Okay, good morning everybody. I'm glad to see that you guys all rolled out of bed and came to our presentation. Very happy to be here and getting the day off well and then I can relax the rest of the day so it's kind of nice for us to go first. We are both clinicians and I'm a family doctor. Lauren is a naturopathic doctor doing general medicine and as you can see from our title we think that's pretty awesome and so we're very happy to be here. Just to let you guys know a little bit about who we are. So I'm Dr. Lauren Noelle. I am a naturopathic doctor as Rick said and I am the owner of Shine Natural Medicine. It's a naturopathic medical clinic in Solana Beach so North County San Diego and I'm also the host of Dr. Low Radio so I host a weekly podcast. Been doing it for about three and a half years and it's super fun and that's what I do. And like I said I'm a family physician. I'm actually do academics. I work at the University of Utah in the Department of Family and Preventive Medicine. I spend most of my time actually teaching medical students. I teach third and fourth year medical students and so that takes up the bulk of my time administering that course and then I spend about a third of my time in clinic with everyday patients. Most of them are the kind of university community patients that I see and a full general practice. I see young kids to old adults and that's my Twitter and also Instagram if you wanna watch my pictures of my kids. So anyway, that's fun. So this is actually a little bit of a continuation from a workshop that we did last year at HS and that first session we had a little more time and a little more interactive with our providers but what we were able to do is we really related kind of our approach to patient care talking a little bit differences between how I was trained and how Lauren was trained and some of the similarities in what we do in our clinics and then we presented three cases at that point on acting, depression, anxiety and functional balasores with three different patients that we described went through those cases. We're gonna have a few different cases today, some similarities but if you wanna look back on that we do have our slides if you're interested in looking at that first part. So just as a recap from that, we look at patient care and a lot of us will look at differently depending on how you're trained, you are going to have a different approach to how you see patients and there are many different approaches to clinical diagnoses, a different way that you come up with your treatment plans and this really differs on training degree and your anecdotal evidence and finding a provider that works for you as a patient is really important for our patients. So sometimes people will gravitate towards one provider another and that's great, we have no problems. I think it's great when someone finds a good provider it's gonna help them out and if it doesn't work for them or what not, we have different approaches to a way that we see patients. I think the key is that we collaborate as providers when we're seeing the same patient oftentimes that those differences in the way we approach patients can sometimes be a barrier. The more we can learn about how we approach and how we treat our patients the more that we can work together in better communication to find better outcomes for our patients. This is a little bit of a frame of how I see patients when I'm looking at how we determine what I do or what can I do for management of helping a patient out. And the first thing I have to look at is appointment timeframe. So a lot of providers had the luxury of having an hour or hour and a half, two hours to sit down or view patient notes or look at things with patients a lot of time. That is not something that I have a luxury of having a kind of general practice doctor in a family medicine clinic. I work within the insurance system. I take Medicaid, I take Medicare. So I have to follow those rules and guidelines. So most of my visits are gonna be 15 or 20 minutes. I have 40 minutes for a new patient and then subsequent visits I have 15 or 20 minutes. But what that does allow me is I can actually see my patients repeated times. So the most all of my patients are local and they can come back on more frequent intervals than they might for another type of provider. What that does allows me is to have this more longitudinal course than it might not otherwise be possible. I also take insurance and if patients have insurance that's something that's nice for them because they're not out of pocket a lot of money. So a lot of my patients if they have Medicaid for example I can see them and be able to help them in a way that another provider might not be able to help. And that's part number two is I have to look at what is their ability to pay. So there are treatments for example, a lot of functional medicine regimen for example is not necessarily covered by insurance. So I have to figure out ways that I can work within that system of what that patient has and their ability to pay to be able to determine my treatment program. And then obviously also what's the patients level of motivation.  So if they're coming to me not thinking that they're going to be doing a lot with nutrition and diet I have to kind of see where their motivation level is to make that change. And my process is oftentimes a very slow process getting them to a place where I can see those changes that I wanna make are gonna be beneficial. Other providers for example, the patients will seek them out and be very motivated and sometimes that happens with me as well. Now that I'm online and people can find my profile they come to me specifically wanting an ancestor health or that kind of background. So in those patients they're very highly motivated. So if I have two different types of patients I have to certainly create this different type of plan. And then the last one is what the patients desires for treatment. I have patients that come in and they only want meds and that's all they want. They don't wanna work with anything else. And I have to work within that framework as well to find the best outcomes. So using that frame we're gonna go through a few of our patients. So this first patient, this is actually a patient that I had as a resident. This is before I started working in ancestral health. And this is our easy kind of simple case that we're kinda dealing with. This is a pretty standard case. A patient that I see now all the time. And this is a patient that I saw like I said a few years ago. So this is a 50 year old female. She was a BMI of 40. She was overweight and for a long time had been looking to lose weight, become healthier. She had searched and gone through a large process with many different doctors before she got to me. She was very active job working in an animal vivarium. So she was feeding animals all day long, very active, lifting, moving kind of all day long. Like I said, trying to lose weight for a long time. She was, in addition to her heavy job, she was kinda doing the treadmill thing, the rat race and really that treadmill of trying to have that high energy output than also cutting her calories. She was very detail oriented and kept a very detailed low calorie type of diet. Now she was also very motivated. Unfortunately most of the doctors were really not believing her that she was doing the things that they were telling her to do.  So she came to me and I unfortunately fueled that process forward and I was very frustrated as a provider. I was like I cannot figure out how to help this patient. I want to help her and nothing seems to be working. So what could we do with this patient? And I'm gonna turn the timer to Dr. Lowe and see like what would she have done in this situation? It's funny, we're just seeing each other's cases pretty much for the first time. So I would say for me, I mean it sounded like maybe cost is an issue for her. So I'd look into just educating her, having her do some of her own education, maybe reading a book. I always recommend it starts with food for most patients because it's a great background nutrition wise and then maybe have her listen to the podcast because it's free. So at least just kinda have her understand a little bit more about it's not calories in, calories out and then see what else motivation wise she's willing to do from there, I would say. What did you do? So that's what I would have done. Unfortunately, I've been graduated and I wasn't able to take care of her and now honestly I feel bad to this day that I was not able to help that patient out. Luckily I have other patients that I can help out now. But really, yeah, so I mean the baseline for her really getting her on a better nutrition, better exercise regimen, more information and in her case, that foundation was not in place. So she really needed that foundation and then later we could have figured out if other techniques would have been needed but really that start, exercise, nutrition, sleep, stress reduction is where she needed to start. Okay, so this is my more complicated patient. This patient actually came to me specifically because I was a paleo doctor, he found me online and this is 69 year old with a large number of medical complaints. As you can see from the list here, I know some of you in the far back might not be able to read this but he's had diabetes, type two since 1996, Grave's disease, which is a thyroid disorder, severe psoriasis, which is a very bad skin disorder, prostate cancer, which was treated with radiation as in remission. It ocular myosthenic gravus, which is a muscle disorder that causes the muscles of your eyes to spasm and then to not work very well. And then he also had severe back pain which he'd had previous spinal surgery and then also had insomnia due to muscle cramps. So this guy had a long list, so he came to my clinic with this very long list of complaints and I had to see where could I go from here or what could I work on. And this is a patient who had been paleo, quote, paleo for about four months. And fortunately he came to me very happy. He's a very happy 69 year old and had a very positive attitude, very motivated to make changes. So here's the list of the medications he was on. He was on Pia Glutazone and Aglubiaride and Metformin, all three of those are diabetes medications. The Pia Glutazone and Aglubiaride are medications that will cause insulin secretion. Metformin causes an increase in sensitivity to insulin. And then he was also on Levothyroxine, Vitamin D3 at 5,000 units, which was great. And then this Pyrrodusticamine, which I can never say, was for the eye disorder that he had. And then also some Gabapentin for neuropathic pain due to the diabetes. So this long list of medications. His diet, what he'd been doing is pretty actually pretty mainline Ancestor Health or Paleo, eggs for breakfast, not eating any wheat and chicken fish and doing really well actually with his diet. His son told him to do this. So he'd been doing this for about four months. He was eating potato and rice occasionally. And he also at times had some nausea, which the only thing that helped him with his nausea was a slice of bread. So he was doing that occasionally. And then so what improvements had happened in the last four months? So he had lost some initial weight. He was about 200 pounds.  He was very frustrated because, he'd read all his success stories of people losing a lot of weight and he really wasn't able to lose that weight and get his disease under control. He's still on all of his medications. So what's the frame? So first off, there's no way I could take care of everything in one visit. He had so many things going on. I needed to have multiple short visits with him. And that was possible. He was a Medicare patient, but that also he had no outside income. He really didn't have any way of paying for anything else outside of what Medicare would pay for. He was, like I said, highly motivated and he wanted to lose weight. The cramps were a big problem in his life and then he wanted to, he was motivated to stop some of his medications. So what would you have done at this start? Well, in my situation with patients I see, typically they're seeking me out. They do have some more, you know, income that they can do some testing. So if I had the option of doing testing, I would probably look for hidden infections. It sounds like diet wise, he's been dialed in for about four months. He's had some improvements, but I would just want to do a little bit more digging. Maybe look at hidden infections, maybe in the gut. We know that gut infections can definitely contribute to diabetes. Maybe look at doing some cortisol testing, hormone testing, that kind of thing. Cause he's doing a lot of the lifestyle things already. And then also a lot of micronutrient deficiency testing. Maybe he's deficient in chromium. Maybe he's deficient in zinc. You know, look at, see if there's something that way that is really getting in the way of that blood sugar regulation. So, but I think you're on the right track. Why don't you say what you did? Okay, so I did not do all that. Some of it was constrained by my knowledge. I don't know how to do all those fun, like different tests, all the micronutrients. I just don't simply do that in my practice very often. But also constrained by a lot of the funds that he had. He really didn't have a lot of funds to do a lot of that testing. So what did I do? My initial patient instructions really were, okay, keep doing what you're doing and I need more time to figure out how to help you. We didn't actually make any changes that first visit. I wanted to build that rapport with that patient first before I kind of threw a lot of different changes that I wanted him to do. He really had high expectations to make changes and he really needed a perspective that he was 69 and been living with these diseases for a long time. It was gonna take a long time to get him back to a place of better health. And this is actually a word for word. I just copy and pasted my instructions to him from a couple years ago when I saw him. So then I wanted to see him back and he had already had some lab tests already done by his previous provider. So rather than just doing those tests again, I wanted those back so I didn't have to incur more costs. So three weeks later, he came back. His weight had not changed in three weeks. He kept that diet. So what we decided to do is to stop both his peoglutazone and his gliburide but to continue his metformin. In my mind, what I thought is if we stopped these insulinogenic medications, hopefully what would happen is he would then have this ability maybe to lose some more weight in a frame that would work better. What we had hoped in general is that if since he's already eating much better at a lower carb diet, his A1C, which is the way we track diabetes, would stabilize and not increase. And that was the fear is that if he had his A1C go up after we stopped these two medications then we're gonna be in real trouble and we would maybe have to start them again because really what we wanna do is to not have any end-organ damage losing his eyesight or worsening neuropathy for him. He also had these muscle cramps. This was one of his biggest issues. He just simply couldn't sleep. He had been on magnesium in the past which helped. Unfortunately that magnesium made his eye disease a lot worse and he had trouble seeing. So we really couldn't do a lot of magnesium. He was on about 2,000 milligrams of magnesium a day which is where it was that helped but this was causing problems with eyesight. So what we decided to do is just right now hold on to that and see if we can improve that over time but really not make changes there. He also, we started him on a higher dose of fish oil and we continued the 5,000 in subitamin D. So what were the results? First off we were able to maintain his diabetic control. So this was in May that I saw him first or when we made the changes. His A1C was 5.9. We wanna keep an A1C below seven to have good diabetic control. In July when we rechecked it a few months later it was 6.2. So I was very happy with that. We did see a little bit of a bump or probably within the range of error of our test but really we're still doing very well. This is after stopping both of those medications. So I was very happy and then as you can see in October we were able to maintain that. And this was like I said, this is in 2012, it's about two years ago. And this is the most exciting thing of what happened. So as you can see, he was able to have significant weight loss. This was after stopping those two medications that caused that insulin production. He was continuing on very much the same diet. We had made no changes. Actually, sorry, we did cut his carbs a little bit more from what he had been doing but really no significant changes of what he'd been doing the previous four months where he hadn't been able to lose weight. So in this case, I think the direct result of stopping those two medications was that weight loss. As you can see, he had this nice steady weight loss until he got down to a better level here. So here's the problem though. He's still having severe back pain which limited his ability to move, exercise, et cetera. Sorry, not that first visit but in between some of those visits we had decided to try a magnesium again but at a lower dose. It did help out a little bit but it did worsen his eyes. So his cramps were ongoing. So he wasn't able to figure out anything to do with his cramps at that point. And then we saw a significant improvement in his skin psoriasis. And that was actually one thing that he really felt very positive about was that his psoriasis was getting much better. And that was four months of his diet and then six months after seeing me. So it took about 10 months for his skin really to start improving after improving his diet. Okay, so now what? So this is where we are. We've gotten to this point. Now what were we doing? I want you guys to think as clinicians here what would you have done at this point with this patient? Where could you go? What changes could you make at this point? What are some long-term things and what are some limitations? Maybe I can take like one or two people if they just have one suggestion of maybe something that they would have tried. From the, for the myosinia, the ocular. This is a personal view.  So, and the mesonon, the drug that he takes will cause a really significant insomnia. I don't know how much he's on, but I don't know if you were aware of that or picked that up in the literature, but. I wasn't aware of that. Yeah, yeah. But that drug in and of itself can do that. Yeah, so trying to find that balance of the side effects of the medication versus his vision, it's really hard to know. And that's somewhere where I as a general physician really kind of put that in the other wheelhouse. Maybe I could have taken a more active role in working with that. What was that? Thyoma. Thyoma, okay. What was that after him, correct? He did not have thyoma. No, he did not. Okay, so good. So looking at possible other diagnoses that could be causing some of these issues, maybe broadening our differential to look at other things. Is this on? I would look to see what's happening with his back pain. Just because he's on Neurontin doesn't mean that he's actually going to be helped. And maybe there's something that you can actually do about that. Maybe there's some specific problem. And I like to send people with back pain to physical therapy for evaluation because it is covered by insurance. So I would look at that more because that sounds like another significant problem for him. Okay, good, yeah. So that's actually what we did.  So he did go through some physical therapy. He went back to his back surgeon to get another review. And that's something that he continued to work on. He continued to try to exercise and started swimming and doing some other types of exercise that didn't require, didn't cause an increase in his back pain. So let's look at what happened long-term. So this is where we are now in the intervening years. We've done quite a few different treatments for him. We have tried changes in his diet. We've tried super low car. We've tried a variety of aspects to try to improve what's been going on. I don't want to kind of talk all about those, but in the two years that I've had him, his A1C has basically stayed at the exact same place, which has been very reassuring. We haven't changed his medications. He's been on his diet and it's been very good. His A1C has been controlled and that's been probably the most promising thing is that that has stayed in a good place. One thing that has been frustrating for him especially is we saw this initial great weight loss. And this is, so the last slide I showed you was right here. So 177 he got down to, so this was 200. So his BMI was 32. He got down to here and then in the next year, the next year he was able to drop down to 160. So he dropped another 15 pounds of body fat. To where BMI who's very happy, then what happened is I actually didn't see him for about six months. Our follow-up wasn't as tight as it had been and he actually gained quite a bit of weight. And on this kind of inflection point, we're able to kind of stabilize here. But something that's happened is we don't, I looked at a variety of things and haven't really been able to figure out why he hasn't had more weight loss. And I think part of this was the back pain. He really became even more limited than he was before and really had a hard time at this point. Now the good news is this isn't terrible for someone with diabetes, sticking out this way probably isn't the worst thing is A1C is controlled and is this the worst? I would say I'm fairly okay or happy with what way things are going, but I think it would be improvement to get him to a little bit healthier weight. This is his lipid profile. A lot of, with some with diabetes, we're always looking at someone's cholesterol, making sure that that is at an appropriate level. And in the literature, some with diabetes should have much tighter control than other people. These are his lipids over the last two years. Actually, this is in 2010 before he started anything paleo before he saw me at all. I was able to pull that from the records. His total cholesterol was 154 and his LDL was 89, which when Dr. Lowe saw this first, she was like, oh wow, that was really low. And his cholesterol improved through time as he had better nutrition. One thing that I saw when I was here in November 2013 as you see this very upward trend, his LDL was going up and up and up and I was actually getting a little worried that if it kept going up, what am I gonna do as a provider that really should be thinking by the literature of putting him on an intensive statin therapy. If this patient is not on intensive statin therapy, I have to be able to justify that in some way. And then what happened actually earlier this year, more stabilized around 116 as his LDL. And I think for him, this is probably a healthy cholesterol panel. And I actually decided not to make any change with that. In the past, because of his other medical problems, he hasn't even been able to take a statin for very long because he had muscle issues that happened. But that's something that ongoing needing to look at as a provider in the system is making sure that this isn't completely out of control and so I do test to make sure that his lipids are in a good balance. And really not make, decided not to make any changes from there. So other issues, kind of long term over the last couple of years, his cramps have improved. So over the last two years, without much other treatment besides the nutrition and actually increase in his exercise, the cramps have improved greatly. He did have an additional spinal surgery. And that was about six months ago that he had that. And actually his mobility has greatly improved. We don't always recommend someone to have surgery, but for him it was the right choice. And actually his exercise tolerance and mobility has improved a lot. So he's been able to get out and exercise a lot more and his mood and everything else has been improved. Unfortunately he also then recently had IBS like symptoms that had started that he didn't have in the past. This helped with low FODMAP, but now that Dr. Low brought up gut infections, this is maybe starting to think like maybe something else is going on, his inability to lose weight and maybe I should be looking at something like that. So all right, so any other thoughts for my patient, Dr. Low? Well I'm really impressed. I think there's a ton of improvements with him. I mean getting him off of the couple of different medications and his BMI has improved a ton. But I would look maybe a little bit more of the root of what's happening. And we know autoimmune disease is caused from leaky gut. So maybe there's something going on there. I mean the psoriasis, the myocenia, grabbis, those are both autoimmune conditions. So seeing if there's an infection there and then maybe he has chronic high cortisol. Maybe that's making it hard for him to lose weight and his weight is just staying on. So just doing a little bit more digging if he's able to financially. But I mean I think he's been really obviously helped a lot. So just a couple of little areas to dig further I would say. But yeah. Okay. All right thank you. So that was my patient. Obviously there's a lot more information there that we can talk about later if you're interested in talking about him. I'm gonna turn the timer over to Dr. Low. And then forward is this one right here. Yeah. Okay cool. Okay awesome. So I'm gonna chime in and talk about a couple of cases in my practice and then I'd love to have Dr. Henriksen give any other ideas if there's something that maybe I miss and maybe big like red flags or something and I'm kind of glancing over. But so okay. So patient number one. So this is a 37 year old African American female. I've been seeing her for about a year and a half, two years now. And she presented to me. She had already been doing paleo for several months. She was a heavy cross fitter. She had severe cystic acne. So I mean it's probably the worst case of acne I've ever seen.  She had a history of PCOS, a polycystic ovarian syndrome and did have a history of ovarian cyst because you don't always have cyst in that condition but she actually did. And she had irregular cycles. She was just really tired and difficulty losing weight despite eating paleo and exercising. I think she's doing cross fit like four or five times a week. She had significant gas and bloating. She felt like she was like three months pregnant most of the time and just felt really depressed, anxiety. She had been seeing a counselor for a while and it was making some improvement but just still was just feeling kind of blah. She also mentioned that she had difficulty remembering things and she would slur her speech sometime. She'd be talking to someone and just lose her train of thought and then just start stuttering. So that was really affecting her. So these are the different labs that we ran. So my practice is a little different. We can do out of pocket testing so I can run the full gamut of tests which is nice. Not everyone can do that but this is what we did for her.  We ran her vitamin D, CRPs looking at inflammation, home assisting lipids and then a full thyroid panel which included TSH, free T3, free T4 and her antibodies. So just seeing if she has any autoimmune process with that. We ran a stool test so OMP times three, bacteria culture and then looked for H. pylori.  And then we also did micronutrient deficiency testing to see what vitamins and minerals she was low in. And then our initial plan we did a liver cleansing smoothie which is a rice protein powder so I do some rice protein for patients when they tolerate it. We did 30 billion CFUs of probiotics and then 3000 milligrams of omega-3s to start and then we started also on IM injections. So B6, B12, MIC which is methionine and acetylcholine and those are liver lipotropic so they start to help the liver detox and process fats and then also started on injections of vitamin A. So we saw her back a few weeks later and she mentioned that her digestion had felt better. She had no more dizziness which I forgot to mention she was feeling really dizzy. She's lost 10 pounds since we started and her lab testing showed that she had elevated liver enzymes so AST and ALT and also high ferritin. I think her ferritin was in the upper like maybe 270. Also elevated blood sugar, elevated A1C. She had elevated nighttime cortisol which contributed to insomnia which I didn't mention and then decreased progesterone. She had elevated testosterone and then low serotonin. We also did urine neurotransmitter testing and then she had positive H. pylori. So looking at all these things it's like, oh my gosh, what do we do first? So what I initially started her with, I treated her H. pylori so I've used Matula T for that so I've learned that I don't have to use antibiotics. It's worked 100% of the time. It's amazing. Matula T is just incredible for H. pylori and you can order it online. I don't even carry it in my office but there's a website. I can give you guys the link if you want it. But if you end up re-testing and it's actually positive you get your money back for the tea so they really stand behind it. And the website looks really sketchy. It looks like it's like an internet scam but it's legit, I promise. So this is her micronutrient testing. So she was deficient in glutathione, CoQ10, and selenium which interestingly those are all antioxidants. And she lives in LA in a pretty highly populated neighborhood so it's kind of an interesting connection to see with that. So we addressed those deficiencies with supplementation. So here's what I did with her and some of this is in the beginning some of this is eventually, this is over time but we did liver support of herbs so milk thistle and dandelion root. We did blood sugar support with chromium and zinc and also some glandulars so liver, pancreas and pituitary to support the HPA axis. We also did maca. Zia gold is a heavy metal key later and that also I found can decrease ferritin when it's elevated which I'll show you the lab work but we did see that decrease her ferritin. I started on deep penital which is my version of metformin basically so it helps to sensitize the cells to insulin. We put her on selenium for the deficiency and also for liver or thyroid support. I changed up her shot formula so I added in methylfolate, glutathione and also CoQ10 based on her deficiency. I also told her to go donate blood because I thought her ferritin was just a little high and then I did start her on progesterone in the luteal phase and then the matulati. Fortunately, she didn't mind taking pills. So, saw her back a few months later. Her skin was 70 to 80% better and we didn't do anything topical. That's the exciting part about that. We treated her gut, we treated her hormones, her deficiencies and her skin just got so much better. Her bloating was gone. We retested her for H. pylori and it was gone. Her dizziness was gone, continued weight loss. By the way, I also had her cut back on her exercise. I said no more CrossFit. You can't CrossFit for three months. And it was like a death sentence for her. She was so sad but she just started walking when she hated but it really helped her because she was just way too stressed. I mean her adrenal panel was just off the charts and she was just really wiped out and that really helped and now she's getting back into CrossFitting again. Her mood improved, her cycles became more regular and then her, now she has occasional migraines which I did mention she was getting them on a pretty consistent basis. So this is her labric progression over a year and a half. So initially she had an elevated MCV so really megaloblastic anemia suggesting the B12 and folate deficiency and over time that did go down. Her ferritin was at 252 which is showing either inflammation or high iron and that also did decrease over time as well. And really I found that working on the liver can very much help to do that. And then her AST and ALT also dropped as well. Upon retesting about six months later we found she didn't have any micronutrient deficiencies. This is through spectrocell. This is who I run my micronutrient deficiency testing through. And then Dr. Henrichson, any? Well, it seems like you did just about everything there. I had some suggestions but then you talked about them. The first one I was gonna talk about overtraining. So it seemed like she was probably overtrained and one thing you didn't really address as much is what was her sleep like? And in this case I think probably improving her sleep. It sounds like you did try to, that could have been a big part of it. And then this could have been the case where Metformin could have been an effect for that patient. It's hard though because she started with gut issues. So given someone Metformin which can cause some side effects with the gut is a problem but it could sensitize it and improve some of the symptoms. But it sounds like you were using, I don't even know what that. The deep pentatol. Deep pentatol which has a similar action. And deep pentatol is very expensive. I think it's per bottle it's like 100 something dollars. So in some situations Metformin might be better. I'm not anti-Metformin. I think it could be a great drug for many people. You just have to watch out for B12 deficiency with that. So second patient I'll, I think how am I doing on time? I have eight minutes I can do that. Okay so this is patient number two and after this if I have time I'd love to hear from you guys if there's any other ideas that you have. So this is a 30 year old female mother of two. She was referred to me by her gastroenterologist which was really exciting because I didn't even know who this person was. This is like a first like whoa okay. This is a compliment you know and medical doctors are referring to me is great. So her history ulcerative colitis. She was being treated with mesalamine and prednisone suppositories and she was hospitalized for severe colitis. They found it in her descending sigmoin and her rectum. So descending and sigmoin colon and rectum. And at one point her weight loss was so bad. She was 93 pounds and she's having two bowel movements every hour. So she was really, really, really sick and she had a history of being gluten free. She had one slip up and she had more blood in her stool than she had ever had before. So she was just incredibly sensitive. Significant gas and bloating. She looked like she was seven months pregnant and she wasn't. So she was so frustrated because she was actually really thin but she came in and it was like whoa. Her stomach was just so distended. Her energy was so low. She had so much anxiety. She had really bad insomnia and her hair was like straw. It just looked so dull. I mean she looked like she was very unhealthy. You know just I mean really you could see the pale skin. It was almost like a grayish tone to it. So she brought in some lab work from her primary care. She was in urgent care soon before that and her white blood cell count was really, really high. So ideally I like to see the white count between five and eight and hers at 17.9. So real acute infection. And her neutrophils were at 91% so it was really shifted towards the bacterial side. And lymphocytes were 6%. I'd never seen lymph so low. Her vitamin D was at 18 and her stool, we did a stool test and she had elevated lactoferrin which is something that differentiates S from IBD. So it was confirming that it was inflammatory bowel disease. And then she also had a deficiency in biotin, calcium and copper. I'm gonna just break in real quick. I mean like this patient is very sick. When I see this, I mean almost the point of admission. I mean she's very sick. So she did say, you know, I did have more recent lab work. I'm getting the results. So they faxed them over to the office and they were much different a couple weeks later. So it showed that that acute flare had passed. That way I felt more comfortable treating her because if I were to see this, I'd say you need to go back to the ER. I can't see you yet.  So the plan, what we did for her once she did come back and her labs were a bit better is we put her on the specific carbohydrate diet with our dietitian. We work with Stephanie Granky. She's amazing if you guys ever need a dietitian. And we put her on a gut healing smoothie which had a significant amount of glutamine in it. So it was a rice protein powder with glutamine. We put her on a high dose probiotics of 225 billion per day and then a tablespoon of cod liver oil. And then we started her on IVs. She lives up in I think North LA and I'm in San Diego and I said you need to come down here every week. We need to start doing IVs for you. And that was really hard for her to swank because she had two kids. She was really busy but she made it happen and that made a huge difference for her. So prescribed it two times a week. She only was able to do once a week but we did magnesium, selenium, zinc, all the B vitamins, calcium, trace minerals, vitamin C and glutathione. And then we also did twice a week of IM injections that she took home. I was doing this, so kept those in the fridge and did those at home. So also I had her do blood sugar balancing formula as well which made a big difference for her because she was very jittery. Whenever she skipped a meal, she felt really dizzy. We put her on saccharomyces bilardi, HCL and pepsin for absorption, selenium, biotin and then calcium magnesium citrate based on her nutrient deficiency tests. So I've been working with her for about maybe six to eight months and now the update is she has so much more energy. She goes once a day, so about a moment once a day she has no blood or mucus in her stool. She is still in the specific carbohydrate diet. I think she's still in phase one or two so it's still a very restrictive diet but she's happy to do it because it's making a big difference for her and eventually we'll get her to the next phases. Her mood is better. She's now able to play with her kids and she said that's just made a huge difference because before she had to just sleep all day. She wasn't able to really be there for them. Her bloating is much better. Now she looks about maybe three months pregnant so she still is bloated and I would love to maybe hear more ideas of what you guys have with that. And this is her recent lab. So her white count 4.1, neutrophils and limbs were in normal range. Her vitamin D shot up to 74. She is negative for SIBO because I wanted to look into that but we found out recently that she is positive for Epstein-Barr virus so now we're treating that. So the treatment just continued the plan. I did put her on a homeopathic remedy for Epstein-Barr and just some other support. Mona Lauren is antiviral and then prescriptocyst. I switched her to a different probiotic and we're gonna be retesting her labs. So for the sake of time I'm gonna just jump into the next section. Do you have any other ideas? For the sake of time, why don't we just move on? Okay, we'll just move on. Okay, so I just wanna share a couple different ideas I have for working with other providers. So number one is if you're a medical doctor and you're working with NDs or vice versa, just number one, please just show respect to the other providers. Never talk bad about providers to the patient. I hear doctors do this a lot of times where they just talk crap about each other and it's just not, it looks really unprofessional so just don't ever do that. Keep other doctors in the loop. So in this situation with the patient with those sort of colitis, I could have done a better job of staying in contact with her medical doctors and I just didn't do that and I definitely see an area of improvement for me. Leave the ego at the door.  You know, keep that humility and if another provider is rude don't take it personally. It's probably their own stuff and has nothing to do with you. So to NDs, DCs, other holistic providers, triple check drug-urban interactions. There's a lot of different interactions. Not all herbs are safe. Just because it's natural, it doesn't mean it's safe. Arsenic is natural and that's definitely not safe. So make sure to just check on that and just have open communication with other providers. And then to MDs and DOs, please have honesty. If you don't know something, please be real about it. You don't have to say, oh, don't take that. If you don't know, look into it. Have an open mind about it. And so if it's something foreign to you, be open about learning that and then just be open with other providers. This is our contact information and do you wanna say anything? I guess just so these are two websites you can go to, Dr. Lauren's website is pretty great. If you're in the San Diego area, check her out. And then if you are MD or DO, this is our website for our organization called Physicians and Ancestral Health. It's at ancestraldoctors.org and we are meeting with a few far physician friends, MD and DOs at noon today. We love working with other types of providers and if you wanna collaborate in any way, we would love to collaborate with you guys and that would be fantastic. So thank you for your time and that's it.


en there was then and then. Oh, that was the war exactly. There's Dwight Gooden on the 85. Well, that's the best part. That's not the worst part. And then again, and then he you hit a Kevin Smith auto in your own personal you got from your own LCS. Didn't you too, Kyle? You've caused we got a golds coming up here of Joey Votto on the cornerstones. Finest, 38 out of 50. Nice one there for the Reds and El Central. How confusing that is it for you? Jay Rudd. You see LSC and LCS.  One of the other Joey Votto. There's Marcus Simeon. I'm reading the TikTok messages. CVR like that's just going to be on the back. That's just like the insert name and what number in the insert run it is. Refractor auto, Jesse Winker for the NL Central. One box of Bowman chrome for my LCS and full of Kevin Smith drew blue. Oh, man. That's so funny. Do you still have all the Kevin Smiths too? Well, Kyle's like jokes aside, Kyle's actually trying to do the rainbow now for that one. That is to 250 is going to be Helly at Ramos. What's up, tone? How you doing, buddy? Saw UC and Wahoo's run here earlier too. Snipes last night. Came in and said what's up to everybody last night as well. Thank you guys for raiding again. Appreciate that. That was awesome. Trevor Rogers Refractor. Yeah. The origins, the Chronicles Origins Rainbow of Kevin Smith. Yes. courtesy of Yogi. Exactly. Cornerstones. Yeah. Yogi's the man. Really good dude. I'll probably pass on that dog. Torkelson Rookie. Or there's Corey Seeger to 300 and Kwan. That's what we do hype. I love it, dude. Yeah. Those hype trains are awesome. Those things get wild. Andrew McCutcheon, base and base. Cutshine Burger. There's Otto Lopez for the AL East. Rookie Otter. Byway of the Blue Jays. Base and base. Green Mackenzie Gordon 99. He would not oblige. What a square. O'Neill Cruz. Call him a square tonight when you see him. Say he's a square. He's a square for that. If me and you were to pull that. Oh, it would have been unreal, dude. I would have started going all around the room. Oh yeah. Most I can say. When I first started doing it, I was hop loading when I first started doing the giddy up. And there's one time that Forrest was like, we've got a Josh Giddy Auto. Josh Giddy Auto. And I was like, oh, my bad. And then the best part was when Sean was top loading on Wednesday night. We hit like in back to back to back cases, we hit a big giddy. So I did it in every single one. Refractor or Lube Up. Martian Bruhan. Salvador Perez Cornerstone. There's Refractor Jay Ram. Got Staten to 250 on the purple for the Yanks. And Jay Rod. Oh, it's hit a super of a Yankee Siobhan. That'd be funny. Cedric Mullin's Refractor. How about let's get him a super cool Red Sox autograph? Nah. That'd be lame. Refractor Auto. Marclos de Plon for the AL East. Vaughn again. Vaughn doing well with autos right now. Hunter Green Rookie. Royce Lewis. Jose Altuba. Refractor Verlander. Sheets and Joe Ryan. Wander Franco Rookie. Corbin Burrin's Refractor. Dustin Badroia. That's going to be Diamond Matt Olson to 50. 49 of 50 for the NL East. Springer. Salvador Perez Refractor. Stop and Thomas. And our Auto here. Face Auto. Royce Lewis. Nice one there for the Twins. AL Central. Congrats on that Landy B. The Auto in the same spot every time. And then there'll be a numbered one in the back here too. There he goes. Nothing, numbered, nothing, nothing, nothing. Auto, numbered. Think that's how it goes. Blade. There's a blue. Edward Cabrera to 150. Joey Vado and Freddie Freeman. Same thing in Bowman Chrome. The Auto is always like the second to last. Well, I own the remaining A spots for tomorrow and an F1 spot. Ooh, I'm ripping F1 tomorrow. There we go, Kyle. You've got to get your McLaren again for the third straight time. Wander rookie. Refractor Buxton. Vado and Freeman. Now McLaren's pretty solid. They're a good team. An F1. Bobby Witt, finest rookies. Marsh. Ruham. Excellence, Padroia. Blue, Jake Berger to 150 on the rookie. You're right, there really isn't a bad spot in F1. There really is not. You just chase different things with different teams. Right, exactly. Jose Ramirez. Hunter Green, Refractor Rookie. Jay Rod Rookie. Brandon Crawford. Because a big thing too is if you get one that's kind of the mid, like Williams and whoever Williams combo is, like they have a majority of the autos. Like I've pulled one versus F in auto and probably like 10k. Versus like I pull like a fit of quality like every single break, basically. Refractor Otto Conor Wong for the AL East. There you go, Vaughn. Picking up a Wong auto. Didn't he just get traded? Or is that another Seabold? No, not traded Seabold. He rolled in down. Well, Peter Downs. We got DFA'd. Purple Redetmer to 250. So did Seabold. Oh, did he? Hunter Green. When we signed, who was the pitcher we signed? Blue Bear? Yeah. He stinks. He stinks? He stinks. He's still a perfect game for your team, buddy. No header. Royce Lewis. No header. He stinks. He's done. He stung for us after that. That was like his highlight in like May and then got her and never played again. Trash. Nolan Aronado. Both the same 28 team building. Superfractor of a guy from the Dodgers. Odd, there's two Superfractors. Is it a different variation, Devin? Or are they exactly the same? Jay Ram. You Darvish Refractor. Red Sox. Just so you know. Gavin Sheets Refractor. Rookie. Steven Kwan Rookie. Two packs to go on the break, guys. Good luck. Exact same card. Interesting. Chapman. Joe Carter. Refractor, Otto for the AL East. Can crash again. Vaughn Vaughn probably has like 10 autos in this break. Congrats, Vaughn. Lindor and Chisel. They have two Joe Carter's in this break. JD Martinez. Green Mini Diamond to Aaron Judge. There we go, Vaughn. That's the PC hit right there. You were looking for Aaron Judge to 125. Look at it. Look at it, Vaughn. That is yours. Bass and bass. That'll do it for the break, guys. Do a quick recap here. Royce Lewis. Marcos de Plon. Otto Lopez. Jesse Winker. Brian De La Cruz. Tyler Gilbert. Coy Park. Brian De La Cruz. Joe Carter. Josh Lowe. Austin Meadows. Marcos de Plon. Joe Carter. And Otto Bonille Cruz for the Pirates. That'll do it for the break, guys. Thanks again for the fill. Next up, we've got our last break of the morning. Thanks again, TikTok. We'll be live later. That's always terrifying whenever you like lean back on this one. Yeah, I know, Travis.  Later, Kyle. See you tonight, most likely. And if I don't see you tonight, I'll see you tomorrow night, I'm sure. I hate when it's just, like, just too much for one second. Got to do the entire second one. Now that's always a pain. Come on, just be a one boxer. Honestly. And then out tonight, sounds good. Shell, dude. What's going on? What are we doing? Kicking boxes over here. Good God. Take it easy. You've stopped to the brim of the box. God. We got a minute before this next one starts. Got the random set up. We'll do the random, and then we'll wait just a second. All right, let's do this random. Let me change this. Good luck here, everybody. What's going on, everyone? Sam here, late in sports cards. Doing the random for 22 tops. Finest baseball hobby. Eight box full case break, number two. Random division style. We got six participants, six divisions. Let's roll the dice. See how many times we're going to go? Nine times. One, two, three, four, five, six, seven, eight, and nine. Brian C, down to Brent C. Nine times on your teams. One, two, three, four, five, six, seven, eight, nine. A.L. Central, down to N.L. West. Brian C, A.L. Central. Evan C, N.L. East. Darren G, A.L. East. Carrie M, N.L.L. Central. Don H, A.L. West. And Brent C, N.L. West. We got these copied over, guys, and we'll get started in just a minute. Here's your guys' results. Give me one sec. Yeah, boy. Julio. Rodriguez. Cheap stuff. It's a one-of-one wonder, Franco. Bowman Design Super Fracture Auto, one-of-one. Of Christian Hernandez. Big prospect hit right there. Good luck on that one, everybody. That is nasty. Of Luis Rodriguez. That is one of his only autos in the set. He does not have the gold-framed autos. That's huge. Vets in this checklist. Let's go. Big name. Big name. Jordan Lawler. Two Jordan Lawler, one-of-ones. And two Bobby Whit Jr., one-of-ones. That card is gorgeous. What a one-of-one. Poo-holes. The Machine. Oh, my God. That is gas. One-of-one is Aaron Judge. Yeah. Aaron Judge. Gigantic. Joe DiMaggio. Ball legend. Joe DiMaggio. Oh, what's going on here? Roberto Clemente. Wow. Let's freaking go. Let's freaking go. Oh, my God. That's his real signature. Look at, you can see it's one of the pens. Like the fountain pen where you dip it in the ink. Oh, my goodness. That's huge. Walt Disney. Oversized cut auto one-of-one. It's started in a minute here. Oh, my God. They're insane tone. They're absolutely insane, man. Two minutes, guys, and then we'll get going. Last break of the morning slash early afternoon shift. And they got forest tonight. One minute to go. One minute, and we'll get going. One minute. One minute left, and we'll go. All right. Good luck, everybody. What's going on, everyone? Sam here, late in sports car, dripping 22. Top's finest baseball hobby. Eight box, full case break number two. Random division style. There's a look again at your random results. As always, you can find these on the website under the results tab, as well as the link that's currently in chat. So good luck here, everybody. Let's do it. Box one. What's up, Shady? Bass. Troubles in rookie. Or of excellence, J-Ram. Nice. Bobby Whit Jr. Sky blue. Or no, Aquado 199. There you go. Congrats, Royals. AL Central. There it's going to be, I'll see. It's kind of cool, yeah. Miguel Cabrera cornerstone. Refractor, Nolan Arnato. Bruhan, trade turner. Luiseel, refractor rookie auto. For the AL East, nice one there. Going to Derringy. Kenzie Gore and J-Rot. Price and stop to 99. Going to the NLEs for the Phillies on the rookie. Nice one there. Congrats on that. Crawford and Matt. Refractor, Juan Soto. Bass and that bass. Yeah, happy Friday to everybody. Now we're getting toward like the actual weekend part of the Friday. Yeah. New Whit Jr. Top's fine. Cornerstone, George Springer. Nice to hate that. Like, I used to work in corporate sales.  Juan Soto, meet with their clients. Sky Blue to 300 for Nanotatis Jr. And that's always the opening thing. It's like, how's your weekend? What'd you do? What are you doing this weekend? So sick. I could not tell you a single thing anybody ever told me. Jeremy Pena. Kevin Smith, refractor. Do you ever watch breaks on a TV? Sometimes, yeah. I always watch breaks on a TV. Yeah. Like when Lane said that was the first time. I know, I'm kind of wild. Kind of surprised. Yeah, it's a 150. Kyle Seeger on the blue. Auto going to the AL West on each. I like to watch it on my TV outside. Oh, that's cool. Like an outside area that I chill. Always have it on out there. Salvy Perez. Aqua Blue Vapor, Cedric Mull Institute 250. And then at night in my room. Yeah, Steven Quad. I throw it on there and hop in the chat and get rowdy. Yeah, oh yeah. Elliott Ramos, rookie refractor. Shazelman Mookie. I'll do it for Master Box One. Two. Oh my god, it's brutal, Shady.  We are on YouTube and Twitch, James. YouTube and Twitch. Layton Sports Cards on YouTube and Twitch. Hopefully I never have to deal with that. Oh god. Worst job I've ever had. Hands down. Joey Votto, refractor. When I show up to spring training everyone just asks you how your offseason was. What'd you do? What'd you do this offseason? Most of it I just want to hear that you've tried to do. Yeah. Purple Miguel Cabrera 250. Exactly. Let me see. No way. No, that's okay. This card is just the latest. Like why don't we put them on there? Dude, look at all the different dairy products. Yes. Dr. Trichelson with the Milton. Yeah. Refractor Jose Serri.  Tinned breads. Yeah, just came out today, Pild. There's Spencer Walkins, refractor, rookie Otto for the ALEs. So, there's a Pikachu that is like a not... You know J-Roy. It's like a yellow border, but it's like super, super solid after. It's a promo. It's a secret. Yeah. Matt Olson. Refractor JT Real Muto. Brandon Cross. That is actually the worst, Shady. That's the worst. It's when you're like, oh, how was your weekend? Oh, yeah. I went to a funeral.  Edward Cabrera. Refractor. That's what I wanted to hear about your... Right, I know. Like even like, I would never in a meeting be like, yeah, my weekend was awful. I'd be like, yeah, it was fine, whatever. Move on.  I only had a horrible weekend before. That's a bad day, but I can't imagine that a horrible weekend was horrible. Right. So, Mitchell. There's Roger Marist. I cut for the AL East. Tertian Abreu. Or of excellence, Ozzie Smith. Gold. Fadal Bruhan. Finest Rookies. One out of 50. Nice one there for the AL East. Raids. Stop. Eli. Eloi Jimenez. Refractor. Vladdie Jr. Ooh, redemption. Finest Rookies Design Autograph Variation Green Refractor Parallel of O'Neil Cruz. Congrats, NL Central. Carry M. I'll be number 299. Nice one there. Yeah, Eli. Just shoot us your credit card information. We got you, man. Got you with a free card. There's Jeremy Pena. Sky Blue to 300. Nice one there. Yeah, definitely shady. Yeah, yeah. Let me know when you're there, too. Let me know when you're coming in. I'll make sure that I'm there. Say what's up. Oh, I gotta come back in town for collecticon. Nicoladolo. Refractor Rookies. I think it's, like, late February. Yeah, that'd be cool. That's in Orlando, right? Yeah. Not till a little bit later on, Kayla. We'll have some more football breaks tonight, impeccable. Go, birds. I wouldn't hate if the Eagles won. I'm not gonna get the Eagles, to be honest. I'd like to see either the Eagles or the Bengals. No. Absolutely not. But Joe Scheist is first. Vladimir Guerrero Jr. Never, never, never that. Nope, no Bengals. I hope the Bengals lose. I don't care about anybody losing other than the Bengals. It's the only team I don't want to win. Bobby Witt, Sky Blue to 300. How many Super Bowls does Holmes end up with at the end of his career? I like two or three, I think. About Josh. One, I think. Hopefully none. That's a problem. Okay, well, between those three, it's probably gonna be way more than four. Well, another team could win. For the next 20 years. Yeah. Blue, Colton Welker, Rookie Otto. Nice one there for the Rockies, NL West. T-Log gets one. Elliot Ramos. Josh gets two or three. Mahomes gets four or five. Burrow gets two or three. Miguel Cabrera. So the NFC's never gonna win, is what you're saying. Sharon Duranda, 250. So you're just writing off 16s. I'm saying that those are the only three QBs that are probably gonna win in the AFC. Charlie Blackman, Refractor. I don't think that's true, because what happens if like, like, what about the Chargers? I don't think they ever win the Super Bowl. You don't think so? Not with Josh Allen, Joe Burrow, and Patrick Monroe was all in the same. I don't know, I think you're crazy. It's just gonna be like Tom Brady, Ben Roffusberger, and who else was, that was it. It was just those two really. Yeah, Vladimir Guerrero. Jose Miranda. Aqua to 199. Juan Rookie. Yeah, Mitchell, throw us your credit card information, we'll get you a free card. Walker Bueller. Refractor, Rookie, Nick Allen. Thank you. Justin Herbert to social media too, because he doesn't have it. I've been saying that. Shady got eviscerated by comments about that. Manning Rookie Auto Refractor for the AL Central. Basin base. Hertz is gonna get one or two. Green Lava. C.J. Abrams to 99. O'Neill Croups, Josh Lowe. Sayasazuki Refractor, Rookie. I have some rules as Daniel Jones has passed through a zero. Unless he's a backup somewhere. Unless he's a backup on the sheets. He'll have zero. Jeremy Pena. That's Nolan Aronato. Yeah, yeah, Carps. He's in a, or Caps, Caps. Aaron Judge. Yadir Molina to 250. It's so funny. He's in the checklist on the autos. There's Bradley Beale, autos, and Alan Copdown and Ginter. Just like the Jonathan Taylor ones. Right, exactly. Jacob DeGramm Refractor. O'Neill Croups, Josh Lowe. Hector Auto Tony Santillon going to the AL Central. JD Martinez. Nick Allen, Aqua to 199. Yadir Molina, Refractor. Mike Jalen. Salvador Perez, Die Cut. AL Central. What's up, Mitchell's teacher. Adrian Beltre. Royce Lewis to 125. Green to the AL Central. Hold a muscle. Getting up from your chair today. That's tough. J.Ram cornerstone. Wilson Contreras Refracted.  Oh, absolutely. And it's like, argue me. Talk to my receivers. Oh yeah. It's like Jackson is MVP. Yeah, argue me. You would sit there and you would just lay into people. There's Raffi Devers to 300. Absolutely. I would watch that. Oh, 100%. Yeah, I would be at the National. Love that. Bobby Witt Jr. I pretty much do that here. That's what made me think of it. Stephen Kwan. As I was like, Sam treats this as if he's on those Instagram lives. And it's just like, people just talking to him. I'll get like, people like comment on YouTube every now and then. And be like, that's a crazy take. Someone's like, you put Eli and Russell Wilson as two of the worst quarterbacks to win a Super Bowl. And I'm like, kind of, yes. Eli, I guess, maybe, yes, maybe not. But Russell, now, he'll go down. It's not a very good winner in my opinion. Like talk about getting carried by your entire team. He got carried. Can they actually won it? Or is it like the Legion of Boom here? Yeah. Tim Anderson. Yeah, the middle linebacker won Super Bowl MVP. Malcolm Smith. Spencer Trockelson. Or of excellence. There's John Carlos Stanton to 300. Cookie Betts Refractor. Refractor Otto Eli Morgan going out to the AL Central. Nice one there on the base. Shohei Otama. Purple Eli Harris Montero to 250. Shane Bieber. Miggy and Votto. O'Neill Cruz Otto is probably the best so far right now. What's up, Yogi? What up, dude? How you doing, buddy? Good to see you, as always. Yes, with my top pull ever out of this. Top pull ever is Fernando Tatis to 190. Probably Jackson Merrill Superfractor one-on-one. Or the Kade Conningham one-on-one RPA out of select. Freddie Freeman. Francisco Lindor. The King of Select. Yeah, honestly. What's up, Wahoos? Wahoos back and better than ever. Tyler McGill, Rookie Otto for the NL East. That's the true, it was the true. The true Superfractor Otto. There's to 75, Carlos Correa on the Rose Bowl. Elliott Aramos looked up Russell Wilson stats. See, I knew that was going to happen. What happened? Jazz Chisholm. Someone goes, just looked up Russell Wilson stats. You should too. Future Hall of Famer. Yeah, but I'm saying I'm comparing them to other quarterbacks who want a Super Bowl. That's the thing. A lot of quarterbacks who want a Super Bowl are going to be in Hall of Famer. Yeah, no, absolutely.  Like Flacco and who else won? Russell's better than Flacco? Yeah, yeah, Russell's better than Flacco. Yeah, yeah, probably. He got the two. I'll give him that, but he's not that good. Joe Flacco is kind of good though. Joe Flacco is good. Rocky Diver. I think he's top 20 in yards all time, I think. That didn't really say much because you know, like Carson Palmer is and Matt Ryan and Phillip Rivers, like all these. Come out later, play some marbles. I used to stream that on Twitch, Yogi. There's Matt Manning to 10. There's the Red Black Vapor. Congrats, AL Central. That's sick.  Red Black? Yeah, the Red Black Vapor. That's the first one we've seen, right? Yeah, yeah, I'll call, I'll follow you on Twitch. Once I'm off, Yogi. Yeah, I really like that parallel. It would look sick with like the Red Song. Bobby Whit, yeah, it would. Mount Castle. Mackenzie Gorg, J-Rod Rookie. Andrew Jones, Refractor Auto for the NL East, by the way of the Braves. Byron Buxton. Hey, it's Manny Machado to 300. Is it just on that channel, Yogi? The like the one that you're typing on right now? I'm assuming it is, right? Refractor, awesome. Sounds good. Shohei Otani, sounds good. If I forget or whatever reason, next time I'm streaming just tell me and I'll like tomorrow night if you guys come in. Just let me know and I'll make sure to sub to you. Nice, been on Twitch for over five years, that's awesome. Price Harper, not numbered on the 21 insert. Vaila Cruz, Natsis. There's Brandon Crawford to 250. Purple, Jiggly Grom. Refractor, George Kirby Rookie. That's got like a numbered auto dude.  Another base auto. Simeon, Louis Ciel, Finest Rookie. That's awesome, dude. That's awesome. Nice one there, base and base. Jose Ciri, Aqua Shimmer to 175 for the AL West. Thomas and Miranda. Yeah, dude, they're awesome, Yogi. They're awesome. Trevor Story, Refractor. Base and base, all right. Box seven, two to go here, guys. 64 subs and 12,000 bits. Holy cow, dude. That's awesome. Freddie Freeman. That's fantastic. Holy cow. Or of excellence, Yostramski. Blue Aqua Vapor to 250. Freddie Freeman for the Dodgers. Seax, Suzuki. Robbie Ray. I appreciate that. That's awesome, Wahoos. Yeah, that's awesome having you guys here. It's been so much fun over these past few days. Orange Wave coming up of Austin Meadows. 23 of 25. Going to the AL East. Darenji. Appreciate that, guys, for sure. Shimmer, Paul Goldschmidt to 175. Base and base. Traktor, Steven Strasburg. O'Neill Croup and Josh Lew. Do you guys, Wahoos, you and all of your guys, like all of you guys, do you guys plan on going to the national this year or not? In shy town? That's true. That's a good point, Yogi. That's awesome, dude. That's a very good point. Hania Rookie. There's Finest Rookie Bryson's stuff. We want to. Nice, nice. And you guys do have to stop by the booth. Walker Beeler. Nice. Wander Franco to 75. Congrats on that AL East. Nice one there. Gore and J-Rod. Rose Gold. Yes, Rose Gold. My bad, I said Gold. Rose Gold. I don't even know what you said, bud. Savvy Perez. Jose Al Tube on the Refractor. Crawford and Olson. Hoy Park. Refractor, a rookie auto for the Pirates and El Central. Base base. I don't think in Bill's Loppy, I don't think in this he is. I think it's just regular Top's Grown. The buyback. Blue. Set beer to 150. Royce. Gavin Sheets. Aaron Judge Refractor. Joe Ryan. And Xander Bogerts. And Shorio. Is there another Shorio? There's three of them. God, dude. That family's insane. It's like the Acunias. Gotcha, gotcha, Bill's. Yeah, that's what I'm assuming, but I could be wrong on that. Dude, Jackson Shorio's already like the 10th prospect in baseball right now. And what is he, 18? Insane. He's so good. Somebody's going to rot away in Milwaukee. Oh, gotcha, gotcha, gotcha. Yeah, Brogan, this is fine. It just came out today. Savvy. Stephen Kwan on the rookie. I got you, I got you. Ozzie Smith, excellence. Matt Olson to 300. Brandon Marsh, refractor rookie. What up, Bronx? What up, Bronx? How you doing, buddy? Green. Tyler McGill. Five out of 99 for the NL East. Nice one there. O'Neill Crews. Josh Low. Big wall. Yeah, we had an O'Neill Crews auto redemption to 99, or yeah, to 99. Gavin Sheets. Blue Aqua Vapor to 250. Vidal Bruhan refractor rookie and base. Last box of the break. Good luck, guys. Hey, Karen. The NL East. Short print or insert. I should say not short print. Stromsky aura of excellence. Aqua Shimmer Strasburg to 175. NL East. Matt Olson and Gavin Sheets. I'm sorry, no. Nice, there you go, man. Is it finest, I'm assuming? Bronx? Yeah, man, it's been fun so far today. Joey Vado refractor. Connor Green and Royce Lewis. Base auto, Shaz McCormick going to the AL West. Astros. There you go. Nice, got a full case. Awesome, dude. Good luck on that one. Penny Diamond. Gavin Sheets to 125 for the White Sox. Out to they, Aaron Judge. Circle center rookie. Refractor, Freddie Freeman. Robbie Ray and Steven Strasburg. Do a quick recap here, guys. Go for the break. We had the Matt Manning to 10. Bobby Witt, Jr. to 199. Wander Franca rose gold to 75. Shaz McCormick, Tyler McGill. Foy Park. There you go, Matt. Austin Meadows, Louis Seal. Andrew Jones, Tyler McGill. Eli Morgan, Luke Williams. Tony Centian, Matt Manning. Colton Wilker, Spencer Walkins. Kyle Seeger, Louis Seal. Oh, no, you're good. No worries, no worries. I got you, Bronx. And O'Neill Cruz. Finest rookie design, autograph, variation. Green, refractor. Parallel for the NL Central. That'll do it for the break, guys. Thanks again for the fill. Next up, we're done. Nothing. I know you like when I do that. That'll do it. Tick tock. Thank you guys again. Be live later today. All right, everybody. Let me drop you the link to the break schedule. You've got Forrest starting in about two hours, give or take, a little bit less. He's got a bunch of Finest, as well as a lot of Finest.  So I will see you guys later. Thanks again for hanging out, stopping by. Give Forrest some love a little bit later on. I'll see you guys tomorrow night. I'll be streaming tomorrow night.


That first summer, they were just a handful, boys and girls from high school and college, volunteers, pioneers, pioneers in a movement which is now nationwide and government-sponsored. But that year, they were only a small group of 500 youngsters who gave up their vacations to work on farms in Vermont. They worked harder than any of them had ever worked before. And then, when the harvest was in, on their way back to town and school, they all got together. This was the moment. By the enterprising spirit with which he has served on the American land, by the determination with which he has performed hard and unaccustomed tasks, by his aid to increase production of the nation's crops in the first year of the war, Nick Shaw has, in the summer of 1942, proved himself a worthy member of the Volunteer Land Court. Yes, that's me, Nick Shaw. I want to tell you my story so you'll see what it's like to go from the city to the farm where you're greener than the grass you cut. It's one of those slow trains that stop at every wood pile. There were a whole bunch of fellows and girls on the same train. I gathered they were all going to work on farms. So other fellows had the same idea, I thought. I'd just seen an ad in some small town newspaper and answered it. Everything seemed to me the only way I could get my lick in and show my brother Tom. The dropping bombs on Hitler wasn't the only thing the Shaw family could do to win the war. The farmer was supposed to pick me up. That man near the wagon was the only one I saw and he didn't look very inviting. Pretty grim as a matter of fact. Could you be Dick Shaw? He asked a big chap that got off the train. Now I knew he was my farmer. I never felt so alone in all my life. I'm Dick Shaw, I said, and he only said I thought I'd get a bigger one. It wasn't what you'd call a warm reception, but I sure got warm even those feed bags around.  I got the sneaking suspicion that we'd never be buddies.  I kept telling myself that it didn't make any difference even if I was five inches shorter than he'd expected me to be. I'd show him. Oh, I finally got him to talk all right, twice. When I said, you've got a nice pig, he thought a while and said, she's a sow. And then I said something about how beautiful the country was. I don't know what he said, but it wasn't much. At any rate, at that point I gave up trying to make conversation. And this was my first day as a farmer. The farmer never got a bit chumier. He just expected me to know my way around by instinct, I guess, because he never bothered to show me.  Once he let me try to milk a cow. I don't know why, but ever since I was a kid, I wanted to milk. Someone had told me it's like playing scales on the piano. Old Sauerpus never said a word. But after that once, I was permanently reduced to holding the lantern for him while he worked. And was I sore? And the manure? Oh, it was important, and I knew what you did with it. But I definitely didn't know there was so much of it. And it was such hard work. And all the time, I not only had to learn how to do all these things I'd never done, but I had to buck the boss and keep him from throwing me off his place. I'm not licked yet. I kept telling myself, I'll get the hang of it. Give me time. I've only been at it three days. Just give me a chance. Old Sauerpus was much nicer to the horses and the calves than he ever was to me. I was so worked up about the whole business, I just didn't have any appetite. I decided I was going to show them. I was going to show them that I could milk, that all I needed was a little practice and I'd be as good as the next guy. Dinner didn't taste so good anyway. I had to wait till the 645 pulled in and that's a long wait when you felt like I did. I was honestly hip with this farm idea. Some bust I turned out to be, and his mother going to have herself a good laugh. Helping the war effort, I told her. You got fired in less than a week, she'll tell me. The station agent was saying something about the land core. The land core. Hold this bag for me. I kept thinking, after all, I'm willing and not dumb. If you set your mind on it, you can learn anything. I knew working on a farm was as important to winning the war as working in a factory or flying planes. Old Sauerpus hadn't given me a chance. Maybe this was it. Maybe here they'd help me learn how you do things on a farm. I heard the old man say he needed someone bad. And I kept my fingers crossed hoping he meant me. It was worth trying. If it didn't work out, I could still get that train back to the city. Larry was very nice and friendly, even though he didn't know me from Adam. You go ahead and try, he told me. Mr. Perry, he said, just need someone. Ask him. And the first thing I heard was that the milking machine had broken down. I'd never seen a milking machine before in my life. The old man didn't have much time for me. The cows were waiting. I wanted to tell him all the reasons why I had to work on a farm. Mr. Perry was so busy he wouldn't listen to me. The only thing he said was, if you're any good, sit down and go to work. OK, then I'd show them. This time it had to work. Say, I practically couldn't look at milk. I'd milk three cows, alone, all by myself. And I couldn't eat. I was tired, and I didn't feel yet that I belonged. It's like that at first. First I remembered that I finally knew how to milk, that I could do it. It had made me feel good. But then I started to worry about Farmer Perry. Maybe he'd expect me to do all kinds of things. And then in a week he'd tell me to go home to mother. It wasn't only mother, but boys in the team who said I was just playing nuts to go. And Tom, who always said the kid's getting too big for his breaches. I had no idea how strange it is to grip a plow for the first time. A wonderful feeling it gives you. You've got to be steady on your feet and you've got to have foresight to see the next burrow ahead and try to cut it clean.  He understood boys and knew you couldn't learn to run a plow on the sidewalks of the city. So he taught us, me and Barbara, how to plow. She had a feeling for farm work, picked it up right away. I realized it wasn't just me and Barbara doing this work for the first time, but hundreds of us from towns and cities, where you think of a farmer as merely the chap who grows the food you eat. Friends of boys and girls, not just in Vermont, but in every state of the Union, harvesting for the first time, days when the fields could be left alone, we'd cut wood and then the logs must be stacked. A quart of wood is eight feet long, four feet high and four feet wide. Uncle Perry told us. Good farmers, he said, stack it neatly like bricks so the wet moisture can't get through. We tried to show him we were good farmers. Then you light a fire with one of the logs from one of the trees you felled yourself. Somehow it burns differently. And the water at heat feels lots better. And that card from Jack saying he wanted me to come and play golf with him, chasing a ball when there's a war to be won and a man's work to do. Next year, I thought I'll make Jack come up here with me.  They weren't very good and I couldn't make up my mind which to send because I took most of them myself. We had an awful lot of fun. First, me working. Well, maybe working isn't quite the name for it. And then Barbara. She's beautiful, isn't she? This was the cow that made history. She's the first one I ever milked. This is my first boss. I don't know why I ever wasted a film on him. This was taking at Thompson's Corners at the Barn Dance. That's me over there and back. This is the time we went to the county fair. The fair's over there to the right. Then we had some amateur tumbling. Some of the boys were real good too. This is the 4-H club orchestra. And this. Uncle Perry took of us one Sunday after church. By the end of August, the Perry kitchen was home for me. And boy, does farming build up your appetite. How different from that first evening. How friendly to sit with the Perrys and Barbara after a hard day's work. And this land was now mine, just as I was part of it. Mother wrote that I ought to have a couple of weeks off before going back to school to rest up, she said. She didn't know we'd had a frost the night before, that we had to get our corn in the next day or lose the summer's work. When I got to the store one morning, there was a phone call from her. She didn't realize that if I left, it meant that Uncle Perry and Ma and Barbara would have to do the whole job alone. Because every farm needed hands and neighbors had to do their own work, just didn't have time to pitch in and help. She didn't know that I felt I couldn't just go off like that and leave my corn, which I'd plowed and sowed and weeded, for someone else to harvest. Now have a vacation when I go back to school, I told her. I haven't got time to take a vacation now. Frost hadn't been heavy and just nipped the corn. But a couple of more nights with a heavier frost, that would be too bad. We had to cut our corn by hand. The corn cutter was broken and we couldn't get new parts. The steel is going into guns and there just aren't enough replacements for farm machinery. The short side is hard on your fingers and wrists. You've got to cut in a straight position and you get an awful crick in your back. And it's got to be finished. No time to waste. Heavier frosts are coming and they could ruin our rich golden corn. We worked against time early and late for this. Uncle Perry and Ma and Barbara and me. Then Barbara fed the corn into the chopper where all the leaves and kernels are ground to a wet mash. Blown into the silo stored for cattle feed during the winter. I was up in the silo where the wet mash settles on you like a lukewarm blizzard. Gets into your hair, your eyes, and up your nose. You can't see and you can't breathe and it just keeps coming down on you as if it'll never stop. Yes, it's hard work, some of it, but it's worthwhile. Makes you feel good to know you can do your share. And of course it's not all work. And it's not the work you remember. It's the joy of living on the land. I'll be back there again. Back at work as one of the thousands of fellas and girls who signed up with the Victory Farm volunteers all over the country. I'll be back because I know now what America really means. The beginning of Uncle Sam's long road to victory needs the Navy, needs the Marine Corps, needs the Air Corps, needs the tank, needs the U.S. Croc Corps. Join the Victory Farm volunteer. Join now. See your school principal or ask your county agent.


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When talking about the next 3D Mario game there are so many things we need to take into consideration and one of those things is obviously how impressive is this game going to look. Now on our channel we don't talk a ton about visual stuff until we actually get the game revealed but there's some information floating out there that could lead to us maybe setting some expectations maybe the expectations might be set a little too high but I don't know what you guys 3D Mario games have always looked absolutely gorgeous to me even when you go look back at Mario 64 for its time it was a very beautiful game but even when you look it's just a little bit further ahead let's just glance at things like Mario Galaxy and Mario Galaxy 2 both of those even on the Wii look utterly fantastic and then obviously we all know about Super Mario Odyssey here on Nintendo Switch I'm sorry put that thing on any system it looks good I'm very very impressed with the visuals in that game and a lot of it just has to do with the cartoony style mixed with some realistic stuff and the way that Nintendo does it just seems to always work but there are things going on out in the world that we need to consider when looking towards what this game is going to look like now before I get into this information and discuss and even show an example because by the way we have an awesome example to show I want to remind you guys that we're on our road to 150,000 subscribers so I'd appreciate if you drop a like subscribe to the channel wringling that dingling uh you know that's hit the little bell and get notified of all of our videos all right so first we got to head over to this Zippo blog and again I know Zippo may not be the most reliable insider leaker whatever you want to call him it's fine he suggested Nintendo is going to be using Unreal Engine and a big thing that he said was that you know EPD Tokyo slash one-up studio would be doing it and down here he mentioned you know a little birdie told him that a new major Mario titles in their works for the next system they'll be using Unreal Engine 4 now Andy Robinson previously told us that 3D Mario is a launch game for Switch 2 so this is presumably what this is for now again I don't know how much stock we could put into what Zippo put out here but what I do know is that Nintendo has been using Unreal Engine 4 and internally Pikmin 4 is a beautiful looking game for the switch you know got that for the switch caveat in there and it's made with Unreal Engine and that was made by an internal Nintendo studio headed by Shigeru Miyamoto so I'm just pointing out that Nintendo has been playing around with this idea of using Unreal Engine now an engine is just an engine it's not an art style so while a lot of us in our minds have this idea of what an Unreal Engine game looks like we don't really necessarily have a great frame of reference for the possibilities and I want to take a look at this thing made by a fellow YouTuber Funzi Funzi seat I don't know there'll be a link to it down in the description games and he did this really awesome thing we're making a Super Mario game in RTX with Unreal Engine 5 and when you watch this obviously I don't think that what you're seeing on screen right now is exactly the style you're going to see obviously he took more of a let's make a side scrolling Mario but then put it in a 3D perspective the enemies aren't really even moving obviously Mario looks a little bit floaty it is what it is but it just sort of gives you an idea of some of the things that might be allowed with an Unreal Engine now again I'm not saying that this is what the game is going to look like I don't want anyone thinking this but it is just an example anyways as he swishes that goomba of what is possible with a engine like this in a Mario style game it's pretty entertaining here as he's burning down some stuff and I just look at this as an example of possibilities and I really like the idea of Nintendo using a modern engine now the thing is I've never had a problem with any of the engines Nintendo has used with Mario like whatever is going on with Super Mario Wonder I'm good right like whatever they're using it looks fantastic and whatever they did with Odyssey it looks great so I it's not even that I think they need to use Unreal Engine but it's just sort of set in an example of like if fans can do stuff like this what could Nintendo pull off and I think that is the exciting part because look Pikmin 4 feels like a Pikmin game even though it's using Unreal Engine so I do think that there is something to be said for the possibilities that exist out there with Unreal Engine so I really just dreaming the dream is what I like to do I mean we have another example clip here that I have shown off before this is more of sort of remaking Mario Odyssey a little bit some animations and stuff from the game in Unreal Engine and again looks really really good you see Mario here doing his thing so silly again and this is all just fan-created projects can you imagine what Nintendo could do with this engine and I think Nintendo is getting more and more comfortable with Unreal Engine again they just used it for an internally developed game so regardless of Zippo I think that this is setting some expectations for what we could see from 3D Mario at launch on well the switch to so what I want to get are your thoughts are your expectations as high as mine that's the big thing are they as high as mine because my expectations are heading to the clouds because prior Mario games have always looked great now we got you know even more power we're gonna have like a portable PlayStation 4 slash PlayStation 4 pro going on and Nintendo is gonna have the power to do stuff like this and they could use it you know a more capable engines that are better built for their hardware to do it so I'm just saying as we're watching Bowser laugh and fly away that I really really want something like this to happen so what are your expectations for 3D Mario do you think it's going to end up looking as great as we saw in those two examples do you think it's going to end up using Unreal Engine you think Nintendo is going to go in a different direction I have no idea but I want to pose this question to you because I'm so so excited for the future of Mario at this point that I just couldn't help it I had I had to talk about it today you guys let me know what you think about the future of Mario and 3D Mario in particular do you think it's going to end up looking like this or even just more gorge I don't even know like I was just playing Mario Odyssey yesterday and I don't remember a game from Mario looking better and it looks so good I just oh man anyways guys you guys let me know what you think about this down in the comments below I am Nathaniel Ruffleschamps from Nintendo Prime and I'll catch you in the next video