Gutsy Chick Podcast

Burnout, Boundaries & the Cortisol Convo We All Need

Amanda Smith Episode 72

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In this episode of the Gutsy Chick podcast, I’m joined by the powerhouse Dr. Emily Kiberd for a deep, honest convo about stress, cortisol, and the very real impact they have on women’s bodies—especially if you’re dealing with thyroid or autoimmune issues. Emily shares how she went from running a booming chiropractic clinic to creating her online program, Thyroid Strong, and why learning to work with your stress (instead of fight it) is a game-changer.  

If you’ve ever felt burned out, stretched thin, or like your body’s not responding the way it used to—this one’s a must-listen. 

 

In this Episode:  

00:00 Introduction to Cortisol and Chronic Health Conditions 

03:02 The Balance of Stress and Cortisol 

05:54 Understanding Stress Responses 

08:59 The Connection Between Cortisol and Thyroid Health 

12:03 Strategies for Delegating and Asking for Help 

15:04 The Impact of Thyroid Conditions on Voice and Expression 

18:04 Cortisol Dysregulation and Its Effects 

21:01 Supplements for Cortisol Management 

23:59 Movement Practices and Nervous System Regulation 

26:59 The Birth of Thyroid Strong Program 

29:58 Empowering Women with Autoimmune Conditions 

32:59 Parting Advice for Gutsy Chicks 


Here’s how to connect with Dr. Emily Kimberd: 

Instagram: https://www.instagram.com/dremilykiberd 

Instagram: https://www.instagram.com/thyroid.strong/ 

Website: https://dremilykiberd.com 

Email Dr. Emily Kiberd: hello@dremilykiberd.com 

 

Other links mentioned: 

The Secrets of Body Whispering Private Podcast: https://bodywhisperhealing.com/private-podcast 

Watch Gutsy Chick Podcast on YouTube!

Check out more from Amanda:
Website: Body Whisper Healing
Instagram: @Amanda.G.Smith
Facebook: Body Whisper Healing
Pinterest: AmandaGSmithBWH
LinkedIn: Amanda (Ritchie) Smith

Take the Gutsy Chick Quiz to find out how your type A, high achieving mindset might be holding you back from healing your chronic health issue: https://gutsychickquiz.com





Dr. Emily Kiberd thank you so much for being on the Gutsy Chick podcast with me and diving down this lovely topic of cortisol and chronic health conditions. Thanks so much for having me. Happy to be here. Okay, so 18 years of being a chiropractor, you have a seven figure brick and mortar business and decided it's time to go online. Was that a stressful thing or was it calming thing? That was like uh killing off my first child. My clinic was my first baby and then I had babies. So, but my living babies, my two children, uh always got mommy at like 50%. They never got mommy 100%. So yeah, I think shifting away from brick and mortar, always having some mom guilt, which can create some low grade stress for sure, was the best thing I ever did. drop them off at school, pick them up, set my own hours, be present with them. Totally worth it. it, isn't it fantastic to be able to just like be able to balance both things. Ooh, my Wisconsin accent just came out. It's so nice. I do the same thing. Like I left the aerospace industry so that I could have space for my business and have space for my family. Pick up my daughter from school, take her to school every morning, be there for her when she's done with school so I can harp on her to get her homework done. Yeah, yeah, yeah, I think that low grade stress that's always there is not good for us. Stress is not meant to be that way. It's meant to be short term, quick doses and then go back to that rest and digest and everything's okay and the world is okay. But that's not really a reality. If we did like 80, 20, 80 % of the time calm, everything's okay. We're in the parasympathetic 20%. know, cortisol stress is meant to get us moving. And I don't know, I know very few people that have that ratio that it's not inverse where in actuality 80 % of our day is like, and it's really that like low grade, like there's a little fly in the room or a little mosquito that's just irritating us all moments of the day. love that you bring this up because people are like, I've got to get rid of all of my stress. And no, we need that to actually do the damn thing to get out of bed. need cortisol, but for some people it's, it's this like, it's their job to be stress free all the time. And then they are, they're fighting so hard to do that. And just like you said, it becomes that little mosquito or gnat. that's gonna zzz in your ear and just perpetuate it. Yeah, I think stress gets a bad rap. I think cortisol gets a bad rap. I think stress is like de-stress, meditate, go for a walk, journal. And like you said, we need stress to get us moving. We need our cortisol to be high in the morning to get us out of bed and get us ready for the day. And I think a lot of people assume that when cortisol is high, it is bad. And I think when people assume cortisol is low, maybe it's better, but it can also be to a detriment. because people can have high cortisol and be exhausted and they can have cortisol that is flatlined and also be exhausted. yeah. the connection between cortisol and stress? Why do those two always get paired together? Like they're the same thing. Yeah. So our adrenal glands release cortisol. is our stress hormone and it really should follow. say cortisol is like the sun. It gets us out of bed. It peaks 30 minutes later and then it goes down as the day goes on. And as it dips later in the afternoon, melatonin is like the moon. Melatonin puts us to bed and melatonin will increase as cortisol goes down. And so think of cortisol like the sun, it's following the patterns of the sun and melatonin is like the moon. And so when cortisol is chronically elevated, then it starts to affect the rest of our body. It affects our thyroid gland. our muscle tissue, our reproductive hormones, our gut, our immune system. And over time, when cortisol is elevated chronically, now the body basically starts to break down. But if cortisol follows more the pattern of the sun, it can be very beneficial, not only getting us out of bed, but cortisol can be anti-inflammatory. Cortisol... um has so many benefits. And so I think if we leverage it to our advantage versus vilifying or shunning it or being like, don't stress me out or, you I used to be, I used to teach yoga in addition to owning my clinic. And every time I would get stressed, I would notice this internal. reaction that I trained myself to do. So when I would get stressed, and this was back in my early 30s, I'm 44 now, I would crave my meditation cushion. I would be like, flight, freeze, give me a meditation cushion. And I was like, wow, that really does not serve me well if I wanna have a difficult conversation and get to the other side. If I want to renew my office lease and negotiate the best deal and have that, temporary stress, craving a meditation cushion is not going to serve me in the highest. So part of the process was, okay, how can I use stress? How can I leverage cortisol to my advantage to get me to the other side? Because I'm sure you've heard sometimes the only way to the other side is through. Yeah. gosh. Craving the meditation cushion. Yeah. I've been there when I was doing aerospace, I became a yoga instructor and balancing those two things. Look, I didn't have the Wisconsin accent this time. Balancing those two things out was really difficult because I did want to cave up so many times and just go that that's where I need to be in order to come back to center. That's where I need to be to chill all of this. high stress out. And yeah, I had to be in meetings. I had to, you know, go pick up my daughter from school and not be confrontational with the people at that school. Not, you know, want to rip my own hair out constantly. Yeah, I mean, think about how we show up to stress. There's four responses. There's fight, flight, ah freeze, and then fawn. Fawn is like people pleasing. And so if you start to recognize yourself defaulting into one of those responses or patterns, you can recognize it and now choose a different action or choose a different way to show up. Think about the high achievers in the world. ah We could talk about the Navy SEALs. The high achievers, oh control or only care about what they can control. And they show up. ah There's a couple ways that people show up and Navy SEALs, I'll tell you which one they show up as. So typically it's fight or flight. um There's tend and befriend, which is like get together in community and kind of like winch together. That's a lot of women do that. And then there's show up with courage. And courage requires taking action. Recourage requires problem solving. And so like the high performers, the Navy SEALs, they show up with courage. And when there is a stressor, they don't hang out there and ruminate and like talk about it with their guy friends. They experience the stress, move through it, and then drop back into a regulated calm state very quickly. And so how can we as women with autoimmune conditions do the same? How can we do that when we get an email that irritates us or a difficult conversation with the school is step into that place of stress, move through it, use it to our advantage, but then also drop very quickly into, okay, everything's okay, I'm safe and not linger in that long-term stress high cortisol state. love it love it thank you for that knowledge drop all right so how did you become such an expert in stress and cortisol Well, running a team of 10 and a seven figure clinic in the heart of New York City will do it. Also running like a corporate wellness division of the clinic and a movie division will also do it. And then having kids to layer on top of that. So I got burnt out very quickly, burning the candle both ends, not sleeping, breastfeeding my kid till he was 17 months old. um And so I think... you know, giving myself an autoimmune condition Hashimoto's, which is a autoimmune thyroid condition will all make you choose very quickly. How can I do this better? How can I do it different? How can I hire help take things off my plate um to find more of a balance? And I don't really believe in like work life balance. I think, you know, if you love what you do. It's just part of life. to, yeah, I think to start to move things off your plate to hire team can all help really shift going from a freeze state and feeling very overwhelmed to. moving through it, taking action and being like, like just 1 % shift in moving the needle can make such a huge outcome. It doesn't have to be like, let's burn this clinic to the ground, right? It can be just a 1 % shift. And wow, it's like the blinders come off and the doors are open for something new. Yeah. What are some strategies that non-business owners can grasp onto when it comes to delegating? Delegating. Well, I think as women sometimes we have to teach the people around us how to treat us. So I'll give an example of my husband. He is super helpful, but I always had to ask him and I never wanted to, like kind of using my voice. Like I would be in my head like cleaning the kitchen and like, why isn't he helping? And I'd put the last dish in the dishwasher and he'd be like, do you need some help? I'm like, why don't you ask me when I put the first dish in? ah And so I started to speak up and that was really challenging to use my voice because I wasn't really trained to do that as a kid. It was like, you see a need, you fill it, you do it, you put it on your plate, move on. And so asking for help and then training him to be like, okay, I, I, sees a need and fills it without me asking. And we kind of get into this like flow and rhythm as a team and as partners moving through this world raising two kids. So I think as a non-business owner and I think as a mom and a woman and entrepreneur who has two kids, that is one of the strategies is like you teach people how to treat you. And part of that is using your voice and speaking up. I also think letting go is part of that process. Like no one had kids to have a perfectly Spotless house like right. No one was like I'm gonna have two kids and like my house is gonna be tidy every second of the day Which is not it looks like a tornado came through and so, you know, think for some personality types It could be really irritating I also think you can train yourself to let go and really keep your eyes on the prize of what's really important, which is Your kids are happy. They're healthy. They're learning they're playing ah You know if the house looks like a tornado every now and again, it's okay Yeah yeah. As I'm standing in my office going, Lord, it's tornado. And that's because this is the office, the craft room, all the things and school's about to end, thankfully. So, and by the time this airs, most people will have their kids out of school. So you're going, my gosh, they're going to be home all the time. My house is going to be a disaster. Yeah. And that, that, that first tip that you gave speak up. Holy cow, how hard that is for so many people. I had Jeremiah DeRosa on, oh let's see, four episodes ago or so, and we were talking about activating the throat. And he does it through sound therapy. He does it through teaching people how to really harness the gift of singing so that you can speak your truth. Let's layer on top of that what you deal with now, which is women who have Hashimoto's, which is a thyroid issue and the thyroid sits right there in the throat. How does that play out in women speaking their truth if they have a thyroid condition? Yeah. mean, think about it. They're not using their voice. ah If they are taking on too much, if they are burning the candle at both ends, if they are high stress all the time, not just tapping into it and then dropping back down, it will cause inflammation of the thyroid. A lot of women I see typically before they got their Hashimoto's diagnosis had a traumatic event. you know, mom died, brother died, sister died, divorced, terrible breakup where maybe they couldn't use their voice or they felt stuck in that area. If you think about, for example, like you were talking about your guest who used uh sound, if you think about humming, humming is stimulating the palate, it's stimulating around the vagus nerve, which can help us drop back into that calm parasympathetic state. And so, you know, there's one perfect example of stimulating that area through vibration of your own vocal cords to be able to access that part. So for example, a lot of the women I work with want to put on muscle, they want to strength train, which is very hard. It's hard to put on muscle with Hashimoto's being hypothyroid, because every cell in the body needs thyroid hormones. And so when let's say you did eight deadlifts, right? And your heart rate is up and your breath rate is up and you're kind of dizzy and you're like, my God, how am gonna get through this? How can you drop back into like, I'm okay. How can you bring the breath rate and the heart rate back down? Well, I have my women hum and between sets. They can sing too. Sometimes they're at the gym, so they're like, I'm just gonna hum. And when you hum, it forces your exhale to be twice as long as your inhale. And so when you look at people who are experts in teaching breathing, the breath out to put us back into the parasympathetic, the calm state, should be twice as long as the breath in. So for example, box breathing where it's four counts in, hold for four, four counts out, hold for four is actually not really putting you back into the parasympathetic because it's equal four to four. So I like people to work into like four count breath in, eight counts out. If you hum for like 10 seconds, you will feel your whole body like, ah. So that's how I use it with the autoimmune population, specifically around the workouts. And when I'm working with them one-on-one, it's, yeah, we're talking labs, we're talking supplements, we're talking gut parasites mold, but we're also talking like, wow, you're working multiple jobs, coming home, throwing dinner together. You have two teenage boys, they can't help throw dinner together. You know what I mean? So how can we start to speak up, ask for help, use our throat chakra to, yeah, get some stuff off our plate. Wow. Okay. So you mentioned thyroid hormones earlier. You said cortisol sits in the adrenal glands. The adrenal glands sit on top of the kidneys. That's not my throat. What are the hormones in the thyroid that are getting thrown into the body to set off cortisol? Yeah. So the thyroid gland secretes T4, which is the inactive thyroid hormone in T3, which is the active, uh mainly secretes about 80 % of the inactive. And so you need your body to convert it to the gas, to the active form to get you going, right? So when we have more T3 circulating in proper amounts and proper proportions, weight loss is easier. our hair's not falling out, brain fog, like our brain works. And when our cortisol is chronically elevated, it will inhibit the enzyme that helps conversion. So it like blocks conversion, right? And then we have an elevation of something called reverse T3, which is like if T3 is like the gas to get us going, makes our brain work, makes us lose weight, makes our metabolism go, reverse T3 is like the breaks. And so, yeah, like, but that is not just stepping into having high cortisol and dropping back out. It is chronically elevated. And so when I think, okay, chronically elevated, chronically stressed, what's gonna move the needle? It's typically taking some action. It's not sitting in it and ruminating in it. So, and that's where we show up with courage. So. And that could be like showing up with courage could be finding an amazing provider that's gonna help you lose weight and optimize your thyroid hormones and figure out your cortisol. You could use supplements to raise your cortisol. You can use supplements to decrease your cortisol. So that's one tool and then there's a mindset piece. oh What happens when your cortisol is low? Yeah, people are typically running on fumes. Okay, that's the burnt candle at both ends scenario. Yeah. So there's different stages of cortisol dysregulation. Typically, the first couple of stages are it will stay high, it will go high and stay high. It's not dipping down in the afternoon, like the sun. ah And then it's not like an unlimited amount of cortisol is made, right? It's not like there's always some gas. Eventually it burns out if you're always pushing on the gas pedal. And so then it starts to, sometimes it can start low and then go high in the afternoon. And that's when people wake up. They're like, I hit snooze 20 times, super tired. But then I go to bed at 10 at night and I'm like, bing, I can't go to bed. They're wired. And then usually it shifts into kind of a flat lined where they're tired all the time. ah And so when that happens, we really tap into supplements. We tap into potentially adrenal cortex. I always look at cortisol as like secondary to something. ah We look, yeah. It's what we see outwardly. Yeah. blood sugar dysregulation can mess with cortisol. And so how can we control or take action on what we can't control? like hitting your protein, always pairing your protein, uh your carbohydrates with a protein or fat. I tell my women, no naked carbs. If you're gonna eat a carb, pair it with a protein or fat so that we can not have this huge spike in glucose and then a crash and then insulin spiking and then eventually insulin resistance. ah So what can we do from a lifestyle perspective? Can we stimulate our muscle tissue not only by getting the right amount of protein but lifting weights to push excess glucose into the muscle tissue? Can we burn a little steam if we're You know, kids are going crazy. Mommy's gonna go work out. She'll be back in 20 minutes. Yeah. Daddy's got you. He's the other half of the puzzle. You know, and I think for people who start to have more of like a flatline cortisol, you start to see suppression of their immune system. You start to see them getting chronically sick. They're like, my god, I'm sick all the time. My kids bringing stuff home. And then you look at a salivary cortisol test, you're like, well, actually, Yeah, you're frightened out. both ends for a little while. Yeah. You mentioned supplements a couple of times. This is obviously not us diagnosing anyone. What are some supplements that you use to bring up cortisol or suppress cortisol? Yeah, licorice root is a great way to increase cortisol. uh Phosphatidylserine will help decrease cortisol, bring it back into homeostasis. um I also sometimes play with supplements that are the precursor to making all the hormones. So like DHEA, Pregnenolone. ah Those are some of the few. like bioflavonoids, vitamin C in that concoction, in that mix. If you've been on social media, they're like, my adrenal cocktail. And it's very heavy in vitamin C. ah So yeah, those are some of the supplements. Am I only looking at that? No, it's what's going on with your gut. Is there underlying gut infections? Do you have a parasite just adding load to the system? I see a lot of women with mold exposure. ah Even in Colorado. Really? Okay, right that time. We're both in Colorado, you guys. my God, the last five years I've done like four remediations on like three different houses. So it's dry, but all it takes is one leaking pipe or one leaking shower behind a wall to feed mold. And mold can grow within 48 hours of water damage. So yeah, humidity. ah with ACs working hard during the summertime to offset the 110 degree weather. Yeah, for sure. Yeah. Yep. Yep. I love that. Yeah, movement practices or restorative practices. Since you're a yoga instructor, I'm sure you're probably embracing some of those things as well. Do you still teach yoga? Yeah, me either. Yeah, I think it was a season of life and it fed the soul. And then I started getting some like low back pain, SI joint pain, overstretching. I was like, you know what, I really need to like do more strength training and kind of shifted to that. uh I will say a lot of clients that I work with, I will give them resources for nervous system regulation. So two of my favorites are your daily health app. uh Because a lot of times when we think about being stressed, we're like, okay, I gotta go meditate, I gotta go journal. And it's like this big act. But what if it could be tapping into eye movements or tapping on certain parts of the body that is stimulating the vagus nerve or breathing that could then get you out of it within like two minutes. It doesn't take 30 minutes. Another one I love is primal trust. lot of functional medicine doctors use that for, especially for the people who are in mold and are like super dysregulated. because mold and remediation and inspection can do that. That's another one I really love. Okay. I'm going to add those to the show notes because they are worthy of being noted. Thank you for those two. I am excited to check those out. You and I sound like we, do the same kind of stuff when it comes to helping people understand like you don't have to do this big elaborate thing, even though journaling can be like, you really just write one sentence. takes 10 seconds, but It's the act of sitting down to actually do that and getting your journal and getting your pen and, you know, getting conscious around it or, you know, just eye movements. How easy is it to do a VOR really quickly? Boom, boom, boom. And we're done. Hey, vestibular systems happy again. Hey. And it's such a quick shift in your state to then like I like to do it even before journaling because I need to shift my state before I sit down and brain dump ah Yeah Love that too. Okay. So you went from this brick and mortar as a chiropractor into the online world. I'm guessing you're not cracking people's backs anymore. No, not so much. mean, sometimes when I'm in New York City, because I always need a little dose, because now I'm in Volta Colorado, but I go to New York like once a quarter, and I'll just reach out to some of my favorite patients and see them. ah But yeah, yeah, I think, you know, I've been a chiropractor for 18 years and it's very physically demanding. Because I also do a lot of soft tissue work and I'm teaching people rehab and strength and. Good. You can't just crack a back and expect people to be better. Cause as soon as they stand up, bam, everything realigns right where it was. Unless we teach them more skills. Yeah, and I think a lot of potential physical pain, know, chiropractic gets a bad rap, because it's like, okay, your 24 visit care plan. I'm like, why does someone need to be seen that much? Like twice a week for life? That's insane. I'm more interested in giving them the tools to take care of themselves. And for example, I just saw a client, she had quote unquote, rib pain right mid back. But right, that is also a referral point for the gallbladder. And so what she was actually thinking was rib pain. And yes, she sits at a desk all day and she's hunched over, but she was getting her rib adjusted for a year was actually like a gallbladder issue. um And so, you know, working on her digestion, working, she was very bloated, HPY, lorac, SIBO, probably some of that bloating, like pushing up onto the gallbladder. Yep. Um, you know, parasites can live in the gallbladder. Most people think they just live in the intestine, but they can be in the gallbladder, the liver, working on that stuff. Like now she doesn't need an adjustment because she doesn't have gallbladder pain anymore. So I think for a clinician that's more biomechanical, like chiropractic, OTPT, you got to keep those things in mind. There's definitely got infections like bacterial overgrowth that can also lead to joint pain that have a higher propensity towards psoriatic arthritis. Um, and so. You know, I think after treating the biomechanical and seeing movement patterns for so long, I was like, okay, but what's going on on the inside that's presenting outside? A great example is frozen shoulder syndrome. Very common as women go through perimenopause, there's a dip in estrogen and sex hormones. There's a dip in thyroid hormones. And it is brutal, right? So frozen shoulder, you can't lift your arm, you can't brush your hair, you can't put your arm in a jacket. because it's literally, can't wipe your butt, it sucks. treatment is PT three times a week, and sometimes you can be doing that for two years. And if you optimize hormones, someone has the potential to get better so much faster and not have to be doing rehab for so long. And so that's a great example of like, wow, if you just optimize this person's thyroid hormones, not only are you saving the money by not going to PT three times a week, but you like, they can start to lift their arm overhead. Yes, the biomechanical piece is important. It should get treated, but so should the sex hormones and the thyroid hormones. Yeah. whole entire puzzle and not just your little section of it. That's where Western medicine really has started to fail us, is we don't have people that can see the whole picture. Yeah, and it takes a lot of training to do that. When I ask my family members who are surgeons and medical doctors, they've had two hours of nutrition. um Right, right. And so I think it's a great tool with the toolbox that they have if it's needed with surgical or medication and. there's so many like there's so many other providers that are looking at your body as a whole system, not just like your gut is one thing go see the ENT for your ears, nose, throat. It's like, oh, those are actually interrelated. Yeah. Yeah, crazy, right? Exactly. All right. Your online business. Thyroid Strong is your program. Tell us more about that. Yeah, so I was treating women with autoimmune conditions in my brick and mortar in New York City, and I was co-treating with different functional medicine doctors. So they were working on the inside and they were sending me, they're like, go put muscle on this person, get them out of pain, you know, let's go. And, you know, think about how many times if you do have an autoimmune condition, someone looked at you more than just your labs. more than just what supplements you're taking, more than just belly bloat. They actually looked at like, wow, there's a pattern here of these muscles are tight. These muscles potentially are hypermobile or joints are hypermobile. There's areas of weakness, low muscle tone, kind of looking like skinny fat. And that was what I was doing. I was like, wow, there's this trend of specifically women with Hashimoto's because it's a common autoimmune condition. unfortunately. Unfortunately, being like, okay, tight upper back neck, tension headaches, tightness in the mid back, sway back in the low back, sometimes hypermobility in the knees and the elbow joints. And so they all wanted to get massaged and get adjusted. And I was like, but you need strength. I was like, just trust me on this one. Let's just do it for the next six weeks. And they started getting stronger. They got better. The more muscle tissue you have, the more um ability to... turn over your thyroid hormones from the inactive to the active. And so You know, I was taking all these women that kind of felt like frail, skinny fat, overweight, not putting on muscle tissue, kind of feeling like a little bit of a victim, like, okay, this is just like how it's going to be. And it sucks to being really empowered and strong and putting on muscle in a way that doesn't make them fatigued. Right. And so I was like, wow, I'm kind of like saying the same things over and over again in terms of workout moves. And this is how you breathe and brace and lift a weight. And this is how you program. And I was like, listen, let's just put it in an online program. so that we can reach more women than just my little corner of New York City. And that was the birth of Thyroid Strong. It's like, how do you work out without the burnout? Because that's the biggest thing is they wanna lose weight. ah They want to not be tired. So they take the steps to lose weight, like, okay, I'm gonna like dial in my nutrition. I'm gonna start working out. And then they work out and they're like, I can't get off the couch for three days, because I'm like so tanked. How can you do it in a way where you're like walking this fine line? almost like a little bit of like a Goldilocks kind of workout where you're like stimulating the muscle tissue enough to get results and energy and you know, more calories at rest, turn your thyroid hormones over, but not so much that you're like, I was just hit by a bus. So that's Simon Strong. And then that kind of grew into like, wow, but these women also need functional medicine help. They need help with their gut. It's hard to lift weights when you're really bloated. It really sucks. Yeah, yeah, yeah. So, you know, working on that and different root causes related to that and just giving them more energy. You know, my big thing is if I can help someone get their energy back, they can do whatever they want with it. They want to go start a new business. They want to go have more sex with their man. They want to like play with their kids more. They want to like whatever that looks like. I like to start with energy first. Cause if you start with weight loss first, can feel. Depriving, even though I reframe it around like, let's put on more muscle. Like let's make you take up more space and the more muscle you have, the better life is. but yeah, I really try to get someone's energy back first. and then we can kind of dive into like body recomposition. Yeah. that's brilliant. ah Is there any parting gifts you would like to give the gutsy chicks that are listening to this episode right now? Oh, I mean, so many, I think one of the big ones is, you know, a lot of women don't feel heard by their provider and they get frustrated and they're like, I've seen everyone. I'm like, you haven't seen me, but the bigger, the really the 30,000 foot view is like, if you're not happy with your provider, find someone else, keep hunting. Like only you. Only you get to live in your body and experience everything that it's feeling and, you know, doesn't feel great and feels great. And so like be your own advocate because no one else is going to advocate for you other than you. So. Yeah, that's right. That's right. I love that. Dr. Emily, thank you so much for being on the Gutsy Chick podcast. This has been a phenomenal episode. I love everything that we talked about and I am excited for people to hear this. So thank you. Yeah, thanks for having me, girl.

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