Feeling the Rage before your Period? Beyond PMS: Symptoms & Treatment for Premenstrual Dysphoric Disorder (PMDD) with Heidi Hogarth (Part 1) - Best of Friends Series #199

 
 


When you've got PMS on steroids, the rage and depression are exponential.

Ever hear of Premenstrual Dysphoric Disorder?

They call it PMDD for short, and it's a very real and serious hormonal disorder that affects up to 10% of women! And it’s much more common when paired with ADHD.

Symptoms include things like mood swings (aka rage attacks), sadness, anxiety, hopelessness, depression, and even severe panic attacks.

Many women with PMDD are either extremely tired or have bouts of insomnia. And then there's excessive crying and other emotional swings. Not to mention all the bloating, gastro issues, food cravings, and possible weight gain.

Phew. I need a nap after writing that alone!

Today my guest Heidi and I unpack what PMDD is, the symptoms of PMDD, how PMDD can be linked to postpartum issues, and how to talk to your doctor about getting a diagnosis.

If you've been following along in 2022, we've talked a lot about menstrual health, hormones, and cycle syncing. We've uncovered numerous ways our menstrual cycle relates to ADHD symptoms in women. It's fascinating and disturbing at the same time. But there is hope, Successful Mama!

Heidi Hogarth is a naturopath, a mom of two, and a PMDD survivor. She's on a mission to support women who suffer from PMDD and help them find the best natural health tools so they can get off the hormonal emotional rollercoasters & back to their calm, positive, and loving selves.

She's a wealth of knowledge when it comes to understanding symptoms of PMDD. She offers insight into what supplements and dietary changes can help you when you feel like you are suffering from PMDD.

A big thank you to Heidi for helping women understand their bodies so they can do what they can to live a happy and healthy life.

Find Heidi here: www.fundamentalwellbeing.life

Follow Heidi on instagram: @heidihogarth_naturopath

If you are looking for more resources to help you along in your ADHD journey, grab my free ADHD Mama Toolkit. It’s full of great resources, including support for emotional regulation, taking care of yourself, and a checklist of ADHD symptoms to bring to your diagnosis appointment.

Go to patriciasung.com/toolkit. Not only will you be able to download ADHD resources on the spot, but you'll also get more ADHD mom tips right to your inbox. :)

Part 2 of this conversation is located in episode 128


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Patricia Sung  00:02

Are you overwhelmed by motherhood and barely keeping your head above water? Are you confused and frustrated by how all the other moms make it look so easy. You can figure out how to manage the chaos in your mind, your home, or your family. I get your mama, parenting with ADHD is hard. Here is your permission slip to let go of the Pinterest worthy visions of organization and structure fit for everyone else. Let's do life like our brains do life creatively, lovingly, and with all our might. When we embrace who we are and how our brains work, we can figure out how to live our lives successfully, and in turn, lead our families well, at the end of the day, we just want to be good moms. but spoiler alert, you are already a great mom. ADHD does not mean you're doomed to be a hot mess. Mama, you can rewrite your story from shame spiral to success story. And I'll be right here beside you to cheer you on. Welcome to Motherhood in ADHD. Hey there successful mama, it's your friend Patricia Sung. Welcome to our summer best of series. Now over the summer, I'm going to be taking a break to slow down a little bit hanging out more with my kids. I'm also managing and like why am I seeing slowing down there is no slowing down. I just have to reshift priorities here, hanging out my kids dealing with all of the construction project that's been going on. It has been a lot this spring. And I realized like I gotta let up this summer in order to be able to do all the things, shifting some stuff around. So it's like how do I still deliver great content, but also like, not just do the same old, same old because Hello, ADHD. So here's what we're doing. I am going to be sharing some friends with you. So while I will sprinkle in a couple of episodes from my own podcast, I chose some of the ones that were like the most popular downloads in the last few months. But I think that they are the most popular downloaded episodes because they cover a lot of the like basic things that we need to know about our ADHD. And we could use a little reminder sometimes of just the basic things. So welcome to the best of series. And let's dive into today's episode. Today's episode originally aired back in January of last year, and it's Episode 127, all about PMDD with Heidi Hogarth. Now when I first was looking for an expert in PMDD, it was hard to find and thankfully there are more people talking about this now that it's a year and a half later. So I'm really appreciative for Heidi joining us and being a pioneer in this area. So let's dive in to Episode 127. All about PMDD. Today we're chatting with Heidi Hogarth who is an expert in premenstrual dysphoric disorder, or PMDD. For short, Heidi is a naturopath and nutritionist for women with premenstrual dysphoric disorder and severe PMS. She helps women who are struggling with their premenstrual mental health to get off that emotional hormonal rollercoaster balance their bodies and minds naturally so that they can feel calm and confident not only in themselves, but in the relationships as well. As we've been diving into this discussion about hormones recently, this topic of PMDD kept coming up. This is something that so many of us are struggling with that I knew I had to find more information to share with you. Well, as we've learned, women's Hormonal Health is not well researched, and not well documented and not really talked about. So when I came across Heidi in another group that I was working in, I was like, oh my goodness, the answer to my prayers. Here she is someone who truly understands what this means and how it affects us. Because as I was diving into looking into PMDD, I was heartbroken that so many women are struggling with the effects of something beyond just PMS. It's not just PMs on steroids, this is a whole nother beast. This is struggle on a different level, I heard the struggle in your voice that it's beyond just having a bad day. This is a serious issue that is not being talked about. So even though Heidi is not actually very familiar with ADHD at all. In this case, it didn't matter. What mattered is that you will need some information and this woman has it. And as we got into our conversation, I started seeing so many parallels between how ADHD affects us and how PMDD affects us. I don't think this is just a coincidence. I had so many questions for Heidi, that we're going to divide this episode into two parts. Today we're talking about what is PMDD and what are the symptoms of PMDD what should you look for if you think you might have PMDD and And also, how does it relate to post partum? We also talked about supplements you can add, and how can you talk to a doctor about getting a diagnosis and feeling competent and capable when you go into that doctor's appointment and what to do if you get brushed off. Again, another parallel of when women go in to see a doctor about ADHD, a lot of times we get brushed off. Well, the same thing is happening here. So what can we do about it? PMDD is something that is affecting a large number of women with ADHD. So let's get started talking about this relatively new diagnosis, but clearly not relatively new in our lives. Alright, mamas. Let's welcome Heidi Hogarth with us today. How are you doing?

 Heidi Hogarth  05:41

Hi, I'm great. Thank you. Thanks for having me on. Well,

 Patricia Sung  05:44

I cannot wait to jump in here. Because the as we started talking about this in my community, there were more and more women stepping forward saying that either they have PMDD, or they're concerned about it. And when I found you, I was like, oh, angels are singing somebody who truly understands it. And I want to shed some light on this because I know so many women are struggling with this and don't realize that one, they're not the only one into that this is different than PMS symptoms. They're two different things. So first, if you could just tell us a little bit about how you work with women now and then we're going to dive in and get into what, what is this.

 Heidi Hogarth  06:21

So I'm a naturopath and nutritionist. And I specialize in PMDD because like many health practitioners who specialize in things that it was a big problem for me. And there's not a lot of information and research out there. And a lot of women don't even recognize it as a disorder and a lot of health practitioners don't recognize it as a disorder. And while I was experiencing it, it was also very little known. I didn't know myself, so I managed to manage it myself. So now I work with women with PMDD as a naturopath mainly focusing on kind of the biochemistry of mental health or fortifying the physical body to not to mental health, basically, using nutritional medicine and holistic therapists.

 Patricia Sung  07:07

So let's start at the beginning. What does PMD D stand for? And how do you see it affect women's lives.

 Heidi Hogarth  07:15

So PMDD stands for pre menstrual dysphoric disorder, the definition is really in the labels of dysphoria, best described as the opposite of euphoria. It's a very miserable state of existence. So PMDD is differs from PMS in that it's much more severe. Some people refer to it as a PMs on steroids. But I think it kind of underestimates really what it does to people's lives. It's people describe it as a Jekyll and Hyde kind of scenario. They have a sudden switch to extreme depression, extreme anxiety, extreme rage and irritability, feelings of hopelessness, and worthlessness. And it just hits quite suddenly. And when you're in the fog of it, it's hard to imagine feeling happy before or ever feeling happy again. And then it magically lifts which you start bleeding. So a lot of these women are begging for their periods to come. So the diagnostic criteria is there's a list of 10 or 15 things, it must have one for which are the anxiety, depression, the irritability, or the sudden mood swings, so must have that one. And then five other symptoms like could be brain fog, or lack of concentration, sleep disorders, appetite changes, things like that. And they severely impact your ability to live your normal life to work to parent to do whatever you have to do. So you might need to take days off work, it ruins relationships, you know, there's quite often a lot of conflict, especially in the rage and all of it. So yeah, can people lose their jobs or lose their relationships or worry about the impact on their children? So it's yeah, it's quite severe, it's quite debilitating, and couldn't often can last a bit longer as well than PMS. So it could be five or 10 days. So for some people who've experienced PMDD, it starts from ovulation until the bleed or even a couple of days into the bleed. So that can be two weeks, 1618 days, every month. And then the other criteria is that the symptoms resolved within a day or two of the period starting. So there's been only a week or two of feeling relatively normal. No Dr. Jekyll instead of Mr. Hyde.

 Patricia Sung  09:41

So this part fascinates me because when I think about women getting a diagnosis of ADHD later in life, a lot of times they have had some other issues before like anxiety and depression because when you have ADHD you are anxious or depressed because you're struggling with all the things that encompass ADHD a lot Women will also get a bipolar diagnosis instead of the ADHD diagnosis. And it's making me like put all these pieces together of like, what if it's this? What if it's their pre menstrual cycling in because that would make sense as to why they're like, Okay, I felt good. This part, then I felt terrible, then I felt good. And I felt terrible. It's like, well, yeah, that does kind of sound like bipolar. But in this case, when it's linked to your cycle, it's like, oh, like, it's all coming together. I'm like, Oh, my God, there's gonna be some women listening to this, like, what on earth is going on here?

 Heidi Hogarth  10:33

Yeah, that's a really common misdiagnosis. Actually, people who see practitioners who aren't aware of PMDD that often diagnosed with bipolar and even schizophrenia. So yeah, and then then they can go down this treatment path for sometimes years with the absolutely wrong treatment for what they're actually experiencing. Yeah.

 Patricia Sung  10:52

So that was my question is that are the treatments for bipolar and schizophrenia going to help these women or is that a completely different ballgame?

 Heidi Hogarth  11:01

Well, I'm not a medical practitioner, and I don't write medications. So I can't really answer that intelligently.

 Patricia Sung  11:12

I know someone's gonna ask that and be like, hey, neither one of us are doctors and I, that's one thing that I've like, I'm very big of a stickler on of like, I am not going to give you medical advice. I'll give you my opinion. But I'm not going to give you medical advice. That's not responsible of me. So interesting. Okay, well, either way, I'm sure people's brains are turning. Okay. Now, I'm curious if do we understand why it happens and what's occurring in the body to make us go down that path?

 Heidi Hogarth  11:36

There is not enough research, it's really hard to research on a living brain and living, especially. So there are theories. And there are some pretty good theories. And I've guess I could say one very widely accepted theory is, firstly, it's not considered a hormone imbalance by the medical professionals. It is considered that there's an abnormal response in the brain to our natural hormone fluctuations, and especially possibly in the GABA receptors, gamma amino butyric acid, the neurotransmitters good for feeling chilled out calm, relaxed about life. It's thought that one of the metabolites of progesterone called allopregnanolone, adversely stimulates the GABA receptors. So instead of being happy and calm, it stimulates more like anxiety and irritability and anger. I'm actually not sure how proven that theory is, but it's generally the most widely accepted. So but naturopathically, there are a lot of other theories or I don't know, I'm not saying this right, either.

 Patricia Sung  12:43

I think this is one of the hardest parts is that when I've been doing all this research about women's cycles and hormones is that there isn't a lot of research on women's cycles, like in general on just like the base level, let alone when we start digging into these more detailed pads, because generally speaking, when they do scientific research, they pick men because they don't have cycles. And that's not going to influence the data, like women's cycles will change throughout that whole month. So we're a far more volatile test subjects than men who don't change much throughout the month. I feel like it's one of those medical frontiers that just hasn't really been dived into is a dove into dive into I'm not sure like, that doesn't sound right when I said it, like it really just hasn't been researched well yet. And at this point, like this is part of why I wanted to do this podcast is just to like, bring awareness to it, because it's a newer diagnosis, and it's not well researched. But there are still women suffering from this. Like when I was looking into it, it said, I think it was in the Cleveland Clinic where up to 10% of women are struggling with this and yet, we're barely talking about it.

 Heidi Hogarth  13:47

Yeah. The figures, yes, it can be up to Jimson. I've heard so many, but from them, the main organization who has called the International Association of premenstrual disorders, they go with the figure of five to 8%. But I've seen up to 12%. But worse than that is that 90% of those people who are suffering go undiagnosed. You know, it's so common to people haven't heard of it often when I introduce myself as a naturopath who specializes in PMDD. I say, Have you heard of that? Do you know what I'm talking about? So half the time at least I have to explain what's PMDD before I can explain what it can do about it. Like you said, it's not a lot of research. It's getting better now and I am hearing more theories about genetic influences. And naturopathic play like it's a holistic discipline. So we treat the whole person not the disease or the set of symptoms that come in, so it kind of doesn't matter. Okay. Yeah, so there are lots of kind of ways that I see how the physical body influences the mental health and Hormonal Health and all of that. I think medicine can sometimes be limited in that way. But And even in terms of whether it's a hormone imbalance or not, you know the parameters of what's normal in terms of what your hormone level should be huge, really, really wide. And they don't really either consider the balance between progesterone and estrogen, which I think is really important. It's common to see estrogen dominance, and low progesterone like one or the other. So it can think, actually, low progesterone is a bigger problem than high estrogen, but it leads to a relative estrogen dominance because the progesterone is low. So that's where the ratio comes in. So even though the bloods come back normal, you know, say that so often, but my blood normal, my doctor says my blood to normal, and he or she doesn't have anything to offer me, or that's the two options is the red pill or the blue pill, it's hormonal therapy, birth control pill or implant, or Murena, those kinds of things, or it's a depressant most of the time, one or the other.

 Patricia Sung  15:59

Like on a personal note, I was in the last year diagnosis of mold toxicity, and it's had a huge effect on my hormone levels. So I'm like, Oh, yes. Like, personally, I've been like doing a lot of research on that, like, Oh, like this, you're right medicine has, there's a very wide value of acceptance. But what might be acceptable for one person is not acceptable for someone else. And digging into those numbers and how they relate to each other makes a huge difference when you start getting into the nitty gritty. But yeah, on the surface level, it's like, Oh, you look fine. Yeah, like

 Patricia Sung  16:36

what if there was a way to put together your plan for the week so that you actually wanted to do the planning, you wanted to show up and figure it out? Because now your day is smoother, easier, calmer, it flows, you're not surprised by that field trip or that dentist's appointment, you know that that's coming? What have you had support to make the plan so you can actually follow through on it and feel good about yourself, this is the place to be to get your ish together, you are invited to successful mama meetups, it's a twist on productivity and community, it's time set aside to make your weekly plan followed by hanging out with other moms with ADHD who get you so you don't have to earn the fun. You're entertaining them in the same event. So you want to show up every week for just a few dollars a week, you'll have your plan set, so that you can accomplish the tasks you need to get done. You know, you're trying to work on your next business idea. Do that fun craft with your kids, it's been sitting on the counter for months, you know the answer to the dreaded what's for dinner, you are present in the conversation with your kids after school or at dinner, because you aren't a ball of stress. You can take care of you when you have a plan. When you have this, you feel competent, capable, energetic, hopeful, relieved, like you can breathe. So sign up now at Patriciasung.com/meetup. And welcome to the successful mama community. We meet twice a week. So check the times and see which one works best for you. We also have a Facebook group where you can connect with other moms because this isn't just about the time that we're together. This is about building your support system. So join us every week Sign up now at Patricia sung.com. Forward slash meetup. So when we look at the symptoms at their peak, if a woman thinks that hey, this might be me, what are the things that would clue her in of like, can we be a little more specific? Because like, particularly, I'm thinking about the women who have mentioned that they have like suicidal ideation. And there's there's a lot more to it than just like not feeling great. Can we like look a little more in depth into those symptoms? That would be red flags, or it's like, hey, maybe you should look into this as something that you're dealing with? What would those other things be that they should be keeping an eye out

 Heidi Hogarth  18:51

for? And anything that makes you feel miserable is a red flag? Don't you think? Like, we were not supposed to be going through life, feeling horrible, hating ourselves self loathing, wishing we were dead and been too anxious to go out of the house? Or to maybe take the kids out of the house? And I remember postnatally that was a big anxiety trigger for me, too. Gonna get all these little things together. Yeah. So anything that impacts your life and makes you feel bad about yourself? That's a red flag. And I think it's a really subjective thing to think of like, you can't go to a doctor and say, I've got this level of anxiety. And what do you think, do I need medication or treatment or not? It's like, I feel like I'm not coping with life. So I want to do something about it. Please help me. But in terms of PMDD diagnosis, it's cycle tracking is really the most important thing to do. And I believe in tracking your good times as well. So there are lots of apps and forms and things you can download. So whether you're into like more journaling or pen and paper or apps that will give you notifications to them. Want you to record your symptoms either way is really great. And it's one of the things if you go to see a doctor or whoever you're going to see to have at least a couple of months worth of tracking to show look at the pattern of my symptoms. That's a really key diagnostic criteria as well. But it's really happening in the premenstrual phase or the luteal phase of your menstrual cycle.

 Patricia Sung  20:23

I think that's a really good like bar to pass. Like, if you feel like this doesn't feel right, then speak up. That is your internal red flag. Like a lot of women who have ADHD are so used to ignoring their own internal red flags that we think that we're the ones who are in the wrong and we doubt that we're truly feeling the things that we feel because our whole lives, we've been told, like, You're being too dramatic, or you're too sensitive about that, or like all these things that we've been, when we spoke up, we got this feedback of your too much, whatever it whatever the adjective was, You're too much of what it is. So we start to doubt that, but we usually know it on the inside whether or not that's right. But we've just learned to ignore it over time. You get

 Heidi Hogarth  21:09

conditioned to suppress that kind of self awareness in a way, isn't it? Yeah. And that just contributes to the whole mental health stigma as well. So I think yeah, if you're not well, it's so easy. And to be honest, that sounds like a very human experience, you know, not just for people with ADHD or PMDD. But any kind of mental health issue or any issue, would I often don't feel free to speak up and say, Hey, I don't think this is okay. And I need support around this. So, yeah, that's really common. But if you don't, don't feel good. Yeah. It's sort of

 Patricia Sung  21:53

like, it's like on that note, when we think about being willing to speak up, especially when women are dealing with these really big red flags where it's like, I'm afraid to say that I have suicidal thoughts, because what if they then report me to CPS and want to take my kids like, we go down that anxiety, panic spiral? How do we go into an appointment with a professional and say, like, here's what I'm dealing with, and approach that conversation in a way that we would feel heard in what we're saying,

 Heidi Hogarth  22:24

that can be a big problem of being dismissed by medical professionals or health professionals, I shouldn't. I'm not demonizing the medical profession, like I think they're amazing. And we can't do about them. But it is sadly common that they do and you have the 10 minutes to speak to the patient's not too long ago into it. And they need to know a lot of stuff about a lot of different conditions. And brandy, for example, isn't well known. So they people who are going to the doctors and say are having big problem. Prime Minister Lee no really want to end my life. I wish I wasn't here. And they can't be dismissed. I was just PMS. You know, everybody says don't worry about it. Yeah, at the pill or whatever. So going in, you really have to be an advocate for yourself. There's some great resources on that website I mentioned before they have the International Association of premenstrual disorders so it's ay ay, ay ay ay P Oh, my God. Oh, let you know, you can put it in the show notes.

 Patricia Sung  23:27

Yes, I have an international association of premenstrual disorders right.

 Heidi Hogarth  23:33

At the end, I always want to say I am PMDD.

 Patricia Sung  23:37

But I'm like, there's the association of premenstrual disorders, I don't even know. Really,

 Heidi Hogarth  23:42

it's a voluntary organization, but they have a huge amount of resources for anyone who suspects that they might have PMDD. Or there's another version of PMDD. It's called p and E premenstrual exacerbation. So that's when you might have anxiety, depression, something like that all the time, but it gets a lot worse during your premenstrual phase. So they are can kind of treat it a little bit differently. And that's one of the reasons that it's really good to track your cycle. Anyway, on their website, they have a page of resources, and one of them is an appointment sheet, what to take to your doctor, what questions to ask what to bring to show why you think you might have PMDD. So for example, you might take your two or three months of cycle tracking data, to show them this is where I feel really bad. And it's, you know, this time of the month, and what kind of questions you might like to ask your doctor about what treatment they're offering you what's the evidence as to whether it's effective in PMDD? What are the side effects and that kind of thing and whether it's appropriate for you, given your unique circumstances, whether you have other health conditions, other medications, things like that, so that I'd say direct your listeners there that's there really great resources to take along to your doctor. And I think if you are dismissed if they say it's not real, I don't believe you, this isn't a problem. It's just PMS. It's all in your head, please find someone else. It's not worth quite, you know, like, it's so hard to stand up for yourself sometimes to say, to firstly to ask for help. And then when you only get brave enough to go to your doctor and ask for help, and they dismiss you don't leave it at that find a sympathetic doctor, ask on support groups for recommendation, actually, that same website has provided a directory of PMDD, Medic doctors, gynecologist, other specialists. So with PMDD, it really crosses a lot of borders. So you might say, we call here a GP general practitioner, I don't know here your first Medeco. And then from that, they'll refer you it could be endocrinologist could be gynecologist could be a psychiatrist. So it's really crosses a lot of different areas of specialties. It's all of those practitioners on there, as well as alternative health practitioners in that directory. I mean, but it's not exhaustive. Like I don't think I'm on there. Because it's all kind of patient LED. So anyone who's seen it, practitioner, they go onto their website and they enter that practitioners details and say I had a really good experience here, I'd recommend seeing them.

 Patricia Sung  26:31

And then going back to you mentioned earlier about postnatal that you said there was definitely a spike in symptoms. That was one of the questions that we had from listeners. So I asked in my Facebook community, like what do you want to know about this? And also in my student community, and both groups people had asked about, is there a connection between postpartum given that that's obviously a big hormonal shift? Do you see like a correlation or connection between those?

 Heidi Hogarth  26:57

Yeah, it's very common to emerge postpartum, and in any big hormonal shift. So even a miscarriage or termination, even menopause when everything's winding down, but there's that's such huge can be huge fluctuations in hormones, then painted daytime symptoms can arise then, and also men Aki, when the period starts. So it could, I mean, for me, I'm not sure it sounds like from from the first period, but maybe after a couple of years, when things got a bit more regular. Anyway, so any time of the hormonal shift, and definitely postpartum is an area of sensitivity or a time sensitivity for women experiencing these kinds of emotional hormonal roller coasters?

 Patricia Sung  27:43

Is there anything that women can do knowing that that's going to be a concern? Is there anything that they could do to prepare for that? Or is it just like good luck be? We know it's coming?

 Heidi Hogarth  27:53

I'd say, Oh, that's a good question. Whilst you're pregnant, and after giving birth, oh, gosh, a really good thing to do is to take zinc, zinc is, is hugely implicated with postpartum depression and hormonal issues in general. But zinc is really sucked out of the mums by babies, because it's really important in formation of protein. So as in basically the whole baby, making all the muscles all the bones, all the structures of this little human that you're creating, which is amazing thing is sucking so much out of. So any nutritional fortification is really important during pregnancy. So many things like calcium, magnesium, iron, or the B vitamins, these are all really common basic things. So seeing someone if you think you might have a kind of sensitive mental health or Hormonal Health, and I would definitely be seeing a naturopath and nutritionist throughout pregnancy, at least a few times to kind of keep on track. And then definitely been aware that this could be a sensitive time postpartum to look out for those red flags that depression that doesn't go away and and baby blues shouldn't really last very long, postpartum depression can or to postpone depletion anxiety that can actually last for years. And if you don't address it, yeah, just being aware, I think is number one.

 Patricia Sung  29:25

This also again, I'm like, fascinated, because also people who have ADHD tend to be low in zinc, magnesium. And there was one other one you said that iron I think was the other one. Yeah. So like, all of this is like coming together. I'm like, Ooh, there's so many connections. All right, Mama. Let's pause there. And be sure to hit subscribe so that the next episode pops right up on your feed. We're going to continue talking about how do we live well with PMDD dealing with the rage that comes along with it and what are some recommendations for treatment? Now we also dive in to the connection between gut health and bring In health, we talk about gut biomes and food and supplements to eat to promote balancing and creating a healthy gut. And what does that mean for us? Why does the gut matter so much when it comes to our minds and our mental health and our brains? We'll get into prebiotics, probiotics, dysbiosis, anti inflammatory diets, alcohol, poop, all kinds of digestion, goodness. So meet me back here next week. And let's get into the rest of our discussion with Heidi Hogarth. Let's talk then have an amazing week successful mama. For more resources, classes and community head over to my website motherhoodinadhd.com