Author: Nia Rouseberg
Time for reading: ~27
minutes
Last Updated:
February 10, 2026
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Happy to be right here.
i'm a medical doctor, focusing on way of life remedy using eating regimen and exercising no longer most effective prevent disease, but to treat and opposite it as properly.
And all of it absolutely is going back to my grandma. You understand, I think the spark for lots children to need to be a medical doctor once they develop up is looking a grandparent get sick or maybe die, however for me turned into looking my grandma get better.She became recognized with give up level heart disorder.
Already had so many pass surgical procedures, nothing extra the doctors ought to do. She changed into despatched domestic in a wheel chair to die.Crushing chest pain.
But then she heard about this guy, Nathan Pritikin, one in every of our early lifestyle medicine pioneers, and what happened subsequent is truly targeted in Pritikin’s biography, to speak about Frances , my grandma.They wheeled her in, and she walked out some weeks later.
She became taking walks 10 miles a day, and though she was given her medical loss of life sentence at age 65, way to a healthful diet changed into able to enjoy another 31 years on the earth to age 96, to maintain to enjoy her six grandkids such as me. So that’s why I went into medication.That’s why I practice the sort of medication I do, way of life medication.
I simply want to do to your circle of relatives what Pritikin did for my family.
Gianna That’s remarkable. First question:how a good deal fat and protein can we need each day?
What are the fine resources? And how an awful lot need to athletes be consuming?Well, you realize, we don’t devour macro vitamins;
we don’t eat micro nutrients.You need Paleo junk meals, we’ll provide you with vegan junk food, we’ll provide you with fat unfastened junk food, we’ll come up with… I suggest any type of junk food you need because it’s all approximately macro vitamins or it’s all about whatever precise aspect, right?
On Fruit Loops, they are able to say, “with fiber, nutrition D” with all this stuff, and that offers us this kind of health halo, when in fact it should all be about food. And the reason people don’t talk about food is there’s no cash to be made within meals.In fact, produce goes terrible;
Can’t sit at the shelf like a Twinkie for a couple weeks.
And look, even a broccoli grower isn't always going to position an advert on tv for broccoli due to the fact, you already know, they’ll simply buy a competitor’s broccoli. There’s simply no money to be made.You’re in no way going to peer an advert on tv for candy potatoes because there’s simply no money to be made.
That’s no longer where the profit is. The system is installation to praise just the unhealthiest but most worthwhile behavior.And so, I mean, in order that’s simply kind of falling into the food enterprise’s trap to speak of sort of this reductionist view of nutrients in preference to food.
Like What’s The Best Food, Right?
Well, carbs are jelly beans or kidney beans, lentils or lollipops.
They’re both carbs, proper? I suggest so fat, fats’s walnuts or lard, right?So that’s why you may’t talk approximately it.
That’s why the enterprise wishes you to talk like that, but it sincerely has to come down to is what are the healthiest foods? So like, look, the dairy enterprise can say “the calcium within dairy.” Yeah, what else is within dairy?It’s the number one source of saturated fats in this U.S.A.
People assume like steak or some thing. No, the number one supply of saturated fat is dairy, yes, the number one supply of calcium, however sure, there’s protein within red meat, sure, there’s iron within red meat, proper?
But What About The Baggage That Comes Along With All Those Nutrients?
I mean as tons as Burger King says you may “have it your manner,” you could’t be like, “Yeah, can i am getting the protein but maintain the saturated fat, maintain the hormones, hold the ldl cholesterol.” I know, it’s a bundle— meals is a package deal deal. So the component approximately that, so in case you get your calcium from, you understand, dark inexperienced leafy vegetables instead, then it’s like, properly, the baggage is really an advantage.You get the fiber and the folate and the iron and the antioxidants—all this stuff lacking from form of the dairy source.
So that’s how we assume in terms of food. So if you question me what are the high-quality meals that appear to have fat in them, properly, it'd be nuts, seeds, avocados, because then it’s simply—you just get the bonus rather than the baggage.In phrases of protein resources, every body who doesn’t recognise a way to get protein on a plant-primarily based weight loss program doesn’t know beans, proper?
Beans, split peas, chickpeas, lentils, legumes—the protein superstars of the plant state. And then additionally a number of the complete grains, nuts and seeds and all types of matters.So entire plant foods are the healthiest way to get almost all of your nutrients, and that’s virtually, I suppose, how we ought to think about the ones macro nutrients.
Gianna Question quantity :What Are Your Thoughts On Alkaline And Distilled Water, And Which Is Best For Athletes?
Most of the type of alkaline water nonsense is just bogus, scam kind of stuff.
i have a video on NutritionFacts.org that goes into the technology round that. Distilled water simply kind of seems a waste of strength to me.I mean it’s the same thing with like, you realize, sort of reverse osmosis distillation;
it’s simply a completely kind of wasteful manner. But you may get rid of a few little trace minerals, but that’s no longer simply the difficulty.I imply faucet water is normally the most inexpensive, most secure source of consuming water.
Gianna What approximately fluoride in it? Fluoride is the purpose why we don’t develop old and lose all our teeth.Gianna Should we be eating fluoride although?
It’s not important, however from a public health viewpoint—rich humans can go to the dentist and find the money for all varieties of gizmos, ultrasonic gizmos for their tooth—however from a public health scale, I imply that’s how you attain impoverished populations which might not have the dental care which you have, and so when you have a dental trouble, no huge deal, go to the dentist, proper? But in the event that they have a dental trouble, they could lose their tooth, which means dropping quite a few their nutrients or being within chronic pain.And clearly from a public fitness standpoint fluoridated water is—within fact, in step with the Center for Disease Control, one of the best public fitness improvements over the last century.
Gianna Question quantity three: are there any suggestions or special suggestions for ladies who pick out to eat a plant-based food plan whilst pregnant, and who also pick to elevate youngsters plant based after the breast milk level if over?When you’re eating for two it’s just that rather more critical to get all of the vitamins you want, and so it’s essentially all the same recommendation you’d deliver to anybody eating a healthful weight-reduction plan, consuming a plant-based diet.
Critically critical: diet B12.So there’s vitamins that aren’t made with the aid of flowers.
One’s nutrition D, that's made by way of animals consisting of your self when you stroll outside; it’s the light nutrition.And the alternative one’s nutrition B12.
Not made with the aid of flowers, not made with the aid of animals either; made through little microbes that blanket the earth.So, you understand, we could get all of the B12 we needed consuming well water or out of a mountain or something a long term in the past, but now we chlorinate our water supply to kill off any bacteria, so we don’t have a whole lot of B12 within our water any extra.
Don’t get lots of cholera both. It’s a very good component that we live in a pleasing sanitary global, but due to that we want to get a normal reliable source of B12.Critically important, mainly for pregnant girls, but for everyone.
During pregnancy iodine’s vital, a mineral often lacking from prenatal nutrients, so it’s critical, if you’re getting a prenatal, to make certain it has iodine. Recommended day by day allowance is 150 micrograms an afternoon.
Gianna And For Children Being Raised Vegan, Do You Recommend Any Books Or Any Videos To Watch?
Is That Something That You Would Recommend To Raise Children Whole Food, Plant Based?
Should we increase our youngsters healthy?I say yes, certainly, and so does the most esteemed pediatrician in human records, Benjamin Spock, within the seventh edition of Child and Baby Care, which is like one of the excellent-promoting books ever, 2d simplest to the Bible perhaps on this U.S.A.
Where within his final edition he wrote, within his 90s before he died, endorsed all youngsters be raised with zero publicity to meat and dairy, and he did that because he should see what the grandparents have been demise from and see this burgeoning adolescence obesity epidemic. So absolutely we need to boost our youngsters within the healthiest feasible way.That way now not having them smoke cigarettes.
That means having them placed on seat belts, smoke alarms within the home, and an entire meals, plant-based totally weight loss program—in reality basic, easy. And even the ADA, nicely, what’s now the Academy of Nutrition and Dietetics, of their official position paper says strictly plant-primarily based diets are suitable for all ranges of the lifestyle, such as pregnancy and infancy and on through antique age.So really, we should all be elevating wholesome youngsters, and actually, Scott Stoll is currently writing a e book on raising vegan kids;
he’s got six, so he knows one or two things approximately it. Gianna adequate, variety four:please assist explain soy and hormones, and why each men and women need now not worry it.
Soy is a misunderstood bean. All sorts of nuttiness out on the internet.If you have a look at the technology, even though, it’s actually simply form of a outstanding medical consensus within phrases of humans.
I suggest, the laboratory animal reviews, it depends in case you’re a hamster or a rat, or different strains of mice have different effects. When we sooner or later had human facts, so for example breast most cancers, you could see concerns on the net about, look, soy has phytoestrogens.
When You Think Of Estrogen Receptor Positive Breast Cancer, Should Women With Breast Cancer Be Eating Soy?
And so we didn’t understand until 2004, the first statistic that absolutely put it to the take a look at and actually accompanied breast most cancers survivors, a few that ate soy and a few that didn’t, just to see who lived longer, who had less breast most cancers recurrence. And in that poll and within all of five reviews completed so far, every single one located that girls with breast cancer, whether or not estrogen receptor positive or terrible, whether or not they were on Tamoxifen or no longer—all continuously more survival;positioned them all collectively, greater survival, lower cancer recurrence price.
And so we’ve acknowledged that eating soy, especially all through childhood, can lessen the chance of having breast most cancers in the first area, but now we are aware of it’s associated with progressed survival as well. So wait a 2d.How is that feasible when it has estrogenic outcomes?
Well, no, see you don’t understand. There’s simply two kinds of estrogen receptor cells—it’s a long story:alpha, beta—so basically your very own estrogen, your endogenous estrogen produced through your ovaries attaches preferentially to alpha receptors.
Soy attaches to a unique sort of estrogen receptors. So it matters, the effects of soy at the body subjects on the ratio of these unique receptors and distinct organs of the body.And so it clearly has pro-estrogen consequences wherein you want it, like inside the bones, skeleton.
It really reduces bone loss as compared to dairy milk, for example, in reports of soy milk. But it has android estrogenic outcomes in which you need it, for instance in the breast, lowering breast cancer risk and improving breast most cancers survival.So it’s what’s known as a selective estrogen receptor modulator, a fancy time period for basically the fine of all worlds.
So it reduces hot flashes, anti-estrogen impact, strengthens the bones, seasoned-estrogenic effect, reduces breast most cancers danger. And so you don’t must devour it;all of the legumes are wholesome, and that i inspire human beings to eat complete soy resources like edamame, immature green soybeans;
you may get frozen baggage of it, sprinkle it for your salad, a notable preference. Tempeh, miso, those are all whole soy foods, as well as some of the greater processed stuff.And so you look inside the scientific literature, it’s clean.
We’ve were given tons of videos about it. So yeah, you just don’t believe the craziness you read on the internet.Gianna And just for the males obtainable which can be involved that they might develop breasts or something like that from soy.
Can We Help Debunk That For Men, So They Don’t Fear It As Well?
Sure.So there’s three case reviews in literature of gynecomastia with immoderate soy consumption.
But via excessive soy—they were literally ingesting gallons of soy milk a day, so I forget… I think a few humans, like 40 servings of soy an afternoon, and at that level you may in reality get enough alpha receptor activity to truely have pro-estrogenic results. So the answer is not to keep away from soy, however not drink four gallons of soy milk a day.
Gianna So Men Aren’t Going To Grow Breasts If They’re Eating Soy Here And There?
No, and in reality it would be wholesome. So soy intake in guys is related to decrease prostate most cancers danger, that is the primary cancer killer particular to men.Gianna adequate, question wide variety five:
Can A Whole Food, Plant-Based Diet Help Heal Autoimmune Diseases Like Thyroid Issues And Colitis?
So eating an anti inflammatory diet, no wonder, can be one of the high-quality dietary remedies for inflammatory sicknesses within preferred, which includes vehicle-immune sickness.So as an instance, more than one sclerosis, which is an vehicle-immune sickness wherein your frame assaults your personal nerves, the unmarried first-rate recorded intervention—medical, surgical, whatever, no tablets—have ever beaten out a plant-based weight loss plan:
Roy Swank’s anti-MS eating regimen, so the best. So it’s no longer simply more secure, less expensive.No, the simplest treatment ever published within the peer reviewed scientific medical literature, a plant-based diet.
Chron’s disorder, equal factor. A statistic out of Japan using a plant-primarily based food regimen, a number of the great relapse prevention shares ever.Chron’s sickness is an automobile-immune inflammatory bowel disease.
Rheumatoid arthritis, one of the most powerful interventions for rheumatoid arthritis—whether we’re speaking about goal measures together with grip energy and inflammatory markers inside the blood move or just within phrases of high-quality of existence for human beings affected by these diseases. Auto-immune sickness, we just don’t have a variety of good information for.We have statistics, so the Adventist 2 study located that folks who consume strictly plant-based diets have the highest rates of what’s referred to as euthyroid thyroid, that means normal thyroid feature, and so it is able to save you thyroid issues.
But there’s never been any poll that truely positioned plant-based diets to the test within terms of treating thyroid disfunction, unless we’re speakme about some thing like iodine deficiency. There’s different types of inflammatory sicknesses that we don’t have stats for, however it'd make experience if it works for most of these different automobile-immune diseases, it works for these different inflammatory sicknesses, an anti-inflammatory food plan would have this effect.And part of that anti-inflammatory energy is from the fiber.
You say, fiber? Who might suppose fiber?We assume like bowel fitness or something.
It’s just kind of an inert substance. Not in any respect.We can’t digest fiber, but our proper gut micro organism can.
We have trillions of micro organism within our intestine. And we used to suppose that turned into just intestine fitness, but now we know that our microbiome, our friendly plants down in our colon really can have effects on our immune gadget, even our psychological fitness.
And What Do They Eat, What Do Our Good Bugs Eat?
They consume prebiotics, which is fiber and resistant starch found in abundance in handiest one place: whole plant meals, and some of these compounds have anti inflammatory consequences.They’re destroy down merchandise of fiber;
they get absorbed into your device and circulated in the course of your body. So that’s one of the reasons why plant-based diets are so anti inflammatory.Gianna Number six:
What are your thoughts on vitamins and supplements, vegan based totally, both taken orally or intravenously like diet C drips? Well, clearly nutrition B12 is critically crucial for all and sundry consuming a healthful weight-reduction plan, so I’d advocate 2500 micrograms of what’s referred to as cyanocobalamin, that's the cheapest source.Once a week is all you want.
Costs much less than $5 a yr. You’re going to get all the B12 you want, but severely crucial from a regular reliable supply.If you’re no longer getting sufficient sun… Now, in case you’re mild skinned enough and young sufficient and thin enough and live at a latitude that’s sunny enough, then getting 10, 15 mins of mid-day solar, you’ll get all the diet D you want.
But it doesn’t remember how sunny it is in case you’re caught at a table job all day, no longer getting out of doors, in which case you’d want to complement your eating regimen with nutrition D, the light vitamin. I recommend 2,000 worldwide units of vitamin D3 a day.So, I imply intravenous vitamin C has been used as a most cancers remedy, going lower back to the Seventies with Linus Pauling’s paintings.
It became since—exciting—kind of debunked by using Mayo Clinic, where they gave people an entire bunch of diet C; didn’t see the sort of striking outcomes that had been firstly seen, but they were the usage of oral diet C.We used to think, properly, oral diet C is the same as intravenous diet C, but no, our body absolutely clamps down on diet C absorption.
At very small doses it doesn’t remember both manner, you’ll absorb all of it. But once your frame gets over about 200, 250 milligrams of nutrition C—which is set five servings of fruits and veggies worth—your body starts clamping “that’s a touch too much.” Your frame begins clamping down on absorption, so that they without a doubt weren’t exposed to the same quantity.And so i have a whole series of films on intravenous vitamin C for most cancers if you’re interested in that;
I inspire people to check it out. Gianna Should we be cooking cru—your favourite—must we be cooking cruciferous veggies, like steaming broccoli, or is mixing raw kale within a smoothie effective enough, and is it awful for the thyroid to eat them raw? Oh, my God.We need to devour cruciferous veggies in whichever manner receives us to eat the most of them.
You like uncooked broccoli? Eat uncooked broccoli.You like steamed broccoli?
Eat steamed. Whichever way gets you to eat the maximum.In fact cruciferous veggies are one in every of my Daily Dozen.
It’s a free app on iPhone, Android: “ ’s Daily Dozen.” I speak approximately all of the ingredients I encourage humans to get and healthy into their day by day ordinary.So, you know, veggies every day are the healthies vegetables, beans each day, berries every day are the healthiest fruits.
A tablespoon of ground flaxseeds, 1 / 4 teaspoon of ground turmeric. You realize, the exceptional beverage, the quality sweeteners, how lots exercise to get—just to form of inspire humans to try and fit some of the healthies of healthy foods into the food regimen.And one of those packing containers I encourage human beings to tick off each day, you’re not going to suit—you’re now not going to check off the day unless you get some shape of cruciferous vegetables, which is about a half of cup of cooked cruciferous vegetables, about a cup of raw.
And in order that’s like kale, collards, bok choy, and Brussels sprouts, and collard greens, these types of top notch veggies. And so essentially but you get them in your eating regimen, the better.During the summertime, green smoothies are a top notch pass-to manner to get vegetables on your breakfast.
And I sort of damage some white beans within my oatmeal simply to get my legumes, got to check the ones off. But, yeah, placed them in a smoothie, positioned them anywhere;so long as you’re getting vegetables, that’s the maximum critical component.
Now you may overdo, I imply you may overdo raw cruciferous greens that have this so known as goitrogenic compounds that are determined within plenty of healthy foods, now not best broccoli, but also flaxseeds and a number of different healthful matters. But the answer isn't to avoid those in reality healthful ingredients;it’s simply to get sufficient iodine due to the fact these goitrogenic compounds just intervene with the uptake of iodine, that's the thyroid gland.
So if you’re simply marginally not getting enough iodine, then ingesting a lot of broccoli and cruciferous can truely affect your stages. So the response, you simply ensure you’re getting a source of iodine;the healthiest one is sea veggies, so that you like munch on the ones seaweed snacks, and then just like darkish green leafies as a snack.
Ah! I mean the more ways you can get them into your food plan, the higher.There changed into this well-known case inside the New England Journal of Medicine, a girl who—I neglect, it become like literally heaps of kilos of uncooked bok choy, she was on some loopy food regimen, and in reality did run into thyroid issues, so 1000 pounds… good enough, however… Gianna It’s like the soy.
…I encourage humans, proper. And look, we’re talking about ingredients with medicinal effects.I suggest we have to expect like if you could consume as a whole lot—I imply if there’s a vast amount of some thing that you may be uncovered to, probably doesn’t have tons “uumph” to it, right?
But the reality that, look, no, a number of those meals could have effective effects on our biology, so no wonder that there’s a positive stage that you want to live through, but fortunately they’re all easily within any type of ordinary culinary dose. Gianna Number eight:is sprouting nuts, seeds, grains and beans higher for digestion?
If so, why? Oh, nicely, see, part of the motive that human beings soak or sprout nuts is to remove the phytates.So there has been this idea, based on reports on dogs lower back inside the ‘50s, that phytates were mineral inhibitors.
And so the way you could cast off the phytates, you soak nuts or you sprout nuts to do away with the phytates, and then you definitely’d maximize your calcium absorption and different vital minerals. But we now recognise now not handiest is that no longer the case, but phytates are genuinely healthful for you, virtually useful effects of phytates, so we need to in reality try to get as a great deal phytates within our diet as feasible, and the way we do that is by way of consuming our nuts un-sprouted, eating our nuts un-soaked.And so, yeah, I inspire people to eat raw nuts, seeds, and seed butters.
The purpose we’d alternatively no longer roast them is due to the formation of AGE’s, Advanced Glycation End products, that are these glycotoxins related to extended hazard of kidney ailment and Alzheimer’s and extended getting older and every type of truly horrific things. And it’s formed whilst excessive fat, excessive protein foods are exposed to extremely excessive heat, dry heat.And so almost all AGE publicity is meat—so like barbequed hot dogs, so barbequed, grilling, grilled fowl, that type of issue—extraordinarily excessive.
So if you take a look at it, whereas plant ingredients have almost not anything no matter what you do—I suggest you may grill a bell pepper and you’re now not going to offer a problem, however there are uncommon plant ingredients which are high in protein outcomes, including nuts, consisting of soy. So we need to actually, ideally must no longer—like Cajun blackened tofu, now not an amazing idea on a everyday foundation due to those a long time.So that’s why we truly shouldn’t roast our nuts.
Gianna And Why Do You Recommend Nut Butters As Opposed To Just The Whole Nut?
Oh, simply complete nuts are better because you actually bite right down to little particles—irrespective of how nicely you chew, you generally most effective fracture all the way down to about 2 mm, that's a thousand instances larger than the particles located in nut butters.And the motive that’s vital is because the ones cell walls and people little cubes, which include hundreds of lots of intact walls, clearly protect all the nutrients internal from absorption for your small gut, and that creates a bounty for our gut plant life.
So when we devour just acellular ingredients, powders like flour merchandise, although it’s 100% entire wheat flour—so if we eat 100% whole wheat flour bread or pasta or some thing, we’re getting all of the nutrients; they didn’t put off the fiber, but all the vitamins are out, uncovered to be absorbed.They get absorbed within the small gut, leaving little or no for our gut flora on the end.
Whereas if you consume complete intact grains or complete beans, then there is surely these little clumps of food that’s leftover for our correct bacteria, and that improves our intestine health and improves our microbiome. Gianna i love it.Since so much of our soil is depleted of minerals, where are we able to get outstanding assets of minerals?
So that’s some scammy hint mineral dealer talk. Somebody need to have a look at crop nutrient decline over the past 1/2 century, maybe 15%.So humans seeking to sell you mineral supplements will make this, will say, oh, our plants are depleted, just due to the fact they’re seeking to promote you something.
We can certainly observe the stats; the USDA tracks vitamins inside the soil going back for a century:15% decrement.
So which means, adequate, as opposed to five florets of broccoli, now you need to eat six florets of broccoli in place of a 1/2 century in the past. Fine, devour six florets of broccoli.There’s no need to take mineral dietary supplements.
Gianna good enough. Number ten: For people who say all and sundry’s specific, so all of us require extraordinary diets.Yeah.
Gianna What is your recommendation in this, and does an entire food, plant-based totally food plan help us stay longer, more healthy lives, every person? So, it’s now not like—like at a zoo, there’s a gorilla weight-reduction plan and there’s a lemur weight loss program.It’s now not like, oh, you’re lemur #12, so you get a few crazy weight-reduction plan.
No, there’s a weight-reduction plan that’s naturally tuned to our biology. We evolved for hundreds of thousands of years.So we broke from our final tremendous ape ancestors about 20 million years in the past.
So for the first 90% of our evolution until about 2 million years ago we ate what our fellow notable apes ate, which is largely veggies and fruit. We were a plant-based diet, nearly solely plant-based totally diet, and handiest inside the remaining 10% of our evolution did we start understanding the way to make gear and searching, etc.And so our biology is tuned to eating whole food, plant based totally—so no marvel that the same form of weight loss program that reverses coronary heart disease, the number one killer of men and women, is the identical diet that also reverses diabetes, and the identical eating regimen that reverses high blood pressure.
And So A Kidney Healthy Diet, Is A Liver Healthy Diet, Is A Brain Healthy Diet, Right?
And it all makes sense due to the fact, appearance, the anti inflammatory diet is a diet that enables your arteries anywhere at some stage in your body.I imply, look, if that’s all a plant-based totally food regimen should do, opposite the number one killer of men and women, shouldn’t that be type of the default food plan until established otherwise?
In reality that it may also prevent or opposite different main killers could seem to make the case for plant-based ingesting sincerely overwhelming. Gianna We have one bonus query.Bonus!
What do ya’ got?Gianna What Is The Most Effective Way To Help People Convert To Being Plant Based?
So I think sharing assets with them.
So sometimes it’s difficult; people put up their defenses whilst someone attempts—while absolutely everyone involves us with a few new idea that conflicts with what we agree with, there’s simply this sort of herbal reaction to form of need to keep on.That’s why sharing type of 1/3-party resources:
“Here’s a remarkable documentary, here’s a wonderful website, right here’s a exceptional ebook,” after which they are able to kind of take it in on themselves, after which type of the incentive comes from through rather than feeling a person’s trying to inform them to do some thing. So that’s one in every of my favored approaches.And proportion amazing meals!
They have this experience that, oh, yeah, it doesn’t depend how—will I stay that long or simply experience like I lived that long? But no, it’s surely the pleasant of both worlds.Some of the yummiest, like berries, right?
Wait a 2nd. Tastes terrific and also you get to stay longer?That’s what plant-primarily based consuming is all approximately Gianna Thanks for tuning within, Love, Giana, and… [silence].
You have to say, “ .” I didn’t recognise my line. Where’s my cue card?