The Breast Cancer Prevention Breakthrough Every Woman Needs To Know: Dr. Jenn Simmons

Della. Paula. Hi, everyone. Wanda. Deanna. Louisa. Suzanne. Allison. Welcome, welcome, welcome. Cynthia. Bella. Hernando. Not sure what Hernando is doing here, but Carissa. Lizeth. Jennifer. You know, I'm partial to that name. Linda. Hello, hello, hello. Lisa from Minnesota. Tiny Soda. Aaron. Sean. Mandeep from New York. Lamaris. Hello, hello, hello. Oh, Lamaris. I got your name wrong. Good. I mean, I got your name right. Amazing, amazing. Natalie's from New York. Michelle from San Antonio. I'm going to be in Texas next week. Oh, Rachel. I'm going to be in Austin, Texas. Texas next week, as it turns out. And it's going to be my first time in Austin. I've never been to Austin. I've been to Dallas a whole bunch, but never been to Austin. All right, so we have lots of people here. And I just again want to mention that I love to see all of you here tonight. We are talking about screening for breast cancer and prevention. So if that doesn't apply to you or if you're in, if you already have a breast cancer diagnosis or are already in one of my programs, this is not about you tonight. I do have another webinar coming up in, I think, two weeks that does apply to you. And so just make sure that you're on my mailing list, which you probably are if you're here. But if. If you are here for screening and prevention, you are in the right place. So it's about five after, and I know that we still have lots of people coming in. Jasmine, is there any way so that I don't hear the ding ding when people come in like that? Ding ding. If there's a way that we could get the ding ding to stop as people come in, that would be amazing. Yeah, I'll silence it for you. Okay, thank you so much. That would be great. And also so that it's not part of the recording would also be amazing because I do realize that people aren't able to make it to these, to these live events. So we will be recording it. But there will be a special offer for the people that are here live because you made time for me. I'm going to have a special gift and a special offer for you. And at the end of today's presentation, because I don't want to leave you hanging, but of course, I cannot tell you how to prevent breast cancer in one 45 minute webinar. So I will be giving you an opportunity of how to work with me to prevent a breast cancer diagnosis. So we will be covering that today. And mostly we're going to talk about how you should be monitoring for breast cancer, because that is a really important topic that is really just brushed over in mainstream medicine. So I'm going to start off by introducing myself because you may know who I am and you may not. So I am Dr. Jen Simmons. I am a breast cancer doctor. I have do not remember a time in my life where I did not know about breast cancer. Breast cancer is absolutely part of the fabric, the thread, the tapestry of my family. I come from a pretty big family, and almost everyone in my family gets breast cancer. Every woman, certainly with the exception of my mother, who had colon cancer, but her sisters had breast. And so I really thought that the world got breast cancer. And growing up, I had a first cousin. Her name was Linda Creed. She was a singer songwriter in the 1970s and 1980s. She wrote all the music for the Spinners and the Stylistics. Sorry if I'm dating myself right now. And she actually wrote 54 hits in all. And her most famous song was the Greatest Love of all. So in 1977, she wrote that song for to be the. The theme song of the movie the Greatest, starring Muhammad Ali. But that song actually received its acclaim when Whitney Houston re recorded it and released it in March of 1986. And at that time, it would spend 14 weeks at the top of the charts. Only my cousin Linda would never know because she died of metastatic breast cancer just one month after that song was released. And I was 16 years old and my hero died. And I really her her life, and ultimately her death gave birth to my life's purpose. And I did the only thing I knew how to do, because I never wanted another woman, another family, another community to have to suffer the way that mine suffered. And so I became a doctor. I became a surgeon. I became the first fellowship trained breast surgeon in Philadelphia. I became the first oncoplastic surgeon in Pennsylvania. And I did that really well and for a really long time. And most of the time that I did that, I did that blindly accepting that what I was doing was the right thing. And what I was ordering and what I was teaching and what I was talking about was the right thing. And the mainstay of breast cancer screening, as all of you on this call know, is mammogram. And I was taught that Simons on mammogram and breast cancer screening. Okay, can whoever is talking please mute and Jasmine, please mute everyone. So I was taught that mammograms were safe, mammograms were effective, and mammograms were the very best thing that you could do to screen for breast cancer. In fact, we were, we were somewhat. I, I don't want to say we were taught this, but the, the common understanding was that mammograms somehow had something to do with prevention. And that if you weren't using mammograms to screen, you needed more than just your breast examined. Right? You need your head examined somehow. And this was the prevailing thought, and is still today the prevailing thought, because people truly believe that mammograms save lives. And it's not just the lay people that believe it. Doctors believe that mammograms save lives. Because that's what we were taught year in and year out. We were taught that screening for breast cancer with mammograms save lives. And the truth is very different. The truth is very different. So I want to talk about all of that today because I think it is extremely important for you to understand why I'm on this stage, why I'm on this platform, and why it is so very important to me to educate people about the truth. So let's talk about the mammographic screening program, how it started, what its intentions were, because I do believe that it was very well intentioned. And I think even today, the practitioners that are prescribing mammograms, I think they are very well intentioned. I think it is well intentioned doctors trying to help well intentioned people to prevent having to be treated excessively for breast cancer. That's what I think is happening. Okay, sorry. I was trying to mute someone else and I muted myself. So the mammographic screening program, when it was founded in the 1970s, it was founded on the. With the goal, with the coal, that if you screened for breast cancer and found it early, you could both save lives and save breaths. So it was built on this foundational understanding that breast cancer growth is both linear and predictable. So that if you have a breast cancer, it starts off as something very, very small, it grows to some critical size, at which point it is more likely to metastasize. So if you could catch it before that point, you could both save lives, save breasts, and women would have less treatment and have less consequence as a result. Right. And it's a lovely theory, and it's a logical theory. It just doesn't happen to be true. And we have known that it's not true for decades. And this is where it all goes wrong for me. So let's first talk about why it's not true. Because there are cancers that it's true for. So when you think about something like cervical cancer, cervical cancer is something that starts small and progresses in a linear fashion. So if you find that cervical cancer before it is malignant, if you find it along the spectrum before it is invasive, you can save a woman from hysterectomy, you can save her from treatment, you can save her life. That's really meaningful. When you look at colon cancer, colon cancer has a very logical stepwise linear progression. So colon cancers start as these little polyps, which then transform into something that's malignant, which then transform into something that's invasive. And if you catch it before that time, you can halt the process. So those rules do apply in some areas of cancer, but they don't apply in breast. Breast cancer is what it is from the very beginning. And if it's an aggressive process, it's going to be an aggressive process. And having found it early on in the process doesn't help. It doesn't change anything. So women who are going to have aggressive disease are going to have aggressive disease, no matter when you find them. And women who are. Who are going to have aggressive disease are going to. Are going to need all the treatment that we have to offer, no matter when you find them. On the flip side, there are women who have cancers that will never metastasize, and they do not need all of the treatment that the women with aggressive disease need. And then there's everything in between. And what doesn't determine any of that is finding it on mammogram. And we know this, and we have known for many years that screening with mammogram does not positively impact survival. It negatively impacts survival, but it does not positively impact survival. So let's unpack this and. And let's talk about what I mean there. So in order for mammogram to impact survival, it would have to mean that when we screen with mammogram, that increases survival. So we look at the numbers, we look at the data, and we have data. We have big data. We have a lot of data. And this is what the data shows when we look at the Swedish trials. 600,000 women, 300,000 screen with mammogram, 300,000 just have physical examination. Because this is a region in the world where there's universal health care. So everyone has the same access to care and the same level and kind of care. When you look at the two groups, the exact same number of women die of breast cancer in each group. The exact same. And the only Difference between them is that in the group that you screen with mammogram, there is a 20 to 30% increase in breast cancers. Now, some of them are coming from the fact that you're screening with mammogram. Mammogram is an X ray. It's ionizing radiation. So some of those cancers you're going to cause by screening with mammogram, but the other side of it is that there are cancers that would have never become clinically relevant, they would have never grown to the size that it would affect the woman, and they would have never become metastatic and threatened her life. And when you use mammogram to screen, you have no way of determining who those cancers are. So when you use mammogram to screen, everyone gets treated. Now, if treatment for breast cancer were a benign thing, that would be one thing. But treatment for breast cancer brings about its own set of issues, because when you treat a woman for breast cancer, you're essentially rendering everyone menopausal, if you weren't already. And there are significant consequences to that. So treating a woman for breast cancer accelerates heart disease. And lest we forget, heart disease is the number one threat to a woman's life. Exponentially. Exponentially, beyond the age of 30, heart disease is the number one threat to a woman's life. And if you treat a woman for breast cancer, you are increasing her risk for Cardiovascular disease by 20 to 30%. Two to three times. Actually, two to three times. You're increasing her risk of cardiovascular disease. So you're taking a disease that is already the number one threat to her life, because even women with breast cancer, most women with breast cancer do not die of breast cancer. They die of cardiovascular disease. So you're taking an issue that is already the primary threat to a woman's life, and you are increasing that by two to three times. When you treat a woman for breast cancer, you're also accelerating neurodegenerative disease, brain disease. Well, Alzheimer's and dementia is already a huge threat to a woman's life. So you're taking something 20 to 30% of the time with breast cancer, where they would not have developed clinical disease, and you are increasing their risk of Alzheimer's and dementia. When you treat a woman for breast cancer, you are increasing her risk of osteoporosis. We cannot forget that every single year, the same number of women that die from breast cancer die as a complication of a fracture. So how can we, ethically or otherwise, screen for breast cancer? Over, diagnose, over treat, and make women more susceptible to the diseases that she's already more likely to die of than breast cancer. This is not ethical, and we are not doing the right thing. Now, if you don't think that the Swedish trials apply, okay, maybe because the Swedish trials didn't limit the age, but we've been talking a lot lately about screening young women, about making the screening age younger, right? We used to recommend screening at 50. Now we're recommending screening at 40. So let's look at the data. The Canadian Breast Cancer Screening trial. Young women age 40 to 59, they also have universal health care. So same access to care, same level of care. Half of them screen, 45,000, screen with mammogram, 45,000 just have physical examination and a visit with their doctor. The same exact number of women die of breast cancer in both groups. No survival advantage at all to screening with mammogram. The only difference between the groups is that in the group that screened with mammogram, they had 23% more cancers. 23% more cancers. So we found the exact same data when we looked at young women. We are not saving lives by screening with mammogram. Let me say that again. We are not saving lives with mammogram. Now, if we weren't saving lives, but we were saving breasts, that would be something, right? That would make a difference if less mastectomies were happening as a result. Because a woman who has to have a mastectomy, this is devastating. I don't care who you are, what you say, what you do. I can tell you from 25 years of personal experience, there is nothing that you can say. No matter how good the reconstruction is, no matter how good the surgeon is, there is nothing that you could say and nothing that you can do to ever fully prepare a woman for mastectomy. She is forever changed after that surgery. And those scars run so deep. There will never come a day for a woman for the rest of her life if she's had a mastectomy. There will never come a day for the rest of her life that she will not remember that she had breast cancer. Never. So if screening with mammogram could save breasts, that would be a worthwhile endeavor. So let's look at the data. What happened to the mastectomy rate when we started to screen with mammogram? Up until today, it increased. It went up by 20%. Screening with mammogram increases the mastectomy rate by 20%. We are not saving lives. We are not saving breasts. And in fact, we're doing a lot of harm. We're causing disease or causing dysfunction. We are over diagnosing and over treating as a result of using mammogram to screen. Who's with me? Who's with me? If you are afraid of mammograms, can I get a yes in the chat. Now? I think there are also a lot of people out there who are afraid of not getting mammograms, if that is you, and I understand if that is you, and you are either afraid of not getting mammograms or you're getting bullied by your providers into getting mammograms. Can I get a hell yes in the chat? And sorry for those that don't like to curse. Yeah. And this is what's happening every day. I hear from women every single day. They don't want to get a mammogram, but they are being bullied by their providers or they're told that it's not even an option, that they can't get anything else, that they can't get any support from their providers unless they get a mammogram. This is what's happening every day, day in, day out. I hear you. I know, Bridget, I know. I know they're guilting you. I know they're fueling your fear. And unfortunately, and somewhat unknowingly, but intentionally, they are doing that because there is a lot of reward for them in the system. Because mammogram leads to a lot of things. It leads to additional mammograms, it leads to additional imaging, it leads to mri, it leads to biopsies. And when we, when we do biopsies in this country right now, these numbers are staggering. 80% of biopsies, 80% are done for benign disease. 80%. 80% of the time when we biopsy someone to rule out cancer, it's not cancer. Come on. Those numbers shouldn't look anything like that. They shouldn't look anything like that. They should look the other way. We should only be confusing these benign things with cancer 20% of the time. And you know, beyond any of what I've said tonight about mammograms not being safe, they also lead to a complete false sense of security. Is there anyone here who had a normal mammogram only to feel a lump in their breast shortly thereafter or nose of someone who had a normal mammogram and then, you know, a month later was diagnosed with breast cancer? Can I get a ME in the chat if anyone knows anyone with that story? Because I'll tell you that mammograms lead to a complete false sense of security. And for they will miss breast cancers 40% of the time in the population that in 40% of the population, which is the dense breasted population. So these women go for a mammogram and it's actually the dense breasted population that is hurt the most by mammogram. And I'll tell you why these women go for mammogram and they get told that they're fine because they have dense breasts. And the mammogram is very, very ineffective in dense breasted women. And then they, they are filled with this false sense of security for a year. And when you have that false sense of security, you maybe don't do everything as well as you would do it if you, if you didn't have that. And then, you know, a year later they have a cancer which was there the whole time. Or a month later they put their hand on their breast and they feel a lump that wasn't picked up a month prior on a mammogram. And you know, women who have dense breasts. And I do want to spend a minute talking about dense breasts because I think it creates a lot of anxiety for people. So I want to say that it is absolutely positively normal to have dense breasts if you're premenopausal. If you're premenopausal and your body is responsible, potentially responsible for feeding a child, you need glandular tissue. And so your body is creating hormones to build up that glandular tissue in the event that you need to breastfeed. Right. So you're supposed to have dense breasts when you're premenopausal. So if you're premenopausal, dense breasts are not a risk factor. If you are postmenopausal, that changes things a little bit. Because as we go through menopause and as our hormones decline, we stop getting that signaling to the breast, we stop getting that growth signaling to the breast. And the breast tissue is supposed to start to involute. So what we're actually looking for on imaging in a postmenopausal woman is from year to year, your breast tissue is supposed to become less and less dense. And that is what we're looking for. And it's not going to change in a year. So, you know, you don't become postmenopausal, still have dense breasts, and suddenly you're at risk. It doesn't work that way. Right. So what we're looking for actually is a, is a pattern that you get less and less dense. Now, I want, I want you all to understand what's happening when people get mammograms, because we think that there's some standard dose of radiation and it is simply not true. The, the, the amount of radiation that is given during a mammogram, the, the 3D mammograms that we talk about now, this is directly proportional to the density of the breast and to the size of the breast. So the bigger your breast or the denser your breast, the more radiation you're going to get. It is not a standard dose and many people will tell you because they don't know and don't understand, but it is not a standard dose. It changes. It changes according to the density of the breast and the size of the breast. So someone with a larger breast or someone with a denser breast is getting more radiation. And this is ionizing radiation. These are X rays. And in every other scenario, we understand that X rays are carcinogenic, that X rays cause cancer. They are known carcinogens, classified by our government as known carcinogens. And yet when we talk about mammograms, we say that they're safe. How can they be, how can they be one and the same? How can they be both cancer causing and safe? They can't. Now, the explanations that are given to us are that, well, it is, you know, only a little bit of radiation, right? And one mammogram is not going to hurt you. Okay, maybe that's true. But who gets one mammogram? Most women get a mammogram every year, year in, year out. So most women throughout their lifetime are going to get 10, 20, 30, 40 mammograms. And if you screen a woman over 10 years, the callback rate for said woman is 50 to 60%. So 50 to 60% of women who screen over 10 years are going to get called back. So now it's not one mammogram a year. Now it's two mammograms a year, maybe three mammograms a year, right? So this adds up, and it adds up quickly. And anyone who wants to learn more about this, there's a great documentary. It's called Boobs the Documentary by Megan Smith. Do not google boobs. You will not like what you see. But if you Google Boobs the documentary, then absolutely, this is a great documentary to watch to understand what is actually happening with mammogram. Now the other oversimplified explanation that is given to women to justify radiating them is that, oh, it's the same amount of radiation that you get during a cross country flight. You would not fly cross country, would you? So even if that were true, which it's not, but even if that were true, there is a vast difference between the scattered radiation that you get during a cross country flight and the focused cone down radiation that you get to the traumatized tissues of the breast during a mammogram. A three year old can understand that these things are not the same. How radiologists and radiation techs can't understand this. It blows my mind. It blows my mind and I think it is just rationalizations and telling rational lies. That's what I believe is happening. But in any event, I don't want you to be fooled by it. I don't want you to be fooled by it because we know, and we have known for decades that mammograms don't save lives, don't save breasts, and in fact are causing some disease they are definitely leading to. Over biopsy, over diagnosis, unnecessary treatment, and they are devastating women's lives. They are decreasing both the quantity and the quality of women's lives. That's what's happening by using mammogram to screen. Now, there was a time when even I believed that MRI was going to be the solution. And let me tell you why it's not mri. In order for it to have the sensitivity and the specificity that it has, MRI requires gadolinium. Now, we were all told that gadolinium is safe, but in fact, gadolinium is a heavy metal and heavy metals are toxins and they build up in the various tissues of our body and they have long term detrimental effects. And when we get gadolinium year in, year out, which is what was happening with people who were told to screen with mri, they were being put on this, they were being put in this high risk loop and they were told to do mammogram once a year, MRI once a year and schedule them six months apart from one another. So you're constantly being looked at. And I know this because I did this for decades. This is a lot of gadolinium. And this gadolinium is building up in your kidneys, it's building up in your brain, it's building up in your bones. And this is causing organ dysfunction and failure. There are, there are people with organ failure today, kidney failure today on dialysis, needing transplants because of screening with, with MRI with gadolinium. This is not safe, this is not smart. And There are other problems with mri. I mean, MRI is very cumbersome. There are certainly access issues. It's very expensive, and it's uncomfortable. I mean, I don't know about anyone else, but I hated my mri. It was awful. Awful. But the main reason to not do it is because it's dangerous. And we cannot, ethically or otherwise use any test that will put someone in danger to screen for cancer. Because what we're talking about in the screening population, we're talking about healthy people. We are talking about someone that. We have no reason to believe that they have the disease. And we are screening them for a disease, right? So we can't take that healthy person and that healthy breast and expose it to something that can hurt them. We can't and should not use a test to screen for cancer that causes cancer. It's unethical. It's the wrong thing to do, and it needs to stop, and it needs to stop now. So I'm just gonna stop right now and ask, like, are you guys with me? Are you hearing me? Have I convinced you that that mammogram and MRI are not what we should be doing? Can I get a yes in the chat? Oh, my God. I have so many messages. By the way, if you have a question for me, don't send it to me. My team is here, and we are. They. They are monitoring the chat. But. But Jasmine, who has my picture as her icon, Jasmine's here with me. So if you want to message Jasmine or we will get. I promise we will get to questions at the end. So, you know, I've given you what not to do, right? Let's talk about what to do. Are you guys ready for what to do? So I don't believe that there's any one modality that is the right thing to do for screening. So I am a holistic physician. Anyone who's worked with me knows that I look at the whole of you. I ask you questions that probably no one has asked you before. I ask you about the time that you are in your mother's womb up until today. And I want to know everything that's going on with you, because we are one system, and we are not some fragmented thing. And I don't think that we should screen in a fragmented way. I think that we need to be looking in a holistic way to screen for breast cancer. I also want to be clear that people with breast cancer don't have a bad breast. There's nothing wrong with their breast. Breast cancer is a reflection of what is going on in the system. It is a normal response to an abnormal environment. Breast cancer is an environmental disease. Breast cancer is a metabolic disease. And so we need to be looking at these things when we're talking about screening for breast cancer. So my screening triad has three parts obviously, because I called it a triad. The first part is that I think every single person should be doing self breast examinations. You are never, no one is ever, ever, ever going to know you better than you know yourself. I have a news flash. Every single woman thinks her breasts are lumpy. Every single woman. And all that I need you to do is own your lumps. That's it. I just need you to own your lumps, know what your breasts feel like when they're normal so you can know what they feel like when something's changed, so that you can recognize when something's changed. Now you probably have never been taught how to do a proper breast examination because I know physicians that don't know how to do a proper breast examination. And that's probably where you learned yours. So I am going to go over it today. But if you forget on my Instagram, Dr. Jensimmons, and remember my Jen has two ns, we have a breast exam pinned on that page and it is very important to do a proper breast examination. And you'll probably end up schooling your doctor the next time you're there. So when we're doing a breast examination, we are always looking first. So we're looking straight on. We're turning 45 degrees and looking from the side. We're looking with our hands on our hips and we're looking with our arms up over our head. And what are we looking for? We're looking for lumps. We're looking for discoloration assist in the breast will have a dark coloration underneath the skin if it's superficial enough. We're looking for redness, we're looking for nodules in the skin. We're looking for skin retraction. We're looking for a change in the size or the shape of the breast. And it can be, it can be normal when you look at it with your arms down by your side or on your hips. And then you raise your arms up over your head and you can see some retraction because it makes the tissues pull. That's why it's so important to move your arms around to different positions to see if it has any effect on how the breast tissue looks. The other thing we're looking for is nipple inversion. So if your nipple used to be out and becomes inverted that is something to note. If you've already, if you always have had inverted nipples, that doesn't matter. That's a totally different thing. That's your normal. I'm talking about someone who had an everted nipple. And then it becomes inverted. That is meaningful. That's something that we pay attention to. Okay then when you're going to examine your breast, if you are large breasted, you should do it lying down because you have to take gravity out of the picture and spread out the breast as much as you can. If you're small breasted, you can do it standing up in the shower, that kind of thing. So you always want to get rid of the friction. So if you're in the shower, you can, you know, soap and water on your hands, that will get rid of the friction. If you are lying down, some oil lotion, if you have a clean lotion, that will get rid of the friction. So you always want to do something to get rid of the friction. You want to use your fingertips, the padded parts of your hand, because that is the most sensitive part. You want to start outside, like up by your collarbone and lightly go down over the tissues of the breast with your arm extended over the head. And you want to go down towards your nipple and then move over a little bit. Go around your breast, like clockwise and move over a little bit and keep going around your breast towards your nipple and feel for the tissue. If you are going to find something, it's going to feel like a bump in the road. That is what you want to do. You also want to feel underneath your arm for lymph nodes. And if you do this with regularity, you will know what you feel like when it's normal and you will recognize what it feels like when it's changed. And at that point, if that happens, I want you to go to your doctor. You absolutely, positively should go to your doctor. So that is the first part. Okay. Everyone needs to be doing a self examination, part two. And I see a comment in the, in the chat that calcifications can be cancer and cannot be felt. I will argue with you that if you cannot feel it, it is not meaningful. And we are not looking to pick up all of these microscopic things that may have never developed into anything. So at the risk of sounding crass, I don't care about calcifications. How do you like that? Okay, next step. I think that we all need to. I remember I said that cancer is a metabolic disease and it's an environmental disease. And we need to know what's happening in our internal environment. There are inflammatory proteins that are the precursors to breast cancer. And if we can identify who has those inflammatory proteins and who doesn't, we can almost predict who needs imaging and who doesn't. So the tests that are coming out now, the tests that are coming out now are capitalizing on that, and they are going to, in the future, determine who does and who doesn't need imaging. So the test that I'm using right now is called the ARIA test A Uria Aria care. That's the website what it is, it's a test on the fluid in your eye. Because as it turns out, people in the early phases of breast cancer have an increase in the amount of the S100A8 and S100A9 proteins. Now, this test uses this little tiny litmus paper. I don't know if you can see how tiny and thin it is, but it's a little tiny piece of paper. It goes right inside of your eyelid. You close your eye 5 minutes, take the paper out, goes into this little tube, gets sent back to the company, and a week and a half later, you get the results. And the results are either normal, you don't have an increase in the level of these proteins, or you have a clinically significant result. So if you have a clinically significant result, that means that you have the inflammatory precursors to breast cancer. If you have a clinically significant result, you need imaging. And we're going to talk about imaging next. Even if you don't see anything on imaging and you don't feel anything on physical examination, this is not a false positive. This means that you are at increased risk of breast cancer. This is your opportunity. This is your opportunity to prevent a diagnosis. And I am going to talk to you about the opportunity that you have and what to do with that opportunity. Because what you don't want to do is waste that opportunity. What you don't want to do is watch and wait, because that's what's happening in the conventional medical system. It's watch and wait. We're just going to watch and wait for that breast cancer to develop so that we can treat you. And breast cancer is big business. So do not be fooled. That watch and wait is very intentional because they know that you're coming down the pike. I am telling you that there is a way to prevent that breast cancer diagnosis, to know that you're at increased risk and to mitigate that risk now. To mitigate it now. Now, imaging. I don't believe as you well know by now. I don't believe in subjecting normal, healthy breast tissue to radiation or to gadolinium. I don't believe in subjecting healthy women to think, to putting them in harm's way. I don't believe in it. So your choices for imaging, as far as I'm concerned, are the qt. Now, I opened up the first Perfection imaging on the east coast last year where we are using QT technology. There are currently five imaging centers around the country that use QT technology. QT uses sound waves transmitted through a water, a water bath that collects 200,000 times more data points than MRI and creates a true 3D reconstruction of the breast. QT is 100% safe. It is painless. It's actually an enjoyable experience. I don't know if there's anyone here who has ever had a QT scan, but if you could use one word, I would say great. And I just heard it was great. If you could put. If you thought your QT scan was great, can I get a great in the chart in the chat? I will. I am telling you that I am spending the next five years of my life opening 50 of these QT centers, of these Perfection imaging centers. And Perfection is spelled T E R F E Q T I O N. So maybe, Jasmine, you can put the Perfection imaging website in our chat. But I am spending the next five years of my life, maybe 10, opening 50 to 100 of these centers because I want to make sure that everyone who wants access to this technology gets access to this technology. That is my goal. If you don't have access to qt, if you don't have access to Perfection, I understand there's not a lot of them right now, but you can have an ultrasound. And if what? Will ultrasound catch absolutely everything? No, it won't. But remember, 80% of biopsies are done for benign changes in the breast. 80% of biopsies are done unnecessarily. So many of those things that are biopsied are biopsied for no reason at all other than to feed the beast, other than to, to supply the system. But they're not being done to benefit you. And there is no survival benefit for you to do that at all. So ultrasound is absolutely, positively adequate. But with ultrasound, because it is a low resolution technology, it's still going to lead to more biopsies than I'm comfortable with, which is why I am on such a mission to develop QT and to open Perfection Imaging centers all around this country. So again, my screening triad is Self breast examination, the ARIA care test, the ARIA tears test. And let's put the link, let's put the link in the chat right now. ARIA care. And if you use my code, Dr. Gen 20D R J E N N 20, you can get 20% off. This is a very, very, very affordable test. And, oh God, there's a lot of noise in the background. Someone just fell. This is a very affordable test. And what this test gives you is opportunity. You, you can know if you even need imaging and you can then act on it and, and prevent a diagnosis. So the ARIA care, the ARIA tears test, and then imaging, either QT imaging, perfection imaging or an ultrasound. So I want to check in with you guys now and just see where you are, see how all of this is feeling, answer some questions. So if you have questions, go ahead and put them in the chat and I will, I will address them. I know that people are going to say that their doctor won't let them have imaging that have an ultrasound, that they're being forced to have mammogram. I actually have a consent on my website that, that you guys are welcome to use where you can say to the imaging center that you understand that ultrasound doesn't pick up everything and that ultrasound will miss some things like calcifications that are seen on mammogram and you will hold them harmless and that you, you will not make them responsible for missing those things that would show up on mammogram that won't show up on ultrasound. So that is, you know, hopefully they will work with you. And if they won't work with you, try to find someone else that will. I can tell you that these are conversations that we are not going to be having in five years. The world is changing. Maybe it's not changing quickly enough, but the world is changing. Now, how many of you have already had an ARIA test and have gotten a clinically significant result? Can I get a me if that, if that is explaining you and talking about you? Yeah, yeah. And I'll tell you that this is going to happen because the sensitivity of ARIA is, It has a 93% sensitivity, which means that 93% of the time, if you have breast cancer, this test is going to pick it up. And in fact, the people that it's missing, it's missing later cancers, later stage cancers, and those should be picked up on physical examination. Anyway. So with this test, there is a specificity of 58% and that means that 42% of the time, someone who does not currently have a breast Cancer diagnosis is going to have a positive ARIA test, meaning that they're going to have a clinically significant result on aria. As I said before, this test does not have false positives. And if you have a clinically significant result, you have the precursors. You are at increased risk of developing breast cancer. Now, I don't say this to scare you, right? I'm just. I'm just here getting really honest with you tonight because you didn't show up here tonight by accident. You came here tonight because there's something in you. There's something telling you that you're scared or you don't trust the system or you've seen what breast cancer can do and you don't want to go down that road. You're here tonight for a reason. Out. Maybe you already been told that you're high risk or you have dense breasts, or you've had a biopsy that puts you at high risk. Maybe you have some atypia or something like that. Maybe you come from a breast cancer family and you don't want it to be you. Maybe you want to change history. Right? I get that. I get wanting to change history. Every woman in my family gets breast cancer. I want it to stop now with me, with my generation. And most people who fall into that high risk category, they're probably just like you. And they're told, get a mammogram, get an MRI every six months, and we're just going to watch and wait. Watch and wait for what? For. For your diagnosis. So that you can go on and get all the horrible treatments that go on with breast cancer, be rendered menopausal and suffer for the rest of your life, Increase your risk of cardiovascular disease, neurodegenerative disease, dementia, Alzheimer's, osteoporosis, fractures. Like watch and wait for what? That's a horrible plan. That's the anti plan. That's not a prevention plan. That's. That's panic. The truth is, most women, even those getting those studies, they're walking around with a false sense of security because those studies don't mean anything. Those studies are not accurate. And if you're doing mammogram, you're only increasing your risk. Because every mammogram you have increases your risk of breast cancer, increases your risk. The more mammograms you have over your lifetime, the higher your risk is of being diagnosed with breast cancer. You're here because you know better. You know that you really want to change your future. And if you want to change your future, you have to Change your present. It starts now, starts today. In order to change your present, you need to understand your genetics. You need to understand how to eat, how to supplement, how to sleep, how to move, how to live in a way that lowers your risk. You need to learn how to nurture your nature. You need a prevention plan for you. Not some generalized. This is good for you, right? And you, being the collective, you. You need a plan that's good for you. That's not a band aid. That's a transformation. And that's why I created the Breast Cancer Prevention Program, and I created it for you, so that you can understand what you need to prevent this breast cancer diagnosis. So I am talking to you. If you have dense breasts and you're postmenopausal, I am talking to you. If you're from a breast cancer family, I'm talking to you. If you had a biopsy that showed atypia, or if you just, for whatever the reason, believe that you're at increased risk if you have a BRCA mutation, if you think that you're at increased risk, or you've had an ARIA test that shows that you're at increased risk because you have clinically significant levels of those proteins, I'm talking to you. And I have created the Breast Cancer Prevention Program for you. So this is information that you absolutely, positively need. This is information that will transform the rest of your life, and this is how to prevent a breast cancer diagnosis. If you do nothing else, know that this is you taking control of your life. Because most people are stuck in that system, and they have farmed out their health to a system that does not have their health in mind, that does not have their best interest in mind. And they are waiting, literally waiting for you to fail. That is what our entire current medical system is based on. It's based on waiting for you to fail so they can treat you again and again and again and again and again. Who's with me? If this is resonating with you, can I get a yes in the chat? Thank you. Sean. Anita. Suzanne. Linda. Jennifer. Angelo. Woo. Nancy. Lisa. Yes. Yes. Judy. Yes. Renee. Yes. Candace. Yes. Alicia. Yes. Yes. Aaron. Dale. Janet. Yes. Yes. Because you're here because you want to take control. You're here because you want to live and because you think that life is worth living. So if you want to learn more, I'm happy to tell you about the program. Would you like to hear about this? The program? Yes. Yes. Great. Because in order for you to understand your genetics, we need to test your genetics. And so that's how this program starts. We start by testing your genetics so that we know exactly where your vulnerabilities are. We know exactly what you need. How many people have a supplement graveyard? I. I mean, I know I do. So I'm just gonna put my hand up and be honest, because before I tested my genetics, I was just, you know, taking this because it's good for you, and taking this because it's supposed to be good for you. And before you know it, you have a cabinet full of supplements. You don't know what's working for you. You don't know what's good for you. You don't know what's bad for you. Right? Like, I. I know this happens to everyone else. So wouldn't it be nice if you knew what you needed, if you knew what was good for you, if you knew what would improve your health and support your body and support your functions? Because that's what testing does. It allows you to know how to nurture your nature. It allows you to know what kind of diet you should be on, what foods are good for you, what foods are bad for you, what kind of supplements do you need, what you don't need, Right? Because that's as important. What kind of fasting should you be doing? When should you be fasting? How do you best support your sleep? What toxins are a problem for you, what do you need to avoid? How do you support yourself in your nutrition, your detox, how do you support your hormonal system? Your hormonal system is a huge part of who does and doesn't get breast cancer. So you need to know how to support that. And then you are going over all of this with your FDN practitioner, with my. The person that I have trained especially for you so that you can create a personalized strategy. And then you're going to meet every week so that you have the support that you need, so that you have the accountability that you need, and so that you are given all the tools you need to develop your plan to prevent breast cancer and to create your health for your future so that you can live as long as possible, as well as possible, and keep you out of wheelchairs, out of nursing homes, out of adult diapers. Right? This is all of our goals. We want to live well, we want to live long. But we want those years to be wonderful years, not miserable years in and out of the hospital, not stuck in a wheelchair, not demented, not in diapers. We want these years to be quality, beautiful, meaningful years. But you can only do that if you know how to take care of yourself, you can only do that if you know how to prevent disease. And that's what I want to give you. So if this is resonating with you, can I get a yes in the chat? Amazing Sean, Amazing Carol and Nancy and Nan and Suzanne and Ashley. Amazing Debbie. Amazing Alicia. I'm so glad to hear that. So we're going to put a link in the chat to a call to make sure. Because I want to make sure that you're a good fit for us and that we're a good fit for you because this is going to take some commitment on your part, right? If you are going to have good health for the rest of your life. This is not a passive process, it's an active process. I'm not saying it's hard. I'm just saying that this is not the. Just take this pill. It's not. This is how to create your health and that takes your commitment. So I want to make sure that you're right for us and we're right for you because I want everyone to be successful. That is the whole point here. So if you, if you, if in order to determine that this is right for us, there is a link in the chat right now and you can sign up for a call with Heather and she will talk to you all about the pro program. And we're going to make sure that you're right fit for us and we're the right fit for you. So as a bonus for staying here this whole time and listening to this talk, we, we normally charge for these calls, but we will give you a 50% discount tonight for having been here and listened and stayed through to the end. We're giving you a 50% discount on this call if you sign up now for the call. However, tomorrow that link will no longer work. So if you, if this is something that you want, then you should sign up today for the call and there will be limited spots in this and it's going first come, first serve. So there are a lot of people on this call tonight and they're going to be a lot of people looking to sign up for this program. So you better make sure, if this is what you want, you better make sure that you book your discovery call. So Heather, can you just drop that, drop that link one more time? I also want you to drop the link for the ARIA test. For those people that haven't taken their ARIA test yet, make sure that you take your ARIA test. Aria care. Auria care. Use the code. Dr. Jen 20 D R J Yen 20 to get your 20% off. And now I'm going to try to tackle some of the questions in the chat. Do not direct message me because I have no way of going back and seeing what that was. So you guys can start to drop your questions in the chat and I can start to address them. Make sure that you get signed up for your call and I will start going through. Okay. So Carol asks, is this protocol for those that have not already received a cancer diagnosis? Yes, this is for someone who has not already received a cancer diagnosis. If that does not describe you, if you've already received a cancer diagnosis, you can sign up for a call to talk to Heather about the Breast Health Blueprint. That is my program for someone who has already had a cancer diagnosis. I'm not going to call out the person who is on this call, who is in the Breast Health Blueprint, unless she wants to be called out. But cg, I see you smiling there. And so if it's any testimonial to how wonderful my, my breast cancer group program is, I can tell you that there are participants who are already working with me, who are already in my programs, who have listened to me tonight on a Thursday night for no, for no good reason, for an hour and 15 minutes when this program she knows is not for her. So if you are someone who has a breast cancer diagnosis and you are looking for help with that diagnosis and, and real solutions, you can sign up for that call with Heather and talk about the Breast Health Blueprint. Okay? Okay. So there is someone who is saying that she got a clinically significant aria. She had a QT scan. Nothing was found on the QT. So this is going to describe 42% of people. Right. But having a positive ARIA test means that you have the inflammatory precursors to breast cancer. And if all you do is watch and wait, you will get your diagnosis. That is why we are here tonight. We are here tonight to prevent. To prevent that diagnosis. Melissa asks what is the issue with micro calcifications? I went through a two year scare over this, did a biopsy and was told that it was fibrocystic disease. Exactly. So calcifications themselves are not good or bad. Calcifications are tiny deposits of calcium that happen in the tissues of the breast and all they are indicative of is something is changing. Most of the changes, the vast majority of the changes in the breast are benign non cancerous changes. That's why 80% of biopsies are done for benign non cancerous changes. But they love to see the calcifications because they can recommend a biopsy and do one. And again, most biopsies are done unnecessarily. Now, a small percent of the time those calcifications are associated with something called DCIS or ductal carcinoma in situ. Now I will argue that that is also not cancer and I do not treat DCIS like it's cancer because it's not. I do, however, treat DCIS like it's opportunity because I already know that person. That body is telling me something's out of balance. There is something that is negatively or poorly responding in that environment. So that person needs an environmental shift, that person needs a metabolic shift. That person needs to know their genetics and know how to create an environment that nurtures their nature. But that is a reversible condition, as is having a positive ARIA test. This is a reversible condition. We can get that inflammation to go away when you're eating the way you're supposed to eat, moving.