Welcome back to The Inspired
Living with Autoimmunity podcast.
I'm your host, Julie Michelson,
and today we are joined by Dr.
Miles Nichols, founder of the
Medicine with Heart Functional
Medicine Clinic in Colorado.
Dr.
Miles specializes in Lyme mold,
illness, gut, thyroid, and autoimmunity.
In today's conversation, we're talking
about various elevated auto antibodies
and how they can affect different areas of
the body, including the brain, and how we
can take steps to address the triggers and
reduce those antibodies to feel better.
Dr.
Miles connects the dots between
autoimmunity and mental health challenges,
and the connection may surprise you.
He also underscores how important
it is to consider our relation
to what we do to heal and not
just the external steps we take.
Dr.
Miles, welcome to the podcast.
Thank you so much for having me.
I am so excited for our conversation and
I'd love to start by having you share your
personal health journey with listeners.
Cause I always feel there's
so much value there.
Yeah, happy to.
I growing up had.
A father who was a doctor, who
really was an inspiration because
not only was he doing medical
work, he was into public health.
He taught at the public health school
and then he became interested in trying
to make bigger change in the world.
So he decided to become
a state legislator.
He tried and lost and tried
again until he won it.
Take, took a few rounds,
Good for him.
Then he was able to, to pass some
interesting legislation that took
tobacco and moderate tax money and put
it into a pool and made it available for
people who fell below the poverty line
who weren't eligible for healthcare.
He passed many different things
that, that were helping lots of
people, and yet when I was 15, i,
I, I got a call, I was babysitting
for a, a friend of my sister and.
I got a call, it was someone from my
family church, and she said, something's
happened that you're gonna have to leave
your, someone's gonna come take over for
you, your, your father's in the hospital.
And he had passed on suddenly and
unexpectedly from a heart attack.
And that just threw me for a loop
because I didn't see it coming.
And he had.
top-notch medical training.
He had medical school at Stanford.
He had a master's in
public health from Harvard.
He had the top of the top of the education
in health, and yet he had passed on at
64, and that really threw me for a loop.
At the time, I didn't know.
One, I had to deal with my own
grief around that experience, and I
started to learn about mindfulness
and I started to learn about stress
management and I realized these things
aren't taught in medical school.
And then I started to
struggle with my own.
Health issues.
A few years later, in early twenties, I
was struggling with chronic fatigue and
I, and, and lots of brain fog and I was
struggling to even get through school
and I got called into the principal's
office and she said, something's going on.
You're academically doing great.
I can tell you have
the capacity here, but.
You're not arriving on time and some
things are going on that, that tell me
something medically might be happening.
And I said, I think so, but I don't know
what, I went to the doctor and they said
nothing's going on, and, but I, I sleep
for eight hours, nine hours, 10 hours.
I still feel tired, hard to get out
of bed, hard to get through the day.
And she said, I think
something's going on.
And I said, you know what?
You're right.
I need to figure this out.
So, I took, took me on a journey.
I really, I, I started to do some
practices, some meditation, mindfulness
practices, movement practices.
Those helped a lot.
And then I started figuring out some of
the functional medicine piece and got
some mentors and I started doing some lab
testing for some things that really, I
realized that even though my doctor had
said everything was normal at the time, I.
My thyroid markers were a
little bit high normal actually.
And when I discovered that high normal,
that out of the optimal range, but within
the conventional range, I started to get
really, really interested and curious in,
hmm, I wonder about this opt, this, this
optimal function versus disease process.
And I started to get really,
really passionate about how do
what, what is optimal function?
How do we look at prevention
and how do we look at chronic?
Debilitating things like chronic fatigue,
brain fog, and it led me on a journey.
And that journey led to discovering
that I had auto antibodies
against cells in my stomach and.
No one had talked about that, and I
had to figure that out through doing a
lot of self-research and looking into
research studies and seeing that 20 to
40% of people with thyroid issues had
these auto antibodies and then just, Hmm,
I wonder if I do and testing them and
I out that, oh, I did, and then I had
the research, well, how do I treat that?
And then started treating that and
then I felt tremendously better.
And then I found that.
I had these chronic infections.
I had Babesia, Bartonella, these,
these tick-borne infections.
And I grew up in Arizona.
It wasn't a thing.
I didn't have that as an awareness.
And, but later, just a few years
ago, I found out there was a
tick problem in the dog yard.
And they had, as a kid, the, they had to
go between some times of having a dog.
My parents said, oh, we couldn't have a
dog for a while cuz of a tick problem.
And it starts to, it starts to become,
Clear over time and, and I start
to think back to the allergies, the
eczema that I had, the things that
as a little kid that I didn't think
much of at the time, and that now I'm
starting to piece together the puzzle.
And then I was living in a
moldy environment and I tested
and had the multi susceptible
gene, which is one of the worst.
Genes for accumulating toxin from mold,
creating a chronic inflammatory response.
And I had to get out of that house
and I had to do that whole treatment
and figure that out for myself.
And so after all of that, and there's
others, but I'll just leave it there.
It's enough.
I I, I decided I.
You know, this, this was really hard
for me, and it took lots and lots of
years to do this and figure this all
out, and I wanna help other people to do
it quicker and have a more streamlined,
systematic, step-by-step approach.
And so that's, that's why I've created
the clinic, that I've created, the
practitioner training in institute,
because I want to help people
to be able to move through these
kinds of chronic, sometimes mystery
illnesses with a little more grace
and ease than I had in my journey.
Amen.
That's why we do what we do, right?
It's.
And, and I'm always grateful that
we're, we've all been able to, many
of us piece together, even though
it may have taken, you know, years
and years and years and we know now
we can streamline it, as you said.
We have so many parallels to our story.
But let's tie in.
Well, I'm fascinated.
Now I'm gonna shift from what I
thought we were gonna talk about.
Let's talk about those
autoantibodies to the stomach.
Tell share a little, this isn't something
anyone's talked about yet on the podcast.
Yes, sir.
These cells called parietal cells.
Parietal cells in the stomach make
stomach acid, and they also make
something called intrinsic factor.
Stomach acid, of course, is helpful for
breaking down protein for metabolizing
nutrients and especially minerals,
and so people who have stomach acid
issues often have issues digesting.
Protein like meat might feel heavy in
the stomach, or it might be that mineral
levels are chronically low or there's
maybe an iron, a deficiency or anemia
or other things where stomach acid is an
issue and other people get acid reflux
when stomach acid is an issue and parietal
cells are what makes stomach acid so,
There are autoantibodies against these
cells, and because these cells also
make intrinsic factor, intrinsic factors
responsible for metabolizing vitamin b12.
Now, this is really important
because vitamin B12 is one of the
vitamins that when deficient creates
issues with things that overlap
with thyroid and other things,
fatigue, neuropathy, nerve problems.
Some neurological problems.
So, To have a B12 deficiency
could cause a lot of issues.
And these, this intrinsic factor
is how people metabolize b12.
And what's really mind boggling
to me is that when parietal cell
antibodies are present, often B12
levels will start to become low,
but people can supplement with b12.
I was supplementing with
B vitamins, including b12.
My blood levels looked good.
But the research on parietal
cell antibodies is if they're
elevated, if the immune system is
attacking these cells, what helps
that to go down is injectable b12.
And that's odd because taking oral
B12 and getting blood B12 levels up,
I would think, oh, well that probably
is taking care of that deficiency.
Maybe it is, maybe it isn't.
But what is clear in research is that
what helps those antibodies to go down?
Is injectable B12 and oral does not work.
And I've tried oral, I've tried
topical, I've tried liposomal, I've
tried sublingual and injectables.
The only one I've found to
reliably bring in patients down the
elevated parietal cell antibodies.
And so that's interesting, and
I don't completely understand
why, but I but it, it's there.
It's in the research, it works and.
And, and what I noticed personally
is that injecting B12 had a totally
different effect for me than oral
b12, sublingual b12, all the other
forms of B12 that I had taken.
It took a little while for me to
experience it, but it made a dramatic
difference in my energy, and I thought
the energy was related more to the
thyroid being subclinically low, and
it probably had something to do with
that, but 20 to 40% of people who have.
Thyroid issues have parietal cell
antibodies, and then pariet cell
antibodies are also elevated in a
number of other autoimmune conditions.
So people who have one or more autoimmune
conditions, which hypothyroidism
is often an autoimmune condition
in an of itself most of the time.
People who have one or more are at higher
risk for having parietal cell antibody
elevation, and yet it's one that doesn't
tend to get tested all that often.
So I tested frequently in people and even
people who don't have known autoimmunity.
Sometimes I'll find parietal
cell antibodies still, and it
explains some, especially when
I see there are oral symptoms.
So there are a few oral
symptoms that are almost.
Guaranteed to have paral cell
antibodies, which is quite strange.
Th this sore tongue, this feeling of, of
a sore tongue, waking up with a really
dry mouth and having a sense of if people
get a lot of, a lot of oral symptomatology
kink or sores and certain other throat
issues, chronic sore throats and.
And, and strange feelings in their
throat, their tongue, their mouth.
That's almost the in, in research
they see like nine over 90%
with some of those symptoms have
bridal salient to body elevation.
So it's very fascinating and it's a topic
that I wish more people understood about.
So thank you for asking.
Oh my gosh.
I see.
I'm, we can stop now.
I'm good.
No, I'm kidding.
I, I just love, I have, I so enjoy
the conversations that I have and
I know that, that listeners get so
much value, but I, I get excited
when someone goes in a totally.
I'm like, oh my gosh.
So is this testing that, that can just be
included on a functional medicine panel?
How, how do people go about I.
Because I'm sure listeners are
gonna be running out saying, oh my
gosh, I've never had that tested.
Yeah.
Alci antibodies can be ordered
through LabCorp, through
Quest, through the big labs.
Yeah, it's, it can easily,
yeah, easily be ordered.
Amazing,
not very expensive.
Even if it doesn't go
through insurance either.
which is always a blessing when
it comes to this kind of testing.
So that leads me to, I know you have
this pretty systematic approach to
streamline things for your patients.
Are, is this, are you, are you a tester?
Is that something, do you do certain kinds
of panels and in the beginning, you know?
Yeah, I do.
I, I do quite a lot of testing because
I really, I tend to get the people who
have been through a lot of other stuff
and they're still struggling so often.
People I get are, they've done a lot
with diet, with lifestyle and with
supplementation, and they've done
usually some treatments in the functional
world by the time they get to me.
So often I'm, I'm trying to figure
out those weird mystery things that
a lot of people haven't tested for.
I do a lot of.
Neurological auto-antibody
testing, so antibody testing
against brain and brain tissue.
I find that a number of people have
immune autoantibodies against things
like dopamine receptor one or cerebellar
tissue, or Perkin G cells or these other
structures in the brain, and that really.
It concerns me about where we're headed as
a culture because the stats on cognitive
decline on Alzheimer's dementia, mild
cognitive impairment are significant.
The stats on mental health issues are
significant, and I see an overlap.
What was interesting is I was treating
a lot of chronic infections, toxin
issues, gut dysfunction, methylation
issues, mitochondrial issues, and.
What I discovered is a lot of people
were saying, wow, my anxiety went
away, my depression got better.
And I, I started to think, huh,
I wonder why that's happening.
And I started to look into the research
about these mental health concerns,
and I recognized something that just
totally was a surprise to me, which is
that there isn't a good link between
the neuro, the, the neurochemical
imbalances that people talk about, like.
Like serotonin and depression.
When I look at the most recent umbrella
review papers on that, the peer review
clinical trials that are looking at a
meta-analysis of all the other trials,
there's no good evidence that serotonin
depletion causes depression, and that's
just mind, mind boggling to me because
that's still the perpetuated norm.
That's what people think.
Even in the research in the
medical communities, a lot of
people think that unless they're
really up to date on this, and so.
That led me to think, okay, well what
is it that's causing these issues?
So I've, I've gone deep into
encephalopathy and looking at
brain changes, structural and
functional changes in the brain.
Often this happens post-infection.
Of course, traumatic emotional experiences
can play a role in the development
of mental health issues, neurologic
issues of cognitive issues of brain
fog, of headaches, of chronic fatigue,
of neuropathy, of chronic pain, and.
Also auto antibody attack against
brain tissue, post-infection,
post toxin exposure.
So I started to piece
together, oh, infections.
Actually, there's a huge body
of literature, a huge amount of
research suggesting post infectious
and encephalopathy, and this
became abundantly clear with covid.
It became abundantly clear with
Lyme because I treat a lot of
Lyme and co-infections that.
Post this infection.
Often in doing case history,
people say, oh, well, I was
doing pretty well with stress.
I was feeling pretty energetic,
pretty good in myself until this time.
And then what happened in that time?
And when we dig into it, it's
either some kind of a, an infection,
some kind of a toxin exposure,
could be a big emotional stress.
And often with that infection, with
that toxin exposure, sometimes what
happens is, It initiates an auto
antibody attack against the brain tissue.
And this is well documented in research.
It started with pediatrics and looking
at children and children and finding that
some children had significant behavioral
changes after getting strep throat.
And what was discovered is that
that streptococcal bacteria
can actually have this.
Ability to trigger an autoimmune response
against brain tissue, and that autoimmune
response against brain tissue could
change behavior and mood, and children
could start to get really angry, really
upset, really having behavioral problems,
getting psychiatric diagnoses, and yet,
The root of it has been discovered in many
cases, not every case, but in many cases,
to be a post-infectious auto-antibody
response against brain tissue.
So infections or toxins trigger this.
Auto-antibody response
against brain tissue.
And then there's also a lot
of gut dysfunction that can
cause this auto-antibody
response against brain tissue.
So part of the testing that I do are
looking for those antibodies against brain
tissue, looking for other autoantibodies
in the body as well as looking for.
What's hormone function like?
What's gut function like?
Is there any gut dysfunction?
What's cellular function methylation like?
What's mitochondrial function like?
And doing that kind of a broad
spectrum of testing in the beginning.
Give a nice picture because
what I have found is that a
lot of people, when they're.
Doing one thing, like a lot of people
come for Lyme and they want Lyme
treated, and if I just treat Lyme, I
don't see great results usually with
It's never just lime.
yeah, need to address the gut
mitochondria, methylation, toxins.
It, it's a bigger picture and so,
so I do a long answer, but I do a
battery of testing in the beginning
to look for a variety of things.
To paint a picture and look for patterns
and that painting a picture and looking
for patterns gives a few markers
that can be tracking markers that we
can retest along the way to help to
evaluate, engage progress and treatment
together with how people are feeling.
Of course,
Yeah, but it's a.
Always nice to see that data too.
absolutely.
For sure.
So, because we're not a doom and gloom
podcast, I am assuming that, you know,
even if you identify these, these
antibodies, again, by treating the
whole person, we, we get to correct
some of this because we hear all the
time and you see it all the time.
Anybody with chronic illness, it it.
Kind of goes hand in hand with,
okay, you know, that can lead to
anxiety, that can lead to depression.
And, and so it sounds like
though, by, by treating the whole
person, we can turn things around.
Yeah, absolutely.
So if I test autoantibodies for
someone against brain tissue, I see a.
Elevations, let's say in
three or four of those.
Often we'll treat something
like an infection and then we'll
retest those brain autoantibodies.
And many of them have gone down.
Sometimes all of them have gone down, and
oftentimes they can all become in normal
range, or many of them can become in
normal range as if the immune system has
Its response against that brain tissue.
And the idea is there's what's
called a cross reactivity where.
The infectious load, the immune
system's trying to attack the infection.
It just so happens that, and there's
studies on this, so there's a study on
Lyme, for example, where the Borrelia
bergdorf fry bacteria that causes Lyme.
There's a segment of the D N A
there that looks like thyroid
tissue and that overlap.
Is probably part of where the immune
system is confusing and attacking,
trying to deal with brelia,
borre, bacteria, and inadvertently
also attacking thyroid tissue.
And same with some of these brain tissues.
So it's likely that the immune system
is trying to take care of something
legitimate, and if we treat that something
in a way that helps to lower the burden.
To lower the burden, the immune burden,
then the immune system can relax that
attack against the tissue because
the tissue's cross reacting with
the other pathogenic factor that the
immune system was aggravated about.
And so what that leads to is that
and this is part of the value of
the the, the auto-antibody testing
is if there are autoantibodies.
There's likely three components in place.
A genetic predisposition, we can't do
much about that likely some permeability.
So blood-brain barrier can
become permeable and allow
for these antibodies to form.
And then a also usually a trigger
that creates that cross-reactivity
and initiates that process.
So the genetic predisposition
we can't do much about, but
we can do something about the.
Blood brain barrier issue, and we can
do something about the infectious load.
And so those are really the targets, is
how can we help the blood brain barrier?
How can we help the infectious load
or the food trigger or the intestinal
trigger or the toxin trigger, but
we don't know what trigger it is.
So, That's where retesting the antibodies
comes in is when we test the antibodies.
We make a hypothesis and we do other
testing to see maybe it's this infection,
maybe it's this gut issue, maybe it's
this toxin, and then we start to treat
one or more of those areas and then
we retest the brain autoantibodies.
If they're going down, we've on the
right track for the right triggers.
If they don't go down
or they keep going up.
Now we have to go back to the drawing
board, maybe order more testing,
maybe look for other things, maybe
start to treat the next layer
that we hadn't gotten to yet.
And that's where we get to be able
to do this kind of investigative
interesting process where we're
allowing the data to help guide
making hypotheses along the way.
And when those antibodies come down,
knowing we're on the right track.
And it, it, sometimes with
chronic illness, it takes a
while for people to feel better.
So seeing the, seeing the
data change first helps us to
know, okay, let's keep going.
We're on the right track, and
then people can feel better
after a little longer sometimes.
So,
I always say it usually took a while to
get to be feeling as badly as as they are.
And I love the, again, I, I love tracking.
I, I just, I just had the experience
of a client I've been working with for
a while who, among other things, has
had elevated thyroid antibodies, which
we had, they were almost completely
corrected through lifestyle change
and identifying triggers, as you said.
And she, we actually.
Have a lab review today.
But she, she got her lab, most
recent labs back and, and she's
a character and she tends to, you
know, she texted me, am I dying?
And her antibodies were back up.
Funny enough, so was her a1c.
And I said, Have you been
eating anything you shouldn't.
And she said, does ice cream count?
And I'm like, yep.
That would answer both things.
Right?
It was like, becau, but it, it's, I,
I like for people to understand it's
not just, You know, cuz Julie says
the dairy is an issue for the thyroid.
Like now she can actually
see like, wow, I took it out.
I was completely corrected.
I was, you know, not telling my
coach I was eating ice cream again,
but look, my lab's told on me.
And so luckily she's still feeling
great and she can turn it right back
around cuz she knows what to do.
But I, I think that for me, the biggest.
This is a, a technical conversation,
but the biggest takeaway is that when
somebody is experiencing any kind of
chronic illness and even maybe when
not we can, we can talk about that
too, but if you are dealing with any
kind of psychological, emotional.
Depression, anxiety.
Don't just discount it.
Like I said earlier with the like,
oh, I can explain it away because of
course, you know, I'm, I'm struggling
with these physical symptoms.
I think it's, it's
really an exciting area.
That, that you're focusing on
and, and as you mentioned, hugely
important with the mental health
crisis, the cognitive decline crisis.
I mean, this is, this is an
exciting area of functional
medicine that you're focused on.
Yeah.
And to your point about not
being doom and gloom, there's,
there's a lot of hope here.
There's a lot of change
that, that we can see.
There's not, I mean, it's,
people get afraid when there's.
Immune attack against their
own tissue, against their own
brain, and, and rightly so.
I mean, I, that's not a good thing, but,
but to, to, to, to be able to have the
tools to see it go down and to be able to
also understand that there's also a way
in which there's the inner and the outer.
Like it's not all the outer, it's not all.
Just what you do, it's how
you relate to what you do too.
And that's where in my journey it
came in, that that meditation movement
practices became incredibly important.
And I often have conversations about
things with, with patients like.
The diagnostic label and what's a
dysfunctional way of relating to that
diagnostic label, and what's a functional
way of relating to that diagnostic label
and how to perceive stress because there
are also studies that show that the
people who perceive stress as negative
and problematic have worse outcomes.
All cause mortality goes up.
They die more easily from
any cause is what that means.
And then the people who have the
same kinds of levels of stress,
but perceive that it's not.
Negative.
And it's, and there are studies where they
take the same stressor for two groups and
they tell the groups different things.
So one group, the researchers
say, oh, you're gonna get up on
stage, you're gonna do this thing.
It's, it's kind of stressful,
but that's stress Actually.
What it is, is it's, it's giving your
body the energy that it needs to perform
to do well, and it's really a good thing.
And then the researchers tell the
other part of the group that it's.
That, that, you know,
it, it, it's negative.
Stress is bad and, and so
try not to be stressed.
But when you do those things and,
and, and what they found is that
interestingly, both had heart rate
increase, both had blood flow increase,
but the ones who perceived that stress
as negative, the vessels contracted
and their blood pressure went up.
The ones who perceive
that stress as beneficial.
Their vessels dilated.
The same increase in blood flow,
didn't increase their blood
pressure because the vessels got
bigger to handle that blood flow.
In other words, the way that we
perceive stress actually impacts the
physiology, and so sometimes, I really
feel like one great access point that
a lot of people have missed, especially
people who have been doing a lot with
diet, a lot with exercise, a lot with
lifestyle, already sometimes looking
at how does the inner relate to.
That experience, that moment to
moment physiological experience
and, and the emotional experience.
How do you relate to the
emotion if you're anxious?
How do you relate to anxiety?
That's a really interesting place to
explore with people and there are many
practices of brain retraining practices,
limbic system practices, practices to help
the vagus nerve function, and that all
helps the other treatments tremendously.
It helps the outer
treatments tremendously.
So it's another side of the treatment
process that I think is really
important and underappreciated.
Applying certain breath practices,
meditation practices, movement
that are mindful, focused movement
practices that are joyful, that
bring about a sense of inner.
Passion and joy and, and, and just
pure love for this moment in time
no matter what's happening external.
If we can get this, irrespective of the
external feeling of peacefulness and
contentment and wholeness inside, it goes
a long way towards the outer treatments
and how those outer treatments interface.
So I like to tell people there's how
the outer interfaces with your health
condition and there's how the inner
interfaces with your health condition.
And both are incredibly important,
and please do address both, and that's
really something that can take treatment
to the next level for a lot of people.
Absolutely.
So, so important.
We abso we, one isn't gonna get
you to your, your goal at all.
Which leads me to my question.
I love to ask everybody, and you
have so many answers to pull from.
What is one step that listeners can take
today to start to improve their health?
So, I would recommend that,
that, that people take what I
call an honest self-assessment.
A lot of people are looking for
something external to do and sure
we can talk about that, but they're
looking externally for something to
do instead of looking internally.
And I know a lot of people probably
feel exhausted with, I've tried so much.
And I don't know.
I don't know what's gonna help.
I feel exhausted by trying so much.
And that being said, I think a lot of
people, if they were to take a moment to
do a real honest self-assessment on what
might I be not doing or doing that I know
that I probably shouldn't be doing that.
If I were to change that my health may
improve, that my mindset may improve, my
joyfulness about life may improve, and
most people, I think, have something, have
something there that they're putting off.
It is true for me.
It is true for I think most people that,
that, you know, I know, I know there's
a thing or two that I could do or not do
too.
that could improve things.
And sometimes I think people lose
sight of, of that when they're looking
and seeking external treatments.
So one thing that I recommend
that people do, take an honest,
stock and honest self-assessment
on, where are you right now?
Where do you want to be and what
do you perceive as a possible
obstacle to getting there?
And then a part two of this is, Don't
just look from where you are to where
you want to be, because what that does
is you're at the bottom of the hill
looking up and it's daunting sometimes.
So also take a look back.
Take a look at where you are.
Be grateful for where you are in
the sense that you could be worse.
Everyone, there's a worse
for everyone, right?
So, Look at, and that's, that's
the structure of gratitude.
Gratitude what, what it's saying.
I'm so grateful that I have shelter.
What it's saying is that there
are people in this world who don't
have shelter or I could be homeless
and not have shelter, and I.
That's a weird thing to think
about that that would helps
people, but it research is clear.
It makes people happier.
It makes people more grateful.
It, it helps bring about improvements
in mood, nervous system function.
It does a lot of good for people.
So to not only look from where you
are to where you want to be and what
obstacles are a along the way, but
also to look from where you are.
At how grateful you are.
If I, when I was chronically fatigued
to say I am so grateful that I'm
not bedridden in the hospital.
At least I'm getting out of bed and that
is something I'm getting out of bed in the
morning and yes, I have these struggles.
Even though I have these struggles, even
though I'm struggling to get through
school, I'm so grateful that I have the
capacity to even try to even get there.
To even show up is something,
and to feel good about something
that you have and where you are.
So to make it a spectrum of yes,
here's where I want to be and here's
where I'm so glad that I'm not, you
know, I'm somewhere in the middle.
And to feel that sense of being in the
middle, not at the bottom looking up.
Because that's the, the dysfunctional
pattern that, that so many of us get
stuck in is like, I'm thinking about
where I am compared to where I want to be.
And to also bring into the picture
where I'm glad that I'm not, and, and
both are really important to hold.
Such amazing, amazing advice.
I, I hope everybody that hears this.
Pick, you know, pick.
Not only does the exercise,
but but write it down.
It's a, we need those reminders for sure.
For people that listen on the go.
Where's the best place to find you?
Medicine with Heart is
the name of my clinic.
So Medicine with heart.com
is the best central resource.
There's lots of free blog
articles there, great information
there that people can access.
And then if people want to inquire
about working with the clinic, they
can book a call with a staff member to
discuss what that looks like as well.
And.
Then for providers or practitioners,
I have a practitioner training
institute as well, and that's
mind body functional medicine.com.
So people can, if they're interested
in training as a provider or
practitioner, go to mind Body functional
medicine.com for everyone else.
Medicine with heart.com
is the best resource.
Wonderful.
Dr.
Miles, thank you so much.
You have given us amazing gold today.
Thank you so much.
I really appreciate you, Julie.
For everyone listening, remember,
you can get the transcripts and show
notes by Visiting InspiredLiving.Show.
I hope you enjoyed this
episode as much as I did.
I'll see you next week.