We Need to Talk Conversations on Wellness with Coast FM's Tony Street.

Hello, it's great to have you with us for that We Need to Talk podcast.

Weight loss has hit the headlines once again with the news that weight loss drug Wegav has been approved by Medsafe for use in New Zealand.

Now.

Wigavy is a semaglue tide prescription injection similar to ozepic, which has already been approved for the purpose of treating type two diabetes here in New Zealand, and we constantly hear about this one being used overseas by the Hollywood celebrities.

Sax Sender is the other weight loss drug available in New Zealand at the moment too.

Now one in three adult New Zealanders over the age of fifteen are classified as obese.

So is this the answer to our growing problem and what are the other solutions?

This week a group of weight loss experts have gathered to discuss the use of these GLP one agonists, including doctor Richard Goldfarb, who is a US doctor and award winning surgeon.

And we also have key we Sarah Kennedy, who's the CEO of Callo Curb Now Callo Curbs a New Zealand government owned piece of technology.

And this is basically the natural version of wegav and of ozempic, which I don't think is very well known.

Now, just to point here, none of this is sponsored.

This is completely out of our interest and we thought this is a topic that you'd really want to hear about.

So Sarah, let's start with you.

What does it mean to have these injection drugs like wegav now available in New Zealand because I feel like New Zealand's been a little bit behind the eight ball and getting these.

Oh look, it's fantastic.

We have had six gender and that is a first generation injectible.

It's not as effective, it's a daily injectable, and it's not as effective or less weight loss than we goov, which is a semi glue tide.

So it's another tool in the toolkit for doctors here in New Zealand.

Yeah, which is great news because we know we have an obesity epidemic.

Now, you are the CEO of Calocurb.

How does this natural product which was created in New Zealand fit into all of this?

Yeah, look, and it's a fantastic question.

Let me go back a little bit in twenty ten, a group of very talented scientists employed by the government and Plant and Food Research had a hypothesis that they would find a natural plant based extract that suppressed appetite.

Now why did they think that.

They think that because they looked historically.

In the fact, in the Highlands of Scotland people chewed very very bitter berries in times of famine.

In the Kalahari desert tribesmen chew very very bitter cactus before they go out and hunt.

So that was part of it in some very early work that had been done in animals.

So they had a hypothesis that they would find this.

They got a twenty million dollar grant from the government and they went about to discover this.

So this is really the genesis of calicirb and a marisate, which is the natural extract that we grow here in New Zealand.

So kellocurb stimulates your own natural release of GLP one versus injecting yourself with a GLP one.

Okay, So Richard, I'll bring you in here as a doctor that is prescribing these types of weight loss tools.

How does kellocurb work in with the likes of Weigo V and how would you prescribe.

That, So I think in three different categories.

I would describe it for patients that want to lose a certain amount of weight but don't want to go on an injectible, they're a little bit needle phobic.

They would then take the oral GLP one, which doesn't replace as a synthetic.

It's your own and it stimulates your own GLP one.

Therefore, it's acting to enhance it and make it better, and you could lose weight very naturally.

The other aspect is the injectible doesn't always completely.

Give you that week.

Because you get the injection once a week doesn't give you that long term effect of it being and working that entire week.

What do you do now It's maybe Thursday and you get your injections every Sunday.

What are you going to do?

You're still hungry.

Therefore, we think caliicurb serves that tremendous purpose in two ways.

One is it's going to stop that hunger pang that you have on Thursday, Friday and waiting till Sunday.

And it's also not going to allow you to deplete your own GLP one.

So we think that's a great source for it.

And the third reason, which is even more important, is there's a time when you reach your ideal body weight, you got to go off your injectables.

Now what are you going to do.

So we use caliicurb to maintain that weight loss in those patients and it's been incredibly successful in the United States.

How successful, Sirah, give us some statistics calicub compared to your wigavies and Eurosi pigs.

So we know that we're go v which is a semi glue tyde will reduce people's calories by an average of twenty four percent a day.

We know from our clinicals, and remember we have published human clinicals, we reduce on average a calorie intake by eighteen percent.

Wow, it's pretty high.

Yeah it is.

And you know we take it an hour to an hour and a half before lunch and before dinner.

That is to reduce.

What we do is we just make you feel full faster.

We are just superstimulating the release of your own GLP one, so your own natural GLP one, so you just don't eat as much.

So I give you the example.

We all produce GLP one and that tells us to stop eating after a while you've had a big dinner and you know, forty five minutes later you go, oh, I wish I hadn't eaten that much.

It's your gut brain telling you to stop eating.

What we're doing is just telling you a bit earlier, and we're superstimulating it to a higher level.

So you just eat less so you can eat.

You just eat less.

Okay.

So I'm a little bit confused, yes, because we know that in the New Zealand at the moment, if you want to get zaxender or potentially soon we're givy when that is on available, you have to go and see a doctor.

You've got to have a certain BMI to be able to be to get it.

And yet you're saying with the calicurb you can literally go on the website and just get it.

How is that so?

Or we're a natural product?

I mean fascinating a marisate.

The active ingredient is growing from a specific variety of hops in Mochueca.

Now there's a whole story to how we didn't target hops.

We looked at why not we the scientists looked at a thousand different extracts, but this hops is the absolute Eureka we grow it here, we extract it here, and then it's sent to America to be made in a delayed release capsule, so it opens where it's supposed to open.

But it is a natural product.

It's literally an extract of hops, a vegetaboil, oil, and a tiny amount of rosimary acts as a natural preservative.

So we are a natural product, so you don't need a prescription.

And of course the other thing, if you think about it, we've been drinking hops because hops are the flavor and beer for the last I think two thousand years, so you know, it is a safe it is a safe additive.

It's just that.

We've found a way instead of flavoring you beer, we've found a way that it works with the body to help stimulate.

That Richard, how has this been received in the States, Because this is a pretty big deal for New Zealand, right.

Yes, it is, and the United States has really received this tremendously.

We have a lot of our colleagues that have started a lot of weight loss programs in order to treat the obesity crisis, which is absolutely a worldwide crisis, and obviously in the United States it's always bigger and better and these crazy things, so we really did not have a solution until the GLP ones were out there.

I mean, we have other stimulants you know, that cause other side effects, but the GLP ones for the most part have been safe.

However, there are some gi manifestations go forbidgigut, pancreatitis, or other issues with it, where we've seen much less of those side effects with the Cali curb, which is tremendous and we feel that they're very, very useful to treat the obesity crisis.

Just look at the numbers, how tremendous it is even in the United States and worldwide, but they're all missing that part, and we feel Cali curb really really completes the whole gamut as far as really reducing your weight, eating healthier, hopefully living longer, and all these wonderful manifestations that should happen from it.

This is we need to talk with Tony Street.

Sarah tell us about your personal situation because I read that you have had in the past a dysfunctional and unhealthy relationship with food since you were ten years old.

Can you just talk us through that and how you managed to I mean, I'm looking at a very trim woman today.

Yeah, I think any founder to found anything, I think you have to be truly mad.

But so when I was approached in twenty and seventeen with his science, I think it hit a real personal note for me.

I've had a love hate relationship with food my whole life.

You know.

I first went on a diet when I was ten years old.

And I think many people, many of women, maybe men as well, would you know, loving food but then hating yourself yo yo diet and doing all of those things.

And when I say, you love the food, but you hate yourself for eating it, you hate yourself for losing control, you do all of that, and I can honestly say, I mean, I take kaloricub every day.

It's just my maintenance program.

But I now I am at peace with food, and that takes that noise out of your head.

I'm happy with myself and I'm happy with food.

I can eat food, I just don't eat as much so it don't binge yo yo oh.

I'm going to try this start.

I'm going to try the start.

Oh my god, I love it.

It surprises me that more people in this country don't know about this, and particularly given it's a New Zealand piece of technology.

Why do you think that is?

Why are we not singing this from the rooftops?

Well, I think there's a number of reasons, and let me go back.

I think it's fantastic that Grigovi has been approved in New Zealand because now we're starting to talk about it, and we're starting to talk about the physiology of weight management, and people always say, and there still is this doctrine out there about willpower and eating willpower.

I will tell you we are our hunger is driven by hormones.

So I think I.

Said to you before, if you reduce your calories by twenty five percent a day, your hunger will double over four months because your body thinks you're going into a famine.

So you'll like think, I've got willpower, I've got willpower.

You put stress, lack of sleep, all of those things and your willpower or go.

So why have we not here in New Zealand?

So we Goovy was approved in the US in twenty twenty one.

Nova noticed, the company that owns with Govy, spent a billion dollars on marketing in the US.

They took out to dinner two hundred and thirty nine thousand doctors to talk to them about the physiology of weight management or weight loss.

So they paved the way for us in the US so we could talk about we're a natural GLP one activator, that's a synthetic GLP one.

We can be used in combination or alternative.

That discussion has really just started in New Zealand, and really up until that point, really what were you going to discuss the New Zealand.

So this to us is fantastic.

It is opening the discussion up about and I want everyone listening to think, do not think it's your fault.

Do not think it's will Parer, because that is part of that love hate relationship, and it is not.

It is your body, which was an asset to us through evolution.

It is your body saying you could be going into a famine eat now.

And such a vicious cycle as well.

And exactly what you're saying.

The statistics, it's something ridiculous like ninety five percent of people will put back the weight they lose within two years.

Right, even more than that.

I read one yesterday and it is it is and that is because your body is fighting you all the time.

It thinks it's going into a famine, so you need to have a in the injectibles.

That is the problem.

You come off the injectibles, natural GLP one is down low.

It has to come back up again.

That's a real problem.

And the trouble is it puts you off food the injections.

That's not a problem.

But the thing is you have to get into a healthy rhythm of eating and to try and take that noise out of your head.

And that's why it's good to have professional sort of guiding you through it.

Richard, you are someone that has also recommended and carried out batriotic surgeries and I feel like that was before these injectibles.

So where does that now fit into the mix?

Is it still a viable option for people to go down the surgery wroutes.

We think some of the grossly morbid obese patients that are still an ideal situation, but certainly not nearly the amount of cases that we would do without the GLP ones.

And we find that it's obviously safer than having surgery a lot of complications with it.

We try to do it now it's called laparoscopically, where we don't visualize everything and those big blood vessels up there.

You can really get a lot of complications.

Although our technology is improved, complication rate has not really reduced that much.

And unless we really want to take that risk, you know, there's anesthesia risk.

We feel that the alternative of the semiglue tides along with calicurb have really breaking loose the treatment for obesity in a much better, safer way.

Let's talk about the side effects, because that is the thing that might stop people from going there.

And I think there have been some high profile people like I remember Amy Schumer came out and said, look, I tried oz impaic and it made me so foggy I couldn't play with my kids.

I see she's now reversed that and she's going she's on wigavy again and said, actually this one suits me better.

Can everyone tolerate these or are there going to be some people that just can't deal with them?

There are a small percentage, and it's really a small percentage of patients that cannot tolerate it at all.

There are some GI side effects, guesstro intestinal side effects such as the worst pancreatitisffer BIDGI get that, there's some gallbladder issues and some gi nausea issues that are just overwhelming, but for the most part, most of the patients will tolerate it.

What I find interesting is that the patients that take the injectable do have a significantly more side effect ratio than we've seen in our calicur patients.

And I think that's important to say, And I think what else is really important to emphasize.

You're putting something synthetic in there, so it drives your own inherent GLP one levels to a low, low level, and we don't want to have that.

So the fact that cali cur will stimulate your own inherent GLP one is really an important fast factor in treating the overall condition.

Sarah, how much do we know about the long terms effects of this or side effects?

Because that's pretty new, right are you talking?

Kellikub or JLP one who both okay, help one's will know.

Look, you know they've been around since what two thousand and five, so twenty years because they were originally used for Tape two diabetes.

And interesting with that, they actually noticed people were losing weight and they're like, oh, something else is happening.

And there was a whole lot more mechanisms that went into it, so you know, and they would say, you know, like any chronic disease and obesity is it is a long term, you know, long term use.

So we think they're fairly safe.

I'm yet to meet a doctor, but you know, I may meet one who really wants to keep their patients on for life, you know, maybe in chronic obesity, maybe in morbid obesity, but calicurb.

I'd go back to the point and say, we've been drinking beer for two thousand years, we've had hops in our beer, I think for nine hundred years, so very safe.

We're just completing another human clinical trial now where you know, I'll be able to tell you more in probably four or five months.

But we think, our scientists believe that we upregulate these cells in our intestine, so we're actually making your gut brain access better.

So if you come off caloricub we've actually made this gut brain access work better.

And if you kind of think about it, we're exercising these little LM cells in your intestine, so whenever you exercise something, you know they produce better.

So that's a hypothesis.

So I have no worry, and you know, I go on and off calor cub sometimes, you know, not for any reason other than it might be the weekend and I forget and it's perfect like that.

And that works.

Fine.

You're listening.

Do we need a talk with Tony Street?

One of the debates that I've had with a couple of friends of mine who are dieticians.

You know, they see the absolute need for it in some cases, but their concern is that people that are eating less aren't going to be getting a balanced diet and not have enough of your proteins and your balance of good fats because you don't have that same desire to eat.

What would you say to that?

Oh, look, I think they have a good point, which is why we market and sell through practitioners, and practitioners go from doctors to nutritionists to all of this dietitians.

And yes, because it is a tool and a toolkit, you know, as if you go from ten donuts to eight donuts, you're not going to make any difference, right.

You want to you want to have a balanced start and particularly up your protein.

And if it's anything, we don't on average we don't get enough protein a day, and it's really hard to get that amount of protein, particularly for women, women under forty, woman over forty, you know, we need to be eating like one hundred to one hundred and twenty grams of protein per day.

And you're like, I have two eggs.

Do you know how much protein that is?

Twelve grams?

So it is hard.

You need to be eating and then people, so it's expensive.

I don't want to cook it, all of those things all And that's why I do say, you know, protein drinks are quite convenient.

However I'm marketing someone else now, No, No, I would say it's a tool in the tool.

The other thing to remember is, particularly for women over forty, exercise is unlikely to make you lose a lot of weight, but strength training is absolute.

You want to you will your muscle mass decreases as you get older.

So don't think you have to run a marathon.

Just do a bit of strength training and you don't have to bulk up spend two hours at the gym, but do do something.

Do those get those muscles working, do some weights in your arms.

And in fact, I'm going to hand it over to Richard because in their clinic you actually that's part of your whole weight loss program.

That's really interesting.

You say that because we have had several experts on that we need to Talk podcast, including a physiologist Stacy Simms.

Oh, she's brilliant, and Stacy absolutely sinks the praises of gym workouts and that lean muscle mass.

Richard, Yes, that's true.

We have a very interesting weight loss program we called a touch weight loss program.

So if you borrow some of the data from the most successful weight loss program ever in the world was Weight Watchers, because you had to be accountable weekly, so people go, oh, I got to be accountble.

I don't want to go in and show my gain weight.

So that makes the psychologic aspect work.

The other thing is most of these people that are grossly obese, even when they do lose they're not motivated enough to go back to the gym as Sarah indicated and do some strengthening exercises.

So we have some devices that are in all over the world that will help build some muscle because you do lose some muscle mass when you lose weight.

So we actually when they reach their ideal body weight, treat them with that particular device to help them.

We we work with a gymnasium that's near our practice and what we do is we have and they're always trying to get new clients because it's such a competitive market.

We actually have our person that's really in charge of our weight loss program go over to the gym with them and actually show them and demonstrate.

They get their three free treatments to the gym, and then the gym wants to grab them and make them members.

But if they've had three successful treatments with our provider, then they feel like, wow, I can really do this, and that's good for the gym, it's good for us.

Okay, going because now that's.

How we get such great, great results.

What's this device you speak of.

It's called m sculpt NEO is the first one that came out, and it basically is high intensity focused electromagnetic energy.

What it really means is it stimulates to contract your muscles.

For example, is you're on the device and they put these paddles on you and it's equivalent to do in twenty thousand sit ups in thirty minutes, which is impossible for you to do.

And the other part of it is it bypasses the aspect of lactic acid release.

Therefore you don't feel that burn when you work out.

At the gym, so by passing that it actually will build the muscles, and then the actinomyacin in the muscle will release, and therefore the muscle will hypertrophy and you will look better and feel better.

And it's a tremendous another tool in the armentarium of weight development and body shaping.

Isn't it amazing you think you come into a podcast knowing all there is to know about weight loss and these all these things I had no idea about just finding a comment from you, Richard on where weight loss globally is at the moment in terms of breakthroughs, because I feel like this is just the most incredible place that the world has been in and fixing this obesity pandemic.

So as we know, obesity is really the common denominator with heart disease, diabetes, and cancer, so we feel like we have to make an impact worldwide.

And we think that the manifestations of the these combination drugs have been helpful as another tool to really decrease in the obesity situation, and we think we've made a tremendous upswing in that aspect.

I think more people are aware of the fact they associated ob city with these disease processes and they're realizing, you know, people want not only length of life, but they want quality of life.

So therefore, we really do see that the drugs have made a major impact, which is a great tool for us as physicians, but we really think they're missing that one aspect which I really will tell you Cala Curb has really fit that bill beautifully and I proved it because we've done it, and we've proved that that's the best method to do it.

Our results are really really spectacular.

Well, we would say, you know, in calicab, we would envisions envisage a world without obesity.

But remember every day, you know, your Brian is still fighting you every day.

So you know, like for me, helicub just allows me to walk past that muffin at morning tea.

It allows me to walk past I'm full after dinner.

I don't need dessert or I'm not going to have a biscuit later on the fact.

That the calicurb will give you that four to six hours.

What happens is and we've done this study in the United States, and I know we've done it in some of the other country surrounding the United States.

That nighttime eating is the worst culprit.

You have dinner, you're gonna sit down, you're gonna watch television, you want to munch on something.

A lot of people aren't going to grab a carrot and those healthy things.

People are going to grab chips and those type of things.

The fact that the half life of calicurb, how long it lasts if you take it before dinner, gives you that four to six hours.

Therefore, they're not craving there's chips at night.

They don't have a full belly full of bad you know, foods that are just sitting there causing you to put on the pound.

I think that curb itself has made a tremendous impact.

I know in our patients that we've studied, it's been tremendous.

Just remember it's not all about weight loss.

It is about weight management or weight maintenance.

So you just we are surrounded by food every day and our brain is telling us.

So if you can just quieten some of that down, and you know this is the other things, this noise in your head, and how many people, well most of our comments come back.

You take the noise out of my head.

We need to talk with coast FMS Tony Street.

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To get in touch, email we need to Talk at Coast online dot co dot MZ.

We need to talk conversations on wellness with COASTFMS Tony Street.

Hello, welcome to We need to Talk Now.

You might know dtr Mary Burtzel as the Fertility Queen of New Zealand.

Via Fertility Associates, Mary has helped countless couples realize their dream of having a child, even when the odds have been stacked against them.

I'm one of those people.

Mary was the expert I turned to when I first explored surrogacy as an option to have my son Lockey, six years ago.

But fertility is not the reason Mary is chatting with me today.

Mary has had her own personal health problems.

She was diagnosed with anal cancer in twenty twenty one and quickly found there was no support group, no pink ribbons, when all she wanted was to connect with someone who had walked this journey before her.

Being a doctor herself, she found that anal cancer is a preventable cancer, but the knowledge and tools are not being used here.

In alter or, Mary it's lovely to see you again.

Thank you.

Sorry, it's under such awful circumstances.

I had no idea that this had been going on for you.

How is your health sitting here today?

I am good.

I've just had my three year check so I am now out of the woods.

So I am good.

Thank you very much.

How did this come about?

How did you know that you had anal cancer?

Well?

I was perfectly fit and well, working seventy hours a week, being busy, and I had a bit of bleeding when I went to the loo and I thought, oh, I've got hemorrhoids.

My father had hemorrhoids at fifty nine.

I went, yeah, just got hemorrhoids.

So I discussed it with my husband.

He's a GP, and it was during COVID and we thought we'd bypass GPS because they weren't really seeing patients.

So I did a really dumb doctor thing and I just booked myself in to have a colonoscopy because I kind of thought, I want the drugs, I want to be asleep.

I don't want to know anyone's looking at my bottom.

Yep.

So I went to see a colleague because being in medicine, you know everyone, and I said, look, I think I've got hemorrhoids, but I just don't want to know.

I don't have anything more serious, and give me lots of drugs.

So I woke up after the beautiful drugs and he said, yeah, you've got a couple of hemorrhoids.

You know, basically, get over yourself and get on with life.

Yeah, and that was just from a cholonoscopy.

Yes, yep.

The next four months I had a lot more bleeding, I had some discomfort, and I thought, wow, I'm going to have to do something about these hemorrhoids.

So I booked myself in to see a colorectal surgeon and he said, these aren't hemorrhoids, Mary, you have anal cancer.

And my world kind of stopped.

Oh, I bet it did.

So did you think by having the cholonoscopy that that was enough to be checked?

One hundred percent?

And in fact, when I showed the cholorectal surgeon the images that had been given from my chlonoscopy, he said, oh, yeah, you can see the cancer quite clearly on the images.

So that was challenging because I had seen many doctors as patients over my career and I always felt that when I was seeing someone special, like a doctor or you, and I would really up my game and try really hard.

So it was really challenging to have my cancer completely misdiagnosed.

Yeah, and why do you think that.

I think that he didn't think about it.

I think he might have been a bit burnt out, was on remote control.

And when I contacted him about it, he said, oh, wow, that's never happened to me before.

And I thought, that's an incredibly inadequate response, because this isn't actually about you, this is now about me.

And then he said, but you're not the sort of person who gets anal cancer, And in fact, that is entirely incorrect, because the most common person to get aint or cancer is a sixty year old woman, and so I was absolutely the typical person.

So that was kind of disappointing.

And what happened from that point?

Where were you in terms of how serious the cancer was?

Yeah, it was pretty serious.

It was five centimeters, so quite a decent size cancer.

I think the fortunate thing about being a doctor at that point is is things happened really quickly, and so I launched quite quickly into treatment, and that fortunately for me was starting within two weeks of being diagnosed.

What was the treatment.

The treatment's a combination of chemotherapy and radiotherapy, and it was pretty harsh.

You know.

I've famously said I wouldn't put my dog through this, and it was also really difficult to be offered a treatment that's fifty years old.

You kind of think we should be better than this.

Why are we still putting people through this?

And the rather trite responses that I would get, Oh, it works quite well.

And what quite well means that seventy percent of people are cured by this.

But when I went from being what I thought was completely well to someone telling me that I had a thirty percent chance that I would be dead, that didn't feel great to me.

You had no other choice, I'm guessing.

No, And it is effective treatment, and clearly it has worked for me.

Do you have any idea how you contracted in cancer?

So anal cancer is almost all due to HPV, so it's exactly the same as cervical cancer, and HPV is something that we just are ignoring, you know, even though we think we're vaccinating our young people.

That's the one where girls around twelve thirteen is that the girls and boys and always get the vaccine.

Yeah, in New Zealand currently we're vaccinating less than half of our kids, and yet HPV causes eight percent of all cancers in women.

So it's the single biggest cause of cancers in the world and it is utterly preventable these cancers with the use of the vaccine, and we're just not talking about it.

So you obviously hadn't had that vaccine.

No, And the difficulty is you need to have the vaccine before you become sexually active.

So that's because that's how we all acquire HPV.

So there's about thirty years of people who will never have had the vaccine.

So there's a lot more of these cancers to come.

And in fact, anal cancer is increasing by two percent each year just because of these nasty HPV viruses that were around.

There will be people listening to this right now in the same situation as you.

I didn't get that vaccine.

In fact, I'm one of those people absolutely that came in after my time.

Yeah, what do we do to try and prevent this?

Well, now you should be having your regular cervical screening and that's now done in a much better way.

Where they're actually looking for HPV.

So the big thing is to have your regular screens for HPV, and if you found that you do have HPV, say to the person, hey, I want to be checked for ainal cancer.

And I think what should now be part of a routine guyiny exam is actually having a rectal exam at the same time.

And that's people don't do that and they need to be doing it.

So you can have HPV and not have anal cancer, right.

Yes, absolutely, But if you do have HPV, particularly HPV sixteen and eighteen, because there are a whole lot of different subtypes, these are the ones that mostly cause anal cancer, along with other cancers like header neck cancers, penal cancer, VOLVL cancer, vaginal cancer, and of course cervical cancer.

Yeah.

I know people will be listening to this thinking, oh, I don't know if I want to rect them exam.

Can you put their minds at ease?

Yeah, it's two minutes, you know, But I think just doing a swab, getting your swabs done is really important.

And the other PA message I want to really get out there is if you're having any sort of bleeding, go and get checked and say to someone, do you think I might have anal cancer.

Don't be fobbed off because I think sometimes doctors aren't keen to examine bottoms.

Sometimes we're not keen to show our bottoms to doctors.

And I think we all just need to get over this.

It's just another part of our body.

I think the scary thing for me about your story is you had blood in your stool, and I think, I mean, I would be alarmed by that, but then you did take the correct step to go and get it checked, and then it was fine.

And that's everyone's worst nightmare.

You go and think you've done the correct process and that still doesn't lead you anywhere.

Yeah, and my story is the story of fifty percent of people with anal cancer.

I think the doctors need to up their game.

And as a doctor, I'm allowed to say that.

How do you get that message through to GPS?

I think you just do things like this.

You just are brave enough to get out there and tell your story.

You're listening to.

We need to talk with Tony Street.

I know that doctors would be looking for, say, lumps in the breast, because breast cancer has had so much publicity.

We talked about ribbon is it because not as many people get this type of cancer.

Yeah, it is quite rare.

So it's one hundred people a year in New Zealand get anal cancer, so it is pretty uncommon.

There are some people who are really at risk of ain or cancer and they're the people that we should be actively targeting for screening.

Who are those people?

They're people with HIV, people who have things wrong with their immune system, so people who are on immo suppressing drugs, maybe have had SLA, you know, lupus, people who have had solid organ transplants, women who have had cevical cancer, vulv or cancer.

So these are the groups there.

They're at really high risk.

And in Australia they're just about to roll out testing for these people, so they're actually going to be screened for ainal cancer, which will be fabulous because you can actually detect aanal can answer before it becomes ain or cancer and then prevent people going through the horrible treatment that you need to do.

So you can detect it much like we detect people with abnormal cells in their serv ax.

So how would that screening process work.

Yeah, so you'd take this population that at a particular high risk and you do either a smear on their butts or a swab, just like we do in vaginas.

And then the people who show up that they have some abnormal cells, they would go through and have essentially a colposcopy of their anus.

So that's like looking at your anus with a microscope and if you can see these abnormal cells, you biopsye them and remove them before they become ain or cancer.

And so this screening is about to be rolled out in Australia.

But the frustrating thing in New Zealand is we are nowhere close to doing any of this.

And what we don't even have is is any reasonable number of clinicians that are trained and looking at your anus.

So there's a real gap in our in our medical system.

And I know that when you got diagnosed, you almost didn't know where to turn.

And I feel like if a doctor doesn't know where to turn for support and information, then the rest of us are screwed.

Right.

Look, it was really hard.

It was so socially isolating, and all I wanted to do was connect with someone who had been through this treatment and how to get through it.

So when I was through all of it and about a year or two down the line.

Then I started a support group.

And what that looks like is I've put together a lovely website that's called anal Cancer Support Services at Rower, and it's got good informative, good quality information.

And we've also run a peer to peer support program, so if you've got ain or cancer, you can connect with us and we'll match you with someone who's been through the process to be kind of you're support buddy through the process.

And I've got a Facebook group.

It's a very elite club.

You need to have had anal cancer to be part of this little club.

So we don't want to be part of that club, but good to know it's there.

Yeah.

So, and I've also made a podcast series and I'm really super excited about my podcast.

Here tell us what that's called.

It's called anal Cancer All You Wanted to Know but we're afraid to ask Spotify and Apple and it's just eight episodes of everything you want to know about anal cancer.

And it's the sort of thing that I would have would have wanted to have had when I was diagnosed.

And I'm super excited to have got that up.

Yeah, well done you for doing that one thing that would have made all of this much harder for you.

You were just telling me before we started chatting that your husband was also diagnosed with cancer at the same time.

Yeah, that was pretty surreal.

You know, it's hard enough having one of you go through cancer, let alone the two of you.

And it was a really tough time.

In fact, we talk about our anus orobolis.

You know how the Queen had her bad year, so we had we had a tough year.

But yeah, we've got through it and we're great.

But you know, it was challenging times and it really tests your relationship, I think, because you know, generally you want to support your partner fully and it's hard when you both need that support.

Yeah, and you'd both be dealing with it in different ways.

I guess, very different ways.

My husband is my opposite.

They say opposites attract, and so it was.

It was a tough time.

I had a fabulous psychologist.

I would highly recommend that to anybody going through cancer.

Treatment and friends and family really important.

But the tough thing about anal cancer is many of us don't want to say we've got anal cancer.

There's this awful stigma that it's supposed to be associated with having anal sex, so people are incredibly embarrassed about it.

But that's not necessarily the case, absolutely not.

And I think as women, you can't help wear this virus lands.

And this is this really lovely study that's come out of Tasmania that shows that if you're a woman and you're a front to back wiper, after you've been to the loop and we're all taught to wipe that way so we don't get UTIs, you're much more likely to get a or cancer than if you're a back to front wiper because you just spread the virus around.

So you can't help with this virus lands.

Are you saying that we've all been wiping wrong?

Should we change your heabits?

I'm shook.

Look maybe we all need to become dabbers.

I don't know.

Wow, that's that is something to process right now.

I need to bring that up on radio.

I think we're talking about.

That I've spoken about before.

Wow.

Yeah, that there could be a whole podcast on it sown.

I think as a doctor you would have seen many many patients particularly who would have come through fertility associates, and some of them would have gone through chemotherapy.

Do you have a different or deeper understanding now of what your patients went through, given you've been through that grueling treatment.

Yeah, one hundred percent.

I think that it just teaches you how hard it is to be a patient and how incredibly vulnerable you are, and how people with the best intentions in the world often don't treat you as you would want to be treated.

And I was, without a doubt, the worst pression in the world.

But you know, you kind of had motivation to be after being misdiagnosed.

I mean that's a lot to process in itself.

I was pretty angry.

Yeah, but even like I've recently had an MRI, because you have, you know, these regular images, and it just brought home how difficult it is to be a patient again because things like you say, oh, when will you get your result, because you're desperate to get there is and they go of three to five working days, but it needs to be seen by your specialist first.

It drives me crazy.

This gives me the result.

It just gives me the result.

The information belongs to me.

It does not need to be vetted by someone else.

I am an adult.

It's just that the experience of being a patient.

I find incredibly difficult.

And it's interesting because I feel like we have come quite far in that respect, you know, from when I was a kid and you had no access to your lab results at least now we have sites like your Health three, six, five, where you have access to some of them and the patient notes like that's one good thing, right, It is.

Better, But things like patients aren't necessarily c seed on all their own letters, so there's all this doctor talk that doesn't involve the most important person.

I found at times I was asked to undress in places where my privacy wasn't respected.

I just found it a really challenging process, and I think we can.

Even though I absolutely think we have got better, I think there's a long long way to go before we treat patients as I think they need to be treated.

What's the answer then, to this, What's the answer I.

Think every doctor needs to go in through radiation is yes.

I think we just need to put ourselves in the patient's seat.

The answer is to include patients in all decisions, in all communication, and just be kinder people.

How do you get this message out?

I mean, I know you're putting it out now, that's that's part of it.

But how do you make sure so that New Zealand the health professionals can all be sort of lifted up to where you think it needs to be.

I'm not sure.

I yeah, I talk about it all the time.

As I was having my MRI this week, I was grilling the poor radiographer about why the communication process was so poor.

So I just talk about it all the time.

And for people that might be concerned that they too could have a misdiagnosis, what is your message to people when they're going in to get their tests.

If you're worried and you're not getting the care that you think you need, seek a second opinion.

And I couldn't say that strongly enough.

I think that you know if something's not right, so go back and ask and ask again.

I think I can say this to you.

It shocked me that as a doctor you had blood in you're still you kind of didn't take it seriously.

Yeah, And I was stupid, And part of that was my unwillingness to show my bottom to someone, which you know, as a kind of cologist just frankly dumb yep, And me having this explanation in my head to what it was, and you kind of downplay it, and my thinking I didn't need to bother my GP during COVID, you know, I think you know, and they weren't really keen to see people face to face, So I think that's all stupid.

This is just another part of your body.

We've all got one.

We couldn't live without it.

We just need to just treat it like any other part of our body and go and get checked.

Do you think anal cancer stats are going to decrease in New Zealand or are we on the way up?

We're on the way up, and so that's why I'm keen to get this message out.

Go and get checked, and please, as a doctor, please check people saying this is properly.

We need to talk with Coast FMS Tony Street.

If you enjoyed the podcast, click to share with family or friends.

To get in touch, email, we need to talk at ghost online, dot co dot MZ.

We need to talk conversations on wellness with Coast FMS Tony Street.

Hello, welcome to We need to talk.

It's lovely to have you with us.

Have you ever asked yourself?

Am I doing what I'm meant to be doing?

In this world is what I'm doing and how I'm living my life right for me and am I reaching my maximum potential.

Design is attracting success overseas for its ability to transform people's lives, both personally and professionally, and an increasing number of corporates, retreats and individuals here in New Zealand are now exploring human design too.

What it is is a mix of science, psychology, and various Eastern philoso fees.

It's a modern system to bring meaning to your life.

So the profiling techniques help you discover your energy type, your profile type, decision making strategies, your life purpose, your leading gifts, your strengths, your leading sense, your digestion profile, and environmental preferences, all of which I'm quite intrigued to hear.

Charlotte Hill is the founder of Key We practice True North well Being.

They aim to bring balance, purpose, and clarity to your day using a mix of these individual profiling, mind, body, soul analysis.

Her background is in law, media planning, and high performance athlete management.

She studied with the New York Institute of Integrative Nutrition, the Los Angeles based Mind Architect and My Human Design, which is quite a background.

Charlotte but why did you get into this field in the first place.

Well, as you can see, it's very nonlinear my background.

I guess I've always had a passion for wellbeing, but I had studied law and I then got into advertising, and I think in my early twenties I started to get the swell sense that I had a humanitarian spect To me, I'm a life path nine in numerology, which is very much the humanitarian, But my journey kind of still kept me on the course of various different things.

As a manifesting generator, you follow your passions, the things.

That lights you up.

It's a very sort of multi passionate lifestyle and you just go with the opportunities as they arise.

But eventually I.

Got to the point where I was like, no, absolutely, I need to pursue this passion for wellbeing.

And that's when I did the studies that I've done and stumbled across my human design as well.

So how do you find out what your energy profile is?

And why is it important?

Why do we need to know it?

The reason your energy profile is so important is for managing burnout.

So there are five main energy types.

We've got the manifesto Pure manifesto, which is the innovator.

They are the people that are here to bring new things into form.

So if you've got a team in a workplace and you're doing product development, you won't have a manifestor on board because the people that are going to just create something that hasn't existed previously.

The guy that actually developed the human design system is a manifestor, and so that makes total sense.

He created something that was entirely new.

Then we've got the projector who is very visionary.

That is your profile energy type, Tony.

So yeah, the projectors are here to see more than do though.

They're very strategic and able to see how we should best allocate resources and create efficiency and refinement in the world.

Then we have generators who are like the worst workforce of humanity.

Seventy to people are generators, but of their subset is basically half are manifesting generators.

And whereas a generator is typically very linear in their pathway through life and very relational people great in teams, really sort of motivational people, They're very inspiring to be around, the manifesting generator are very nonlinear.

That's myself as a mention before.

So multi passionate very quick, able to move from task to task very very quickly.

But both the generator and the manifesting generator have access to this life for synergy that they can tap into all day long.

But what's really.

Important to understand with human design and the energy types is it's not you know, you can burn out from doing only a few hours work if it's not the work that's aligned for you.

So it's all about understanding what your decision making, strategy and authority is so that you can make decisions that are right for you and do aligned work and then you're not going to burn out.

And actually, as a generator or a manifesting generator, you typically get more and more energy as a day goes on if you're doing the right kind of work because it sort of amplifies.

A projector like me doesn't have as much energy stores, right, not.

As much energy stores, but because you kind of reflect the energy around you.

If you are spending time with the generator or a manifesting generator, you're going to be able to reflect their energy as well.

But it's just not sustainable.

So the typical day for a projector the ideal day if you're in alignment would actually look like two to three hours of interfacing work.

This kind of work.

So you're doing your podcasts, my radio show.

Yeah, your radio show absolutely good.

Yeah, yeah, perfect, but only two or three hours a day, and then the idea is that you'd spend you're still working.

And this is the thing with the projector is they.

Can look like that perhaps slacking off, slacking off or resting, but a projector never stops thinking, so they will always be continually analyzing, like using their mind even when they are lying down, resting all of those things.

I try and tell my boss when I leave here, it doesn't stop lanning at home.

I'm always thinking of new ideas.

Always, never, never stop working.

So the idea would be that you would then be maybe retreating into an office to refine what you do and work on, say the stuff for the next day, and let people come to you.

Because the decision making strategy and authority for a projector is to wait for the invitation.

Yeah.

I love this.

So there's energy types that you get given and it's based off your birth date, and how does that work?

Yeah, So it's the science behind human design is that there are sub atomic particles in the atmosphere the time that you're born.

Now, these are called neutrinos and they are able to pass through matter, so they can influence your genetic coding and sequencing.

So if you think about it, we're all energy in the same way as epigenetics is the study of how in our lifetime the thing that happened to us can influence our DNA and then pass on to future generations.

It's a similar concept and that it's all about the energy that's in existence at the time that you're born, which makes a lot of sense when you think about how we're all so uniquely different from a personality perspective and that sort of thing.

In human design, the very first thing that's generated when we put those input details in, which is your place of birth, date of birth, and an accurate time of birth.

Once we have that information, the first thing that's produced is a body graph, and it has nine energy centers of the body mapped out.

And everybody's body graph is totally personalized.

So mine looks very different to yours.

And how do you know what yours is compared to mine, because it will generate mine.

It'll okay, So when I ran your details, it produced your specific chart, and the beautiful thing about it is it shows all the gifts that and strengths that you have.

It shows all of this information.

It shows the energy circuit of how energy moves through your body.

And one thing that I'm focusing a lot on now is the relational aspect.

So for example, if I was to look at your design and your partners or your design and a colleagues, I can see how your energy corresponds to.

Each other and where there might be discrepancies.

Yeah, where there might be friction points or what or when you come together, what are the strengths that you create that you don't have when you're not together.

Because that's a really powerful dynamic of connection, is that when two people come together, they create this whole new It's almost like a composite profile and can create amazing things when you're together.

So it's a really positive way of looking at relationships and sort of harnessing that good stuff between you.

So you hear this energy profile and from that you can work out how to better make decisions.

Yeah, when to rest?

Yes, So you've just tell me, I'm someone that would work in more bite sized chunks as opposed to working all day yep, and also how to feel your body.

Yes, well, that's right.

So everyone has an optimal digestion profile.

And it's not just about food.

It's about how you process information as well.

And the thing that I really love about human design is it's you know, it's so differentiated with all these layers, which makes your report look really distinctly for you, Tony and mine for me.

But in terms of digestion, it also shows how bio individual we are.

And you know, there are so many health and wellbeing trends that, like, some of them are amazing and do suit all of us, like eat a whole food diet, get lots of sleep, or exercise all these things that would benefit all of us, but there are elements of them that aren't just for everybody.

Like your one is direct light.

For digestion, so it's best for you to eat in daytime hours, oh yeah, and or close to a window where you're getting access to direct light.

And you might find the same if you're working, because you process information well when you've got light around.

That's interesting you say that because I have always loathed working night shifts, and a used work night shift sometimes at TV and dead and I hate it.

So that would make total sense, because it's just saying that the way your mind works is better in those daytime hours, so yours is actually in keeping with circadian rhythms.

So that's quite a popular kind of trend to think about eating and working within the hours of the circadian rhythm.

But for other people like my daughter, for example, she's hers this evening light, so she's better to actually eat at night, which like the majority of her food at night, which totally goes against a lot of thinking people.

And yet that'd be the same case.

She might be better to work at night as well.

Yes, absolutely, so she'd been the sort of person that'd be a late night studier that kind of thing.

And mine is high sound, so which is super interesting.

I chuck on your headphones while you work, absolutely wow.

But also to have like a really good playlist guying when I'm eating as well.

But I think it's to do with relaxing the nervous systems.

So for me, if my body knows that it's had the queue to listen to something that I really enjoy and have that going in the background, it knows to activate to send the enzymes that process food, and I.

Have considered working out what the kids' profiles were.

Yeah, particularly I guess for teams that are having to study and needing a lot of energy for things like sport.

And absolutely I think human design is amazing tool, particularly in those later years of schooling, because that transitioning into who they are going to become, right, And the whole idea with human design is it's your blueprint for personal alignment, is stepping into the highest expression of your authentic self.

And you know, many of us have been quite conditioned to sort of be like someone that we admire or whereas you can only ever truly be most effective when you show up as your most authentic, highest expression of yourself who you came here to be.

And when you think about the conversations you have with people on the daily, like I have this conversation all the time because people will say to me, oh, how do you get up so early in the morning for radio?

And my response to them is, I'm a morning person.

I'm useless at night, and I already know that about myself, and that is essentially an element of human design, right.

Absolutely, let a lot of people, if you're not in touch with that, you might be doing all the wrong thing.

Yeah, and you might be thinking other people can do it, yes, why can't I, and.

Just force themselves to where it gives you.

It kind of gives you.

That ability to just lean into something that says no, no, this is how I'm meant to be and you can feel very confident to make your decisions accordingly.

As a result of that, this is.

We need to talk with Tony Street.

So from my profile the projector, we know that I can work for two to three hours at a time and then I have to have periods of rest.

I need the sunlight while I'm eating, and I work best in the daylight.

Not a vampire.

Is there anything else when you looked at my profile that you found intriguing?

Oh?

Yeah, absolutely.

So you have what is called self projected decision making authority.

So that's super rare as well.

I think only two point a percent of people have that one, which is really cool.

It means that if you imagine.

Your thoughts in your mind as all wound up like in a ball of string, and to get clarity over what you need to do in the coming week or a decision you need to make you get.

That clarity by speaking out loud.

So either talking with a friend or a colleague, or the actual best case scenario would be to do voice notes, because what happens is when you hear your voice talking those that ball of thoughts in your mind takes linear form and it gives you clarity.

It's been out like that.

So I don't know if you notice, do you talk out things that.

You're going through?

I'm sure Sam and Jason on Post think I get to work and I'm like, so I've got business is and I kind of verbal diarrhea for the first twenty minutes, and I think they look at me like, geez, how did she come in here with all of that?

Wow?

So I do do that.

I do.

But what you could actually do as well is do the voice no in the car on the way to.

Work and save them from being punished.

Well, not just that, but more that, because what can happen when you're in conversation with someone with this type of authority is that they're going to potentially think that they're in a conversation with you, right whereas really you're just talking and so just talking at them, yeah yeah yeah, Whereas it might be easy for you to do it in a format where you're not because it's not about their feedback.

It's about you hearing yourself, so you're not looking for the input of the other person.

So I just want to get out Yeah yeah, yeah.

But it's funny you say that because I know when I reflect on my life, whenever I've got things where I'm feeling a bit overwhelmed, Yes, I always feel better when I serbilize it, whether it's to my mum or to my husband, yeah, to a friend, Yeah, it always makes me feel better.

Yeah.

So that makes total sense because that's your that's your outlet.

Yeah, interesting, whereas others perhaps might.

Be totally like, so half of all people have an emotional wave within them, and on one of these people, it doesn't mean we're like necessarily highly emotional or seem highly emotional, but it means that in any given moment, you don't have truth in that moment.

You could be at.

A high point in the wave or a low point in the wave, so you need to wait for the calm, midpoint of clarity, so you don't make an emotionally charged decision.

And that's half of people.

And it's actually a really interesting point, that one, because I think there's an element that leads into the mental health discussion.

I think so many of us potentially understand that wave as potentially having an association to mental health, whereas.

It's absolutely not.

It's not even really related.

It's more just understanding that you have kind of like it's just a mood and it's going to happen regardless of what's happening around unto So it's really interesting, like if you understand that about yourself, that you are going to have days that you wake up a little bit lower and then other days where you wake up feeling amazing, it's much easier to go on that journey of accepting how you feel.

Oh, I agree, because quite often you just want explanations for why something is happening.

If you know that that's built in you, it's.

Just part of your biological system, you kind of give yourself a break.

Yeah.

Absolutely, you can just be like, oh, it's that sort of the day to day, I've.

Just got a bit in wood.

Yeah.

What about when it comes to exercise and movement.

Yes, So that's a really interesting one.

Again, a manifesting generator and a generator are going to typically have a bit.

More energy for that kind of stuff.

But definitely the other energy types will love it as well.

But it's just about acknowledging when your body is telling you to rest.

So it's been very intuitive.

And if you've got the human design, as I mentioned the nine energy centers, if you've got the ego center, find that generally means you've got quite strong willpower and a bit more.

Of a capacity to persevere and push through.

So understanding that about yourself, you can kind of get tuned into whether you do or don't have that capacity and whether to understand if you're being a little bit procrastinating or actually do need rest.

Wow, this is so fascinating.

What about you talk touched on the relationships with perhaps a partner, what about your other interactions you know, because I'm guessing this could help in the workplace of it's interacting with a boss or a colleague.

Yeah, absolutely well, And this is where human design has been so effective in terms of leadership excellence and team dynamics, because even as a leader, if you understand your profile type, like for example, if you were in a role as a sort of CEO of an organization or something like that, as a projector your leadership style would be that you would do the kind of two to three hours chatting away to people and talking about the strategic direction of the week or what have you.

But then the idea will be that you would be in your office and let your people come to you versus the micromanaging stuff.

So understanding the energy types is really useful like that, and it's also invites compassion I think into the workplace, like, oh, I see you for who you are.

You're not being difficult, that is your makeup or that is just how you express yourself.

And then yeah, from a connection perspective, I think it's just so beautiful how we're chictelessly drawn to the people that kind of create the chemistry in our chart.

So if you've got one gift that's associated with one energy center and someone in your team has a gift and another energy center, when they meet, it's like it's sort of like a chemistry explosion, and it's like all these great ideas we'll be able to formulate and all that kind of thing.

So it gives you a blueprint to kind of recognize where the opportunities are.

Especially if you were forming a team as well.

For example, in my line of work, when you're creating a radio show like I take the three of us, Yes, Jason, Zam.

Jason and we've worked out as a generator and Sam and I are both projectors.

Now is that ideal?

No?

I think that's perfect because you've got that access to life or synergy all day long through the generator profile, which is also going to help the other two, and you've got the visionary aspect of so it's actually a really nice balance.

If you had a bigger team, you might be looking to have say one manifestor, because they're going to come in with all the new ideas and creative side.

It would be great to have a projector in the team because they're going to be strategic and be thinking ahead and working out who.

Should work best together.

But you also need those generators and manifesting generators.

And a generator is that person that's going to be very niche and they master their craft, so that are the people that are going to specialize in what they do or as a manifesting generator, we like, this is a perfect day for me because I'm here with you doing this podcast, which I don't do every other day, and then I've got a meeting shortly after in the city and then I'll be going back to do something different in the afternoon.

It's all varied.

Yeah, we sit variation, being able to put on a different sort of hat within business, so on, more entrepreneurial because you get to do your social.

Media, you're doing your tax you're doing all of it.

You know, life something different all the time.

Could you dictate your career path once you know what you are best at, you help you make decisions in their.

Most absolutely, and back to what we were talking about before with the teens understanding their design.

So because you're in that transition point, because what human design does is it shows you your life purpose, which is an essence that you carry wherever you go.

So your life what you means by that, So it's.

Not just about how you show up in a work capacity.

It's not just what work you're here to do.

It's sort of the essence of personality, of skill set that is supposed to show up in all aspects of your life.

Okay, but your life purpose in human design is made up of four distinct gifts, and one of those gifts is your leading gift.

So I think it just gives you this really.

Clear understanding of where your talents are and your innate talents, because I think you know in the workplace, if you've gone and studied, you've done your degree, you've you've got all this learned education, right, But money can't buy those innate.

Skills that are within you.

So it's really tapping into that resource of what you can do that are the people just simply no matter how much they trained, they just may not be able to reach that level of innate skill.

You're listening to.

We need to talk with Tony Street.

Okay, so let's use my as an example.

Absolutely what Let's hope it aligns with what I'm doing in my life.

But there's no shame in adjusting your life to better suit what you should be doing.

Right, Oh, no, absolutely, And I think the thing with human design is if you follow the decision makings.

They say that there are two most important things to take away from it, and that's your energy type.

If you understand your energy type and you understand your decision making strategy, then you're just going to make correct decisions every day, which will ultimately mean the rest of your life flows into alignments.

And I feel like lots of people will have periods in their life where they I remember saying to my mom, can you just make this decision for me?

You know this is am makings quite hard sometimes.

Yeah, no, totally it is.

But if you understand, if you have confidence in yours and how you get clarity, then it makes it much easier to lean into that, like I had.

I'd bumped into a client a couple of days ago out walking and she said to me, you're nice.

She did her human design with me last year, and she said, I've been saying to people, the best thing I did in twenty twenty four was get my human design done.

Because now when I make decisions, I make them confidently because I know that that is my way of doing it, that's unique to me, and it just gives me confidence to lean into know that is the right decision versus considering what would my mind say?

Yes, just some direction?

Yeah, absolutely, I love this idea for me.

Yeah, I really do think anything that's going to help you do what you meant to be doing and how you meant to be doing it, Yeah, is such a positive.

Yeah, so on that.

Okay, So your life purpose, this is how it reads.

So you are here to have an expensive mind of unlimited capacity.

This is used firstly for your own processes, but then extended also to other people and projects around you.

It is an innate gift of making sense of complex concepts and distilling the knowledge into a format that others can easily understand.

When you seek out more research and wisdom, you are accessing your higher consciousness in a way that can be deeply fulfilling.

Okay, so how would you say that in lay terms?

I mean, I get it.

I would just say that you are able to take things that maybe seem quite intellectual and serious and then kind of distill as the word that they used in human design, but it's simplifias actually, so you can take something that's complex simplify into terms that everybody is going to find relatable.

Yeah.

So, which is a great beautiful skill.

And then your leading.

Gift as part of that life purpose is the gift of concluding.

So it says you like to leave no stone unturned, and you'll go one step further and examine those stones to get through to the answer and the conclusion.

This could be wrapping up projects, conversations, or theories.

Every time you use your gift of completion, you are creating a great foundation for the next thing to begin.

So you feel like you do that.

You need to almost have made sense of a situation before.

You move on one hundred percent like I am bordering on, Like I will be obsessed with things until I've got it perfect and no, now I can go Yes, I do that a lot.

Yeah, within your designlight.

I think, for example, I've got seventeen in mine.

So when I do a report with people, we generally focus on the top four, but then we can go on to do subsequent sessions that really dive into what all of the great gifts are they can channel.

But if you were a year twelve or thirteen student, you might look at these gifts and think, okay, right, like I know those resonate, but yeah, how could these show up?

And the kind of studies that I'm going to be doing, and what kind of career do I want to have where leaning into this, these gifts will be.

My greatest It's what lights you fire, isn't it?

Yeah?

Absolutely?

And then I was just going to have the quick look at what your strongest sense is outer vision.

So this is all about visual stimulation, aesthetics and making your life beautiful.

Oh so it's it's sort of suggesting that when you like, I know you're always wearing like you love to wear your beautiful clothes and like creative prints and things.

It's all that sort of thing.

And when you bring beauty into your life, it actually brings beauty into the lives of others as well, Like you kind of light up other people's lives by doing that.

It's a nice thing to say, and I'm.

Sure in your home it probably reflects that too.

Yeah, I'm really into starting my home.

Yeah, I like it all to look pretty.

Yes, yells, flowers, yes, all that stuff.

And I just want to touch on back to the body graph and the energy centers, because you have two completely open energy centers in your design, which means that you have no way of filtering the energy that comes in and so in relation, the first one to mention is your root center, which is where we feel drive, momentum, but it's also where we feel stress and pressure.

So what it could look like is that you can almost directly take on the stress of another person.

So I don't know if that resonates.

But you've just explained to me in a nutshell, just explain to your life how often my husband says to be just don't take that on board.

I've got no choice.

I will say, I'm feeling what.

I'm feeling, and you really feeling it as if it's your own.

Yes, that A really good way to look at it would be to clock how you feel in your own stress levels before you enter a space with the other people, and that way you'll get a sense for is this stress actually mine?

Or am I just feeling it for another person?

And if you're feeling it for another person, it's sort of the ability for you to be empathetic potentially, but also take a step back and go, that's not mine to manage.

Yeah, it's really interesting you say that because I let's say I'm looking at the herald and there will be an article about something really bad, you know, a hurt child or and I will read it and it will affect me.

And I know everyone gets affected, but it really affects me to the point where I will cry and like sitting with the boys at radio, and I know that about myself.

I can't read it if I'm not prepared to feel it.

Yes, I totally understand, because that is actually related to your emotional soul.

Aplexus Center of which is also totally open, and that is exactly the scenario.

It'll mean that you will feel.

That experience as if it's happening to you, as if it was your child, your family.

And so it's really hard to park.

And it's irrational because you're like, it's a story, I should be able to just move on from it, but I struggle to let it go.

It's because there's no natural filter and then a center for you.

So yeah, I would just choose very carefully what you're going to absorb and take on, and just the timing of it, like if you know you need to read some article or something, maybe don't do it before you've got to do a chirpy podcast if you know it's exactly setting story.

And I think that would be interesting for lots of people to realize because we are in a world now of consuming so much news and so much content.

Yes, that you do have to be careful.

If you can't park content, it could sit with you potentially without you even knowing realizably.

And I think it's just the understanding.

It's just giving you the understanding the acceptance of how we are as individuals, so that we can make sense of those feelings when they come up.

So now when that happens, you'll be like, Okay, get that for me.

Because other people have a filtering system, I don't, So.

As a filtering system, what what.

That would look like is it just means because within every energy center there's number and those numbers are specific gifts.

For example, like the one I mentioned before about your leading gift is a concluding So they each correspond to a number.

And if you have highlighted numbers in that center, it means you've got a gift of an emotional kind and it just gives you a filter to process the way you receive information.

If you have the whole center colored in.

In human design, you have some centers that are colored in that are called defined centers.

That's where you have a more fixed sense of personality in that space.

If they're open centers and left right, it means that you're open to conditioning in that area.

So me, for example, I've got the emotional solar plexus defined colored in, which means that I will be able to read something and feel empathetic about it.

But I'm not going to have that same experience as you.

I'm going to be able to separate it.

You won't be ailing depressed for the next time.

No, I won't feel it as if it's my own story.

I'm just going to feel it as if well, that's a really you know, sad story for somebody else.

Wow, it's so fascinating, isn't it.

Yeah, layers and layers of detail.

And I've been so fortunate, as you know, this is a very new concept and it does encourage people to lead very much into mind, body, soul thinking, which is quite different to tools like Myers Briggs.

But I like to think of that as a next generation of all that kind of work, and because there are so many different layers to it, the differentiation really does tell a very personal story and like some of the more kind of categorizing tools.

Yes, but I have.

Been introduced to Rod.

Jury, who is the global tech powerhouse, and he is a huge advocate of human design and has been so supportive and is introducing me to lots of different people to get human design out there into different networks and introduced to all sorts of different people.

To Is this something you think corporation should be adopting.

Yeah, absolutely, because if you think about how well being pol is now a very important part of the workplace.

It's almost like human design is a well being a personalized wellbeing policy per person.

So it's saying we see you as an individual.

We you know, it really speaks to inclusiveness and diversity, saying we see that you are uniquely you, authentically you, and we want to celebrate your gifts and bring everyone up in the organization according to who they've come here to be.

Basically, well, I.

Think it's fantastic and everything that you have said to me absolutely genuinely runs true, and I can't wait to look through my profile in a bit more detail.

So True North Wellbeing dot co and anyone can go and work out what their profile is and work with you on ways to best It's based on those principles basically, just.

Live in the highest expression of yourself and just to give you the tools to navigate life so that you feel like you can confidently make the decisions that are aligned for you and you know, avoid burnout and just live a far more streamlined kind of purposeful life.

We need to talk with Coast FMS Tony Street.

If you enjoyed the podcast, click to share with family or friends.

To get in touch, email we need to talk at Coast online dot co dot nz.

We need to.

Talk conversations on wellness with Coast FMS Tony Street.

Hello, welcome to we need to talk.

We need to talk steroids today.

They're a wonder drug that can literally save lives.

I've personally been taking them for over ten years now for my autoimmune condition.

But they don't come without side effects.

People endure things like high blood pressure, weight gain, insomnia, bone thinning, among other things.

But sometimes people react to these steroids, and in Becky Booteret's case, she's been suffering badly with a condition called topical steroid withdrawal for the past four years.

The symptoms include redness, are burning, sensation, itchiness, and peeling.

It's got so bad that she's at the point where she's considering going overseas to get help because there's nothing that seems to be able to be done here in New Zealand.

Becky, when I saw your photo, I just I nearly cried because I just thought that poor woman like you have been through hell the last four years.

Yeah, been pretty fer effect to say the least.

Yeah, how did I recognizing myself too?

Oh?

My god?

Like, how did this come about?

And when you told me you'd been like this, having this for four years, I couldn't believe it.

Yeah.

So I've had XNER my whole life since I was a young child, and I used steroids on and off.

So growing up, Mom didn't use them on my skin too frequently because the doctors always not to use them for too long, so we didn't use them too often, and my skin I was with an X meth kid like, I kind of just put up with like that exner and the symptoms that came.

With their a lot of the time.

And then throughout intermediate high and university, my skin was gorgeous, like I really, like you never pick a head each snow.

I might get a little bit of flea out from time to time.

But then it kind of got worse in my adult years.

So in twenty fifteen, I had a flear and that's when I kind of started using the steroids a bit more regularly.

When you say steroids, can we just clarify here, you mean like creams that you put on your skin.

Yeah, hijerate quarter zone that you put on your skin.

So I used pat your quartersone and then if when it got really bad is in twenty eighteen, I put chlorine in the water here in christ Church and that's when things just flipped for me.

And I had the biggest reaction to the chlorine where I couldn't even shower.

It was just burning my skin.

And I went to a local dorm here in christ Church and she put me on a really, really long and intense protocol for steroids.

So I was on both topical and oral and I was on that.

For months and did it help.

Oh my gosh, my skin looked incredible.

It was like insane.

It was the most gorgeous my skin had ever looked.

And then when I stopped the protocol, I was having more regular fliers and I think they were steroid and juice flears because I got a filter on the house which.

Eliminated the chlorine issue.

And then, yeah, I used them a bit more regularly, probably a few times a week.

Put a hydroquarterzone on my face, and then alacon, which is one hundred times stronger than the hydro quarter zone.

I was using that on little parts of my body.

And then in about twenty twenty, around COVID times, I noticed that my skin was just getting worse and the steroids stopped working.

And at that point, what did you do?

At that point, I.

Went to the doctors and they said, well, we need to put you on stronger steroids.

And I was like, well that that didn't downright.

I was like, because I ended up back in this situation like wind does it?

Then does that stop?

And just through a whole heap of research myself, I came across o catially took on a few profiles on Instagram, and I was getting this thing called redskin syndrome, so my skin would present normal color during the day, and then all of a sudden, my whole face, like around here was just red and it was for that thing.

And I was like, it looks like some burnt by which an office.

I wasn't some burnt And then I was just so much research.

And next kind I came across someone and she was she was sharing her journey on Instagram on top all Cereid withdrill and talking about the redskin syndrome and all the signs and there, and I was.

Like, I felt like I was talking in the mirror.

I was like, this is exactly my possession.

And my skin was just weeping and oozing, and I was waking.

Up duck and my pillow because my face was and yeah, that's kind of Then I made the cause like I need to stop these steroids, like they're not even helping.

And you know, I can need to go through the withdrill from them.

And here I am four and a half years laters to going through it.

I just I just look at you, and I just I can tell how desperate you are.

I'm so sorry.

So what have you tried to help?

I've tried literally everything under the sun.

I've tried naturopathy.

I've done gut pests.

I've done lots of gut healing.

I've done allergy and sensitivity testing.

I've tried supplements.

I've done different diets, creams.

I've tried homeopathy, Chinese medicine, even I've done Acpunctuary even brought a big led red light panel for home to do light therapy.

I even brought it for really smaller to try help.

But I mean, in this condition, I can't really use it.

I've tried immuno supprescens, but they gave me awful side effects.

I've done limp emphatic messages to try help my lymph system.

I've done hypnotherapy healing and you've put it out, he's filter on the house.

Like I've literally tried everything like you name it, I've most likely tried it.

But there is a bit of a glimmer of hope, right, So you've found somewhere you can go.

Yes, So they the treatment center over seas in Thailand.

Unfortunately they don't do this treatment here.

It's called cat therapy and it's a plasma machine and they put it on your skin and what it does is it reverses skin thinning.

So my skin's been so opened from using the steroids and that really takes years and years to reverse.

So like I'm constantly going through the flairs, it's like it's just still normal part of the cycle with theory withdrawal.

But this machine that they have, the treatment that they do over the air, it thickens up your skin barrier by increasing your skin piliferations.

And stale turnover.

So yeah, it's a really effective treatment for top or serey withdrawal.

And I've spoken to a number.

Of people one key we actually who went about a year and a half ago and had the treatment, and I've all said it's changed their lives and they've got their lives back from it.

So it's something that, yeah, I want to give a crack.

How long does that take to sort it out?

About five months to be over there for five around five months, and I'll be getting weekly treatment.

Can you describe what life has been like for you the past four and a half years.

It's been how it's been really uncomfortable.

So usually before all this summer, very outgoing, bubbly, active person, and I'm always on the go, and I've always you know, I'm very happy naturally, and naturally I've always been a happy person.

I've been quite lucky in that regard.

But the past four years it's consumed my life condition because I'm constantly flearing him like this.

I kept in the moment, I can barely lift my neck if you can see.

But I've got like gettle under there from the current fear.

I'm actually coming out of fear at the moment.

So this is the best stub blocked and about the past through and a half weeks you can probably see it like all in my arms.

It looks so nasty, it really is.

Yeah, it's hard to do daily paths.

Yeah, and it's just been uncomfortable.

It's taken over my social life, like I you know, amount of events I've missed out on weddings, birthdays and just social things like I can't do a lot of daily things like at the moment, I can't go to the gym.

I struggle to do things that involve bending my fingers because I've got it all on my hands and like bending my arms very uncomfortable.

Yeah, it's frustrating because I just want to wake up and have the freedom to go about my day and do the things I want to do.

Like I'd love to get up and just go to the gym and then get into work and you know, just do what all the people do.

Can't really do that at the.

Moment listening, Do we need a talk with Tony Street.

Of the process that you've gone through and all of the remedies that you've been prescribed.

What part of that process has gone so wrong?

Do you think I think.

Just using the steroids, but I mean, growing up, I've always been told.

Just I think it's just Western medicine.

But you know that with the it's that this is the way I am, I'm born this way, there's nothing I can do about it, and that these steroids will fex you this is your answer.

So that's always been what's been planted in my head and what I kind of knew to believe.

And it wasn't actually until twenty nineteen.

I started a new job and I kind of have hey, gut issues me everything too.

And I was at my desk and I was hunched over one day and one of my colleagues came up to me and he's like, big spot's wrong.

Why you're hunched over?

And I was like, oh, just as there's just like regular for me, you know, just always got a saw tummy.

And he's like, now that's not normal, and he's like, you need to go to naturopath because I kind of explained, like he knew I was having skinn issues and stuff too, and you go see neatropaths and try and work out your sensitivities and what you're reactive to and you know, do if I'm gut here and the stuff.

And I was like, Okay, this sounds untruesting you.

I'll give that a crack.

So I did that, and then that's when I started working out my sensitivity.

I did a bunch of allergy testing and sensitivity testing, so I worked out my triggers and environmental ones and everything.

So I wish I had a home on that stuff.

I many years ago before using the steroids, but I just I just didn't.

If anyone is in the position where they are using steroids, I highly highly recommend trying to work out your triggers as to why you're using them in the first place.

So for example, like if it's in your diet, or you know your child's flearing, are they having like the top five reactive foods like.

Dairy, gluten, eggs, nuts, and soy they are like the top five.

So I would highly recommend trying to maybe avoid the immagesity if you know it's the difference.

And even something in your environment could be triggering you.

So if you've got chlorine in the water, which is a big thing that set me off and actually put me in this big crappy situa on the land, if you've got curing in the water, try getting a filter.

You know, anything else in the environment like dust, mice or even pet dander.

And all fur.

Yeah, just try work out.

Be your own investigator and try work out what's causing the fleas, because you don't just flear.

People don't just be x Smith there's always something behind it.

It could be stressed.

Yeah, it could be you know those.

Things I mentioned, And it seems really cruel because there are a lot of people that use steroids and they don't end up like you.

Yes, I know, yeah, and you have no.

Idea why you specifically and do you even know other people that have got this in New Zealand?

I do, actually, well, I've scribed because the girl that recently went over to.

Eat the treatment.

But since coming out of my store, it is incredible the amount of people that have a messaged me and have commented and just said, oh my goodness.

I have had someone myself or someone close to me, like a child, a family member or a friend go through their sex same thing thing, and they're like, I can empathize with you because I know exactly what you're going through and it's been quite I just like support and just knowing I'm not the only person that's been really nice to hear.

And then also I actually have an old flatmate and he contacted me a few months ago and he's like, oh, when he lived with me, actually he mentioned he was using steroids.

And I was like, oh, don't use them.

Many like get off them.

If you can, like you know, you kind of sensitive too, and then he was like, oh, I'll be fine.

But then recently he contacted me and he's like, I'm so addicted to the steroids.

I can't stop.

And he's like, I can't go thirty minutes without using them.

And then my skin justly.

Is Oh, he's.

Putting off the withdrawal because he's seen me and he's obviously pitting people line.

You have come out about it, and he's just dreading having to do the withdrawal.

So without this treatment, are you saying you'll be constantly like this is that where you're heading.

Everyone's different and the time frame depends on how much you've used and the period of time, So I don't know how long I'll be going through it for.

Like usually it gets better.

As you know, as time goes on, but the past year and a half has been really tough.

Like I've had little bits of normality in between, but it just hasn't lasted long and it's just constantly having the flares.

And yeah, so.

Going overseasing this treatment, it's beats it up by five times.

So every treatment you have it will speed up.

The process by five weeks wow, well, gosh, you just do anything just desperate.

At the stage, I'm like, it's taken over my life, and I'm like, okay, it got to the point where like, mentally I can handle quite a lot, but I'm like, mentally, it's got to the point where I actually can't take this anymore.

Like I'm.

I'm depressed and I'm not naturally like that, so I'm like, I need to do something about it.

Yeah, and good on you for researching yourself.

What makes me a little bit angry is that you couldn't find any answers here in New Zealand, Like who is there to help?

No one, There's no one, Like the doctors and the dooms.

They're just not educated on this stuff.

Okam just tyle doctors who are aware of it, and they're like oh yeah, like they recognize it's a thing, but others don't.

Like last year, I went to the doom because I was I was just juggling so much, I just could reely move.

I was waking up glue to my sheets and I was like, I need a bit of assistance.

And she started googling the symptoms on they jewel.

So she did it, though, but there's just no help pretty here.

Like you can go on.

Immunosupresints, but it's suppress the symptoms.

And the nice thing is that that can eat into the withdraal period.

But they come with side effects and I tried that for a few months and I got a bad side effects made to come off them.

So yeah, this treatment over in Thailand, the cat treatment is.

The most promising thing, and it's it's effective.

It's not like I go over there, I pay all this money and get the treatment and it's like it could work.

It's it will work, it will it will put me in a better position.

I might not be one hundred percent, but even if I'm fifty percent better than I am, and that's going to be a huge improvement.

What sort of money are we talking to get it done.

I'm looking at to do five months there for the treatment, including accommodation and flights and visas.

I'm looking at around twenty five to thirty thousand dollars, so it's a lot of money.

At this point, you're you do anything, right?

I was, yeah, I'm like I just got my life back.

And one of the things that's really like, I've followed people's journeys over the years who have had the treatment, and I've seen them before, I've seen them during, I've seen them after, and all of them have just raved about it and said, this is being life changing.

And I've seen the proof in the pudding.

I've seen their skin and i've seen you know, their condition improve.

But I looked after my niece over Christmas time on my sister and brother in law had a wedding, and I really want children.

One day and I was looking after we eat Make Forward.

I was struggling like I was on the FLEAR and I was just like the flear was so minor compared to what I am at the moment.

But I was just like I realized I could not have kids in this condition, like it would be so tough, Like I struggle daily just on my own, and I was like, I want children.

So I was like, I need to do something about this.

And I was just like thinking, like do I go to Chaila and do I just bite the.

Bullet and just go over and you know, do this, and like it seems dreams to go there for five months.

You know, I'm leaving my partner, I'm leaving my friends, my family, but I.

Just need to do it.

You've got to think about your quality of life.

And at the moment, if you can't even leave the house, then this, you know, it's your only option.

Speaking of your friends and family, how are they coping with this?

Because having to watch you go through this day and day out must be terrible.

Yeah, it's been.

It's been tough on the end to witness.

And the thing is, I just haven't been able to do a lot, which is a hard thing.

Like a very supportive.

Enough.

They've been able to help in terms of like helping around the house with cleaning and like the lawns and you know, different things, running errands for me, So that helped.

That definitely helped that they can.

But yeah, they want to see the end to this for me.

So but all hopeful and excited about the thought of me getting the treatment getting big back.

And I absolutely give you too for sharing your story because it's not an easy thing to do.

And like you say, when you share your story, you find there's actually other people and you might be helping other people just even consider their steroid use to make sure that it's the right thing for them as well.

Yes, definitely.

Yeah, Well, when I was like thinking about it.

I was like, do I go out there and do I hear my story?

And I was like, you know, it's pretty vulnerable sharing my face, especially in the states that it's been in.

And I was just like, no, I'll share it.

And I did it, and I'm so glad I have because if it even just helps one person not end up in my position, then that's all.

When I would hate to see anyone else go for this.

Yeah, I feel like anyone that listens to this is going to go.

You need to get to Thailand.

Can you just let us know how we can support you.

So there's a give a little page up there, and if anyone is in the position to donate or would like to, then I would honestly massively appreciate any donation, no matter how small.

And I was going to say a huge thank you to everyone who has donated to make it a little like you are incredible, and yeah, I see each and everyone that comes through and appreciate everything.

Well, Becky, I'm not going to say if when you go to Thailand, all the best and I'd love to talk to you when you come back.

Get that frame month's done, and hopefully you'll be a much happier human.

Yes, incredible.

We need to talk with COASTFMS Tony Street.

If you enjoyed the podcast, click to share with family or friends.

To get in touch, email we need to talk at Coast online dot co dot nz.

Welcome So we need to talk Tony Street's Lifestyle and Wellness podcast, Hello.

And welcome to We need to talk.

We all strive to age as well as we can, to stay strong, healthy, full of energy as the years go on.

But what are the habits that actually make the difference.

There is a whole lot of noise out there, people making suggestions, and it's really hard to know what is the best thing to do today.

I'm joined by someone who has spent her career helping us answer that question, Doctor Libby.

She's a nutritional biochemist and author, a wellness guru who has guided thousands of women to better health.

Recently, she's been a shining light on something so many of us actually overlook, and that is the importance of iron.

And that is in a new book and how a lack of it is leaving women running on empty.

At fifty one, Libby herself looks and feels incredible.

I can attest to that, and I wanted to find out why.

And as someone that will be heading towards her fifty soon, I want to know all her secrets.

What are the daily choices, what are the rituals, the mindset shifts that keep her thriving, from food and movement to streets and sleep.

Today we're going to unpack the seven habits to age well and how we can actually put them into practice.

Libby, it's so nice to have you here.

Well, Tony.

It is always a joy to see you.

Thank you.

You've got such a great energy about you.

Every time I see you, you just exude a bit of a sparkle, and I think that's what women chase, right, We want to I have that sparkle, that sort of zist for life, and I think that's what you have, and that's why we all want to know how you get it.

You're too generous.

I do feel that inside my own cells, though I feel it very much in my heart, and I think a big part of that is I just feel so fortunate that I get to have this turn on Earth, so I don't Yes, there can be days that might feel a little bit more challenging, or not even days, but moments but I try to keep all of that in perspective in and live with it.

Sounds a bit Hippi trippy, but I do live with a lot of aree of how extraordinary it is to actually get to be here.

How many different parts play their part, and actually enjoying life as you age.

It's quite a puzzle, isn't it, Because there are many many areas that we can work on, and we're busy creatures, so it is hard to work on everything.

But do you have kind of areas that you deliberately prioritize.

So the three pillars of my work really come into play here, Tony, So biochemistry, nutrition, and then emotions or you could say mindset.

So as far as biochemistry goes, we can think about what's happening in our blood work, so it might be a yearly blood test with your GP.

That's something I do just to find out where things are at.

And then of course with nutrition, it's not very long ago we only ate food and the junk is really infiltrated, so when we prioritize eating mostly whole real food, it can make such a big difference.

And I know that sounds so boring.

It's really hard to make it sexy, but for example, vegetables, we're told that we need five servings and vegetables per day just for average basic health.

That's not for kicking out of the park awesome levels of health and energy, or the prevention of things like dementia, which I'll touch on in a second, because obviously that can be a real concern for a lot of people with time.

But when less than ten percent of key we adults are getting five serves of vegetables per day, and it's just a really simple place to start.

It doesn't have to be health doesn't have to be this big overwhelming thing that we feel is impossible.

Just taking a step in the direction of eating more of those veges make a big difference.

It's something that I've prioritized thanks to my gorgeous mum who's eighty one.

She taught me to do that.

But yeah, there's actually it's sort of common sense, I think, Tony.

But there's some really great research that's come out just this year looking at the role of compounds in vegetables that are incredibly protective for our brain against age related decline.

So it's not really something we think about in our twenties or thirties, but we kind of need to.

But establishing those habits early on can make a really big difference to what unfolds in our future.

All vegetables created equal, or are there some that you put above others?

Green veggies absolutely, and the brassicas so they contain some really unique compounds that foster all sorts of biochemical processes inside of us.

So when we don't consume those, or we don't have enough of those, some of some really important processes inside of us can actually slow down.

So it's kind of easy, I think, to just think about, you know, throwing a few more of those on your plate.

So you're putting vegetables heat of fruit, I am, yep, so deliberately.

So, yes, fruit is beautiful.

No need I actually worry about younger people.

I've had younger people say to me, I'm too scared to eat a banana because.

Of the sugar.

That's a big worry.

It's the sugar in the banana.

It comes packaged with fiber, with antioxidants, with vitamins, with minerals, and also some unique compounds that only is contained in a banana or other pieces of fruit.

But yes, fruit does contain sugar.

And that is something we can over consume.

So two pieces of fruit a day is terrific, and obviously that would be almost the second pillar in aging well is to really minimize those added sugars.

We're told that it's okay to have six teaspoons of added sugar per day, but at the moment in New Zealand, we're having thirty seven tea spoons.

Oh it's outrageous.

How many teaspoons a day would you have.

Of added sugars?

Oh?

Probably not even one.

I was gonna say, I bet you don't.

I don't actually have a sweet tooth, though, which irritates a lot of people.

I think I will choose but over anything sweet in a heartbeat.

So it's just I'm not.

I don't purposefully avoid it.

I just don't seek it.

Don't you think, though, your sweet tooth gets worse the more sugar you consume.

Yes, it sugar be gets more sugar without doubt.

And I think if we think back to I know when I was growing up, the ultra processed food was available at birthday parties.

It was really expensive, so it was considered almost like a treat.

Yes, and that's a big part of the problem.

Now it's too cheap.

It's so easy to throw it in the groceries every week and people are consuming it every day.

And a phrase I've used in my work for a long time, it is what we do every day that impacts our health.

It's not what we occasionally do.

We don't need to go without some of these things that we might love, but if we're having them every day, it's too much.

What does your food preparation look like on a daily basis, so youse someone that makes you meals on a Sunday?

Do you do them in the morning?

Do you prepare ahead of time or do you just cook as you go?

I cook as I go?

Okay, but I know when I shop, I know roughly what I'm going to be cooking for the week.

And I absolutely love food shopping.

I can actually take a really long time in the shops looking at new things that might have developed.

It's a really fun time in I guess the nutrition and nutritious food kind of space.

So yeah, I do plan ahead in my mind, but then if I don't really feel like that on the day, I'll do something.

You can that what would a typical day of eating?

Because I know people will be interested in this would a typical day of eating look like for you.

I want to preface what I say by I grew up as someone who gave myself a lot of rules to follow, and I realized in my twenties that that was really fear.

It wasn't coming from health.

I thought it was health, but it was very much the mask I wore to kind of hide my fear about what eating certain things might do.

So and I feel like there's we kind of can't be that healthy when we're frightened.

So I actually there's a lot of benefit for me personally in a bit more.

I don't want to say relaxation, it's sort of flexibility.

Flexibility perfect.

Yeah.

I have in Real Food Chef, one of the cookbooks I did many years ago now, I actually wrote the term flexitarian.

So I still maintain that.

So when I answer what I eat each day, I'd love people to keep in mind that when I share that, it's not me saying this is how you need to eat.

It's what works for me, and I think there are people when it comes I see our body.

I call it an earth suit, and I have immense reverence for it, and I feel it is that it can be our best friend if we allow it to be a communicates with us.

It gives us feedback about our choices.

And so when when I think about that, I have this real care about what I.

Put into it.

But I like to think of it almost like standards rather than as these rigid rules that I have to follow, otherwise the world's going to fall apart.

So if I've mowed the lawn, I love beer at the but it's not something I'm going to do on a daily basis, or it probably not even a weekly basis.

But that's so for me, that's just part of life.

Yes, And it's gorgeous and it's so nourishing for my soul.

And I know there's lots of research about alcohol and brain health, and I just feel that I just can't vibe that that's doing me any in any way.

So it's refreshing to hear, actually, because it's that part of being a healthy and virate person is having a good mind sitting and allowing yourself a bit of joy.

Right, Yeah, that's right, and yeah it feels great.

So to answer your question, I have a great big glass of water when I get up in the morning and lemon is probably my favorite flavor, so then I'll actually squeeze a lemon and drink that juice.

Love that.

And then breakfast is usually I make my own gluten free bread and I have eggs on that with a big side of spinach and mushrooms.

So that's usually the start of the day.

I lather the toast in olive oil.

Snacks don't feature.

I don't get hungry mid morning lunch is a real variety because I can be anywhere, so that could be something in a cafe.

But again I'll just choose pretty much whole real food with some sort of protein and some sort of vegetable.

And then dinner is the same, some sort of protein, some veggies.

I love carbohydrates at night, so potato, sweet potato, brown rice, normal white rice.

That kind of stuff is always on my plate at night.

It helps me sleep better.

Is there anything that is a complete no go for you?

Foods you just do not eat.

I love the fact that you have an occasional beer revelation today.

What would be a no go?

I don't see the point in lollies.

I used to actually joke with my team.

I understand why people go for chocolate of course, but lollies, I can't wrap my head around what that's about because it's just literally a handful of sugar, whereas there's a bit more substance or texture to chocolate.

But anyway, sollies just don't interest me.

Lolly's is the thing.

I'm more of a chocolate than a lolly person myself too.

I just want to go back to you mentioned your mum and the fact that you live quite close to your parents now as they're entering into the eighties.

That family connection and the ability to be there and to help them does that come into your happiness and your well being too.

Yes, without doubt, Tony.

They are really beautiful human beings and I feel so fortunate with the way that they raised me.

Understanding where they came from.

They blow my mind.

They're very quiet people, they live very very simply, and yes so too.

It's a privilege that I'm fifty one and still have two parents on the planet.

That blows my mind.

It doesn't mean that it's not challenging at times, but I'm very aware of the privilege of still having them around.

Even last week, my dad was telling me stories that I hadn't heard before, and if we don't actually have that one on one time, we missed those stories and they might pass away without us ever knowing things about their past or their perceptions and experiences in the world.

So it's a really lovely time in my life right now to be able to be able to do that.

So it's yeah, So family is really special.

Your upbringing you say you had this great upbringing.

Has that influenced where you have gone with your work and the career that you've ended up with it will have.

It's I was someone who never was didn't seek ambition.

I didn't ever dream I'd do this or this or this.

My friends used to talk like that, and it was just not my vibe.

But I loved nutrition right from the get go.

We we had a small backyard, but Dad grew quite a lot of food, and so he would he really was a farmer at heart, and so he would actually plant wheat in the backyard every year, and he'd say to me, I want to see what the crops out west are doing, so based on the weather conditions and the rainfall, and so I sort of learned about he'd explained to me about how soil and weather impacts essentially what we then get to eat.

We grew citrus fruits and strawberries and things in the backyard, so he would it was just natural conversation, Oh yeah, it's got some vitamins, saying it, you know, that'll help you not get a cold, So that it was not constantly talked about, but it would filter and in conversations.

My grandmother she didn't live in the same town as us, but she would come to our town sometimes if she needed to see her doctor.

And she didn't ever bring me chocolate.

She brought me She would say, oh, I've brought you this, and it was a pottle of yogurt and she'd say to me, and the treat is you get to put a teaspoon of honey in it.

And I say to people, no, wonder I turned out a bit weird because it was so funny.

How was my nanna?

And she lived to be ninety six, living on her own, good genes, on no medication, died in her sleep.

So because I've witnessed that, I know you can die.

Healthy, yes, And that is so when we talk about aging and aging well, I very much have her in my mind as to how she did that.

And I really love and value my independence, love connecting with others as well.

But really I always want to be able to do things for myself.

I always want to be able to put on my own shoes.

So when I think about how I take care of things now, it's not just so I can put my shoes on today, so I can still put my own shoes on when I'm ninety.

Now.

Fact, we need to talk with Tony Street.

So we've talked about that food element.

What about the movement or exercise element.

Are you following this?

You've got to lift TV weights mantra when.

You're over forty, so absolutely the benefit in it is immense.

It's an area where I need to improve.

It was something that I've done a lot of it in my life, and I've let it go in the last couple of years, right when I really we need to not be letting it go.

I've been prioritizing work and my iron project, my mum and dad and my personal relationships.

I've been prioritizing that not lifting heavy things, and I can feel the difference.

So it's very much what I want to return to.

I love pilates, but I'm very much a garden sort of human so I like carrying twenty killer gram bags of mulch.

I love carrying twenty killer gram bags of chicken food.

So I like to do that sort of gardening work and lift heavy things or by myself as also part of my movement.

But I think when to understand how important it is to maintain robust energy as we age, strength and flexibility.

They're the three pillars that I.

Think about to make sure our earth suit is able to stand the test of time on the planet.

So energy, strength, and flexibilit So what does it take to keep our body able to do everything we want to be able to do in life?

So essentially you're saying, yes, the heavyweights, but you've got the natural version.

What do you said on the cardio side of things?

So, I mean it's incredibly important to have that kind of conditioning.

Because I grew up in the era I did, there was a lot of over exercising because it was that very much health was based on that calorie equation.

So I saw a lot of over exercising, and obviously that can be as concerning for health as under exercising.

Exercise is not my area of expertise.

I've learnt things from other people who are experts in that area, and their health and their physiology reflect their dedication to looking after themselves, and that they are not as big on cardio from I guess from the idea of over exercising.

So yeah, but the strength the lifting the heavy items is incredibly important.

Being able to do what's called the seven primal movement patterns and I won't remember them all, but bending, squatting, push, pull, gate, So being able to do that for again, to think about the idea that because we are in this time where we're privileged to live for a lot longer than ever before, but do we live too short and die too long?

So I know I want to spend a long time living.

I don't want to spend a long time dying.

And I think if we particularly look after nutrition and our movement patterns, particularly our muscle mass, it can make a big difference to how we age.

What else are you considering to age well well?

Time in nature is my reset, so I don't compromise that I watch That sounds crazy, but I watch light change.

So I watch the sun rise.

I take pauses through the day and notice what the light is doing.

I watch the sun set even if I have to open my laptop again and go back to work your pores and do that very much.

And it's partly for a sense of appreciation.

It's also we don't get to be here without that extraordinary sun that rises every day to give us everything that it gives us.

And yeah, so it's partly those pauses I think to noticing the night sky is really profound.

So when we feel really anxious or our mood is really flat.

Yes, there can be bio chemical reasons for that, like iron deficiency, which I've talked about a lot recently, but it can also be that we're very focused almost on our insides and when I think the night sky is a really great reset, so it helps us to be almost confused, but in mystical awe of how is that so vast?

I understand that concept and I've only just thought about this hearing from you.

When you think about the sunrise and the sun set, it's stunningly beautiful, and it feels like it's beautiful for us to look at.

So you're probably onto something here.

We meant to be watching it in terms of our health, right.

Yes see, I'm teary be saying that it is we're missing at all with how we're.

Living now, Yeah, we actually are.

And there's a beautiful book called The Top Five Regrets of the Dying by a beautiful lady called Bronnie Ware and she was a palliative care nurse and when she talks about this in our book in her book.

Sorry, but when you talk to people who are dying and you ask them what they're going to miss the most in the world, they tell you really ordinary things like the night sky.

And we have these things right now, and I think when if we need to let ourselves have what we have right now, because that's what joy is all about, and it gives us an irreplaceable depth of energy, and it also helps put things in perspective.

So it's of course, things like anxiety and low mood are multifactorial, they have lots of drivers.

But I think it can really be very soothing for our soul to notice way more what's happening around us, like sunlight and the night sky.

It's going to be a whole lot more people watching the sunrise and sun sit now I'm looking up at the skirt stars.

I love it.

It's a good thing.

What about the sleep side of the is that part of an important thing for you?

Yes, that would be an understatement.

So and I think sleep is.

Sleep is very important to me personally.

It's something I prioritize.

It is I think too.

It's a basic foundation of our health.

And when I've had patches where I don't sleep well, I use it as feedback.

So I don't stress out about it.

I don't think or you know, am I going to fall asleep and then wake up again at you know, midnight or whatever whatever time I tend to be waking up.

I don't stress about it.

I just think, I wonder what this is trying to communicate to me?

What do I need to do differently with how I eat or drink or move or think or my breathing or what you know, almost beliefs and perceptions.

I also let filter into that kind of question.

So what is lousy sleep trying to ask me to do differently?

And so I try to solve it.

And that's why with anything to do with changes in our health, changes in our face as we age, our face can tell a story of our life with all the challenges we've been through as well as all of our joy.

And I personally am here for that, because our pain or challenges allow us to be who we are today as well as all the good things.

This is very personal to me, but when with something like sleep, I want to solve that rather than just mask it with something that I take, because I won't necessarily get the insight that it's trying to teach me.

So that's again sounds a bit odd, but that's what I understand it.

Because I feel that sometimes the information will be there in our daily life, but we're so busy we don't hear it or notice it coming.

I think there's this incredible voice inside of us that's full of wisdom guiding us, and it has our back.

It knows when it is time to go to bed, it knows when we need to lift heavy weights.

And I get that prod all.

The time, and I'm not acting on it yet, but this chat will prompt me tony.

But yes, so sleep is very important to me, and any new mothers listening to this, don't hate me right now.

I love eight to nine hours a night.

I do love it.

I would aim for that and I'm someone that gets up super early from my radio show.

But I feel a little bit like you.

I get asked all the time, Oh, where do you find the energy?

And I think my sleep is a huge place, because if you're not getting good sleep, you're not allowing yourself to reset and restore, not just physically and mentally, but also just that zest.

And I will, I will put myself to bed and go Nope, my eyes are falling out of my head.

I'm gonna nap now, or I'm going to sleep now, because I just know, and also purely from a vanity perspective, you just look strung out if you don't have enough sleep.

And look, there are periods in your life when you have newborns that you can't get as much.

But I do think the older you get, possibly even if you've got children, the more time you can get for sleep.

And yeah, it's and then you get to the stage where you're like, I'm not I'm going to prioritize it because I like it.

I like being a bit it's really nice.

And then I like how I feel when I've had a good sleep.

Yeah, absolutely absolutely, I totally appreciate that.

Okay, so we've gone food, exercise, sleep connection.

We've talked about what else can help us age well.

Hydration Again, is another really boring topic.

But we need to make water our main drink because our body is made up of or different tissues are made up of different percentages of water, and nothing works properly inside of us when we are dehydrated, and a lot of people live chronically dehydrated.

They live on caffeine and alcohol for example, actually draw water out of our cells.

So if you can imagine that the body is made up of fifty trillion tiny little circles, and they're supposed to look like a grape, but a lot of people's cells look more like sultanas, so they're a bit shriveled, a little bit dried out, so the water is not inside the cell.

We want to make sure our cells are nice and plump and.

Well hydrated because that allows the little cities that exist inside every cell of the body to do all of the critical work they do.

And our urine is our blood having been filtered by our kidneys, so our kidneys have to work ridiculously hard to try to filter the blood to get the waste products out of our blood when we're dehydrated, and over time that takes its toll not just on kidney function, but on our skin and on other interior processes.

So yeah, hydration is another really good key I think to think about.

Do you drink coffee?

Yes, you do, yes, so you don't think it's terribly bad, But is it?

Is there a limit to what you think we should be drinking.

I think we know in our own hearts the right amount for us.

We just oft and override it because we love the taste of it, or we like the break in our routine when we go and get a coffee.

So I definitely went when I wrote Rushing Woman Syndrome in twenty eleven, which feels like five minutes.

Ago, especially when I remember you putting that out and reading it does feel like last year.

It's fourteen years ago.

What I don't it's crazy.

So when I wrote that life was very different from me and I could not drink coffee, it would wire me into a really uncomfortable place.

And we understand obviously that caffeine leads the human body to produce adrenaline, and adrenaline is one of the hormones behind anxious feelings, and so there are definitely people who are naturally really chilled out.

They don't sweat the small stuff, and there are other people who, because of all sorts of things, can already feel very anxious, and caffeine can push them into a very uncomfortable place.

And I feel that that's not talked about enough, not enough people understand that.

So yeah, so I'm at a point in my life where caffeine feels really lovely.

And so as far as the mounts go, I think we know when we're having too much of it.

So our heart will race, it might upset our tummy, it might disrupt your sleep.

So just noticing those things might be a little sign that there's too much.

Find us on Instagram at we need to talk with Tony Street.

The conversation that we're having around aging right now.

Is one of the gorgeous girls I work with.

She actually raised She's only in her thirties, but she raised it with me, how there's a trend right now to not allow it to be seen in our faces, and people need to do We're privileged if you like to live at a time where we have access to all sorts of things, and we need to do whatever spins our tires and makes us feel good.

And I don't deny for a second that there are all sorts of things we can do that are really lovely for our self esteem.

So I'm not putting that down for a second.

I guess I want to challenge the idea that that's necessary and to help more people be comfortable in their own skin, whatever that is.

So when we talk about aging, well, it often involves focusing on things we need to change.

And I like the idea of accepting ourselves as we are right now, while also recognizing, like I did, I need to accept myself as I am right now.

I also recognize that it would be really beneficial for me to lift heavy things.

But that doesn't make me hate myself or be mean to myself.

It's lease of a person.

No.

And so when it might be a new line a face on your face that you notice, I see that and think I've obviously been, you know, doing a facial expression that has.

Pushed that, and I think, I wonder.

What that's about, because that's new.

So and again it sounds like I spend a lot of time thinking about this stuff.

It's not.

I'll just notice it.

And then I've trained myself to be really curious about what might have So what is what are the thought patterns that are behind that new crease, and I've had some of my biggest insights drop with learning from what that's telling me, and so I don't want to change that.

I like that.

I like understanding more about myself, more about others, more about the way I interact with others.

The people pleaser in me who wrote Rushing Woman's Syndrome, she's very much alive.

She runs my life less now, but she's very much still there.

And so often there'll be a new expression and you know, I've been concentrating really hard, or I did a lot of research to write Fix Iron first, and I appreciate that that I was able to do that.

So sometimes, yeah, that's what I mean when that the face tells a story.

So I think part of this idea of aging well is also accepting that things will change and that's okay, but doing what we can to die healthy rather than spending a long time dying.

Yeah, I agree.

It staggers me.

Really, humans have advanced in so many ways, and yet we are still in a world that glorifies the physical image, aren't we And it's staggering really to be ruled by what you look like and how others are going to perceive that you look like, and we're on this planet for such a short period of time, and I think it's so it's so sad.

And look, I'm someone that likes to look nice.

They do.

I like to put makeup on and I like to get my hair done.

But it doesn't define me and it doesn't drive what I do every single day.

But I feel sorry for people.

They've got themselves into that state where it drives decisions they make, and it's sort of prioritized over everything else.

Yeah, and I think there's so much beauty when you meet someone and they're really comfortable in their skin regardless of their appearance.

Yes, and you can see that and you can feel that, and yes, So I guess I want to encourage particularly younger women to consider that and to be really curious about the beliefs they might hold about themselves that lead them to pursue that.

And again, if you pursue that, great, no judgment at all, it's you know, to support yourself.

That can be a beautiful thing.

I'm not denying that, but I like to be really curious about the beliefs that drivers because beliefs and values drive our choices.

And when I say values, I don't mean it preferences like kindness or generosity.

I mean what does your life actually demonstrate that you value?

What do you think about, What are you prepared to spend your money on, what do you read about.

They're essentially showing us our values, and we look after what we care about, whether that's the environment, our families, our physical body, and so I think if we can help people, big part of the work I try to do in the world is to help people care more about their extraordinary body because when it comes, when we have that real care for it, it leads makes our choices come from a really different place.

It's not about oh I should do this or I need to deprive myself of that.

It's I'm doing this because I care so much about my earth suit and appreciate life.

It's all so very precious.

I know lots of women that value the work that you do.

I'm one of them, always trying to know, you know, what's the latest thing we can do to help ourselves have a happier life.

You must have come across people that aren't looking after their health, and is it hard for you to understand as someone that's such a picture of health when you've got someone that is at a loss to help themselves, and you know they don't know where to start.

Almost I feel like I do understand it, but it breaks it really breaks my heart, because I worry about how they see themselves and the beliefs they must have about themselves.

And that's where the work essentially needs to be done.

I could talk till I'm blue in the face guiding and supporting someone to eat nutritiously, move regularly, make water their main drink.

You know, I think most people know that that's probably the way to go.

My big curiosity for someone who might not be caring for themselves is why why are you not doing that?

And it's always comes down to beliefs and values, and so often the beliefs about ourselves are ingrained in us from such a young age, so we beliefs are slippery too.

We know what we believe about things outside of ourself, about that person or that political party, or the family that lives in that house down the road, But when it comes to beliefs about ourselves, we can't.

We quite often can't see them because they're tied up in our language.

So we see them our beliefs as the truth.

And so you might eat a whole type of ice cream after dinner and tell yourself you're hopeless and pathetic and that you have no will power.

But then we don't question that statement that we've made inside our own mind.

That's that's packaged, it's done, you know.

But it's a belief.

And the belief that you're hopeless and pathetic and have no will power has come from a judgment you passed on yourself time and time and time again in the past.

That then leads you to almost justify continuing with those choices.

So I have a very deep compassion for and I've worked with a lot of people who have beliefs that are so inaccurate about themselves.

And essentially where I'm guiding them in any aspect of my work is if they knew who they truly are, they would be in awe of themselves.

And I don't mean that with any in any for you know, with to sort of support arrogance.

So I don't mean that.

It's just it's reverence to live with a little bit more reverence for our body and our health and beliefs.

Changing beliefs can help us get there.

So how do you maintain a good mindset as we age, you know, isn't a matter of I mean, I spoke to Gilbert and Oka, the All Blacks mental Skills coach, and one of the things he encourages people to have is a critical friend that they talk to.

We all should have to talk to about our concerns and our worries and our goals.

And I guess a corporate version of that is this push to have professional corporate coaching.

And I guess the layperson's version of that might be You've just got a really good friend that you talk to about your worries.

But the key theme is you're actually not going in alone.

And it was something kind of grabbed me and I thought, I feel quite lucky because I've got quite a nice tight circle around me.

Something that you would encourage.

Too without doubt, Tony, and that person that you really trust, whether it's a dear friend who has some wisdom or some cheekiness or a different take on life, someone also who's not frightened to with love and respect tell you when you might be really way off kilter and you need a bit of an uppercut.

Those friends are incredibly valuable.

But then someone who you feel you can speak incredibly freely with and.

Not be judged.

So it might be a friend, it might be a counselor it might be a psychologist.

I know as a child I wrote in a journal to try to sort of sort things out a bit, and so I think some people do really well just writing very freely as if no one's going to read it, and insight can flow there too.

But without doubt that those conversations can make such a difference.

Doctor Lobby, I've loved talking to you today.

I feel like it's been great getting an insight into what makes you tick and some practical things as well.

I might have to look at the sunset tonight, I think as much as I do, I do notice that.

But being intentional about that, I think it's a really cool practice.

And I think for children as well, because it can be we can all children as well, can spend way too much time on screens and it's almost like life is in there in.

A bubble, and.

Yeah, it's I feel like that takes us away from life, and so teaching children that that's always available to embrace or to appreciate, I think is a really lovely little trick that would help a lot of children feel a lot calmer on the inside.

Just before we finish, can you remind us again about this new book of yours and how it's being received.

So yes, I wrote fix I on first, the one thing that changes everything.

It came out at the end of May, and I have been so blown away with the reception.

We're in our third reprint, so yeah, it's been beautifully received.

It is the most common nutritional deficiency in the world, particularly for women, teenage girls athletes, and unfortunately a growing number of children.

So it's more than just the book, Tony, I'm on a real mission to globally.

So I think, you know, there might be children in a family with really loving, attentive parents, and they might not recognize the signs of iron deficiency.

So I want to educate them to address that.

There are children who come from really hard places who go to school without breakfast, they're probably iron deficient.

And then there are children in developing countries who don't have access to iron rich food.

And there's a manifesto at the start of the book that I want to elevate this conversation around iron deficiency and bring it back to the top of the pile because it affects childhood development, with IQ, with cognition, with attention, And I know lots of teenage girls who they start to menstruate, they go plant based with their eating, they become iron deficient.

The anxiety is huge, and I worry that too many of them end up living with the false belief that there's something wrong with them when it might not for all, but for some of them it's iron deficiency.

I worry about women going through perimenopause who don't have robust iron status and their resilience, the thyroid function, all of it's compromised.

So yeah, fix I on first.

And my supplement, Iconic Iron, has been my It's my big new project and I'm really really loving it.

Fantastic.

Hey, thank you so much for joining me today.

It's lovely as always, and I look forward to your next project.

Tony, your gorgeous.

Thank you so much.

Thanks for listening to We need to talk.

Get in contact with us on Instagram at we need to talk with Tony Street or email we need to talk at Costonline, dot co dot z