Episodios

  • S4 Ep186: Reframing the Obesity Conversation with Dr. Robyn Pashby

    S4 Ep186: Reframing the Obesity Conversation with Dr. Robyn Pashby
    Oct 2 2025
    "The psychological aspects of having obesity are rarely recognized. The psychological burden that people carry outweighs the adipose tissue.” Robyn Pashby PhD This episode is a must-listen for anyone struggling with obesity, or who knows someone with obesity, or a healthcare clinician who has patients with obesity. The complex biology of why some folks have excess weight is just beginning to be fully understood. Having obesity is a complex interplay of biology and psychology, and it is time to stop framing obesity as a personal failure. The solution is not as simple as “Eat less, move more”. Dr. Robyn Pashby is a health psychologist with expertise in the impact of obesity on mental health and the impact of mental health on obesity. Today, she is joining me for a discussion on why we need to reframe the obesity conversation and how to do it. The training of a clinical health psychologist with expertise in obesity The language of obesity as a chronic diseaseThe impact of repeated traumatic experiences and shameWhy “dieting” is not obesity treatment Changing the internal narrative of “food noise” versus “shame noise”Why an underwear upgrade is importantSexual issues related to having obesityWhy telehealth obesity drugs can be problematicWhat a scale represents to someone with obesityGetting weighed in the doctor’s office- do you need to?What to say to someone who has lost a lot of weightHow to respond to someone who asks about your weightHow to get emotional support when being treated for obesityThe New Food Fight book Robyn Pashby, Ph.D. www.healthpsychologypartners.com LinkedIn Atlantic Panel Weight, What? https://www.youtube.com/watch?v=nzGaetHGnSY What We Carry https://www.youtube.com/watch?v=8jP9puLTXNM BOOK: The New Food Fight https://a.co/d/fpoanrC Obesity Action Coalition (OAC) https://www.obesityaction.org/ Your Weight Matters free regional conventions https://www.yourweightmatters.com/ Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. LINKS Subscribe To Dr. Streicher’s SubstackInformation About the COME AGAIN PodcastDr. Streicher’s CV and additional bio informationTo Find a Menopause Clinician and Other Resources Glossary Of Medical Terminology Books by Lauren Streicher, MD Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and painHot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSex Rx- Hormones, Health, and Your Best Sex EverThe Essential Guide to Hysterectomy Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.
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    55 m
  • S4 Ep185: The Science of Menopause and Mental Heath with Dr. Pauline Maki

    S4 Ep185: The Science of Menopause and Mental Heath with Dr. Pauline Maki
    Sep 18 2025


    Emotional lability, anxiety, crying jags. Welcome to perimenopause.

    70% of women experience depressive symptoms and alterations in mood when estrogen levels plunge or start to fluctuate. While many factors increase the risk, there is no denying that changes in hormone levels have something to do with anxiety, mood, and depression, even in people who never had issues before perimenopause.

    Dr. Pauline Maki is a world-renowned expert in menopause, mood, cognition, and the impact of menopause on the brain. She has authored hundreds of scientific articles and leads a National Institutes of Health (NIH) funded research program on women, cognition, mood, and dementia. In this episode, we take a deep dive into the science of why women have mood alterations and depression when estrogen levels start to fluctuate.

    In this episode:

    · What it was like to participate in Dr. Jill Biden’s White House Initiative on Women's Health Research

    · The difference between depressive symptoms, mood alteration and depression

    · The risk of recurrence if there is a history of depression during perimenopause

    · The risk of developing depression if there is no history of depression

    · The risk of developing mood alterations if there is no history of depression

    · Windows of vulnerability (pregnancy, post-partum, perimenopause)

    · What is occurring hormonally in the brain at the level of progesterone and estrogen receptors

    · The Science Behind Risk Factors for developing depressive symptoms or depression during perimenopause

    o Early menopause

    o BRCA mutations

    o History of major depressive disorder

    o Hormone sensitivity in the brain

    o Severe menopause symptoms

    o Childhood experiences

    o Current life stressors

    · Treatment Options for Perimenopausal Depressive Symptoms

    o No treatment- when will it go away?

    o Cognitive Behavioral Therapy

    o SSRIs

    o Hormone Therapy

    o NK3 Agonists

    o Progesterone?
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    1 h y 2 m
  • S4 Ep184: Sleep and Menopause -A Wake Up Call with Dr. James Simon

    S4 Ep184: Sleep and Menopause -A Wake Up Call with Dr. James Simon
    Sep 4 2025
    Hot flashes, vaginal dryness, and sleep disturbance are the three most common symptoms of menopause. Currently, there are over 20 FDA-approved products to treat hot flashes. There are roughly 10 FDA-approved products to treat vaginal dryness. There are zero FDA-approved products to treat insomnia due to menopause. Zero. My guest is Dr. James Simon, a clinical professor of Ob-Gyn at George Washington University and an expert on all things menopause. In this episode: How common it is for women to have new-onset sleep disturbances due to hormonal changes?Are Insomnia and sleep disturbance the same thingWhat happens in the brain to induce sleep and maintain sleepHow Cognitive Behavioral Therapy worksThe relationship between hot flashes and insomniaThe role of estrogen and sleepHow FSH is useful to evaluate sleep issuesThe role of progesterone on sleepThe role of melatoninNon-hormonal sleep disruptorsThe impact of chronic insomnia TreatmentsEstrogenProgesterone Anti-depressantsSleeping pillSex/OrgasmAdvil PM CBTSleep hygieneMelatonin MagnesiumL-ThreonateVasopressinPDE-5 InhibitorsNK Inhibitors Dr. James Simon https://intimmedicine.com/ Other episodes with Dr. Simon · Ep 98 Live from the Menopause Society Meeting · Episode 123 Hormone Therapy After Age 60 with Dr. James Simon · Episode 124 All Hormones Are Not Created Equal with Dr. James Simon Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. LINKS Subscribe To Dr. Streicher’s SubstackInformation About the COME AGAIN PodcastDr. Streicher’s CV and additional bio informationTo Find a Menopause Clinician and Other Resources Glossary Of Medical Terminology Books by Lauren Streicher, MD Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and painHot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSex Rx- Hormones, Health, and Your Best Sex EverThe Essential Guide to Hysterectomy Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.
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    59 m
  • S4 Ep183: Women Have Their Say About Sex After Breast Cancer

    S4 Ep183: Women Have Their Say About Sex After Breast Cancer
    Aug 21 2025
    If you are a menopausal woman and spend any time on social media, you are familiar with Dr. Corinne Menn. She is a trustworthy voice of science and evidence-based medicine in a sea of influencers who don’t always stick to the data. Dr. Menn is one of the authors of a recent study titled Women’s Insights on Sexual Health after a Breast Cancer Diagnosis. This study, published in the Journal of Clinical Oncology, asked 1,463 women with a breast cancer diagnosis about their sexual experience, including how the health care system either helped or, in most cases, failed them by giving misinformation, conflicting information, or no information We discuss study results, including The impact of breast cancer treatment on sexual function in generalThe most common symptomsThe effect of breast cancer on orgasm and pleasureThe impact on partnersTheir interactions with the health care system, including misinformation, conflicting information, and no information Link to Study: (There is a paywall but you can access the abstract) COME AGAIN, Episode 29 Cancer and Sex, is all about sexuality, not just after breast cancer, but for women living with any cancer diagnosis. (Release Sept 8, 2025) Dr. Corinne Menn https://www.drmenn.com/Insta: @DrMennOBGYNLinkedIn- https://www.linkedin.com/in/drmenn/ Substack- https://drmennobgyn.substack.com/ Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. LINKS Subscribe To Dr. Streicher’s SubstackInformation About the COME AGAIN PodcastDr. Streicher’s CV and additional bio informationTo Find a Menopause Clinician and Other Resources Glossary Of Medical Terminology Books by Lauren Streicher, MD Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and painHot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSex Rx- Hormones, Health, and Your Best Sex EverThe Essential Guide to Hysterectomy Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.
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    55 m
  • S4 Ep182: The TRUE History of the Vibrator

    S4 Ep182: The TRUE History of the Vibrator
    Aug 7 2025
    I have written many times about how in the 1800s, vibrators were not sexual items that women bought for themselves, but medical devices used by doctors to treat a medical condition then known as hysteria. The problem is- that’s not true. And be sure to check out my photo gallery of devices discussed in this episode! The popularly accepted history of the vibratorHysteria, and how it was treated in the early 1900sDr. Lieberman’s research What medical conditions electric vibrators were used forThe story continues..the mid-1900sThe re-launch of the vibratorSneak preview of Dr. Lieberman's upcoming book on GIGOLOS! Link to my Substack article with pictures of the devices https://drstreicher.substack.com/p/good-vibrations Link to my Guide to Buying a Vibrator https://drstreicher.substack.com/p/toy-story Link to my podcast episode on the current medical use of vibrators and why they work when nothing else does https://drstreicher.substack.com/p/episode-23-why-vibration-works-so?r=740mq Hallie Lieberman https://www.hallielieberman.com/ BUZZ: The Stimulating History of the Sex Toy https://www.amazon.com/Buzz-Stimulating-History-Sex-Toy/dp/1681775433 Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. LINKS Subscribe To Dr. Streicher’s SubstackInformation About the COME AGAIN PodcastDr. Streicher’s CV and additional bio informationTo Find a Menopause Clinician and Other Resources Glossary Of Medical Terminology Books by Lauren Streicher, MD Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and painHot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSex Rx- Hormones, Health, and Your Best Sex EverThe Essential Guide to Hysterectomy Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.
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    52 m
  • S4 Ep181: The FDA Roundtable on Menopausal Hormone Therapy- And Why I Declined to Participate

    S4 Ep181: The FDA Roundtable on Menopausal Hormone Therapy- And Why I Declined to Participate
    Jul 24 2025
    I was invited to participate in the FDA roundtable on menopausal hormone therapy. I declined. In this episode, I’m going to tell you why. A brief history of the FDAWhy there is a black box warning on all estrogen productsWhy the black box warning should be removed from all local vaginal estrogen productsPrior efforts to get the label removedHow product labels and warnings traditionally have been modified or removed at the FDAMy concerns and why I did not participate in the roundtable My article on increased sepsis when local vaginal estrogen is not used. https://drstreicher.substack.com/p/can-genitourinary-syndrome-of-menopause My Substack article on the FDA https://drstreicher.substack.com/p/crises-at-the-food-and-drug-administration?r=740mq Dr. Streicher is on SUBSTACK DrStreicher.Substack.com ArticlesMonthly newsletterAll COME AGAIN podcast episodes Monthly News Flash Reports on recent research Monthly Zoom Ask Me Anything Webinar Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. LINKS Subscribe To Dr. Streicher’s SubstackInformation About the COME AGAIN PodcastDr. Streicher’s CV and additional bio informationTo Find a Menopause Clinician and Other Resources Glossary Of Medical Terminology Books by Lauren Streicher, MD Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and painHot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSex Rx- Hormones, Health, and Your Best Sex EverThe Essential Guide to Hysterectomy Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.
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    26 m
  • S4 Ep180: The Six Pillars of Lifestyle Medicine with Dr. Dawn Mussallem

    S4 Ep180: The Six Pillars of Lifestyle Medicine with Dr. Dawn Mussallem
    Jul 10 2025
    Dr. Dawn Mussallem, a board-certified lifestyle medicine physician, was diagnosed with Stage 4 cancer at age 26, followed by a heart transplant. She walks the walk when it comes to healthy lifestyle choices. At the Mayo Clinic Breast Center, Dr. Mussallem is the go-to expert for how healthy choices not just prolong life, but also make life better.. not just for women living with a cancer diagnosis, but all women. Dr. Mussalem’s personal story- and how lifestyle medicine saved her lifeWhat Lifestyle Medicine isThe six pillars of lifestyle medicine that impact longevity and quality of life: Stress Management Physical Activity-and is there such a thing as overdoing it? Avoidance of Risky Substances Nutrition and the importance of maintaining a specific BMI vs body composition Restorative Sleep Positive Social Connections American College of Lifestyle Medicine- https://lifestylemedicine.org/ The Ethel Circle Facebook Group https://www.facebook.com/groups/theethelcircle/ Dr. Streicher is on SUBSTACK DrStreicher.Substack.com ArticlesMonthly newsletterAll COME AGAIN podcast episodes Monthly News Flash Reports on recent research Monthly Zoom Ask Me Anything Webinar Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. LINKS Subscribe To Dr. Streicher’s SubstackInformation About the COME AGAIN PodcastDr. Streicher’s CV and additional bio informationTo Find a Menopause Clinician and Other Resources Glossary Of Medical Terminology Books by Lauren Streicher, MD Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and painHot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSex Rx- Hormones, Health, and Your Best Sex EverThe Essential Guide to Hysterectomy Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.
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    54 m
  • S4 Ep178: Mid-life Nutrition: Tips and Tricks From a Dietician with Dr. Alexandra Filingeri

    S4 Ep178: Mid-life Nutrition: Tips and Tricks From a Dietician with Dr. Alexandra Filingeri
    Jun 26 2025
    Any mid-life woman knows that once you hit your 40s, 50s, or 60s, things will not go well if you eat the same way you did when you were 20. But it’s confusing to know what to eat, and how much to eat, without downloading multiple APPs and carrying around a calculator My guest, Alexandra Filingeri, holds a doctorate in Clinical Nutrition with a focus on evidence-based nutrition interventions, particularly in mid-life and menopause. In this episode, we cover practical nutrition tips- what to eat and how much to eat to maximize health aging. Dr. Filingeri also answered questions that came in from my Substack readers. By the way, my favorite frozen vegetables that I couldn’t remember the name of? Puravida Fire Roasted Vegetable Melange What changes post menopauseObesity, hot flashes and weight lossThe impact of insomnia on weightIndividual energy requirementsMacronutrients vs micronutrientsProtein supplements- yay or nayGlycemic indexSugar and belly fatGrocery store strategies Dr. Alexandra Filingeri is a Registered Dietitian with a Doctorate degree in Clinical Nutrition. During her doctoral studies, Dr. Filingeri focused on metabolic disorders, nutritional biochemistry, and clinical research methodologies, equipping herself to deliver evidence-based nutrition interventions. Her clinical expertise focuses on midlife nutrition and hormone-related health. Website: Nutrition by Dr. Alexandra – Beauty From The Inside Out Instagram: Dr. Alexandra Filingeri DCN RDN (@nutritionby_dralexandra) • Instagram photos and videos Linkedln: Alexandra Filingeri, DCN RDN - Registered Dietitian in Private Practice - Nutrition By Dr Alexandra | LinkedIn Dr. Streicher is on SUBSTACK DrStreicher.Substack.com ArticlesMonthly newsletterAll COME AGAIN podcast episodes Monthly News Flash Reports on recent research Monthly Zoom Ask Me Anything Webinar Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health. Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. LINKS Subscribe To Dr. Streicher’s SubstackInformation About the COME AGAIN PodcastDr. Streicher’s CV and additional bio informationTo Find a Menopause Clinician and Other Resources Glossary Of Medical Terminology Books by Lauren Streicher, MD Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and painHot Flash Hell: A Gynecologist's Guide to Turning Down the HeatSex Rx- Hormones, Health, and Your Best Sex EverThe Essential Guide to Hysterectomy Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.
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    58 m