WEBVTT 00:00:08.869 --> 00:00:11.550 Welcome to this Thursday edition of Good News 00:00:11.550 --> 00:00:14.630 York and a very special edition. Mike Brindisi 00:00:14.630 --> 00:00:17.489 here with you, flying solo. Matt's not in office 00:00:17.489 --> 00:00:20.250 today. He's way too tired from walking around 00:00:20.250 --> 00:00:23.109 the fair yesterday. Too much fried dough. But 00:00:23.109 --> 00:00:27.230 he will be in later. The reason I am excited 00:00:27.230 --> 00:00:29.829 and why this is such a special episode is I am 00:00:29.829 --> 00:00:34.810 bringing on somebody who is a very important 00:00:34.810 --> 00:00:39.439 person in my life. She's a doctor. She is somebody 00:00:39.439 --> 00:00:44.259 who has changed my life in such a positive way 00:00:44.259 --> 00:00:48.119 in regards to mental health. And I have been 00:00:48.119 --> 00:00:50.460 wanting to get around for some time now because 00:00:50.460 --> 00:00:53.820 I've always said that if I had any sort of platform, 00:00:54.039 --> 00:00:56.939 big, medium, or small, I would always use it. 00:00:57.020 --> 00:01:01.340 to promote mental health awareness and everything 00:01:01.340 --> 00:01:03.740 that comes along with it. And I've lived by that. 00:01:03.759 --> 00:01:05.560 For those of you that have watched or listened 00:01:05.560 --> 00:01:08.719 to the show so far know that we've had many mental 00:01:08.719 --> 00:01:13.000 health professionals on. But my next guest is, 00:01:13.760 --> 00:01:16.340 I mean, this is next level. She's on the verge 00:01:16.340 --> 00:01:22.560 of cutting edge testing and protocols that really, 00:01:22.560 --> 00:01:25.180 again, have changed my life. And I'm so excited 00:01:25.180 --> 00:01:28.890 to welcome her on. Mm. Ladies and gentlemen, 00:01:29.530 --> 00:01:35.030 Dr. Jennifer Shiabi. Thank you. Actually, it 00:01:35.030 --> 00:01:37.709 is a nurse practitioner, but thank you. Okay, 00:01:37.909 --> 00:01:39.950 nurse practitioner. You're still a doctor to 00:01:39.950 --> 00:01:43.329 me. Love the same things, yeah. And I've never 00:01:43.329 --> 00:01:45.269 even asked you that as long as I've known you 00:01:45.269 --> 00:01:47.790 and worked with you. It is Shiabi, right? Is 00:01:47.790 --> 00:01:50.530 that the correct pronunciation? It's technically 00:01:50.530 --> 00:01:53.930 Shavi, but if you say in Italian, it's Schiavi. 00:01:54.150 --> 00:01:57.030 Okay, and I'm Italian, so there we go. Sure. 00:01:58.049 --> 00:02:00.269 Listen, welcome to Good News York, sponsored 00:02:00.269 --> 00:02:04.069 by Ads on the Go. Get ads on the go .com. I'm 00:02:04.069 --> 00:02:06.569 so glad you are here. I really appreciate your 00:02:06.569 --> 00:02:10.509 time. I know you're super busy. This is the first 00:02:10.509 --> 00:02:13.129 time I'm actually seeing you, and we're not gonna 00:02:13.129 --> 00:02:18.030 talk about, you know, my issues. I wanna talk 00:02:18.030 --> 00:02:20.750 about... your background and what it is you do 00:02:20.750 --> 00:02:24.110 because it is really, really groundbreaking. 00:02:25.669 --> 00:02:28.289 And just tell me a little bit about yourself 00:02:28.289 --> 00:02:31.409 and your background and how you got to where 00:02:31.409 --> 00:02:35.669 you are today. So I'm a board certified family 00:02:35.669 --> 00:02:38.930 nurse practitioner and I've been in the whole 00:02:38.930 --> 00:02:42.469 medical field for over 12 years now. And when 00:02:42.469 --> 00:02:44.870 my daughter was born, I decided to go out and 00:02:44.870 --> 00:02:47.270 do my own thing about three years ago and get 00:02:47.270 --> 00:02:50.129 a functional medicine certificate. And if you're 00:02:50.129 --> 00:02:52.770 not familiar with what functional medicine is, 00:02:52.969 --> 00:02:56.469 it's a whole different way of approaching mental 00:02:56.469 --> 00:02:58.629 health or any conditions in general, looking 00:02:58.629 --> 00:03:02.229 more towards root causes of what's going on in 00:03:02.229 --> 00:03:05.870 the body. We're going to talk about going into 00:03:05.870 --> 00:03:09.430 DNA and minerals and heavy metals. And so it 00:03:09.430 --> 00:03:11.990 really opens up this ability to treat somebody 00:03:11.990 --> 00:03:16.409 in a more holistic way. And then I received specialized 00:03:16.409 --> 00:03:19.990 training through Dr. Yasko, which is the Yasko 00:03:19.990 --> 00:03:23.469 protocol, which is nutrigenomics. And so that's 00:03:23.469 --> 00:03:26.909 basically the basis of how I do everything with 00:03:26.909 --> 00:03:33.110 patients. Absolutely amazing. Yeah, the way that 00:03:33.110 --> 00:03:38.479 you and I met was, and again, it's funny. I'm 00:03:38.479 --> 00:03:40.979 not somebody that gets personal, right? Like 00:03:40.979 --> 00:03:44.360 obviously people who know me know that Mike is 00:03:44.360 --> 00:03:47.280 an open book. He's outgoing. He talks about everything. 00:03:47.340 --> 00:03:49.120 But honestly, when it comes to like my personal 00:03:49.120 --> 00:03:51.780 stuff, my family, my health, my home, I kind 00:03:51.780 --> 00:03:55.360 of like to keep that private. But because of 00:03:55.360 --> 00:03:57.520 what I talked about earlier and wanting to, you 00:03:57.520 --> 00:03:59.719 know, raise awareness on mental health and what 00:03:59.719 --> 00:04:02.539 it is you do, I've kind of been vulnerable and 00:04:02.539 --> 00:04:04.300 been talking about my struggles. And that's what 00:04:04.300 --> 00:04:05.919 I'm going to do today for the sake of helping 00:04:05.919 --> 00:04:09.479 others. I have struggled with mental health since 00:04:09.479 --> 00:04:11.780 I was 17 years old when I had my first panic 00:04:11.780 --> 00:04:13.879 attack and I had a lot of childhood trauma, which 00:04:13.879 --> 00:04:16.240 you and I have talked about. I've been in and 00:04:16.240 --> 00:04:19.339 out of therapy for for over, you know, 10, 15 00:04:19.339 --> 00:04:23.980 years. And, you know, with that, I've made a 00:04:23.980 --> 00:04:26.939 lot of progress. But along the way, you got to 00:04:26.939 --> 00:04:29.939 remember life keeps happening and other things 00:04:29.939 --> 00:04:32.579 happen. And so. Just when I've made progress, 00:04:32.600 --> 00:04:34.939 sometimes I'd get knocked back down. And there 00:04:34.939 --> 00:04:36.759 were times where I felt really, really hopeless, 00:04:37.040 --> 00:04:40.139 like there was no way out. And I was going through 00:04:40.139 --> 00:04:42.519 a rough time. And my mother -in -law and my father 00:04:42.519 --> 00:04:45.079 -in -law were going to take the Cornell bus down 00:04:45.079 --> 00:04:48.800 to the city for Christmas, the Rockefeller tree 00:04:48.800 --> 00:04:52.240 and all that. And they knew what I was going 00:04:52.240 --> 00:04:55.720 through. And I got a text message from her with 00:04:55.720 --> 00:04:58.629 a picture of your flyer. And I'm paraphrasing. 00:04:58.870 --> 00:05:00.670 But basically, it was a picture of you, and it 00:05:00.670 --> 00:05:03.410 said, are you struggling with anxiety, depression, 00:05:03.670 --> 00:05:09.829 ADHD, having trouble studying? It was catered 00:05:09.829 --> 00:05:11.290 towards the students because it was on Cornell 00:05:11.290 --> 00:05:13.850 campus, but you made it clear it was for everybody. 00:05:14.149 --> 00:05:17.829 And your number was on there. And so I was struggling 00:05:17.829 --> 00:05:21.110 so badly. I was very thankful to my mother -in 00:05:21.110 --> 00:05:26.620 -law. I gave you a call, and... I learned exactly 00:05:26.620 --> 00:05:29.759 what it is that you do, and why don't you talk 00:05:29.759 --> 00:05:31.759 about that a little bit? I mean, you did mention 00:05:31.759 --> 00:05:35.379 it a little bit in your intro there, but kind 00:05:35.379 --> 00:05:38.980 of talk about what it is you do with a client. 00:05:39.220 --> 00:05:41.220 I know everybody's a little bit different because 00:05:41.220 --> 00:05:43.139 everybody has different issues, but kind of what 00:05:43.139 --> 00:05:45.000 is your process and what are some of the things 00:05:45.000 --> 00:05:50.329 you do? So we first start out looking at there's 00:05:50.329 --> 00:05:52.589 three top tests that I like to do. So number 00:05:52.589 --> 00:05:55.250 one is a DNA methylation test. So it's going 00:05:55.250 --> 00:05:58.629 to look at 30 genes and DNA methylation is really 00:05:58.629 --> 00:06:00.990 essential for the production of neurotransmitters, 00:06:01.009 --> 00:06:04.490 but also for your body's ability to detox. So 00:06:04.490 --> 00:06:07.170 then we look at a hair mineral analysis and that's 00:06:07.170 --> 00:06:09.250 going to look at all the minerals that you essentially 00:06:09.250 --> 00:06:12.009 need as co -factors to produce these neurotransmitters 00:06:12.009 --> 00:06:15.149 and for your body's ability to detox. And we 00:06:15.149 --> 00:06:17.129 also look at heavy metals. The big thing about 00:06:17.129 --> 00:06:19.550 heavy metals is many people might say, oh, there's 00:06:19.550 --> 00:06:21.430 no way I could possibly have heavy metals. I 00:06:21.430 --> 00:06:25.069 eat organic. But it is in our soil. It's in our 00:06:25.069 --> 00:06:27.029 air and our pollution. We're getting the wildfire 00:06:27.029 --> 00:06:29.230 smokes. We're getting lead. We're getting cadmium. 00:06:29.790 --> 00:06:35.319 It's everywhere. So I feel like, really, Nobody 00:06:35.319 --> 00:06:37.240 doesn't have anything, especially as you get 00:06:37.240 --> 00:06:39.519 older. Our bodies love to store heavy metals 00:06:39.519 --> 00:06:42.240 in our deep tissues, and we know that mercury 00:06:42.240 --> 00:06:44.720 is neurotoxic. We know that lead is neurotoxic. 00:06:44.759 --> 00:06:47.079 We know that nickel can cause inflammation, and 00:06:47.079 --> 00:06:50.199 inflammation in the body ultimately causes many 00:06:50.199 --> 00:06:54.560 diseases. So the other component is urine amino 00:06:54.560 --> 00:06:57.420 acid testing, and it really looks at the byproducts 00:06:57.420 --> 00:06:59.439 of neurotransmitters. How are you breaking them 00:06:59.439 --> 00:07:03.050 down? Do you have a problem making them? Do you 00:07:03.050 --> 00:07:05.810 have a problem converting them? And so having 00:07:05.810 --> 00:07:08.670 those top three pieces can really give a good 00:07:08.670 --> 00:07:10.670 indicator of where do we start when we look at 00:07:10.670 --> 00:07:13.509 the supplements. So part of nutrigenomics is 00:07:13.509 --> 00:07:16.069 saying, how can we use nutrition and supplements 00:07:16.069 --> 00:07:18.930 to essentially bypass these genetic mutations 00:07:18.930 --> 00:07:22.709 and get things working the way they should? So 00:07:22.709 --> 00:07:26.810 part of the holistic approach too is not not 00:07:26.810 --> 00:07:30.750 just what's going on at this level, but sort 00:07:30.750 --> 00:07:33.550 of like how you mentioned earlier, you know, 00:07:33.850 --> 00:07:36.370 reaching out to other people, doing any kind 00:07:36.370 --> 00:07:39.350 of therapy. So it's really just a part of that 00:07:39.350 --> 00:07:44.850 whole person approach. Yeah. And it's so different, 00:07:45.529 --> 00:07:49.110 but so groundbreaking, because these are things 00:07:49.110 --> 00:07:53.029 that you don't normally hear about when... going 00:07:53.029 --> 00:07:55.350 to somebody, maybe like a licensed talk therapist 00:07:55.350 --> 00:07:58.829 or or to your primary doctor. What I love about 00:07:58.829 --> 00:08:02.689 you is you always say, hey, in addition to what 00:08:02.689 --> 00:08:05.089 we're doing here, I think talk therapy is important 00:08:05.089 --> 00:08:07.230 and you should keep going to that. I think I 00:08:07.230 --> 00:08:10.730 think everybody should know that talk therapy 00:08:10.730 --> 00:08:13.629 always complements and vice versa. This complements 00:08:13.629 --> 00:08:16.990 the talk therapy. Specifically, three things 00:08:16.990 --> 00:08:19.170 that we did like you just talked about was the 00:08:19.170 --> 00:08:22.379 DNA testing, the hair testing. the stool testing, 00:08:22.560 --> 00:08:26.519 which was godawful. But what I love about this 00:08:26.519 --> 00:08:28.740 is, and you've heard about it more lately, is 00:08:28.740 --> 00:08:32.059 when we think about what with ADHD and anxiety 00:08:32.059 --> 00:08:34.120 and depression, it's all in the mind. But we're 00:08:34.120 --> 00:08:39.080 learning that there is a huge body and mind connection. 00:08:39.120 --> 00:08:42.679 And I think that's a lot of what's going on with 00:08:42.679 --> 00:08:45.480 the testing you're doing. The first thing that 00:08:45.480 --> 00:08:48.679 we did, we had met, I kind of told you my background, 00:08:48.759 --> 00:08:50.889 a little bit of talk therapy. to get a base of 00:08:50.889 --> 00:08:53.090 what we were doing. And you brought up these 00:08:53.090 --> 00:08:58.330 tests. And we started by saying, OK, let's find 00:08:58.330 --> 00:09:01.090 out what's going on inside your body genetically, 00:09:01.830 --> 00:09:06.730 chemically. And then let's usher in some of these 00:09:06.730 --> 00:09:11.029 holistic supplements to see if we can boost those 00:09:11.029 --> 00:09:13.710 chemicals or counteract whatever is going on. 00:09:13.870 --> 00:09:16.929 And then we're going to test you not only for 00:09:16.929 --> 00:09:20.090 what kind of medication. but actually the brand 00:09:20.090 --> 00:09:22.210 name mental health medication that will either 00:09:22.210 --> 00:09:25.870 work for you that it might work for you, but 00:09:25.870 --> 00:09:27.450 you won't feel the full effects or you should 00:09:27.450 --> 00:09:29.590 stay away from because it'll actually do the 00:09:29.590 --> 00:09:32.049 opposite, which is mind blowing. And so kind 00:09:32.049 --> 00:09:34.570 of the plan that you and I have been on is let's 00:09:34.570 --> 00:09:36.470 find out what's going on chemically. Let's try 00:09:36.470 --> 00:09:38.789 to fix that. And then we're going to either take 00:09:38.789 --> 00:09:42.149 you off of your medicine, dial you in on a different 00:09:42.149 --> 00:09:44.889 medicine or get you off the medicine altogether. 00:09:44.970 --> 00:09:48.460 It all depends on how it goes. So Took the first 00:09:48.460 --> 00:09:51.419 DNA test and I was blown away when you and I 00:09:51.419 --> 00:09:53.299 went over the results Can you talk a little bit 00:09:53.299 --> 00:09:58.230 about what that that test shows? So that test 00:09:58.230 --> 00:10:01.490 would be the gene site test. And that one does 00:10:01.490 --> 00:10:03.970 have medications on it. So you're right, it has 00:10:03.970 --> 00:10:06.549 the green category of these meds might work best 00:10:06.549 --> 00:10:10.149 for you. And then the yellow is gene drug interactions. 00:10:10.149 --> 00:10:12.990 So maybe higher or lower doses. If you smoke 00:10:12.990 --> 00:10:15.450 marijuana or cigarettes or nicotine, that might 00:10:15.450 --> 00:10:19.110 impact metabolism of the medication. or red is 00:10:19.110 --> 00:10:20.970 you might have pretty nasty side effects. We 00:10:20.970 --> 00:10:23.090 should probably try to stay away from these medications. 00:10:23.190 --> 00:10:25.590 So that has antidepressants, antipsychotics, 00:10:26.450 --> 00:10:28.669 anxiolytics, so things for anxiety or sleep. 00:10:28.809 --> 00:10:31.250 It has stimulants and non -stimulants in there, 00:10:31.269 --> 00:10:34.629 but it does have two DNA methylation genes. which 00:10:34.629 --> 00:10:37.309 is a great place for people to start if they 00:10:37.309 --> 00:10:39.990 don't wanna dive deep into that 30 gene panel 00:10:39.990 --> 00:10:42.710 because that one is expensive, but it has the 00:10:42.710 --> 00:10:47.730 MTHFR gene and the COMT gene. So MTHFR is becoming 00:10:47.730 --> 00:10:50.830 a little bit more widely known right now, but 00:10:50.830 --> 00:10:55.529 there are two different ones. There's A1298C 00:10:55.529 --> 00:10:59.289 and there's a C6770. So you can either have... 00:10:59.519 --> 00:11:02.720 a mutation at one spot or both spots on that 00:11:02.720 --> 00:11:05.000 gene, and that can really impact neurotransmitter 00:11:05.000 --> 00:11:08.940 production. So dopamine, serotonin, norepinephrine, 00:11:09.299 --> 00:11:11.419 and it has been evidence is showing that it's 00:11:11.419 --> 00:11:14.700 linked to ADHD and depression and anxiety. The 00:11:14.700 --> 00:11:18.519 COMT gene, they specifically test for VAL, or 00:11:18.519 --> 00:11:22.679 the 158 gene. And so that one's really responsible 00:11:22.679 --> 00:11:25.100 for maintaining dopamine levels. And so there's 00:11:25.100 --> 00:11:27.460 also evidence for that. looking at mental health 00:11:27.460 --> 00:11:30.100 too. So insurance companies are a little more 00:11:30.100 --> 00:11:34.039 on board with covering that test because those 00:11:34.039 --> 00:11:37.320 two have the most evidence behind them. But really 00:11:37.320 --> 00:11:41.480 when you look at the separate full 30 DNA methylation 00:11:41.480 --> 00:11:44.879 pathway analysis, we've been looking at those 00:11:44.879 --> 00:11:49.279 since early 1990s. We've termed the coin of nutrigenomics 00:11:49.279 --> 00:11:52.950 to do all of that. So even though it feels so 00:11:52.950 --> 00:11:55.230 cutting -edge and new, it's really been around. 00:11:55.590 --> 00:11:58.429 I think part of it is just getting the insurances 00:11:58.429 --> 00:12:01.090 to say, hey, look, this is really helpful for 00:12:01.090 --> 00:12:04.950 people. But yeah, the Genesay is a great place 00:12:04.950 --> 00:12:07.769 to start. Yeah, it's been absolutely mind -blowing. 00:12:08.070 --> 00:12:10.149 You know, the first thing we talked about, as 00:12:10.149 --> 00:12:12.509 I just mentioned, was not only were you telling 00:12:12.509 --> 00:12:14.769 me what kinds of medicine might not work for 00:12:14.769 --> 00:12:17.110 me, we're going by brand name. I mean, that's 00:12:17.110 --> 00:12:19.850 how specific this test is. The other part that 00:12:19.850 --> 00:12:24.289 really blew my mind and changed my life was talking 00:12:24.289 --> 00:12:27.750 about those gene mutations and actually in the 00:12:27.750 --> 00:12:30.309 other test, the DNA test where we looked at the 00:12:30.309 --> 00:12:32.909 gene mutations and we went over that and you 00:12:32.909 --> 00:12:34.769 were able to see and you want to talk about I'm 00:12:34.769 --> 00:12:36.970 getting as personal as I can for the sake of 00:12:36.970 --> 00:12:39.730 helping others. We found out that I had a gene 00:12:39.730 --> 00:12:42.549 mutation and the way you explained it was amazing 00:12:42.549 --> 00:12:44.970 and this is why I wanted to have you on because 00:12:45.240 --> 00:12:47.580 For years, you would go to a primary doctor. 00:12:47.700 --> 00:12:50.500 You'd say, I'm feeling depressed. And 9 out of 00:12:50.500 --> 00:12:52.980 10 would go, OK, here's some Prozac or here's 00:12:52.980 --> 00:12:56.500 some Lexapro. Because at the time, that's all 00:12:56.500 --> 00:12:59.539 that was really offered. That was the answer. 00:12:59.899 --> 00:13:02.500 Now with what you're doing and others are doing 00:13:02.500 --> 00:13:05.399 is we were able to see that I had a double gene 00:13:05.399 --> 00:13:08.799 mutation to where you explained it as, imagine 00:13:08.799 --> 00:13:15.700 you're a bathtub and your serotonin is not only 00:13:15.700 --> 00:13:18.799 is it not coming out like it should, it's dripping 00:13:18.799 --> 00:13:22.480 out, but on top of it, the drain is open and 00:13:22.480 --> 00:13:26.080 it's not holding it. And I was like, you know, 00:13:26.259 --> 00:13:30.720 and we were able to make moves based on that. 00:13:30.820 --> 00:13:33.120 I mean, that's how detailed these tests are. 00:13:33.460 --> 00:13:35.960 And, you know, when you talk about mental health, 00:13:36.399 --> 00:13:39.620 it does matter SSRIs or MAOI, whatever they're 00:13:39.620 --> 00:13:42.200 called, inhibitors. And do you need a boost in 00:13:42.200 --> 00:13:44.500 serotonin? Do you need dopamine? You know, we 00:13:44.500 --> 00:13:46.679 used to just throw stuff at the wall and hope 00:13:46.679 --> 00:13:48.940 it works. And now you're able to just kind of 00:13:48.940 --> 00:13:52.860 to see exactly what that is. And it is it is 00:13:52.860 --> 00:13:57.399 absolutely mind blowing. Let's talk also about 00:13:57.399 --> 00:13:59.720 some of the other tests that you offer and that 00:13:59.720 --> 00:14:04.639 you do along the way. Yeah. So when you look 00:14:04.639 --> 00:14:07.460 at the hair mineral analysis test, you're really 00:14:07.460 --> 00:14:11.370 looking at a lot of minerals that you need. for 00:14:11.370 --> 00:14:13.250 the production of neurotransmitters. So it's 00:14:13.250 --> 00:14:15.610 not just about the genes, but those genes need 00:14:15.610 --> 00:14:18.409 minerals so they can do what they're supposed 00:14:18.409 --> 00:14:21.590 to do. And so you're also looking at, you know, 00:14:21.590 --> 00:14:23.490 we talked a little bit about heavy metals and 00:14:23.490 --> 00:14:26.970 how those are impacting the DNA methylation, 00:14:27.029 --> 00:14:29.549 but essentially like it's easier to talk about 00:14:29.549 --> 00:14:33.370 an example too. Like say someone has an A129AC, 00:14:33.590 --> 00:14:36.210 like say they have a double gene mutation and 00:14:36.210 --> 00:14:38.850 they might have trouble getting rid of certain 00:14:38.850 --> 00:14:42.080 heavy metals. And so those are backing up in 00:14:42.080 --> 00:14:44.600 the system, the pathways are closed off, and 00:14:44.600 --> 00:14:46.720 then you get more and more cumulative effects 00:14:46.720 --> 00:14:50.799 over time. So there's ways to help essentially 00:14:50.799 --> 00:14:54.080 detox people with that. Certain gene mutations, 00:14:54.200 --> 00:14:55.899 when you do it for a while, you start to see 00:14:55.899 --> 00:14:58.799 these connections. So your body has a higher 00:14:58.799 --> 00:15:01.580 demand for certain minerals. So say somebody 00:15:01.580 --> 00:15:06.919 has an MTRR gene mutation. They might need more 00:15:06.919 --> 00:15:09.320 molybdenum. And so you might consistently see 00:15:09.320 --> 00:15:12.860 molybdenum low on hair mineral analysis. So sometimes 00:15:12.860 --> 00:15:15.100 we just, if I start with a hair mineral analysis, 00:15:15.100 --> 00:15:17.720 I can say, oh, okay, we've got these different 00:15:17.720 --> 00:15:20.259 mineral analysis. I bet they have this type of 00:15:20.259 --> 00:15:25.179 gene mutation going on. Perfect. Yeah. And, you 00:15:25.179 --> 00:15:29.039 know, I another thing I'm blown away with is, 00:15:29.039 --> 00:15:31.960 you know, obviously everything is so in depth, 00:15:32.340 --> 00:15:37.539 but you mentioned holistic approach and, you 00:15:37.539 --> 00:15:41.779 know, for those out there that maybe aren't educated 00:15:41.779 --> 00:15:45.179 in this field or, you know, haven't, you know, 00:15:45.279 --> 00:15:48.200 really read up on what all these things mean 00:15:48.200 --> 00:15:51.000 might hear holistic and might think, oh, boy, 00:15:51.139 --> 00:15:54.279 it's hippie dippy. It's, you know, we're going 00:15:54.279 --> 00:15:57.019 to use your energy and things like that. And 00:15:57.019 --> 00:16:01.539 it's not that at all. The holistic approach involves 00:16:01.539 --> 00:16:05.220 a lot of supplements. or not a lot of supplements, 00:16:05.500 --> 00:16:07.639 but involves supplements that, based on these 00:16:07.639 --> 00:16:10.120 DNA tests, you and I went over the results, and 00:16:10.120 --> 00:16:13.460 you said, I think you should, let's put you on 00:16:13.460 --> 00:16:17.879 ABCD for three months, and then we're gonna retest 00:16:17.879 --> 00:16:21.879 and see if those gene mutations or those chemical 00:16:21.879 --> 00:16:25.620 levels are up to where they are, and then from 00:16:25.620 --> 00:16:29.139 there, we'll know which of these you need to 00:16:29.139 --> 00:16:32.320 stay on long term, or... maybe be off forever, 00:16:32.419 --> 00:16:34.879 and then we'll attack the actual medication part 00:16:34.879 --> 00:16:37.179 of it and figure out, do you need to stay on 00:16:37.179 --> 00:16:39.320 the medication you're on? Do you want to adjust 00:16:39.320 --> 00:16:41.320 that medication or do you want to go off? It's 00:16:41.320 --> 00:16:44.740 a very long process, a lot of process of elimination. 00:16:44.940 --> 00:16:47.460 It's very thorough, which I think is very important 00:16:47.460 --> 00:16:50.940 in the mental health field. With that said, can 00:16:50.940 --> 00:16:53.779 you talk a little bit about some of the supplements 00:16:53.779 --> 00:17:00.870 and how you found them? Just a little bit about 00:17:00.870 --> 00:17:06.109 those in general. Yeah. So it's easy to talk 00:17:06.109 --> 00:17:10.829 about an example, I would say. So say an antidepressant, 00:17:11.369 --> 00:17:15.349 the idea is to increase dopamine or serotonin. 00:17:15.869 --> 00:17:18.849 And so if someone has, back to MTGFR, because 00:17:18.849 --> 00:17:21.130 it's the easiest one to talk about, but if they 00:17:21.130 --> 00:17:26.569 have a double gene mutation, A1298C, that can 00:17:26.569 --> 00:17:31.430 really lower BH4 and your body needs to take 00:17:31.430 --> 00:17:35.410 certain cofactors or say the easiest one to think 00:17:35.410 --> 00:17:37.430 about is tryptophan, right? We get that from 00:17:37.430 --> 00:17:39.750 Turkey, but we actually need that to make serotonin, 00:17:39.769 --> 00:17:43.650 but we need BH4 to make that. And so when you 00:17:43.650 --> 00:17:46.369 have that gene mutation, that can be really hard 00:17:46.369 --> 00:17:49.650 for your body to do. So it takes it a step further 00:17:49.650 --> 00:17:55.220 than the antidepressant. Yeah. It's amazing. 00:17:55.660 --> 00:17:59.200 And, you know, I'm on this regimen of these supplements 00:17:59.200 --> 00:18:02.019 in addition to the medication that I've been 00:18:02.019 --> 00:18:04.700 taking. And, you know, another part of that is 00:18:04.700 --> 00:18:08.119 you're very thorough in this will not interfere 00:18:08.119 --> 00:18:10.200 or counteract the medicine you're on. You know, 00:18:10.339 --> 00:18:13.900 the process is very in -depth and very, you know, 00:18:14.140 --> 00:18:18.359 in tune with each individual client. I have to 00:18:18.359 --> 00:18:21.859 ask, what inspired you to take this approach? 00:18:21.880 --> 00:18:24.359 You know, That's what amazed me about you in 00:18:24.359 --> 00:18:26.819 the beginning was not only were you somebody 00:18:26.819 --> 00:18:30.259 who was able to provide this kind of care and 00:18:30.259 --> 00:18:33.839 specialized detailed care in mental health, but 00:18:33.839 --> 00:18:35.740 that, you know, there was a lot of ways you could 00:18:35.740 --> 00:18:38.519 have went in your career and you decided, I wanna, 00:18:38.779 --> 00:18:40.839 I not only wanna work with mental health, I wanna 00:18:40.839 --> 00:18:44.980 specialize in that. Did something, was it a personal 00:18:44.980 --> 00:18:48.240 thing that happened to you or is it just your 00:18:48.240 --> 00:18:53.319 will to wanna help? Yeah, so it was really a 00:18:53.319 --> 00:18:55.779 personal story. My whole life I've had chronic 00:18:55.779 --> 00:18:59.039 fatigue. I never could get out of bed in the 00:18:59.039 --> 00:19:01.559 morning. I never wanted to go to school. I had 00:19:01.559 --> 00:19:04.359 really good grades, but I worked so much harder 00:19:04.359 --> 00:19:08.220 than everybody else. I have this picture that 00:19:08.220 --> 00:19:10.059 I look at all the time of when I was younger. 00:19:10.119 --> 00:19:12.819 I had just these dark circles around my eyes. 00:19:13.059 --> 00:19:18.180 I had so many allergies. And I always just wanted 00:19:18.180 --> 00:19:20.640 to know the reason why. I always wanted to go 00:19:20.640 --> 00:19:23.519 deeper and I never wanted to. I mean, there's 00:19:23.519 --> 00:19:25.599 a time and a place to take medications, but I 00:19:25.599 --> 00:19:29.059 always wanted to do sort of natural, natural 00:19:29.059 --> 00:19:34.660 route to healing. And so as I got older, it just 00:19:34.660 --> 00:19:37.700 seemed to pile up. And then I was pregnant. I 00:19:37.700 --> 00:19:39.599 had terrible tachycardia when I was pregnant, 00:19:39.599 --> 00:19:41.160 so I could barely do anything. I had to go out 00:19:41.160 --> 00:19:44.920 maternity leave early. After I had my daughter, 00:19:45.000 --> 00:19:48.319 I was so depleted. I'm sure because of the gene 00:19:48.319 --> 00:19:52.299 mutations that I have, I have over 11 that I 00:19:52.299 --> 00:19:55.779 just could not focus. I could barely do anything. 00:19:56.019 --> 00:20:00.359 My body was depleted from minerals. That was 00:20:00.359 --> 00:20:03.200 really a lot of the start of getting into the 00:20:03.200 --> 00:20:05.000 genetics and the minerals and the heavy metals. 00:20:06.000 --> 00:20:09.859 My husband has ADHD. That was part of me starting 00:20:09.859 --> 00:20:12.259 my own business of, okay, how can I also help 00:20:12.259 --> 00:20:14.900 him help us together? So we can just live a really 00:20:14.900 --> 00:20:16.940 good life together and just feel good and have 00:20:16.940 --> 00:20:20.559 energy and be happy together. And so, yeah, it's 00:20:20.559 --> 00:20:23.799 been a long process, but that was. Well, listen, 00:20:23.920 --> 00:20:27.299 I mean, I don't know if I believe in a God, you 00:20:27.299 --> 00:20:30.059 know, I guess I'm spiritual. If there is a God, 00:20:30.099 --> 00:20:32.099 I feel like you're certainly doing God's work. 00:20:32.299 --> 00:20:34.740 I mean, anybody who's struggling with mental 00:20:34.740 --> 00:20:36.859 health knows that any beacon of hope, because 00:20:36.859 --> 00:20:40.220 sometimes it does feel hopeless. You know, I've 00:20:40.220 --> 00:20:42.539 struggled with ADHD my whole life. I'm an 80s 00:20:42.539 --> 00:20:44.940 and 90s kid. Back then, it was like, oh, he's 00:20:44.940 --> 00:20:47.500 a disruption. Get him out of class or throw some 00:20:47.500 --> 00:20:51.140 Ritalin at him. People think I found that, you 00:20:51.140 --> 00:20:53.519 know, you hear ADHD and the big joke is squirrel. 00:20:53.759 --> 00:20:56.240 You know, you can't focus. And of course, that's 00:20:56.240 --> 00:21:00.319 an obvious symptom. But people also aren't always 00:21:00.319 --> 00:21:05.680 aware of emotional dysregulation, rejection sensitivity 00:21:05.680 --> 00:21:09.140 dysphoria. There's a lot that comes with ADHD 00:21:09.140 --> 00:21:11.940 that isn't just about focus. Can you talk a little 00:21:11.940 --> 00:21:15.559 bit about some of the things that people don't 00:21:15.559 --> 00:21:18.519 know about ADHD or maybe it's a misconception? 00:21:20.319 --> 00:21:22.380 Sure. Well, I mean, one of them is with females, 00:21:22.779 --> 00:21:26.059 too. They go undiagnosed. There are studies showing 00:21:26.059 --> 00:21:28.359 that they go undiagnosed longer because they 00:21:28.359 --> 00:21:30.640 don't have that hyperactivity component. So in 00:21:30.640 --> 00:21:32.720 school, they might be more of the daydreamer. 00:21:33.000 --> 00:21:35.619 can't focus. So they're not the ones that are 00:21:35.619 --> 00:21:38.119 up and running around. So that's definitely a 00:21:38.119 --> 00:21:41.339 lot of it. But yeah, the emotional regulation, 00:21:41.440 --> 00:21:44.240 the aggression component to it as well. And there's 00:21:44.240 --> 00:21:47.160 tons of research showing that red dye or any 00:21:47.160 --> 00:21:49.619 dyes in general in food can contribute to that. 00:21:49.680 --> 00:21:51.440 So that's a big component. You talked a little 00:21:51.440 --> 00:21:55.319 bit about gut health. So 90 % of your serotonin 00:21:55.319 --> 00:21:57.339 receptors are in your gut. 50 % of your dopamine 00:21:57.339 --> 00:22:00.900 receptors are in your gut. We are sort of in 00:22:00.900 --> 00:22:03.460 this health crisis where our children's guts 00:22:03.460 --> 00:22:07.480 are off as well. So there's actually something 00:22:07.480 --> 00:22:11.079 called HPHPA and it inhibits the conversion, 00:22:11.079 --> 00:22:13.000 I'm getting super scientific, but it inhibits 00:22:13.000 --> 00:22:15.900 the conversion of dopamine to norepinephrine. 00:22:16.700 --> 00:22:21.119 And it is essentially this gut bug that creates 00:22:21.119 --> 00:22:25.420 this. So gut testing isn't usually in my top 00:22:25.420 --> 00:22:28.359 three initially because some genetic mutations 00:22:28.359 --> 00:22:31.920 can impair the intestinal permeability, aka leaky 00:22:31.920 --> 00:22:35.119 gut, like if you have an MTRR11 gene mutation. 00:22:36.559 --> 00:22:40.099 But certainly any imbalance in the gut can contribute 00:22:40.099 --> 00:22:43.740 to just overall body inflammation as well. Yeah, 00:22:44.099 --> 00:22:48.980 I do have gut issues and I've always... the mental 00:22:48.980 --> 00:22:51.720 health component that caused the stomach or is 00:22:51.720 --> 00:22:53.460 it the stomach issues that are causing them? 00:22:53.720 --> 00:22:56.640 But there is such a huge link between mind and 00:22:56.640 --> 00:22:59.880 gut and that's a little more mainstream now. 00:23:00.619 --> 00:23:03.319 A few more questions. I know you're busy. What 00:23:03.319 --> 00:23:06.660 differentiates what you're doing and how you're 00:23:06.660 --> 00:23:10.880 approaching mental health treatment as opposed 00:23:10.880 --> 00:23:14.559 to if you were to go to a primary or maybe just 00:23:14.559 --> 00:23:18.250 a therapist? Because I truly believe and and 00:23:18.250 --> 00:23:20.170 and no disrespect to primary doctors. I love 00:23:20.170 --> 00:23:23.089 my primary doctor I don't believe that primary 00:23:23.089 --> 00:23:25.750 doctors I'm not saying they shouldn't be allowed 00:23:25.750 --> 00:23:27.509 to prescribe medication But I think there should 00:23:27.509 --> 00:23:29.849 be way more of a process before we just throw 00:23:29.849 --> 00:23:32.490 mental health medication out at people That's 00:23:32.490 --> 00:23:34.869 what happened to me Not with my current primary 00:23:34.869 --> 00:23:37.349 a different doctor where they kind of just threw 00:23:37.349 --> 00:23:39.990 it at me and to no fault to them I mean, that's 00:23:39.990 --> 00:23:41.890 kind of how it was but now that I've been working 00:23:41.890 --> 00:23:44.890 with you I see how much you really have to figure 00:23:44.890 --> 00:23:47.089 out before you really want to just put people 00:23:47.089 --> 00:23:49.869 on medication. What differentiates you from, 00:23:49.869 --> 00:23:53.309 I guess, the mainstream way of kind of treating 00:23:53.309 --> 00:23:56.769 any sort of mental health problems? Yeah, well, 00:23:56.890 --> 00:24:00.890 first of all, a lot of times, and it's not the 00:24:00.890 --> 00:24:03.490 provider's fault, but there's just so much urgency 00:24:03.490 --> 00:24:06.769 in visits, is that we... A big piece that can 00:24:06.769 --> 00:24:09.910 be checked for is labs, just basic labs too. 00:24:10.750 --> 00:24:13.470 Iron is really important for dopamine. Vitamin 00:24:13.470 --> 00:24:17.650 D is important for serotonin. Really checking 00:24:17.650 --> 00:24:21.190 vitamin B12. Vitamin B12 is a crucial part of 00:24:21.190 --> 00:24:23.990 all DNA methylation and psychological functioning. 00:24:24.210 --> 00:24:26.369 And so asking people, do you eat red meat? And 00:24:26.369 --> 00:24:28.269 if so, how often do you eat red meat? Are you 00:24:28.269 --> 00:24:30.210 just eating it once a week? That might not be 00:24:30.210 --> 00:24:33.549 sufficient enough. And so that's part of what 00:24:33.549 --> 00:24:37.309 I also do is blood work. But in a functional 00:24:37.309 --> 00:24:41.029 medicine lens, also looking a little bit differently 00:24:41.029 --> 00:24:43.910 at blood work, say somebody is literally one 00:24:43.910 --> 00:24:45.849 point off from where their iron store should 00:24:45.849 --> 00:24:48.670 be, conventional medicine might say, oh, that's 00:24:48.670 --> 00:24:50.869 fine. But for someone to feel their best, have 00:24:50.869 --> 00:24:53.549 that optimal dopamine production, they might 00:24:53.549 --> 00:24:57.190 need that closer to the higher end of what we're 00:24:57.190 --> 00:25:00.200 considering normal. so many lab results just 00:25:00.200 --> 00:25:03.720 have this huge range of what we say is normal. 00:25:04.240 --> 00:25:09.200 So that's a very crucial part of looking at everything. 00:25:10.059 --> 00:25:14.559 But I think the other component is when you go 00:25:14.559 --> 00:25:16.559 to medical school and nurse practitioner school, 00:25:16.640 --> 00:25:19.240 you do learn the anatomy and physiology of the 00:25:19.240 --> 00:25:22.839 body. You learn all these critical minerals and 00:25:22.839 --> 00:25:25.579 vitamins that are needed for the body to function. 00:25:25.680 --> 00:25:29.960 But then when you get into actual practice, it's 00:25:29.960 --> 00:25:32.599 just 15 minute visits and how are you feeling? 00:25:32.759 --> 00:25:35.119 Here's your medication and, you know, see in 00:25:35.119 --> 00:25:38.920 a month. And so being able to do DNA testing 00:25:38.920 --> 00:25:42.640 minerals, you know, how are you making your neurotransmitters, 00:25:42.839 --> 00:25:46.339 really looking at all of that, I think ultimately 00:25:46.339 --> 00:25:49.180 really can make a huge difference for people. 00:25:49.420 --> 00:25:52.579 Yeah, that's so well said, Doc, because I think 00:25:52.579 --> 00:25:55.619 you said it better than I did, which is Again, 00:25:55.799 --> 00:25:58.059 it's nothing against primary doctors. They're 00:25:58.059 --> 00:26:00.339 obviously very capable of handling this kind 00:26:00.339 --> 00:26:03.819 of treatment. It's the time and the amount of 00:26:03.819 --> 00:26:06.119 patients that they see that they're just not 00:26:06.119 --> 00:26:08.359 able to be this thorough. And I think that's 00:26:08.359 --> 00:26:10.859 why it feels like what you're doing is God's 00:26:10.859 --> 00:26:13.059 work because you're able to, I mean, you and 00:26:13.059 --> 00:26:14.779 I have been working together over a year now 00:26:14.779 --> 00:26:17.099 and we have this long -term plan and we're taking 00:26:17.099 --> 00:26:19.740 each step. And it's a long process, but it's 00:26:19.740 --> 00:26:22.339 so thorough. And you have to be so thorough when 00:26:22.339 --> 00:26:25.279 it comes to your body and mind, especially your 00:26:25.279 --> 00:26:30.039 mind. I do know that obviously the test that 00:26:30.039 --> 00:26:32.599 we've been taking, I've talked about, we're looking 00:26:32.599 --> 00:26:35.880 so in depth with, it's able to tell me brand 00:26:35.880 --> 00:26:38.539 name mental health medication that I should or 00:26:38.539 --> 00:26:41.480 should not take. We're looking at gene mutations. 00:26:41.599 --> 00:26:44.420 And I talked about how I'm like a bathtub and 00:26:44.420 --> 00:26:47.970 the serotonin isn't holding. It is so in -depth. 00:26:48.430 --> 00:26:51.730 It's 2025. How much more in -depth do you think 00:26:51.730 --> 00:26:53.829 we're going to get in the next 10 to 15 years? 00:26:53.910 --> 00:26:56.309 I mean, will there ever be a time, I don't know, 00:26:56.589 --> 00:26:58.869 where we can scan the brain and see the thoughts 00:26:58.869 --> 00:27:00.609 you're having? I mean, I know it sounds crazy, 00:27:00.609 --> 00:27:04.410 but the world's rapidly changing. Is there anything 00:27:04.410 --> 00:27:06.869 on your radar where something's around the corner 00:27:06.869 --> 00:27:11.089 that's really exciting and new? Well, I'm just 00:27:11.089 --> 00:27:18.360 hopeful that more and more insurances will consider 00:27:18.360 --> 00:27:20.799 covering the rest of the full DNA methylation 00:27:20.799 --> 00:27:23.339 panel and not just the medications and those 00:27:23.339 --> 00:27:27.900 two DNA genes, because they are starting to recognize 00:27:27.900 --> 00:27:31.980 that. And even you can look up and see who's 00:27:31.980 --> 00:27:33.859 registered to do gene site, but you also have 00:27:33.859 --> 00:27:36.880 to be careful because providers need to have 00:27:36.880 --> 00:27:39.119 the right training to know what supplements to 00:27:39.119 --> 00:27:41.200 recommend for those two different gene mutations. 00:27:41.940 --> 00:27:45.460 But where is it going with this? You know what's 00:27:45.460 --> 00:27:49.279 great? This is awesome. This is another symptom 00:27:49.279 --> 00:27:52.740 of ADHD. You just kind of forget things. Welcome 00:27:52.740 --> 00:27:56.559 to my world. It's fine. I think the insurance 00:27:56.559 --> 00:28:01.299 company component of it is really the thing that 00:28:01.299 --> 00:28:03.640 hinges all of it because I see so many times, 00:28:03.960 --> 00:28:05.559 not even with mental health, just with health 00:28:05.559 --> 00:28:08.079 in general, I mean, friends, family, I know that 00:28:08.079 --> 00:28:11.099 say, man, I'm sick or I've got this issue, but 00:28:11.099 --> 00:28:13.059 I'm not going because I can't afford it. I mean, 00:28:13.059 --> 00:28:16.299 that to me is insane. you know, basic health 00:28:16.299 --> 00:28:20.660 care is a human right and a need. It's not a 00:28:20.660 --> 00:28:22.920 luxury. And that's a whole other issue that we 00:28:22.920 --> 00:28:25.599 don't need to talk about now. But, you know, 00:28:25.599 --> 00:28:28.220 I have experienced it with you where there are 00:28:28.220 --> 00:28:30.460 times where, yes, my insurance company is covering 00:28:30.460 --> 00:28:32.799 things, but I am paying out of pocket. And as 00:28:32.799 --> 00:28:35.079 excited as I am to share this with the public, 00:28:35.079 --> 00:28:36.960 I'm sure there's going to be people listening 00:28:36.960 --> 00:28:39.920 who are saying, yeah, Dr. Jennifer Schiavi sounds 00:28:39.920 --> 00:28:42.440 great, but I can't I can't pay. I don't have 00:28:42.440 --> 00:28:44.420 health insurance or I can't afford. And that 00:28:44.420 --> 00:28:48.140 really is what I think is kind of delaying us 00:28:48.140 --> 00:28:50.980 in accelerating what it is that you do. I think 00:28:50.980 --> 00:28:53.720 it would be more mainstream if insurance companies 00:28:53.720 --> 00:28:57.819 were able to say, hey, this is clearly a worldwide 00:28:57.819 --> 00:29:00.200 issue and we need to get a handle on it because 00:29:00.200 --> 00:29:02.039 if we have a handle on our mental health, we 00:29:02.039 --> 00:29:05.440 have a better handle on our society. Before we 00:29:05.440 --> 00:29:09.000 go, I obviously want to plug your practice and 00:29:09.000 --> 00:29:12.109 what it is you do. If somebody is, now I want 00:29:12.109 --> 00:29:14.750 to make sure you deal with patients who are struggling 00:29:14.750 --> 00:29:18.430 with not just ADHD, correct? Correct, yep. So 00:29:18.430 --> 00:29:22.269 it's anxiety, depression, ADHD, any sort of mental 00:29:22.269 --> 00:29:26.369 health issues? Yep, yep, insomnia is another 00:29:26.369 --> 00:29:30.569 big one. Insomnia, great. And where can they 00:29:30.569 --> 00:29:33.990 find you if they're going, if anybody's struggling 00:29:33.990 --> 00:29:35.710 with any sort of mental health struggle? You 00:29:35.710 --> 00:29:38.890 are located in Ithaca where I live. but you do 00:29:38.890 --> 00:29:42.829 telehealth, which is amazing because now no matter 00:29:42.829 --> 00:29:45.809 where we are, you're still there to help. Let 00:29:45.809 --> 00:29:47.450 somebody know who's struggling with mental health, 00:29:47.630 --> 00:29:51.849 where they can find you. So yeah, IthacaADHD 00:29:51.849 --> 00:29:55.529 .com is a great place to start. There's a description 00:29:55.529 --> 00:29:57.509 of all the different treatment options I offer. 00:29:57.730 --> 00:30:01.099 If someone is thinking about... You know, what 00:30:01.099 --> 00:30:02.799 treatment plan should I do? They can just book 00:30:02.799 --> 00:30:06.420 a free discovery call. And if finances are concerned, 00:30:06.720 --> 00:30:08.559 then typically we just go over, you know, where 00:30:08.559 --> 00:30:11.039 do we start? What can we get covered by insurance 00:30:11.039 --> 00:30:13.819 first? I do that all the time with patients. 00:30:14.660 --> 00:30:17.900 I do have another website that is sort of just 00:30:17.900 --> 00:30:19.839 solely based on functional medicine. It's called 00:30:19.839 --> 00:30:23.400 My Functional and it's fix .com, fix, My Functional 00:30:23.400 --> 00:30:26.380 Fix, which sort of goes a little bit deeper into 00:30:26.380 --> 00:30:29.220 the DNA and the hair and the urine testing as 00:30:29.220 --> 00:30:35.299 well. Awesome. Dr. Shiavi, you're amazing. I 00:30:35.299 --> 00:30:38.400 can't sing your praises enough. Because of everything 00:30:38.400 --> 00:30:42.500 you just talked about, I've struggled with mental 00:30:42.500 --> 00:30:47.500 health my entire life. It's what you do you can't 00:30:47.500 --> 00:30:51.839 put a price on because your sanity, your mental 00:30:51.839 --> 00:30:57.539 health, your wellbeing is everything. And you've 00:30:57.539 --> 00:30:59.700 given me back a quality of life. And we're still 00:30:59.700 --> 00:31:02.319 working. We're still getting towards the goal. 00:31:02.660 --> 00:31:05.920 But I am much better. as a father, a husband, 00:31:06.920 --> 00:31:10.240 an employee, a performer, all of it because of 00:31:10.240 --> 00:31:13.099 you. And I know it sounds dramatic, but if anyone 00:31:13.099 --> 00:31:15.619 is struggling with mental health, they know exactly 00:31:15.619 --> 00:31:18.460 what I'm talking about. Don't hesitate to reach 00:31:18.460 --> 00:31:21.960 out to Dr. Shavy for more than just what it is 00:31:21.960 --> 00:31:26.470 that she does. You heard, as you said, You work 00:31:26.470 --> 00:31:29.289 so closely with them and making sure the finances 00:31:29.289 --> 00:31:30.910 are in order first So it's not like they're gonna 00:31:30.910 --> 00:31:32.710 call and then you're gonna slap them with a bill 00:31:32.710 --> 00:31:35.710 That's a lot of times a huge worry for people. 00:31:36.250 --> 00:31:39.269 You're you're so thorough and you're so Well 00:31:39.269 --> 00:31:41.769 thought out along the whole process and I appreciate 00:31:41.769 --> 00:31:44.970 you so much Thank you for giving me your time 00:31:44.970 --> 00:31:47.470 Anything else you want to say before before we 00:31:47.470 --> 00:31:49.150 go anything you want to plug anything you want 00:31:49.150 --> 00:31:51.549 to talk about? Well, thank you for sharing your 00:31:51.549 --> 00:31:57.049 story and I feel like it's taken me a while in 00:31:57.049 --> 00:32:00.630 my own journey, but being able to be confident 00:32:00.630 --> 00:32:03.710 in the protocol that I follow and going through 00:32:03.710 --> 00:32:06.930 these things myself and taking supplements myself 00:32:06.930 --> 00:32:09.789 that I recommend to other people, I feel like 00:32:09.789 --> 00:32:12.569 that really helps too, because I want to say, 00:32:12.910 --> 00:32:14.450 hey, I don't want to say you should do this thing 00:32:14.450 --> 00:32:17.809 when I haven't done it, right? I want to show 00:32:17.809 --> 00:32:20.509 that I'm taking care of myself so I can also 00:32:20.509 --> 00:32:23.170 be able to help take care of other people too. 00:32:23.470 --> 00:32:26.670 You're amazing. You are absolutely amazing. Dr. 00:32:26.890 --> 00:32:31.210 Shiavi, IthacaADHD, let me try that again. IthacaADHD 00:32:31.210 --> 00:32:34.710 .com, if you or someone you know is struggling 00:32:34.710 --> 00:32:37.430 with mental health, whether it be anxiety, depression, 00:32:37.789 --> 00:32:43.589 ADHD, depression, even insomnia, please look 00:32:43.589 --> 00:32:47.730 up Dr. Shiavi. She's an amazing nurse practitioner. 00:32:48.649 --> 00:32:52.529 but also an amazing person. Thank you so much, 00:32:52.589 --> 00:32:55.470 and I will be talking to you soon. Sounds good. 00:32:55.529 --> 00:32:58.210 Thank you. All right. And with that, another 00:32:58.210 --> 00:33:01.789 episode of Good News York, sponsored by Ads on 00:33:01.789 --> 00:33:05.269 the Go, GetAdsOnTheGo .com. I want to thank, 00:33:05.269 --> 00:33:08.369 again, the great Dr. Jennifer Schave out of Ithaca, 00:33:08.369 --> 00:33:11.910 New York, IthacaADHD .com. Please, it is worth 00:33:11.910 --> 00:33:14.910 it. I promise. It changed my life, and she can 00:33:14.910 --> 00:33:17.750 change yours. There is an answer. There's always 00:33:17.750 --> 00:33:20.970 an answer. It's never too late. And with that, 00:33:21.109 --> 00:33:23.009 we will see you next week.