Culture Apothecary with Alex Clark
Culture Apothecary with Alex Clark

Heal Your Vision Naturally | Dr. Bryce Appelbaum, OD

1d ago1:08:1413,200 words
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What if most of your "normal" eye decline was actually preventable?Dr. Bryce Appelbaum, board-certified neuro-optometrist and founder of MyVisionFirst, joins me to break down everything your...

Transcript

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- You're an eye doctor and you believe that most people

can actually heal or improve their eyesight naturally. - Any brain at any age has the ability to enhance and optimize the vision.

- That early signs of up close being blurry.

That's the critical time where if you jump in

and get proactive and do specific vision training exercises, you can at least kick that can down the road for a while, and in many cases, not be as dependent on glasses or not even be them. There are certain supplements that have been shown

to support cataract reversal, who are all C60, carbon 60, eyesight, and vision are two different things. Think of eyesight as the ability to see. That's what glasses are for, context. Vision though is entirely brain.

Vision problems are brain problems, and their solutions for brain problems with something like vision therapy or vision performance training. I mean, there's so much more division than just 20 to 20 eyesight.

(upbeat music) (upbeat music) - Did you know it may actually be possible to improve your vision naturally, and that a lot of what we think is normal eyedocline

could be preventable? This is my first culture apothecary episode all about eye health, and we're covering everything. Dry eye, blurred vision, a stigmatism, screen fatigue, hidden vision problems that can mimic ADHD,

why concussions can affect your eyesight long after the injury, and what you can actually do to protect your eyes as you age. I'm joined by Dr. Bryce Applebaum, a board certified neurooptometrist, fellow of the College of Optometrist,

in vision development, and founder of my vision first. To break down what most eyedocters miss, the difference between eyesight and vision, and the practical tools that could change the way you see. Watch today's episode on the real Alex Clark YouTube channel

or culture apothecary on Spotify, and don't forget, pause, leave a five star review to support the show before we get started, and keep the discussion going in the KeepServe at his Facebook group.

Please welcome Dr. Bryce Applebaum to culture apothecary. (upbeat music) - You're an eyedoctery and you believe that most people can actually heal or improve their eyesight naturally.

- Any brain at any age has the ability to enhance an optimized vision? - How is that possible? Because this is so against everything that I've ever heard from any eyedocter growing up.

- And it's against what I was taught in school as well. You know, as eyedocters were trained to manage vision decline and take a reactive approach, which is similar to most of healthcare, but when you take a proactive approach,

you recognize that your eyes or extensions of your brain, and just like any system or muscle on our body, it can be trained to optimize performance. So much can be done to avoid unnecessary struggling to allow form proof performance,

with reading, learning, driving, sports, so many areas of life, vision is the missing piece to show much of our health and our happiness. - But if you're an adult who's had vision problems, you know, almost all of your life,

is it really possible to reverse anything or you kind of stuck at that point? - Depends what we're talking about. So something like needy greeting glasses, let's say. Most people in their forties,

the focusing muscles of the eyes become more original, less flexible. The lens inside of our eye gets hardened, those are age related changes. But just like any system in the body,

if we stop using it, we lose it. So that early signs of up close being blurry, and in your arms not getting long enough,

that's the critical time where if you jump in

and get proactive and do specific vision training exercises, you can at least kick that can down the road for a while. And in many cases, not be as dependent on glasses or not even need them,

but you have to do the right type of work

and you gotta be motivated and compliant for it. So somebody though, who is a minus 100 prescription, typically, that's not gonna be able to be reversed. But when we're seeing blur, far away being blurry as a symptom, and the problem being a near issue,

whether it's eye focus, eye coordination, tracking some sort of functional vision problem, if we address the problem, then the symptom gets better, slows down, and sometimes can even backtrack.

- How much of eyesight is genetic? Because my mom wears glasses, my dad wears glasses, my brother, me, I mean, we're all wearing glasses. So I just thought, you know,

some people are just born with worse eyes than others, is that not true? - Vision is entirely developed. No one's born with ability to read, or to use the eyes to track to converge,

to focus, or even with the ability to see in 3D, it's all developed through our life experiences. So it's either learned appropriately through the right sequencing of milestones, or learn poorly in that leads to these vision balances.

- What if you're two years old? - If you're two years old and you skipped over crawling, or walked too soon, very likely you're gonna have some sort of eye coordination challenge, whether it's an eye turn or lazy eye,

because learning how to have vision guide movement, we're building off of a more broad foundation, and so much can be rerouted with the right type of intervention. - So you believe that vision can be trained. A lot of people here that may think it sounds fake,

so what do they misunderstand?

- The key misunderstanding and hopefully

the most important take home for everybody listening today,

Eyesight and vision are two different things.

Think of eyesight as the ability to see, it's how we can focus light clearly. That's what glasses are for, context. Vision though is entirely brain, and how our brain filters,

organizes processes all the information coming in through the eyes,

knows how to make sense of it, drive meaning, and then direct the appropriate action. So vision problems are brain problems, and their solutions for brain problems with something like vision therapy,

or vision performance training. But the eyesight vision separation, I mean, there's so much more division than just 2020 eyesight.

- Are reading glasses always helping,

or can they sometimes become a crutch? - Depends. So I would say, if we're wearing reading glasses, and we're let's say younger than 40, it's because our focusing system,

the comedy system, the inside muscles of the eyes, responsible for making things clear and keeping them clear, are not functioning the way they're supposed to. We want them to be like an old school camera lens, that's on autofocus.

But if it stuck on manual focus, then we're relying on glasses to do the work for us, because our brain isn't controlling the eyes the way that it's supposed to, or intended to. So reading glasses for kids typically is a clear sign

of a visual developmental delay.

They haven't learned how to use that system yet.

And our ability to focus our eyes is so intimately related to our ability to focus our mind. If we can't control our eyes and their ability to focus,

we can't control our mind and its ability to focus.

So there's so much unnecessary struggling and trouble with mental clarity because of visual clarity. - I think most people just assume that part of getting older is having eye problems,

like cataracts or floaters that develop out of nowhere. What is your explanation for those things? Most of that is environment. Although cognitive capacity drops as we age and vision gets worse as we age,

both of those are common, but not necessarily normal. And so much can be done when we're being proactive. We're giving our body and our brains the right instructions to function the way that they're intended to. But also when we can prepare ourselves

for our environment that we're in. There's so much that causes visual stress, these adaptations where we're not using our brains, the way that it's actually wired because of too much screen time.

Being indoors, being sedentary, not enough movement, junk lighting. I mean, a lot of stress from our environment is really what causes so much deterioration. And so cataracts, the lens inside of our eye,

become cloudy as we age because of UV damage and toxins and thanks from our environment. But if we're limiting how much of that is being received by the eyes, then we're going to be limiting or delaying the onset of those issues

and maybe for a very long time. - I had this homey op at the expert, Barbara O'Neill on the show recently, and she was talking about how putting castra oil on your eyelids at night before you go to bed can help break up cataracts.

Do you think that that might be true? - I would say she is a very smart person and I'm sure has helped a lot of people. Having a clinical practice with two locations and seeing tens of thousands of patients,

I've never seen that happen.

I've heard people talk about castra oil and I would say oftentimes when something seems really, really simple and easy, there's probably a little bit more to that. And I know there's healing that can take place with castra oil

but I would say there's also way more robust proactive treatments than doing that as well. - What does it mean when you're in the shower, you're washing your hair in the morning? And when you lift your arms over your head,

you see stars.

Are you sitting in the shower or are you standing in the shower?

- Standing. - So I would say that has to do with blood flow and autonomic nervous system and how well you're able to regulate all the systems within your body.

I would say that's a really common occurrence with people who stand up too quickly and can have something called postural orthostatic tachycardiocendrum. It can happen with low blood pressure.

It can happen with lots of other scenarios. Maybe it means you need different shampoo though and there's something with the sense of that or something that's positive, I'm not totally sure. And what is some advice from mainstream eye doctors

that you think is outdated? - Essentially, everything. We are trained to intervene when there's eye disease and to look at structure, but no eye doctors are really trained on function.

And my specialty with optimizing eye brain connection is all about function and recognizing there's a brain and a person attached to the eyes and our eyes gather information but our brain interprets that and makes sense of that.

And then directs the appropriate action that's needed. We're taught in school on the, to be on this heavy pursuit of seeing the tiny letters on the bottom of the chart and the dark exam room and that everybody has to see those,

the 2020 line everyone has to see the same. I can confidently say that no two people see the same. So we don't need to target everybody to see the same. And I'm a big proponent of seeking 20 happy rather than 2020,

meaning the ideal prescription for most people

Is the weakest lens possible if any.

That's the most balance between each eye

that gives an improvement in performance.

And if it's not improving performance, why are we wearing glasses or contacts? And I'm not anti-glasses or contacts, but very often that's just putting a band-aid on the symptom where then still faced with the same stress or my environment

we're still adapting to that same stress and so our prescription just keeps increasing because we're not identifying the root cause and treating it. And especially now where we are in a screen time pandemic and we're in a digital world, the rates of myopia

or near-sightiness are increasing ridiculously high. When we landed on the moon in 1969, a fourth of America was near-sighted. Right now it's about 43, 44% in climbing and for a little bit of a global perspective

that's 30% of the world is near-sighted or has myopia right now. And it's estimated by 2050, 50% of the world is gonna be near-sighted. - What's causing that, you think?

- We have the research and the literature to support what we've known clinically for a long time now, three main risk factors, not of time outdoors, and it's proven that two hours a day outside, it's so protective for developing myopia and near-sightiness,

too much near-work in the dark and too much screen time. And we're in a very different world now, especially our kids than we've ever been in. And we're stuck inside, screens are causing tension, our thinking, but our vision to become locked up.

And when we're locked up, we're not engaging with three-dimensional space, we're not having vision guide movement like it's supposed to. And we're adapting to all of the stress from our world, and allowing screen time to be this toxicity

that is compromising so much of vision development overall health and even mental health. - Do you think whenever we have a newborn baby and we're bringing the newborn baby home,

I think a lot of times mom sit cooped up

with that newborn baby inside the house, do you think that we need to be sitting outside with our newborn babies for a couple hours a day? - If it's not freezing cold or boiling hot out. - So I would say newborns are a little different

than like the toddler years. toddler years, absolutely. We need to be exploring through the mental space. We need to be climbing. We need to be looking at real clouds rather

than pictures of clouds on an iPad, which allows for meeting full pathways to develop between the ice and the brain. - Yeah. - For babies, I think, absolutely getting outside

is important for mental health for mom, but also for the child. And as the child's world opens up,

I mean, when a baby is first born,

they see him black and white. Things are really fuzzy and they're only really, really close. And then that expands, built based off of developmental milestones and hitting them at the right sequence,

but we can facilitate appropriate development for vision for any child at any age. - This kind of reminds me of, there's this like viral screenshot from TikTok where this mom took a really cute picture

of her baby outside. And it was like a blue sky with some fluffy white clouds and some really young girl, like a gen Alpha age, like a young girl on TikTok comment and she said, "What do you do to get that edit?"

And the mom said, "That's the sky we're outside." - This is real life, like open up yourself to the world. - Like they don't even know, like that's the sky with clouds in it, which was hilarious, but sad. And I just think, yeah, we're not going outside

and I'm still like, "What is your ideal routine look like?" "How are you getting outside time as a working idol?" - For myself or for kids. - For you. - Okay, so for me, getting two to 10 minutes

of sunlight first thing in the morning is so critical

for setting our circadian rhythm, getting natural light in and really grounding in time and space. - And where do you live? - I live on East Coast in Maryland, right? - Okay, so it's sometimes it's really freezing,

frigid winters and very dark and stuff. So what do you do in those seasons? - So I still get outside. And even if it's for 30 seconds, that's better than nothing. I have a very strict regimen for just wellness

and happiness that is a lot of it as indoors. But I try and go and walk with my wife as often as possible. Got three young kids, we're outside as often as we can. It's ideal to get fresh sunlight in the eyes in the evening as well before bedtime,

to help let your body know it's time to calm down.

- And ideally, is that during when the sun is setting?

- So you want to be really when the sun is rising when the sun is setting and eliminating junk lighting in the evening does wonders for supporting circadian rhythm, regularity, falling asleep and staying asleep and having good quality sleep.

Because we have these receptors in our eyes that soul purposes to respond to light and send the sleep wake signal to release melatonin to allow us to fall asleep. Those cells are overstimulated all day long

on screens or an LED lights because of the blue light. And if you're in the evening pounding out emails or watching shows or doing whatever you're doing with a digital device, you're literally having your brain be in this sympathetic state

and you're allowing the melatonin secretion to be in the wrong consistency and wrong fashion.

Then all of a sudden sleep gets messed up

and that can impact metabolic health, cause inflammation,

even has been tied to certain types of cancers.

I just saw the most fascinating study last night and I forgiven me for not knowing exact numbers.

But basically the study showed that any amount

of blue light junk light with young girls after sunset is contributing to puberty starting earlier. Because we're seeing these girls that are starting puberty at eight or nine years old, by the way, that increases your risk for breast cancer later in life

all sorts of different problems warm only when you start puberty too early. So we really need to be getting, pushing that off as late as possible. So that was a really freaky statistic

and study that I saw. - I have an 11-year-old daughter and we were just talking before the show. So many of her friends are already have already hit puberty. I mean, it's not the plastic and the synthetic fragrance

and they're all these things are contributing to the light. - I mean, it's the toxicity from our environment. It's the hormone disruption, but it's the light as well. And when you are on screens,

you're also depriving yourself of exploring through your menstrual space and getting outside. So it's not just the addition of screens which is absolutely harmful and no developing brain has the capacity to handle the screen time

that's being asked of it. But you're then also limiting what you would be doing instead of that. - How long have you been an eye doctor? - 17 years.

- During those 17 years, when was it that you were like, I wanna go into holistic eye doctoring. That's not the official term.

- So for me, it was honestly like 35 years ago.

So I'm a product of this work. When I was a child, I had very poor eye coordination. I had no depth perception. I couldn't see well. I was lost in space on the soccer field.

I had no idea what was going on. I was overwhelmed in the classroom. I had trouble with interpersonal connection and just felt like this turtle, like retreating to my shell and so many aspects of life.

Fortunately, it was born in the perfect parents who made sure that I did vision therapy and a sensory integration-based occupational therapy. And for many, many years, I attribute all of my success in life athletically,

academically, even in a personly, for the training I did between my eyes and my brain and my entire body. And so for me, this was no question. I was going down this path, but I would say,

2020 is when things massively shifted. When we all became terrified with life and were stuck inside and on screens more and at the time, my kids were five, five and two. And I remember this Sunday afternoon,

looking across the room and all three had their heads buried in their tablets.

I was like, oh my God, this is, first of all,

we're not a house that supports this. How did they even find these? And then second, this is a problem for them and there's gonna be a big problem for the world. And that's when I realized, if we don't get ahead of this

and if we don't take a functional approach that we're all in on, we're doomed as a society. And then we shifted everything in terms of treatment programs, protocols, even offering an online program for people who are in a vaccess to come to our clinics.

But now we have solutions in place for this digital world where any brain can develop the visual skills and abilities to thrive in this digital world, but it requires training. And it requires proactive work to get the eyes to work together as a team, to get the brain

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I health myth that people over 30 need to stop believing?

Your eyesight in the distance should not change year to year,

unless there's a functional vision problem, causing that type of adaptation. And when you go to the eye doctor, and you get new eye glasses every year, that is a clear sign that something within the system

is not balanced. Very often it's the focusing system, or the eye-teaming system, or the tracking system. And like we talked about before, farway getting blurry is a direct result of this in your problem,

and lack of flexibility between the systems. And glasses don't make things worse. Our adaptation to our environment, and needing something stronger to maintain that same clarity makes things worse.

And so somebody who's had laser surgery, laser surgery should stick. You shouldn't need an additional laser surgery, or multiple others, unless there's a functional vision problem causing those changes.

I got laser can my early 20s, and it's been 10 years, nobody told me that after 10 years your laser basically goes away. And sure enough, almost exactly on the dot, 10 years.

My vision started completely disappearing.

I told my assistant, I was like, "Please get me a appointment at my eye doctor. Sure enough, my vision had totally plummeted in both eyes. It was like, it all just vanished." Like overnight, and I knew I was like,

I'm going crazy, I'm going blind, I was so scared. And yeah, so nobody told me that. So you're saying that this isn't a laser tissue, this is something with me is causing my laser to wear off. - Absolutely, this is not the cornea is now damaged.

This is probably in the last decade, you've been on screens a lot. And you've had a different lifestyle,

and you've been juggling a million things,

running all that you're running, and your now visual system is becoming locked up. Laser shouldn't go after 10 years. And what you're describing is so common, it's not normal though.

So that's the, I mean, there's thousands, probably hundreds of thousands of people who's prescriptions don't change. But the ones you do are usually the ones in a sanitary lifestyle on screens.

- Which I certainly am. - And that's life now. - Do you like laser at all for some people? - I would say some people, a good percentage of people have laser are happy.

And if you're going into this saying, I want to be as dependent on glasses of context, then that's a great way, a great solution. There's a small percentage of people who are absolutely miserable after laser

with an increase in glare, dryness, even mental health challenges. And then there's a about 20 to 25% who are just like, man, I wish I didn't do this. And there's a reason why most eye doctors don't promote laser

or don't have laser themselves. - Why? - You're taking normal healthy tissue and shaving it and cutting it off. And it's entirely elective.

And the doctors who are advertising one eye for free and then you only pay for one. I mean, laser numbers are dropping because people are realizing it's not the same, it's not allowing for the same outcomes

that used to be there. One of my practices in Maryland were right outside Washington, DC, two of the most prominent laser surgeons in DC send us their patients to say,

is this a good candidate for laser? And every single time the patient's like, why are they sending me to you? They're doing the surgery. - Right.

- We can actually predict whether eyesight's gonna change down the road based off of the functional visual skills and abilities and how much stamina flexibility and support the eyes are offering the brain. - How do you find out what your functional abilities are

with your eyes?

Can you do that yourself or you have to go see you?

- I mean, you gotta see how well there's screening tests we could do. - Are you gonna puff that air in my eye? Hate that. - We do not do it.

- Sometimes that's the look at a little farm they may even do that a little farm. I mean, that's measuring the pressure of the eye, which is important, but what we're looking at is how the eyes are tracking and focusing and converging

and how the brain is responding that information and perceiving in depth and looking at our peripheral vision and really seeing is the system balance.

Is there equilibrium there?

And for so many people, that shifts the more we are reading

the more we're on screens, the more we're indoors. - As a holistic eye doctor,

are there any concerning ingredients and conventional eye drops?

- So many. - But like what? - Preservatives. I mean, preservatives and our eye drops is the same thing as preservatives in our food,

but we're now putting them on the most delicate sensitive tissue in our body. So there's so much that can be done from a internal perspective so even something like artificial tears. If we're taking artificial tears,

absolutely want preservative free ones, but also we can figure out why there's dry eye or why the glands are not screen tears the way they're supposed to. And we can take supplements like omega-3 fatty acids to help the tear film be more viscous and more oily.

We can look into the microbiome and the gut health

to know that there is an eye gut access

that when there's certain things leaking from our gut, it a lot of it ends up in our eyes because they're in organs. - Ooh. - So definitely eye drops.

I mean, there's like something like vizine. We should anyone who's listening

who has vizine throw it out, it's absolute trash.

It causes the blood vessels in the eyes to constrict so they're less red. But then when the drug wears off, the rebound effect is twice as big. And there can be a dependence on them.

I have a drawer in my office that we just put people's vizine bottles in when they come in. And if we look at it's like we're trying to water the grass or get really healthy grass, water the grass, but also you want the fertilizer to be solid.

So from a tear-frame and a front surface of the eye perspective, we want good quality tears on the front surface. We also want our glands to be secreting the way that they're supposed to do. And we want our inflammation within our body

and with our eyes to be as low as possible. - What is a holistic dry eye remedy? - So without knowing all the details, I would say in general, it's based off of supplements, nutrition and lifestyle modifications.

So supplements, I mean, there's a lot of great supplements out there for eye health. But omega-3 fatty acid is number one on my mouth rush more of what's great for eye health. Luteens is the anti-ingrade supplements

to help the back of the eyes where they're macular crop noise. So they're almost like internal blue light blocking glasses. Where we can protect our really delicate tissue in the back of our eye, our retina from UV damage. If we have robust amounts of those macular crop noise,

nutrition, I mean, eating for eye health is very similar to eating for brain health. Eyes are part of the brain. They're the only part of the brain you can see without things getting really messy.

And in utero, in the first try and master,

the eyes separate from the brain. So if you're eating for brain health, you're eating for eye health. And really the things to avoid the same stuff that you preach, gluten, dairy, sugar,

processed food, seed oils, and even alcohol can cause a lot of neural inflammation and can damage our visual system as well. - Our carrots really the ultimate food for eyes. - Carrots are not bad for the eyes.

There's beta-carotene in them, which our body converts to vitamin A, that's great. But that is an entire story back from World War II that just got fabricated that made it seem like that was the be all-end-all.

I could list 10 other things, 10 other foods that are so much better for the eyes and carrots. - Yes, yes, tell us. - Okay, for me, the number one healthiest food for the eyes are eggs.

Eggs have lootene in the yoke and coling lootene is really great for as an antioxidant to help slow down and offset some of the age-related changes that happen to our lens inside of our eye cataracts in the back of our eye macular generation.

Coalene's great for cognition. Any type of citrus fruit, which has vitamins A, C, and E, those are great as antioxidants, green leafy vegetables, huge for having Zazanthine and lootene and really

protecting the macula, omegas. So fish is wonderful. There's an acronym smash. So sardines, macroal and chovies. - How a bit in salmon.

- 10 fish, obsessed 10 fish. I feel like I talk about this all the time with different gas at conference. - Can fish are the great, but you want to look in the ingredients? - Yes, totally.

And so there's certain brands that I like, you know, and looking for extra virgin olive oil and all that no seed oils and things. But I-- - And ideally wild caught and fish that's not from a farm in a little tank.

- Yeah, we don't like that, that's gross. We don't want to get our 10 fish from red lobster and no thanks. - You don't want to get much from red lobster. - No, you don't want to get anything there.

Okay, so when you say that eyesight and vision are not the same thing, can you break that down like we're in fifth grade? Because I just feel like a lot of that people think, you know, if I can read that little chart,

like you talked about with the letters, then I'm fine.

So what does that mean, eyesight and vision aren't the same thing?

- Eye sight is the ability to see. Whether that's the chart in an eye doctor's office,

With the teacher rights on the board in the classroom

or street signs when you're driving. And eyesight's important, but eyesight is really a symptom and that's glass is a context. Vision is how our brain tells rise, how to move, how to converge, how to track,

how to focus, how to process the information coming in through the eyes and vision is entirely brain. So functional vision problems are brain problems, but look at our eyes as really what just gathers information from our world and then our brain receives that

and then knows what to do with that information.

And that's how we can really make sense of what's around us

and how we need to direct whatever action is next. - So if somebody's being told that surgery for cataracts is probably in their near future,

what's the first thing that you would tell them to do today?

Any surgery, like cataracts is an elective surgery. So don't jump on that immediately. Take the information, sit with it, do some research, maybe get a second or third opinion. If we live long enough in this world,

we're all gonna get cataracts. And although it is the number one most common surgery done in the US, or at least used to be a much or if it still is, any surgery has risk. And there's relatively low risk there,

but they're absolutely as risk. But there are certain supplements that are great for systemic health that have been shown to support cataract formation and slowing it down. And with many of my patients,

we've seen some reversal and some pretty substantial reversal. - What are the supplements? - There's a form of glutathione called gluteral, which is absolutely awesome and Dr. Patel and give you shout out, he's the man.

This is a spray form, so glutathione is our body's a master antioxidant, and when you take it in pill form, we don't really absorb and utilize it all because our GI tract breaks it down. The spray form you spray in your skin

and ideally on a place where there's not hair follicles. And you can get systemic levels of glutathione to above optimal within 72 hours. I have most of my patients on that.

And that, particularly antioxidant is really powerful.

There's other really powerful antioxidants as well, there's something called C60, carbon 60, which is really healthy and wonderful for decreasing information throughout the body. And then there's other kind of old wives tales out there

about other things that I only wanna share what's factual in a science-based, but if you take high doses of antioxidants and you protect from UV damage, it's not gonna get worse. - What does that mean?

Where are sunglasses? - There's so much controversy over there over where sunglasses are done.

- That's what I was thinking is you're talking about,

we need the infrared rays in our eyes, right, sunrise, sunset, and all that, but if we're wearing sunglasses or we really getting that ideal sunlight. But then you're saying you gotta protect from UV damage.

- So light is so critical for homeostasis

and it grounds us in time and space, but we want natural light and natural light help support mood, hormone regulations, or canary limbs, all of this stuff. In natural light, there's a spectrum. And there's UV, there's different colors.

I mean, we don't need to get into that, but UV rays are really what damage the structures of the eyes. And UVA and UVB. So UVA is what causes aging and wrinkles. And UVB is really what causes the burn.

From, if you're outside from like 10 to 2, when the sun is the highest in the sky, - Where sunglasses? - Where sunglasses. If you're on the water and you're getting light

that's hitting the water and reflecting back at you. - Or skiing. - Or skiing. But really beyond that, like if you're healthy, and if your body is sending the right signals

on how to respond to life, you're probably gonna be okay. And there's a lot of influencers out there that talk about getting sunburn when you're wearing sunglasses, but not getting sunburn when you don't wear sunglasses. - Using that's true.

- There is absolutely science to that. But I would say, if you have a very, if you have a lot of neuro or systemic inflammation, your body's not gonna be able to secrete the biochemical cascade that is needed to protect it.

So, this is not saying go outside, you're not gonna get sunburned. If you're outside at the beach all day, and you're not healthy, and you're wearing, or not wearing sunglasses, you're gonna get burnt.

But I think it's moderation that's needed,

and I've definitely done that experiment myself, and it held true. - Wow. - I was more sunburned, wearing sunglasses, and I wasn't wearing sunglasses.

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Woo-hoo! Okay, so what are the symptoms that people are really dismissing right now that are hidden vision issues? So many.

And there are so many people who are misdiagnosed

or have labels like ADD ADHD dyslexia, learning disabilities, autism spectrum disorders, bad at sports, bad at sports. When those labels have the exact same behaviors and symptoms of hidden functional vision problems that are treatable. So if you have a trouble catching a ball, functional vision problem.

If you get motion sick, especially as a passenger in the car, but you're not as much or not motion sick at all as a driver, functional vision problem. And, oh my gosh, my best friend Nicole needs to hear that.

Anytime we're with a group of people, she always has to ride shotgun.

It's so unfair. I'm sick of that. I'm going to tell her she's got an eye in. And with that, and it's really a brain issue, rather than an eye issue, because when we're driving, we're integrating central visual input and peripheral visual input. And we can plan what's coming ahead and open up our periphery. When we're in the back seat,

we're on a phone or tablet, our visual system and our vestibular system, which is like the internal GPS system and the roadmap of life, our setting conflicting signals that our brain can interpret. So how do you fix that? The motion sickness thing. What do you do with your eyesight or vision?

Vision therapy or vision performance training? You guess that. I do that. Why do people do that? There's never been a greater need. And there's never been less eye doctors doing this type of work. And we now have OT's, PT's, speech and language pathologists,

coaches, trainers, teachers doing vision work, because the need is so high. You want to see somebody who's board certified in vision development and rehabilitation. And it's kind of like physical therapy for the eyes, but really for the brain, through the eyes. So a lot of people are meditating their children right now in the United States who don't actually have a mental issue.

It's more like they cannot process visual information correctly. One out of 10 kids in the US has ADHD or ADD. One in 36 has autism and one in 16 has anxiety. And I will tell you in all of those scenarios, vision plays a role. If you cannot control your eyes and their ability to focus,

you cannot control your mind and disability focus. And it's not like there's a blood test that says, oh, you have ADHD. It's based off of symptoms and behaviors. And 15 of the 18 most common diagnostic criteria for ADHD or ADD also have visual components from hidden vision problems.

One out of four kids has a vision problem, significant enough to impact learning.

80% of what's learned in the classroom comes through the visual processing of...

There are so many kids and adults who go throughout their days having a hard time focus and especially like two PM or later when they're reaching for adults that third, fourth, fifth cup of coffee, brain fog,

decreased productivity throughout the workday issues with focus, attention, even critical decision

making because the brain is on overdrive just trying to control and use the eyes and process that information. So it's almost like there's this visual overload that we're all experiencing, but just accepting it as normal. So for me, my vision is deteriorating.

Your eyesight is deteriorating. My eyesight is deteriorating. How do I fix that? Like are there exercises or things that I can be doing at home to help? 100%.

First of all, people who say that vision exercises don't work are the same people that say normal exercise doesn't work. It works.

You have to do the right work in the right place for the right reasons.

So I'm sorry, people who say go outside and do sunning or pomming and then you'll never

need your glasses again, it's a little more complicated than that.

However, there are science-based exercises and systems that can be dramatically improved in terms of stamina and flexibility. So let's do eye push-ups right now. What? Okay.

So what this is, you're going to cover up one eye with your hand? One eye is like so blurry. So one eye is so blurry. And one is a little bit more normal. So I'm, um, I'm, uh,

all right, let's talk, let's talk this through. I'm left eye dominant. Okay. So if your eyes are focusing at different planes. If one eye is blurring the other eye is not very likely and we'll do, we could do testing

it now exactly, but very likely there's this binocular rivalry.

There's this competition over sensor input where your brain is saying, I can't focus my eyes

together at the same plane, so I'm going to dip so that it don't have to.

So one eye is probably seen better far away and the other I see better up close. So that you don't have to use both eyes above distances. Super common after laser surgery or having a prescription that's maybe a little bit too strong and we're adapting to that. So with something like I push up, we're going to be

working on the focusing system to develop stamina and flexibility. And this is interesting with you. You're going to notice that it's very different for each eye. So cover up one eye. Take your thumb with the other with the other eye in the other hand.

And stick it up like you're giving somebody thumbs up. Look at the nail portion of it and then you're going to slowly bring your thumb towards you down your midline, making it as clear as you can. And then when it gets low blurry, stop try and make it clear. So think about looking hard, locking in your focus.

You'll notice if you're watching somebody, their pupil gets really small, the system is stimulated, then you're going to relax your focus and look out into the distance for five seconds. And then back at your thumb for five seconds, distance for five seconds.

So this is a gross stimulation relaxation,

stimulation relaxation of the focusing system. You want to do the same amount of time right eye is left eye. You'll notice when you do it with your other eye, but your thumb is held at a different plane or different distance. So start far out, bring it in.

Yep. And then it's probably noticing symptoms one side or it's a bit harder with one side. If you do this for two minutes a day and you do this every day, you literally will not need stronger glasses. And in some cases, this is going to draw line this in and allow for things to shift.

Imagine holding your thing, your thumb, a millimeter closer a week. A millimeter is add up to centimeters, centimeters add up to inches, inches add up to much longer. You're developing a better rapport with the Z-axis. You're able to focus your eyes closer and for longer.

Yeah, like it, that actually did feel really good. It feels like this is simple, this is easy. And if you have no idea because you're listening, you can watch this on Relax Clark YouTube, and then you can see what we were doing with Earth.

And anyone who's on the verge of needing reading glasses or told they need them, and this is kind of the early stages, if you do I push up every day, you can at least prolong the need for those, and probably for a significant amount of time. And then there's different exercises we do for your peripheral vision,

for tracking for so many different systems, but really the right sequence of learning, if learning takes place from the environment and experience, you're literally rewiring your brain to change our using vision. And if you're able to work with somebody board certified in their office,

I mean, we're utilizing tech like VR and AR and eye tracking software, and also low tech things, but really rebooting the brain and allowing for neuroplasticity be tapped into, where we can use the eyes to rewire the software to change how we're using vision. I have to be honest with you, I just did not know what to expect from this interview.

I thought maybe you were going to tell us, you know, sleep with potatoes in your socks, or something like some strange things. Haven't done that yet. To me, this is so practical, and it makes sense. And I thought this was going to be really woo-woo,

like how to improve your vision or a holistic eye doctor.

It's not, to me, this is better eye doctor advice than any conventional eye d...

Thank you. I mean, there's definitely some woo here, but we can go into woo. But I mean, something as simple as, you get your pair of glasses from the eye doctor and doesn't seem right, or they're strained. And then the doctor says, oh, get you, just wear a mil get used to them.

That is immediate red flags. That's the wrong prescription.

Glasses should not seem different or off when you first get them.

And if they are, it's probably because you had a 10 minute eye exam, and they're just taking measurements, but not putting together big picture, what's needed to optimize the eye-brain connection. Oh, yeah, that is weird. When I first got my new glasses, I was like, I feel sick wearing these, and they were like,

just power through, you'll get used to it in like a day. Like, you just gotta wear brains. We'll get used to it, because our brains are incredibly resilient and adaptable,

but that's why we can retrain our brain with the right type of works

that we can allow the airplanes to land and have an air traffic controller that can coordinate and organize all that we're asking of our brains and our eyes. So if you are somebody that has a toddler or a baby that's wearing glasses, what can you do with somebody that young to help improve their eyes at home? So most doctors would say there's nothing you can do.

And I'll tell you, if your child's glasses are really thick and they magnify the eyes, that's likely hyperopia or far-sightedness, which means they haven't developed their focusing system yet. If they're really thick, but minimize the eyes and make them look smaller, that's usually myopia or far-sightedness, meaning the world is here in farways getting blurry. These are visual developmental delays that have a genetic component potentially,

but if we just keep feeding the problem, we're going down a really scary path. Versus there's an intervention we can take to slow down the progression that's FDA approved for myopia that most doctors don't even talk about.

Like, contacts are sleeping at night, there's a retainer for your eyes and said to your teeth,

drops that you put in your eyes that actually make your focusing system now work the same way, multi-focal contacts or even some glasses that have just come out to slow down the progression of near-sightedness. So these are all kind of no-one would discount this, but if we look at really vision development where it should be and then where it's operating, when there's a gap there, you close the gap with the right intervention and then there's a wide open runway into the

future for that person. Okay, so does that advice apply to any child or their special exceptions, like, you know, a child with Down syndrome, for example, they typically have a lot of vision problems. So I would say, I mean, there's definitely certain things that apply to everybody and then there's much more specific and individualized. Okay. Um, a child, with Down syndrome, there's a very high prevalence of Strabismus or I-turns. And Strabismus, or an I-turn, most of the time, the vast majority

of time, has nothing to do with eye muscle strength or eye muscle length. It's coordination and it's a brain problem showing up through the eyes. So if you dress on a brain basis with the right type of visual rehab, vision development training, very different outcomes than if we do something like eye muscle surgery or patching, eye muscle surgery, best case scenario with a Strabismus,

eye muscle surgery is a cosmetic cure. Never is there functional cure because a functional

cure requires learning from our life experiences and developing what it feels like and looks like for the eyes to work together and then the brain to turn on to information to perceive depth, patching, patching has been around for over a hundred years. Patching takes the mindset of, you have a good eye and you have a bad eye. So let's cover up the good eye so the bad eye has to work. We know that ambuliopia or the medical term for lazy eye is a two-eye problem showing up on one eye.

So if it's addressed on a two-eye basis, if it's addressed on a brain basis, we can teach you I had to engage the other eye that it's not seeing as well so that the bossy one is less bossy and the one that's just hanging out can start to play together and happily with the other eye. How do you do that? Vision training, vision therapy. Imagine putting on a virtual reality headset where we can make it so that the eye

Oculus have to converge a specific amount or diverge or oscillate or we can blur the better seeing eye, set the eye what that wasn't seeing as well, now becomes the better seeing eye. And then you're chopping fruit, popping balloons, whatever the game is in there, but we're arranging the conditions to raise to your brain's awareness, how it's taking in space, how it's the different visual skills are working,

and then start to put things back together so you can use your brain the way in which it's wired. So someone I love in my life has a lazy eye and is being told that they're going to need

surgery sooner rather than later to correct it. Has that person had a lazy eye their entire life?

Yes. We're told. And already has had surgery once. Please, please, please, do not let that person have another surgery. Okay. And their studies that say with each success of service and surgery, the success rates drop dramatically. We are taught in school

that there's this critical period for vision development and after age eight, what you see is

what you get. That is completely not accurate. That's for vision lost, not for vision gained. So if you were I would wear an eye patch for six months and take off the eye patch,

We'd be sensitive to light, but we would not have lost sight.

they wear an eye patch for six months. Take it off. There literally will be eyesight loss. They'll

have to see bigger letters. But in terms of what can be trained and taught and the neural plasticity that exists for every brain at any age, we can absolutely improve and often eliminate lazy eyes and I turns with this type of treatment. We have a 92-year-old right now in office-based

treatment developing depth perception for the first time. Way to go. I mean, how cool is that?

So cool. And yet, this is one of the not talked enough about conversations and even most eye-dashes would say, this guy's crazy. This isn't true. We have research now to support this. It's just not put into most clinical practice yet because there's a huge delay until that stuff comes out. I have stigmatism. What do you know about that? There's a couple different types of astigmatism. Astigmatism, if we're talking to the fifth grader, we talked about earlier,

is the eye-shaped more like a football and a basketball. And so it means light has to be bent in a certain way to see it clearer. So much of astigmatism, though, has a functional component. So it's not just the shape of the corny, the front surface of the eye or it's not just the shape of the lens of the eye, it's the focusing system, which is a sphincter circular muscle, not being uniformly stimulated. And so astigmatism that increases, assuming we're ruling out disease processes that cause that,

often show up in the setup where you're on screen, you're close to much. And so the systems becoming lazy in a particular position. So astigmatism really is kind of like an impacts eyesight, but it also can impact function, especially with, in at night when our people's get larger and more light comes in and gets scattered and distorted, or it can cause for just a lot of unnecessary struggling because your brain is on overdrive, just trying to align point and focus the eye,

said it's harder to process what's coming in. Creatines, one of the most studied supplements on earth, we're talking muscle strength, better recovery, power output, now the science keeps piling up on brain health, focus, even move support. At this point, if you're not taking creatine, what exactly is your plan? Piori creatine plus is my recommendation because of their clever combination of five grams of creatine,

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The confidence people have in systems that they've never once checked. People are like, oh yeah,

I'm definitely registered to vote. Based on what? A memory from Obama's second term, a sticker you found in a drawer. This is how people live blind faith. No confirmation just vibes and misplaced optimism. Meanwhile, all it takes is one move, one paperwork glitch, one name change, one county

clerk having a rough day. And suddenly you're standing there like, wait a minute, what do you mean?

I'm not the system. I'm here to vote. This is not rare. Millions of people either aren't registered to vote or have no idea if they are. As many as one in four people are basically just hoping for the best. The good news is this is such an easy fix. I put a simple link on my website, realallixclark.com/vote. You can check your registration, updated if something's off and handled the whole thing in under one minute. On your phone while you're lying in bed while you're pooping

on the toilet. You can just be on a date, go to the bathroom, pretend to be answering calls. While you're avoiding someone that you don't want to talk to, you can just check your voter registration in realallixclark.com/vote. Don't wait until it's too late and you're stressed out in a folding chair at a middle school gym. Go to realallixclark.com/vote. Just check. This is something that people listening or are probably wondering is, if I go see a functional

eye doctor and they do vision performance training, is that going to be covered under insurance? Good question. Depends. So most insurance or all insurance is a for-profit entity.

There's a lot of reasons why insurance companies cover certain things versus ...

many good insurance, that's a PPO plan with out-of-nour defense that does not say exclusion,

vision therapy, does recognize and reimburse vision therapy when in and cover if it isn't

in network doctor. But whether insurance covers it or not does not mean it's valuable or that it's life-changing. And so often we have to take health into our own hands and be our biggest advocate. And I would say if insurance covered vision therapy for every person around the world, we wouldn't be in this terrible state that we're in in terms of vision problems spiraling out of control. I want to talk a little bit about concussions. Please. Why does a concussion

mess with vision even if your eyes were never physically hit? We talked about eyesight and vision

as different things. There are more areas of our brain dedicated to processing vision than all of the other senses combined. Two thirds of the neurons coming into our brain come from our eyes. And more than half of the real estate in our brain is dedicated to processing vision. You cannot have a head injury, minor or major and not have vision be impacted. It's just a matter

of that level. And most of the time when we get a head injury, we go to the ER, we go to the pediatrician,

and they do a CAT scan or CT and they say, "Oh, there's no blood pooling in your brain, you're good." Because they're not looking anything functional, they're not doing the right type of tests to screen and detect for changes in function or the neuron formation that's there. And then they say,

either go sit in a dark room or just get back to life, you got your bell wrong, you're fine.

Neither of those are right. If we're looking at the eye-brain connection and evaluating that and looking at the tracking system, the focusing system, my coordination depth perception, visual processing, visual memory, we can absolutely identify where the areas of opportunity from proven are. If we have a baseline, we can say, "Oh, look something shifted." And I'm a big believer that with the right motivation, right compliance and of course the right work,

almost every concussion can get back to previous level of function and in many cases get

to a better place. If you're looking at the eye-brain connection, you're then looking into the area

that is the most commonly impacted and symptoms like light sensitivity. And since you overload at malls or grocery stores or strain blurry eyes when you're on screen, or reading for too long, are so common from a head injury. Also anxiety and stress, right? Absolutely. And being told that, I'm sorry that this must be in your head. There's nothing here. We can't find anything. Well, it is in your head, but it's the doctor's not doing the right test to figure that stuff out.

So there's a lot of people after a concussion that are feeling off, and that's really because no one checked their visual system. No one checked their functional vision. More than half of my practice is TBI. Trapped brain injury in concussion rehab, and that's like without even trying because the need is so great. So do you have any stories about that of like one of your patients, a crazy head injury? They had all these vision problems. Nobody knew to check. Like what

was that? Can you share? Lisa was 32 at the time when she was in treatment. She was a elementary school teacher. Head on the playground, a ball hit her on the side of the head. She was supervising the playground. Thought everything was fine. And went through the day and then terrible symptoms that night. Next day had to call out a work for a while and was absolutely miserable. She had business, nausea, headaches, anytime she tried to read, scrolling on her phone was miserable, light sensitivity,

and every scenario possible disrupted sleep. No stamina throughout the day. No patience for anyone in her family and worked with her. She did about two months of treatment with us and got back to being in the classroom where that was causing this sensory overload. All of this busy crowded input that her brain couldn't filter and organize. She couldn't lessen plan. She couldn't even sequence throughout her day. What was needed from a executive functioning standpoint. And literally

got back to a place where she was, she says better than she's ever been by doing vision performance training. We had her doing office-based work with home reinforcement. We had her taking the right supplements. We had her doing the right nutritional modifications. And, you know, she's now able to live a happy fulfilled life without any of the anxiety depression. I mean, she was stuck in home

at home thinking, I'm never going back to work. I'm never going back to life. And she now can

return to learn and return to life based off of, you know, all of this crazy impressive work. I just, I know in my heart when I have a guess that everybody's going to love and they're all going to want to work with you. So for people who don't live in Maryland and the DMV and are not near you, they're going to say, well, where do I go? How do I know how to find a doctor like you? What's your advice? I'm doing so much work for awareness and advocacy. And so that is changing, but it is

tough. So it's a right now. There's an organization called the College of Autometry and Vision Development where you can type in a search radius. And it'll say, who's board certified

With an a search radius from you.

So it's COVD.org and there's a located doctor section from an evaluation standpoint. You're going

to know what's going on. But in terms of what does treatment look like, vision therapy, vision performance training, it's not like physical therapy. It's not like I have a spring DMCL, grade one, I'm getting a dozen sessions, grade two, I'm getting two dozen and depending on which PTA go to a round town is kind of the same work. There is no consistency yet on what this work looks like. So because of that, we see people in my office every week who fly in from all around

the world for these intensive programs because they don't have anybody like them, like us near them. I also recognize not most people don't have that opportunity or accessibility for that. We have an online vision training program called ScreenFit, which we can give a discount to your audience if you'd like. Oh, yeah. Yeah. That will be great. This is something called code Alex.

Done. Okay. Let's give a huge discount so that people will do it. Okay. What like what?

All right. So let me show you what it is. So we have it's two different courses. Each course is 30 lessons. Each lesson is 10 to 15 minutes. And it's literally a video of me describing a specific vision exercise. You put the phone or tablet down and you do the exercise. So it requires no equipment. 10 minutes a day. If you did this five days a week, that would be six weeks for each course that would be 12 weeks of training. We've had thousands of people

go through this 100% of people who have finished the first course have seen a reduction in symptoms.

We've had as young as five and as old as 89. So this is really a way to take a step across the start line and get going on your vision improvement journey where it's complicated cases. You're going to need to work with a doctor and then need you know that the individualized customized care but for people who just want to have improved fatigue on screens or get better at night driving or not have this brain fog or fatigue or loss of focus throughout the day. This is a

great way to help train your eyes just and train your brain just like you would train the rest of your body. And what's the website? So it's screenfit.com code Alex. So it's 497 for the first course. Let's do $200 off. Nice. Okay. So 297. Cool. And if you're a family of 10 or of 1, only by once. It's intended to have exercises that you can do at a stoplight in the bathroom. Like stuff that is just part of your daily routine that I mean the results have been unbelievable and I

create this thinking COVID's here. What are we going to do? People aren't going to have access to be able to go to an office. Let's do something. Let's create something people can do from home and now let's become a monster. For the people that live near you, they live in the DMV or they're flying to go see you. Is this like a one appointment thing where you get all of your protocol and everything or it's something you've got to come back multiple times for. So we do a five-day boot camp

where it's two hour evaluation, the beginning of the week, two hour evaluation, and in the week we're doing about a dozen hours of work during the week entirely customized and we put everybody on a home program with our customized virtual reality platform with different eye exercises, regular calls. Most of our patients do the week in office as the boot camp, the reboot, and then the work continues at home, but then they can continue to do that on their own. And then we do

have a subset of patients who come in for two, three, we've even had one due to seven intensives, which is more complicated things. So if you're local, if you're not flying in from around the world, most vision therapy is you're coming in once or twice a week in office, you're doing stuff at home and then it's a much longer process. We now know that the more opportunity that the brain has for learning with the least amount of time between the learning that faster learning takes place. So it's

kind of like if you want to get in good shape, if you go to gym once or twice a week, and that's it,

it's harder to get in good shape versus if you're going every day for a short period of time. Not all profiles is this the ideal protocol for, but for many, this can be better results faster. Have you ever heard of Chester Town or Chesterton Maryland? Yes. How far is that from your office? I believe it's about 45 minutes. Okay, listen people. Listen, I'm going to hook you up. So this is what you do. If you're like me and you've got all of these

problems and you want to go see him, then you've got to go, you're going to go to modern Stone Age kitchen, have you been there yet? No, but I've heard of it. Oh my god, you have to go! Oh, it's the best. I'm friends with him. You can stay there. They have like a whole like Airbnb set up. You can do the whole sourdough course. Eat there. It's like the cutest little harm our home mark town. You can go get your your vision fix. Yep. And then you can swing over to DC and you can spend

time in DC which by the way. I don't know how often you are there, but it is so cleaned up and

beautiful right now. It's like a totally different city. Like if you have never been to DC and you

want to take your family and do a little trip, this summer plus is the 250th birthday of America. So like there's so many cool celebrations that are going to be happening, you know what I mean?

This is the time. So you should like go make a whole trip. My office is 25 minutes from DC. Yeah.

And Bethesda Maryland and everyone who comes in for intensive is like it's it's half the day maybe.

There are other half of the day like you're going to DC.

George town. So what should I do? I love going to DC right now. I'm so happy to go. I hope it doesn't

ever get you for the intensive. I would love to. I would love to come. I was really thinking of my

mom who's the person that's being told you're going to have to get cataract surgery probably eventually soon. That we can do with a phone call. Oh, great. Because it's more take this stuff to do this. Yeah, but I would love to come to. And your friend with with the I turn. Uh-huh. Uh-huh. That person won't more than anybody because likely double vision or the brain ignoring that I or I have to be in DC for like an entire week this summer at some point. So I might that would

be perfect. I'm gonna have some time. Where can people find you on Instagram? Dr. Bryce Applebaum. Uh-huh. My is DR BRYCE Applebomb, but my ancestors made things really hard for us. So Applebomb

is APPEL BAM not like the fruit apple. Uh, but we're on there and then practice my vision first.

And that's where we've got everything that we're doing posted in one place. If you could offer

one remedy to heal us at culture physically, emotionally or spiritually, what would it be?

So I would say if if you have a headache, you often go to the neurologist. If you you or your child have attention issues, you see a psychiatrist or learning specialist. If your motion set

off in the first place, we go as an ENT or not a learning geologist. But with pretty much any

symptom or any unnecessary struggling, we need to at least recognize that vision likely is a piece of the puzzle and go get your vision checked with a functional vision evaluation and that goes way beyond just whether you need glasses or not. So recognize vision and the eye-brain connection really has the opportunity to completely change your life and in ways that you didn't even know were possible. But we got to know how to unpack that system and get started on the process.

I loved this episode so much. Definitely one of my new favorites. I've not done anything on how to heal or improve your vision naturally. So this was so interesting to me especially as a glasses where thank you so much Dr. Applebaum for coming on culture process. That's a pleasure to be here. Thank you for having me. I don't know about you, but I loved this episode. If you want more episodes on eyesight, I did do an episode not on all things I but just lacyk. You can go back

and find that just type in culture pathocary lacyk. Leave us a five star review to celebrate

the important work done by this team that works so hard getting every episode out.

New episodes come out every Monday and Thursday at 6 p.m. Pacific 9 p.m. Eastern anywhere you get your podcast. This content is for informational purposes only and is not intended to be taken

as medical advice. Always consult with a qualified healthcare professional regarding any

questions or decisions related to your health or medical care. Amalts Clark and this is culture pathocary.

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