 I'm here with June and we had spoken maybe a year, year and a half ago. When you first commended really well, had a number of symptoms, common symptoms, I think the weight gain, fatigue, thyroid autoimmunity, hypothyroid, and you had done really well with that. And she's been maintaining most of her, pretty much all of your improvements really. But recently we saw something in our lab work and I thought it would be interesting to kind of follow up on this now and then again in a number of months, her thyroid antibodies are starting to kind of creep up. And we had seen evidence of H. pylori in the past but never anything definitive up until now. And now the evidence of H. pylori is definitive and interestingly some of your thyroid antibodies are starting to go up. And so we had the conversation, what does that really mean, right? And I like to give you kind of both sides and the conservative stance would be to do nothing because you're feeling really good, you're feeling really good. The more aggressive I guess you could say would be to treat the H. pylori and perhaps go under an intervention to help with the thyroid antibodies. When you ask me what is the risk associated with not doing anything, June's already had with thyroid. She's on thyroid medication and feeling really well on it. The main thing that we'd be trying to prevent would be further deterioration of the thyroid gland which may equate to needing an increased dose of thyroid hormone. So it's certainly something that we want to try to prevent but we've already kind of gone over that edge so to speak where you need a little bit of thyroid hormone. So we went through that dialogue and we decided to start treating H. pylori today with some herbals and to go on the mirror from one of the previous videos that we did, a recent protocol using selenium coputinomagnesum has been shown to lower thyroid antibodies. So we'll be starting on that today too. And then we're going to retest a number of months, see what the H. pylori looks like, see what the thyroid antibodies look like and also see what your symptoms look like. Your symptoms I don't think can get much better because you're doing really well. But maybe we'll see anything additional change. So I thought it'd be nice to get this snapshot and then check them again at the end. Anything that you want to share in terms of comments, concerns, kind of on the patient end, things that are going through your mind in this regard? Well as we talked about I'm feeling pretty good, my energy is good, I'm sleeping way better than I was several months ago. Yeah, probably the biggest thing is that my body doesn't seem to want to burn fat. And so last time, was it almost like two years ago when we started the first protocol, I lost a bunch of weight, I got small, my waist got smaller, I did my body burn fat, I hate to say losing weight, but and then I just came kind of to a standstill. So I always think about what is happening inside, it's not just a matter of diet and exercise, there's hormones and whatever your chemistry is. Your diet and exercise, we should just clarify are really good. Really good, yeah. So I'm interested in trying this new protocol, maybe that will shift something. And I see, I mean I feel good, but it's always better. Yeah, and I think it's, you make a great point, which is framing these things as such, which is not, I'm not giving you this alarmist spiel, which you have to do this. I think you're at a point where you've gotten your health the majority of the weight restored. And now this is, as I said, this is kind of like an optional add-on. The most conservative thing we could have done from here would just monitor you and see if your GI symptoms start to regress or your high blood pressure starts to regress. We decided to be a little bit more proactive and intervene today, which I think we have a pretty good justification to do. And yeah, I'll be curious to see if any weight loss is produced or anything. And one other thing you said, this came to me, I wanted to make a note of this. Symptoms are really important as part of this. And I asked you how a digestion was overall, really good. But you did say just a couple of times, and this could be coincidence, but just a couple of times you've noticed heartburn. Yeah. Which can be one of the keynote symptoms of H. I. Lori. So again, a few times over the course of a month or two, is not enough to really say, hey, this is diagnosable as anything. But interesting to see that that correlates with the resurgence of a bacteria that's known to cause heartburn. Yeah. So I'm being super nitpicky there, but maybe something that tells us that that could get worse if left unaddressed. Cool, all right. So we will check back in in a few months and hopefully have some additional improvements. But if not, we've done, I think, a good service to you by just preventing this from maybe going forward anymore. So we'll see. Okay. All right, thank you, June. Yeah, you're welcome. I'm back with June, about six-ish months later from our original video. And nothing huge to report, but I think maybe just an important lesson here. If you remember back, June had been doing very, very well the last time that we had smoked. She had initially well over a year and a half ago presented with a number of symptoms. We essentially did our functional medicine stuff and got those things pretty well remedied, except at your last visit, some of your thyroid antibodies were slightly elevated. And we also saw H. pylori present in both a breath sample and in the blood antibody sample. So we decided to act, even though June was feeling great, we said, well, let's see if we can drive down the thyroid antibodies a little bit more. So we did a roundup treatment for H. pylori and we also did a thyroid protocol that's been clinically shown to help lower our antibodies and preserve thyroid tissue structure. And it's a number of months later and there's actually no change at all in her thyroid antibodies. And there's no change in her H. pylori markers. And so I thought it would be nice to show kind of the other side, which we'd like to highlight when there's these huge changes in cathodic improvements. But there's also times where you need to know when it's time to stop. And that's kind of the conversation that we just had. So automatically you're feeling great, right? There's really no more improvement that we can get symptomatically. So what we're after is to see if we can improve the lab values even more. And I think in your case, what we've hit with your thyroid antibodies is normal for you and the TPO's, TPO antibodies about between 70 and 80 ish. And they kind of maintain there for the past year and a half. And the thyroid globulin, which we were talking about is one, where I'm not quite sure what I think a successful level is just yet. That's been hovering around 300 ish, right? So TPO I think being below 200 to 300 is a clinical win. Thyroid globion or TG, I'm not quite so sure. But the fact that you're presenting so healthy, your thyroid dose has been consistent. I believe you're even on less relative to when you first came in, in terms of your thyroid hormone dose. There's no gastrointestinal symptoms. I think you're doing really well in that regard. The other thing is the H. pylori. And that's another thing to speak to. And we were just talking about this, but essentially with H. pylori, it's not necessarily always about script eradication of H. pylori. Sometimes it's more so an issue of just rebalancing it so that it's not crowding out or kind of running a muck unchecked. And as long as it's in the right balance, it shouldn't cause symptoms and shouldn't cause problems. And so in your case, H. pylori for you is probably, at this point anyway, commensal. Just one of the group rather than being pathogenic. So a good example of when there's not really a need to do anything more. You have some labs that we could act on, but you're feeling great. And this is a point where we just let you go out there and live your life and not worry about any of this stuff. Anything you want to add to that? I'm right. Well, like 5-1 is a hot air here. No, I mean, I agree with everything. I could be anxious about it and say, well, no, we have to get everything just right. But I'm thinking that maybe the numbers that we have now are just right for me. Since I'm not really symptomatic. Exactly. And I'm feeling good. And I live a healthy life. So as long as I keep doing that, hopefully things will stay on an even keel. Sure. And we'll follow up maybe about once a year just to keep tabs on things. And if we see major discretions of her lab values, then we can act. But for right now, you're solid. I anticipate you're going to continue to be solid going forward. We just talked about how there will probably be a setback or a speed bump somewhere. There'll be some bad food somewhere or stressful event. And that's going to happen. And you'll probably bounce back after a few weeks normal. But if something starts to reappear systematically or appear for the first time in terms of a new symptom, and it's consistently there for several weeks, that's a good time to check back in. So pretty simple stuff. June's doing great. And I just wanted to give you an update, a good example of when you're done and when you don't need to do anything more. And thanks, guys, for tuning in. Thanks for letting us speak about this to you. Sure. Pleasure.