Episodios

  • S4 Ep189: The FDA Removes the Black Box Label for Hormone Therapy
    Nov 20 2025
    In case you missed it, last week was quite the week in the menopause world. The FDA made a landmark decision to remove all black box warnings from estrogen products and to update the labels of individual products. I was in the room where it all happened and in this episode, I’m going to break it all down for you. But here’s the headline- this label change is overall, a good thing, a very good thing. A transcript of this podcast, along with photos and graphics, can be found on DrStreicher.Substack.com In this episode: A historical perspective of how the Black Box label came to be on all estrogen productsA review of the Women’s Health Initiative Study (WHI) that lead to the specific warnings on the label. The fall out from the release of the WHIThe Problems with the Black Box label on estrogen productsClass LabelingThe difference between oral, transdermal and local vaginal estrogen. How the required black box label influenced the likelihood of physicians writing a prescription for estrogen, and the likelihood that women would use hormone therapy. Why I never stopped prescribing estrogenLast week’s announcement from the FDAIf it is medically appropriate to remove the black box warning from local vaginal estrogenIf it is medically appropriate to remove the black box warning from systemic estrogenThe inaccurate messaging during the FDA press conferenceThe POLITICS of WHY the FDA removed the Black Box warnings Related Podcasts: Episode 124 All Hormones Are Not Created Equal with Dr. James SimonEpisode 164 Is Bioidentical Always Best? Episode 181 The FDA Roundtable on Menopausal Hormone Therapy Related Substack Articles Top 20 Questions about Local Vaginal EstrogenIs Bioidentical Always Best?BLOOD CLOTS and ESTROGEN: The FactsCrises at the FDAWhy RFK is a Scary Choice for HHS Dr. Streicher is on SUBSTACK DrStreicher.Substack.com ArticlesMonthly newsletterAll COME AGAIN podcast episodes Monthly News Flash Reports on recent research Monthly Zoom Ask Me Anything Webinar Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. S Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. LINKS Subscribe To Dr. Streicher’s SubstackInformation About the COME AGAIN PodcastDr. Streicher’s CV and additional bio informationTo Find a Menopause Clinician and Other Resources Glossary Of Medical Terminology Books by Lauren Streicher, MD Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and painHot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSex Rx- Hormones, Health, and Your Best Sex EverThe Essential Guide to Hysterectomy Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.
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    32 m
  • S4 Ep188: The Case for HPV (and Other) Vaccinations in Women Over 45 with Vivien Brown
    Nov 13 2025
    Human Papillomavirus, or HPV, is responsible for 6 different kinds of cancers…Cervical, anal, oral pharyngeal, vaginal, vulvar, and penile. So, it was a big deal when the HPV vaccine was approved in 2006 females between the ages of 9 and 26. In 2018, the age range was expanded to include adults up to the age of 45. But, what about women over 45? Shouldn’t they have the option of getting a vaccine that prevents 90% of HPV related cancers? My guest is Dr. Vivien Brown, an Assistant Professor at the University of Toronto with a special interest in Adult Immunization and Vaccine Preventable Illness. Dr. Brown presented HPV initiatives in Canada at the UN meetings for the Commission on the Status of Women. Background on the Human Papilloma Virus (HPV) vaccine and HPV Cancers associated with HPVWho should get HPV vaccinesWhy it is best to vaccinate young girls and boysIf women with cervical cancer should still get vaccinatedIf people who got the original vaccine with 4 serotypes, should get the newer vaccine with 9 serotypesHow much the vaccine reduces the risk of cancerSide effects of the vaccineWhy the vaccine was expanded from age 26 to age 45Vaccine efficacy is less in older womenHow HPV is transmitted in older womenTime of exposure of HPV to cancerReasons that women over the age of 45 are at risk of exposure to HPVThe case for universal vaccinations and STI screeningIf MEN are (should) getting vaccinated over age 45If women should get tested for previous infections before getting vaccinatedWhy Canadian dentists are now counseling and administering HPV vaccinating If single women in their 60s should get vaccinated if they are not sexually active and have no plans for sexual activity Other vaccines recommended in older womenTetanusPneumoniaInfluenzaShinglesRSVCovid If it’s OK to get tvaccines all at once or if dosing should be divided The Case for Seeing a Gynecologist No Matter How Old You Are Vivien Brown MDCM,*CCFP, MSCP Dr. Vivien Brown, is a family physician and Assistant Professor, Department of Family & Community Medicine, University of Toronto, is renowned for her expertise in women’s health, brain health, immunization, health promotion and healthy aging. *MDCM stands for Medicinae Doctorem et Chirurgiae Magistrum, which translates to "Doctor of Medicine and Master of Surgery" in Latin. It is a medical degree awarded by McGill University in Montreal, Canada. Dr. Streicher is on SUBSTACK DrStreicher.Substack.com ArticlesMonthly newsletterAll COME AGAIN podcast episodes Monthly News Flash Reports on recent research Monthly Zoom Ask Me Anything Webinar Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. LINKS Subscribe To Dr. Streicher’s SubstackInformation About the COME AGAIN PodcastDr. Streicher’s CV and additional bio informationTo Find a Menopause Clinician and Other Resources Glossary Of Medical Terminology Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.
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    51 m
  • S4 Ep187: A Nuanced Conversation About Hormone Therapy with Selene Yeager
    Oct 31 2025
    Selene Yeager is not a doctor; she is a health reporter with an enormous following of women who count on her to provide evidence-based medical information. Recently, we sat down to discuss challenges in prescribing hormone therapy for her podcast, "Hit Play, Not Pause." We had such a good conversation that I asked her if I could share her episode with my audience. 👉Hormone therapy research 👉The cardiovascular implications of hot flashes 👉Why formulations matter 👉Why the route of delivery (transdermal vs oral) matters 👉Why bio-identical is not always best (link to my article below) 👉Perimenopause versus postmenopausal therapy 👉Why hormone therapy needs to be personalized 👉How every woman should approach her own care. Selene Yeager Podcast: Hit Play Not Pause Facebook: FitChick - Selene Yeager Twitter: @FitChick3 Links Subscribe to my Substack Newsletter Cherry Picking-and why It’s a Problem Is Bioidentical Always Best? Rancho La Puerto Getaway 🎧Peri-menopause Problems with Dr. Steven Goldstein Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. Subscribe To Dr. Streicher’s SubstackInformation About the COME AGAIN PodcastDr. Streicher’s CV and additional bio informationTo Find a Menopause Clinician and Other Resources Glossary Of Medical Terminology Books by Lauren Streicher, MD Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and painHot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSex Rx- Hormones, Health, and Your Best Sex EverThe Essential Guide to Hysterectomy Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.
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    54 m
  • S4 Ep186: Reframing the Obesity Conversation with Dr. Robyn Pashby
    Oct 2 2025
    "The psychological aspects of having obesity are rarely recognized. The psychological burden that people carry outweighs the adipose tissue.” Robyn Pashby PhD This episode is a must-listen for anyone struggling with obesity, or who knows someone with obesity, or a healthcare clinician who has patients with obesity. The complex biology of why some folks have excess weight is just beginning to be fully understood. Having obesity is a complex interplay of biology and psychology, and it is time to stop framing obesity as a personal failure. The solution is not as simple as “Eat less, move more”. Dr. Robyn Pashby is a health psychologist with expertise in the impact of obesity on mental health and the impact of mental health on obesity. Today, she is joining me for a discussion on why we need to reframe the obesity conversation and how to do it. The training of a clinical health psychologist with expertise in obesity The language of obesity as a chronic diseaseThe impact of repeated traumatic experiences and shameWhy “dieting” is not obesity treatment Changing the internal narrative of “food noise” versus “shame noise”Why an underwear upgrade is importantSexual issues related to having obesityWhy telehealth obesity drugs can be problematicWhat a scale represents to someone with obesityGetting weighed in the doctor’s office- do you need to?What to say to someone who has lost a lot of weightHow to respond to someone who asks about your weightHow to get emotional support when being treated for obesityThe New Food Fight book Robyn Pashby, Ph.D. www.healthpsychologypartners.com LinkedIn Atlantic Panel Weight, What? https://www.youtube.com/watch?v=nzGaetHGnSY What We Carry https://www.youtube.com/watch?v=8jP9puLTXNM BOOK: The New Food Fight https://a.co/d/fpoanrC Obesity Action Coalition (OAC) https://www.obesityaction.org/ Your Weight Matters free regional conventions https://www.yourweightmatters.com/ Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. LINKS Subscribe To Dr. Streicher’s SubstackInformation About the COME AGAIN PodcastDr. Streicher’s CV and additional bio informationTo Find a Menopause Clinician and Other Resources Glossary Of Medical Terminology Books by Lauren Streicher, MD Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and painHot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSex Rx- Hormones, Health, and Your Best Sex EverThe Essential Guide to Hysterectomy Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.
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    55 m
  • S4 Ep185: The Science of Menopause and Mental Heath with Dr. Pauline Maki
    Sep 18 2025


    Emotional lability, anxiety, crying jags. Welcome to perimenopause.

    70% of women experience depressive symptoms and alterations in mood when estrogen levels plunge or start to fluctuate. While many factors increase the risk, there is no denying that changes in hormone levels have something to do with anxiety, mood, and depression, even in people who never had issues before perimenopause.

    Dr. Pauline Maki is a world-renowned expert in menopause, mood, cognition, and the impact of menopause on the brain. She has authored hundreds of scientific articles and leads a National Institutes of Health (NIH) funded research program on women, cognition, mood, and dementia. In this episode, we take a deep dive into the science of why women have mood alterations and depression when estrogen levels start to fluctuate.

    In this episode:

    · What it was like to participate in Dr. Jill Biden’s White House Initiative on Women's Health Research

    · The difference between depressive symptoms, mood alteration and depression

    · The risk of recurrence if there is a history of depression during perimenopause

    · The risk of developing depression if there is no history of depression

    · The risk of developing mood alterations if there is no history of depression

    · Windows of vulnerability (pregnancy, post-partum, perimenopause)

    · What is occurring hormonally in the brain at the level of progesterone and estrogen receptors

    · The Science Behind Risk Factors for developing depressive symptoms or depression during perimenopause

    o Early menopause

    o BRCA mutations

    o History of major depressive disorder

    o Hormone sensitivity in the brain

    o Severe menopause symptoms

    o Childhood experiences

    o Current life stressors

    · Treatment Options for Perimenopausal Depressive Symptoms

    o No treatment- when will it go away?

    o Cognitive Behavioral Therapy

    o SSRIs

    o Hormone Therapy

    o NK3 Agonists

    o Progesterone?

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    1 h y 2 m
  • S4 Ep184: Sleep and Menopause -A Wake Up Call with Dr. James Simon
    Sep 4 2025
    Hot flashes, vaginal dryness, and sleep disturbance are the three most common symptoms of menopause. Currently, there are over 20 FDA-approved products to treat hot flashes. There are roughly 10 FDA-approved products to treat vaginal dryness. There are zero FDA-approved products to treat insomnia due to menopause. Zero. My guest is Dr. James Simon, a clinical professor of Ob-Gyn at George Washington University and an expert on all things menopause. In this episode: How common it is for women to have new-onset sleep disturbances due to hormonal changes?Are Insomnia and sleep disturbance the same thingWhat happens in the brain to induce sleep and maintain sleepHow Cognitive Behavioral Therapy worksThe relationship between hot flashes and insomniaThe role of estrogen and sleepHow FSH is useful to evaluate sleep issuesThe role of progesterone on sleepThe role of melatoninNon-hormonal sleep disruptorsThe impact of chronic insomnia TreatmentsEstrogenProgesterone Anti-depressantsSleeping pillSex/OrgasmAdvil PM CBTSleep hygieneMelatonin MagnesiumL-ThreonateVasopressinPDE-5 InhibitorsNK Inhibitors Dr. James Simon https://intimmedicine.com/ Other episodes with Dr. Simon · Ep 98 Live from the Menopause Society Meeting · Episode 123 Hormone Therapy After Age 60 with Dr. James Simon · Episode 124 All Hormones Are Not Created Equal with Dr. James Simon Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. LINKS Subscribe To Dr. Streicher’s SubstackInformation About the COME AGAIN PodcastDr. Streicher’s CV and additional bio informationTo Find a Menopause Clinician and Other Resources Glossary Of Medical Terminology Books by Lauren Streicher, MD Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and painHot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSex Rx- Hormones, Health, and Your Best Sex EverThe Essential Guide to Hysterectomy Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.
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    59 m
  • S4 Ep183: Women Have Their Say About Sex After Breast Cancer
    Aug 21 2025
    If you are a menopausal woman and spend any time on social media, you are familiar with Dr. Corinne Menn. She is a trustworthy voice of science and evidence-based medicine in a sea of influencers who don’t always stick to the data. Dr. Menn is one of the authors of a recent study titled Women’s Insights on Sexual Health after a Breast Cancer Diagnosis. This study, published in the Journal of Clinical Oncology, asked 1,463 women with a breast cancer diagnosis about their sexual experience, including how the health care system either helped or, in most cases, failed them by giving misinformation, conflicting information, or no information We discuss study results, including The impact of breast cancer treatment on sexual function in generalThe most common symptomsThe effect of breast cancer on orgasm and pleasureThe impact on partnersTheir interactions with the health care system, including misinformation, conflicting information, and no information Link to Study: (There is a paywall but you can access the abstract) COME AGAIN, Episode 29 Cancer and Sex, is all about sexuality, not just after breast cancer, but for women living with any cancer diagnosis. (Release Sept 8, 2025) Dr. Corinne Menn https://www.drmenn.com/Insta: @DrMennOBGYNLinkedIn- https://www.linkedin.com/in/drmenn/ Substack- https://drmennobgyn.substack.com/ Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. LINKS Subscribe To Dr. Streicher’s SubstackInformation About the COME AGAIN PodcastDr. Streicher’s CV and additional bio informationTo Find a Menopause Clinician and Other Resources Glossary Of Medical Terminology Books by Lauren Streicher, MD Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and painHot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSex Rx- Hormones, Health, and Your Best Sex EverThe Essential Guide to Hysterectomy Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.
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    55 m
  • S4 Ep182: The TRUE History of the Vibrator
    Aug 7 2025
    I have written many times about how in the 1800s, vibrators were not sexual items that women bought for themselves, but medical devices used by doctors to treat a medical condition then known as hysteria. The problem is- that’s not true. And be sure to check out my photo gallery of devices discussed in this episode! The popularly accepted history of the vibratorHysteria, and how it was treated in the early 1900sDr. Lieberman’s research What medical conditions electric vibrators were used forThe story continues..the mid-1900sThe re-launch of the vibratorSneak preview of Dr. Lieberman's upcoming book on GIGOLOS! Link to my Substack article with pictures of the devices https://drstreicher.substack.com/p/good-vibrations Link to my Guide to Buying a Vibrator https://drstreicher.substack.com/p/toy-story Link to my podcast episode on the current medical use of vibrators and why they work when nothing else does https://drstreicher.substack.com/p/episode-23-why-vibration-works-so?r=740mq Hallie Lieberman https://www.hallielieberman.com/ BUZZ: The Stimulating History of the Sex Toy https://www.amazon.com/Buzz-Stimulating-History-Sex-Toy/dp/1681775433 Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. LINKS Subscribe To Dr. Streicher’s SubstackInformation About the COME AGAIN PodcastDr. Streicher’s CV and additional bio informationTo Find a Menopause Clinician and Other Resources Glossary Of Medical Terminology Books by Lauren Streicher, MD Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and painHot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSex Rx- Hormones, Health, and Your Best Sex EverThe Essential Guide to Hysterectomy Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.
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    52 m