@Mackenzie Field thanks- he’s been on it for over 35 years and manages his INR well- like if he drinks a beer he has a salad or some type of greens…I know not ideal but we do what we have to do…..he goes in to get it done but right now we don't have insurance and when we did of course @Curtis Gillespie Sayers he is a man and didnt get his labs done when he should have and would have been free…🤦🏻‍♀️. I’ll work on him to get a few labs done that I can get at a reasonable price but we’ll see- he doesnt listen to me until after the fact and usually says I know you were right but for some odd reason strangling his is frowned upon in most societies so it is what it is….

@Mackenzie Field No- we have been told that and it’s what I have researched and found what most mention but then it could add to more INR’s like you mentioned and without insurance its might get a little expensive at least for now…but once he gets insurance in a month or 2 we might revisit it again. Thanks for the info I didn’t think you were saying that at all…

@Curtis Gillespie Sayers Dr. Judy has PEA on sale should all dogs be taking it we have a 9n and 11 year old- we feed real human food (normally chicken or pork sometimes ground turkey or beef, potatoes, green beans, carrots and occasionally sweet potatoes or rice to switch up their starch) and are bulldogs but super healthy and minor joint and pain issues so i didn’t know if we should wait or because of inflammation we should add it now. They look like they are 5 or 6 and act that way with super healthy weights. We give them a multi from Thorne, eye support and flax seed along with an omega. I did get some livagen from a previous conversation we had but I am pretty sure one of them will revolt if I try to inject her:)

@Curtis Gillespie Sayers I'm not sure I'm quite ready or confident enough to take on something at this level yet. Give me perimenopause, menopause, gut health, metabolic health, and a handful of other cases, and I feel pretty comfortable. But cognitive decline is a whole different animal—it feels much more nuanced, and I know there's still a lot for me to learn. I actually have a client whose son-in-law (60 years old) is dealing with some cognitive issues, and the family is interested in exploring alternative or functional approaches. I was wondering if you're currently accepting clients. Honestly, I think they'd be in better hands with you, and I'd much rather have you lead the case while I support however I can. I can help coordinate labs, supplements (if needed), and be their local point of contact if that's helpful while i learn more. Selfishly, I'd also love the opportunity to be a fly on the wall and learn from your approach. I don't expect to make any money or be formally involved—I just want to # help them get better or maintain if possible first and foremost. Then be able to observe, ask questions when appropriate, and continue building my confidence so that someday I can competently help clients with cases like this myself. If that's outside your comfort zone an odd request or simply not something you have the time or bandwidth for, I completely understand. In that case, I'm happy to simply pass along your information if you're accepting new clients- I already gave them you're website so they could research it and will talk with my client#1 as well- I think they are in the same position and think you would be better at explaining everything to them as well. I'm getting there but like I said alzheimer's and mental decline have me curious but I feel out of my league at this point in time. No pressure at all—I just thought I'd ask because I really respect the way you approach these more complex cases and love learning and think you would be a better fit at this point in time while I am still taking it all in.

Danielle, first of all, good luck with your surgery. ❤️ I'll be thinking about you and wishing you a smooth procedure, a quick recovery, and many healthy years ahead. My husband has lived with an artificial heart valve since he was 10 years old (and again at 13). What started as strep throat ended up attacking his heart valve and knee. He initially had a false negative, and things got serious enough that he was flown to OHSU. It was terrifying for his family, so I can definitely relate to the worry and all the emotions you're feeling right now. He's 48 now and still going strong—even though he used to tell me he probably wouldn't make it to 40. I secretly think he's going to outlive me. 😊 As for Curtis... the better question might be: what hasn't he taught me? When I first joined, I thought I was ready to launch my signature program for women over 40, focused on perimenopause and menopause. I had already started learning about peptides through Tina and felt like I had a pretty solid foundation. Looking back... I had no idea what I was missing. Curtis has an incredible depth of knowledge, but what I appreciate most is how he teaches. He doesn't just tell you what to do—he teaches you how to think. Every week there's another little nugget of wisdom that completely changes how I look at a case or makes me rethink part of my process. I've rebuilt my framework multiple times because of something he said, and every version has been better than the last. The mentorship was invaluable. I especially loved the case-study discussions because that's where everything starts coming together. I honestly miss those. One of the biggest gifts has simply been having someone I trust to ask questions. I love learning, and I know this field will always be evolving. The one area I'm still building confidence in is reading labs—not because I can't do it, but because I learn best by seeing lots of different scenarios and having references to go back to. Curtis has helped connect so many dots there, along with introducing concepts I barely knew existed, like mast cells and so many other pieces of functional medicine that have completely changed how I approach health.

I know you mentioned that along with vitamin K, Vitamin d should also be taken with A. Are there any other key vitamins that should be taken together?