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Dr. Ritamarie Loscalzo: So good evening, everyone, and welcome to our Nept open coaching for the month. Of what month are we? In April 2025. I'm here to answer all your questions regarding your clients regarding your labs regarding the content regarding whatever whatever you need help with and support. This is open coaching.

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Dr. Ritamarie Loscalzo: so raise your hand if you have a question. Looks like. Maria jumped the gun so she's ready to go, and you can raise your hand, and I'd love to hear celebrations as well. So we always want to start with celebrations. And before I jump in and answer Maria's questions, I'm listening to a book which I am only a second chapter, or whatever, but it's called

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Dr. Ritamarie Loscalzo: a complaint free world

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Dr. Ritamarie Loscalzo: stop complaining. Start living, and it talks about a 21 day complaint, free challenge.

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Dr. Ritamarie Loscalzo: and I highly recommend, because he talks a lot about the science related to complaining versus appreciation and turning situations around, and how shocking it is when you start this 21 day, complaint, free challenge, and you're supposed to move the little bracelet from one arm to the other. You can do it with a rubber band. As soon as you hear yourself complain, you move it to the other side, and you start your 21 days all over again.

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Dr. Ritamarie Loscalzo: and how long it actually takes people to get through 21 days, because it's such a part of our life to complain about everything, and how much better people feel when they stop complaining and start appreciating life. So I just thought, it's really good so far. And I, even if you get nothing out of the book, and you don't listen to the book, and you just start a 21 day

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Dr. Ritamarie Loscalzo: claim free challenge. I'm going to do that as soon as I get home, and I can start moving a thing back and forth.

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Dr. Ritamarie Loscalzo: So I am. This is the last call that I'll be on with you from Costa Rica. I'm going home on Thursday night. We're leaving. I should be home in Austin by Friday. I can't believe my time here has gone by so quickly. But you know, all good things must come to an end, and we'll be back next year. And the other thing I want to mention is, you should see an inbox, an email in your inbox

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Dr. Ritamarie Loscalzo: Thursday. I think we are so far ahead. I'm so excited I got some really good marketing help. And

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Dr. Ritamarie Loscalzo: we are announcing our June event. On Thursday. We actually have the whole sales page ready, and the whole thing is all ready, and it's called the Wellness reset weekend, and it's for not for practitioners, but for the health seekers, and so watch your inbox for that, because you might want to pass it on to family members

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Dr. Ritamarie Loscalzo: and other people who you want to influence, to take better care of themselves, and the goal is to have people walk away with the beginnings of a customized plan. Obviously they're not going to be able to do it themselves, most of them, some of them will. So the goal is to get them to put together this customized plan, and then those who are so inclined to seek our help to implement it, and, you know, join the coaching program. So exciting news there.

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Dr. Ritamarie Loscalzo: So without further ado, we'll move to Maria.

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Dr. Ritamarie Loscalzo: What's up, Maria.

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Maria Horstmann, MBA, FDN-P, BCFWP: Hey! How are you?

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Dr. Ritamarie Loscalzo: Good.

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Maria Horstmann, MBA, FDN-P, BCFWP: You know you talk about this book a trip, you know.

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Maria Horstmann, MBA, FDN-P, BCFWP: and there was like 8 of us, and there was like one woman there.

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Maria Horstmann, MBA, FDN-P, BCFWP: All she fucking does is complain.

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Maria Horstmann, MBA, FDN-P, BCFWP: There's so many things it's just. There is no win.

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Maria Horstmann, MBA, FDN-P, BCFWP: And and it's mostly health, by the way, is mostly health. It's about how she feels, how she, this and that and that. But you suggest anything.

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Maria Horstmann, MBA, FDN-P, BCFWP: Oh, no, that doesn't work. Oh, no, I've tried that. No, but but I have this. That is, that I'm like.

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Maria Horstmann, MBA, FDN-P, BCFWP: Wow.

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Dr. Ritamarie Loscalzo: Yes, yes, wow! Exactly.

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Dr. Ritamarie Loscalzo: The chapter the chapter I listened to today talks exactly about that, and how how to respond to people when they are complaining about things, and you're trying to help them and how to turn it back on them. And it's it's exhausting to be around people like that. And it. It just brings your whole energy down. And he talked about ways to get them

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Dr. Ritamarie Loscalzo: to start thinking about things differently. But turning it around. I. It's a good. It's a good good thing for you to listen to. Yeah, because there are people like that. And there's a whole story in there in this chapter about why people complain, and he has this acronym for it. I don't remember exactly it, but there's reasons for it, and how to diffuse all the different pieces of that and health complaints. It's a cry for help.

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Dr. Ritamarie Loscalzo: but they don't want your help because they want to stay stuck in that victim mode right? And until you turn it around and don't offer them suggestions and turn it around on them. They're not going to do anything. So you're going to be stuck with this person for 8 days or for a week? No, this.

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Maria Horstmann, MBA, FDN-P, BCFWP: No, I already came back. So it's done. I'm done with my trip. I returned it last night. It's just no, I mean, I'm not stuck with anybody. I mean, I can do whatever the hell I wanted during the trip. But we have to, you know we're during dinner. There's a at the pool, or whatever went for walks. I'm like.

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Dr. Ritamarie Loscalzo: It's insane.

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Dr. Ritamarie Loscalzo: I didn't realize you were back already. I thought you were leaving on your trip this week.

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Maria Horstmann, MBA, FDN-P, BCFWP: No, I left.

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Dr. Ritamarie Loscalzo: Generally.

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Maria Horstmann, MBA, FDN-P, BCFWP: Last week in the Quebec. Yeah.

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Dr. Ritamarie Loscalzo: Yeah. Well, I'm sorry to hear that. That's enough to yeah. It's a bummer.

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Maria Horstmann, MBA, FDN-P, BCFWP: You know what I mean? It's just you're talking about some people. It's not worth my fucking time. Pardon my language, I mean, it's just. It's not my, it's not worth it.

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Dr. Ritamarie Loscalzo: Nope, it's not.

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Maria Horstmann, MBA, FDN-P, BCFWP: No, it's not. Is that that is somebody. Some people they don't want to be helped. They don't want to hear. They want to like they like to complain. It's kind of, you know. I just sit back and I listen. And I'm like, Whoa! Is there anything positive.

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Maria Horstmann, MBA, FDN-P, BCFWP: anything that she's willing to do differently, and you couldn't.

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Maria Horstmann, MBA, FDN-P, BCFWP: Couldn't imagine how many times she's talking about hot flashes. And this she's 50

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Maria Horstmann, MBA, FDN-P, BCFWP: 57 or something like that 50, anyway, 57 to 59.

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Maria Horstmann, MBA, FDN-P, BCFWP: And it's going through all this. But oh, there is the back pain, there is the knee pain, and then finally over that, and then the hot flashes. But then I drunk, you know, like in one day on Sunday, or for our Saturday.

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Maria Horstmann, MBA, FDN-P, BCFWP: I mean, there is room service. This is all inclusive hotel. All right. Resort, I mean, they treat you like something else. They have like a a what do you call a bus a person who comes to your room and get you anything that you want? Yeah, anything you want.

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Maria Horstmann, MBA, FDN-P, BCFWP: So it was, I think, one o'clock or something.

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Maria Horstmann, MBA, FDN-P, BCFWP: and she had said that she had got 4 glasses of wine already.

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Maria Horstmann, MBA, FDN-P, BCFWP: And I'm like.

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Maria Horstmann, MBA, FDN-P, BCFWP: and you're complaining about the hot flashes and the aches, and this, and she knows to a certain degree that this is related.

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Maria Horstmann, MBA, FDN-P, BCFWP: But she's not willing to do it. And she oh, yeah, but you know, probably alcohol doesn't help. I'm like I gotta keep my mouth shut.

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Dr. Ritamarie Loscalzo: Yeah.

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Maria Horstmann, MBA, FDN-P, BCFWP: I mean, it's just I can't say anything because I'm gonna explode or we're gonna walk away. So I walk away. I mean, it's just walk away. Look okay. See you? I mean, that's it. But anyway.

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Dr. Ritamarie Loscalzo: Yeah, anyway.

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Maria Horstmann, MBA, FDN-P, BCFWP: It's

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Dr. Ritamarie Loscalzo: I'm gonna I'm gonna take a look at.

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Maria Horstmann, MBA, FDN-P, BCFWP: This book. I'm going to take a.

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Dr. Ritamarie Loscalzo: Look at this book I'm like.

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Maria Horstmann, MBA, FDN-P, BCFWP: Set the door.

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Dr. Ritamarie Loscalzo: Oh!

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Maria Horstmann, MBA, FDN-P, BCFWP: I'll not do that, because then she will know exactly what I'm talking about, you know.

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Maria Horstmann, MBA, FDN-P, BCFWP: Yes, that is my. My question. Here is actually a case, and

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Maria Horstmann, MBA, FDN-P, BCFWP: I have to. I'm working with this girl.

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Maria Horstmann, MBA, FDN-P, BCFWP: He is. I might have mentioned her to you, but she's 20 years old, and I'm you know, money was limited. And she did a a test, a Gi map, because

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Maria Horstmann, MBA, FDN-P, BCFWP: bloating and diarrhea was a problem. I mean. So we found significant low commensal bacteria. We found, you know, Elast a slow. We found some level of calprotectin, and I can share the

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Maria Horstmann, MBA, FDN-P, BCFWP: the test, but I put her into several from enzymes to Hcl.

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Maria Horstmann, MBA, FDN-P, BCFWP: Do a lot of stuff. The bloating, the diarrhea is better. She barely has any but the bloating

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Maria Horstmann, MBA, FDN-P, BCFWP: in it. It doesn't go away, it does not go away. And so he was from the ages of 13 to 18 in significant.

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Maria Horstmann, MBA, FDN-P, BCFWP: significant antibiotics, from back to back.

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Maria Horstmann, MBA, FDN-P, BCFWP: It doesn't surprise me. Why, her keystone bacteria is very low, is low across the board is really insufficient.

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Maria Horstmann, MBA, FDN-P, BCFWP: And she's on Birth control. She hates. She wants to get rid of it.

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Maria Horstmann, MBA, FDN-P, BCFWP: But she does that to for the acne, you know.

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Maria Horstmann, MBA, FDN-P, BCFWP: and and all that. But the girl eats extremely well. She exercises which I think that sometimes can be a problem over exercising for distress.

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Maria Horstmann, MBA, FDN-P, BCFWP: She's an athlete.

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Maria Horstmann, MBA, FDN-P, BCFWP: I don't know. I any thoughts, I mean, I don't know if could be seabor or something. She's in Australia right now. So we're not going to be doing any further testing. But any thoughts on this, because this bloating has not gone away.

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Dr. Ritamarie Loscalzo: Okay? So

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Dr. Ritamarie Loscalzo: well, I will ask you this, because in case it's Sibo, did you put her on probiotics? Is she taking probiotics.

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Maria Horstmann, MBA, FDN-P, BCFWP: Yes, she's in some probiotics. Yes, but nothing has changed.

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Dr. Ritamarie Loscalzo: No, no, but it might. It might not change unless she's on the right probiotics. So with somebody who has that, and you suspect Sibo. You want to avoid anything except for Bifido and and the d lactate free

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Dr. Ritamarie Loscalzo: species of of anything else of the Lactobacillus. So that's what I would look at, because if you've got her on acid anything with Acidophilus in it that could, because they cause the the fermentation in the small intestine, so I would look at that.

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Dr. Ritamarie Loscalzo: Ruteri is a good one. Usually Lactobacillus Ruteri, plus Bifido, is a safe one, and if her bacteria is low and she needs some other species. You might want to go up instead of down, meaning suppositories.

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Dr. Ritamarie Loscalzo: So if she needs some of the Lactobacillus, Acidophilus, and other stuff based on her test. You can do suppositories now, not everybody's willing to do that.

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Dr. Ritamarie Loscalzo: And you can actually, she can make the suppositories. You can get little molds on. Amazon has them.

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Maria Horstmann, MBA, FDN-P, BCFWP: Freaking Australia. She's in a dorm, studying, exercising, playing sports.

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Dr. Ritamarie Loscalzo: Get her off of anything except for bifidobacter to start, and then you can ease into. So a d lactate, free formulation. Claire Labs has it, and custom probiotics has one.

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Dr. Ritamarie Loscalzo: That's 1 thing. She might have a stuck ileocecal valve

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Dr. Ritamarie Loscalzo: and ileocecal valve, if it's not open and things aren't freely flowing. How's her constipation? Diarrhea? You said diarrhea. She had right.

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Maria Horstmann, MBA, FDN-P, BCFWP: Yeah, it's fine. This tool is way better now. Yes.

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Dr. Ritamarie Loscalzo: Yeah, so it may not be that. But sometimes it is. And we think that people are regular because they're having regular bowel movements. But they're passing bowel movements from 2 or 3 days ago, because their valve is shut, and then it opens up and everything explodes out, and then it gets stuck shut again. So that's something to look at. But I definitely would look at the Sibo piece. You don't have to do a Sibo test to figure that out. I think you just

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Dr. Ritamarie Loscalzo: the things you want to look at for Sibo would be making sure that the probiotics are dlactate free, making sure that she's on some kind of prokinetic.

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Dr. Ritamarie Loscalzo: so it could be trafala

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Dr. Ritamarie Loscalzo: it could be like pure encapsulations for ease of 20 year olds. You give her something easy. Pure encapsulations has something called modal modal pro.

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Dr. Ritamarie Loscalzo: and it has some 5 htp. And ginger, and a few other things.

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Dr. Ritamarie Loscalzo: And the other thing. Yeah, Trafala I mentioned. That can be helpful for that. But you want to keep that going. She needs to make sure that she is doing this meal spacing because the the motility, the the

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Dr. Ritamarie Loscalzo: what is it called? But the the motility of the small intestine is super important. So you want to make sure that there's at least

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Dr. Ritamarie Loscalzo: 3 and a half to 4 h between meals. Otherwise.

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Maria Horstmann, MBA, FDN-P, BCFWP: Yeah, she eats 3 times a day unless she's working out really heavy. She's put some food before the exercise exercise and then eats, and then lunch and dinner.

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Maria Horstmann, MBA, FDN-P, BCFWP: you know.

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Dr. Ritamarie Loscalzo: She needs more time to actually get into the the the prokinetics to get the the small intestine moving.

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Dr. Ritamarie Loscalzo: moving things along because things get stuck

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Dr. Ritamarie Loscalzo: in the small intestine. They don't move along. So that's part of Sibo.

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Dr. Ritamarie Loscalzo: If it is Sibo.

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Maria Horstmann, MBA, FDN-P, BCFWP: I mean, what else could be for this?

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Dr. Ritamarie Loscalzo: The things I think about.

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Maria Horstmann, MBA, FDN-P, BCFWP: Bloating to not go go away. I mean I I really huh!

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Dr. Ritamarie Loscalzo: Right after she eats. Is it a slower on.

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Maria Horstmann, MBA, FDN-P, BCFWP: She just feels bloated and big and fat all the time, because it doesn't go away. She's bloated all the time.

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Dr. Ritamarie Loscalzo: Is it paint.

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Maria Horstmann, MBA, FDN-P, BCFWP: It's not about before or after a meal. It's constant.

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Maria Horstmann, MBA, FDN-P, BCFWP: She doesn't see a break.

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Dr. Ritamarie Loscalzo: Yeah. The thing I would ask, though, is it? You know? Sometimes people have a distorted body image, and they think they're bloated because they're and go ahead. Let me finish this and then go ahead, Deborah. They think because they have a belly

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Dr. Ritamarie Loscalzo: that it's bloating, and it may not be bloating, and it could be a food sensitivity, right? Because we know that there's all those lymphatics that line the intestine, and that could easily be a cause of the problem. So elimination, diet, and all that. What did you have to add, Deborah.

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Deborah N: I'm working with a client in in Los Angeles, and she's a was a professional dancer.

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Deborah N: and so she really is in tune with her body. But she's been. She had an injury. She's been experiencing this bloating thing, and I went through 2 weeks ago.

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Deborah N: I went through her entire diet

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Deborah N: and energy, tested all of the foods and said.

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Deborah N: Eat this, don't eat this, don't eat this. And you know she wanted the information. So sometimes people are more accepting than others. But

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Deborah N: in one week her response was, all of my bloating is gone

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Deborah N: just by changing her diet. It was the food sensitivities.

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Dr. Ritamarie Loscalzo: Yeah, this is sensitivities. Yeah, yeah, like, not even the things you suspect like corn or or wheat or dairy. It could be broccoli.

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Deborah N: They were no, yeah.

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Deborah N: Her. Yeah, they were definitely specific to her. And some of them are some nuts and things like that. But if Maria doesn't do any energy testing, then she could

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Deborah N: easily instruct the client to do the sway test

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Deborah N: and test her own foods before she

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Deborah N: is, gonna you know, eat them.

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Dr. Ritamarie Loscalzo: You've left.

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Deborah N: Something that Maria could could do with the client, the sway test. It's very simple, and and the time.

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Maria Horstmann, MBA, FDN-P, BCFWP: I'm not sure if I have the knowledge to do that

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Maria Horstmann, MBA, FDN-P, BCFWP: to instruct anybody, unless I would have to look it up. You know. I guess I can look it up, but I'm not sure if the I mean the girl is, she will do whatever it takes. Basically she follows her diet is really great. I mean, she doesn't eat any junk, no alcohol, and all this but could be something that she's eating

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Maria Horstmann, MBA, FDN-P, BCFWP: that is healthy.

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Dr. Ritamarie Loscalzo: Thank you.

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Maria Horstmann, MBA, FDN-P, BCFWP: And it's still not, you know, not responding well for her.

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Maria Horstmann, MBA, FDN-P, BCFWP: And that could be simple as that.

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Dr. Ritamarie Loscalzo: Yep.

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Maria Horstmann, MBA, FDN-P, BCFWP: I guess. Like.

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Dr. Ritamarie Loscalzo: You know you gotta look at chewing. Right, are they? Is she chewing her food thoroughly.

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Maria Horstmann, MBA, FDN-P, BCFWP: Yeah, yeah, that has been kind of you know. There's a few things going on with her were, one is to relax when she eats

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Maria Horstmann, MBA, FDN-P, BCFWP: and chewing the food so she she's learning how to do that right because she's a go go kind of girl

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Maria Horstmann, MBA, FDN-P, BCFWP: And like the other day. She felt like really awful after eating, having a protein shake with this. Well, what state were you in.

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Dr. Ritamarie Loscalzo: Right.

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Maria Horstmann, MBA, FDN-P, BCFWP: Are you in a hurry? Are you stressed out? Says, Well, I I did. I was in a hurry, and I says, Well, eat the same thing. Not be in a hurry. And let's see it. You know, I think the stress on this girl

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Maria Horstmann, MBA, FDN-P, BCFWP: is creating a lot of these issues as well.

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Maria Horstmann, MBA, FDN-P, BCFWP: And it's really tough.

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Dr. Ritamarie Loscalzo: For a 20.

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Maria Horstmann, MBA, FDN-P, BCFWP: You're all yeah. It's really tough for a 20 year old, you know, to kind of slow down

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Maria Horstmann, MBA, FDN-P, BCFWP: to that point where she is overseas.

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Maria Horstmann, MBA, FDN-P, BCFWP: you know, studying and playing sports.

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Maria Horstmann, MBA, FDN-P, BCFWP: It's in working out to maintain her sports abilities, you know. I mean, it's kind of a.

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Dr. Ritamarie Loscalzo: Right is she open to an elimination diet like or a

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Dr. Ritamarie Loscalzo: a fast, even like a 36 to 48 h fast.

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Maria Horstmann, MBA, FDN-P, BCFWP: Well, if she's not, I'm not gonna allow her. I'm not gonna suggest her to work out. That's gonna be a problem.

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Maria Horstmann, MBA, FDN-P, BCFWP: you know.

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Maria Horstmann, MBA, FDN-P, BCFWP: He can go for walks and things like that. But I'm not gonna ask somebody to fast and work and work out like she does now.

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Dr. Ritamarie Loscalzo: No, no, no.

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Maria Horstmann, MBA, FDN-P, BCFWP: She's already has enough destruction in the body. That would be worse for her.

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Dr. Ritamarie Loscalzo: Needs a com.

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Dr. Ritamarie Loscalzo: And

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Dr. Ritamarie Loscalzo: so if if even if there's 1 food that you can think of, that, you think would be safe, that she could test

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Dr. Ritamarie Loscalzo: that. You know that she could just do a mono diet for a couple of days, or 3 or 4 foods, so do a really restricted elimination diet with the sway test that Deborah is talking about. You're basically taking the food. This is how I do it, anyway. Hold it against the body. Ask the body, is this food? Is this food in my highest and best power? Is this food good for me? Whatever languaging she wants to do?

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Dr. Ritamarie Loscalzo: And she can get a yes or a no. Now, sometimes you have to start with asking people to test out to see what a yes or no answer is so. My name is Susie, you know my name is Fred. Okay, now you know. Yes and no, and then you can go ahead and have her test the foods, and to do that before she eats them, not necessarily to do it. Once.

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Dr. Ritamarie Loscalzo: because it may be timing related, so one food might be great for her at, you know noon, but terrible for her at 6 pm. Right? So before she eats anything. And also, you know, thinking about an elimination diet. If you could help her design an elimination diet that's full of foods that she could do for 4 or 5 days. Yeah, Deborah.

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Maria Horstmann, MBA, FDN-P, BCFWP: Yeah. And how do you spell sway? I'm sorry. How do you spell that.

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Dr. Ritamarie Loscalzo: That's the.

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Deborah N: WAY.

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Deborah N: SWAY. Excuse me but one thing that I might suggest. If she's an athlete, she may very well want to learn this, and and you could make it interesting for her, because you could say to Dr. Ritamarie's point.

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Deborah N: what she said was one of the options, but you can say foods will. There are 3 options. Foods will either strengthen you.

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Deborah N: They're neutral

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Deborah N: or they will weaken you. Now, an athlete doesn't want to eat anything that's going to weaken them.

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Dr. Ritamarie Loscalzo: Absolutely.

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Deborah N: So she can ask. And it's good actually, with the sway test

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Deborah N: to when you put the food here and you're asking, it's good to ask 2 things you ask is this strengthening me?

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Deborah N: And then you get an answer, and then you ask, is it weakening me?

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Deborah N: And then you get an answer, you should get the opposite answer. Right? That's how you can double check yourself.

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Deborah N: and if it and if they're both.

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Deborah N: you know you're not getting anything. Then the food is neutral.

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Deborah N: Okay, so, but she's gonna this is what I've had when I work with people who are very competitive.

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Deborah N: Yeah, they don't want to do. They want to have a pristine diet. If she's already saying she's not eating any junk, it's just that there's a food. Probably that's not agreeing with her.

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Deborah N: and she has her own sensitivity, but in in the general world it would be considered safe.

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Maria Horstmann, MBA, FDN-P, BCFWP: Yeah, yeah, yeah, I agree. Okay, I like that. Thank you. I'll look it up. And I'll also send her a video. I'll find something on Youtube.

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Dr. Ritamarie Loscalzo: You too? Yeah.

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Maria Horstmann, MBA, FDN-P, BCFWP: Yeah, find something on Youtube. And and then I like the strengthening and weakening. Yeah, she is very aware of her body, and she's like. No, I don't eat this. I don't eat that. I need that because she knows what goes wrong

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Maria Horstmann, MBA, FDN-P, BCFWP: right? And then it's actually difficult to find.

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Maria Horstmann, MBA, FDN-P, BCFWP: you know complex carbs that work for her to give her the power for the gym.

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Maria Horstmann, MBA, FDN-P, BCFWP: We even had to increase her her calories.

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Maria Horstmann, MBA, FDN-P, BCFWP: you know, because of the gym, the weightlifting. So anyway, which she's better now she can. She's finally not feeling weak, you know. She's feeling okay. I got energy to work out. That's kind of the best. She has been feeling a long time.

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Maria Horstmann, MBA, FDN-P, BCFWP: But the girl doesn't feel good, and she does have body food relationship issues.

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Dr. Ritamarie Loscalzo: Yeah,

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Maria Horstmann, MBA, FDN-P, BCFWP: She does so kind of working on that, slow and steady, you know. So could that be that

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Maria Horstmann, MBA, FDN-P, BCFWP: she, you know. Maybe I could ask her to measure her waist.

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Dr. Ritamarie Loscalzo: There you go!

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Maria Horstmann, MBA, FDN-P, BCFWP: Maybe I could ask her to measure her waist right, and then we see it once a week.

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Maria Horstmann, MBA, FDN-P, BCFWP: you know I would.

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Dr. Ritamarie Loscalzo: Measure in the morning and measure before she goes to bed.

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Dr. Ritamarie Loscalzo: because those are going to be the 2 extremes right, and measure after a bowel movement.

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Maria Horstmann, MBA, FDN-P, BCFWP: Wow! Who got to put some standards here. The girl is busy right? She's not going to be doing that all the time, but upon waking that could work, and before bed could work. Now I have to be careful, because somebody like that is already cooky about what they eat.

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Maria Horstmann, MBA, FDN-P, BCFWP: So you know the calories has always been something strong for her. Oh, my God, how many calories hold on a second! We got it. We got to eat more intuitively, and then worry about this damn calories. So step her away from that. So she is, you know. So she's more in eating intuitively. So I'm I'm

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Maria Horstmann, MBA, FDN-P, BCFWP: maybe a little maybe start with 1 1 measurement and see how she feels. And then, if she feels like she's not making her, you know. Blah blah, then add a second one.

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Maria Horstmann, MBA, FDN-P, BCFWP: okay, so maybe measurement. I'll do the sway test.

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Maria Horstmann, MBA, FDN-P, BCFWP: Looking into this bifido and d lactate free. Right?

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Dr. Ritamarie Loscalzo: Yup!

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Maria Horstmann, MBA, FDN-P, BCFWP: And go from there. Poor girl. Yes, okay.

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Maria Horstmann, MBA, FDN-P, BCFWP: all right. Thank you. I appreciate it.

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Xiaoyun Pan: I I want to add one thing, and you know, to some, Maria said.

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Xiaoyun Pan: I mean, another thing I'm thinking about is the histamine histamine contents in her diet. And because I I mean I recently I listened to a you know workshop. And they're saying for people who feel this bloating. You know this tension, not always because they have excessive gas in in the gi tract. Sometimes it's because they have this what they call the visceral hypersensitivity.

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Xiaoyun Pan: So basically, they're they're like their nervous system in the gut is more sensitive to the stuff, or their nervous system is kind of overstimulated and histamine is often to be one of the mediator that activate the nervous system in the gut.

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Xiaoyun Pan: So maybe that's 1 thing he can. She can look into.

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Maria Horstmann, MBA, FDN-P, BCFWP: So in this case we would say that looking at foods that are high in histamine.

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Xiaoyun Pan: Yeah, I think that maybe that's 1 thing she can also look into. And also, maybe, you know, keep like, try some

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Xiaoyun Pan: doo enzymes that may may help with that.

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Maria Horstmann, MBA, FDN-P, BCFWP: Yeaho? Enzymes. Yeah, to help with the histamine.

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Xiaoyun Pan: Where Wednesday, and see if that helps.

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Maria Horstmann, MBA, FDN-P, BCFWP: Yeah, yeah, okay, so that's great. I guess I could do

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Maria Horstmann, MBA, FDN-P, BCFWP: is think about if we're gonna do an elimination diet.

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Maria Horstmann, MBA, FDN-P, BCFWP: then look into the low histamine. So we can knock 2 things with the same spot. Right? So maybe a low histamine diet during, maybe. Okay, for let's let's do this for a week

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Maria Horstmann, MBA, FDN-P, BCFWP: and see how you feel. So yeah. And then.

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Xiaoyun Pan: You can look at what he's need, what she's eating now see if there's a lot of a high histamine diet.

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Maria Horstmann, MBA, FDN-P, BCFWP: Yeah, yeah, yeah.

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Xiaoyun Pan: He's eating a lot of avocado or bone broth, or this type of thing that those are high in histamine and.

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Maria Horstmann, MBA, FDN-P, BCFWP: Yeah, and and meats and avocado. I know she does eat that. And those are normally high histamine foods.

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Xiaoyun Pan: Oh!

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Maria Horstmann, MBA, FDN-P, BCFWP: But she doesn't do any gluten or anything like that, and almost nothing with added sugars, I mean but yeah, I'll look into that, and so maybe can coordinate sometimes to do like you know a fasting. She she tries not to eat late at night.

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Maria Horstmann, MBA, FDN-P, BCFWP: and and then eat something before the workout in the morning.

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Maria Horstmann, MBA, FDN-P, BCFWP: Okay, I got some ideas. I appreciate it.

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Dr. Ritamarie Loscalzo: Another thing I just thought about is, if you can have her do a diet diary for a few days, you might. I don't know I've never done this. I'm just thinking about it. Put the diet diary into something like Chat Gpt, and say, Hey, do you see a pattern

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Dr. Ritamarie Loscalzo: in what she's eating. As to something, you know, just, you know, a little history, because it's if you give it a history, it keeps like track of that. And these are the foods this person's eating. Do you see any things that are suspect in what she's eating?

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Maria Horstmann, MBA, FDN-P, BCFWP: Yeah, she eats about the same stuff

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Maria Horstmann, MBA, FDN-P, BCFWP: all the time, because, you know, sometimes she gets out, and then she gets worse, or the, and then when she gets worse means diarrhea, right? But yes, I'll work on to that. Yes,

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Maria Horstmann, MBA, FDN-P, BCFWP: okay, got it. Thank you. Appreciate it.

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Dr. Ritamarie Loscalzo: Sure.

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Dr. Ritamarie Loscalzo: Okay. Deborah.

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Deborah N: Okay. So this is my my 21 year old that I've been working with, that has the that has the pain.

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Deborah N: And we are still trying to figure out she has that. I've I've spoken of her before she's 20 years old. She had the pandas.

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Deborah N: Okay, okay, so this is a long, a long term thing.

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Deborah N: She has. We've gotten her to have some good days, but then she has some bad days, but she's only eating the very same thing.

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Deborah N: So what she's currently you know. At 1 point she was eating steak, and she could have steamed Carrots.

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Deborah N: That was it. And then she went from carrots to steak and peas. But now she's on these

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Deborah N: kind bars.

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Deborah N: I've energy tested them. I know they're kind bars, but they they were the only thing that she could that she

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Deborah N: she doesn't have any appetite, and I looked up.

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Deborah N: I don't know if it was the last call that we were on. But vitamin B, 5.

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Deborah N: Actually, it says that it stimulates appetite or it can.

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Deborah N: So I'm like, okay. So so I did energy test. It tested well for her. And so I'm like, okay, so that's that's something.

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Deborah N: But she doesn't have she. She can be hungry

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Deborah N: and not have what she calls an appetite like she. She's very sensitive to taste texture.

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Deborah N: Smell like. If anything's it's it's everything right. So she's figured out these kind bars.

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Deborah N: and I've been trying to expand the foods, and there's just

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Deborah N: there are things that she will test well, for, like energetically, she could, I believe she could eat them, and she's like, no, it just sounds really bad to me.

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Dr. Ritamarie Loscalzo: And.

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Deborah N: And so that's what I'm working with. So I have a couple of questions.

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Dr. Ritamarie Loscalzo: Okay.

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Deborah N: One is her.

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Deborah N: Her doctor is recommending stool testing and stool testing and hormone testing.

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Deborah N: So I'm like, yay, great.

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Dr. Ritamarie Loscalzo: Yeah.

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Deborah N: So they have. So I mentioned

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Deborah N: that I would like to energy test like which which test the doctor comes back with. So the mother just said, Well, why don't you just recommend? And I'll just we'll either go with the doctor if she recommends these same things, or we'll just order what you want. So

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Deborah N: I was thinking that the Dutch.

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Deborah N: the Dutch plus, is the that's with the the

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Dr. Ritamarie Loscalzo: And the urine. Yeah.

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Deborah N: Yeah. But what's the difference between the Dutch and the Dutch one?

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Deborah N: Yeah. The cortisol awakening. I'm not.

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Dr. Ritamarie Loscalzo: Portal Awakening.

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Deborah N: Okay. So the cortisol awakening, she has to do that immediately upon.

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Dr. Ritamarie Loscalzo: Yeah. So the cortisol awakening is the combination of the urine and the saliva. You'll get immediately upon waking up, and then within a half an hour and an hour after that you're testing the saliva and then the urine, you know, at the various times throughout the day. So it's a harder test to implement, because you have to be careful about your timing.

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Dr. Ritamarie Loscalzo: That's the so that's the concern.

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Deborah N: Sarah and I have.

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Dr. Ritamarie Loscalzo: You know it can give you great. It can give you good information, but

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Dr. Ritamarie Loscalzo: I'm not 100% sure that it's always worth it. If there's a situation where it's going to be hard for somebody, because what you're getting is, are they? If the cortisol awakening is blunted, it means that they have a low, sympathetic tone, and they're not really responding to stress. Very well, if their cortisol awakening response is exaggerated, it could be that they're waking up with anticipatory stress of the day.

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Dr. Ritamarie Loscalzo: And and you know there, there's other ways that you can interpret it, and it's all in module whatever 19, where I go through and show you like whatever but

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Dr. Ritamarie Loscalzo: in this particular case, what would you be trying to find out from the Dutch test

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Dr. Ritamarie Loscalzo: in terms of the adrenals.

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Deborah N: Oh, okay. Well, let me tell you this, she

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Deborah N: I don't believe she's waking up with like a stress response. She's she's

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Deborah N: more groggy, waking up a slower to wake up person than she is like. Oh, my gosh! I have things to do because she doesn't really get out of bed. She doesn't really do anything. She's so sensitive she doesn't leave her room

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Deborah N: really.

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Deborah N: Wow! So

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Deborah N: so just to see if there are any hormone fluctuations she has. She does have difficult days when she's on her cycle.

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Deborah N: So I I've been wrestling with the the plus

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Deborah N: aspect because she's it adds, if anything adds too much stress to her.

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Dr. Ritamarie Loscalzo: Well, that's what I'm thinking with her situation. You may want to just have her do the urine.

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Deborah N: Okay.

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Deborah N: Okay.

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Dr. Ritamarie Loscalzo: Thank you. Sydney.

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Dr. Ritamarie Loscalzo: America money out of that.

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Deborah N: Yeah, and then the the stool test.

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Deborah N: So I'm sorry I I can go look it up the the gi map that

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Deborah N: Maria mentioned, but there's gi effects, and I think the Gi effects isn't the gi effects more comprehensive.

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Dr. Ritamarie Loscalzo: I like the Gi effects better. Everybody's a little bit different. Lisa agrees with. She likes the Gi effects. The difference also is that the Gi effects will test for Pcr. Which the genetic markers. But also it tests it'll do a culture, and some bugs are more likely to show up with culture. Some bugs are more likely to show up with. Pcr.

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Dr. Ritamarie Loscalzo: so I kind of like that test better. I like the way it's reported better. But some people love the Gi map. So I think either way, it's whatever you're going to get. You're going to get good information from both. I think you do get more bugs. The one that I think you get even better on the numbers of bugs that are reported is the gut zoomer

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Dr. Ritamarie Loscalzo: because of the way that that's done. So you get a lot there.

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Dr. Ritamarie Loscalzo: There's no one perfect Gi test. In my, in my opinion.

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Deborah N: Okay. Great. Thank you.

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Dr. Ritamarie Loscalzo: You're welcome.

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Dr. Ritamarie Loscalzo: Good luck!

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Dr. Ritamarie Loscalzo: But it's nice that the doctor offered to order the tests, so.

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Deborah N: Yes, but the thing is that I well, and I don't. I was gonna try to call the doctor's office myself.

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Deborah N: They haven't. The mother said she was. The mother's really busy. Says she can't. She's having trouble keeping all the balls in the air. She didn't offer to let me call to see what the doctor's tests were, but the mother so overwhelmed. She's like, well, she needs to call the doctor's office, but she doesn't want them. Want to call me and tell me what the tests are, so that I can test.

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Deborah N: You know, if.

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Dr. Ritamarie Loscalzo: Yeah.

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Dr. Ritamarie Loscalzo: So what you can do is, since you're questioning, do it. Can you do an energetic test to see which of those tests is going to be better for her.

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Deborah N: Yeah, I could.

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Dr. Ritamarie Loscalzo: Yeah. And you can just recommend the one that you think is going to be best for her.

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Deborah N: Okay. Alright, I'll do that.

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Dr. Ritamarie Loscalzo: Okay and same thing with the plus versus the not plus right. If you're energetically testing her, the energy around the stress response from having the extra, the the cortisol, the saliva, in addition to this.

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Dr. Ritamarie Loscalzo: should show up in your energetic testing.

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Deborah N: Yes, absolutely absolutely. Yeah. But you know what. Now that you said when you just said that back to me, I just got it. I got the answer, and the answer is because she's so sensitive to taste texture, all of those things. She couldn't put the thing in her mouth.

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Dr. Ritamarie Loscalzo: Email, there, you go.

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Deborah N: Because you have to put that. Don't you put the the role.

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Dr. Ritamarie Loscalzo: Well, it depends.

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Dr. Ritamarie Loscalzo: Yeah. I think you have to suck on the the thing and moisten it and then put it back in.

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Deborah N: It would never, no, it would never work for her. Okay, sorry, thanks.

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Dr. Ritamarie Loscalzo: Great got it? Zhao! Yun.

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Xiaoyun Pan: Yeah, a question on the about the Candida diet. And I I mean, I just, I'm just curious to see what's your thoughts on either having the fermented food in the anti-candida diet or not having it. And I see

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Xiaoyun Pan: The fermented fooder is

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Xiaoyun Pan: should be limited, eliminated for the Candida Diet, for you know a lot of place, so they recommend an anti-candida diet, and they would kind of ask her to cut off the from the food, but

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Xiaoyun Pan: there are also others like the body ecology diet. And we you teach that in the course and that that diet is specifically for candida elimination, but it really encouraged to have a ferment fermented food, as I just got

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Xiaoyun Pan: pure steel.

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Dr. Ritamarie Loscalzo: Yeah, I I think that it's individual, right? It's going to be individual.

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Dr. Ritamarie Loscalzo: I think that you know, there's been a lot of shift since back in the day, back in the whatever it was, the eighties, or whatever. That Thrush wrote his book on the Candida, and he he was one of the 1st ones to write it, and he was very strict. And don't do mushrooms, and don't do this and don't do that. What we're trying to do is we're trying to reset the microbiome, and we're trying to balance out and get rid of

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Dr. Ritamarie Loscalzo: the the Candida. If it is Albicans, or whatever is Candida, it might be, or yeast yeast over. Basically, it's yeast and fungal overgrowth.

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Dr. Ritamarie Loscalzo: So you know, for a while they always say, Oh, don't do mushrooms, because mushrooms are funguses, but some people do just fine with that. So you might. What you might want to do is try a very strict like for a week or so. Just see how the person does get rid of any things that might aggravate, and then add them back in the things that are really critical. Are sugar right? Anything.

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Dr. Ritamarie Loscalzo: anything that's going to feed the yeast right? And then you're going to be doing some organisms or some herbs and things that are anti. But you also want to make sure that you're you're crowding it out. That's my big thing. When I'm looking at overgrowth in the Gut, and have you confirmed? This person? Has Candida overgrowth via

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Dr. Ritamarie Loscalzo: we'll test still test or or.

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Xiaoyun Pan: 2 tests, 2 tests.

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Dr. Ritamarie Loscalzo: Yeah, so you know it. And what are the commenceals looking like?

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Xiaoyun Pan: Yeah.

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Dr. Ritamarie Loscalzo: Right. You want to look at that, because if they don't have enough of the right organisms, my approach always, if there's an overgrowth of an undesirable unless it's like a really really intense pathogen is. Let's crowd them out right. Let's replenish the things that are low. Now, if all of her. Her

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Dr. Ritamarie Loscalzo: beneficials and all of our commensals are in balance. Then maybe you do want to approach it from a killing standpoint. But I'm not a big fan of the killing standpoint. I'm always also a fan of doing biofilm disruption initially.

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Xiaoyun Pan: Oh, yeah, yeah, I have it. I have it in my open. Yes.

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Dr. Ritamarie Loscalzo: Right. That's an important piece as well. And it's really, you know, because there's no one size fits. All right. We can have this study that shows this and that study that shows that it gives us a general idea.

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Xiaoyun Pan: Thank you.

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Dr. Ritamarie Loscalzo: What's good and what's bad, but it's not giving you specific for the person.

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Dr. Ritamarie Loscalzo: Right? So I would say in my, I like Donna Gates's approach. She's had some really good results you might want to avoid, like histamine, high histamine type, fermented foods, you know, like sauerkrauts and kimchi, which could be aggravating. But things like, you know, non-dairy yogurts can be very, very beneficial there. So I would go lightly with it

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Dr. Ritamarie Loscalzo: again, sometimes with a Candida overgrowth. There's also small intestinal, fungal overgrowth as well. So if you're having that, you want to be careful about putting things in that are going to cause that bloating

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Dr. Ritamarie Loscalzo: situation. So you have to evaluate for that as well.

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Xiaoyun Pan: Okay. So okay, so the idea is, probably start with a very restricted diet, eliminate everything for like short time period, and see how.

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Dr. Ritamarie Loscalzo: Oh, she does. Yeah.

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Xiaoyun Pan: Yes, right, and then introduces some low histamine fermented food like the non dairy yogurt. Those stuff.

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Dr. Ritamarie Loscalzo: Yep.

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Dr. Ritamarie Loscalzo: Yes. Okay.

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Xiaoyun Pan: Okay, can I ask another question?

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Dr. Ritamarie Loscalzo: Sure, of course.

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Xiaoyun Pan: Yeah, I just a question about the

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Xiaoyun Pan: estriol and the use of estriol. And I mean, I see sometimes I see the client, you know, at the menopause time

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Xiaoyun Pan: or perimenopausal time period, with very low estradiol. Right this low Estradiol low progesterone. And of course, we, since we are not a licensed practitioner. We cannot prescribe or suggest the Estradiol but I remember you mentioned somewhere in the course I just want to confirm. I remember you mentioned

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Xiaoyun Pan: just supplementing estriol. It doesn't correct the symptoms that caused by low Estradiol. Is that right?

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Dr. Ritamarie Loscalzo: Yeah, it doesn't. No, but it will. We always want to look at is the balance between Estradiol Estrone and Estriol. Most people I see they're way off. So the estrogen quotient your estriol should be equal to, or greater than, the sum of Estradiol and estrone.

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Dr. Ritamarie Loscalzo: So if that's way off, it's a protective estrogen, right? But is it going to correct? And it's is it going to bring up the Estradiol? There is a little bit of a two-way

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Dr. Ritamarie Loscalzo: arrow there, but I've not seen supplementing with Estriol. Bring up the Estradiol.

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Xiaoyun Pan: I see. Okay. So unless I see, there's like a big imbalance, a high e 1 and E 2 in. Compared with c. 3. Otherwise supplementing E 3 probably doesn't really help.

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Dr. Ritamarie Loscalzo: Supplement e. 3. But if the E 3 is low, which in a lot of people it is then.

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Xiaoyun Pan: When the balance is booked off. Oh, I see.

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Dr. Ritamarie Loscalzo: Yes, it'll also help if the 16 hydroxy is low, because the estriol converts more strongly to 16 hydroxy than does the estrone.

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Dr. Ritamarie Loscalzo: So look at that, and you make sure their iodine status is good, because it's important to have enough iodine to convert to do that conversion. Then that can be helpful as well, and we know that the S. The 16 is the metabolite, that when it gets very low it's it's really bad for bone metabolism. So I try. You don't want it too high, but you also don't want it too low.

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Xiaoyun Pan: Okay. So when I see if the 16 hydroxy e, 1 is too low, that if we try to help with the conversion to the E. 3. The iodine is one, and.

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Dr. Ritamarie Loscalzo: Iodine is an important factor. There.

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Xiaoyun Pan: Okay. And with this.

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Dr. Ritamarie Loscalzo: In one of the I don't remember which module, probably in that module in the Dutch module, but that shows the various cofactors for the conversions between the different estrogens and the metabolites.

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Xiaoyun Pan: I see. Okay, okay, so even just to try to correct a low E 2, we cannot. We? I shouldn't should not use a e. 3. But instead of you know, if I see low 16, hydroxy e. 1, or I see the balance between the e 1 e. 2, and E. 3 is off, and in that case E. 3 will be helpful.

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Dr. Ritamarie Loscalzo: Yeah.

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Xiaoyun Pan: Okay.

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Dr. Ritamarie Loscalzo: Okay, got it, you know. Generally speaking.

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Dr. Ritamarie Loscalzo: the Estradiol is not usually that. So if you look at the the purple range, that's the postmenopausal, you know. You might see it at the very low end. I rarely see it below that.

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Dr. Ritamarie Loscalzo: but that's not to say that it doesn't happen.

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Xiaoyun Pan: Hmm, hmm, yeah. The one I see is pretty, very low. Actually, she is not even in the.

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Dr. Ritamarie Loscalzo: Not even.

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Xiaoyun Pan: She's still like. It's 4 early 40 something, you know. It's like, very early perimenopausal.

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Dr. Ritamarie Loscalzo: Yeah, yeah, it may. It may be worthwhile to, you know. Have her consult with an endocrinologist or a gynecologist to.

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Xiaoyun Pan: Just go through with the Hr team right? In that case, maybe.

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Dr. Ritamarie Loscalzo: It's possible. But you also want to look at. Why

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Dr. Ritamarie Loscalzo: like, why are those numbers low? Is she? Is her stress level. High is her cortisol high. And you're getting that pregnenolone steel, sometimes supplementing with pregnenolone, which is over the counter. You can do that. It can help with the downstream conversion

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Dr. Ritamarie Loscalzo: don't know right, because the body's going to do what the body's going to do with raw materials. But sometimes that's the case, but also always addressing the stress.

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Xiaoyun Pan: Hmm! Hmm! I see.

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Dr. Ritamarie Loscalzo: And they also. The other thing you can look at is testosterone. If she has a high testosterone

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Dr. Ritamarie Loscalzo: as true concerned. No, okay, yeah.

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Xiaoyun Pan: But if there's like a high testosterone with low Estradiol means it doesn't go through the not not enough aromatation.

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Dr. Ritamarie Loscalzo: Not enough aromatase. Yeah, yeah, which is the opposite of what we normally see. We usually see a room.

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Xiaoyun Pan: Yeah, okay.

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Dr. Ritamarie Loscalzo: Success. But but sometimes I you can see that. Yeah.

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Xiaoyun Pan: Okay.

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Xiaoyun Pan: Okay. Thank you.

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Dr. Ritamarie Loscalzo: Good questions, guys, you're thinking

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Dr. Ritamarie Loscalzo: it's not always straightforward either. That's the thing. I saw somebody the other day, and her Estria was like, really super high.

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Dr. Ritamarie Loscalzo: and the other 2 were just like within a normal range. Are you taking? She says, yeah, she's taking. But we don't know when you, when they do a bioidentical prescription, they oftentimes do an 80 20. That's the most common 80% Estriol and 20% Estradiol. But sometimes it might be the other way. So I was. Fingers crossed on her. I'm like, find out what it is, because if it's a 50 50

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Dr. Ritamarie Loscalzo: already, then you know it. She may not. She may have to go off of it and do some other things, but if it's a if it is an 80 20, she can ask them to change it to a 50 50, so that it lowers the amount of estriol.

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Dr. Ritamarie Loscalzo: It's all about balance right?

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Dr. Ritamarie Loscalzo: And it's always about looking for that underlying cause

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Dr. Ritamarie Loscalzo: like thinking through, like looking at the biochemical pathway which I love, that chart, that they they used to include it with every Dutch test. And now they don't. But you have it in that interpretation. Guide that chart where you see all the the cofactors and the herbs and the various things. So I like to look at that and really study that, and look at the test, to see where are we? High, where we go, and what things can be causing it. Maybe it is a certain, you know, B. Vitamin deficiency or something along those lines.

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Dr. Ritamarie Loscalzo: Okay.

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Dr. Ritamarie Loscalzo: is she having symptoms? That's the other thing, too like, is she having, like the dryness? Usually you'll see a lot of dryness and

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Dr. Ritamarie Loscalzo: low sex drive and that kind of stuff as well as typical menopausal symptoms.

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Dr. Ritamarie Loscalzo: Okay?

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Dr. Ritamarie Loscalzo: Other questions.

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Dr. Ritamarie Loscalzo: I'm gonna throw something out there to you guys that I was thinking about the other day in response to something Lisa said, do you think it would be helpful to have a call once a month? That's just Lisa is. Gonna be there. You just bring in your lab tests, or she goes through some of her lab tests, you know, like picking cases that are, you know, kind of challenging and kind of different, and takes you through them. You think that would be a helpful call to have.

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Dr. Ritamarie Loscalzo: Yeah.

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Xiaoyun Pan: Absolutely, absolutely.

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Dr. Ritamarie Loscalzo: Yeah, yeah, cause she gets a lot of she gets a lot of complicated cases. Yes. Okay.

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Dr. Ritamarie Loscalzo: yeah. I'll ask her. I know she did the K. She did the content implementation call last week.

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Dr. Ritamarie Loscalzo: and when I was away, and she she enjoyed it, and she said, Oh, can I do that more often. And I thought you know what I'd rather I want to use the content implementation, because I have some ideas for some new content and some content I want to replace. So I want to start using those once I get home. But I was thinking where I really would like her is to bring in some of those cases like this week, we're going to go through a bunch of

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Dr. Ritamarie Loscalzo: of Gi effects tests. So this week we're going to go through a bunch of Dutch tests. And you know that kind of thing. Yeah, because the more you see it and the more you see different presentations, the easier it's going to be for you to go through your own. I mean, it's it just takes lots of experience. Okay, I'll talk to her about that

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Dr. Ritamarie Loscalzo: great.

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Maria Horstmann, MBA, FDN-P, BCFWP: Well, if there is nobody online I would like to get your your thoughts on.

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Maria Horstmann, MBA, FDN-P, BCFWP: I'm gonna be on this kind of in person event, and I'm thinking

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Maria Horstmann, MBA, FDN-P, BCFWP: to have like one of those. What do you call banners to stand up banners.

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Dr. Ritamarie Loscalzo: Yeah.

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Maria Horstmann, MBA, FDN-P, BCFWP: Create one of those. And I'm I'm kind of struggling

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Maria Horstmann, MBA, FDN-P, BCFWP: what to say in there. One. I want to put a QR code to schedule a session in that banner.

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Maria Horstmann, MBA, FDN-P, BCFWP: But I don't want to put too much.

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Maria Horstmann, MBA, FDN-P, BCFWP: you know, in there, or just good enough what your thoughts would be attractive.

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Dr. Ritamarie Loscalzo: Yeah. So what's the event? 1st of all, who's the audience? That's gonna be there.

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Maria Horstmann, MBA, FDN-P, BCFWP: It. It's a corp. It's a it's, it's a, it's for corporate wellness. So it's

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Maria Horstmann, MBA, FDN-P, BCFWP: And I

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Maria Horstmann, MBA, FDN-P, BCFWP: I want to create something that I can use in anywhere. I go, because my avatar is the same right? My avatar is the busy professional and

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Maria Horstmann, MBA, FDN-P, BCFWP: they're trying to get to the root cause. People don't understand those words

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Maria Horstmann, MBA, FDN-P, BCFWP: but is talking about productivity, focus, energy and weight and confidence. Those are the things that

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Maria Horstmann, MBA, FDN-P, BCFWP: I want to resonate with them. But I also

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Maria Horstmann, MBA, FDN-P, BCFWP: would like for them to know that it's just not guessing right is about testing and having something personalized. Those people. They don't want to waste their time.

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Maria Horstmann, MBA, FDN-P, BCFWP: They don't wanna waste their time with all I tried this. I tried that. Oh, I'm gonna go through and pay for this again. They're not gonna do it. They, they want to know what is for them. Right? So.

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Dr. Ritamarie Loscalzo: And your goal would be to get what what your ideal outcome would be.

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Maria Horstmann, MBA, FDN-P, BCFWP: Get them to schedule a session, so we can talk.

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Dr. Ritamarie Loscalzo: Okay. And what would that session like? What would you call that session, or what? What is their result? That they're gonna get from that session?

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Maria Horstmann, MBA, FDN-P, BCFWP: The result.

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Dr. Ritamarie Loscalzo: Yeah, like, what's gonna cause them to go? I want that.

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Maria Horstmann, MBA, FDN-P, BCFWP: Well, 1st of all, that banner should be, make them curious enough to speak to their symptoms or things that they are fierce.

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Maria Horstmann, MBA, FDN-P, BCFWP: And then I said, Oh, well.

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Maria Horstmann, MBA, FDN-P, BCFWP: I mean, tell me more about this, and I'll say a few things right. Ask them on the spot in person. What brings their curiosity, and assess in more detail than

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Maria Horstmann, MBA, FDN-P, BCFWP: let's schedule a call which I am changing the name of my call to be, I think.

423
00:52:55.880 --> 00:53:04.479
Maria Horstmann, MBA, FDN-P, BCFWP: What is that that I said I was gonna do instead of energy audit to be energy optimization.

424
00:53:05.611 --> 00:53:09.100
Maria Horstmann, MBA, FDN-P, BCFWP: or wellness optimization session. Either one.

425
00:53:09.100 --> 00:53:16.999
Dr. Ritamarie Loscalzo: You just said, Wait, you both of neither of those words is what you said. They want. They want productivity and better outcomes on their.

426
00:53:17.000 --> 00:53:22.270
Maria Horstmann, MBA, FDN-P, BCFWP: High energy. They productivity is energy. They're not as productive because they lack energy.

427
00:53:22.820 --> 00:53:34.089
Dr. Ritamarie Loscalzo: Are they gonna make that? Here's the thing you make that conclusion, are they? You want to use the words that are topmost on their mind like the outcome that they most want.

428
00:53:36.721 --> 00:53:39.630
Maria Horstmann, MBA, FDN-P, BCFWP: The outcome they most want.

429
00:53:40.150 --> 00:53:40.540
Dr. Ritamarie Loscalzo: Yeah.

430
00:53:40.540 --> 00:53:46.990
Maria Horstmann, MBA, FDN-P, BCFWP: Okay is to feel more energetic. So they're more productive

431
00:53:47.780 --> 00:53:52.780
Maria Horstmann, MBA, FDN-P, BCFWP: and stay focused. And they can do more of their lives. That's what these people want.

432
00:53:52.920 --> 00:54:02.839
Dr. Ritamarie Loscalzo: Okay. So if your sign makes the connection between their imbalances in their body that can be tested

433
00:54:03.210 --> 00:54:11.710
Dr. Ritamarie Loscalzo: and their productivity focus and energy, right? So I that's what I would say. Be, you know, maybe ask a question.

434
00:54:11.970 --> 00:54:19.690
Dr. Ritamarie Loscalzo: is your work success being thwarted by your lack of

435
00:54:20.120 --> 00:54:44.069
Dr. Ritamarie Loscalzo: balance in your energy production systems or your brain chemistry systems. I'm not coming up with this. But you can. You can use Chat Gpt, to ask for some of the words to be on the sign. What words are going to get these people to go? Oh, I had no idea is what you're eating. Are you eating the right foods for optimal brain focus and productivity.

436
00:54:46.230 --> 00:54:49.090
Dr. Ritamarie Loscalzo: Right? Is it? Are you

437
00:54:49.410 --> 00:55:04.479
Dr. Ritamarie Loscalzo: wasting your time on supplements that are not getting you the results? I don't know if these people are already doing supplements or not, but it's getting them aware that their nutrition and their body, their biochemical balance, is affecting their work. Productivity.

438
00:55:08.800 --> 00:55:11.360
Maria Horstmann, MBA, FDN-P, BCFWP: Yes, it's also about their habits.

439
00:55:12.110 --> 00:55:17.850
Dr. Ritamarie Loscalzo: And their habits right, their diet, lifestyle habits, their nutrition and lifestyle habits.

440
00:55:18.010 --> 00:55:26.990
Maria Horstmann, MBA, FDN-P, BCFWP: Yeah. But once you say, are you eating the right food for energy is gonna fuck that I'm eating my sugar. I'm having my alcohol right? So they don't want to hear that

441
00:55:27.540 --> 00:55:43.440
Maria Horstmann, MBA, FDN-P, BCFWP: right now, right then, to get their intention to at least talk to somebody, because they're going to start assuming that this is all about cutting out foods, that's all people think when you talk about eating healthy, the 1st thing they think is, oh, you're asking me to cut out stuff.

442
00:55:43.710 --> 00:55:50.749
Maria Horstmann, MBA, FDN-P, BCFWP: Let's understand the connection first.st Then we talk about. But I don't want them to just look at the lab, you know, like.

443
00:55:51.820 --> 00:55:54.480
Maria Horstmann, MBA, FDN-P, BCFWP: And now she's gonna ask me to cut out shit.

444
00:55:55.900 --> 00:55:57.170
Maria Horstmann, MBA, FDN-P, BCFWP: They're like walk away.

445
00:55:57.170 --> 00:56:04.820
Dr. Ritamarie Loscalzo: If if it's measurement like, if these are corporate people, measurement is important, correct.

446
00:56:04.820 --> 00:56:13.980
Dr. Ritamarie Loscalzo: Right? So like when we're looking at business proposals or whatever we look at metrics, we look at, how well is your body performing?

447
00:56:14.450 --> 00:56:18.049
Dr. Ritamarie Loscalzo: Right? So maybe it's something related to performance.

448
00:56:18.600 --> 00:56:19.090
Maria Horstmann, MBA, FDN-P, BCFWP: Yes.

449
00:56:19.090 --> 00:56:23.980
Dr. Ritamarie Loscalzo: Of your your optimization of your performance.

450
00:56:25.810 --> 00:56:26.580
Maria Horstmann, MBA, FDN-P, BCFWP: Yeah.

451
00:56:27.870 --> 00:56:37.150
Dr. Ritamarie Loscalzo: Right, then they're not making the connection. So you don't have to say food. You don't have to say nutrition, but you could say your biochemical balance, your body's.

452
00:56:37.780 --> 00:56:45.180
Dr. Ritamarie Loscalzo: you know, machinery that processes life, or what are you doing? That's sabotaging.

453
00:56:45.810 --> 00:56:52.419
Dr. Ritamarie Loscalzo: you know. Do you have things in your life that are getting in the way of your optimal productivity at work.

454
00:56:52.840 --> 00:56:53.469
Dr. Ritamarie Loscalzo: Let's talk.

455
00:56:53.470 --> 00:57:01.700
Maria Horstmann, MBA, FDN-P, BCFWP: Yeah, I have kids, and they are, you know, crazy. And I barely can get a sneak. You see what I'm saying. That's where people go

456
00:57:01.990 --> 00:57:04.109
Maria Horstmann, MBA, FDN-P, BCFWP: literally. That's where they go.

457
00:57:04.110 --> 00:57:07.519
Dr. Ritamarie Loscalzo: What do you think is, gonna what do you think is? Gonna grab their attention.

458
00:57:09.480 --> 00:57:14.390
Maria Horstmann, MBA, FDN-P, BCFWP: I think is, I think it is something about test.

459
00:57:15.360 --> 00:57:19.490
Maria Horstmann, MBA, FDN-P, BCFWP: I honestly think that is about that is the

460
00:57:20.170 --> 00:57:27.819
Maria Horstmann, MBA, FDN-P, BCFWP: testing, not guessing kind of idea that then get them to see how their body is functioning.

461
00:57:27.960 --> 00:57:32.120
Maria Horstmann, MBA, FDN-P, BCFWP: then they can make the changes accordingly.

462
00:57:32.720 --> 00:57:33.860
Maria Horstmann, MBA, FDN-P, BCFWP: Right? That's okay.

463
00:57:33.860 --> 00:57:35.270
Maria Horstmann, MBA, FDN-P, BCFWP: Honestly, that.

464
00:57:36.180 --> 00:57:36.880
Dr. Ritamarie Loscalzo: That's all

465
00:57:36.880 --> 00:57:51.540
Dr. Ritamarie Loscalzo: good. That's what you should be, including on here. You want to get the exact wording. I would put what you just said to us into something like Chat gpt, and just work with it to get the wordsmithing. This is going to be on a sign, you know, that's

466
00:57:51.650 --> 00:58:03.159
Dr. Ritamarie Loscalzo: to get people's attention. What can I say? I want them to see the value of testing. I want them to see the value of of optimizing their work performance. We can test for that.

467
00:58:03.460 --> 00:58:08.860
Dr. Ritamarie Loscalzo: Do you want to know? Are you interested in finding out what

468
00:58:09.200 --> 00:58:19.419
Dr. Ritamarie Loscalzo: what your body's doing, or how well your energy and focus pathways, or whatever we want to say it are working.

469
00:58:20.420 --> 00:58:34.129
Dr. Ritamarie Loscalzo: But yeah, these are people who are into measurements. Right? So in in corporate, we'll say, what's your Kpis? What are your what are your metrics? Right? So maybe use that language that you think they would use

470
00:58:34.790 --> 00:58:38.480
Dr. Ritamarie Loscalzo: right? Your body? Has it. Your your job has it.

471
00:58:41.010 --> 00:58:42.319
Maria Horstmann, MBA, FDN-P, BCFWP: What do you think?

472
00:58:43.210 --> 00:58:47.289
Maria Horstmann, MBA, FDN-P, BCFWP: Yeah, because I thought a lot about Kpis for health.

473
00:58:48.010 --> 00:58:50.320
Maria Horstmann, MBA, FDN-P, BCFWP: What do you think are Kpis for health?

474
00:58:51.930 --> 00:58:57.440
Dr. Ritamarie Loscalzo: There's a lot of kpis for health, and I think that might actually be a nice phrase that's going to catch their attention.

475
00:58:58.030 --> 00:59:00.610
Dr. Ritamarie Loscalzo: Have you measured your kpis, your health, care.

476
00:59:00.610 --> 00:59:04.319
Maria Horstmann, MBA, FDN-P, BCFWP: And I said, Why are the Kpis so I think about?

477
00:59:05.300 --> 00:59:06.500
Maria Horstmann, MBA, FDN-P, BCFWP: I know. Well, there's.

478
00:59:08.320 --> 00:59:10.699
Dr. Ritamarie Loscalzo: Gut, health, blood, sugar.

479
00:59:10.700 --> 00:59:13.460
Maria Horstmann, MBA, FDN-P, BCFWP: They have, they have to measure, they have to see it.

480
00:59:13.730 --> 00:59:14.220
Dr. Ritamarie Loscalzo: Yeah.

481
00:59:14.220 --> 00:59:18.629
Maria Horstmann, MBA, FDN-P, BCFWP: They have to see it. They they have to feel it right, but those won't.

482
00:59:18.630 --> 00:59:33.939
Dr. Ritamarie Loscalzo: You can measure, you can measure the gut function, the microbiome. You can measure the Krebs cycle via, you know, an organic acid test. You can measure the blood sugar via a metabolic panel.

483
00:59:34.150 --> 00:59:39.660
Dr. Ritamarie Loscalzo: Right? All of those things are super important, inflammatory markers.

484
00:59:40.760 --> 00:59:42.730
Dr. Ritamarie Loscalzo: Those are all kpis for health.

485
00:59:44.330 --> 00:59:52.469
Dr. Ritamarie Loscalzo: and I think that's a really nice health. Kpis. Kpis for health. Something like that is a nice phrase.

486
00:59:53.390 --> 00:59:56.230
Dr. Ritamarie Loscalzo: Might even be a good URL.

487
00:59:59.900 --> 01:00:01.110
Dr. Ritamarie Loscalzo: Yeah.

488
01:00:02.540 --> 01:00:05.269
Maria Horstmann, MBA, FDN-P, BCFWP: You know, because you want this to be.

489
01:00:05.540 --> 01:00:10.450
Maria Horstmann, MBA, FDN-P, BCFWP: If it is a Kpi people are used to. Okay, we're going to measure this. So

490
01:00:11.420 --> 01:00:17.759
Maria Horstmann, MBA, FDN-P, BCFWP: how can we measure, you know? In a way that is simple.

491
01:00:18.600 --> 01:00:27.709
Maria Horstmann, MBA, FDN-P, BCFWP: and you know a company measured their Kpis monthly, or every 3 months, or they put the plans for the next year right? And they start measuring

492
01:00:28.300 --> 01:00:29.520
Maria Horstmann, MBA, FDN-P, BCFWP: so.

493
01:00:31.760 --> 01:00:32.539
Dr. Ritamarie Loscalzo: But it just.

494
01:00:32.540 --> 01:00:36.769
Maria Horstmann, MBA, FDN-P, BCFWP: You know there is from the blood perspective. There is kpis, right.

495
01:00:36.770 --> 01:01:03.089
Dr. Ritamarie Loscalzo: A lot of stuff in there like well, liver function. How well is your body detoxifying the environment, your inflammatory markers, your blood sugar balance your thyroid function, your heart right. Do not be a victim of sudden death from heart attack, which is very common. Right? So these are your kpis, and maybe what you can offer them is, here's your list of markers to measure, and I'm going to take you through a session

496
01:01:03.500 --> 01:01:11.800
Dr. Ritamarie Loscalzo: right? You don't have to do a free session with these people right? Because then you're just relying on no offer them a blood chemistry, analysis, session.

497
01:01:14.180 --> 01:01:14.890
Maria Horstmann, MBA, FDN-P, BCFWP: Yeah.

498
01:01:17.120 --> 01:01:17.980
Maria Horstmann, MBA, FDN-P, BCFWP: Yeah.

499
01:01:18.140 --> 01:01:28.439
Maria Horstmann, MBA, FDN-P, BCFWP: Can always is to invite for a conversation because they're ordering lunch break right? They're like doing a little. It's like a like several businesses. There's like

500
01:01:28.600 --> 01:01:46.949
Maria Horstmann, MBA, FDN-P, BCFWP: possible 1,200 people who are taking some break, and they're stopping by, probably from 10 to 10, right? So it cannot be a prolonged conversation there. But if it is, can be a quick thing, and and yeah, I gotta think about this Kpis, because I think that's something that would resonate with them.

501
01:01:46.950 --> 01:01:47.849
Dr. Ritamarie Loscalzo: I think it would.

502
01:01:49.098 --> 01:01:55.029
Maria Horstmann, MBA, FDN-P, BCFWP: Optimizing. So I wrote, I wrote a couple of words like optimizing your work and live performance.

503
01:01:56.680 --> 01:02:00.080
Maria Horstmann, MBA, FDN-P, BCFWP: I think that that sounds interesting to me.

504
01:02:00.080 --> 01:02:04.190
Dr. Ritamarie Loscalzo: But it's a little generic.

505
01:02:05.170 --> 01:02:08.910
Maria Horstmann, MBA, FDN-P, BCFWP: Yeah, okay.

506
01:02:11.690 --> 01:02:35.540
Dr. Ritamarie Loscalzo: But think about the kpis. What I would do is get on a session and have a nice consultation with your favorite chat, your favorite Gpt, chat, gpt, or whatever, and then put some of this in there, you'll be surprised because I've had these. I I end up not just asking questions. It's like, I have a conversation. Well, that's good, but I think it could be a little bit more direct, and you could probably get a lot of really good information and languaging.

507
01:02:36.050 --> 01:02:45.129
Dr. Ritamarie Loscalzo: and the name of the session right? Sign up for your Xyz Kpi session, or something like that right? And get a name for it.

508
01:02:47.250 --> 01:02:47.920
Dr. Ritamarie Loscalzo: Okay.

509
01:02:48.420 --> 01:02:49.030
Maria Horstmann, MBA, FDN-P, BCFWP: Yeah, okay.

510
01:02:49.230 --> 01:02:55.420
Dr. Ritamarie Loscalzo: Lisa cause Lisa has her hand up now, so good luck keep you posted on what you come up with that.

511
01:02:55.560 --> 01:02:56.150
Dr. Ritamarie Loscalzo: Okay.

512
01:02:56.150 --> 01:02:56.740
Maria Horstmann, MBA, FDN-P, BCFWP: Thanks.

513
01:02:56.740 --> 01:02:59.079
Dr. Ritamarie Loscalzo: You're on the right track. Lisa.

514
01:03:00.270 --> 01:03:17.949
Lisa Pressey: So I have a client who is a pretty high stress person. I think I've told you about it before. She's got these chronic headaches, and I'm really leaning more and more and more towards it's food trying to get her to change the diet. So we are making progress with adding more vegetables. Fish?

515
01:03:18.329 --> 01:03:24.809
Lisa Pressey: I've got to get her off of like, you know the the biscuits that you pop open out of the can that kind of stuff.

516
01:03:24.810 --> 01:03:25.310
Dr. Ritamarie Loscalzo: Oh, yeah.

517
01:03:25.310 --> 01:03:32.679
Lisa Pressey: Yeah, really disgusting. I'm like, no, that's just gross. So we're working on that. But the other question I have is,

518
01:03:33.290 --> 01:03:43.900
Lisa Pressey: so she does see a therapist, and I don't know if the therapist or another doctor and put her on. At 1 point she said she was on Gaba, and then she was on Cymbalta.

519
01:03:44.400 --> 01:03:44.900
Dr. Ritamarie Loscalzo: Penton.

520
01:03:45.270 --> 01:03:48.580
Lisa Pressey: So she tried them each for like a month.

521
01:03:49.090 --> 01:04:11.279
Lisa Pressey: Well, the 1st one, I guess. She tried for a month and said it felt like it was working, but then it stopped, and then the Cymbalta. I think they put her on for anxiety, but also thought it would help the pain with the headaches, and that, I think, actually give her jaw pain. So she's stopping that now, and I'm trying to get her, you know. Get a better diet. So maybe you're missing

522
01:04:11.280 --> 01:04:23.429
Lisa Pressey: vitamins and stuff that are precursors to things that are just not there because her diet is. I'm horrible. I'm talking like you know corn and bread and and.

523
01:04:23.430 --> 01:04:25.238
Dr. Ritamarie Loscalzo: So if if you're

524
01:04:26.260 --> 01:04:50.459
Dr. Ritamarie Loscalzo: I'm thinking if they're looking down the neurotransmitter pathways right with the the drug medications, have you done those neurotransmitter assessments on her where she just picks it out like the braverman Eric Braverman. You can just go online and find his thing, and he'll help to identify which neurotransmitter they have a tendency to be out of balance with and

525
01:04:51.150 --> 01:05:01.179
Dr. Ritamarie Loscalzo: that could be helpful, because then you go. Oh, and he has in his book some nice lists like, Oh, if it's Gaba, here's some good foods you should avoid and should eat.

526
01:05:01.180 --> 01:05:24.769
Dr. Ritamarie Loscalzo: you know, and it might give you give her a little bit more. I know you know you want her to listen to you, but this is an Md. Who's worked with this stuff, and he may have a little bit more clout, and he may say the same things as you do like with this neurotransmitter thing. You need to avoid gluten, and you need to include, you know, bananas, or whatever it might be. But I would go with that. Have her do that assessment.

527
01:05:25.380 --> 01:05:41.849
Lisa Pressey: Okay, cause I just actually finished that module and I had asked Lisa about it, and she had said, You know, she needs to get off of gluten and dairy because she eats a lot of dairy, and it seems like her headache is very small in the morning, but as her day progresses

528
01:05:42.450 --> 01:05:50.540
Lisa Pressey: by 3 o'clock. It's really bad, and it's like, you know, milk in the morning and cheese in the afternoon, and I'm like, well, that could be an option.

529
01:05:50.540 --> 01:05:51.390
Dr. Ritamarie Loscalzo: How is this?

530
01:05:51.390 --> 01:05:52.030
Lisa Pressey: Cat.

531
01:05:52.510 --> 01:06:01.430
Dr. Ritamarie Loscalzo: Propose, if she's really resistant to that. Just propose a 5 day, 3 day something short

532
01:06:01.530 --> 01:06:14.930
Dr. Ritamarie Loscalzo: restriction on those foods, and don't make it more than one more than 2. You want to start with just dairy, and then see if you need to do the gluten, too, or gluten and dairy. We're just going to do a 3 day elimination, and see how you feel.

533
01:06:15.230 --> 01:06:26.000
Lisa Pressey: I would probably start with just dairy, only because she does have some food issues as well, where she never got diagnosed, but felt like she had like an anorexia problem. So.

534
01:06:26.000 --> 01:06:42.879
Dr. Ritamarie Loscalzo: To go with the one that you most suspect. I've done this plenty of times. I've done it, especially with kids, and the parents are like they're not willing to do a whole lot and based on the history you can tell. Like one kid. It was. I took him off a dairy, and the Kid was snacking day. His Adhd went away, and the other one it was gluten.

535
01:06:43.180 --> 01:06:57.210
Dr. Ritamarie Loscalzo: I didn't think it was the dairy based on the history and same thing. So you know, you've got to choose your battles, and starting with one thing, give it a try. But in that neurotransmitter module that we have.

536
01:06:57.210 --> 01:07:13.630
Dr. Ritamarie Loscalzo: I have the short, they're basically shorter versions of the Braverman thing. So if this person is having a hard time, you just have her do that. And then, if you really like suspicious, and you want to go further. But you could use those as well, whichever you think she's going to be compliant with.

537
01:07:13.950 --> 01:07:31.760
Lisa Pressey: Yeah, we're just trying to go kind of slow, but at least I do, ever eating more vegetables and kind of adding more nutritious, nutrient dense as opposed to. I'm like, don't go and just eat this calorie dense crap that's like literally going to kill you because it's going to suck the life out of you.

538
01:07:31.920 --> 01:07:58.529
Dr. Ritamarie Loscalzo: Yeah. And if you give her one thing to try, but also, if you do, these neurotransmitter quizzes, I mean literally, you can do those in 10 min right, the ones that I, the shorter versions. Then you can pull out the book that he has, and you might go. Oh, let me. Just see if I can get her to add this particular food that's supposed to be a power food for this particular neurotransmitter imbalance. Those are kind of things. It's always easier to get people to add things than to take things away.

539
01:07:59.040 --> 01:08:08.379
Lisa Pressey: Yeah. And that's why I told her, I don't want to take stuff away from you, because you already have food issues. So I don't want to do that, because I think that would really hurt her more than help.

540
01:08:08.380 --> 01:08:12.210
Dr. Ritamarie Loscalzo: Try it for try ask her to do a 3 day dairy elimination.

541
01:08:12.460 --> 01:08:12.790
Lisa Pressey: Okay.

542
01:08:12.790 --> 01:08:13.180
Dr. Ritamarie Loscalzo: And.

543
01:08:13.180 --> 01:08:14.595
Lisa Pressey: He's looking for like

544
01:08:15.150 --> 01:08:26.060
Lisa Pressey: I've got to find good alternatives, because, you know, she she went, and she tried to almond milk, but it was unsweetened. And I'm like, if you're not used to that, you're you're not.

545
01:08:26.340 --> 01:08:31.509
Lisa Pressey: You just tried to have those foods at all for 3 days.

546
01:08:31.769 --> 01:08:38.739
Dr. Ritamarie Loscalzo: What if you go without milk? What if you go without cheese? What if you go without anything that resembles dairy for 3 days?

547
01:08:38.939 --> 01:08:40.389
Dr. Ritamarie Loscalzo: I mean, it's not gonna kill you.

548
01:08:40.390 --> 01:08:45.240
Lisa Pressey: I said, and she said, That's gonna be really hard. And I said, Well, and you said, I'm studying.

549
01:08:45.240 --> 01:08:49.050
Dr. Ritamarie Loscalzo: Harder than having headaches all the time, which is harder.

550
01:08:49.050 --> 01:09:03.379
Lisa Pressey: I presented that. Do you want to continue to have a throbbing headache by the end of every day? Or do you want to get to the bottom of what this problem really is, because nothing else you've tried has worked. So you gotta.

551
01:09:03.380 --> 01:09:03.790
Dr. Ritamarie Loscalzo: That's.

552
01:09:03.790 --> 01:09:05.249
Lisa Pressey: Dig a little deeper.

553
01:09:05.439 --> 01:09:07.060
Lisa Pressey: So that's okay. I'll do that.

554
01:09:07.639 --> 01:09:13.919
Dr. Ritamarie Loscalzo: Thank you. Give it a try. Good luck, you know. It's always hard to to work with people who are

555
01:09:14.019 --> 01:09:25.499
Dr. Ritamarie Loscalzo: close minded. My favorite clients. I don't take on clients like that because it's just not. My favorite clients are the ones that say, Okay, tell me what to do, and I'll do it right. I I love working with those. And

556
01:09:25.649 --> 01:09:37.099
Dr. Ritamarie Loscalzo: I it's just amazing how to. You know, I had one. Write to me today, hey? I had avocado and sauerkraut for lunch today, because we just talked about that last night. And she was like, Yeah.

557
01:09:37.389 --> 01:09:56.419
Dr. Ritamarie Loscalzo: you know, it's they're willing. And and we did a a metabolomics, and she had a lot of heavy metals, and I went through, and her her favorite foods, chocolate and hijiki were high in the mineral in the metals that she was high in, and she's like, Oh.

558
01:09:56.659 --> 01:10:15.249
Dr. Ritamarie Loscalzo: she's she's she's off of it right? She's willing to do it, because her test said this was part of her toxicity, and she has Hashimoto's, and you know she wants her antibodies to go down. So you know there's a willingness. Those are the people we want to. We want to foster that kind of thing. You know that kind of relationship.

559
01:10:16.009 --> 01:10:20.419
Dr. Ritamarie Loscalzo: Your problem is, you always work with people you're friends with, and those are the hardest ones.

560
01:10:21.979 --> 01:10:23.689
Dr. Ritamarie Loscalzo: Yeah, yeah.

561
01:10:24.139 --> 01:10:45.849
Dr. Ritamarie Loscalzo: I had a friend. We had a friend visiting us last week, and she went back and we had a conversation, and her husband had just had a coronary calcium score, and it was like 113, and she was concerned for him, and he was concerned, and his doctor, and then he had some other numbers that were off, actually said to him, I think you need to go on a more plant-based diet.

562
01:10:45.939 --> 01:11:03.779
Dr. Ritamarie Loscalzo: and so, while they were here, he was ordering like what we would order when we went out to dinner. Right? Oh, I'll have the Vegan option right? And then she went and got her test because we had a conversation. I gave him a long list of other tests that were missing. She had her stuff tested, and she has insulin resistance markers.

563
01:11:03.889 --> 01:11:25.128
Dr. Ritamarie Loscalzo: And she actually wrote to me she was, I'm really I'm serious. I really want to know. So she she actually went and ordered fasting while feasting, and paid for it. She didn't ask for me, for free. She paid for it like what $27, or whatever it was. But then, you know, she wanted to know what she should do, and I gave. I gave her the guide from

564
01:11:25.589 --> 01:11:34.089
Dr. Ritamarie Loscalzo: sweet spot, you know. With all the recipes. And I said, you just have to follow this. But what I'm thinking I don't want to work with her

565
01:11:34.539 --> 01:11:36.319
Dr. Ritamarie Loscalzo: because she's a friend

566
01:11:36.769 --> 01:12:06.329
Dr. Ritamarie Loscalzo: and she's not going to be, you know. She's gonna be okay. I just want to have my my pizza over here, and I just want to have my wine over here, and I just want to have, and I don't want to be the one that's putting stops on my friends. I can do it with strangers who come to me and pay me good money. But I'm not going to charge my next door neighbor to work with me, and I'm not going to work with her for free, and I'm certainly not going to work with her for free or paid. If she's not going to do what I asked her to do.

567
01:12:06.399 --> 01:12:11.049
Dr. Ritamarie Loscalzo: You know what I'm saying? So it's harder working with friends much harder.

568
01:12:12.859 --> 01:12:35.099
Dr. Ritamarie Loscalzo: but I'm keeping my fingers crossed. I sent her to. While while she was gone her back went out on her, and she always comes to me. Oh, my back's hurting! Can you help me, and I'm not home, and she's leaving on a trip before I get home. So I sent her to a friend of mine, who also is into nutrition, so I might, you know, skirt the thing, and you know, kind of say, oh, she can help you with this.

569
01:12:35.679 --> 01:12:38.949
Dr. Ritamarie Loscalzo: because it's hard. It's really hard. You don't work with your husband.

570
01:12:39.489 --> 01:12:49.869
Dr. Ritamarie Loscalzo: That's a hard one, right? You're your wife or your mother or your daughter right? It's hard because they don't want to listen to you, and then you you. It puts a strain on the relationship

571
01:12:49.999 --> 01:12:55.889
Dr. Ritamarie Loscalzo: because you're pissed at her, because, you know, you can help her. But she's not willing to do what? Yeah.

572
01:12:56.279 --> 01:12:57.839
Dr. Ritamarie Loscalzo: so good luck.

573
01:13:00.589 --> 01:13:02.769
Dr. Ritamarie Loscalzo: Alright guys, anything else?

574
01:13:04.799 --> 01:13:05.829
Dr. Ritamarie Loscalzo: Nothing.

575
01:13:06.629 --> 01:13:15.223
Dr. Ritamarie Loscalzo: Oh, we're at time perfect timing. I'm gonna be back home next week. I don't know what calls we have next week, but I'm gonna be back home next week.

576
01:13:15.619 --> 01:13:29.494
Dr. Ritamarie Loscalzo: we are going to be moving to a new membership site. Probably my guess is, by the middle end of May. I'm excited about it. It's like got a lot more features and search features, and

577
01:13:29.909 --> 01:13:55.799
Dr. Ritamarie Loscalzo: I'm excited about it, but we're going to ask your patience as we move it. They're like, I got everybody tagged. So if you've been going through your stuff, and you've passed certain exams we're going to do careful, making sure that everything is still there. But be patient with us if it goes a little sour, but it's going to be worth it in the long run, because it's a lot. It's a lot better platform and a lot better, you know. Follow ups and stuff like that.

578
01:13:56.733 --> 01:13:58.339
Dr. Ritamarie Loscalzo: Yeah. And.

579
01:13:58.340 --> 01:13:59.520
Maria Horstmann, MBA, FDN-P, BCFWP: What is the name of it?

580
01:14:00.220 --> 01:14:10.869
Dr. Ritamarie Loscalzo: Well, well, it's the same way. It's gonna be the same URL. But in the platform we're using will be a combination of something called Membrium Membrium, and

581
01:14:10.870 --> 01:14:30.929
Dr. Ritamarie Loscalzo: learn, dash and learn. Dash is a true education platform, where it like what we've done on the platform we have is just take a membership and try to make it that way. But it'll keep track of things a lot better. So we're excited about it. And it's also gives us the ability to be able to pull certain modules out

582
01:14:30.930 --> 01:14:37.824
Dr. Ritamarie Loscalzo: and offer them as a separate, like a lead in like, you don't have to sign up for the whole program. Just sign up for

583
01:14:39.210 --> 01:14:56.300
Dr. Ritamarie Loscalzo: whatever it is, blood, chemistry, analysis, or whatever. So it's gonna give us more flexibility in terms of people going through in different ways. So we're keeping our fingers crossed that it works that way. But it's always a little bit of a hiccup when you move from one platform to another. So

584
01:14:56.490 --> 01:14:59.069
Dr. Ritamarie Loscalzo: you'll be patient with us. Right? Yeah.

585
01:15:00.880 --> 01:15:04.370
Dr. Ritamarie Loscalzo: yeah. Alright. Guys have a great

586
01:15:04.550 --> 01:15:15.220
Dr. Ritamarie Loscalzo: the rest of the week. Wish me luck on my last. I have 2 more days of being on the beach, and then I gotta leave. I might not be in a happy mood next week, but.

587
01:15:16.120 --> 01:15:17.349
Maria Horstmann, MBA, FDN-P, BCFWP: You will survive.

588
01:15:17.530 --> 01:15:23.829
Dr. Ritamarie Loscalzo: I will survive, and it'll be, you know. It'll be January before you know it, and I'll be back hopefully.

589
01:15:23.830 --> 01:15:24.520
Maria Horstmann, MBA, FDN-P, BCFWP: Yes.

590
01:15:24.520 --> 01:15:25.920
Deborah N: Yeah, you have a nice tan.

591
01:15:25.920 --> 01:15:26.590
Maria Horstmann, MBA, FDN-P, BCFWP: Thanks! Damn.

592
01:15:26.860 --> 01:15:32.259
Dr. Ritamarie Loscalzo: Yeah, it's hard not to. I. I go out and run 1st thing in the morning and.

593
01:15:32.780 --> 01:15:34.360
Deborah N: That's good. You look really healthy.

594
01:15:34.820 --> 01:15:43.993
Dr. Ritamarie Loscalzo: Thank you. Thank you. I feel that way right after my bout with adrenal fatigue at the beginning of February, that I misdiagnosed as Parkinson's.

595
01:15:45.600 --> 01:15:46.170
Deborah N: What?

596
01:15:46.670 --> 01:15:55.199
Dr. Ritamarie Loscalzo: I I had this issue where I woke up, and I was all you know. I had a fever. According to my aura, it said, you have signs of whatever. And I

597
01:15:55.400 --> 01:16:15.149
Dr. Ritamarie Loscalzo: I started to, you know I just like tried to rest and all that. But I was having hard time lifting weights after that, and I was shaking a lot after that. And then I realized it. And it's a very interesting way. I realized I I felt I had to get on a webinar, and I was like I felt terrible. And I'm like, How am I going to make it through this webinar?

598
01:16:15.460 --> 01:16:20.389
Dr. Ritamarie Loscalzo: And I went through the webinar at the end of the webinar. I felt way better than I did at the beginning.

599
01:16:20.540 --> 01:16:37.199
Dr. Ritamarie Loscalzo: and then 2 and 2 hit. Oh, cortisol. I just got myself shot up with cortisol. That's what has been keeping me going. And my body's saying, Okay, not enough. And then, right after that, I was like and shaky, but I was literally shaky like when I was trying to lift heavy weights.

600
01:16:37.270 --> 01:16:52.309
Dr. Ritamarie Loscalzo: And I'm thinking, do I have Parkinson's what the heck is going on. But I realized what it was, and I started really upping my adaptogens and my amino acids and all that. And I'm actually fine right now, and I'm back to, you know. Longer runs and heavier weights and all that kind of stuff. So.

601
01:16:52.320 --> 01:17:13.099
Dr. Ritamarie Loscalzo: But you know it can hit you if you've ever gone through an adrene, and I know we're not supposed to call it adrenal fatigue anymore. But whatever, if if you've ever gone through that situation, I know, Maria, you did one, you know, years ago, and you're like, if you just keep being the push push, you're going to go further and further down, and I recognized it. And I realized that

602
01:17:13.220 --> 01:17:16.359
Dr. Ritamarie Loscalzo: we have to take care of ourselves

603
01:17:16.850 --> 01:17:18.900
Dr. Ritamarie Loscalzo: so that we can take care of other people.

604
01:17:19.000 --> 01:17:24.976
Dr. Ritamarie Loscalzo: Right? So I'm feeling fine now, and I'm going home, I think, stronger, and with a

605
01:17:26.080 --> 01:17:28.529
Dr. Ritamarie Loscalzo: with an awareness of limits.

606
01:17:28.680 --> 01:17:44.189
Dr. Ritamarie Loscalzo: I'm not doing, you know, all night long. Stay up all night to get things done. I'm respecting the get to bed at a certain hour, get enough sleep, take breaks throughout the day to do heart math and breathe

607
01:17:44.430 --> 01:18:00.179
Dr. Ritamarie Loscalzo: because my ordering was telling me I was stressed all the time. And I think that we just need to take care of. We just need to think about ourselves and putting ourselves 1st and taking care of ourselves and not pushing, not pushing too hard. Okay, yeah.

608
01:18:00.980 --> 01:18:05.500
Dr. Ritamarie Loscalzo: So thank you for listening and for being here and for all your

609
01:18:05.730 --> 01:18:15.589
Dr. Ritamarie Loscalzo: wonderful work in the world, because people need it really badly. They need it really badly. Okay. And we're the. We're the beacons who are going to change all that.

610
01:18:16.270 --> 01:18:20.350
Dr. Ritamarie Loscalzo: Alright. So those of you who have not finished your

611
01:18:20.570 --> 01:18:33.759
Dr. Ritamarie Loscalzo: your certification yet keep moving it because we want to get more and more of you out there and get you certified. And the certification process is

612
01:18:34.380 --> 01:18:58.410
Dr. Ritamarie Loscalzo: as much or more learning than going through the program right? Because you're really being it's very practical. People have said, Oh, my God! This was such a great learning experience, and you'll get assigned to your mentor. You get, you know, one on one time with them to help you to write your papers and do your your what do you call them your case studies. And it's going to be a great learning process. So

613
01:18:58.560 --> 01:19:08.339
Dr. Ritamarie Loscalzo: okay, so those of you who are close, who I know need to do it. Let's see. Get it done. Okay.

614
01:19:09.410 --> 01:19:11.889
Dr. Ritamarie Loscalzo: okay, take care. Everybody.

615
01:19:11.890 --> 01:19:12.210
Maria Horstmann, MBA, FDN-P, BCFWP: Bye.

616
01:19:12.210 --> 01:19:13.930
Dr. Ritamarie Loscalzo: See ya bye.

617
01:19:13.930 --> 01:19:14.640
Maria Horstmann, MBA, FDN-P, BCFWP: Bye.