Sexy Fit Podcast

Speaker 1: California, Nevada, Washington, New York, Alaska broadcasting all around the globe. Live from San Diego. Welcome to the one and only Sexy feed podcast.

Zlata: Hello and welcome. My name is Zlata and I'm a lifestyle coach, founder of the sexy fit method and the Sexy Fit community from fitness competitor to fitness entrepreneur. I found my passion helping you uncover your best self and feel sexy in your skin. Every week I'm bringing you no nonsense, no BS, actionable nutrition, fitness and lifestyle strategies from world renowned experts so you can live a healthier, happier and sexier lifestyle. So buckle down sister. We're about to have some fun.

Zlata: Welcome back to love sex and magic, your host here's Zlata with doctor Georgine. I would love to welcome Dr. Nanos to share her experience, of a doctor who has been practicing medicine for over 15 years and she's highly educated. She's bachelor's degree from Colgate university, master's degree in public health from Boston, a medical degree from George Washington University School of Medicine, and what makes her absolutely different from a lot of doctors that I have met over time is that she believes that best medicine in today's world emphasizes nutrition and prevention and must be tailored to each individual patient and must combine readily accessible and most advanced technology. And what I love about her is that she highly values the time that she spends with her patients and she truly believes that through the building the relationship, that's what allows you a better opportunity to understand the root cause of many diseases and solve complex medical problems.

Zlata: I invited her here today because they wanted to talk about women's health. I wanted to talk specifically about all things vagina. And all things vagina in the sense of what's the best way to care for our private parts. Because we live in a world of a lot of advertisements and a lot of things say backed by the doctor and we don't know who exactly who the doctor is. So I want it to solve the mystery of what's the proper care for our private parts. I also wanted to talk about, if we were exercising, working out, is that different? And what I wanted to talk about specifically is what a lot of women have asked me questions about when I first launched love sex and map. This is a highly specific question for women who have had children for women who have had symptoms, weak pelvic floor.

Zlata: And when I first got introduced to Georgine, I heard about the new technology they're using. I heard about the incredible patient care that they provide. And I wanted to have her on the show to give women who are suffering from weak pelvic floor. And this is an uncomfortable issue that we don't often bring up but a lot of women really deal with. So I wanted to bring her on the show, give us alternatives, talk to us about, taking care of ourselves and how that should tech to take place. So if after the episode you're looking to find doctor Georgine, you can go to sexyfit.com/podcast. She's one of the few incredible doctors in southern California. And probably the world which I love and adore. So sexyfit.com/podcast.

Zlata: Hello and welcome to the sexy fit podcast. Your host here is Zlata and we're keeping it spicy with the love sex magic episodes. And I have an incredible experts, incredible guest here for us today. Georgine how are you?

Dr. Nanos: Hi Zlata I am doing great. How are you?

Zlata: I am very excited to have you. We're going to talk about all things private part care. This is before I barge into the episode and say vagina like a hundred times.

Dr. Nanos: That's okay. You can say vagina a hundred times. We love vagina, embrace it.

Zlata: Embrace it. I love it. Georgine, you've been doing so much work around women's care, health care in general. I'm very curious, how did you get started on this journey?

Dr. Nanos: I had been practicing family medicine for about 15 years and as a family doctor, as a female physician, the vast majority of my patients are women. And I love taking care of women. I take care of women of all ages. My youngest patients are actually a couple of weeks old and my oldest patients are 102. So I'm very well versed in the entire span of life, and how women's bodies change through life. And so I love taking care of them. And in the course of my practice, I've been doing a lot of work, taking care of women in particularly in their perimenopausal states and postmenopausal, and so I've been focusing on ways to help women feel better and get more in touch with their natural selves and get back to some parts of their health that had been lost as they age.

Dr. Nanos: And so I think that's a lot about what we're going to get into a little bit later today. But the new practice that I've just started in the last few months, it's called kind health group. And it kind of brings together medical health expertise with compassionate and kind care. Because what is so much missing in our healthcare system today is people and physicians and clinicians who take the time to really listen to women and kind of get to the bottom of what's really going on in our lives, because what we really need is healthcare that's put together with kind care where we can really build relationships with people. And I feel that's how we can best solve problems is when people really take the time to listen. And so that's kind of what are our new practice is dedicated towards. And I'm going to talk more about that shortly, right?

Zlata: Yes. Georgine I want to honor you for your courage to do things differently and to open up a different opportunity for women who do need more kindness care and compassion, because I've had those experiences where it's like every 15 minutes there's a new person coming in and it's kind of like you're looking at my most private secret places and it's like I don't even have a really the space to ask the questions that I've been dying to ask. And it's like in and out. So-

Dr. Nanos: Right, and that's exactly what I had been doing for many years, over a decade now. And I just didn't feel like I could really help. I've always just running an hour behind because I never rushed people. I really wanted my patients to feel like they were heard, but it was just very hectic and I didn't feel like it was taking good enough care of people in a way. I really believed in that the way ultimately doctors are trained to do, but our system doesn't allow you to do. This is why we decided to build something different and kinda turn the whole healthcare model as it is on its head and approach it in a very unique and different way that empowers women and men too. I see lots of men as well, but that's what people need and in this world is connection and to be heard and felt, feel like they have a safe space where they can really share their stories so that we can help them move forward to a healthier place.

Zlata:... I love that so much. And you know, with so many women coming out, with sexual harassment, sexual abuse in a lot of the need to campaign was focused on this, our private parts are really private and at times it can be so traumatizing when there has been some sort of mistreatment or miscare. So it's amazing that you are taking time to do that. So I want to thank you. Thank you.

Dr. Nanos: You’re welcome.

Zlata: Yeah, you're very welcome. Georgine. I'm very curious. You see a lot women, a lot of men, young and old, which I love because it gives you a perspective on everything that you, that you do. My first question is, what do you wish every woman would know about our ourselves and our private parts?

Dr. Nanos: So what's funny is a lot of women that I see now that I'm working in this new setting and with this new laser treatment that we're going to talk about shortly is women are very self-conscious about always my vagina. Normal is this normal and there's so such a wide range of what's normal in women's health. And I tell them jokingly, I've probably seen about 40 to 50,000 vaginas by now and, which is probably true and 99% of them are normal and that most vaginas are like snowflakes. They're all different and beautiful and special and most of them are normal.

Dr. Nanos: So I think women and probably the media has a lot to do with this, just distorting our body or our view of our bodies as this, we have the way the media portrays women, we objectify women and create this image of how women's bodies should look. And that's just not reality. And 99% of women's bodies as they are beautiful and normal and perfect as they are. And so what I would love is for women to not feel so insecure about their bodies and their vaginas, cause they're usually pretty perfect as it is, but we can always make them a little bit better if there's some minor issues. But I think that's probably the most important things is for women to feel empowered in their own bodies and love themselves.

Zlata: I love that. Your vagina is normal.

Dr. Nanos: Yes.

Zlata: That's a great message.

Zlata: Georgine where do you think that really comes from?

Dr. Nanos: I think that comes from, again, this society, the societal view of objectifying women and creating this just an unearthly standard that no one's going to achieve from the way women are portrayed on social media, magazines and movies and Hollywood, it's just unfortunate in the world we live in, but especially here in southern California. I think that's made it even worse. So I don't know that we can necessarily change that, but I'd like to try.

Zlata: Yes and you are doing it. It's so crazy because even our vaginal looks have standards, we're just like what I've been wondering where a lot of that conditioning comes from and I've lost hope finding answer because there's not one answer to this, but what I do know for sure is that appreciation, acceptance and gratitude always helps. And it's knowing that nothing is wrong with you and not when it comes to your vagina when it comes to your face when it comes to, I've had been dealing with acne for years prior and if we just for a second would believe a story that we're perfect the way that we are. I believe we live in a different world.

Dr. Nanos: Definitely. We would.

Zlata: Yes. Definitely. When it comes to, really vaginal care and that's not something that you talk about with your OBGYN, it's not like you don't get in the chair and you're like, well, let's talk about how should I care for myself. But this is the conversation that I believe we should be having because there's a variety of different misconceptions. New products are coming out. It's like, you know, all of a sudden need 1500 different waves. I'm curious on your take on this Georgine?

Dr. Nanos: It depends on where you are in your stage of life. So most women in their reproductive years from the time they start menstruating and their teenage years through their late forties, probably don't need to do very much other than simple washing, bathing daily, I don't recommend douching products because those really changed the vaginal Ph and can actually cause infections sometimes. I do see that from time to time. So really the vagina's a self cleaning mechanism. It was made to do its thing with just simple soap and water, and doesn't require a whole lot of maintenance other than standard basic hygiene. Now and then what I do, how I get a lot of questions about in those reproductive years is a lot of women ask me, well what's normal with discharge? I got this kind of discharge. And so there is a wide range of normal discharge for women.

Dr. Nanos: Like a whitish clear to yellow, like a light yellow discharge during various times of the month is usually pretty normal for most people. So there is a wide range of normal discharge as well that women get some times very alarmed about. So I spent a lot of time examining women in reassuring them that, that's normal. That's what your body does is what the vagina does. Now as we get further on into Peri menopausal years, in there when women are in their late forties, early fifties, and then beyond, after men are positive and it's a vagina does change a lot because in those later years, your level of estrogen hormone in your body starts to deplete. And so what estrogen does is provide collagen and Elastin and blood supply to the vagina and those estrogen stores start to lower in your body. You are going to me not going to start to experience at that time their lives a little bit more dryness and irritation.

Dr. Nanos: And so in that phase of life, yes, women start to require a little bit more vaginal care or they may need, more lubrication, during intercourse using, over the counter lubricants or they may experience more frequent urinary tract infections. And sometimes they need some over the counter wipes and vaginal moisture restoration products. But then, we also have this new laser that also helps reverse some of those side effects of those effects of perimenopause and menopause that we can talk about as well.

Zlata: Yeah, I would love to touch on that particular subject because, I've asked in the community, if you had an hour with your OBGYN, what would you want to know? And the range of questions was pretty big. And I wanted to kinda save that for a little bit because how I found you, it's just incredible because women talk, we were getting community's willing to talk about amazing things and we talk about amazing results. So I do wanna talk about this.

Zlata: Probably my next question to wrap up the feminine care and I love that you've touched on women who are still in their reproductive years and post reproductive years. And another question I have is for women, because a lot of them who are listening, we exercise, right? Then we go running, we go lifting yoga or whatever it is. Does the care really changed for women who sweat a lot and do a lot of exercise?

Dr. Nanos: Not really. You just have to get out of those sweaty clothes pretty quickly. So that's where women do run into problems if they're hanging around and they're sweaty, kind of wear underwear for a long time, that makes you more prone to yeast infections. So yeast loves that moist, warm environment. So if you're sitting around and you're sweaty, yoga clothes for too long, that can become a problem for women. So I do recommend, I love exercising myself and encourage it as much as humanly possible, but it's just, it's key to just kind of get out of those clothes quickly if you're prone to yeast infections, some women, they're fine, they can hang out and that stuff all day, but it's not for everybody. but the other thing too is you can also get more prone to rashes on your sports bra line. So it's best to get out of those clothes and get into some dry clothes and then you should be fine.

Zlata: That's an amazing point. I've kind of noticed that myself is like, I have to come and I have to clean myself off. Otherwise, I noticed myself, I get really irritable. I'm like, I am sweaty, I am smelly, I really need to get this off. Especially hot yoga.

Dr. Nanos: Yeah.

Zlata: You walk out of there and you're like, shower me immediately.

Zlata:... Yeah, that's very true. The reason I asked that question is because, specifically about care is because a lot of women, we believe that our vaginas should smell better or that's a particular, discomfort during sex, whether it's like taste or smell or the looks of it. So is there any one like overarching, suggestion on, using fragrant, body washes or something like that? What's the best?

Dr. Nanos: I think using a product that's clean, that doesn't have a lot of perfumes and artificial ingredients that are going to lead to irritation is probably your best bet. I mean, it's so highly variable in terms of what people can tolerate on their bodies. Some people are super sensitive to every little potential allergen. Finding the best product for each individual is what's going to work for you. So, some people can just use any over the counter body wash, but some people need something that's got, absolutely no fragrance or any sort of perfume in it.

Dr. Nanos: It's really an individual choice. What makes you feel good is what's gonna make you happy. So as long as you're comfortable with it and your body doesn't react in a hugely inflamed way where you get rashes or irritation from it, then it's fine. There's no right or wrong way to care for your vagina or your body really. It's very much a personal choice. And so, but obviously there's a lot of choices out there, so there's not any one product that I was suggested over. Another just depends on each individual and what would they like.

Zlata: I love this Georgine. Thank you for having a very tactful answer that includes all because it is really true, there is no right or wrong. I'm actually going to link an interview with Michelle Brown who's talked on the podcast before about parabens and fragrances and all those different things. So if any of the listeners are looking for an alternative solution that's more organic and more, I'm just gonna use the word clean, cleaner ingredients. We're going to link that to show notes. So thank you. Thank you. Thank you so much. I've learned so many things from that interview, it was full blown my mind. Georgine, I have a question about birth control and I have a question about birth control specifically for you because you've, seen the industry change over the last 15 years. Because first of all, how has it changed? Has Anything changed? Has it shifted?

Dr. Nanos: What do you mean exactly?

Zlata: I mean, have you seen any changes in like feminine health over time for women who are using birth control or who are not? That's more of what I'm asking.

Dr. Nanos: So birth control, yes. It has certainly changed a lot over the last two decades. We have more options than ever before, which is wonderful and amazing to empower women to control their bodies and their reproductive health, I think that's hugely important. Right now they're probably, 100 different birth control pills on the market available. So there's something for everybody there and from very low dose hormones to higher dose hormones with different ways to move through women's cycles in a way that best suits them depending on what kind of health needs they have and what stage they are in their reproductive lives. And then we've also got still the depo provera injection and implantable options such as IUD's, I mean, it's wonderful that there's so many options that women can choose from for their birth control needs. So the market for birth control has certainly evolved a lot and it continues to evolve, still every day, which is great.

Zlata: Yeah, that's wonderful. Thank you so much for that. A lot of women, like I said, I've put the question out into the community and a lot of the things that came back were wondering, there are specific needs about birth control, right? Like can I cure my acne, you acne with birth control. Can I cure my mood swings with birth control? Can I cure my PMS with birth control? And I was like, okay guys, this is something.

Dr. Nanos: It's Yes, yes and yes, you can actually treat all of those things with certain kinds of birth control. There's so many different kinds out there and again, it's really tailored to the individual and there are monophasic, tri-phasic, bi-phasic birth control pills. So it really depends on what the exact issue is and you know, what state, what decade of life you're in and that sort of thing. So all of those conditions can respond well to the right birth control, but it's very much an individual conversation with your OBGYN or your family doctor to get to exactly what you need. But the answer is yes, yes and yes.

Zlata: Yes, yes and yes, that's our favorite answer. One of the biggest questions that women had for you and we haven't had an expert answer it on the pipe before because I've never had an OBGYN on the pod is-

Dr. Nanos: I’m not an OBGYN I'm a family doctor.

Zlata:... Family doctor.

Dr. Nanos: Yes.

Zlata: So I'm going to correct myself, family doctor. We've never had a family doctor in podcast either.

Dr. Nanos: Okay, great.

Zlata: So you're first, a lot of women, we're wondering after they're having children and after giving birth, what happens is, there needs to be either some sort of strengthening for the pelvic region or is, are there some sort of exercises that you offer? Because a lot of the times what happens if there's any kind of jumping, if there's any kind of sneezing, then there is a discharge that happens there. So that's something they're not really comfortable with and that's not something they've ever asked their family doctor. So first I wanna know, why and then how to fix it.

Dr. Nanos: Sure. So that is something that we see all the time and we talk about constantly. So what happens is after women deliver vaginally, and even if they have a c- section, but if they've pushed at all, prior to their C-section, the vaginal and the pelvic floor muscles just become very lax and weak from all that, it gets stretched out. And so, after delivery, doing pelvic floor exercises like kegel exercises help to tighten those muscles again. And what you're referring to is actually incontinence so that, that discharge is actually urine. So the pelvic floor, if you think about the way it's your pelvis is set up, you've got your vagina and you've got all the muscles that support your vagina. And then right next to it, is your bladder.

Dr. Nanos: And then all those same muscles support your bladder too, and the exit for the bladder is the urethra, which sits right at the entrance to the vagina. So it's all connected there. And so those muscles, if they're not being exercised and reconditioned, they start to get lax over time. And that's how women experience that urine leakage. That's the discharge that you're referring to is actually urine, cause those muscles get weak and that your urethra just spits out some urine when you're jumping, laughing, coughing, sneezing, all those things that we're all familiar with. So doing pelvic floor strengthening exercises like Kegel exercises, and there's some other types of online as well, do help to re-strengthen that pelvic floor. And then the other thing that our lovely Mona Lisa laser does is it helps recondition those muscles to decrease urinary incontinence after delivery as well. So we have our laser for that. That helps as well.

Zlata: Oh, that's amazing. I'm very curious to talk about what specifically the laser does because a lot of women never get answers for this and it's like, you can Kegel your way to Africa and not necessarily get what you want out of the exercises. So it's nice to know that there are some options available. So the first option is kegel exercises. Some forms of yoga is fantastic.

Dr. Nanos: Yes. Definitely.

Zlata: So and then you're talking about a specific laser. What is that?

Dr. Nanos: So this is the laser we're talking about is called the Mona Lisa touch laser. And it’s a fractional CO2 laser. And this is a fascinating device that was developed in Italy of all places. Of course, the Italians would have come up with it and they named it Mona Lisa, I think. Cause you know, Mona Lisa has that knowing smile, she knows something that we don't. So this was developed in Italy about 12 or 15 years ago and they've had it in Italy for quite a while and it came to the US about four years ago. And, what the laser does is there's an internal probe that fires a fractionated laser energy into the vaginal wall and restores what becomes lost over time. Collagen, elastin and blood supplies.

Dr. Nanos: So stores, restores avascularization. She has a vagina ink proving moisture, lubrication and rebuilding that lost Collagen. So tightening everything up. So really we are building in a way those pelvic floor muscles that have been lax. I become lax over time, in a very, very safe FDA approved, method that is completely painless and takes five minutes. It's wild.

Zlata: That's amazing. It's always one of those things, it sounds like, took it to be true.

Dr. Nanos: Yeah, and even better. It eliminates the need for hormones that a lot of women end up relying on after menopause. And you're probably too young to know this, but a lot of women after menopause are really struggling with this issue of vaginal dryness that really profoundly impacts their lives, in their intimate lives or their relationships with their partners. Sex becomes super painful. And so what a lot of women end up doing is using estrogen hormones either orally or vaginally or both to help restore that estrogen. And it's not always vote. Some women can't even tolerate those hormones because of prior cancers, so they can, they're not even a candidate for those. But taking any kind of estrogen after menopause does slightly increase your risk for breast cancer, heart disease, stroke and blood clots. Regardless of whether their bio identical FDA approved or prescribed by whoever, any amount of estrogen is going to slightly increase your risk once you get past a certain age.

Dr. Nanos: It's a very small risk, but those women are assuming some extra risk. And if you're in a place in your life where you're postmenopausal, and you need that estrogen replacement and it's making your life crazy for a variety of other reasons and great women, we have that conversation and women are willing to assume that risk, but it's not for everybody. So having an option like this that's hormone free is amazing. It is a massive breakthrough in my mind for women's health and vaginal health and really restoring a part of their lives that they, I think was otherwise lost until you were able to offer this to them. So it was really exciting.

Zlata: It's so amazing because I heard about you through a friend who called me out of the blue and he said, "Have you heard about this thing?" And I'm thinking, no, I haven't heard about this thing. She's like," It's the thing, I don't know what it's called." And I was like, "Okay, wonder what is called." Then when we set up a call, I was like a Mona Lisa laser. I was like, this is really interesting. And then I loved our conversation where you've educated me about some women, it's not an option for them to take hormones and it's just something that we're dealing with, which we don't really have to because there are other options that are available.

Dr. Nanos: Right, exactly.

Zlata: I'm very curious about is this something that you recommend for a woman of a specific age, Is this something that you recommend for specific symptoms?

Dr. Nanos: It’s recommended for women who are postpartum and covers a really wide range of symptoms. It was originally marketed for women post-menopause who were experiencing a lot of vaginal dryness from that loss of estrogen after menopause or around menopause and we're having painful intercourse. And what also happens in those years is that women can also experience more frequent urinary tract infections because the skin around the urethra, the vaginal mucosa, the vaginal tissue there becomes very thin and friable and just very easily inflamed so that you're just much more prone to urinary tract infections. So originally the target audience where those postmenopausal women, but what we started realizing is, some women we're coming in to do it earlier for prevention of those symptoms. And what they were finding is that those women were getting the benefits of reduced urinary incontinence as well. So that coughing, laughing, sneezing, and then peeing when you're doing those activities after you've delivered babies was also relieved by this laser.

Dr. Nanos: So it has dual or many purposes. There are many indications for use at different stages of life. Women iwhenever their childbearing is done. I really try to encourage women to do it only after they're done having kids. So mid to late thirties or whatever that is, through, we had a 78 year old a couple of weeks ago. So really, up until as old as you want to go after that.

Zlata: That's fantastic. I know everybody's on the pod wondering like does this hurt? everybody's like, yeah, does this hurt?

Dr. Nanos: That's what I wondered too because when we started training on his laser several months ago, I was watching all these people come in and I'm treating, and nobody's complaining and I am the biggest wimp there ever was. And I'm thinking, they are just being nice to me. I can't believe nobody's complaining about this. And so I'm like, okay, you've got to try it on me. So I had our nurse trader do it on me. It does not hurt at all. I was stunned.

Dr. Nanos: So there's two parts to the treatment, and the first part is the internal vaginal probe and that just feels like a weak vibration and that takes a few minutes. And then the second phase of it is the external probe that hits all of the external genitalia and we use really great numbing creams that we numb you up about 10 minutes before and it just kicks right in. And then the laser goes over all of the external genitalia, the labia minora and majora, the clitoris, the urethra, and then the perineal area. So we hit it all after that. And then, that's it. And it's over in probably five to seven minutes.

Dr. Nanos: We ask patients what their favorite songs are and we usually play one or two songs and then it's over. So, and then in terms of side effects, the worst complaint we've had was just some itching. So you get a little bit of itching, we use some Aquaphor afterwards and you're good to go. And then the only downtime is that you can't have sex for seven days afterwards. But other than that, it's pretty simple and great, amazing results.

Zlata: Wow. I remember having conversation and it's like, "Oh, that sounds like almost too good to be true." So, you know, me, I had to go do my research, I had to go in and I was like, what is CO2? And I'm like, "Oh, that's just carbon dioxide should have taken guys drink." And truly the feedback is incredible.

Dr. Nanos: And she had mentioned it's actually three treatments six weeks apart. Most women get relief. Some, they started to see improvement within three to four weeks of the first treatment that the optimal results are after the third treatment, especially for the incontinence piece of it. But yeah, it's pretty amazing.

Zlata: Wow. And how long does this last? Does this like we're off or is it?

Dr. Nanos: Oh, it lasts at least a year and then we recommend a once a year annual maintenance treatment, which is, just to keep up the results. And I should also add, one of the other benefits is that a lot of women sometimes after they've had children get up at night to urinate. And so this also helps with that. So that, I don't know about your listeners out there, but for me, I have, my first child is now 12 and so for the last 12 years I'm getting up at like four in the morning to get up and go to the bathroom. And it's, sometimes you can't fall back asleep and it makes you crazy. But this, once I did this, it was over. It was great. I've never slept so well in my life.

Zlata: That's awesome. That's really fantastic. Georgine it was a real pleasure to have you here today and to hear that there is an alternative for women who are struggling with pelvic floor, I don't want to call them issues because it's just one of the things that we have as women at times and I don't want to call it and she had on like a calling anything an issue because it's an issue if it can be fixed. So, it's a real joy and a pleasure to have you here today. Is there anything else that you wish a woman would know that she normally wouldn't necessarily have the time to hear from her family doctor?

Dr. Nanos: Oh Gosh. There are so many things. Like I said earlier in the interview, I just want women to feel good about themselves and to find wherever they are, a healthcare provider, a doctor that they can have a good relationship with. I want them to be heard and I want them to find that relationship in a doctor. Cause I think that helps people the most. If they can find a space where they can be listened to and feel safe and trust, and get the care they need in a compassionate way. I want that for everybody and that's I know it's not probably answering your question, but that's the way it should be. So I think people should seek that out because there are doctors out there that want to respect and hear their patients. I think taking the time to find those people is important and we'll keep people healthy over the long term.

Zlata: I love that so much. How often should we see you?

Dr. Nanos: Oh, you can see me all the time. Just come here to talk, hang out with me anytime. It depends, it just depends on where people are in their lives and what they've got going on. But women should see their family doctor or their gynecologist once a year for an annual exam. I'd recommend that for sure. And then any other needs they have outside of that. What we're doing in our new model is that we're actually taking a more proactive approach to healthcare where right now the way things are set up, it's very reactive. You only go to the doctor when you're sick. But we are having our patients and we're in constant touch with them. We were using technology to monitor their wearable devices at home and we're doing health coaching and nutrition coaching and all this great stuff. So we're kind of in their business all the time. Which I think is better to keep them healthy and keep them out of the emergency rooms in the hospitals and that kind of thing.

Zlata: Yes. I find it incredible that you were combining all those things. It's like I almost want to let you go to too to get back to your patients, but I don't want to cause I want to keep talking to you.

Dr. Nanos: We can do this again. I would love to do this.

Zlata: Of course we can. I would love to have you back to hear more about, what you're doing with your practice, what you're doing with kind care and how you're building relationships and how that's influencing women and men and humans of all ages really longterm because, this kind of kind compassionate care is what we truly need in our healthcare system. So thank you for being, the paradigm shift.

Dr. Nanos: Thank you so much of Zlata It's been a pleasure and thank you for allowing us the space to talk about this and you're just wonderful. So thank you to you too.

Zlata: Thank you so very much. For everybody who had the opportunity to hear this podcast, please head to sexyfit.com/podcast for complete show notes and we'll also include more links to Dr. Georgine for her practice will include more links about a Mona Lisa laser and everything that you need to know about this particular treatment, these particular answers. And thank you so much for listening. We'll catch you next week.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.