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Nov. 14, 2024

The Pillbox Principle: A Simple Trick to Stress-Free Medication Management

The Pillbox Principle: A Simple Trick to Stress-Free Medication Management

Dr. Choctaw unpacks “The Pillbox Principle,” showing how an inexpensive tool can reduce anxiety around medication schedules for patients and caregivers alike. Learn how to simplify routines, avoid missed doses, and reduce worry with this easy, actionable solution. Discover why even small organizational habits can bring significant peace of mind for those managing chronic illness or cognitive health challenges.

Transcript
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Coming up on this episode of the
healthy, wealthy, and wise podcast.

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Are

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there any questions?

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Okay.

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We have a

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couple.

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Okay.

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Um, my mom was just recently
diagnosed with dementia.

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Um, and they put her on, she's
on two different medications,

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but someone also told me that an
over the counter prevention, um,

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is a good thing to start her on.

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What do you think about that?

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That's an excellent question.

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Welcome to the healthy, wealthy,
and wise podcast with Dr.

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William T.

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Choctaw, MD, JD, this podcast will
provide you with tools and actionable

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information you can use to help live a
more healthy, wealthy, and wise life.

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It's powered by the over 50 years
of medical experience of this Yale

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university medical school trained
surgeon, who is also a Western

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state law school trained attorney.

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With executive experience being a.

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Former Mayor of Walnut, California,
as well as the current chairman of the

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Nonprofit Servants Arms, and as president
of Choctaw Medical Group Incorporated.

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This is the leadership masterclass
edition already in progress.

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Hi the world.

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You gonna remember to do that

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now?

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Most of us think we can.

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I said, oh, got this, no problem.

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Two times a day, three times
a day, every other day.

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At some point, you're going
to say, Did I take that?

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Did I take that medicine?

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I think I did.

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I think I did.

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And, you know, and, and here's
what, I can't ask my wife.

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She's got to know whether
I took the medicine or not.

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So she can't help me.

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I don't know.

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Did you?

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My point is, it's complicated.

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It's complicated.

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And so, why not make it simpler?

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Get a pillbox.

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They're cheap.

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Five dollars, five bucks, five, ten bucks.

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Whatever.

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And you can get different size.

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But, what it does is, you put
Sunday, Monday, Tuesday, Wednesday,

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Thursday, Friday, Saturday, okay?

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Put that pill in that pill box.

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The ones that you take every other
day, you get a bigger pill box.

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Because this is Sunday
morning, Sunday evening.

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You put it in the Sunday morning part,
or put it in the Sunday evening part.

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You can get an even bigger pill box that
has Sunday morning, Sunday evening, Sunday

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night, and you put it in the pill box.

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Why?

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Because you got enough on your mind.

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The last thing you want to worry
about is, did I take medicine

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A on Tuesday or Wednesday?

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And it's hard to remember.

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And then you aren't sure.

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And some doctors will say, okay, if you
missed this, then just skip it, right?

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Just skip it.

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So then you say, okay, do I just skip it?

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I do I just take it?

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And what if I've taken
it twice and don't know?

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And then you, and then
that, what does that do?

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That creates anxiety.

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And what does that do?

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That increases your blood pressure.

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Because now you said, oh
my god, I can't remember.

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Oh, I'm a terrible person, you know.

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And if you're a caregiver,
you feel even worse.

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I'm supposed to be taking care of
mom, and I'm supposed to know even

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worse You You tell mom what to do,
you lay it out for her, she forgets.

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because she has dementia, you come home
and say, Mom, your pills are still on,

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you didn't take it, then you yell at her.

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Mom says, why you yelled at me?

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I put your medication out there
and you didn't take it anyway.

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Didn't remember?

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Well, I didn't know you
wanted me to take it today.

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I thought that was for tomorrow.

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right?

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Get a pill box.

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Get a pill box.

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Even better.

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I say you don't take it in medication.

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You don't need it in medication.

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Christmas is coming up.

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You know, I don't know, a neighbor,
a friend, um, uh, member of

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the family, send a pill box as
a gift and say, God bless you.

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Merry Christmas.

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Merry Christmas!

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Why?

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Because what are you doing?

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You're helping them to take
better care of themselves.

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That's a good thing.

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That's a good thing.

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Because remember the first belief?

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Life is about being of service to others.

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You are serving them, right?

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By buying them a, I don't
know, 15, 20 dollar pill box.

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Okay?

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In summary, dementia is not a disease.

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It is a normal change
of the brain over time.

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Uh, it is an umbrella term for
cognitive or thinking problems.

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Um, Alzheimer's is a disease.

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And Alzheimer's is the most
common cause of dementia.

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To determine what you have or your
member has, um, uh, uh, see your

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physician, uh, and get a good checkup.

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And, and to get a diagnosis,
excuse me, a proper diagnosis.

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We talked about the common symptoms, and
what studies show is that by Managing

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your blood pressure more efficiently, you
put less pressure on the brain, uh, and

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you decrease, like I said, you do have
the gene that's going to create dementia.

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You decrease that, uh, by putting
your brain in a better environment.

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Very quickly, if you missed some
of these presentations, you can

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go to your church website, St.

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Stephen's website, uh,
stsbc, uh, click on.

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Um, masterclass, you can go to either
events or ministry, go all the way

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down and you can find this information.

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Or you can go to our website and
you can get all this information.

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And finally, as we always like to say, be
the change you want to see in the world.

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Are there any questions?

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Okay.

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We

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have a couple.

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Okay.

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Um, my mom was just recently diagnosed
with dementia, um, and they put

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her on, she's on two different
medications, but someone also told

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me that an over the counter, um,
is a good thing to start her on.

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What do you think about that, or should I?

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Okay, that's an excellent question.

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About 15 years ago, 15 20 years ago,
the government changed this policy

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for pharmaceuticals that allowed
them to directly market to patients.

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It used to be pharmaceuticals
could not market to patients.

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You'd have to go through your physician.

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And that's why you have now all of these
medications to Prevagen, and everything

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you can imagine, uh, you'll see it online.

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I personally am skeptical about all
of them, um, and so, to answer your

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question, I would first, I would start
with your physician, because a lot

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of it depends on what is her medical
condition, what else is she taking, what

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is she allergic to, or not allergic to.

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I am not a fan of buying stuff because
it's online or on television, um, without

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going through your regular physician.

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Now if your regular physician
says, Oh yeah, go get it.

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That's fine.

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Um, I don't believe that there's
any quick fix for anything.

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Um, I can remember 20, 30 years
ago, it used to be weight loss.

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You take this pill, you're going
to lose 20 pounds in 30 days.

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You know, then they show a picture
of the silhouette and all of a

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sudden, I don't believe any of it.

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I think this is all
part of the same thing.

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Uh, it's to get your money, right?

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So, you have, uh, medical
expertise at your disposal.

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Make a phone call or whatever,
but go through the docs.

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Most of these things you'll find
will say it does this, it does that,

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and then there's the disclaimer
and they cause blah, blah, blah,

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blah, blah, blah, blah, blah.

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And if you doubt that,
listen to them on television.

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They say it real quiet and real fast.

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But they talk about all the bad stuff.

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You could get, you could die.

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You could have blah, blah, blah.

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You can get sick and on
and on and on and on.

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So, bottom line, talk to your physician.

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It may or may not work.

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I don't know.

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But, uh, talk to your physician
and see what they say.

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Yes, ma'am.

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Will it, if you live long
enough, will it automatically

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get into Alzheimer's, or what?

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Does it stop, or what?

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That's a good question.

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I honestly don't know.

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Uh, but I do believe that some
dementia just stays dementia.

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Um, I don't believe that all dementia
switches over to Alzheimer's because

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there are other types of dementia.

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Okay.

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Yeah.

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Yes ma'am.

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Is it possible to stay at the same level
of dementia that it may not progress?

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Is it possible that, you know, for you
or for, you know, individuals, some are

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just going to stay at the forgetting
the keys and others are going to.

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I would think that it probably
is for some people because I

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think people do it differently.

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Okay.

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that some people may stay at one
level for a longer period of time

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than others, whereas others may
rapidly go through those stages.

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So I, I think that's possible.

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Yes, yes.

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fatty acid Uh, brain health is,
brain health is important, is it not?

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Your brain health helps you, uh.

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Well, I think health is

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important, and I think if you eat
a well balanced meal, um, a well

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balanced diet, you will get all that.

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Uh, it's sort of in the, in the
category of the the Prevagen type thing.

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Um, uh, the whole, uh, vitamin
industry is based on that.

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Um, and again, I would run all that
through your primary care physician.

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Yes.

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And now things like garlic, um, my
neighbor lived to be 98 and his,

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his, uh, grandson says He, Mr.

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Nash used to just bite a clove, a garlic.

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I said, okay.

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That's pretty tough stuff.

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There.

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There, there are a hundred
different stories because people

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would choose something that
they think makes a difference.

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But my express, express impressions
been, it's never something simple.

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You know?

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It could be a lot of different reasons
that they, maybe the jeans were just

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for them to be 98 may have nothing
to do with what they eat, and I

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think that that may be the case also.

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Okay.

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There you go.

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There you go.

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Everybody has a story.

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Everybody has a story.

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Is some foods more anti, uh, anti
inflammatory conditions that we

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have, you know, like I can't even
think to say the word, turmeric?

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Well, yeah.

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There are different types of vitamins
and different types of foodstuffs.

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Uh, but they all do.

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Um, thank you for listening to the
Healthy, wealthy and Wise Podcast with Dr.

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William t Choctaw, MDJD.

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You can listen again to this and
any of the previous episodes.

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Leave a comment or pose questions to
the doctor by going to www.hwwp.com.

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That's www.th wwp.com and you've got it.

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It's also available
wherever you get your pod.

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Be sure to follow, like, share, and
subscribe if you haven't already.

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Then tune in for the next
episode of the Healthy, Wealthy,

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and Wise podcast with Dr.

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William T.

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Choctaw, MD, JD.

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A production of Changemakers
Communications, LLC.