Food Junkies Podcast

Dr. Vera Tarman sits down with Dr. Bart Kay—former professor of health sciences turned "nutrition science watchdog"—to unpack a big, practical question for people in recovery from ultra-processed food use: If sugar needs to go, what about other carbs? And where does dietary fat fit in? We explore Dr. Kay's perspective on the Randle (Randall) cycle, insulin resistance, mixed macro diets, seed oils, ketogenic/carnivore patterns, and real-world considerations for folks with sugar/UPF addiction who struggle to "moderate." We also discuss staged change (don't flip your diet overnight), what "abstainer vs. moderator" can mean in food recovery, and how to keep any nutrition experiment aligned with your health team and your recovery plan. What we cover The "Randle cycle," plain-English: why mixing higher carbs and higher fats may worsen metabolic friction, and why choosing one dominant fuel is central to Dr. Kay's model. Insulin resistance re-framed: why Dr. Kay views it as a protective cellular response (his position) and how that informs low-carb/carnivore advocacy. Carbs in recovery: "quit sugar" vs. "how low is low?"—Dr. Kay's thresholds (e.g., ≤50 g/day unlikely to cause problems in his view) and why many with UPF addiction do better with abstinence than moderation. Fats & satiety: why dietary fat often increases fullness cues; practical guardrails; "can you eat too much fat or protein?" Seed oils: Dr. Kay's strong critique of industrial seed oils and his inflammation concerns. Cholesterol worries on low-carb/carnivore: why lipid numbers may rise and how Dr. Kay interprets A1C and lipid changes (controversial; see note below). GLP-1s, metformin & meds: Dr. Kay's take on drug mechanisms vs. root-cause nutrition changes. Change management: why he recommends a 4–6 week ramp instead of an overnight switch to very low-carb/carnivore; supporting thyroid, energy, and the microbiome while you transition. Recovery lens: abstainer vs. moderator, harm-reduction steps when "only food will regulate," and building a plan that supports mental health and addiction recovery. Key takeaways Abstinence can be a kindness. If you're a "can't moderate sugar" person, treating sugar/UPFs as an abstinence-worthy trigger can protect your recovery. Don't crash-diet your microbiome. If you're experimenting with lower-carb or carnivore, step down over 4–6 weeks with plenty of electrolytes, hydration, and support. Pick a lane with macros. In Dr. Kay's model, mixing higher carbs with higher fats is the most metabolically problematic; choosing one dominant fuel source may reduce friction. Numbers are data, not destiny. Lipids and A1C can shift on low-carb—interpret changes with a clinician who understands your whole picture (medical history, meds, symptoms, goals). Harm-reduction still counts. If full abstinence isn't feasible today: remove red-light foods first, shrink access, use "pause + plan" tools, and reach out before the binge. About our guest Dr. Bart Kay is a former professor of human physiology, nutrition, and vascular pathophysiology with teaching/research stints in New Zealand, Australia, the UK, and the US. He's consulted for elite sport and defense organizations and now educates the public on YouTube as a self-described nutrition myth-buster. One of his core topics is the Randle cycle and its implications for diet composition. Dr. Kay's YouTube: https://www.youtube.com/@Professor-Bart-Kay-Nutrition The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.

Meet Sunnie, whose name fits her perfectly; she is truly a ray of sunshine. With warmth and openness, she shares her personal journey with food addiction in a way that brings hope and healing to others. Sunnie has the rare gift of championing everyone, celebrating victories both big and small, and reminding us that every step forward matters. Her honesty and courage light the path for those still struggling, and her kindness uplifts all who know her. She is an inspiration, a bright soul, and I feel so blessed to call her my friend. I just absolutely love her! Feel free to join our supportive community on Facebook: Sugar-Free for Life Support Group - where we believe "I'm Sweet Enough." If you're considering personalized assistance, CJ, a Certified Addiction Professional specializing in Food Addiction, is here for one-on-one coaching. Reach out to CJ at cjnguy@myfoodaddictioncoach.com Interested in sharing your recovery story on our show? We'd love to hear from you! Please email FJRecoverystories@gmail.com If you find inspiration in recovery narratives, you won't want to miss the Food Junkies Podcast. Check it out at https://www.foodjunkiespodcast.com/.

In this episode, Vera and Renae explore bulimorexia—a term used for people who oscillate between restriction and binge/purge behaviors—and how this mixed pattern might help explain stubborn relapse rates across eating disorders and food addiction. Dr. Norton shares her clinical lens on risks (medical and psychological), why some traditional programs may miss the mark, and what a holistic, skills-based, harm-reduction treatment can look like (family involvement, gentle re-feeding, DBT/EMDR, food quality, and relapse prevention). Note: Some views expressed are the guest's opinions and experience. This episode is educational and not medical advice. Please consult your care team. What we cover Defining "bulimorexia": alternating restriction with binge/purge; how it differs from anorexia nervosa and bulimia nervosa; why it's easier to hide than classic anorexia. Continuum vs. categories: where binge eating disorder fits; overlap with food addiction. Why relapse is common: risks of aggressive refeeding; short-stay residential models; lack of individualized care; missing family systems support. Medical risks (high-level): cardiac arrhythmias and hypotension, esophageal tears/GERD, laxative misuse and constipation, electrolyte disturbance, kidney strain, dental/enamel erosion, parotid swelling, menstrual disruption and fertility concerns. Psychological load: anxiety/OCD traits, depression, social avoidance; the "addiction to restricting" and the short-term 'high' of hunger. Treatment principles Dr. Norton uses: Gentle, stepwise re-feeding (small, frequent meals; stabilize blood sugar; avoid triggering extremes). Skills over meal plans (shop, prep, and eat whole foods; mindful interoception). DBT for arousal regulation, plus EMDR and trauma work as indicated. Family-based involvement (Maudsley-style boundaries and support). Movement re-entry: slow, safe progression; curbing compulsive exercise. Relapse prevention: strong parent/caregiver alignment, food routines, anxiety skills, and ongoing monitoring. Contested terrain: ultra-processed food, additives, and differing regulations by region; the guest's emphasis on "clean/organic" sourcing. Intermittent fasting cautions: for restrict-prone folks, it can mask restriction; prefer regular, structured eating. What recovery can look like: decreased self-hatred, restored relationships, school/work re-engagement, and more flexible functioning. Resources from the guest: forthcoming book Below the Radar: What They're Not Telling You About Your Food; wellness tools she finds helpful. Suggested chapter markers 00:00 Welcome & guest intro 02:20 What is "bulimorexia"? How it differs from AN/BN 10:55 Why relapse stays high; critique of standard programs 18:30 Medical complications: heart, GI, dental, endocrine 28:15 Psychological patterns: anxiety, OCD traits, depression 34:40 Treatment pillars: re-feeding, DBT/EMDR, family work 45:05 Food quality and UPFs: guest's perspective & debate 53:10 Intermittent fasting cautions; safe movement 58:20 Relapse prevention & outcomes 1:04:10 Advice to clinicians, families, and society 1:08:00 What's next for Dr. Norton & closing Key takeaways (listener-friendly) Mixed patterns (restricting and binge/purge) may be under-recognized and can carry high medical risk. Slow, individualized re-feeding plus emotion-regulation skills (DBT) and family involvement improve safety and engagement. If you're prone to restriction, consistent meals beat fasting. Recovery gains include less self-hatred, more connection, and functional life goals—progress over perfection. Sensitive content note This episode discusses eating-disorder behaviors (restriction, purging, laxatives, insulin manipulation) and medical complications. Please use discretion and support. Links & mentions Dr. Renae Norton — Norton Wellness Institute / Mind, Weight & Wellness Pro Book (forthcoming): Below the Radar: What They're Not Telling You About Your Food Maudsley/Family-Based Treatment (FBT) overview DBT skills resources (distress tolerance, emotion regulation, interpersonal effectiveness) If you need help now: NEDA (US), BEAT (UK), local crisis lines, or your clinician. For clinicians Screen for mixed presentations (restrict + purge), including non-vomit purging (laxatives, insulin manipulation). Prioritize medical monitoring (vitals, electrolytes) during re-feeding; avoid one-size-fits-all calorie jumps. Integrate DBT skills, caregiver coaching, and regular eating structure; track arousal and urge patterns. The content of our show is educational only. It does not supplement or supersede your healthcareprovider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.

We've all heard the buzz about GLP-1 medications like Ozempic—are they a miracle cure or a cause for concern? In this episode of the Food Junkies Podcast, Dr. Vera Tarman speaks with renowned physician, researcher, and bestselling author Dr. Michael Greger about the risks, benefits, and natural alternatives to GLP-1 drugs. Dr. Greger breaks down what the science really says: how these medications work, their long-term implications, and why many people stop using them. He also highlights how diet, exercise, and fiber-rich foods can naturally boost GLP-1, reduce cravings, and support lasting weight loss without the downsides. Together, they explore: The risks and side effects of GLP-1 medications Why weight loss plateaus on these drugs and what that means long-term The concerning issue of muscle and bone loss during rapid weight reduction Natural GLP-1 boosters like turmeric, cinnamon, vinegar, whole grains, legumes, and leafy greens Why fiber may be the single most important missing nutrient in our diets The role of food addiction, cravings, and our evolutionary biology How to maximize appetite regulation naturally through the "ileal break" phenomenon Dr. Greger makes the case for using whole food, plant-based nutrition to achieve the benefits of GLP-1 drugs—without the risks. 💌 Email us at foodjunkiespodcast@gmail.com THERE IS STILL TIME TO JOIN US for IFACC 2025! In-Person AND Livestream tickets are STILL AVAILABLE! 🔗 The International Food Addiction & Comorbidity Conference (IFACC) 2025: Donate for the chance to win a virtual ticket!! Purchase your IFACC 2025 ticket!! The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.

In this episode of the Food Junkies Podcast, Dr. Vera Tarman speaks with Bonnie Newlin, registered dietitian nutritionist, Certified LEAP Therapist, founder of Crave Nourishment, and member of the Lipedema Education Group. Bonnie specializes in the nutritional management of lipedema and chronic inflammation. Lipedema is a progressive adipose and connective tissue disorder that primarily impacts women, often misdiagnosed as obesity. Bonnie shares her own story of living with lipedema—including a 170-pound weight loss, delayed diagnosis, and eventual lipidema reduction surgery—and how food addiction and weight cycling complicate early recognition of the condition. Together, Dr. Tarman and Bonnie explore: What lipedema is and how it differs from obesity and lymphedema Early signs, symptoms, and barriers to diagnosis The role of hormonal changes in progression Why ultra-processed foods and sodium worsen lipedema symptoms The connection between lipedema, food addiction, and binge/restrict cycles How anti-inflammatory nutrition and lifestyle strategies can reduce pain, swelling, and disease progression Emerging treatments, including compression therapy, lymphatic drainage, vibration therapy, and lipedema reduction surgery Myths about lipedema and why it's often misunderstood in medical settings Bonnie's vision for DNA-guided nutrition research to better serve this population This episode sheds light on a condition that may affect up to 11% of women yet remains underdiagnosed and misunderstood. If you or someone you know struggles with chronic swelling, painful fat, or unexplained weight changes—especially alongside food addiction—this conversation offers clarity, compassion, and hope. 👉 Learn more about Bonnie's work at Crave Nourishment 💌 Email us at foodjunkiespodcast@gmail.com 🔗 The International Food Addiction & Comorbidity Conference (IFACC) 2025: Donate for the chance to win a virtual ticket!! Purchase your IFACC 2025 ticket!! The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.

In this discussion, Dr. Nicole Avena, a renowned neuroscientist and food addiction researcher, dives deep into GLP-1 receptor agonists. She explains how these drugs may curb cravings while unintentionally disrupting dopamine and mood regulation. The risks of anhedonia and apathy are explored, alongside the importance of mindful eating and holistic support. Dr. Avena emphasizes cautious use, especially in vulnerable groups, and discusses potential genetic factors linked to dopamine responses, making this a crucial listen for those considering GLP-1 treatments.

Christine Trimpe is a transformative wellness leader dedicated to empowering professional Christian women to reclaim their health and vitality through her faith-based, holistic approach to weight loss. As the founder of The SugarFreed Me Method and a certified SUGAR® Licensed Practitioner, Christine helps clients achieve lifelong healing from sugar addiction and food-related struggles. Her clients experience dramatic transformations, including sustained weight loss and breakthroughs in physical, emotional, and spiritual health, with over 80% retention in her programs. After a personal 100-pound weight loss journey, Christine created a method that goes beyond conventional dieting, integrating faith, emotional regulation, and metabolic health principles. Christine's own story—marked by a significant health journey, an embrace of ketogenic eating, and a breakthrough lifestyle change—has inspired thousands since she first shared it on her blog and across social media. Her journey has been highlighted in leading wellness magazines, including Woman's World and First for Women, and featured on ⁦DietDoctor.com⁩, where she was named a top low-carb success story. Key Takeaways Turning Points Matter – A single moment of frustration or physical limitation can become the catalyst for lasting change when paired with ownership and action. Small Steps First – Christine didn't overhaul her diet overnight. She began by removing obvious sources of sugar, then gradually tackled carbs like bread, pasta, and potatoes. Medical Clues Can Guide Recovery – A sleep apnea diagnosis, fatty liver disease, and hormonal concerns pushed her to seek deeper answers. Education Is Empowerment – Learning about insulin resistance through Dr. Jason Fung and others helped her connect the dots between her symptoms, cravings, and food choices. Freedom from Food Obsession – Letting go of "everything in moderation" and embracing abstinence from trigger foods brought lasting relief from cravings and secret eating. Faith as a Foundation – Daily Bible reading and spiritual reflection became Christine's source of true satisfaction and stability, replacing food as a coping mechanism. Social Strategies Work – She uses simple, non-judgmental responses when offered foods she avoids, focuses on connection over food, and prepares mentally before events. Recovery Evolves – What worked at one stage may shift with life changes (e.g., menopause), and flexibility paired with self-awareness supports long-term success. Planting Seeds – Helping others often means sharing your story without expectation, trusting that the right moment for change will come in their own timing.

Dr. Tro Kalayjian is a board-certified physician in Internal Medicine and Obesity Medicine, and the founder of Toward Health, a virtual metabolic health clinic helping people break free from food addiction and chronic metabolic disease. He's also a founding member of the Society of Metabolic Health Practitioners and an international speaker on metabolic psychiatry, obesity, and nutrition science. But what makes Dr. Tro's work truly powerful is that it's personal. He grew up in a household affected by obesity and struggled with his own weight into adulthood, reaching over 350 pounds. After years of frustration with traditional medical advice, he took a deep dive into the research and completely transformed his health—losing over 150 pounds and sustaining that loss for more than a decade. His clinic's latest research, published in Frontiers in Psychiatry, shows how combining low-carb nutrition with real-time support, psychological care, and metabolic monitoring can significantly reduce food addiction and binge eating symptoms—offering hope for those who haven't found relief in diets or medications alone. Dr. Tro is passionate about helping others find food freedom, and today he's here to share the science, the struggle, and the solutions that actually work. Research Highlights: Published in Frontiers in Psychiatry (2025): 43 lbs average weight loss ~40–50% improvement in food addiction and binge eating symptoms Outcomes comparable to medications (e.g. amphetamines, GLP-1s) — but without long-term side effects Case series (220 people) on keto for binge eating showed significant improvements, challenging the old myth that "restrictive diets worsen eating disorders" 🛠️ What Actually Works (Tro's "Shotgun Protocol"): Like treating sepsis with a bundled care approach, he bundles these for food addiction: The TOWARD Framework: Texting access to your medical team (real-time support like AA sponsors) Online visits with doctors and coaches Wellness coaching Asynchronous education (on-demand app resources) Real-time biofeedback (CGMs, scales, blood pressure) Dietary intervention (low-carb/therapeutic carb restriction)🧠 Behavioral + Biological + Social Support = Results 🍳 Food & Physiology: Therapeutic carb level: ~30g net carbs/day (but customized for each client) Focus: Real food, nutrient density, stable blood sugar, and ketone production Biological drivers of addiction: FTO & MC4R genes (linked to low satiety), ADHD traits, dopamine-seeking Physiology matters: No regulation if you're low in protein, vitamin D, or sleep-deprived 💥 Why Diet Isn't Enough: Food addiction is not just about willpower It's a poly-substance addiction: sugar, carbs, processed fats, additives, and volume Even abstinent foods (like nuts or yogurt) can become part of volume addiction "You need more than a food plan. You need a psychological and emotional toolkit too." 😫 Barriers to Recovery: Stress, trauma, pain, lack of sleep all increase relapse risk GLP-1 medications (like Ozempic) may suppress appetite short-term but: Lead to muscle loss Double weight regain speed if stopped Often used without a lifestyle program = future harm ❤️ The Human Side: Shame, guilt, and blame paralyze recovery "This isn't a willpower issue. This is a food relationship issue driven by biology and trauma." One of his biggest lessons: "Take the disgust off yourself and place it on the substance. That's freedom." 🧠 Mental Experiments That Helped: Tro experimented on himself with yogurt, berries, fasting, etc., to observe what triggered hunger or satiation Asked: What makes people subconsciously eat less? → Ketogenic diet consistently decreased intake 📊 Cost & Accessibility: Clinic costs $500/month but aims to be covered by employers (and is free to many employees) Medical savings to employers = $2,000–$4,500 per year per person Tro's long-term vision: accessible, affordable, whole-person care that rivals any prescription drug Final Thoughts from Dr. Tro: "Don't believe the lies. Do your own homework. And eat meat." Recovery is possible, but it must include compassion, community, and comprehensive care. Tro will be speaking on emotional and cognitive manipulation of hunger at the upcoming International Food Addiction & Comorbidities Conference in London (Sept 2025) Follow Dr. Tro: Recent Publication: https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2025.1548609/full Join us via Livestream for two full days of talks and plenary sessions, and, in recognition of your support, use code SSO to get a 40% discount: https://www.eventbrite.co.uk/e/ifacc2025-two-day-conference-4-5-september-2025-online-or-in-person-tickets-1226143812149?aff=oddtdtcreator&fbclid=IwY2xjawMB8iVleHRuA2FlbQIxMABicmlkETFHY1g0d3R0b2hYdTFnMmhNAR5WiXm-cuXEnOUh40YV4TwTnXtMNdpkdXK9lzyXdIZIuE3OdtJho4U7g-ySFA_aem_9TqBY-e2_oaGzzekZpiq2g Website: https://toward.health

In today's insightful Clinician's Corner episode, Clarissa Kennedy and Molly Painschab delve into chronic invalidation as a trauma response, exploring its origins, impacts, and practical healing strategies. This episode offers clinicians compassionate insights and actionable tools for supporting clients on their healing journeys. Key Highlights: Understanding Chronic Invalidation Chronic invalidation occurs when emotions, needs, or perceptions are consistently dismissed, causing internalization of critical voices. Common invalidating statements include "You're too sensitive," "It's not that bad," and "Don't cry." Chronic invalidation often results in perfectionism, emotional suppression, people-pleasing, and using food or substances to cope. Origins and Impact Invalidating behaviors can originate from caregivers' inability to handle their own emotions. Chronic invalidation can manifest in adulthood as strong inner critics, emotional numbness, hyper-vigilance, and difficulty identifying personal emotions and needs. Invalidated individuals often experience significant relationship challenges, attachment issues, and ongoing self-doubt. Healing Strategies for Clients Awareness: Encourage noticing and naming the inner critic as a first significant step toward healing. Curiosity and Compassion: Recognize the inner critic as a protective mechanism developed to cope with past hurts. Co-regulation and Community: Seek safe, validating environments where clients can experience relational repair through community support and co-regulation. Therapeutic Modalities for Addressing Chronic Invalidation: Cognitive Behavioral Therapy (CBT): Helps clients identify and reframe invalidating thoughts. Dialectical Behavioral Therapy (DBT): Provides emotion regulation and distress tolerance skills. Internal Family Systems (IFS): Validates all parts of self without shame. Somatic Experiencing and Polyvagal Theory: Body-based approaches to regulate the nervous system and safely reconnect clients with their bodies. Clinician Guidance and Reminders Avoid invalidating language (e.g., labeling clients as resistant or not having hit "rock bottom"). Validate client experiences before offering problem-solving approaches. Model self-validation and demonstrate relational repair in therapeutic interactions. Encourage distress tolerance skills among clinicians to prevent rescuing behaviors driven by personal discomfort. Embodied Practice (Somatic Experiencing Exercise) Clarissa leads listeners through a gentle, somatic experiencing practice designed to: Identify areas of stored emotional tension. Invite compassionate awareness and gentle inquiry into bodily sensations. Facilitate nervous system regulation through grounding, breathwork, and affirmations. Closing Insights Healing from chronic invalidation is a gradual, individualized journey. Encourage clients to begin with the strategies and modalities that feel safest and most accessible. Remind clients and clinicians alike that healing is not linear but is profoundly supported through compassionate awareness, relational repair, and community. Join us next month for more empowering insights on Clinician's Corner! The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.

We're honored to welcome back Dr. Claire Wilcox, a trailblazer in the field of food addiction. Claire is an addiction psychiatrist, former internist, and associate professor of translational neuroscience at the Mind Research Network. She's worked in everything from eating disorder treatment centers to general psychiatry and is on the frontlines of research, clinical care, and advocacy. Her academic textbook Food Addiction, Obesity and Disorders of Overeating has helped shape the professional dialogue—but today, we're talking about her newest book, Rewire Your Food-Addicted Brain: Fight Cravings and Break Free from a High-Sugar, Ultra-Processed Diet—a compassionate, research-informed, and accessible guide for individuals navigating food addiction. And here's the wild part: this book was directly inspired by the Food Junkies Podcast. 💥 Key Takeaways 💥 🔹 The Why Behind the Book Claire was inspired by the validation, science, and compassion found in our podcast. She wanted to turn years of neurobiology, research, and lived experience into a digestible, practical resource for both clinicians and people in recovery. 🔹 Not Just Another Food Book This is NOT a weight loss book. It's a science-backed, shame-free guide to understanding food addiction and reclaiming your life from ultra-processed foods — whether you score mild, moderate, or severe on the mYFAS scale. 🔹 Food Addiction ≠ Weakness Claire beautifully reframes food addiction as a neurobiological condition, not a moral failing. Like alcohol or nicotine addiction, it's rooted in genetics, brain wiring, and environmental exposure — often starting in early childhood. 🔹 Diagnosis Matters Chapter 6 tackles the controversial diagnostic gray zone, comparing food addiction to binge eating disorder and explaining how tools like the mYFAS can help people finally feel seen, understood, and validated. 🔹 Personalized Recovery > One-Size-Fits-All The book includes three levels of food plans that adapt to the individual — from flexible to more structured — based on your symptoms, goals, access to food, and cultural context. There's no moral hierarchy here, just practical options. 🔹 Harm Reduction is Welcome Here Recovery isn't linear, and slips happen. The book normalizes recurrence without shame, promotes spiraling up over time, and encourages readers to find what works for them — even if it's not "perfect." 🔹 Tools with Neuroscience Receipts Each tool is not only practical — it's also evidence-based, with brain science to back it up. Claire doesn't just tell you what to do… she tells you why it works. 🔹 Values Over Weight This book helps you set recovery goals beyond the scale — like peace, freedom, energy, and connection. Weight loss may happen as a side effect, but the real win is regaining your life. 🔹 Validation for the Spectrum Whether you're struggling mildly or feel like you're at your lowest, this book meets you where you are and reminds you: there is a way out — and it can be your way. 💡 Bonus: There are FREE online chapters + tools available starting August 1st through New Harbinger Publications! 📘 Available Everywhere Books Are Sold ➡️ Title: Rewire Your Food-Addicted Brain: Fight Cravings and Break Free from a High-Sugar, Ultra-Processed Diet Using Neuroscience ➡️ Website: https://www.wilcoxmd.com The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.