#136: How to Improve Your Sexual Pleasure with Dr. Amy Killen
View deserve pleasure like you deserve to get good about yourself and all the things that all the health benefits that come with leisure, just mental benefits. That this is the desert and I think that it's possible identity, a work and education, experimentation and things like that, but the tools are out there now, and and it's something that if you work at it, it's something that usually happens at least in some capacity, and you deserve it, so go for it. Here host of the brain podcast today's episode is all about sexual wellness and we have Dr Amy Killing here with us today to talk about a subject that honestly is very difficult for some people to talk about. We want to demystify because this podcast about today is it's about this idea that improving our sexual health and sexual wellness and pleasure is improving our overall wellness tooth, so it's not something that. That should be seen as disassociated from health. It's part of our help, and that's what amy helps us understand. The work material Mikan that she puts out there. It's a fascinating topic. We get into things that anybody can do at home to improve their overall sexual function and sexual performance, and we talk about the latest advancements and therapies that are out there. That doctors like amy are using to help. Help people with specific challenges that they're working to fascinating conversation. I hope you enjoyed welcome to the podcast where we dive deep into the topics of neuro plasticity at genetics, mindfulness, functional medicine and mindset I'm your host troop road and each week my team and I bring on a new guest. Who we think can help you improve your brain. Health feel better and most importantly live more this week's guest on. On the PODCAST is Dr Amy Killing Dr Amy. Killin is an anti ageing and regenerative physicians specializing in sexual optimization aesthetics and longevity medicine. Doctor Killing is an international speaker clinical practice owner, medical director of a national regenerative medicine physicians training course all positions that are listening and want to get deeper training. She has something to offer there to. She's an author and frequent media guest. She's an outspoken about. For empowering patients to look and feel their best by merging lifestyle modification, hormone optimization personalize medicine and regenerative therapies Dr Killen welcome to the broken. Bring podcast. Decided to be here. You know I feel like this. Topic is one that we've had in mind for a while and something that our guest really care about too, and I heard you in another podcast. Say that it's kind of crazy. We live in this hyper sexualize world. If you're in the Western world especially in North America with ads on TV, and in the media, everything like that and yet the only real education that we get when it comes to sexual wellness and sexual intimacy is a little bit education in high school in this crash, course class, which is designed to kind of make you scared about getting pregnant, right? That's ball around it some education on contraceptives. And, then we kick kids out of the real world and say okay. Go figure it out and I. Think it's crazy and I think that the topic of sex and intimacy and really thinking of something as part of our wellness really takes education much in the same way that we really leaned into talking about. Mental Health and not making it a thing that people have to be worried about I. See your mission as being somebody who really wants to advocate for for people that sexual health doesn't have to be the thing that we're afraid to talk about so thank you for your work and thank you for being willing to dive into this podcast with us. Yeah, thank you I'm excited I think that. That at you're you're totally right? It's one of these things that people talk openly about cardiovascular health, brain, health and joint health, and like the health of almost every part of their body, but all of a sudden you mentioned sexual health. If you go like Oh like like people linked, don't want to talk about it, but I think it's really important so I just going to keep talking about. Let's start off with a little bit of the state of the Union in terms of really the problem that we're facing so both for men and women who have different you know relationships with Saxon and some of the dysfunctions that might be there the reasons preventing them from experiencing at the best level. We'll get into some of those details, but give us some of the big picture stats that you've read about and seen when it comes to how much of an issue this really is, so the about a for men about forty percent of men over the age of have some degree of erectile dysfunction. That number goes up by about ten percent. Her decades at fifty percent of fifty year old sixty percent of six year. Olds. You get the picture? And for women, it's actually shockingly similar about forty percent of women. Sort of just in general at some point in the last few years have complained of having sexual problems or sexual dysfunction, so it's almost half of women, and about half of men over certain age that are having dysfunction or concerns at least in that department so I think it's something that is you know it's under talked about because it's actually a really prevalent problem. How do you see for the patients that you work with which is both men and women that? There is some shame around what they're going through. Yeah, I mean almost all the time. There's some shame and it's very interesting. Yeah, I'll have. I'll have patients who come in a oftentimes looking alone like don't have their partner with them most of the time and some of them haven't even spoken to their partner about the problems that they're having, and that's both men and women. That's they've come in and say I'm having dysfunction, but I haven't talked to my partner about it and the same thing for women. Women, I'm having problems with arousal orgasm, or whatever and they haven't spoken to partner, so it's it's. It's something that people are keeping locked inside, and they don't really speak to their partners often or doctors or friends, because there's some kind of stigma on it Kinda like you, said Kinda like with mental health, one of these things where people kind of get in their head that they are supposed to be a certain way, and then if they're not there and I think that that's very similar to mental health. And zooming out and kind of looking at the world. Why do you think that W-? Why do you think that is? What are the factors that are going on that? People feel that they're the problem and everybody else. HAS IT figured out? Do you have any thoughts? Have you put on your philosopher hat for a second? Think of the contributing factors that lead to that. It's certainly the the all of the sort of openness in the media. The porn industry things like that are setting these very. Unrealistic expectations around sex HAL, how it should look how it should be that. Are you know they're just not real they're. They're total Hollywood I think that's contributing. I think that there is this this idea and it's it's been there for a long time for men that you should be performing your about male sexual performance like it's a performance earned and I think that even just the terminology is is contributing to the fact that you know men feel like they have to perform on the flipside. It's only been in the last decade or so that women have even talked about. You know if they're enjoying themselves and if it's working for them. So that's something that's relatively new in the past women. Were you know kind of told to just kind of sit back and let it happen, and you know hopefully doesn't hurt. But we're. We're starting to see some some new in the medical field as well as general people are starting to talk a little bit more about it as being like. This is something that your body is designed to do, and it's important for your relationship is important for your general health. Let's try to optimize sexual health and make you happier healthier person. Let's talk about some of the in addition not talking about it because we don't talk about it. Sometimes midst become pervasive in society. Mitts go unquestioned and when they go and questioned then that can lead to a lot of behaviors including not addressing it feeling shameful about it so I've heard you talk about an you've even written about some of the common myths that are there. That are related to. Sexual Health, so can you expand on some of those myths that you share about? there the Miss I think one like I said I think is that for instance for women? There is I think it's it's really a myth, or it's just kind of understood from from sort of watching other porn and things like that that women are supposed to be able to have orgasms just from having regular vaginal intercourse, like that's kind of what people think, and so I have all these women who come to my office, and they'll say I am not having an orgasm during sex. And I want to be able to do that. And why am I not doing it and I broken? Like can't do it. the turns out that only twenty five or maybe thirty percents, but probably less of women are actually able to have orgasms from just regular badger, no intercourse like most of the mead, clitoral stimulation to have an orgasm, and this is something that people don't even talk about and so women because they're getting their information from. Got An cosmopolitan magazine and porn like they're not actually learning. What's real and what's healthy and what's normal and so? That's something that they feel like. They're broken if they're not doing things certain way. When you look at the current state of the society in our diet in our lifestyles, how did those things are modern life impact, sexual health and pleasure that comes along with it. For the better for the worse Oh my this is such a big topic. Such a big topic. Like. We know for instance that the way that we're eating in our lifestyles. Affecting our health in general, it's affecting our cardiovascular health, so blood flow is not getting where it needs to go. You know we're. We're more weight. More diabetic were more. We have more cardiovascular disease than we ever used to. All of those things affect your ability to have blood flow in healthy sexual reactions. We also know that the way that we're eating in Diet. Diet and lifestyle affects her hormone levels, so we know men now. Testosterone levels are significantly lower than they were fifty years ago. In fact, there's so much lower that they had to the labs in order to compensate for that and make sure that we're still. The lab is showing the Middle Ninety five percent of the population they had to move. The reference ranges down. So that they're still that you know that people in general in the world are still in that ninety five percent sort of middle range, but men's the sauce from levels have gone way down, which is contributing to lower sperm count, and and love were retro this function and was like that at similarly, women's hormones also change well, so it's the things that we eat what we've put in our bodies. It's how it's basically everything around us changes everything from the way to blood close to the area to the way the hormones reacted the way that the nerves reacting like it's. It's really big picture. Yeah I've even heard. Some doctors and physicians say that in a good way it's almost like because so much of our cardiovascular health is around. That blood flowed that if you see as a man that you're experiencing erectile dysfunction, that could almost be an early sign that something is going on that. You want to check out deeper things because we often think of the sexual organs as Almost separate from the body right? It's like here's our body. Like Oregon that we have that was just designed to either fit your. Connected Yeah connected all these things are connected, and so they could be early signs that it's. It's not just if our sexual health or quote, unquote performance offer pleasure isn't there. It's also could be connected to something bigger. What do you want to tell our audience? When it comes to that topic, and how important sexual pleasure is to our wellness, some people don't maybe understand that. That Oh, Gosh, yes, so the first part of that question, absolutely the we talk about erectile dysfunction as being sort of the canary in the coalmine, basically early warning sign of potentially cardiovascular disease primarily which blood flow issues I'm thinking. This is true for women as well not quite as well studied, but the anatomy is actually very similar, but if you think about blood vessels. Blood vessel, and one of the main things that happened as you get older as you get atherosclerosis, which fills the blood vessel with plaque, in which is what's, GonNa eventually lead to a heart attack or a stroke will the blood vessels that lead to the penis, and the clitoris in all of the sexual organs are much smaller, the blood vessels that lead to like. Like the hardier brain, and so it makes sense the as you start to develop plaque in your blood vessels all over your whole body, those small blood vessels will be affected. I and they're gonNA. Close Up, you know or get close to close, and you have lack of blood flow to those areas so when we see things like I tell dysfunction or even. Female sexual dysfunction where you're not getting. I'm clitoral engorgement and arousal and things like that one of the things we think about is. Do they have cardiovascular disease, is it? Is it literally Disa-, blood, flow, issue, and often times. It is, and that's kind of where we wanNA start with that. So that was of the first part of your question, and it might not be that they have full blown cardiovascular disease. It could be that it's coming. You know ten twenty years down the line. This is why you have men and. And women that are in even their late twenties or early thirties that or or mid thirties that you don't have to be a fifty year, old person or seventy or eighty or ninety you can be young and still start to see some of these things, and it could be an indication that something might happen down. The road is what I'm hearing hearing, you say yeah, and the other thing that happens and I definitely want to get to the second part question as well, but it's kind of a whole different thing. That happens with age for both men and women I, think is really important with sexual health is that we start losing our ability to make nitric oxide and nitric oxide is one of my favorite things to talk about because people don't even know what it is, it's not related discussed a lot, but it's basically the main chemical messenger that opens up the blood vessels Bazo dilates the blood vessels who abusively lex the blood in so it's important for maintaining your blood pressure. It's important for getting blood to different areas of your body can be cut turned on turned off, but as you can imagine, it's also important for getting blood in the sexual organs. It's actually the main kind. Kind of a signal that tells blood to go to the sexual organs, and stay there for a period of time and starting at about age thirty, five forty, we stopped from being able to make as much nitric oxide, which is actually made in your blood vessels so that kind of goes down and down down down down as you get older one of the things that you can do, it's very important to do as you get older and older, I mean older than thirty five or forty is start eating foods that your body can make into nitric oxide, and those are things like green leafy, vegetables, beets, pomegranate, and and things like that these are nitrate rich foods. That can be broken down into nitric oxide in your body, because you lose the ability to make it from other other other sources were talk about a lot in my podcast. which I think is really cool, is that a lot of people use antiseptic mouthwash? On the writing on a regular basis, and that actually it prevents of the steps in your body, being able to make nitric oxide from food, so it kills the bacteria in your mouth that are required to turn nitrate rich food into nitric oxide in your body, and there's actually been studies with mouthwash that have shown people who use antiseptic mouthwash have higher blood pressure. They're poor cardiovascular status for sexual status like it's a whole. It's just crazy that something that we don't even think about can be affected. Not only are sexual health, but like our just general cardiovascular health, so don't use listerine or any of those clashes. So and and if somebody's really dealing with some like real bad breath, that is ongoing thing that's less to do with the mouth, and might be something related to the to the gut, not that it couldn't deal with the mouth. Some early Ginger Vitus or some other aspects set there, but it might also be related to the gut, which could be a good indication to clean up your gut health with with the integrative physician or functional medicine. Doctor Yeah, it's also tied it all. It's also interconnected as you say. But so did that's. That's leader. Things that we look at look at patients you know. What are the hormone levels with Testosterone Estrogen progesterone? And how those effect sexual? Interest Libido ability to have normal sexual function at, but then you look at other things like. Are they using mouthwash frequently? Are they doing other things that can increase nitric oxide like exercising, which is really important or using the? Red Light therapy or read therapy there. Some things like that that you can actually do to increase nitric oxide. And then house her cardiovascular status. Look at the whole body. Which is why I love sexual medicine so much his to me. It's like this. It's like this portal into being able to look at someone's general health and kind of pushed them in the right direction. A lot of patients will come to me with sort of sexual complaint, and as we sort of dive in and look at that sexual complaint. We learned that it's not actually a problem with the sexual organs. It's a problem with the body in general. And once we fixed that problem. Then you know they have better sex, but they're also just healthier, so it's kind of like a sneaky way to make people healthier which I love. Yeah and we could use that a lot more in our society along with the real talk so going back to the second part of that question that I was asking before. Yes, even the idea of like you know. Because sex has both been put on a pedestal in our society and things are hyper sexualize. And that can go everything from you know. the media that we watch and consume, both towards men, and towards women right I remember looking at some of my sisters magazines that they would read when they were like. And other stuff cosmo, and all the different ones that are out there there. You just read the cover and what their advertising and you can see how it's. We've hyper sexual it, but we haven't really educated people so on that topic of education, how important is sexual pleasure and sexual health for our overall health? What we get from it? So we get. We get so many things. It's basically important for all aspects of health. When I talk about health I look at. Six main components of so you have physical health and I will talk about some specific things with that, and there's there's ritual health emotional health mental health. There's a environmental health and their social health, so those are kind of the six main types of health or parts of health that are important in sexual health and sexual function, having a happy successful pleasurable sex life actually impacts all six areas of health and it's also impacted. Impacted by all six areas of how so it Kinda goes. Both ways so for instance for comment of health. We know that people who have active healthy sex lives unusually active is defined as something in the realm of maybe once a week, having sex or certainly a couple of times a month. It depends on the studies, but it's not like every day. It's just you know it's something that's generally a part of their lives Those people tend to have less cognitive decline as they get older. They done studies with with women and men, but basically looked at women who had were having sex versus women who had not been having regular active sex in the ones you were sexually active had better. Cognition had less cognitive decline as I got older, which is interesting. They've done look. It looked at the hippocampus. Basically people who are more sexually active attend have. Larger healthier people campuses, which tied to memory and things like that, so it's tied very much to cognitive. Sex's definitely of mental sort of emotional health in that we know that people who again has active healthy sex lives tend to have less anxiety. They tend to have they feel better about themselves have better. Sort of self. theirself. Were self esteem barrier they can tell. They'd have higher self. Missiles have less anxiety to sleep better, which of course we know, sleep has own whole other the benefits of sleeper. Talk for half a day about that, so it helps with sleep. It helps things Zaidi. It helps with self image. Other lots of other things like depression. People are who are generally having sex less suppression, so all of that's very important from physical standpoint, we know that people who are sexually active tend to have lower blood pressure They tend to against sleep. Utter, which is really important, they tend to have less cardiovascular disease There was one study in man again who looked over a year period of time. Men who were having sex at least once a week I believe. At the end of it, they showed that there was actually a fifty percent reduction in overall mortality in the men who were having regular sex versus the men who were not now other things probably tied to that. You can't just say it's just maybe they're just more active in general, or they have a better relationship with their partner etcetera so but these are pretty big things to to talk about and think about and besides sex is fun, but it also does all this really good stuff for us. You know on that on that. No I think that one thing that people often wonder about with this topic. Is that water? Some of the I know you said in when I reach out, he said listen. I'm not a sex therapist so like there's a lot of things that I can't or don't go into. But? From an anatomy standpoint, our men and women different, and what is it important for like the listeners to know about of just how sex isn't just about the organs in our body, but also how pleasure is received is there are things that you talk about with your female patients to help them understand? Here's the differences or the distinctions that are important to know that we wouldn't just get in traditional high school. Sex Education I mean a lot of stuff that you kind of learn as you go. Certainly as far as you know. The pleasure in receiving that that is very different for men and women at an in really from person to person I think especially for women it's. The way that people experience pleasure is very different because the nerves that are down the pelvis. They do different things in different women like the branching of the nerves to the clitoris. All around the pelvis is actually. In different women, and so there's not like a one. There's not one thing that I can say works for everyone, and that's something that as women we have to do a lot of experimentation, because there's not like one move or one touch or what you know, it really is very different from woman to woman, which is a little different than with men. Men are a little bit easier in that way. Things are generally wired the same way across both men, but women are not so I would just one thing is. Don't worry if if something that doesn't work for you if this if this thing works for you and not for your friend or not for anyone else, that's okay, because it just means that your nerves are wired differently. So it's something that takes some practice and experimentation with one of the things that I see with women, and this may be off topic a little bit, but I have several patients who come in who are who are women. Who Because of whatever? The way they were raised. Maybe they have some now. They had background or like that where they are. I think the sex is is bad, and this is true with both men and women, but especially with women I see this. They think sex is bad. They've been told that their whole lives and even their married. Maybe they have a couple of kids. You know all of these things they still kind of. Bad so I'm not a sex therapist, but I do talk to my patients about the fact that they really have to start to to kind of change the way they think about sex, because if you think it's bad each time you're doing it. Even subconsciously then obviously, you're not going to have a good experience. What one thing that's interesting with women especially is that there's there's interesting tie in between the mental component and the physical component. That's a little bit different than with men You really have really have to be in the right space mentally to be able to enjoy sex and have orgasms in such whereas men they they do as well, but it's not the same degree as women I. Tell I tell women, basically libido and sex drive her women's starts taking the morning. If the dishwasher is not unloaded in. There's like if the houses a mass Junk all over the floor. Like all of a sudden that steph stress alone can kind of turn off their their arousal interest in sex. They can laugh the whole day. It really does start early women, and it's a whole mental thing whereas with men. It's not quite the same. It's a little bit less. Bride for men. Women are trickier that way. Yeah and I think it's important to you know. To important themes that I want to highlight the first theme Is that communication so key because people's bodies are different men women. Any kind of gender that somebody is everybody experiences. Pleasure differently, and this goes back to the first topic that we started about should. Because Saks supposed to be something. That's pleasurable part of that pleasure. Especially we're experiencing with another person is communication around x and experimentation at being open, trying things being open to discovering and saying what's there and what you know, what doesn't work, and what works for everybody individually. You're not thinking that you have to be like somebody else and a second component around dumb around. Belief Systems and that often again generalizing here, but that typically you hear it a lot from our listeners that women tend to deal with more so than men. If we if we think that something is inherently bad, just like we think that it's bad to make money. We're GONNA feel bad about making it even if that means that we're employing people and doing great work or coming up with product that the world really needs in that they're happy to pay for that. Money's just a value exchange, so it's not inherently bad or good. We can use it for those things, so we think that sex is bad and we have a lot of belief systems towards that. It's going to be hard for our body to get behind us and want to perform even if it's something that we think we want to get better at doing. Yeah, absolutely your your. Your brain has completely buy into it before especially for women again I mean it's true for both, but it really has to. There has to be this in from your brain that this is like not only enjoyable, but it's healthy, and it's good for me, and it's good for my relationships, and it's good for like you have to. Convince the little inner parts of your brain that it's really good for you in really healthy I think sex is very interesting. It's very powerful thing. And I'm reminded of a again for women I think especially there's a lot of sort of taboo about talking about sex and enjoying sex and things like that. I was giving a talk in in Italy two years ago for A. An ended up on Youtube afterwards, which was great, it got a bunch of us, but there are like thousands of comments and probably half of the comments where people like directed at me, saying like just negative angry things like you're such a Ninfa Maniac. You're total proved. You don't know anything, or you know basically back. All like all kinds of things were completely unrelated. I was just thinking if I. Give a similar talk on like cardiovascular health or brain health, or whatever like you'd get some like heckling probably, but I think it's because it's a woman talking about sexual health. On a public forum. People are just like you can't do that like they're just strikes a chord in people and I think that's really telling about how we feel about sex. Especially women, you know talking about sex or enjoying sex or or that? We still have a long way to go in that regard. Yeah, it's almost like they're projecting upon you that I didn't see the video of the comments, but I can imagine because I've seen similar things that are there and follow you on instagram. It's the projection of you're a freak. You shouldn't be talking about this you. You know there's something wrong with you That's there and I think a lot of people can relate to that as we shared with you that our podcast is majority women. It's probably about seventy seventy five percent women that listen to it and I think that everybody has a story around wanting to explore their own sexuality, and being told that it was dirty that it was wrong that there was something bad or inherently unreligious or incorrect about them wanting to do it especially as a woman. Yeah, and it and it's really tricky and I think that it's also important. Just understanding the physical part of of sexual health is actually just health and maintaining sexual health and maintaining relations. If you think about it as being just one more aspect of being healthy I, think it becomes a little bit easier to for some for some reason for some of us to to be okay with it, so that's part of my message is is not like I love your enjoying yourself and that you're having pleasure. That's super important but also this is potentially making healthier that you're doing these things in your having me this relationship in the closeness, and even just the hormones that are released and things like that so. I tried to. Patients that it's not you know it's. It's a good thing to think about it. At least think about maintaining the health of these these tissues and organs, and as you get older. So part of the solutions and things that you talk about in terms of. Things that people can do is that there's some stuff that everybody can do at home. Right like you said it can be either starting or stopping, and then there's some more innovative and new therapies that are out there that you're highlighting said people know that they're an option. That's available to them, so we'll get to the new innovative therapies because I wanNA. Talk about that. That's there, but you've already shared some things that people can do at home that we that aren't directly related to your sexual organs, but actually have something to do with your overall health and your sexual health, so the first category within that was things that we can stop doing or be more mindful of the. So we talked about. We talked about diet, but I wanNA. Come back to that more specifically and talked about just even something as simple as mouthwash right I want to hit a few other categories. I know you've had commentary on and talk about that and how that relates to it, so one of the things that I want to talk about before we get back into diet is. Is Alcohol so let's talk about alcohol. You really you recently wrote a post about instagram. We know from the numbers on pandemic that alcohol sales are like abide thirty or forty percent in different states that are out there, and so I want to understand, and what impact does alcohol have when it comes to our sexual performance, and also you can donate as a bonus. Passionate about skin and you can add that into the mix to. Alcohol is it's personal I. enjoy alcohol have a little wine here and there, so I'm not bashing. People who drink at all, but alcohol is a toxin like it's one hundred percents a toxin in our body that we really want to keep at a general minimum. It's it's high in sugar. Which is one thing that I talk about you know with diet is really it's sugar is like the root of most evil when it comes to causing inflammation on our bodies, and certainly alcohol is generally high in sugar. So you've got increased inflammation, which is bad for sex. It's adverse skin. It's bad for everything. And alcohol has a depressive effect on your under logic systems you know makes you sleepy at such, but it also makes it harder in a lot of cases to to be able to to complete sort of sexual experiences to have orgasms, things like that a little bit of alcohol can be helpful because it can decrease inhibitions and make you a little bit more likely little bit. You out of your head, a little bit but after depending on the person after a couple of drinks, or maybe it's three or four or five. That turns around all of a sudden you you really become. It becomes very difficult to complete sexual acts because you had this depressive inhibitory effect from the alcohol, so it's one of those things that is certainly in the short term can be problematic for because you may not be able to have sex if you drink alcohol, but in the long term just the over yoga the deliver damage, the the extra sugaring Haitian of different organs, the extra inflammation of. Of all of that adds up over time, and that can be really problematic as well. Yeah, just like you were saying before the impact on the cardiovascular health and blood vessels in the flow, because the inflammation and the damage that occurs all those things. Add up over time. You've talked about sugar right? Just anything additionally you want to highlight. Is that something that you work with your patients on your look? If Sexual Health and pleasure something that you're? Dealing with the as a challenge, we really got to look at your sugar intake. Yes, sugar, and when I say. I don't just mean like table. Sugar I basically anything that gets turned into sugar directly in your body. So that's you know any of the simple carbohydrates. That's your bowl of rice. Your you know your bowl of cereal in the morning. My kids even I tell him not to. But, it's basically sweets plus any kind of simple carbohydrates. Because all we gets turned into sugar, which is again again you've got sugar leads to inflammation which you know, people talk a lot about information, but this is really bad for sexual performance in sexual organs because it does lead to more atherosclerosis, it leads to cells. In the sexual organs becoming a turning into into less active types of cells, which is kind of interesting it also elites hormonal changes in hormonal abnormalities, so for instance in men we know that men who tend to have higher sugar intakes, as well as men tend to be more overweight tend to have lower testosterone levels, which is directly tied to Libido strictly tied to read how this auction so you know it messes up your hormones in a way that is problematic and and overtime in lead to obesity, which also does all the same kinds of things just ramps up the inflammation, so it's just like this chicken and. Basically sugar is is it's really bad. It's a little bit a little bit here and there is okay, but it's one of those things you really have to look at it as something that is is not helping your body. I WANNA add in one of the component on the dietary side, and this is really around personalization I come from a South Asian background and. Genetically through a few. Genes that are there other stuff? Don't process saturated fats, and I can't break them down as well as let's say so my other peers that may not come from that background, and so an interesting thing, and this is all part of like being open and having honest discussions about this is that I noticed that when I in my current relationship early on that ad I after having been in a relationship for about A. A year and a half I had noticed that I was having some erectile dysfunction I thought thirty, six, thirty, five, like this is really weird like what's going on. And then it was right around the time period that I hadn't gotten some recent blood work done, and in that last year and a half I had gone towards a lot more saturated fat in my Diet mcat. Oil Beef other things like that grasser. All things that people talk about that could be really beautiful for them. And it was through there that I learned that I'm not breaking down saturated fats as well. I'm having a lot more of shop in my blood. That's there which again. That's I've done many episodes about how we don't need to worry about that. At the extreme that they're worried about in traditional medicine, but for me. Basically the doctors like. The, you may not be having as good blood flow, and that could lead to later challenges on and again here's how we want to tweak that, and in tweaking that and adjusting my fats, and the ones that I was taking it was almost like within a matter of a couple of weeks I noticed a complete difference and I didn't have that dysfunction anymore that I was dealing with. So that's just another thing to add and I was eating healthy diet. I don't have a lot of sugar. It just another thing to add into the mix of how people deal with things a little bit differently. Yeah, so two points on I love that story by the way thank you for sharing that. It yeah, I think that genetics is we're learning. Obviously, that's more. It's more and more important for now than than it used to be. Even in we can actually tell from do is different kind of testing. What kind of Diet maybe is better for you or worse than you for you in and how you make hormones in how you detoxify? There's lots of things that we can learn from genetic testing, so I definitely recommend if you can do it to think about doing somebody's functional genetic tests at to learn more about how you know how your body's typically works, because there's no one diet that works for everyone I think sugar in general is not good for most people. Outside of that, people always ask me like the Diet, and really is very variable on the flip side of what the problem you're having is. Actually do need you know good fats and cholesterol to be able to make your sex hormones and some people I'm like me. I have I have a genetic thing where I have very very very low cholesterol, and I just don't make very much, and it's one of those things that if I. IF I didn't eat at some fat here and there that I wouldn't actually be able to make testosterone estrogen progesterone, and and all of these important hormones, so working with someone who knows about this is really important and just keep in mind that whatever your friend is doing with his or her diet may not work for you and if it doesn't work for you, you know kind of keeping cataloging and. And changing things up can make a huge difference. You Know I. Have I have a lot of thirty five year? Old Men have Thomas Oxygen and they don't know why and you know you're you have to do? We start with looking at lifestyle making some little changes here and there adding in some exercise losing some weight adding in Brits chain, Amino Acids, or some vitamin, D. or zing selling things like that we can start with that and then move more towards more invasive things later on but but there's no reason that you can't at least understand what's going on. If you go through testing in such totally and maybe I'll do more of an episode. Expand on some of those. Tasks and things that I did so, but just for clarification audiences that I still have a lot of fats. My Diet is still include a lot of things I was just modifying maybe the level of saturated fat that I was having. To optimize a few things including blood flow that are there so? You also talked about so you talked about including certain foods, right nitrate and certain vegetables that would support that other any other things that we want to be thinking about including. are related to our overall health, but also might help us out with blood, flow and sexual pleasure. You mean in Diet or Diet as their food. Is there supplements you think about? In the category of things that people can do from home. That are available to them that. Would support them in this process I mean in general you know sort of heavy plant based Diet. Lots of vegetables are going to be very helpful. Making sure you're getting enough. Vitamin D is super helpful because you need vitamin D to make a lot of your sex, hormones whether that's from Sun or food or whatever the sources. Vitamin D we know is a lot of things, but also in for sexual health making sure getting enough protein. That's something else. That's really important for be able to to make the proteins to. To make hormones into the blood needs to go a lot of some especially women especially that are on very lower on low protein diets committee, vegans, Vegetarians, who will just not watching Tina's much, but that's something that can really affect everything from sex to skin the hair to all kinds of energy etc.. And then like I said like good fats. I think are really important Let's been made things I. think There are lots of there are lots of vitamins and supplements that can play a role, but at the very dependent on the person you can get micronutrient testing and check for those micronutrients like selenium, zinc, and things like that and see if you have enough I wouldn't tell everyone to go. Take those things because you may be just fine. Again all about personalization people dialing in and and using it as a good excuse in a way to get you excited about transforming your overall health, if you have challenges in the area, or in some cases, belief systems or past traumas that somebody might went through there that have a blockage. That's their not allowing them to experience pleasure again. You can work with an appropriate. Practitioner on on addressing those areas, but let's talk about some of the more innovative. Tools that you practice in. Apply at your. Signers that have come into. Existence really in the last. You know five maybe ten years that maybe not everybody knows about so. Is there one that you want to start offerings? Yes so I, do a lot of work with regenerative medicine. Regenerative medicine basically means trying to get your own body to you know to improve itself and kind of heal itself. We do a lot of work with like platelet, rich plasma and stem cells, ex zones and other biologics, which are all things that essentially we can inject into the Genitalia, which sounds awful, but it's not that bad. After using numbing cream and we can. Basically we're trying to censor kinda sin signals to the cells that you already have in that area to increase blood flow increased blood vessel formation may be may repair nerves a be. Changed I kind of changed the tissue in there to regenerate it. Make it a little bit more youthful and better functioning, so we can use these different therapies are simple like outpatient procedures that I do in both men and women. Were injecting. You know some or all of these components is regenerative opponents into. For Women the Vagina and Clitoris. Penis and over time over two or three months, or even more often time we'll see improvements in in sensation, blood flow in in arousal orgasm, and in women, actually a lot of times we'll see improvements in stress urinary incontinence, which is when you cough or sneeze up a little bit, and you can't jump on a trampoline because up a little bit like we could actually sometimes help with that just by doing. Doing some little biddy injections in those areas, so it's one my one of my favorite tools and then I usually pair that with some kind of energy device as well so for women I use like either vaginal laser vaginal radio frequency devices where we're heating up the tissue and to induce information in help support structures a little bit better get more blood flow in there, and for men I often use. Gains, waiver shockwave therapy which is at using high energy sound waves to again kind of do the same kind of repair and regeneration of those at tissues. So let's talk about the women I and we'll get to the men so in the case of. Stem cells or which talked about seven thousand and lasers next. What is the what contributed to the problem I'm putting problem in quotes here I'm just saying what contributed to the problem. What are some of the factors that are there and and you talked about it? Overall in terms of increasing blood flow that, but what specifically are stem cells? Doing that would help fix that problem, so it depends on. The person obviously depends on kind of what's causing the problem and I'm assuming these with these procedures. These are patients generally. We think everything else is generally working well exit. You've already worked on the hormones other components, and so it's really maybe more localized that they are not able to what just pick a classic case study? They're coming in and they're saying that they can't experience play hearings now. They're not able to orgasm since they had a baby. Or maybe they are not just not as sensitive after they've gone through menopause, and even though they're on hormones now they're still not having sensitivity, or maybe the vaginal tissues have kind of there's laxity. Stretch, they use to have in they're trying to. Build that up, or or maybe like I have a lot of postmenopausal women who have experienced vaginal atrophy. where the you know, the Vaginal Tissue Essentially thins, and so it sex becomes painful and you. You don't have the normal Costa that you had when you were younger so it could be very. You know any of these things or or any others that what we're trying to do. Basically is kind of. This sort of tongue in cheek way but kind of turn back time a little bit versa aging. It's almost like there's been some aging. That's happened this. Man Women Anybody. Aging that's happened in a in a localized manner could be from lifestyle, stress, combination, just living everyday living right, and now you're trying to address. Is that what I'm hearing? Yeah, exactly so the these therapies the way that they work and I will say to start off. These are still considered to be very investigation. Also, this is not something that that Certainly it's being done a lot of you know it's being done, but it's not. Not something that you're gonNA. Find everywhere because we're still kind of figuring out there very safe therapies, but they're still. They're still considered very investigational, but for instance stem cells away that we would use them in a woman whatever age is, we will generally do a either bone marrow aspiration, where we just take a little bone marrow from her own. Do a little liposuction, a little bit of fat from like the love him the area. Just an outpatient procedure isolate themselves themselves from not in then we inject those stem cells from the same patient into the clitoris into the anterior vaginal wall, which is right underneath the you re throwing the. is which is not a real thing, but it's GonNa. Wear Lettuce. And we inject into that area and then over time. What we what we see is you have sort of that a increase in the Collagen production in the vaginal wall. We can see increase in blood vessel formation. Going to the clitoris, we can see you know increase in support structures and less less national. You're kind of you kind of turning the timeline of the clock back a little bit, and and trying to repair some of the damage that has been done with aging in a way that's using the person's own body, because all we're doing is getting your body to kind of turn back on certain signals that haven't been working as well because you've gotten a little older so it's. It's really kind of interesting hack where you're we're. We're using tools that are that are really coming from the patient, a lot of times or most the time to help the patient to heal and become a little bit younger in certain areas and right now you mentioned that lot of these modalities. There's very few practitioners right that are that are practicing them, but the hope is by bringing awareness to it and showing options like all things it. I started on my gluten-free low sugar. Free Diet twenty years ago because I had really bad acne and every back then was like gluten gluten, even talking about, but then you talk about things you do them, and now there's so many companies are so many products. It's more accessible to two people, so that is the hope that becomes something that more individuals do and and you also do some training for some physicians that they want to learn how to incorporate this into their practice, so what we'll talk about that how they reach out to you, so let's so the the laser that you had mentioned right what? What would be the reason that you bring that into as a treatment option for somebody, there's ultimately different lasers out there and a lot of obgyn's at are using lasers and radio frequency devices. This is something that's a lot easier to find but there's there's Co two lasers, and there's other other types of lasers as well as radio frequency, but what they're all doing some capacity. Is there heating up the bachelor canal with either light or with radio frequency, and that heat basically signals your body. There's been some sort of damage and when you're, you're damage. Your body's like Oh! That damage, and so it's the same kind of idea as regenerative injections in that your your body is like. Oh, we'll. If there's been damage I should increase collagen production in this area should increase blood flow to this area got a heal the damage I should I should get the herbs to start working as we gotta. We gotta fix it, so it's basically a an injury that is created that. Could, usually it could be is usually very mild, but your body reacts by repairing area, so these are lasers usually are pretty fast simple. You know maybe ten minute procedures depending on the type of laser. We're using retreat. The whole vagina could you can go all the way you treat the whole entire thing and the depending on what type of device is being used some of them treat superficially only some but deeper. We're treating things like a vaginal dryness for instance are lack of lubrication badge, laxity, where you've had some looseness of the vaginal muscles and tissues, and you can help to make up a little tighter retreating a lack of sensation. Sometimes it can be helpful is can be really helpful as well for the stress urinary incontinence, so the same thing year. That got a little bit when you don't mean to is if you can build that tissue up, it's just underneath theory threat than I can make a big difference in in that in that response, it's not invasive. It's easy procedure in the doctor's office. Usually you do depending on the device, you may do two or three of them over a couple of months, but you know you basically walk in you. Walk out and there's downtime or restrictions for a lot of these, so it's something very simple as a tool that has been used more and more by by obgyn's, which I am not as well as other people who are in this field as a way to help repair some of those tissues inside. Let's pivot over to some of the tools that use for a man, especially in the category of like erectile dysfunction. You talked about some shock wave therapy. So can you explain that and what you're trying to what problem you're trying to solve? It sounds scary. Right shock therapy. But it's not. So, so there's a cup shock therapy so that the full name is low intensity, extra corporeal shockwave therapies. If you look in the papers. If you went to like, look this up. There's about ten years worth of data. Just intriguing using this shockwave therapy in the United States is a company gains wave which I've I'm affiliated with, and they have a sort of a protocol. They use for their shock therapy. It's all under the umbrella of shockwave therapy the way that it. It works as were basically sending high pressure sound waves into the penis and those sound waves again caused the sort of micro, which is not very much. It's very minimal, but the trauma then sets off this biological cascade where essentially sends out growth factors, and then you get increased blood vessel formation overtime. You get increased local nitric oxide which we've already talked about. No, that's really important for blood flow. You can get nerve regeneration. You can get even some breaking up of. Tension those blood vessels. And you do a series of treatments, usually, it's at least six treatments over the course of like maybe three weeks may take about thirty minutes each, and then, and then you wait a little while, and we see improvements in blood flow erections, rubinsohn symptoms dysfunction, probably about half of my men who do these treatments don't actually have D-. They're just in that kind of thirty five to forty five fifty year old range in. They're like what can I do? This may be preventative because if we if we know. It's helping with blood flow in nerves and things like that. We think potentially that it's going to help. Stave off Idi later on so I have a lot of patients who just do it for that rbis It's it's A. It's a pretty cool treatment. A forty plus studies have been done on at shouted, safe and effective than I. Think you'll see a lot more of this in the US in the next few years. Let's zoom out for a second and talk about Hero's journey. How did you end up in this place? That this was a specialty that you developed in helping. People experience more pleasure and really being an advocate for this topic. Yet it's kind of funny. I, I wasn't er doctor as emergency medicine trained. I worked in the emergency department and went through residency for emergency medicine. I was your doctor for about ten years towards the end of that there was a lot going on I had three kids within two years, and just tons of stress tons of bad diet decision like basically I was like at an imploding on myself. becoming you know more and more at six general and and I realized that I this. This was happening. I would seeing a lot of patients that were coming into the yard with these chronic medical problems, which we talk about all the time that we really couldn't address and I just sent them on their way day after day eventually transitioned into integrated medicine where I was starting to learn about treating the body at the root cause, and and this kind of doing what a hormone optimization et Cetera, and would you say that that came from the changes in your own health or different? Yeah it was, it was me getting to a point where I realized that I couldn't keep going through this high stress life with lack of sleep, bad foods, and no exercise and I was just not a I wasn't healthy and I was miserable person to be around I'm at the time so I realized I had to help myself and I also wanted to be able to help obvious patients that were that had come into the Er that I had sent home for ten years. Without any real tools because I didn't have them I didn't have time to teach them anyway, but they also have these chronic medical problems, which a lot of it was just stemming from stress, or it was stemming from poor lifestyle choices that I thought I could. Make a difference in my life in their life. If I learned some of these tools, so I basically just cut ties with the ER walked away one day, went into integrative medicine and was doing that for about a year and I started seeing that what was happening. A lot was heavy patients, men and women. They would come in with you know all of these problems, always chronic medical problems and we would start working on them. And get them. Where they had this foundation of health, they were feeling a little better. Their energies better. They're starting to lose weight depressions better like they're feeling better out of survival mode, but then they would come back and say thank you so much for helping me with that, and can you either help me now with my sex life or with my? My skin and I heard it like so many times. That was kind of like. They're like next level. Health questions and I started realizing I need to learn some things that I can do this sort of out of the box to help these people with their sex or their skin or both, and that's how I got into it. It's a very weird. It's a weird path, but I love it because I think it's so I think it's so important to talk about all of these things and I love how it impacts overall health, which is really the overall goal is to get someone to be healthier overall, so we can live longer better etc in this period of time where you were stressed style, and maybe making not the best. Best, lifestyle decisions and you just did what you knew. How at that time did you also notice a connection and again? You don't have to answer this of you. Don't want to cut it out. But did you notice a connection with your own? Libido when your health and your stress and other stuff that your own interest in insects and intimacy changed a little bit. Yeah, it's it's. Funny Story that like whenever I think about that period has one like moment that flashes in my head so my husband, who had been living out of town for a while because he was doing some work out there, he was home for a weekend, and I remember my my daughters who were at the fourth time they had the both come down with Lice, so I had these two like curly headed twin girls who have like heads full of lice, ed. We'd been battling it for weeks was disturbing, but we finally had this person. This lice whisper person. Who came in and essentially got rid of the life after a lot of money and a lot of hours, but she told us that going forward. We had to start doing lice checks on each other like all of us even though we didn't all have it. I had to check my husband hair. Check mine. We had all his life checks every day so so one day. Day We're sitting on like the playroom steps, and I was kind of sitting below him kind of with us. You know in between his legs. He's he's looking for lice eggs in my hair, like sectioning, my hair and looking for life eggs, and all of a sudden it struck me that this was the most intimate that we had been with each other in like months. and. It was while he was looking for life eggs in my hair. And, it was, it was very. It was kind of a comedic and also really depressing at the time, so so absolutely like that I think that that was a that was a moment that I for some reason stuck with me, and as I started getting healthier and looked back. We'll, of course you didn't. You weren't thinking about sex like you're literally in survival mode and I think that's where a lot of people are there in the survival mind weather it's with their jobs or their families or stress, or whatever it is where they're just dealing with like trying to stay afloat, and they can't even imagine thinking about like that next level of health. But I want to get people to where they can start thinking about it, and they can actually achieve that. That's great, and then you for being open for that because I think the thing is that when practitioners especially doctors come on this podcast and talk about their own struggles in a particular area, and how they're human beings, and they went through it. It gives people who are listening ASYA relief of like. Oh. It's not just me who went through something. It's even people that have the tools and have the information. They can go through the sometime soon. They can be as affected by the factors that are that are going on, so you talk about skin and. Obviously skin is something that people care about, and they want to have the best skin possible and our self-confidence, and our our our looks in our own sense of self image plays a lot into our our ability to experience pleasure right there. They're very connected in that way and. Skin is actually really interesting topic for me. Because I I mentioned before I was in high school, and grew up in like a very like standard, Indian like Indian American. You Know Vegetarian Diet, which meant that I was eating everything except for me, which meant a lot of chips allow soda, a lot of things like that and occasionally some Indian food that my parents would. Have Dinner, and that process of eating a lot of pasta, dairy and other stuff. I got I developed really bad acne in high school and I graduated about twenty years ago in the year two thousand and all through high school I had braces and really bad acne, and it was a terrible thing for me and I know just from having gone through that when people feel that their skin is off, it just affects them and how much it makes a difference in their life so talk about skin, and what is it that you want people to know about when it comes to the topic of skin, and what's poss when when it comes to improving it so interesting about this whole? Whole because I talked to people about I. Do skin and sex is what I say, and you will cower those even related, but it turns out the almost everything we discussed already like all the preventative staff, all of the lifestyle staff, even the lead of the therapies and things that we can do to help with sexual function. All of that applies to skin health as well so I mean. We can literally go back to everything we've talked about it. All applies to having healthier skin, so that's everything from avoiding sugar and eating healthy diets and getting good fats getting exercise getting, you know making sure your stresses controlled and low making sure you're sleeping. You know all of those core sort of. Health things apply to both sects and skin, so it's easy for me to talk about both with patients, because there's so much overlap, I mean it's weird, but there's so much overlap, and even a lot of the therapies and treatments that that we can use these regenerative integrative on things that are out there from the stem cells. PRP to the lasers to other energy devices, radiofrequency are also works on the skin, and so there's a lot of the same tools that can use for both, but like what you said is is I think very true I think that the way we feel about ourselves for better or worse affects our sex live. Avon. Our sex lives in the fact that we're having accident in having pleasure and orgasm that actually also affects our skin, and so there's actually quite a bit of a some interesting research out there. That basically shows again like you know with. You're having more sex in your sleeping more that your skin is healthy. It's brighter in it's more. It's more youthful in some of the same. At released of the OXYTOCIN. Serotonin and things like this that are released during estrogen released during sex could be really beneficial for skin, so they both help each other. If you can, you can get them. Both teed up the nelken feed each other in a positive way, skin and sex. I love that. Are there any of so I knew that when we were doing this podcast with you and I? Let the audience know that this is coming up. They said we got to ask about Bo talks because that's something that a lot of people, especially the wellness world. Know about. As. What are your thoughts on it is that okay? Is it not okay? Are there better solutions that are out there and should be worried about boat docks. I think I get this question a lot. Actually from people in this space, because people are obviously very worried about about X. introducing extra toxins in the body, unaided, clearly a toxin toxin, but but so far it's not been shown to be dangerous long-term. Bo talks is probably one of the things that that we do in aesthetic medicine. It's something not if it UPN, have a bad side effect. You can't have an I. that's drooping like this or you know like you could have some asymmetry or whatever, but only lasts a couple of months because the way that it works is actually the the toxin prevents one particular protein from working, but it. It only does that for a few months because that protein regenerates, and so it's you know you may have three or four or five months but eventually that protein regenerates and nerve is getting. They're sending out the signal and the muscle starts working, so it's your side. Effects are possible, but not not permanent. A very very very few people have had any long term problems of toxin. That's usually people who have some kind of fastidious disorder like they had strokes spastic muscles, and they're getting really really high doses of off as the only people that I of who've ever had a serious problems or or death from with super-safe as far as long term data. We've had it around. For more than twenty years so now, so it's something that we've had for a while. I can't say for sure that there's not some kind of build up over time. That could be problematic, but we haven't seen it yet. I think that as far as people I feel like. If you're comfortable with it, then go for it. I think it could be really helpful to help prevent. But I have a lot of patients patients who are not comfortable with it in. Don't WanNA. Do it and I think that there are some other things out there? They don't do the exact same thing, but they can help. Some of the general things, lasers, good skin care avoiding signed. All of this can help your skin. Stay healthier longer if you don't WanNa do Bo talks. It's kind of like you know. There's Viagra is reported to be very safe, but the challenge becomes if you're using it as just a band aid, and you're not addressing the root issues that are there. You may actually be masking some deeper stuff that are going on like your cardiovascular health. I did see a study come across recently like about a year ago year and half ago that there may be some concerns around people being able to experience emotions because our face, did you? Find. That there was a they were saying that a study that maybe people who are getting boat talks that their face is not moving in the same way, so their body doesn't experience of same emotions in internally. Any thoughts on that I think it's an interesting question I. Don't think there's any I. Don't think that's for sure it's been. That's been proven by any means I will say that it can go the other way that certain people like people who get a lot of stress headaches. And intention headaches that when you do, go talks, and you actually stop their ability to. wrinkle these muscles in kind of tighten up these. That they actually have improvements in their headaches, because they can't make the facial expressions that cause stress so I I can see where it could go both ways. I can see where it's possible. Not being able to make certain expressions could affect your mental health I. Haven't seen it I'm not convinced of it yet but I think it's interesting. Yeah, I think like a lot of things over time we'll. We'll figure it out and you know the thing is is that there's there's a lot that we can do that if somebody has issues, rip it. On a personal level. I probably wouldn't get. Bo Talks. You know just. I have my own generalized concerns. You know everybody's different. And but I like to hear from you. Experts were out there like look the data that we have so far is that it's safe, you know here's the considerations you know and there's plenty of things that we can do that. Are there that can support us? Having to tap into it if we don't feel comfortable with and I think that's true with any of the aesthetic stuff, right? I would never tell someone that you like I. Know that you need this or you need that treatment or like it's all it's all about how you feel about yourself. And I I more than anything want people to feel good about themselves feel confident, and you know if that means. Doing, nothing at all, and and just you know eating well and avoiding the Sun, get tastic like I'm super happy for you but some people. That's not enough they. They don't care about themselves. I have I have women especially who are professionals I've had teachers rather professionals, who as they get older, and this is horrible, and I'm not advocating it, but as I get. Get older. They feel like they're not taking seriously anymore. They don't feel like they are given the respect that they that they were given before It's because they think the because their face is showing signs of aging and I, hear this all the time that that they're not getting the respect in their job that they once did, and so for them you know. For writer for wrong. They feel better and they feel like they are perceived as being. A better contributing person at their job, if their faces a little bit more youthful, and so there's there's a lot of weird psychological stuff out there that I wish wasn't the case but but it is, and so if I can help someone feel better about themselves I will yeah, and along with that is I can be a part of the process of. And you see a lot of that, that's happening right now. Changing perceptions changing belief systems, which also means not having any judgment on people who decide to go down a particular pathway and the and the highest hope we've done some. PODCAST on. A breast implant illness and it's both a combination of Hey. Somebody can have or guide chooses. Let's say for Viagra whatever tool of anybody that wants to use to enhance some aspect of their life. They should have the right to be able to do it, and then we want to give them the most information possible so that they can make the decision on what's right or wrong for them right? I am very much about about letting people decide for themselves, and not being so rigid with any of this whether that's with. There's diet wars going on which. which we have people in the begins like there's all these different wars and everyone gets very entrenched unlike their own opinions about everything from politics, Diet Biogra- I. Think it's it's. It's hard to know what someone else was going through and lesser that person, and so you know we don't. We're not that person then. I think we can't make those choices for them. Focus on Your Business and That's it nothing else matters. And on that topic. Amy It's been fantastic to have you on. Have you break down some of these things? Especially in category I started off the podcast. That can be a little tough for people to talk about, and you just have a way demeanor about you. That is very hard, centered and leading with education and demystification so that people don't feel ashamed really about talking about these things I want to thank you for doing that. How can people follow you find out more and if they want to check out the clinic that that you're at? We'll I. Thank you for saying that. A second of all so I'm very active on instagram. Dr Amy be, Killin quite a bit of education on that a face, because well, but more instagram. I have several different websites, probably the easiest one to get to his doctor Amy Killin MD.. Amy I think it's just after eight PM. No, this DOT com and then out for for stem cell specific questions. I also have another website Kobdo Siri Medical, which is the O. C. E. R., E., E. MEDICAL DOT COM! You can reach me there, but I have a lot of people who just message me on instagram and. Route them to Robert the best resources. and you put a lot of really great videos and content out there, so if you're not following on Instagram, you know definitely, click on. The show notes below you'll be able to. To find her. If there's a loss masses, you WANNA leave people about in this topic of sexual health and pleasure, and just even the theme of experiencing pleasure in life in general Are there any final words that you want to leave people with especially with the person who feels like they have been maybe putting themselves last. They haven't actually gone into the topic of pleasure and. Figured out what really brings pleasure in life and I'm not just talking about sexual. Pleasure talking about all that's there. But what do you want to leave lasting message for that individual? WHO's listening? Yeah, I think the messages that you deserve pleasure like you deserve to feel good about yourself all the things that all the health benefits that come with leisure and just the mental benefits. That this thing you deserve and I think that it's possible. It does sometimes take a little work and education and experimentation and things like that, but the tools are out there now, and and it's something that if you work at it, it's something that usually happens at least in some capacity, and you deserve it, so go for it. Yeah, you deserve it and you can work at. You can work on it. Amy, thank you again for being on the broken ring podcast and being here with us and educating our listeners on this topic. We really appreciate you. Guys. Hi Everyone I. Hope you enjoy the interview. Just reminder. This podcast is for educational purposes only as PODCAST is not. It's not a substitute for professional care by a doctor or otherwise qualified medical professional, as podcast is provided on the understanding that it does not constitute medical or other professional advice or services. If you're looking for helping your journey, seek out a qualified medical practitioner. If you're looking for a functional medicine practitioner, you can visit i. f. m. Dot Org and searched their find a provider. Database. It's important that you have somebody in your corner. That's qualified. That's trained. That's a licensed healthcare practitioner helping you make changes especially when it comes to your health.