Hello, I'm Clarice Neville based at the University of Leicester in the UK, and in this tutorial I'll be introducing Meta Insight, an interactive web-based app for conducting network meta-analysis. We have many researchers that have worked on developing the CRSU suite of apps, but those that have actively developed Meta Insight include myself, Yi Chou, Naomi and Riannan. Acknowledgements also go to all members of the CRSU who have tested the app and provided valuable feedback throughout, and to the funder for this work, the National Institute for Health and Care Research in the UK. Lastly, thanks to Naomi for contributing to the slides and content for this tutorial. So Meta Insight is part of a suite of online evidence synthesis apps developed by the CRSU. Separate EsmarConf 2023 tutorials are available on MetaDTA and MetaBaseDTA, which are for conducting meta-analysis of diagnostic test accuracy studies under a frequentist or Bayesian framework respectively. And I'll also be giving a short presentation for this conference on a new app that integrates evidence-based research called Meta Impact. Let's briefly go over some NMA terminology. So network meta-analysis is recommended for where there are multiple intervention options for a health condition, combining quantitative evidence that has been systematically collected from a review. This image is a network plot and it summarizes how all the evidence relates to one another. Each treatment has a node where the size relates to the total number of people that were given said treatment. Now, wherever there is a line between two treatment nodes, that indicates that there was a study that directly compared those two treatments. We refer to that as direct evidence. In the thick of the line, the more studies there were for that comparison. And then the beauty of NMA is that with this setup, we can then calculate the treatment effect between any two treatments. This can only be done for connected networks, i.e. if there were some treatments on the outskirts here that didn't have any lines joining them to the main network, then that's classed as disconnected and can't be analyzed. For a treatment comparison that had no studies looking at them directly, i.e. there's no line between the nodes, an NMA can still estimate that treatment effect by going along the network lines, producing what's referred to as indirect evidence. Then for every treatment comparison, an NMA will combine all the direct and indirect evidence together to present the resulting treatment effect. Symmetra Insight is a web-based app for conducting NMAs that has been built using Shiny and utilizes the Shiny package to build the app itself. It's then hosted on the web by using the Shiny apps.io server. Within the user interface, researchers can upload their own data sets and then click through the various tabs to conduct their NMA. And Meta Insight has the capacity to run NMAs under Frequentist or Bazin frameworks using existing R packages NetMeter and GEMTC respectively. Meta Insight is completely free to use with two access options. You can access it online via any web browser or you can import the code from GitHub and run it locally on your own machine with R. You don't have to have any coding or programming knowledge as the entire user interface is a point and click system. The code used under the hood is from established well-used NMA packages within R so you can be confident in the analysis methods being used. For sensitivity analyses that want to consider the impact of individual studies, Meta Insight has the functionality to do this in real time. Researchers can remove certain studies using a simple tick box system and quickly see the differences by having the original analysis and the new analysis side by side. Meta Insight includes a wealth of data visualizations including different network plots and newly developed graphical displays for presenting how treatments rank. Finally, Meta Insight has been available for around five years now becoming an established app with around 650 user hours per month and many research groups using Meta Insight to conduct NMAs to then go on and be published in peer-reviewed journals. Now before we jump to the demo I'd just like to share a note of caution with Meta Insight. We did not create this app to replace statisticians or their expertise in NMA. There are lots of elements within NMA that need to be understood to properly conduct and interpret NMAs. Therefore we highly encourage users without such knowledge to have someone on their team or someone they can consult who understands the intricacies of NMA. So if you want to play along with the demonstration please do use the links on the screen. So when you first come onto Meta Insight the first thing that you'll notice is this pop-up window which is basically to allow Google Analytics to access where you're accessing Meta Insight from and how long you're using it for and this just helps us with our user's statistics. So if you click consent that would be great and then this is the front page. So we'll be able to see up here what version of Meta Insight we're currently on and the first thing you need to do is decide whether you want to have continuous or binary data that you're using. So this tutorial I'm going to stick with continuous. And then over here on the right you can also see some of our latest updates, some links to the full updates and then if you scroll down you'll see some acknowledgments, our publications and our funding statement. So let's go and load up some of our own data. So to do this you just need a CSV file and you just literally click select and go and choose your file like any other program. Meta Insight also has inbuilt data so if you want to play that first that's fine. When you click the view data you can see here at the moment we're looking at the inbuilt data. Once you load your own data set you should then be able to see that data set there. So there's two options for loading the data you can do it in long format or wide format. So long format is where each row of data represents each treatment arm in a study whereas wide format is where each row in the data set represents each study and there's more columns. There's more columns like you can see here for each treatment arm. So if you just follow the instructions for whichever format you want to go with make sure that the columns are titled the way that we've specified then hopefully you should run into any errors. So once you've uploaded the data you then need to add in your treatment labels. So you'll see here that we ask for people to number their treatments rather than name them when they upload the data and then you can add your names here on the left. Some notes, the names can only have letters, digits and underscores so no spaces please. And it needs to be a tab between the number and the label. Sometimes when you copy and paste it over or type it it'll be three spaces. It needs to be a tab to work. So once you've all got it up let's analyse some data. So on the left here will be your options. The first option is what kind of outcome you're looking at. So is it mean difference or standardised mean difference and for the binary you'll have options of odds ratio, risk ratio and risk difference.  And then the third one is what kind of Meta Nices model do you want to run? Do you want to run a random effect or a fixed effect model? And then this last bit here is what I was chatting about in the slides is sensitivity analysis functionality. So if you just click whichever studies you want to exclude then that will be your sensitivity analysis run all automatic. So on the left here it will show your original analysis and on the right will be your sensitivity analysis. So on this data characteristics tab you can see now we only have 21 studies rather than 24 studies. You'll also see that the network is connected in both the original analysis and the sensitivity analysis. Sometimes when you remove some studies this causes the network to become disconnected and so you may need to look at that a bit closer and maybe remove some other studies so that you're left with just one main analysis and not two disconnected networks. So in tab 1B is basically just showing your study results. So this is just looking at every pair wise comparison and showing you each individual study result for that treatment comparison. This is a plot that you can download if you want it. And finally in the data summary are the network plots. So these are like I described in the slides. We have two different styles for you to look at and you can download each of these. So let's get into some analysis. So tab 2 is where you do your frequentist meta-analysis and this is all done straight away. So we can see the two forest plots already and we can compare them. The forest plot shows the treatment effect of every treatment versus a reference treatment. And the way you decide your reference treatment is by labelling it with the number one in your data. So think about that carefully when you put your data together. Whatever is number one you need to make sure is your reference treatment. So here we've put that as placebo. There's some extra options. You can change the limits of the x-axis depending on your needs. And you can also download the plot. And then at the bottom here also has some extra information such as the between study standard deviation. So if you're interested in the treatment effects between any of the other pairs, you can come on to tab 2B to find the results here. So the top table is your original analysis, the bottom table your sensitivity analysis. And it's basically a lookup table. You can just look up each treatment that's along the diagonal to find the treatment effect between them. The lower triangle of results refers to the NMA. So that's looking, combining at the direct and indirect evidence. Whereas the upper triangle is just looking at pair-wise meta-analyses such as showing you the direct evidence.  So this is again where you might need a statistical expert in NMA to help you with this. It's basically testing an assumption that is key in NMA that's saying that when you take your indirect evidence along that network path, you want to check that that's consistent with if you have done it with just a direct study. And so yeah, it takes the direct information and takes the indirect information and compares it. And so you want to look at here if there are any small p values. If you do find any, then you might want to take a closer look at your data, see if you can see any reasons for why there might be that inconsistency. Great, so that's frequency analysis. If you want to do Bayesian analysis, we go on to tab three. And so because this is a lot bit more involved, if you don't understand, ask a statistician why. So we have buttons for these to run. And you get your forest plot same as frequentus. Again, it's all the treatments in comparison with your reference treatments that's placebo here. Again, you can change the limits of your X axis, have some extra statistics. The Bayesian also includes some model fit statistics. Again, if you don't understand those, ask a statistician to explain how to use them. And then again, you can download those there. Again, with frequentist, if you're interested in the treatment effects for any pair, not just with the reference treatment, you can do so on tab three B. And then a tab three C is one of our newest features. It is the ranking panel. So when it loads up, you'll find that the middle panel here is sort of the focus and that contains the results from ranking the treatments according to the NMA analysis. And this first plot here is the litmus rank ground. And it has a line per treatment. And along the X axis is the rank. So being ranked first means it was ranked best and sick for last. And then on the Y axis is the cumulative probability that the treatment was ranked at that rank. And so this top point here will be the probability that Riemann-Bant was ranked first. And the next point here, where the probability that it was ranked first or second and so on. And so that means that you ideally want a line that says top as near to the top left of this plot that will show that it performed the best. We've also given the sucra statistic, which is basically the area under that curve to sort of help you interpret and compare the curves. And so here, if you just want to look at the sucra, that is along there. And then we've color coded it, sort of see green, better, red, worse. So another plot, which is useful for if there is a lot of treatments in your analysis is the radial sucra plot. So instead of seeing all of the rank probabilities, we're just looking at this statistic, the sucra that takes into account all of the rank probabilities. And we order the treatments from best to worst according to the sucra in a clockwise direction. And so the result is plotted radially. So sort of the further out to the edge of the circle and the more green the result is, the better it performed. But for this plot, we actually also overlaid the network plot, as you can see, which helps with interpretation a bit. So here you can see that even though Romanban performed the best according to sucra, it actually has a small node. So it wasn't tested on that many people compared to the other treatments. And it only had one study that it was directly compared with. So it's relying on a lot of indirect evidence, which can sometimes lead to spurious ranks. So that is just to encourage people to really think about what's going on behind the results. You can also have a colorblind friendly version and you can have a simplified version where if the network's getting a bit too much, you can just put it all into the center point here. If you want to see the actual rank probabilities and numbers, you can just click here and then you get a table of the results and the sucra values. And if you want to download those, you can do so here and you can download the plot as well. And so on either side of the panel is some further information to help the user to again think about the data behind the results. So quite often if you get a ranking result, say first and second, you might therefore think, ah, first is definitely better than second. But we encourage you to look at the relative effects to really think about what are the differences clinically between those treatments. And then over here, this is to make you think about the evidence that's being used. And so at the moment, it's just a network plots thinking about how they're all connected, but we have plans to include other plots linked to, for instance, risk of bias for you again to think more about the data behind the results. As then this panel we've been looking at has been for the original analysis. And if you scroll down, you'll get the results for the network meta-analysis. Sorry for the sensitivity analysis. So then 3D is for the node split model. So this is a model that can be used if you're not sure whether the inconsistency assumption is holding. So it's quite a advanced model. Again, ask an expert in NMA as to whether this will be suitable for your data. You literally just click the button to run it. I'm not gonna run it now because it takes quite a long time to run. Tab 3E has your bit more details of your Bayesian results. So again, this is for people that understand Bayesian analysis and Bayesian NMA a bit more. I think the key bit here is to look at the convergence plots. So when you do Bayesian analysis, you always need to make sure that your chains have converged. And so these plots allow you to check for convergence. Tab 3F is a Devens report. So this is producing some plots to help you check for model fit, check if there's any sort of outliers going on, anything acting a bit fishy. I won't go through each of the plots. They've each got a description underneath of what they're showing and what you're looking for. But you'll find that these plots are all interactive. So if you hover over any point, it will tell you the data behind that point. And then finally, some bit more model details. Again, it's a bit more of an advanced option. You can see the model code that was used to fit the model. So this is quite similar if you've used WinBugs or Stan. This is the model code. So you can download that. You can also look at the initial values that we used. So by default, we have four chains and you can see the initial values that were put in for the analysis and you can download them. And again, if you want, you can actually download all of the simulations that will run for each chain. So yeah, if you want that download to create any other visualization or any other results, you can download the data from the Bayesian analysis. And then again, showing the deviance details and the data from all the studies. Again, it's a bit of an advanced option there. So that's all the main features. At the top here, we've also got some of our user guides. This is a PDF user guide as well as some videos from a Cochrane training webinar that we did on Meta Insight. If you're finding any errors that are throwing up and you're not sure, we encourage you to look at our troubleshooting document. This basically has all of our common things that happen that people often maybe get confused about or don't understand what's going on. We encourage you to look through that. It has lots of information in there. If that's not helping you, then please feel free to contact us. You can also have a look at our full update history. So every change that's happened since we've released Meta Insight. And then we also have our privacy notice as well. So great, let's go back to the slides. Meta Insight is still an active development and we have a long list of further features that we'd like to add. For now, I'm going to share two features that are currently in the pipeline. Firstly, coming very soon, possibly by the time this tutorial is released, in aid of transparency and reproducibility, we plan to have an option that essentially takes the analysis methods used and the results presented from the app and puts it all into a downloadable report for researchers to then refer back to. We're also hoping to improve the current process for uploading data and possibly consider options for data imports and exports that would be compatible with other software. Finally, a lot of our improvements and features actually come from user feedback, which is great. So if you have any ideas or feedback, please do let us know. So thank you for listening. This final slide includes references to our Meta Insight publications and our Twitter handle if you have any questions or just want to get in touch. Thanks again.


Hello, my lovely, awesome Virgo Singles. How are you guys doing? Welcome back to the channel. This is Kelly from House of Virgo. We're gonna do a reading tonight. Hope you guys had a great weekend on the Singles to see how will you know if you're ready for a new relationship, what are the characteristics of your potential new lover, how you will meet each other and when, and all that jazz, okay? So if you're new, please do click that like, share, and subscribe button. And everything you need to know is in the description box below this video if you'd like to get a personal reading. And what have you? Okay, first card to flip out, Virgo. How do you know if you're ready for a new relationship?  Look at that. Raring to go, Virgo.  That night of one's energy is, you know, very progressive, action-oriented. This is like, let's do it. Set that fire, let's go. So I feel like Virgo, you're already ready. I don't think you need to know how or when you'll be ready. I feel like right now, you're ready for the holidays, you're ready for the season, you're ready for cuffing season, you're ready to connect with someone and experience that passion and that fire, okay? So I don't think we need to go any further into this here, okay? You are like charged, let's go. Okay, let's take a look at the characteristics of your potential lover. Okay, let's take a look. Okay, so Virgo's like on fire, ready to go. The characteristics of your potential lover are that they are not as rare and go as you are. They're gonna like, I feel like your person is kind of like, slow your roll, Virgo. Calm down, Virgo. Why am I laughing? I just think that's hilarious. This person goes slow, okay? They might reject you at first because, you know, they don't wanna, I don't know, I'm just picking up maybe they're very sensitive. You might connect with this person.  What are their characteristics? Ooh, okay, the Empress. Yeah, see this person is high value, okay? They're high value and they're very picky. This person will not just jump in, okay? Levering energy could be a fire sign, could be a Taurus, this person. They might be a parent, okay? Let's see, they might be someone who is older. They are, they take their time. I think this person is very careful when it comes to connecting in a relationship. They might have children or maybe they're a grandparent. This person could be pregnant if you connect with them, but I feel like this person is very high value, very high status. The Empress is basically the Queen of Queens, the King of Kings, so to speak. This person has been around the block. They have experience, they have wisdom. They might be a very good parent. They take care of their children.  This person might just be a little more like, okay, slow down, let's try to get to know each other. Let's not rush into anything here right away, okay? And that's what I feel like their characteristic is in general. They're well established. I feel like this person is very stable. Okay. Hmm, pages, swords in the reverse. Okay, they're all, yeah. So at first I was like, oh, but now I'm feeling this person is like, well, wanna take their time to get to know you. Okay, they're gonna take their time and they're gonna be very curious, trying to understand you, trying to kind of, how can I say this, figure you out or understand where you come from. They wanna know everything about you when you connect with this person. You know, and the pages, swords in reverse can sometimes be a card of stalking, but I feel like this is more along the lines of this person wants to make sure that who they get involved with, like you, if you have any legal problems, if you have any like tax issues, crazy. If you're strong, if, or if you're just bad news.  So I feel like you're meeting your match here. I feel like this person is gonna be this exact same way. Okay, these are the characteristics. Excuse me, in general with this person, how they approach life in general, they don't rush into things because they don't have to. They're not in a position of desperation, you know? They'll take the time to get to know people. And then if they've realized that, okay, well, I don't think it's a match, then they'll move on, they don't invest their heart quickly because they have been around the block. They've been to the circus, they've seen the puppet show. And this person will take their time to get to know others to see. I feel like what I tell you all the time, Virgo, is to vet people before you lay down with them or what have you. You're meeting someone who actually does this. You're meeting, I don't feel like they're a stalker. I feel like it's more like very inquisitive, overly inquisitive. Maybe they've been hurt in the past, but like I said, they've been to the circus, they've seen the puppet show, okay? Especially if they have children.  Well, you know what, it happens, okay? So seven of wands in the reverse, another characteristic of this person is that they, I kind of get a sense this person at times, well, they're definitely not defensive, okay? They don't come across to me as being very defensive. They might struggle a little bit with boundaries here and there, meaning they might have a hard time saying no, but they do, they do say no. But I feel like they go so slow that it might feel like things are stalling out with them. And I don't feel like that's really the case. I just feel like this person is, they're open, they're definitely, you'll notice that about them, that they're very open to connecting and getting, and like learning more and connecting more with you, but so slow, snail's pace, you know? Yeah, not defensive energy, definitely open. I don't know if they've struggled with boundaries in the past, and I do feel like once they find out that you're someone that they wanna connect with, I do get a sense that they would get a little weak for you, especially if you're coming in with that nine of wands, which is like a very lusty, passionate energy. I mean, you might just break this person to the point where it's like, okay, I don't need to go that deep into things, let me just see, you know, let me go. I wanna be with Virgo, you know? So that energy does play out a little bit with this person when you meet them. But speaking of which, let's find out how you guys will meet each other, in what situation, what circumstances will you meet this person, Virgo? Oh, well, for some of you, while you're traveling, okay, they might be at a distance and there might be like plans to connect with each other, let me see what else. Hold on, I'm getting another message here. Some of you might have already met this person, I have to just say that, they're telling me, you might have already met this person and like right before the summer started, for some of you, okay. Okay, now I'm also hearing, I feel like you might meet this person at an event, if you haven't met them already, some kind of, they're just telling me like a holiday event. It could be soon, it could be soon. Hold on a minute, let me see if I can find out when. Yeah, it's connected, for some of you, there's a connection.  Or you might meet them at a wedding, if you go to some kind of wedding or some type of a reunion or a family event. Could be an air sign, for some of you, might be another earth sign. Burgotardus Capricorn, hold on a sec. Okay, all right. Now, all right, some of you might have met this person in September already as well, and you're dating right now, okay. This person's going very, very slow. So, yeah, Virgo, I'm picking up, okay. For others, if you haven't met this person already, it's gonna be, oh gosh, I'm just picking up this energy that you already have met them. Maybe for some, for others, you might have, you know who they are, they know who you are. Maybe you've met them and you're not interested in them, but I'm also picking up November into December. So like sometime around now, there's something that starts happening, like a click or like a spark gets made. It feels very holiday-ish, like the end of November, all the way through the end of December into January, there's a connection. I feel like you, I feel like that's when you will meet each other at some kind of event or holiday-sing, something along those lines. Let me see, what would the characteristics or at least the dynamics of this relationship be, okay. Yeah, you know, it's going to, it's definitely gonna start off as like a friendship kind of thing, or at least that's how it's gonna feel, because I feel like this person, such teres energy, we have Scorpio, Virgo, for some of you, it's gonna feel like, oh, this isn't going anywhere, because you're coming in with the night of one. So you're like aggressive, you're like, let's go, let's go, let's go.  And I have to like give the message, this person's energy and passion is not gonna meet yours 100% right away. It's gonna take a little time until things get balanced, because I kind of get a sense of this person. You might just decide at times with them, like, oh, this isn't going anywhere. And you might decide, like, oh, this person doesn't wanna commit, you know, or that like they're not interested, or there might be separation, but I feel the need to tell you that that is not the case. I feel like this person is gonna take a really long time to get things going. And you know what, Virgo, I have to tell you, if you start dating this person, and if after like a year, there isn't some time of secure commitment that comes, then drop it and move on. Don't waste all of your time. I mean, a year max, you know what I mean? Like a year max, okay. I feel like if you hold on though, and you, there probably will be a lot of, because it slows down a lot, or it's just taking a long time. You're coming in with that nine of wands here, remember, Virgo.  Things that are gonna last for, that could stand to test time are things that are gonna take time, okay. So there might be some breaks up, breakups in between, because I feel like breakups, and then coming back together until you guys finally come into alignment and get fully on the same page. I just feel like it's the characteristic of this person that they go so, so slow. And it might feel like they're not interested at times, because they're not a chaser. This person is not a chaser. I feel like that's the potential that's, but there's always gonna be this, like, coming back. I don't know, some of you might have already experienced that in your relationships before. You know what, the star is here. So this is a very positive message for you as far as, there's hope, you know?  Don't quit before the miracle happens. That's just generally what I'm hearing, because I feel like it's gonna turn into something very beautiful, very healing type of energy with this connection Aquarius here. Let me see. After that, I'm gonna go into the Virgo, if Virgo is with another sign to see what the messages are there. So what's the potential or possible outcome of this relationship, okay? The Emperor and the Empress, perfect. That's a perfect match, Virgo. I feel like this is going to be your perfect match showing up here. It's going to be a winner, winner, winner chicken dinner kind of message, kind of energy here, successful. That's what the six and ones is, okay? This is beautiful. This is like success, that's it, victory. You will both have victory with each other. You just got it, look, very positive. Another success card, Aries Energy, Leo. Very positive connection with this person. It feels like it's going to something that will lead possibly to marriage with the King of Cups, cancer, Pisces. It feels like something's going to be very stable. There will be an engagement or marriage or a very happy, happily ever after kind of energy. I love it, Virgo. I really feel like if you can manage to overcome the snail's pace, or if you can manage to not rush in and take your time with this person, because remember, you're coming in like that, that's like boom. Or it was like, let's do it. If you can manage to slow your roll a little bit, I feel like it will run its course the way it's meant to and actually turn out to be what you're hoping for. Some of you were like, no, that's fine with me, no rush. Let's take our time, okay. Let's get into, let's see. Virgo, if you're dealing with an Aries, and I'm going to go through all the signs here, see what the messages are here for you. Virgos dealing with an Aries. Virgos dealing with an Aries. What is the current energy? Virgo with Aries. Okay, wow, fulfillment. Wish is coming true, realizing dreams, happiness, cheerfulness, joy, prosperity. So it looks like your wish come true for an Aries, Virgo. If you have a connection with an Aries, this person just thinks you are the end all be all to everything, to them, to everything that they want, complete fulfillment. Aries definitely feels that way about you, okay. So if you are dealing with a Taurus, your connection with a Taurus, okay. Taurus is kind of struggling. Taurus is like feeling left out in the cold. Taurus doesn't know what's going on. Taurus thinks that if there's a breakup or separation, that this is just temporary, that you guys will be back together. Taurus is uncertain, wants to get into realignment with you, okay. Thinks that there's a lot of inconsistency and change going on right now and is really struggling, okay. The relationship might be struggling at this time. I don't feel like Taurus wants these to keep struggling. They wanna find a way to get back into realignment, but they are kind of like, I don't know that they're losing hope because I feel like they're still keeping their faith as they're walking past here, a stained glass window of like a church or some sort, but yeah, it's tough. They're having a hard time right now, okay. So Virgo, if you're connecting with a Gemini, what's going on with this Gemini? Okay, Gemini just thinks that you are everything. Wow, the Empress here.  They see you as like a goddess or a god. Wow, okay. So yeah, Gemini's really got their eye on you at this time. Definitely may even wanna have your baby or have a baby with you. Okay, let's see.  They think you're psychic to some degree. They have a huge, huge crush on you. They feel like they're completely naive when they're around you. You must be very smart. Well, usually Virgos are. They really admire you and I feel like there's gonna be some communication about that. I feel like they think that you're very youthful looking. They love your inner child spirit and your voice, I'm just hearing. There's also some very good news coming that they're gonna give you very soon. Okay. If you are connecting with a Leo, Virgo with a Leo. Oh, okay. Well, hmm, why is this here? King Cups. Okay. All right, first message I'm getting. The Leo thinks that you're having a thing with a King of Cups or a Queen of Cups, King Cups masculine or feminine. Yeah, I don't know. I'm not so sure about jealousy or anything like that, but Leo thinks that there's something starting with another person. They're questioning this right now. Like is something going on? Are you, who are you talking to? Is, the Leo's might also tell you that the person you're with is hard up for you and it's not really your friends to be careful. Virgo, they might tell you that the person that you're friendly with or that you're talking to wants to get in your pants. Okay. Wow, that's such a crazy message. Okay. All right, Virgo, if you're connecting with another Virgo. Oh, wow. There's some travel news coming. Another Virgo is going to tell you that they're coming your way and there's going to be like something very fast. Either they're going, they want to move in with you. They're going to be moving towards you. Rather quickly rushing towards you. This person has like, it's Cupid's arrows. I mean, this person is like holiday romance as well. So I feel like this person wants to either travel with you or travel to you to spend some time over the holidays. Have some kind of like beautiful holiday romance. You know, walking through the snow where there's like beautiful lights and hot cocoa and a romantic stroll. Yes, definitely. Yeah, I expect some messages Virgo from another Virgo. Okay. So Virgo, if you're connecting with a Libra. Oh, okay. Libra's got a lot of stress right now. Weight on their shoulders, a lot of heavy work, obligations. It feels like the Libra is just kind of like not giving you much in the way of time here. They're overburdened, overloaded with responsibilities. Libra feels taken for granted. Is just carrying a very heavy burden on their shoulders at this time. And I mean, it's a 10, 10 of wands. So I do feel like that struggle is coming to an end or that some type of a burden is coming to an end. Also heard this person, this Libra is doing a lot. Okay, they're not, I'm not hearing it, I'm seeing it. Actually, they are searching for the perfect gift for you. Whatever that might mean. They're searching for the perfect gift for you at this time. Okay. Maybe it's the holidays. Searching for a gift or having a hard time finding something to get you for maybe Christmas or the holidays. Okay. Wow, interesting. Okay. Virgo, if you're connecting with, or you're dealing with a Scorpio, okay. Well, for wands, you two are, there's gonna be a reunion, a coming home, a celebration, possibly marriage, a family reunion, a very successful, happily ever after with a Scorpio. This person wants to reunite with you, wants to come home, wants to celebrate the holidays with you. This is a 11-11. So for some, it could be a twin flame connection. I just heard connect with family. They want to connect with family members. Either that's yours or theirs. Okay. Or they connecting with yours, you connecting with theirs. Okay. So if you are a Virgo connecting with Ace, by the way, this person also wants to marry you. The Scorpio. Okay, Virgo, if you're connecting with a Sagittarius. Wow. Sag is like, let's do this. You're my destiny. Sagittarius thinks you are their destiny. Little bit of a karmic relationship at times, okay. But definitely a soulmate thing. I feel like Sagittarius is making huge changes in their life, okay. Huge. They've gone through a really challenging upheaval. Let me just get one more. Yeah, maybe some legal issues or a divorce or separation, but Sagittarius is 100% coming in to make something right here with you. Okay. Connect with you. Maybe even have like a lawful marriage. You know, kind of like, let's just go to the courthouse and let's just do this kind of energy, I feel. They feel very lucky to have you to be connected to you in some way. The Sagittarius feels this way. Okay, let's take a look. What's going on with Capricorn? Virgo with a Capricorn. All right. Capricorn is like a little bit hesitant right now. They're battle weary, drained. They're not giving up, okay. They're not giving up. They know they're like so close to having some type of a successful connection with you, but they're kind of with, I feel like they might be withdrawn right now and they're not really communicating because they've kind of like gotten back into their corner and they're like re-strategizing something here. They have their, this is the wounded soldier kind of card here. Like already been through the battle, stepping back, putting boundaries up, trying to figure out, you know, gather the strengths, learning from their past failures, but this person is, it really feels like taking time to figure stuff out and they want to reconnect with you, Virgo. This Capricorn wants to reconnect with you. All right, Virgo, if you're connecting with an Aquarius. Wow. Wow, Aquarius thinks you are extremely confident and brave. They really admire you. They admire your courage. Wow, and your generosity. Oh my goodness. Virgo, this person really thinks the world of you here. Totally. They want to like contribute. They want to contribute. They want it to give, they want to give to you the way you give to others. There's something about you that I feel like a Aquarius is just in so much admiration and awe of you at this time. Maybe they've always been that. They admire how you overcome your self doubt and how focused you are.  You might receive some gifts, gifts, gifts, gifts from this person, maybe around the holiday time. Maybe they give you some money, offer you a job, offer you a position of authority, take you on board in some kind of investment with them. I mean, I don't know if this is love or if this is friendship, but whatever this connection is. I mean, this person, they've never seen anyone with the strength and courage that you have. You just impress them so much, Virgo. Wow, I like that. Okay, your charity and your giving nature is what impresses them.   Okay, and last but not least, Pisces. Virgo connecting with the Pisces. How it's going on with Pisces. Oh, right, Pisces must have just bought a new car, but Pisces is connected, wants to connect with you. Don't be surprised if Pisces doesn't, they're going to show up at your house. I know some of you might be like, no, there's a home coming here. This person wants to happily ever after with you, a reunion for sure, this person, this Pisces is coming in, okay? They're definitely coming in. And, you know, all of this energy is going to play out through the month of December. I feel like this Pisces really up in their emotions about you, and they've got their sights set on you, they're determined to connect with you. Long term, yep, they want to win you over, they want to win your heart. Wow, very nice, very nice. All right, let's get into the Chinese signs here. And see, this is going to be for you, Virgo, your Chinese sign. Okay, year of the pig. Well, it could be you and another person. Year of the rat, year of the rabbit. Year of the dog, year of the ox, year of the dragon. Oh, the ox is in the universe. So, we already had that, we already had rabbit. Year of the goat and year of the tiger, very nice. Okay, let me get into some of your charms here and see if I can get some names and then that's going to be it for the night. The day or the night or the day. All right, let's see. Okay, I see somebody bowling at this time or I was planning to go bowling or shoot darts or do something where they're throwing things, maybe axe throwing or something like that. Don't make sure nobody's in front of you when you're doing that. Bow and arrows, shields. Yeah, definitely. I heard aerial, I mean aerial. Okay, someone's going in the army or is in the army or is coming back for holiday from the military. Okay, wow. All right, hold on a second. I see two people doing some kind of extracurricular like sport kind of activity or something like, but fun, some kind of fun type of game. Oh, all right, what is that they gave me that what is that game called when people throw those beanbags into the holes? I know like in some areas it's super cold and that's not happening, but maybe if you're in a warmer area you're able to do that. I'm definitely picking up army or military, navy, marines, air force, something along those lines. All right, now I'm getting the numbers nine. Well, first of all, they're telling me September 6th and September 10th, but I'm also picking up 9106, right? They just said one more number, 91063, okay. Somebody is born September 10th, 1963. That's definitely a birthday. All right, wow, this card just fell out of the deck here. Here and now your true love is already a part of your life. Wow, okay. All right, somebody goes to the gym, works out a lot, a lot, and swim especially. There's someone who does a lot of swimming. Okay, let me see. All right, somebody's working with Quicken Bolts or Quicken. Is that, do people still do that? Quicken, I just heard Quicken or they're doing something with their money using a software called Quicken, I'm hearing. Okay, let me see. Somebody's got very long, blonde hair, very beautiful. Long, blonde hair, okay. We've got somebody here in a wheelchair. Somebody's in a wheelchair. Yep, somebody working on a PC. So I don't know if that's not a phone. That's like actually on a personal computer. We have 610 and we have the initials. I just heard, okay, wait, they're giving me a name. Cassie, I just heard the name Cassie or Cass, and they just gave me a basketball team, the Knicks, the Knicks, okay, I just said the Knicks. I'm also picking up somebody's packing a suitcase as well or packing to go away. And I'm also hearing the name Paul or Paula. Somebody is, oh, wow, okay. Something to do with a car right now. Okay, there's something to do with a car. Okay, they just said an old car, like maybe somebody buys them or collects them. They said 57 Chevy, 57 Chevy or maybe somebody has one or you see one somewhere. That's a really old car, maybe like a car show. 57 Chevy, it's interesting. Last but not least. Yeah, I'm just picking up that name Cass again or Cass, C-A-Z, and also Zach or Zachary. Okay, Zach or Zachary. All right, let me get a charm.  With purple, a purple mane and a purple tail and also very beautiful dragonfly. I know where I'm at. There's no dragonflies out right now. That's something very important, significant. Look, we have a couple of horses now. There's a blue rocking horse. Somebody might be having a baby or is expecting a little boy. Okay, oh no, they just said twins.  I just heard twins. You have fearless. You also have a dolphin with like a little ball, okay? Maybe somebody lives somewhere in Florida or Miami or somewhere where there's like a water world or something along those lines where there's dolphins and whales as well. These aquatic animals doing tricks. But this fearlessness, I don't know if somebody's getting a tattoo that's this fearless or they already have that. It's something connected to the word fearless. You'll recognize someone by or if you already have that, maybe it's a bracelet of some word. It's just the words fearless, but it's written in black. Okay, so you might see it somewhere. It might be connected to you already. Just keep that in mind. If you resonate with any of these charms, it just means that it's more for you to listen to this message. If it doesn't resonate, it doesn't mean that it's not your reading, but just keep that in mind. Let me just get a couple more. I'm gonna get some messages of love. Obviously, the here and now card showed up there, so that was more of a message of that person, someone. Your true love is already a part of your life, but let's see what other messages Virgo needs to know, messages of love. Okay, for some there's an addiction affecting a relationship that you have with someone. Okay, that doesn't have to be a lover. Could be a friend, all right, or a family member, something that you just may need to understand. Also trust, it is safe for you to trust in this situation. So you have a situation that you're thinking of right now and you may be wondering if you should trust, maybe trust in the situation, trust the process, trust God, trust spirit, trust the universe, trust the supernatural, not necessarily people because people will always let you down. We're just imperfect human beings, but it's safe to trust in a situation that's being brought towards you and acceptance. Everything is happening for a reason right now, Virgo. And just remember you're right where you're supposed to be at this time. And abundance, you've done the work. Abundance begins flowing to you now, Virgo. So this is a very beautiful message. I love the singles. That was so awesome. I hope that you guys enjoyed that and you got some insight going forward and I will see you guys all back here on the 21st, which will be tomorrow evening. Make sure you guys follow me on TikTok because I am now uploading videos on TikTok and I'm also putting them here on YouTube as the shorts. But if you are a user of TikTok, definitely go follow me. The link is in the description box below. It's just House O Virgo. It's at H-O-U-S-E-O-V-I-R-G-O House O Virgo. Yep, so go follow me over there. Somebody asked me if I was on Instagram, I was. And I don't know if I got myself locked out or if I maybe deleted it, but I'm not on there anymore. So yeah, all right, you guys. So I'm gonna leave that message there for you and I will see you all tomorrow. Have a wonderful, awesome evening and day. Okay, bye.