Ep. 291: Sourcing Groceries: Buying Locally or Online? In this episode, Stacy and Sarah are buying their groceries. But where do they go? What do they buy? Find out here! Click here to listen in iTunes or download and listen by clicking the PodBean Player below If you enjoy the show, please review it in iTunes!   The Paleo View (TPV), Episode 291: Sourcing Groceries: Buying Locally or Online? Intro (0:00) News and Views (0:40) Sarah gets to chaperone a sleep over field trip this week! Stacy thinks it doesn't sound like something she'd like, haha! Sarah's daughter has been looking forward to it and counting down the days. Sarah has chaperoned before and enjoyed it, though she knows she'll be exhausted. Stacy and family are prepping for their cruise in a couple weeks. It was the boys' Christmas gift. Stacy often gets asked about which food items she buys online and which she buys locally. It's an individualized thing depending on where you live and what you buy. Produce and Pantry: Buy Locally or Online? (6:15) There are a lot of international markets local to Stacy. This is great for those more focused on budget than quality (organic). They buy sweet potato noodles for Japchae here! Produce is 1/3 of the price they normally see. They don't buy "The Dirty Dozen" items here because they aren't organic. Trader Joe's and Costco are Stacy's other recommended places to shop. They are more limited in what they have and when they have it. Costco doesn't always have the same products because they rotate them out. Chosen Foods Avocado Oil is a great bargain here. Trader Joe's sources some things locally, and usually has an organic option. Stacy feels fortunate to have these stores available to her. Sarah loves her local farmer's market! It is very inexpensive, fresh, organically grown, and local. Sarah starts her shopping here and then rounds things out at other stores. Sarah loves the relationships she has formed with her local farmers. They do special things for her (and all their customers!) which she appreciates. Sarah also shops at Trader Joes, Whole Foods, Sprouts, and Kroger. She starts at the more inexpensive places and works up. Sometimes it depends on what she needs or which store is closer to her at the time. In the winter when her farmer's market is closed, she shops more heavily at grocery stores. Sarah visits Costco once every 6 weeks and stocks up because it is a farther drive. Costco is great for nuts, dried fruit, frozen foods, and pantry items. They are on a mission to make their store 50% or more natural or organic. The protein options have improved a lot. Sarah loves the toilet paper at Costco- it's "perfect." Stacy doesn't use any fresh food delivery system. Stacy is a control freak and wants to pick out her own food! If its a time or money-saver for you and you love it, that's great. Sarah's kids are eating a lot as they grow, so they try to use foods that stretch a meal. Cabbage and sweet potato are great for this! Sarah tends towards more inexpensive meats like ground beef and pork shoulder. Sarah's family doesn't eat all organic or pasture-raised meats all the time. Sarah likes Thrive Market, Amazon Subscribe and Save, and One Stop Paleo Shop. Stacy also uses Amazon and One Stop Paleo Shop, especially when they offer a coupon! Protein: Buy Locally or Online? (6:15) Stacy feels very strongly about buying meat locally. They live in a "farm state" with lots of options locally. It doesn't make sense for her to order meat online because of the cost on the earth to ship it. They save money on protein by buying 1/4 or 1/2 animals at a time. It isn't as convenient or quick, and takes more forethought. Stacy and Matt talk a lot about this in Beyond Bacon. She also subscribes to local farmer's newsletters to learn about sales and discounts. Stacy values eating "the whole animal," even if it means learning to use uncommon cuts. These are usually the more inexpensive cuts as well. Stacy has a local butcher shop (Organic Butcher of McClean) she loves. She can get things like broth bones and eggs year round. They know who she is when she walks in the door and what things she likes to buy. They have great recommendations for the best, freshest things they have that day. Shopping small and local lets you have great relationships with your farmer. Stacy doesn't prefer to have things that need to be refrigerated or frozen delivered. Capello's is a great example: they used to order it online, but Stacy has talked a couple local shops into carrying them, which was Capello's goal in the first place. Sarah has a bit of a counter-perspective on sourcing protein. Sarah gets a lot of their meat at the farmer's market in the summer when it's open. In the winter she's buys meat from both local stores and Butcher Box. There is an ideal: everything local, organic, in season. Then there is the compromise we have to make things actually work in our lives. We don't all have local farms close by where we can get quality food. It is worthwhile to search for what is available locally, which might take a bit of research. If it isn't available, don't feel guilty for ordering good quality meat online. Where you live will have a lot of influence over what you can find locally. There are so many factors that affect what we buy and what our food budget is. Eating locally is worth the effort into figuring out how to fit it into your life. If it isn't possible, there are many other great options! Stacy would love feedback from anyone testing the Amazon/Whole Foods delivery options. Shout out to Matt for turning a conversation into a podcast! If you've enjoyed the show, please recommend it to someone who might enjoy it. We love when you share and when you leave reviews for us! Thanks for listening! Real Everything The Paleo Mom Support us by shopping through links on our sidebars- thanks! Learn more about your ad choices. Visit megaphone.fm/adchoices

Ep. 290: Mrs. Toth Goes to Washington In this episode, Stacy went to Washington DC to lobby Congress for better, more robust standards for personal care products! Find out all about it on this episode! Click here to listen in iTunes or download and listen by clicking the PodBean Player below If you enjoy the show, please review it in iTunes!   The Paleo View (TPV), Episode 290: Mrs. Toth Goes to Washington Intro (0:00) News and Views (0:40) Stacy had a wonderfully full weekend with lots of people and is ready to introvert so hard now. Sarah loves being with people but also needs to recharge by herself afterwards. Stacy went to DC to lobby for all Americans to have safer skincare. For 4 years in a row Beautycounter has gone to Washington DC to ask for better legislation. It was 1938 the last time a law was passed on what personal care safety standards are. You can listen to this The Paleo View episode about the cancer risk from personal care items. Ingredients in personal care items don't have to go through any safety testing to be used. The FDA has no control over personal care products. An example: a few years ago formaldehyde was found in a hair product and was found to affect the people applying it and receiving it. No one knew until people started having major health issues. The FDA couldn't even do a recall on this product. The Personal Care Product Safety Act is going to committee next month. This could make a difference in everyone's lives. Currently there is no standard to label ingredients or use safe ones. Some of the offices they visited were already on board with the bill, and some had no idea about it. If this is something you feel passionate about, you can call or email your Senate offices. The easiest way to help make a change is to text "betterbeauty" to 52886. You will get a link you can click to send an automated letter to your local offices. Stacy walked away from the weekend feeling she had actually done something of value. She wasn't sure what to expect going in, or if the message would fall on def ears. The more that Senators hear from their constituents about this topic, the more they will prioritize it. Stacy cried tears of joy as she walked away from the capitol building. We are a sick population and this could help so many people. Currently many of the companies that make a lot of products comply with stricter regulation in Cananda, so it wouldn't be a huge leap for them to make safer products for the US. Companies often have Canadian formulations and US formulations. The current push back seems to come from animal rights groups, because there isn't anything written in the bill on animal rights or human treatment of animals. A new bill was drafted to include more animal protection. The bill will ask the FDA to look at and ban 5 ingredients every year. The change isn't going to be too overwhelming for businesses making skincare products. Manufacturers assume that if an ingredient isn't banned, it is safe to use in their products, and consumers think that if a the manufacturer is putting it in a product, surely it is safe because someone is overseeing it. In actuality it isn't happening like that, unless it is one of the 30 banned ingredients. We each have the opportunity to use our voice, and hopefully we can live in a better country because of it. Stacy is thrilled to be part of a movement that makes her feel like she's grown as a person. This has sparked Stacy's passion again for helping people, this time in a different way than their previous work writing recipes and cookbooks. Talking to all of you and hearing your stories of struggle and health allowed her to fully grasp the importance of what she was asking for this weekend. Sarah is mostly back to normal after her sever allergic reaction. Sarah has been prepping for the next AIP Lecture Series starting March 19th. SPECIAL COUPON FOR TPV LISTENERS!!! You must listen to get the code- a thank you to our listeners! Her goal was to create a course that has significant value for everyone: from the person just getting started with diet and lifestyle change, to someone who has been AIP already. It was great to hear feedback from the first session that she accomplished this goal. You have lifetime access to all of the coursework when you register. If we can come here each week and share at least one thing with you that you didn't know, or that inspires you, then it was worth our effort. If you've enjoyed the show, please recommend it to someone who might enjoy it. We love when you share and when you leave reviews for us! Thanks for listening! Real Everything The Paleo Mom Support us by shopping through links on our sidebars- thanks! Learn more about your ad choices. Visit megaphone.fm/adchoices

Ep. 289: Food Allergy, Sensitivity, and Intolerance: What's the Difference? In this episode, Stacy and Sarah each had severe allergic reactions. Inspired by those experiences, they break down the differences between allergies, intolerances and sensitivities and why you might not get the correct information from allergy tests. Click here to listen in iTunes   If you enjoy the show, please review it in iTunes!   The Paleo View (TPV), Episode 289: Food Allergy, Sensitivity, and Intolerance: What's the Difference? Intro (0:00) News and Views (0:40) It's been an interesting week for both Stacy and Sarah. Last week Stacy had an anaphylactic shock to gluten. This was the first time this happened to Stacy. Stacy's mom has this, and Stacy was hoping she wouldn't develop it. She assumed something was gluten-free and didn't read the ingredients. Sarah was exposed to a Sulfa medication, which she is highly allergic to. She was nearly hospitalized and still recovering after a week. It was one of the biggest health crisis she has experienced, and very scary. She won't be able to participate in the Cross-fit open because of it. This is a common experience - what life with autoimmune disease, food sensitivity, chronic illness is. Stacy's reaction to things she is sensitive to is much less than it was years ago. She attributes this to improved gut health. She had no intestinal symptoms after being exposed to gluten recently. This was the most gluten she had been exposed to in over 8 years. Stacy was told in the allergist's office that she did not have a gluten allergy. The receptionist at the office was excited that Stacy "could eat gluten!" Science with Sarah: The difference between a food allergy, sensitivity, and intolerance. (13;28) Allergy vs. Intolerance Both reactions are mediated by antibodies being produced against an antigen in the food. The difference is in the type of antibodies that are produced. Allergies are mediated by IgE antibodies. Trigger the released of histamine from mast cells and basophils. This is a very fast working system, usually a fast reaction. Symptoms are caused by the release of histamine. Hives, rashes, swelling of tissues of the face, red skin, sneezing, coughing, red eyes, heart racing, GI symptoms, shortness of breath, etc. Anaphylaxis is a very severe, life threatening reaction characterized by hives, swelling, trouble breathing, and going into shock. Seasonal allergies are also caused by the released of histamine, but usually are less severe. Skin allergy testing is typically done in one of two ways. 1. By placing a drop of concentrated allergen on the skin and scratching it. 2. By injecting the allergen under the first couple layers of skin. Typically wait 20 minutes and rate the reaction to the allergen. This type of testing has been around for a long time. The false negative rate of skin allergy testing is around 10%. The false positive rate of skin allergy testing is between 50-70%. Blood tests for allergies measure IgE antibodies in the blood. They can test for over 150 things or more at the same time. The false negative rate of blood allergy testing is around 10-20%. The false positive rate of blood allergy testing is between 40-60%. Many allergists will back up these tests with an elimination type diet and monitor. Stacy has avoided this type of testing in the past because it wouldn't add value to her. She already knows she has a problem with wheat. Allergies and sensitivities can change over time. Stacy asks how is it possible to have anaphylaxis but not have a positive skin prick test? There are situations where your body can release histamine bypassing IgE antibodies. However they usually don't have this type of intense trigger. Food intolerances have symptoms that overlap food allergies. The symptoms of food intolerances are wide and varied. The symptoms are often delayed and slower compared to an allergy. Some research suggests if you have recently had an anaphylactic reaction, you have a higher false negative skin prick test rate. You have to have been exposed to the allergen relatively recently to have a measurable amount of antibodies (like 3-4 weeks) or the false negative rate is higher. Combing testing with an elimination diet and food journaling is the gold standard. This helps get around the high false rates of testing. Stacy's experience with modern medicine was concerning, especially because the doctor she saw was supposed to be a specialist in this area. The doctor didn't fully listen or ask questions. He exclaimed after he performed the skin prick test, "oh, it happened today?" He was not thorough in thinking through what was happening in her body. The real reason she went in was to get a prescription for an Epi-Pen. Just because you go to a doctor and they tell you something, doesn't mean it is the end all, be all. Stacy's heart goes out to parents with kids who have anaphylactic reaction because it was so scary, she can't imagine what that would be like for a small child who didn't know what was happening. Food Sensitivity is any non-antibody mediated reaction to a food. FODMAP, histamine, and salicylate sensitivities are good examples. There is generally no testing method for these, which is frustrating. Stacy thanks everyone who reached out and sent positive thoughts to her this week. This type of immune activation is very energy-draining. Sarah and Stacy have both been sleeping and resting a lot this week. If you've enjoyed the show, please recommend it to someone who might enjoy it. We love when you share and when you leave reviews for us! Thanks for listening! Real Everything  The Paleo Mom Support us by shopping through links on our sidebars- thanks!   Learn more about your ad choices. Visit megaphone.fm/adchoices

Ep. 288: Productivity & Work-Life Balance In this episode, Stacy and Sarah lead such busy, productive lives! How do they fit all that activity into their days? Click here to listen in iTunes   If you enjoy the show, please review it in iTunes!   The Paleo View (TPV), Episode 288: Productivity & Work-Life Balance Intro (0:00) News and Views (0:40) Sarah is excited about Crossfit Open starting this week! She's been debating for the last month whether or not to sign-up. Stacy says if you belong to a Crossfit gym you have to participate in the open! Sarah has been PR-ing and feeling especially strong lately. Working out in the morning is energizing and centering for Sarah. It's great when you can make time for extracurriculars that we love. Stacy and Sarah have a different definition of balance. Goals are always changing and balance will look different at different times in your life. Listener Question (6:07) Ann asks, " Hi Ladies, I love listening to you guys every week and love your mix of science and fun. My question is less diet/health and more organizational/productivity. I know both of you are incredibly productive and I am curious as to what your daily routines look like. Do you have a specific morning routine? How do you stay so productive day to day? How do you work on so many projects at once? And Stacy how do you balance a full time job and doing all you do with the podcast and books? I’m very curious as to what your days look like hour to hour as someone who tries to be productive while balancing health. Thank you." Thank you for thinking we have our stuff together, because it doesn't always feel like that to us! Stacy's is very Type A and driven, jumping into things 150%, sometimes without thinking. She's learned to stop and think, asking if it aligns with her goals right now. Does it benefit others, my family, and is it in line with what I want. She has sometimes found herself in the middle of things that aren't productive or don't bring joy. It is a similar mindset to running a business- prioritizing what is most important and a good investment. In order to help others we have to self-preserve and take care of ourselves first. Stress management is huge, which Sarah talks about in her books. Stacy's husband stays home and helps run the household and the businesses. Sarah is ambitious and very self-motivated. She has big ideas and clear vision of what she wants to accomplish. While some might call her a workaholic, she prefers to look at it as having a strong work ethic. She loves the work she does, and the positive affirmation from all of you keeps her going. Sarah makes choices that prioritize work over other things. She's worked on having a better balance, carving out time for hobbies. She's put in place boundaries that help her prioritize sleep, time with family, etc. Sarah doesn't spend much time on social media or watch very much TV. She tries to be as efficient as possible with down time and work time. She has always been able to sit down and get a lot of stuff down in a chunk of time. She is also able to use little pieces of time efficiently and does different types of tasks depending on the amount of time she has available. Efficiency also come from prioritizing sleep and taking care of herself. Stacy's tips for using time wisely and being productive. She uses a very active Google calendar she shares with Matt to help accomplish tasks. Stacy loves TV, movies, games, and social media for her downtime. The family plays board games and watches certain shows together. They discuss their favorite shows, which is great quality time together. Different times of the month bring different priorities and busy periods for Stacy. She tries not to plan a lot of extracurriculars around these times. Putting it all on the calendar before the month begins helps facilitate this. Learning to pull back on activities is one of the hardest things. For Sarah it isn't about saying "no" to other people, but saying "no" to herself. Otherwise she often feels spread too thin. It's a delicate balance between work and carving out time for sleep, family, socializing, outdoor activity. Sarah has done a lot of research on sleep and understands how important it is. Sarah wrote the Go to Bed Program and a hearty chapter on sleep in Paleo Principles. The current way of society is to sleep with whatever amount of time we have left at the end of the day. Sleeping is probably equal to diet on its affects on our long-term health. Sarah needs 8-8.5 hours of sleep every night and can feel it if she doesn't. When she doesn't, her productivity goes down, which is stressful to her. Then if she's feeling stressed she doesn't sleep well. Things can spiral out of control if she doesn't plan well and manage her to-do list. Practical application for managing work life balance. Stacy uses google integrated products and instant message service for communicating with her various teams. This enables one conversation with multiple people instead of many separate conversations. The Voxxer App is a free app that is like a walkie-talkie text message service. You send voice messages that the other person can listen to when they have time. Be upfront with people about your expectations and time-commitment. Stacy and Sarah are introverts, needing down time and time to themselves to recharge. This helps allow them to keep up their energy and continue the things they love. A work day in the life of Stacy: Sleep in until 7:25am Our oldest son has to get up at 6am for school and Matt gets up with him. He is quiet and respectful and it is wonderful. Out of bed by 7:45am Sometimes she stares at the ceiling, goes back to bed, or checks email and texts until this time. Out of the house by 8:20am Drives one of the kids to school in a different district. This helps her stay on time and keep the schedule every morning. Goes to her day job and works until lunch time. 30-40 minute break at lunch to catch up on personal and side-hustle stuff. Finishes her work day and goes home. Dinner as a family every night at 6:30pm. The boys clean up after dinner, which is a great time saver. We hang out as a family and reconnect. When the boys go to bed (between 8:30-9:30pm) she starts working again. Answering emails, writing blog posts, etc. Matt and her often work together in the evenings. Stacy goes to bed after 11:00. Her rule is to be ready for sleep at midnight. Then she knows at the least she will get 7 hours of sleep. She strives for 8 hours of sleep every night though. A work day in the life of Sarah: Alarm goes off at 6:15am She does hit the snooze button one time most days. Dresses into workout clothes, has a cup of coffee. Helps her husband get the girls ready for school. Piano practice with her youngest daughter in the morning. We are both much more focuses at this time of the day. Leave the house 7:15am Drop the kids off to school and heads straight to the gym. Workout with a personal trainer from 7:30-9am. Back home shortly after 9am Start work, usually in sweaty gym clothes. Sarah will work until she is hungry. Grabs something to eat and then showers. Sarah spends as little time primping as possible! She spends time with her Joovv, often working through email and social media on her phone. Back to work again, usually until the kids get home from school. She'll have a quick lunch or grab and go food at her desk during the middle of the day. Pick up the kids from the bus stop at 2:30pm If no after school activities, she'll take the afternoon off. This is when she often cooks more elaborate meals or breakfast for the following morning. Hang out with the girls while they do their homework during this time. If after school activities, she drops them off, comes home and uses that time to work. Dinner as a family at the dinner table. After dinner is when the girls get ready for bed. Youngest is in bed by 7:30pm and oldest by 8pm Sarah typically works another 1-2 hours after this. Sometimes she takes the night off to watch a movie with her husband. A couple evenings a week, Sarah leaves the house to laugh on a stage somewhere. She winds down for bed around 9-9:30pm, sometimes later if a deadline. Reading, bath, more time spent with husband. Lights out at 10:30pm. Stacy feels incredibly luck to have Matt, who wakes her up and makes her lunch. A plug for marriage and partnership in general! Learning how to balance off each other is a great way to increase productivity. Sarah cooks and her husband does the cleaning up afterwards. This allows her to get more focused time with the girls. Sarah always works at least a few hours on the weekends. Her husband helps facilitate this, taking care of household things and the girls. To be too busy and to be overwhelmed is not the goal. We each focus on things that reduce stress and create balance. This looks different for each of us, and will look different for you. If you've enjoyed the show, please recommend it to someone who might enjoy it. We love when you share and when you leave reviews for us! Thanks for listening! Real Everything The Paleo Mom Support us by shopping through links on our sidebars- thanks! Learn more about your ad choices. Visit megaphone.fm/adchoices

Ep. 287: Should I Get a Flu Shot? In this episode, Stacy and Sarah answer a question from a healthcare professional about mandatory flu shots. Click here to listen in iTunes or download and listen by clicking the PodBean Player below If you enjoy the show, please review it in iTunes!   The Paleo View (TPV), Episode 287: Should I Get a Flu Shot? Intro (0:00) News and Views (0:40) Backstreet's Back, and so are Sarah and Stacy! Reminiscing about the 90s, and Stacy breaking out into song- a rare treat! Stacy is working on The Body Love series. Her free ebook will be launching with this series - sign up to get it here. It encourages never dieting again, a sustainable lifestyle perspective. It's about finding what works for you. Stacy hears feedback of people noting reduced illness and increased immune function with a health diet. This is an interesting metric of health. Stacy avoided the flu in multiple instances this year. Sarah woke up feeling the yuk one morning, took good care of herself and never got sick. As an adult its hard to take it easy and take care of yourself when you're sick. Sarah has several friends who had complications from this year's flu. Sarah is sick far less often that she was pre-Paleo. Stacy attributes "souping" to her staying health when exposed to illness. Stacy's post on Souping here. Sarah's post on Souping here. The nutrients in soup are quite different than other liquid-type diets like juicing. It's a balanced meal with a lot of nutrient density. Soup is more efficiently digested and filling than things like smoothies or juice. Sometimes things like souping and vitamin C aren't enough and medicine is needed. Listener Question - Science with Sarah (13:01) Kelly asks, "I work in skilled nursing as an occupational therapist. My company requires taking the flu vaccine or wearing a mask from November to February. I understand the company's position looking at lost work time and revenue due to sick days. My direct supervisor says her reason for wanting all employees to take the vaccine is that if we don’t we are at an increased risk of passing the flu to our residents even if we don’t have the flu ourselves (she quotes a 30% increase). I have looked and cannot find studies to support this. I actually found from the Cochrane review and PubMed that no relation is found. I have opted not to vaccinate this year, I’m the only employee in my department to not vaccinate this season. I am wearing a mask daily and actually feel like it will decrease my risk of catching a cold. I was just wondering if there was any evidence that not taking the vaccine increases the risk for my residents. Last year I did take the vaccine in October and in January in a 2 week period was diagnosed with strep throat, sinus infection, bilateral eye, and bilateral ear infections. Was not tested for flu due to having had the vaccine." Disclaimer: we realize that vaccination is a highly debated and hot topic, and all the information we are presenting is based in science. Please take this information and decide what is right for you, we are not medical professionals. References for this show can be found below. The flu vaccine is different than most other vaccines. With all vaccines there is a very small risk of allergic reactions or adverse reactions. Aside from those reactions, vaccines are completely safe. Diseases like Polio, Measles, and Tetnis, which had a very high morbidity rate and were killing tens of thousands of people every year, is a different equation compared to the flu vaccine. The flu virus mutates rapidly, which means the vaccine isn't as effective as other types of vaccines. The flu is very virulent- with around 3 million cases every year. The number of flu-related deaths every year differs quite a bit. It is not usually associated with intestinal symptoms, bur rather fever, aches and pains, runny nose, sore throat, cough, and fatigue. Flu increases risk of secondary infections, which is what usually causes death, not the flu itself. Flu is spread through respiratory secretions. Microscopic droplets of saliva are spread through coughing, even breathing. The flu vaccine is based off an educated guess every year. Based on data and modeling as to how it is going to mutate in the coming year. Vaccines contain inactivated or dead virus for typically 2-4 strains of flu. The immunity we get from flu vaccines in often very transient. Estimates are that immunity from the flu vaccine lasts about 6 months. This is why it is recommended to get one every year. When they guess well and the vaccine matches up with the actual dominant flu viruses for the year, the vaccine is at best 50-60% effective. This would decrease your chance of getting the flu by 50-60%. A study showed between 2010-2015 the average flu vaccine was 41% effective. During a bad guessing year, the vaccine was 14% effective. The Cochrane review that Kelly referenced was a 2010 meta-analysis of 50 different studies. It showed the absolute difference in the incidence of flu during a year when the vaccine was a good match was a 3% difference. Unvaccinated risk of getting the flu was 4%. Vaccinated risk of getting the flu was 1%. A recent paper updated those statistics and shows that on average your risk of getting the flu if you are unvaccinated is 2.3% , compared to 0.9% if you are not. This is on a good match year. Rationale for getting the vaccine includes: You are less likely to get sick, even though the percentage seems small, it is significant. 2 out of 100 who would have gotten the flu, won't if they are vaccinated. Risk of hospitalization showed 14.7% chance if unvaccinated, and 14.1% in vaccinated population. Benefit was much higher in the elderly. The elderly (vaguely defined as those over 65) have less robust immune systems. This raises the question of if the elderly are actually developing immunity against the flu. Unvaccinated elderly have 6% chance of getting flu, compared to 2.4% in vaccinated. The statistics regarding the flu will mean different things to different people. Some people will hear there is a 2% difference in chance and want to get the vaccine. Some people will hear there is a 2% difference and won't want to bother. No matter how you develop immunity against the flu, whether you get the flu or the flu vaccine, it will still be incomplete immunity. This is because the flu virus mutates so quickly. There is always some cross-protection in both situations. The flu vaccine become a really individual choice in terms of if you are an at-risk individual or you have at-risk individuals in your life. Kelly mentioned that last year when she got the flu vaccine she got a lot of other infections. There have been robust studies that showed no difference in side effects after vaccination. Those who got the flu vaccine had more arm soreness and mild fever in the few days after. There was no difference in non flu-related infections or symptoms. There is a perception that if we get sick after getting a vaccine, it was the vaccine that made us sick. This is unfortunate timing. You were likely exposed to something before you got the vaccine. Some illness can have incubation periods of two weeks or more. Mandatory vaccines for health care professionals- part of Kelly's questions. You are typically most contagious right before you develop symptoms. This is part of the reason why the flu can spread so quickly. We are out doing normal activities, not realizing we are sharing the virus with others. Even when symptoms just start, we often do our normal activities. Kelly reference the Cochrane paper, which was looking at whether or not health care workers getting vaccinated protected patients from the flu. It showed a lack of sufficient evidence to make claims. More recent evidence probably refutes this somewhat. Another study looked at flu season mortality in residents of chronic care institutions. There was a 10-20% decrease in mortality where staff vaccination rates were higher. Staff vaccination rates of 60-70% versus 20% showed up in the mortality of the patients. Healthy care givers and an at-risk population give a sensitive statistical model. There is compelling evidence that health care workerss getting vaccinated can protect patients in a hospital or residential care setting. This could be mostly related to herd immunity. The flu won't spread as quickly when there are less hosts around to get it. Wearing a mask versus getting a vaccine as a health care provider. Best practices say to get as many staff vaccinated as possible. Recommendation #2 is to have people wear masks. Have hand sanitizer readily available and encourage hand washing. Kelly thinks wearing a mask will protect her from getting a cold. She is absolutely right- many illness are spread through respiratory secretions. This is a great way to protect yourself and those around you. There are valid arguments for the flu vaccine and not really many to be made against it. Vaccines are safe and the risks are low. Those with autoimmune disease don't like to vaccines because the adjuvants can cause symptoms or a flare. This is often transient. This definitely changes the equations, as a flare is an awful thing to go through. We need a better way to vaccinate against the flu. This is the number one conclusion that can be drawn from looking at the research and statistics. There is a lot of information out there, and you should make the best decision for yourself. In regard to Kelly's question whether or not her getting the vaccine can protect residents of the facility she works in, the science does say yes. Getting the flu itself can also trigger for an autoimmune flare. Stacy doesn't consider herself in a high risk category for getting the flu. Even though she does have kids, she doesn't work in a medical setting, and she has the ability to take off work if she needs to should she become ill. She made the best choice for her. Other adults in her household have made other decisions regarding the flu vaccine. Know your body and what you are comfortable with - it's your decision. She feels the Doterra OnGuard blend has helped her in avoiding the flu this year. We talked about essential oils in this podcast. Stacy used the hand sanitizer and diffused the blend in her office. She was one of only a few from her office to not get the flu this year. She is also supporting her immune system with diet and lifestyle. We all need to own that this is our choice and our body. Vaccination against illness other than the flu, such as Measeles, Mumps, Diptheria is different than the flu. The mortality rate is higher, as is the effectiveness of the vaccines. This becomes a no-brainer to get those vaccines and contribute to herd immunity. We should be able to put more than just Small Pox into extinction. This is a different conversation than the flu vaccine one, because the statistics aren't as strong. Stay well everybody! If you have follow-up questions, reach out through the contact forms on our websites or social media. Real Everything The Paleo Mom If you've enjoyed the show, please recommend it to someone who might enjoy it. We love when you share and when you leave reviews for us! Thanks for listening! Support us by shopping through links on our sidebars- thanks! Citations: Osterholm MT, Kelley NS, Sommer A, Belongia EA. Efficacy and effectiveness of influenza vaccines: a systematic review and meta-analysis. Lancet Infect Dis. 2012;12(1):36–44. Erratum in: Lancet Infect Dis. 2012;12(9):655. van den Dool C, Bonten MJ, Hak E, Wallinga J. Modeling the effects of influenza vaccination of health care workers in hospital departments. Vaccine. 2009;27(44):6261–7. Jefferson T, Di Pietrantonj C, Rivetti A, Bawazeer GA, Al-Ansary LA, Ferroni E. Vaccines for preventing influenza in healthy adults. Cochrane Database Syst Rev. 2010(7):CD001269. Learn more about your ad choices. Visit megaphone.fm/adchoices

Ep. 286: How Many Vegetables Part 2: Lectins & Oxalates In this episode, we're talking vegetables again! Specifically, we're talking about lectins and oxalates! Click here to listen in iTunes or download and listen by clicking the PodBean Player below If you enjoy the show, please review it in iTunes!   The Paleo View (TPV), Episode 286: How Many Vegetables Part 2: Lectins & Oxalates Intro (0:00) News and Views (0:40) Thank you to our listeners who have made it through all 286 episodes of our podcast, bad jokes, puns and all! Sarah shares her current favorite pun. Matt and Stacy's son Cole would be rolling his eyes. The gap between what parents and kids think Youtube is for and how they use it. Sarah's been breaking out "when I was a kid" a lot lately to her daughters. We got amazing positive response from the vegetable podcast last month. We love that our listeners love learning and gaining information! Thanks for tagging us in your photos and letting us know we're helping you to eat more veggies! If you haven't listened to the first veggie podcast yet, it lays the groundwork for today's episode. Listener Questions (12:50) LECTINS: Bits and pieces from questions by listeners Sarah and Rita regarding the The Plant Paradox diet, which an very anti-lectin diet and involves eliminating grains, legumes, nightshades, as well as large number of vegetables and fruits with a higher lectin content, such as most things with skin and seeds. Listener Sarah would love to hear Sarah's take on lectins and any other information on the recommendations in this book. Lectins are a broad class of carbohydrate-binding proteins. There are many different ones, and they are highly specific for specific types of sugar. Many are found in our bodies and some have vital roles in our health. There are lectins in every form of life. The original branding of the Paleo diet as anti-lectin is somewhat misleading. Paleo aims to eliminate prolamines and agglutinins, which are most problematic for our intestines and hard for our bodies to break down. A recent studied showed that even in healthy people, gliadin fragments were shown to trick the gut cells into bringing them into the body, where then bind with receptors in the liver and fat cells and turn on signals to gain weight. This could help explain the connection between gluten consumption and obesity. It is important for us to be more specific in describing the two classes of lectins we aim to avoid. A frame work that generalizes all lectins and advocates omitting all of them from the diet is misunderstanding the science. Nightshades have agglutinins, which are toxic lectins, and problematic. Nightshades are a different botanical group with most being toxic to humans. Anti-nutrients do tend to be concentrated in the peels of fruits and vegetables. The peels are often also where higher antioxidant content is as well. The only fruits and vegetables to arguably eliminate because of toxic lectin content are those in the Nightshade family (which are technically fruit). Common Nightshades are: tomato, potato, peppers, eggplant, tomatill0s, goji berries. Sarah has a comprehensive list of nightshades on her website. Stacy doesn't eat most nightshades, here is an archive of nightshade-free recipes. The big picture is that every food may have positives and negatives, for example: dairy and coffee. It is easy to to take part of the information and focus on just the bad. We try to take a more holistic approach when we're talking about foods and our individual needs. Everyone is different, so you have to test what works for you. Seeing zucchini on the list of veggies to avoid made Stacy laugh because it is one of the most mild vegetables and isn't on any many other "no" lists; it is tolerated well by most people. Listener Sarah was curious how to explain the testimonies of all the people being helped by The Plant Paradox diet. This diet also eliminates a lot of other things that are problematic for a lot of people. Something like the Paleo Diet or Autoimmune Protocol are two options much more founded in science, that recognize bio-individuality, and endorse self-experimentation to figure out what works for each person. In Paleo Principles, Sarah aimed to be extremely clear about the current boundries of human knowledge regarding food. Many foods are not black and white, having both pros and cons. Sarah doesn't subscribe to a dogmatic approach, even regarding gluten. There are over 1400 references in Paleo Principles, and is based on a much more sophisticated ground than simply "all lectins are bad." OXALATES: Listener Rita wants to know about oxalates and the recommendation to avoid them. Oxalate is in a similar category as phytate because it binds to minerals and makes them less absorbable by our bodies and are considered by some to be "anti-nutrients." The minerals can be liberated by our gut bacteria. Our bodies also produce oxalates, as a product of metabolism. Many high oxalate foods like kale, collards, spinach, chard, most berries and nuts, sweet potatoes, chocolate, cruciferous veggies, beets, cassava, rhubarb, etc can still be part of a healthy Paleo diet. To remove all these foods would be very limiting. There is no medical definition for oxalate sensitivity like there is for other types of sensitivities. The mechanism is not well-understood. It usually refers to people who are prone to kidney stones or muscle and joint pain when they eat high-oxalate foods. Some people produce a lot of oxalates, which they have a hard time eliminating, causing calcium-oxalate crystals in the kidneys, which develop into stones. If oxalate concentrations become too high in the blood, they can build up in the joints causing oxalate arthritis. 1 in 3 million people are genetically pre-disposed to these conditions. People with absorption disorders (like Crohn's disease) are more prone also. Dietary oxalates don't proportionately increase urinary oxalates. We have a variety of biologically mechanisms to control our oxalate levels. Certain gut bacteria work to degrade oxalates and reduce absorption. This why someone with a gut disorder might be more prone to problems with oxalates. You can increase these type of bacteria by eating more oxalates. Feed them! Dehydration is the number one cause of oxalate stones and crystals. Calcium supplementation and deficiency increase risk of stones. To avoid this, eat plenty of dietary Calcium. The arguments against eating oxalates are only valid for a limited specific number of people. It is a myth that eating oxalates or phytates will suck nutrients from your body. They are by definition already bound to minerals and therefore can't bind with anything else. Our gut bacteria can liberate the minerals. The minerals in the vegetable might be harder for us to absorb because of the reliance on gut health. These vegetables aren't full of things that are going to sop up all the minerals in our bodies and make us deficient in minerals. These foods feed beneficial bacteria and by that mechanism can actually help reduce risk of stones and encourage oxalate homeostasis. There is a lot of overlap between oxalate, histamine, and salicylate food lists. When oxalate sensitivity is based only on symptoms, it could be misunderstanding. The symptoms of these intolerances are all similar. It could be beneficial to investigate further into which sensitivity you are actually dealing with. There isn't a compelling reason to eliminate high oxalate food for most people. Stacy used to partly cook spinach and be careful about eating it with other foods to avoid absorption issues. Sarah says, "it's not a thing!" Eating raw spinach with other foods isn't going to inhibit absorption of nutrients from other food. The presence of a compound bound with a mineral doesn't mean other nutrients will not be absorbed. It means the mineral it is bound to requires being unbound before you can absorb it. Eat spinach. Spinach is great! Eat it however you like it. There are tests you can do through your doctor to determine oxalate levels or oxalate sensitivity. This should not be diagnosed based on symptoms alone. Test for it if you suspect it. Oxalate sensitivity is a very low frequency sensitivity. "It's the candida of food sensitivities." Very frequently diagnosed by symptoms and often not actually candida. Plug for functional medicine- they actually test and have knowledgeable ways of dealing with things. If you have more vegetable related questions, reach out through the contact forms on our websites or social media. Real Everything The Paleo Mom If you've enjoyed the show, please recommend it to someone who might enjoy it. We love when you share and when you leave reviews for us! Stacy will have a Self-Love post new on the blog, based on a talk she is giving soon! Thanks for listening, we'll be back next week! Support us by shopping through links on our sidebars- thanks! Learn more about your ad choices. Visit megaphone.fm/adchoices

Ep. 285: Stacy and Sarah Practice Self-CareIn this episode, we recap what we've been doing and how we've been keeping our health!Click here to listen in iTunesIf you enjoy the show, please review it in iTunes! The Paleo View (TPV), Episode 285: Stacy and Sarah Practice Self-Care Intro (0:00) News and Views (0:40) Stacy is home from her trip- she took a red eye home last week from the West coast. She was able to sleep on the plane and is feeling human again after only a couple days. Sarah remembers her last red eye flight- it was awful and she got sick when returning home after book tour. Stacy is catching up on her day job work and her "Passion Projects" after being gone. Sarah loves what she does so much, that it doesn't feel like "work," so she finds herself "working" a lot. Stacy wanted to go on this particular trip, even though it wasn't the best timing, because it was something that would allow her to affect change. Stacy is learning to focus more on doing the things that bring her joy, that make a difference, and that also financially support her family. Type A people who also have autoimmune issues have to be extra careful about policing themselves and avoiding too much stress. There is a link between Type A personality and chronic illness. It's a challenge to prioritize self-care. Sarah recommends thinking about self-care needs as part of her job and as something just as important as anything else on her to-do list. On that note, the show this week is just a check-in because Stacy has been traveling and Sarah is in the middle of her AIP Lecture Series. The AIP Lecture Series has been so much fun Sarah, its one of her "Passion Projects." It has allowed her to explain the material in a more in-depth way and in a different way than in writing. The feedback Sarah is getting has been overwhelmingly positive. Sarah tries to bridge the entire range of needs, from someone who just got a diagnosis or even suspects they have an autoimmune condition, or has never made any dietary changes, to the person who has been doing AIP for years and just needs refining... and everything in between. It's very rewarding and fun to hear stories of how people are healing, and feeling better than ever because of this series- the level of connection she has with people through this course makes this possible. Sarah feels like she has found her element in this course- she plans to do another! The course contains 16 hours of lectures, plus videos in the private Facebook group, along with guides, printables, and action steps. The complete scientific foundation for the autoimmune protocol: diet, lifestyle, practical how-tos. Think of it as a community college course for your health. All of the "why's" with practical "how to do this" wrapped in it. The next session starts March 18th, 2018 - reserve your spot now here! Stacy was exposed to the flu three different times on her trip and didn't catch it! Knock on wood! "Souping" is probably what did amazing things for Stacy's immune system and saved her. Even after having nightshades and alcohol before traveling, her body felt great. She had bone broth, dried mango (vitamin C!) and lots of veggies all weekend at her conference. Stacy took some essential oils with as well, to help protect her from all the yuk. Sarah's pulling back the curtain on Stacy- she actually is a positive ball of energy, though she sometimes pretends she's not! Sarah confirms that you can hug her and she'll even hug you back! We'll be back again next week, and we've got some awesome shows lined up for the next couple weeks! Thanks everyone for listening! Outro (25:46) Support us by shopping through links on our sidebars- thanks! Learn more about your ad choices. Visit megaphone.fm/adchoices

Ep. 284: Coconut: Superfood or Gut Irritant In this episode, we talk about coconuts and how awesome they are in so many ways! But we also talk about how some people, particularly people on the AIP, find that they don't work well for them. Click here to listen in iTunes or download and listen by clicking the PodBean Player below If you enjoy the show, please review it in iTunes!   The Paleo View (TPV), Episode 284: Coconut: Superfood or Gut Irritant Intro (0:00) News and Views (0:40) Stacy and Sarah are celebrating 284 episodes as podcast co-hosts. The Paleo View is approaching 5 million downloads- thank you! Stacy celebrated herself (self-care) this week by buying new pajamas. The old ones were nearly disintegrated. She picked out exactly what she wanted, they arrived, and they're wonderful. Sarah was once in an ambulance and was grateful she was wearing underwear without holes, as her mother had always told her do because of this very situation. It's been chilly weather in Georgia for Sarah Sarah's girls have had many of "snow days." Sarah got to build a snowman, snow fort, and snow angels! Primal Kitchen Chocolate Collagen Fuel makes the most amazing hot chocolate! Stacy served it to the boys for their recent snow day, and even the neighbor kids liked it. Science with Sarah (10:42) What's the deal with coconut? Why are so many treats made with coconut, and is it good or bad for us? Annalise asks: "What exactly is it in coconut that many people on the Autoimmune diet seem to be reactive to? Is it salicylates, the fact that its on the FODMAP list, or something else? It's frustrating to have so many AIP treats out of reach, and I'd love to understand more. PS: great meeting you on book tour Sarah." Coconut is a unique ingredient. People new to the Paleo diet can find it overwhelming because there are so many things made with it. What are the good and bad about coconut? Even though it has "nut" in the name, it is not a nut. It's a "drupe." Coconuts do not have the same reactive properties of tree nuts. Always check with your allergist if you have a tree nut allergy before eating coconut. The nutrient make up of coconut is unique and unlike any other food. Coconut is high in MCT oil, which doesn't require bile salts to be absorbed into the small intestine. MCTs can be passively absorbed because they are small molecules. MCTs are converted rapidly in the liver into ketone bodies, which can be used as energy. Coconut has many other great nutrients: vitamins C and E, most Bs, high fiber, and phytosterols- which have been shown to lower LDL cholesterol. Coconut also contains copper, iron, selenium, calcium, magnesium, phosphorus, potassium, and zinc. Coconut oil has potent anti-microbial properties. MCTs are a special fat because they are known to reduce inflammatory mediators, increase mucous production in the gut, and increase the secretion of IgA antibodies in the gut (which can be good and bad). For Stacy, coconut oil doesn't work well for her internally or externally. Digestion has been better since eliminating it. Skin is improved after not cleansing with it or using deodorants with coconut oil. Listen to your body and don't try to "push through" and use something just because it works for everyone else or it is generally regarded as healthy. Coconut is a high FODMAP food, specifically containing a high amount of inulin. Inulin is highly-fermentable, which can cause problems for someone with bacterial overgrowth. Coconut Flour Coconut flour is high in inulin, which can be problematic for some people. Until Otto's Cassava Flour came along, coconut flour was the only flour for AIP baking. Stacy doesn't care for recipes with large amounts of coconut flour; Sarah finds it to be very dry. Coconut Oil The more refined the coconut oil is, the less it smells like a tropical beach. Sarah uses Tropical Traditions Gold Label Coconut Oil for cooking and as a makeup remover. Sarah cooks with coconut oil, as well as a myriad of other fats; she likes to mix it up! Coconut Aminos Coconut aminos is a fantastic soy sauce substitute. It is made from coconut nectar/sugar. Coconut Sugar Sarah is myth busting on coconut sugar! Coconut sugar still contains sugar, there are mixed studies on its glycemic index. Coconut sugar isn't necessarily better than any other refined granulated sugar. Stacy's general takeaway about sugars is that if something is sweet, there's a reason for it. Pick your poison, and know that its a poison. Coconut nectar, sugar, and aminos are all made from the sap, obtained from the flowering stems of the tree. This is controversial because of sustainability issues. Sarah's understanding is that the companies they buy from are practicing sustainable, regenerative farming practices, but it isn't a guarantee. Taking a deeper look a brands and their practices is something Stacy likes to do, especially for palm and coconut products, chocolate, and bananas. Coconut Milk & Coconut Cream Full fat coconut milk and coconut cream are some of Sarah's favorite things! It has a creamy, lovely texture- Sarah likes it on fresh fruit as a treat! It often has emulsifiers, which Sarah has written in-depth about here. Brands to look for: Natural Value, Trader Joes's, Savoy, Aroy-D Natural Value Coconut Milk also uses BPA-free cans. Coconut Milk Powder is a wonderful, versatile ingredient! Because of its nature, coconut milk powder often has anti-caking agents added. This Anothony's Coconut Milk Powder has a tapioca based additive, not corn-based, and is the one that Stacy prefers to use. Coconut water is high in minerals and electrolytes. Stacy finds coconut water repulsive. Sarah describes it as coconuts wearing sweaty socks. Some brands are better than others, and it is better when chilled. Sarah can tell she is low in electrolytes (like after a workout) when coconut water doesn't taste terrible. Coconut water is a fantastic "sports drink" because of its lower sugar and high nutrient content. It is also used to make coconut vinegar. If you enjoy the podcast, please share it with someone you think would enjoy it too, or leave us a review on itunes. Using the links in this post and on our blogs helps support our podcast. Social media algorithms have changed and you might not see much of our content there anymore. The best way to connect with us is to receive our weekly newsletter. Sign up for Stacy's newsletter here. Sign up for Sarah's newsletter here. Thanks everyone for listening! Outro (56:48) Support us by shopping through links on our sidebars, please! Learn more about your ad choices. Visit megaphone.fm/adchoices

Ep. 283: Handling Critics, Conflicts and VegansIn this episode, we talk about conflicts with people, especially vegans, about the paleo diet and how to defend your choices.Click here to listen in iTunesIf you enjoy the show, please review it in iTunes! The Paleo View (TPV), Episode 283: Handling Critics, Conflicts and Vegans News and Views (0:41) Wow! It's been 5 and a half years of podcasting! We've really evolved over these years! Reminder about Sarah's AIP Lecture series! We're in the season where you'll encounter well meaning people who want to challenge your diet choices and there's a ton of new vegan propaganda documentaries out there. Sarah's takedown of What the Health is here. Sarah thinks that Stacy, a reformed vegetarian, might have insight on how to handle social situations Monique says (10:09), "Hi Stacy and Sarah! Thanks for your amazing work in promoting health and wellness. I am not new to Paleo and have been a fan of you both for a while but only recently started listening to your podcasts on my daily walks. So, my question is this: how do you approach vegetarians, vegans, or pro-plant based people in a social setting who talk smack about the Paleo diet and claim that meat eaters are unhealthy, sluggish, ignorant, selfish, etc? I usually either get mad and start going off about how they overload on grains and don't actually eat a lot of vegetables compared to Paleo, say nothing, or talk about how a diet based in vegetables, fruits, and animal protein has drastically changed my life for the better. I don't necessarily have a problem with vegetarianism/veganism (I have a couple of meatless meals per week), but it's not a lifestyle that's sustainable and healthiest for me full time - a Paleo template is. What is your way of approaching these situations?" If someone is aggressive and trolly at you, don't engage! It won't turn out well. And sometimes you have to agree to disagree. If someone is vegetarian for religious reasons, we don't think it's appropriate to question it. Stacy is reminded of eating with Matt as a vegetarian and being repulsed by his rare burger. They eventually changed their views due to intellectual exploration. There is common ground on animal welfare between paleo and vegans. We both want animals to live as close to natural lives as possible and to live cruelty-free lives. Also, growing corn, soy and wheat is hard on the planet. Beef is better than chicken, too. You take fewer lives per meal and its better for you. Sarah points out that eating nose to tail is more respectful, less wasteful and better for your health Sarah considers paleo to be a plant based diet and is shocked that some paleo people think you only need meat. The evidence is very strong that we are omnivores! Stacy is reminded of her brother, the twinkie vegan. He's only interested in not eating animals, not in health benefits. Break down what's most important to the other person and address it from their concerns. Listen to what they have to say! Please Rate and review us! Outro (42:46) Support us by shopping through links on our sidebars, please! Learn more about your ad choices. Visit megaphone.fm/adchoices

Ep. 282: Joint Health, Arthritis, and Why We Eat All the Soup, Broth, and CollagenIn this episode, Stacy and Sarah discuss joint health and rheumatoid arthritis and why they recommend collagen for all joint issues!Click here to listen in iTunesIf you enjoy the show, please review it in iTunes! The Paleo View (TPV), Episode 282: Joint Health, Arthritis, and Why We Eat All the Soup, Broth, and Collagen News and Views (0:41) Looks like a ton of you are Souping! Thanks for sharing on social media! Stacy's IgA Deficiency post is here Stacy is into broth and collagen because shes concerned with her joint health. Her grandmother had Arthritis and her joint pain and joint cracking started very young. Rheumatoid Arthritis affects 1.5 million adults and it's one of the most common autoimmune diseases. Sarah was diagnosed with it at 28. They said "It won't be debilitating for ten years!" Joints and spines don't have a lot of blood flow, so they heal very slowly. Arthritis is an autoimmune condition in which the immune system attacks the joints and they stiffen up Collagen and gelatin are good for joints because they are high in glycine, the amino acid important in forming bones, skin, and cartilage. You can incorporate broth into anything! If it simmers away then the nutrients are staying! See Stacy's Souping post for lots of recipes plus our Broth and Stock and Bones Tutorial for how to make it right!. Also, we love these Hot Chocolate Squares from Real Food RN. Sarah recommends Avocado as well. Especially in pudding form. She uses the Practical Paleo recipe as well as the PaleOMG recipe Sarah says the Real Life Paleo Phased Approach is really good for transition. And if your vitamin deficient, you might want to supplement, particularly Vitamin D. But don't overdo it! In terms of lifestyle factors, first quit smoking! Less sleep makes you more sensitive to pain and sleeping more decreases symptoms of arthritis! So get to bed! Stacy recommends that you not drink caffeine in the afternoon at all for sleep quality. Stacy's back injury recovery. Vital Proteins not only has Type II Collagen pills, but also great collagen and gelatin supplements! Please Rate and review us! Outro (42:46) Support us by shopping through links on our sidebars, please! Learn more about your ad choices. Visit megaphone.fm/adchoices