July 1, 2024 • 30 mins
Join Kelly and Tiffany to discuss a proactive approach to preventing hypertension in pregnancy. They explore the importance of understanding blood pressure, the impact of diet, physical movement, supplements, and herbal support on blood pressure stability. The ladies also share touching listener reviews and provide additional resources for expecting and preconception individuals.
00:00 Introduction
01:56 Listener Review: Holly ROMAC
04:49 Recommendations for Hypertension Prevention
17:41 Supplement and Herbal Support
20:20 Liver Support
28:33 Conclusion and Additional Resources
Links to all the extra good stuff:
Fullscript Protocol: HERE
Silverettes: HERE
Hypertension Info: HERE
Childbirth Education Wait List: HERE
Join our email community: HERE
Submit your answer-on-the-show questions: HERE
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:00):
Welcome to At Home with Kellyand Tiffany, where naturally
minded women gather together aswe pursue simplicity and
confidence in healthalternatives, so we can show up
better in our busy lives andfeel more at home in our bodies.
Join your favorite home birthmidwife duo for conversation,
candor, and community.
You're at home with Kelly andTiffany I'm, Tiffany I'm Kelly.
(00:22):
And today we get to talk aboutpreventing hypertension in
pregnancy.
Yes.
So if you don't know whathypertension is, if you don't
know why it's important, if youdon't understand risks or how to
again, prevent it.
We are going to jump into all ofthose details, talking about
just a proactive way to supportyour body.
(00:43):
Of course.
We cannot guarantee, right.
That you will be able to preventthis, but we've witnessed it
just over and over the research.
Is there pointing women towardshow to support this?
And most care providers are nottalking about this proactive
approach, which is why we wantto talk about it.
Most of the women I've seen thatwe've supported.
(01:06):
When we're talking about bloodpressure.
Most of them don't even knowlike what exactly it is, or
we'll say the numbers andthey'll just be like, is that
good?
We were like kind of joking.
We're like, Hey, like you'refine.
Right?
And so we're going to get alittle bit into that, just so
that you understand when you aregetting your blood pressure
taken, what is actually.
What it actually is and why.
Like what it means when thatnumber is high and the stress
(01:28):
that it's putting on your body.
But before we get into that, wehave, you guys have been so
generous in your reviews.
But we wanted to read anotherone because we have this little
treasure trove of reviews toshare with y'all.
Yeah.
And at some point they, theyjump off of the.
The S they jump off of whatevergets auto populated by itself.
(01:49):
And so.
I'm like, we got to read thesebefore.
They move or expire or whatever.
I don't know.
This is from Holly ROMAC and thetitle of this five star review
is called, makes my heart happy.
Huh.
Oh, that's great.
I'm happy.
We can be a part of that.
This is what Holly says.
I'm in the preconception phase.
(02:10):
I hold on.
I just love that.
Yeah.
It's like so intentional andthoughtful.
I'm here for it.
Okay.
And she identifies with beinglike, I'm about to get pregnant.
That's great.
I'm in a phase right before Iget pregnant.
And she says, and you could sayI'm type a.
Okay, this is drinking.
Just kidding.
So I was meticulously planningto the point that I was
(02:32):
stressing myself out.
This podcast has been such abreath of fresh air for me,
because I am still activelygetting information to fuel my
body and my mind to the bestthat I can, but I get to listen
to lighthearted, hilariousconversations between best
friends.
I don't feel overwhelmed by theinformation, but happily
informed and I feel great aboutthe ways and getting my body
(02:54):
ready for pregnancy.
I highly recommend this podcastto any woman regardless of their
pregnancy status or period oflife.
Thanks for all you guys do.
Red heart emoji.
Oh, my gosh.
That means, that means so muchthat if this information comes
across, In this.
Really dynamic combo of lightand listener.
(03:19):
But meaningful and actionable.
Yeah.
And that was like our whole hopewhen we started this podcast six
years ago, five years ago.
We wanted it to be like, youwere just, you know, sitting
down with girlfriends.
Talking about like knowledgeablegirlfriends.
We were just talking about someof the things that actually
(03:40):
matter to women and how to sharethe information that we know and
that we have researched andpulled together in a way that
makes it seem like.
We're still keeping that pieceof being like, oh, we're just
chatting, but we're alsoeducating and helping women live
(04:00):
their best little lady lives.
I can't believe we have donethat.
I can't like, I just still can'tbelieve we get to provide that.
Yeah.
We we are living the living thepodcast dream over here.
So thank you, Holly, if you arelistening to this episode, which
maybe you are, because you're,you know, thinking about getting
pregnant, imagining you justbeing as proactive and type as
(04:23):
possible.
If you cure us reading thisreview on this episode, Shoot us
a message.
Email Instagram, DM.
Those are probably the twoplaces that you could do that.
Let us know and we will buy youa drink.
Maybe a some kind of nourishing.
Uh, I don't know, prepregnancydrink a libation of some kind
(04:47):
and it'd be great.
Okay.
So before we talk abouthypertension, I wanted to give a
little shout out to a postpartumstaple.
So we're talking about obviouslypreventing something in
pregnancy.
If you are listening,potentially you are pregnant
already or wanting to getpregnant, or maybe thinking
about it for the next time.
This is something that having inyour back pocket, offering to
(05:09):
other women.
Who, you know, you're going totheir baby shower or putting it
on your own registry.
But we, I recently was chattingwith a client about something
that she used in her postpartumthat I feel very similarly about
just given my experience withthem in my postpartum years ago.
But they're called silverassets.
Don't know if you've heard ofthem yet.
If you have not, Tiffany haveseen these little silver.
(05:32):
Cups.
It's literally tiny silver cupsthat sort of look like nipple
tassels when they are on you.
But they're basically for nippleprotection and healing while you
are breastfeeding, especiallykind of in those early days
where you're just like, oh,everything's tender and shifting
potentially there's some pain ormaybe there's been cracking on
your nipples and you're tryingto continue to You know, you're
(05:56):
trying to continue to breastfeedand save that part of your
relationship, but also trying tomake your help your nipples
heal, trying to figure out allof the things.
This is like the one-stop shop.
You don't need anything elsebesides these little cups.
But this mom said these saved myentire breastfeeding
relationship and helped me bondbetter to my baby because I
wasn't wincing or dreadingnursing anymore.
These were an absolute miracleworker.
(06:17):
Of course, working on a deeperlatch was important, but these
helped heal my nipples soquickly while doing that
literally a complete game.
Changer.
I'm giving these to every newmom.
I know.
So I have given these two momsat baby showers, not on their
registry, but I'm like, I'msorry, I'm just, I'm just doing
this for you because I love youand care for you.
(06:38):
And there's always like, oh, halike kind of a joke about it.
Like maybe potentially somepeople are somewhat awkward
about it.
And then I get a text afterwardsand they're like, Thank you so
much.
I don't know anyone who has, whothey have not worked for.
Yeah.
I don't.
And we even have a pair that welend out from our practice
because they are, it's such animportant part of keeping
(06:58):
nipple, skin healthy and supple,or getting it back to that place
that we just recommend all ofour clients to have them on
hand.
And if they don't, then we havea pair that they can borrow
while they go get their ownpair.
Yes.
Yeah, absolutely.
So I just wanted to share,because I, that was on my brain
just had a conversation about itand was like, I don't know if
we've actually.
We talked about those yet.
And I just find them to be,again like this mom said like
(07:22):
game changers.
Okay.
And so we will link those in ourshow notes.
If you want to take advantage ofthem, you can find them on
Amazon.
It's so easy.
You can prime them.
To yourself, to your, to yourlady, friends.
Okay, so let's let's getstarted.
We can talk about hypertension.
Hypertension meaning high bloodpressure.
(07:43):
So if we don't know what bloodpressure is though, we don't
really even care or know whathypertension is.
Right.
So blood pressure itself, that'sthe measurement of the, this is
going to sound very obvious, butthen when you start seeing it,
you're like, oh, okay.
That makes sense.
The measurement of the pressureof the blood.
Right.
And that's the pressure that'spushing against the blood vessel
(08:03):
walls.
So when you have hypertension,when you, when that blood
pressure, that pressure that'sbuilding up is high.
It means that that pressureagainst the blood vessel walls
is above that normal range.
There's a ton of just pressurepushing outwards at that point,
which can absolutely causeissues.
So in pregnancy that can mean afew different things.
(08:23):
Then it could, in other seasonsof life, it is never a positive
thing to have high bloodpressure just generally, but in
pregnancy, your heart has towork a lot harder.
It has to pump a ton more bloodthroughout your body.
Your blood volume is expanding abunch 50% while you're pregnant,
right.
That in and of itself is goingto put extra stress on your
(08:45):
body.
But when that pressure just kindof explodes like that, it's
going to affect a lot ofdifferent pieces of what's.
What's going on in your body, itcan affect the, how the placenta
is developing, how that'sfunctioning.
It can impact the health of yourbaby, your pregnancy risk
status.
So it should be checked.
Your blood pressure should bechecked.
It should be managed.
(09:06):
Because it can lead to verysignificant issues for you and
your baby.
And potentially it can beincredibly serious if not you
know, Mitigated and taken careof.
So.
That's just sort of like ourstarting point of understanding.
Why that even actually mattersat this point.
Certainly it can be a sign ofother things causing issue and
(09:27):
it can also then snowball intoother issues as well.
But if we're able to kind offocus on this piece that can
take your risk status down quitea bit for all of these other
potential problems, I'll neverforget.
The first client we had who cameto us, it was like her third
pregnancy or something.
(09:48):
No, I think it was her fourth.
I think it was her fourthpregnancy fired.
Third or fourth pregnancyanyway.
Yep.
I think it was her thirdpregnancy.
She had two pregnancies that wedid not work with her.
And she said in both pregnanciesat exactly 37 weeks, her blood
pressure got out of control.
And so we were like, Ooh, thisis so fascinating.
(10:10):
Oh, what's happening there?
Physiologically, what can we doto support that?
And so we put a prophylactic.
Protocol together for her.
And so for the very first timein pregnancy, she did not have
hypertension at 37 weeks.
And I mean, we didn't knowreally that we were going to be
able to impact anything.
But I think that for me, Was ahuge game changer in how we can
(10:34):
use herbal medicine and justsupporting the system overall,
when you understand what ishappening naturally and what
your body's trying to do and howto support that.
We were able to avoid an entireprenatal complication for this
client.
So.
Yeah, it's been, it's been cool.
It's this?
So from that point, I rememberbeing like, oh, there's, there's
(10:55):
something to this.
And then.
You know, kind of, expandingfrom there, our awareness and
our you know, education on abunch of different aspects of
how can we impact this in a waythat is.
Long lasting in a way that ismeaningful.
In a way that right.
Women who have had theseexperiences.
(11:16):
Ideally like if we can changethat entire risk status or
support the system in aparticular way that allows them
to have the home birth thatthey're desiring how they
low-risk pregnancy not to haveto be induced, not need certain
medication, things like that,that, that changes.
So much of the trajectory ofsomebody's whole obstetrical
(11:37):
experience and history.
So it really does matter bothpersonally, but then
professionally, we get thesatisfaction of like, oh, Wow.
We get to be a part of somethingthat really is impactful on
people's lives.
Yeah.
It's so cool.
Okay.
So the recommendations to startwith is just food.
(11:57):
And we focus on blood sugarbalancing and a couple of
dietary recommendations thatsurround that.
So what's important tounderstand about insulin and
blood sugar balance with bloodpressure is that insulin impacts
Vasso dilation.
So the way that your vascularstructures, your veins.
(12:18):
Basically like get larger orsmaller.
And when you have a visadilation there, you're creating
just a bigger space and lesspressure for your blood to go
through.
And when you have a smallervein, obviously that creates
less area inside of your bodyand creates more pressure, more
(12:42):
tension, more everything inside, your whole body, because
circulation runs through yourentire body.
And insulin impacts that.
So you want to focus on bloodsugar balancing techniques.
That's going to be key tofoundationally supporting your
blood pressure indirectly, andthen focusing on a diet full of
whole anti-inflammatorylow-glycemic foods being really
(13:04):
careful about pairing your fatsand proteins together, avoiding
glucose spikes and crashes,because that is going to impact
blood sugar or blood pressureinstability as well.
And you just want to make.
Just wise dietary choices.
This is an example of where,what you eat can just
foundationally affect.
(13:24):
So very much you want a ton ofprotein in pregnancy in general,
but if you are having.
Factors for hypertension.
You want at least a hundredgrams of protein in order to
support all of those bloodpressure structures and your
blood sugar.
And salty foods.
Are different than salt team,your food.
(13:49):
So choosing pink, Himalayan,salt, Celtic, salt, sea salt,
all of those, you can doseliberally, real salt.
You can put onto your food.
You want to avoid syntheticsalty or sodium heavy foods?
Most of that would be likepre-packaged food essentially.
And then you want a lot ofpotassium, magnesium getting
(14:11):
lots of fiber in your diet,staying well hydrated, adding in
those minerals, even addingSalta to your monitor or adding
trace minerals, get potassiumand magnesium.
In with those two and just allowyour system to be balanced with
some of those dietaryfoundations.
Yeah.
What I think is interestingabout that too, is this like
(14:32):
salting your food versus saltyfood.
If you are in kind ofmedicalized care, most women are
hearing.
Decrease your salt intake.
And that is completely outdatedinformation and unhelpful.
Recommendation for you, yourbody needs the salt.
(14:53):
It does not need the type ofsalt that we were just like that
pre-packaged kind of extra saltyfoods.
But what it needs is thoseminerals that come from salt.
So obviously you get to decidewhat you're going to do with
that information.
But if you have been given thatrecommendation in the past,
Research that, and kind of godown that.
(15:14):
Bit of rabbit hole to see whatyour body actually.
Needs.
But looking at that research,it's really outdated and even
eight cog, which like is thegoverning body of like these
obstetricians who are givingthis advice recommends against
it.
So it kind of goes to show you.
How slow to the uptake.
Some of these, you know,research, some of the research
(15:36):
and some of the recommendationsare to actual clinical practice.
So.
Little a tidbit there for you.
Okay.
So, this is going to sound.
Somewhat, like all of theserecommendations just are good in
general life.
Right.
And so some of them sound sofoundational, but that's the,
that's the key, right?
Like the food idea key.
Now we'll talk a little bitabout physical movement as well.
(15:59):
Moving your body intentionally.
These are good things to bedoing all throughout your life,
but in pregnancy, especially atleast 20 minutes a day, it's
been shown to have a positiveimpact on your blood pressure.
And if you're adding that tolike, more walks throughout the
day or the week if you're addingstrength training, especially
(16:20):
three times a week or so.
All of those things have beenshown to help increase or I
guess, decrease your risks forincreased blood pressure.
And so there's really goodresearch about how helpful it is
to actually move your body toactually eat.
Food.
That is good for you.
Right?
Of course there is.
But intentional kind ofstretching, yoga type stuff is
(16:40):
also correlated with lower bloodpressure as well.
I do wonder if part of that isthat's just a calming experience
as well, right?
But be mindful of your movementthroughout the day, whether it
is your monitoring, right.
Via like your Fitbit type thingand like getting your steps in
or just.
Finding places of like, oh, I'mactually sitting at my desk a
(17:02):
lot today.
I'm going to just like, take alap around.
Right.
Or I've been sitting and readingto my toddler for the last
couple hours.
I really should like, maybe wecan just go for a quick walk or
something like that, but weavingmore kind of physical movement
into your everyday activitieswill absolutely pay off for
this.
Yeah.
And like, I think that just goesfor all of us.
(17:24):
General, but we see a differencebetween women who are more
physically fit in thisparticular area, like willing to
do any small amount of regularexercise versus.
Being completely sedentary.
Yup.
The other thing.
That we want to bring up andwe're preventing hypertension is
(17:47):
an appropriate use ofsupplements and herbs and.
All of these supplements that Iam about to suggest to you just
help to support the bloodpressure system and structures,
but it would be okay for allwomen to have these items in
their regular rotation inpregnancy.
(18:10):
And that starts with the vitaminB six, but you are welcome to
take a B complex as well.
Calcium.
Magnesium century.
So the type of magnesium.
Here is the citrate version.
Probably our favorite form ofthat is the nature calm powder.
Just more, more correlation withblood pressure stability, then
(18:33):
another type of magnesiumglycinate.
You guys hear us recommendingthat all the time.
Methylene did fully it's veryimportant.
Vitamin C vitamin D vitamin Eall really helpful to vascular
structures inside of the body.
And then our favorite supplementfor hypertension support in
(18:54):
pregnancy is Hawthorne.
And that can be taken as atincture that can be taken as a
tea that can be taken ascapsules.
Our recommendation is usuallyalways to enjoy it in tincture
form because you can get themost standardized dosing and.
It's relatively inexpensive,very easy to dose yourself and.
(19:15):
That is an excellentrecommendation for just keeping
blood pressure stable.
Yeah.
That's one of those that like,we have always known is a good
one.
One that we didn't have on handat a birth.
And I remember looking back andbeing like, oh, Wish wish that
we had that.
And one that, I mean, evenoutside of pregnancy, Can be
(19:36):
used.
My husband uses it sometimeswhen he has issues with his own
blood pressure.
And so that's a really solidone.
These supplements are all a partof a Fullscript protocol also.
And so we have a managinghypertension protocol in there.
If you're like, oh, let me lookat what type you recommend or
the dosing and that kind ofthing.
(19:58):
And we also go very in-depth onthis issue, this like supplement
and herb issue in ourchildbirth.
Birth education class as well.
For women taking that, notnecessarily as medical advice,
but looking more into what isthe exact protocol that we
recommend for herbal support andhow to.
Weave that into kind of everydaylife.
(20:19):
Okay.
Next up is liver support.
The liver has to work so hard inpregnancy, right?
There's so many pieces of ourbodies that have to just simply
work harder.
There's just a lot more.
From the pregnancy is normal andnatural and all that good stuff.
There's just a lot more stresson our bodies at that point.
And so support for your liver isjust monumentally key in
(20:41):
pregnancy.
To avoid this issue.
Part of that is the food and themovement, things that we've been
talking about.
But we want to focus on gentleliver support.
A lot of women don't realizethat they can do.
Liver support during pregnancy.
I think there's been a lot ofdiscussion on like liver detox.
We're not going crazy on this,but we're just gently supporting
(21:01):
it in so many different aspectsof daily life that absolutely we
want to help this liver.
Do, you know, kind of firing onall cylinders and do what it
needs to do.
So we love for this Nora tea.
You can add the.
Are a part that red raspberryleaf after 16 weeks, that's a
great one to be drinking everyday.
You can also add into that.
There's not really like a good,I guess, NORAD.
(21:24):
I suppose you can add dandy lionalso dandelion.
Herbal infusions are stellar forliver support.
In general, you can drink thatdaily as well.
Adding lemon to your water,doing things very simple, like
supportive things like drybrushing.
We have a whole episode.
On that Epsom salt baths thatyou can take.
(21:44):
And then I think one of thepieces that often gets
overlooked, but the idea of kindof decreasing this toxic burden
or this toxic load that we haveon our bodies and the work that
the liver actually has to do.
Would be decreasing some of thethings that will disrupt it.
A lot of those endocrinedisruptors looking into what
kind of products am I using onmy body?
(22:05):
What kind of.
Level of food.
Am I eating, you know,pesticides, antibiotics, things
like that.
The liver really is impacted onhow it works.
How it works things out.
And so, you know, things toconsider weaving into your
everyday life that hopefullydon't feel overwhelming by any
means, but at least something tokind of put in your.
In your mind as you moveforward.
(22:26):
And let's talk about testing alittle bit, because it's easy to
just slap all this stuff on andjust have an arsenal of things
that you're like.
I don't know.
Allowing to be in the toolbox,but testing can be a really
important part of justcontinuing to monitor your
health.
(22:47):
It's also something that even ifyou're not pregnant yet could be
some good.
Lab work to have onboard beforeyou even get pregnant and give
yourself even more of a leg upon getting metabolically
healthy.
But doing a metabolic panel, acomplete metabolic panel at some
point in the beginning of yourpregnancy and then checking on
(23:07):
it, ideally in every singletrimester, we'll help you to
monitor liver and kidneyfunction, which you've heard
Kelly, you know, just explainhow it's so closely tied.
To hypertension.
And then also understanding andknowing your MTHFR genetic
mutation status.
Can be really important becauseMTHFR gene mutations are linked
(23:29):
with some of these.
Issues that potentially developfrom poor liver health and
arterial health and bloodpressure health.
And so when we see those.
Pings start to happen andconnect some of these different
pieces.
We consider them as riskfactors.
And so that might be animportant thing to know about
your own personal risk factors.
(23:50):
And homocysteine levels kind ofgo along with that.
So people who have the MTHFRgenetic mutation can have a more
difficult time.
Methylating their own.
Vitamins essentially.
And homocysteine is somethingthat tries to help you do that,
but essentially like builds upin your body as it's trying to
(24:12):
help you get all of these nonmethylated.
Vitamins out of your body.
And so it's a marker for howhard your body is trying to
work.
On that toxic load and can give,and can point more information
towards, is that because youhave this gene mutation, that
one in three women have, or isthere another reason that you're
(24:32):
having a hard time processinghomocysteine from your body?
And then we'll put some moreinformation about some of those
pieces specifically in the shownotes, because those of you who
are thinking right now aboutyour own risk factors, you are
going to want to find out moreinformation about this, but we
just can't get all into it heretoday.
Yeah, for sure.
And so you'll see about, youknow, testing and kind of rabbit
(24:54):
hole stuff there for you.
And I feel like we'd be remissif we didn't talk about the fact
that if you are in medicalmedical model of care and also
many midwives are also justcontinuing on with this because
there is research there toprovide some support.
But it would be a baby aspirin.
(25:15):
So that's a very commonrecommendation for women with a
history of high blood pressureor dealing with high blood
pressure, especially.
Towards the beginning ofpregnancy.
So that's the idea of taking ababy aspirin every single day.
It's the idea, right?
Is that it's going to help withthe pressure and the blood is
kind of putting on the veinsthat we spoke about.
It's going to help thin thosetypes of things.
(25:36):
You get to decide.
Yes, there is research pointingtowards the validity of that.
But again, at the end of theday, you get to decide if that
is something that feelsappropriate for you.
If the risk.
Benefit analysis feels right foryou.
If that feels like thetrajectory you want to go down
(25:57):
and you can utilize a lot ofthese recommendations also
alongside that.
Or if there is another way thatyou want to go about approaching
this.
So not telling you what to do byany means, but letting you know,
if you have a history of this.
And haven't been pregnant yetand come into pregnancy, this
most likely will be.
Something that is discussed aswell as if you've had a history
(26:19):
at any point of this.
Yeah.
And I think the, the, likesomeone might be like, well, if
there's evidence to supportthat, it's helpful.
Why wouldn't you.
Well, because it's a bloodthinner because it's, you know,
it's over the counterpharmaceutical and because it
doesn't address the root cause.
Yeah.
There's a three, like big thing,something to consider.
(26:41):
Yeah.
If you're wondering, like, whywould someone not take advantage
of that?
Recommendation.
Yeah, for sure.
So how cool is it that you getan opportunity to take in all
this information and just liketake a grip.
On an aspect of your health andpotentially rewrite an entire
experience.
Yeah.
I mean, it's pretty, it's prettycool to be able to look at this
(27:02):
and be like, okay, well thisfeels scary.
Or some women are like, oh, Iwant to like jump into having a
home birth, or I really desirethat.
But this thing was my bloodpressure.
Okay.
Well that could potentiallychange or shift and.
Not only just where you haveyour baby, but the entire
experience of you owning.
Your health and your outcomes.
(27:24):
Pretty cool.
Yeah.
And I guess it's worth sayingthat like primary hypertension
going into pregnancy hyperattentive already is going to
make is going to give you ahigher risk.
In fact, like it'scontraindicated for home birth
and probably most out ofhospital birth.
So if you deal with hypertensionin your regular life and you're
not pregnant yet, you do havesome potential resources.
(27:48):
I mean, beyond the informationwe're providing here, but I do
want to encourage you to that,like getting in touch with a
functional medicine doctor or anaturopath or something you
absolutely could.
Address your primaryhypertension before you get
pregnant.
Yeah, that's important to likewrap your head around too,
especially the sweetness of youknow, maybe we kind of joke
about the idea of preconceptiontime and like type a, whatever.
(28:11):
No, no, no.
It's an opportunity for you to.
Really dial down some of thesehealth pieces and your blood
pressure being an issue alreadycan be a sign of other types of
metabolic things going on thatyou absolutely can.
Get out of the kind of the cycleof, for sure.
So hopefully that feels like anencouragement to you.
(28:33):
Hopefully you're kind of feelinginspired, empowered, potentially
a bit more confident in movingforward.
You're going to find it in theshow notes, a bit more
information.
I'll link those silver ads thatfull script hypertension
recommendations, some stuff onthe MTHFR kind of connection,
those testing options.
As well as a link to our waitlist for our childbirth
(28:55):
education class.
We go into this information andeven more, just in a lot more
detail and kind of nuance.
And like I was mentioning lotsmore kind of protocol
recommendation styles on this.
And a million other topics it'sbeen cool to put together.
And so we are excited to sharewith you when it is ready to
officially launch out into theworld soon.
(29:18):
Yeah.
I mean, which is going to behappening.
I mean, we're going to becompleting it with our beta
class in the next couple ofweeks.
Welcome to At Home with Kellyand Tiffany, where naturally
minded women gather together aswe pursue simplicity and
confidence in healthalternatives, so we can show up
better in our busy lives andfeel more at home in our bodies.
Join your favorite home birthmidwife duo for conversation,
candor, and community.
You're at home with Kelly andTiffany I'm, Tiffany I'm Kelly.
(00:22):
And today we get to talk aboutpreventing hypertension in
pregnancy.
Yes.
So if you don't know whathypertension is, if you don't
know why it's important, if youdon't understand risks or how to
again, prevent it.
We are going to jump into all ofthose details, talking about
just a proactive way to supportyour body.
(00:43):
Of course.
We cannot guarantee, right.
That you will be able to preventthis, but we've witnessed it
just over and over the research.
Is there pointing women towardshow to support this?
And most care providers are nottalking about this proactive
approach, which is why we wantto talk about it.
Most of the women I've seen thatwe've supported.
(01:06):
When we're talking about bloodpressure.
Most of them don't even knowlike what exactly it is, or
we'll say the numbers andthey'll just be like, is that
good?
We were like kind of joking.
We're like, Hey, like you'refine.
Right?
And so we're going to get alittle bit into that, just so
that you understand when you aregetting your blood pressure
taken, what is actually.
What it actually is and why.
Like what it means when thatnumber is high and the stress
(01:28):
that it's putting on your body.
But before we get into that, wehave, you guys have been so
generous in your reviews.
But we wanted to read anotherone because we have this little
treasure trove of reviews toshare with y'all.
Yeah.
And at some point they, theyjump off of the.
The S they jump off of whatevergets auto populated by itself.
(01:49):
And so.
I'm like, we got to read thesebefore.
They move or expire or whatever.
I don't know.
This is from Holly ROMAC and thetitle of this five star review
is called, makes my heart happy.
Huh.
Oh, that's great.
I'm happy.
We can be a part of that.
This is what Holly says.
I'm in the preconception phase.
(02:10):
I hold on.
I just love that.
Yeah.
It's like so intentional andthoughtful.
I'm here for it.
Okay.
And she identifies with beinglike, I'm about to get pregnant.
That's great.
I'm in a phase right before Iget pregnant.
And she says, and you could sayI'm type a.
Okay, this is drinking.
Just kidding.
So I was meticulously planningto the point that I was
(02:32):
stressing myself out.
This podcast has been such abreath of fresh air for me,
because I am still activelygetting information to fuel my
body and my mind to the bestthat I can, but I get to listen
to lighthearted, hilariousconversations between best
friends.
I don't feel overwhelmed by theinformation, but happily
informed and I feel great aboutthe ways and getting my body
(02:54):
ready for pregnancy.
I highly recommend this podcastto any woman regardless of their
pregnancy status or period oflife.
Thanks for all you guys do.
Red heart emoji.
Oh, my gosh.
That means, that means so muchthat if this information comes
across, In this.
Really dynamic combo of lightand listener.
(03:19):
But meaningful and actionable.
Yeah.
And that was like our whole hopewhen we started this podcast six
years ago, five years ago.
We wanted it to be like, youwere just, you know, sitting
down with girlfriends.
Talking about like knowledgeablegirlfriends.
We were just talking about someof the things that actually
(03:40):
matter to women and how to sharethe information that we know and
that we have researched andpulled together in a way that
makes it seem like.
We're still keeping that pieceof being like, oh, we're just
chatting, but we're alsoeducating and helping women live
(04:00):
their best little lady lives.
I can't believe we have donethat.
I can't like, I just still can'tbelieve we get to provide that.
Yeah.
We we are living the living thepodcast dream over here.
So thank you, Holly, if you arelistening to this episode, which
maybe you are, because you're,you know, thinking about getting
pregnant, imagining you justbeing as proactive and type as
(04:23):
possible.
If you cure us reading thisreview on this episode, Shoot us
a message.
Email Instagram, DM.
Those are probably the twoplaces that you could do that.
Let us know and we will buy youa drink.
Maybe a some kind of nourishing.
Uh, I don't know, prepregnancydrink a libation of some kind
(04:47):
and it'd be great.
Okay.
So before we talk abouthypertension, I wanted to give a
little shout out to a postpartumstaple.
So we're talking about obviouslypreventing something in
pregnancy.
If you are listening,potentially you are pregnant
already or wanting to getpregnant, or maybe thinking
about it for the next time.
This is something that having inyour back pocket, offering to
(05:09):
other women.
Who, you know, you're going totheir baby shower or putting it
on your own registry.
But we, I recently was chattingwith a client about something
that she used in her postpartumthat I feel very similarly about
just given my experience withthem in my postpartum years ago.
But they're called silverassets.
Don't know if you've heard ofthem yet.
If you have not, Tiffany haveseen these little silver.
(05:32):
Cups.
It's literally tiny silver cupsthat sort of look like nipple
tassels when they are on you.
But they're basically for nippleprotection and healing while you
are breastfeeding, especiallykind of in those early days
where you're just like, oh,everything's tender and shifting
potentially there's some pain ormaybe there's been cracking on
your nipples and you're tryingto continue to You know, you're
(05:56):
trying to continue to breastfeedand save that part of your
relationship, but also trying tomake your help your nipples
heal, trying to figure out allof the things.
This is like the one-stop shop.
You don't need anything elsebesides these little cups.
But this mom said these saved myentire breastfeeding
relationship and helped me bondbetter to my baby because I
wasn't wincing or dreadingnursing anymore.
These were an absolute miracleworker.
(06:17):
Of course, working on a deeperlatch was important, but these
helped heal my nipples soquickly while doing that
literally a complete game.
Changer.
I'm giving these to every newmom.
I know.
So I have given these two momsat baby showers, not on their
registry, but I'm like, I'msorry, I'm just, I'm just doing
this for you because I love youand care for you.
(06:38):
And there's always like, oh, halike kind of a joke about it.
Like maybe potentially somepeople are somewhat awkward
about it.
And then I get a text afterwardsand they're like, Thank you so
much.
I don't know anyone who has, whothey have not worked for.
Yeah.
I don't.
And we even have a pair that welend out from our practice
because they are, it's such animportant part of keeping
(06:58):
nipple, skin healthy and supple,or getting it back to that place
that we just recommend all ofour clients to have them on
hand.
And if they don't, then we havea pair that they can borrow
while they go get their ownpair.
Yes.
Yeah, absolutely.
So I just wanted to share,because I, that was on my brain
just had a conversation about itand was like, I don't know if
we've actually.
We talked about those yet.
And I just find them to be,again like this mom said like
(07:22):
game changers.
Okay.
And so we will link those in ourshow notes.
If you want to take advantage ofthem, you can find them on
Amazon.
It's so easy.
You can prime them.
To yourself, to your, to yourlady, friends.
Okay, so let's let's getstarted.
We can talk about hypertension.
Hypertension meaning high bloodpressure.
(07:43):
So if we don't know what bloodpressure is though, we don't
really even care or know whathypertension is.
Right.
So blood pressure itself, that'sthe measurement of the, this is
going to sound very obvious, butthen when you start seeing it,
you're like, oh, okay.
That makes sense.
The measurement of the pressureof the blood.
Right.
And that's the pressure that'spushing against the blood vessel
(08:03):
walls.
So when you have hypertension,when you, when that blood
pressure, that pressure that'sbuilding up is high.
It means that that pressureagainst the blood vessel walls
is above that normal range.
There's a ton of just pressurepushing outwards at that point,
which can absolutely causeissues.
So in pregnancy that can mean afew different things.
(08:23):
Then it could, in other seasonsof life, it is never a positive
thing to have high bloodpressure just generally, but in
pregnancy, your heart has towork a lot harder.
It has to pump a ton more bloodthroughout your body.
Your blood volume is expanding abunch 50% while you're pregnant,
right.
That in and of itself is goingto put extra stress on your
(08:45):
body.
But when that pressure just kindof explodes like that, it's
going to affect a lot ofdifferent pieces of what's.
What's going on in your body, itcan affect the, how the placenta
is developing, how that'sfunctioning.
It can impact the health of yourbaby, your pregnancy risk
status.
So it should be checked.
Your blood pressure should bechecked.
It should be managed.
(09:06):
Because it can lead to verysignificant issues for you and
your baby.
And potentially it can beincredibly serious if not you
know, Mitigated and taken careof.
So.
That's just sort of like ourstarting point of understanding.
Why that even actually mattersat this point.
Certainly it can be a sign ofother things causing issue and
(09:27):
it can also then snowball intoother issues as well.
But if we're able to kind offocus on this piece that can
take your risk status down quitea bit for all of these other
potential problems, I'll neverforget.
The first client we had who cameto us, it was like her third
pregnancy or something.
(09:48):
No, I think it was her fourth.
I think it was her fourthpregnancy fired.
Third or fourth pregnancyanyway.
Yep.
I think it was her thirdpregnancy.
She had two pregnancies that wedid not work with her.
And she said in both pregnanciesat exactly 37 weeks, her blood
pressure got out of control.
And so we were like, Ooh, thisis so fascinating.
(10:10):
Oh, what's happening there?
Physiologically, what can we doto support that?
And so we put a prophylactic.
Protocol together for her.
And so for the very first timein pregnancy, she did not have
hypertension at 37 weeks.
And I mean, we didn't knowreally that we were going to be
able to impact anything.
But I think that for me, Was ahuge game changer in how we can
(10:34):
use herbal medicine and justsupporting the system overall,
when you understand what ishappening naturally and what
your body's trying to do and howto support that.
We were able to avoid an entireprenatal complication for this
client.
So.
Yeah, it's been, it's been cool.
It's this?
So from that point, I rememberbeing like, oh, there's, there's
(10:55):
something to this.
And then.
You know, kind of, expandingfrom there, our awareness and
our you know, education on abunch of different aspects of
how can we impact this in a waythat is.
Long lasting in a way that ismeaningful.
In a way that right.
Women who have had theseexperiences.
(11:16):
Ideally like if we can changethat entire risk status or
support the system in aparticular way that allows them
to have the home birth thatthey're desiring how they
low-risk pregnancy not to haveto be induced, not need certain
medication, things like that,that, that changes.
So much of the trajectory ofsomebody's whole obstetrical
(11:37):
experience and history.
So it really does matter bothpersonally, but then
professionally, we get thesatisfaction of like, oh, Wow.
We get to be a part of somethingthat really is impactful on
people's lives.
Yeah.
It's so cool.
Okay.
So the recommendations to startwith is just food.
(11:57):
And we focus on blood sugarbalancing and a couple of
dietary recommendations thatsurround that.
So what's important tounderstand about insulin and
blood sugar balance with bloodpressure is that insulin impacts
Vasso dilation.
So the way that your vascularstructures, your veins.
(12:18):
Basically like get larger orsmaller.
And when you have a visadilation there, you're creating
just a bigger space and lesspressure for your blood to go
through.
And when you have a smallervein, obviously that creates
less area inside of your bodyand creates more pressure, more
(12:42):
tension, more everything inside, your whole body, because
circulation runs through yourentire body.
And insulin impacts that.
So you want to focus on bloodsugar balancing techniques.
That's going to be key tofoundationally supporting your
blood pressure indirectly, andthen focusing on a diet full of
whole anti-inflammatorylow-glycemic foods being really
(13:04):
careful about pairing your fatsand proteins together, avoiding
glucose spikes and crashes,because that is going to impact
blood sugar or blood pressureinstability as well.
And you just want to make.
Just wise dietary choices.
This is an example of where,what you eat can just
foundationally affect.
(13:24):
So very much you want a ton ofprotein in pregnancy in general,
but if you are having.
Factors for hypertension.
You want at least a hundredgrams of protein in order to
support all of those bloodpressure structures and your
blood sugar.
And salty foods.
Are different than salt team,your food.
(13:49):
So choosing pink, Himalayan,salt, Celtic, salt, sea salt,
all of those, you can doseliberally, real salt.
You can put onto your food.
You want to avoid syntheticsalty or sodium heavy foods?
Most of that would be likepre-packaged food essentially.
And then you want a lot ofpotassium, magnesium getting
(14:11):
lots of fiber in your diet,staying well hydrated, adding in
those minerals, even addingSalta to your monitor or adding
trace minerals, get potassiumand magnesium.
In with those two and just allowyour system to be balanced with
some of those dietaryfoundations.
Yeah.
What I think is interestingabout that too, is this like
(14:32):
salting your food versus saltyfood.
If you are in kind ofmedicalized care, most women are
hearing.
Decrease your salt intake.
And that is completely outdatedinformation and unhelpful.
Recommendation for you, yourbody needs the salt.
(14:53):
It does not need the type ofsalt that we were just like that
pre-packaged kind of extra saltyfoods.
But what it needs is thoseminerals that come from salt.
So obviously you get to decidewhat you're going to do with
that information.
But if you have been given thatrecommendation in the past,
Research that, and kind of godown that.
(15:14):
Bit of rabbit hole to see whatyour body actually.
Needs.
But looking at that research,it's really outdated and even
eight cog, which like is thegoverning body of like these
obstetricians who are givingthis advice recommends against
it.
So it kind of goes to show you.
How slow to the uptake.
Some of these, you know,research, some of the research
(15:36):
and some of the recommendationsare to actual clinical practice.
So.
Little a tidbit there for you.
Okay.
So, this is going to sound.
Somewhat, like all of theserecommendations just are good in
general life.
Right.
And so some of them sound sofoundational, but that's the,
that's the key, right?
Like the food idea key.
Now we'll talk a little bitabout physical movement as well.
(15:59):
Moving your body intentionally.
These are good things to bedoing all throughout your life,
but in pregnancy, especially atleast 20 minutes a day, it's
been shown to have a positiveimpact on your blood pressure.
And if you're adding that tolike, more walks throughout the
day or the week if you're addingstrength training, especially
(16:20):
three times a week or so.
All of those things have beenshown to help increase or I
guess, decrease your risks forincreased blood pressure.
And so there's really goodresearch about how helpful it is
to actually move your body toactually eat.
Food.
That is good for you.
Right?
Of course there is.
But intentional kind ofstretching, yoga type stuff is
(16:40):
also correlated with lower bloodpressure as well.
I do wonder if part of that isthat's just a calming experience
as well, right?
But be mindful of your movementthroughout the day, whether it
is your monitoring, right.
Via like your Fitbit type thingand like getting your steps in
or just.
Finding places of like, oh, I'mactually sitting at my desk a
(17:02):
lot today.
I'm going to just like, take alap around.
Right.
Or I've been sitting and readingto my toddler for the last
couple hours.
I really should like, maybe wecan just go for a quick walk or
something like that, but weavingmore kind of physical movement
into your everyday activitieswill absolutely pay off for
this.
Yeah.
And like, I think that just goesfor all of us.
(17:24):
General, but we see a differencebetween women who are more
physically fit in thisparticular area, like willing to
do any small amount of regularexercise versus.
Being completely sedentary.
Yup.
The other thing.
That we want to bring up andwe're preventing hypertension is
(17:47):
an appropriate use ofsupplements and herbs and.
All of these supplements that Iam about to suggest to you just
help to support the bloodpressure system and structures,
but it would be okay for allwomen to have these items in
their regular rotation inpregnancy.
(18:10):
And that starts with the vitaminB six, but you are welcome to
take a B complex as well.
Calcium.
Magnesium century.
So the type of magnesium.
Here is the citrate version.
Probably our favorite form ofthat is the nature calm powder.
Just more, more correlation withblood pressure stability, then
(18:33):
another type of magnesiumglycinate.
You guys hear us recommendingthat all the time.
Methylene did fully it's veryimportant.
Vitamin C vitamin D vitamin Eall really helpful to vascular
structures inside of the body.
And then our favorite supplementfor hypertension support in
(18:54):
pregnancy is Hawthorne.
And that can be taken as atincture that can be taken as a
tea that can be taken ascapsules.
Our recommendation is usuallyalways to enjoy it in tincture
form because you can get themost standardized dosing and.
It's relatively inexpensive,very easy to dose yourself and.
(19:15):
That is an excellentrecommendation for just keeping
blood pressure stable.
Yeah.
That's one of those that like,we have always known is a good
one.
One that we didn't have on handat a birth.
And I remember looking back andbeing like, oh, Wish wish that
we had that.
And one that, I mean, evenoutside of pregnancy, Can be
(19:36):
used.
My husband uses it sometimeswhen he has issues with his own
blood pressure.
And so that's a really solidone.
These supplements are all a partof a Fullscript protocol also.
And so we have a managinghypertension protocol in there.
If you're like, oh, let me lookat what type you recommend or
the dosing and that kind ofthing.
(19:58):
And we also go very in-depth onthis issue, this like supplement
and herb issue in ourchildbirth.
Birth education class as well.
For women taking that, notnecessarily as medical advice,
but looking more into what isthe exact protocol that we
recommend for herbal support andhow to.
Weave that into kind of everydaylife.
(20:19):
Okay.
Next up is liver support.
The liver has to work so hard inpregnancy, right?
There's so many pieces of ourbodies that have to just simply
work harder.
There's just a lot more.
From the pregnancy is normal andnatural and all that good stuff.
There's just a lot more stresson our bodies at that point.
And so support for your liver isjust monumentally key in
(20:41):
pregnancy.
To avoid this issue.
Part of that is the food and themovement, things that we've been
talking about.
But we want to focus on gentleliver support.
A lot of women don't realizethat they can do.
Liver support during pregnancy.
I think there's been a lot ofdiscussion on like liver detox.
We're not going crazy on this,but we're just gently supporting
(21:01):
it in so many different aspectsof daily life that absolutely we
want to help this liver.
Do, you know, kind of firing onall cylinders and do what it
needs to do.
So we love for this Nora tea.
You can add the.
Are a part that red raspberryleaf after 16 weeks, that's a
great one to be drinking everyday.
You can also add into that.
There's not really like a good,I guess, NORAD.
(21:24):
I suppose you can add dandy lionalso dandelion.
Herbal infusions are stellar forliver support.
In general, you can drink thatdaily as well.
Adding lemon to your water,doing things very simple, like
supportive things like drybrushing.
We have a whole episode.
On that Epsom salt baths thatyou can take.
(21:44):
And then I think one of thepieces that often gets
overlooked, but the idea of kindof decreasing this toxic burden
or this toxic load that we haveon our bodies and the work that
the liver actually has to do.
Would be decreasing some of thethings that will disrupt it.
A lot of those endocrinedisruptors looking into what
kind of products am I using onmy body?
(22:05):
What kind of.
Level of food.
Am I eating, you know,pesticides, antibiotics, things
like that.
The liver really is impacted onhow it works.
How it works things out.
And so, you know, things toconsider weaving into your
everyday life that hopefullydon't feel overwhelming by any
means, but at least something tokind of put in your.
In your mind as you moveforward.
(22:26):
And let's talk about testing alittle bit, because it's easy to
just slap all this stuff on andjust have an arsenal of things
that you're like.
I don't know.
Allowing to be in the toolbox,but testing can be a really
important part of justcontinuing to monitor your
health.
(22:47):
It's also something that even ifyou're not pregnant yet could be
some good.
Lab work to have onboard beforeyou even get pregnant and give
yourself even more of a leg upon getting metabolically
healthy.
But doing a metabolic panel, acomplete metabolic panel at some
point in the beginning of yourpregnancy and then checking on
(23:07):
it, ideally in every singletrimester, we'll help you to
monitor liver and kidneyfunction, which you've heard
Kelly, you know, just explainhow it's so closely tied.
To hypertension.
And then also understanding andknowing your MTHFR genetic
mutation status.
Can be really important becauseMTHFR gene mutations are linked
(23:29):
with some of these.
Issues that potentially developfrom poor liver health and
arterial health and bloodpressure health.
And so when we see those.
Pings start to happen andconnect some of these different
pieces.
We consider them as riskfactors.
And so that might be animportant thing to know about
your own personal risk factors.
(23:50):
And homocysteine levels kind ofgo along with that.
So people who have the MTHFRgenetic mutation can have a more
difficult time.
Methylating their own.
Vitamins essentially.
And homocysteine is somethingthat tries to help you do that,
but essentially like builds upin your body as it's trying to
(24:12):
help you get all of these nonmethylated.
Vitamins out of your body.
And so it's a marker for howhard your body is trying to
work.
On that toxic load and can give,and can point more information
towards, is that because youhave this gene mutation, that
one in three women have, or isthere another reason that you're
(24:32):
having a hard time processinghomocysteine from your body?
And then we'll put some moreinformation about some of those
pieces specifically in the shownotes, because those of you who
are thinking right now aboutyour own risk factors, you are
going to want to find out moreinformation about this, but we
just can't get all into it heretoday.
Yeah, for sure.
And so you'll see about, youknow, testing and kind of rabbit
(24:54):
hole stuff there for you.
And I feel like we'd be remissif we didn't talk about the fact
that if you are in medicalmedical model of care and also
many midwives are also justcontinuing on with this because
there is research there toprovide some support.
But it would be a baby aspirin.
(25:15):
So that's a very commonrecommendation for women with a
history of high blood pressureor dealing with high blood
pressure, especially.
Towards the beginning ofpregnancy.
So that's the idea of taking ababy aspirin every single day.
It's the idea, right?
Is that it's going to help withthe pressure and the blood is
kind of putting on the veinsthat we spoke about.
It's going to help thin thosetypes of things.
(25:36):
You get to decide.
Yes, there is research pointingtowards the validity of that.
But again, at the end of theday, you get to decide if that
is something that feelsappropriate for you.
If the risk.
Benefit analysis feels right foryou.
If that feels like thetrajectory you want to go down
(25:57):
and you can utilize a lot ofthese recommendations also
alongside that.
Or if there is another way thatyou want to go about approaching
this.
So not telling you what to do byany means, but letting you know,
if you have a history of this.
And haven't been pregnant yetand come into pregnancy, this
most likely will be.
Something that is discussed aswell as if you've had a history
(26:19):
at any point of this.
Yeah.
And I think the, the, likesomeone might be like, well, if
there's evidence to supportthat, it's helpful.
Why wouldn't you.
Well, because it's a bloodthinner because it's, you know,
it's over the counterpharmaceutical and because it
doesn't address the root cause.
Yeah.
There's a three, like big thing,something to consider.
(26:41):
Yeah.
If you're wondering, like, whywould someone not take advantage
of that?
Recommendation.
Yeah, for sure.
So how cool is it that you getan opportunity to take in all
this information and just liketake a grip.
On an aspect of your health andpotentially rewrite an entire
experience.
Yeah.
I mean, it's pretty, it's prettycool to be able to look at this
(27:02):
and be like, okay, well thisfeels scary.
Or some women are like, oh, Iwant to like jump into having a
home birth, or I really desirethat.
But this thing was my bloodpressure.
Okay.
Well that could potentiallychange or shift and.
Not only just where you haveyour baby, but the entire
experience of you owning.
Your health and your outcomes.
(27:24):
Pretty cool.
Yeah.
And I guess it's worth sayingthat like primary hypertension
going into pregnancy hyperattentive already is going to
make is going to give you ahigher risk.
In fact, like it'scontraindicated for home birth
and probably most out ofhospital birth.
So if you deal with hypertensionin your regular life and you're
not pregnant yet, you do havesome potential resources.
(27:48):
I mean, beyond the informationwe're providing here, but I do
want to encourage you to that,like getting in touch with a
functional medicine doctor or anaturopath or something you
absolutely could.
Address your primaryhypertension before you get
pregnant.
Yeah, that's important to likewrap your head around too,
especially the sweetness of youknow, maybe we kind of joke
about the idea of preconceptiontime and like type a, whatever.
(28:11):
No, no, no.
It's an opportunity for you to.
Really dial down some of thesehealth pieces and your blood
pressure being an issue alreadycan be a sign of other types of
metabolic things going on thatyou absolutely can.
Get out of the kind of the cycleof, for sure.
So hopefully that feels like anencouragement to you.
(28:33):
Hopefully you're kind of feelinginspired, empowered, potentially
a bit more confident in movingforward.
You're going to find it in theshow notes, a bit more
information.
I'll link those silver ads thatfull script hypertension
recommendations, some stuff onthe MTHFR kind of connection,
those testing options.
As well as a link to our waitlist for our childbirth
(28:55):
education class.
We go into this information andeven more, just in a lot more
detail and kind of nuance.
And like I was mentioning lotsmore kind of protocol
recommendation styles on this.
And a million other topics it'sbeen cool to put together.
And so we are excited to sharewith you when it is ready to
officially launch out into theworld soon.
(29:18):
Yeah.
I mean, which is going to behappening.
I mean, we're going to becompleting it with our beta
class in the next couple ofweeks.
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