The Code: A Guide to Health and Human Performance

183. Pelvic Floor Physical Therapy Explained | Dr. Katie Sasser

Most people have a pelvic floor, yet few understand how it actually functions or why it plays such a critical role in issues like sex, incontinence, and persistent pain.
 
Dr. Andrew Fix is joined by pelvic floor physical therapist Dr. Katie Sasser for an honest and informative deep dive into a topic that affects everyone but rarely gets talked about. Dr. Sasser explains what the pelvic floor is, how it supports essential functions like bladder control and sexual health, and why dysfunction in this area is more common and more fixable than most people realize. From incontinence and pelvic pain to postpartum recovery and erectile dysfunction, this episode covers the wide-ranging symptoms that pelvic floor therapy can help resolve.
 
Dr. Sasser shares the five key functions of the pelvic floor and challenges the stigma that keeps so many people silent about their symptoms. Whether it’s leaking during a workout, discomfort during sex, or clenching your core out of habit or stress, she breaks down the connection between everyday experiences and pelvic health. You’ll also learn why stress, jaw tension, and even scrolling on your phone in the bathroom can throw things off and what you can do to start reconnecting with your body. If you’ve ever felt dismissed or confused about what’s happening below the belt, Dr. Fix and Dr. Sasser’s discussion offers encouragement and tools to start feeling better.
 
Quotes
“You mentioned that a lot of women seek out this care. I actually think that men, if this area is affected, are way better at seeking out care for themselves. So things start to impact the penis, it is like, we got to handle this ASAP. The pelvic pain, for sure. Like if you have a pelvis, this applies.” (08:03 | Dr. Katie Sasser)
“If you go to pelvic floor therapy and it doesn’t feel like a safe space, you should find a new pelvic PT.” (30:29 | Dr. Katie Sasser)
“We don’t need to be clenching. And we do that, you know, women are taught to brace their core and hold their tummy in… and I’m like, Hey, you gotta let that stuff hang out.” (41:04 | Dr. Katie Sasser)
“We are really good at just walking in and just surviving each day and just being so disconnected from our bodies.” (44:50 | Dr. Katie Sasser)
“Being a mom is hard. Going through menopause is really hard. Being weak and in those phases of life is even harder.” (47:12 | Dr. Katie Sasser)
 
Links
Connect with Dr. Katie Sasser:https://physioroomco.com/team/dr-katie-sasser/
 
Dr. Katie Sasser is a physical therapist with over a decade of experience and a deep passion for pelvic health. A graduate of the University of Missouri with a Doctorate in Physical Therapy and a Master’s in Education, she blends physical care with mental well-being to support women holistically. Now practicing at Physio Room in Colorado, she specializes in treating pelvic floor issues like leaking, hip and back pain, prolapse, and postpartum recovery. As a mom of four, she understands the physical and emotional demands of motherhood and is committed to helping women regain strength, confidence, and a pain-free life. Whether you're chasing kids, lifting weights, or hiking mountains, Dr. Sasser is ready to help you feel your best.
 
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Website | https://physioroomco.com/
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Facebook | https://www.facebook.com/physioroomco
Andrew’s Personal Instagram | https://www.instagram.com/drandrewfix/
Andrew’s Personal Facebook | https://www.facebook.com/andrew.fix.9/
 
 
Podcast production and show notes provided by HiveCast.fm

182. The State of Traditional Healthcare in the United States

When your annual physical feels more like a checklist for insurance than an actual look at your health, it’s a sign that something’s off.
 
In this episode, Dr. Andrew Fix shares a personal story that hits a nerve for a lot of people - what happens when you go to the doctor expecting care, and instead walk away feeling like a box that got checked. What’s the point of a wellness visit if no one’s actually trying to prevent anything? Why are simple requests for lab work met with roadblocks? And how did we get to a place where medical decisions are shaped more by insurance codes than by what a patient needs?
 
Dr. Fix walks through his recent experience with a routine checkup and why it left him so frustrated and also more motivated than ever to remind people that your health is your responsibility. This episode isn’t about blaming doctors but about recognizing the system we’re all working within and deciding to take a more active role in how we show up for our own health. If you’ve ever walked out of a medical appointment feeling confused, dismissed, or unsure of what just happened, this one will hit close to home.
 
Quotes
“What’s the point of coming here to do a physical exam, coming here to do a preventative wellness checkup if we’re not gonna check anything, right?” (06:30 | Dr. Andrew Fix)
“All of the decisions that are made in those appointments are based on the insurance, not based on the individual.” (07:55 | Dr. Andrew Fix)
“You need to be the one to police your own healthcare. You need to be the one that asks the questions, drives the conversation, suggests the things that you think are important, like a lab test, for example.” (08:51 | Dr. Andrew Fix)
“It just blows my mind that we can’t even test for things without labeling somebody with a diagnosis.” (09:37 | Dr. Andrew Fix)
“If you rely on the doctor to keep you healthy, it’s pretty likely you’re going to be unhealthy.” (10:45 | Dr. Andrew Fix)
 
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Connect with Physio Room:
Website | https://physioroomco.com/
Instagram | https://www.instagram.com/physioroomco/
Facebook | https://www.facebook.com/physioroomco
Andrew’s Personal Instagram | https://www.instagram.com/drandrewfix/
Andrew’s Personal Facebook | https://www.facebook.com/andrew.fix.9/
 
 
Podcast production and show notes provided by HiveCast.fm

181. Rehab & Training Through Injury and Pregnancy | Dr. Jessie Czarnecki

What if rehab wasn’t a step back but a smarter way forward, especially after injury, pregnancy, or both?
 
Dr. Andrew Fix sits down with Dr. Jessie Czarnecki, physical therapist, weightlifting coach, and fellow clinician at PhysioRoom, for a conversation about strength training through life’s most demanding seasons including injury recovery, pregnancy, and postpartum. Drawing from her own ACL injury and postpartum rehab experience, Jessie shares how her approach challenges outdated advice and fear-based restrictions around lifting, especially for women.
 
They discuss why strength training should be part of the rehab process, not something to avoid, and how Olympic lifting translates to everyday functional strength. Jessie also shares how she’s helping more clinicians and coaches integrate barbell movements into recovery plans through her Barbell Rehab Weightlifting Certification.
 
Quotes
“It's not necessarily the training that is the bad thing. It's what our bodies are prepared for versus what our bodies are not prepared for.” (12:15 | Dr. Jessie Czarnecki)
“Making sure that how they're approaching this new changes to their body, that they're doing it in a way that makes the most sense for their lifestyle, taking into account what their work is like, what their activity is like. Every single person is different, so there's not one blanket recommendation you can make for nutrition across the board.” (23:50 | Dr. Jessie Czarnecki)
“It's more than just talking to them and telling them what I know. It's more about showing them how they can connect these changes to how they currently train and reconnecting with their body, feeling certain muscles in what they're doing, feeling certain movement patterns and building ownership of their movement with their own body.” (28:42 | Dr. Jessie Czarnecki)
“Being pregnant or postpartum is hard, but being pregnant, postpartum and weak is harder.” (47:45 | Dr. Jessie Czarnecki)
 
Links
Connect with Dr. Jessie Czarnecki:
https://www.instagram.com/dr.jessie.dpt/?hl=en
https://barbellrehab.com/brw-certification/
 
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Connect with Physio Room:
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Instagram | https://www.instagram.com/physioroomco/
Facebook | https://www.facebook.com/physioroomco
Andrew’s Personal Instagram | https://www.instagram.com/drandrewfix/
Andrew’s Personal Facebook | https://www.facebook.com/andrew.fix.9/
 
 
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180. Don’t Apologize for Taking Care of Yourself

Stop apologizing for putting your health first when you’re with family or on vacation.
 
Dr. Andrew Fix gets real about the quiet pressure so many of us feel to explain or soften our choices when we’re around others, especially when those choices support our health. Why do we feel the need to say sorry for skipping a drink or going out for a run before dinner? Why does taking care of ourselves sometimes feel like a disruption instead of something worth protecting? 
 
In this episode, Dr. Fix shares a personal moment that sparked a bigger reflection on what it means to show up for your well-being without guilt. Whether you’re traveling, hosting guests, or navigating full family days, he offers a grounded perspective on how to make space for your own needs without disconnecting from the people around you.
 
Quotes
“You don’t have to feel bad about wanting to take care of yourself because at the end of the day, that’s going to make you feel good.” (03:33 | Dr. Andrew Fix)
“It’s filling up your cup first so that you can be there to support both mentally and physically the other people that you need to take care of or spend time with in your life. And it’s so important for us all to do.” (03:42 | Dr. Andrew Fix)
“Do the things that you want to do when you want to do them. Don’t be a jerk about it. Plan things as you need to around the activities that you have planned with your family and your friends.” (05:16 | Dr. Andrew Fix)
“If they’re important to you, the other people should support you in those things. And if they don’t, make sure you bring that up to them.” (05:30 | Dr. Andrew Fix)
“Don’t apologize for taking care of yourself because at the end of the day, that’s what we need to do.” (05:46 | Dr. Andrew Fix)
 
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Connect with Physio Room:
Website | https://physioroomco.com/
Instagram | https://www.instagram.com/physioroomco/
Facebook | https://www.facebook.com/physioroomco
Andrew’s Personal Instagram | https://www.instagram.com/drandrewfix/
Andrew’s Personal Facebook | https://www.facebook.com/andrew.fix.9/
 
 
Podcast production and show notes provided by HiveCast.fm
 

179. Neurofeedback Explained: Tuning the Brain for Better Focus, Flow, and Function | Sarah Murphy

Most people know how to train their bodies, but what about training the brain?
 
Dr. Andrew Fix welcomes back Sarah Murphy, the founder of OMNI Neuro, for a conversation about neurofeedback, what it is, how it works, and why it matters. After navigating her own recovery from a head injury, Sarah turned that experience into a practice that helps others build resilience and stronger cognitive function. So what happens when we treat the brain like a muscle that can be strengthened and refined?
 
They explore how brain mapping and qEEG assessments lay the groundwork for personalized training plans that support everything from better sleep and stress regulation to sharper focus and long-term performance. Can mental flexibility be learned? How does the brain-body connection affect how we show up at work, at home, or in sport? Whether you’re a high performer or someone just trying to feel more in control of your day, this episode invites you to rethink what your brain is truly capable of.
 
Quotes
“If you’re doing a cold tub and this and that, and this and that, and you’re noticing that you’re still waking up and wondering what else you can do to improve your mental state, then neurofeedback is going to be something you’re going to want to look at.” (12:13 | Sarah Murphy)
“Neurofeedback will allow your brain to connect to your body again, to help you understand what’s best for you in that moment, right then, right there without the rumination, without the mental chatter, without the overthinking.” (12:58 | Sarah Murphy)
“Neurofeedback allows your brain to have more flexibility to be vulnerable with the person across the dinner table, the person that matters the most.” (13:25 | Sarah Murphy)
“If you put your brain first, the rest is going to follow suit.” (30:58 | Sarah Murphy)
 
Links
Connect with Sarah Murphy:www.omninfb.com
www.omni-dna.com
 
Sarah Murphy is the founder of OMNI Neuro, a Colorado-based neurofeedback practice born from her own recovery journey after a head injury. With nearly a decade of experience and training under qEEG Diplomates, she blends science and strategy to help clients enhance brain performance. At OMNI, Sarah supports peak performers, athletes, executives, and families in areas like concussion recovery, mental resilience, sleep, and stress management.
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Instagram | https://www.instagram.com/physioroomco/
Facebook | https://www.facebook.com/physioroomco
Andrew’s Personal Instagram | https://www.instagram.com/drandrewfix/
Andrew’s Personal Facebook | https://www.facebook.com/andrew.fix.9/
 
 
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178. 7 Benefits of Food Prepping

Have you ever found yourself staring into the fridge after a long day, unsure of what to eat and too tired to figure it out? Dr. Andrew Fix shares why food prepping has become one of the most reliable ways he supports his health during the week and how it might do the same for you. 
 
Dr. Fix walks through the benefits in a way that feels both practical and surprisingly personal, showing how prepping a few simple meals ahead of time can help you feel more focused, less stressed, and better equipped to stay consistent with your goals. Could having your meals ready be less about discipline and more about creating space for better choices and more energy throughout the day? What would change if you treated the way you fuel your body with the same intention you bring to the rest of your day? 
 
Whether you’re already in a good rhythm or looking for a way to reset, this episode offers a thoughtful take on how food prep can support a healthier, more grounded routine.
 
Quotes
“You’re probably not prepping chocolate cake, right? You’re probably not prepping Skittles, you’re probably not prepping a McDonald’s hamburger, right? You’re putting things that are healthy in the container... you’re gonna eat it and you’re gonna feel great.” (06:18 | Dr. Andrew Fix)
“Eating should be enjoyable. Eating should be something that you look forward to... just sitting there eating, reflecting on your day.” (06:57 | Dr. Andrew Fix)
“If you have health and fitness goals and you’re not even considering the option of food prepping, I would encourage you to do so.” (07:48 | Dr. Andrew Fix)
“Food is fuel… And if you fuel your body with nutritious stuff, your body’s going to give you back the energy and the ability to do the things that you want to do.” (10:14 | Dr. Andrew Fix)
“Your body is your vehicle. We need to fuel it with the highest possible quality of fuel that we can if we expect to get high performance out of it.” (10:25 | Dr. Andrew Fix)
 
Links
https://www.instagram.com/reel/CzolaJyrynm/ 
https://andrew7ng.podbean.com/e/94-the-benefits-of-rucking/
 
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Facebook | https://www.facebook.com/physioroomco
Andrew’s Personal Instagram | https://www.instagram.com/drandrewfix/
Andrew’s Personal Facebook | https://www.facebook.com/andrew.fix.9/
 
 
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177. Behind the Curtain: A Hospital COO on the Flaws of Modern Healthcare | Hallie Woods

Hallie Woods spent 15 years inside hospital leadership, and she’s seen firsthand how the healthcare system actually works and who it really works for. In this episode, she joins Dr. Andrew Fix to talk about what happens when hospitals and insurance companies prioritize profit over patient care. Hallie shares what she learned as Chief Operating Officer of a large Denver hospital, where care decisions were often shaped by billing codes, time limits, and financial incentives. What does it mean when a system rewards volume over outcomes? And how does that affect the kind of care people actually receive?
 
Hallie also opens up about her own experience navigating the system, as a daughter who lost her mother after a rushed visit with a primary care doctor, and as a patient who discovered a cancer diagnosis only because she insisted on getting checked. These moments pushed her to build Accessum Health, a membership-based model designed to give people better access, clearer guidance, and more time with the care they need.
 
This episode explores how patients can take more ownership of their health: asking better questions, seeking second opinions, and recognizing when the system isn’t serving them. How do you advocate for yourself when you’re not sure what to ask? Where do you turn when the answers you’re getting don’t feel right? Hallie and Dr. Fix don’t just name the problems. They look closely at what can be done differently, and what it might take to shift the focus of healthcare back to people.
 
Quotes
“People always say [our healthcare system] is broken. I don’t say it’s broken. I say it works as it’s designed to. It’s this very complex, overly complex system that makes it challenging for people to get good preventive care, to get care when they need it. And it’s really designed for profit, unfortunately.” (04:02 | Hallie Woods)
“The business of medicine is designed to optimize profit. It’s designed to provide care for the sick. And it’s designed to figure out how we get more people into what I call the healthcare funnel, which unfortunately causes a number of different issues…” (06:24 | Hallie Woods)
“We’re all trying to code up, manipulate the system to get those billable codes, but a lot of really important work doesn’t fall within those billable codes, and that’s coordination.” (13:19 | Hallie Woods)
“As humans, we were designed to trust our physicians, our providers, because they have all the schooling. But unfortunately, you need to be your own advocate. You need to push and ask for things, because sometimes in this quick, quick system, it’s, as you said before, the squeaky wheel gets the oil, and you’ve always got to be the squeaky wheel when it’s you or your family’s health.” (24:47 | Hallie Woods)
 
Links
Connect with Hallie Woods:
www.accessumhealth.com
 
Hallie spent 15 as an executive in large, corporate hospital systems, most recently as the Chief Operating Officer of a large hospital in the Denver Metro area. In these roles, Hallie had first-hand insight into how the American healthcare system isn't serving people: focusing on quantity, not quality, and putting profits before people. Hallie started Accessum Health, a membership-based healthcare plan, to help provide better access and navigation for the American healthcare system. 
 
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Facebook | https://www.facebook.com/physioroomco
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Andrew’s Personal Facebook | https://www.facebook.com/andrew.fix.9/
 
 
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176. Ruck Your Way to Better Health

Could a simple walk challenge your body, clear your mind, and strengthen your sense of discipline all at once? Dr. Andrew Fix unpacks the rising popularity of rucking: a low-tech approach to fitness that involves walking with added weight in a backpack or vest. He explains how this small shift transforms a regular walk into a more efficient workout that improves cardiovascular health, builds muscle, and supports mental well-being. The best part? You don’t need specialized equipment. A backpack and a few heavy books are enough to get started.
 
This episode also explores how rucking creates space for connection. Whether you’re walking with a friend or joining a group, there’s something powerful about moving side by side with others. Dr. Fix shares why those moments matter, and how they help build both physical and emotional resilience.
 
If you’ve been looking for a sustainable, accessible way to support your health, rucking might be the shift your routine needs!
 
Quotes
“It makes you have to work harder, not only physically, like your muscles, your joints, your tissues have to work a little bit harder, but so does your heart, so does your cardiovascular system, so do your lungs, your respiratory system, and it’s gonna up-level that training just a little bit for you.” (02:57 | Dr. Andrew Fix)
“If you want to be efficient with your time that you have to exercise and you want to maximize that, throwing a little bit of extra weight on you when you go for that walk... is just going to make it more impactful and more efficient for you.” (07:03 | Dr. Andrew Fix)
“There’s this situation where you’re across from somebody and it’s me versus you, but if you’re next to somebody, it’s us and we’re in this together.” (09:24 | Dr. Andrew Fix)
“If you’re looking for something consistent, easy to stick with, and a way to build a little mental toughness along the way, rucking might be a great activity for you.” (10:26 | Dr. Andrew Fix)
“I encourage you—whether you’ve got a weight vest, a backpack, actual weights, or just some books or water bottles—add a little extra weight to your next walk and give rucking a try.” (11:38 | Dr. Andrew Fix)
 
Links
https://www.google.com/search?q=rucking&rlz=1C5CHFA_enUS987US989&oq=rucking&gs_lcrp=EgZjaHJvbWUyDAgAEEUYORixAxiABDINCAEQABiDARixAxiABDIHCAIQABiABDINCAMQABiDARixAxiABDINCAQQABiDARixAxiABDIHCAUQABiABDIHCAYQABiABDIGCAcQRRg90gEIMTA0NmowajeoAgCwAgA&sourceid=chrome&ie=UTF-8
 
https://www.podbean.com/player-v2/?i=ncte4-14f60bb-pb&from=pb6admin&share=1&download=1&rtl=0&fonts=Arial&skin=1&font-color=auto&logo_link=episode_page&btn-skin=1b1b1b#:~:text=In%20this%20episode%20of%20The,strengthen%20your%20core%20and%20legs
 
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Connect with Physio Room:
Website | https://physioroomco.com/
Instagram | https://www.instagram.com/physioroomco/
Facebook | https://www.facebook.com/physioroomco
Andrew’s Personal Instagram | https://www.instagram.com/drandrewfix/
Andrew’s Personal Facebook | https://www.facebook.com/andrew.fix.9/
 
 
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175. Building Stronger Bonds: The Pillars of Impact Fatherhood Framework | Jason Griffing

Most men want real connection. But as a father in midlife, where do you find it?
 
Dr. Andrew Fix talks with Jason Griffing, the founder of Pillars of Impact, a growing community for dads who want more than surface-level friendships. They explore what happens when fathers carve out space for honest conversations about marriage, parenting, purpose, and the parts of life that often get overlooked.
 
How do you show up with vulnerability when you’re juggling kids, career, and a long to-do list? Why is it so easy to let your relationship take a back seat, even when you know better? Jason shares how the group’s six pillars – parenting, marriage, wealth, mindset, fitness, and vocation – create structure for growth and a support system that feels personal, not performative.
 
This episode is a reminder that community doesn’t build itself. And for many fathers, it starts with simply deciding to speak up, show up, and stay committed to something real.
 
Quotes
“You get this kind of asymmetry of like I’m very locked in on the things that aren’t going well in my life. And I’m seeing all of the things that are going incredibly well in everybody else’s life. And that can be a really negative spiral and a kind of isolating factor in our lives.” (16:29 | Jason Griffing)
“Sometimes you need some urgency in your life to sort of drive that productivity.” (20:32 | Jason Griffing)
“It’s so much easier to let yourself down than to let other people down.” (25:38 | Dr. Andrew Fix)
“I’m a big believer in the power of ideas. The right ideas have really helped me lead a more impactful life from getting sober… All of these things start as an idea. And I think if we can really tap into the power of ideas, of course, they have to be coupled with action as well.” (52:22 | Jason Griffing)
“In today’s world, for all kinds of reasons, having real social connection and peer relationships is more important than ever.” (53:31 | Jason Griffing)
 
Links
Connect with Jason Griffing:
https://pillarsofimpact.com
https://newsletter.pillarsofimpact.com/
 
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Connect with Physio Room:
Website | https://physioroomco.com/
Instagram | https://www.instagram.com/physioroomco/
Facebook | https://www.facebook.com/physioroomco
Andrew’s Personal Instagram | https://www.instagram.com/drandrewfix/
Andrew’s Personal Facebook | https://www.facebook.com/andrew.fix.9/
 
 
Podcast production and show notes provided by HiveCast.fm

174. Beyond the Pain Point: Treating the Whole Person in Physical Therapy

Treating pain without seeing the full picture is like fixing a leaky pipe without checking the water supply for the real issue.
 
Dr. Andrew Fix shares a story about a patient who followed all the rules of rehab but still couldn’t shake her knee pain. Months of physical therapy focused on the joint itself, yet her mobility was limited and the discomfort persisted. Why wasn’t it working?
 
As it turns out, the problem wasn’t only in her knee. Her hip and ankle on the same side were stiff and weak, issues no one had looked at before. Dr. Fix explains how a more thorough, full-body assessment changed the course of her care and revealed what had likely contributed to the pain all along.
 
If you're dealing with lingering pain or stuck progress, this episode is a reminder to zoom out. Are we really treating the cause, or just the symptom? For physical therapy to be effective, the whole body has to be part of the conversation.
 
Quotes
“Sometimes we don’t do quite as thorough of an evaluation on those people because we’re just so focused on the surgery that they just had.” (04:37 | Dr. Andrew Fix)
“What we found was that she has a significantly stiffened hip on the same side, that same leg, the left side, compared to the other hip. Her ankle, super stiff on that left side compared to the other side. And of course, that’s the side that she’s still having knee pain on.” (05:01 | Dr. Andrew Fix)
“We cannot look at this person, this individual, because they had a knee surgery, just like we need to rehab their knee. We need to think about how this interacts and how this plays with the entire body.” (07:37 | Dr. Andrew Fix)
“It’s not rocket science, right? If we have pain in a joint, we can’t just look at that joint. We need to look above. We need to look below.” (09:53 | Dr. Andrew Fix)
“You can’t treat issues in a vacuum because otherwise you’re going to have results that are in a vacuum that aren’t going to expand to be widespread positive changes.” (10:31 | Dr. Andrew Fix)
 
Links
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Athletic Brewing:
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Connect with Physio Room:
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