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- Опубліковано 10 вер 2022
- Doctor Andrea Furlan explains that osteoarthritis is a slow and low-grade inflammation that attacks the cartilage of the joints. The amount of pain a person has is not a good measure of how much damage there is in the cartilage. Some people have a lot of damage and not much pain, and others, have mild damage and feel a lot of pain.
Dr. Furlan explains what the drivers of ongoing chronic inflammation are, and how to prevent its progression.
Osteoarthritis affects a lot of people who are overweight and obese. The adipose tissue, or fat tissue, produces substances called "adipokines" and these substances maintain the pro-inflammatory state in our bodies. This pro-inflammatory state leads to the ongoing destruction of the cartilage that protects the joints.
If you want to slow the progression of osteoarthritis and decrease the intensity of pain, try these strategies: 1) lose weight, 2) move the joints as much as you can, 3) avoid central sensitization doing mind-body therapies, and 4) start an anti-inflammatory diet.
Other videos that you may find helpful:
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- omega3 fatty acids • #041 How Omega 3 Can H...
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- turmeric and curcumin for inflammation • #051 BALANCE and STREN...
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Dr. Furlan is a pain specialist in Toronto Canada. She is a physiatrist (specialist in Physical Medicine & Rehabilitation). She holds a medical degree from the University of Sao Paulo and a Ph.D. degree from the University of Toronto. She has 30 years of experience helping people with chronic pain to get better quality of life.
To purchase any product mentioned by Dr. Furlan in these videos, check this link: www.amazon.com/shop/dr.andrea...
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ALERT: This video is not intended to replace medical advice. If you think you have a condition that is causing you pain, please consult with your doctor to get a diagnosis and a treatment plan for you. The intent of this video is only for educational purposes. If there is any emergency, go to the nearest emergency department or call an ambulance. CLOSED CAPTIONS in this video have not been professionally verified.
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![How to Regrow Cartilage & Reverse OsteoArthritis? [Can We Do It?]](http://i.ytimg.com/vi/w25yl6lHL78/mqdefault.jpg)
I was diagnosed with osteoarthritis in my early 60’s, but probably the diseasewas there already many years earlier. My fulltime job was gardener, on hands and knees a lot of the time and always on the move. I have never been obese or even overweight. Wear and Tear was the likely cause of my hip pain. Now I am almost 70, retired for two years and the pain comes and goes in the course of a year. I hardly ever take ibuprofen but if I do it works. I do tai chi, other exercises, walk and undergo radon therapy once a year. This therapy works a dream. I try and avoid any operation and artificial hip replacement. So far so good. Thank you for your informative video’s. They are very helpful.
It's one thing to be delightful, it's something else to be helpful and informative at the same time. Thank you Dr. !
When doctors told me I had osteoarthritis I started searching for solutions and I found about the inflammation issue. I started a keto diet, today low carb diet, and I feel much better. Low carb diets reduce inflammation and help a lot
Great video, thank you. Hand Osteoarthritis is very troubling.
Beautifully explained and simple to understand ❤
Very impressive. I am a physician. I learned a lot from your video. The way you explain everything is amazing. Thanks very much. (subscribed) 👏👏👏
Thank you for this! I was told that it’s not from inflammation, but from wear and tear. I knew that wasn’t the case because, firstly, I’ve been careful with my joints my whole life. But, secondly, when I’m eating non inflammatory foods, my pain is close to zero. Literally an hour after eating sugar, my joints go crazy for a few days.
Also, movement does really help me.
Yesssssss food is everything........ I stopped eating processed meat, fried food, soda,...... the pain is nearly zero and I was prognosed with osteoarthritis stage 3......
I have found lemon juice a great help, the flavanoids are anti inflammatory, other fruits have them as well.
I read that a lot of people are incorrectly misdiagnosed as osteo even if rhumatoid. The blood tests can be a false negative as well
you are exactly what I go through
And I have a C2-3 fusion from birth. Added pain.
Thank you so much Doc Furlan for the info about osteoarthritis am suffering for that disease and it's painful one
Superb explanation... I took notes... and I will follow all your videos... TY Doctor,
Excellent explanation. Thank you doctor for your kindness and patience. I learn a lot more from your advice than tons of doctors around
Glad it was helpful!
Wonderful explanation with pleasant expressions.
You are awesome and very helpful!
Oh my goodness! Thank you so much Dr. Furlan. This just answered all the questions I had for OA. I also have Fibro, which magnifies my pain so much!
Madam,your instractions are very very useful for arthritis patients .lot of thanks.
Hi Rajakaruna. You are very welcome.
Thank you doctor for this simple yet informative talk.I have been suffering from Osteoarthritis for several years. Will work on your suggestions.Looking forward to more helpful suggestions.
Mil gracias Dra. Andrea por su aporte para el bienestar de las personas que padecen esa enfermedad. Usted es una persona generosa porque dona su tiempo y conocimiento al servicio de la humanidad! Bendiciones!
You are welcome.
Thank for your share, my teacher.
You are welcome
Another excellent video, thank you.
Glad you enjoyed it
Excellent, Thank-you so much
Wonderful work, loved this Dear Dr. I have it in neck spine and this info from you was very helpful, hank you!
Thank you Jana. Have you seen my website already? www.doctorandreafurlan.com/ I hope you like it.
Thank-you soo much for your excellent explanation of illness. What I find it awesomely great with you is your super mild and calm tone and voice which make listeners more calm, less anxious about their illness. more attentive and hope. Extra plus point is the inclusion of the latest medical information, best would be even independent institutions which provide medical practitioners knowledges and facts that no medical students would learn at normal universities.
Huge thanks 🙏💯
Very helpful information, thank you!
Thanks for watching!
Thank u for all the info in this vid!
No problem!!
You have explained this very well Dr Andrea. I love your channel.
I'm happy to hear that Hannah.
Very interesting and informative
I sincerely appreciate you learning the new research and teaching us the viewers. Thanks doctor!!!
I appreciate that!
Perfect, thank you Doctor.
Most welcome!
I never knew anything about adipokines. I was diagnosed with onset osteoarthritis for my right knee one month ago. I was eager to reduce my 79kg body weight. I am 74kg now with a carnivore diet. Blood sugar is also reducing. Thanks for info Doctor Andrea.
Thank you Dr. Furlan. My new motto? "Motion is Lotion".
Good one!
Great information.Thanks 🙏🌹💕
So nice of you
Good tack new concepts of how OA pathology .
Thank you for sharing the information. Do you have exercises for arthritis on the hands and the thumbs? Thank you.
When I’m in excruciating pain due to osteoarthritis in my hips.. it’s so hard to get moving.. almost impossible without crying!! Meds really aren’t helping much.. I try to work thru the pain but it’s very hard!!!!!
@@maryrhino9952 I’m going to try Frankincense I was told that can help.. any other suggestions would be helpful? Thanks
Sounds like you need surgery
You could research Grounding, also called Earthing. The expert on this is Clint Ober and he has many videos and a website. I’ve been carefully studying his information and think it has validity. It can’t hurt, and it’s worth a try. It’s too cold out right now, but I will definitely be trying it for my hip and back pain. I will also buy a grounding pad for the house. Unfortunately, they don’t ship their products to Canada, but we have some items up here. Just a thought. Actually, when we had a couple of milder days, I tried it outside and I think it helped, temporarily, but maybe my imagination. I try everything, if it’s not harmful. Any improvement is welcome.
I hear you. I have excruciating back pain and I do exercise - and I’m not overweight. No meds. It’s tough.
@@tiffanyswearingen4310Tumeric
Informazioni interessantissime, grazie dottoressa Furlan, cari saluti dall'Italia e alla prossima 🤗🙋🏼💗
I'm glad you like it Maria Teresa.
This was very helpful. I have fibromyalgia and now osteoarthritis and have a great deal of pain. So much good advice and actions that I can do to reduce the pain. Thank you!
You're so welcome!
I am also fibromyalgia patient.
Please use cod liver oil daily.
And stop eating refined sugar...
One lemon 🍋 with pinch of Himalayan salt you can drink after waking up in the morning... you feel better.
And chamomile tea ..
And on daily basis calcium and vitamin D supplements and zinc...
I send blessings and courage 🙏❤️ don't loose courage...ever...
Take care
Thanks so much doctor. I greatly appreciate your words.
You are very welcome
Watching from India, good information.
Cảm ơn Bác sĩ
Những lời chia sẻ rất rõ ràng,lời chào từ thành phố Nha Trang Việt Nam 🇻🇳
You are welcome
Thank you Doctor!
Thank you for this comment. Have you seen my website yet? All of my videos are organized by topics and you can download all handouts, worksheets and booklets that I made. You will need to sign up for a membership to access all of my materials. It is FREE to become a member. Check it out: www.doctorandreafurlan.com
And please remember that I do not give individual medical advice via email, social media or website. My channel and my website are for educational purposes only. For any individual medical advice, please talk to your doctor.
Thank you for the wonderful explanation. No one Dr has ever explained it like you did. I have it in my hands, neck, hips and knees. Always in pain. I exercise and try to eat healthy but still in pain. What should I do!
Dr Andrea, thank you for this excellent very informative video. I have learnt so much. Thanks again!!
I'm happy you learned something new Teresa.
Bonsoir Dr, je vous remercie pour votre vidéo 😘
Thank you for this video. I have always thought it was from wear and tear. I was told to stop running after a diagnosis of OA in my feet.
What about if you have osteoarthritis stage 3.... my doctor said no stairs ... but I have no choice I'm a teacher going to classes. Then now I'm concentrating... on anti inflammatory foods, which helps a lot....... thank you for the explanation .....
Just subscribed Dr. Andrea. I have been having spasms down my leg and went to 2 different urgent care facilities and the X ray revealed Hip Osteoarthritis and saying it is mild even though the pain is severe but you say severe pain doesn't mean the disease is severe having been given anti-inflammatory meds and muscle relaxants and creams Epson salt baths the spasms continue walking from the living room to the bathroom. I do exercise 7 days a week and definitely need to lose weight. This video is easy to understand
Thank you 💕💕 doctor very useful video thanks again
Thank you.
Love it and shared to so many friends
That is nice to hear. Than you Protus.
Xcellent. God Bless. Merry Christmas.
Same to you!
Thank you for sharing ❤❤❤
Hayat. Thank you for this comment. Have you seen my website yet? All of my videos are organized by topics and you can download all handouts, worksheets and booklets that I made. You will need to sign up for a membership to access all of my materials. It is FREE to become a member. Check it out: www.doctorandreafurlan.com
And please remember that I do not give individual medical advice via email, social media or website. My channel and my website are for educational purposes only. For any individual medical advice, please talk to your doctor.
Thank you!
You're welcome!
Very interesting. Thank you for this good information. (I was diagnosed just last week.) I had noticed on my own that movement reduces the systems. I'm off to check out your video on exercises for osteoarthritis.
You are welcome. Please share my channel with your friends. If you use social media you may post this link to your friends: www.youtube.com/@DrAndreaFurlan
I agree. I feel great the days I work and am moving. When I am off and sitting around or sleep too long I am in pain. Motion is the lotion. Have to keep moving
Thank you so much for this info! I also thought my knee pain was from wear and tear because I have always worked physical jobs factory then later I became a pct for more than 30 years.
Glad it was helpful!
Great video ❤❤❤
Very good advice with all explenation. Dr. I'm fallw your videos.
Glad you like them!
Thanks doctor...
Hi there. Please share this video with your friends. I have lots of videos about chronic pain on my channel ua-cam.com/users/DrAndreaFurlan And don't forget to turn on the notifications 🔔
Did you know that I have a website where all of my videos are organized by topics, and you can download all my handouts, worksheets and booklets for FREE.
Visit www.doctorandreafurlan.com
Thanks for the info. I like this video as well !!!! 🌺🌺🌷🌷
I'm glad to hear that Germaine.
Thank you so much
You're most welcome
Valuable information. I am very thin and moves alot without sufficient rest. Had neck pain on right side and right knee pain due to arthritis. Doing the exercises watching ur videos. Doctor advised to strengthen my thigh muscles for knee pain. Hope I will get rid of this pain and stiffiness. Tq doctor.
how can one do thigh exercise .Can you demostrat ?
Hi Nazir, I have many other videos that I demonstrate these exercises. Just check on my channel.
Thank you so much for these videos. I have found out more from watching four of them than l ever learned from my GP and dietitian in years. I have CKD and have extremely painful veins in my legs (stage 3a), my Dr tells me it’s all part of the process and their is nothing safe l can take to eliminate the pain l am in. I like the fact that you tell us about the downside to certain supplements not just the good side. I take moringa powder, and have been told not to take it. Would you PLEASE do a video on this product. If l discontinue it l suffer constipation, swelling of ankles and general pain from osteoarthritis. Many thanks once again. I intend to watch a few more now even though it’s 3.40 am.😮
im curious. who told you not to take moringa? i personally benefitted from moringa healthwise
Very nice informative video.. 😊
Thanks a lot 😊
Doctor can you please give me some excercise for hip bursitis . This is lasting since May 2023 . Now it affected to my knee as well. I am 71 years old but was very active. But now this is an unbearable pain. Please advice me what to do. Also after the bone scan it diagnosed that I have osteoporosis as well
Thank you doctor
You are my go to doc for chronic pain. Great vid.
For arthritis, I like these tips too:
These are really great tips, doc.Here are also some tips your viewers could use:
1. Regular Exercise:
Engage in low-impact exercises like swimming, walking, or cycling to maintain joint flexibility and strengthen muscles. Consult with your healthcare provider or a physical therapist to create a suitable exercise plan.
2. Balanced Diet:
Consume a well-balanced diet rich in anti-inflammatory foods such as fruits, vegetables, whole grains, and fish. Omega-3 fatty acids found in fish may help reduce inflammation.
3. Medication Adherence:
Take prescribed medications as directed by your healthcare provider. Consistency is key in managing symptoms and preventing flare-ups.
4. Joint Protection:
Use assistive devices or adaptive tools to ease strain on your joints. For example, ergonomic tools in the kitchen or using a cane for added support while walking.
5. Hot and Cold Therapy:
Apply heat or cold packs to affected joints to alleviate pain and reduce inflammation. Heat can help relax muscles, while cold can numb pain and reduce swelling.
6. Manage Stress:
Practice stress-reducing techniques such as deep breathing, meditation, or yoga. Stress can contribute to inflammation and exacerbate arthritis symptoms.
7. Adequate Rest:
Ensure you get enough restorative sleep. Establish a regular sleep schedule and create a comfortable sleep environment.
8. Weight Management:
Maintain a healthy weight to reduce stress on your joints. Losing excess weight can alleviate pain and improve overall joint function.
9. Regular Check-ups:
Keep regular appointments with your healthcare provider to monitor your condition, adjust medications if necessary, and address any concerns.
10, Stay Informed:
Educate yourself about rheumatoid arthritis to better understand your condition. Being informed empowers you to make lifestyle choices that positively impact your health.
Remember, it's crucial to work closely with your healthcare team to tailor a management plan that suits your specific needs and to address any concerns or changes in your condition promptly.
Thanks
Dear @joedaw3003. I really appreciate the Super Thanks! All the best
I will follow ❤️🙏👍
The quality of your videos really increased over the past year.
Thank you DRIS. I'm glad someone noticed it!
I've learnt somethings & I've had a very important point reinforced, that is "Use it or Lose it!" When I'm feeling stiff all over my body I do stretches, then hop on my Treadmill & then Rowing machine. Then I workout on my Bullworker for strength, and after an hour, I feel like a man half my 70yr old age! So much more flexible. The fact that there won't be any damage done to the joints during the exercise phase, is so reassuring. Thank you Doctor👍 p.s: 9yrs ago, my Orthopaedic Surgeon highly recommended I have an immediate double knee & double hip
joint replacement, but I declined & had my left knee meniscus removed only! I live a full healthy life, relatively Pain Free.
Dear John, thank you for sharing your experience. Movement is Medicine and one that does not have adverse effects.
WOW i totally got New insights ftom this Video about Arthritis🤩but i havd a Question about My Grandmother n Mother both were really Thin almost Bony yet had soo much Pain n Severe OsteoArthritis so is it Inflammation+Central Sensitaziation+Low Endorphins all due to Old Age?
Thank you Dr.Andrea. 🙏❤️💕
You are welcome.
I have severe hip osteoarthritis 😢. I only found this out after 7 years of back pain. I suffer from knee pain. Im on the waiting list for teo hip replacements. Ive had hip arthroscopy (key hole surgery) which hasnt done anything. My life is ruined, im im pain everyday, ive give up football, running and the gym. I cant even play with my kids anymore and will have to give up work soon enough. Which this will end my current world that im struggling in anyways 😢. The only thing that is keeping my mindset positive is: im on thr waiting list and there is always someone worse off
Thanku so much madam
Thank you for this comment. Have you seen my website yet? All of my videos are organized by topics and you can download all handouts, worksheets and booklets that I made. You will need to sign up for a membership to access all of my materials. It is FREE to become a member. Check it out: www.doctorandreafurlan.com
And please remember that I do not give individual medical advice via email, social media or website. My channel and my website are for educational purposes only. For any individual medical advice, please talk to your doctor.
Love.Good luck.❤💯🙏
Thank you Myint
I have severe osteoarthritis of the hip joint, in fact, my hip joint is totally destructed. I’m taking a course on physiotherapy (I’m 77 years old) I do cycling, half squats & push 5 kgs with my legs. Will that harm my joints ? Then I raise my legs with weight tied on it. Finally, the stretches are done. That hurts. Am I going right ? Please reply. Thank you.
Ola, vc é brasileira? assisto seus vídeos tem um tempo e nao sabia que vc é brasileira! Suas explicações são otimas! Sofro com problema de coluna e ja me deram 4 tipos de diagnósticos diferentes. Nao estou tendo muita sorte com os medicos na Florida. Voce atende online?
My daughter is suffering from hip pain to both legs and she got operated in 2018, her age is 35. Please tell best treatment for it. She got married recently.
Thank you madam.Again.Neela Chatterjee.
You're welcome 😊
Flavanoids are good, found in lemon juice, drink straight, no sugars. Also found in other fruits, but I have a lemon tree so free juice.
Could sugar levels of 9-11 mmol consistently cause osteoarthritis? Great video doctor.
I'm safering from serious wrist ,finger shoulder pain in the morning .starting work it little bit rediuse .then I can work normally .when I sleep it increase .always have finger pain.I have getting thyroxine 100mg daily .TSH in normal .is it dangerous situation .how can I remove this pain.please advice me.
Thank you for the useful post. Could you give us a piece of advice on how to deal with bone marrow lesions of the cotyle without arthritis? Lot of pain and too early for hip replacement. Thank you
Noted
Muy Exacto, probado en la practica... Gracias, por confirmar. Lo comparto.
You are welcome Juan.
Ok so that would mean people who are thin they don’t have osteoarthritis? That makes no sense. Plenty of people like myself who have always been thin, exercise regularly, eat a non-inflammatory diet still have osteoarthritis
Hi Miss Bardot! There are many other risk factors for osteoarthritis. Mediicne is not an exact science like algebra.
Best video I have seen on this topic! Thank you so much!
Thank you Veggiegirl. Please share with your friends.
Dr Είστε εξαιρετική με αρκετές γνώσεις περί μυοσκελετικού με έχετε βοηθήσει πολύ,με τους πόνους τις οστεοαρθρίτιδα μου!!!
Θα με βοηθούσατε περισσότερο εάν στα βίντεο σας βάλετε υπότιτλοι στα ελληνικά,τα αγγλικά μου δεν είναι επαρκής!!
Σας ευχαριστώ
Με εκτίμηση
ΦΩΤΕΙΝΗ
My videos have close captions in more than 40 languages. If the close captions are in front of the screen, then you have to change your UA-cam settings. Follow these instructions: ua-cam.com/users/postUgyrzvtZesMrcMEiQ7l4AaABCQ
@@DrAndreaFurlan Δεν το είχα προσέξει!!!
Να είστε υγιείς και πάντα να χαμογελάτε!
Με εκτίμηση Φωτεινή
Osteoarthritis in my sacroiliac joint, so painful 😢
We do Omega 3 daily.Ive noticed when the beef gelatin and collagen cease,my spouses pain increases.
And a lack of anti inflammatory foods or just a few days without it.
The way your body reacts to different foods affects inflammation - The causes of inflammation are well KNOWN.
Thank you for your nice delivery.Would you please tell me is there any angle specific motion during movement as during prayer activitis in Muslim.
Quite difficult to lose weight with mild OA. Orthopedic doctor told me can walk for 30min only and after that rub knee with ice or cool gel. But i m confuse too, another orthopedic doctor said can go joging but do scretching before joging.
I have a sharp pain in my knees when i bend my knees..my weight is under control…any help would be of help
My fingers hurt especially the middle finger. Im a warehouse fork lift operator so im using my hands all day one day my fingers hurt so bad i had to leave work, My exray said I have osteoarthritis. It can be painful , so thank you for your information.
Thank you for this comment. Have you seen my website yet? All of my videos are organized by topics and you can download all handouts, worksheets and booklets that I made. You will need to sign up for a membership to access all of my materials. It is FREE to become a member. Check it out: www.doctorandreafurlan.com
And please remember that I do not give individual medical advice via email, social media or website. My channel and my website are for educational purposes only. For any individual medical advice, please talk to your doctor.
I have a displastic left hip since I was born. Basically my joint socket is too shallow to cover the whole joint, therefore lot of friction happening there ,causing this inflammation, so clearly my osteoarthritis in my left hip was caused by the wrong mechanics and wear and tier, since my other joints are ok.
Could it be exactly as dr.gundry says the leaky gut.
Dr. Furlan, does artificial sweeteners and diet soda cause more inflammation?
What about fibrinogen build up?
How does this apply to children who have arthritis?
Thsnk you dr Andrea the great♥️
I watched viedeos in german tooking about Adipositas and Adipokins and Metabolic disorders and its contribute to pain syndromes ,Hypertension Diabetes ....... and Cancers!
I hope one day i can make Training in Pain Medicin by YOU
Dr.Ahmad Anästhesilogist from Syria
Hi Dr. Ahmad, please send me an email to dr.andreafurlan@gmail.com I'll have a course for physicians like you, and I would like to offer you a free registration.
I'm baffled. I injured my left shoulder in the gym 6 years ago. I had progressive pain for all those years, until X ray, then CT scan and MRI showed that virtually all the cartilage was destroyed. I felt I had no option but to go ahead and have a shoulder replacement.
However, I have always been slim and active (apart from pregnancies!) and have no signs of osteoarthritis anywhere else in my body - and I'm saying this because all my other joints move freely, although a couple of fingers are becoming harder to bend.
Also had Dexascan last year which showed low risk of fracture.
I honestly don't understand what my body is playing at. How could I lose cartilage and be grinding bone on bone in one joint only? I must be missing something. So frightened it will happen to other joints. 😢
Same story here
Dra. Furlan, adorei o seu vídeo! Ficou muito fácil de compreender o tema e vc explica com muita tranquilidade. Dá para ver que você ama o que faz!! Uma pergunta, se puder responder: Quanto à osteoartrite das ATMs, há alguma diferença nos possíveis fatores etiológicos? Sou dentista, e a parte da oclusão (mordida) é sempre muito considerada e associada como fator etiológico para diversas comorbidades da ATM. Mas recentemente a literatura tem demonstrado alguns pontos controversos desta associação. O que vc já viu na sua experiência clínica?
Oi Lais. Isso depende de cada caso. E' dificil generalizar uma resposta. O importante e' que voce tenha as varias possiblidades de diagnostico diferencial. Os seus pacientes sao muito sortudos de ter voce como dentista! Me manda um email. dr.andreafurlan@gmail.com
Oi, Dra. Furlan!! Muito obrigada pela sua resposta e por me passar o seu e-mail! Entrarei em contato em breve!
English please I don’t speak this language
Thank you so much for this. My recent X-rays show mild arthritis in lower back, left hip and left knee but have just been through a flare up which made me wonder what it would be like if the changes were severe. Disrupted sleep, or no sleep. However it is improving, less pain freer movement but leaves me thinking, why is it better when the arthritis is obviously still there. I do need to lose some weight but interesting that it is not just the weight on the joints. I will be eating a more plant based diet and pushing myself with the exercise instead of guarding myself. I will also be watching all your videos. Feel more hopeful for the future.
I made this video to answer your question about flare up ua-cam.com/video/YdLkouvoj5g/v-deo.html
Dear Andrea
Your video is excellent as always. Very educative and rich! I shared your video with family and friends!
Thanks!
Dr Ivone Ferreira
Dear Ivone, thank you for your kind words. I hope the video will be a blessing in their lives. ❤