 Thank you, Danke First of all, a warm welcome to everyone who has joined us today for our first webinar for the Wonker World Caster CychexE Just a few housekeeping rules to make sure you are muted if you are not speaking. Gwyddon, i ni gyd yn ddod yn fawr iawn, yn ymddangos. Felly, yma'n gwybod am sylwch. Mae'r Cyfnod Fawr Woncaf, mae'n cyfrifol yma, mae yna'n gyfrifol gyda'r cyfrifol, mae'r cyfrifol yn ymddangos i'r cyfrifol a'n cyfrifol gyda'r Cyfnod Fawr Woncaf Europea a London. Mae'n cyfrifol yma'n cyfrifol, yna gydag ym mhwy, rydych chi'n ddweud y siaradau cyfrifol yn y cyfrifol, ac yn gwybod i'r gweithio'n mynd i ddofnod, ond y gallwch chi wedi'u gweithio, gallwn i'r ysgol iawn y tîm i ddweud i'r ysgol iawn, a'u gwneud yn ymddi'r meddwl. A Patrick yn ymddi'r gweithio, dwi'n debyg yw'r tradysg hwnnw, meddwl a gwirio'r acupunctu. Ac gweld Patrick yn ymddi'r 9 o 9, a rydyn ni'n ymddi'r gweithio ar hyn, ac rydyn ni'n rwyf wedi'u gweithio ymddi'r cyfeirio a we ddim yn gweithio'r cyfnod, ond we'n gweithio'n gweithio'n gweithio. A oherwydd, o'n gwneud y cwestiynau'r Sanker, oherwydd yn gweithio, a'r bydd yn gweithio i'w Umar, ac Dimitrios yn dweud y ffrindio'r ddyn nhw, gyda Gwreest. Yn gychwyn fyddechrau i ymryd, a dyma'r ffordd yw'r gwaith. Felly mae yma, fel ydych chi, mae eisiau'n ymweld Iogaeth, a mae gwneud mewn ymgweld i'r acryffolau mewn meddwl. Mae Patrick yn ymlaen i ni wedi bod nhw'n gweithio, i wedi bod yn gwneud y tradditanol cynllunio ymweld i'r acryffonctur. Mae'r Gwyddon Sanker, yn gwneud ymweld i'r ymweld i'r archiologi, maen nhw'n wneud beth comediaeth maent aregyr y Llyfr i'w ymgwrdd, rai'r Ymddi'r Ymddiadau Ff proddoriaeth, Ffymddiadau, a ffymdiadau a i'r meddwl i'r meddwl i'r meddlaledig. Ond Ymddiod mewn yma yn Ymddiod yn cystafol phasio gwaith, ond honno ar ymdilyddol i'r mwyaf ymgyrchol, argym bod yn gyfweld ymyddol i'r amser mewn hwnnw, ac yn cyfaint am y byw meddwl. Ddodd. Yn ymdilydd ymdilydd. Felly, y WHO wedi bod yn gwirionedd y meddwl traddwl, ac yn yma ychydig yn ymdilydd. Dwi'n cymryd ar y cyfryd ymdilydd. Ymdilydd y meddwl traddwl rydych yn ymdilydd ymdilydd ymdilydd a'r cyfrydau am ydym ni i wych, ac i'r cyfnodd, yn cyfnodd, gyda'r cyfnodd yma. Felly, dyma'r gweithio'n gwybod ymlaen i'r cyfnodd yma. Rhyw beth yw'r cyfnodd o'r modd, yw'n credu mynd i'r cynhyrchu meddwl i'r cyfnodd a'r gwasanaeth, a'r cyfnodd o'r cyfnodd o gweithio a'r cyfnodd. Yn y clywed o'r meddwl cyflomentol o'r meddwl, mae'n gweithio'n cael ei wneud, mae'r bwysig o gweithio'r ffordd gyda'r rai gweithio hefyd yn ymddangos. Felly mae'r bwysig o'r gweithio hefyd o'r traddoriaeth o'r meddwl cyfnodol ac mae'n rhaid i'n meddwl i'r gyffredinol yn y sylfaeth gweithio'r gweithio. Mae'r cyfnodol yw'r meddwl cyflwyno hwnnw, mae'n mynd i'n meddwl cyflwyno'r meddwl gyda'r gweithio. Mae'n meddwl cyflwyno'r meddwl cyflwyno'r meddwl. So mynd i ddiweddio'r meddwl cyflwyno'r meddwl gyda'r gweithio i llunio'r meddwl. Felly i ddylen beth yw'r meddwl cyflwyno'r meddwl yn cy 필요odd bwysig. Yn rhefn, mae'r cyflwno'r gweithio'r eaterynau, mae'r cyflwyno'r meddwl cyflwyno'r honno, mae'r cyflwyno'r meddwl gyda'r hefyd. cwmaint at gyfan, ceisio thysg beth oes beth eu surniadau fel iddordeb地, they might tend to go to the local traditional healer before coming to the was what we would call conventional medicine and health care services. Do that have some countries, for example Singapore, Republic of Korea, also Japan where all my family is from. Where the conventional healthcare system is well established, but traditional medicines maybe integrated into those services. ac yn ymlaen i'r ysgoliaeth ymlaen i'r meddwl gwahodd yn y Meysgrifedd Cymru. Mae'r meddwl gwahanol yn ddechrau i'r meddwl, ac yn ymlaen i'r meddwl gwahanol. Mae hynny'n ddim yn y meddwl gwahanol i'r meddwl gwahanol, ond mae'r meddwl gwahanol yn y meddwl gwahanol, ond yn fawr mae'n unrhyw gydag hyd yn llyfr. Mae'r meddwl gwahanol yn y meysgrifedd tithuol yn Ymlaen i'r Meysgrifedd Cymru dwi'n gweithio tiff mwy fwy gwaith a llunio'r byddai iawn. Mae'r cyflwytoedd sy'n striwtio'n byd, mae'r cyflwytoedd hefyd yn ei wneud hwnnw, allan mawr i ddiweddons ddiwedd i gweithio yr hollysig. Yn rhaid, mae'r cyflwytoedd ar y gwaith yng Nghaerwerth a'r drwsgol cymryd. A bod, mae'r cyllid yn gwylltio yn Gwaith, beth o'r cyflwytoedd eros Poe. Yn unrhyw, ymdwys. Roedd y wirên cyflwytoedd yn gyflwytoedd, Felly, 88% of all countries use TCNM, 170 countries worldwide report the use of traditional medicine, and acupuncture is the most common, and this is all data that is taken from the WHO. So, it is also recognised in 2018 declaration of Astana, as is often used in primary healthcare more than secondary healthcare. And then according to 2012 data, lots of industrialised countries now regularly use some form of TCNM, traditional complementary medicine. So, for example, 42% of the United States, 48% in Australia, 49% in France, 70% in Canada. And what we do know is that the demand is growing. Next slide, please. So, WHO outlined their strategy goals as to support member states in harnessing the potential contribution to health, wellness and people-centred healthcare. And to promote this, and this is the important part that is safe and effective through the regulation of products, practices and practitioners. Now, UMA will be going through the limitations of traditional complementary medicine later. Thank you. Next slide. So, just to introduce you to Arsig. So, we're very new, we're celebrating a one-year birthday currently. And we have a real vision in order to provide a forum for doctors. So, as I said, I've known Patrick for nine years and I didn't know that he practiced acupuncture or Chinese medicine. And I want it to be more of a safe space where we can talk about our interests. And we will be very much in line with the WHO traditional medicine strategy 2014 to 23. And the other thing is that perhaps you don't want to practice it yourself, but perhaps you want to understand it better because a lot of our patients are seeking traditional or complementary medicine. And being able to discuss with them their options with confidence is something that's very important for the future. So, next slide, please. So, there's two ways to join. So, on the left-hand side, the QR code will take you to our website and that will take you to the... You can put your details in while you're interested and that will give you your details to me and I will be able to stay in touch. On the right-hand side is a direct link to our WhatsApp group. And this is our members group where you'll be able to have a forum. So, that's kind of our initial stages of a forum. And also, we are very new. So, what we are trying to do is we'd love to hear from you on how you would like us to represent you and what you feel is really interesting. And then maybe that will help to craft our vision. So, I'd like to hand over to Uma now who will be running us through what integrative medicine is. Thank you. Okay. Greetings to everyone. I am Dr Uma and I'm really honoured to be here with you all today. And thank you, Sonia, for that wonderful introduction of what we're going to do today. So, the topic today that we're going to talk is harmony in healthcare. This was very catchy for me because that's the need of the hour that we need to have that harmonious function within the healthcare system. And before I dwell into the topic, I just want to give a really brief introduction of why I have come to this part of doing integrative medicine. So, I am a family physician certified in the United States. But before that, my home country is India, where I had the privilege of doing Indian system of medicine, which is Siddha medicine, which is similar to Ayurvedic medicine. And having done the Eastern medicine and the Western medicine, I felt there is a gap that I could not integrate what I learned back home and what I learned in the States, and I could not put it together. So, when I came across this fellowship in integrative medicine in the States, which was like really a good bridge on how to integrate the modalities that are evidence informed in different countries. So, having done the fellowship in integrative medicine really like opened a lot of avenue for me to put things together in practice that really made a difference in patients treatment plan. With that small introduction, I want to move on to our objectives. These are the objectives today, which is going to touch base on why we are going to talk about integrative medicine and what are the things that are involved in integrative medicine. This is one of my favorite quote. As you read here, it is much more important to know what sort of a patient has a disease than what sort of a disease a patient has. This really captured me strong because I want to share a small story as we move along here. This story definitely made the difference of why I need to put these things together. So, when I practiced Indian systems of medicine back in India, I had a patient who came with me, he was 25 years old male, otherwise healthy but came for a psoriasis lesion that he had all over his body. He had developed the stigma of even showing his face or his skin outside. He used to cover his arms and wear a shirt that really goes up all the way his neck and maybe he'll wear a cap. So, he hardly showed any part of his skin outside. He was really ashamed to even talk about it. And he had the lesions all over his body. So, when he came to us to get a holistic approach on how he needs to be treated, he has already tried steroids and at that time they were not much biologics available in where I practiced. So steroids did not help him much. It was very temporary relief with the steroids and we in Indian system of medicine, the approach is more, you know, it's not symptom based, it's more holistic based. So, when we try to approach him with, you know, detoxifying him, putting him on certain herbals and giving him a thorough diet of what he really would need and incorporating some fasting therapy and giving him stress reduction techniques like, you know, mind body techniques like yoga, putting him on some meditation management. So putting a really holistic approach like that in a matter of six months, believe it or not, he was lesion free. And until today, this is this happened like 15 years ago, I would say, and until today he has been following certain diet that we really discussed on that day and he has not had those lesions as of yet. He has been doing really well. The reason I shared the story because this really sparked the thing in my mind that, you know, yes, steroids are good to kind of control the symptoms at that time. But how do you do, what do you do to avoid getting the lesions again? It was a question I had. Being a family physician say I have respect for all field of medicine, and I applaud my, you know, come and my colleagues in different specialties within the conventionally medicine. But the topic today is mainly to see how we can get the best of each system because as physicians, I strongly believe that we need to know where do we have the limitations and when do we start thinking otherwise. So that's the whole idea of having the knowledge of integrative medicine. So, as you see here, W H show strongly says that, you know, there is a lot of, you know, steps taken by W H show in the last few years to regulate the policies and traditional complimentary and integrative medicine. And recently they opened a center for TC I am traditional center for integrative medicine, which happened in Gujarat, India, which is like a huge step forward to kind of bring all systems together so that it benefits the patient, not the system. So, and why do we need to really do that, as I was telling you. See, in the current model of healthcare, we are trying to put a bandaid on the problem to be straight enough so we are really not addressing the underlying cost but just repairing the part that has been affected. Even after all of this, we see less success in treatment of especially the chronic medical conditions. And even though the healthcare system is expensive in many parts of the globe, it's still you have like poor health outcomes. And yes, technology has improved a lot as as of now to AI interventions, we have come a long way that also has given a part of this communication with the patient has gone down the building of rapport has gone down. So to kind of put these two things together. I strongly believe I am would be the future of medicine so who doesn't like cartoons. So I picked it here because we all think like if we know a medication fits one person we think it's going to work for the other one too, but that's not the case. Personalized integrated care is the future of medicine, I would say, because we have come to the modern, you know, definitions of precision medicine personalized medicine. As we know, like we as human beings, we are all unique, and we all have like a beautiful blueprint that needs a personalized or tailor made approach. So one size does not fit all just because just because metformin works for someone doesn't mean it will work for the other, just because a supplement works for a person doesn't mean it will work for the other person so you have to really understand and, you know, go into the root cause of the issue in that particular patient and tailor make things for them. So, coming to the introduction of integrative medicine, it's a beautiful blend of conventional medicine with all the other evidence informed alternative or complementary therapies across the globe. And how do we put it together we just don't focus only on the physical body we also take into many of the parameters mind body spirit we consider the lifestyle of the patient environmental factors. Also the genetic factors so we take so many things into consideration before we do buys a treatment plan. So integrative medicine really like, you know, blends the best of all the treatments across the globe. And this is the wellness streets, a beautiful, you know, picture, like, you know, all chronic diseases may be, you know, arthritis, diabetes, autoimmune diseases, obesity, all of this. It's the, we see the disease on the surface, but as physicians, most of the times it's missed down in the root. What is the real cause? Did we talk about the emotions? Did we look at the inflammatory markers? Did we talk about any imbalance in the detoxification system? Or the structural and immune system so we need to get to the root of the cause of the issue and address it right from there. And it all starts with education right so there are some, you know, certifying bodies across the globe I picked this because that's where I graduated from. So American board of integrative medicine is a certifying body in US and there is also Academy of integrative health and medicine and there are many fellowships in integrative medicine across the globe and I just listed a few here. There are specific courses in London in Australia and in Europe and there is International College of integrative medicine, which is available across the globe. And there are many fellowships in integrative medicine. These are like different states in the United States that they offer fellowships and are like a certification course in integrative medicine. Having that knowledge only helps, you know, for us to at least tell our patients, hey, this is the limitation for what I'm offering you. Maybe you should go see this person. So that much of knowledge is important for a physician when we treat a patient with chronic diseases. So what is the benefit of integrative medicine, honestly? So we are just not treating the symptom here. We are just not treating only the problem here. We are healing them inside out. That's the beauty of the integrative medicine. So starting from lifestyle choices, how do you reduce your stress because all of these factors are so intertwined and interlinked with their current medical issues. So addressing each and every one of that will definitely lead to a more, you know, healthier life and addresses the well-being of the patient. And what are the modalities in integrative medicine? There are many, many things that we learn in integrative medicine. I just listed a few here. Of course, conventional medicine is a part of it. And we'll also talk about botanicals, which includes different herbal supplements across the globe that are evidence-based. And then there are Indian systems of medicine like Sita Ayurveda and there is homeopathy. Traditional Chinese medicine is included acupuncture, massage therapy, yoga therapy and mind-body therapies like biofeedback, stress reduction. We also talk about energy healing like pranic healing, Reiki healing. These kind of therapies come so well in hand when you see like for anxiety and depression, you can give them anti-depressants. But when you club these things together, it really speeds up the recovery of the patient and speeds up the healing. So, I mean, every system has a limitation. I just wanted to mention what are the limitations in the integrative medicine. As we know that this is a normal field that is slowly growing, but definitely widely growing. The challenge we face here is mainly the lack of regulation in many of the things, many of the treatment modalities or the supplements that we use. There is a little lack of regulation there. It is not as tight as the conventional medicine that they go through different governing bodies to get it to the market. But here, the rules and regulations are a little slaggy. So that leads to inconsistencies in the quality of the treatment as well as the safety standards of the treatment. So it's a work in progress. And we need to know that there are interactions with any medications that we take if we put them together. So understanding like if you're giving a supplement of turmeric or Cercidine, what is interaction with the metformin they are taking. So we need to know that based knowledge so that we are prescribing things safely to the patient. I just put in a web link there. This has an excellent database of what are the different supplements and what are the other conventional medications. And you can plug in both and you can see what are the interactions between them. Can you give it to the patients or not? So that much information is available in this web link. And it really comes in handy when you become a practitioner in integrative medicine. So, Sonia, do we still have time? Can I move on? So I just brought in a case study here because when you listen to a patient's story and how they get better with these kind of modalities, it really strikes a big impact on the audience. So I just wanted to share the story. This is a patient who is 40-year-old. She comes with a chief complaint of fatigue, seasonal allergies and artycaria. So when she came in, she had all these symptoms of fatigue, sneezing, itchy and watery eyes. She had fullness in the sinus and she had some lesions and topical hives. So her story, see, it's always, as we all know, like the history-taking solves 50% of the problems. So good history-taking is important when we deal with chronic medical conditions. So all of Michelle's, the patient's symptoms began six months ago when she moved from one state to another state where she lived after 20 years of living in a place. She moved to a new place and she also had gone through, like, high stress, traumatic doers and she moved with her young son to live with her parents across the country. So this is something she shared and during her initial visit, her stress level was 7 out of 10 and she was sleeping eight hours a day and then her energy level was like 5 out of 10. She was not motivated or she was not feeling energetic when she woke up. So history-taking also involves about her diet. So when we talked about her diet, she was sharing that she was a vegetarian for the last eight years, avoiding dairy due to bloating and GI discomfort it caused. And she had done IgA panel and based on that, she had removed certain triggering foods, but she has not reintroduced those foods yet. So with this history, we all can agree that, you know, the conventional approach we have, we start with antihistamines, oral antihistamines, and then we use nasal spray, and the next step would be a steroid spray. And then moving on, you know, we use the chromol and muscle inhibitors, and then we use the antihistamines sprays. If nothing words, we go to the injection immunotherapy, which is the subcutaneous immunotherapy, the skin therapy, we use the allergy shots. So this is the step-by-step conventional treatment. In spite of all of this treatment, patients can still have the symptoms if they are not, you know, regular enough to taking it or if, you know, even of the chronic use, they will still have all the symptoms as it is. So she was in that stage that, you know, in spite of trying different things, she was still not feeling better. So in integrated approach, what we try to do is we get, you know, good lab testing for her gut health. I will tell you why we do the gut health when she came for just the allergies and sinus infections. And then we do a detox, and we do a targeted diotherapy, and we do the respiratory immune support modalities. And we also talk about how to prevent another flare up of her symptoms. So we did the first one is a lab testing for the GI health. We did the comprehensive stool panel, which showed these parameters. Her fecal fat was low. Her fecal secretory IgA was elevated. Short chain fatty acids were low, and there were some beneficial bacteria in her gut. And the foot sensitivity panel showed she was allergic to quite a few foods, and we made a note of that. And based on her lab work, you know, there are three different things that we need to focus here, though I didn't share the iron levels. Her iron level was high, which tells me that she had iron overload syndrome, which caused the tiredness and the fatigue that she was complaining when she woke up. Secretory IgA, which is the marker of high inflammation in her gut. And then she being vegetarian, focusing heavily on the specific beans, lentils, legumes, and all of which had caused her low level immune system reactions. So how do we get the histamine intolerance? So the enzyme, the DAO, which is responsible for breaking down the histamine. If that is deficient, we are going to have histamine intolerance. And this is one slide that talks about how do we get that situation of having the symptoms showing up in some and why not in others. So it really comes back to the type of food that patients are consuming, what are the stress factors, how is their lifestyle, and how is the environmental factors. So these are the big factors that come into play that really affects the system bringing the imbalance. So liver and the body's detoxification pathways are very much affected when these factors fill the bucket. So here, the reason for the DAO enzyme deficiency, we say it is GI disorders, mainly the leaky gut syndrome, IVS, SIBO. Those kind of disorders can cause this deficiency, nutritional deficiency, and medications that block the DAO functions like any pain medications, antibiotics, narcotics, et cetera. So I do not want this to be a medical lecture. The reason I'm telling this because this DAO enzyme deficiency is where we are targeting to make her better inside out. So addressing her GI system, addressing the deficiencies in her nutrition and avoiding things that can trigger these deficiencies is the way that we approach the treatment. So when I talked about the second one is the detox, how do we detox? So in Ayurveda, we call panchakarma, which is like five different actions we do to cleanse the body. So in this patient, virachan, which is like purgation, like you know, you give medicated powders paste that cleanses the bowel. And then we also did nasia, which is nasal clearance using like herbal remedies, oils and fumes. So when we do, when we start with that, the body gets, you know, re-set to take the prescriptions that you're going to give. So resetting your body is important when we do in an integrated way. This is something that, you know, highly recommended for patients who have these kind of symptoms. The detox stands for CCFT stands for these three herbs that is used. Coriander, cumin and fennel, which is one of my favorite tea. This really acts as a good detoxifying agent cleanses the bowels. So it's very simple, harmless. It doesn't interact with any medications. So taking this tea two times a day is the good way to start the detox process. And we did, doing a targeted diet therapy. So we started with the detox and then we did the diet therapy. Main thing is to avoiding the triggers with, you know, avoiding cold foods, heavy processed foods. And then recommending eating like warm, light, natural cooked foods that is very gentle on the stomach. And then recommending few spices like, you know, ginger, cinnamon, black pepper, turmeric, cumin. These spices are, we call it as warming spices, meaning that it helps to reduce the imbalances in the body that aggravates the symptoms of allergies. And these spices not just do one action. They have multiple, you know, multiple way of acting in your body that helps with reducing the inflammation. So it's more of a diet therapy. It's not a medication. So we can introduce any of these spices based on the patient's needs. And it is more of a holistic healing, I would say. And this is huge when it comes to any chronic issues and looking at the microbiome. It is a must, must thing that every patient has to understand, you know, keeping the gut healthy solves a lot of health issues. So looking at her panel, she had good amount of bacteria, but there was, you know, the function of the bacteria was not to the par. So adjusting the probiotic level by giving her right amount of fibres and adding some probiotics in terms of diet that comes a long way again. So how do they act is like, you know, they help regulate the immune system with interloquence and cytokines. And also, you know, the release of histamine is well regulated when you take good amount of fiber. And fiber is food for the bacteria in the gut. And we also recommend DAO supplement, which is available at DA approved and recommending the nutritional deficiencies. I mean, addressing the nutritional deficiencies with the micronutrients like copper, B6, vitamin C, which really helps with the degradation of histamine and enzyme production. And quercetin, it's a plant alkaloid, it's very well known for, you know, allergies. It's a mast cell stabilizer just like Montelogast. It decreases the histamine level, so definitely recommended as a supplement. Apart from the oral therapy, we also recommend external therapies to support the immune system. One of my favorite is the natipot, which is highly recommended when there is frequent, you know, infections every season. Like, you know, when the flu season starts, every flu season, patients get flu, then you can recommend these external therapies, which is totally doing the natipot daily. It's like a saline rinse of your nasal passages. It really helps to cleanse your nasal passages. And it has salt water, and so it kind of, you know, salt water is antimicrobial. It helps to protect the immunity of the nasal passages. And then practising nasia, nasia is like, you know, the ffumes that you can smell with herbal oils added to your, in the humidifier, or you can burn some eucalyptus oil like in aromatherapy. So those were recommended. And a prevention when it comes to prevention, you know, continuing certain herbs that are anti-inflammatory and following the strict diet for a longer period of time. And then pranayama, which is a excellent breathing technique, which really enhances and opens up a lot of the, you know, lower lung field. So we highly recommend for any breathing disorders or seasonal allergies. Pranayama really goes a long way to enhance the respiratory system. And then definitely for lifestyle changes included exercise 30 minutes a day. It can be of any kind, but the consistency is what we really talk about whatever style of exercise you like, but do it consistently. And then environmental support is also important looking at, you know, putting a good purifier in the bedroom, making sure the sheets are clean. And some of these things that if you could address that helps in prevention of, you know, the issue. And say the reason I went in a little deeper into different modalities that were used here is mainly because I feel like when the best therapies have when we put it together, it not only solves the problem, but it prevents it from coming back again. So addressing the GI inflammation, addressing the probiotics really went a long way with this patient. And these are my standards. And I really thank you for patiently listening to me and I'm happy to take any questions after the session is done. So thank you all. Thank you for a really fascinating presentation. We already have one question in the comment box for you. It's from Ines, who's asking, do you have any, do you recommend any specific certification? There are many depends on the duration that you have, like some certifications or six months, some of them the fellowships are quite long, they go for two years. So depends really on what you're looking for. And what is the, you know, treatment you're going to practice, are you going to be a coach? There are because there are some universities, they offer like integrative medicine coach, which is like you can help a physician, you know, you can work along with a physician and you can coach the patient on these integrative modalities. So the different ways of doing this course and recommendation wise, I mean, I don't want to be biased, but where I did my fellowship from University of Arizona, they have a really strong program and to be honest, Dr Andrew Weil, he called as a guru of, you know, integrative medicine. They have a solid program and the intake is like 150 to 200 medical doctors who joined the program from different specialties like I had rheumatology oncology, and there's so many other specialties by my fellows. So, as I said, like the duration, and of course the financial factor, and why do you really want to do this integrative medicine so those are the things that will determine where you want to do it. I hope I answered the question. Any other questions? Yes, there's another question from Brando says the use of probiotics has been a trend now in some countries. The more common example is kombucha. Do you have any information on the specific use of it for certain kind of pathology? Great question. So kombucha I know it's like a fancy drink and it's very, very popular across the world. It's one of the fermented drinks. See, with probiotics, I always recommend, you know, taking it with caution because you want to know why you're taking it and what strain of bacteria you really want to take it. So it's just not all probiotics are going to make things better. So you have to understand, is it for the gut? Is it for your skin? Is it for your liver? So you need to understand why you're taking it. And coming to fermented drinks. Yes, they are good as probiotics. But again, is it suitable for you is the question. So I would not bluntly say everybody can drink kombucha, but because some cannot tolerate the taste of it, it's more acidic for some people. So really have to weigh in the situation and do it. But there are many fermented drinks that you can do, not just kombucha. For example, on the rice water, it's a very popular drink from Asia, which is cooked rice that is soaked overnight and you add some in the butter milk and a little bit of salt and you drink it in the morning just the water. That's an excellent fermented drink, which is an excellent probiotic. So there are so many different probiotic drinks that you can do. But yes, having probiotic in some form in your diet is always a good idea. Thank you, Ma. I have another question from Maria who says, is there any evidence for detox tea? So I do not have a specific evidence for the CCFT, but there are lots of evidence for the individual ingredients for cumin, for coriander and for the fennel seeds. You do have evidence that they help with indigestion. People who have constipation when they take it, they really have good bowel movements. See, that's where you need to really focus. If any patient who has constipation clear cut, they do not have a healthy gut. So addressing that with CCFT is definitely going to go a long way. So, again, I can look up and share some evidences. If I come across, we can take your name and we can definitely share. I've come across good research papers. But as of now, I don't recall anything that is done specifically with all these three ingredients together. Thank you. I've got a question from Natalie. Dr Uma, how could we divide integrative medicine, complementary medicine, traditional medicines, neural medicines and naturopathy? Thank you. How could we divide? I guess the question is how can we, integrative medicine will cover several areas, very distinct areas as well. So how can we divide integrative medicine, complementary medicine, traditional medicines and naturopathy? So the beauty of the integrative medicine is it's a huge umbrella that brings in all these modalities together. So it doesn't differentiate one system over the other, but it brings in the best from all the other systems. So, um, we learn about my therapy in, which is naturopathy. And then we learn about the TCM. There are specific Chinese medicine herbs that is included in the curriculum of integrative medicine. So it is well designed that you pick the best of each modality and bring it together. I also wonder just to add to that, Uma, perhaps anything. Yeah, please go ahead. I would say perhaps one particular part of integrative medicine might work for you as a practitioner, but other ones might not. And I suppose you can advertise yourself depending on what your interests are. Absolutely. So integrative medicine is a toolkit like you can pick and choose what tool is right for the patient, you know. So that's the beauty of it and having the knowledge of, you know, the knowing the limitations when to stop, you know, when to introduce the other one. That comes a long way for, you know, disease management. Thank you. Are there any other questions? I've got one question for you, Uma. So I'm a big believer in nutrition first, food first. But I do see a lot of supplements that are very becoming increasingly popular. Do you have any thoughts about supplement use? Great question. It's a billion dollar question. The market of supplements is billion dollars. So more than that. So yeah, see supplements are good when there is a deficiency. But as you clearly said, you are what you eat. So food is medicine. So if the patient is able to take order, then I would recommend giving whatever supplements you want to give in food form. Rather than introducing the supplement right away. Try to get the sources of the minerals or micronutrients from the diet. And if that is impossible, if the patient is not able to go that route, then yes. And but again, if the factor of the micronutrient that we're talking about is extremely low, say for example, you know, calcium or magnesium if it's really low and they're having the symptomatic presentation, then obviously you want to supplement them. Again, sourcing of the supplement is very important, Sonia, like a value of getting the supplements from, are they well sourced? Are they well made? What is the quality control they go through? Those are the things we really look into when we put patients on supplements. Did I answer your question? It is, as you say, a very big industry. And I've got another question from Sanka who's asked about our thoughts on evidence-based and integrative medicine. Obviously it's got centuries of experience and knowledge-based. Do we have any thoughts on evidence-based research? Great question. See, that's where we are working more towards that because the field is so vast and we need to put this together. As I said, it has to be integrated in a better way and I think we are in the right track of bringing in more evidence-based information and that's when the scientific world will accept it and that's when we also feel confident in telling this to our patients. So that's the way we are marching towards, but we are not there yet. So I think if we keep progressing the same way we are doing now, bringing in more evidence-informed, doing more clinical trials and case studies, and these are the ways that we can put this together in a well-informed way for the scientific community. And just to add to that, from an anthropological perspective, it's very difficult to do head-to-head trials often with certain compounds and certain medications. Mainly because I feel that lots of others with more traditional and complementary medicine is much more holistic and may have more variables. It's very difficult to put into a straightforward, randomised control trial, so I agree there's a lot that research needs to catch up on. I just wanted to say here, just to say thank you to Anna, she's been very busy translating for all of us, for the Spanish-speaking community on our webinar. We're absolutely delighted to have you and big thanks for all your hard work. So Boomer, if you could just mind going back to that slide with the two QR codes on it if possible. One of the things, oh hang on, there's one more question here from Gary. You use the phrase evidence-informed on several occasions, which is much more realistic and meaningful term than evidence-based. Such evidence also includes the many years of traditional usage and clinical experience that you completely agree. Thank you so much Gary. So just to go back to the SIG, obviously as I said, we're still finding our feet and we're still trying to find a direction forward. If you can join us and that'd be fantastic, you can help shape our direction. On the left-hand side is a QR code on how to join the Wonka website and you can put your details in and your details will come to me and I can contact you. Alternatively, you can join our website group on the right-hand side. Yes, and then we can keep in touch. We will be in touch again. We're hoping to do more webinars in the future, but obviously we will be in touch. Just one more thing, there is a Wonka portal, membership portal as well, which you can sign up to. By signing up to it as a community member, it is for free and it's almost like a Wonka Facebook page as well. So it's a nice place to have a community forum. We can put up our events, et cetera, on there. So it's another place that you can join us. All right, so I just wanted to say thank you to Uma for a wonderful presentation. Thank you to Anna for the brilliant translation. Thank you to everyone for turning up and spending your afternoon, morning, evening with us. And I think that's also to thank you to Sunker as well who's been our technical support throughout the whole thing. And very kind. Great. So with all of that, I hope everyone has a very good rest of day. Thank you. Thank you, Sonia. Thank you everyone. Thank you. Bye.