Episode Transcript
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Speaker 1 (00:12):
You are about to listen to the Doctor Dahlia Show,
sassy stimulating medical talk radio. Any medical advice doctor Dhalia
Wax gives on her show should not be substituted for
an actual visit to your medical provider. And now here's
doctor Dahlia.
Speaker 2 (00:36):
All right, you're back up the Doctor Dalia Show.
Speaker 3 (00:38):
Thank you over to me Man one eight seven seven,
Doctor Dollar one eight seven seven.
Speaker 2 (00:42):
D O C D A L. I hope you are
having an amazing day.
Speaker 3 (00:46):
I gotta tell you, you know, I'm just in one of
those moods where I'm like, I love I just now
I'm really appreciative. I just I you know, when you're
seeing what's going on right now with Hamas executing and
hurting their citizens, and you see, you know, what's happening
in Nigeria with Christians, and you look at what's going
on in other parts of the country.
Speaker 2 (01:07):
I mean, I want to thank God. I want to
thank our military.
Speaker 3 (01:11):
I want to thank you all for you know, having America,
for us to have the safety and the and the
freedoms that we have, and so I seem really really
uh today, just pretty pretty appreciative. But you know, I'm
watching the back and forth with the media on what
happened over the weekend with the no Kings protest, And
(01:33):
I'm I'm a little confused because I thought a king
is somebody that comes to power because of their bloodline,
where nobody chooses them. So, you know, if if Trump
was elected, and I'm not saying this in defense of Trump,
it's just I love looking at strategy. I love looking
at Republican strategy and democratic strategy, and so I'm a
(01:54):
little confused by this strategy. And you almost wonder if
the no Kings protests actually had the opposite effect and
Trump and the GOP as opposed to trying to hurt him.
Speaker 2 (02:07):
You know.
Speaker 3 (02:07):
So a king, you know, as a bloodline, just like
King Charles, where they ascend to the throne, nobody gets
to choose, the public has no say in it, and
then they are there until they die. So already there's
kind of a definition issue there. A king also isn't
(02:28):
affected by a constitution and checks and balances and needs
to leave office and you know, freedom of speech, and
so if somebody was king again, you probably wouldn't see
the millions of people being able to which I will
always fight to protect the right to be able to
be out there and air grievances.
Speaker 2 (02:50):
In a in a very peaceful way.
Speaker 3 (02:54):
They say anywhere from five to seven million people among
twenty seven hundred sites were there.
Speaker 2 (03:01):
Not all the sites were organized.
Speaker 3 (03:02):
We heard we heard some of the areas fizzled out,
so there wasn't as much organization, but they were still
able to accomplish twenty seven hundred, one hundred plus sites.
Speaker 2 (03:13):
But the no Kings were I wouldn't have gone with that.
Speaker 3 (03:17):
I think that there was just too many people going, really,
you're condem a king, I mean he was voted in.
Speaker 2 (03:26):
That was not.
Speaker 3 (03:27):
Yeah, and we're able to publicly, you know, be out
here and they'll make signs and protests and it's it's
it's kind of a.
Speaker 2 (03:38):
Counterintuitive, uh and and ironic.
Speaker 3 (03:41):
So that that obviously was I don't think the right
strategy to go.
Speaker 2 (03:46):
From what we understand.
Speaker 3 (03:48):
The numbers of people that came out still paled in
comparison to other events like the George Floyd protests.
Speaker 2 (03:56):
I think the women in Washington march and so I.
Speaker 3 (03:59):
Love marches, and I love when Americans get together to
be able to show that their strength and numbers and
follow the teachings of Martin Luther King Jr.
Speaker 2 (04:08):
And but you got to have the messaging right.
Speaker 3 (04:12):
And you also have to understand, you know, why Trump
was reelected and why Trump's favorability is still going through
the roof. You've got gas prices going down. You know,
you got the stock market at all time high. You
have money starting to come in rather than us getting screwed,
you know, by other countries.
Speaker 2 (04:31):
As it pertains to the UN.
Speaker 3 (04:32):
And tariffs, you have a secure border, you have a
a a attitude towards our cities. Cannot be crime written
where people are. People say, look, I just can't go
to that part of town. I just can't go to DC.
I just can't go to Chicago. I just can't go
to Portland. There can't be that fear. You know, it's
(04:55):
it's on the executive branch. If if there's places within
a min America that are not safe to be I mean,
these are things that are pretty popular. And then as
it pertains to immigration, I think the bipartisanly we all
want a legal immigration process and we want immigrants to
be able to go through the process.
Speaker 2 (05:13):
I'm a daughter of an immigrant.
Speaker 3 (05:15):
God bless our immigration system took twenty years for our
family to finally be able to get to America. And yeah,
they had to learn the language and take the tests
and become citizens and go through all, but my family
wanted to do that, so there was no risk of
them being deported because in every other country across the globe,
if you don't do the immigration process right, you get deported.
(05:37):
Canada has some pretty strict deportation laws. You don't see
a no King's protest in Canada for the Canadian Prime
Minister for their deportation because they aren't doing mass deportation
because they didn't have the people come in. They didn't
have their deportation laws trampled on before and so the
(06:00):
so the immigration part of this presidency is probably the
most contentious of the most controversial. You know, people got in,
they didn't go through the right process. So who do
you fight for. Do you fight for the individuals that
did it right and and you know, and the immigration
process that's the legal process, or do you fight for
(06:22):
those that made it across Do we say my bad and.
Speaker 2 (06:26):
Well we're going to do better next time.
Speaker 3 (06:28):
And so, you know, one thing that Trump campaigned on
is you know, look, if you like any other country.
He came here illegally, you get deported, like in any
other country.
Speaker 2 (06:38):
That's just what's going to happen.
Speaker 3 (06:40):
And it's not the most popular, but it did get
him elected.
Speaker 2 (06:47):
So did the no Kings protests actually help or hurt?
Speaker 3 (06:50):
Well, when people say that we're five to seven million,
even though that sounds like a big number, is that
really representative of the three hundred and sixty some million.
Speaker 2 (07:00):
People in the United States.
Speaker 3 (07:01):
Well, we'll know by the next election, but you know it,
it wasn't the numbers that I think they were they
were hoping for. From what we understand, many of the
speeches were not you know, the the historic speeches that
people were hoping they could, you know, grab and say, look,
this is why he's acting like a monarch.
Speaker 2 (07:22):
This is why you know he's executing people. You didn't
really have that sort of Okay, Wow, I'm convinced.
Speaker 3 (07:30):
And you know, I speak to a lot of people
on the right and the left, and they're like, you know,
the messaging you know from the Democrats could be hurting
their party as a whole, and there's better messaging. Yeah,
and it's it's you know, so just you know, for
those of you that aren't understanding the freedoms that you
do have. Take a look around at what's happening in
(07:51):
this world, and I think you'll appreciate you know that
you're able to protest what eight seven seven Doctor Ali.
Speaker 2 (07:58):
Hey guys, it's doctor Dhia.
Speaker 3 (08:00):
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Speaker 2 (10:18):
All right, we are back up Doctor Dollie Show. Thank
you all for tuning in.
Speaker 3 (10:21):
One eight seven seven Doctor Dolli one eight seven seven
d O C D A l I. Big thanks to
Talk Media Network for making the show happen, Big thanks
to Daniel, our producer, and big thanks.
Speaker 2 (10:31):
To you all for tuning in. We really do appreciate it.
Speaker 3 (10:33):
Don't forget to follow us on Twitter or exit Doctor Dollia, Facebook,
The Doctor Dahlia Show, and on YouTube, click like and subscribe. So,
you know, we are struggling to figure out why we
are having less people want to become couples, want to
have kids, want to get married. And one thing that
has been very glaringly obvious is something called the crush recession,
(10:59):
where many individuals don't have crushes.
Speaker 2 (11:05):
I mean, when was the last time you had a crush?
Speaker 3 (11:07):
And uh, you know, I I think back to the eighties,
right when I thought somebody was totally cool. I hated
the words tubular and that kind of stuff that was
a little bit before my time. But they were read,
they were cool, they were hot, and I, you know,
I never used.
Speaker 2 (11:24):
The term crush. It was I liked him. I liked him,
or you know, hopefully he liked me. Usually he wasn't.
It was usually the opposite. I I you know, I
usually I.
Speaker 3 (11:35):
Liked more than the guy would like me, and then
the guys that did like me that I didn't like
you didn't know. You're you're like, okay, well, yeah, he
likes everybody, so I'm not going to necessarily, uh, you know,
chalk that up to.
Speaker 2 (11:51):
A successful relationship.
Speaker 3 (11:53):
But last time I crushed on somebody was back at school.
In fact, I had a crush on my husband. I
was dating two different friends of his, not at the
same time.
Speaker 2 (12:05):
But it wasn't my last crush. I cried.
Speaker 3 (12:07):
I had crushes because he and I didn't get married
until much later, and a crush was always exciting now
because you know, you're like, okay, does he like me?
Speaker 2 (12:17):
Oh my guys, did he notice me? Wait a second?
Does he really like me?
Speaker 3 (12:21):
And and the excitement of it is amazing, and then
you think about them, you know, and and so yeah,
I'm sitting there at work and I'm working, and you know,
my mind starts to wander and then you kind of
think about, well, what if we got married, and you know,
what would my new.
Speaker 2 (12:36):
Last name be?
Speaker 3 (12:36):
And you just kind of and you start to build
up a framework, a foundation. It's not the most strong
because you're crush you know, if they don't like you back,
or if there's not something to that, that all falls apart.
Speaker 2 (12:53):
But if there is something to that you're crushing on.
Speaker 3 (12:56):
That person starts to build a really big found And
so when we in therapy try to identify in couples
where the spark left, you know, because couples, you know, sometimes.
Speaker 2 (13:09):
They start to fizzle out and they start to fall.
Speaker 3 (13:11):
Out of love and you're like, let's go back to
when you were crushing on them, you know, let's go
back to when you guys, felt that spark when you
first saw him.
Speaker 2 (13:23):
Why did you like him? You know?
Speaker 3 (13:24):
In fact, I stole my husband's car. That's how I
knew I liked him. So I stole his car because
he and no he eating press charges. What happened was
he was making fun of me. We weren't dating at
the time, but we were at this party and he
was making fun of me and he was thinking he
was all that. He was bragging to his friends because
(13:45):
he was making fun of me. So I know how
to steal a car. I grabbed his keys and it's
pretty easy, stole his car. He was mad, he was
so answer I come back to the party. I was
actually barefoot when I stole his car, and because I
mean I had to do it on the fire, I
had to be pretty quick about it. And so I
come back and then I mean, you know how many
(14:05):
people could brag that they stole Corey's car. So I'm
sitting there in front of everybody going, look as those cars,
those cars. Well, then he takes me, he lifts me
up and he throws me. This is when somebody could
lift me up and he throws me to the pool. Now,
we didn't like each other, we were not dating. I
was involved with somebody else. But that built a foundation
(14:27):
to our relationship. And not saying steal your lovedles's cars.
But you're going back to those memories of where you met.
What were the first things you guys said to each other,
How did they make you feel?
Speaker 2 (14:42):
You know? What did their eyes look like? You know?
And and it just it really.
Speaker 3 (14:47):
Starts to build upon a relationship and it makes you
want them more, and so the crush fills in the gap.
A lot of times of the time it takes for
you to help build that relationship. As long as it's
a relationship that's mutual and we're seeing that the younger
generation is not getting that they're not crushing Well, is
(15:10):
it because they're not around people. I mean, if if
you don't go to work and your home and you
can't see that person across the room, can't see that
person in the lounge, you know, you don't have if
you aren't around other people. It's it's it's difficult. Now
for the married world, that's a good thing. I gotta
(15:31):
tell you, the remote work saved a lot of marriages
because people having these dalliances on the side and and
you know, screwing around on their wife at work, you know,
while their wife is home or working someplace else.
Speaker 2 (15:44):
You know.
Speaker 3 (15:45):
The the remote work kind of limited those opportunities for
people to be together. But for the single world, it's
kind of necessary not to see somebody at I mean,
for me, we didn't have Tender and Grinder and all those.
You would go to the sports pub across the street
from UNLV, or you would go to Shark Take, or
you would go to these clubs, and then I would
(16:06):
see somebody our eyes and meat, you know, and then
we would start dancing and you know, deciding to date
or whatever, you know, and and hook up whatever and I.
Speaker 2 (16:17):
Was a pretty good girl, but boyd did I like
to flirt.
Speaker 3 (16:20):
So if you don't have those opportunities where you know,
you're you're seeing somebody and you're trying to I mean
the in the Indian animal Kingdom, that's what happens.
Speaker 2 (16:30):
You know, somebody peacocks.
Speaker 3 (16:32):
You know, you'll see this male animal, you know, try
to flex, try to get attention, make noise.
Speaker 2 (16:37):
I mean my cat would be outside.
Speaker 3 (16:41):
I mean, you know, trying to attract everybody and their mother. Uh,
you know, you know, with with noises and sounds and
trying to get other people's attention. Now, it's kind of
this one on one thing where okay, well I met
you online, so we're gonna go and meet and have coffee.
Then we might meet an have lunch.
Speaker 2 (17:01):
Where's that cloak and dagger? Where's that? You know? That
that guessing? Where where's that gosh? You know, does he
like me? Does he not? Is he gonna call? Is
he not gonna call? You know? Where's that? You know
that love at first sight?
Speaker 3 (17:16):
They miss out on that, and we're becoming a lot
more robotic and academic in terms of our dating.
Speaker 2 (17:24):
Now that might be good because you know, you don't
want to fall in.
Speaker 3 (17:29):
Love with somebody because they looked good after you had
five or six shots. Now, I mean, you know, if
you're sitting on your computer going, well, I like what
this person's about. You know this matches me, and maybe
those relationships are gonna last. But I really think you
need that love, that attraction, you need that flirting, and
you need to develop that crush. When you develop a
(17:50):
crush on somebody, I mean, as long as you're not
psycho about it, you're you're you're in and obsessive and
stalking them. But you know, if you're like, uh, you know,
I really like this person, thinking about them a lot.
Being single, of course, you know that that really does
build a network in your heart.
Speaker 2 (18:08):
It starts to build that framework. Now.
Speaker 3 (18:11):
I was asked years ago by a listener, how come
older people don't have crushes? Why is it just a
young person thing? No, I think you can. I mean,
I am sure. If you know, Michael Fassbender gave it
to my life. Bigel Morton said, I'd be like, tell
you my husband, you know, look I love you and everything.
Speaker 2 (18:28):
In fact, you know, my husband's really really cool.
Speaker 3 (18:30):
He said, Oh, Dahlia, you missed something that you would
have really liked.
Speaker 2 (18:34):
And I'm like, what he said.
Speaker 3 (18:35):
One of the Golden Knights was in our park in
our neighborhood and he was shirtless, and I was like, really,
why didn't you call me? He's like, yeah, he was
out there just kind of playing with his kids and
he didn't have a shirt on.
Speaker 2 (18:47):
And I was like what, Yeah, are you kidding me?
You know, because we lived near.
Speaker 3 (18:50):
The Golden Knights, you know, and so my husband's really
really cool about that. I mean, I will drop everything.
I mean, he will hold the door open for me
to go run and check out another guy. But that
was really really cool of him.
Speaker 2 (19:07):
And you know, but I'm the same way.
Speaker 3 (19:08):
I'm like, as you know, she's pretty, she's pretty hot, yeah,
and he's like, yeah she is.
Speaker 2 (19:12):
Yeah. But that's it.
Speaker 3 (19:13):
That's where it goes from there, because obviously, you know,
we're not gonna cheat on each other.
Speaker 2 (19:18):
But older people can.
Speaker 3 (19:20):
Still have crushes, you know, if you're out there in
the single world and you meet somebody and you're like okay.
But when you're older, though, you also are more seasoned,
and so you're gonna crush on fewer people. You're gonna
be like look, I know they're good looking, but okay,
what's going on with their ex? What's going on with
their health? Do they make funny sounds during sex? Do
(19:40):
they snore and keep me up?
Speaker 2 (19:42):
Do they?
Speaker 3 (19:42):
And now you start to have this list that really
starts to dampen the whole fantasy part of the falling
for somebody, because you know, when everybody's kind of young
and whatever, they stink a little bit, You're like, oh,
put some deod Red honey, and it's all cute or whatever.
But when you know, when it's older, there's a lot
more things that could be turnoffs, unfortunately, and so that that,
(20:05):
you know, turn you off, and so you start to
become a lot more selective. But absolutely older individuals can
fall in love, can crush on somebody, They could get,
you know, want to be with their long lost love.
I think that that is totally in our our DNA.
But our younger individuals are younger populations. You know, we
talked about self partnering where Emma Watson from Harry Potter said, look,
(20:28):
I don't.
Speaker 2 (20:28):
Like the term being single.
Speaker 3 (20:30):
You know, I'm self partnering, which kind of takes a
negative connotation off single, which it should and going, you know,
this is somebody I'm choosing, this is something I'm choosing
to do. But I just feel bad for individuals who
just don't get to feel that, you know, that that
love and that and that that you know, passion, that
I got to feel what I would crush on somebody
the one eight seven seven doct Dalley NOLOI.
Speaker 2 (20:59):
He guy Guy, Doctor Dahlia Here.
Speaker 3 (21:01):
Addictions can sneak up on us and come in many forms,
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(21:24):
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Speaker 2 (21:28):
Check it out.
Speaker 4 (21:30):
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Speaker 2 (22:20):
All right, we are backing the under Dolly.
Speaker 3 (22:21):
You should have thank you over tun Nan one eight
seven seven doca DOLLI one eight seven seven d o
c d ali. So I come from a family who
culturally will not talk about their feelings. If you asked
them when I was younger, do you have any depression
or anxiety? They were like oh no, no, no, no no,
oh hell no no no. And then it wasn't until
medical school when I identified, oh wait a second, I
(22:42):
got some family members are who are struggling.
Speaker 2 (22:45):
And then as they aged, I'm.
Speaker 3 (22:48):
Noticing there's a lot of lack of transparency of their
feelings as well, because they're worried that we might want
to intervene or get them help. And so for those
of us who have seen your family members, we really
need to be proactive about working with their mental health
because their mental health and their physical health is all related,
(23:08):
and I'm really really excited about our next guest, Doctor
Robin Miller, is going to talk to us about how
to end these silent struggles and how genetic testing can
play a significant role in senior mental health care.
Speaker 2 (23:21):
Doctor Robin Miller, thank you so much for joining.
Speaker 6 (23:23):
Us, Thanks for having me.
Speaker 3 (23:27):
Wow, this is such an important topic, so I'm so
grateful that you're here. So, I mean, seniors on a
whole are pretty hesitant to talk about their mental health.
Speaker 2 (23:35):
Talk to us about why that is.
Speaker 6 (23:38):
They definitely are, so, you know, they've taken care of
people their whole lives and may feel they need to
maintain their strength, especially when they have older parents, elderly parents,
and young adult children and their sandwich in between. They
also may feel that it's part of aging, which we
(23:59):
know it isn't. And this is a generation, as you
pointed out, that doesn't like talk about their feelings exactly.
Speaker 3 (24:08):
The Gen X started too, but the Millennials and the
Gen zs have been much more proactive about mental health.
Your baby boomer's traditionalists they were raised under, you know,
to be more reluctant as it pertained.
Speaker 6 (24:22):
To that, definitely, and they may look at it as
a stigma as a sign of weakness. It isn't, but
that is something they may have picked up when they
were growing.
Speaker 2 (24:34):
Up exactly exactly.
Speaker 3 (24:36):
So this is so exciting that we have genetic testing
that can help doctors personalized treatment reducing because another hesitation
that I think a lot of seniors have is, wait
a second, you're gonna put me on something that isn't
going to make me worse.
Speaker 2 (24:50):
And unfortunately, you know, in the nineties and the eighties it.
Speaker 3 (24:53):
Was trial and error. We could reduce that risk. Talk
to us about what genetic testing can do now.
Speaker 6 (25:00):
And if you pointed out it was trial and error,
like you would you couldn't look at someone and figure
out what medicine would be best for them. But now
we have gene site. It's just a genetic test, super
easy to do. It's a cheek swab, comes back quickly
within forty eight hours. Medicare pays for it. And the
way it works is that each one of us has
(25:20):
a unique makeup of genes that code for enzymes in
our liver, and medications go through those enzymes.
Speaker 1 (25:30):
We each the.
Speaker 6 (25:31):
Medicines go through a different race depending on your genes. So,
for instance, a medicine may go through slowly. It be
a slow metabolizer, which means there may be side effects
and it may not work so well. You also could
have metabolizers, which means you may need more of the
medicine for it to work, or you could be a
normal metabolizer, in which case you have a better chance
(25:54):
that that medicine's going to work. So we have that
now for medicines that we use to treat depression, anxiety,
and other conditions.
Speaker 3 (26:03):
That's fantastic, you know, and it's good we're talking about
this now because we've got the holidays coming up, and
even though it might be my favorite time of year
and a lot of people's favorite time of year, this
is when a lot of older people start to think
back and they miss their spouse, they miss their children
or those that they've lost. You know, talk to us about,
you know, what you recommend with your patients as we
(26:23):
are approaching the holidays.
Speaker 6 (26:27):
Yes, loneliness is a big problem, and as people get older,
women in particular, they feel invisible. I don't know if
you've noticed this, but people aren't. They feel like people
aren't listening to them, they don't see them, they don't
care about how they feel. And so it's really important
that we pay attention that we talk to them, we
(26:47):
engage them. And there's certain behaviors. You may notice that
they're depressed and lonely, which is their appetite may change,
their fleet may change. And I noticed they're wearing the
same clothes that you saw them in a week before.
Then you know there's a.
Speaker 2 (27:04):
Problem exactly exactly. You know.
Speaker 3 (27:08):
Also I noticed that some people feel guilty enjoying something
when you know, uh, something traumatic, you know happened or
they lost somebody, and and so you know, oftentimes we
have to talk to seniors about you know, one is
it's okay to feel sad.
Speaker 2 (27:23):
It's okay, but it's also okay to still enjoy.
Speaker 3 (27:25):
Life and you know, continue the next chapter and and
it's it's, uh, it takes a lot of work, but
but what what you're offering, what you're talking about is amazing.
So you know, talk to us about what your main
message is to seniors that you know are are trying
to manage their mental health.
Speaker 6 (27:45):
Yeah, it's not normal to be sad and depressed, and
it's time to do something about it. And now we
have something called gene Site which makes it a lot
easier to find a medicine that may help them. And
it's so easy. All you have to do is go
to gen site dot com and read more about it.
(28:06):
But it's an easy task, gives tons of information and
helps to streamline therapy and give us a roadmap. Now,
so don't be sad, don't be depressed. Loneliness is not
a good thing. Get help, Talk to someone and talk
to your provider about gene site.
Speaker 3 (28:24):
Love it and also, as you put it up, medicare
also covers it. So this is fantastic. Where can my
listeners go for more information?
Speaker 6 (28:32):
Yeah, go to gene site dot com. G E N
E S I G h T dot com.
Speaker 3 (28:40):
Gosh, that's fantastic, Doctor Miller, you have been a wealth
of information.
Speaker 2 (28:44):
We cannot wait to have you back. Thank you so
much for coming on.
Speaker 6 (28:48):
Thank you for having me one eight.
Speaker 3 (28:51):
Seven seven dot Dolly one eight seven seven d O
C D A L I. You know I was interviewed
recently on you know my going to Israel. I was
in Israel before the October seventh attack and then I
was there just last month taking my mom.
Speaker 2 (29:07):
One of the reasons why I took my mom is
because when she got her.
Speaker 3 (29:12):
Uh wet a m D macular degeneration diagnosis that was
kind of affecting her eyesight pretty aggressively.
Speaker 2 (29:18):
I thought you would get sad and depressed. So I
thought it would cheer her.
Speaker 3 (29:21):
Up, taking her to the country she always wanted to visit,
and going to you know, all the religious sites and
and uh you know, you know, making it a mommy
and meat trip. And you know, I noticed that when
I got there. I really didn't if you know, a
lot of people like Dalia, I don't see a lot
of pictures with you, I don't, you know, I kind
of didn't. It wasn't a celebratory type of trip because
(29:44):
the hostages were still in Hamas control. You know, there
was still the the you know, memories of the death,
of the destruction of the rapes and all that, and
and so you know, I felt guilty even even you know,
attempting to enjoy myself there, you know, I I mean
it was, you know, I was there on a mission
to you know, you know, bring my mom there, let
her see you know, all the sites she wanted to see.
Speaker 2 (30:05):
But it was not a fun trip. But I notice
I do that.
Speaker 3 (30:09):
Where you know, if if you know, we lost somebody
like like you know, like my father. You know, it's
like if it's his birthday and I start to laugh
or enjoy myself on the day that was his birthday
even though he's gone, I stop and I feel guilty.
Speaker 2 (30:23):
Why am I doing that? Why am I feeling guilty?
Speaker 3 (30:27):
You know, laughing and enjoying life when you know that's
a day that was hits, you know, and he's no
longer with us. And there's no rule. I mean, there's
no commandment, there's no but I think a lot of
us feel that way. And so you you have family
members that enjoyed the holidays with you know, their spouse,
(30:50):
et cetera, or or you know children that they've lost,
and they and and then they feel guilty.
Speaker 2 (30:55):
And one thing I always explain to.
Speaker 3 (30:59):
You know, those who you know struggle as it pertains
to you know, the holidays or or that that guild
is if you ask your loved one, what would they
want you to do? Would they want you to be
sitting in a room crying or living life and going.
Speaker 2 (31:16):
On to the next chapter.
Speaker 3 (31:18):
Now, ninety nine point nine nine percent of them would say,
I want you to move on and live life. I
don't want you to, you know, die or or rod
away because I'm gone now and I have some family
members would.
Speaker 2 (31:33):
Say, no, all you do is mourn me. I don't
even want you to enjoy your life.
Speaker 3 (31:37):
But you know, as I partect to my husband, I
told them God for if anything happens to me, I
want him to remarry and live. So that's also a
very important conversation to have with with your loved ones if.
Speaker 2 (31:47):
You feel like one of the reasons why they're.
Speaker 3 (31:49):
Isolating is because of the guilt the one eight seven
seven doctolics.
Speaker 7 (32:02):
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Speaker 3 (34:23):
Wear madam, not a dollar your show, thank you over
to me then one eight seven seven doct DOYL one
eight seven seven.
Speaker 2 (34:29):
D O C d A l I.
Speaker 3 (34:32):
So the UK has done some research on antidepressants and
they found that antidepressants differ inside effects depending on the medication.
Speaker 2 (34:42):
And I know that seems to be the.
Speaker 3 (34:44):
Most groundbreaking, earth shattering news, all right, before you go, well,
no dah, they have a little bit more to that
that that will we'll talk about. So not everybody's going
to gain weight on antidepressant, but they say on average,
people may gain up to four and a half pounds
(35:05):
within the first two months of treatment. Others might lose weight.
The research was led by academics at King's College to London,
I know, sign me up. I'll take one if I
lose weight on it. The research, led by academics at
King's College of London and University of Oxford, found that
while some antidepressants, according to The Guardian, caused notable changes
in body weight, heart rate and blood pressure, others might
(35:27):
not cause the physical changes. And so they're going to
in the UK change some of the treatment guidelines to
update and reflect these findings. Now you know there's different
types of antidepressants MAO inhibitors, tricyclic, anadi presdens SSRIs, and
so this study involved analysis of data from one hundred
(35:49):
and fifty one clinical studies on antidepressants, comparing the physical
health benefits of thirty different types. Okay, so that would
then run the gamut of all the different classes. And
they looked at over fifty eight thousand people and they
found to be notable variation and side effects between different medications,
despite most of the studies analyzing eight weeks of antidepressant use.
Speaker 2 (36:11):
And they said there was a difference of up.
Speaker 3 (36:12):
To four kilograms in average weight change between some drugs,
which could be eight to nine pounds about nine pounds,
and then they found some weight loss on it with
some medications like agomelatine and map protylene. And then of
(36:33):
course you know, they also found a twenty one beat
a minute difference in heart rate between people taking fluvoxamine
and nord tryptylene and eleven milligram difference in blood.
Speaker 2 (36:43):
Pressure between nord tryptylene and doccipin.
Speaker 3 (36:47):
So when you look at a study like this, you know,
while they're kind of looking at side effects and how
some people could get some side effects and others not.
Speaker 2 (36:56):
My take home, what this is is what you're taking for.
Speaker 3 (36:59):
Move may also help or or hurt your physical health,
and that there's an effect that you might not be
aware of. And so you know, we call them side effects,
and that is the correct term. Not all side effects
are necessarily bad. We usually attribute a side effect to
(37:21):
something being negative because you know, we we like our
baseline and so I mean if somebody said, you know,
are a side effect that we have is we actually
feel better, I mean I would still call that a
side effect, but they would instead.
Speaker 2 (37:35):
Use the term benefit that there's a benefit from the medication.
Speaker 3 (37:39):
But a side effect applies a a outcome that isn't
necessarily advertised on the FAA label or the FDA label.
Not sorry, not FA FDA label. That was something that
is not supposed to be in the realm of what
that medicine is treating.
Speaker 4 (37:58):
Like.
Speaker 2 (37:58):
So, for example, for those of you that.
Speaker 3 (38:00):
Take a blood pressure medication Benaza pril or life Center
prel something that ends an ill which is an ACE inhibitor.
Those medications may sometimes cause a dry cough. So for
those of you having a constant dry cough or feeling
like a tickle in your throat, that might be due
to your blood pressure medication. That is a side effect,
a right as opposed to, oh, the blood pressure medication
(38:20):
lowered my blood pressure, well, then that is a benefit
or an outcome of that medication. The antidepressant use, however,
has become exponentially more popular, and we are turning to
antidepressants ubiquitously. Now we have this fear of not addressing
(38:42):
somebody's mental health, and some people are hesitant because they've
taken medications and felt worse, And as we discussed with
our previous guests doctor Miller, a lot of times it's
trial and error. However, somebody struggling with mental illness may
go to food, may go to alcohol may go to drugs,
and I do support finding the right treatment. The problem
(39:03):
is is if these medications have side effects like weight
gain that you know that that's not something that people want.
Speaker 2 (39:09):
Now, why are you gaining weight on some of these medications.
Speaker 3 (39:13):
Well, SSRIs selective serotonin reuptic inhibitors are probably one of
the most infamous for weakain. They believe maybe because of
the way the serotonin you know, works on the bow,
that it could possibly affect you know, gut motility or metabolism.
But I think it's also what you know, when people
(39:35):
are depressed, you know, or anxious, they isolate a lot,
you know, and a lot of.
Speaker 2 (39:40):
Times they might not want to eat.
Speaker 3 (39:42):
Well, you're starting to feel better and you're like, you
know what, yeah, let's have some drinks, you know what,
let's order some appetizers.
Speaker 2 (39:50):
Absolutely.
Speaker 3 (39:52):
Now for me, when I'm in a better mood, I'm
out there exercising, and so I would lose weight probably,
you know more. But you have other individuals where they're like,
you know what, I don't want to just go to bed,
Let's go have dinner, Let's watch some movies, and so
for some individuals rather than just sleeping, you know, or
(40:14):
not eating or not engaging with others, they might actually
be consuming more calories and maybe, you know, gaining weight
that way. So there's a variety of different reasons that
could be a I guess behind the culprit to that.
But the weight gain doesn't necessarily have to be something.
Speaker 2 (40:35):
Like sixty pounds.
Speaker 3 (40:37):
You know, whenever I hear that somebody gained sixty pounds
on a medication like a mood stabilizer, the first thing
I ask is were you eating?
Speaker 7 (40:47):
You know?
Speaker 2 (40:47):
Were you malnourished? You know what? Could were you doing drugs?
Speaker 3 (40:54):
Some people might have turned to drugs instead of nourishment,
and so all of a sudden, out they're like, you
know what, I'm not doing drugs anymore.
Speaker 2 (41:02):
I'm going to actually eat a meal and then they gain.
Speaker 3 (41:07):
I don't want that to dissuade somebody from getting the
care they need.
Speaker 2 (41:11):
You know, we're all afraid of gaining weight. You know,
it happens now.
Speaker 3 (41:14):
I mean menopause or perimenopause. I went through very early
menopause in my thirties, and that's why I'm the weight
I am. And it's very frustrating because I didn't change
my workout. I didn't change my eating habits. I was
pretty regimented. I mean, fifteen hundred calorie a day doesn't matter.
Hormones made me completely, you know, transformed from having an
(41:38):
amazing waste to you know now you know the way
I am now, and I'm working on it still. I'm
working on it, but I am not the weight I
want to be. I don't take medication. The only medication
that you take is some hormones. For my doctor has
a on estrogen, a testosterone, which we'll talk about a
little bit of testosterone.
Speaker 2 (41:58):
Testosterone is starting to be one of the.
Speaker 3 (41:59):
New things that that women are asking for in menopause.
You're like, why would women want that when our voices
are getting lower and are getting hairrier and where you know,
they say women as they age, you know, start to
masculinize because they lose their estrogen.
Speaker 2 (42:14):
Uh.
Speaker 3 (42:15):
But actually testosterone is a really really good adjunct to hormones,
which which we'll talk about a little bit. But you know,
for those of you that are struggling with mental health issues,
it doesn't necessarily mean you're gonna gain weight. Plus you
could look at different medications even in the same class.
It doesn't necessarily mean if you gain weight with one,
you're gonna gain weight with another. So you want to
touch your medical provider. You also want to take a
(42:36):
look at what you're eating. And you're eating habits prior.
I mean, if you're if your diet when you're depressed
is red Bull and that's it. And then you start
to take on a healthy diet, you are going to
gain weight now. But if if you know you aren't
exercising and you aren't building up your muscle, and you're
you know you're And by the way, that's another thing
(42:56):
too for those individuals you know they always struggle with
I go to the and I'm gaining weight.
Speaker 2 (43:01):
I'm gaining weight when I go to the gym.
Speaker 3 (43:03):
Well, one of that could be you are starting to
pertain more water because the body is starting to realize
that your activity is changing. Your metabolism may temporarily slow
because your body's like, wait a second, we need more
calories here because this person is exercising.
Speaker 2 (43:15):
But it is temporary.
Speaker 3 (43:16):
Trust me, if you go to the gym and exercise,
your weight is going to be in the long term better.
Speaker 2 (43:22):
So don't let.
Speaker 3 (43:23):
That idiosyncratic, rare sort of phenomenon of a mild shift
in your weight now that you're going to the gym,
scare you from working out?
Speaker 2 (43:33):
You need to work out one eight seven seven doct Dolly.
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Secure your financial future today,
You are about to listen to the Doctor Dahlia Show,
sassy stimulating medical talk radio. Any medical advice doctor Dhalia
Wax gives on her show should not be substituted for
an actual visit to your medical provider. And now here's
doctor Dahlia.
Speaker 2 (00:36):
All right, you're back up the Doctor Dalia Show.
Speaker 3 (00:38):
Thank you over to me Man one eight seven seven,
Doctor Dollar one eight seven seven.
Speaker 2 (00:42):
D O C D A L. I hope you are
having an amazing day.
Speaker 3 (00:46):
I gotta tell you, you know, I'm just in one of
those moods where I'm like, I love I just now
I'm really appreciative. I just I you know, when you're
seeing what's going on right now with Hamas executing and
hurting their citizens, and you see, you know, what's happening
in Nigeria with Christians, and you look at what's going
on in other parts of the country.
Speaker 2 (01:07):
I mean, I want to thank God. I want to
thank our military.
Speaker 3 (01:11):
I want to thank you all for you know, having America,
for us to have the safety and the and the
freedoms that we have, and so I seem really really
uh today, just pretty pretty appreciative. But you know, I'm
watching the back and forth with the media on what
happened over the weekend with the no Kings protest, And
(01:33):
I'm I'm a little confused because I thought a king
is somebody that comes to power because of their bloodline,
where nobody chooses them. So, you know, if if Trump
was elected, and I'm not saying this in defense of Trump,
it's just I love looking at strategy. I love looking
at Republican strategy and democratic strategy, and so I'm a
(01:54):
little confused by this strategy. And you almost wonder if
the no Kings protests actually had the opposite effect and
Trump and the GOP as opposed to trying to hurt him.
Speaker 2 (02:07):
You know.
Speaker 3 (02:07):
So a king, you know, as a bloodline, just like
King Charles, where they ascend to the throne, nobody gets
to choose, the public has no say in it, and
then they are there until they die. So already there's
kind of a definition issue there. A king also isn't
(02:28):
affected by a constitution and checks and balances and needs
to leave office and you know, freedom of speech, and
so if somebody was king again, you probably wouldn't see
the millions of people being able to which I will
always fight to protect the right to be able to
be out there and air grievances.
Speaker 2 (02:50):
In a in a very peaceful way.
Speaker 3 (02:54):
They say anywhere from five to seven million people among
twenty seven hundred sites were there.
Speaker 2 (03:01):
Not all the sites were organized.
Speaker 3 (03:02):
We heard we heard some of the areas fizzled out,
so there wasn't as much organization, but they were still
able to accomplish twenty seven hundred, one hundred plus sites.
Speaker 2 (03:13):
But the no Kings were I wouldn't have gone with that.
Speaker 3 (03:17):
I think that there was just too many people going, really,
you're condem a king, I mean he was voted in.
Speaker 2 (03:26):
That was not.
Speaker 3 (03:27):
Yeah, and we're able to publicly, you know, be out
here and they'll make signs and protests and it's it's
it's kind of a.
Speaker 2 (03:38):
Counterintuitive, uh and and ironic.
Speaker 3 (03:41):
So that that obviously was I don't think the right
strategy to go.
Speaker 2 (03:46):
From what we understand.
Speaker 3 (03:48):
The numbers of people that came out still paled in
comparison to other events like the George Floyd protests.
Speaker 2 (03:56):
I think the women in Washington march and so I.
Speaker 3 (03:59):
Love marches, and I love when Americans get together to
be able to show that their strength and numbers and
follow the teachings of Martin Luther King Jr.
Speaker 2 (04:08):
And but you got to have the messaging right.
Speaker 3 (04:12):
And you also have to understand, you know, why Trump
was reelected and why Trump's favorability is still going through
the roof. You've got gas prices going down. You know,
you got the stock market at all time high. You
have money starting to come in rather than us getting screwed,
you know, by other countries.
Speaker 2 (04:31):
As it pertains to the UN.
Speaker 3 (04:32):
And tariffs, you have a secure border, you have a
a a attitude towards our cities. Cannot be crime written
where people are. People say, look, I just can't go
to that part of town. I just can't go to DC.
I just can't go to Chicago. I just can't go
to Portland. There can't be that fear. You know, it's
(04:55):
it's on the executive branch. If if there's places within
a min America that are not safe to be I mean,
these are things that are pretty popular. And then as
it pertains to immigration, I think the bipartisanly we all
want a legal immigration process and we want immigrants to
be able to go through the process.
Speaker 2 (05:13):
I'm a daughter of an immigrant.
Speaker 3 (05:15):
God bless our immigration system took twenty years for our
family to finally be able to get to America. And yeah,
they had to learn the language and take the tests
and become citizens and go through all, but my family
wanted to do that, so there was no risk of
them being deported because in every other country across the globe,
if you don't do the immigration process right, you get deported.
(05:37):
Canada has some pretty strict deportation laws. You don't see
a no King's protest in Canada for the Canadian Prime
Minister for their deportation because they aren't doing mass deportation
because they didn't have the people come in. They didn't
have their deportation laws trampled on before and so the
(06:00):
so the immigration part of this presidency is probably the
most contentious of the most controversial. You know, people got in,
they didn't go through the right process. So who do
you fight for. Do you fight for the individuals that
did it right and and you know, and the immigration
process that's the legal process, or do you fight for
(06:22):
those that made it across Do we say my bad and.
Speaker 2 (06:26):
Well we're going to do better next time.
Speaker 3 (06:28):
And so, you know, one thing that Trump campaigned on
is you know, look, if you like any other country.
He came here illegally, you get deported, like in any
other country.
Speaker 2 (06:38):
That's just what's going to happen.
Speaker 3 (06:40):
And it's not the most popular, but it did get
him elected.
Speaker 2 (06:47):
So did the no Kings protests actually help or hurt?
Speaker 3 (06:50):
Well, when people say that we're five to seven million,
even though that sounds like a big number, is that
really representative of the three hundred and sixty some million.
Speaker 2 (07:00):
People in the United States.
Speaker 3 (07:01):
Well, we'll know by the next election, but you know it,
it wasn't the numbers that I think they were they
were hoping for. From what we understand, many of the
speeches were not you know, the the historic speeches that
people were hoping they could, you know, grab and say, look,
this is why he's acting like a monarch.
Speaker 2 (07:22):
This is why you know he's executing people. You didn't
really have that sort of Okay, Wow, I'm convinced.
Speaker 3 (07:30):
And you know, I speak to a lot of people
on the right and the left, and they're like, you know,
the messaging you know from the Democrats could be hurting
their party as a whole, and there's better messaging. Yeah,
and it's it's you know, so just you know, for
those of you that aren't understanding the freedoms that you
do have. Take a look around at what's happening in
(07:51):
this world, and I think you'll appreciate you know that
you're able to protest what eight seven seven Doctor Ali.
Speaker 2 (07:58):
Hey guys, it's doctor Dhia.
Speaker 3 (08:00):
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(09:44):
and eight sixty six seven six four two six three five.
I'm Mark Falter. This is Financial Fitness making personal finance profitable.
Speaker 2 (10:18):
All right, we are back up Doctor Dollie Show. Thank
you all for tuning in.
Speaker 3 (10:21):
One eight seven seven Doctor Dolli one eight seven seven
d O C D A l I. Big thanks to
Talk Media Network for making the show happen, Big thanks
to Daniel, our producer, and big thanks.
Speaker 2 (10:31):
To you all for tuning in. We really do appreciate it.
Speaker 3 (10:33):
Don't forget to follow us on Twitter or exit Doctor Dollia, Facebook,
The Doctor Dahlia Show, and on YouTube, click like and subscribe. So,
you know, we are struggling to figure out why we
are having less people want to become couples, want to
have kids, want to get married. And one thing that
has been very glaringly obvious is something called the crush recession,
(10:59):
where many individuals don't have crushes.
Speaker 2 (11:05):
I mean, when was the last time you had a crush?
Speaker 3 (11:07):
And uh, you know, I I think back to the eighties,
right when I thought somebody was totally cool. I hated
the words tubular and that kind of stuff that was
a little bit before my time. But they were read,
they were cool, they were hot, and I, you know,
I never used.
Speaker 2 (11:24):
The term crush. It was I liked him. I liked him,
or you know, hopefully he liked me. Usually he wasn't.
It was usually the opposite. I I you know, I
usually I.
Speaker 3 (11:35):
Liked more than the guy would like me, and then
the guys that did like me that I didn't like
you didn't know. You're you're like, okay, well, yeah, he
likes everybody, so I'm not going to necessarily, uh, you know,
chalk that up to.
Speaker 2 (11:51):
A successful relationship.
Speaker 3 (11:53):
But last time I crushed on somebody was back at school.
In fact, I had a crush on my husband. I
was dating two different friends of his, not at the
same time.
Speaker 2 (12:05):
But it wasn't my last crush. I cried.
Speaker 3 (12:07):
I had crushes because he and I didn't get married
until much later, and a crush was always exciting now
because you know, you're like, okay, does he like me?
Speaker 2 (12:17):
Oh my guys, did he notice me? Wait a second?
Does he really like me?
Speaker 3 (12:21):
And and the excitement of it is amazing, and then
you think about them, you know, and and so yeah,
I'm sitting there at work and I'm working, and you know,
my mind starts to wander and then you kind of
think about, well, what if we got married, and you know,
what would my new.
Speaker 2 (12:36):
Last name be?
Speaker 3 (12:36):
And you just kind of and you start to build
up a framework, a foundation. It's not the most strong
because you're crush you know, if they don't like you back,
or if there's not something to that, that all falls apart.
Speaker 2 (12:53):
But if there is something to that you're crushing on.
Speaker 3 (12:56):
That person starts to build a really big found And
so when we in therapy try to identify in couples
where the spark left, you know, because couples, you know, sometimes.
Speaker 2 (13:09):
They start to fizzle out and they start to fall.
Speaker 3 (13:11):
Out of love and you're like, let's go back to
when you were crushing on them, you know, let's go
back to when you guys, felt that spark when you
first saw him.
Speaker 2 (13:23):
Why did you like him? You know?
Speaker 3 (13:24):
In fact, I stole my husband's car. That's how I
knew I liked him. So I stole his car because
he and no he eating press charges. What happened was
he was making fun of me. We weren't dating at
the time, but we were at this party and he
was making fun of me and he was thinking he
was all that. He was bragging to his friends because
(13:45):
he was making fun of me. So I know how
to steal a car. I grabbed his keys and it's
pretty easy, stole his car. He was mad, he was
so answer I come back to the party. I was
actually barefoot when I stole his car, and because I
mean I had to do it on the fire, I
had to be pretty quick about it. And so I
come back and then I mean, you know how many
(14:05):
people could brag that they stole Corey's car. So I'm
sitting there in front of everybody going, look as those cars,
those cars. Well, then he takes me, he lifts me
up and he throws me. This is when somebody could
lift me up and he throws me to the pool. Now,
we didn't like each other, we were not dating. I
was involved with somebody else. But that built a foundation
(14:27):
to our relationship. And not saying steal your lovedles's cars.
But you're going back to those memories of where you met.
What were the first things you guys said to each other,
How did they make you feel?
Speaker 2 (14:42):
You know? What did their eyes look like? You know?
And and it just it really.
Speaker 3 (14:47):
Starts to build upon a relationship and it makes you
want them more, and so the crush fills in the gap.
A lot of times of the time it takes for
you to help build that relationship. As long as it's
a relationship that's mutual and we're seeing that the younger
generation is not getting that they're not crushing Well, is
(15:10):
it because they're not around people. I mean, if if
you don't go to work and your home and you
can't see that person across the room, can't see that
person in the lounge, you know, you don't have if
you aren't around other people. It's it's it's difficult. Now
for the married world, that's a good thing. I gotta
(15:31):
tell you, the remote work saved a lot of marriages
because people having these dalliances on the side and and
you know, screwing around on their wife at work, you know,
while their wife is home or working someplace else.
Speaker 2 (15:44):
You know.
Speaker 3 (15:45):
The the remote work kind of limited those opportunities for
people to be together. But for the single world, it's
kind of necessary not to see somebody at I mean,
for me, we didn't have Tender and Grinder and all those.
You would go to the sports pub across the street
from UNLV, or you would go to Shark Take, or
you would go to these clubs, and then I would
(16:06):
see somebody our eyes and meat, you know, and then
we would start dancing and you know, deciding to date
or whatever, you know, and and hook up whatever and I.
Speaker 2 (16:17):
Was a pretty good girl, but boyd did I like
to flirt.
Speaker 3 (16:20):
So if you don't have those opportunities where you know,
you're you're seeing somebody and you're trying to I mean
the in the Indian animal Kingdom, that's what happens.
Speaker 2 (16:30):
You know, somebody peacocks.
Speaker 3 (16:32):
You know, you'll see this male animal, you know, try
to flex, try to get attention, make noise.
Speaker 2 (16:37):
I mean my cat would be outside.
Speaker 3 (16:41):
I mean, you know, trying to attract everybody and their mother. Uh,
you know, you know, with with noises and sounds and
trying to get other people's attention. Now, it's kind of
this one on one thing where okay, well I met
you online, so we're gonna go and meet and have coffee.
Then we might meet an have lunch.
Speaker 2 (17:01):
Where's that cloak and dagger? Where's that? You know? That
that guessing? Where where's that gosh? You know, does he
like me? Does he not? Is he gonna call? Is
he not gonna call? You know? Where's that? You know
that love at first sight?
Speaker 3 (17:16):
They miss out on that, and we're becoming a lot
more robotic and academic in terms of our dating.
Speaker 2 (17:24):
Now that might be good because you know, you don't
want to fall in.
Speaker 3 (17:29):
Love with somebody because they looked good after you had
five or six shots. Now, I mean, you know, if
you're sitting on your computer going, well, I like what
this person's about. You know this matches me, and maybe
those relationships are gonna last. But I really think you
need that love, that attraction, you need that flirting, and
you need to develop that crush. When you develop a
(17:50):
crush on somebody, I mean, as long as you're not
psycho about it, you're you're you're in and obsessive and
stalking them. But you know, if you're like, uh, you know,
I really like this person, thinking about them a lot.
Being single, of course, you know that that really does
build a network in your heart.
Speaker 2 (18:08):
It starts to build that framework. Now.
Speaker 3 (18:11):
I was asked years ago by a listener, how come
older people don't have crushes? Why is it just a
young person thing? No, I think you can. I mean,
I am sure. If you know, Michael Fassbender gave it
to my life. Bigel Morton said, I'd be like, tell
you my husband, you know, look I love you and everything.
Speaker 2 (18:28):
In fact, you know, my husband's really really cool.
Speaker 3 (18:30):
He said, Oh, Dahlia, you missed something that you would
have really liked.
Speaker 2 (18:34):
And I'm like, what he said.
Speaker 3 (18:35):
One of the Golden Knights was in our park in
our neighborhood and he was shirtless, and I was like, really,
why didn't you call me? He's like, yeah, he was
out there just kind of playing with his kids and
he didn't have a shirt on.
Speaker 2 (18:47):
And I was like what, Yeah, are you kidding me?
You know, because we lived near.
Speaker 3 (18:50):
The Golden Knights, you know, and so my husband's really
really cool about that. I mean, I will drop everything.
I mean, he will hold the door open for me
to go run and check out another guy. But that
was really really cool of him.
Speaker 2 (19:07):
And you know, but I'm the same way.
Speaker 3 (19:08):
I'm like, as you know, she's pretty, she's pretty hot, yeah,
and he's like, yeah she is.
Speaker 2 (19:12):
Yeah. But that's it.
Speaker 3 (19:13):
That's where it goes from there, because obviously, you know,
we're not gonna cheat on each other.
Speaker 2 (19:18):
But older people can.
Speaker 3 (19:20):
Still have crushes, you know, if you're out there in
the single world and you meet somebody and you're like okay.
But when you're older, though, you also are more seasoned,
and so you're gonna crush on fewer people. You're gonna
be like look, I know they're good looking, but okay,
what's going on with their ex? What's going on with
their health? Do they make funny sounds during sex? Do
(19:40):
they snore and keep me up?
Speaker 2 (19:42):
Do they?
Speaker 3 (19:42):
And now you start to have this list that really
starts to dampen the whole fantasy part of the falling
for somebody, because you know, when everybody's kind of young
and whatever, they stink a little bit, You're like, oh,
put some deod Red honey, and it's all cute or whatever.
But when you know, when it's older, there's a lot
more things that could be turnoffs, unfortunately, and so that that,
(20:05):
you know, turn you off, and so you start to
become a lot more selective. But absolutely older individuals can
fall in love, can crush on somebody, They could get,
you know, want to be with their long lost love.
I think that that is totally in our our DNA.
But our younger individuals are younger populations. You know, we
talked about self partnering where Emma Watson from Harry Potter said, look,
(20:28):
I don't.
Speaker 2 (20:28):
Like the term being single.
Speaker 3 (20:30):
You know, I'm self partnering, which kind of takes a
negative connotation off single, which it should and going, you know,
this is somebody I'm choosing, this is something I'm choosing
to do. But I just feel bad for individuals who
just don't get to feel that, you know, that that
love and that and that that you know, passion, that
I got to feel what I would crush on somebody
the one eight seven seven doct Dalley NOLOI.
Speaker 2 (20:59):
He guy Guy, Doctor Dahlia Here.
Speaker 3 (21:01):
Addictions can sneak up on us and come in many forms,
whether it's drugs, alcohol, sex, video games, porn, or something
less obvious such as food, internet, or shopping. Addiction can
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In our book Addiction Basics, Klan Khalikas and I dive
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(21:24):
Addiction Basics can be found on Amazon or my website
doctor Dalia dot com.
Speaker 2 (21:28):
Check it out.
Speaker 4 (21:30):
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Speaker 2 (22:20):
All right, we are backing the under Dolly.
Speaker 3 (22:21):
You should have thank you over tun Nan one eight
seven seven doca DOLLI one eight seven seven d o
c d ali. So I come from a family who
culturally will not talk about their feelings. If you asked
them when I was younger, do you have any depression
or anxiety? They were like oh no, no, no, no no,
oh hell no no no. And then it wasn't until
medical school when I identified, oh wait a second, I
(22:42):
got some family members are who are struggling.
Speaker 2 (22:45):
And then as they aged, I'm.
Speaker 3 (22:48):
Noticing there's a lot of lack of transparency of their
feelings as well, because they're worried that we might want
to intervene or get them help. And so for those
of us who have seen your family members, we really
need to be proactive about working with their mental health
because their mental health and their physical health is all related,
(23:08):
and I'm really really excited about our next guest, Doctor
Robin Miller, is going to talk to us about how
to end these silent struggles and how genetic testing can
play a significant role in senior mental health care.
Speaker 2 (23:21):
Doctor Robin Miller, thank you so much for joining.
Speaker 6 (23:23):
Us, Thanks for having me.
Speaker 3 (23:27):
Wow, this is such an important topic, so I'm so
grateful that you're here. So, I mean, seniors on a
whole are pretty hesitant to talk about their mental health.
Speaker 2 (23:35):
Talk to us about why that is.
Speaker 6 (23:38):
They definitely are, so, you know, they've taken care of
people their whole lives and may feel they need to
maintain their strength, especially when they have older parents, elderly parents,
and young adult children and their sandwich in between. They
also may feel that it's part of aging, which we
(23:59):
know it isn't. And this is a generation, as you
pointed out, that doesn't like talk about their feelings exactly.
Speaker 3 (24:08):
The Gen X started too, but the Millennials and the
Gen zs have been much more proactive about mental health.
Your baby boomer's traditionalists they were raised under, you know,
to be more reluctant as it pertained.
Speaker 6 (24:22):
To that, definitely, and they may look at it as
a stigma as a sign of weakness. It isn't, but
that is something they may have picked up when they
were growing.
Speaker 2 (24:34):
Up exactly exactly.
Speaker 3 (24:36):
So this is so exciting that we have genetic testing
that can help doctors personalized treatment reducing because another hesitation
that I think a lot of seniors have is, wait
a second, you're gonna put me on something that isn't
going to make me worse.
Speaker 2 (24:50):
And unfortunately, you know, in the nineties and the eighties it.
Speaker 3 (24:53):
Was trial and error. We could reduce that risk. Talk
to us about what genetic testing can do now.
Speaker 6 (25:00):
And if you pointed out it was trial and error,
like you would you couldn't look at someone and figure
out what medicine would be best for them. But now
we have gene site. It's just a genetic test, super
easy to do. It's a cheek swab, comes back quickly
within forty eight hours. Medicare pays for it. And the
way it works is that each one of us has
(25:20):
a unique makeup of genes that code for enzymes in
our liver, and medications go through those enzymes.
Speaker 1 (25:30):
We each the.
Speaker 6 (25:31):
Medicines go through a different race depending on your genes. So,
for instance, a medicine may go through slowly. It be
a slow metabolizer, which means there may be side effects
and it may not work so well. You also could
have metabolizers, which means you may need more of the
medicine for it to work, or you could be a
normal metabolizer, in which case you have a better chance
(25:54):
that that medicine's going to work. So we have that
now for medicines that we use to treat depression, anxiety,
and other conditions.
Speaker 3 (26:03):
That's fantastic, you know, and it's good we're talking about
this now because we've got the holidays coming up, and
even though it might be my favorite time of year
and a lot of people's favorite time of year, this
is when a lot of older people start to think
back and they miss their spouse, they miss their children
or those that they've lost. You know, talk to us about,
you know, what you recommend with your patients as we
(26:23):
are approaching the holidays.
Speaker 6 (26:27):
Yes, loneliness is a big problem, and as people get older,
women in particular, they feel invisible. I don't know if
you've noticed this, but people aren't. They feel like people
aren't listening to them, they don't see them, they don't
care about how they feel. And so it's really important
that we pay attention that we talk to them, we
(26:47):
engage them. And there's certain behaviors. You may notice that
they're depressed and lonely, which is their appetite may change,
their fleet may change. And I noticed they're wearing the
same clothes that you saw them in a week before.
Then you know there's a.
Speaker 2 (27:04):
Problem exactly exactly. You know.
Speaker 3 (27:08):
Also I noticed that some people feel guilty enjoying something
when you know, uh, something traumatic, you know happened or
they lost somebody, and and so you know, oftentimes we
have to talk to seniors about you know, one is
it's okay to feel sad.
Speaker 2 (27:23):
It's okay, but it's also okay to still enjoy.
Speaker 3 (27:25):
Life and you know, continue the next chapter and and
it's it's, uh, it takes a lot of work, but
but what what you're offering, what you're talking about is amazing.
So you know, talk to us about what your main
message is to seniors that you know are are trying
to manage their mental health.
Speaker 6 (27:45):
Yeah, it's not normal to be sad and depressed, and
it's time to do something about it. And now we
have something called gene Site which makes it a lot
easier to find a medicine that may help them. And
it's so easy. All you have to do is go
to gen site dot com and read more about it.
(28:06):
But it's an easy task, gives tons of information and
helps to streamline therapy and give us a roadmap. Now,
so don't be sad, don't be depressed. Loneliness is not
a good thing. Get help, Talk to someone and talk
to your provider about gene site.
Speaker 3 (28:24):
Love it and also, as you put it up, medicare
also covers it. So this is fantastic. Where can my
listeners go for more information?
Speaker 6 (28:32):
Yeah, go to gene site dot com. G E N
E S I G h T dot com.
Speaker 3 (28:40):
Gosh, that's fantastic, Doctor Miller, you have been a wealth
of information.
Speaker 2 (28:44):
We cannot wait to have you back. Thank you so
much for coming on.
Speaker 6 (28:48):
Thank you for having me one eight.
Speaker 3 (28:51):
Seven seven dot Dolly one eight seven seven d O
C D A L I. You know I was interviewed
recently on you know my going to Israel. I was
in Israel before the October seventh attack and then I
was there just last month taking my mom.
Speaker 2 (29:07):
One of the reasons why I took my mom is
because when she got her.
Speaker 3 (29:12):
Uh wet a m D macular degeneration diagnosis that was
kind of affecting her eyesight pretty aggressively.
Speaker 2 (29:18):
I thought you would get sad and depressed. So I
thought it would cheer her.
Speaker 3 (29:21):
Up, taking her to the country she always wanted to visit,
and going to you know, all the religious sites and
and uh you know, you know, making it a mommy
and meat trip. And you know, I noticed that when
I got there. I really didn't if you know, a
lot of people like Dalia, I don't see a lot
of pictures with you, I don't, you know, I kind
of didn't. It wasn't a celebratory type of trip because
(29:44):
the hostages were still in Hamas control. You know, there
was still the the you know, memories of the death,
of the destruction of the rapes and all that, and
and so you know, I felt guilty even even you know,
attempting to enjoy myself there, you know, I I mean
it was, you know, I was there on a mission
to you know, you know, bring my mom there, let
her see you know, all the sites she wanted to see.
Speaker 2 (30:05):
But it was not a fun trip. But I notice
I do that.
Speaker 3 (30:09):
Where you know, if if you know, we lost somebody
like like you know, like my father. You know, it's
like if it's his birthday and I start to laugh
or enjoy myself on the day that was his birthday
even though he's gone, I stop and I feel guilty.
Speaker 2 (30:23):
Why am I doing that? Why am I feeling guilty?
Speaker 3 (30:27):
You know, laughing and enjoying life when you know that's
a day that was hits, you know, and he's no
longer with us. And there's no rule. I mean, there's
no commandment, there's no but I think a lot of
us feel that way. And so you you have family
members that enjoyed the holidays with you know, their spouse,
(30:50):
et cetera, or or you know children that they've lost,
and they and and then they feel guilty.
Speaker 2 (30:55):
And one thing I always explain to.
Speaker 3 (30:59):
You know, those who you know struggle as it pertains
to you know, the holidays or or that that guild
is if you ask your loved one, what would they
want you to do? Would they want you to be
sitting in a room crying or living life and going.
Speaker 2 (31:16):
On to the next chapter.
Speaker 3 (31:18):
Now, ninety nine point nine nine percent of them would say,
I want you to move on and live life. I
don't want you to, you know, die or or rod
away because I'm gone now and I have some family
members would.
Speaker 2 (31:33):
Say, no, all you do is mourn me. I don't
even want you to enjoy your life.
Speaker 3 (31:37):
But you know, as I partect to my husband, I
told them God for if anything happens to me, I
want him to remarry and live. So that's also a
very important conversation to have with with your loved ones if.
Speaker 2 (31:47):
You feel like one of the reasons why they're.
Speaker 3 (31:49):
Isolating is because of the guilt the one eight seven
seven doctolics.
Speaker 7 (32:02):
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Speaker 3 (34:23):
Wear madam, not a dollar your show, thank you over
to me then one eight seven seven doct DOYL one
eight seven seven.
Speaker 2 (34:29):
D O C d A l I.
Speaker 3 (34:32):
So the UK has done some research on antidepressants and
they found that antidepressants differ inside effects depending on the medication.
Speaker 2 (34:42):
And I know that seems to be the.
Speaker 3 (34:44):
Most groundbreaking, earth shattering news, all right, before you go, well,
no dah, they have a little bit more to that
that that will we'll talk about. So not everybody's going
to gain weight on antidepressant, but they say on average,
people may gain up to four and a half pounds
(35:05):
within the first two months of treatment. Others might lose weight.
The research was led by academics at King's College to London,
I know, sign me up. I'll take one if I
lose weight on it. The research, led by academics at
King's College of London and University of Oxford, found that
while some antidepressants, according to The Guardian, caused notable changes
in body weight, heart rate and blood pressure, others might
(35:27):
not cause the physical changes. And so they're going to
in the UK change some of the treatment guidelines to
update and reflect these findings. Now you know there's different
types of antidepressants MAO inhibitors, tricyclic, anadi presdens SSRIs, and
so this study involved analysis of data from one hundred
(35:49):
and fifty one clinical studies on antidepressants, comparing the physical
health benefits of thirty different types. Okay, so that would
then run the gamut of all the different classes. And
they looked at over fifty eight thousand people and they
found to be notable variation and side effects between different medications,
despite most of the studies analyzing eight weeks of antidepressant use.
Speaker 2 (36:11):
And they said there was a difference of up.
Speaker 3 (36:12):
To four kilograms in average weight change between some drugs,
which could be eight to nine pounds about nine pounds,
and then they found some weight loss on it with
some medications like agomelatine and map protylene. And then of
(36:33):
course you know, they also found a twenty one beat
a minute difference in heart rate between people taking fluvoxamine
and nord tryptylene and eleven milligram difference in blood.
Speaker 2 (36:43):
Pressure between nord tryptylene and doccipin.
Speaker 3 (36:47):
So when you look at a study like this, you know,
while they're kind of looking at side effects and how
some people could get some side effects and others not.
Speaker 2 (36:56):
My take home, what this is is what you're taking for.
Speaker 3 (36:59):
Move may also help or or hurt your physical health,
and that there's an effect that you might not be
aware of. And so you know, we call them side effects,
and that is the correct term. Not all side effects
are necessarily bad. We usually attribute a side effect to
(37:21):
something being negative because you know, we we like our
baseline and so I mean if somebody said, you know,
are a side effect that we have is we actually
feel better, I mean I would still call that a
side effect, but they would instead.
Speaker 2 (37:35):
Use the term benefit that there's a benefit from the medication.
Speaker 3 (37:39):
But a side effect applies a a outcome that isn't
necessarily advertised on the FAA label or the FDA label.
Not sorry, not FA FDA label. That was something that
is not supposed to be in the realm of what
that medicine is treating.
Speaker 4 (37:58):
Like.
Speaker 2 (37:58):
So, for example, for those of you that.
Speaker 3 (38:00):
Take a blood pressure medication Benaza pril or life Center
prel something that ends an ill which is an ACE inhibitor.
Those medications may sometimes cause a dry cough. So for
those of you having a constant dry cough or feeling
like a tickle in your throat, that might be due
to your blood pressure medication. That is a side effect,
a right as opposed to, oh, the blood pressure medication
(38:20):
lowered my blood pressure, well, then that is a benefit
or an outcome of that medication. The antidepressant use, however,
has become exponentially more popular, and we are turning to
antidepressants ubiquitously. Now we have this fear of not addressing
(38:42):
somebody's mental health, and some people are hesitant because they've
taken medications and felt worse, And as we discussed with
our previous guests doctor Miller, a lot of times it's
trial and error. However, somebody struggling with mental illness may
go to food, may go to alcohol may go to drugs,
and I do support finding the right treatment. The problem
(39:03):
is is if these medications have side effects like weight
gain that you know that that's not something that people want.
Speaker 2 (39:09):
Now, why are you gaining weight on some of these medications.
Speaker 3 (39:13):
Well, SSRIs selective serotonin reuptic inhibitors are probably one of
the most infamous for weakain. They believe maybe because of
the way the serotonin you know, works on the bow,
that it could possibly affect you know, gut motility or metabolism.
But I think it's also what you know, when people
(39:35):
are depressed, you know, or anxious, they isolate a lot,
you know, and a lot of.
Speaker 2 (39:40):
Times they might not want to eat.
Speaker 3 (39:42):
Well, you're starting to feel better and you're like, you
know what, yeah, let's have some drinks, you know what,
let's order some appetizers.
Speaker 2 (39:50):
Absolutely.
Speaker 3 (39:52):
Now for me, when I'm in a better mood, I'm
out there exercising, and so I would lose weight probably,
you know more. But you have other individuals where they're like,
you know what, I don't want to just go to bed,
Let's go have dinner, Let's watch some movies, and so
for some individuals rather than just sleeping, you know, or
(40:14):
not eating or not engaging with others, they might actually
be consuming more calories and maybe, you know, gaining weight
that way. So there's a variety of different reasons that
could be a I guess behind the culprit to that.
But the weight gain doesn't necessarily have to be something.
Speaker 2 (40:35):
Like sixty pounds.
Speaker 3 (40:37):
You know, whenever I hear that somebody gained sixty pounds
on a medication like a mood stabilizer, the first thing
I ask is were you eating?
Speaker 7 (40:47):
You know?
Speaker 2 (40:47):
Were you malnourished? You know what? Could were you doing drugs?
Speaker 3 (40:54):
Some people might have turned to drugs instead of nourishment,
and so all of a sudden, out they're like, you
know what, I'm not doing drugs anymore.
Speaker 2 (41:02):
I'm going to actually eat a meal and then they gain.
Speaker 3 (41:07):
I don't want that to dissuade somebody from getting the
care they need.
Speaker 2 (41:11):
You know, we're all afraid of gaining weight. You know,
it happens now.
Speaker 3 (41:14):
I mean menopause or perimenopause. I went through very early
menopause in my thirties, and that's why I'm the weight
I am. And it's very frustrating because I didn't change
my workout. I didn't change my eating habits. I was
pretty regimented. I mean, fifteen hundred calorie a day doesn't matter.
Hormones made me completely, you know, transformed from having an
(41:38):
amazing waste to you know now you know the way
I am now, and I'm working on it still. I'm
working on it, but I am not the weight I
want to be. I don't take medication. The only medication
that you take is some hormones. For my doctor has
a on estrogen, a testosterone, which we'll talk about a
little bit of testosterone.
Speaker 2 (41:58):
Testosterone is starting to be one of the.
Speaker 3 (41:59):
New things that that women are asking for in menopause.
You're like, why would women want that when our voices
are getting lower and are getting hairrier and where you know,
they say women as they age, you know, start to
masculinize because they lose their estrogen.
Speaker 2 (42:14):
Uh.
Speaker 3 (42:15):
But actually testosterone is a really really good adjunct to hormones,
which which we'll talk about a little bit. But you know,
for those of you that are struggling with mental health issues,
it doesn't necessarily mean you're gonna gain weight. Plus you
could look at different medications even in the same class.
It doesn't necessarily mean if you gain weight with one,
you're gonna gain weight with another. So you want to
touch your medical provider. You also want to take a
(42:36):
look at what you're eating. And you're eating habits prior.
I mean, if you're if your diet when you're depressed
is red Bull and that's it. And then you start
to take on a healthy diet, you are going to
gain weight now. But if if you know you aren't
exercising and you aren't building up your muscle, and you're
you know you're And by the way, that's another thing
(42:56):
too for those individuals you know they always struggle with
I go to the and I'm gaining weight.
Speaker 2 (43:01):
I'm gaining weight when I go to the gym.
Speaker 3 (43:03):
Well, one of that could be you are starting to
pertain more water because the body is starting to realize
that your activity is changing. Your metabolism may temporarily slow
because your body's like, wait a second, we need more
calories here because this person is exercising.
Speaker 2 (43:15):
But it is temporary.
Speaker 3 (43:16):
Trust me, if you go to the gym and exercise,
your weight is going to be in the long term better.
Speaker 2 (43:22):
So don't let.
Speaker 3 (43:23):
That idiosyncratic, rare sort of phenomenon of a mild shift
in your weight now that you're going to the gym,
scare you from working out?
Speaker 2 (43:33):
You need to work out one eight seven seven doct Dolly.
Speaker 4 (43:53):
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