What if having the same gene as your sister doesn't mean you'll have the same outcome? What if trauma and nervous system dysregulation could be the difference between expressing a genetic disease—or not?

In this mini episode, Dr. Aimie Apigian answers a question from Rachel in Texas, who discovered she carries the BRCA gene mutation. Despite making the same lifestyle changes as her sister—who also has the mutation—Rachel developed breast cancer while her sister remained healthy. Why?

Dr. Aimie reveals the biological mechanism that connects nervous system dysregulation to genetic expression: oxidative stress. This episode offers a scientifically grounded yet hopeful perspective on why two people with identical genetics can have vastly different health outcomes—and what you can do about it.

In this episode you'll hear more about:

Why BRCA mutation carriers have a 45-72% lifetime breast cancer risk (versus 12-13% in the general population)—but not everyone with the gene develops cancer
The biological link between nervous system dysregulation and oxidative damage to DNA
How BRCA genes interact with NRF2 antioxidant pathways, creating increased vulnerability to oxidative stress
Why both sympathetic activation (stress/anxiety) and dorsal vagal shutdown (depression/numbness) decrease your body's ability to clear oxidative stress
The "calm alive" state: when your body naturally engages its healing and antioxidant repair mechanisms
Dana's story from The Biology of Trauma—a physician with childhood trauma who found a breast lump and learned to repair nervous system dysregulation
Practical tools: why vitamin C and antioxidant-rich foods (broccoli, blueberries) matter for genetic conditions
How somatic self-practices can quickly shift your nervous system state and support cellular repair
Why having a genetic condition doesn't mean you're powerless—epigenetics shows us DNA expression can change

Genetics load the gun, but environment and nervous system state pull the trigger. This episode is a powerful reminder that even when you carry genetic risk, your nervous system regulation, oxidative stress levels, and daily practices can dramatically influence whether those genes are expressed. Your biology is not a life sentence.

🎧 Want the full conversation? This mini episode expands on Episode 141: Can Trauma Make Genetic Disease Worse? The Role of the Nervous System, where Dr. Aimie explores hereditary conditions and why nervous system work matters even when genetics are involved.

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