Speaker: 00:00:01

Welcome back, listeners.

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I am so excited.

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I have such a treat today, and this is,

like, such a treat for me, and this is

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the Doing Divorce Different podcast.

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And we talk about being well through hard

transitions, and just in life in general.

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I mean, this really can

be helpful to anyone.

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But I have the lovely Ashley Koff

with me today, and she's a big deal.

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I mean, you really are.

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You're one…

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I mean, I think InStyle Magazine

said you were the top dietician

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for Holly- This is amazing.

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We're gonna talk about

weight health, I think.

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Is that what you call it?

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Weight health.

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Not weight loss, weight health.

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And Ashley, as a woman living life

This is something that we, we all

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deal with, I truly believe, or

family members dele- deal with.

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So Ashley's got a book o- out

called Your B- is it Your Best Shot?

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Correct.

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Is that what?

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Mm-hmm.

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Yeah.

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Yeah, and I know that you

talk about GLP-1s, and you

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talk about not using GLP-1s.

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So we're gonna, like, just dig into

all the good information about being

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healthy, um, and our weight and nutrition.

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So I just- I'm so thankful

that I get to have a big deal

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on and I get to, like, learn.

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I'm gonna be taking notes as you go.

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But welcome, and would you mind

just sharing with the listeners what

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led you to do this amazing work?

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Speaker 2: Well, thank you so much.

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Um, and I love this.

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We're all big deals.

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Like, so let's just be super clear.

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We are an ecosystem.

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Like, there are so many people that I

have met through my work that are so

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important to our lives and everything

that this planet and people need.

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And when we are challenged by our

not having weight health, um, we are

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then not able to fulfill our lives.

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Like, to…

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And- and one of those challenges

is when life throws us a curveball

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or when we create a curveball, and

we're like, "I don't wanna be with

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that person," or, "I'm choosing not

to be with that person," and here.

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So for me, this really goes

back to my eight-year-old self.

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Um, and I was, like, born a badass.

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Like, I was, I just was out there.

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I was, uh, born in the- the Midwest.

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I had two brothers.

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I was the only girl in my family

for, like, generations, but, um, I

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never thought of that as different.

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Like, it was just, like, go.

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Like, you're gonna run,

you're gonna change the world.

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At eight, society was

like, "You have a belly."

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Kids and adults and other

people were like, "You're fat."

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And my doctor was like, "You're no longer

normal," like, on a, on a BMI chart, you

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know, or whatever they were looking at.

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So for me, that was a moment.

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I actually didn't take that moment and

was like, put my head in the sand and

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was like, "Oh, I'm not a badass anymore."

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Like, I'm not, you know, whatever.

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I was like, "Uh-oh, I got a weakness."

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Like, this superhero's got a kryptonite.

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I gotta get rid of that.

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So I started down the path that society

tees up for all of us, which is diet

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and exercise, and also under feeling

and believing, because what I was

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told was my weight was my problem.

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It was mine to deal with.

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It was my responsibility, and if diet

and exercise didn't work, I was the

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pro- like, I was a failure, right?

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So it was so disempowering.

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There were moments where it worked.

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Like, you know, if I didn't eat or

when I had my tonsils out, like, I lost

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weight, and it was like, "Oh, great."

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Like, "Look at you, size six," you know?

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But all through that time period,

it was these highs and lows

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based on something that, like, I

literally didn't have control over.

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And that, for me, was

like this constant…

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It was almost like I was living two lives.

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'Cause the rest of my life, if I

worked hard at anything, I could

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accomplish what I wanted to accomplish.

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So years later, I-- after dieting

and all this other stuff, I would

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become a dietician because I

thankfully met someone who actually

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told me that my weight was a signal.

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More importantly, he told me that my

weight's components were a signal,

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and that those components were telling

us that my body wasn't working the

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way that it was supposed to work.

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And he honed in on, "You've been

taking antibiotics your whole

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life, and then you added birth

control, and then you drank alcohol.

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And like, you did all these things that

disrupted how your gut was functioning.

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And at times, you got really

stressed about it, or you stressed

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your body out by over-exercising

and under-resourcing, et cetera."

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All of that meant that

it really didn't matter.

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He said to me, "It literally isn't

what you eat or what you're not eating.

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It's that your digestion

isn't working right.

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It doesn't have-- Your body doesn't

have what it needs to work better."

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That's why I became a dietician.

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That's why I turned around and was

like, "Holy moly, it wasn't me."

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Like, right?

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And that's the moment I want

you all to have right now.

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This isn't you.

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This moment right now is, we

have been sold a bill of goods.

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We have been sold a faulty bridge.

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It's a plank.

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Weight loss and focusing on total weight

doesn't get us to where we wanna go.

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We wanna go where our body has what

it needs and, as a result, it works

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the way it's supposed to work.

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And even when it's not working the

way it's supposed to work, you know, a

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disease happens or something happens,

it's res- we've built a resilience, and

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so we can overcome those challenges.

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That's weight health.

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And weight health is where your body's

weight, the parts of your weight,

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your bone, your muscle, and your fat,

and the water content, they tell us.

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They're signals, just like your blood

pressure, your blood sugar, your energy.

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Like, they're signals that tell us things.

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So then in 2004, I met GLP-1 and GIP.

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These are hormones that we make in

the lining of our digestive tract

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that you guys hear about today

as a medication, a GLP-1 agonist,

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or tirzepatide as GLP-1 and GIP.

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But they're actually hormones in our body.

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So it'd be like if you just met

Synthroid today and you were like,

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"Oh my God, Synthroid is this

thing that helps my thyroid run."

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And then you're like, "Wait, no, it's

actually a thyroid hormone," right?

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So we have these hormones.

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Those hormones regulate bone, muscle, fat,

water, blood sugar, appetite, satiety,

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blood flow, blood pressure, inflammation.

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I could keep going on.

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Our body makes weight health hormones.

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So why in the world would the goal be

anything other than to optimize our

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weight health by making sure that these

hormones are working better for us?

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And we can do that by replacing

them with medication, or we

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can do that without medication.

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So that's the whole…

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There you go, my dear.

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Okay.

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And we're going to deal with that

now so that everybody, no matter

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what you're going through in your

life, can learn and understand how

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to optimize your weight health.

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Speaker: I love this.

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I love this.

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And okay, and I wanna hear both.

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I wanna hear about how to do it

with- without using the medications.

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Speaker 2: Yes.

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Speaker: And then I've, I know a

lot of people, I have a lot of close

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friends who are on the medication.

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Yeah.

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They've had great results.

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And, and I wanna find out from

you, are there any downsides?

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I've had people on the podcast that

have said, "Oh, maybe it's kinda messing

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with your bone density a little bit."

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Speaker 2: Yeah.

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Speaker: Um, you know, I don't- And

this is my humble opinion, I don't

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know really a lot about it, but I kinda

think it's not like the magic pill.

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You still have to be healthy

overall and, and do your lifting

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and your walking and all that.

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But you, you get to start where you want.

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Do you wanna talk about the GLP?

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Let's

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Speaker 2: start here.

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All right.

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Let's start with any

medication is not a magic pill.

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All right?

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Any diet plan, any program, like so eating

100 grams of protein or what, you know,

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whatever it is, there's no one tool or

pill that is the solution to our health.

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The other part about this is

we have so much weight bias.

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Remember I told you that the weight…

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Okay, so the wellness

industry is like $2 trillion.

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The weight indust- I mean, we're like

in the billions of dollars in, in

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when, you know, when we look at this.

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Their thesis is, uh, in order to make

money, they have to tell you that you're

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the problem, and that with their tool

you will be able to achieve what it is

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you want to achieve, and that's flawed.

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What I'm here to tell you is your

body not working the way that it's

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supposed to, we have to decode that

and we have to help it work better.

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So when we talk about these

medications, I want us to understand

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that everything that I'm about to

say applies for every medication.

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Just gonna give you an example.

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If you smoke a cigarette every day and it

helps you poop every morning, and then you

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quit smoking and suddenly you don't poop

every morning, that's because you quit

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using the agent that was helping you poop.

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Same thing for coffee or caffeine, and the

same thing for a medication that millions

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and millions of Amer- Americans are on.

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You can choose it.

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It's a proton pump inhibitor which

suppresses stomach acid if our

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acid is too high, or maybe you're

on a statin and you're getting…

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You're lowering your cholesterol there.

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If you use either of those and

you say, "Let me just take that

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and just keep going," you're

actually not gonna be healthier.

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50% of people who have heart attacks

or have heart- and have cardiovascular

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disease have it with normal cholesterol,

and most of that cholesterol normal

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is because they've used a medication.

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So when we use a GLP-1 agonist

medication, we can't come in and say,

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"I take this medication, I lose weight.

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I take this medication,

I fix my blood sugar."

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It is a tool that is part of the solution.

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So that's the first reframe, you

know, that we have to make as

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it relates to the medication.

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The second thing is that your person,

with all due respect, who came on

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and said the medication is a problem

for your bone is actually wrong.

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You, with these, these hormones,

GLP-1, and in particular GIP,

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which we find in tirzepatide.

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So semaglutide is just GLP-1, tirzepatide

is GLP-1 and GIP, and then the new

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retatrutide is GLP-1, GIP, and glucagon.

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GIP, actually we have receptors for it,

which means the hormone goes there and

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activates action on our osteoblasts.

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Those are our bone-building cells.

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So we can actually use tirzepatide to get

more hormone to our bone-building cells.

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Here's what your, what the person w-

uh, could have said more appropriately.

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Number one, if you're using

semaglutide and you're not using

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tirzepatide, you're not getting GIP.

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The second comment is, if you use this

medication at either too high of a

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dose or use it in a manner where it,

it interferes with your body getting

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the nutrient resources that it needs,

so you, you're not taking in an optimal

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amount of, of nutrients, or you use the

medication, and this is where the dose

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is really i- important, this medication

delays our gastric emptying, which

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means it challenges our digestion.

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So if we don't optimize our digestion

well on the medication, so like

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kind of figure out what that means

for you, your body might get the

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nutrients, but they might not get

where they're supposed to go, right?

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So if that, if any of that situation

happens, you could be not giving

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your bones enough of what they

need, or if you're too tired to

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strength train or move or do other

things, we might not get there.

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So in all of these nuggets that you hear

online, social medias, it's why I wrote

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a book on it, there are aspects of this

that are true, but usually the statements

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are made into a mass statement, and

that's where they're false on that part.

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Okay.

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Speaker: I…

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So now let me ask one question.

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Yeah.

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So for those who are on a GLP,

are most of them on the other

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medications that help your bones

too, or are they just on the GLP?

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Speaker 2: So, okay, a GLP-1 agonist

is a class of medic- medications.

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Underneath it, you have semaglutide,

um, tirzepatide, and then coming

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soon, and some people are already

taking it, um, w- is retatrutide,

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but it hasn't been FDA approved.

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We also have a medication

called Fundio or orfoglipron.

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Fundio is the brand name orfoglipron.

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So orfoglipron is a

different kind of medication.

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It's called a small molecule nonpeptide.

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It- any of what I just

said doesn't apply there.

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In the world of retatrutide, semaglutide,

and tirzepatide, only if you're on

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tirzepatide and retatrutide are you

getting the hor- the one hormone

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that, uh, actually there's a receptor

site for it on the osteoblast.

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But, but GLP-1 still has a favorable,

it's a lot more indirect role- can have

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favorable, um, bone building outcomes.

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And we've seen that in the research.

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We've just seen the research also on

people who have lost bone, but also

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they may have been losing bone…

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Like, I was losing bone in my

teens because I was dieting- Mm-hmm

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and, and I wasn't pooping right.

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So it's like there are all

these reasons, you know?

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Right.

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So if you've been dieting, you know…

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So it's like so, you know,

we, we, we're not as…

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We're assigning blame to the medication,

where the blame is really about, you know,

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what that person's body isn't getting

or, or how it's working on that part.

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Speaker: Got you.

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Yeah.

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Thank you.

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Thank you for clarifying that.

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Speaker 2: Yeah.

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Yes.

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So I think what we want, what we wanna

understand is everyone, on or off a

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medication, 'cause even the people

who are using a GLP-1 agonist today,

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they may not be on it forever, right?

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Or they may stay on it

forever at different doses.

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On or off the medication, our job

is still to optimize these hormones,

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because these hormones are a

part of our body's system, right?

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So the example that I would give is

what if you took estrogen, but you

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did all of these things in your…

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You didn't do anything in

your body to build bone, make

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muscle, address vaginal…

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Like, estrogen doesn't just

do all of those things.

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We still have to…

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You know, or thyroid hormone, or you

take a statin medication and you,

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like, and you still eat, like, um, you

know, uh Sundays all day, you know?

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Right.

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Or whatever.

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Like, so we…

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So in this space when we're on the

medication, and what the medication should

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be doing is helping make those choices

more doable for you and your body, right?

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So as an example, if on the medication

I now can lean into eating a better

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amount for my body, I still have

to make sure that what the…

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That might be a quantity conversation.

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Now I still need to make sure that

in that amount I'm getting enough

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protein, fiber, um, magnesium, vitamin

D, like, you know, creatin- like, all

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of these different things, otherwise

my body won't be optimally resourced.

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So what the medication can do

is enable that in the body.

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What the medication cannot do is fix

what's going on in your vagus nerve,

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what's going on in your arteries,

what's going on in your digestion,

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all the things that maybe were making

it so that your, your own hormones

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weren't able to work successfully.

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So my plan, my program, my protocol

is for anyone in that space.

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That's why I wrote this.

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It was like, we're gonna lose the plot

if we turn around and say, "Only an obese

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person should use this medication, and

they should use it for weight loss."

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That is the totally problematic approach.

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What we do for an obese person is the

same thing we do for somebody who has

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three extra pounds of fat on their body

or 10 extra pounds of fat on their body.

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We optimize digestion.

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That includes also hydration.

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We optimize your, what I call your

total nutrition or better nutrition.

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That's how your food and your

supplements together give your body

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an optimal amount of resources.

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Magnesium, like, all of

these other ones, right?

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And then we optimize lifestyle choices.

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So we turn around and we say, "Okay.

308

: 00:15:11

Are you moving your body enough?

309

: 00:15:14

Are you challenging your

muscles often enough?

310

: 00:15:16

But also, are you recovering,

relaxing, sleeping enough?"

311

: 00:15:20

Because someone who's on this medication,

the way the medication works is

312

: 00:15:24

while you're sleeping, it is actually

stimulating your metabolic hormones.

313

: 00:15:29

That is going to worsen your recovery.

314

: 00:15:32

That in- interferes with the

body being in rest and digest.

315

: 00:15:35

So when people are telling me that

they have fatigue, and, and some people

316

: 00:15:39

have really significant fatigue- And

where when the articles, the media,

317

: 00:15:44

and everybody else or, or other experts

or people or non-experts are saying,

318

: 00:15:47

"Oh, it's 'cause you're not eating

enough," it's like, no, it's the

319

: 00:15:50

actual mechanism of the medication.

320

: 00:15:52

It's suppressing your

body's rest and digest.

321

: 00:15:56

So my job is to come in and say,

"Okay, if that's happening, do

322

: 00:16:00

we need you on a lower dose?

323

: 00:16:01

Do we need to change what we do

for you while you're sleeping?

324

: 00:16:05

Like, what could we optimize there

so that we can find that sweet spot

325

: 00:16:10

where the pros of the medication are

what we want, but the considerations

326

: 00:16:15

are not negating the pros," right?

327

: 00:16:17

That's always what we're looking

for in a medication is, how do

328

: 00:16:19

we drive those better outcomes,

you know, i- i- on that part.

329

: 00:16:23

So that's how we can look

at it, medication or not.

330

: 00:16:26

Yeah.

331

: 00:16:27

Speaker: Okay, okay.

332

: 00:16:27

That's so…

333

: 00:16:28

That's helpful.

334

: 00:16:29

So I mean, do you

recommend the medication?

335

: 00:16:32

Is it helpful to…

336

: 00:16:34

Tell me when you rec- when

you would recommend it.

337

: 00:16:36

Speaker 2: Yeah, totally.

338

: 00:16:37

So as a, I call myself

the backwards doctor.

339

: 00:16:40

My nephew came up with that term at

340

: 00:16:43

age four.

341

: 00:16:43

I love it.

342

: 00:16:43

So he's DR.

343

: 00:16:43

Like, he was like, "What?

344

: 00:16:44

My, my, my one aunt is a DR, but

you're an RD," and, you know.

345

: 00:16:47

And I was like, yeah.

346

: 00:16:49

I was like, "So she'll diagnose

your body, you know, she'll tell

347

: 00:16:52

us, and she'll, you know, prescribe.

348

: 00:16:53

But I'm gonna come in, I'm gonna work

backwards, and I'm gonna actually say,

349

: 00:16:56

'Here's what your body's signaling.

350

: 00:16:58

Here's what your choices are.

351

: 00:16:59

What do we need to…

352

: 00:17:00

How can we fix those so that

we get optimal results?'"

353

: 00:17:03

So as a backwards DR, I'm not prescribing

the medication, but I often am ha- the

354

: 00:17:08

one who's having the conversation about,

is this the better tool for you today?

355

: 00:17:12

Some of the things to evaluate on

that part that don't get talked about,

356

: 00:17:15

so I think this is really important.

357

: 00:17:16

Number one, we wanna do a

different kind of assessment.

358

: 00:17:19

We want to assess how your body is

functioning today to make sure that

359

: 00:17:23

we understand if and when you start

the medication, we know how to get

360

: 00:17:28

ahead of things that could create side

effects that would be intolerable.

361

: 00:17:32

So if you're somebody like millions

and millions of Americans who have

362

: 00:17:36

existing digestive issues, maybe you

take medications for it, maybe you, you

363

: 00:17:40

know, drink coffee or take magnesium for

it, you know, whatever on that part, we

364

: 00:17:44

wanna know that, and then that's gonna

help us personalize what medication

365

: 00:17:47

we choose and also what the doses are.

366

: 00:17:50

The second one that's so

important is budgeting.

367

: 00:17:53

So I want you to budget three types

of resources, and for those of you

368

: 00:17:57

who are navigating divorce, this is

such an important thing to consider.

369

: 00:18:02

Yes, everybody talks about

financial resources, and I get it.

370

: 00:18:04

You know, we're dealing with

lawyers or custody, like, all

371

: 00:18:07

sorts of different things, right?

372

: 00:18:08

Finances are gonna be key, but

also your time and also your hope.

373

: 00:18:13

Right?

374

: 00:18:13

Your emotions in here, and how quickly

or what kind of emotional bandwidth

375

: 00:18:19

you have available is going to be

very important for us to talk about.

376

: 00:18:21

So I, I do a budgeting conversation, and

the reason is, is that I really think

377

: 00:18:26

that most people for this particular

therapy should consider a year.

378

: 00:18:30

A year is probably the shortest time

period in which you might start on

379

: 00:18:34

the medication, assuming positive,

like that it's positive, that we

380

: 00:18:38

can manage anything, and assuming

nothing else happens in your life

381

: 00:18:41

where we have to come off of it,

um, for, you know, other reasons.

382

: 00:18:44

We're going to want you on it for a

period of time at the pace that you

383

: 00:18:47

and your body can handle, that we're…

384

: 00:18:49

And then we're gonna learn from what it…

385

: 00:18:51

And learn to optimize and use this tool.

386

: 00:18:54

And should we decide either you have

to come off of it, maybe finances,

387

: 00:18:58

access, or that you, we, we get to a

goal, or that for some other reason

388

: 00:19:02

we're choosing to come off of it, maybe

you've decided to now get pregnant, you

389

: 00:19:05

know, whatever on that part, we have

enough time to help you come off of it,

390

: 00:19:10

it, where your body responds favorably,

where we set you up for success and

391

: 00:19:14

we understand what that looks like.

392

: 00:19:16

So that's not shorter than a year,

and in that time period, that

393

: 00:19:20

means finances for access to the

medication, access to someone like me.

394

: 00:19:24

I definitely have, I have my book, and

you get access to our community, so

395

: 00:19:26

there's a lot that's free in there.

396

: 00:19:28

You could even borrow it from the library.

397

: 00:19:30

But oftentimes to personalize, we

need at least one session or maybe

398

: 00:19:33

one session a quarter, you know,

kind of as you're, as you're going

399

: 00:19:36

through And then also the resources

associated with things like maybe you

400

: 00:19:40

need time with a therapist in here.

401

: 00:19:41

Maybe as you're shrinking your fat

cells, if that's an intended goal,

402

: 00:19:45

your op- your, um, some of what's

coming out of those fat cells are

403

: 00:19:48

physical toxins, so we need those to

be eliminated, but emotional toxins.

404

: 00:19:52

A lot of us gained weight in relationships

where we were maybe protecting

405

: 00:19:56

ourselves or not dealing with certain

things or putting other people first

406

: 00:20:00

and not putting ourselves first or

other, you know, a lot of things.

407

: 00:20:03

Or maybe the ra- the reasons for

which this relationship are ending

408

: 00:20:07

have caused us, you know, to gain

weight, you know, in that part.

409

: 00:20:10

When we are unpacking those, we can't

unpack those too quickly, right?

410

: 00:20:13

And we also often need support,

you know, i- in terms of it.

411

: 00:20:17

So I have that budgeting conversation,

and then we come in on the medication and

412

: 00:20:21

we say, "Okay, now if you're on it…"

413

: 00:20:25

Now we're, we might start, and

we choose the medication really

414

: 00:20:28

based on two different things.

415

: 00:20:29

One, can you do and are you

safe to do an injection?

416

: 00:20:33

If you're not safe to do an

injection, we're gonna look at an

417

: 00:20:36

oral, and that's gonna have some

different, you know, conversations.

418

: 00:20:38

That's typically a one day do- once

a day versus a seven day, and that's,

419

: 00:20:42

that'll have outcome im- implications.

420

: 00:20:45

And then if you can do an injection,

we'll look at which type of the

421

: 00:20:48

medication would be better for you,

and something like bone health.

422

: 00:20:52

And I'll give you an example.

423

: 00:20:53

I have a lot of, um, women who are

perimenopause or menopause or even just

424

: 00:20:57

before, um, and have, based on their

history of cancer or other factors, have

425

: 00:21:02

decided that they cannot or, or will

not have, uh, be able to use estrogen,

426

: 00:21:07

right, as a hormone replacement therapy.

427

: 00:21:09

Estrogen's really important for our bones.

428

: 00:21:11

So side by side in our gut

lining, we make our weight health

429

: 00:21:15

hormones and our sex hormones.

430

: 00:21:16

There are receptor sites for estrogen

and there's receptor sites for GLP-1.

431

: 00:21:20

Well, in those osteoblasts you

have receptor sites for GIP and

432

: 00:21:23

you have estrogen receptors.

433

: 00:21:25

So if we can…

434

: 00:21:26

One thing that we might decide to do

is use tirzepatide for someone who

435

: 00:21:31

maybe couldn't use estrogen, right?

436

: 00:21:33

So there are all these considerations, you

know, that go, that go into the selection.

437

: 00:21:37

And then we, once you're on it,

we're consistently evaluating right

438

: 00:21:42

dose and sort of the, you know, is

staying on it the right thing for

439

: 00:21:46

you, you know, based on outcomes,

you know, and, and other things.

440

: 00:21:49

Um, one of those pieces, and again,

why, you know, often you wanna be

441

: 00:21:53

involved and have a conversation

with someone like myself is maybe

442

: 00:21:56

you're on other medications.

443

: 00:21:57

So one of my favorite parts of this

medication is that I often help

444

: 00:22:02

people come off of other medications.

445

: 00:22:04

I have people who are on like three

different medications for their blood

446

: 00:22:07

sugar, and they come, they're able to

come off of those once we actually are

447

: 00:22:12

helping their medic- their body use the,

you know, the insulin and have the blood

448

: 00:22:16

sugar response and other things based on

their GLP-1 and their GIP working better.

449

: 00:22:21

So there's so many considerations.

450

: 00:22:22

I don't think you knew that there

was, like, a whole, like, 27 list

451

: 00:22:25

here, you know, when you asked

the question, but that's how we

452

: 00:22:27

go through the process, right?

453

: 00:22:29

Right.

454

: 00:22:29

It's not a fill out this five-question

form online and see if somebody

455

: 00:22:33

says to you, you qualify, and

now get the medication sent to

456

: 00:22:36

Speaker: you.

457

: 00:22:36

Yeah, it's, it's not an easy answer.

458

: 00:22:38

No.

459

: 00:22:38

And, and I'm thinking here and I'm

sitting here and I'm like, okay, for

460

: 00:22:41

listeners, I think the first thing…

461

: 00:22:43

A- and for myself, the first

thing is I'm gonna read the book.

462

: 00:22:46

Speaker 2: Yeah.

463

: 00:22:46

Yep.

464

: 00:22:47

Speaker: Because I'm assuming

there you're gonna talk about

465

: 00:22:50

what I can do without the shot.

466

: 00:22:53

Speaker 2: Yeah, everything.

467

: 00:22:54

Right.

468

: 00:22:54

With or without the shot.

469

: 00:22:55

Speaker: With or without.

470

: 00:22:56

Speaker 2: Yeah.

471

: 00:22:56

Yeah, yeah, absolutely.

472

: 00:22:57

And I think one of those pieces

is it is not optional for us to

473

: 00:23:02

optimize our digestion, and we never

get to achieve optimal digestion.

474

: 00:23:07

Our digestion is always changing.

475

: 00:23:09

One of the biggest mistakes that

we've made in the world of nutrition

476

: 00:23:12

is we've taught people that food is

healthy or not healthy for them, right?

477

: 00:23:16

There are even brands, like, called

Healthy Choice or the, you know, this is

478

: 00:23:19

healthy, or there are logos on something,

this is healthy, this is healthy.

479

: 00:23:23

Your body doesn't decide if something is

healthy until what you take in, food or

480

: 00:23:28

supplement, gets where it's supposed to

go, when it's needed, and can be used.

481

: 00:23:32

That's digestion.

482

: 00:23:34

So, uh, you know, is, is a burger,

a beef burger, a turkey burger, or a

483

: 00:23:38

veggie burger better for your body?

484

: 00:23:40

It is going to depend on what r-

what the body receives, right?

485

: 00:23:44

How it's able to break it down, move

it, and deliver it to those locations.

486

: 00:23:49

So instead of some, like, arbitrary

pyramid, it's really gonna be

487

: 00:23:52

about how's my digestion working?

488

: 00:23:54

And so that's…

489

: 00:23:55

Like, literally that's for everyone.

490

: 00:23:57

And one of the things…

491

: 00:23:58

So this book is part storytelling, and,

like, chapter two is Shit to Unlearn.

492

: 00:24:02

It's like this is the stuff that's,

like, not helping us, right?

493

: 00:24:05

So you go through that, and then the

second part of the book is not meant to be

494

: 00:24:09

read, like, cover to cover on that part.

495

: 00:24:11

It's a playbook.

496

: 00:24:12

It's like, okay, I want you to

ask these questions, and if this

497

: 00:24:15

is what's going on for you, this

is what I want you to focus on.

498

: 00:24:18

And I lay it out like a pizza, and I'm

like, the pizza crust, the first thing

499

: 00:24:23

we have to do is digestion and hydration.

500

: 00:24:25

And so in there I'll have you

answer questions, like, when

501

: 00:24:28

you drink water, do you pee?

502

: 00:24:31

When you drink water, do you pee?

503

: 00:24:32

If the answer is yes, you are taking

water in, you are losing that water.

504

: 00:24:36

You are a hose, not a sponge.

505

: 00:24:38

That means that water isn't getting

where it's supposed to go in the body

506

: 00:24:43

in optimal amounts, and when the body

doesn't have what it needs of that

507

: 00:24:46

water in those different locations,

metabolic slowdown, elimination

508

: 00:24:51

of toxins, fat buildup will occur.

509

: 00:24:53

Like, all of these things that we

don't want to have happen will occur.

510

: 00:24:58

So we have to work there first, you know?

511

: 00:25:00

So that's the, the right

order of things to do.

512

: 00:25:01

So now I have to ask- Yeah

513

: 00:25:02

… Speaker: yeah, because I drink

a lot of water- Yeah … and

514

: 00:25:05

I go to the bathroom a lot.

515

: 00:25:06

So-

516

: 00:25:06

Speaker 2: Yes

517

: 00:25:07

… Speaker: how do I, how do

I keep that water in me?

518

: 00:25:09

Speaker 2: Yeah, so that's a great point.

519

: 00:25:10

So we've sold hydration as

this idea of how many ounces of

520

: 00:25:14

water should you drink, right?

521

: 00:25:15

Like, half your body weight, or a

lot of us if you're older, it was

522

: 00:25:18

eight eight-ounce glasses, remember?

523

: 00:25:19

I remember, like, it being

lined up for you, make sure you

524

: 00:25:21

get your glasses in the day.

525

: 00:25:23

And now we all have these, like, massive

mu- like, like jugs- Yeah … that we're,

526

: 00:25:26

like, sipping on throughout the day.

527

: 00:25:28

Okay.

528

: 00:25:29

We…

529

: 00:25:29

Water intake is one component, so you

do need to drink water, but you have

530

: 00:25:34

things that are hydrators, and you

also have things that are dehydrators.

531

: 00:25:37

Dehydrators include str- get ready for

this list, stress, medications, alcohol,

532

: 00:25:44

coffee, sugar, and acid formers, things

like meat and dairy and other things.

533

: 00:25:49

Okay, you don't have to get rid

of those, so I wanna stop before

534

: 00:25:52

somebody hangs up on the podcast.

535

: 00:25:54

Yeah.

536

: 00:25:54

But we have to understand that when we

consume those, those are in, in dif- for

537

: 00:25:58

different reasons and in different ways,

they fall under my class of dehydrators.

538

: 00:26:02

All right, so we have hydrators.

539

: 00:26:05

Our electrolytes, as an

example, are hydrators.

540

: 00:26:07

Not an electrolyte supplement, but the

electrolytes in our body, so potassium,

541

: 00:26:12

magnesium, calcium, sodium, chloride.

542

: 00:26:15

So what we need is that network of

minerals to be in a better balance

543

: 00:26:20

from our food intake and for how

we're, how, you know, maybe our

544

: 00:26:23

supplements in terms of total nutrition.

545

: 00:26:25

And we also need to understand, I'd

said in the dehydrator, how medications

546

: 00:26:28

might be, you know, impacting that.

547

: 00:26:30

Right.

548

: 00:26:30

So our job for hydration actually becomes

assessing these things and optimizing it.

549

: 00:26:37

If you're hearing all of this right now

and you're like, "Oh man, my to-do list

550

: 00:26:41

just went from four things to 400, and I

kinda wanna hang up and forget that I ever

551

: 00:26:46

heard what Ashley is saying," I feel you.

552

: 00:26:48

'Cause some days, like, I feel that way.

553

: 00:26:50

Here's the thing.

554

: 00:26:52

This is why this, the work

of weight health doesn't

555

: 00:26:56

belong with a doctor's visit.

556

: 00:26:59

This is why I'm training, you know,

networks of backwards doctors, registered

557

: 00:27:04

dieticians all around the country.

558

: 00:27:05

This is why we exist, CNSs, certified

nutrition specialists, um, health coaches,

559

: 00:27:10

people who are trained in doing this.

560

: 00:27:13

Um, and you can use things like AI,

you can use my book, you can use

561

: 00:27:16

these other pieces, but the core thing

for you to understand is your body

562

: 00:27:21

is already giving you the signals

of what is not working better.

563

: 00:27:24

We have to decode the right signals and

ditch the wrong signals, and that is a

564

: 00:27:30

process of not listening to the product

pitches on social media, the research

565

: 00:27:36

headlines that pop up on the media or that

people are talking about, and not even

566

: 00:27:41

leaving your doctor's office when they

say, like, "Hey, you know, you, you're,

567

: 00:27:46

um, you know, you've got bone loss.

568

: 00:27:47

I think you should take calcium."

569

: 00:27:49

You're like, "Hold on a second.

570

: 00:27:50

I'm a little smarter than that.

571

: 00:27:52

Calcium may be one factor, but

I wanna look at all of this.

572

: 00:27:55

Let me go back to Your Best

Shot, the book, or let me, you

573

: 00:27:58

know, connect with Ashley's team

or whatever and let me unpack.

574

: 00:28:02

Thank you for giving me the

information about my bone health,

575

: 00:28:04

but let me unpack how, and work with

somebody on how to optimize it."

576

: 00:28:08

Mm-hmm.

577

: 00:28:08

So that, that's what

we've gotta do better.

578

: 00:28:10

Speaker: All

579

: 00:28:10

Speaker 2: right.

580

: 00:28:10

Yeah.

581

: 00:28:11

Speaker: All right.

582

: 00:28:11

And I see the time is moving,

and I'm like- Oh, I know.

583

: 00:28:13

Yes … oh, I could talk to you forever,

but I have two, two questions- Super

584

: 00:28:16

Speaker 2: important.

585

: 00:28:17

Okay

586

: 00:28:17

… Speaker: that, yeah, that I wanna

ask Okay, so what about y- I've got

587

: 00:28:21

these friends, and they, and they

start taking it, and it's like magic.

588

: 00:28:25

Yeah.

589

: 00:28:25

And they're like, they're

like, "The food noise stopped."

590

: 00:28:28

Speaker 2: Yeah.

591

: 00:28:28

Speaker: Yeah.

592

: 00:28:29

I wanna stop the food noise-

593

: 00:28:30

Speaker 2: Yes.

594

: 00:28:31

Perfect

595

: 00:28:31

… Speaker: but I don't really

wanna go on the medication.

596

: 00:28:33

Speaker 2: Okay, so there's two things.

597

: 00:28:35

Speaker: And I don't…

598

: 00:28:35

Okay.

599

: 00:28:35

Speaker 2: Two things that you,

three things that you can do.

600

: 00:28:37

One is you can optimize your own

hormones and see if through that

601

: 00:28:41

process we reduce food noise.

602

: 00:28:42

I wanna be clear, the noise in

our brain is not just about food.

603

: 00:28:46

The noise in our brain is that we exist

in this environment where literally 24

604

: 00:28:50

hours a day things are coming at us.

605

: 00:28:52

So there are things that behaviorally

and from, like, the timing of when

606

: 00:28:56

we eat and, and actually making

our food delicious to us that help

607

: 00:28:59

trigger these hormones to be released.

608

: 00:29:00

There are things that we can do, right?

609

: 00:29:03

So we can do that, and that can work.

610

: 00:29:05

The other one is there is, and I

talk about this in the book, there

611

: 00:29:09

are some supplements, and there's

only one to date in the US that

612

: 00:29:13

actually works as a GLP-1 activator.

613

: 00:29:16

It's from New Zealand,

and it's research…

614

: 00:29:18

Actually, there's a new

study that just came out.

615

: 00:29:21

They, that showed similar to the

medication, so the medication showed

616

: 00:29:25

13 pounds of weight loss, um, where

10 of those pounds were muscle, sorry,

617

: 00:29:30

were fat loss and three were muscle.

618

: 00:29:32

Um, for them, they showed 10

pounds, and it was just fat

619

: 00:29:35

loss, and it was the same window.

620

: 00:29:36

Um, and it was perimenopausal women

and also a calming of the food noise.

621

: 00:29:40

So what the medic- uh, what the

supplement does is the supplement

622

: 00:29:44

actually takes your own hormones to

about 600, like 400 to 600% increase.

623

: 00:29:50

The medications are in the thousands

and thousands of times increase, okay?

624

: 00:29:55

So it's a different world.

625

: 00:29:56

They are not functioning the same way, and

you have to take this, the, the supplement

626

: 00:30:00

works f- for about four or maybe about

eight hours in the day, depending on

627

: 00:30:03

if you're taking it once or twice.

628

: 00:30:05

So that might be an approach.

629

: 00:30:07

And so th- like, in the book I share

with you, there's a continuum on here.

630

: 00:30:11

The most important thing, Lisa, is

that we have to decode what, why is

631

: 00:30:15

the food noise happening for you?

632

: 00:30:17

Mm-hmm.

633

: 00:30:17

My guess is it's a

combination of three things.

634

: 00:30:19

Your gut health, which is always

impacted by hormones changing,

635

: 00:30:23

our environment, other pieces.

636

: 00:30:25

So we optimize gut health.

637

: 00:30:26

Then we come in and we look at, how are

my food choices contributing to or setting

638

: 00:30:31

me up for challenges with food noise?

639

: 00:30:33

One of those is a quick test

that I give you in the book.

640

: 00:30:36

If your food is not delicious enough

to you in the moment- Right … you

641

: 00:30:39

don't get satiety experience, right?

642

: 00:30:41

You w- you have to wait

for fullness to happen.

643

: 00:30:43

So that's gonna be a key thing.

644

: 00:30:44

And then the third one is, depending

on genetics, environment, all

645

: 00:30:48

this other stuff, you might need

a little bit of an activation.

646

: 00:30:50

You might need a little bit of a

boost, and we could look at that part.

647

: 00:30:53

Speaker: Yeah.

648

: 00:30:53

Right.

649

: 00:30:54

What, what is that supplement?

650

: 00:30:55

Speaker 2: Sure.

651

: 00:30:55

It's called Amarolate.

652

: 00:30:57

It's a type of, um…

653

: 00:30:59

It's a type of New Zealand hops.

654

: 00:31:01

It's an extract r- extract from there,

and the branded name is Calocurb.

655

: 00:31:06

Um, and if people want access to

it or access to it at a discount,

656

: 00:31:10

you'll, you'll share the link, um, you

know, my link- Yeah … on that part.

657

: 00:31:13

Um, and you know, I actually

thought it was, um, hogwash.

658

: 00:31:16

When I first saw it I was

like, "Oh, I can't wait for

659

: 00:31:18

the FDA to take this one down."

660

: 00:31:20

And then I, I used it myself.

661

: 00:31:21

I actually had to stop using it when I was

training for an endurance event because

662

: 00:31:25

I was not hungry enough for, especially

for carbohydrates to fuel my workout.

663

: 00:31:29

So it was really interesting on that part.

664

: 00:31:31

Um, so it works great for some people.

665

: 00:31:33

For other people it's not the

better tool, so it just depends

666

: 00:31:35

on what we're working on.

667

: 00:31:36

Okay.

668

: 00:31:36

But food noise, great.

669

: 00:31:37

Speaker: That's so amazing.

670

: 00:31:37

Speaker 2: Yeah.

671

: 00:31:38

Speaker: I love that.

672

: 00:31:38

I love that.

673

: 00:31:39

I'm gonna try it.

674

: 00:31:40

Yeah.

675

: 00:31:40

Um, okay, and then here, I just have

to ask this for a friend, a friend

676

: 00:31:44

who really could use losing weight.

677

: 00:31:47

Speaker 2: Yeah.

678

: 00:31:47

Speaker: And, um, she's tried GLP-1s Two

different kinds, low doses, and so sick-

679

: 00:31:56

Speaker 2: Yeah

680

: 00:31:57

… Speaker: she just can't do it.

681

: 00:31:58

Speaker 2: Okay.

682

: 00:31:58

Like, I'm bringing this to her.

683

: 00:31:59

So let's unpack this one.

684

: 00:32:00

Okay, first of all, and you're

new to this, so I'm g- this is,

685

: 00:32:03

this is what we're working on.

686

: 00:32:04

First of all, no one

can use losing weight.

687

: 00:32:07

No one should lose weight.

688

: 00:32:08

Okay.

689

: 00:32:08

Weight loss is an umbrella under

which we have fat loss, muscle

690

: 00:32:12

loss, bone loss, hair loss, energy

loss, and a loss of our resources.

691

: 00:32:16

All of those, like, only one is what

you're looking for, fat loss on that.

692

: 00:32:19

Speaker: Weight health.

693

: 00:32:20

Speaker 2: Weight health.

694

: 00:32:21

Speaker: I get

695

: 00:32:21

Speaker 2: it.

696

: 00:32:21

Weight health.

697

: 00:32:22

So this is someone who would really…

698

: 00:32:23

Like, where we're saying, like,, "Hey, I

have excess fat," and that is t- that's

699

: 00:32:26

a signal that my body isn't working well.

700

: 00:32:28

Speaker: Yes.

701

: 00:32:29

Speaker 2: So more likely, like…

702

: 00:32:31

And I, I don't have a crystal

ball, and this is not for anyone…

703

: 00:32:34

Like, I'm not anybody's practitioner

here, so please don't go do anything-

704

: 00:32:37

Right … other than work to, you

know, connect with me to figure out

705

: 00:32:40

how we can decode this on your end.

706

: 00:32:41

I…

707

: 00:32:42

So I'm who everybody comes

to when, quote-unquote, "the

708

: 00:32:44

medications don't work for you."

709

: 00:32:46

Like, the 5% are like, that's,

that's where they're coming to me.

710

: 00:32:49

And because I've been doing this

since: 2004

711

: 00:32:52

at every pace of the medications

c- you know, becoming available.

712

: 00:32:55

So the key thing in there is, um, very

likely underlying digestive health or

713

: 00:33:00

some other component was it has not been

addressed and optimized, and as a result,

714

: 00:33:06

the second that this medication was going

into their system, the medication is

715

: 00:33:10

going in, even at the lowest dose, and is

contributing to a worsening of something.

716

: 00:33:16

So it's exacerbating something

that's going on, right?

717

: 00:33:19

Um, so it'd be the same example as if

you were, like- completely exhausted.

718

: 00:33:24

Let's take a new mom who is,

like, up all night, you know, and

719

: 00:33:28

e- and everything else, right?

720

: 00:33:29

And then somebody's like, "Oh, I

think you should go to the gym, and

721

: 00:33:32

I think you should strength train."

722

: 00:33:34

And by the way, this happens all the time,

and I'm like, "Oh my God, please give them

723

: 00:33:37

the middle finger," like, on behalf of me.

724

: 00:33:38

Like, new moms- … you

need rest and recovery.

725

: 00:33:41

Like, we do not need to, like, add,

you know, something to your to-do list.

726

: 00:33:44

So she's, like, in the gym, and

it's like, "I'm falling apart.

727

: 00:33:47

I'm not making muscle, and in fact

I'm, like, gaining fat," whatever.

728

: 00:33:50

And her body's like, "Stop."

729

: 00:33:51

Like, you just birthed a being.

730

: 00:33:53

Like, recovery.

731

: 00:33:54

So in that space for

this person, the, the…

732

: 00:33:57

what was going on in there, something,

it needs to be addressed first, and

733

: 00:34:02

then we can determine do we use this

tool or do we not use this tool, right?

734

: 00:34:07

Mm-hmm.

735

: 00:34:07

So one of the reasons I share the,

the GLP-1 shot or not, yes, it was

736

: 00:34:11

a marketing play on, on my book

cover 'cause I want people to know

737

: 00:34:14

you can do either forever, you know?

738

: 00:34:16

But the other thing is I tell all the

stories in my book of people who did not

739

: 00:34:19

use this, whether it's when it wasn't

available, um, and they've been super

740

: 00:34:23

successful, or whether now that it's

available it just wasn't what they wanted.

741

: 00:34:27

And my job, in addition to things

like CaloCurve, is to help somebody

742

: 00:34:30

understand that, you know, if your gut

doesn't have the right types of bacteria,

743

: 00:34:35

Akkermansia muciniphila, Bifidobacteria.

744

: 00:34:39

If we don't have the right polyphenols,

if we're not making short chain

745

: 00:34:42

fatty acids, if our fibers…

746

: 00:34:43

If we're not getting in fibers, if we're

just, like, freebasing psyllium and

747

: 00:34:47

taking it as a supplement but we're not

getting all these other ones, right?

748

: 00:34:50

We're not going to actually be

nourishing our own hormones.

749

: 00:34:54

And so by not nourishing our own

hormones, or if we're on a medication

750

: 00:34:58

that is additionally, you know, impacting

our gut, we're never gonna net, net

751

: 00:35:02

out in a favorable space because of

the way that these medications work.

752

: 00:35:07

So when you have side effects, there's,

like, two types you wanna understand, and

753

: 00:35:11

especially for your, your friend here.

754

: 00:35:14

You wanna understand that there are some

side effects that could happen to people

755

: 00:35:18

based on what's already going on in their

body or how they use the medication.

756

: 00:35:22

And then there are, like, the direct

effects of the medication working, and

757

: 00:35:26

that's where what we use to determine

whether or not the medication is

758

: 00:35:29

a good fit for you on that piece.

759

: 00:35:31

Speaker: Right.

760

: 00:35:31

Okay.

761

: 00:35:32

Yeah.

762

: 00:35:32

That was so helpful, and I just,

before we go- Yeah … I have

763

: 00:35:35

to say how much I appreciate you

talking about rest and recovery.

764

: 00:35:40

Speaker 2: Ugh.

765

: 00:35:40

Right?

766

: 00:35:40

Speaker: Oh, thank you.

767

: 00:35:41

You just…

768

: 00:35:42

Yeah.

769

: 00:35:42

Because in

770

: 00:35:42

Speaker 2: my

771

: 00:35:43

Speaker: own- Our shoulders

772

: 00:35:43

Speaker 2: both went down.

773

: 00:35:44

I know.

774

: 00:35:44

Like, our shoulders

like another inch, yeah.

775

: 00:35:47

Speaker: And that was the thing, as a

woman, as a professional my entire life.

776

: 00:35:52

Yeah.

777

: 00:35:52

I, I, like, I think I got all the

pieces, and then I went through

778

: 00:35:56

my stage one breast cancer-

779

: 00:35:58

Speaker 2: Yeah

780

: 00:35:58

… Speaker: diagnosis.

781

: 00:35:59

I mean, it was so scary.

782

: 00:36:00

But I think the thing I

was missing was the rest-

783

: 00:36:04

Yeah … and the fun and the joy.

784

: 00:36:06

And, like, if you're going through

something hard like divorce, sometimes

785

: 00:36:10

all you can do is kinda sit and move your

body and feed yourself, you know, try to

786

: 00:36:15

take care of yourself in those moments.

787

: 00:36:17

So this is kind of for when you have

a little time to process and to be

788

: 00:36:21

able to really take care of yourself.

789

: 00:36:23

But I love that you brought up

recovery, because it's the thing

790

: 00:36:27

that I always missed, and I think-

791

: 00:36:28

Speaker 2: Yeah,

792

: 00:36:29

Speaker: yeah … many women,

especially my age, miss it.

793

: 00:36:32

Speaker 2: Yeah.

794

: 00:36:33

Yeah, you know, I'm, I'm, like, kind

of against all wellness trends, 'cause

795

: 00:36:36

I just see this wellness industry

that's making a ton of money, and,

796

: 00:36:39

like, we're more and more and more

unwell in a variety of different ways.

797

: 00:36:42

Speaker: Yeah.

798

: 00:36:42

Speaker 2: And one of the key ones

in there i- right now is this whole

799

: 00:36:46

attention to strength training.

800

: 00:36:47

Like, every woman, everybody

needs to strength train.

801

: 00:36:50

And I'm like, "Dude, if your day,

dudette, whatever- … if your day,

802

: 00:36:55

right, ladies- Yeah … if your day

is challenging your muscles, then

803

: 00:37:00

my, what's on your to-do list is

allowing your muscles to relax, right?

804

: 00:37:04

Speaker: Yeah.

805

: 00:37:04

Speaker 2: It's like we just, you

know, w- we have to look at the body

806

: 00:37:07

as this operating system and being

like, you know, the, the version of

807

: 00:37:10

human doing as opposed to the version

of human being, like, we just, we're,

808

: 00:37:14

we're like a lot of yin versus yang.

809

: 00:37:16

Like, you know, we're just mis- oftentimes

we're too far on one side of things.

810

: 00:37:20

Mm-hmm.

811

: 00:37:21

And I think one of the beauties, like,

so I always, I, I've had a lot of,

812

: 00:37:25

like, necessary endings in my life.

813

: 00:37:27

So that's what I look, you know, with,

with divorce, like, I think, you know,

814

: 00:37:30

as, as we're here in this space- The

beauty of those is that if we give

815

: 00:37:34

ourselves the time to, to rest and

recover instead of just diving into

816

: 00:37:39

doing, we actually see and our body

experiences and we become the version

817

: 00:37:46

of ourselves that we actually want to do

to move into the next phase of our life.

818

: 00:37:50

And that brings in, whether, whether

you ever have another partner or

819

: 00:37:53

not, like, your choice, but…

820

: 00:37:55

Or however life will unfold, but

it will bring into your life what,

821

: 00:37:59

what it is you're meant to be doing

and, and who's supposed to be in it.

822

: 00:38:02

So, you know, when I wrote Your

Best Shot, I'm a total marketer,

823

: 00:38:06

people were like, "Oh, the shot."

824

: 00:38:07

Like, it's 'cause you're

talking about, you know, GLP-1s.

825

: 00:38:10

I was like, "No, I'm talking about

I want you to have your best shot

826

: 00:38:13

at fulfilling your life purpose."

827

: 00:38:14

Like, this is big up there for me.

828

: 00:38:17

Yeah.

829

: 00:38:17

If my eight-year-old self had stayed

dieting for my whole life, I never

830

: 00:38:20

would've become Ashley Koff, RD, and this

is exactly what I'm supposed to be doing.

831

: 00:38:25

And someone out there who's going through

divorce, who feels badly about their

832

: 00:38:29

body or whose body is feeling badly

about itself and it's showing them,

833

: 00:38:33

is so challenged by that, that they're

not gonna solve uterine cancer, right?

834

: 00:38:38

Right.

835

: 00:38:38

And they're that person,

and we need them, right?

836

: 00:38:40

Yeah.

837

: 00:38:41

So that's, you know, I think that's why

we're here, and that's why I do this.

838

: 00:38:45

Yes.

839

: 00:38:45

Speaker: I love it, and that's

the perfect spot to end.

840

: 00:38:47

Great.

841

: 00:38:48

And I'm picking up your book.

842

: 00:38:49

I'm- Thank you … right after this.

843

: 00:38:51

Thank you.

844

: 00:38:51

And it's going to be in the show

notes, so listeners grab it.

845

: 00:38:54

I know I'm gonna be talking about it more.

846

: 00:38:56

This was so impactful.

847

: 00:38:58

Thank you.

848

: 00:38:58

So helpful.

849

: 00:38:59

You're just a joy.

850

: 00:39:00

Thank you for being here, and thank

you for doing the work you're doing.

851

: 00:39:04

Speaker 2: Thank you for

doing the work you're doing.

852

: 00:39:05

You're helping so many,

so I appreciate it.

853

: 00:39:07

Speaker: Oh, thank you.

854

: 00:39:08

Take good care.