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The Integrative Health Podcast with Dr. Jen — Alternative Health
The Integrative Health Podcast with Dr. Jen

The Integrative Health Podcast is hosted by Dr. Jen Pfleghaar. Dr. Jen is a double board certified physician (Emergency Medicine and Integrative Medicine). This podcast is meant to educate and empower about important health topics. Dr.Jen’s passion is to get to the root cause of disease and prevent illness. Dr. Jen will feature guests who are experts in their fields and experiences in all things related to Integrative Medicine. From Hashimoto’s to Breast Implant Illness, Dr. Jen and her guests will cover it all!
Dr. Jen’s special interests include thyroid, hashimotos, PCOS, hormones, estrogen dominance, gut health, peptides, supplements, mold illness, CIRS, Lyme disease, and all Invisible illnesses.
Dr. Jen Pfleghaar is a double board certified physician in Integrative Medicine and Emergency Medicine. She attended medical school at Lake Erie College of Osteopathic Medicine. She then went on to residency at St Vincent’s Mercy Medical Center for Emergency Medicine and spent one year flying with Life Flight as a flight physician. Dr. Jen now works at local emergency rooms in the community and virtually practicing Integrative Medicine. She is a graduate from The University of Arizona: Andrew Weil Center for Integrative Medicine’s fellowship program. Dr. Jen loves speaking and lectures to physicians at conferences including the AOA (American Osteopathic Association). She hosts the podcast The Integrative Health Podcast with Dr. Jen. Her own health history of Hashimoto’s (which is now in remission) sparked her interest in Integrative Medicine. She is very passionate about helping patients with chronic disease and teaching them now to let the body heal itself. She is a published author of the book- Eat. Sleep. Move. Breathe: A Beginner’s Guide to a Healthy Lifestyle. She is a board member for IDA- Invisible Disabilities Association. Her hobbies include spending time with her husband and four children, being in nature, weightlifting, caring for her chickens on her minifarm in Tennessee and reading the Bible.
For more information on Dr. Jen please visit: www.healthybydrjen.com

Latest Episodes:

Curious About Peptides? Find Out How Bioregulators Can Transform Your Health! Aug 26, 2025

Show notes

Dr. Jen Pfleghaar explains bioregulators—short-chain peptides that can restore organ function, reduce mortality, and promote longevity—and shares practical peptide stacks for health.

Welcome back to The Integrative Health Podcast! In today’s episode, Dr. Jen Pfleghaar dives deep into the fascinating world of bioregulators — short-chain peptides that help restore organ function and promote longevity at a cellular level.

Dr. Jen explains how these peptides, discovered through groundbreaking research by Vladimir Khavinson at the St. Petersburg Institute of Bioregulation and Gerontology, work by entering the cell nucleus to influence gene expression and protein synthesis in a tissue-specific way. She shares compelling evidence showing bioregulators can increase animal lifespan by up to 30%, and details human studies that demonstrate significant mortality reductions with targeted peptide use.

You’ll also learn practical “stacks” of bioregulators for longevity, brain health, and performance, plus dosing guidelines to help you incorporate these powerful molecules into your wellness routine.

Whether you’re curious about anti-aging, cellular health, or the science behind peptides, this episode is packed with insights to empower your health journey.

Discover the science of bioregulators with Dr. Jen Pfleghaar — short peptides that restore organ health and promote longevity. Learn about the research behind them, human study results, and how to use peptide stacks for your wellness goals.

Where to find bioregulators?

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CHECK OUT a list of my Favorite products here: https://www.healthybydrjen.com/drjenfavorites

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FTC: Some links included in this description might be affiliate links. If you purchase a product through one of them, I will receive a commission (at no additional cost to you). I truly appreciate your support of my channel. Thank you for watching! Video is not sponsored.

DISCLAIMER: This podcast does not contain any medical or health related diagnosis or treatment advice. Content provided on this podcast is for informational purposes only. For any medical or health related advice, please consult with a physician or other healthcare professionals. Further, information about specific products or treatments within this podcast are not to diagnose, treat, cure or prevent disease.

Are You Choosing the Right Health Professional? Here’s How to Know Aug 19, 2025

Show notes

Dr. Jen Pfleghaar explains wellness credentials, exposes diploma mills, and reveals red flags to avoid deceptive practitioners in health and wellness.

Welcome back to The Integrative Health Podcast! Today, we’re diving into something I get asked about all the time — how do you really know who to trust in the wellness world? There’s a lot of confusion around credentials and professional titles, and I want to help you cut through the noise.

I’m breaking down what those common titles mean — from MDs and DOs to naturopaths, chiropractors, and health coaches. You’ll learn why it matters to understand their training, what they’re legally allowed to do, and how to spot when someone’s using the title “doctor” without full transparency.

We’ll also talk about the red flags—like those shady online “diploma mills” that offer quick credentials with little oversight—and why mentorship and collaboration among health professionals are so important for your safety and well-being.

By the end of this episode, you’ll feel more confident navigating the health and wellness landscape and empowered to make choices that truly support your health journey. Let’s get into it!

PODCAST: Thank you for listening please subscribe and share!
Shop supplements: https://healthybydrjen.shop/
CHECK OUT a list of my Favorite products here: https://www.healthybydrjen.com/drjenfavorites

FOLLOW ME:
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YouTube: https://www.youtube.com/@integrativedrmom

FTC: Some links included in this description might be affiliate links. If you purchase a product through one of them, I will receive a commission (at no additional cost to you). I truly appreciate your support of my channel. Thank you for watching! Video is not sponsored.

DISCLAIMER: This podcast does not contain any medical or health related diagnosis or treatment advice. Content provided on this podcast is for informational purposes only. For any medical or health related advice, please consult with a physician or other healthcare professionals. Further, information about specific products or treatments within this podcast are not to diagnose, treat, cure or prevent disease.

Faith Over Fear with Jessica Speas Aug 12, 2025

Show notes

Former New Age wellness advocate Jessica Speas joins Dr. Jen to expose spiritual deception in health and politics—and how Scripture brings peace and clarity in the end times.

In this powerful episode of The Integrative Health Podcast, I’m joined by Jessica Speas, a Bible prophecy teacher and former New Age wellness advocate, to unpack the spiritual deception infiltrating both the wellness world and modern society. From essential oils for “abundance” to political idolization and the normalization of psychedelics, Jessica shares her incredible journey from fear-based activism to bold biblical discernment.

She opens up about how the Nashville tornado in 2020 became a “severe mercy” moment that redirected her from fear to faith—and exposed just how subtly idolatry can creep into health, healing, and even political beliefs.

Whether you’re navigating spiritual confusion or simply seeking more clarity in chaotic times, this conversation will equip you to root yourself in truth—and hope.

Jessica Speas is a Bible prophecy teacher and speaker passionate about helping Christians discern truth in a world filled with deception. Formerly involved in New Age practices and political activism, Jessica now focuses on exposing spiritual counterfeits and teaching how Scripture reveals God's plan for peace—even in turbulent times.

PODCAST: Thank you for listening please subscribe and share!
Shop supplements: https://healthybydrjen.shop/
CHECK OUT a list of my Favorite products here: https://www.healthybydrjen.com/drjenfavorites

FOLLOW ME:
Instagram: https://www.instagram.com/integrativedrmom/
Facebook: https://www.facebook.com/integrativedrmom
YouTube: https://www.youtube.com/@integrativedrmom

FTC: Some links included in this description might be affiliate links. If you purchase a product through one of them, I will receive a commission (at no additional cost to you). I truly appreciate your support of my channel. Thank you for watching! Video is not sponsored.

DISCLAIMER: This podcast does not contain any medical or health related diagnosis or treatment advice. Content provided on this podcast is for informational purposes only. For any medical or health related advice, please consult with a physician or other healthcare professionals. Further, information about specific products or treatments within this podcast are not to diagnose, treat, cure or prevent disease.

You Are the Cure: Dr. Ben Edwards on Healing the Body, Mind & Spirit Aug 05, 2025

Show notes

Dr. Ben Edwards shares how he went from conventional family doctor to integrative medicine trailblazer—and why true healing means addressing root causes, not just symptoms.

In this episode of The Integrative Health Podcast, I’m joined by Dr. Ben Edwards, MD—family physician and founder of Veritas Wellness—for a deeply personal and eye-opening conversation about why modern medicine is broken… and what real healing actually looks like.

Dr. Edwards shares his powerful journey from conventional medicine to integrative and functional care, inspired by his grandfathers—both country doctors—and a life-changing encounter with his nurse practitioner who reversed his “incurable” celiac disease naturally.

From the gut-brain connection to the spiritual roots of chronic illness, Dr. Edwards breaks down why symptom suppression isn’t enough and why addressing root causes—emotional, spiritual, and physical—is the only true path to wellness.

If you’ve ever felt like you’re doing everything “right” and still not getting better, this episode will shift your entire paradigm.

Dr. Ben Edwards shares how reversing his autoimmune disease opened his eyes to the failures of conventional medicine—and how true healing involves not just the body, but also the heart and spirit.

Website: https://yourethecure.mykajabi.com/you-re-the-cure

Instagram: https://www.instagram.com/drbenedwards

PODCAST: Thank you for listening please subscribe and share!
Shop supplements: https://healthybydrjen.shop/
CHECK OUT a list of my Favorite products here: https://www.healthybydrjen.com/drjenfavorites

FOLLOW ME:
Instagram: https://www.instagram.com/integrativedrmom/
Facebook: https://www.facebook.com/integrativedrmom
YouTube: https://www.youtube.com/@integrativedrmom

FTC: Some links included in this description might be affiliate links. If you purchase a product through one of them, I will receive a commission (at no additional cost to you). I truly appreciate your support of my channel. Thank you for watching! Video is not sponsored.

DISCLAIMER: This podcast does not contain any medical or health related diagnosis or treatment advice. Content provided on this podcast is for informational purposes only. For any medical or health related advice, please consult with a physician or other healthcare professionals. Further, information about specific products or treatments within this podcast are not to diagnose, treat, cure or prevent disease.

The Easiest Way to Get More Nutrients Into Your Meals (Hint: It’s Organ Meats) Jul 29, 2025

Show notes

Think organ meats aren’t for you? Think again. Chef James Barry joins Dr. Jen to explain how to sneak nutrient-dense organ meats into your meals—even if you're squeamish.

In this episode ofThe Integrative Health Podcast, I’m joined by Chef James Barry—creator of Pluck, a delicious organ-based seasoning blend—for a conversation that might totally change the way you look at nutrition.

I know what you’re thinking: “Organ meats? No thanks!” But here’s the deal—organs like liver, heart, and kidney are incredibly nutrient-dense and were staples in ancestral diets for good reason. The problem? Most of us in the modern Western world have lost touch with them—and are missing out on nature’s original multivitamin.

James shares why organ meats were so important to human evolution, how we’ve gotten away from eating nose-to-tail, and (my favorite part!) super simple ways to get them into your meals without the taste or texture battles.
✨ Yes, even your picky kids can enjoy them—my own kids love Pluck on popcorn and salad, and they have no ideawhat’s in it!

James Barry is a professional chef with 20+ years of experience, including cooking for celebrities. He’s the founder of Pluck, an organ-based superfood seasoning that helps people enjoy the benefits of organ meats without the fuss. He’s also the host of the podcast Everyday Ancestral and a passionate advocate for nose-to-tail eating. Learn more and get recipes at https://eatpluck.com.

Website: https://eatpluck.com

Code drjen for 15% off

Instagram: https://www.instagram.com/eatpluck/?hl=en

PODCAST: Thank you for listening please subscribe and share!
Shop supplements: https://healthybydrjen.shop/
CHECK OUT a list of my Favorite products here: https://www.healthybydrjen.com/drjenfavorites

FOLLOW ME:
Instagram: https://www.instagram.com/integrativedrmom/
Facebook: https://www.facebook.com/integrativedrmom
YouTube: https://www.youtube.com/@integrativedrmom

FTC: Some links included in this description might be affiliate links. If you purchase a product through one of them, I will receive a commission (at no additional cost to you). I truly appreciate your support of my channel. Thank you for watching! Video is not sponsored.

DISCLAIMER: This podcast does not contain any medical or health related diagnosis or treatment advice. Content provided on this podcast is for informational purposes only. For any medical or health related advice, please consult with a physician or other healthcare professionals. Further, information about specific products or treatments within this podcast are not to diagnose, treat, cure or prevent disease.

Is Your Health “Expert” Actually Qualified? Dr. Jen Breaks Down Credentials You Can Trust Jul 22, 2025

Show notes

Confused by health “experts” online? Learn how to tell if your wellness professional is truly qualified. Dr. Jen Pfleghaar explains credentials, red flags, and what you must verify.

Dr. Jen Pfleghaar goes solo in this important episode to clear up confusion about professional labels and credentials in the health and wellness world. In an age when everyone on social media calls themselves a “doctor” or “expert,” she shares exactly how to tell who’s qualified—and who isn’t.

Dr. Jen explains the rigorous training that licensed MDs, DOs, chiropractors, and physician assistants undergo, contrasting them with unregulated programs and diploma mills that produce unqualified “experts.” You’ll learn why transparency about training, clear scope of practice, and proper licensure matter for your safety—and how to spot red flags fast.

We also explore why so many people are harmed by health coaches or influencers stepping beyond their legal scope and how to do your own due diligence before trusting someone with your health.

If you’ve ever wondered what all those letters after someone’s name mean—or if you’ve felt overwhelmed by conflicting advice online—this episode empowers you to ask the right questions and protect yourself.

Dr. Jen Pfleghaar, DO, ABOIM, hosts this solo episode to demystify the credentials behind health professionals and wellness influencers. From MDs and DOs to health coaches and PhDs, she shares how to distinguish rigorous training from unqualified self-promotion—so you can make informed decisions about your care.

PODCAST: Thank you for listening please subscribe and share!
Shop supplements: https://healthybydrjen.shop/
CHECK OUT a list of my Favorite products here: https://www.healthybydrjen.com/drjenfavorites

FOLLOW ME:
Instagram: https://www.instagram.com/integrativedrmom/
Facebook: https://www.facebook.com/integrativedrmom
YouTube: https://www.youtube.com/@integrativedrmom

FTC: Some links included in this description might be affiliate links. If you purchase a product through one of them, I will receive a commission (at no additional cost to you). I truly appreciate your support of my channel. Thank you for watching! Video is not sponsored.

DISCLAIMER: This podcast does not contain any medical or health related diagnosis or treatment advice. Content provided on this podcast is for informational purposes only. For any medical or health related advice, please consult with a physician or other healthcare professionals. Further, information about specific products or treatments within this podcast are not to diagnose, treat, cure or prevent disease.

Long COVID or Adrenal Fatigue? Dr. Tracy Tranchitella Reveals the Overlooked Connection Jul 15, 2025

Show notes

Discover how adrenal dysfunction plays a key role in Long COVID symptoms like fatigue, brain fog, and POTS. Dr. Tracy Tranchitella explains how to test, treat, and truly recover.

Dr. Jen Pfleghaar sits down with Dr. Tracy Tranchitella, a seasoned naturopathic doctor with over two decades of experience, to explore the hidden link between adrenal dysfunction and Long COVID. This episode uncovers how COVID-19 affects the adrenal glands in three major ways—including immune confusion, direct viral damage, and cortisol disruption—and why many Long COVID patients deal with symptoms that mimic adrenal insufficiency.

Dr. Tranchitella breaks down how symptoms like unrelenting fatigue, insomnia, POTS, and brain fog may be tied to your body’s impaired stress response, not just post-viral effects. Learn how underlying stressors like mold, Lyme, or Epstein-Barr virus can amplify symptoms, and why standard labs may miss what’s going on.

We also dive into Mast Cell Activation Syndrome (MCAS), mitochondrial dysfunction, and how to evaluate adrenal health through tools like salivary cortisol testing properly. If you're exhausted, dizzy, or feel "off" long after COVID, this episode gives you hope, answers, and practical tools to start healing.

Dr. Tracy Tranchitella is a licensed naturopathic doctor with 24 years of experience in functional and integrative medicine. She co-founded Sunrise Functional Medicine in Bend, Oregon, where she helps patients heal from chronic illness using a root-cause approach. Dr. Tranchitella also teaches online courses through Integrative Medicine Academy, educating practitioners on adrenal health, hormone balance, toxicity, Candida, and more.

Linkedin: https://www.linkedin.com/in/tracy-tranchitella-a0b101186/

PODCAST: Thank you for listening please subscribe and share!
Shop supplements: https://healthybydrjen.shop/
CHECK OUT a list of my Favorite products here: https://www.healthybydrjen.com/drjenfavorites

FOLLOW ME:
Instagram: https://www.instagram.com/integrativedrmom/
Facebook: https://www.facebook.com/integrativedrmom
YouTube: https://www.youtube.com/@integrativedrmom

FTC: Some links included in this description might be affiliate links. If you purchase a product through one of them, I will receive a commission (at no additional cost to you). I truly appreciate your support of my channel. Thank you for watching! Video is not sponsored.

DISCLAIMER: This podcast does not contain any medical or health related diagnosis or treatment advice. Content provided on this podcast is for informational purposes only. For any medical or health related advice, please consult with a physician or other healthcare professionals. Further, information about specific products or treatments within this podcast are not to diagnose, treat, cure or prevent disease.

How Mercury, Mold, and Metabolic Typing Can Change Your Health Journey — Martin Pytela’s Recovery Story Jul 08, 2025

Show notes

Martin Pytela joins Dr. Jen to reveal how mercury toxicity, metabolic typing, and deep detoxification can unlock true healing. Discover the four major healing blockers and how to reclaim your health naturally.

In this episode of The Integrative Health Podcast, Dr. Jen sits down with Martin Pytela, health coach and founder of Life Enthusiast, to uncover the deep-rooted health challenges that conventional medicine often overlooks. After receiving 12 mercury amalgam fillings in his twenties, Martin’s health spiraled, leading to chronic pain, fatigue, infections, and years of searching for answers outside the standard system.

Martin shares how toxicity, trauma, malnutrition, and stagnation disrupt the body's healing potential—and why true health comes from rebuilding homeostasis, not just suppressing symptoms. From the history of pharma-driven medicine to the power of metabolic typing and zeolite detox, this episode is packed with insight for anyone on a healing path.

You’ll also learn how to identify your metabolic type, why certain diets work for some and not others, and how heavy metal toxicity, EMFs, and nutrient imbalances might be silently holding your body in survival mode.

If you’ve ever felt dismissed, misdiagnosed, or just “off” despite being told you're fine, this one’s for you.

Martin Pytela is a health coach and founder of Life Enthusiast, a company dedicated to restoring wellness through detox, nutrition, and personalized protocols. After a personal journey of overcoming severe mercury toxicity and chronic illness, he now educates others on how to identify and resolve hidden health stressors using ancestral nutrition, targeted supplementation, and deep detox. He is also the host of the Overcoming Chronic Illness Podcast.

Instagram: https://www.instagram.com/lifeenthusiast15/?hl=en

Linkedin: https://www.linkedin.com/in/martin-pytela-62b73a8

Website: https://www.life-enthusiast.com/about-us?srsltid=AfmBOooN3P7xa_zN6Jun0q3xAMScJaVnYVwCqpg-ES2JJkPstdEdIAiz

PODCAST: Thank you for listening please subscribe and share!
Shop supplements: https://healthybydrjen.shop/
CHECK OUT a list of my Favorite products here: https://www.healthybydrjen.com/drjenfavorites

FOLLOW ME:
Instagram: https://www.instagram.com/integrativedrmom/
Facebook: https://www.facebook.com/integrativedrmom
YouTube: https://www.youtube.com/@integrativedrmom

FTC: Some links included in this description might be affiliate links. If you purchase a product through one of them, I will receive a commission (at no additional cost to you). I truly appreciate your support of my channel. Thank you for watching! Video is not sponsored.

DISCLAIMER: This podcast does not contain any medical or health related diagnosis or treatment advice. Content provided on this podcast is for informational purposes only. For any medical or health related advice, please consult with a physician or other healthcare professionals. Further, information about specific products or treatments within this podcast are not to diagnose, treat, cure or prevent disease.

Tired All the Time? It Might Be Your Mitochondria — Dr. Bryan Rade Explains Why Jul 01, 2025

Show notes

Explore the link between fatigue, mitochondrial health, and chronic illness with Dr. Bryan Rade. Learn how mold, stress, infections, and nutrient depletion impair cellular energy—and how to recover.

Dr. Jen Pfleghaar speaks with Dr. Bryan Rade, a leading naturopathic doctor specializing in chronic illness, about one of the most overlooked causes of fatigue: mitochondrial dysfunction. In this episode of The Integrative Health Podcast, they unpack why your energy issues might not be about thyroid or hormones, but about your cellular powerhouses failing to produce energy efficiently.

Dr. Rade breaks down what mitochondria are, how they fuel your brain, muscles, and liver, and the common stressors that damage their function, including mold, chronic infections, nutrient depletion, and insulin resistance. He shares powerful insights into the Cell Danger Response and why persistent fatigue often signals deeper, unaddressed issues.

You'll learn how to optimize mitochondrial function with targeted nutrients, hormone balance, and environmental detox—and hear patient stories of energy breakthroughs using a comprehensive mitochondrial support formula.

If you feel “mostly fine” but not quite thriving, this episode is for you.

Dr. Bryan Rade, ND, is a licensed naturopathic doctor specializing in complex chronic illness. He has developed a comprehensive approach to treating fatigue by restoring mitochondrial function through environmental detox, targeted nutrient therapy, and hormone balancing. Dr. Rade is also the host of the Overcoming Chronic Illness podcast and creator of an in-depth online course to guide patients through the maze of chronic conditions.

Instagram: https://www.instagram.com/dr.bryanrade.nd/?hl=en

Facebook: https://www.facebook.com/bryan.rade/

PODCAST: Thank you for listening please subscribe and share!
Shop supplements: https://healthybydrjen.shop/
CHECK OUT a list of my Favorite products here: https://www.healthybydrjen.com/drjenfavorites

FOLLOW ME:
Instagram: https://www.instagram.com/integrativedrmom/
Facebook: https://www.facebook.com/integrativedrmom
YouTube: https://www.youtube.com/@integrativedrmom

FTC: Some links included in this description might be affiliate links. If you purchase a product through one of them, I will receive a commission (at no additional cost to you). I truly appreciate your support of my channel. Thank you for watching! Video is not sponsored.

DISCLAIMER: This podcast does not contain any medical or health related diagnosis or treatment advice. Content provided on this podcast is for informational purposes only. For any medical or health related advice, please consult with a physician or other healthcare professionals. Further, information about specific products or treatments within this podcast are not to diagnose, treat, cure or prevent disease.

Think It’s Your Thyroid? Here’s Why You Might Be Wrong — Dr. Eric Balcavage Explains Jun 24, 2025

Show notes

Explore Dr. Eric Balcavage’s revolutionary insights into thyroid health, cellular stress, and the misunderstood root causes behind hypothyroid symptoms.

Dr. Jen Pfleghaar speaks with Dr. Eric Balcavage, a nationally recognized educator and founder of a functional medicine clinic, about "The Thyroid Debacle." They dive deep into why both conventional and functional medicine often misinterpret thyroid symptoms, delaying diagnosis and leading to mismanagement. Dr. Balcavage explains how chronic stress triggers an adaptive response at the cellular level that mimics hypothyroid symptoms, long before the gland itself is damaged. Learn about the cell danger response, why blasting the body with thyroid hormones can backfire, and how to truly address the root causes of hormonal and metabolic dysfunction.

Dr. Eric Balcavage owns and founded Rejuvagen, a functional medicine clinic in Chadds Ford, PA. He is a licensed chiropractor, author of The Thyroid Debacle, and host of the Thyroid Answers Podcast. Dr. Balcavage is a nationally recognized speaker on thyroid dysfunction, cellular health, and metabolic disorders. His work centers on identifying stress-induced adaptations in the body that drive chronic illness, especially hypothyroidism and autoimmune conditions.

Instagram: https://www.instagram.com/drericbalcavage/?hl=en

Facebook: https://www.facebook.com/drericbalcavage

PODCAST: Thank you for listening please subscribe and share!
Shop supplements: https://healthybydrjen.shop/
CHECK OUT a list of my Favorite products here: https://www.healthybydrjen.com/drjenfavorites

FOLLOW ME:
Instagram: https://www.instagram.com/integrativedrmom/
Facebook: https://www.facebook.com/integrativedrmom
YouTube: https://www.youtube.com/@integrativedrmom

FTC: Some links included in this description might be affiliate links. If you purchase a product through one of them, I will receive a commission (at no additional cost to you). I truly appreciate your support of my channel. Thank you for watching! Video is not sponsored.

DISCLAIMER: This podcast does not contain any medical or health related diagnosis or treatment advice. Content provided on this podcast is for informational purposes only. For any medical or health related advice, please consult with a physician or other healthcare professionals. Further, information about specific products or treatments within this podcast are not to diagnose, treat, cure or prevent disease.

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