First Member Spotlight is up. https://share.descript.com/view/XYkqjam7qpp Carrie Nunnally is a myofunctional therapist and a 25-year dental hygienist. Her work is physical therapy for the muscles of the face, mouth, and tongue: assess the function, then train it. What we covered: - Why a CPAP manages sleep apnea but can let the soft palate get weaker over time - The Stanford Sleep Center data on myofunctional therapy and AHI (62% reduction in kids, 50% in adults) - A low tongue and the nervous system: how it keeps you sympathetic at night, and why 8 hours of sleep can still leave you foggy - Nasal breathing, nitric oxide, and 18 to 25% more oxygen delivery - Mouth taping: when it helps and when it backfires - Snore guards and mandibular advancement devices vs. training the tongue to hold its position - TMJ pain, neck and shoulder tension, and reflux that trace back to tongue position - What a program looks like: four goals, about 12 sessions over 6 months, 5 minutes of practice twice a day - The signs worth paying attention to: snoring, CPAP intolerance, brain fog, TMJ pain, unexplained reflux or bloating, and mouth breathing during the day If you snore, can't tolerate a CPAP, or wake up tired after a full night, watch this one. Then do the simple check Carrie describes: where is your tongue resting right now? Carrie sees people in person in Washington state and works virtually anywhere. To find out of your tongue position and strength is holding you back or to learn more about what she does you can refer to the information below : centralwashingtonmyofunctionaltherapy.com and my Instagram handle for my Myo page is: @cwmyofunctionaltherapy

In 2021 I was diagnosed with osteoarthritis in my left knee. At age 53 the advice was, keep training to sustain muscle mass and thereby support the knee as much as possible. Further advice was not to operate. A large portion of the cartilage was already gone by then and no magic supplement was going to bring it back. It was all about buying time. Fast forward, the recent diagnoses shows all cartilage on the inner part of the knee is gone. That was to be expected. Slowly over the years I started limping more, difficulty getting up the stairs, having frequent lower back issues and for the past 3 months daily interrupted sleep because of pain. The orthopedic surgeon gave me two options, cortisone injections or a knee joint replacement which he doesn’t favor because at 58 I’m still in the “young” category. Since cortisone injections are not a sustainable long term solution I’m considering a replacement. I’m pretty much done with the pain and limp. My question is, what is a good strategy to prepare my body for surgery (before and after) to enhance the recovery process, using peptides (or other) and localized red light therapy? Any input from the community is highly appreciated.

Curious on Anthony’s or anyone elses thoughts on this. I get an allergic reaction to all GHRH’s …all 3. Not the GHRPs. It’s a red knot, itchy and annoying. Didn’t happen for initially but over time my body has decided the GHRH is some sort of “threat” I suppose. Got worse every time. I don't know if it is a sign of possible anaphylactic shock in my future or not...but not wanting that. Anyway, it was either just stick with the GHRP’s or switch it up to HGH. My plan was to try the HGH at around 1.5 IU for a month or so. I did get IFG level tested and it was around 273. Maybe a good goal is 400 or so, but I’ll take anyones input on that. I know what Anthony says about HGH and the fact that I will be in more mtor, the insulin sensitivity issue, glucose level…so I need to monitor with labs. But…timing was what I am looking for. Night fasted or morning. I can see advantage both ways. If I did it morning fasted, maybe I would get that “free” pulse at night? Maybe I could even add IPA at night to amp that? These are just ideas, but possibly not good ones.

L-carnitine is something I have used and been looking into deeper. It certainly is pushed and sold as something great. Is there direct evidence or mostly mechanistically inferred? For this conversation, let’s assume it’s injectable not oral, something like 5-600mg. As I look into how it works, it really seems like carnitine is more of a recycle system. I won’t go all into it here but generally if I am eating right, I should have all I need. I wonder if Anthony would consider it more the way he talks about NAD+ (in relationship to taking it or not taking it). It might help, it might do nothing, it might hurt. I’m curious what @Anthony Castore has to say, but certainly anyone else as well.

@Anthony Castore Is this still on ?!