes that will make you healthier and leaner. Because strong is beautiful. Yeah, absolutely. It's not thin, it's not a size of pants,
Starting point is 00:35:11 it is strength, emotional strength and physical strength. And that's what I wanna create more of before I leave this world. Yes, so the obesity thing that you have, is it just like food counseling or does it, and then you figure out for each patient, it's different, like one patient you would give, like try his appetite, another patient,
Starting point is 00:35:32 what's something else, like what's a protocol that you would give three different patients? Yeah, that's such a great question. I don't think we have a protocol because everybody gets their own thing, but there's something for everybody. Okay, what about like a, like a 45 year old perimenopausal woman
Starting point is 00:35:53 who can't lose the last five pounds? Oh my God. Yeah. She's been trying to lose. First of all, the practicing obesity medicine in 2025, I said before is unlike anything we have ever seen. So these injections, whatever your thoughts are about them, they are potent in the gut, in the brain, and in those areas that control hunger, cravings, and satiety. We have never had a medicine that shuts off those messages like these do.
Starting point is 00:36:29 There's a lot of genetics and a lot of hormones involved in what you crave and how much you eat and how much calories you burn. It is not calories in, calories out. So a 45-year-old and even from 40 to 50, that perimenopause, your brain starts getting messages that your ovaries, the hormones that your ovaries produce, your brain starts getting messages about storing adipose tissue in your midsection. So as our estrogen sputters, we tend to create a little bit more fat deposits in the midsection. So as our estrogen sputters, we tend to create a little bit more fat deposits in the midsection. Have you noticed? Yeah. So with that, with that type of person, we
Starting point is 00:37:17 would probably track macros, keep the estrogen testosterone as stable as possible. Not over exercise because what we want to do is tell your body that it's safe to release those fat stores. So your body will protect you by hanging on to them, but it's safe to release. So kind, gentle exercise and don't poke the insulin bear with carbs.
Starting point is 00:37:46 How do you feel about weightlifting? I feel amazing. Yeah. Because doesn't weightlifting spike insulin also though too? So weightlifting, it can do different things to different people, but the more muscle you have, the more calories you burn just sleeping. Yeah. So, and the more muscle you have, the more muscle you will have as you get older. So, um, by the time you're 50, you start losing 2% of muscle mass a year, unless
Starting point is 00:38:15 you're doing something about it. So I feel amazing about weightlifting. And if there's an excuse why you're not doing it, get over it. Yeah. Yeah. Do it. No, I love it. I weight lift. I weight lift five times a week now. Like I'm on it.
Starting point is 00:38:31 So I have a Patreon community that is obsessed with all things medical. Lay down son. And we're gonna go over there and take some questions from them. If that's okay with you. Let's do it. Let's go.
Starting point is 00:38:47 Let's do it. All right, so the first question that we have for you is from Shannon and she said, I struggle so much with my stage four endometriosis to where I'm worried I'll not be able to continue working. Do you have any advice at this point would be great as many of us women struggle with endo and it seems no one is talking about it?
Starting point is 00:39:08 Okay, let's be real. I've had a love-hate relationship with push-up bras for years. Either they'd gap at the top, dig into my sides, or give that weird stiff unnatural lift that felt like armor instead of underwear. Half the time, I'd end up adjusting it all day or straight up taking it off the minute I got home. Then, I tried the Skims it all day or straight up taking it off the minute I got home. Then I tried the Skims Ultimate Push-Up Bra and it changed everything.
Starting point is 00:39:29 It's the only push-up I've worn that actually feels like it was made from my body. No weird gaps, no poking wires, and the lift, chef's kiss. It's supportive, it's super smooth under clothes and gives that naturally fuller shape without looking overdone. It's honestly the first push-up that I forgot I'm wearing. The cups mold perfectly, the band
Starting point is 00:39:49 doesn't roll or squeeze, and it still makes me feel confident and comfortable all day. Skims just gets it. When I first got my hands on the Skims Ultimate Push-Up Bra, I was honestly skeptical. I've tried so many bras that promise comfort and a good lift, but they either feel too stiff, too bulky, or just didn't fit right. The moment I put this one on was game over. It was buttery, soft, hugged all the right places, and gave me the kind of lift that felt natural, not forced. It made me feel snatched, but effortless,
Starting point is 00:40:16 if that makes sense. Confident, supported, and actually excited to wear a push-up bra again. It's one of those pieces you don't just wear for a look, you wear it because it makes you feel good. Skims really nailed it with this one. What I really love about the Skims Ultimate Teardrop Push-Up Bra is how versatile it is.
Starting point is 00:40:31 It's not just one of those bras you wear for a night out and then shove it to the back of your drawer. The shape is so flattering under everything. Fitted tees, low-cut tops, even those tricky dresses. And the straps, fully adjustable and actually stay put, which feels like a small miracle. I also love that the fabric is super smooth and doesn't show under clothes.
Starting point is 00:40:51 It feels luxe without being overcomplicated. It's one of those rare bras that's cute and functional. And honestly, finding both in one piece is a win. Shop the Skims Ultimate Bra Collection and more at skims.com. After you place your order, be sure to let them know I sent you select podcast in the survey and be sure to select my show Dumb Blonde
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Starting point is 00:42:35 drop through the vagina as part of your period. In people that have endometriosis, the ovule has fallen outside so that there's little pieces of tissue that are hormone receptive, just either stuck to your colon or to your bladder somewhere, they've landed in your pelvis. Every single month when they get the trigger from the estrogen and progesterone surges, they start swelling up and getting inflamed. So the pain from endometriosis comes from inflammation. Anything you can do, there's medicines, there's surgery, and I'm not a GYN, but anything you can do to decrease the inflammation will help with the pain. Calcium and magnesium
Starting point is 00:43:21 before periods help with the inflammation of the endometriosis. And sugar is no good. Yes. Sugar is the devil. So it goes, I love it. I love that devil. But it doesn't serve us well when it increases inflammation. So gluten is super inflammatory.
Starting point is 00:43:39 Sugar is super inflammatory. Alcohol because it's mostly sugars are super inflammatory alcohol because it's mostly, um, sugar's a super inflammatory. So if you wanted to try to mitigate that pain, just for shits and giggles, see what happens when you decrease your sugar, just maybe the two weeks before your period. I haven't had sugar in two and a half years and it's been a game changer, right? My body, game changer for my body and for my mental health. My anxiety used to be at a 22, my anxiety is at a two now. If I start having a panic attack, I can control it. Like it's been a godsend.
Starting point is 00:44:13 I don't think people realize how bad sugar just wreaks havoc on your body. For sure, because when you have it a lot and you don't have it, you go into withdrawals and it feels horrible. It's like a drug addiction. Horrible, awful. But once you get through those first three days
Starting point is 00:44:30 and you become a, I really don't eat sugar. How long has it been since I've eaten? So I'm not at a year yet, but I decided, okay, sugar is just not my friend. And you're totally right. My mood is a lot more steady. Things don't hurt like they used to. I can sleep so much better.
Starting point is 00:44:50 Yeah. Yeah. And sugar, everything has sugar. Let's talk about sleep for a second. Oh yeah. So I know a lot of people like love to sleep. And I mean, as a teenager, you can sleep like the dead. As you get older, that
Starting point is 00:45:05 sleep pattern changes. Why does that sleep pattern change? Why are some women waking up at four o'clock in the morning, not being able to go back to bed at until 6am, 7am again, having that broken sleep? And how can we fix that? Well, we were designed to be to sleep kind of in two stages. So, so as teenagers, we would wake up a little bit and then go right back to sleep. And then as we get older, we wake up and we start thinking that plant. Plant in the front, man, she's getting too much sun. And then you start going through the Rolodex of all the things to worry about. That's number one is get a hold of that train that wants to take you to worrying about stuff
Starting point is 00:45:49 in the middle of the night that you can't do anything about. Right. Number one. Number two, it's a lot of it's related to hormones. And then as we age, you just don't need as much sleep. And it's related to how many cycles of REM. But. So you don't need as much sleep the older you get. You don't need as much sleep. And it's related to how many cycles of REM. So you don't need as much sleep the older you get. Correct.
Starting point is 00:46:10 That's why your grandma gets up at four. Yeah. But she's asleep by six. Right. But is grandma still getting eight hours in though? No, no. Her body simply doesn't need eight hours. So as we get older, how much sleep do you think we need?
Starting point is 00:46:26 About five. I like, I think the magic, and this, this is individual, but the magic number is five because you can go into enough REM cycles to reset your brain and it's only during sleep that you can erase everything from the day before. Wow. Otherwise, if you're not sleeping and you're not resting,
Starting point is 00:46:49 your brain remembers the car that almost hit you at the Kroger parking lot and things that have no business in today are still in there. So rest, especially really good deep sleep, clears your brain, prepares you for learning, and that's when you heal wounds. Yeah, that's amazing way to look at it. I'm like absorbing it, because that's so real. Because I get probably about six hours of sleep a night,
Starting point is 00:47:18 and there's some days that I wake up at five hours, and I'm like ready to rock and roll. Great. But then I tell myself, I'm like, should I get three more hours? Because everybody says you need to get eight to 10 hours of sleep, and I'm like ready to rock and roll. Great. But then I tell myself, I'm like, should I get three more hours? You know, because everybody says you need to get eight to 10 hours of sleep. And I'm like, who has first of all, who has the time? Secondly, like, yeah, sometimes I don't want to sleep eight to 10 hours.
Starting point is 00:47:33 Yeah. And if you could give yourself a gift, it's if you could give yourself the gift of sleep, give it to yourself on the front end. So go to sleep early. Yeah. Rather than staying asleep longer, because the quality, quality stuff that heals you is at the beginning of the early. Yeah. Rather than staying asleep longer because the quality, quality stuff that heals you is at the beginning of the night. Yeah. Wow. Okay, I didn't know that.
Starting point is 00:47:51 And I have been trying to make myself go to sleep early and I just can't do it. But okay, so here's another question from Gina. She said, do you have any home remedies for H. pylori when antibiotics don't work? What a great question. So I do not, I do not. That's, that's the short answer. But H. pylori is a bacteria and then there's a little bit of controversy about this, whether it's a bacteria
Starting point is 00:48:21 that's always in your gut that doesn't cause any problems and it lives happily with the others but the the general consensus in medicine is H. pylori can cause ulcers and those ulcers can cause gastric cancer so in general we want to get rid of H. pylori the gold standard for diagnosing H. pylori is either a stool antigen or a breath test if you are diagnosing H. pylori is either a stool antigen or a breath test. If you're diagnosing H. pylori in blood, then you're getting a false positive because once you've had it and you treat it, you will always have the antibodies.
Starting point is 00:48:55 So if you took the medicine for H. pylori, you eradicated it, but you're checking your blood to see if it's still there, then you're always gonna be positive, but the H. pyl area is not actually there. So before you do any home remedies, make sure that what you're seeing is not just the antibodies because just like anybody who's ever had mono, you're going to see mono antibodies and not necessarily the mono infection.
Starting point is 00:49:20 So they would need to take a stool sample? Yes, a stool sample or a breath test. Okay. And advocate for yourself. Yes. Tell your doctor, hey, I really want to know whether it's just the antibody or whether I have a reinfection.
Starting point is 00:49:35 I'm telling you, there's nothing more humbling than pooping in a lunch cart. Correct. In the hot dog container. You never just feel so humbled to just stand in a bathroom holding a log. Yeah, it's crazy. There's few things.
Starting point is 00:49:51 Yeah, few things. I don't, and everybody always wants to do those. And I'm like, can we not? I'm like, I just don't. But you know what, they're necessary. So you guys please do it. Brandy wants to know, how do you stop perimenopause itching?
Starting point is 00:50:05 I've heard this so much from women that say that And he wants to know, how do you stop perimenopause itching? I've heard this so much from women that say that they get like the worst itching. You mean vaginal itching? I'm not sure. I've heard people say that it's on their skin, in their ears, but does it happen in the vagina too? Oh my gosh. Yeah, that's where I mostly,
Starting point is 00:50:22 that's where most of the itching occurs. New fear unlocked. Yeah. That's where I mostly, that's where, that's where most of the itching occurs. New fear unlocked. Yeah. Yes. But I'm here for you. Okay. I'm going to be dragging my hoot gun on the carpet like a dog. Yeah. So it's going to be rough. During perimenopause, there's so many estrogen and progesterone surges, there's receptors for estrogen everywhere, your skin, your brain, your organs, and your vagina. So when your levels are sputtering, things change. So in that case, I would, and there's not a real easy way to diagnose perimenopause
Starting point is 00:51:06 except to look at the constellation of symptoms. And they're super, super quiet. So you don't really know your perimenopausal until you felt crazy for two years. Right. Wow. Yeah. Yeah. Or one of your kids says, mom, yeah.
Starting point is 00:51:24 Or a Keith Sweats song doesn't hit like it used to. Right. You lose you lose you lose patience, you lose libido, you lose motivation and you don't really know that this is happening. So if you're itching and and anything else is happening, then be on the lookout for menopausal symptoms that you can control and go talk to somebody about it. You could do things like black cohosh. You could try plant sterols that could mimic or you could just get on a hormone, which we know are safe.
Starting point is 00:52:03 Or you could just get on a hormone. Yeah. Which we know are safe. Yeah. Do you suggest HRT for women who are perimenopausal and menopausal? If that's right for you, if that's right for the patient, then I don't have a single solitary problem.
Starting point is 00:52:21 And when I go, I want a little bit of gel. Yeah. Make sure I have some on. Yeah. It just, there's just so many receptors that estrogen is so important for. I love estrogen.
Starting point is 00:52:33 I love estrogen. Yeah. When I was going through my IVF stems, my body was loving the estrogen. Hated the progesterone, loved the estrogen though. Yeah. My estrogen levels were like over like 1500, I think. And I felt great.
Starting point is 00:52:48 I was fucking thriving. No itching? No itching. No itching. I don't ever have any itching. I haven't had itching yet, thank God. But listen, I sympathize with these women who have to go through all of that.
Starting point is 00:53:03 So another one of our Patreon members wants to know pooping. How to poop. I eat fruits and veggies all the time and I still cannot poop. Is it because I don't eat meat help constipated from Missouri? No, it is not because you don't eat meat. Yeah, meat clogs some people up. Yeah, yeah, meat can slow transit. You would be surprised at how much fiber fruit doesn't have.
Starting point is 00:53:31 Right, right. A lot of sugar. Right, exactly. And you think, oh my God, this apple, I'm eating fiber. It's got three grams of fiber. You need about 35 to 40. And 30 grams of carbs. Right, exactly.
Starting point is 00:53:43 Fucking delicious. Trust me, I know. Right, exactly. Fucking delicious. Trust me, I know. Yeah, exactly. But it's, so I would say maybe do an audit of how much fiber you're actually getting and see if you can work up to 35 grams slowly, slowly, because if you do it all at once, it's going to cause horrible bloating and cramping. But I bet you're not getting as much as you think you are. Number one, number two, um, make sure you're drinking plenty of water because all
Starting point is 00:54:10 of that stuff has to be, um, has to be liquid. Your colon will continue to draw water from whatever is in it. If you are in an under hydrated state. So if you're not well hydrated, you're going to be constipated. And you can add stuff like a psyllium husk to your salad, add extra fiber when you can. I would do a lot of things, exercise helps. Magnesium.
Starting point is 00:54:39 Magnesium. Magnesium, glycinate, man. If you ever have an issue with it, just pile that stuff on as much as you can take it, I think. Yeahnesium, glycinate, man, if you ever have an issue with it, just pile that stuff on as much as you can take it, I think. Yeah, yeah, yeah. And if you and if glycinate doesn't work, citrate or oxide will make you go. Really?
Starting point is 00:54:55 For sure. Yeah. Okay. If you take it at night, it helps your brain relax. And in the morning, the first thing you do is go to the bathroom. Yeah, I love that. I love it. Yay.
Starting point is 00:55:04 We're all going to be pooping, ladies and gentlemen. Yeah. Although my pooping has gotten so much better, but I've also prioritized fiber. I'm getting like 10 to 20 grams of fiber a meal. It keeps you full. Oh yeah. It keeps you full and the bloating is real. Like there was a, the other day I was like, I can't eat another one of my meals because I just feel like a fricking hot air balloon. Like you're telling me just gets so so freaking swollen. I hate it. What are your thoughts on stem cells and stem cell therapy? Okay. I love. Yeah, I love my husband does it. I'm scared. Yeah. You know me. I'm scared to put anything in my body. Well, again, it's, it's gotta be the right person for the right
Starting point is 00:55:39 reason. So there's things that stem cells are amazing at. So stem cells are baby cells that don't know what they want to be when they grow up. Right. So, and when you get them from umbilical cord, they really have no idea what they want to be. So if you put those cells into a spinal cord, or if you put those cells into a place where the other cells around and say, hey, let's be muscle cells or hey, let's be turned into this kind of cell or why don't you turn into one of the cells that makes fluid for this joint?
Starting point is 00:56:15 Yeah. Um, baby stem cells, uh, can do anything, but the stem cells that were, that are legal right now in the United States are stem cells that are drawn from from our body and my stem cells are 56 years old. So they already know what they want to be. It doesn't matter what you want me to be. You know it's harder for it's harder for older or or my own stem cells to want to turn into what we want them to be. So I love stem cells, but I really love stem cells from umbilical cord. Right. Like, which is not.
Starting point is 00:56:50 Is that like Adrenochrome? What is Adrenochrome? I don't know. Is that baby blood that everybody talks about taking as like the fountain of youth? Oh, I don't know. Is that the placenta stuff that they- I'm not sure.
Starting point is 00:57:02 I don't know. I hear people talk about it all the time. So how do you get all these baby stem cells? Are all stem cells baby or are they a mixture? So the stem cells here in the States are, I think they're harvested from your, from your own. But in order to get the umbilical cord stem cells, you have to go out of the country. So places like Panama, Mexico. I feel like all the good shit is not allowed in the US.
Starting point is 00:57:31 Yes, for a while. Yeah, it's like they don't want us to be our best versions of ourselves. And they don't make it affordable. Yeah, exactly. And then if it does come, it's freaking astronomical. Starting your own business can be intimidating. You end up wearing every hat marketing, shipping, customer service.
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Starting point is 00:59:05 Turn your big business idea into cha-ching with Shopify on your side. Sign up for your $1 per month trial and start selling today at Shopify.com slash bunny. Go to Shopify.com slash bunny, B-U-N-N-I-E. Jen wants to know, is there a way to lower your blood pressure without prescription medicine? Oh my gosh, yes.
Starting point is 00:59:27 Yes, there's a million ways to lower your blood pressure. First of all, look at what's going on in your life. Smoking, alcohol, bad sleep, horrible diets. So please remember that Frito-Lay has a neuroscientist that helps come up with these recipes. These things are meant to be addicting. That's why you can eat just one chip. A can of Lipton soup has your day's supply of sodium. Sodium will raise your blood pressure. So if you have a tendency towards hypertension or family history, especially African American and Latinos, we're super salt sensitive. So cutting out the salt is number one. Secondly, magnesium. Magnesium
Starting point is 01:00:19 lowers blood pressure like a champ. So a little bit of magnesium at night, you'll go to the bathroom in the morning. Yes. It's a win-win. It is a super win. Magnesium also decreases stress. So holding intention all day long is bound to- That'll raise your blood pressure. Absolutely. Absolutely. Because even having a stress on your mind. Absolutely. Can raise your blood pressure. Beats decrease blood pressure. Exercise decreases blood pressure and meditating, even if it's five minutes at a time, decreases
Starting point is 01:00:56 blood pressure. There's a lot you can do to decrease blood pressure, but you have to want to do it. It's not something that anybody else is going to want for you. I would, I would just say first and foremost, diet change. Cause that 10, nine times out of 10, it's something you're eating. That's triggering it. Yeah. Yeah. Cause there was a time where I went through where my blood pressure was skyrocketing and then it would tank and it was from eating fucking rice. Rice would send me into like these, I still can't eat rice to this day
Starting point is 01:01:25 because it does that to me. Freaking insane, right? Yeah, that's so crazy you found that. I know and nobody else could find it. Not even Danny. And I literally had to just sit there and be like, what is happening? Maybe he had to drive me to the hospital so many fucking times because we didn't know what was happening. Like my fingers would turn blue. Like it was crazy. And it was all from fucking rice. Jasmine rice. Like who would have thought? I would not have thought that. Tiffany says, thank you for the opportunity to ask questions. I had a hysterectomy nine years ago, but kept one ovary because I didn't
Starting point is 01:01:56 want to go on hormones. Recently, I had a little blood after urinating, but there wasn't any pain at all. It was fresh blood. So I called and went to the doctor. She did a urine test. It was positive for trace. I just went back today and another urine test. What can cause small amounts of blood in the urine without any infection or pain after a hysterectomy? The hysterectomy was nine years ago. Yes. And, and there's one ovary. Do we know how old?
Starting point is 01:02:28 No. It's OK. It's OK. So your uterus and your ovary are unrelated to your bladder. It sounds like, so the urinary tract and the parts that make the baby are not connected at all. So this would be completely unrelated to your hysterectomy, unless your ovary has stopped producing hormones
Starting point is 01:02:56 and now you're in a perimenopausal state and you've got vaginal dryness. And that can bleed a little bit just because it becomes so delicate and friable. But it's if I had to guess, I think she had a little bit of cystitis or a little bit of inflammation of that of the little sphincter where the urine comes out. And that could cause it just a little irritation of the urethra or a little bit of cystitis. And if you drink too much water before a urine before a urinalysis, it's going to look like
Starting point is 01:03:30 it's clean. Right. Because you're going to dilute that. Wow. Yeah. Maybe next time she gets tested, don't drink a ton of water. That's right. Just to be sure.
Starting point is 01:03:38 That's right. Perfect. Can we talk about mammograms? Yes. Because I got my first mammogram about two years ago, but I have been reading all of these horror stories about mammograms and what they do to you and what they do to the breast tissue. Do what are your thoughts on mammograms? So, um, generally good. Yes. Generally good. I, um, Generally good. Generally good. I, you know, it's recommended that we have mammograms three to five years. And the reason why they recommended that is
Starting point is 01:04:11 because by the time you find a breast cancer, even if it's this size, we can still take care of it. And you have the same, the mortality rate is about the same, but I want to find it when it's super small. So my personal preference is 12 to 18 months. The technology that we're using for mammograms is so much better. You don't have to do the squeeze. You know, it used to be like, put your breast in the door. Yeah. Put your breast in the door and squeeze it.
Starting point is 01:04:42 Right. Yeah. Yeah. Now the squeeze is not as bad because the images are so much better. But I've seen the lay down ones too that you can do. The ones where you lay down and you're like, yeah, I want to find one of those out here. Those are, are you talking about an MRI? No, it's a mammogram. Oh, so cool. I haven't done that yet. Yeah. I'll have to send it to you. Oh, it's a mammogram. Oh, a mammogram, so cool.
Starting point is 01:05:02 I haven't done that yet. Yeah, I'll have to send it to you. But I would say, unless you have a super compelling reason not to, and I can't think of one, Right. do it, if not for yourself, for the people that you love, because breast cancer is something people shouldn't die of. Right.
Starting point is 01:05:23 We can find it so easy. So if you're gonna squish your breasts, and there's other times in your life when your breasts get squished, if you're gonna squish your breasts for 15 seconds, let it be for something useful. For sure. I think a lot of people are saying
Starting point is 01:05:38 that the radiation is what's bad. The jury's out on that too. I'm okay with taking my chances about the radiation. It's not that much. Long transatlantic flights get some radiation too, and you don't see people not doing those. So in this case, I just kind of leave it to God that I'm going to give myself a little bit of radiation so that I can be here for my daughters and their kids. All right, fine. I'll go get my mammogram next week, okay?
Starting point is 01:06:10 Do it. Yeah. I've been putting it off and I try to have every excuse, but I'll do it for sure. All right, let's do one more question. Let's see. Elizabeth said, I had shingles really bad almost two years ago.
Starting point is 01:06:24 I've had high anxiety, dreams dreams and nightmares every single night since. Seriously, every night. Cortisol levels have been tested and we're fine. Help. Wow, that is super interesting. If the shingles were bad enough that you had a PTSD reaction to the shingles, then that's something that is that. And listen, we're getting out there, but that's why my practice is fun, right? Because I can incorporate this. But it's so real because I was going to say the same thing. Maybe it was traumatizing
Starting point is 01:06:57 for you. 100%. If that pain took you to a place that you had never been before, then perhaps it keeps trying to get out. And it's during sleep that you, that you take things that you experienced and put them in the spot where you, you, you just remember them. So that's why, um, EMDR is so good for soldiers, because it takes reliving an experience and it tosses it over to the side of the brain where you just remember it. I would be super curious to hear more about that shingles experience and see if that's something that we can that we can help process. I can't help wondering that her body doesn't feel safe. Right. Yeah. Because shingles is no joke. Yeah.
Starting point is 01:07:45 Yeah, absolutely. I believe that 100%. Yeah. Dr. C, thank you so much for coming. Why don't you tell everybody where your practice is and what your website is and if they want to book with you and come and meet you and, you know, just join your practice like I have. I literally am never letting you go. Tell them where to go.
Starting point is 01:08:02 Well, I'm in Franklin. I'm right on the corner of Brentwood and Franklin. It's called Be Well, Integrative Health, and our website is bewellihp.com. And if I am not the right fit, if my model of practice isn't the right thing for you, drop me a line, let us help you get you to the right person because you deserve to be cared for by someone who cares about you. Yes. I just love your spirit. Oh,
Starting point is 01:08:33 I'm so grateful. Thank you. You're just literally, you're like my husband. You guys are just earth angels. Oh, thank you. We're so, we're lucky to have you. Thank you. Thank you. I appreciate you. Thank you so much for coming. Oh yeah. Thanks. Thank you so much. Yay. Thank you guys for tuning into another episode of dumb blonde. I'll see you guys next week. Bye.

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