#1921 Yo Gabba Gabba

JBP #1921 — Yo Gabba Gabba — Full Transcript
Episode #1921 · with Gabby · Walgreens · Full Transcript

Yo Gabba Gabba

90 min episode 14 chapters 13,650 words ≈58 min read

Cold open & sponsors 0:00

Scott0:00

Welcome back my friends to the diabetes show that never ends. Remember this, nothing you hear on the juice box podcast should be considered advice medical or otherwise. Always consult physician before making any changes to your health care plan or becoming bold with insulin. Kids, I'm not kidding. Go to t1dexchange.org/juicebox and see if you're eligible to fill in that survey because when you do, you are helping to move type one diabetes research forward.

You need to be a US citizen 18 or older and go to my link, t1dexchange.org/juicebox. Do not forget to do this, please. Thank you. Today's podcast is sponsored by US Med and Tandem Diabetes Care. What a pair.

I'm a poet and didn't even know it. This episode of the podcast is sponsored by the Tandem MOBI system, which is powered by Tandem's newest algorithm, Control IQ Plus technology. Tandem MOBI has a predictive algorithm that helps prevent highs and lows and is now available for ages two and up. Learn more and get started today at tandemdiabetes.com/juicebox. You can get your diabetes supplies from the same place that we do.

And I'm talking about all your favorites, Dexcom, Libre, Omnipod, Tandem, Ilet, much, much more. Go to usmed.com/juicebox or call (888) 721-1514. Get your supplies the same way we do from US Med. Yeah. Alright.

I said testing. Testing. Can you do it? Testing. We're done.

Let's go. Introduce yourself.

Meet Gabby — diagnosed at two 2:03

Gabby2:03

Hi. I'm Gabby. I am 29. I was diagnosed with diabetes when I was two. I'm currently using a Dexcom g six.

Scott2:18

Why are you laughing?

Gabby2:19

Because g six.

Scott2:20

Oh, because it's because you're almost not using it anymore.

Gabby2:23

Oh, hopefully, you didn't just hear my alarm. Oh. But, yeah, g six and Tandem Mobi.

Scott2:30

Tandem Mobi g six. You're gonna have to move the g seven pretty quickly. Right?

Gabby2:35

Yeah. I've tried it.

Scott2:36

Yeah. Oh, you have one? You've been getting a roll? Okay. Alright.

Gabby2:40

I have I have a new supply of them sitting.

Scott2:42

You found a supplier? You got a guy?

Gabby2:46

Yeah. CVS. You know?

Scott2:48

Did you say CVS?

Gabby2:49

Uh-huh.

Scott2:50

Oh, Gabby. We're gonna get along fine. Okay. So you've had type one since you were two. My daughter was diagnosed at two.

Yeah. No. It's crazy. Your earliest memory of diabetes?

Gabby3:03

Oh, when I was I have no idea, but two, three, four, you know, whatever. And my earliest, I think, memory is my older brother being like, you have to drink it. Just drink it with one of those little juicy juice boxes. And I wanna say it's because I was, like, 27, but I could be making that up. I don't know.

I was low.

Scott3:34

Okay. How old is your brother, compared to you?

Gabby3:37

He's eight years older than me.

Scott3:39

Oh, so you even if you were only four, he would have been do you think he was babysitting you, do you think was the whole family gathered around you? Like, how does your memory paint the picture?

Gabby3:48

Have absolutely no idea. That's the whole that's the whole memory, honestly.

Scott3:51

Yeah. That's the whole one. Drink it. You gotta drink it. Yeah.

Is that the last time anybody's ever said drink it, you gotta drink it to you? I bet you know.

Gabby3:58

Absolutely not.

Scott4:03

Gosh. That's

Gabby4:04

Also, you know, eat it.

Scott4:05

Eat it. Eat it. Just shut up. We're get we we can't leave until your blood sugar's higher. Let's go.

That kind of stuff. How many brothers and sisters in total?

Gabby4:16

That one plus the sister that is just two years older than him and of the same dad and then so two on my mom's side.

Scott4:29

Yeah. But you're you're starting to confuse me. Hold on a second. So you have a sister who's the oldest of the three of you?

Gabby4:36

Yeah.

Scott4:36

And your father is her father? No. No. Her your father is not her father?

Gabby4:41

Correct.

Scott4:42

But your mom is her mom? Correct. Gotcha. So your mom had a baby when she met your dad?

Gabby4:50

Yes.

Scott4:50

Got it. And then your Only me. Oh, wait. Your mom had the your brother and your sister before you? Yeah.

Oh, okay. I got it.

Gabby4:59

And then my dad, same.

Scott5:01

Oh, you're okay. So there's five of you in total?

Gabby5:05

Yeah.

Scott5:06

And you're the I found Baby? You're the I found love baby.

Gabby5:10

Common denominator.

Scott5:11

Uh-huh. Uh-huh. Or you're the I got sick of that one, and I found this one baby. Whatever you wanna think.

Gabby5:16

I mean Yes.

Scott5:17

Is that what you mean?

Gabby5:18

Many, many years.

Scott5:19

Yeah. Is it weird being much younger than your sib because now you're 29, so your brother's, what, older. Yeah. Do have anything in common with them at all?

Gabby5:28

Always have been.

Scott5:29

You're like, it has not been exponentially changing in the last ten years. No.

Gabby5:34

No. Right.

Scott5:34

Do you have anything in common with them?

Gabby5:36

Buttoning. I'm sorry. Do I have what?

Scott5:39

I'm sorry. We're talking over each other. But do you have anything in common with them at all?

Gabby5:45

Yeah. I mean, recently, my brother and I have argued more about him being just, like, typical boy who's now boy dad.

Scott6:02

Was you guys see each other for me?

Gabby6:03

Not necessarily, like, typical. Like, I got angry at him for being, like, ballet is for boys. I mean, that not opposite.

Scott6:13

Oh, so he didn't he said ballet is not for boys, and that got it made you mad?

Gabby6:17

Yeah. Including, like, in front of his boy children that then repeated and will go repeat to their peers.

Scott6:26

Doing that thing. Yeah. I gotcha. Stereotypes. That was for some boys.

I've seen them do. Yeah. But, I mean, you're I mean, different dad. Right? And ten years older.

But are you guys still close? Like, do you do a lot of family things?

Gabby6:43

Yeah. I'm closest with my, sister on that side.

Scott6:47

Okay.

Gabby6:48

Because they were the most there when I was growing up, and they were just kind of, like, a good bit older than me and closer in age with each other. So in childhood, they were the one, like

Scott7:01

And your family

Gabby7:02

arguing with each other. Yeah. I was just, like, the baby.

Scott7:04

Your family structure is interesting.

Gabby7:06

Yeah.

Scott7:07

Yes. Hey. Are your are your parents still together? No. So maybe it wasn't the other people.

No. How long did they make it? How old were you?

Gabby7:17

Four.

Scott7:18

Holy. That's that's not very long at all. Nope. They're like, this time will be nope. It wasn't.

I gotta go. Like, got who'd you grow up who'd you grow up with?

Gabby7:32

Really both, but a little bit more with my mom.

Scott7:35

Okay. But can you imagine you married somebody, made two kids, decided it didn't work, that happened to your spouse too, ten years later you make another baby thinking like, oh, we got it this time and two years into it that kid gets type one diabetes? Wouldn't you be wouldn't you be like, oh my god. Nothing is working out. You know?

Yeah. My gosh. Well, how did it work out for you? Like, how was growing up with it?

Growing up with it: shots till ten 8:00

Gabby8:00

Well, being two, it's all I knew. So there's that with

Scott8:07

But what are your

Gabby8:08

I feel like your family has the same Yeah.

Scott8:10

Yeah. Yeah. No. I know. But I guess I'll I'm kinda asking you Gabby, I'm kind of asking you, like, do you have memories of friends being supportive or was it challenging?

You know, what were your expectations for your health? Were people leaning on you all the time? Were there restrictions on your food? Like, what was that whole like, do you have any memory of it at all?

Gabby8:31

Yeah. Yeah. Yeah. For sure.

Scott8:32

Okay.

Gabby8:32

Uh-huh. A lot. It was not restrictive. It was, like, some rules and regimens, but not, like, terribly strict or anything, like, ridiculous in my even though I knew nothing else, but as you grow, you know?

Scott8:57

Yeah.

Gabby8:59

But definitely not, like, diet or activity activity or or whatever restrictive in, like, any way. It was two years old was 1999, so it was, like, shots till I was 10.

Scott9:16

I have always disliked ordering diabetes supplies, and I'm guessing you have as well. It hasn't been a problem for us, though, for the last few years because we began to use US Med back then, and you can too. Usmed.com/juicebox or call (888) 721-1514 to get your free benefits check. US Med has served over one million people living with diabetes since 1996. They carry everything you need from CGMs to insulin pumps and diabetes testing supplies and even more than that.

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Gabby11:23

The combos, the different stuffs. Just

Scott11:28

You doing

Gabby11:28

Prick your finger. Do your best.

Scott11:30

Yeah. Prick your finger. Do your best. Were you doing regular in Miles hour at any point?

Gabby11:34

Yeah. In the beginning.

Scott11:35

In the beginning, you were.

Gabby11:36

Mhmm.

Scott11:37

How involved were at what point I guess my question should be, at what point do you feel like your parents are hey. This is your thing. So go get it.

Gabby11:45

Very, like, gradually too.

Scott11:51

Okay. Nice.

Gabby11:55

In some ways, it sounds like a little bit I don't know. I wanna be, like, a little bit sooner than, like, you or Arden, but in some ways, it's just it just feels different entirely because technology time was slightly

Scott12:17

Yeah. You were

Gabby12:18

you were

Scott12:19

you were before her by

Gabby12:20

Yeah.

Scott12:21

By maybe eight eight or nine years before Arden.

Gabby12:24

Mhmm.

Scott12:25

Yeah. Yeah. So so just there wasn't a lot to do is what you're saying. Right? Like, you just had to draw up some insulin and give yourself a shot.

Gabby12:32

Yeah. Yeah. I started a regular pump situation when I was, like, And both parents were very like, they would sometimes go, both of them, to a doctor appointment or to, like, the pump training

Scott12:53

stuff. Mhmm.

Gabby12:55

And then at, like, either house would be, you know, little nuance differences, but they're both trying and helping and

Scott13:06

They're on the same on the same page, basically? Yeah. Yeah. So it wasn't a drastic difference for you from one place to the next?

Gabby13:14

No. No. Not Yeah. Definitely little differences, but nothing huge and crazy.

Scott13:23

Yeah.

Gabby13:25

At, like, 10 or whatever starting pumps, we used to do where at each site change, one of them would help me do, like, the whole insulin cartridge thing.

Scott13:38

Mhmm.

Gabby13:38

And then I would do the site insert, and that kept going for a little while.

Scott13:47

Yeah. Just trying to get you like, they brought you into it slowly. You're talk you you said earlier, it's kinda the way I talk about it, just the very slow handoff.

Gabby13:54

Yeah.

Scott13:55

Yeah. And do you feel like that worked out for you? I mean, do you feel comfortable as a a young teen and as an adult?

Gabby14:02

Yeah. I think I just wish all of the technology

Scott14:07

Yeah. No. I know. Happened.

Gabby14:09

You just Obviously.

Scott14:10

Yeah. You just made me think, like, I hope I can do this for another decade. Like, I wanna talk to

Gabby14:15

Oh, yeah.

Scott14:16

I wanna talk to 29 year old Gabby who was diagnosed and handed a CGM in the hospital.

Gabby14:23

I do too.

Scott14:25

Yeah. Yeah. I really do. I wanna hear that story. Like, so I'm gonna try to hang out long enough to do Yeah.

I might have to do a sit up though or something. I don't know. Seems like a lot. But Yeah. I I kinda wanna pivot to your note because I think there's a lot in your note, and I think it's pretty specific.

So Mhmm. Let me just ask. Did you have a lot of seizure experiences growing up?

Gabby14:48

Yes.

Scott14:49

What's a I

Gabby14:54

don't know if you remember that we talked before.

Scott14:57

Yeah. You had a yeah. You did a glucagon you did a glucagon story. Right?

Gabby15:01

No. This is gonna be glucagon stories because we didn't really get into that.

Scott15:04

Oh, because we didn't get into it. What what what We did

Gabby15:06

get into a little bit how I have had, like, too many to count.

Scott15:10

Too many to count. Okay. What was your last episode called? Do you know?

Gabby15:14

Tilt a Whirl.

Scott15:16

Tilt a Whirl. Oh, because your life is a mess.

Gabby15:18

Uh-huh.

Scott15:20

By the way, I don't remember the conversation. I just know what that Mhmm. What that title makes me think of. Yeah. Yeah.

Yeah. Yeah. So okay. So let's talk about it. Like, you know, I mean, tell me a little bit about those experiences of having low blood sugars that are that lead to to, you know, full on seizures.

Tell me about the glucagon use. And then I wanna really move into the therapy thing that you have here. So, like but take but take your time. Okay?

The seizures start young 15:49

Gabby15:49

Yeah. The the questions of the, like, parenting and both of them participating and, like, giving and transitioning, like, as nicely as possible Mhmm. Is is part of all of the seizure stuff too because they my first, I think, was when I was like I don't remember actually. But the first that I, like, know for sure, I think, was either third or fourth grade.

Scott16:25

Mhmm.

Gabby16:27

When I went back to school and got a little art class cards being like, oh, feel better to me.

Scott16:34

But wait. Did the did the seizure happen at school, or did it happen

Gabby16:37

at No. Just overnight, and then somehow it was known that that was why. I don't know why anyone knew that.

Scott16:44

But Well, listen. I've been alive a while. Your mom told somebody.

Gabby16:49

Well, yes. I know that.

Scott16:50

Yeah. Moms love to tell stuff like this, though. And as you get older, you see your mom on the phone, you're always like, why you're, like, signaling across the room, like, why are you telling someone that? Like, wait. Stop.

Yeah. Anyway okay. So it it gets out. We'll pretend we don't know how. And then you you you return to a bunch of our classmate cards, which was that nice, or was it like, oh god, everyone knows?

Gabby17:13

No. I think it was nice. I think it maybe wasn't the first one somehow. So I think

Scott17:17

Okay.

Gabby17:18

Somehow the like, in memory of, like, young child forming memories. I don't know. So I think it was kind of nice of, like, oh.

Scott17:28

Yeah. Well, that's not that's good. It's good that you took it that way. You know?

Gabby17:32

They knew and

Scott17:33

Wanted to say something nice to you.

Gabby17:34

Found out in a nice way.

Scott17:35

Yeah. Yeah. Yeah. So so these were happening a lot. Do you know why they were happening a lot?

Do you have any, like, rear facing, like, way to break it down?

Gabby17:46

Way to break it down. Not really specifically. But over the whole beginning ish, meaning what we call childhood, it was always overnight asleep where, again, like, no CGM, try your best. Mhmm. Mhmm.

Overnight lows and the red-box glucagon 18:07

Gabby18:07

Where try your best means, as you described, of your life a very long time ago too, where my mom woke up because she heard a weird sound Yeah. And then when and there Gabby was half of the time. And I remember multiple times, like, waking up in an ambulance in my in my driveway.

Scott18:35

Multiple times in your life, you've woken up in an ambulance in your driveway. Did your mom use glucagon on you all those times, or what were they doing?

Gabby18:43

I'm not sure about all, but I think so in general. Mhmm. Definitely some of the times. Yeah. And some of those, like, overnight in, like, 2,000 I don't know, before ten, was the Lily Redbox

Scott19:02

Yeah.

Gabby19:03

Where she had to somehow successfully manage the mixing and the re pull the new liquid stab with her medical librarian background. And, I mean, it worked.

Scott19:23

Yeah. Did she does she do you and her talk about it as adults? Does she have memories about it?

Gabby19:30

Oh, yes. For sure. Do we talk about it? Not really. Not, like, far

Scott19:35

Why do you think? You think it's upsetting to her still?

Gabby19:45

To some slight degree, yes.

Scott19:47

Yeah. Has it changed your relationship? Is she worried about you all the time or, like, more so than the other siblings?

Gabby19:55

Absolutely. Yeah. Has it changed our relationship? Not, like, over time, but I think in general, absolutely.

Scott20:08

You think it's for the better or for the worse?

Gabby20:11

Oh, Scott. I just I mhmm. I think it is what it is, and we learn and grow.

Scott20:22

Okay. I just meant, like, do you think it made you closer, like, girlfriends, or do you think it made you, like, more more like you're gonna say the opposite. Is that right? Okay. Alright.

Gabby20:34

That's fine. Closer, sure. Girlfriend, best best friend, no.

Scott20:45

No. Does it make you feel like she's watching you too closely and as you become an adult, that's uncomfortable?

Gabby20:53

It did. Yes.

Scott20:56

Okay.

Gabby20:56

I don't feel like that now.

Scott20:58

How long did it take you to get through that?

Gabby21:02

Not necessarily time, just, like, life evolution of literally not being in the same, like, space and therefore control being just different.

Scott21:12

Are are you saying you moved out and you got some time and space away from each other and then that stuff sort of dissipated?

Gabby21:21

Yes.

Scott21:21

Did dissipate, or did you go to therapy? Both k.

Gabby21:26

For sure.

Scott21:27

Did she go to therapy?

Gabby21:31

Yes. I don't know if there's been any or a lot or what kind of things for this relating to this. I'm not sure.

Scott21:41

No. Sure. You weren't there, but she's she's sought therapy Yeah.

Gabby21:45

She's had therapy a few times differently throughout life.

Scott21:47

Okay. Alright. I'm hearing it. How old were you when you moved out?

Gabby21:57

College.

Scott21:58

Okay. And then after college was over, did you go home or did you stay did you go find a different place?

Gabby22:05

Both. So I went to college for freshman and sophomore, like, dorm life, and that was in Philly. And my mom with no one of the mix else but pets moved, slightly closer, like, towards actual Philly.

Scott22:32

Mhmm.

Gabby22:34

I guess technically in Philly. So so in my third year of college, I moved with her to stay there and just take trains into school Mhmm. Which was a

Scott22:51

You don't like that?

Gabby22:52

A challenge in some ways.

Scott22:54

You had nothing had dissipated by then?

Gabby22:57

Not quite. No.

Scott22:59

You know, you're like, Everybody who fills in the form, like, it takes your phone number. You're one of the only people that has, like, the area code the area code that I grew up in. Yeah. Mhmm. It made me feel warm when I saw it in the notes because I don't have that one anymore.

What was I gonna say? Oh, okay. So alright. So you went away to college.

Gabby23:19

So then that was my third year. I, like, stayed, like, quote, at home, which was not really, like, at home, but sure. At a new home. Yeah. And then was like, I can't do this.

Scott23:33

Because. Say because and then finish that sentence. Why Because

Gabby23:38

Yeah. Of, honestly, our relationship in many ways, but diabetes obviously being a part of that, but not the only thing because of how my siblings, relate and understand and firsthand feel, the, like, dynamics.

Scott24:03

Wait. Wait. That's a lot of buzzwords. Your your your family doesn't relate well to your diabetes or to each other, and you just didn't wanna be around it?

Gabby24:12

No. No. My my siblings relate to not doing well with living with our mom.

Scott24:20

They relate to not doing well. It's not a good place for anyone to be.

Gabby24:24

Yeah. Together.

Scott24:25

Okay. Are you are you trying to save your moms?

Gabby24:28

Together for a short time.

Scott24:29

Are you are you trying to save people's feelings when you're talking? Is that why you're

Gabby24:32

having trouble? Okay.

Scott24:35

I need you to be a little less obtuse. Okay? So because I'm I'm trying to pick through what you're saying, but, like, you're not I mean, you're saying it without saying it, so you might as well say it is what I'm saying. And that's a lot of the words saying in the same two seconds. So you don't really come home after college.

I mean, you do for the third year, but you're commuting. Yeah.

Gabby24:56

I'm commuting to school. So then the fourth year, I'm like, let's change this. So then I go just more into Philly and further from school, but, therefore, stay there for the next few years post school.

Scott25:15

Are there seizures in while you're living alone or while you're living in that situation?

Gabby25:25

Not at that point.

Scott25:26

Were you

Gabby25:26

using Later on? Yes.

Scott25:27

Okay. Were you using different technology in college or not yet?

Gabby25:33

A little, but not at all, like, largely successfully. No. Definitely.

Scott25:38

Were there fewer seizures in college because your blood sugars were higher? Do you know what your a one

Gabby25:47

c's were? But college also was dance major and me doing 12,000 things with working, rehearsing, volunteering, and a million.

Scott26:03

So you're running around a lot and you and you were less aggressive with your insulin because of all the activity?

Gabby26:10

Yes. A little. But then, yes. So my a one c is, like, definitely a little bit higher from college for from college through college. But I had, I believe, one seizure during my freshman year, and then one during my junior year, I believe.

Scott26:38

How do they get handled in college? Like, is it like, mean, does somebody come help you? Is it they somebody call an ambulance

Seizures in college 26:47

Gabby26:47

for you? Unique, I guess. The freshman year one was in my dorm, and I literally reached, like, down the side of the slightly raised bed in the dorm room to, like, wake up from sleep and reach to the side for, like, a juice or whatever.

Scott27:12

Mhmm.

Gabby27:14

And lost it right then, fell to the concrete floor, and woke up, I don't remember, a little bit later. My roommate was there and got our RA Mhmm. Who was a nurse, so that was just a good job life. Yeah. But she just, like, sat there with us trying to have me drink orange juice because I guess I stopped after a second.

And

Scott27:52

You were coming out of it.

Gabby27:54

Was trying to drink juice, which I don't remember.

Scott27:57

Yeah. So So have you have these happened oh, I'm sorry. Cut

Gabby28:01

it I don't remember actually if that moment if people were, like, called, but I don't think I went there. I don't think that time I went to any hospital situation. I think my mom was just called and

Scott28:17

Just kept going?

Gabby28:18

Went went back to her

Scott28:19

house. Yeah. How about at that point, junior in college, any or or I'm sorry. That was probably your your freshman year. That was freshman year.

Yeah. Once you're in an apartment by yourself, does it happen again there? And then what do you do in that situation?

Gabby28:38

It does not happen in there in, like, new independenter. I mean, I wasn't fully alone. I had roommates, but do they know stuff? You know? They're not.

So that was definitely the time too when I was like, I'll be higher overnight. Whoops.

Scott29:03

Yeah. Just to keep that from happening.

Gabby29:06

Yeah. But especially because that, like, few years was the most, like, some type of anxiety stuff.

Scott29:21

In in school?

Gabby29:25

No. When I, like, moved into first roommate apartment.

Scott29:28

Okay.

Gabby29:29

Like, just further from school.

Scott29:31

Can I ask you, like, in in all the times that this happened, was there ever a conversation about, like, well, we could try to make adjustments or do something different? Like, was there an effort made to keep it from happening, or was it just like, oh, I guess this is something that happens?

Gabby29:52

I almost don't know how to answer that because, like, yes. But in some ways, what could be done?

Scott30:04

What what could be done? What do you think could be done?

Gabby30:08

In all honesty, I don't know because which is why, you know, it happened last, March, like, this past.

Scott30:20

Wait. It happened re because it's June now. You're saying it

Gabby30:23

last one.

Scott30:24

Yeah. You're you had one in March. Okay. So now let's go to that one. So it's March, and you have a CGM and using Control IQ.

And so you're pretty much stacked up as best you can be with technology. How do you how do you think how do you think that came came on? Wait. Why wait. Why are you you think the Dexcom was a problem?

The March seizure and a suspect G7 30:45

Gabby30:45

Yeah. So I was wearing a g seven.

Scott30:48

Okay.

Gabby30:49

And I absolutely think that one's a problem. And I should probably call Dexcom about this, but, I have not done that yet.

Scott30:59

Well, Gabby, this is you're 29.

Gabby31:02

Mhmm.

Scott31:02

And this has been happening since you were how like, you think three or four. Right?

Gabby31:08

I don't remember the first one.

Scott31:09

Yeah. Like, since you're a little kid. So this has been happening for twenty five years is my point. Right? So is like, I'm trying to figure out, like, what is it about either your physiology or your the way you use insulin or your activity or whatever.

I mean, I don't exactly know. But, like, you know, you you're having you had more low blood sugar incidences or seizures than, you know, if I randomly collected up the last 10 people that I interviewed collectively. So, like, is there any like, the doctors try to help you? Is there any, like, research you've done? Like, is anything there you at all have come up with?

Gabby31:48

The simple answer is no. The the things that have been tried

Scott31:53

Mhmm.

Gabby31:54

Include only once, which, like, maybe it just needs to be done again. I don't know. But once, I think I

Scott32:03

was

Gabby32:03

17, I got everything that you can test, like an MRI, a CT, an EEG. Okay. And they were trying to see from any or all of them if there was, like, a focal point of brain why seizures happen.

Scott32:30

I mean, I think the seizures happen because your blood sugar gets low.

Gabby32:33

Auto? Exactly. It's only

Scott32:35

I don't know what an EEG is gonna I don't know what an EEG is gonna fit for Yeah. Yeah. But I I mean, honestly, I can't there's, not a research scientist, but I'm having trouble, like, understanding why an EEG would help you understand why your blood sugar gets low a lot. I mean, do

Gabby32:50

you Well, that wouldn't help the blood sugar, but that would say, like, there's this thing in her brain that's gonna say we're gonna have a seizure instead of just, like, exist.

Scott32:58

Oh, you they're wondering if you have a seizure disorder and it has nothing to do with your blood sugar?

Gabby33:04

I mean, it has to be related.

Scott33:06

I would think so. That's what I'm saying.

Gabby33:08

Everyone knows that I've only had them in this, but I don't know. Still at the time, whoever was trying to help was like, let's go just test this and, like, make sure.

Scott33:22

Do you know what kind of doctor that was?

Gabby33:25

I do not remember.

Scott33:26

No. And how long have you been, like, I don't know, like like, legitimate, like, out on your own, like, job, live in your own space, don't rely on your mom for anything. How many years has that been?

Gabby33:42

Since since pretty much going to that apartment, like

Scott33:48

Your junior year?

Gabby33:49

Was, like, 2018.

Scott33:50

Oh, okay. Alright. So teen. Okay. So 2018, you've been at this by yourself.

Do you have a a mate, a spouse, a roommate, anything anybody that lives with you with consistency?

Gabby34:03

A mate. You

Scott34:05

know, you like, a person who has sex with you. Understand what

Gabby34:07

I'm folks. So come on. But for real, please get some more Australian.

Scott34:16

Get what? Get more you want more Australians?

Gabby34:19

Yeah.

Scott34:20

They are great.

Gabby34:20

So random. But anyway No.

Scott34:22

No. You but you must you listen a lot. The Australians are always fantastic. There's no doubt. I I've I've never interviewed somebody from Australia where I didn't get done and go like, wow.

That felt like I was on a roller coaster. That was awesome. So no. I I hear you. But I meant, like, you know, sexual partners, like, people who are around a

Gabby34:40

lot. Yeah. Yeah. Yeah. No.

Scott34:41

Yeah. Okay. Go ahead.

Gabby34:46

Back in 2018, I had three roommates, and that continued for, like, a few years with a few different roommate iterations. And then I had, like, one or two years of two, I guess, of actual studio solo. And now for a good while, I've had a partner who lives here. So

Scott35:11

Is that person experiencing your life in a way that they can say, hey. I'm noticing something here. Like, maybe we should look into this. No. What do they know about your diabetes?

Gabby35:29

They know everything. Okay. He's been there during

Scott35:34

He's seen a seizure?

Gabby35:36

Yeah.

Scott35:37

And there's no, like no. He didn't go, like, you know what I noticed? Like, this, that, like, I don't like, Gabby, we can't let this keep happening to you because one of these times, you're gonna have, like, a dire outcome. Don't you think? Yeah.

Aren't you worried about you must be worried about that. Right?

Gabby35:54

I was incredibly anxious about that in, like, 2018 or so ish. Yeah.

Scott35:58

Until you got lobotomized? What happened? How did you stop worrying about that?

Gabby36:03

Well, that therapy, honestly. Therapy, think, mostly.

Scott36:06

What kind of what kind of therapy was it? Tell the people.

Gabby36:08

It wasn't, like, worry either. It was, like, anxiety where I was gonna go to sleep, and I would, like, see myself.

Scott36:15

Oh, yeah. I mean, if I'm you, I don't I I probably just take toothpicks and jam my eyes open and never sleep. So, like yeah. So you what is it any kind of special therapy? Is it just talk therapy?

What'd you do?

Somatic therapy and EMDR 36:26

Gabby36:26

Somatic therapy where it's, like, all about body and what's happening with it and what it's experiencing and how to like, many ways to, like, reregulate.

Scott36:46

To to reregulate?

Gabby36:49

Yes. Like, to ease the nervous system and sort of undo some automatic responses and, like, understand and process.

Scott37:00

What do they do that? How do they do that for?

Gabby37:02

That anxiety of, like

Scott37:04

Yeah. Yeah. But how do they do that?

Gabby37:05

Low and I'm panicking. And is that helpful? Probably not. So maybe I could be low and not panicking.

Scott37:12

Oh, that's cool. But, Gabby, how do they rewire that? Is it through drugs or therapy or, like, talk?

Gabby37:20

Talk mostly, but including physical experience within the talking. So, for example, with this one therapist before, which was also, like, 2018, I think, to 20 ish. Mhmm. We kind of stopped because COVID was really making it not at all the same because the I think helpful part was being there in person sitting on her couch across from this lady in her chair. Mhmm.

And some of the, like, explaining and witnessing, was then also managed with some different tools like, there's EMDR. Yep. Oh, I I don't I can't tell you what it stands for right now.

Scott38:23

Is that is that about the rapid eye movement?

Gabby38:27

EMDR. Is

Scott38:28

that is that what they did? I can look it up because I don't remember anymore.

Gabby38:32

I don't remember, honestly. But it's, there's, like, bilateral stuff. There's, like, rhythmic stuff. So the one example that's clearest that I remember the most, is a, like, one of the many EMDR DMR oh my gosh. EMDR tools.

Several times, I sat in there, and she gave me these two little, I don't know, pod thingies that were connected just via wires to each other Mhmm. Like, right and left. And I held them in my two hands, and the wires connected to, like, power as they do.

Scott39:26

Yeah.

Gabby39:27

But that power being vibrate, right, left, right, left, right, right, left, right, left. And that sort of bilateral stimulation.

Scott39:41

It rewire you?

Gabby39:42

Does some

Scott39:44

Some oogabuga? Like, some magic? It makes your trauma go away?

Gabby39:49

Yeah. I mean, I'm not the therapist and, you know, I thought I also might be one day, but, yeah, I can't explain it super, super well.

Scott39:58

No. So you did vibrating hands and EMDR.

Gabby40:01

The one that I remember the most of the two hands. Yeah. Okay.

Scott40:07

Hey. Can I just tell people

Gabby40:08

for situation could also be, like, you're tapping your own, like, knees or shoulders rather than holding the two tools?

Scott40:19

Okay. Just quickly, EMDR, eye movement desensitization desensitization and reprocessing, structured therapy, trauma therapy, where a person briefly focuses on a painful or traumatic memory while also doing bilateral stimulation, usually following a therapist's finger side to side with their eyes, though tapping or sounds can also be used. This idea is to help the brain refill the memory so it exists but doesn't hit the nervous system like it's happening in the moment.

Gabby40:52

Mhmm.

Scott40:52

That and that worked.

Gabby40:55

I think so.

Scott40:56

Think about a scary, horrible thing that happened to you. I'm gonna vibrate your hands. And you were like, ah, I'm good.

Gabby41:02

I mean, not like that.

Scott41:04

But, like, it took some time and you felt better.

Gabby41:07

Yeah.

Scott41:07

Yeah. How long how much time? Years.

Gabby41:12

Well, I was only with her for, like, two years. Okay. But that felt like a whole season that ended up being incredibly helpful. Mhmm. I say ended up because at the time, it's like, okay.

Well, I walk out and I just, you know, feel what I feel and don't feel as as you just joked like, okay. I'm good.

Scott41:37

Like, better. Sure. Sure. Sure. Yeah.

Gabby41:39

Yeah. In the much grander scheme.

Scott41:45

And and what is your trauma? Is it mostly the seizures, or is there other things? Are there other things?

Collapsing in Center City 41:52

Gabby41:52

No. I would say that's, like, the main thing, because they have included, like, being in public, being I mean, I guess I always spoke with people. But, yeah, in public. Okay. One was on the streets of Center City, Philly.

Scott42:14

You just had a seizure.

Gabby42:16

Yeah. And somehow, the world works out by that time, which was in, I think, that, like, junior year of high school. That time, I took the good old NFL. I took the subway from Drexel to Center City to meet my mom because she was working near Center City. Mhmm.

And we met and went back to her car at whatever work lot, and she drove back to her house. That's all true. What's in the middle is that the second that we met up, I collapsed.

Scott43:09

Oh, I see. So you met up, passed out right there, she put you in the car and took you home?

Gabby43:15

Well, she called an ambulance, but I had already

Scott43:20

had lots

Gabby43:22

of sugar. Yeah.

Scott43:23

Okay. So is that from just walking around then and all the hustling around the city that made you low, you think?

Gabby43:30

So that's from that's from why why no one's, like, helped and found, you know, boop, you're good now. Because college was dance, so was all of the exercise, every possible, like, physical variable that you could have

Scott43:51

Mhmm.

Gabby43:54

With everything in variety of, like, intensity, timing, dancing at 9AM and 9PM, being stressed and lacking sleep and all that fun stuff. Yeah. And the dance sometimes going boop, plummeting.

Scott44:13

A lot of it happening together. And you've never found, like,

Gabby44:16

And, like, how you fuel that.

Scott44:18

Yeah.

Gabby44:18

So that example of oops. Center City. Hey, mom. That happened right after literally March 20.

Scott44:33

And you haven't found anything that helps with this, like a certain way of eating or putting your pump in a different mode or changing your settings? Nothing is helping? Are you not trying those things?

Gabby44:48

I mean, I am now that we, like, have more of those things, and they're definitely helping.

Scott44:54

Good.

Gabby44:56

Yeah.

Scott44:56

You feel like you're a little lost? Like, far as settings changes, etcetera?

Gabby45:03

Less now for sure.

Scott45:05

Why? Why do you feel less now?

Gabby45:06

I definitely feel like I was some.

Scott45:08

Yeah. What helped you not to feel that way?

Gabby45:11

Why Dexcom, you know, even though I didn't finish saying where I think that one was a messed up life. But, anyway, that one j seven this past March. But in general, obviously Yeah. Dexcom usually, overall, super helpful, obviously. And Moby and all of the help that it can do.

Scott45:47

Mhmm.

Gabby45:50

What else was I saying? But there just hasn't been like a here it is.

Scott46:02

Answer that just pops up.

Gabby46:03

It's what it is. Yeah.

Scott46:04

And you've gone do you have an endocrinologist?

Gabby46:08

Yes.

Scott46:10

Oh, Gabby, you're gone. I mean, you're here, but you disappeared. Gabby, Gabby, we everybody know that Ramon song? She's back. Hey, Gabby.

You just disappeared for a second. That's all.

Gabby46:26

Am I back?

Scott46:26

Yeah. I just asked if you had an endocrinologist and you were getting the right answer.

Gabby46:30

Yes. Yes. I do.

Scott46:33

Okay.

Gabby46:39

None of them have really, like, helped with it in all honesty, and they've kind of, like, threatened taking my license away. Just, like, got scared sounding themselves without being helpful really about it.

Scott47:01

Okay.

Gabby47:02

And I don't like, put it on me and us, honestly.

Scott47:11

Yeah. Do you have any idea, like, what you need to be more successful? Like, is there a thing you're like, oh, I need that, but I don't have access to it, or do you need a an idea?

Gabby47:26

No. I don't think there's a thing

Scott47:28

That you're aware of?

ADHD, out in the open 47:30

Gabby47:30

Yeah.

Scott47:30

Okay. Do you have ADHD?

Gabby47:34

Yes.

Scott47:34

Okay. Is there any medication that helps you with that?

Gabby47:39

Yes. And I can't access it because of the world's shortage.

Scott47:44

You can't access ADHD medication?

Gabby47:46

Yep.

Scott47:47

Are you sure you just didn't try to do it and then forgot to keep going?

Gabby47:50

Yes.

Scott47:50

Oh, I'm just teasing you. Okay.

Gabby47:51

Hold on

Scott47:51

a second. No.

Gabby47:52

Get it because that's real.

Scott47:53

I know. Yeah. What's the medicine called?

Gabby47:57

So I've tried a couple of the last and recent that for some time was great was recently Adderall. And I was successfully doing a Adderall extended release, And in my last check-in, my brain doctor said, let's see if we can find you access to the version that's just not extended release, but that just still has not come through.

Scott48:39

So why do we not want the extended release?

Gabby48:42

We don't not want it. We just want anything that we can access through any pharmacy.

Scott48:46

You can't get it at all. You can't find it anywhere. Yeah. I don't understand.

Gabby48:52

Yeah.

Scott48:52

What what wait. And it's been for how long has it been like this?

Gabby48:57

Just, like, a month or so. Like, I had it previous to that, like, solid two months. And then before that was also, do we? Don't we? Do we?

Don't we?

Scott49:06

Yeah. So there's still a stimulant supply. By the way, if all you people out there who are using this stuff off label would leave it alone, then poor Gabby could think straight.

Gabby49:17

Yeah. Like Yeah. It's addicts actually, like, literally need it.

Scott49:22

I hear what you're saying. I hear what you said.

Gabby49:23

But it's it's difficult for the people that need it that would have difficulty doing the extra steps that we have to do Mhmm. In order to try to get it. Like, we're not the people that should have all of the extra steps, and yet we do.

Scott49:40

The shortage has been happening since 2022.

Gabby49:43

Yeah. I've spent I mean, I was probably not even diagnosed in that year, so there's that. Yeah. But I've spent a good chunk of time calling pharmacies and being like, hey. I'm just reaching out to see if you have any stimulants in stock of any sort even.

Scott50:04

You sound do you think you sound like a like a like you're drug seeking when you do that, or you just they they they they under because

Gabby50:11

I mean, once legitimately calling the pharmacy being like, I have a prescription Yeah. From my psychiatrist. Mean, they have only been like, we have nothing in stock. Sorry. Bye.

Scott50:22

That's it. Because because there's I'm looking it up here. Adderall XR, there's, Midias, Medias, Adzenys. Who names this crap? Dynavel XR, Vyvanse, I've heard of.

Mhmm. Different stimulant family from those Concerta, Ritalin, Focalin, Astras, Jurnay PM, Daytrana patch. I mean, Jesus. My god. There's, like, one, two, three, four, five, six, seven, eight, nine, ten, eleven.

Finding 11 different ways to give people speed. You would think that, like I mean, that's what we're talking about. Right? And

Gabby51:04

so Yes and no.

Scott51:06

Are people are people abusing this? Is that why it's available? Hold on. I have a I have a little breakdown here. Break it down.

Breaking down the stimulant shortage 51:14

Scott51:14

Demand went way up where people are being diagnosed treated for ADHD. So a stimulant prescribing rose a lot over the past decade. FDA DEA says stimulant dispensing increased 45.5% from 2012 to 2021, and that high prescription volume has strained supply. There's a manufacturing problem that started the whole thing. A shortage originally began after a manufacturing delay at one of the makers.

FDA, DEA said the the delay later resolved, but the system was already stressed, and then there was a ripple effect. Hold on. There's more.

Gabby51:45

The system was stressed.

Scott51:47

It says the system was stressed. The DEA said that. Active ingredient supply issues. There has been a a big under the hood problem. In 2026, JAMA Health Forum analysis found that the shortage lined up with a major drop in US imports of raw amphetamine, the active ingredient used in many ADHD meds.

The authors argue this is, in the, the the article. The shortage looks more like a supply chain failure than a simple too many prescriptions. The DEA quota rules make ramping up slower because amphetamines are controlled substances. Manufacturers can't decide to make a ton more tomorrow. The DEA sets production quotas.

The twist here is that the FDA said manufacturers only sold about 70% of their allotted quota in 2022. So quotas don't explain the shortage, says the FDA. And generic XR makers backed out or limited supply. So current shortage page for amphetamine extended release product list some generic XR products as back ordered. So it sounds like there were people that were gonna make generics, then they backed out of it.

Mhmm. Okay. It means fewer company strength that are carrying the load. Simple answer is this more demand plus fragile ingredient supply plus controlled substances, production rules, manufacturers not producing consistently, and pharmacies can't reliably get it. But in the end, what's the problem?

Little kids in college, are you using it all up to get better grades? Is that what we're thinking?

Gabby53:14

I don't know, honestly, because I, like, don't know of that happening, like, in legitimate, true ways that are problems, first of

Scott53:24

all. Mhmm. You haven't met the right people. Well I there's plenty of people who Yeah. I think there's plenty of people who don't have ADHD that have a prescription for this.

Yeah. Yeah.

Gabby53:35

I think there's also a a wild amount of people that

Scott53:39

Have

Gabby53:39

ADHD. And can't. Yeah.

Scott53:42

Yeah. This is a this is like a tragedy, honestly.

Gabby53:45

Honestly, yes. Yeah. Yeah.

Scott53:48

I wonder why I wonder why the the

Gabby53:51

It's legitimately horrible.

Scott53:52

I wonder why the some of the makers of the generics like, why won't they follow through on it? That seems like a a no brainer. Right? There's supply or there's demand. Right?

Mhmm. Okay. Well, I mean, listen. I like you a lot. I think that's obvious, but talking to you is hard

Gabby54:12

It's wild.

Scott54:12

Because of your ADHD. Yeah. I mean, it's not it's a it's a it's you might call an exercise and persistence. You you know what I mean? So if you're if just if just conversating like this is difficult for you, then I'm trying to imagine what it's like for you to take care of your insulin.

Gabby54:29

Uh-huh.

Scott54:30

Yeah. And and are some of these lows precipitated by just your inability to, like, just Yeah. Focus on Yeah. Yeah. Right.

Like, what do you think?

Gabby54:41

Oh, yes. Absolutely. Because I yep. I've done every version of, forget to pre bolus. Okay.

Up and down. Pre bolus, forget to eat. Mhmm. Mhmm. Crash, drink seven juices before your actual meal, and then give insulin for your meal again.

Scott55:00

Yeah. Yeah. I like the way you laughed. You're like, It's just like it just keeps happening. So what's the answer?

I mean, would the ADHD meds, like, really put a big like like like, I don't know. Would it would it take a knockout of the this problem for you? Would it help?

Gabby55:25

I don't know. I mean, it definitely excuse me. I don't know I'm dry.

Scott55:29

You're fine. Do you wanna take a drink?

Gabby55:31

Was helpful. Yes.

Scott55:32

Gab Gabby, do you wanna get a drink?

Gabby55:34

Yeah. I have a I have water.

Scott55:35

Can I tell you something? I've never done this before in the history of the podcast. I'd love to pee. Can I pause for a second? Wanna be the you wanna be the first person to be on an episode where I leave the room to go to the

Gabby55:47

bathroom? Sure.

Scott55:49

Alright. I'm gonna pause, and I'll I'll I'll hit record when I get back. Give me Alright. Good luck. Give me I'm gonna just give me a minute.

Scott’s first-ever bathroom break 55:55

Scott55:55

I'll be right back.

Gabby55:55

Oh. Scott's gotta go. Scott's gotta be. First time in twelve whole seasons. This is history.

He's washing his hands. We hope. We pray. 1,900 episodes, and he picks today. So hold your bow.

Let's hold the phone. Let's get back to Scott. So hold your bow. Let's hold the phone. Let's get back to Scott.

Twelve seasons. He washed his hands. Probably. Let's get back to Scott. Okay.

Scott56:27

I'm back. You there? Yep. I've been, eating a little low carb this week getting ready for the cruise, you know, in case somebody catches a photo of me from the wrong angle. And, hey.

You know what I'm saying? Got it?

Gabby56:38

No. Heard. Yeah. Yeah.

Scott56:39

And, that that that puts me in a situation where I'm a diaphorescing. I don't know if you know the word, but I'm

Gabby56:44

a big

Scott56:45

I'm peeing more. I'm gonna hold on one second. Do you take a would you take a generic of, like, a Ritalin Concerta thing? Would that help you?

Gabby56:58

Yeah. I tried Concerta for a while.

Scott57:01

And any good?

Gabby57:02

Kind of plat eaued. Oh. So we just stopped, and then we tried a different thing.

Scott57:07

Okay. So that that didn't help you. So the methylphenidate generic wouldn't help you then? I don't even know how you're supposed to

Gabby57:14

I mean, it might again because it it did a lot in the beginning. And then, even after a couple increases, we did not go to the max, but

Scott57:24

Are are they are they Correct.

Gabby57:27

Or then it just stopped helping.

Scott57:29

Are they in shortage too?

Gabby57:33

I'm not sure, but I have been told by several pharmacies at different times that they don't have any stimulant of any kind. So I think yes. I think maybe not to the same degree.

Scott57:47

This maybe because of where you're calling? Is this like a local problem?

Gabby57:53

I not that I know of.

Scott57:56

Alright. Hold on a second. Hold hold on a second. We're gonna do we're gonna do a let's call it a test here. Alright?

Hold on. I'm gonna call Walgreens. I don't think I can let you hear the first part because you can hold on a second. Okay. Okay.

Okay. Alright. Here we go.

Walgreens58:34

How can I help you today?

Scott58:36

Can I speak with a pharmacist?

Walgreens58:41

Okay. You want the pharmacy, but I can actually help you with

Scott58:45

I do not want your oh my god. Just let me talk to the pharmacist. Terrible. Gabby, why would they do that? I I asked for the pharmacist once.

Do I not know what I'm talking about?

Gabby58:53

Welcome to my life, Scott.

Scott58:54

Oh my god. Hold on a second. Yep. Pharmacist.

Walgreens58:59

Normally, I transfer you, but the pharmacy is closed right now for a meal break until 2PM. You can call back later to talk with someone.

Scott59:07

I'm making a podcast now.

Walgreens59:08

Medical emergency.

Scott59:09

It's not a medical who would call Walgreens with a medical emergency? By the way, I find this so ridiculous.

Walgreens59:15

Tomorrow, we're open from 9AM.

Scott59:17

It's not helping me now at all. I don't I love that one. If you're calling with a medic I love when you get a message, like, you're calling with a medical emergency, what the hell would I call you with a medical emergency for? Right. You imagine if you're, like, having a heart attack, you know, I think I'll call Walgreens.

Yep. Yeah. Alright. Well, I'm gonna I'm gonna I'm gonna I'm gonna I mean, I I can't stay on the line with you for another half an hour. But, like, I'm gonna find out, and I'm gonna call later, and I'll put it on the recording so people can hear.

But am I gonna do that? It sounds like a thing that I just promised that I'm not gonna do.

Gabby59:49

I know that sounds like work that you

Walgreens59:50

have to do. That sounds like

Gabby59:51

But that's my life. That's literally my life.

Scott59:53

Sucks.

Gabby59:53

Oh, Gabby, will you call this and this place? Okay. Try this one now. Yeah. Try this one now.

Try this one now. Okay.

Scott1:00:03

I'm trying to I know some people who work at companies that make some of this stuff. I just sent a text out to somebody to see if they know anything about it. It'd be nice if they looked at my text. So I don't know how well I know them, obviously, because they're not like, oh, Scott's texting. Let me immediately look and see what's going on.

Gabby1:00:19

Can you stop everything else?

Scott1:00:21

I have some people who treat me that way, and I to those of you out there, I appreciate it. I'm But gonna see if I can get somebody there. So so you've been without this med for, like, a month? Mhmm. You're not self medicating anyway.

Right?

Gabby1:00:35

Just coffee.

Scott1:00:36

Does that help at all?

Gabby1:00:39

It just helps a lot in the early parts because I just cannot get it together.

Scott1:00:48

In the morning, it helps you? Yeah. Do you have trouble paying your bills?

Gabby1:00:51

As any human. But you

Scott1:00:53

know? Do you have any trouble paying your bills, Gabby?

Gabby1:00:57

Are you asking me if I'm poor or if I'm, like, not

Scott1:00:59

really nice? No. No. I didn't ask you. I'm asking, do you get a bill when you go?

I'll do this and then just forget.

Gabby1:01:06

I mean, yes. But I have not had any, like, problems with it, if that makes sense.

Scott1:01:10

Okay. Do you ever get so exhausted while you're doing something you have to stop and nap? Is that not an ADHD? I'm I'm trying to, like I'm matching your symptoms up against other people that I know.

Gabby1:01:24

No. Except, like, during if I'm not currently already doing something, then yes.

Scott1:01:33

Explain to me a situation where that would happen.

What executive function feels like 1:01:38

Gabby1:01:38

Where it's midday and I need to do x, y, a, b, all of the list. And executive function is like, nah.

Scott1:01:54

You can't do it.

Gabby1:01:55

We're not gonna do any of

Scott1:01:56

that now. When you say executive function, explain how you think of that to a person who's not doesn't have ADHD or doesn't know anything about it.

Gabby1:02:09

A little like the tilt a whirl, but more so, like, how you get into the tilt a whirl. So it sometimes feels like if you took my brain, you could find all the things, but they won't necessarily be able to come together and work together, like, at the right time, especially, or without.

Scott1:02:49

Gabby, I'm gonna stop you. If you pointed a gun at me right now and made me tell you what you just said, I have no freaking idea. I can't I couldn't follow that at all. What executive function. Really listen.

Really focus for a second. Okay? When you say to somebody, my executive function's messed up in 10 words, what does that mean? What's happening in your head right now while you're thinking about it?

Gabby1:03:25

There's there's just no come together into the sentence structure.

Scott1:03:29

No come together. So you you have thoughts, but they're scattered and you can't find a place to dive in to start. So you just pick a word, you start going, and then how does it feel? Let me see. Does it feel like I'm trying to go off of what you just said.

Does it feel like you're in the middle of a giant globe, And it's one of those globes where people, can pretend to parachute, and there's words flying all around you, and all those words would make your thought, but you can't lay your hands on them, and you can't and if you could, you couldn't put them in the right order? That seemed like a a description of it or is there

Gabby1:04:07

Yeah. I could pull the words. I often can't pull them into one string.

Scott1:04:16

Okay.

Gabby1:04:17

Meaning a sentence.

Scott1:04:19

There's part of me that wants to take the the what I'm telling you is gobbledygook that you just spit out from the total world to when I stopped you and give it to, like, a large language model and say this is a person with ADHD. Do you have any idea what they were talking about? And then see if it spits back something that you would agree was what you were trying to say or not. Have you ever tried that? No.

That sounds like it would be fun. Like, just have you talk into a thing and then tell it, I have ADHD. Can you make any sense of what I just said? What do you think that I was trying to say? Mhmm.

That's just me. I don't know how we would do that exactly. I'm thinking about it right now. I don't know how to pull it off on the podcast or I would. Yeah.

Gabby1:05:02

It's wild because I know that I'm like this and people have to, like, decode me sometimes. Yeah. And I also say words to people as directions as the main part of my job.

Scott1:05:21

What's your job?

Gabby1:05:23

I teach Pilates.

Scott1:05:25

Is that simpler, though, because it's, like, simpler, like, statements or because it's a thing you know and you're really good doing Can

Gabby1:05:33

be for part one. For part two of what you said, yes, hopefully.

Scott1:05:41

Yes, hopefully.

Gabby1:05:42

Part three, practice of many, many, many, many years now.

Scott1:05:47

Mhmm. And so it's kind of like a it's not a thing you have to think about. It's a rhythm.

Gabby1:05:53

It's a rhythm and it's I mean, I 100000% absolutely think about it. And when I think about it too much, it's actually worse. You know?

Scott1:06:03

Okay. Yeah. So

Gabby1:06:06

Because then I'll then I'll, like, disappear and my brain will go into those directions that are not one string into a sentence yet because I, like, care so much and get so excited about, you know, the person's questions or whatever or, you know, what you're feeling in your body or how to do an exercise. Right? That if I think about it too much, then there's, like, too many of the words that are not strung together yet.

Scott1:06:35

Wow.

Gabby1:06:37

Does that make any sense?

Scott1:06:38

I mean, not really, but I appreciate you trying. Like, I mean, I I get I get what you're saying. Like but if I but if you ask me to rewrite it as a cogent thought from my perspective, I I can't do it. Like, I I hear what you're saying and I get the feeling of what you're trying to tell me, but I don't have a concrete explanation in your words. Does that make sense?

Gabby1:07:03

Yeah. I think so.

Scott1:07:04

Yeah. I oh, this is how how does this, impact your, your personal relationship with this boy that you talked about? Does he have ADHD too? Do neither of you know what's happening?

Gabby1:07:19

I don't know. We have a wild experience where we don't know if he does because he's never been tested. But he's had one psychiatrist that he now hasn't seen in a little while who gave him a very, very, very, very, very low dose Mhmm. But still gave him an Adderall prescription because he simply was like, hey, lady. I'm having trouble focusing at work.

And she was like, okay. Try this. And I was like, what?

Scott1:07:48

I need it. How come you can't steal his? I know first of all, that's not right. You shouldn't share other people's medications, but I assume you thought about it.

Gabby1:07:54

So Oh, he's taking mine.

Scott1:07:59

Does he really do do you feel like he needs it? Does he feel like he needs it?

Gabby1:08:03

I don't know, honestly.

Scott1:08:04

This is the problem. You're all running around high out of your minds on this Adderall. Is that what's going on? Is that what No.

Gabby1:08:12

No. No. No. The problem is also that he's running around high in sugar.

Scott1:08:19

So Does he got diabetes?

Gabby1:08:22

What has he got? Yes.

Scott1:08:25

You found it. Does he have type one?

Gabby1:08:30

That's the question.

Scott1:08:32

You're not sure? Wait. He's got you gotta be sure if he's got type one or not.

Gabby1:08:36

He is officially diagnosed with type two, but that was from such a long time ago. But, of course, like, older than 20, and has not since been otherwise diagnosed differently, but has been managed with more ins like, with insulin and then more insulin and continues to be high and not know how to do it properly.

Scott1:09:16

Your mom have ADHD too or just you?

Gabby1:09:19

For sure.

Scott1:09:20

Your mom does too. Is that why you guys have such a hard time getting along, do you think?

Gabby1:09:24

That's totally probably some of it. Sometimes, yeah.

Scott1:09:28

Is that feel have you ever thought about

Gabby1:09:30

Like, in in, like, unknown wise, like, growing up of, like like, she now agrees with my sister and I that we have the same. It's all yeah.

Scott1:09:43

I I have a feel like, I I there's part of me that wants to make two robots. One's you, one's your mom, and have her try to talk to each other. And then I'm gonna make that a TV show, And that's it. Like, you know how Love Island, you can't stop watching?

Gabby1:09:57

Mhmm.

Scott1:09:57

Do you watch Love Island?

Gabby1:09:59

You know, I just restarted the UK version.

Scott1:10:02

I had a feeling you knew about it. And so and just your age and everything. So, like, I wonder if a if a if a third party would watch you two talking to each other and think they have no chance. That one doesn't know what they're asking, and that one doesn't know what they're being told and vice versa. And then it just gets frustrating because you get frustrated all the time.

Right?

Gabby1:10:26

Not necessarily with myself or my

Scott1:10:28

No. I mean, with your interactions with other people. Like, when you try to say something to somebody and it's and they answer you in a way that makes you think, like, go ahead. They are not following what I'm saying. Is that frustrating?

Gabby1:10:40

Yes. But most of the time, I think I can clarify.

Scott1:10:45

You don't think people are being polite?

Gabby1:10:49

No. I think people will tell me and be like Good. No. Please try again.

Scott1:10:52

Make sure you have people around you who will do that. Yeah. Yeah. Because I I have personal relationships with people who have, like like, what I would call crippling ADHD. And there is a moment sometime where you just go, oh, yeah.

Yeah. Yeah. Because you think we're never getting to this. Like, I my life's not long enough for me to get this description out of them. So I just you I have found myself just, like, nodding along sometimes.

I feel bad. You feel bad when I'm doing it, but, like, I don't know what else to do.

Gabby1:11:20

That's hard.

Scott1:11:21

Yeah. It I mean, listen. I mean, it's harder for you, but, you know what I'm saying? Like, I'm not I can't imagine if I was like, well, your ADHD might be tough, Gabby, but it's it's much harder on me. So, no, I'm not I'm not saying that.

Gabby1:11:31

But I mean, situation sounds hard on both of you.

Scott1:11:33

Yeah. No. It is. Then I it's what I was starting to wonder about you and your mom. Like, that's such an unfair thing.

Not I mean, it's not anything it was, you know, anything you can do about it or anything. But I try to imagine two people who are, like, desperately trying to connect with each other that can't.

Gabby1:11:48

I don't know if we've really had that much disconnection about her because of that. I think it's more, like, how it shows up, like, less consciously. Mhmm. Like, since I could manage bringing my own bag somewhere. Gabby, do you have your checker and your juice and a snack?

Scott1:12:12

Mhmm.

Gabby1:12:13

That's the our version of KeyWallet phone.

Scott1:12:16

Yeah.

Gabby1:12:17

And, like, on the other hand, that's us leaving. And then my mom's like, oh, I can't find my keys. Where are my keys? Blah blah blah. And then my brother goes and finds them.

And then when he has when he's, like, older and tired of finding her keys, He gets her a key chain that says, my keys, I have not lost yet. And he gets her a tile where you can, like, click and find them.

Scott1:12:50

Yeah.

Gabby1:12:52

So that was way back, like, 2012 or something. But that version is my mom being like, hey. You have to remember all these important things, and I'll remember them for you too, like, when you're younger especially, but I'm sure she also probably still walks around with a juice box sometimes.

Scott1:13:12

Yeah.

Gabby1:13:14

But then she goes, oh, I can't find my keys. So with that and with me as a child experience in experiencing all of that continually, I never lose my keys. My mom and I actually just talked about this.

Scott1:13:34

Just the thing you were actually able to, like, get get together.

Gabby1:13:37

Because I was, like, actually aware of that being a thing Oh. From being so little to, like, becoming a person

Scott1:13:47

Yeah.

Gabby1:13:48

And deciding the keys are gonna go in this spot next to the door. In every version of a door, there has to be a single spot that they go in.

Scott1:14:01

And that and that pattern building helps you.

Gabby1:14:04

Exactly. Yeah.

Scott1:14:04

Yeah. But that's hard to do in, like, a personal conversation. But you do find what you find a way with the Pilates to do it a little bit, and you have found so you have found ways to set up almost, like, scripts of I'm thinking of you almost like a computer now. Like, you have a prewritten script, and you're you you follow kinda like that metadata file, and then you get an outcome that you need Because you don't have to think about it, you just do it in steps. Is that right?

Gabby1:14:34

Some, but I'm very much more flow than that. Okay. And it's it's just the focus difference. Like, as you said, like, it was speed somewhat, and I was like, yes, but also many other things.

Scott1:15:04

I got lost. You lost your way. Right? Yeah. Gabby, we can stop.

You're probably tired. And, also, I have to tell you, I really like you. I think you're delightful. I and this is incredibly interesting. If people wanna understand ADHD, they should listen through this, because they will when it's over, and you're very kind to do that.

By the way, also, you have no, like, ego about it. You're not upset talking about it. You didn't get I really appreciate that. It's a very honest conversation.

Gabby1:15:30

Mhmm. It's my life.

Scott1:15:31

This is my But I

Gabby1:15:32

was just gonna say hyperfocus.

Scott1:15:33

Hype oh, hyperfocus is what you were looking for?

Gabby1:15:36

Yeah.

Scott1:15:36

Isn't it funny when you were looking for hyperfocus but couldn't find it?

Gabby1:15:39

Mhmm.

Scott1:15:39

Yeah. There's like an irony in it.

Gabby1:15:40

It's great.

Scott1:15:41

Yeah. Yeah. It's great. You're like, yeah. Yeah, Scott.

It's awesome. Thanks. Sorry.

Gabby1:15:47

No. I mean, it's it's awesome feeling, meaning not awesome. We're sarcastic and silly. It's not fun to feel like I was so hyper focused for the full hour of this work meeting, this Pilates class, this Pilates private, this dance class, whatever is, like, the thing. And we're done with that one hour.

Scott1:16:15

Yeah.

Gabby1:16:16

And then we're back to life being Scattered. Full and round. And we realized that for the whole past hour, we didn't look at Dexcom. We didn't think am I high or low? We didn't think whatever else.

Scott1:16:37

Oh, you're so focused on staying together for this work meeting, as an example, that you you weren't able to do anything else.

Gabby1:16:44

Anything else.

Scott1:16:45

I see.

Gabby1:16:46

There is nothing else.

Scott1:16:48

Gotcha. So if if you make the world small enough, you can focus.

Gabby1:16:53

I don't make it, though. That's the thing.

Scott1:16:56

It happens? Yeah. Because you needed to in that moment?

Gabby1:17:02

Yeah.

Scott1:17:02

But you can't multitask. You can't leave what you're focused on to think about your blood sugar because if you do, then you'll spin in that direction. Is that right?

Gabby1:17:13

Yes and no.

Scott1:17:14

Okay.

Gabby1:17:14

Because I often do. Like, I'll glance and be like, k. Cool. Or I'll start feeling low and see, oh, okay. 70.

Let me get a go glow gummy. 100% everyone everyone should get glow gummies.

Scott1:17:31

Gab Gabby, can I tell you something? I don't know that I should say this out loud yet, but I'm just going to. I think there's gonna be a juice box podcast glow gummy flavor. What? Yeah.

I think so. I think that might happen.

Gabby1:17:44

What does that even mean? What would it be?

Scott1:17:45

I don't know. We have to figure that part out yet still. Interesting. Yeah. I we might be we were talking about perhaps going online and letting people vote on the flavors that she hasn't made yet to see if we can decide on what a Juice Box podcast flavor would be.

Fascinating. Fun. Right?

Gabby1:18:02

Yeah. I have no suggestion because I love all their flavors. Orange is my least favorite.

Scott1:18:06

Mhmm.

Gabby1:18:07

But it's fine.

Scott1:18:08

Is the orange mango?

Gabby1:18:10

No. There's an orange, like

Scott1:18:12

Okay.

Gabby1:18:12

An actual orange.

Scott1:18:13

Then there's mango. But that's

Gabby1:18:14

the mango

Scott1:18:15

That's the Omnipod

Gabby1:18:16

flavor. The same. Yeah.

Scott1:18:17

Yeah. I think I don't think I should talk about her business because it's not my business, but I think there's more. I think there is a tandem flavor now.

Gabby1:18:25

There is. It's blue raspberry.

Scott1:18:26

Yeah. I think there's gonna be others

Gabby1:18:27

good too.

Scott1:18:28

There's gonna be others coming too.

Gabby1:18:30

That's awesome.

Scott1:18:31

Yeah. And one of them might be Juice Box podcast.

Gabby1:18:33

That's really cool.

Scott1:18:34

Yeah. Right? She's lovely. I'll have her on the podcast.

Gabby1:18:38

I no. Please. They I don't know that I've I've had them for so long or for so such an extent they've, like, prevented anything crazy, but they've absolutely helped including helping, like, the anxiety of, like, this is gonna work so fast Mhmm. While being way more enjoyable.

Scott1:19:00

Yeah. Also, they're they they're really, like, stable. Like, you can keep them in your car. Right? They don't get all mushy and everything.

There's a lot of I'm gonna have her on to talk about it. So, yeah, we we met she and I met a year ago, and then we had some miscommunication where we both thought we weren't emailing the other. And I swear that happened for, like, eleven months where I was like, I wonder I thought we were having, like, such a nice time talking. We met in person, I guess. Like, I guess she didn't feel the same way.

And she said to me, I thought the same thing. And I don't know what how we got messed up, but Yeah. I I'm really happy. Like, she reached out again. And as soon as she reached out to me, I was in the car, I was like, don't I was like, don't DM me.

Like, call me immediately. I don't want there to be any confusion. Right? So we got on the call and I just said, I thought you hated my guts. And she's like, what are you talking about?

And I was like, I'm like, I emailed you, like, ten months ago and you haven't gotten back to me. She was like, I've answered you twice, you haven't gotten back to me. I thought you were mad at me. And I was like, oh my god. This is like a rom com.

This is awesome. Yeah. So I said, no. No. Like, let's meet like, I think we met, like, the next day.

We were both at the same event. And I was heading to it. I was heading to the ADA, and she was there already. And, and I was like, no. We'll meet.

So we met, chatted for five minutes, and I was like, oh, what a funny like, I'm so happy this worked out like this. She's so lovely. Mhmm. And, and then she, you know, she was like, I don't think we started talking and and, you know, kinda came up with this idea. So we'll see what happens.

Hopefully, all that'll actually happen.

Gabby1:20:25

Yeah.

Scott1:20:26

Yeah. I'm going to, I have a, an ability to find out about three of the generics for you. Oh, cool. I'm gonna find out about them, and I'll email you if I learn anything anything valuable. Like, if there's a way to get it through the company or, like, I I although I don't think they do the amphetamines through the direct to market stuff.

Mhmm. But I'm gonna see what I can if I can figure something out, I'm gonna let you know. And, I mean, if I can't, I'll send you a note and say, I'm sorry. I wasn't able to figure anything out.

Gabby1:20:55

Okay. Cool. Thank you.

Scott1:20:56

You're welcome. That's great. I'm gonna go, and now I have to go live my life, and that means I have to check-in for my cruise. I have to go pick up a pair of reading glasses because I'm old. And I think I need to buy dog food because I'm leaving the house, and I know that no one else will get dog food, those poor dogs will just die while I'm gone.

So Mhmm. They won't really, but they'll go out and buy the wrong dog food.

Gabby1:21:22

I thought you're gonna be like, the dogs will go out and and get their own food.

Scott1:21:26

Yes. I've trained the dogs to get their own food. It's I I don't bring it up much because I don't wanna, you know, I don't wanna brag. But I but I have taught dogs to do it. They can also drive buses now.

Taught them how to drive school buses. So That's great. Yeah. Yeah. I'm I'm on top of all that.

No. No. My family will, like I don't think they know where I get the dog food from is what I'm saying. You have any idea how many times I stay in this house? You know, I'll be dead if it wasn't for me.

I say it a lot. Okay? I look at people. I go, you'd be dead if it wasn't for me. My wife, who doesn't know to clean the soap dish in the shower because she's so blind and she showers only in the morning usually.

So I'm like, she she comes in the other day, and she's like, what are doing? Like, I need the shower. And I'm like, I'm cleaning because I'm done washing myself now. Now I'm cleaning the shower. I said, I'm cleaning because if it wasn't for me, you would have died from some horrible virus by now from whatever was happening on this damn soap dish.

She's like, I can't see that. I'm like, well, that is not an excuse. Put your glasses on and look at it once in a while. It's horror. It gets horrifying.

You know what I mean? Yeah. Anyway, Gabby, thank you for doing this. I'm calling this one Yo Gabba Gabba. I I don't care.

Glucagon: just do it 1:22:32

Gabby1:22:32

Well, can I just say a last thing about glucagon?

Scott1:22:34

No. No. Of course, you can't. Go ahead. Just

Gabby1:22:40

I was hoping to have more, like, I don't know, productive feeling, you know, because I've seen a lot of, like, questions and people so nervous to use glucagon or just, like, when do we use it? Do I not? Do I do it? And I've been there and had my mom mostly say, just do it. And mostly, that's been right because if you do it and then nothing happens, you might go a little too high.

Mhmm. And that's the only thing that's gonna happen if you didn't, like, fully, you know, need it need it. But all of the modern ones are all so much better, so much easier. Even if there's pain, it's honestly, obviously, but truly, absolutely worth it to have whatever that second or a little bit or a lot of bit of pain of whatever kind to have such a quick thing that you know is going to work immediately.

Scott1:24:04

Yeah.

Gabby1:24:05

And that's every type. I have had every type, I think, used both on me and by myself.

Scott1:24:14

You think you you're saying you're trying to tell people, like, look. If you think it has to happen and you're by yourself, like, do it. Don't

Gabby1:24:20

Yes.

Scott1:24:20

Yeah. Right. Don't don't have a seizure if you if you can at all avoid it.

Gabby1:24:24

Yeah. Yeah. Yes, I've done it on myself by myself. I mean, the most cognizant example was that I was going low, and I looked back in my pump history, like, what the hell is happening? Why am I going low right

Scott1:24:40

now? Mhmm.

Gabby1:24:40

And it's because I accidentally bolus, like, 12 units

Scott1:24:48

Oh gosh.

Gabby1:24:48

Instead of two maybe. And I saw 12 units, and I said, okay. Here we go. And I went, g vogue, thigh. Okay.

Done.

Scott1:24:58

You just did it right away?

Gabby1:25:00

Yeah.

Scott1:25:00

You didn't think you did? I mean,

Gabby1:25:01

I think I was, like, drinking a juice, like, seventy, sixty, and I was like, what is going on? There's no reason for

Scott1:25:06

this. Yeah. And then, oh, it too was late to have, like, a Yeah. You you you had pre bolus too much at that point. You weren't gonna be able to get ahold ahead of it with food, you didn't think.

Gabby1:25:15

Yeah. I mean, I could probably keep trying to drink juice, but I was already drinking juice and then was like Oh, that's a lot.

Scott1:25:21

Yeah. And low and dropping. Gotcha. No. I mean, I hear you.

Hey. You wanna hear something crazy before we go? I get a report about, like, SEO, which is, like, search engine optimization, like, stuff that, like, what drives people to my website. It's kinda boring. But every once in a while, like, you're thrown off by, like, the randomness of how the Internet connects you for no reason.

I get a lot of traffic on the search term, does Kevin Costner have cancer?

Gabby1:25:47

What?

Scott1:25:48

Which is crazy because I've never, of course, talked about that in in in in any way. So, like, we have to go look just very quickly. There's gotta be something with Kevin Costner in the title in the episode. Okay. I have an episode called Kevin Costner.

Oh. Episode 14 o four. Melissa initially planned to share a glucagon story, but she recently learned she may have cancer. So the conversation shifted to that.

Gabby1:26:15

Oh my god.

Scott1:26:15

So Google sends people to they must be so disappointed when they get to that.

Gabby1:26:21

And Also first.

Scott1:26:24

Also, why are so many people googling, does Kevin Costner have cancer? Also, I have another episode with the words Kevin Costner. How is that possible? A year and a half before that, this one's called blame Kevin Costner. What the hell?

I must have a fetish. Alright. I was really watching Yellowstone a lot during that time. Who knows what exactly? Anyway, I'm sorry to bother you with that.

But, for all of you who are wondering about Kevin Costner's health, I have no, knowledge of him being sick. So, good luck and god bless. Why would anybody Google that? Alright. I gotta go, Gabby.

Hold on a second.

Gabby1:26:58

Okay.

Scott1:27:11

It seems that the podcast you just enjoyed was sponsored by Tandem Diabetes Care. Learn more about Tandem's newest automated insulin delivery system, Tandem Mobi with Control IQ plus technology at tandemdiabetes.com/juicebox. There are links in the show notes and links at juiceboxpodcast.com to Tandem and US Med who also sponsored this episode of the juice box podcast. Get started with US Med at usmed.com/juicebox or call (888) 721-1514. Get your free benefits check and get started today with US Med.

The same place that we get our diabetes supplies. Usmed.com/juicebox. Links in the show notes. Links at juiceboxpodcast.com. Click on those links, baby.

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I can tell you that much for sure. We pushed it back a little bit so we could help other people, hit the window where their kids were out of school. It'd be a great cruise five days, I think. You you'll go find out. Juiceboxpodcast.com/juicecruise.

Join me and the whole crew on the cruise. The juice box podcast has been in production since January 2015, and in that time, I have amassed just a fantastic catalog of information for you. Defining diabetes, bold beginnings, the diabetes pro tip series, small sips, fat and protein, algorithm pumping, mental wellness, ask Scott and Jenny. The diabetes variables, defining thyroid, after dark. There's even an Omnipod five pro tip series.

Come on. Pregnancy, how we eat, grand rounds, cold wind, GLP meds. What else do you want from me? And if you'd like to get going now with this podcast, boy, oh, boy, you have not picked a better time. You haven't because we have a diabetes myth series and there's even a type two pro tip series.

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They're all right there. Or you, of course, could use your Apple podcast app, Spotify, or wherever you get audio. Every episode is listed on the website along with its episode number so you can search for it in one of those apps. I've done everything I can do, baby. There's transcripts.

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Key Takeaways
  • “Too many to count.” Diagnosed at two in 1999 — before CGMs — Gabby’s childhood lows meant a mom waking to strange sounds, the old Lilly red-box glucagon kit, and more than one morning waking up in an ambulance in her own driveway.
  • Therapy rewired the panic, not the diabetes. Somatic therapy and EMDR — bilateral stimulation, tapping, those vibrating hand pods — helped her go from seeing seizures every time she closed her eyes to being low without panicking.
  • ADHD and insulin are a hard mix. Forget to pre-bolus, pre-bolus and forget to eat, crash, drink seven juices, bolus again — and the medication that helps has been trapped in a national stimulant shortage running since 2022.
  • Hyperfocus has a price. An hour of total focus on a class or meeting is an hour where the Dexcom never gets a glance — for Gabby there is no multitasking, only the one thing.
  • Her glucagon message: just do it. Modern options are faster and easier than the old kits, and the worst case is running a little high. She once caught an accidental 12-unit bolus in her pump history and gave herself Gvoke on the spot — no seizure.
Resources & Links
  • T1D Exchange Registry — US residents 18+ with type 1 can complete the survey and help move T1D research forward.
  • Gvoke HypoPen — The premixed glucagon Gabby used on herself after an accidental 12-unit bolus — no mixing, no hesitation.
  • Mental Wellness series — Juicebox episodes with therapist Erika Forsythe on anxiety, trauma, and living well with type 1.
Nothing you hear on the Juicebox Podcast should be considered advice — medical or otherwise. Always consult a physician before making changes to your health care plan. Read the full disclaimer.
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