[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:00.00,0:00:02.32,Default,,0000,0000,0000,,Before I say anything, \NI just want to say
Dialogue: 0,0:00:02.32,0:00:06.06,Default,,0000,0000,0000,,that if you are squeamish\Nyou might not want to watch this video
Dialogue: 0,0:00:06.06,0:00:10.39,Default,,0000,0000,0000,,because there will be some pictures \Nof lungs that have a blood clot in them
Dialogue: 0,0:00:10.39,0:00:13.94,Default,,0000,0000,0000,,and other organs of the body. \NIn my opinion it's nothing that bad
Dialogue: 0,0:00:13.94,0:00:16.27,Default,,0000,0000,0000,,but I wanted to give you a warning,\Nregardless.
Dialogue: 0,0:00:16.27,0:00:19.44,Default,,0000,0000,0000,,This video is a follow-up\Nto my last video which was called,
Dialogue: 0,0:00:19.44,0:00:23.30,Default,,0000,0000,0000,,"What Doctors Are Learning From Autopsy \NFindings of COVID Patients. "
Dialogue: 0,0:00:23.30,0:00:28.28,Default,,0000,0000,0000,,Just after I published that video,\Nnot even a day later, this study came out,
Dialogue: 0,0:00:28.28,0:00:31.20,Default,,0000,0000,0000,,published in the \NAnnals of Internal Medicine
Dialogue: 0,0:00:31.20,0:00:33.18,Default,,0000,0000,0000,,which I'll put a link in to the description below.
Dialogue: 0,0:00:33.18,0:00:37.90,Default,,0000,0000,0000,,And what makes this study such a big deal\Nis that it's the first study that
Dialogue: 0,0:00:37.90,0:00:41.60,Default,,0000,0000,0000,,looked at this many autopsies of \Npatients who died of COVID.
Dialogue: 0,0:00:41.60,0:00:46.07,Default,,0000,0000,0000,,Not only do they do complete autopsies, \Nbut they use CT scans
Dialogue: 0,0:00:46.07,0:00:48.85,Default,,0000,0000,0000,,to scan the entire body for blood clots.
Dialogue: 0,0:00:48.85,0:00:53.48,Default,,0000,0000,0000,,All 12 of the deceased had tested\Npositive for SARS Coronavirus-2
Dialogue: 0,0:00:53.48,0:00:56.43,Default,,0000,0000,0000,,by means of RT-PCR.
Dialogue: 0,0:00:56.43,0:00:59.58,Default,,0000,0000,0000,,Now, I want to say something.\NNot everyone on this planet is
Dialogue: 0,0:00:59.58,0:01:02.71,Default,,0000,0000,0000,,going to get COVID.\NFor those who do get the virus,
Dialogue: 0,0:01:02.71,0:01:06.03,Default,,0000,0000,0000,,80% of them will either have mild\Nor no symptoms.
Dialogue: 0,0:01:06.03,0:01:09.77,Default,,0000,0000,0000,,Roughly 15%-20% of them will \Nhave pneumonia.
Dialogue: 0,0:01:09.77,0:01:14.48,Default,,0000,0000,0000,,Roughly 4% will develop ARDS, or Acute\NRespiratory Distress Syndrome
Dialogue: 0,0:01:14.48,0:01:17.60,Default,,0000,0000,0000,,and/or shock with\Nmulti-organ failure.
Dialogue: 0,0:01:17.60,0:01:20.93,Default,,0000,0000,0000,,And about 1% will die of \Nthe infection.
Dialogue: 0,0:01:20.93,0:01:24.83,Default,,0000,0000,0000,,When I'm in the ICU and \Nsomeone dies it's obviously horrible.
Dialogue: 0,0:01:24.83,0:01:29.07,Default,,0000,0000,0000,,Sometimes autopsies have to be done \Nirrespective of family consent
Dialogue: 0,0:01:29.07,0:01:30.79,Default,,0000,0000,0000,,when it's a legal matter.
Dialogue: 0,0:01:30.79,0:01:33.25,Default,,0000,0000,0000,,Rarely, depending on the\Ncircumstances,
Dialogue: 0,0:01:33.25,0:01:36.18,Default,,0000,0000,0000,,we ask familys' permission to \Ndo an autopsy.
Dialogue: 0,0:01:36.18,0:01:39.14,Default,,0000,0000,0000,,Most families decline the option for\Nautopsy,
Dialogue: 0,0:01:39.14,0:01:43.65,Default,,0000,0000,0000,,but during this pandemic, it's especially \Nimportant for autopsies to be done
Dialogue: 0,0:01:43.65,0:01:47.03,Default,,0000,0000,0000,,because they often provide\Nincredibly valuable information,
Dialogue: 0,0:01:47.03,0:01:50.75,Default,,0000,0000,0000,,especially when we still know so little\Nabout COVID.
Dialogue: 0,0:01:50.75,0:01:53.66,Default,,0000,0000,0000,,Especially when it can present in so many \Ndifferent ways.
Dialogue: 0,0:01:53.66,0:01:56.47,Default,,0000,0000,0000,,So in this study that was\Ndone in Germany,
Dialogue: 0,0:01:56.47,0:01:59.40,Default,,0000,0000,0000,,autopsies were mandated for patients \Nwho died of COVID.
Dialogue: 0,0:01:59.40,0:02:03.40,Default,,0000,0000,0000,,And to the families of those victims\Nof COVID, my condolences.
Dialogue: 0,0:02:03.40,0:02:06.85,Default,,0000,0000,0000,,And we're still trying to figure out \Nwhy some people do so poorly
Dialogue: 0,0:02:06.85,0:02:09.56,Default,,0000,0000,0000,,when they get the virus,\Nwhile others do just fine
Dialogue: 0,0:02:09.56,0:02:11.88,Default,,0000,0000,0000,,and then there's everyone in between.
Dialogue: 0,0:02:11.88,0:02:14.44,Default,,0000,0000,0000,,So, the point of this video \Nis not to scare people.
Dialogue: 0,0:02:14.44,0:02:16.70,Default,,0000,0000,0000,,The point is to learn about\Nthe disease,
Dialogue: 0,0:02:16.70,0:02:18.71,Default,,0000,0000,0000,,and to ultimately benefit from that \Nlearning
Dialogue: 0,0:02:18.71,0:02:20.97,Default,,0000,0000,0000,,with the hope of developing treatment\Noptions
Dialogue: 0,0:02:20.97,0:02:27.18,Default,,0000,0000,0000,,and ultimately reduce morbidity and mortality in other \Nwords to save lives and by making this video the
Dialogue: 0,0:02:27.18,0:02:33.27,Default,,0000,0000,0000,,goal is to educate myself and others about what \Nwe're learning and getting the medical truth out
Dialogue: 0,0:02:33.27,0:02:40.26,Default,,0000,0000,0000,,there to the public so in this study there were \N12 patients total nine men three women and the
Dialogue: 0,0:02:40.26,0:02:46.80,Default,,0000,0000,0000,,median age was 73 all patients had some type of \Npre-existing medical condition most of them had
Dialogue: 0,0:02:46.80,0:02:53.61,Default,,0000,0000,0000,,obesity and/or underlying heart disease such as \Ncoronary heart disease some had type 2 diabetes
Dialogue: 0,0:02:53.61,0:03:01.02,Default,,0000,0000,0000,,hypertension peripheral artery disease asthma \NCOPD initial lab tests revealed elevated levels
Dialogue: 0,0:03:01.02,0:03:08.73,Default,,0000,0000,0000,,of d-dimer lactate dehydrogenase meaning LD H \Nand C reactive protein or CRP all of these are
Dialogue: 0,0:03:08.73,0:03:15.30,Default,,0000,0000,0000,,nonspecific markers of inflammation there is also \Nmild thrombocytopenia in some patients meaning low
Dialogue: 0,0:03:15.30,0:03:21.30,Default,,0000,0000,0000,,platelet counts this isn't an unusual finding in \Npatients who are critically ill they also looked
Dialogue: 0,0:03:21.30,0:03:28.26,Default,,0000,0000,0000,,at levels of viral RNA using rt-pcr studies all \Ntwelve patients had the SARS-CONORA-VIRUS 2
Dialogue: 0,0:03:28.26,0:03:34.26,Default,,0000,0000,0000,,RNA in their lungs nine out of the twelve had it \Nin their throat and six had in their bloodstream
Dialogue: 0,0:03:34.26,0:03:42.39,Default,,0000,0000,0000,,in five patients they had viral RNA in other \Ntissues like heart liver brain and kidney not
Dialogue: 0,0:03:42.39,0:03:47.22,Default,,0000,0000,0000,,only did they have the virus there but the levels \Nwere higher in those tissues compared to the blood
Dialogue: 0,0:03:47.22,0:03:52.80,Default,,0000,0000,0000,,here's a picture from a different autopsy that \Nwas not part of this study where the virus was
Dialogue: 0,0:03:52.80,0:03:59.28,Default,,0000,0000,0000,,actually visualized in the kidney using electron \Nmicroscopy so what is this telling us it tells us
Dialogue: 0,0:03:59.28,0:04:05.22,Default,,0000,0000,0000,,that the virus is binding to those h2 receptors \Nin those organs so in some people who die of COVID
Dialogue: 0,0:04:05.22,0:04:12.06,Default,,0000,0000,0000,,they had the virus in other organs besides the \Nlungs. But, and this is a big BUT, they did not die
Dialogue: 0,0:04:12.06,0:04:17.70,Default,,0000,0000,0000,,as a result of that virus being in those different \Norgans they died as a result of lung complications
Dialogue: 0,0:04:17.70,0:04:23.79,Default,,0000,0000,0000,,also an important takeaway from this is that all \Ntwelve had in their lungs and nine out of the 12
Dialogue: 0,0:04:24.48,0:04:29.34,Default,,0000,0000,0000,,had it in their throat so when you go to do a throat \Nswab with someone who has COVID the virus might
Dialogue: 0,0:04:29.34,0:04:34.65,Default,,0000,0000,0000,,not even be there and that's just another reason \Nwhy you can get a false negative test okay so they
Dialogue: 0,0:04:34.65,0:04:40.59,Default,,0000,0000,0000,,also did post-mortem CT scans of these patients \Nwhich demonstrated mixed patterns of reticular
Dialogue: 0,0:04:40.59,0:04:47.85,Default,,0000,0000,0000,,infiltrations in severe dense consolidations in \Nboth lungs this CT scan is a patient with covid
Dialogue: 0,0:04:47.85,0:04:52.17,Default,,0000,0000,0000,,pneumonia in ARDS not from this study \Nthat we're talking about now but basically
Dialogue: 0,0:04:52.17,0:04:58.68,Default,,0000,0000,0000,,demonstrating the exact same thing both lungs have \Nextensive consolidations ground-glass opacities
Dialogue: 0,0:04:58.68,0:05:03.78,Default,,0000,0000,0000,,which represent an extensive inflammation these \Nare also known as pulmonary infiltrates and you
Dialogue: 0,0:05:03.78,0:05:07.92,Default,,0000,0000,0000,,can see the difference compared to a normal \NCT scan of the chest which doesn't have any
Dialogue: 0,0:05:07.92,0:05:14.46,Default,,0000,0000,0000,,pulmonary infiltrates in four cases out of the 12 \Nmassive pulmonary embolism meaning massive blood
Dialogue: 0,0:05:14.46,0:05:20.22,Default,,0000,0000,0000,,clots in the pulmonary arteries was the cause of \Ndeath in another three cases out of the 12 they
Dialogue: 0,0:05:20.22,0:05:26.55,Default,,0000,0000,0000,,had blood clots in their large veins of their legs \Nmeaning DVT without having pulmonary embolism so
Dialogue: 0,0:05:26.55,0:05:33.66,Default,,0000,0000,0000,,in six of the nine men they had clots in the veins \Nthat surround the prostate gland in all 12 cases
Dialogue: 0,0:05:33.66,0:05:39.33,Default,,0000,0000,0000,,the cause of death was found within the lungs or \Nthe pulmonary vascular system meaning within the
Dialogue: 0,0:05:39.33,0:05:45.45,Default,,0000,0000,0000,,pulmonary arteries for the ones who didn't die of \Nhaving a large pulmonary emboli they died of the
Dialogue: 0,0:05:45.45,0:05:51.78,Default,,0000,0000,0000,,extensive inflammation within the lungs meaning \Npneumonia with ARDS in these cases the lungs were
Dialogue: 0,0:05:51.78,0:05:57.48,Default,,0000,0000,0000,,wet and heavy much like a sponge that is saturated \Nwith water. The surfaces of the lung often had
Dialogue: 0,0:06:00.18,0:06:03.75,Default,,0000,0000,0000,,a distinct patchy pattern with pale areas \Nalternating with slightly protruding and firm
Dialogue: 0,0:06:03.75,0:06:11.04,Default,,0000,0000,0000,,deep reddish blue hyper capitalized areas this \Nis indicative of areas of intense inflammation
Dialogue: 0,0:06:11.04,0:06:16.47,Default,,0000,0000,0000,,with endothelial dysfunction that can be seen at \Nthe microscopic level. When they look at slices
Dialogue: 0,0:06:16.47,0:06:21.60,Default,,0000,0000,0000,,of the lungs under the microscope they found \Ndiffuse alveolar damage in eight cases out of 12
Dialogue: 0,0:06:21.60,0:06:27.78,Default,,0000,0000,0000,,specifically they saw hyaline membrane formation \Ntiny clots in the capillaries and capillaries
Dialogue: 0,0:06:27.78,0:06:32.73,Default,,0000,0000,0000,,that were engorged with red blood cells and \Nother inflammatory findings. All these findings
Dialogue: 0,0:06:32.73,0:06:38.41,Default,,0000,0000,0000,,represent ARDS they also found lymphocytes \Na type of a white blood cell that infiltrated
Dialogue: 0,0:06:38.41,0:06:44.89,Default,,0000,0000,0000,,these specific tissues this fits the picture of a \Nviral pathogen ASIS. They also look at the pharynx
Dialogue: 0,0:06:44.89,0:06:50.38,Default,,0000,0000,0000,,of these patients meaning the throat. The lining of \Nthe throat where the mucosa was hyperemic meaning
Dialogue: 0,0:06:50.38,0:06:55.66,Default,,0000,0000,0000,,very red and irritated and at the microscopic \Nlevel they saw lymphocytes invading there as well
Dialogue: 0,0:06:55.66,0:07:01.60,Default,,0000,0000,0000,,again which is consistent with a viral infection \Nin one case a patient had lymphocytes invade his
Dialogue: 0,0:07:01.60,0:07:07.69,Default,,0000,0000,0000,,heart muscle findings that are consistent with \Nwhat we call viral myocarditis. In other words the
Dialogue: 0,0:07:07.69,0:07:13.27,Default,,0000,0000,0000,,heart muscle had evidence of viral infection more \Nthan half the patients in this study had large
Dialogue: 0,0:07:13.27,0:07:18.94,Default,,0000,0000,0000,,blood clots. 1/3 of the patients had pulmonary \Nembolism as the direct cause of death. All the
Dialogue: 0,0:07:18.94,0:07:25.45,Default,,0000,0000,0000,,others died of intense inflammation in their lungs \Nrelated to pneumonia and ARDS. Recently there's
Dialogue: 0,0:07:25.45,0:07:31.24,Default,,0000,0000,0000,,been studies showing that about 1/3 of patients \Nwith severe COVID have blood clots. Another study
Dialogue: 0,0:07:31.24,0:07:38.65,Default,,0000,0000,0000,,of 191 patients with Covid 19, half of those who \Ndied had clots compared with 7% of the survivors
Dialogue: 0,0:07:38.65,0:07:44.29,Default,,0000,0000,0000,,and levels of d-dimer that were greater than \N1,000 were associated with a fatal outcome so
Dialogue: 0,0:07:44.29,0:07:49.75,Default,,0000,0000,0000,,it's pretty clear now that sars-covid-2 virus \Nis causing a lot of clots to form and moderate
Dialogue: 0,0:07:49.75,0:07:55.54,Default,,0000,0000,0000,,to severe COVID disease. But how is this happening?\Nit's likely a combination of reasons they have
Dialogue: 0,0:07:55.54,0:08:01.33,Default,,0000,0000,0000,,to do with down regulation of the h2 receptor in \Nthe lung alveoli with a subsequent shift towards
Dialogue: 0,0:08:01.33,0:08:08.32,Default,,0000,0000,0000,,having more angiotensin 2 in the lungs and less \Nangiotensin 1:7 and less in angiotensin 1:9 in
Dialogue: 0,0:08:08.32,0:08:14.26,Default,,0000,0000,0000,,the lungs and when this happens this leads to \Nmore cytokine storm with more inflammation more
Dialogue: 0,0:08:14.26,0:08:20.02,Default,,0000,0000,0000,,constriction of pulmonary arteries and more \Nclots that develop. That in turn leads to more
Dialogue: 0,0:08:20.02,0:08:25.30,Default,,0000,0000,0000,,endothelial dysfunction in the capillaries that \Nsurround the alveoli. Also there's evidence that
Dialogue: 0,0:08:25.30,0:08:30.16,Default,,0000,0000,0000,,the virus attaches to the ACE 2 receptors of the \Nendothelial cells that line those capillaries
Dialogue: 0,0:08:30.16,0:08:35.95,Default,,0000,0000,0000,,which further propagates inflammation in clotting \Nand in the cytokine storm that develops there
Dialogue: 0,0:08:35.95,0:08:43.36,Default,,0000,0000,0000,,Randy's Okemo kine bind to the ccr5 receptor \Nof cd4 and cd8 lymphocytes and that causes
Dialogue: 0,0:08:43.36,0:08:49.41,Default,,0000,0000,0000,,those lymphocytes to infiltrate those areas of \Ninflammation and in doing so further contributes
Dialogue: 0,0:08:49.41,0:08:55.29,Default,,0000,0000,0000,,towards the inflammatory reaction. This is why \Nwe're seeing low levels of cd4 and cd8 lymphocytes
Dialogue: 0,0:08:55.29,0:09:02.37,Default,,0000,0000,0000,,and severe COVID. Endothelial damage can also lead \Nto the development of antiphospholipid antibodies
Dialogue: 0,0:09:02.37,0:09:07.95,Default,,0000,0000,0000,,and these antibodies are bad because they trigger \Nthe formation of blood clots and that's why
Dialogue: 0,0:09:07.95,0:09:13.14,Default,,0000,0000,0000,,patients who have clots with the diagnosis \Nof antiphospholipid antibody syndrome they
Dialogue: 0,0:09:13.14,0:09:18.75,Default,,0000,0000,0000,,need to be on blood thinners also 11 out of the 12 \Npatients in the study had underlying heart disease
Dialogue: 0,0:09:18.75,0:09:24.90,Default,,0000,0000,0000,,and were obese these are known risk factors not \Njust for cardiovascular disease but also known
Dialogue: 0,0:09:24.90,0:09:30.63,Default,,0000,0000,0000,,risk factors for endothelial dysfunction, and are\Nknown risk factors for COVID the endothelium is
Dialogue: 0,0:09:30.63,0:09:38.16,Default,,0000,0000,0000,,more susceptible to damage based on cardiovascular \Nrisk factors such as men aged 45 or older, women
Dialogue: 0,0:09:38.16,0:09:46.56,Default,,0000,0000,0000,,age 55 or older, smoking, high blood pressure, high \Ncholesterol, diabetes, obesity, and lack of physical
Dialogue: 0,0:09:46.56,0:09:52.41,Default,,0000,0000,0000,,activity. So the big takeaways from the findings \Nin this study is that most people who die of Covid
Dialogue: 0,0:09:52.41,0:09:59.91,Default,,0000,0000,0000,,it's primarily a lung problem either related to \Ninflammation with ARDS and/or blood clots even
Dialogue: 0,0:09:59.91,0:10:05.07,Default,,0000,0000,0000,,though blood thinners are not a cure for Covid per \Nse they do have the potential to save lives. The
Dialogue: 0,0:10:05.07,0:10:10.17,Default,,0000,0000,0000,,hard part is figuring out who is likely to develop \Nclots and who should we give blood thinners to and
Dialogue: 0,0:10:10.17,0:10:15.36,Default,,0000,0000,0000,,which blood thinners should we give and should \Nwe give high doses of blood thinners or just the
Dialogue: 0,0:10:15.36,0:10:21.63,Default,,0000,0000,0000,,low-dose prophylactic doses? To further complicate \Nmatters it's often hard to diagnose blood clots in
Dialogue: 0,0:10:21.63,0:10:27.93,Default,,0000,0000,0000,,hospitalized patients even before COVID came along \Nusually it's easy to diagnose large blood clots in
Dialogue: 0,0:10:27.93,0:10:34.38,Default,,0000,0000,0000,,the veins of the legs, meaning DVT by doing an \Nultrasound of the legs even though ultrasound
Dialogue: 0,0:10:34.38,0:10:39.18,Default,,0000,0000,0000,,isn't a hundred percent accurate. The way we \Ntypically diagnose pulmonary emboli is by getting
Dialogue: 0,0:10:39.18,0:10:45.96,Default,,0000,0000,0000,,a CT scan of the chest while at the same time \Ngiving IV contrast and this is called a CT angio
Dialogue: 0,0:10:45.96,0:10:52.41,Default,,0000,0000,0000,,or CT A of the chest the downsides of doing this,\Nwell there's several. One, you have to transport a
Dialogue: 0,0:10:52.41,0:10:57.96,Default,,0000,0000,0000,,patient to the CT scanner and sometimes patients \Naren't stable enough to do that. Two, you risk
Dialogue: 0,0:10:57.96,0:11:03.00,Default,,0000,0000,0000,,spreading the virus to others in the hospital by \Ntransporting that patient. And this will also require
Dialogue: 0,0:11:03.00,0:11:12.00,Default,,0000,0000,0000,,more PPE use. Three, CT scans require larger doses of \Nradiation. Four giving someone IV contrast has some
Dialogue: 0,0:11:12.00,0:11:17.07,Default,,0000,0000,0000,,risks such as the risk of serious allergic \Nreaction and the risk of causing some kidney
Dialogue: 0,0:11:17.07,0:11:23.49,Default,,0000,0000,0000,,damage. On top of that the CTA of the chest can \Nonly visualize bigger clots so you might not see
Dialogue: 0,0:11:23.49,0:11:28.26,Default,,0000,0000,0000,,the small clots that are there. Right now more and \Nmore hospitals are giving high-dose blood thinners
Dialogue: 0,0:11:28.26,0:11:33.09,Default,,0000,0000,0000,,to COVID patients who have severe disease even \Nif they haven't been diagnosed as having blood
Dialogue: 0,0:11:33.09,0:11:38.22,Default,,0000,0000,0000,,clots. But what about patients without moderate or \Nsevere Covid, should they take a blood thinner or
Dialogue: 0,0:11:38.22,0:11:44.85,Default,,0000,0000,0000,,maybe a low dose blood thinner, or should they take \Nan antiplatelet medication like aspirin either 81
Dialogue: 0,0:11:44.85,0:11:52.08,Default,,0000,0000,0000,,milligrams of aspirin or 162 milligram dose or 325 \Nmilligrams dose, or should the general public take
Dialogue: 0,0:11:52.08,0:11:57.63,Default,,0000,0000,0000,,a low dose aspirin like 81 milligrams in order to \Nhelp prevent blood clots from forming if they do
Dialogue: 0,0:11:57.63,0:12:02.04,Default,,0000,0000,0000,,get COVID or should it just be certain people in \Nthe population who are at higher risk of getting
Dialogue: 0,0:12:02.04,0:12:07.17,Default,,0000,0000,0000,,severe COVID should they take aspirin? These are \Nthe questions we don't know the answers to at
Dialogue: 0,0:12:07.17,0:12:11.67,Default,,0000,0000,0000,,this point. It's going to take a lot of studies \Nto answer these questions because not only do
Dialogue: 0,0:12:11.67,0:12:16.05,Default,,0000,0000,0000,,we need to know that there's a benefit in doing so, \Nwe have to know that these benefits will outweigh
Dialogue: 0,0:12:16.05,0:12:20.97,Default,,0000,0000,0000,,the risks such as the risk of bleeding and then \Nthere's all the other drugs that are being looked
Dialogue: 0,0:12:20.97,0:12:25.20,Default,,0000,0000,0000,,at right now and randomized control trials we \Nshould start seeing some of these results pretty
Dialogue: 0,0:12:25.20,0:12:31.20,Default,,0000,0000,0000,,soon. What we do know is that in order to improve \Nthe capillary endothelium and also to minimize
Dialogue: 0,0:12:31.20,0:12:35.76,Default,,0000,0000,0000,,your chances of having severe disease if you \Nwere to get COVID you want to do several things.
Dialogue: 0,0:12:35.76,0:12:43.62,Default,,0000,0000,0000,,This includes exercise, eating healthy, getting \Ngood sleep, minimizing stress, not smoking, what
Dialogue: 0,0:12:43.62,0:12:49.89,Default,,0000,0000,0000,,about vaping? generally not good either but not as \Nbad as smoking. too much alcohol not good either
Dialogue: 0,0:12:49.89,0:12:54.78,Default,,0000,0000,0000,,have your medical conditions under control \Nwhether that's diabetes, high blood pressure,
Dialogue: 0,0:12:54.78,0:13:02.49,Default,,0000,0000,0000,,COPD, asthma, allergies, whatever the case may be. \NNow what about vitamin D? probably a good thing
Dialogue: 0,0:13:02.49,0:13:06.99,Default,,0000,0000,0000,,but that's a whole another topic which I should \Nmake my next video on because there's a lot to
Dialogue: 0,0:13:06.99,0:13:12.87,Default,,0000,0000,0000,,say about that and possibly other vitamins too \Nif you're deficient in certain vitamins. Anyway
Dialogue: 0,0:13:12.87,0:13:17.83,Default,,0000,0000,0000,,to catch that video subscribe to this channel and \Nhit that bell notification so you know when I post
Dialogue: 0,0:13:17.83,0:13:23.68,Default,,0000,0000,0000,,here on YouTube so many topics I want to cover in \Nso little time but I will see you in the next one