223-SYNCPodcast_PaigeQ&APart2

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[00:00:58] Jenny Swisher: Welcome friends to this episode of the Sync Your Life podcast. Today I’m sharing with you a small clip of a recent live Q& A that I hosted alongside Dr. Paige Gutile. Now, Dr. Paige and I have been partnered up for several months now. She and I offer virtual health consults for the women who take my Sync Digital course.

[00:01:16] Jenny Swisher: So I asked Dr. Paige to come live with me into my Sync Digital course Facebook group, which is all the women who’ve taken my course, to offer some insight and to answer questions. Now, this was, she literally was an open book. She was willing to answer anything and everything that these women had to ask.

[00:01:31] Jenny Swisher: And I thought it would be beneficial for you guys to hear her perspective on a lot of things. We talk about proper testing, we talk about gaslighting and women’s health, we talk about what you should really be advocating for when you’re working with your doctor. She herself is an osteopathically trained family physician.

[00:01:45] Jenny Swisher: I’ve actually interviewed her here on the podcast before. I’ll make sure that I link that up in the show notes as well. But I’ve really enjoyed and loved our partnership. I really loved getting to know the women who come in our door, our virtual door, for these health consults. I’ve loved learning from Dr.

[00:01:59] Jenny Swisher: Page. I’ve learned so much, just in the last few months on how to really help women live with their maximum energy. So, you’re going to find in this small clip . that we could basically finish each other’s sentences because we we drive on so many levels as it pertains to the fundamentals of hormone balance being sleep, supplementation, fitness and nutrition.

[00:02:18] Jenny Swisher: And those are the four things that we focus on in our health consults. But like I said, this was a small clip of just a session that we had one night where we went live into the Facebook group simply to just answer our course takers questions. A lot of times women will apply when they know the why. So when they’re able to ask questions and they’re able to really.

[00:02:36] Jenny Swisher: dig deeper and have a doctor in front of them that they can trust and they know knows her stuff. They can learn so much. And that’s what I’m hoping for you. So sit back, relax, listen to a small clip of our recent live Q and a, and here we go.

[00:02:49] Jenny Swisher: So good. Okay. Holly says

[00:02:52] Jenny Swisher: I suspect I’m estrogen dominant. So, before I even go any further. I would say tests don’t guess, but anyway, I suspect I’m estrogen dominant and dealing with adrenal fatigue. I have so many symptoms of both. It’s hard to separate the two. I’ve been there. Um, do these two things often go hand in hand working to find a holistic doctor to work with?

[00:03:10] Jenny Swisher: I have one right here so I can, so I can have help to understand the tests I can do at home and get adequate blood testing done. What do you suggest I do in the short term for my best quality of life?

[00:03:21] Dr. Paige Gutheil: Yeah, I read this in the Facebook book. Book. And I was like, come to mama. Like we can work this. Um, because truthfully we, that is what we cover from head to toe, you know, in our consults and you cannot tell the difference between we can add thyroid to that picture, thyroid estrogen dominance.

[00:03:49] Dr. Paige Gutheil: Um, insulin, you know, sensitivity issues as well as adrenal issues. That’s too much to sort out based on symptoms. So that’s why, like I mentioned, sometimes we, you know, do testing to rule out. The stuff that we have better testing for. I like including the Dutch sex hormones as well. Um, and so yeah, basically I would recommend that, that we get testing done.

[00:04:22] Dr. Paige Gutheil: Happy to help you with that. But then to your question of like, okay, where do I start? Foundation sleep rules the world. So if you’re not sleeping well, if you’re not tracking your sleep, I like aura like Jenny, I like the whoop band, um, as probably second, if you’re not tracking your sleep, then that’s the place to start.

[00:04:43] Dr. Paige Gutheil: If you are not daily having a daily practice to get yourself into parasympathetic. everything’s okay side of your nervous system, even just infusing it in little parts of your day, whether it’s prayer, meditation, yoga, journaling, screaming into a pillow, jumping up and down, whatever you want to do, um, to kind of like, Infuse a little bit of parasympathetic into your day, baseline, you know, supplementation.

[00:05:15] Dr. Paige Gutheil: Um, I’m a fan of hydration, you know, like the layers, you know, but I would say my, my first, it has to be sleep and it has to be something like breath work to go against. Cause I assume, honestly, if you’re suspicious that you have adrenal fatigue, you probably do. If we’re to the point where we’re admitting that as high functioning women, We know, yeah,

[00:05:41] Jenny Swisher: you know, when your energy is off, you know, like, we measure everything in energy.

[00:05:44] Jenny Swisher: So it’s like, when your energy is off, it’s off. So, um, yeah, my, my answer to that would just be sign up for a consult with page with page and I, because we can get you the right testing. You need to determine that. And then. You know, cater cater to that. She has a follow up question, which is sort of related, but she says she notices that she has successful weight loss weeks after ovulation when I’m using my bioidentical progesterone, this is something I decided to try on my own after taking some online classes.

[00:06:13] Jenny Swisher: And I suspected estrogen dominance based on the fact that I’m 45 and my symptoms. Is it possible to lose weight those first two weeks of my cycle? So I think what she’s trying to say is she has weight loss. When she’s using the progesterone after ovulation. But in the first two weeks, maybe not.

[00:06:31] Dr. Paige Gutheil: Yeah, I do, I, you know, based on your age, a little bit of what you said, your symptoms, weight loss being a little easier, um, in, you know, after ovulation.

[00:06:46] Dr. Paige Gutheil: You said, if you’re replacing progesterone, which tends to dip a little earlier in perimenopause, like that definitely all fits. Yes, it all just. Yeah. I guess I do get a little bit of a red flag ish feeling when I hear, Hey, I’m losing weight for these two weeks, but not these two weeks. That’s a little, you know, it’s hard.

[00:07:10] Dr. Paige Gutheil: Are you losing fat or are we losing water? You know, progesterone and hormone fluctuations. If you’re finding that you’re like losing three pounds in those two weeks and then gaining back like. That’s fluid most likely, um, you’re not gaining and losing fat cyclically like that most likely, but yeah, it is true that when we optimize our hormones, fat loss is going to be easier.

[00:07:34] Dr. Paige Gutheil: But I would want to know like weight track. Yeah. We’re just going to need more information category. Yeah. Yeah,

[00:07:42] Jenny Swisher: absolutely. Yeah. Um, okay. And then we have. Marcia says, I’ve had an awful time sleeping for the past 10 years. Oh, no. I’m currently taking Lunesta. Even with that, I’m up hours in the middle of the night.

[00:07:55] Jenny Swisher: Do you have any recommendations? Well, you came to the right place because Dr. Page is the sleep police. Also, this is awful. I can’t imagine rebranded myself.

[00:08:05] Dr. Paige Gutheil: I rebranded myself as the sleep queen, the sleep queen. Okay. So

[00:08:11] Jenny Swisher: this is before you even answer this sleep thing comes up in almost all of our consults.

[00:08:17] Jenny Swisher: Um, and so many women are suffering. So I just want you to know that you’re not alone and. Yeah, I’ll let you take it from there, but just know that you’re not alone, and this is a common

[00:08:27] Dr. Paige Gutheil: question. Yeah, big time. Um, sleep is, I don’t know how old you are, but Sleep disturbances out of nowhere, you know, meaning we’re not having a huge change in stress.

[00:08:42] Dr. Paige Gutheil: We’re not having dealing with anxiety symptoms or feeling, you know, down. It can be very commonly associated with anxiety and depression. You know, we want to get a good handle on that. But sleep issues out of Nowhere. Um, are sometimes the first and only sign of perimenopause for women, you know, just like what’s going on.

[00:09:04] Dr. Paige Gutheil: I cannot stay asleep or I cannot fall asleep. \ And so, you know, I would love to know how old you are and, um, what other symptoms you’re having, but in

[00:09:17] Jenny Swisher: she said

[00:09:18] Dr. Paige Gutheil: 64. Oh, I’m sorry. She

[00:09:20] Jenny Swisher: just commented on the live. Oh, cool. Yeah. She’s 64.

[00:09:25] Dr. Paige Gutheil: Yeah. So that fits, right? If you’ve started in at 54, I would imagine you were early in, in menopause.

[00:09:32] Dr. Paige Gutheil: Um, so the sleep Bible, I love tracking because it can tell you a little bit about, you know, kind of. stress levels during the day and getting, you know, to sleep at night, uh, or getting wound down for sleep at night. There’s just so much when it comes to sleep hygiene. Probably tried a lot of these things, but I usually tell people, you know, start sleep training.

[00:09:59] Dr. Paige Gutheil: If you want to be asleep at 10 o’clock at night, then a little timer goes off at least at nine o’clock and for that hour. Um, you can take your sleep support. Sometimes we use different medications. Lunesta isn’t my favorite, but it’s not my least favorite either. , so you take your medication at nine and then for an hour, everything you do is oriented towards calming your mind, calming your biochemistry.

[00:10:27] Dr. Paige Gutheil: Calming your structure that can look like a bath, stretches, chamomile tea, not eating for two or three hours before bedtime, um, having a sleep environment. Some people need some background noise. People need to decrease the temperature. Some people need a weighted blanket. It’s not just one thing. It’s really this like magical recipe to keep us sleeping throughout the night.

[00:10:52] Dr. Paige Gutheil: And a lot of that can be mind management because when you get to the point where you haven’t slept well for 10 years, the frustration related to that is. Huge. So the minute you notice, like, oh, I woke up again, your adrenaline and cortisol goes, and then it’s like, oh, so I have to like manage my mind around waking up at night and say, oh, this, how do I, um, put myself back to sleep?

[00:11:18] Dr. Paige Gutheil: I kind of think of. You know, those times if you have kids where the baby wakes up in the middle of the night, I used to, um, I read a book one time that said your job in the middle of the night when your newborn wakes up is to be the most uninteresting thing to that baby. And I remember my husband would come along and be like, how are you doing?

[00:11:40] Dr. Paige Gutheil: I was like, don’t talk to her. She is going back to bed. Like a plane out, you get out,

[00:11:47] Jenny Swisher: either you get out or you take over for the night.

[00:11:49] Dr. Paige Gutheil: Yeah. So, there is that magical recipe. There’s a book by, um, it’s called sleep smarter. By Sean Stevenson. That is a good read that kind of tracks through those elements of your, your sleep recipe.

[00:12:07] Jenny Swisher: Awesome. Yeah. And I would, I would ask to, I mean, I have a podcast episode on, well, and I was going to mention this earlier for when we were talking about downregulation of the nervous system and living in that parasympathetic versus sympathetic state. Um, I have some podcast episodes on these topics. So if you guys haven’t listened to them, you can find sink your life on all platforms.

[00:12:26] Jenny Swisher: And we, we talk about, cause I’m learning alongside alongside you, like how to downregulate. How to tone down that autonomic nervous system. And also I have an episode on there about magnesium. I talk about magnesium in the course. So I would also ask the question, are you taking any form of magnesium? I know that there are medications that can help, but there are also natural supplements that can help as well, so

[00:12:49] Dr. Paige Gutheil: there was a great, um, Study that show that people that meditate in the morning, um, sleep more deeply.

[00:12:57] Dr. Paige Gutheil: And it kind of, you know, makes you think like, huh, you know, we focus. And I even did just now, most of my recommendations focused around that hour before sleep, but you can’t outdo, you know, 12 hours of stress in an hour before sleep. And we sometimes have the expectation that we can like, go, go, go, go, go fall asleep.

[00:13:20] Dr. Paige Gutheil: Like, we can’t do that. We have to manage our energy throughout the day and manage our, our adrenaline throughout the day.

[00:13:27] Jenny Swisher: Yeah. One thing that I, I wear an aura ring and aura ring has recently come out with like the stress feature, which is very, very eyeopening. Like it shows you like, when, when were you a little, when did you need to down regulate in

[00:13:39] Dr. Paige Gutheil: your day?

[00:13:40] Dr. Paige Gutheil: Um, I’m talking to my sister and she had some very interesting observations about her husband in this aura ring. Oh, nice.

[00:13:47] Jenny Swisher: Nice. That is interesting. My husband can’t ever find, he can’t like every day, he’s like, have you seen my ring? I’m like, why do you take them off? Like why do you ask me this? So

[00:13:58] Dr. Paige Gutheil: we’ve already, I’m talking about the times that she noted stress on her aura ring and how it relates to when her husband was around.

[00:14:07] Dr. Paige Gutheil: That’s

[00:14:07] Jenny Swisher: awesome. I saw, was it you that shared the other day? There was something on Instagram that I saw. It might have been something you shared or somebody. It was like a, um, it said something about like, when I get old and, and like, when I was something about when I grow old with you, I mean, I kind of want to live with you maybe three days a week and the rest of the time I’d really like the time to myself.

[00:14:25] Jenny Swisher: Yeah.

[00:14:27] Dr. Paige Gutheil: I dream of finding that special person that I can grow old with, who only wants to hang out three days a week. Three days a week. Oh, that’s so awesome. Okay,

[00:14:38] Jenny Swisher: funny. Well, okay, so I, I’ll leave it up to you. I have two or three more questions or we can schedule another time to do it. I want to be mindful of your time.

[00:14:45] Jenny Swisher: You tell me.

[00:14:46] Dr. Paige Gutheil: We can do, I’ll try to keep it short. We can do like a rapid fire. Let’s

[00:14:49] Jenny Swisher: do a rapid fire. Well, these are some pretty awesome questions that just came into me. So if we need to do deeper dives later, we sure can, but. The first one is on I’d love this is one that I wanted you to address because I think it’s the question no one’s asking but that they want to ask because of just the private conversations that I have in that is the topic of sex during perimenopause, whether it’s.

[00:15:14] Jenny Swisher: Losing libido lubrication. Um, is my marriage failing? Like I literally just talked to somebody today. It’s actually somebody I’m going to have on the podcast and she, her, her business and everything she teaches is all around, um, insecurity and around. This transition of life and how it can really like how marriages and relationships can become disrupted because of this, as you described so eloquently, this rollercoaster that we’re on, not saying it’s the reason, but it surely doesn’t help.

[00:15:42] Jenny Swisher: So I would love for you to just, I know you give a book recommendation in our consult, so I’d love for you to share that and just any quick. Answer for

[00:15:49] Dr. Paige Gutheil: there’s a great book. That’s called come as you are C O M E, but pun intended. I am certain. Um, that is the Bible of female sexual physiology and really helps us decouple desire.

[00:16:06] Dr. Paige Gutheil: from sexual function. Those two go hand in hand, but also kind of like travel in their own lanes, and we have confused the two. Um, and the physiology behind the two are very different. Desire has a hormonal basis for sure. It’s mostly related to testosterone, but some influence of estrogen as well. So sometimes we use that to our advantage.

[00:16:38] Dr. Paige Gutheil: Um, but As you know, like as women, we are complicated creatures and we often have a desire that is not, um, that is very responsive, not spontaneous, which means that we have to invest in our environment and our thoughts and our nurturing of that desire before it happens. It is completely normal not to be like, Bold over by desire, you know, that is the rarity, honestly, among females.

[00:17:12] Dr. Paige Gutheil: So that’s, you know, a little bit from the desire side, from the function side, vaginal estrogen for everyone in menopause. Period. I mean, honestly, if you are not replacing estrogen vaginally, um, you will not, I don’t know if y’all, follow Dr. Mary Claire Haber. She has some very strong verbiage around, like, the vaginal tissue.

[00:17:42] Dr. Paige Gutheil: You know, drying up and all that is just like the verbiage I can’t put like wrap my head around. It’s alarming, right? But the reality is estrogen maintains the vaginal environment and is responsible for lubrication response. Technically, lubrication proactively will help, but there’s really no reason for anyone not to at least have a little bit of maintenance vaginal estrogen therapy.

[00:18:12] Dr. Paige Gutheil: Um, it just, it, yeah.

[00:18:15] Jenny Swisher: Yeah, which is a great lead into the next, um, rapid fire question, which is, uh, but the best way to ask this question is to say, even with a family history of breast cancer or breast cancer myself, does that mean that hormone replacement therapy is off the table for me? Um, like bioidentical and I know this has come up often in our, in our consults too.

[00:18:36] Jenny Swisher: So.

[00:18:37] Dr. Paige Gutheil: So strong family history of breast cancer, um, systemic and vaginal estrogen is not off the table. It is one of the biggest disservices that has come this association between estrogen and breast cancer. Um, the biggest studies done actually show that hormone replacement therapy decreases. mortality, including from breast cancer.

[00:19:04] Dr. Paige Gutheil: Um, so when you hear about things like estrogen receptor positive breast cancer, that does not mean that estrogen caused the breast cancer. It simply means that there are estrogen receptors on the cell cancer cells, just like there’s estrogen receptors on. breast tissue, um, that can be used to manipulate the cancer cell.

[00:19:26] Dr. Paige Gutheil: And so family history of breast cancer, there’s nothing about estrogen that flips that cell into abnormal. So estrogen therapy is not off the table for someone with active breast cancer. Oftentimes estrogen, systemic estrogen therapy is off the table because It can feed that your, the cancer cell has an estrogen receptor on it, so it will be open to accepting that estrogen, which will help it grow.

[00:19:57] Dr. Paige Gutheil: But even because vaginal estrogen is not systemically absorbed, they’ve done study after study to show even with people with active breast cancer or in remission from breast cancer can use vaginal estrogen therapy. And honestly should, when you’re thinking about the, the grand scheme of things, it’s not just sexual pleasure, which is important.

[00:20:21] Dr. Paige Gutheil: It’s a part of our whole health and we should not downplay that whatsoever. But we’re also talking about pain. We’re talking about increased risk of UTIs and there’s increased deaths from UTI sepsis, um, in, you know, as we age. So there’s, um, what’s called the genitourinary syndrome of menopause, which involves, you know, a lot of women tell me, I just feel UTI ish.

[00:20:48] Dr. Paige Gutheil: All the time, you know, so a little bit of burning, a little bit of scumper, a little bit of pressure, a little bit of dryness, you know, just uncomfortable, um, really frequently. And then I think the. area that is a little dicey is like, okay, I, maybe I’ve had breast cancer, I’ve been treated. I’m in remission.

[00:21:09] Dr. Paige Gutheil: Now what? And that’s a very nuanced conversation. Um, you want to find a very hormone literate oncologist. That’s not going to just going to say, Nope, no estrogen for you. Um, because when we’re looking at our whole health, use of estrogen decreases risk of alzheimer’s, cardiovascular disease, osteoporosis, loss of muscle mass, which fractures from falls, and increases insulin sensitivity, so decreases risk of diabetes.

[00:21:44] Dr. Paige Gutheil: So when you think about those risks, we’re talking about huge issues with quality of life, right? Yep. As well as the number one cause of death. heart disease is still the number one cause of death. So it really takes a nuanced conversation to kind of weigh those risks and benefits. Right.

[00:22:01] Jenny Swisher: Right. Yeah, and I know that also, you know, that’s another reason that we love the Dutch test, because you can do, you can do an in depth look at how you uniquely process estrogen for lack of better terms.

[00:22:14] Jenny Swisher: And so we’re able to see, you know, does your body excrete estrogen through the protective pathway versus the destructive pathway and that. Can also help determine the course of action for you. So, and then the only other question, which we can, we can also cover later more in depth is just, I’d love for you to just give them a 30 2nd, um, overview that people don’t seem to understand that, like.

[00:22:35] Jenny Swisher: The average PCP doctor, et cetera will run a, when they do your lab work as basic black blood TSH. And they don’t run anything further with the thyroid than that. So I know this is a much more in depth conversation that we don’t have time for, but I would love for you to just give a 30 second blip on why that’s not enough.

[00:22:55] Jenny Swisher: And, um, maybe, you know, again, address that whole normal is not optimal with the thyroid.

[00:23:01] Dr. Paige Gutheil: Yeah. And it’s It is a one size does not fit all. I think some people even come to me and say oh, I want a full thyroid panel TSH, free T4, T3, reverse T3 Antibodies, which show us a picture of thyroid health no doubt, but also The TSH, which is a driver hormone, if I am talking with a woman who does not have experience, you know, thyroid related symptoms, and I get her TSH, and it is optimal, it’s 0.

[00:23:41] Dr. Paige Gutheil: 7, then I didn’t have to order all that other stuff and leave her with a 300 bill because we know the driver hormone is optimal. So the other ones have to be optimal. The full thyroid panel, there’s nothing wrong with getting it up front. You know, we’re human. We would love data. It’s good. Like if, if. You got your deductibles met and you want to see the information, you know, that’s beautiful.

[00:24:08] Dr. Paige Gutheil: I oftentimes talk with people that will say, oh, my doctor doesn’t say said it’s not indicated, right? Um, so we have specific indications and algorithms that, you know, like Jenny said, kind of work more towards that traditional model. I just happen to feel that peace of mind. is a reasonable indication for almost everything, right?

[00:24:30] Dr. Paige Gutheil: And within, within reason. Um, and, but the full thyroid panel can be extremely helpful when you are in a little bit of that gray zone. We know the TSH is not optimal. So we’re talking like, Two to five. If it’s over five, we know it’s too high. Which TSH is the backwards test. So the higher the number, the less active the thyroid.

[00:24:56] Dr. Paige Gutheil: So optimal range is usually from about 0.3 to two. If we’re in that like two to five range, that’s that gray zone where we definitely wanna dive deeper into active hormones, antibodies is the thyroid inflamed so that we know how. Proactive we want to be either with diet, sometimes gluten free really, um, helps thyroid function, replacing trace minerals like iodine, zinc, chromium, magnesium, selenium, um, or the um, Um, thyroid is very responsive to those thyroid is very fragile when it comes to the effects of stress.

[00:25:40] Dr. Paige Gutheil: Um, so that’s why you’ll get a little bit of pushback because we’re all taught that TSH is the driver hormone, but then you really have to have a very tight. Um, interpretation of it to say, like, it better be optimal if we’re not getting more information.

[00:26:02] Jenny Swisher: There have been at least a handful of friends of mine, whether course takers or not, who, you know, their, their doctor says, okay, the TSH is normal, then they show it to me. And I’m like, I mean, I’m not a doctor, but I would, I would be asking if that was optimal, like based on the number, you know, the number is four or whatever.

[00:26:17] Jenny Swisher: And I’m like, and then they go back and ask the doctor for, you know, further paneling with the thyroid and are often told no. So it’s just, it’s a difference in training. It’s a difference in that whole functional minded mindedness.

[00:26:30] Dr. Paige Gutheil: So, yeah. And it’s, you know, what it is more than anything it’s fricking humility.

[00:26:36] Dr. Paige Gutheil: I have to tell you because any, um, Any physician that’s been in practice has had, for a decent amount of time, has had the experience of talking with women or men, um, but that have, you know, typical low thyroid symptoms. For example, dry hair, dry skin, dry nails, constipation, feeling cold all the time, trouble losing weight.

[00:27:02] Dr. Paige Gutheil: I haven’t changed anything, but my weight’s creeping up. Um, and You know, say you’re 35 years old, um, and you go to the doctor and your thyroid is say it’s 2. 8 and they say, Oh, it’s not your thyroid and we don’t know what it is. Go sleep more, you know, not, don’t be depressed. You must be depressed. You’re telling me you’re not depressed, but I don’t believe you, you know, it’s just horrible things I hear.

[00:27:33] Dr. Paige Gutheil: Um, and then you say, okay, I’m going to recheck it in a year having the same symptoms. Okay. Well, my thyroid was 2. 8, now it’s 3. 5. Nope, still normal. Not your thyroid. Having the same symptoms the next year, your TSH is five. Oh, now it’s your thyroid. Now, and so just common sense says, Oh, did it just become the thyroid?

[00:27:59] Dr. Paige Gutheil: Or are we not picking up the syndrome soon enough? Right. The house,

[00:28:03] Jenny Swisher: the house is now on fire. That’s what they’re saying. The house is now on

[00:28:07] Dr. Paige Gutheil: fire. Yeah. You’ve let a toddler play with the matches and the papers for two or three

[00:28:12] Jenny Swisher: years. Right. Right. Yeah. Awesome. Well, I could, we could do this all day and I feel like truly, um, I feel like you guys, this could be a course in itself.

[00:28:22] Jenny Swisher: Like, you just learned so much. I know I learned a lot, even just in this last hour and I’m learning so much from Dr. Page through these consults with you. And I’m also learning. We, we mutually, she and I are mutually are learning from you that you are so much like us. Like, so many of you are the type A, okay.

[00:28:39] Jenny Swisher: Um, you want to be in control. I always say women when women know the why they will apply. And so I think these live streams and having Dr page here is so valuable because it teaches you the why so that you are better equipped to go in and say, you know what? I do want that testing done or you can push back a little bit or you can ask the right questions and you know how to advocate for yourself.

[00:28:56] Jenny Swisher: So ultimately, that’s what it’s all about. Um, so Dr page, thank you for taking. I told you it’d be 30 to 40 minutes and here we are. Fault. No, it’s totally, this is so good. So, um, I know that a couple people popped in at the end with questions, but we just don’t have time to keep going. So if, if maybe if Dr.

[00:29:14] Jenny Swisher: Page has time later this week, she can pop back in and see what questions you guys have. Otherwise, we’ll look at scheduling her again to do something like this in the future. If you like stuff like this, if you don’t always like to just see me and hear me, I’m happy to do this more often and to bring others on as well.

[00:29:29] Jenny Swisher: So, thank you for doing this, Dr. Page, as always. And if you guys have any questions, I know we’re going to get the questions, so I might as well share. It is sync. jennyswisher. com slash virtual consult. That’s where you go to sign up. You will enroll and pay, and from there Dr. Page, we’ll reach out to you.

[00:29:46] Jenny Swisher: It’s set up an online folder and we’ll get all that stuff going for you if you want to do a consult. So, and it’s two consults, it’s two consults. So, okay, awesome. Anything I missed or be good. No. Okay. We did it. We made it work technology wise. So awesome. Thank you guys so much. Have a great night. Have a great week and we’ll talk soon.

[00:30:04] Jenny Swisher: Bye bye.