Leaders in Frequency Specific Microcurrent Education

Episode One-Hundred-Eleven – David Musnick

FSM Podcast Hosts: Carolyn McMakin, MA, DC Kim Pittis, LCSP, (PHYS), MTSpecial Guest: David Musnick, MD https://peakmedicine.com/

Episode One-Hundred-Eleven – David Musnick.mp4: Audio automatically transcribed by Sonix

Episode One-Hundred-Eleven – David Musnick.mp4: this mp4 audio file was automatically transcribed by Sonix with the best speech-to-text algorithms. This transcript may contain errors.

Kevin:
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Kim Pittis:
Hello, everybody. I'm getting so proud of myself for starting these podcasts all by myself without Kevin's help. I'm going to wait for a few more seconds for everybody to join us live because we have a very special episode today. We have a good friend of mine joining us on the podcast. I feel like everybody that I get to interview, I always introduce them as my good friend, because going to the Advanced meetings that we have every year in Arizona, we have the opportunity to collaborate and meet with so many amazing clinicians, and the wonderment of FSM brings us together in one room. And the relationships that you form with other FSM practitioners are unlike anything else that I've ever experienced in the last 24 years of practicing. So I'm going to introduce that person while we're waiting for them to join us. It's going to be Dr. David Musnick. I'm super excited that he's going to be joining us. We're going to be talking about brain problems, brain structures, conditions regarding the brain. We have a whole bunch to unpack in the next hour or so. So right off the hop, if anybody does have any questions for Dr. Musnick, you can go ahead and start throwing them in the chat. Is Dr. Musnick taking new patients currently? I'll let Dr. Musnick answer that. I believe he is. He is practicing in Idaho right now. So for those of you who are lucky enough to be in Idaho and can go see Dr. Musnick live, that would be an amazing thing for you to be one of his patients, that's for sure.

Kim Pittis:
So we have a couple of questions coming in. Why don't I jump in and answer some of the ones while we're waiting for Dr. Musnick to rejoin us here? One of the questions that came in, why would the sleep protocol actually cause alertness with a patient? That's a great question. I would have to relook at the sleep protocol for me to answer that off the cuff, Denise, and then she had written the person does not have ADHD. So there's always an exception to every rule, right? Sometimes we have people like with Benadryl for instance, that should be sleepy. And some kids get really hyper when they take it. So I would have to see. I would have to break down. Oh, there's Dr. Musnick. There he is. One second. I'm going to promote him to panelist, and we should be off to the races here. I think we're good to go now. Dr. Musnick is joining us live. This is the fun part of recording a live show. So we're going to ask Dr. Musnick to start his camera and to unmute himself, and then he'll be with us. There you are. You're here. Very first before we start, everybody, please welcome Dr. David Musnick to our show. Like I said, we're going to be talking about brain health, brain injury. We're going to try to keep it streamlined to that today if we could, folks. And before we go any further, we all have to wish Dr. David Musnick a very happy birthday. I promise I would have…

David Musnick, MD:
Private chat or team event.

Kim Pittis:
Birthdays are a big thing in my house and you're my guest today. We're all sending you a happy birthday, love. Okay.

David Musnick, MD:
Thank you.

Kim Pittis:
I'm going to have you introduce yourself actually if you could. Please introduce yourself where you're working, what your background is, and how you found FSM?

David Musnick, MD:
Okay, so I'm a medical doctor and I am board certified in two fields and really three fields. I'm board-certified in internal medicine. I immediately went into sports medicine, so I'm board-certified in sports medicine. And then certified in functional medicine. And so I've got 28 years of experience in functional medicine. I'm very well-trained in functional immunology, which is autoimmune diseases and viral illnesses and all kinds of things regarding the immune system. And then, I'm trained in homeopathy in the French School of Homeopathy. I got into FSM in 2009 after a number of experiences where I was going to give a talk to 500 doctors at a functional medicine meeting, and I woke up at the hotel in Baltimore. The first one, I couldn't move my neck. I had a facet syndrome. Probably I couldn't move my neck. And so that I walked past where Carol was and I knew who she was, but I didn't. And then she said, hey, doctor, aren't you giving a talk today? I go, yeah, I'm going to the lecture hall. She goes, how are you? And I turn my whole body like this. I said, I'm fine. How are you? And she goes, you're not fine. You didn't even move your neck. So then I told her what happened, and then she treated me. And then I got up. I had full range of motion of my neck, and to this day, I can't even believe it because I couldn't move my neck.

David Musnick, MD:
The same thing happened a year later. So, then in 2008, the same thing happened with my low back. And then after that I said, okay, this worked twice. I better learn this. And most doctors don't go to 40-hour seminars, meetings. And then, you know, they might buy equipment. In those days, the equipment was very expensive to get started. I put $20,000 into a blue box and for CustomCare's. So anyway, that's how I got into it. But I ramped up very quickly. I was immediately asked to start speaking at the Advanced meetings. And what I did, which I think I was one of the first to do this, was I integrated functional medicine with FSM in my talks, so would pick different topics like insomnia, brain health, energy, joint health, all kinds of things, and give a talk like that. And my practice is in Eagle, Idaho. It's a place called FMI Center for Optimal Health. I was in Seattle until two years ago, but we have a really amazing clinic in Eagle, Idaho, and I do everything from FSM but I also do regenerative PRP, bone marrow aspirate, ultrasound-guided injections, prolotherapy I'm doing prolotherapy to stabilize hypermobile joints for a long time, 26 years. Carol and I have had some interesting conversations over the years because I think Prolotherapy is still indicated. I don't think FSM can build tissue. It doesn't. So I think there's good integrations with some of these regenerative injections and FSM and what I've done.

Kim Pittis:
FSM has a wonderful space to be used after injections like we see in professional sports. So definitely help. So I want to steer the ship a little bit. That's my job as the FSM podcast co-host. I just drive the bus for everybody. So I want to steer us into talking a little bit about concussion, traumatic brain injury, and maybe if you could, because we have a lot of laypeople that are listening, I think people interchangeably use those words concussion and traumatic brain injury. Could you please break down the differences between the two for us?

David Musnick, MD:
Yeah. So a traumatic brain injury is actually really when we have residual brain injury and residual problems with brain regions, whereas a concussion is more just hitting the head and having post-concussion syndrome, which may be neck pain, headaches, eye symptoms, dizziness, insomnia, different things, nausea, that's post-concussion syndrome. But if there's persistent dysfunction in brain regions like memory, focus of attention, finding words, speaking words, cerebellar dysfunction, all kinds of things, that's brain region dysfunction. That's traumatic brain injury. And traumatic brain injury can vary from mild, moderate to severe. The severe ones have bleeds in their brain and they need surgeries. But most of us are dealing with mild.

Kim Pittis:
And diagnosing these, I know that the concussion assessments that we see in sports have been a bit of a joke throughout the past few years. Where we are right now with diagnosing and assessing concussions?

David Musnick, MD:
There's a whole bunch of questionnaires that are being used and so I think one of the problems is I don't think most clinicians are screening well for them. Because I don't think you need to click off every box to say someone had a concussion. If someone had their head, if they hit their head and they saw stars and they've got a headache, they have a concussion. Now, if they just have a bone bruise, if they just have a bone bruise to the skull, that's different than it's just something hit them. They don't. Because a concussion involves the brain. It's not just the skull. One time I bought my head and I think I was going to have a big ache on my head from swelling. I use homeopathy, so I took a lot of arnica. I didn't have an ache there, but I didn't have a concussion. And I'll use some examples like that. It's not I'm going to use examples just among myself, because I've seen about 500 concussion patients or more. But I don't think it's that difficult to diagnose a concussion. But I think it's interesting. There's a lot of people have had concussions throughout their life. Like one time I slipped on the ice when I was working in Colorado, and just my whole occiput smashed on the ice. The other telltale symptom of concussion is being very sleepy for a day or more. That is not normal to be like that sleepy. So to tell you the truth, I don't think diagnosis is that interesting. I think the treatment part is really interesting because it's not they're not being treated well in most places. And that's why I really want to talk a lot about that. And I also want to talk to you a little bit about the crossover between cognitive impairment and concussion.

Kim Pittis:
Okay, I will let you.

David Musnick, MD:
Very interesting.

Kim Pittis:
Okay. Where would you like to start? The crossover or the treatment?

David Musnick, MD:
Crossover! I would like to start on what's the average treatment. So someone has this. You got to rule out a brain bleed if someone's having any progressive severe sleepiness. So they get that ruled out. And then they offered to go to the primary care doctor or the neurologist. The neurologists don't actually have a treatment plan for concussion. They will diagnose it. They'll have the right code, but they don't work off what's called the pathophysiology. So, one of the key things the pathophysiology is what's actually going on in the brain. What are the pathways going on that we need to address? And one of the things I like about FSM is that it's based on a lot of pathophysiology, pathological anatomy and pathological function. And so if you look at all the research on head injuries, it's absolutely fascinating. They've done a lot of research where they give rats head injuries, mice head injuries. They don't give people head injuries, but they do a lot of research on people. But they can't stick needles in there, get their CSF or whatever. So the pathophysiology of head injury is fascinating. And what's also fascinating, there's a very significant crossover like Venn diagram of the pathophysiology of cognitive impairment. Because I'm seeing like an epidemic of cognitive impairment and anybody from adults from in their 30s, I've seen it, in their 30s.

Kim Pittis:
And what would that be attributed to somebody…?

David Musnick, MD:
I saw a gal that came into my. I used to work in Washington. She was 34. So the doctor I heard you're a brain specialist. You developed a plan to heal concussion. I don't think I have a concussion, but I think I'm getting demented. This was a 34-year-old gal. And so one of the things that's totally fascinating about this is when that's going on in the 30s and 40s, you really have to look at severe brain insults, severe. And so there are certain things I look for. But the first thing I look for is electromagnetic fields. And I asked her, when did this start? And she said, two years ago. So this has been going on for two years. She was a mother of three, but a pretty high-level executive in a company. She needed her brain to function. So what was fascinating was I took a basic electromagnetic field history in front. She was there. I said, okay, I want to know these things. And so I've got a really good EMF history that I take. And one of the first things I say is, do you have a bed that you plug in the wall? She goes, I don't know, maybe I do, I don't know. Then I said, okay, do you have any things that you talk to? And they do things like and she goes, you mean Alexa? I go, yeah, Alexa.

David Musnick, MD:
Then I go, how many do you have? She goes, we have one in every room. I said, you're kidding. And she said we have one in the. Do you have one in the master bedroom in your room? She goes, yeah, we have two there. We just really want it to work. You've got to be kidding. And then she said, the only person in the family that is not having brain problems is my four-year-old daughter. And she said she does not want Alexa in her bedroom because she thinks Alexa is a bad person. So I said, okay, what we're going to do, Alexa was a bad person. It was a bad device. But anyways, I do this thing now when anybody's having brain problems, I send an electromagnetic field technician to the home to do measurements, and this gal called me on the phone in between a patient, like what occurred two weeks later and she goes, doctor, you won't believe this. I just measured this woman's bed. It is as if she's sleeping under a massive power line every night. And then she said she measured the Alexa. And even when you're not talking to Alexa, Alexa is putting out massive radiofrequency fields.

David Musnick, MD:
So they took all the Alexa out, unplugged this woman's bed. And then I started my Heal the Brain program, and she did really well. But I'll tell you what I think. If she hadn't found me, we haven't done that. She would have been like, literally demented because that's what was happening. She couldn't find words. Her memory wasn't working. Now, that wasn't a traumatic head injury. That was brain damage. But I've become fascinated with this because I'm seeing people as early as the 30s. A lot of people in their 50s with what appears to be cognitive impairment. And what's been really useful is understanding these pathophysiology pathways and I'll explain a few of them. I mean, at the Advanced meeting, I'm going to go over all of them, because even though I've done this a number of years ago, we're going to update it because it's gotten even more fascinating What's really fascinating is that a lot of the research on head injury has revealed the pathophysiology of how the brain gets damaged in different parts of it. Okay. So one of the things you have is you have damage to the blood-brain barrier and damage to the blood-brain barrier is interesting because that can let in viruses and immune cells that really shouldn't be getting in there.

David Musnick, MD:
And parts of bacteria called LPS, and that can cause gross inflammatory reactions in the brain. So damage to the blood-brain barrier is fascinating. And when I show this stuff at the Advanced meeting, I have wonderful slides of the blood-brain barrier. I don't have bumper stickers, and I have a relatively, I say, relatively new car, a Nissan Pathfinder. I used to have a ten-year-old Subaru Outback. On the Subaru Outback, I probably would put a bumper sticker, but I didn't. Would say, how do you have people remember stuff? I go, if I had a bumper sticker, I'd say, take care of your blood-brain barrier. That would be one of them that nobody would ever have. So, I'd have to get that custom made if everybody took care of their blood-brain barrier and made sure they didn't have antibodies to the blood-brain barrier, they'd have better brain health. Because that's probably how a lot of cognitive impairment sets up, that people have antibodies to their blood-brain barrier, either from a head injury or other reasons.

Kim Pittis:
And how is that diagnosed? How does one go…?

David Musnick, MD:
There's a blood test where there's a number of labs that are doing this vibrant labs and Cyrex labs. There's a number of labs, ARUP Labs that are testing, Sp100 antigen and Sp100 antibodies, but there's even antibodies to the microglial cells. There's antibodies to about five different structures in the blood-brain barrier. And so that actually can be tested. So other pathophysiology if you're interested is the microglial cells are supposed to be immune cells in there. And they can be producing trophic factors which means they produce nerve growth factor. They produce BDNF which a lot of people have heard about which is brain-derived nerve growth factor. And BDNF is so important. I talk to my patients about this. Say, look, this is like the fertilizer. Let's say if you're going to plant blueberries, you take that, then you better acidify the soil and you better put fertilizer that's a BDNF does both of those things. It creates the exact environment to branch off synaptic connections called synaptic genesis, off the neurons, because you can have fewer neurons because you have, let's say, because the brain shrunk with age or someone's had damage and they lost neurons. But if you have more connections between the neurons you have, you may be able to compensate for it, if that makes sense. So we need the microglial cells to produce the trophic factors and the microglial cells also produce anti-inflammatory things like if they're behaving themselves. That's great. But oftentimes it's the microglial cells gone bad. I don't know, funnier way to say that. But if microglial cells go bad, all havoc gets wrecked, goes on in the brain, and then you have brain inflammation. So one of the key reasons for brain inflammation besides lipopolysaccharide getting in there is the microglial cells staying in what's called a morphology of M1. And if they're in the M2 morphology, they're producing the right things. So that leads into the pathophysiology of brain inflammation. And brain inflammation is related to migraines. It's definitely related to MS. I've started treating a lot of MS patients and combine my Heal the brain program with FSM because they have these enhanced lesions. So they have a lot of brain inflammation and spinal cord inflammation. So I'm very excited. Sometime I'll give like either a case study or a whole presentation on how to approach MS with the integration of immunology and functional medicine and FSM. So there's a lot of conditions that have brain inflammation. And that's only three of probably the 12 or more pathophysiological pathways. Because one of them is utterly fascinating is folding proteins. If you have a head injury or you have other things going on with DNA damage and you can't fold the proteins properly in your cells, then you're going to get misfolded proteins that causes havoc in the brain. So that's actually.

Kim Pittis:
Can you please break that down just like I said, we have a lot of laypeople that listen to this podcast. So folding proteins, can you explain?

David Musnick, MD:
Misfolded proteins.

Kim Pittis:
Okay.

David Musnick, MD:
Yeah. So your cells need to fold the proteins. And they need to be in the exact shape.

Kim Pittis:
Right.

David Musnick, MD:
Like enzymes need to create proteins in the correct shape. If they are not in the correct shape, they will not function. So one of the reasons for diseases that a lot of people don't even know about, and most doctors do not know about this. So if you want to upset a doctor, go into a doctor's office and say, hey, do you have a treatment for misfolded proteins? And they'll look at you like you're crazy. What is that? But it's pathophysiology, and it's related to a lot of diseases, even probably cancer, but a lot of diseases, especially neurological and brain issues. And so, with brain damage, we start getting misfolded proteins. But even as we age more rapidly, if we're not, like tuning up this whole thing about everybody's misfolding proteins and our body can clean this up to a certain extent, but we have to have the right balance in that. I don't know if that puts that together.

Kim Pittis:
No. It does. It clarifies a little bit for people We're putting together like a four-hour talk in like a one-hour podcast here. So I want to just try to keep things moving. So we talk about inflammation and we treat inflammation a ton with FSM. If we are going to talk about frequencies really quickly with your brain health program, are there certain frequencies on that A channel that you tend to gravitate towards aside from 40, which is inflammation?

David Musnick, MD:
Yes. Okay. But 40 is the best.

Kim Pittis:
It is.

David Musnick, MD:
It is. But you always want to have 294. Don't forget 294.

Kim Pittis:
I have a love affair with 294.

David Musnick, MD:
And don't forget 94. So if it's brain tissue, it's going to be 94. If it's other tissue, it's probably going to be 294. But 94, although I'll tell you what, I have learned to be very respectful of 94, 94, and often with a new patient, I won't even run it. I seem to have so many people getting dizzy and feeling weird with that. And so that's off-limits in my practice right now on the first visit, I'm just like, stay away from that. But 94 on the A channel I do 9 because there's immune things, there's allergic things, there's mast cell histamine things going on in the brain like 9. I really like 321. It's one of those weird frequencies that what does it really do? It reboots. But I think it's essential. And I'm experimenting with it because sometimes some of the programs we have a minute, two minutes, I'm running it longer, I'm running it for at least four minutes, sometimes longer. I'm experimenting some of my patients. I'm going longer and longer with 321. I'm really going out on a limb with 321.

Kim Pittis:
I used it a ton more all the frequencies that you're talking about, 94, 294, 321, 9. I think they're precursors. I think they need to be used before me treating sports injuries a ton. I'm always using 124, but I'm finding the benefit of 124. We talk about it being time-dependent. I think all those frequencies that we just listed, if they're run before 124, I don't have to run 124 as long. Yeah. If you think about the histamine, the paralysis, the trauma, all those things happened before tissue became torn and broken.

David Musnick, MD:
Yeah, I agree.

Kim Pittis:
It just makes sense.

David Musnick, MD:
And 124 and what I would say is this is just like a clinical pearl that I've found. What I did was I just I don't know, I got about 20 brain programs, maybe 25 brain programs that I've designed. So I break them down into the basic condition frequencies, say, for the forebrain and the subacute versus chronic. But when I think of chronic, I think about this a little differently some other people think about this because there's so much pathophysiology going on even in chronic. But so I have programs frontal lobe. But then I have one called frontal lobe regeneration where I'm running those frequencies. I'm running 321 longer in that program, and I'm running 124 for 45 minutes in that program. And I have one for the hippocampus, I have one that I call hippocampus and stem cell. Same thing. I'm running that longer. Here's a critical thing regarding the brain that's really interesting and fun. So remember I said, you got to have the fertilizer in the garden, then you got to acidify the soil for the blueberries. And I will tell you, it's harder to grow blueberries in Idaho than it is in Seattle. Like, they grow like weeds in Seattle. But around here is. You better get that right. So say you better get the brain-derived nerve growth factor right around here in your brain when you're going to do this. But the other essential element is challenge. It's active brain exercise has to be done in conjunction with frequencies. In conjunction with the brain diet that I have, and in conjunction with the brain supplements and even homeopathy. It all has to be done together. But this challenge thing is really important. So let's just say someone comes in, they're having trouble with memory. You have to challenge their memory to the point not where they're frustrated, but they're challenging it. So, I have them all get animal matching card game. These things that you play with your kids and okay, where's the giraffe okay. And every day they're playing this. And then the other thing I have all of them get is the assignment. Do you know the assignment is?

Kim Pittis:
This is one of my favorite games growing up. Yes.

David Musnick, MD:
Yeah. And then I ask them what level are you achieving. And then depending on what the issues are like, if they can't remember words or let's just say someone comes and says, I can't find words that's in the frontal lobe. If they can't speak words, that's Broca's motor speech. So I've got this three-page questionnaire that will assess every region of the brain with 7 to 10 questions for each region. But so you got to figure out, okay, what can't they do? Well, now I have to design a program to challenge it. If you do not challenge when you're doing the other stuff, they won't make nearly the gains that if you challenge, you have the brain training, brain exercises while you're doing all the other stuff. That's why it's not just FSM for a lot of things in the brain. FSM combined with low EMF, combined with exercise. Because exercise creates BDNF it's the best way to create BDNF. And then you have the supplements doing certain things. There's certain supplements that I use for the brain, and you use a brain-based diet because I'll just give you one piece of information. Believe it or not, parsley is a really good brain food that nobody knows about because it helps M1 cells go to the M2 phase. Who would have thought that?

Kim Pittis:
Not me, I love parsley so.

David Musnick, MD:
Do you know what flavonoid does that? Apigenin. Oh. Just in case you needed a word for the day.

Kim Pittis:
I love it.

David Musnick, MD:
Apigenin.

Kim Pittis:
I love the word. We have a couple of questions coming in that I do want to get at, and we're going to go back to some of the topics that I've listed here for you. Dana writes she's doing neurofeedback and wanting to benefit from the BDNF enhancement of ketamine. She has a prescription, but the neurofeedback doc said that ketamine increased slow wave activity, whereas that one of the areas I need to reduce is the solution here to just take the ketamine after a session rather than during. Any thoughts on that one with ketamine?

David Musnick, MD:
I don't use a lot of ketamine in my practice. I've used it for chronic pain. Ketamine can be used for PTSD as well. I don't use it that much. My understanding of ketamine is usually dosed every day, so I'm not aware of people modifying when they're taking it because it's usually dosed every day. You're usually trying to have it for 24 hours at a time. I'm not going to say that I'm a ketamine expert and can answer that question. I figure I'm pretty smart and have taken a lot of deep dives, but I'm not a ketamine expert. I have used it, but I'm not going to tell someone how to dose ketamine on a podcast.

Kim Pittis:
Yeah, no, I appreciate that. The next question how dangerous are smart electric meters? They are being installed here. Protection.

David Musnick, MD:
Very dangerous, very dangerous.

Kim Pittis:
Okay.

David Musnick, MD:
Very dangerous. And here's the deal on that. You have to call the electric company and ask them to switch it out with a non-smart meter. I'll tell you a quick story. I was in my house in Seattle in Redmond, and one day I started getting massive headaches and no energy. I woke up, what the f is wrong with me? Massive headaches, no energy. I'm usually like the Energizer bunny. I'm not manic-depressive. But somehow, Kim, whenever I talk to you like, let's just talk about so much stuff. You're always manic. I'm not manic. I just have a lot of information. But and, you know, I'm not manic, right?

Kim Pittis:
Yes.

David Musnick, MD:
Anyway, so no energy. I have some of these test meters I once called smart, and I think it's called smart and safe, too. There's a company in Toronto. I think it's it's Toronto that sells them anyway. And anyway, I turned it on and was like off the charts to do extreme. I go what? I had already tuned my house up to be low EMF on everything. And remember EMF has three components radio frequencies, electromagnetic fields, and electrical. So I was measured radio frequencies. And that comes from smart meter. And I go I didn't allow the electric company. So it turned out my next-door neighbor who literally had a baby didn't know about this. Even though I sent fliers around to the whole neighborhood, they just all ignored it. Then he gets in touch with me and said, hey, you're a doctor, right? Didn't you send a flier that I ignored? And I go, apparently you did ignore it. He goes, what are we going to do? I had to literally buy a shield for it to put on the outside of it, which cut it down by about 60%, and then they called the power company to remove it. They're really harmful.

Kim Pittis:
Wow. Okay.

David Musnick, MD:
Really. If you want to become demented, have a smart meter as part of your program. They're horrible. And same thing with the smart house. So this is a new thing. Smart houses are really problematic because I just moved into a new house. I texted you about this about a house four minutes away on a lake. And like these, there's this thing called brilliant. And if that thing is connected to Wi-Fi, which we don't have in my house, there's no Wi-Fi. It's all Ethernet. So Wi-Fi is not good. Or at least turn it off when you go to sleep. But these smart homes make it seem like you should be able to speak to it. Tell it to turn the lights down. Do this… When you have a system like that, it's massive radio frequency fields you and your family is being exposed to. Smart homes do not lead to smart people.

Kim Pittis:
I knew I was hoping something was going to creep up, that you were going to say something like that. A couple more questions here and then I'm going to get back to my list. So somebody had asked if somebody responded positively to 94/94, which is me. I absolutely love that frequency. I can sniff it out like a drug-sniffing dog in a crowd of a thousand people. If somebody's running it, I will go and lay on them. So if somebody responded positively to 94/94 and one occasion, can they get dizzy from it in a subsequent session? I have not seen that.

David Musnick, MD:
Yeah. I haven't seen that either. The reason why I said I'm very careful with it. Okay. I do a very comprehensive evaluation initially and I recommend FSM as part of it. If I do, then if they come in and they get FSM and they get exposed to 94/94 and I'm now finding about, I don't know, 1 in 5 people, they don't just get dizzy with it, they feel like crap. And they rule out FSM as a treatment option. They go, oh, that's what everything's going to be like here. So and what I was doing, I was running through test frequencies and I could not tell necessarily when I put it on, that they were going to respond like this, because most of the time it didn't occur immediately. It didn't even occur while they were in the room, because I have bells in my room. If they have to go to the bathroom and they feel weird, they ring the bell and nobody was ringing the bell that had these problems. But then I'd see them later on, or I'd see them later on in the hallway. How do you feel? Oh, not too good. So that's why I don't do it on the first visit.

David Musnick, MD:
And I and this is what I found that there's certain patients that are probably not going to tolerate it. But if someone really tolerates it or likes it, or at some point maybe after you've done a few visits, you say, okay, look, I want to try this because I think that we have to work on your brain stem. Or like, I had this patient recently, she had sleep apnea testing and part of it was central apnea. You cannot treat central apnea with a CPAP machine. It's weird. You can't. And so I started treating her brain stem and just had to make sure that she could deal with 94/94. And luckily she could. I don't introduce it until like maybe three sessions in, because I see a lot of tough patients like you do. But a lot of mine are mixed musculoskeletal, brain, autoimmune, this and that. I don't want them ruling FSM out as an option because they felt awful after one visit. And I'm amazed how long it can go on for some of these people a day or two, pretend to understand it. So if anybody says no pain, no gain or no this, no that, no FSM can cause side effects and I'm very respectful of them.

Kim Pittis:
Yeah. Se see it a lot 94/94 makes people violently ill, nausea, dizziness, malaise, all of it. So I know a lot of people are contributing that to Vestibular injuries. So people who have Vestibular injuries will not tolerate 94/94. A lot of us in sports, a lot of the trainers will just run it anyways. And the guy gets sick and then he gets over it and then he's fine. I do not have the clinic to support that. I'm like you, I will test it first. So if I know somebody needs concussion, I will stay in the room until 94/94 is on. And if they're going to have a reaction, it's typically going to happen within the first minute. So if after a minute passes and they feel okay, I feel safe enough to leave the room or leave it on if they feel yucky, I just I have a concussion protocol that I've taken 94/94 out.

David Musnick, MD:
Yeah, I have that.

Kim Pittis:
Yeah.

David Musnick, MD:
That's what I run on people. If I'm going to run that, I have one without 94/94

Kim Pittis:
Yes. Perfect. Okay. I want to talk about the blood-brain barrier a little bit more because your bumper sticker and now I want one. So I feel like we need a little bit more information before we go get it.

David Musnick, MD:
Maybe we should give everybody at the Advanced meetings this year the blood-brain barrier bumper sticker, not only with respect to blood-brain barrier, but a picture of it. I have absolutely wonderful pictures of the blood-brain barrier.

Kim Pittis:
You show it to me and I will design a sticker for you. How about that? First of all, what kind of diagnostic tests are there? If you're suspecting the blood-brain barrier, talking about blood tests before. And do you use specific frequencies for the blood-brain barrier?

David Musnick, MD:
So, there is the test that we talked about before, like Cyrex Labs and Vibrant.

Kim Pittis:
Right.

David Musnick, MD:
Are the two main companies that are doing these but ARUP doesn't I think lab core sends it out there. The problem is it's sometimes a little hard to get it through the standard labs. So that was the first question. How do you diagnose? And here's the deal. Anybody with a brain problem, I'm running these tests. I do not want to get 10 weeks in, 8 weeks in and then find out they got a blood-brain barrier problem. I want to know soon, but I will tell you this, which is actually fascinating. A lot of functional medicine docs will check for leaky gut or intestinal permeability. Guess what? The same junctional proteins in the intestine are in the brain and the blood-brain barrier. So you could even ask somebody, hey, have you had a leaky gut test? Did it show positive? Then very high probability that at least some basic like anti-zonulin testing is one of them is going to be positive in the brain. So sometimes that's enough. But I like the one that has five different tests because I want to know how bad it is right from the start. So I'll check that now in terms of frequencies. And there's also certain supplements too. But I'm hoping that this particular brain thing that I teach at the Advanced meeting, you can actually go to because you've never been to one of mine, Kim. So I would be honored if you were able to go because often you're speaking at the same time. So I think this year you might be able to go, so you'll see a picture of it. And so part of this is what are you trying to do with this, it's blood vessels. So here's the deal. You've got to work on capillaries. You've got to work on arteries but more capillaries. So 162 The trouble is you've got to work on astrocytes, microglial cells. So in some ways you're working on the immune system. So I would use 116 on the B channel I do work on 162. Right now I'm on my Mac. I'd have to pull up my PC to look at my blood-brain. I've got a couple of blood-brain barrier programs. I should have had it ready to go to just tell you what I'm doing with it but.

Kim Pittis:
To your Advanced meeting? Yeah.

David Musnick, MD:
You will. It is good I do talk this fast because no matter how much time I ever have, I don't have enough time to cover all the material. But it's very practical. But anyway, so you do have to use 9 because there is immune stuff going on in the brain. There's Mast Cell stuff going on in the brain, allergy stuff going. You got to use 9 in relationship to 162 and 116 as primary issues, because there aren't any frequencies like microglial cell, specifically frequencies for some of these cells that form the blood-brain barrier. But a lot of the stuff that forms it is the vessels. Right. And yeah.

Kim Pittis:
Okay. Talking about supplements like FSM obviously is a great adjunct, but it's not a one-stop shop. So are there any homeopathic supplements that you like to introduce aside from just prescribing certain things?

David Musnick, MD:
Yeah. So I love homeopathy, but I would change the term from supplements to homeopathic medicines. So what's interesting is a lot of the Schools of homeopathy, whatever they've gotten very specific. These are homeopathic medicines, but they're not necessarily prescription medicines because you get them from homeopathy labs that make them. You can get some homeopathic products at Whole Foods and your local health food store, especially those Boiron products that a lot of these health food stores have. First of all, there's Arnica. And Arnica should be applied to the neck and the head right on the same day of the injury, but multiple times. And then it should be taken orally in the six C dose. So the dose is important because the lower the number like six is more acute, the higher than the number like 30 C is more chronic stuff. So it's important to get the dose right of the Arnica. The gels are pretty low dose. So I have people do the gels. And one of the key things about homeopathic medicines is you don't want people touching them. You just want them getting them in the cap and dumping them under the tongue 15 minutes away from water or anything, and let them dissolve. And I've been amazed how effective this stuff is. I think sometimes they're not effective when people don't do it right. But then there's one called natrium sulfuricum that's specific for head injuries. Well, then there's one called gelsemium that's more specific for headaches related to head injuries. And yeah, but the interesting thing about homeopathy is that most homeopathic medicines have multiple indications. For instance, you might be interested in this. I don't know if I've ever told you this, but I've ever talked to you about the homeopathic medicine. Bryonia.

Kim Pittis:
No.

David Musnick, MD:
There's going to be your favorite thing, your new favorite thing.

Kim Pittis:
All right.

David Musnick, MD:
As a matter of fact, if you get a new puppy, you can name it Bryonia. Bryonia is a homeopathic medicine for any kind of musculoskeletal problem that gets worse with motion. Oh, and it works wonders. And the dose, usually the dose is six C because that's what you can get. But you'd be surprised if people say, oh, I get this problem of this tendon or this and it acts up or this tendinitis around the hip. A lot of bursitis around the hip is not bursitis. It's tendinopathy. And then you give someone Bryonia say, okay, look, take this before you walk. Take this before you work out. Take this before your event, whatever. They do a lot better.

Kim Pittis:
It's like you're speaking to me personally right now because I'm having some hip problems that is being misdiagnosed as bursitis. And I know it's not because when I run torn and broken in the tendon, everything feels better. So you are right on the money with this supplement.

David Musnick, MD:
Yeah. So you brought up something interesting that's not the brain. But I don't just deal with the brain in my practice either. It's like a lot of stuff on the lateral hip is tendinopathy.

Kim Pittis:
Yeah.

David Musnick, MD:
It's not bursitis and the reason the doctors diagnosed bursitis is most docs don't know any better. And then they put a steroid injection in there for a tendinopathy, which is really contraindicated. The weird thing is it helps for a little while, but then it just doesn't work anymore and it degenerates the tendon even more. So. Yeah, try it. Try it for when you work out and text me and let me know if it helps you.

Kim Pittis:
I'm going to.

David Musnick, MD:
Try it with patients too.

Kim Pittis:
I'm going to and we can get this at a supplement company.

David Musnick, MD:
The best place to get… You can get it at Whole Foods or one of the places. My favorite place to get Homeopathics is in California to order it from a lab called Hahnemann labs and I really like them. And Dr. Hahnemann was one of the founders of homeopathy.

Kim Pittis:
Interesting.

David Musnick, MD:
So they named this lab after him, but they do a really good job. And like I'm treating a lot of post-Covid syndrome. We should do another thing on post-Covid syndrome. The integration of FSM.

Kim Pittis:
I would love that. The supplements and homeopathy, because I am having absolutely amazing results now with homeopathy and post-Covid syndrome.

Kim Pittis:
Yeah, that's a whole other podcast and I have to talk about that. I do want to go a little bit more back to our topic with post-concussion syndrome, a little bit. A lot of the athletes that I tend to see that have post-concussion syndrome, their primary complaint that either they're seeing or their partner is telling me is their mood has dramatically changed. Their personality has changed. Can you talk a little bit about what we're seeing on an emotional sort of level?

David Musnick, MD:
Yeah, I'm glad you brought that up. That's called mood instability. That's one term. There's actually a ICD-10 code for mood instability, but it has to be dealt with because it could lead to marriage issues. The person who got the head injury snapping at their kids. It leads to pretty severe irritability, anger, snapping like a short fuze. That's pretty bad. Yeah. So yeah, and I had a patient that you won't believe this story, but she had a new stove in a new house, and the stove blew up and threw her across the room. Like, Holy mackerel, you want to cook an egg? And you get blown across the room. So she had a blast injury, but people get blast injuries other ways. Recently I had a guy that was 22 that was like digging on a property dug into a gas line. He got thrown across the lawn. So these are called blast injuries. But anyway, virtually any kind of head injury can lead to mood instability and it can be a big problem. And so then I think what we're looking at here is there's a lot of it's very complicated because people can get severely depressed. It gets worse if they don't sleep. So we got to figure out how to get them sleeping. Sometimes their mind races you get got to get that stuff.

David Musnick, MD:
So they have to sleep if they're going to repair their brain. But I've got some limbic system FSM programs that have helped a lot to deal with this because like you, if you ignore it and you're treating everything else, you get their memory better, you get their speech better, you get their coordination, you get their focus of attention. And you don't get that better, still they're not good. So you have to work on that. And then there's some neurotransmitter things that go on with that. So that's a multifactorial approach. A lot of it's related to brain inflammation. It's related to limbic system damage. I will often teach them tapping techniques, emotional freedom technique because that will unload some of this because whatever it is, it's I don't have this problem usually, but I move recently and there was so much every hour someone was calling me, texting me about this and this, and I was developing limbic system dysfunction. I was like, okay, you're going to tap, you're going to get more sleep. And it resolved. But when it's a head injury, or you can also have that for other reasons. It has to be dealt with in a very comprehensive fashion. It's called limbic system dysfunction.

Kim Pittis:
Interesting. Yeah, we see a lot of it with post-concussion. And like I said, a lot of these athletes are irritable to begin with because they're not playing. So that is a whole factor unto itself when they're irritated. But when there is that physiological reason of why they're irritated, while they said like the short fuze tends to be like that hallmark symptom that so many and I always say sometimes the athletes or the patients won't report that it'll be their partner that report.

David Musnick, MD:
Right, because, well sometimes they're aware of it and other times they're not aware of it.

Kim Pittis:
Yeah.Do you find that running some of the emotional frequencies FSM touch it or not really? Because you're not really treating the root cause of it. It's more of that, like you said, that limbic disorder.

David Musnick, MD:
I think you have to do both.

Kim Pittis:
Yeah.

David Musnick, MD:
I'll never underestimate the emotional frequencies, but sometimes I want to run some of them longer because I think on the mode bank there's a motion program. I think it runs each one for two minutes or something. So there's some that are specifically for anger. 970 in the liver. So what I try to do is identify, okay, what are the emotions that this person has about this issue? I do try to run emotional frequencies by the third visit on a lot of people, and if I'm able to tell them, I'll tell them and if I can't, I won't. But it doesn't do the trick by itself. I've found you have to treat the limbic system, and you have to take a multifactorial approach, because if this stuff goes on too long, it's more difficult the longer it goes on for.

Kim Pittis:
Yes.

David Musnick, MD:
And the other thing you got to do with the athletes that are sitting out is you got to ask them, what do you say to yourself? Because a lot of them are starting to say, I'm worthless, I'm no good, I'm not playing. And you've got to reprogram that right away.

Kim Pittis:
Yes. Yeah.

David Musnick, MD:
Give them a mental exercise to say, hey, even though I'm not playing, I'm still very valuable. And I'm going to be playing.

Kim Pittis:
Yes The positive affirmations are huge. Dr. Roger Billica was talking about that at his last talk last year. It was huge. A couple more questions that are coming in live. So we talked a little bit more about chronic conditions. I want to talk a bit about acute concussions. The benefit in seeing somebody like yourself right after they get injured versus somebody who's waited a while. Any anything you want to say about that?

David Musnick, MD:
Yeah. So one of the things that drives me crazy is like people say, okay, it's been three months and you're not getting better. And part of the thing I'm trying to do with I developed a program to heal the brain. It's written up in a neurology textbook called Integrative Neurology. But I'm still not informing enough people that do concussions. I'd rather have everybody trained that's handling concussions in this. Then, we wouldn't have so much agony about this and so many people that aren't doing well, because the golden period, I would say, is the first eight weeks. And that's when you really need to get a lot of interventions going here so that you don't lose too many neurons and you don't lose too many synapses, and you don't end up with so much inflammation and so many. And then, the limbic instability and all this because you can have a lot of vicious cycles. And so this whole thought of we're going to give this eight weeks and you're just going to rest and not do much. And then, if you're not doing well then we'll send you to a speech therapist. People need care right away. But the problem is they need this type of care that I'm talking about that integrates the way you're eating, getting the right sleep, the right kind of FSM, not just the concussion program. You got to design programs that deal with the different brain regions and get creative with it. And I would encourage anybody who does FSM, start writing some of your own programs, just experiment with it and get on the right supplements and get it started ASAP, as soon as possible. Because if you think you're doing good by going to the neurologist, you're not. They don't know this stuff. There are only a few neurologists that know this, that are probably like that I've spoken to or have heard me talk. Most of them don't.

Kim Pittis:
We have a patient. Actually, this could go really well. I want to transition a little bit. I know we only have a few minutes left into the neck because it's impossible, in my opinion, to treat the brain without at least acknowledging it's attached to the neck. But we have a patient who's also a practitioner that's on here, and he's having neck surgery tomorrow, so I'm just going to pull this up really quickly. He is having a laminoplasty C3-C7 and ACDF C5-C7. Do you have any great protocols? We do have a post-op C-spine protocol week 1 to 4 on the mode bank. But is there anything that you would add or you want to comment on with a surgery like that? That he should focus on.

David Musnick, MD:
Yeah. He used to set up a consultation with me for half an hour. Because this is not simple, but because that's like…

Kim Pittis:
Will get tomorrow.

David Musnick, MD:
What do you do with somebody who's having…? Because he's having a fusion. It sounds like a 3-level fusion is what I'm getting out of this and a laminoplasty. So what I usually do is have people start taking Arnica after the surgery and not applying it to where the stitches are in other areas around the neck. And so the protocol for arnica gel is every half an hour, every 20 minutes to half an hour. Just don't get it near where the sutures are. And arnica 6 C. So you'll decrease the amount of bruising and bleeding that way. And I would do it like four times after you wake up and then a couple more times and then. Four times a day for 2 or 3 more days. I would use Natrum, so I would probably use Natrum sulfuric because there's this whole issue. So I'd run the program to clear anesthesia. I would run a program to clear anesthesia because you're under general anesthesia for a while, and that's that can be toxic to the brain. So I'd run a program to clear anesthesia. I'd probably put them on some phase two detox support through the liver to clear some of that anesthesia. And then I'd probably take natrium sulfuricum 30 C three times a day for 2 to 3 times a day, maybe for five days, because it's almost like the anesthesia is like a not brain damage, don't get me wrong, but a little bit of a head injury.

Kim Pittis:
For sure. No, those are important. Thank you for talking about that. A couple more questions and then we'll do a little wrap-up here. Lin asked I have a TBI, PTSD patient who hears voices constantly since the dog attack and tumble down a concrete staircase. The most relief he has had is from a protocol I designed to treat trauma, inflammation, and rebuild the frontal lobe. The voices have not stopped, but they can be ignored for a time. The question is, what might you suggest? The protocol has a trauma frequency is 40, 284, 3, 124 and 49 on 90.

David Musnick, MD:
Yeah, but that when you are talking about hearing voices? You're talking about. It's almost like that gets very tricky because this gets into the psychiatry realm. It gets into paranoia. It's almost like an auditory. It's like an auditory hallucination.So I would run the PTSD program for sure. Absolutely. Multiple times. There's all these supplements I would put that person on to stabilize the brain. The problem is, I don't want to give a prescription right now for supplements for someone starts to. That's almost it's not like a prescription for medications, but there are certain supplements that might decrease brain inflammation, and stabilize the brain. Low-dose lithium is very good in some respects. It's not like high-dose lithium, but this is getting very tricky with that type of symptom. But I would treat. Not only 9 yet also treat 89.

Kim Pittis:
Yes. Speaking of 89, so 40/89 has been mine and Carol's kind of new favorite pairing. I treat that before I can do any more of the reboot or motor patterning improvement because the patient has to feel safe with the movement first. So the other big frequency that we talk about is the vagus nerve. So somebody had asked here about treating the limbic system, but can turning the vagus on or turning the vagus back on help? Does using vagus ever cause nausea and dizziness?

David Musnick, MD:
Okay, so I don't use the word turning the Vagus on. Let me explain this quick because this is one of my pet peeves. The Vagus is never completely off. It's a balance in the nervous system. So the Vagus is functioning to some degree. I like to call it dysfunctional because you can have retrograde transmission of different bacterial particles and viruses in the Vagus. And so that brings up a whole another ball game about the Vagus design your own Vagus program that also has virus frequencies in it, that has some bacterial toxin frequencies in it. If you're not getting the results you want with the Vagus program. But I do think that a lot of people that have had neck injuries, head injuries, have had vagus nerve traction injuries potentially. So that I do think it makes sense to treat it. Now, that's not turning it on. It's making it more functional and I haven't had people get nauseated, but I've got a number of different Vagus. I even got mold frequencies in my Vagus program and so virus, bacterial toxin frequencies depending, I always start with the basics. So, I do think if someone gets, you know, not with regular Vagus program, you just got to be creative and modify a program for them.

Kim Pittis:
Yeah, yeah. There are a couple of more questions here about the smart meters. Really quick before we wrap up. Somebody was asking about using a shield. Dr. Allen here said KPUG won't let us install shielding, do protective devices like EMF Sol that supposedly normalize intracellular calcium really work?

David Musnick, MD:
No, they don't work that well. So what I would say is you can install a shield, which almost looks like a metal circular cylinder that you put over it. And there's a number of companies called Smart Shield or just look it up like smart meter shield. You find these companies, you can just put it right over it. That does cut it down by about 60% to 70%. The ideal thing is to ask the electrical company to take it off and just put the kind of meter that needs to be read. That means you're going to pay extra. You're going to pay maybe an extra ten bucks a month, 15 bucks a month to have the meter read. That's what I used to do. And like around here, we haven't had smart meters, so I just moved to a new house. I better find out if I have a smart meter, but no, you can put a shield on it. These things that you turn on, there is a company that I do use that generates a scalar field that I think is very helpful if you can't reduce fields, or even if you have some fields that you don't like in your home, and the product is called rest shield. Rest shield, the company is called Fresh and Alive. And that technology I think, really works. There's so much stuff out there that I don't think really works, but this one I really think works.

Kim Pittis:
Interesting. Okay. Do you have any last little nuggets that you are just dying to get off your chest that you need to share with us about anything or?

David Musnick, MD:
I don't know if someone wants to reach me for a consultation, then there's different ways to do it. One is the I'm going to give you my clinic email. Okay. [email protected] That's my email if you want to set something up. Because if the patient is not in Idaho or Washington, that's where I have my medical license, then I can do what's called a peer-to-peer. And just by the way, do you know how good your patient's doing that you send to me?

Kim Pittis:
I would love to hear about it.

David Musnick, MD:
Did you? Oh, my God, the guy was like he had severe Parkinson's. He's walking better. He feels better. His wife says he's doing a lot better. That's after one consultation. We had the return visit, but he's doing so much better. So anyway. I can do like a peer-to-peer. Whereas if you're a practitioner and you got a patient that basically take the history with you and the patient and then give you advice in regard to homeopathy, supplements, diet, whatever they need. But I can't just randomly answer. Sometimes people with email me, they probably do it with you. Hey, can you help me with it? I don't have time to do it. So if you email me and just ask me for help, you're going to have to pay for my time. Even if it's 50 minutes. I literally don't have time to randomly solve a case by email. I just can't do it. No, but I'm happy to help people. And in terms of other things, the other clinical pearl, I would say is take care of your brain. First of all, lower your electromagnetic fields. Find out if anybody does EMF assessment, do that at basic, or just turn your Wi-Fi off at night.

David Musnick, MD:
At least do that and get it. If you got Ethernet ports, have it put into Ethernet ports. So you pull it out of the Ethernet ports and you're not exposed to Wi-Fi all the time. And then at least start with that. There's so many other things that you can be doing. And if you have kids that have any brain problems, get them some curcumin gummies which are these mango-tasting. We didn't talk about this, but there's a typical human that passes the blood-brain barrier called long vida. Curcumin and Nordic Naturals put it into a mango-flavored gummy that is so tasty that I've only had one kid. I've had a lot of kids in my practice since I moved to Idaho with brain issues or whatever, and only one kid said, mom, I don't like mango. Every other kid I want the gummies. And the parents said to control how many they were eating. You could have those for a snack for your kids, and that helps keep the brain healthy because curcumin decreases brain inflammation.

Kim Pittis:
Delicious one more time with your email address.

David Musnick, MD:
So [email protected].

Kim Pittis:
Thank you.

David Musnick, MD:
I think that's the best way to get a hold of me. I mean we could set up a time to talk. We could say hey what do you think about this case? Could you help me with it? I'll respond to it and say, yeah, I think we can. And then we can set up a time to talk very briefly, but then we're going to have to set up a time on my clinic schedule.

Kim Pittis:
Yes. We appreciate your time so much. Thank you for coming. I know this was a bit of a journey getting you here, but we appreciate your knowledge so much. I'm so excited to finally see your talk at the Advanced. For those of you listening and who have not signed up for the Advanced meetings in March, please do. They go pretty fast. The sports course that I teach is halfway a little bit more 75% sold out already, so please sign up for that. You can email me at [email protected] or [email protected] to sign up for the courses that way.

David Musnick, MD:
Yeah, you're teaching two of them, right?

Kim Pittis:
Yes.

David Musnick, MD:
Advanced and a basic.

Kim Pittis:
Yes. So there's a new FSM sports Advanced course.

David Musnick, MD:
So I'm going to the Advanced.

David Musnick, MD:
Yes.

Kim Pittis:
Sure. All right.

David Musnick, MD:
Don't cut… The Advanced meeting is so much fun and you learn so much. My only problem this year is we won't have true land burgers to go to. We're going to have to find another place.

Kim Pittis:
I know the chop shop is my, like, second favorite. They have great bowls, so we'll have to do a lunch or dinner there for sure.

David Musnick, MD:
Chop, chop. Yes. Okay.

Kim Pittis:
Hey, thanks everybody for coming. I will be back here same time, same place. Next week. I'll be by myself or I'll be with the guest. I have something very special planned. And then the week after that, Dr. McMakin is back from her word travels, and we'll regroup and debrief. Dr. Musnick, thank you once again. Thanks, everybody for coming. We'll see you all next week. Bye.

David Musnick, MD:
Thank you. Bye.

Kevin:
The Frequency Specific Microcurrent podcast has been produced by Frequency Specific Seminars for entertainment, educational and information purposes only. The information and opinion provided in the podcast are not medical advice. Do not create any type of doctor-patient relationship and, unless expressly stated, do not reflect the opinions of its affiliates, subsidiaries, or sponsors, or the host or any of the podcast guests or affiliated professional organizations. No person should act or refrain from acting on the basis of the content provided in any podcast, without first seeking appropriate medical advice and counseling. No information provided in any podcast should be used as a substitute for personalized medical advice, and counseling. FSS expressly disclaims any and all liability relating to any actions taken or not taken based on any contents of this podcast.

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