Marie-Noelle Marquis (00:07):
Welcome to the AIP Summit Podcast. You go to resource for taking control of your autoimmune health, presented by AIP Certified Coaches. Hi, I'm Marie-Noelle Marquis.
Jaime Hartman (00:17):
And I'm Jaime Hartman. And we're here to equip you with the tools knowledge and support you need to effectively use the autoimmune protocol with
Marie-Noelle Marquis (00:25):
Summer around
Jaime Hartman (00:26):
The corner.
Marie-Noelle Marquis (00:26):
Today we are talking about how and why hot weather can impact those of us with autoimmune disease more than others. All right, so let's talk about this. Why does hot weather hit so differently when you're living with an autoimmune disease?
Jaime Hartman (00:46):
It's interesting because I think many people assume summer is easier on the body than winter, but for people with autoimmune issues, that's not always true. Heat can actually be a pretty major trigger for some people. Inflammation does tend to rise with external heat. And for someone who is already experiencing some degree of inflammation due to an underlying autoimmune disease, it's not well controlled. This additional inflammation can be the tipping point to make them feel even worse.
Marie-Noelle Marquis (01:14):
Right? And some autoimmune conditions also interfere with the body's ability to regulate temperature. So even if it's just mildly hot outside, it can feel completely extreme, like your body just cannot cool itself down.
Jaime Hartman (01:27):
Exactly. And this is where heat's impact is really disease specific. So even though autoimmune diseases have a lot in common, the organ or the organ systems that are directly impacted are going to make a big difference here. Like for example, nerve damage from multiple sclerosis can lead to heat intolerance, and then sun exposure can worsen conditions like lupus or dermatomyositis. This is known as photosensitivity and it has to do with the UV radiation from the sun. And also there's some research that suggests that lupus patients have abnormally high levels of nitric oxide, which dilates blood vessels and can lead to increased heat sensitivity. So when you consider all of this, you start to see why even a nice summer day can be a real challenge for some people.
Marie-Noelle Marquis (02:15):
Right? And for anyone with inflammatory bowel disease, the heat can make dehydration worse when you're already losing fluids, whether from digestion or sweat. It's so easy to get thrown off balance.
Jaime Hartman (02:25):
That's so true. And then there are skin conditions like psoriasis that can be negatively affected by heat. Some people do see psoriasis improving with moderate sun exposure, but it can also flare with too much heat or from sunburn.
Marie-Noelle Marquis (02:39):
Rheumatoid arthritis also, which doesn't always get linked to heat, but I know clients who feel more swollen or sore when it's hot out. The effects are real even if they vary person to person, which as we know is also one reason why autoimmune disease can take so long to get diagnosed because the same condition can impact two people completely differently.
Jaime Hartman (02:59):
So then let's talk about what we can do about it. I think the first thing is actually really simple, and that is to just do what you can to stay cool. So that means having fans around you, staying in the shade, staying indoors in the air conditioning if you need to, don't feel guilty about needing that comfort. It's for your health after all, plan for some outside activities early in the day when it will be cooler. That also has the added benefit of being a time when you won't have as much direct skin exposure to the sun. And then that leads us to the second thing that we can do, which is protect our skin from getting sunburned. Now, honestly, everyone should be paying attention to that, but a sunburn is essentially inflammation, and people with autoimmune disease really don't want to add any inflammation to their body if they can help it.
Marie-Noelle Marquis (03:47):
That's right. And the best sunblock is actually going to be something that allows you to be outside, but physically keeps you out of the sun, like shade tree, a parasol or umbrella, long sleeves and hats. If you need to apply a sunblock product to exposed skin, you want to look for one where the active ingredient is a mineral, either titanium dioxide or zinc oxide. So these make a physical layer on your skin and do not get absorbed into your bloodstream like chemical sunscreens would do.
Jaime Hartman (04:16):
Okay, so we talked about we want to stay cool, we want to avoid sunburn, and then the third thing that we can do is to be proactive about our hydration, about our fluid consumption. This is important year round, especially for people with autoimmune disease, but particularly when the temperature is warm and you might be sweating more plain water is actually adequate for most situations for most people, but some people will prefer something with flavor to make it a little bit more enjoyable or more likely that they'll actually drink it. And that is totally fine, especially if what you're adding to give flavor to it helps you to replenish lost minerals and balance electrolytes.
Marie-Noelle Marquis (04:54):
Coconut water is also a popular choice of people looking for a natural product to replenish electrolytes and prevent dehydration, and that taste a little more exciting than just plain water
Jaime Hartman (05:05):
Also. Well, that's true. If you like that taste, I find it kind of an acquired taste. So I will say it's okay to our listeners if they don't enjoy it and would prefer something else. I also caution athletes when it comes to coconut water because it is higher in potassium, which we need potassium, so that's not a bad thing, but it's higher in potassium and lower in the sodium and sugar that athletes typically need for a post-workout recovery drink. So if you're thinking about it as a Gatorade kind of situation, then they would not want to really rely on coconut water just by itself.
Marie-Noelle Marquis (05:41):
Is there a brand that you like to use personally or some tips that you can provide?
Jaime Hartman (05:46):
Yeah, I can. But before I tell you what I personally use, I'll tell you what I don't use, and that is anything that's promoted as being sugar free but still tastes sweet, this might surprise people, but if you really need to rehydrate yourself, maybe because you're sweating a lot or you're having watery diarrhea, you're actually going to benefit from some sugar in some form in an electrolyte drink. And this is because of something called the sodium glucose transporter mechanism. I will not try to go into the science of that right now. Also, if a beverage is sweetened by some non-nutritive sweeteners that can cause digestive distress, and we definitely don't want to do that. So even though AIP Certified Coaches generally recommend that you avoid consuming added refined sugar, this is a case where it actually can have an appropriate role. So the product that I use personally for myself and that I have recommended to clients who need something like this is from a company called Skratch Labs, and that's scratch with a K.
(06:47):
They use cane sugar and real fruit for the flavoring, and it's formulated to have the right osmolality. It's a fancy word, I think I said that right, so that your body can quickly and efficiently absorb the fluids. And just as a side note, they have some really good seasonal flavors, but their year-round flavors that I really like are strawberry lemonade and fruit punch. I also like that they sell it in resealable bags so that unlike some of those other products you see in single serving packets, you don't have to generate as much waste when you're using this one. So that's totally not a sponsored mention, just a product that I use that I have found really helpful.
Marie-Noelle Marquis (07:29):
Great. Now, something else that people might not think about but that I think can be very present in the summer months is actually stress. So stress management is particularly important during the summer. Stress raises our body temperature and as we know is a factor in activating the immune system too. So why stress in the summer? You ask? Well, in part, I think people feel pressure to keep up with others, vacations, activity, lots of energy, but it's okay to pace yourself.
Jaime Hartman (07:59):
Yeah. I also think too on some of the clients I've worked with who have school aged children, that it can be a really stressful season if they're trying to figure out what do we do with childcare and all that kind of stuff. So it isn't universal, that stress is this time to just relax. And even when you are supposedly relaxing, that can cause stress. So it's important to acknowledge that. And then the heat itself, if you experience heat intolerance as we mentioned before, and it's, it's also easy to get dehydrated and then that can impact your mood and then your overall stress level as well. That ties then into nourishment. Make sure you're keeping your blood sugar balanced. You might notice in the summer that your appetite shifts. I certainly do lighter foods tend to feel better, but they still need to be nutrient and energy dense.
Marie-Noelle Marquis (08:47):
Right? That's so key. A lot of time it's like, I'm just going to skip meals. It's warm outside. Yeah, I like cold soups. In the summer, I have a recipe for green soup with cucumbers and avocado and fresh lemon, and I love it, and I feel like it's just, it's simple. It's hydrating, it's super cooling and it's quick to make. So I definitely enjoy
Jaime Hartman (09:13):
That. Speaking of cold things, I think summer is also a great time to lean into smoothies, and that's just before we go any further, make sure people are clear. That's not necessarily to replace a meal. We still do want you to be chewing some food. That's what sends the right digestive messages to our gut. But a smoothie can be a supplement to a meal and might help when you're feeling like you just don't have a big appetite. Personally, I find that my biggest challenge in the summer is protein. So I try to keep a lot of canned tuna, canned salmon and things like that on hand so that I can make a protein rich salad like with some fresh lettuce and other summer produce.
Marie-Noelle Marquis (09:51):
Yeah, I'm big on salad in the summer. It feels like the perfect time for me to make those mason jar salads and just add a simple homemade AIP salad dressing on top and good to go. I also make bone broth and fer popsicles. So for the bone broth, I just like blended fruit, coconut water or regular water and bone broth. And then the fer, I use coconut keefer with fruit and then a little bit of maple syrup. And they're just, again, not a meal replacement, but just nutrient dense. Perfect for a hot date just as a little treat.
Jaime Hartman (10:25):
I love popsicles, so I would even like the Popsicle with the coconut water in it, I think. All right. We're going to move on to talking about the AIP lifestyle factors that are a challenge when the weather gets hot in the summer in just a moment. But first I want to bring you a clip from the 2023 AIP Summit from one of our colleagues. You're going to hear from Arne Caris, an AIP Certified Coach, as she is demonstrating a recipe that she shared at that summit for a refreshing summer beverage called Switch. And I'm going to also put a link in the show notes for you to request her recipe book that went with this as well as information on how you could get access to the full presentation. But in the meantime, we want to just share this brief cliff with you and then Marina Noel and I will be back on the other side to talk more about AIP lifestyle factors.
Arnell Caris (11:35):
Here's how to make your own batch of switch, and this is the traditional version. We're going to take a two quart mason jar. I've already prefilled it with six cups of filtered water. To that, we're going to add our raw apple cider vinegar, a third of a cup. Now, technically switzer is not a fermented drink because hasn't gone through the fermentation process like apple cider vinegar. So when we use apple cider vinegar in it, that's what's giving it that fermented taste. It kind of tastes like kombucha. So if you enjoy kombucha, this is going to be something you're going to love, but this is made in much simpler steps than you would a kombucha. So to this, I'm going to add my sweetener and I'm going to actually do a combination of honey and molasses. So we have two tablespoons of honey, and remember, this is the raw version.
(12:53):
Get all of that in there and two table spoons of the black molasses. And I like to do the combination of the two because, oh, there's just something about the molasses, the black strout molasses that gives it such a rich, lots of depth to it, lots of flavor. So I really like to do that combination. Now we're going to add the ginger. This one you can, a lot of recipes just have the ginger go directly into the jar. That's a technique that you can do. The thing with that is that once it's set and you're ready to drink, then you have to strain it out. I like to do that at the beginning. So what I do is peel my ginger, cut it up into little pieces, and then with about a three-fourths to a cup of water, bring it to a boil, let it boil for one to two minutes, then take it off of the heat and let it steep for about 20 minutes. That way you've made yourself some ginger water, and then I take my strainer and put it directly into my jar. That way it saves me those steps and it is just ready to go. Okay, so we'll set that aside.
(14:33):
Now we're going to add our lemon, and I've already gotten some lemon juices, the juice of one lemon. You can at this point, if you'd like to add some of the zest, that's just as well too because that wonderful oils in that peel will give it some great flavor too. And that's it. Now we just put our lid on and give it a shake. You want to shake it enough so you get all those molasses and really get it combined nicely, and you can just see how the molasses are already giving it that wonderful, golden, beautiful color. So then we're going to let this sit on the countertop for four to six hours, and that way it lets all of those flavors and all those ingredients just meld together and infuse with the water. Now, it's perfectly fine to go ahead and drink right now, but definitely it will become tastier as time goes on. After those four to six hours, pop it into the refrigerator and let it sit overnight. So not only will that chill the beverage, but the flavors will even become more intense and tastier. That way you can let it set in the refrigerator for probably up to five days if it lasts that long. I know in my house it doesn't last that long.
(16:10):
Yeah, so it is perfectly fine to let it, but I would put it into the refrigerator after you've had it sit out for those hours. As we said, this is a great beverage on a hot summer day, and that's how it originated. This is a trick that I use rather than putting ice cubes into it. When you're going to serve it with ice cubes as they melt or going to dilute it, I would freeze some fruit, like some strawberries or some watermelon or some berries, and use those in place of an ice cube to keep your beverage cold. Plus, it just gives it such a really pretty presentation in your class.
Jaime Hartman (17:02):
Summer is also a great time to implement some AIP lifestyle too. It's usually for a lot of people, an opportunity to reconnect with friends, to connect with nature, to enjoy some outdoor movement activities, but make sure you do listen to your body and remember to honor your self care. It's okay to say, oh, you guys go on. I'm going to just stay here and rest when you come back camping. Or if you're like me, maybe glamping is more like, it is a great way to enjoy the outdoors. Well, you may also have the opportunity to sit around and take it easy, just though be careful with ticks if you're doing your camping or you're glamping in places where there's a lot of Lyme disease or other tick-borne diseases.
Marie-Noelle Marquis (17:48):
That's a good point. What are some specific tips you would give someone to protect themselves from tick-borne disease?
Jaime Hartman (17:54):
Yeah, I actually have some experience with this. My dad had Lyme disease way back in the early 1980s, and that was shortly after the bacterium that causes it had first been recognized. He got sick. He didn't really attribute it to, I mean, he wasn't thinking about a tick bite, although we lived in an area where we had a lot of ticks. It was sort of common to just pull ticks off of you. He got sick. He thought he just had a really bad flu and that it would go away, and then it didn't, and then none of the rest of the family caught it. So it was kind of clear something was wrong. He went to his doctor who fortunately recognized it back in the early 1980s and promptly prescribed an antibiotic. He made a full recovery, and he wasn't troubled by any lingering issues from it.
(18:35):
So I think my first tip would be know the symptoms to look for if you're going to be outdoors in these areas, and don't panic, but get to a doctor if you have any of them, because if you do actually contract Lyme disease or another tick-borne disease, the early treatment will be key there. I also like to point out to people that your risk for Lyme disease is pretty low, even if you get bit by a tick. If that tick has been attached for fewer than 24 hours, so do tick checks every day before bed, that'll minimize your risk. If you're doing it every single day, a tick won't ever stay attached to you long enough hopefully, for you to get sick. If you do find one, you want to remove it with the tweezers, wash the site, and then monitor yourself for symptoms. Again, get to the doctor if you have any.
(19:22):
But then you should also do your best to avoid the tick bites. Use what's called pyrethrin spray. It's natural. It comes from flowers actually on your shoes and your clothing to repel them. You don't put it on your skin, you put it on your clothing. Wear long pants. Do those tick checks. Bottom line, take it seriously. Take precautions. It's important to you to know that there are other conditions that ticks can cause, including alpha gal syndrome, which we're actually going to be talking more about in an upcoming episode with one of our colleagues. So this is a serious concern, but the benefit of connecting with nature is so powerful that we really don't want to let those ticks keep you inside. Okay, let's move on. When we think about the lifestyle aspects of AIP, what else is tricky about staying healthy in the summer?
Marie-Noelle Marquis (20:12):
Sleep. That's a hard one for me in the summer because it gets dark later, and my goal is to get in bed before nine because I get up really early, and I definitely find it much more difficult when it's bright outside. So blackout curtains for me are definitely my friend in the summer, all year round, really. But definitely in the summer.
Jaime Hartman (20:34):
Yeah, nine o'clock is my bedtime too. I know that that's not for everyone. I hope people won't listen to this and think like, oh, Jaime and Marina, well said, we have to make a nine o'clock bedtime. That might not be right for you. But I personally really love getting up early on summer days and particularly to observe the sun rising. And since that comes early, I know I need to go to bed early. That said, I also know how beneficial it is for me to cultivate my connections with other people. So I'm also a little more willing to be flexible on that timeline in the summer, like watching the sunset with a loved one or sitting around a campfire after dark, or taking a moonlit walk or looking for the Milky Way, or if you're really lucky, the Northern Lights, the Aurora Borealis. These are all things that I wouldn't want to miss out on just because I was like, I have a nine o'clock bedtime.
Arnell Caris (21:21):
Well,
Jaime Hartman (21:22):
Yeah, of course you're a Again,
Marie-Noelle Marquis (21:24):
They live in la.
Jaime Hartman (21:26):
Yeah, I know. I know. So when you get those opportunities, again, be flexible and enjoy them and know that you can move stuff around. I also, if you're on vacation or you're away from the city and you have the opportunity to take a nice nap and a hammock the next day, you'll do fine. So I think sleep is a tricky thing, but it can be tricky too if we get really rigid about it,
Marie-Noelle Marquis (21:49):
Right? Yes. Now when I go to Alaska, I'm definitely not going to go to bed early. Another AIP lifestyle factor that can be tricky during hot weather is movement. So you don't want to overexert yourself in the heat, but you also don't want to be too sedentary, get out early. Again, that sunrise, it's part of why I love getting up early in the summer, getting out early when the temperature is coolest, and then bring hydration with you. If you have access to indoor fitness equipment like a treadmill or a spin bike, use them on the days that the heat is too intense for your personal tolerance level. And if you live in an area with air conditioned indoor malls, like a city or shopping centers, then you can drive there and walk indoors too. So
Jaime Hartman (22:36):
Yeah, that's key. If they're indoor malls or shopping centers, unfortunately where I live, a lot of 'em are, you're still outside. I don't know if that seems to be the trend lately. That is the trend, yeah. Okay, so now let's talk about the elephant in the room, which is cooking when it is hot. We mentioned cold soups and salads and smoothies earlier, but the fact is that you still need to apply some heat to some of your food at some point. So one tip I share with my clients is that you don't necessarily have to turn on the stove. If you have a slow cooker or an instant pot or even an air fryer, that could be a good way to prepare something and not heat up the whole kitchen. You can also use your microwave. Maybe you have some urban AIP meals in the freezer, and you can just pop 'em in the microwave, call it a day. That's making me think. Mar Noel, some of our listeners might be new and not yet know about your company, so could you just take a minute to fill them in?
Marie-Noelle Marquis (23:35):
Yes, thanks. Yes. So for our listeners, I am also, I'm an nutritional therapy practitioner and an AIP Certified Coach. I'm also the owner of a food company called Urban AIP, which offers chef prepared meals and snacks that are designed by AIP certified nutritionists. They are 100% core elimination, phase compliant, and they're made using only organic ingredients, pasture raise, grassed, and finished meat that are also never supplemented with corn or soy. So we really aim for the highest cleanest possible ingredients. We focus on larger portion than your average meal delivery service, something more like you would get at a restaurant. Actually, the goal is to fill you up with the meal. And then we also focus on extra protein since, in my opinion, feeding people with autoimmune conditions is similar to feeding athletes. We need more protein to repair and rebuild our tissues. All of our meals are flash frozen, so we lock in the nutrients, they're flash frozen on site, and then we ship nationwide.
(24:39):
So via UPS next day air anywhere, we also ship to Alaska and Hawaii. It's just we don't get as, it's a little more expensive basically for shipping, but we will ship anywhere in the us and for our listeners, we do offer a discount code also. So you can simply enter the code podcast, all caps at checkout for an extra discount, and you'll have delicious meals ready in a few minutes without heating up the whole house. We do recommend I put them in the toaster oven. If I don't want to use my major, my big oven, and it's 12 under 15 minutes in the toaster oven or an air fryer, that'd be about 10 minutes. Or like Jaime mentioned, you can also put them in the microwave. And last thing we do is we're committed to being a plastic free, toxin free company. So meal tray is gluten-free, plant-based compostable.
(25:41):
The lining is also plant-based, so your food never comes into contact with plastic. We also don't use any aluminum pans in the kitchen. So really the focus is we lead with integrity, making sure that every aspect is designed to support your health, and if cooking in the heat feels overwhelming, it's okay to lean on support. So again, that's why I created Urban AIP to be just this extra tool that you can bring into your life, bring that convenience while honoring your healing needs. So when you have prepared meals on hand, you can take the pressure off your body, off your mind and really focus on enjoying the moment, nurturing yourself and self-care.
Jaime Hartman (26:23):
And I'll be sure to put the link to Urban AIP directly in the show notes so people listening can click right on that. Again, remember that code is podcast. It reminds me that I always tell my clients, don't wait until you're in a flare to have plan for a flare. So something like just keeping some of these frozen meals on hand means you're going to always have something ready that's healing and safe and just ready to go when you don't feel like cooking. But the same could be said for when the weather isn't conducive to it when you're like, it's just a brutal hot day and I don't want to be in the kitchen cooking or the air conditioning goes out and we still need to eat. You just have these things on hand. You won't have that then to worry about.
Marie-Noelle Marquis (27:12):
Yeah, I eat all of our food. That is, I created it for myself and for others, but I definitely, I subscribe. I have my subscription that I pick up for. Sure. Jaime, what about how I want to hear about how heat impacts you? So how do you do in the summer?
Jaime Hartman (27:30):
Well, generally speaking, I actually enjoy warmer weather. I know we were talking about this before we started recording that. We shared a few thoughts on that. But even though I enjoy it, I feel pretty good when the weather is warm. I do have to be careful about a few things, one of which is hydration. I have, as I always, or often share with people, I have Crohn's disease, it's an inflammatory bowel disease, and I had surgery, and that surgery has caused me to lose some of my bowel. And so because I don't have that full absorptive capacity of my digestive track, I can get dehydrated more easily than regular people. And so I have to be careful about that. I also have to be careful, again, for the same reason, not to guzzle large amounts of just straight water at once because my bowel just can't absorb it all.
(28:23):
And so where does it go if it doesn't absorb it out the other end and that watery diarrhea that it would then trigger? It just starts this sort loop of continued watery diarrhea even for no other reason than that, that takes a while to reverse. And obviously that makes things much worse. So I would say that doesn't apply to probably the vast majority of people listening, but everybody would benefit from what I try to do, which is to sip fluids all day long when it's hot, rather than just waiting until I'm really thirsty and then guzzling it. So that's a big thing for me when it's hot. Other thing I would say is that I find that I don't sleep as well in the summer, at least when I'm at home in Virginia, our bedroom's on the third floor of a townhouse that just doesn't get as cool as little lower floors, even when the air conditioning is blasting.
(29:11):
I sleep a lot better when we're visiting my family at the lake in Wisconsin where our bedroom is in the basement. So when I'm in Virginia and it's a really hot night and we've already got the air conditioning going, but it's not really keeping up, one thing I find that helps is that I'll take a shower right before bed, so get completely wet and then get into bed, and that seems to help. And then I always have my insulated bottle by the bed with ice cold water in it. That also will help if I wake up in the middle of the night, either from it got warm or I have actually a hot flash drinking some of that really, really cold water, just a few sips of it feels like it kind of cools me from the inside out. So it's not perfect. Sleep is still an issue, definitely more so for me in the warmer months, but I have some strategies that seem to help. What about you, marina? Well,
Marie-Noelle Marquis (30:03):
I personally cannot get enough of the heat. I personally cannot get enough of the heat. I mean, I am constantly cold, even when everybody else is wearing a tank top and shorts the slightest breeze. I cannot thermoregulate clearly. So I'm wearing cozy sweaters and long pants all summer. I sleep with a heater on at 86 year round, which makes for some interesting situation with my boyfriend who likes a very cold room. And I guess I would say for me, one thing that's really hard is movement, because I just love the cozy warmth, but hate sweating. So I just want to have this perfect cozy temperature all the time. No sweat. I just want to be dry. I don't want to be cold. So things like going for a walk early in the day, that's really helpful. And I would say really it's about knowing yourself, right? Knowing yourself when it comes to what your needs are for surviving hot weather. And if you know that summer tends to flare up your symptoms, I'd say talk to your doctor now. You might be able to adjust your supplement plan, let's say, or set up extra support for the weeks ahead so that, again, you're not waiting to be in a flare, but you're prepared ahead of time.
Jaime Hartman (31:33):
Yeah, great point. I think I'll add to that and just say it's important to remember that AIP isn't about perfection. AIP is about giving your body what it needs to heal. And sometimes that actually means doing less. Sometimes it means asking for help. Ultimately, the goal is to feel empowered not to feel pressured. I think if I had to really come up with one final piece of advice, it would be that you want to let summer be a time to connect to nourish, and to rest.
Marie-Noelle Marquis (32:01):
We hope this episode has provided you guys with insight and tips on how to stay safe and make the most of your summer. AIP, as we always say, is a toolkit, not just a diet. And as a complete protocol, it comes with multiple branches and there are multiple ways to approach it. And through this podcast, AIP Certified Coaches bring you resources so that you don't have to do AIP alone.
Jaime Hartman (32:23):
We'll be back with another episode in two weeks. So make sure you subscribe to the AIP Summit Podcast in your favorite podcast player if you haven't already.
Marie-Noelle Marquis (32:31):
And if you'd like to leave us a rating and a review, it will help others find this podcast where we are committed to helping you use the power of autoimmune protocol to elevate your wellness journey to new heights.
Jaime Hartman (32:48):
The AIP Summit Podcast is a Gutsy By Nature production. Content presented is for informational purposes only, and is not intended to be a substitute for medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
