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I CURED my PSORIASIS! — Transcript

by Youssef Abdallah · 3,979 words · 658 segments · language en · Watch on YouTube

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0:12I cured my psoriasis. For over 12 years
0:15I suffered from head to toe seeing
0:17doctors, dermatologists, naturopaths,
0:19everyone in between and nothing worked.
0:21That wasn't till I looked at my body in
0:23a different perspective realizing that
0:25my body is connected between skin,
0:27endocrine glands, liver, immune system,
0:29everything. They all had a common
0:31denominator which was inflammation. The
0:33reason as to why I'm making this video
0:35is because I am a cardiac sonographer
0:37which has nothing to do with the skin.
0:39But I've had so many patients come
0:40through these doors self-conscious about
0:42the fact that they have psoriasis. And
0:43what I say in turn is, "Hey, I get it. I
0:46used to have psoriasis, too." The first
0:47reaction is disbelief and they look at
0:49me up and down not seeing a single spot
0:51on my body. And although it's very hard
0:53to believe that I have cured myself from
0:56psoriasis considering that it's an
0:57autoimmune disease, I am living
0:59testament to a protocol that I created
1:00and followed to heal my body within. I'm
1:03not a doctor. I'm not a medical health
1:04professional in any sense when it comes
1:06to dermatology, but I was the patient. I
1:08experienced that life, the same things
1:10that you went through. Self-esteem
1:12issues, body image issues, stress,
1:14chronic inflammation, not feeling well,
1:15everything above especially in my
1:17younger formative years. Modern medical
1:19research and standards are going to tell
1:20you that there is no cure for psoriasis
1:22and you're just going to have to live
1:22with it. So, I know it's hard to accept
1:24especially because you've probably tried
1:26so many treatments and got a nowhere. I
1:28get it. You feel hopeless. I felt that,
1:29too. But please listen to what I'm about
1:31to tell you because this is what changed
1:33my life for the better.
1:40Psoriasis is an autoimmune disease
1:42whereby the immune system will
1:43mistakenly attack its own skin cells.
1:46This occurs specifically with our T
1:47helper 17 and T helper 1 cells which in
1:50turn overproduce cytokines driving
1:53keratinocyte hyperproliferation.
1:56Normally, skin renewal can take up to 28
1:58days, but in psoriasis patients, this
2:01turnover process can occur every 3 to 5
2:03days. It's also very important to note
2:05that psoriasis isn't just a one-stop
2:07shop, and there are very different types
2:09that can proliferate.
2:11Nail psoriasis affects fingernails and
2:13toenails, and signs include pitting,
2:15thickening of the nails, discoloration,
2:17and nail separation. Plaque psoriasis is
2:19the most common and accounts for 80 to
2:2190% of the cases, presenting as thick,
2:24raised patches known as plaques covered
2:26with a silvery-white scale. Scalp
2:28psoriasis, which is red, scaly patches
2:30on the scalp. Psoriatic arthritis, which
2:32can have joint involvement. This causes
2:34pain, stiffness, and swelling.
2:36Erythrodermic psoriasis, which is severe
2:39but rare, and is a widespread redness
2:41covering most of the body. The skin may
2:43peel in sheets and can disrupt
2:45temperature regulation and fluid
2:46balance. Guttate psoriasis is a form
2:49that appears in small, drop-shaped red
2:51spots and can often be triggered by
2:53infections, especially streptococcal
2:55infection.
2:57My psoriasis journey started when I was
2:58about 13 or 14 years old, when I started
3:01getting those exact plaques and scales
3:02and redness forming on my skin, and I
3:05went to the doctors. And the first thing
3:06that I was recommended was to do a food
3:08allergy sensitivity test. This is an
3:09examination where your skin is pricked
3:11with different additives that are
3:12related to food sensitivities, things
3:14like dust, corn, and everything between.
3:16My results showed I had an overreactive
3:18immune system, and I was
3:19allergic/sensitive to everything. The
3:21next step was going to a naturopath,
3:23which honestly achieved nothing. It's a
3:25constant back and forth of getting my
3:26blood sample pricked, having a look
3:28under the microscope, and every week
3:30telling me, "Hey, your immune cells are
3:31low," which I had already known about.
3:33Their strategy was focused on a low food
3:35map diet, taking out a lot of different
3:37foods, anything that could potentially
3:38cause redness or even an inflammation
3:40response. But realistically, they also
3:42took out foods that I needed for my body
3:44to heal, and also kept foods that I
3:46shouldn't have been eating, too. After
3:48that, we ended up seeing dermatologists
3:50for the next 11 years, starting off with
3:52a skin biopsy which confirmed the
3:53psoriasis and then trying so many
3:55different types of medicines, creams,
3:57steroid creams which my body became
3:59desensitized to. Yes, initially they
4:02worked and the cortisone stopped the
4:03redness at the site but then my body
4:05became resistant towards it.
4:06>> So, from a modern medicine approach, how
4:08is psoriasis treated? Steroid creams can
4:10reduce inflammation but suppresses the
4:12immune system locally. Biologics which
4:15work by systemic cytokine targeting
4:17affecting the immune system. Non-steroid
4:19creams which normalize keratinocyte
4:21proliferation. These can be acquired
4:23from a compound chemist and contain
4:25acidic properties such as salicylic acid
4:27that has the potential to burn the skin.
4:29And finally, UV therapy that works by
4:31T-cell apoptosis. And in my final year
4:34of training, I saw this dermatologist
4:36>> who introduced me to biologics. During
4:37the consultation, he was explaining to
4:39me how the biologics work and
4:40essentially it would suppress my immune
4:41system so that my body wouldn't
4:43overreact and therefore I wouldn't have
4:44any redness, scaling, etc. To this day,
4:47I will never forget the last time that I
4:48saw a dermatologist for my psoriasis.
4:50After finding out it was an
4:51immunosuppressant, I asked him a very
4:53simple question. So, let me get this
4:54straight. Everything that's happening
4:55underneath the surface at a cellular
4:57level, endocrine level, hormones, liver,
4:59gut inflammation, whatever it is, is
5:01going to keep happening at that stage
5:03but the only thing that you're changing
5:04from the biologics is my body's ability
5:06to show it up in the skin. You're just
5:08masking the problem without actually
5:10solving it. In that moment, I have never
5:12heard a dermatologist go so quiet
5:14before. Now, before we get into the next
5:15section of explaining how psoriasis
5:17happens in the pathways, I want you to
5:19know something. Immunologists have been
5:21researching something called the three
5:22disease pathway. And what the research
5:24is strongly proposing is that genetic
5:26and immune dysregulation in the early
5:27stages of life alongside environmental
5:30risk factors can be the reason as to why
5:32disease can manifest in different ways.
5:34The three disease pathway can follow
5:36psoriasis with chronic skin plaques and
5:38systemic inflammation is present,
5:40autoimmune arthritis if the immune
5:42system attacks the joints, and finally a
5:44malignancy risk including bone cancers
5:46and lymphomas. The bone cancer
5:48connection is not that psoriasis becomes
5:50bone cancer, but rather that the chronic
5:52inflammation and certain immune pathways
5:55may predispose tissues to malignancy.
5:57>> One important concept is called leaky
6:00gut syndrome, and if you've done
6:01research on psoriasis, you've probably
6:02heard about this. So, what is leaky gut
6:05syndrome?
6:06>> Normally, the gut barrier tightly
6:08controls what passes into the
6:09bloodstream. Nutrients are able to get
6:11through and be absorbed, and bacteria
6:13and toxins and large particles are
6:15blocked. However, in the case of leaky
6:18gut syndrome, when permeability
6:20increases, components such as bacterial
6:23fragments, especially
6:24lipopolysaccharides, toxins, and
6:26metabolic byproducts can in turn loosen
6:29these tight intestinal junctions,
6:30causing a trigger of immune activation
6:33and inflammation.
6:34>> There is a real physiological concept
6:36called enterohepatic circulation, and
6:38this is how it works. Under normal
6:40circumstances, the liver will detoxify
6:42substances such as drugs, hormones, and
6:44metabolic waste, and then excrete it
6:46into bile, sent to the intestines.
6:48Normally, they'll be eliminated in the
6:50stool as they're passed out. Our gut
6:52bacteria has the potential to
6:53deconjugate these compounds, and then
6:56they can be reabsorbed back into the
6:57bloodstream in the presence of leaky gut
7:00syndrome.
7:01>> But, why does the liver become
7:02overworked? The liver is the body's main
7:05detoxification center and has essential
7:07metabolic functions such as the
7:09processing of bacteria and toxins from
7:11the gut, regulating inflammation,
7:13detoxification through phase one and
7:15phase two metabolism, as well as bile
7:17production.
7:18When these toxins bypass the gut
7:20barrier, they can enter the portal
7:22circulation, and this is known as
7:24metabolic endotoxemia. They go directly
7:26to the liver via the portal vein, and in
7:28turn, the liver's immune cells called
7:30Kupffer cells will be activated.
7:32Downstream, inflammatory cytokines are
7:34released, which are powerful
7:36inflammatory mediators.
7:38The gut and liver are directly connected
7:40via blood flow, and around 70% of the
7:43liver's blood supply comes from the
7:44intestines. So, anything crossing the
7:46gut barrier will affect the liver
7:48quickly, and without a healthy gut-liver
7:50axis, your liver will become inflamed.
7:53This inflammation can impair the liver's
7:55function over time, and can contribute
7:57to conditions such as non-alcoholic
7:59fatty liver disease, insulin resistance,
8:01and systemic inflammation. The body, as
8:04a result, then shifts towards a
8:05psoriatic profile, further proliferating
8:07the plaques on the skin.
8:09>> So, the takeaway is that if your gut
8:10health is poor, this dysbiosis or
8:13increased permeability is going to only
8:14increase this recycling process. This
8:16constant exposure is going to lead to
8:18two main things. The first being chronic
8:19low-grade inflammation, and the second
8:21being increased metabolic demand on the
8:23liver's detoxification pathways. An
8:25important reality check is that, yes,
8:27this is a real mechanism in your body.
8:29Increased intestinal permeability
8:30exists. Gut-derived toxins can affect
8:32your liver. It's a known fact. And in
8:34turn, you can get chronic inflammation.
8:36But also, to debunk these holistic
8:37health experts, your liver isn't going
8:39to be overwhelmed to the extent that
8:40they exaggerate. And all these symptoms
8:42that people online claim are related to
8:44leaky gut syndrome aren't even proven.
8:45So, just be careful with the information
8:47that you're receiving. But the reality
8:48is that, yes, you have an autoimmune
8:50disease. You have high inflammation, and
8:52maybe your liver actually isn't working
8:53to its best capacity. What we need to
8:55do, what this protocol is going to do,
8:57is make sure your organs are functioning
8:59to the highest capacity, so your body
9:01does what it does best, homeostasis and
9:03healing itself.
9:08The pancreas is directly responsible for
9:10producing insulin, which regulates our
9:12blood sugar. An imbalanced blood sugar
9:15can cause glycation, and in turn,
9:17systemic inflammation, which worsens the
9:19psoriasis. The pituitary gland regulates
9:22our adrenal glands, which is responsible
9:24for cortisol secretion. Chronic stress
9:26will result in cortisol dysregulation,
9:29immune imbalance, and therefore,
9:30increase LTE helper cell activity.
9:33Associated endocrine links, such as
9:34thyroid and sex hormones, also play a
9:37role in the psoriasis pathway. Cells can
9:39only heal in optimal biochemical
9:41environments, and this requires a
9:43slightly alkaline pH and
9:45antioxidant-rich conditions, which can
9:47reduce reactive oxygen species. In the
9:49presence of chronic inflammation, the
9:51acidic microenvironment will slow down
9:53keratinocyte and fibroblast repair. So,
9:56the key aspect is to lower our cortisol
9:58to in turn reduce inflammation. Healing
10:01is therefore the restoration of normal
10:03cellular conditions rather than the
10:05alkalization of cells themselves.
10:07Medicine has a genuine practice and
10:09success rate in saving lives and helping
10:11people get to where they need to be. And
10:13in some instances, yes, holistic health
10:15can help you, too. I believe in both,
10:17and both have their place depending on
10:19the application and circumstance. So,
10:20this protocol that I have created, what
10:22I'm going to tell you now, isn't a
10:24wife's tale, isn't based off just online
10:27information and chat GPT and whatever it
10:29is. This is things that I trialed
10:30continuously and saw results from. This
10:32is a protocol that I created and tested
10:35on myself for me to get the results that
10:37I created.
10:43So, this is day one of healing your
10:44skin. You've just woken up. The first
10:47thing that you're going to go do is go
10:48get a whole lemon and olive oil, 1 Tbsp.
10:51I usually squeeze the whole thing. Make
10:53an emulsion and take that as a shot in
10:55the morning on an empty stomach. But
10:57why?
10:59Lemon juice contains vitamin C, citric
11:01acid, and flavonoids, with extra-virgin
11:03olive oil containing monounsaturated
11:05fats, polyphenols, and vitamin E. They
11:08work together to stimulate bile flow,
11:10support liver detoxification, and aid in
11:12digestion. In the body, citric acid is
11:15absorbed in the small intestine and
11:17enters the Krebs cycle, generating
11:19energy in the form of ATP. The
11:21flavonoids undergo hepatic metabolism,
11:24supporting antioxidant activity and
11:26protecting hepatocytes. Often, the
11:28immediate effect is the improvement of
11:30bowel regularity and stimulation of
11:32gentle peristalsis.
11:34It's important to note that caution
11:36should be taken with people with
11:37pre-existing gallstones or liver issues.
11:44The key components of bone broth include
11:46collagen, amino acids, minerals, and
11:49gelatin.
11:50The glutamine and gelatin found in bone
11:52broth can help repair intestinal mucosa
11:54to help tighten the junctions in leaky
11:56gut syndrome patients. It supports liver
11:58function whereby amino acids glycine are
12:01used in glutathione synthesis, a major
12:04liver antioxidant. It contains easy to
12:06digest proteins and fats that stimulate
12:09gentle bowel release without overloading
12:11the gallbladder.
12:13The key components of activated charcoal
12:15are highly porous carbon particles.
12:18These absorb toxins in the gut by
12:20binding to substances such as drugs,
12:21chemicals, or even excess bile acids to
12:24prevent absorption into the bloodstream.
12:26Indirect liver support by removing gut
12:28toxins to reduce the load that the liver
12:29has to process and digestive support
12:32that can reduce gas, bloating, and some
12:34bacterial toxins. The next part of this
12:36video is the most important and I need
12:38you to pay attention for this. This is
12:40my amino acid gut liver protocol. The
12:42reason why you have to be taking these
12:44aminos throughout the whole time is
12:46because without them, your body may
12:48reduce inflammation, but it's never
12:49going to be strong enough to go bounce
12:51back and heal. These amino formulas are
12:52supposed to be taken three times a day,
12:54one in the morning right after your
12:55lemon and oil, in the middle of the day,
12:57and right before you sleep. These amino
12:59acids are going to repair the gut,
13:00reduce systemic endotoxins, and help
13:03support skin healing. I've also included
13:05an optimized structure from how much
13:06each cup's supposed to have. The last
13:08one you take before you sleep, I've
13:09taken tyrosine out cuz it can be a
13:10little bit stimulating before you sleep.
13:12make sure that these are naturally
13:13fermented amino acids. We don't want
13:15anything to be digested have
13:17inflammatory byproducts. When you have
13:19naturally fermented, your body's going
13:20to automatically absorb them. So let's
13:22go through the amino acids and their key
13:24functions in in body. The body depends
13:26on essential amino acids serving as the
13:29structural building blocks for essential
13:31homeostatic function, growth, and
13:33repair. Glutamine is one of the most
13:35important amino acids. It works by
13:37repairing enterocytes, our intestinal
13:40absorptive cells, and repairing tight
13:42junctions that can reduce our leaky gut
13:44syndrome. Glycine is responsible for
13:46collagen synthesis, liver
13:48detoxification, and anti-inflammatory
13:50properties. Arginine and citrulline work
13:52through nitric oxide, a vasodilator that
13:55allows for better nutrient delivery.
13:57Taurine aids with bile acid conjugation
14:00and in turn helps liver detox.
14:02Tryptophan and tyrosine are
14:03neurotransmitter precursors and aid
14:06stress reduction to help with immune
14:08regulation. Alanine will regulate our
14:10blood sugar levels and help with energy
14:12and metabolic activity during
14:14inflammation. Ornithine will aid ammonia
14:16clearance and recovery by converting
14:18toxic ammonia into urea that is then
14:21excreted. Lysine will also be
14:23responsible in balancing the body's
14:25arginine levels, which can reduce over
14:27activation of our immune pathways.
14:33The first intake of amino acids should
14:35be taken on an empty stomach. The
14:37purpose is for gut repair, reduced
14:39endotoxin load, and supporting liver
14:41detox very early in the day.
14:45These are the aminos to be taken in the
14:46middle of the day and these will focus
14:48on tissue repair, blood flow, and energy
14:50support.
14:52And here we have the third and final
14:53dose to be taken just before sleeping.
14:56The purpose is to focus on overnight
14:57repair, calming the nervous system, and
15:00supporting growth and recovery.
15:02You may have heard of these online and
15:03again I was very skeptical and didn't
15:05believe in it. Coffee enemas. Coffee
15:08enemas essentially are a coffee solution
15:10with palmitic acid that ends up going up
15:13your other way and filling your
15:15intestinal colon. And this is going to
15:17help with liver detoxification.
15:23The caffeine will cause vasodilation to
15:25improve hepatic perfusion. The
15:27salicylates will reduce tissue necrotic
15:29factor A and interleukin 1B. It will
15:31also work by stimulating bile flow to
15:33excrete conjugated toxins and synergizes
15:35with gut repair, reducing systemic
15:37cytokine load. After that, I ended up
15:39doing coffee enemas once every second
15:41day for those first 2 weeks, just to
15:44like give my body as much detoxification
15:46as possible, okay? Then I'd do them like
15:48once every week, once every fortnight,
15:49and I started weaning off of them. You
15:51don't want to be doing too much because
15:52again it can upset your gut microbes,
15:55and it's not essential to be doing every
15:56single day anyways. This just needed the
15:57kickstart.
16:02It is essential to avoid
16:03yeast-containing foods, most commonly
16:05found in risen breads. The pathogenic
16:08yeast will outcompete our gut microbe
16:10and weaken our gut lining.
16:15Nightshades are plants in the Solanaceae
16:18family and are well known to have an
16:20inflammatory immune response on the
16:22body.
16:23These include eggplants, tomatoes with
16:25the exception of vine-ripened tomatoes,
16:28potatoes, peppers, and chili.
16:33Nightshade vegetables contain lectins
16:35and alkaloids that may irritate the gut
16:37lining in sensitive individuals and
16:39potentially worsen leaky gut syndrome.
16:41For the general population, nightshades
16:43are well tolerated and even beneficial
16:44because they contain fiber, vitamins,
16:46and antioxidants. However,
16:48overconsumption in sensitive or
16:50autoimmune individuals may worsen gut
16:52inflammation.
16:56An addition of foods to avoid include
16:58sugar, especially those processed, which
17:00feeds yeast and drives chronic
17:02inflammation, smoked and processed meat.
17:04These contain high nitrate
17:05concentrations. The aim of healing is to
17:08minimize our ammonia exposure in the
17:09body. In particular, with males who have
17:11psoriasis and a testosterone-estrogen
17:14mismatch, it is essential to avoid
17:16phyto-estrogens and estrogenic foods
17:19such as soy, tofu, and egg whites. It is
17:22still permitted to consume egg yolks
17:24that will help boost testosterone
17:25levels. No seed oil should be present in
17:28the diet as these can instantly create
17:29inflammation in the liver. And finally,
17:32deep-fried foods.
17:38The consumption of fermented foods that
17:40contain pre- and probiotics such as
17:43sauerkraut, kefir, yogurt, and sourdough
17:45work by producing short-chain fatty
17:47acids. These have an anti-inflammatory
17:49response and can improve the intestinal
17:51barrier. The consumption of grass-fed
17:53butter will help with butyrate
17:55production to strengthen the gut lining.
17:57On a side note, food should not be fried
17:59in butter as these molecules can be
18:00broken down and in turn at a high
18:02temperature, the butter can become
18:04inflammatory. Cooking and consumption of
18:06oil should only include coconut, olive,
18:08or avocado, preferably cooked on a low
18:11heat temperature.
18:13Kale, carrots, and beetroot are the
18:15superfoods for detoxification
18:18and should be eaten either in whole for
18:19the fiber content or juiced in the
18:21morning together. It is also essential
18:23to increase your consumption of fish
18:25which are really high in omega-3s.
18:27However, some caution should be noted
18:29for the consumption of salmon due to the
18:31high prevalence of parasitic infections
18:33such as worms which will overall weaken
18:35the gut. One important aspect of
18:37inflammation when it comes to meat has
18:39to address omega-3 and omega-6 ratios.
18:43Grass-fed beef is really good for you
18:44from a nutrition and iron point of view,
18:46but is very highly concentrated in
18:48omega-6s which is going to have a
18:49pro-inflammatory response. On the other
18:52hand, grass-fed lamb has a high
18:53concentration of omega-3s and CLA which
18:56will end up creating an
18:56anti-inflammatory response. Next on the
18:58list, we have goat meat. This has the
19:00lowest concentration of omega-6s and is
19:03very lean in itself and not really
19:05fatty. And compared to lamb and beef,
19:07has the lowest inflammatory response on
19:09your body.
19:15>> Castor oil contains ricinoleic acid,
19:17which is anti-inflammatory and increases
19:19local circulation. Aloe vera works by
19:21stimulating fibroblasts. This helps with
19:24collagen synthesis and dermal
19:26remodeling.
19:31My personal healing stages of my chronic
19:33psoriasis began with the thickened red
19:36plaques covering my entire body. For 2
19:38to 3 weeks, I was no longer getting
19:40plaques and the skin was still red. And
19:42after a consistent and dedicated 3 to 4
19:45months, all the redness had disappeared
19:47and the skin had become translucent,
19:49leaving white patches all over my body.
19:52During summer, I then increased my UV
19:54exposure and the skin became smooth and
19:56returning to its natural pigmentation,
19:59bringing me to full remission. It is
20:01important to note that everyone will
20:03start with a different level of
20:04inflammation and this will depend on the
20:07years of toxins built up, the type of
20:09diet that you've been consuming all
20:10these years, the extent of intestinal
20:13weakness, and the time for your body to
20:15fully restore its function. And more
20:18importantly, is how strictly you decide
20:20to stick to the protocol. If your body
20:22is in a state of healing and you revert
20:24to old diets, tendencies, and
20:26inflammatory environments, then your
20:28body will continue to shift back toward
20:30a psoriatic profile and your healing
20:32time will be reset.
21:18>> So, that's my story. I had psoriasis for
21:2112 years. I figured it out. I created
21:23the protocol, and I healed myself.
21:27The day that my skin started turning
21:29white and healing on its own, I felt
21:31like a miracle had happened.
21:32I felt I'd been helpless and lost for so
21:35many years. Seeing my mom, my parents,
21:37everyone go through it and feel so
21:39burdened by the fact that
21:41their children had something that they
21:42wish they could take on to themselves.
21:43It was something
21:45I will never forget growing up, and it
21:46was it was such a large part of me, and
21:48and it makes up who I am and why I want
21:51to help people. There's a thing about
21:53being helpless and even at the mercy of
21:55others, you're so hopeful.
21:57And unfortunately, especially with
21:59psoriasis patients, you end up having it
22:01for so long, you do lose that hope.
22:03And you lose hope in that there is ever
22:05a cure or a solution for yourself. So,
22:07for those who have made it to the end of
22:09this video, like I hope this works for
22:11you as it did for me.
22:13I like I
22:16I never really thought that I'd have a
22:17normal life. And especially as a kid, I
22:19had so much self-pity and had lost so
22:21much hope that I was just going to have
22:23to
22:24have this lifestyle for the rest of my
22:25life, and I'd be wearing long sleeves
22:27for the rest of my life, and I wouldn't
22:28be able to go do the same thing that
22:29other kids were doing, and
22:31and constantly be burdened by this
22:33thing.
22:34So,
22:35I don't know, to get to here, right?
22:37This this point of normality
22:39is just like such a blessing, and
22:43me personally, I thank God for
22:44everything. For even though I did all my
22:45research and was just smart about what I
22:47did, like I just feel like
22:49it was God's blessing, and that's
22:50something that I want to share with you
22:51guys, too. You know, whatever religion
22:53you believe in or whatever it is, thank
22:54you so much for watching, and thank you
22:55for paying attention. Even if you know
22:57someone who has psoriasis or has other
22:59skin issues which may be related to
23:00inflammation processes, send them this
23:02video, let them watch it, and hopefully
23:05that can make a difference in their
23:06lives, too.
23:07Thank you for watching. I really
23:08appreciate it. This was like just a
23:09one-off kind of skin dermatology thing,
23:12and I'll be getting back to more
23:13cardiology content.

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