Hormone Replacement Therapy, Honestly: A Nurse Practitioner Answers Everything

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[SPEAKER_00]: You can go to your doctor and they can take your blood and they go, oh, you're just, you know, you're everything's everything's reading fine, but you're still having these hot flashes from hell.

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[SPEAKER_01]: Just say, for instance, like a B12 level, the rain just 200 to 1200, so if you're two a one, we're like, in traditional medicine, we're like, oh, you're fine, you're great.

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[SPEAKER_01]: But often, most close or two a thousand is there ever a point in time when hormone replacement therapy could be dangerous for you?

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[SPEAKER_02]: Hey guys, welcome back today.

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[SPEAKER_02]: It's me, Spod.

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[SPEAKER_02]: I'm your host, Lina License Estition.

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[SPEAKER_00]: It's today, I have Tanya.

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[SPEAKER_00]: Tanya Williamson.

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[SPEAKER_00]: I'm a retired, special, led, para, educator.

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[SPEAKER_01]: Kristen, Kristen Samborn.

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[SPEAKER_01]: I'm a License Estition.

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[SPEAKER_01]: And Carrie, Carrie Hark, dad's family nurse practitioner and owner of Transformation to Wellness Spa.

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[SPEAKER_02]: We're going to kind of continue the hormone talk from last week.

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[SPEAKER_02]: We found out we realized we had some more questions that we forgot to answer or just didn't come to our brain as well as some other things like ages and stuff like that.

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[SPEAKER_02]: Tanya, ask your question.

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[SPEAKER_00]: Well, so let's go back to the forties and having the period of menopause where you have in the extreme hot flashes.

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[SPEAKER_00]: And you can go to your doctor and they can take your blood and they go, oh, you're just, you know, you're everything's everything's reading fine, but you're still having these hot flashes from hell, which they are horrendous.

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[SPEAKER_00]: So I think,

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[SPEAKER_00]: Always get a second opinion if you can.

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[SPEAKER_00]: So if you can go to carry or go somewhere, maybe that's not your doctor.

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[SPEAKER_00]: Yes, you may pay out a pocket type thing, but I think it's pretty reasonable to take care of yourself.

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[SPEAKER_00]: Yeah, so I'll turn that over to carry now.

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[SPEAKER_01]: Yeah, so I think that that's a good point because a lot of people will be like, Oh, I've already had my laptop.

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[SPEAKER_01]: I went to my doctor.

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[SPEAKER_01]: Everything's fine.

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[SPEAKER_01]: But they're looking at traditional reference ranges just because you're.

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[SPEAKER_01]: normal doesn't mean you're optimal so just say for instance like a B12 level the range is 200 to 1200 so if you're to a one We're like in traditional medicine.

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[SPEAKER_01]: We're like, oh, you're fine.

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[SPEAKER_01]: You're great But optimal is closer to a thousand so that's what we're gonna look at with your hormones too.

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[SPEAKER_01]: We're gonna try to get you

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[SPEAKER_01]: You know, this range is here.

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[SPEAKER_01]: You're here.

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[SPEAKER_01]: We want you where you're going to feel so much better.

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[SPEAKER_01]: Like when you did when you were in your prime and your symptoms can start 30s 40s mostly 40s and they're not going to necessarily all just happen at once.

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[SPEAKER_01]: So if there's any little symptom kind of getting those baseline labs drawn.

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[SPEAKER_01]: Well, I think also your thyroid.

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[SPEAKER_03]: I never even thought about that.

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[SPEAKER_03]: And it was low.

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[SPEAKER_03]: And so she sent me on a little medication for that.

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[SPEAKER_03]: And I can tell you, it's different.

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[SPEAKER_03]: I would have never thought that that would have made so much difference, it's like my mind just kind of cleared up and my gut's not as bad, you know?

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[SPEAKER_03]: It's the hypo, right?

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[SPEAKER_00]: Yes, that's what I am too.

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[SPEAKER_00]: So that was, I think I found that out.

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[SPEAKER_00]: maybe 10 years ago.

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[SPEAKER_00]: And I was high bow, maybe not quite that long.

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[SPEAKER_00]: Yeah.

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[SPEAKER_01]: But yeah.

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[SPEAKER_01]: And thyroid's a hormone too.

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[SPEAKER_01]: And so a lot of this symptoms too can kind of overlap.

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[SPEAKER_01]: So that's why it's so important when we check your hormones.

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[SPEAKER_01]: We're also checking your vitamin D, which is a hormone, but you're thyroid as well, because a lot of those symptoms, I was like, oh my gosh, this is this is some good stuff.

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[SPEAKER_02]: I say a lot of the answer.

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[SPEAKER_02]: I think I saw another hormone placement there based on

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[SPEAKER_02]: The way the doctor's read blood work is so much different than how we're going to read.

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[SPEAKER_02]: That's the main difference between going to your doctor and going to an actual hormonal place with therapists because we're going to read your blood work a little bit more in depth than just normal ranges.

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[SPEAKER_02]: Which I thought was so I went on a deep dive on normal ranges and all this stuff.

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[SPEAKER_02]: Yeah.

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[SPEAKER_02]: I go down my holes a lot.

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[SPEAKER_03]: And I think a question I get from a lot of clients to is, is it covered by insurance?

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[SPEAKER_03]: Does insurance cover your hormonal replacement therapy?

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[SPEAKER_01]: not usually and you know sometimes they will like for like the extra aisle patch at things like that but not they're not going to do uh... cover testosterone they may help with for just your own but usually to get that it's going to have to fight to the nil but i'm try is also do preventive medicine i know it's my passion

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[SPEAKER_01]: that a lot of the facilities I don't I haven't seen if you guys do but I know some other ones do membership like monthly membership stuff that helps with and that makes a normal place where there'd be a little bit more affordable yeah carry do you have a membership we do not specifically for HRT but it is a savings account and then when you sign up you can pick like you can choose something free when you sign up for a VIP program

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[SPEAKER_01]: And one of them is like the nutraceuticals that comes along with pellet, so that's an option.

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[SPEAKER_01]: But it's a savings account.

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[SPEAKER_01]: So yeah, people instead of coming up with 375, you know, for the pellet each time, they'll just put 100 a month away into the savings account.

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[SPEAKER_01]: And then they get discounts on other services by saving their money there.

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[SPEAKER_01]: So how often do you need to replace the pellet?

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[SPEAKER_01]: Women three to four months.

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[SPEAKER_01]: And then men about five.

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[SPEAKER_02]: Okay.

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[SPEAKER_01]: So we see men as well.

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[SPEAKER_01]: I was going to say, so why would a why?

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[SPEAKER_00]: Why would men?

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[SPEAKER_00]: Yes.

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[SPEAKER_00]: need hormones or why longer both I guess.

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[SPEAKER_00]: Okay, hell it for a man.

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[SPEAKER_03]: I know what kind of hormones do they like what do they mean?

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[SPEAKER_00]: It's called menopause, but I don't understand it.

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[SPEAKER_00]: It's not women-opause.

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[SPEAKER_00]: It's menopause.

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[SPEAKER_01]: Because it's caused by men.

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[SPEAKER_01]: No, I'm just kidding.

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[SPEAKER_00]: That's true.

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[SPEAKER_01]: So testosterone usually is, you know, so men say symptoms.

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[SPEAKER_01]: Okay.

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[SPEAKER_01]: Yeah.

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[SPEAKER_01]: So they're going to have similar symptoms like brain funk, like I'm doing the same thing.

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[SPEAKER_01]: I'm eating clean exercising.

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[SPEAKER_01]: I'm not getting the same gains.

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[SPEAKER_01]: I work before I can't get rid of the stem.

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[SPEAKER_01]: I can't sleep my drives down or even erectile dysfunction, anxiety, sleep all the things.

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[SPEAKER_01]: So then they come in.

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[SPEAKER_01]: We check their labs and then we give them testosterone.

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[SPEAKER_01]: testosterone is still women's dominant hormone as well, even a man are like 10 times higher than us.

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[SPEAKER_01]: So they get quite a few pellets usually, and so it's gonna less them a little bit longer.

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[SPEAKER_03]: It's gonna less them a little bit longer, but yes.

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[SPEAKER_03]: Last time I was in to see you, you had quite a few men in the waiting room that were waiting to get their treatment.

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[SPEAKER_03]: They're telling them, so it's not something that you're just, just a man here or me and there's a lot of men that do it.

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[SPEAKER_02]: So I think it becomes a new guys because at least we get the name what's wrong with us They don't have one.

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[SPEAKER_00]: They don't have a name for it.

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[SPEAKER_00]: So when would it start in a man like what age would there start about the same?

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[SPEAKER_01]: I mean 40 sometimes 30s, but I would say upper 40s.

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[SPEAKER_01]: So pretty close to when are we are okay?

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[SPEAKER_02]: This might not be something that you know great about, but I have knows a lot of, I'm almost 30.

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[SPEAKER_02]: I'm not 30.

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[SPEAKER_02]: Yes, but I've a lot of friends are at 30s.

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[SPEAKER_02]: I know a lot of 30s guys that are starting testosterone and I thought that was seem pretty young.

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[SPEAKER_02]: You know, or like a bigger percentage is now starting to have to supplement testosterone and younger.

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[SPEAKER_01]: Do you know why or, I think, you know, I think there's, um, well, one, they're seeing other people's results from having that, but I do feel like our environment, all these into current disruptors of things that, you know, in our foods and all the things are.

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[SPEAKER_01]: fertility is a thing.

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[SPEAKER_01]: There are some peptides and things now that you can take to kind of help with that.

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[SPEAKER_01]: But the main thing is that they're done having kids and then checking their levels of course and seeing where they're at.

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[SPEAKER_02]: Maybe it's just because they're like, they're more aware now.

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[SPEAKER_02]: And now we're talking a lot of this awareness.

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[SPEAKER_03]: How old is too old to start hormone replacement therapy?

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[SPEAKER_03]: Or is there an age?

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[SPEAKER_01]: I think it's so individualized because not really the cardiovascular benefits you're going to get the biggest bank for your buck within 10 years of going through minipause is when you're going to start to get that prevention, you know, before it's already started so that the cardiovascular part is then otherwise it's kind of individualized as long as you're health is good generally speaking and you don't have any contraindications.

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[SPEAKER_01]: Then like 70's.

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[SPEAKER_01]: Yeah, one of the doctors I worked with told me that there she had a 90 year old gentleman walk in with his walker And she was like she actually sent him elsewhere because she's like you're too old and she said he came back without his walker Living his best best life and she's like I will never let age be a factor again, and that just like but that's a life lesson to her I know it's not in a bad I mean, yeah, it's a way that I don't think she was probably trying to be me.

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[SPEAKER_00]: No, but that's a life lesson come on

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[SPEAKER_00]: We're going to give you your best quality of life, you know?

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[SPEAKER_03]: We need to get Mr. Erick on testosterone shots.

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[SPEAKER_00]: We need to get him to abs.

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[SPEAKER_00]: I may be sending him to you.

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[SPEAKER_00]: No, Kristen, maybe not.

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[SPEAKER_00]: Well, get him to get his stomach out of it.

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[SPEAKER_01]: Yeah.

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[SPEAKER_01]: That molecule out.

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[SPEAKER_01]: Yeah.

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[SPEAKER_01]: That did make me think of something, though.

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[SPEAKER_01]: So when I did my questionnaires for emails, I put the mail on the back because I thought either way.

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[SPEAKER_01]: So if the bail is filling out his and he turns it over and he's like, oh, my wife, you know, she can, she have some of these symptoms.

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[SPEAKER_01]: Or vice versa.

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[SPEAKER_01]: If you're talking about air,

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[SPEAKER_01]: You're like, hmm, yep, maybe I'll need to get him in here.

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[SPEAKER_03]: So that is a good idea.

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[SPEAKER_03]: I like that.

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[SPEAKER_01]: The big thing to with HRT is that not only does it help symptoms, so it's going to help your quality of life, but they've been found to protect your brain, your breast, your bones, your heart, your prostate from in.

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[SPEAKER_01]: So I think that's just another important thing too, that osteoporosis or is a big thing, but people don't realize that it's not, they're like, oh, I'm fine, I've suffered this long, I'm just going to keep on suffering.

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[SPEAKER_01]: Just knowing that it's symptom relief, but it's also health promoting.

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[SPEAKER_00]: All right, I have a question and I'd just probably a dumb question, I guess, because I'm female.

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[SPEAKER_00]: The other thing is that you don't have a question on us.

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[SPEAKER_00]: But when you start going through menopause, is there a timeframe on menopause?

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[SPEAKER_00]: Is it just, you start it in your home owner placement therapy, are you on that forever?

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[SPEAKER_00]: Or is there a time that you can stop?

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[SPEAKER_00]: I don't know that.

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[SPEAKER_00]: I don't know the answer to that.

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[SPEAKER_01]: So kind of how one person I follow explained it is how it's like a lot of people do think it's a door that you go through Then there's another side, but there's really not Some people can get through the worst of those symptoms.

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[SPEAKER_01]: You know, we're a period of several years, but as far as hormonal placement You don't have to do it forever, but if you want to get the benefits You know, it's what I explained to people like with the weight loss and things are going to the gym.

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[SPEAKER_01]: I'm like

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[SPEAKER_01]: you're not going to continue those results if you're not doing those things.

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[SPEAKER_01]: You know what I mean, you have to replace those hormones.

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[SPEAKER_01]: So if you want to continue to get the benefits and you'll need to stay on it because there's no way if once it's gone it's gone and we have to externally replace it.

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[SPEAKER_03]: Is there ever a point in time when hormone replacement therapy could be dangerous for you?

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[SPEAKER_01]: Yes, if you have, you know, certain like hormone dominate cancers, if you have bleeding disorders, you know, we want to make sure that you're up to the end of your pap smears, your mammograms.

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[SPEAKER_01]: So I already said clotting disorders.

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[SPEAKER_01]: And then just family history, just getting a very detailed family history and making sure that there's no other contraindications.

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[SPEAKER_02]: This question here, what's the biggest mistake?

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[SPEAKER_02]: People most people make when it comes to aging and skincare.

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[SPEAKER_02]: Hey Skin Baves!

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[SPEAKER_02]: If you're loving the real talk, skin tips, and all the behind-the-scenes action we do here, make sure you go like, follow, and subscribe all of our social media's YouTube's podcasts.

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[SPEAKER_02]: So stay confident, stay informed, and keep it unfiltered with a skin bibs.

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[SPEAKER_02]: I'm going to put it in on the skin care aspect of it is they just wait until you just wait I mean you hit that point that you're like oh I now I see all the aging happening and then you come to me You're like I want all these gone deep wrinkles.

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[SPEAKER_02]: I see an end skin texture.

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[SPEAKER_02]: I want it gone and I want it gone now

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[SPEAKER_03]: Well, and I think that that's what that's the biggest thing is, is sometimes when we're in we retire when we're 50s and it's like, you know, we're getting close to retirement age and and then we take a look at ourselves and we're like, oh my gosh, my skin is awful.

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[SPEAKER_03]: I've got all these wrinkles.

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[SPEAKER_03]: I want to start and I want to do one or two treatments and then, you know, I'm 10 years younger.

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[SPEAKER_03]: That's not going to happen.

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[SPEAKER_03]: Our skin is constantly regenerating itself and so if you don't start preventative or you don't start working on it,

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[SPEAKER_03]: It's not going to be something that you can cure and it's going to be good forever.

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[SPEAKER_02]: I have a lot of clients always do starting like treatments every four weeks like in your 20s.

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[SPEAKER_02]: What that might also look like is starting a retinal in your 20s starting a vitamin C in your 20s, you know, and then start doing facials here and there and then as you get in your 30s bring up your facials a little bit more and

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[SPEAKER_03]: And I know that, you know, we're talking about hormone replacement therapy, but Carrie also does a lot of cosmetic injections.

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[SPEAKER_03]: What is a good time to start adding that Botox and, you know, that neurotoxins and some of those cosmetic injections?

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[SPEAKER_01]: yeah so i think it goes along kind of like what you're staying as far as like prevention so we can treat you at any time there's no age limit but the sooner you get ahead of the game the better so preventing those wrinkles um so i mean i have girls as young as there are 20s that are starting to see lines that are set in with their makeup so you know we're going to have wrinkles in motion but if they have wrinkles at rest

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[SPEAKER_01]: They're like, my makeup is starting to crease and things like that.

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[SPEAKER_01]: Then we can do, you know, baby Botox and start starting preventing those most of my women are probably in their 30s and 40s, but I haven't had a ton of younger and a ton of older earlier the better.

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[SPEAKER_01]: Yeah, same with hormones and all those things are easier to prevent than they are to.

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[SPEAKER_03]: Yes, you know, that's kind of, that's my message too is for those of you that are thinking about oh well I want to go get a facial here and there you know sometimes it takes a more aggressive treatment the older you are to kind of reverse some of those signs and so you know I know that going and get in a facial sounds like it's a really relaxing kind of a treatment where it's a treat for myself but if you're really wanting to make that difference in your skin the first

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[SPEAKER_03]: You know, series of treatments you do may not be relaxing.

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[SPEAKER_03]: It may actually be a little bit on the painful side, especially if we're doing IPL or doing micro kneeling.

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[SPEAKER_03]: In order to kick start, the skin is kind of like I like to use the the reference of boot camp when you're starting an exercise program.

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[SPEAKER_03]: Sometimes you need a boot camp and a little tougher kick in the butt.

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[SPEAKER_03]: Yep, a little tougher of a workout in order to get to get into shape and then once you're in shape, then you can do the maintenance.

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[SPEAKER_03]: And so same thing with skincare is, you know, sometimes you've got to do that, it's been that extra money to do those extra treatments that actually hurt or are not as pleasant in order to get the rest of your morning.

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[SPEAKER_03]: And you're probably going to have some downtime going with it.

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[SPEAKER_00]: And when we talk about skincare, is the earlier you start at the better.

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[SPEAKER_00]: Even if you're just washing your face, I mean, whatever products you use, but use something to wash your face daily.

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[SPEAKER_00]: Yes.

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[SPEAKER_00]: Even if you don't shower daily for whatever, I mean, you know what I mean for if you're, if you're good to go, but wash your face.

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[SPEAKER_00]: Yeah.

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[SPEAKER_00]: And I learned that early on to wash my face.

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[SPEAKER_00]: And I've done that.

14:41.972 --> 14:44.234
[SPEAKER_00]: And then I met Kristen at amazingly ages.

14:44.314 --> 14:46.736
[SPEAKER_00]: And I've switched skincare lines, which I love.

14:47.176 --> 15:09.191
[SPEAKER_00]: The skin care line I'm using now from amazingly ageless, but the other part of touching on your facials, I was always afraid to get facials done not the skin part of it, but I was so afraid there would be like, oh, you know, this whole set of the skin care is going to cost you $199.95 and you don't think about that until you get in there and they go.

15:09.971 --> 15:14.173
[SPEAKER_00]: Well, this skin care products what we use today and they're telling you what it is, which is great.

15:15.013 --> 15:24.116
[SPEAKER_00]: But there could be that time where, you know, you feel like when it first happened to me, I would say I was in a spa in Arizona because we go golfing on spring break.

15:24.597 --> 15:26.918
[SPEAKER_00]: But I just remember them, the facial was great.

15:27.038 --> 15:33.600
[SPEAKER_00]: She said I had great skin, but she wanted to recommend me using all of their products even though I didn't live there in Arizona.

15:33.900 --> 15:37.622
[SPEAKER_00]: And I was afraid of that for a long time if I go get a facial somewhere else,

15:39.102 --> 15:47.404
[SPEAKER_00]: Forces of the word, but are they going to say, you really need this good skincare product, dada, dada, dada, dada, and at that time, maybe they don't have the money to do that.

15:47.844 --> 15:53.945
[SPEAKER_00]: But I've learned over the years to embrace that instead of letting it be something you're fearful of.

15:54.165 --> 15:54.285
[SPEAKER_00]: Yes.

15:54.305 --> 15:56.005
[SPEAKER_00]: Well, they're just going to push their product on me.

15:56.185 --> 15:58.746
[SPEAKER_00]: Yeah, we are because you need it.

15:58.946 --> 16:01.386
[SPEAKER_00]: And if you want to take care of your skin, you need to do that now.

16:01.626 --> 16:01.806
[SPEAKER_00]: Yes.

16:01.966 --> 16:05.547
[SPEAKER_00]: And I've learned the hard way with that because I was really, I'm like, I don't need a face,

16:07.187 --> 16:08.448
[SPEAKER_00]: You know, but then I've learned that.

16:08.468 --> 16:09.608
[SPEAKER_02]: I'm going to talk to you so it comes on to you.

16:09.628 --> 16:11.289
[SPEAKER_02]: I was going to do any of the facial expressions.

16:11.349 --> 16:13.129
[SPEAKER_00]: Or like, yes, yes, you do.

16:13.249 --> 16:13.710
[SPEAKER_00]: Let's do it.

16:13.730 --> 16:16.031
[SPEAKER_00]: Let's get that some derma plain in and something else.

16:16.131 --> 16:19.092
[SPEAKER_00]: And I'm like, fine, but I love it now.

16:19.472 --> 16:23.634
[SPEAKER_00]: And I love the skin, Caroline, that one is in this light, your skin.

16:23.694 --> 16:25.755
[SPEAKER_02]: Like, I really know is how good your skin is looking.

16:25.775 --> 16:26.375
[SPEAKER_02]: Your glow.

16:26.395 --> 16:27.795
[SPEAKER_02]: You have made so much progress.

16:27.895 --> 16:31.737
[SPEAKER_03]: Well, and I think also, I know it's not ever for not to.

16:32.097 --> 16:34.139
[SPEAKER_02]: No, it's not, this is a perfect example.

16:34.159 --> 16:35.600
[SPEAKER_02]: It is not in overnight.

16:35.700 --> 16:37.501
[SPEAKER_02]: It's not a one treatment fixal.

16:37.902 --> 16:40.824
[SPEAKER_00]: You're going to have a lot of treatments with Kristen there.

16:40.864 --> 16:44.127
[SPEAKER_00]: So yeah, it's not going to happen right now.

16:44.167 --> 16:47.449
[SPEAKER_03]: But with home care, home care is what's going to carry you through.

16:47.469 --> 16:52.533
[SPEAKER_03]: Yeah, um, a facial is only going to do so much, but we only see you once every four to six weeks.

16:52.893 --> 16:55.275
[SPEAKER_03]: And so what you do at home is what's important.

16:55.475 --> 16:58.478
[SPEAKER_03]: And I know carry carries a line and I carry it if

16:58.858 --> 17:19.071
[SPEAKER_03]: We may carry different lines, but the ingredients in those professional products are going to be more intense, more focused, and more designed to treat your skin, not just be something that you put on top of your skin with waxes because that's what they do with a lot of the cheaper products that you may buy over the counter is that

17:19.751 --> 17:24.492
[SPEAKER_03]: And they have a lot of glycerin, a lot of wax so that it makes skin feel good on the top side.

17:24.552 --> 17:29.033
[SPEAKER_03]: Where it's not the top side that is going to start that regenerative process.

17:29.093 --> 17:33.214
[SPEAKER_03]: It's down below where the live skin cells are sitting there and multiplying.

17:33.534 --> 17:38.516
[SPEAKER_03]: And so that's why we are trying, we're recommending that these products to you because it's like medicine.

17:38.616 --> 17:38.776
[SPEAKER_03]: Right.

17:39.136 --> 17:44.557
[SPEAKER_03]: What I tell my clients is I know they're expensive, but start replacing the products that you have now.

17:44.697 --> 17:46.658
[SPEAKER_00]: That's exactly what we're going to say to me.

17:46.698 --> 17:46.878
[SPEAKER_00]: Yes.

17:48.438 --> 18:00.866
[SPEAKER_00]: If you just need the cleanser, start off with a cleanser, and then maybe on your next couple weeks in, you get a moisturizer, or you get the triple trio, or, you know, so yes, I slowly integrated the products that I needed.

18:00.926 --> 18:13.633
[SPEAKER_00]: It wasn't like she said, you need all of them right now, but I don't know if other women had ever felt that way, you know, and maybe that's why they back off of getting a facial, or, you know, but I listened to Kristen and I'm glad all that I did.

18:13.653 --> 18:14.434
[SPEAKER_00]: So, yeah.

18:15.214 --> 18:17.095
[SPEAKER_00]: go to amazingly ages, she's the bomb.

18:17.275 --> 18:18.275
[SPEAKER_00]: Well, Lena is too.

18:18.295 --> 18:19.755
[SPEAKER_00]: Yeah, Lena, a little credit.

18:19.815 --> 18:22.556
[SPEAKER_02]: All right, I'm gonna ask Kay, one more question is gonna be our last question.

18:22.916 --> 18:27.257
[SPEAKER_02]: What is in your opinion, one wellness habit everyone should start today?

18:27.497 --> 18:27.897
[SPEAKER_02]: Yes, today.

18:28.858 --> 18:34.059
[SPEAKER_01]: String training, because a muscle, bone, metabolism, anti-aging.

18:34.319 --> 18:37.360
[SPEAKER_01]: So muscle is a fountain of youth, so that would be my foundation.

18:37.380 --> 18:37.920
[SPEAKER_01]: I like that.

18:38.180 --> 18:38.760
[SPEAKER_02]: I like that too.

18:38.980 --> 18:40.581
[SPEAKER_02]: Lines can be drink more water, everyone.

18:40.681 --> 18:41.801
[SPEAKER_02]: I know, nice drink more water.

18:42.661 --> 18:43.182
[SPEAKER_02]: Including me.

18:44.982 --> 18:46.563
[SPEAKER_02]: Yeah, she's her classic weird coffee.

18:47.503 --> 18:48.204
[SPEAKER_02]: I have water.

18:48.284 --> 18:51.145
[SPEAKER_02]: Just what what was this a month ago or two months ago.

18:51.165 --> 18:52.866
[SPEAKER_02]: I Doesn't cut coffee.

18:53.026 --> 18:54.707
[SPEAKER_02]: I did I am down.

18:54.807 --> 18:56.488
[SPEAKER_02]: I literally drink one coffee a day.

18:56.828 --> 18:57.509
[SPEAKER_03]: Congratulations.

18:57.549 --> 18:58.289
[SPEAKER_02]: I don't know.

18:58.329 --> 19:03.532
[SPEAKER_02]: Well, I went from about four to one.

19:03.772 --> 19:04.772
[SPEAKER_02]: I am very proud of you.

19:04.812 --> 19:06.513
[SPEAKER_03]: That was one thing that Carrie told me when I went in.

19:06.533 --> 19:07.154
[SPEAKER_03]: She's like girl.

19:07.174 --> 19:07.794
[SPEAKER_03]: Drink more water.

19:08.334 --> 19:09.195
[SPEAKER_03]: I'm like, I'm trying girl.

19:09.215 --> 19:09.635
[SPEAKER_03]: I'm trying.

19:10.473 --> 19:12.716
[SPEAKER_01]: with the hooky up to NIV when you're next to NIV.

19:12.736 --> 19:14.018
[SPEAKER_01]: Maybe you come in for your poets.

19:14.038 --> 19:15.060
[SPEAKER_01]: Well, hooky up to NIV.

19:15.320 --> 19:15.540
[SPEAKER_03]: Yes.

19:16.281 --> 19:18.625
[SPEAKER_03]: If you want to contact Carrie, give us a hauler.

19:18.645 --> 19:25.334
[SPEAKER_03]: We'll give you her contact information or check out the show notes for transformation wellness in Lee Summit.

19:25.354 --> 19:27.637
[SPEAKER_03]: We do a lot of referring to her.

19:28.078 --> 19:29.801
[SPEAKER_03]: And so we would love to get you hooked up.

19:30.181 --> 19:32.004
[SPEAKER_02]: Well, thank y'all for hanging out with me.

19:32.164 --> 19:33.806
[SPEAKER_02]: Thank you for hanging out with us.

19:34.167 --> 19:35.909
[SPEAKER_02]: And we will talk to y'all next week.

19:36.490 --> 19:36.951
[SPEAKER_02]: Bye.

19:36.971 --> 19:37.051
[SPEAKER_02]: Bye.