PCOS, Periods & Stress — What Every Woman Must Know! | Dr. Manjula Anagani | Telugu Podcast | Ep #42
https://m.youtube.com/watch?v=8dRmawfRSf0&pp=0gcJCRsBo7VqN5tD
Your life and death depends onicular. So whether we agree or not oh you don't drink alcohol things which are supposed to be a taboo before have become a norm. There is something just a trigger. start PCOS and PCOD it's a syndrome it's going to cause head to toe every tissue to be affected it's very easy to say but very difficult first of all to diagnose everybody will have something which distresses them Sleep body has to reset. The whole hormones depend on the night. Your life and death depends on women very renowned established surgeons. I can only imagine what you went 28. We have only two rules for surgery. Safety of the patient, comfort of the surgeon. Are you sure Dr. Ma only doing or maybe somebody else must be doing? As you can know it is a patriarchal society. We need to take it and still do what we want and PC to seven times more likely to get type 2 diabetes, anxiety and depression. Hi guys, welcome to another episode on yani by tamada media. This is Anusha Dr. Mangala Anagani. is an obstitrician and gynecologist. PCO is directly related to productive health. So, thank you so much for coming over. Thank you. Thank you for having me on your show. Have I pronounced that right? Absolutely. Thank you very much. So, I would like to address the elephant in the room first. >> Absolutely. 28 years of experience profession. So I want to get as much as possible from you in this one hour. Lifestyle changes particular issue in a bigger picture. Okay. It's a bit demotivating to be very honest. So what are the major things that are coming in the forefront for you when you're meeting with your patients now? So there is something which has to trigger psychosmatic. So this is what is happening today's time. So whether we agree or not. So the way we eat junk food know that we become what we eat. So eating second would be no exercise. So when we look at that So binge eating so potatoes no exercise. So your insulin resistance is increasing. So you're becoming obese. So you're becoming obese and insulin resistance and diabetes and hypertension everything else >> a dash dash dash. Third thing what is happening is because of whatever you putting on weight and body shaming and stress is something because you are competing not only with others you're competing with yourself. So you're never eternally happy because with what you have there is something called positive stress. There is something called negative stress. Positive stressive stress that is needed. negative stress which causes diseases. So psychological effect. So third factor which is happening is stress. Fourth thing what is happening is addictions. music addictions, alcohol, smoking and then you have drugs which are increasing rampantly which is what I hear from the news. So whatever you are doing everything has become a norm now. So it is oh you don't drink alcohol. So things which are supposed to be a taboo before have become a norm. I think Indians as such are going to go in for lot of issues which are going to come. So there are so many which have increased women had only one work. Can you please tell me homemaker homemaker home joint family division of works they didn't have multitasking to a core then came the nuclear family right multitasking to everything along with job so you need to work you have to see the financial manager of the house. You have to see whether the food is going to everybody's house there are so many things. So that itself is leading lot of stress. But if you actually see laborer kids or somebody who but stress is the most important thing. Then comes once the edi starts you have insulin resistance insulin receptors. No fitness, not slim is not the right word. Whatever we eat, we need to eat more insulin is needed to break it. So enough sugars, sweets, carbohydrates will get deposited and we start putting on more weight. >> Yeah. >> So we will have to use insulin sensitizers to lose weight. Okay. So this is happening and locally generally >> women because of this multitasking and the thoughts everything has happened we have become more masculine because we have become head of the house we have become decision makers so our thought processes this has led to increased testosterone in our bodies >> so we are being vocal and we are being uh vocal about our needs also and everything that's good in one way but that this is what caused the change in the physique in the body pelvis change socian rates so PCOS all three are very important >> so anovation so infertility infertility so you'll have local hypo androgen hormones and irregular hypothesis irregular irregular hypotheses resistance you will put on weight >> so because of the increased testosterone you're again having abnormal hair and acne hair loss >> and because you're putting on weight you will have hypertension diabetes because with all this you're again developing hyper lipidmia and heart diseases and do not forget cancers. So it's not one thing. When we spoke about lifestyle we are talking about four things and these four things if we don't break down 111 by ourselves it's not going to help our health only. So again PCOS it's a syndrome it's going to cause from head to toe every tissue to be affected. So regarding PCOS observation PCOS of let's say mid 20s late 20s early 30s 90% of them don't try to treat it until they actually want to have kid gates. True. Which is why the myth is that okay this is only linked to your productive health. If you can demystify this for us aspects of health metabolic syndrome it's a syndrome >> if we neglect PCOS at the age of 18 20 25 it becomes irreversible damage to it causes hypertension diabetes obesity lipids heart attacks young 25y old man then what will happen to this estrogen progesterone in it is a part of it 20% of PCOS not metabolic syndrome heart attack diabetes hypertention endometal cancers all other cancers can also increase anything because of unimposed So these are things which we have to understand. So and one thing is 50% of treatment is from the patient. Only 50% is from the doctor and the first 50% is from the patient. Second 50% is from me. M >> so first 50% means again d-stressing yourself doing regular exercises changing in your diet like decrease your carbohydrate and increase your protein that insulin resistance starts coming down and decrease your addictions whether it is smoking alcohol if they are there >> and then my intervention comes my intervention comes depending on the hormonal profile in your body insulin resistance in your body then your testosterone levels then I start treating you okay if the hormone profile is gone or I'll put you on some tablets which will rectify the hormone profile which can also act as oen oral contraceptibles one thing we need to understand you have a hormonal imbalance only a diamond will cut a diamond not a knife so hormones balance is important not imbalance So you know that you to take the medicine what doctors have given you. So one is hormonal imbalance. Second insulin resistance. You have insulin resistance then I'm going to give you insulin sensitizers. What are they? Same medicine which even diabetics will take a type of medicines. >> If we are giving that medicines then what you should be thinking of is amo lifelong fiscal. No till the resistance comes down. M >> so sensitizers you take every 6 months we do the test then hyper androgenism if you have increased androgen testosterone which is causing acne abnormal hair already you have to meet your dermatologist cosmetologist and get rid of them internal hormones so that future so these are the things which we do so medical management is the next thing along with it antioxidants selenium is the vitamin D supplements if you're low all those things are very very important so usually PCOS has whatever you've spoken about is the physical impact of it women that are in the workforce maybe they'll start working on >> this is definitely mood swings ma because what we need like I said balance is important in life in everything >> it might be work life balance or it can be hormonal balance. So when PCOS basic thing is hormonal imbalance you're going have an opposed estrogen progesterone is like LH is high so it goes mood swings headaches all these are very very important one is mood swing second you're conscious about your body so you have body dysmorphism >> you start looking at oh I'm bulging here I'm bulging everybody's looking at me they're talking about it oh this hair is coming I didn't have time to go for it >> uh will they think that I'm a male I'm looking like a male all these things will again cause lot of stress and lots of less confidence on yourself. So your confidence level comes down. If there's school, they become body shamed and backbenches. >> So all these things can be depression. Two again um your what your focus will come down. So your effectivity will come down, mood swings can happen and you can actually ruin your own uh self by going into a vicious cycle of uh thinking that you're not capable of doing things. M >> so first thing I always tell my students or anybody who comes in that age group you need to take care of yourself I really talk to the parents parents in this in today's generation they think that 15 16 years they should not go for laser and all it is detrimental no mental health is more important >> you have to be confident on yourself in teenage the kids are rebellious they get very angry they don't want to listen to us do to us but they need to get back their confidence confidence in today's time is looks which we need to understand. So they tell them first take them for eyebrows, get their last lasers done for their thing, >> get their acne control. I will give medicines. We'll talk that within second month when they come they're so much more confidence. Then they start trusting me. Then I start giving them insulin sensitizers. Then they start doing workout. Workout need not be gym. They all have these myths. Maybe in teenage they should not go into gym. They should not be lifting weights. No, we are not talking about lifting weights. And what are what is called exercise? There's lot of myths about what is exercise for PCOS. Walking and yoga are not exercise for PCOS. They're good. They're good for stretching. They're good for your cardio. >> But for thing, we are looking at insulin sensitizers. We're looking at insulin receptors. So we look at anything which contracts every muscle. So you need to do cycling, skipping exercises, gym, uh aerobics and any sort of dance or that sort of a thing, swimming, >> nothing else where every exercise. So I tell the students where mothers will say oh they don't have time they have time to study you see they don't have time for going to gym fine you don't have time for gym perfect you have 15 minutes in your life in 24 hours go to the room you must be having some favorite hero or somebody so pick up and take up three tapori dances of that fellow and start doing >> that's where every muscle contracts that helps in insulin sensitization >> and stop eating sweets limit your carbohydrates increase your thing. So you decide what you like in proteins. Eat that. Don't have to eat something you don't like >> but limit the carbohydrates increase the thing. This is what we need. So this type of little changes in your lifestyle goes a long way in controlling the PCOS. I think the biggest problem is that everybody in the younger generations are used to instant gratification. True. So let's say social med so this is the kind of mentality that we are in. So usually influencers influenc the good ones are promoting only small changes. So, regarding PCOS, I'm diverting a little bit. >> Irregular periods are the only sign of PCOS. What could be the early signs that people could say that okay, it's enigma PCOS can present it like this anyway. So next thing is insulin resistance obesity. Third is androgenesto it can be abnormal hair anywhere in the body mood swings anything. So when present chest be irregular periods, pregnancy issues or abortions or obesity or acne that is one thing. Second you do a scan scan law PC that is one factor. >> Third clinical biochemical blood test law blood test FH LH fasting insulin fasting blood sugar and testosterone levels on second day of the period before 8:00 fasting. So clinical ultrasound biochemical it is PCOS it is either obesity or irregular periods or it can be acne or abnormal hair also >> anything if you have one any one of the clinical thing just go to the doctor let us assess the other two things and rena this is PCOS so denial first acceptance that is where half 50% of the treatment is And second thing is I always tell the people you need to understand once we diagnose you as your PCOS read it. Why is it important for me to read for you to read? Because if you know what it is then only your cooperation will be there for me to stop it from progressing. And what is written in the internet or Google is extremes when you are not treating it. If you are going to cooperate and help yourself in treatment, so my next question is usually subject based question biological clocking. It's taking a toll on people's decision making which is to some extent it makes sense but ations. What are your opinions? First thing, do you really think so it is actually making over time woman has evolved in many ways both in decision making and everything. So as we became opinionated years will be starting 35st ovarian reserve envirment it's from time immemorial now that is always been ticking only thing is our needs and our decision making has changed because satellite 32 33 years. So biological clock second it has become early because of environmental issues. So we don't have to push the people to get married but we need a healthy progeny. So we have biological clock is ticking. There is something called freezing. Already 28 healthy younger pregnancy. Okay. So that is a solution rather than getting married and then regretting and increasing the incidences of divorces or the suicides or murders. That's your personal issue. >> But biological clock is ticking is a reality according to science. Get your FSH LH and AMH done on second day of the period. Look how it is. If your ovarian reserve is coming down, freeze your oites. That is a solution. The other uh question, one more question that I had about uh PCOS before we move to the next topic is that u PCOS related more of periods related health concerns maybe PC but they're almost they can't do their dayto-day activities also Very beautiful question. But pain is the thing which is the reality again. So pain in the question there are three types of pain in periods. One something called as spasmotic dismenoria. Second what is called as congestive dismenoria. Third is membranous dysmenoria. Spasmodic dismoria abdominal migraine. We'll take a balloon and you want the water to go out. So you're pressing from above. So what is happening? Water tries to go out. So pressure increases. Pressure increases to a level that so imagine the same thing. Uerus is a blood fil sack. M >> the mouth of the uterus is very tight for whatever reasons. So blood is getting accumulated inside the uterus and increasing the pressure that causes the pain till the pressure increases to such a level that mouth of the uterus open bleeding. >> So usually the pain is on the first day of the period and then decreases by once the flow starts. So antasismotic medicine is delarious retrograde it can lead to endometriosis and other diseases don't do such things. So antication happens usually suffer this is the most physiological pain >> pain is never physological but this is what we call it okay >> second thing second pain I said is congestive dysphoria traffic. That is where people lie down in the bed without doing anything. The pain starts 2 to three days before even the periods start and continues throughout the period. This is a pathological pain and there is some reason why this pain is there. There's a congestion of blood there. It can be because of fibroids, adinomiiosis, endometriosis, polip, infection and additions. and very clear only few indications are there where these things can happen. Membran is an extreme form of congestive where it's only nothing to be very simple treatment you have to treat the cause otherwise pain will not come down. You spoke about stress management, social med. Yeah. Yes. Yes. Yes. So stress is I think has we are over stimulated during the day because we have phone. We have you know 10 things to do. Restlessness. Yes. >> And we are competing with ourselves >> and everybody else. >> Yes. That hustle culture is I mean not very optimistic in most cases especially when it comes to >> and not happy with what we have achieved. We still want to more. >> Yes. Correct. So stress there was this like I think 5 years agoish when I was going through a very stressful period there was this small bump that came on my chin that did not go away for 8 months. I usually never get pimples touch. So I was like worst case scenario I don't touch because I don't like any so I didn't know stress physical if it's exhibiting itself physically I feel like it's at a very high level but sometimes it genuinely feels like it's not in our controls. Yes. Denial is a stressful thing. So how do you think how do you think like I told you everybody needs positive stress once it starts affecting the body that means it is next negative stress and we need to keep it under control. Now everybody to their choice. So if we take for me it is listening to music. So even in doing my work schedule in the operation theater in the OP there will be music running today. We had a patient who came after 10 years literally no five years and he said I wanted to come and listen today in music today I was very busy. So we're running between operation theaters and the OB. So he comes to say I want you to listen to which song you're listening now. I said I'm sorry when you come on Monday I will make you listen. So it's like that for me it is like whatever stress will calm down. Second some people it is just talking to friends gossiping with friends. For some people it is dance some people it is binge eating which is again not good. So stress feeling relaxed >> and they should work on it and see that it improves. So stress it's a very easy to say but very difficult. First of all to diagnose and to understand by themselves what is going to help them addiction that decreases their stress for them. >> Okay. Okay. Focus on it. You think what helps you? Why do people do chain smoking? They think it relieves thing. So why can't we change that addiction into something which is less damaging to you? So change that addiction to maybe you start eating some I don't know if you all heard detective so character carrot eating is the thing >> so carrot is good for health vitamin A everything is good so make some habit where you're in stress eat carrot or something which is good >> so that will distress you make something you understand what distresses and then do it and I'm sure everybody will have something which distresses them like I said it can be your girlfriends your boyfriends whatever whatever it depends on whoever it is >> and if the other person is very busy they might again get stressed so it need not be one thing they said something very interesting that u sleep like your life depends on it because it does. Yes. So, sleep I don't know if you've observed it which is actually not good. So, it is actually resetting mechanism. body has to reset 24 hours at least 8 hours 12 hours. But if you don't sleep 8 hours, 7 hours minimum we leave it that 7 years 7 hours the brain and the whole endocrine system does not reset. Every endocrine the cortisol has a dunal variation again 4:00 everything hormone has a dal variation so they have to come back to their resting phe it has to come back 2 hours that whole cycle does not come back. M there is something like you know sleep pattern there are so many techniques which come there are sleep doctors who work on it pattern then there are so many techniques which people come up with off lights listen to soothing music or stop stop seeing the screen about 1 hour before stop drinking tea and coffees about 3 4 hours before >> because people have realized the whole hormones depend on the night your MSH mel melatonin stimulating hormone Now people start taking sleep and melatonin tablets is very important for the dinal variations of these hormones. If thus changes your fertility is impaired. That changes your hormones go on. PCOS comes back. >> Sleep definitely your life your longevity of life your life and death depends on the sleep. subject question from selfish reason also I'm asking my family also I told you there is a doctor >> women especially surgeons even today I know the kind of orthodox mentality people have wherein I also heard in my family women very renowned established surgeons Yeah, I can only imagine what you went through 28 years. Very very very very pertinent question to when it comes to women in surgery. This is the same thing which happens you know then when you know you know everybody has an innate ability and acquired ability anything >> so three subjects starting anatomy physiology biochemistry so when you're studying itself and you like anatomy that means that innately you have an ability for surgery so I used to love anatomy I got the highest marks in anatomy and as in we go also I knew I would be a surgeon >> surgery I did very well and everybody thought I going to be a surgeon only >> but when reality. We're talking about 91 92 >> there were only two lady general surgeons Anurada and doctors no patients used to come to them because like same thing they were very good doesn't matter >> because we are what we are because of the patients who come to us then again second point I realized is we are 50% of the human beings so women are 50% person what is happening I looked around if only two surgeries which were happening for women were cesarian and uterus remol I realized there's so much and so much of nonsense happening around so we needed a minimally invasive surgery and then patient I have to do gynecology then I should make the whole spectrum change in the minds of my peers my teachers for the patients awareness there gynecology is not just hyctomy and cesarian so minimally surgery and how to change what are all the other options available for it. So I looked around and I took a subject where um surgery can be done maximum. >> Then I changed the whole gynecological um scenario thing. Yes. Still we had to when I started minimal access surgery it used to be people still for about 10 years till they saw when we started doing live operative surgeries people thought oh maybe she's not doing it somebody else is doing inside and but my luck or my I think God's gift has been patience. My patients trust me and trusted me a lot and then I came to my me and they say I think I'll do laparoscopy for you and we learned laparoscopy ourselves. We were not trained because nobody was there to teach because we we learned it. >> So our patients were our teachers. We learned it on them. They allowed themselves to be treated by us and they said we know you we want my best and I will trust you and you do what you think is the best for me. >> So we could change the scenario. But luckily today I'm seeing lot of orthopedicians, pediatric surgeons, CT surgeons, women >> people are accepting. But in our times it was bad. So I had to take a subject where surgery can be changed in a different way. And I believe that um innovators make a huge difference because we become the leaders and we can change the way women look at it and that gives the confidence to the next generation that they think it is a norm and then move forward. So people like us differently made a difference I think. So that is what I listen from my students. It's not being no modesty and just like that it gives them the >> that we can do it >> important to life. >> So I'm sure you were on the receiving end of all of these restricted >> it is a patriarchal society anusha whether we agree or not. M >> so it is a patriarchal society but we have to we are not here to fight about it. We need to take it and still do what we want to do >> and still make people aware that this is the way to be done and it is so there used to be surgical techniques which were made for men only. So we had to we had to because our ergonomics are different our shoulders are different the muscle strength are different we cannot fall on the patients and operate. So people do contrateral ports. Then we started ports and we said no this is not the only way to operate. People are like that is a rule that is written in textbook. We have only two rules for surgery. Safety of the patient, comfort of the surgeon. Then we started we had to fight. We had to fight for the ergonomics of the woman in the surgery. Then we had to teach our students so that they take it forward. M >> we had to fight with our colleagues who used to say that then men who say that just smile and leave and anybody has this vague questions like are you sure it's Dr. only doing or maybe somebody else must be doing as if you know it. >> So it took time to people to understand peers, colleagues, men and then then we prove it takes time but we believe in ourselves and be yourself and move forward we can achieve anything in the world. So the I know you already said this but you young surgeons women they want to make a mark in different different departments who are looked down uh who are taken easily because they are women >> who are not given enough chances because they are women what would you want to tell them self-doubt multiple times if they're hammering you with their opinions obviously I'm sure you might have gone through this in your early stages likely I did Not that's been very luckily like I said my patients were my greatest bo but thinking back when I sit down I think how did they all come to me and trust me at that age when I used to look even more tiny puny than this but I've been lucky >> I think the way I talk and tell people used to get the confidence so that for that comes when we believe in ourselves so let me repeat this believe in yourself and be yourself >> don't try to ape somebody and do that that is the first thing and my this thing to the next generation of doctors who want to be surgeon or anything is your success mantra is 60s. First is technique. You learn from your mentors the technique of how to do which is reproducible technique which is easier for you. You look at 10 doctors who are doing take up each one step from others which is according to your body your thing which is easy for you and you do that make your own technique. >> Second comes technology. As technology comes take it and move forward. M >> don't try to compromise the because the outcomes depend directly on it and your outcomes are the ones which will tell you whether you're a good surgeon or not >> and third comes training whenever anything comes don't just try to do something proper training is important >> go train yourself very well then come back and do it >> fourth comes the teamwork nothing is me myself me myself no we should have a team so that patient outcomes are not compromised especially Minimal access surgery. You have a camera person. You have somebody to assist. Take care of your team. That gives you me time for you. You can take care of yourself that you'll be successful. >> The fifth will be teaching. The more you teach, the more you learn. When you talk and teach, they'll come up with the questions which make you understand, ask and then you teach. >> And the final thing which is very difficult to think is temperament. >> If it is your temperament which will take you to a different altitude. So people say it's your attitude which take you to your altitude. I feel the attitude is nothing but the temperament. >> Then explain this is relatable for everybody. Everybody, every every field, >> any field you want to be successful, please follow these six Ts. >> Your technique, technology, teamwork, training properly, teaching and then finally your temperament. Even you might be especially women premenstrual syndrome, >> you get irritated. Why is these people asking the stupid questions and you snap? >> Don't do that because it's very difficult to control yourself. Meet the doctors. Most of the time premenstrual syndrome is because of deficiencies. So take things control take supplements see that your premenstrual syndrome is under control if necessary hormones but because your work work life balance depends on your temperament. >> It's a very good point I I'll take that away with me. Uh my last question usually yes somehow it's like a very purposeful thing that you do that there is I think level of satisfaction I think only doctors are happy with their profession at least majority of them >> majority have taken it for their sake >> not for others sake >> so do you think your purpose served and you're very happy with what you >> for me right from the time I was in fourth class my always used to be like I need answers so I used to think I'm thinking like that and my mouth is asking my hand is moving how is it what what is causing these are the questions which used to start making me think and people everybody say you become doctor then only you will know >> so that's the way it is like I have to so my purpose of life my my passion everything my profession everything has been the same >> so my purpose I think I'm born everybody is born for different thing my fun is very clear I'm not born to cook nor am I born to be a driver or nor am I born to do something things my purpose is to save people to give comfort to the people to give solutions to the p patients problems >> so I think I have been uh able to do it sometimes when I don't find solution I feel really bad tell them to give me some time and then come back with the solution give them the options and come up with the thing my profession is my passion these two there's no question of discredit But purpose yes I believe this is my purpose also something else at a different age of time probably I don't know it might change but profession and passion is the same >> so I'm very happy with what I do >> amazing I'm happy for you thank gynecologist. They come to us then we say and then send them to breast surgeon. The world is now different. >> Definitely. >> Would you choose a different uh department? No. >> Definitely no. For me it is surgery. >> I was not thinking of doing orthopedics or CT surgery and all >> and majority of the surgeries are done for a woman only. It can be tubal, it can be uterus, it can be fibroid, it can be there are so many surgeries conization, cervical enslage. We have innovated so many techniques anagani technique for neo vagina and then ergonomics for the entry technique of the laparoscopic techniques techniques. the circlage in pregnancy to save the babies name it we have done everything what we can do for the woman >> so when my purpose is to see that a woman is happy and I was born vulnerable directly from thing so you can see I was down boy to the core so it is always like why we cannot go and play till 8 or 9 in ' 80s I'm talking about by five we are supposed to be inside the house why boys can play after that and not why we cannot play after 8 all these questions they're right or wrong we don't know but the art of questioning is something which gives us solutions and answers. >> Yeah. >> So that was always there in my blood. So it's always like I have to do something for a woman thing. So I always wanted to do that that at an in house you didn't know what was I used to think it is general surgery which will take me there. But in house when I looked around I knew it is not general surgery. It is a gynecology and gynecological surgeries which is going to make me do that. >> Amazing. >> So that's how it is. That is awareness of myself. >> Amazing. So doctors content creation people who are I think 10 years experience pretty years also they are doing it >> content creation left right center somehow there is a certain increased reliability on people who are renowned on social media what are your English sorry but me opinion >> please don't take it as zomato ratings >> unfortunately ely what you need is not content creators important when it comes to health behind the screens operation theater who is a good doctor >> how effective are they to deal with complications to avoid complications is important that you will not know people who are not in the front of not in the front of the screen doesn't mean they are bad people who are in front good in front of the screen doesn't mean they're good they're good in talking >> so you you need to choose good doctors good surgeons that is why I think not by content creators by the free feedback it's word of mouth and actually in surgeons case the anesthetist who will know who is a good surgeon >> so I believe that maybe but I'm not here to tell what the next generation has to do they have to do because this is the way it is life and what they say we don't do it because we believe that Our work should talk >> not us. We are here for awareness. Yes, we do. I do make lot of uh Insta reals and all but that is for awareness of patient not about what we are doing and what this is not. Our work why do we have to tell >> it is like I find it very funny. I'm a gynecologist and obstitrician. My work is to do deliveries. >> Why am I supposed to put in the thing that I delivered a baby? >> That is my work. If there is something unique I have done which patients have to know yes it has for a normal baby you don't have a right of the baby baby has not given you the permission to put their photograph on the thing wife and husband must have gone they don't have a right on the baby >> so that is unethical you get what I'm saying >> you have done a cine which is your work >> if you do a work which is normal for your work you were not supposed to you have done something which is critical done you want to put it please do not something which you supposed to do for which you are supposed to get paid >> you get the point what I'm saying >> I don't know it is individual take and all but I think it is important to spread awareness everybody welcome to do the awareness program but not the self glorifying thing is what I think >> so my last question to you is >> three things simple three lifestyle changes lifestyle health. Okay. 80% difference. First is definitely like I said 15 minutes love yourself and do some dances or anything which can help or whatever. Second definitely body is not dumping yard. Third very important I'm taking this forum to tell is no pop. This is a campaign which is very close to my heart. What is no pop? No plastics over privates. Now we know that lots of reports are coming that micro plastics. So change your basic thing of using menstrual pads which have plastics. So change over to menstrual cups or organic sanitary napkins. >> So this is the thing which makes a huge difference. It decreases PCOS, endometriosis, fibroids, endometal cancers. So no pop exercises if not exercises at least three tap dances and plate proteins less carbohydrates. Don't make your abdomen a dust bag. I love that point. I think there's no better way to end this. Thank you so much for your time. I know you have a very busy schedule. Thank you very very much. >> Thank you, Anisha, for having me on your show. >> Thank you. Right.
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