Migraine Heroes
The Migraine - Fertility Connection with Diane Ducarme
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The Migraine - Fertility Connection with Diane Ducarme

52 min

00:00
-52:00

In this episode of the Functional Fertility Podcast, Dr. Kalea Wattles connects with Nectar Health (https://www.mynectarhealth.com/) Founder and CEO, Diane Ducarme, to discuss the connection between migraines and fertility. In this show, we'll talk about:

- The connection between migraines and the menstrual cycle

- The gut-brain axis and the role of the gut in both reproductive health and migraines

- Superfoods that can help those with migraines

- How to communicate to your partner the severity and impact of migraine pain

- How working to address the underlying causes of migraines improves fertility outcomes as well

Transcript

[00:00]

Hello everyone and welcome to Functional Fertility, the podcast designed to demystify your hormones,

[00:12]

uplevel your lifestyle and supercharge your fertility potential.

[00:19]

I'm your host, Dr. Kalia Waddles, and today's episode is a great example of systems biology

[00:26]

as we explore the connection between migraine headaches and fertility.

[00:30]

I find so many connecting points between these systems when I'm doing a fertility assessment.

[00:36]

So I'm really excited to welcome today's guest, Diane Ducarmes.

[00:40]

Diane is a contemporary master of the migraine investigation, blending Western science, Eastern

[00:47]

medicine and cutting edge technology to unearth the root causes of migraines.

[00:53]

Diane's dedication to migraines inspired her to create her podcast, Migraine Heroes,

[00:59]

and her company, Nectar Health, leads the journey toward migraine relief and wellness.

[01:04]

Welcome to the show, Diane.

[01:06]

Thank you so much, Kalia.

[01:08]

I find that migraines pop up in so many of my fertility patients, and so as I am working

[01:15]

with them, I'm asking them to do some tracking for me and kind of plot their migraines with

[01:21]

their cycles and their stress level and what they're eating.

[01:25]

And I know that you have all of this expertise in the relationship between migraines and

[01:31]

our cycle, and I wanted you to give our listeners an introduction to this topic and tell us

[01:36]

how these things might be related.

[01:39]

Yes, absolutely, because they are.

[01:42]

For many, they are.

[01:43]

Not always, but for many.

[01:44]

And so you've probably seen a couple of different patterns in your data, where you see some

[01:51]

women will say, I always have migraines just before my menstruation, for example, which

[01:55]

can be sort of a big classic, but not for everyone.

[01:59]

So they will say, oh, I have lots of premenstruation symptoms, and one of those can be terrible

[02:06]

migraines that will last for a couple of days.

[02:08]

Some women might say, then I also have some migraines during my menstruation, and it can

[02:14]

be like the first day, the second day, or every single day, or more towards the end

[02:19]

of my menstruation, when I start spotting.

[02:22]

Some other women might say, I usually have them after my menstruation, and some might

[02:27]

say, I have them around the ovulation, or all of the above.

[02:33]

And in addition to that, they may also say, oh, I can also feel that stress is quite a

[02:38]

trigger for me, or alcohol, but kind of not always, when I, I think it's always my cycle,

[02:46]

so it's sometimes a bit random, and when I look, it's random.

[02:48]

I think it's alcohol, but it's also not always.

[02:53]

Or some will say, oh, it's completely unrelated, and they are daily, or they just appear in

[02:59]

just really, really random ways.

[03:01]

And so we see everything along the spectrum, but the amazing thing is, when we're able

[03:08]

to understand them, especially when they relate to cycle, but not only, but especially when

[03:12]

they relate to cycle, then we can unlock the migraines, we can unlock a lot more natural

[03:17]

fertility.

[03:18]

From your perspective, and all of this data that you've looked at, is it helpful to track?

[03:25]

I mean, does it help us to create a more precise treatment plan when we know when in the cycle

[03:31]

the migraines are happening?

[03:34]

It's a great question.

[03:35]

Yes, yes it is.

[03:36]

Yes, it really does, because it allows to create transparency, but you need to look

[03:41]

at it with a very open eye.

[03:46]

Sometimes women will be asked to track, and they do that for quite a lot of years, but

[03:51]

then they don't see the pattern being consistent, and they feel discouraged, because then they

[03:55]

feel, oh, then it doesn't really help.

[03:58]

But it still does, because once you can see the forest and the trees, you can start to

[04:03]

plan your life much better, and start to find solutions.

[04:09]

Maybe I'll explain why.

[04:14]

One of the things that really, that, you know, women will go, they're told to track sometimes,

[04:20]

you know, even by their GP, by their neurologist, can be also, you know, if they're very lucky,

[04:25]

but their functional fertility doctor, and in which case it's very useful.

[04:31]

But in the case of a doctor, sometimes they will track, and they will say, oh, it's cycle

[04:34]

related.

[04:35]

And then they come to the doctor's office, and they look at the data together, and they

[04:39]

say, well, it's actually not cycle related, I can't see, I don't see the pattern, or the

[04:45]

doctor will challenge, is there a pattern in the first place, do you see, it's not cycle

[04:49]

related, but I thought it was, so intuitively they feel it is, but when they look at the

[04:54]

data, it isn't systematically, and that will throw them off in their intuition, yet their

[05:01]

intuition is super, super, super important.

[05:05]

Yeah, in all things, in migraines, in fertility in general, in medicine in general, intuition.

[05:12]

Completely, completely, like we know so little, I mean, shame on us in the West, we know so

[05:18]

little about the female body, that women get gaslit at a super high speed, and their intuition

[05:29]

will be really, really challenged in ways that are completely unfair, and usually wrong.

[05:34]

So I can give you a few examples, for example, you can have a woman who's going to place

[05:39]

a migraine IUD, and initially the migraine IUD doesn't give her migraines, but over the

[05:44]

years it does, and she feels it's the root cause, but then she leaves it for a couple

[05:50]

of years, and the doctor's kind of reluctant to remove it, because they say, no, it's not

[05:53]

the migraine IUD.

[05:55]

And then there's a bit of a domino effect that happens, so initially, because she's

[06:00]

going to put it, she might feel good, she doesn't bleed anymore, but over the years

[06:03]

she starts to be more bloated, she starts to have numbness in the arms, numbness in

[06:08]

the legs, tingling sensations, she might have sore joints, she starts to have a terrible

[06:15]

posture, she puts on a bit of weight, she's a bit moody, she has more symptoms with this

[06:23]

absence of menstruation, and there's a bit of a domino effect going on in her body, and

[06:29]

by the time the doctor agrees to remove it, and she removes it, she still has migraines,

[06:34]

but now that are coming from somewhere else.

[06:37]

And the doctor might say, see, I told you, it was not the migraine IUD.

[06:41]

But she was right.

[06:42]

And so really listening to one's intuition is really, really important.

[06:50]

I'll give you another example, I have lots of women who are going to be put on a lot

[06:53]

of preventative medication, and medication for an acute attack.

[06:59]

They're going to feel, the more I take them, the more, I don't know, I start to have this

[07:03]

stomach uncomfortable and acidity, and sometimes I throw up, but I feel part of what I throw

[07:09]

up are the medications.

[07:10]

I think they help me in some way, but in some way they make everything worse.

[07:17]

And again, it's not going to be backed necessarily by science, but they're right that it just

[07:21]

continuously messes up their system and their fertility in the process.

[07:28]

Which is why I think you've highlighted the importance of a very careful history collection,

[07:34]

really understanding not just someone's labs and their biomarkers, but their lived experience

[07:40]

and zoning in on that intuition piece.

[07:44]

And as we think about some of the root causes of migraines, it seems like for some there's

[07:48]

a hormonal picture, it seems like maybe there's an inflammatory component in some others,

[07:55]

based on what you've said.

[07:56]

Are there some other common root causes that you're finding in women specifically?

[08:01]

Ah, yes, absolutely.

[08:04]

So when you look at the different systems, it's a bit like the following.

[08:11]

What is really interesting, and let me start maybe with that, is migraines are genetic.

[08:15]

And because they're genetic, it's 5% of boys and girls.

[08:18]

And we understand that in the West, it's like 5% of boys and girls have migraines and after

[08:21]

all it's genetic, so it's normal that it's quote unquote fair.

[08:25]

But as of puberty, the incidence for women is going to triple to quadruple, leaving 18%

[08:31]

of women with migraines.

[08:33]

And Western science is going to be very puzzled because they will say, well, purely hormonal

[08:39]

migraines do not account for the 13% difference.

[08:43]

It can't justify the whole 13% difference.

[08:47]

But what happens if you look at it from a functional perspective, the woman goes from

[08:52]

being a girl to being a woman.

[08:54]

And so in the equation of fertility, what's going to happen is that she's going to start

[08:58]

to be able to give life to a baby.

[09:01]

If we compare her to a man, a man is going to have daily cycles with one sex hormone

[09:06]

and it's going to produce one cell in that equation.

[09:09]

But the woman is going to produce the whole baby, the brain, the hair, the nails, the

[09:14]

heart, the blood, the eyes, you know, it's a very sophisticated.

[09:19]

So if you have to compare the female factory and the men and men to a factory, men's factory

[09:25]

would be quite a simple factory, maybe an envelope factory.

[09:28]

And the woman would be a very sophisticated factory, maybe a car factory.

[09:32]

So the ability from puberty that something goes wrong with the system is much higher.

[09:38]

If you had a dashboard with buttons to troubleshoot problems, the dashboard of the woman would

[09:42]

be a lot more sophisticated because the system can produce material.

[09:48]

It can produce a child.

[09:49]

Also in her fertility years, she's going to lose 23 to 28 liters of menstruation.

[09:55]

So it can also produce blood.

[09:58]

The man's body is not wired like that.

[10:02]

And so when she goes through puberty, the insulin is going to triple to quadruple because

[10:05]

the system comes out and it's all complexity.

[10:10]

And so when we look at migraines, we have to then look at the system, what systems are

[10:15]

changing in her body.

[10:17]

And the first system that changes is really has to do with the liver.

[10:21]

And I speak seven languages and it's almost I only speak two.

[10:24]

I speak West and in West when you say liver, you always designate the piece of flesh at

[10:29]

the bottom of your right ribcage.

[10:31]

Always.

[10:32]

When you say liver in Eastern medicine or in Mandarin specifically, you don't mean that.

[10:40]

You mean the liver system, the liver function, and that liver function, you have the liver,

[10:46]

the gallbladder, all of the female hormones, all of the mood hormones, all of the tendons,

[10:54]

the eyes, a lot of the brain, the temples, the top of the brain, the eyebrows.

[11:01]

And so whenever that system will be challenged or not doing well, the brain is going to complain.

[11:09]

And I think we we in the West, we describe migraines as, you know, it's 18 percent of

[11:13]

women having a genetic neurological disorder.

[11:18]

And that's a really we have to be careful with the words we choose.

[11:21]

Neurological disorders like, oh, mother nature decided to make a fifth of women cuckoo.

[11:26]

Why?

[11:27]

Oh, let's spice it up.

[11:30]

Is that plausible or does that not make sense?

[11:33]

I think we have to ask the question, really, does that really make sense?

[11:37]

And a fifth of women who are producing 100 percent of the people's planet are just neurologically

[11:44]

disabled.

[11:45]

No, that doesn't quite make sense.

[11:48]

In the past, people with women with migraines, they would be able to predict weather changes.

[11:53]

They would be able to protect society from bad foods and test things for this food to

[11:59]

protect the tribe, to protect the people, because they were a lot more intuitive than

[12:04]

others.

[12:05]

And so the migraine is more of a tool here, a massive tool for fertility, because if I

[12:11]

manage to conquer my migraines, I manage to conquer my fertility.

[12:16]

Yeah.

[12:17]

Yeah.

[12:18]

And so that beautiful liver system that is going to be in charge of my hormones is also

[12:23]

incredibly related to my brain.

[12:26]

And we know that from the gut brain axis.

[12:27]

We know that from the biggest perspective.

[12:29]

And so the more the woman's going to feel, the more my liver's liver organ is inflamed,

[12:35]

the more it has inflammation, the more I took maybe wine, cheese, chocolate at a wrong time

[12:40]

of the cycle, the more my brain is going to be inflamed and the more I'm going to

[12:44]

have migraines.

[12:45]

But not always, because sometimes my liver system is on top of its game, but then I can

[12:50]

have these foods and I can feel absolutely fine.

[12:53]

So this is part of the beautiful mysteries of femininity and the beautiful mysteries

[12:58]

of the cycle that we continue to explore and love so dearly.

[13:03]

Yeah, this is fascinating.

[13:06]

And I already know I have been underestimating the impact of liver health on migraines.

[13:12]

I just have no one talks about it like you just shared with us.

[13:17]

And related to our liver health and our detoxification abilities, if we think about kind of our assimilation

[13:25]

area of our body systems is the gut health.

[13:27]

And you mentioned the gut brain axis.

[13:30]

And I talk about the relationship between gut health and fertility so much that I wanted

[13:34]

to spend a few moments here and get your insight on this connection between gut health and

[13:39]

migraines.

[13:40]

Yeah, because it's huge.

[13:43]

So it's only in the last 15 years in the West, and I talk a lot about West and East, in the

[13:49]

last 15 years in the West that we discovered the gut brain axis and how the brain gives

[13:53]

instruction to the gut, which always we thought.

[13:57]

But then it turns out that the gut also gives instructions to the brain.

[14:02]

And we discovered that quite recently.

[14:04]

Now, in Eastern medicine, this has been known for thousands of years.

[14:08]

It was always a part of it.

[14:10]

So if you discuss with a really old traditional Chinese medicine doctor and you say, oh, we

[14:13]

have this cutting, you know, cutting edge science on the gut brain axis to like, oh,

[14:19]

probably, darling, you haven't understood really well what they meant on TV or on the

[14:23]

news.

[14:24]

And you're like, no, no, no.

[14:25]

I this is what you mean.

[14:26]

It's like, oh, no, but we've done that for a while.

[14:28]

Really?

[14:29]

Like, seriously?

[14:30]

Like, where are you coming from?

[14:33]

Of course, it's connected.

[14:34]

How could it not be?

[14:35]

Just look at an animal.

[14:36]

Take a bee.

[14:37]

You can say, oh, no, the brain of the bee is disconnected from the thorax of the bee.

[14:41]

That doesn't make any sense.

[14:43]

So if you look at your body, of course, it's a system.

[14:46]

It's a circuit.

[14:47]

Your brain is not a starting point.

[14:49]

It's also an end point.

[14:51]

And so the gut brain axis is completely connected.

[14:54]

Now, what's defined the gut, as you rightfully say, has to do with everything from the mouth

[14:59]

to the end of the food chain and all of the hormones within.

[15:03]

And so all of that's really, really completely intertwined.

[15:08]

And so the more my gut overall, all of my systems and my thorax are going to be happy,

[15:13]

the more my brain is going to be happy.

[15:15]

So oftentimes, women, when they have a lot of migraines or when they have a lot of fertility

[15:20]

issues, they might be very fixated on these things because this is the most loud symptom

[15:26]

of all.

[15:27]

That symptom of not being able to reproduce.

[15:29]

And I like to call it a delayed fertility, just not being able to reproduce yet because

[15:34]

the body is just not yet where it needs to be or, you know, the massive pain that they

[15:40]

experience in their brain.

[15:43]

But you know, but there's so much more that is that is going in.

[15:49]

And so they need.

[15:50]

I encourage women to pay attention to the other symptoms like, oh, if you feel bloated,

[15:55]

if you have numbness, if you feel dizzy, do you feel dizzy when you stand up fast?

[16:00]

Are you sensitive to light?

[16:01]

Can you stay in front of a screen long?

[16:04]

Can you do you sweat a lot?

[16:06]

Do you sweat easily?

[16:07]

Do you sweat at night?

[16:09]

Do you have gray hair when you're so young and so pretty and you should be in age of

[16:13]

fertility?

[16:14]

Are you tired easily?

[16:16]

And so all of these symptoms are a reflection of imbalances inside the gut that once solved

[16:22]

can solve for the migraines as well, hence the fertility too.

[16:25]

Those two come hand in hand.

[16:28]

One is a tool to reach the other one.

[16:32]

And do you find, let's say a woman is struggling with migraines and maybe her fertility as

[16:37]

well and she has dysbiosis or she has intestinal hyperpermeability or leaky gut.

[16:43]

Do you find that when we address those issues in the gut, the migraines improve?

[16:48]

The migraines completely decrease intensity and frequency, disappear and the woman gets

[16:53]

pregnant.

[16:54]

Like that's the shift is completely instantaneous.

[17:01]

I have seen so many women, they have that extra radar that almost the other ones don't

[17:08]

have.

[17:09]

So when you do your work, you have all of the analysis for you to help the woman get

[17:15]

pregnant.

[17:16]

The woman who has migraines has that additional thermometer, additional barometer to give

[17:21]

you and say, no, it's not fixed yet.

[17:24]

As long as the migraines are there, it means there's something missing.

[17:27]

Now, if the woman has less, less, less, less, less, she might just get pregnant before it

[17:32]

completely finishes because the body might say, hey, you know what?

[17:35]

Good enough.

[17:36]

We're doing great.

[17:37]

We have everything we need.

[17:39]

You know, let's do this.

[17:40]

I'll give you an example.

[17:41]

For example, leaky gut, I find really interesting.

[17:45]

In the language in the West, when we say gut and we say it's leaky, we almost blame the

[17:52]

gut for being leaky.

[17:54]

Yeah, we see the gut is being leaky.

[17:57]

When actually it might be that at the top of her gut, at the top of her food chain,

[18:04]

there's the stomach spleen.

[18:05]

The stomach spleen is in charge of it, like a gatekeeper to triage the food coming in

[18:10]

and take from mother nature the things, the very things that are going to be able to form

[18:15]

the baby and form a mom and form blood and form amniotic fluid.

[18:20]

And that police officer is going to triage that food and give it at the disposition of

[18:25]

the mother.

[18:27]

He's also in charge of making the skin really firm and the muscles very firm.

[18:31]

And so we love this guy.

[18:33]

He's allowed.

[18:34]

He's the one that if you have a good one, you know, your body stays in amazing shape.

[18:39]

And when we're pregnant, we have the stomach spleen changing role and he's going to not

[18:47]

just feed mom.

[18:48]

He's going to also feed the placenta now when the stomach spleen, for some historical reasons

[18:56]

or some imbalances, is not doing a good job.

[18:59]

He's going to send all the food and triage to the gut and triage to the small intestine

[19:05]

who's going to go, maybe, maybe there are things I want.

[19:08]

Maybe there are things that I don't want.

[19:09]

Oh, my God.

[19:10]

Throw this out.

[19:11]

Throw this out.

[19:12]

It still has toxins.

[19:13]

It has parasites or allergens and also has the good stuff.

[19:17]

And so it may go into a gut that's completely leaky and runny or into a mix of constipation

[19:25]

and and sort of very loose stool and get completely confused and all over the place.

[19:33]

Once that's the case, it also means that the body is unable to produce the placenta

[19:39]

and might say, hey, you know what, I'm out of this protective baby thing.

[19:44]

We can't do it.

[19:45]

Like we're going to need for nine months, I'm going to need to feed two of you.

[19:49]

And currently, the reality is I struggle to feed one of you.

[19:52]

I don't want to go.

[19:53]

I don't want to go ahead.

[19:54]

Regardless, you do IVF, I just I'm not ready.

[19:57]

And so the moment you repair that, the body has the dysbiosis resumed, the leaky gut resumed,

[20:03]

and then the body's like, ah, now we can work.

[20:06]

And so when the body says no, listen to it, you know, listen, listen to it.

[20:12]

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One thing I find really, really difficult is for a couple when the woman goes through

[21:29]

a miscarriage because the body says, hey, I didn't say I was ready, I'm not ready, we

[21:33]

can't do this.

[21:34]

There's not enough blood volume, there's not enough liquid for the amniotic fluids, we

[21:38]

can't feed the placenta, I'm not, there's no game on, I can't do this, I'm so sorry,

[21:43]

I'm going to have to start again, I can't do this, I'm so sorry, I can't do this, I can't

[21:48]

do this.

[21:49]

There's no game on, I can't do this, I'm so sorry, I'm going to have to stop this project

[21:53]

together and for the dad, there's no life yet because there's no baby in their arms

[22:00]

yet.

[22:01]

I have a husband and we have two children and I remember when we came back from the

[22:04]

hospital, it's like, it's so weird to come back, three of us, and I thought, oh my God,

[22:08]

we left three of us, he left in the thighs of my belly, but for him, it only hit him

[22:15]

when he saw the baby and for me, the day I took a pregnancy test, I was pregnant, but

[22:22]

for him, I was only pregnant the day he heard the heartbeat and these things only become

[22:27]

tangible for men much later.

[22:28]

He also became a dad, I mean, he's an exceptional dad, but it comes gradually.

[22:34]

For women, for us, we become a mom the day that test is positive, in love with our child

[22:41]

and in love with its soul and in love with its presence immediately and when the body

[22:46]

says no and the woman has to go back on abandoning that child, it's really hard and there's

[22:53]

a lot of grief and it's really, really hard, so my encouragement is always try to fix the

[23:01]

migraines completely first and then the fertility will follow because otherwise you have miscarriages

[23:07]

and when you have miscarriages, you will carry that grief for your whole life, which

[23:12]

is a really difficult grief and completely unnecessary and also unequally distributed

[23:17]

in the couple because it's going to be your grief, not his grief.

[23:22]

Beautifully spoken, and this is something I see in my real patient population, those

[23:26]

who have a history of migraines and also have a history of pregnancy loss and that was actually

[23:32]

my next question is, it makes sense to me that we use the migraine as a red flag, that

[23:38]

there's something else going on with inflammation, with hormones, with our mitochondrial function

[23:43]

or whatnot.

[23:44]

From your perspective, and I think you answered this, but I'll just kind of summarize it

[23:48]

again, do you advise that we have complete resolution of the migraines before trying

[23:54]

to conceive again or is a decrease in frequency or intensity enough?

[23:59]

It's so hard to plan the timeline and I would love to hear your thoughts.

[24:03]

Oh, I would get rid of them completely.

[24:05]

If you get rid of them completely and you do that beautifully with foods, you will also

[24:11]

have a pregnancy without migraines and that means a pregnancy without medication.

[24:18]

It also means you have a pre-pregnancy without medication and now we know how the impact

[24:25]

of medication on pregnancy is.

[24:28]

So we realized recently that even Tylenol in pregnancy, which if you Google it, and

[24:33]

I love Google, I find a really good trusted source, will still tell you that Tylenol is

[24:37]

okay during pregnancy, but if you go in the fine reading of the latest clinical trials,

[24:43]

they say it's actually not okay.

[24:45]

It damages the liver and it's going to create a much higher likelihood of having ADHD in

[24:50]

the child.

[24:52]

We don't understand all of these things.

[24:54]

Like if you can't have alcohol because it has toxins, what makes us think that having

[24:59]

medication in pregnancy is safe?

[25:02]

In fact, if we are where we are today, it all dates back to, I don't know if you're

[25:06]

familiar with that story, into the 60s where a lot of women who were pregnant were having

[25:11]

nausea.

[25:11]

In order to treat their nausea, a doctor came up with a medication called thalidomide and

[25:18]

as a result of that medication, there were 10,000 children in Germany alone that were

[25:23]

born without limbs, so lacking full arm, full leg.

[25:27]

It's only if you speak with elderly people, they might say, oh, I know such a person.

[25:32]

Awful.

[25:32]

Can you imagine you're a mom and because you were trying to have a bit of comfort, then

[25:37]

that comes up.

[25:38]

And it was a traumatic event for everyone.

[25:41]

It was complete traumatizing.

[25:43]

And it's because of that that we started to remove women from clinical trials because

[25:47]

we aimed well.

[25:48]

We thought, oh, my God, maybe she's not pregnant, but then she becomes pregnant.

[25:54]

Maybe she's not pregnant because she doesn't know she's pregnant.

[25:57]

And so even if it's one in the whole clinical trial, this is just, you know, this is a life.

[26:02]

We can't do that.

[26:03]

And so for very protective and well-intentioned reasons, women will be removed from clinical

[26:07]

trial.

[26:08]

And so I find that imbalances in the child, you don't see them immediately.

[26:14]

They might come later in life like ADHD, like, you know, children that struggle to

[26:19]

focus, struggle to fall asleep, have, you know, sort of difficulties at school, breathing

[26:27]

issues like, you know, you know, you can usually sometimes trace it back to up to how the

[26:31]

pregnancy was held.

[26:32]

So if you can de-medicate in that beautiful fertility phase and then have a beautiful

[26:38]

organic pregnancy, then life is just much, much easier beyond.

[26:47]

This is maybe true for a few different conditions.

[26:49]

I talk about this all the time, that a very thoughtful and intentional preconception planning

[26:54]

time where we work to reduce migraines and chronic inflammation and even your GI symptoms

[27:00]

is ultimately reducing the risk for chronic disease, maybe 20 years later, maybe through

[27:05]

the generations.

[27:07]

And so it's such a beautiful opportunity to do these things for our full body wellness,

[27:12]

knowing it will impact our pregnancy.

[27:13]

So I appreciate your insight there.

[27:15]

Completely.

[27:16]

And I'm 100% with you.

[27:18]

And that's why I was so excited, you know, because our values and our beliefs are completely

[27:23]

aligned and completely aligned.

[27:25]

It's very, very true in Eastern medicine, in traditional Chinese medicine and in Ayurveda,

[27:31]

which arguably sort of cracked something about fertility, something along the lines, right?

[27:35]

It's quite well.

[27:36]

It doesn't mean that it's easy to manage a large population, but they did manage to be

[27:39]

quite fertile for quite a number of years, thanks to their medicine, which was completely

[27:44]

specialized into women and not necessarily into men.

[27:47]

And and yes, and so the more you solve for that, the more they see the vitality of the

[27:54]

baby is a reflection of the vitality of the parents at conception.

[28:01]

So they say the more the health of the parents at conception, the almost the better the DNA.

[28:07]

That's what they've expressed.

[28:08]

That's what they've experienced.

[28:09]

I don't think we can prove that scientifically yet, but empirically, that's what they've

[28:14]

observed.

[28:15]

And so their whole obsession was like, if we do that for a couple of generations, then

[28:19]

we all have sort of stronger human beings.

[28:24]

And I think the reverse is true, at least a bit when you look at our generation of children

[28:28]

and our generation in the world, you know, are we are we getting sort of healthier and

[28:35]

healthier generations or or more anxious generation, more generations with cancer, more

[28:41]

generations with ADHD, etc.

[28:42]

And of course, technology plays a role in there, but not just technology, also the way

[28:46]

we feed ourselves, the way we treat our bodies, the way we mute signals with medication.

[28:53]

Mm hmm.

[28:55]

I know one of the ways that you're really interested in and have an expertise in

[28:58]

supporting that vitality is with nutrition, is with superfoods.

[29:03]

And you mentioned that there are certain foods that can help us to treat our migraines.

[29:07]

And some of these, you know, I will see what you reveal, but I imagine some of them are

[29:12]

very antioxidant rich and anti-inflammatory and can help with other body systems as well.

[29:17]

Will you talk us through maybe your top five superfoods?

[29:20]

Yeah, yeah, absolutely.

[29:22]

And so I work with 700 foods and I find that nature has, you know, everything it needs

[29:28]

to produce a beautiful baby.

[29:31]

And it's all about finding, OK, what are the imbalances?

[29:34]

So whenever I meet someone, there's usually a number of layers of imbalances and I need

[29:39]

to unpeel them like an onion.

[29:41]

And I find that going and unpeeling the onion in the right order is really, really important.

[29:48]

And so there are some foods that are going to help to do that.

[29:51]

And there are some foods that are also going to hinder that.

[29:53]

And this is where I want to start because I know that this is actually more universal

[29:57]

is there are some foods that look superfoods, but that will get you a miscarriage really

[30:04]

early on.

[30:06]

And I want to share that because some women might feel I'm pregnant.

[30:11]

And then I have sort of a delayed menstruation and I never got that really, really positive

[30:15]

pregnancy test.

[30:16]

But I swear I was pregnant.

[30:18]

And they're right.

[30:18]

Again, their intuition is completely right.

[30:20]

And one of those foods that will give you that aspect is, for example, turmeric.

[30:25]

Turmeric has a great reputation and really deserves it.

[30:28]

It's a beautiful food that in case of a number of diseases is going to help is anti-inflammatory,

[30:33]

etc., etc.

[30:34]

But there's there's two buts.

[30:37]

One is turmeric is going to clean the blood.

[30:40]

When you are freshly pregnant, you don't want to clean the blood.

[30:45]

It's too late.

[30:46]

Like it has to be cleaned before.

[30:48]

Once you're pregnant, you want to not touch the blood.

[30:50]

You want to respect it.

[30:51]

And so imagine your temple of love, your uterus, how you have that beautiful baby.

[30:55]

You don't want to start cleaning the uterus while the baby is there growing.

[31:01]

You don't want to do that.

[31:02]

And if you do that, it will result in an imbalance significant enough in the uterus that the

[31:07]

baby will fall.

[31:08]

Yeah.

[31:08]

And so I really want to attract that because oftentimes we will talk about a food in absolute

[31:14]

terms.

[31:14]

And I think it's a big mistake that we do in the West.

[31:17]

We talk about a food such as if it was only doing the good stuff and we're going to celebrate

[31:22]

what they do good.

[31:23]

We don't celebrate what their dark force.

[31:26]

So you need to think for every door you push from the other side, you pull.

[31:32]

Yeah.

[31:32]

And so you want to understand the pulling as well as the pushing.

[31:36]

I'm getting something.

[31:37]

What am I giving up?

[31:39]

And in the case of turmeric, it's that balance of of the of the the uterus and the blood.

[31:46]

There's another one which, again, is loaded for its anti-inflammatory properties is ginger.

[31:52]

Ginger will make the blood circulates faster.

[31:56]

And so if you have a ginger infusion when you're pregnant, freshly pregnant, you can

[32:00]

lose your baby.

[32:02]

The other thing is ginger is really warm in nature.

[32:05]

So it may take some of the in some of the liquids that will constitute the amniotic

[32:10]

fluid.

[32:11]

And so it's not welcome.

[32:12]

Now, that being said, a ginger infusion or decoction is very different to candied ginger

[32:18]

that you can chew if you have morning sickness.

[32:21]

Very different things.

[32:22]

So the morning sickness one makes sense.

[32:24]

You chew it.

[32:25]

You don't necessarily swallow it.

[32:26]

You just chew it.

[32:27]

And that's going to help you remove very naturally and very softly the nausea.

[32:35]

But ginger that you drink might might shift that balance, make the blood circulate too

[32:41]

fast and therefore, you know, you losing the baby.

[32:45]

Does that make sense?

[32:46]

That makes sense.

[32:47]

Yep.

[32:48]

So just a quick question.

[32:49]

I know probably some people are using either turmeric or ginger for their anti-inflammatory

[32:56]

action.

[32:57]

Is it something where perhaps they could take through ovulation and then they discontinue

[33:02]

so that the second half of their cycle in early pregnancy is safe?

[33:05]

Exactly.

[33:06]

Absolutely.

[33:07]

Yes, that's a that's a big, big yes.

[33:09]

Yes, absolutely.

[33:10]

That's the way to do it.

[33:11]

And it's great, too.

[33:12]

So, for example, if you've had a lot of miscarriages, it's really nice to clean the uterus after

[33:16]

all of these miscarriages.

[33:18]

And so turmeric can help with that.

[33:21]

And so that's exactly what you do.

[33:23]

You do that in that follicular phase.

[33:25]

And then once you hit ovulation, you stop it.

[33:28]

Yeah, yeah, brilliant.

[33:30]

Yeah, absolutely.

[33:32]

Are there a few other foods that you find to be very powerful to help migraines that

[33:37]

might also benefit fertility in some way?

[33:40]

Yeah, absolutely.

[33:42]

And always go if you try some of these foods, always try them and then see how you react,

[33:48]

because I don't know you and every person has their unique traits.

[33:52]

But, for example, goji berries, they have five roles they can play.

[33:58]

They will stimulate your liver and detox it, which are two very different roles.

[34:03]

And both are equally important.

[34:05]

When you stimulate the liver, you see their liver system.

[34:08]

You're a bit behind on your on your homework.

[34:10]

Here's more energy and you can choose whatever you think is important to do on your to do

[34:15]

list.

[34:16]

It may be detox, but maybe also hormones or tendons or something else.

[34:22]

Third, it's going to nourish the kidney system, which is also super important in

[34:25]

ovulation.

[34:26]

It's going to increase the yin, so these beautiful liquids that make the woman very,

[34:31]

very wet and very hydrated from inside.

[34:36]

And it's going to increase the blood volume.

[34:39]

So that's a beautiful food.

[34:40]

Now, because it's so beautiful, because it's so rich, you really need a really small proportion.

[34:46]

So you can just put, you know, eight to 10 in a cup of water, hot water, let them infuse

[34:52]

and drink that.

[34:54]

And and that's enough for the day.

[34:56]

Your body, it's there's always a magic number to every food.

[35:01]

So, for example, if you see one apple a day keeps the doctor away.

[35:03]

Great.

[35:04]

What about five apples a day?

[35:06]

Well, what would that do?

[35:07]

You can imagine in your brain, it's like I'm going to have five apples a day every

[35:10]

single day for 20 days.

[35:11]

You can almost have already stomach cramps.

[35:14]

So it's the same with these really small and potent food.

[35:18]

More is not more.

[35:19]

There's a happy portion that is better to have daily than a massive amount, you know,

[35:26]

to have in one go.

[35:30]

So we're going to make our infusion with our goji berries.

[35:32]

Do we eat them afterwards after they've been soaking?

[35:35]

You can.

[35:36]

If they've soaked for a really long time, they're likely going to be a bit like mushy

[35:40]

and not very good in taste.

[35:41]

So you don't have to.

[35:42]

If you don't like waste, then you eat them.

[35:46]

They will always add more, but you don't have to.

[35:49]

What is really interesting is when you take an infusion, you bypass the gastric juices.

[35:53]

And so the the all of these nutrients go directly into the bloodstream, which is really nice.

[35:59]

So if you have, for example, you get you can still access some of that beautiful food that

[36:05]

way, which is nice because you need it.

[36:07]

You really, really, really need it.

[36:08]

If you have any, it needs to be repaired.

[36:10]

But meanwhile, you still need to go by the day.

[36:12]

And however, however, however, and I have to say these things, it's really important.

[36:19]

Goji berries do contain fructans.

[36:22]

So if you have an IBS, like a full blown irritable bowel syndrome and you're on a FODMAP diet,

[36:28]

no goji berries.

[36:29]

If the goji berries make you bloated, stop them immediately.

[36:32]

They don't suit you.

[36:33]

You see, that's what I mean by I find sometimes in the West we have a very black and white

[36:37]

version of vision for food.

[36:40]

But the reality is it has these small nuances that are important and you don't have to know

[36:46]

them.

[36:46]

I think as long as you follow your intuition, then you can also just trust your intuition.

[36:51]

You don't, you know, in absence of knowing everything intellectually.

[36:55]

Yeah, it's funny, just as an aside, as a related note, I do a lot of G.I.

[36:59]

testing in my practice.

[37:00]

And sometimes people will come in and they'll say, every time I eat avocado, I feel nauseous.

[37:05]

I don't feel well.

[37:06]

Or every time I eat, you know, an olive oil and then we do their G.I.

[37:10]

testing and we find that they're really having a hard time digesting fat.

[37:13]

And it's great that we see it on the report.

[37:15]

But I'll say you already knew, you already had the intuition that these foods weren't

[37:20]

working well for your body.

[37:21]

And of course, now we have some specificity and we know how to support you so that you

[37:24]

can enjoy those foods.

[37:25]

But listening to those signals that you're getting every day is so important.

[37:31]

Yeah, absolutely.

[37:32]

Absolutely.

[37:32]

And what is really hard sometimes is because the signals can change.

[37:40]

And maybe what I want to talk about that a little bit, too, is if you think of a man

[37:45]

next to you, like he wakes up and every single day he has one sex hormone and his liver does

[37:50]

the same thing and his body does the same thing.

[37:52]

It's quite simple.

[37:54]

If you're a woman, you have all of that cycle.

[37:56]

And so in that cycle, some days the liver system is going to produce estrogen, some

[38:00]

days LH, some days progesterone, some days detox from a medication, some days detox from

[38:05]

a bit of alcohol, some days have a big to do list, some days have a smaller to do list,

[38:10]

some days be able to go through it and some days not.

[38:13]

And this is where women will feel that their intuition is not reliable because they feel,

[38:19]

yeah, I'm intuitive, but it's also inconsistent.

[38:23]

Some days, yes, and some days no.

[38:25]

And so I'm not sure.

[38:27]

And I think you can still follow your intuition if some days no, then pause that for a little

[38:31]

bit, just park it on the side and reintroduce it just gently, just sort of gentle movement.

[38:37]

Obviously, I make it sound simple.

[38:40]

Obviously, we both know it's a lot more complicated.

[38:43]

But, you know, in absence of support, you can always rely on yourself first.

[38:47]

Mm hmm.

[38:49]

Before we move on from talking about the liver, I should have dedicated a whole episode just

[38:54]

to this.

[38:55]

I mean, this is so fascinating.

[38:56]

But before we move on, there are some things I do in my practice to support the health

[39:00]

of our liver, things like castor oil packs.

[39:03]

Can these modalities fit into a migraine treatment plan as well?

[39:08]

It just occurred to me.

[39:10]

Yeah, absolutely.

[39:11]

Absolutely.

[39:12]

They will take a lot of toxins out of the liver system.

[39:15]

And so that's going to be a certain types of migraines.

[39:18]

For example, premenstruation migraine would be a really good one, like when the toxins

[39:23]

in the liver are responsible for parts of those migraines specifically.

[39:27]

Yes, absolutely.

[39:28]

Absolutely.

[39:30]

Yeah.

[39:30]

Right.

[39:31]

My wheels are turning.

[39:32]

All of the things that we can do.

[39:34]

Yeah.

[39:35]

I wanted just to explore quickly another area with you because I saw you posted on social

[39:41]

media about the impact of migraines on relationships.

[39:45]

And this is something that I've seen in my practice, but I don't think I was appreciating

[39:48]

because a lot of my patients are already on a fertility journey, which has its own implications

[39:54]

on the relationship.

[39:55]

And then you add this layer of migraines.

[39:58]

And I just wanted to get some advice from you on what we can do to support couples who

[40:05]

might be navigating fertility struggles and have this added layer of migraines and how

[40:11]

that might influence their communication dynamics.

[40:15]

Oh, yeah, this is such a big topic.

[40:18]

And let's talk about the relationship to the spouse.

[40:21]

We can also talk about the relationship to the parents and to the siblings, which also

[40:25]

can be difficult in those two endeavors.

[40:29]

For the spouse, because migraines are genetic and empathy is the ability to relate to what

[40:34]

the others feel.

[40:36]

So if you take your spouse, when you say you have a migraine, the closest thing they can

[40:40]

relate to is a headache.

[40:43]

And even if you say a migraine is not a headache, it's not a sentence they can really process.

[40:48]

And so I've done a whole podcast on this topic, a quick one, because I don't think spouse

[40:53]

have that much time for migraines.

[40:55]

But, you know, 15 minutes podcast on migraine here was just to explain to them what is a

[40:59]

migraine and why it's so hard to relate to.

[41:02]

And I find the best analogy we can find is like a hangover that's going to last for two,

[41:07]

three, four, five, seven, eight, nine, ten days and will not move with any medication.

[41:12]

And there you're quite close with.

[41:14]

For a woman, you could think labor.

[41:17]

Labor might be, you know, some people argue their migraine attacks are harsher than labor

[41:23]

itself.

[41:24]

And so I try to first calibrate the pain we're dealing with.

[41:28]

And that's really important.

[41:29]

And it's maybe sometimes hard to convey yourself because it means you're advocating for yourself,

[41:35]

which feels.

[41:38]

I don't know, maybe it's hard to do or hard to believe.

[41:41]

And the first of all, it's like breaking the myth dialogue, maybe with a couple of facts

[41:46]

because it's genetic, you can't feel it because you can't feel it's hard to relate.

[41:50]

So, you know, these are the two best proxies that, you know, you can have in terms of pain.

[41:56]

And then then there's the fact that men always want to jump to a solution.

[42:01]

Usually, I mean, often I was on, you know, with a person yesterday, a woman, and she

[42:09]

was mentioning that in the past, her boyfriends were commenting on her migraines and sometimes

[42:14]

giving her random solutions or saying there's something you must be doing wrong.

[42:20]

And both receiving advice and being told there's something that you must be doing wrong is a really

[42:25]

hard sentence to receive.

[42:27]

I also presume that in your practice, this is also what women are told sometimes.

[42:32]

There must be something or this must be something we are doing wrong, which like this royal

[42:39]

we kind of you having most of the job with that baby.

[42:42]

And it's really, really hard.

[42:45]

And I think just, you know, having distance with it.

[42:48]

Like, he didn't mean it that way.

[42:50]

Like, it's really offensive, but he didn't mean that way in taking.

[42:54]

I think as women taking a lot of distance vis-a-vis, you know, what our partners can

[43:01]

actually understand and finding maybe maybe more a deal in someone like you or me.

[43:10]

And I don't mean that in a very commercial way at all.

[43:16]

It's just that the help you need is they can't give you what you need.

[43:21]

Like, they don't even understand the problem to start with.

[43:25]

So it's really hard for them to relate.

[43:27]

And I also find that and that's very personal experience.

[43:30]

I find men, they like to think that the baby comes from the bird.

[43:33]

They want to know that they're fertile.

[43:35]

They don't want to have their virility sort of touched.

[43:38]

And so it must be you.

[43:39]

You must do something wrong is that please don't tell me I don't have what it takes.

[43:45]

It kind of, you know, because they're not used to it.

[43:48]

So as we grow up as teenagers, as women, we get knocked off, you know, by our menstruation.

[43:55]

And we have to seek for help really, really early in our lives

[43:58]

because our bodies just make these unusual things.

[44:01]

And because before the machine works really, really well,

[44:04]

it comes with a lot of challenges.

[44:05]

So we're used to asking for help.

[44:07]

Men are not, you know, everything normally rolls until they're 40, 44.

[44:12]

Everything's rolling.

[44:14]

And so they're not used to asking for help.

[44:16]

And so I find as a woman, you have in that toolkit, that modesty,

[44:19]

that seeking for help, that intuition, that motherhood, that sisterhood,

[44:25]

and leverage that to have them being your duo to transition all of that

[44:30]

and have the baby come from the bird very naturally and very gracefully if you can.

[44:36]

Because it's really hard in a couple and can lead to a lot of deaf dialogue

[44:41]

and things that are said that, you know, one would regret without ill-intending.

[44:47]

It's really, it can be, it can put unreasonable pressure on both.

[44:53]

Yeah, right.

[44:55]

So that makes sense.

[44:57]

Yeah, it makes perfect sense how our romantic.

[45:00]

Relationship or our partnership can change you mentioned that there may be different dynamics with parents or siblings

[45:04]

Will you tell us a little bit about that?

[45:06]

Yeah, and actually I want to also mention

[45:09]

I've also heard some people mention that their their spouse was also their migraine carer

[45:18]

And so there had a role as a spouse and

[45:22]

Almost as a male nurse or a nurse

[45:25]

Yeah, and so they had to make the distinction between when am I your nurse, you know

[45:32]

Deciding when do I take you to the emergency room because you're in so much pain

[45:36]

You can't decide for yourself anymore and certainly drive not drive yourself to the emergency room because maybe you've lost your vision

[45:43]

and

[45:44]

when are we a couple and

[45:47]

People expressing how difficult these two roles are

[45:49]

Men also having expressed a sense of guilt that they have because they want to help but they cannot help so for them

[45:56]

It's also they find themselves in a situation that they are very unfamiliar with

[45:59]

Where there's a problem and it's a massive problem and I love you. And yes, I can't do anything for you

[46:06]

and

[46:07]

So I've heard from people sometimes seeking therapy for that

[46:11]

To divide these roles and and be able to live in harmony, although it's still better to de-migraine and get fertile

[46:18]

but it's it's I

[46:21]

Found it really really interesting and very powerful. And so I just want to mention that now back to your question on parents and siblings

[46:27]

I'm sorry. I find parents. Look sometimes they will have migraines themselves in which case they have a lot of empathy

[46:34]

And that's great. Parents have that unconditioned love parents can also be the providers for someone who suffers from migraines and therefore

[46:42]

Suffers so much they can't work and they can't live by by themselves

[46:46]

So they might live in with their parents in which case they might feel fertility clock is ticking away

[46:52]

That maybe it's never an option for them

[46:56]

And so it creates a lot of distress in the child. It also creates a lot of distress and guilt in the parent

[47:03]

And so I find that's a beautiful relationship of unconditioned love

[47:07]

Sometimes you can have a parent that is so difficult that it's the cause of the migraines and sort of child abuse, etc

[47:13]

That's also possible

[47:15]

But overall, it's usually a relationship of love and then and then you have the siblings and the siblings

[47:24]

The the are maybe the little bit harder

[47:28]

sometimes not sometimes not always and

[47:30]

that's because they again they don't relate and they feel they are the same because they have the same parents and

[47:37]

Maybe they have a few headaches because maybe they inherited the gene

[47:40]

But a very slight version of the gene and so they compare their pain to their siblings pain

[47:46]

And that's really puts quite a lot of tension because they will say all my sister also talks about is for migraines and then they

[47:52]

roll their eyes or she doesn't show up to family events and

[47:56]

and when I

[47:57]

come across such siblings which has happened quite a bit in the past because I explained to what I do and then they ask a

[48:03]

Lot of questions and then they talk about their family member and I take that time to listen to acknowledge

[48:08]

Their frustration because they're usually just frustrated like oh we used to be, you know

[48:12]

Spending so much time together and now just all of us was like such as if you had a new relationship

[48:17]

With your migraines so good. You don't want to leave it like the conversation is almost absurd

[48:22]

And so and then I reframe it

[48:24]

I'm like well probably if I may the siblings are first probably about ten times as much as they actually express

[48:30]

They probably hide that they suffer because they really learn to hide in a way

[48:34]

And when it's Christmas and they can't come but they probably feel extremely sad so

[48:40]

Just add you can't solve it

[48:43]

They will figure it out. They're smart. But meanwhile just have just genuine empathy again. It's genetic if you can't relate to it

[48:50]

Imagine labor imagine a massive hangover because that's the best you can and so just be kind just be kind

[48:58]

It's difficult for them

[49:00]

Yeah, so difficult and there's so many layers

[49:03]

It's the pain and the grief and the all kinds of emotional turmoil that's related. So just be kind

[49:09]

I think that's a great takeaway for us and Diane

[49:12]

I just know everyone who's listening will want to learn more and I know you have so many

[49:16]

Resources that are available for those who'd like to learn more about their migraines. Will you tell our listeners where they can find you?

[49:24]

Yes, so you can go on the website

[49:27]

My nectar health.com and there you'll find the test you can take the test and the test is going to ask you

[49:33]

97 questions about your migraines, but also all of the other stuff going on in your body

[49:38]

And in itself, it's going to be quite an eye-opener because usually people will just focus on the migraine

[49:44]

There's just so much else going on

[49:46]

and from there

[49:48]

We can meet and talk about your migraines

[49:51]

And and their root causes and then the other thing is I have a podcast called migraine heroes where I have lots of women that

[49:58]

Are coming to testify and I think after I've worked with them

[50:02]

They have two emotions. One is an emotion of gratitude think. Oh my god after two decades of migraines Oh

[50:07]

Heaven and then another emotion. I'm gonna call it the really emotion like really I went through two decades for

[50:16]

That

[50:17]

That's so absurd. And so they come they're not baits

[50:20]

They just come because they say well I can hope it just serves other people because it's been a nightmare for me

[50:26]

And I'm just so grateful that there was a an exit to all of this

[50:30]

So, yeah

[50:32]

Well, we'll have all of those resources available. So that if anyone is

[50:37]

Struggling with migraines as they're tuning into this show to work on their fertility

[50:41]

They know that there is a solution and they don't have to have that

[50:45]

Really moment or maybe they will but at least they'll get to that moment where they have this relief. Yeah. Yeah. Yeah

[50:52]

Yeah, and I find you know, like I find it's beautiful to do

[50:55]

Functional fertility and to really listen to the signals and listen to you know

[51:01]

When you do your work, you're beautiful at work. You bring you know, a lot of children in the world a lot of children

[51:06]

You know that come so naturally and in respect with

[51:11]

Nature and alignment and love of their parents and and just you know, just as a human beings that we were wired to do

[51:19]

And and and migraines is one of these many symptoms that help us decode. Okay, where is the problem?

[51:26]

And so I'm and so listen to that. Don't mute it. Listen to it

[51:32]

Listen to your intuition. Thank you so much to our listeners who choose to tune into this show and

[51:39]

Trust us on your fertility journey to our shows producer Paola Martini

[51:43]

Thank you so much for making this show a possibility and Diane. Thank you so much for your time and your insights today

[51:50]

It's just been a pleasure to chat with you

[51:52]

Thank you so much Kelly and thank you for the beautiful work and energy that you bring into this world

[51:59]

We'll see you all next time. Thank you. Thank you

[52:03]

Did you love this episode and want to hear more head over to dr. Kalia waddles comm slash podcast

[52:09]

Where you can find more episodes on all things fertility

Originally published August 2024

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