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111:: Your body keeps the score on grief (why your body grieves before your brain!)
Episode 139 • Bonus Episode • 27th July 2026 • Wellness Big Sis: The Pod • Dr. Kelsy Vick
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Grief isn't just an emotion — it's a full-body experience. In this episode, Dr. Kelsy Vick (board-certified Doctor of Physical Therapy and pelvic floor specialist) breaks down what's actually happening in your brain and body when you're grieving — and why that chest tightness, exhaustion, and brain fog are real physiological responses, not weakness.

We cover the neuroscience of grief (what happens in your amygdala, prefrontal cortex, and reward circuitry), how grief impacts your immune system and hormones, why grief disrupts your sleep more than you realize, and the surprising overlap between Western neuroscience and Traditional Chinese Medicine's ancient understanding of grief living in the lungs.

In this episode:

  • What grief actually does to your brain (the neuroscience)
  • Why grief feels like physical pain in your chest
  • The immune and hormonal impact of grief on your body
  • Why grief disrupts your sleep — and why that matters
  • What Traditional Chinese Medicine has known about grief for thousands of years
  • Evidence-based, gentle things that actually help

If this episode resonated with you, I'd love for you to leave a review — it helps another woman who needs to find this podcast.

62:: Dr. Felice Chan, a Traditional Chinese Medicine Doctor, talks hormonal balance, anxiety, gut health, and skincare from a TCM perspective

96:: The overnight system In charge of cleaning your brain (& how to stop getting in its way!)

5:: spring cleaning:: brain detox! spring cleaning part II (the little-known glymphatic system, sleep hygiene, & sleep checklist)

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Sources:

Statharakos, N. (2025). Unraveling the Neurobiology of Grief: Insights into Brain and Behavior — Narrative Review. Brain Science Advances. https://doi.org/10.26599/BSA.2025.905001

Systematic review of neuroimaging studies in grief and bereavement (2025). ScienceDirect. https://doi.org/10.1016/S0149763425005366

Knowles, L., O'Connor, M.F., & Ruiz, J. (2019). Bereavement and immune function — review of 41 years of research. Psychosomatic Medicine. https://news.arizona.edu/news/four-questions-how-grief-affects-immune-system

Seiler, A. et al. (2020). The Psychobiology of Bereavement and Health. UCLA Stress Lab / Frontiers. https://www.uclastresslab.org/pubs/Seiler_Frontiers_2020.pdf

University of Utah Health (2024). The Physical Domain of Grief. https://healthcare.utah.edu/the-scope/womens-7/all/2024/03/e45-physical-domain-of-grief

MDVIP — How Grief Can Affect Our Health. https://www.mdvip.com/patients/resources/how-grief-affects-our-health-and-how-manage-it

Sleep disturbances in bereavement: A systematic review (2020). ScienceDirect. https://www.sciencedirect.com/science/article/pii/S1087079220300745

De Lang, T.A. et al. (2024). Trajectories of insomnia following bereavement. Sleep Medicine, 114, 159-166.

O'Connor, M.F. — Sleep Troubles May Complicate the Grieving Process. University of Arizona. https://news.arizona.edu/node/23963

Blue Note Psychotherapy (2026). Grief, Trauma, and REM Sleep: How the Brain Processes Emotional Pain During Sleep. https://www.bluenotepsychotherapy.com/blog-1-1/when-grief-disrupts-sleep-and-why-that-matters-for-healing

Williams, J. et al. (2021). Can Physical Activity Support Grief Outcomes in Individuals Who Have Been Bereaved? A Systematic Review. Sports Medicine — Open. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8028581/

Leong, J., Tan, L.L., & Goh, C.C. (2025). Profound Grief and Pulmonary Fibrosis — A Case Report. BJPsych Open. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12260628/

Giovanni Maciocia (2021). Stagnation of Lung-Qi and Heart-Qi in Chinese Medicine. https://giovanni-maciocia.com/on-stagnation-of-lung-and-heart-qi/

Encircle Acupuncture (2026). The Emotions and Traditional Chinese Medicine. https://encircleacupuncture.com/blog/emotions-and-tcm

Kara Acupuncture and Wellness (2025). The Metal Element in Traditional Chinese Medicine. http://www.aculaura.com/blog/2024/10/4/the-metal-element-in-traditional-chinese-medicine-what-it-means-to-you

Meine TCM (2025). Understanding Grief with Chinese Medicine: Lung and Letting Go. https://www.meine-tcm.com/en/mourning-in-chinese-medicine/

Transcripts

Speaker:

Welcome to Wellness Fixes the Pod, a

by Maven Media production, where we

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believe you deserve real education

from real experts, delivered

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in a way you can actually use.

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I'm Dr.

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Kelsey Vick, your board-certified

orthopedic doctor of physical therapy, and

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this podcast was built for the girl who

is done feeling overwhelmed and frustrated

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by conflicting health noise and is ready

for something she can actually trust.

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Every week, we have honest, science-backed

conversations about your health,

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your hormones, your brain, your

body, and everything in between.

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No fluff, no fear-mongering,

just the truth.

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Because understanding your

body is the most powerful

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thing you can do for yourself.

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A table full of experts built for

the curious girl who wants the truth.

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So welcome.

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Your seat is waiting for you.

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It's not weakness.

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It's not that your body can't cope.

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It's your nervous system doing

exactly what it was designed to do.

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So no, grief isn't just an emotion.

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It's not just sadness.

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It's your entire nervous system

reorganizing around the loss

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that you just experienced.

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Anger lives in the liver, fear lives

in the kidneys, joy lives in the

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heart, and grief lives in the lungs.

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The heaviness in your chest, the

shallow breathing, the labored

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breathing at rest, but also a little

bit harder during exercise, the sigh,

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the way that a wave of grief can

physically take your breath away.

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Grief is like a rock in your pocket, and

you wonder if that grief is ever gonna go

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away or that sensation is ever going away.

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And what happens is you just

get stronger dealing with it.

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Grief elevates stress hormones,

suppresses the immune system,

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drives systemic inflammation, and

disrupts your hormonal regulation.

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This is the biology underneath

the instinct to be with people

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when you're experiencing grief.

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You're not just seeking comfort,

you're likely regulating your nervous

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system with these oxytocin-inducing

activities and interactions.

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Joy shared is joy multiplied, and

grief shared is grief divided.

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You know that feeling where everything

on the outside looks the same?

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You're showing up to work, you're

hanging out with your friends, you're

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trying to show up as your normal self.

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When in reality, underneath it all is this

heavy weight, this missing piece of you

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as you go through this process of grief

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it's not necessarily weakness.

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It's not that your body can't cope.

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It's your nervous system doing

exactly what it was designed to do

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Welcome back to Wellness Fixes the Pod.

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I'm your host, Dr.

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Kelsey Vick, a board-certified

orthopedic doctor of physical therapy

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and a pelvic floor physical therapist.

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And to be completely honest with you

guys, you know a lot of my episodes

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are inspired by conversations or

events happening in my own life.

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And right now, I'm currently going

through my own grief journey as

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someone very close, very special

to me has recently passed away.

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And I know a lot of us have experienced

grief, and it's not something that

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we really like to talk about, but

I was very curious on the science

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of it all, the neuroscience of it

all, how it shows up physically.

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We had Dr.

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Felice Chan on the podcast back almost

a year ago, and she actually posted

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something on social media that sort

of pushed me to do this episode, and

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she was talking about the traditional

Chinese medicine approach to grief

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and where you actually feel that.

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And as I have been going through

this grief journey, I've been feeling

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it show up in my body in certain

places, and her post on social media

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really put words to the sensations

that I was feeling in my own body.

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So today, we're gonna dive into grief,

the neuroscience behind grief, how our

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bodies actually handle it from more

my realm of expertise and the Western

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medicine approach, but then also the

Eastern medicine approach, the traditional

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Chinese medicine approach that Dr.

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Felice Chan introduced me to.

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And we'll also cover a little bit

of the faith aspect because I've

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realized that I have so much hope in

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something bigger than myself, that

this person who I am dearly missing is

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somewhere even better than here, and That

gives me a lot of peace despite the grief.

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So we will cover all of that,

and if you guys are going through

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your own grief journey, just know

that I am right there with you.

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I know we have all probably gone

through some sort of grief in

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our lives, and I wanted to cover

this episode as I am currently

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going through that in my own life

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So most of us have been taught to think

of grief as an emotional experience

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that happens to have some

physical side effects

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Maybe trouble sleeping,

maybe losing your appetite

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But the research actually tells a more

complete and validating story than that

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A 2025 review that was published

synthesized a lot of peer-reviewed

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research on the neurobiology of grief

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And they found that grief was not

only a psychological phenomenon

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But it involves distinct neurological

processing that affects our emotional

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regulation, our ability to executive

plan and make those higher level

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decisions and it also affects

our ability to regulate stress

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When we are experiencing grief

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neural alterations are observed

in key brain areas associated

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with emotional processing

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memory, and attachment, including

the amygdala, hippocampus,

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and the prefrontal cortex

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They found that grief

actually changes your brain

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The amygdala or your brain's threat

detection center goes into overdrive

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The prefrontal cortex involved

in those higher level decisions

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rational thought and emotional

regulation is functionally impaired.

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This is sometimes why decisions

feel impossible during grief

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and why emotional reactions might

feel way extreme compared to how you

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would normally respond to something.

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It can also help explain why

concentrating is so hard.

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It's not that you're falling apart,

it's just that your brain is genuinely

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reorganized around the absence

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A systematic review of neuroimaging

studies published in twenty twenty-five

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examining the neural correlates of

bereavement found consistent disruptions

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in emotion regulation, reward processing,

and cognitive control networks with

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heightened neural reactivity to

grief-related stimuli, particularly

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in and the anterior cingulate cortex

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I wanna zone in a little bit on the

reward processing part of that study

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Because it likely explains something

that you yourself have experienced during

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grief and can't quite put a name to

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The way grief affects our reward

processing presents itself in our

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lives in that activities or social

interactions that we used to previously

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enjoy, hobbies that we used to previously

enjoy don't feel as fulfilling anymore

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different foods, socializing and

activities register as slightly flat

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That's just your reward

network being disrupted by loss

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So no, grief isn't just an emotion.

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It's not just sadness It's your entire

nervous system reorganizing around

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the loss that you just experienced

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Your brain's threat

center is on high alert

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The part of your brain that handles

rationality and decision-making is

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relatively offline compared to your normal

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And the system that processes

reward and pleasure is disrupted

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You're not falling apart

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You're doing one of the most

neurobiologically demanding things your

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brain is ever required to do Now that's

more of the Western medicine lens.

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Let's dive into the traditional Chinese

medicine lens and what I learned from Dr.

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Felice Chan

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Our Western neuroscience and research

has spent the last decades trying

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to understand the brain and test

and measure, and a lot of their

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findings have correlated with some

of what Eastern medicine has just

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been practicing for years and years

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Western neuroscience has found chest

heaviness, difficulty breathing

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this overall contracted feeling

within your body And traditional

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Chinese medicine has understood all

of these responses centuries ago

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Not necessarily with brain imaging,

But just with understanding and

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observation And having a holistic

view on how the body and emotions

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are not two separate systems, but one

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So Dr.

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Felice Chan had posted about grief

being a sensation felt in the lungs,

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where if you're having difficulty with

breathing or chest heaviness, a lot

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of the time that's where grief lies.

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And it really resonated with me because as

I've been experiencing this, I know that I

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feel that heaviness, that pressure within

my lungs, that difficulty breathing,

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shallow breathing, labored breathing,

exercise feels a little bit harder.

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And so her post really resonated with

me, and I wanted to dive into some of the

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more science-based research behind it.

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So this is not my expertise.

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This is something I have learned from Dr.

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Felice Chan and then had wanted to

dive into a little bit more on the

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traditional Chinese medicine side of grief

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So in TCM, every emotion is associated

with a specific organ system.

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Anger lives in the liver, fear lives

in the kidneys, Joy lives in the

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heart and grief lives in the lungs

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Grief is associated with the lungs

and what they call the metal element.

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The lungs are the body's first line

of defense against the outside world,

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responsible for circulating qi or

vital energy throughout the body.

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When we experience loss or sadness,

the lung energy naturally contracts.

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When grief lingers or goes unexpressed, it

can weaken the lungs and lead to fatigue,

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low immunity, or shallow breathing

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I pulled that from a blog on emotions

and TCM from Encircle Acupuncture.

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But if we think about that for a moment

and think about what grief actually

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feels like in your body, in my body

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The heaviness in your chest, the

shallow breathing, the labored

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breathing at rest, but also a

little bit harder during exercise

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The sigh, the way that a wave of grief

can physically take your breath away

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Traditional Chinese medicine just

named that lung grief connection

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centuries before we had imaging machines

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And the Western research on griefs

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physiological effects on breathing

and immunity and chest heaviness

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mirrors a lot of the things that TCM

has taught for millennia and millennia

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This is what I think is really

cool, is that there are multiple

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pathways to the same result where

we are seeing some of these things

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on imaging studies and utilizing

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highly controlled ways of researching

the brain and grief and emotions.

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And TCM has been practiced for

thousands of years and has noted some

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of the changes that Western medicine

is now seeing in their research.

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So I like that we're able to come

to the same conclusion from maybe

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two separate lenses of thinking.

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So here's another little summary from a

article called Understanding Grief with

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Chinese Medicine: Lung and Letting Go.

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And I'll leave all of the links to all

of these resources in the show notes

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below if you wanna take a look, both the

more Western medicine research and the

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TCM blogs and articles and research that

I'm getting some of these excerpts from.

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In Chinese medicine, grief is assigned

to the metal element, which stands for

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structure, clarity, and letting go.

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The lung is described as the organ of

exchange, of farewell, and of dignity.

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It receives what is fresh and

gives back what has been used up.

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Grief belongs to the lungs because it

is one of the few emotions that does not

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discharge outwardly, but sinks inward.

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Grief contracts qi.

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It slows, constricts, holds.

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And when grief cannot be

felt or expressed, when it is

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suppressed, rationalized, or

pushed through, TCM describes

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this as stagnation of the lung qi

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It might include a feeling of a lump

in the throat, difficulty swallowing,

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a feeling of oppression or distension

in the chest, slight breathlessness,

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sighing, sadness, and a depressed mood

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And although this isn't my expertise

and I'm getting all of this from people

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who are, I think it's just this really

validating experience going through my

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own grief journey that there are things

happening within my brain and there

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are things happening within my body, no

matter the lens that I look at it with.

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And sometimes I can just have better

language to explain what I'm going through

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if I look at these two separate lenses

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And having TCM and Dr.

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Felice Chan make that connection between

grief and the lungs really helped

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validating my own physicality of where I'm

feeling that grief experience in my chest

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A 2025 case report published in a

peer-reviewed psychiatry journal

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explored the relationship between

profound grief and pulmonary function

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Noting that TCM describes correlations

between mental states and physical

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organs, specifically identifying grief

and sadness as correlated to the lung,

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and that TCM informs that psychological

issues can manifest as physiological

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dysfunction in the related organs.

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Here's one of the things that I also love

the most about the TCM approach to grief

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And something Dr.

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Felice Chan touched on in

her episode almost a year ago

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Western medicine tends to

ask, how do we resolve grief?

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move through it and get to the other side

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TCM asks, "What do you need

to be able to breathe again?

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If you truly have this stagnation

in your body, what can we do

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to help that flow resume?"

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We're not necessarily

trying to get rid of grief

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We're trying to restore that flow and

give that lung qi somewhere to move

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So how does TCM approach

treatment for grief?

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They view breathing as medicine,

which as a PT and especially a

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pelvic floor PT, this is huge.

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I also view breathing as medicine

and a lot of other things, but

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they view breathing as medicine

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practices that promote healthy breathing

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are considered essential

for the processing of grief

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Deep breathing and meditation can help

improve lung capacity improve qi flow

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and release emotional stress

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On the Western medicine side of

things, diaphragmatic breathing,

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that really deep 360 degree umbrella

breath, that full exhale has also

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been shown to be one of the best ways

to tap into that parasympathetic,

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that rest, digest vagal tone

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I'm picturing that handshake emoji

where it's like TCM and Western

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medicine just like handshaking

saying, "We both got this."

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TCM also

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Heavily use-- heavily utilizes

fuel as medicine, specifically

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warming foods and nourishment

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In TCM, certain foods are found

specifically beneficial for grief

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White-colored foods, pears, radishes,

daikon align with the metal element

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and help nourish lung function.

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Staying well-hydrated with warm

fluids like herbal teas and soups

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00:14:33,276 --> 00:14:37,286

is also recommended as the metal

element is associated with dryness

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Perhaps the most important thing

TCM offers around grief isn't

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an herb or an acupuncture point.

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It's more of a permission structure

The metal element's lesson is in

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00:14:47,256 --> 00:14:51,766

letting go But you can't let go of

something unless you've fully held it

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TCM doesn't rush grief.

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It asks the body to breathe through it

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And in a culture that is deeply

uncomfortable with sitting in that loss

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That permission of allowing it to just be

might be one of the best treatments for

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those of us who are experiencing grief

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One of my favorite quotes, and I

forget where I read it, it's almost

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seems like a Winnie-the-Pooh quote,

but it talks about how grief is like

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a rock in your pocket, and you wonder

if that grief is ever gonna go away

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or that sensation is ever going away.

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And what happens is you just

get stronger dealing with it.

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So I view TCM with that picture

in mind, where you have this

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00:15:34,376 --> 00:15:37,665

possible rock in your pocket, and

it feels really heavy at first.

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But the more you sit with it, the more you

work with it, the more you let it become a

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00:15:42,746 --> 00:15:47,486

part of you and that process of allowing,

the stronger you get to carry it.

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It's not that the rock lightens or

that the rock gets smaller, it's just

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that you get stronger handling it

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So although the TCM lens and the Western

medicine lens might speak different

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00:15:57,186 --> 00:16:01,256

languages I find it very comforting

that they arrive at the same conclusion

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and give language to something that

I think a lot of us have experienced.

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So how does grief actually affect our

immunity and our hormonal response?

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Have you ever noticed that you get

sick after something hard happens?

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Or that your body feels physically heavy

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in a way that has nothing

to do with being tired

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00:16:19,776 --> 00:16:24,476

in that same research published in

twenty twenty-five, that review of

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00:16:24,496 --> 00:16:28,626

peer-reviewed research, they found that

hormonal dysregulation, specifically

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00:16:28,646 --> 00:16:32,786

elevated cortisol and oxytocin

levels, play a significant role in

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00:16:32,846 --> 00:16:34,936

the physiological response to grief.

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00:16:35,236 --> 00:16:39,596

Cortisol elevation is particularly

well documented when it comes to grief

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studies of bereaved spouses

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00:16:42,196 --> 00:16:45,566

show that cortisol levels rise

and remain elevated for the

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00:16:45,566 --> 00:16:47,665

first six months of bereavement

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00:16:47,966 --> 00:16:51,526

And when the death was unexpected,

cortisol levels were even higher.

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What makes me pause on this study

is I wonder had someone known that

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00:16:57,226 --> 00:17:01,436

the passing of their loved one was

coming soon, if their cortisol levels

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00:17:01,436 --> 00:17:03,416

were higher even before the passing.

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00:17:03,456 --> 00:17:07,056

So I wonder if it's not necessarily

the length of time after someone

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00:17:07,056 --> 00:17:09,286

passed away, but the whole process.

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Because people can grieve

while someone is still living,

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especially if that person is just

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00:17:14,996 --> 00:17:18,146

taking the time to go through the

process of their bodies shutting down

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00:17:18,445 --> 00:17:22,386

This is the part I wanna make special

note of, but chronically elevated cortisol

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00:17:22,685 --> 00:17:26,326

is the problem, not cortisol in general.

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Cor- chronically elevated or

chronically depressed cortisol.

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We want those nice peaks

and valleys throughout.

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We don't want it to be chronically

one way or chronically the other.

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So cortisol is not the bad guy.

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I call her the misunderstood mean girl.

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But when we experience grief, that

baseline level might elevate, which can

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have a lot of the downstream hormonal

effects that elevated cortisol and

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00:17:49,876 --> 00:17:52,266

elevated stress has on our bodies

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00:17:52,566 --> 00:17:56,656

Chronically elevated cortisol

affects our immune function, sleep

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00:17:56,666 --> 00:18:01,506

quality, inflammation and in women

specifically, our hormonal balance

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00:18:01,806 --> 00:18:04,936

If you think back to our spring

cleaning liver episode, there is a

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00:18:04,936 --> 00:18:07,146

relationship between cortisol and estrogen

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00:18:07,446 --> 00:18:10,936

sustained cortisol elevation

disrupts the hormonal environment

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00:18:10,946 --> 00:18:11,976

of the menstrual cycle

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00:18:12,276 --> 00:18:16,346

Which is why many women notice changes

in their menstrual cycle during

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00:18:16,346 --> 00:18:18,166

periods of intense stress or grief

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00:18:18,466 --> 00:18:23,046

A review published in Psychosomatic

Medicine examining 41 years of research on

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00:18:23,046 --> 00:18:27,206

bereavement and immune function found that

bereaved people demonstrate higher levels

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00:18:27,226 --> 00:18:31,866

of systemic inflammation, maladaptive

immune cell gene expression, and lower

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00:18:31,876 --> 00:18:36,086

antibody response to vaccinations

compared to non-bereaved peers.

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00:18:36,386 --> 00:18:40,256

when the immune system is suppressed

during grief inflammation increases.

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00:18:40,286 --> 00:18:45,136

And when inflammation increases

musculoskeletal pain, joint pain, fatigue

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and other physical symptoms can

all be added to the grief process

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So the chest tightness, the

heaviness in the limbs The headaches,

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00:18:52,566 --> 00:18:56,426

the digestive disruption the

menstrual cycle irregularities

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00:18:56,726 --> 00:18:59,846

The way your whole body might

feel like you're moving through

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00:18:59,876 --> 00:19:01,686

something so thick and viscous

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00:19:01,986 --> 00:19:05,026

These are the measurable

physiological consequences

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00:19:05,326 --> 00:19:09,166

of one of the most stressful experiences

the human body can experience

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So when people say losing their

loved one broke their heart,

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00:19:12,706 --> 00:19:14,126

they're not entirely wrong

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00:19:14,426 --> 00:19:16,416

Grief elevates stress hormones

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00:19:16,716 --> 00:19:20,686

suppresses the immune system

drives systemic inflammation and

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00:19:20,686 --> 00:19:22,066

disrupts your hormonal regulation

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00:19:22,900 --> 00:19:25,740

The physical symptoms

of grief are very real

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And as your body processes it all,

just remember that it's doing an

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00:19:29,490 --> 00:19:33,670

enormous task, one of the most

physiologically demanding tasks that

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00:19:33,670 --> 00:19:34,970

the brain and body can go through

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00:19:35,270 --> 00:19:39,030

Now, most of this research has

been done on people who have lost a

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00:19:39,040 --> 00:19:43,580

spouse, but I think it can be applied

to a lot of us who lose a loved

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00:19:43,580 --> 00:19:45,360

one who we are super close with.

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00:19:45,670 --> 00:19:49,430

There is different forms of love and

connection amongst spouses, amongst

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00:19:49,430 --> 00:19:53,770

family members, amongst siblings, amongst

friends, and just because you might

336

00:19:53,770 --> 00:19:57,090

be experiencing some of these things

when you have lost someone who is not a

337

00:19:57,090 --> 00:19:59,180

spouse does not make it any less real.

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00:19:59,480 --> 00:20:03,360

One of the most universal complaints

of grief is disrupted sleep And it's

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00:20:03,370 --> 00:20:05,280

also one of the least talked about.

340

00:20:05,590 --> 00:20:07,980

Honestly, I think grief in

general is not very talked about.

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I have not listened to a

single podcast on grief.

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00:20:10,740 --> 00:20:13,060

So if this is your first, welcome.

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00:20:13,060 --> 00:20:17,120

This is also my first of,

presenting this information and

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00:20:17,120 --> 00:20:18,480

diving into the science behind it.

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00:20:18,490 --> 00:20:23,450

But sleep is one of the most common

complaints, and disrupted sleep is one

346

00:20:23,450 --> 00:20:25,300

of the most common complaints of grief

347

00:20:25,600 --> 00:20:29,800

A systematic review of sleep disturbances

and bereavement found a strong association

348

00:20:30,080 --> 00:20:34,780

between grief intensity and sleep

problems, with higher grief intensity

349

00:20:34,780 --> 00:20:38,850

consistently associated with more

frequent and severe sleep difficulties.

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00:20:39,050 --> 00:20:41,660

Around eighty percent of

people with complicated grief

351

00:20:41,680 --> 00:20:44,500

experienced longer-term poor sleep

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00:20:44,800 --> 00:20:49,900

And unfortunately, this is one of

those cyclical things where Grief

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00:20:49,960 --> 00:20:54,280

disrupts sleep, but a lack of sleep

also makes grief harder to process.

354

00:20:54,430 --> 00:20:57,500

Research found that those who had

persistent sleep challenges before

355

00:20:57,500 --> 00:21:02,280

losing someone were at higher risk

for developing complicated grief after

356

00:21:02,280 --> 00:21:06,490

loss, and bereaved college students

who experienced insomnia showed more

357

00:21:06,490 --> 00:21:10,630

severe symptoms of complicated grief

than those whose sleep wasn't disrupted

358

00:21:10,930 --> 00:21:14,310

If you listened back to our

glymphatic episode, I'll leave

359

00:21:14,320 --> 00:21:17,260

all of the links to all of these

episodes that I'm mentioning, the Dr.

360

00:21:17,260 --> 00:21:20,810

Felice Jan one, the liver

episode, the glymphatic episode.

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00:21:21,080 --> 00:21:24,180

But if you listen to our

glymphatic episode, you already

362

00:21:24,180 --> 00:21:28,020

know that REM sleep is when the

brain processes emotional memory

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00:21:28,320 --> 00:21:32,200

And the glymphatic system does much of

its cleaning work, which is like the

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00:21:32,230 --> 00:21:36,530

cleansing system for the brain And go

figure, grief specifically disrupts this

365

00:21:36,600 --> 00:21:42,710

REM part of our sleep cycle When REM sleep

is disrupted, whether by insomnia or grief

366

00:21:43,010 --> 00:21:45,790

emotional memory

reconsolidation is impaired

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00:21:46,090 --> 00:21:49,810

In the context of grief, insufficient

REM sleep can interfere with the brain's

368

00:21:49,810 --> 00:21:52,530

ability to integrate the reality of loss

369

00:21:52,830 --> 00:21:54,670

Aspects of the loss may

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00:21:54,970 --> 00:21:56,860

remain emotionally unprocessed

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because of this poor sleep

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00:21:59,470 --> 00:22:02,040

So grief and sleep have a

complicated relationship.

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Grief disrupts our sleep, and

disrupted sleep affects our grief

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00:22:06,080 --> 00:22:07,650

and our ability to process grief

375

00:22:07,950 --> 00:22:09,620

Now, what can actually help grief?

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And let's be very clear about this.

377

00:22:12,180 --> 00:22:14,390

It's not a problem that has to be solved.

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00:22:14,400 --> 00:22:17,450

It's a process that we need

to go through and experience.

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00:22:17,740 --> 00:22:21,970

We've talked about how TCM

prioritizes this process of allowing

380

00:22:21,980 --> 00:22:26,360

grief to sit with us, sit within

us, and processing it that way.

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00:22:26,360 --> 00:22:29,910

We've talked about how We need to

understand the full loss experience,

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00:22:29,930 --> 00:22:33,620

and if we have disrupted sleep, we

don't necessarily fully process it.

383

00:22:33,630 --> 00:22:37,180

So it's not this problem that needs

to be solved or this experience that

384

00:22:37,180 --> 00:22:40,970

needs to be rushed through, but there

are some things that we can do to help

385

00:22:40,970 --> 00:22:42,530

us process that grief in a healthy way

386

00:22:42,830 --> 00:22:44,910

First action, protect your sleep.

387

00:22:45,150 --> 00:22:48,640

As we talked about, sleep and

grief have a complex relationship,

388

00:22:48,670 --> 00:22:50,650

and both impact the other.

389

00:22:50,650 --> 00:22:55,570

So the more we can prioritize sleep

and have healthy sleep hygiene,

390

00:22:55,580 --> 00:22:56,880

sleep environment, the better.

391

00:22:57,260 --> 00:23:01,160

Really working to limit that blue light

exposure right before you go to bed

392

00:23:01,160 --> 00:23:05,590

and remembering that circadian rhythm

is influenced not only at night, but

393

00:23:05,600 --> 00:23:08,460

also with the morning sunlight viewing.

394

00:23:08,470 --> 00:23:12,710

So if you're having trouble sleeping,

we've done I think a few episodes

395

00:23:12,710 --> 00:23:16,670

on sleep, definitely two when we

talk about cleaning up our sleep

396

00:23:16,670 --> 00:23:18,730

hygiene and what that entails.

397

00:23:18,760 --> 00:23:21,450

But in order to get a good

night's sleep, we have to have

398

00:23:21,450 --> 00:23:23,030

a good waking routine as well.

399

00:23:23,040 --> 00:23:28,400

So if you're someone who is experiencing

a lot of disrupted sleep because of grief

400

00:23:28,700 --> 00:23:32,110

really trying to be a little

bit more disciplined in the

401

00:23:32,110 --> 00:23:33,690

routines that can help that sleep.

402

00:23:33,690 --> 00:23:37,840

So getting morning sunlight, limiting

blue light in the evening, alcohol,

403

00:23:37,840 --> 00:23:43,400

limiting alcohol and those other sort

of later food and drinks, caffeine

404

00:23:43,430 --> 00:23:45,060

that might affect your sleep later on

405

00:23:45,360 --> 00:23:48,580

Research has found that protecting

sleep is one of the most

406

00:23:48,880 --> 00:23:51,200

clinically important things

a grieving person can do

407

00:23:51,500 --> 00:23:55,500

keeping a consistent sleep and wake

time, reducing blue light exposure,

408

00:23:55,520 --> 00:23:57,650

morning sunlight, reducing alcohol

409

00:23:57,950 --> 00:24:03,100

and creating a sleep environment that

feels very restful are all some of the

410

00:24:03,400 --> 00:24:07,030

tips to help protect your sleep Action

item number two, move your body.

411

00:24:07,400 --> 00:24:12,090

A 2021 systematic review published

in Sports Medicine examined physical

412

00:24:12,090 --> 00:24:16,820

activity As a support for grief outcomes

413

00:24:16,820 --> 00:24:20,810

in bereaved individuals found evidence

that physical activity can provide benefit

414

00:24:20,810 --> 00:24:25,600

for the physical health and psychological

well-being of those who have been bereaved

415

00:24:25,900 --> 00:24:30,980

It's not about fitness, it's not about

improving strength or flexibility

416

00:24:30,980 --> 00:24:32,550

or cardiovascular endurance.

417

00:24:32,560 --> 00:24:33,660

It's more of an outlet

418

00:24:33,960 --> 00:24:38,490

and giving your nervous system a way to

discharge some of that extra cortisol and

419

00:24:38,490 --> 00:24:40,040

stress hormones that grief might generate

420

00:24:40,340 --> 00:24:42,740

Things like walking,

yoga, gentle movement.

421

00:24:43,030 --> 00:24:45,640

They're not necessarily

performative, they're prescriptive

422

00:24:45,940 --> 00:24:48,810

Action number three, lean

into real connection.

423

00:24:49,110 --> 00:24:52,010

Research highlights the

role that oxytocin plays

424

00:24:52,010 --> 00:24:55,690

and the physiological response

to grief And oxytocin is released

425

00:24:55,710 --> 00:24:57,590

through genuine social connection

426

00:24:57,590 --> 00:25:01,870

physical touch and face-to-face

interaction with people that are

427

00:25:01,870 --> 00:25:03,570

safe, not just random people.

428

00:25:03,570 --> 00:25:09,620

You want to feel supported when you are

using social interaction as a way to

429

00:25:09,630 --> 00:25:13,930

help with your grief this is the biology

underneath the instinct to be with

430

00:25:13,960 --> 00:25:15,650

people when you're experiencing grief

431

00:25:15,950 --> 00:25:19,620

you're not just seeking comfort,

You're likely regulating your nervous

432

00:25:19,620 --> 00:25:25,080

system with these oxytocin-inducing

activities and interactions

433

00:25:25,380 --> 00:25:29,310

Being with people who don't require

you to explain yourself or perform

434

00:25:29,610 --> 00:25:33,400

has measurable physiological

benefits on your stress hormones

435

00:25:33,700 --> 00:25:36,260

Action number four, breathe intentionally

436

00:25:36,560 --> 00:25:41,280

Connecting back to what TCM has taught

for centuries, grief and the lungs

437

00:25:41,280 --> 00:25:45,850

go hand in hand Deep, intentional

diaphragmatic breathing and meditation

438

00:25:45,860 --> 00:25:50,550

are two of the best things we can do to

breathe intentionally to help us process

439

00:25:50,550 --> 00:25:55,060

our grief, not only psychologically

and how our nervous system is able

440

00:25:55,060 --> 00:25:56,670

to regulate, but also physically

441

00:25:56,970 --> 00:26:01,140

And lastly, we can tie it back to

the TCM, the process of allowing,

442

00:26:01,140 --> 00:26:03,430

but the permission to be inefficient.

443

00:26:03,690 --> 00:26:05,950

Your brain is trying to process things.

444

00:26:05,950 --> 00:26:10,970

It's not functioning at 100% like it

might when you are not going through this

445

00:26:11,210 --> 00:26:15,720

grieving process, and giving yourself that

grace is one of the best things you can do

446

00:26:16,020 --> 00:26:20,840

Before we close, I wanna talk about a few

things that have really helped me with my

447

00:26:20,880 --> 00:26:23,280

own grief journey and processing grief.

448

00:26:23,580 --> 00:26:27,840

I listen to Father Mike on

Ascension Press, I think, Sunday

449

00:26:27,840 --> 00:26:28,920

Homilies with Father Mike.

450

00:26:29,160 --> 00:26:33,290

It's a podcast, but he is a

Catholic priest who records

451

00:26:33,290 --> 00:26:34,450

his homilies every week.

452

00:26:34,500 --> 00:26:39,050

And leading up to the loss of

my loved one, he had a lot of

453

00:26:39,050 --> 00:26:40,480

these very beneficial episodes.

454

00:26:40,480 --> 00:26:42,920

So I'll leave the link to

some of those episodes below.

455

00:26:42,920 --> 00:26:48,620

But a few of the things that really helped

me and are continuing to help me is the

456

00:26:48,660 --> 00:26:53,230

phrase, especially when this loved one

of mine had passed away, he had talked

457

00:26:53,230 --> 00:26:59,000

about that joy shared is joy multiplied,

and grief shared is grief divided.

458

00:26:59,010 --> 00:27:03,550

So that ties back into the

emotional processing and the social

459

00:27:03,550 --> 00:27:05,420

connection needed during grief.

460

00:27:05,720 --> 00:27:12,540

I remember the last time I lost someone

super important and impactful in my life.

461

00:27:12,930 --> 00:27:16,750

I think sharing grief with other

people is one of the best things

462

00:27:16,750 --> 00:27:20,960

you can do, and being even in the

same house as people also grieving

463

00:27:20,960 --> 00:27:24,860

the same person is one of the most

healing things that I've experienced

464

00:27:24,870 --> 00:27:29,320

and have continued to experience

during this own sort of grief process.

465

00:27:29,620 --> 00:27:33,270

But I really loved what he said,

that joy shared is joy multiplied,

466

00:27:33,270 --> 00:27:35,040

and grief shared is grief divided.

467

00:27:35,330 --> 00:27:38,450

It makes it a little easier to bear

One of the other things that he talked

468

00:27:38,450 --> 00:27:43,050

about was this eternal perspective,

and I found that throughout this whole

469

00:27:43,050 --> 00:27:48,090

process, I know that I have hope that this

loved one of mine is in a better place.

470

00:27:48,100 --> 00:27:54,240

She has gone to her eternal home, and

as a Christian, I strongly believe

471

00:27:54,240 --> 00:27:58,500

that she is in a much better place

than we can ever imagine here on Earth.

472

00:27:58,500 --> 00:28:04,270

And Father Mike had done an episode a

while back that talked about how someone

473

00:28:04,270 --> 00:28:09,880

should try and think about grief and

losing someone, and he said a lot of the

474

00:28:09,880 --> 00:28:16,010

times we can be tempted to grieve what

that person might miss here on Earth, the

475

00:28:16,010 --> 00:28:18,490

person that has gone into eternal life.

476

00:28:18,490 --> 00:28:22,530

We might be tempted to say, " Oh, I

wish so and so were here for this."

477

00:28:22,530 --> 00:28:26,750

"I wish I could have experienced

this with this person."

478

00:28:27,050 --> 00:28:32,210

And it really comforted me 'cause he was

saying that it's okay to miss that person

479

00:28:32,510 --> 00:28:33,740

But we shouldn't

480

00:28:34,040 --> 00:28:37,450

think about what that person

is missing here on Earth.

481

00:28:37,650 --> 00:28:42,370

Since what they are experiencing in

heaven is so much better, and what

482

00:28:42,370 --> 00:28:45,680

they are experiencing there makes

their life completely more full,

483

00:28:45,680 --> 00:28:47,230

their soul completely more full.

484

00:28:47,560 --> 00:28:51,330

And that phrase has really

helped because it might sound a

485

00:28:51,330 --> 00:28:55,060

little heartless to think, "Oh,

why can't we think about that?"

486

00:28:55,070 --> 00:28:58,470

Why can't I think about

what that person is missing?

487

00:28:58,480 --> 00:29:00,810

My sister's wedding last weekend

is one of those examples.

488

00:29:00,830 --> 00:29:04,760

I know my sister was probably thinking,

" Gosh, I wish this person was here,"

489

00:29:04,960 --> 00:29:10,360

But for me, it's been very comforting

to have that perspective and know that

490

00:29:10,660 --> 00:29:14,880

Whatever I think that person is

missing here on Earth, it is nothing

491

00:29:14,920 --> 00:29:18,580

compared to eternal life and what

she's experiencing right now.

492

00:29:18,880 --> 00:29:21,580

So I think from the outside, that

perspective can sound a little

493

00:29:21,580 --> 00:29:23,390

heartless, but from someone

494

00:29:23,690 --> 00:29:29,590

who is grieving, it is so comforting

to catch myself whenever I try and

495

00:29:29,590 --> 00:29:33,910

think about that and say no, Kelsey,

that is-- You can miss the person,

496

00:29:33,910 --> 00:29:37,280

but you can't think about what that

person is missing here on Earth."

497

00:29:37,580 --> 00:29:40,470

Because they're experiencing

so much greater in heaven

498

00:29:40,770 --> 00:29:43,650

So those are just two of the things,

I guess two of the main things

499

00:29:43,650 --> 00:29:45,980

that I've been repeating to myself.

500

00:29:46,320 --> 00:29:50,450

I have leaned heavily on my faith, and

so if you've made it this far, if you are

501

00:29:50,450 --> 00:29:55,170

also a faithful person and a Christian,

I hope those things resonate with you.

502

00:29:55,200 --> 00:29:57,990

I'd love for you guys to share

with me anything that's also helped

503

00:29:57,990 --> 00:30:00,620

you if you are going through a

grief journey or if you have.

504

00:30:00,920 --> 00:30:07,140

I've also heard just being able to talk

about the person and share memories, all

505

00:30:07,140 --> 00:30:11,470

of that has been so helpful, and I think

that partly relates to that grief shared

506

00:30:11,470 --> 00:30:14,040

is grief divided, where we are able to

507

00:30:14,340 --> 00:30:15,890

celebrate the life that someone lived.

508

00:30:15,900 --> 00:30:20,410

So thank you guys for joining me with

this harder episode, to talk about.

509

00:30:20,420 --> 00:30:23,060

But I hope you guys learned

a lot about grief, just like

510

00:30:23,080 --> 00:30:24,180

I learned a lot about grief.

511

00:30:24,220 --> 00:30:27,610

And again, if you are going

through your own grief journey,

512

00:30:27,660 --> 00:30:29,240

I am right there with you.

513

00:30:29,240 --> 00:30:34,600

If you're listening to this later, I hope

a lot of these tips and reasonings for

514

00:30:34,600 --> 00:30:40,550

things really help you as you process

the loss of a loved one or your own grief

515

00:30:40,850 --> 00:30:42,780

Due to whatever circumstance in your life.

516

00:30:42,810 --> 00:30:44,360

But thank you guys for joining me.

517

00:30:44,370 --> 00:30:48,710

I'll leave all the links to all of the

research articles and episodes below.

518

00:30:48,730 --> 00:30:51,740

But I hope you guys enjoyed this episode,

and I'll see you guys again on the

519

00:30:51,740 --> 00:30:53,620

next episode of Wellness Fixes the Pod.

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