Avsnitt

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    Gas, bloating, constipation, diarrhea, urgency, and painful cramping—these are just some of the many difficult symptoms that come along with inflammatory bowel disease, also known as IBD. This disorder is an umbrella term for a variety of symptoms and diagnoses, including ulcerative colitis and Crohn’s disease, and it impacts millions of Americans each day.
    In this episode, Dr. Hyman speaks with Dr. George Papanicolaou, Dr. Miguel Reguiro, and Dr. Shilpa Ravella about the Functional Medicine approach to reducing symptoms of IBD that extend beyond medications and surgery.
    This episode is brought to you by Rupa Health and LMNT.
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    In the health space, we hear the term ultra-processed foods thrown around often for its clear link to chronic diseases such as depression, Alzheimer’s, and diabesity. But what exactly does “ultra-processed” mean? How can you tell if a food is ultra-processed?

    In today’s Health Bites episode, we will learn exactly what ultra-processed foods are, how to identify them, their impact on human health, and the global economy. We’ll also discuss tips and tricks for how to read food labels to better navigate the grocery store, and the innovations happening in Washington to develop label laws that helps protect the consumer.

    In this episode, I discuss:

    Definition, examples, and deceptive health claims of ultra-processed food (2:06) 

    Health risks and impacts of ultra-processed food (7:30) 

    Case study: impact of an ultra-processed diet on twin girls (10:00) 

    History and rise of processed food (12:09) 

    Difference between ultra-processed and minimally processed foods (17:45) 

    Impact of food packaging and additives on health (24:01) 

    Economic and societal consequences of chronic diseases caused by poor diet (28:04) 

    Identifying ultra-processed foods and understanding food labeling (35:00) 

    Avoiding ultra-processed foods and using food scoring systems (40:50) 


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    The prevalence of autism has risen a shocking 400% in the last twenty years. Increased awareness and diagnosis are one piece, but there are also so many other factors to consider. The hopeful news is that we’re seeing a shift paradigm in how we view and treat autism, with some truly amazing improvements possible. I’m thrilled to welcome Dr. Suzanna Goh, a board-certified pediatric behavioral neurologist, behavioral analyst, neuroscience researcher, Rhodes scholar, and author.

    In this episode, we discuss:


    Shaking things up around the autism paradigm (1:57)

    The connection between the brain and mitochondria (6:04)

    Can autism be reversed? (7:00)

    The biggest mistake made in autism (10:10)

    What creates the inflammatory fire in the autistic brain? (15:20)

    The role of diet in autism treatment (19:17)

    Functional tests for assessing brain function and how to best support kids with autism (26:30)

    Mitochondrial dysfunction and autism (28:30)

    "Magnificent Minds" - A book on autism by Dr. Suzanne Goh (34:57)


    Using a whole-child approach and investigating the intricate connections between metabolism, mitochondrial function, and nutrition we can better understand what types of support autistic children need most. I hope you’ll listen in to learn more. 

    This episode is brought to you by Rupa Health, AG1, and Essentia.

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    Our global mental health crisis is growing at an exponential rate, with over half a billion people suffering from depression and anxiety; it’s time we rethink our understanding of the underlying root causes of mental health challenges.

    From treating thousands of patients, I’ve learned that depression is not in your head. It’s in your body. More specifically, your gut. When your gut is unhealthy and inflamed, your brain is unhealthy and inflamed. In Functional Medicine, we know that the gut and the brain are intimately connected and that the health of one directly influences the health of the other. 

    In today’s Health Bites episode, we’re diving into the gut-brain connection and sharing Functional Medicine tools to support your gut health and, as a result, your mood and mental health. 

    In this episode, I discuss:

    Our global mental health crisis (2:45)

    The gut-brain connection (4:18)

    The story of Marks's broken brain (5:15)

    Features of the gut-brain axis (8:57)

    Gut hormones that send signals to your brain (10:06)

    Role of the gut microbiota in mood and mental health (12:24)

    How stress negatively impacts our gut microbiome (20:14)

    The link between leaky gut and poor mental health (21:41)

    The Functional Medicine approach to fixing the gut (25:56)

    The 5R Program for fixing your gut health (30:09)


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    Functional Medicine offers patients many things, especially hope and understanding. Autoimmune disease is a prime example: Rather than condemning patients to a lifetime of symptom management through medication, functional practitioners dig to find the “why,” to address the underlying causes with individualized, multimodal support to create lasting improvement and systemic healing. My guest today, Dr. Sara Gottfried, is a physician, researcher, author, and educator passionate about changing the way we view and treat autoimmunity. 

    In this episode, we discuss:


    What is a “trauma signature” and what is its role in autoimmunity? (5:55)

    Hidden autoimmunity triggers you might be surprised to learn about (21:30)

    The go-to test panel Sara runs on her patients (27:33)

    Sara’s stack for reducing cortisol and why trauma has to be considered (39:00)

    How Trauma biologically impacts you through the PINE system (41:40)

    Psychedelic therapy and other healing states of consciousness, plus Sara’s personal experience using them (48:10)

    What Sara wishes she told her 20-year-old self about life (1:15:45)


    When we dig deeper, we always find out there is more going on below the surface. I know you’ll love this conversation as much as I did. 

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    As a whole, autoimmune disease affects over 80 million Americans and five percent of the population in Western countries. They include type 1 diabetes, lupus, rheumatoid arthritis, multiple sclerosis, colitis, Crohn’s disease, and dozens of others. While your body is designed to fight off harmful things like infections, toxins, allergens, or a stress response, with autoimmune issues the body directs a hostile attack on its own joints, brain, skin, and more.

    In this episode, Dr. Hyman speaks with Dr. Cynthia Li and Dr. Terry Wahls about their personal stories of working through autoimmunity and how it led them to help others using Functional Medicine. They also dive into the underlying triggers of inflammation such as stress, hidden infections, food allergies or sensitivities, toxic exposure, genetic predisposition, nutrient deficiencies, and leaky gut.

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    In our recent Health Bites episodes, we’ve delved into the research on how our dietary choices and lifestyle impact our hormones and sexual health. From disruption caused by our sugar-heavy diets to the stressors of modern life and invisible threats of environmental toxins, our hormones often bear the brunt of our daily decisions. The good news is that there are many things we can do to bring our hormones and sexual health back in balance. 

    Today, I'm delighted to bring back a standout Health Bites episode, which offers a brief overview of our sexual health series along with actionable strategies to enhance your sexual health, starting now.

    In this episode, I discuss:

    The biggest killer of sex drive (2:32)

    How sugar messes up our hormones (3:12)

    The link between insulin resistance, hormones, and sexual dysfunction (5:00)

    How dietary fat plays a crucial role in our sex hormones (6:40)

    Environmental toxins as a hormone disruptor and driver of sexual dysfunction (7:30)

    Strategies to activate your sex drive (9:23)

    Peptides for optimizing sexual function in men and women (11:13)


    This episode is brought to you by Rupa University and Momentous.

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  • There’s been a lot of recent discussion around fasting, and for good reason. But one thing that often slips through the cracks is the differences between men and women, and why women need to take a specific approach to fasting that honors their hormones. You may have heard the recent buzz around fasting and a controversial headline associating it with cardiovascular death (which was not peer-reviewed, by the way). So today, I’m resharing this popular episode with holistic health expert Dr. Mindy Pelz to shed light on what we really know about the safety of fasting, and the dos and don’ts, particularly for women.

    We discuss:

    Will time-restricted eating kill you? Deciphering recent headlines

    Two major issues happening for women: Understanding hormone cycles and an evolutionary mismatch 

    Mindy’s expert approach to managing hormones through fasting 

    Three rules for successfully reintroducing foods 

    Who should avoid fasting?

    Tips for women over 40 that aren’t being talked about 

    The best way to get a handle on hormone testing


    Fasting can be an incredibly healing practice, but it’s got to be done the right way—especially for women! Learn how to fast while supporting hormonal balance, and so much more, in this episode with Dr. Mindy Pelz. 

    This episode is brought to you by LMNT, BIOptimizers, Thrive Market, and Happy Egg.

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    There’s a foundational piece of Functional Medicine that surprises many conventional health practitioners: it’s that the health of our gut impacts every other part of the body—even the brain. With 60% of our immune system residing in our gut, it is the first place to look for an imbalance when treating illness.

    In today’s episode, I talk with Dr. Elizabeth Boham and Dr. Raja Dhir about all of the insults to our gut and how to recover gut health using Functional Medicine principles.

    This episode is brought to you by Rupa Health, ButcherBox, and AG1.

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    Are you, or someone you know, thinking about starting a family now or in the near future? Typically, the focus on reproductive health falls on the woman, and it begins after conception has already occurred, with minimal emphasis on diet and nutrition beyond prenatal vitamins. 

    However, the pre-conception window is a foundational time for both partners to take charge of their hormonal, metabolic, and overall health to ensure the healthiest sperm and egg possible for a healthy pregnancy and, most importantly, a healthy baby. 

    In today's episode, we're discussing the essential steps both men and women can take to foster a nurturing environment for conception. We'll delve into lab tests and tools to support hormone and reproductive wellness, the challenges and insults of our modern-day lifestyles, and how we can use Functional Medicine to take a proactive approach by embracing diet, supplements, and exercise to prime couples for a successful pregnancy while safeguarding against developmental conditions like autism and ADHD that are doubling, or even tripling from one generation to the next. 

    Whether you're just starting to think about having kids or already on your pregnancy path, this conversation is for you. 

    In this episode I discuss: 

    The importance of the preconception window (3:15)(5:05)

    How epigenetics impact the preconception window (3:58)(6:01)

    How parent’s diet and lifestyle imprint their children’s epigenome (5:03)(6:59)

    Limitations of Conventional Medicine during the preconception window (9:30)(11:26)

    The Functional Medicine approach to preparing to conceive (12:12)

    Breakdown of essential nutrients and biomarkers to ensure a healthy pregnancy (15:27)

    Sex hormone and bonus lab tests (21:00)

    Optimizing blood sugar and cardiometabolic health before and during pregnancy (22:40)

    Foods to eat and foods to avoid while gearing up for pregnancy (23:44)

    Eat your foods in the correct order (protein and fat first, then carbs (36:28)

    Tips for reducing exposure to endocrine-disrupting chemicals (38:14)

    The power of exercise, stress, and sleep for a healthy pregnancy (47:24)

    Supplement recommendations for men and women for the preconception window (51:35)


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    There are several different schools of thought behind obesity and metabolic dysfunction, for example, the energy balance model or “calories-in, calories-out” perspective that many people have felt fooled by. While calories certainly are one piece, there is much more to the puzzle of weight management and metabolic health, like hormonal cascades and oxidative stress.

    My guest today is Dr. Robert Lustig, an author and neuroendocrinologist with expertise in metabolism, obesity, and nutrition. He has dedicated his retirement from clinical medicine to help fix the food supply in any way he can, to reduce human suffering, and to promote a collective vision of metabolic health: protect the liver, feed the gut, support the brain. 

    In this episode we discuss:

    Is a calorie really just a calorie? (7:24)

    The surprising truth: All models of energy intake are a little right and a little wrong (9:20)

    Proven methods for reducing insulin to support weight loss (29:39)

    What are obesogens and how are they hijacking our metabolic health? (32:00)

    Reactive oxygen species and aging (and how to reduce them) (38:05)

    Why glucose and insulin monitoring are powerful levers for metabolic health (42:15)

    Summing up the facts and our beliefs around calories and weight (47:00)

    The cellular impact of oxidative stress and chronic stress (54:00)

    Monch Monch: a new fiber solution for absorbing simple sugars and preventing glucose spikes as well as increasing satiety and boosting microbial diversity (1:02:20)

    Food addiction in adults and children and addressing the root cause (1:10:45)

    What actions can we take based on scientific advances to make our lives better? (1:24:15)

    Why any food that feeds the gut, protects the liver, and supports the brain is a healthy food (1:33:35)

    Perfact and how to use it to understand what is metabolically healthy at your exact grocery store (1:40:20)


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    Poor metabolic health is the largest underlying cause of early death worldwide, making it the canary in the coal mine for not just type 2 diabetes, but a multitude of illnesses such as Alzheimer’s, heart disease, cancer, obesity, and even some cases of infertility and depression. Sadly, many people are walking around without even knowing they need to address their metabolic health or have any idea how to do that.

    In today’s episode, I talk with Dr. William Li, Dr. Casey Means, and Dr. Richard Johnson about why metabolic health is important and ways that we can start improving it immediately at home.

    This episode is brought to you by Mitopure, Cozy Earth, and AG1.

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    An estimated 85% of women experience symptoms of menopause that vary from hot flashes to weight gain, brain fog, low mood, sex drive, chronic fatigue, and more. Recognizing menopause as a gradual, uniquely personal transition rather than an abrupt change is crucial. This insight can help empower women to take proactive, supportive measures early on, ensuring a smoother journey through this natural phase of life.

    Today, Dr. Cindy Geyer from the UltraWellness Center joins me as we unravel the Functional Medicine perspective and approach to menopause. Our conversation highlights the crucial role of lab testing in uncovering the root causes of symptoms, paving the way for tailored nutrition and lifestyle interventions. Moreover, we critically examine the limitations of traditional medical approaches and discuss the nuances of hormone replacement therapy, the different forms, and who may benefit the most from this treatment.

    Dr. Cindy Geyer received her Bachelor of Science and her Doctor of Medicine degrees, with honors, from the Ohio State University. She completed residency in internal medicine at Strong Memorial Hospital in Rochester, N.Y. and is triple board certified in internal medicine, integrative medicine, and lifestyle medicine. She joined The Ultrawellness Center in 2021 after practicing and serving as the medical director at Canyon Ranch for 23 years.

    This episode is brought to you by AG1 and FOND.

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    In this episode we discuss:

    How the Nurse’s Health Study caused backlash about hormone replacement therapy (3:35) 

    The issues with how menopause is treated in our society today (6:35) 

    Symptoms of menopause and their root causes (8:20) 

    The conventional medicine approach to menopause (17:57) 

    The functional medicine approach to menopause (19:38) 

    Lab testing (24:00) 

    The importance of the Estrobolome and gut microbiome testing (27:11) 

    The role of insulin, sleep, and stress (31:49) 

    Dr Cindy Geyer’s patient case study (34:21) 

    Bioidentical hormones explained (41:52) 

    The nuances of hormone replacement therapy (47:21) 

    Addressing low libido (51:00) 


    Learn more about The UltraWellness Center

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    Food has the power to change everything, from our health to family dynamics, the environment, and so much more. And it all starts with one bite. Today I’m thrilled to sit down with a good friend and an inspiring food activist and entrepreneur, Kimbal Musk. Kimbal is co-founder of the seasonal and thoughtfully sourced restaurant The Kitchen, co-founder of the non-profit Big Green, and a crusader for real food.

    How we choose to eat and prepare our food has implications for more than just our bodies. My conversation with Kimbal is sure to inspire you to leverage the power of real food in your own family, community, and beyond.

    In this episode, we discuss (audio version):


    Kimbal’s surprising journey from the tech industry to becoming a food activist (8:30)

    How 9/11 forever changed Kimbal’s relationship with cooking (16:00)

    The experiences that inspired Kimbal to open a restaurant (25:47)

    Kimbal’s determination to provide healthy food with local sourcing (26:34)

    Food as the secret weapon for fighting the loneliness epidemic (33:50)

    How he started building a community of farmers from the ground up (37:35)

    The skyrocketing rates of childhood obesity and his work with Big Green (42:33)

    Kimbal’s life-changing accident and his revelation (44:00)

    How kids are impacted when they’re taught about growing and preparing food (52:20)

    Creating a family connection container through mealtimes and home cooking (58:00)


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    The trio of alcohol, caffeine, and sugar are often the centerpiece of social engagements and times of emotional distress. While consuming them from time to time may be okay, overindulging in them can be a recipe for a disaster, leading to inflammation, insulin resistance, disrupted sleep, and more.

    In today’s episode, I talk with Dr. Elizabeth Boham, Dr. Todd LePine, and Dr. Robert Lustig about how the foods we love can often have negative consequences when overconsumed.

    This episode is brought to you by Rupa Health, AG1, and Essentia.

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    It's easy to overlook the connection between what we eat and how we feel, but in a country where more than 1 in 5 adults are battling mental illness, suicide is on the rise, especially in children, and drug overdoses are at an all-time high, we need to stop and ask why? Why are we witnessing such unprecedented rates of mental illness? The answer lies not only in our modern-day, high-paced, stressful environment but at the end of our forks. 
    In this episode of my Health Bites series, I discuss why our brains are so broken, the root causes driving neuroinflammation, and how this drives disconnection between our prefrontal cortex (the adult in the room) and amygdala (our reactive, child-like brain), causing our anxiety and emotions to take over. We’ll also discuss the research clearly showing how our toxic SAD is a key driver of our mental health crisis and how you can eat (and supplement) your way out of many mental health issues. 
    This episode is brought to you by Cozy Earth and Happy Egg.
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    In this episode I discuss (audio version):

    The state of the impact of our Standard American Diet on mental health (2:20)

    Why are we dealing with unprecedented rates of mental illness? (4:46)

    Top inflammatory foods and factors that are setting our brains on fire (6:34)

    What is metabolic health? (9:34)

    The impact of metabolic dysfunction on our brains, mood, and overall health (14:04)

    How is UPF driving poor metabolic health? (16:22)

    The link between leaky gut and leaky brain (21:47)

    How inflammation impacts the brain (23:33)

    Research on the link between junk food and mental Illness (28:01)

    The link between junk food consumption, violence, and aggression (32:38)

    The link between UPF, social functioning, and ADHD (36:58)

    Practical steps to fix your brain (39:36)

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    JJ Virgin is a triple Board certified nutrition expert, Fitness Hall of Famer, and four-time New York Times bestselling author. With over three decades of experience in the field, she has become a trusted authority in nutrition, weight loss, and wellness. She is the author of four New York Times bestsellers: The Virgin Diet, The Virgin Diet Cookbook, JJ Virgin’s Sugar Impact Diet, and JJ Virgin’s Sugar Impact Diet Cookbook. 
    This episode is brought to you by Rupa Health, BiOptimizers, Thrive Market, and Momentous.
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    Tackle an overlooked root cause of stress with Magnesium Breakthrough. Visit bioptimizers.com/hyman and use code HYMAN10 to save 10%.
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    In this episode we discuss (audio version / Apple Subscriber version):

    The shocking percentage of muscle, strength, and power we lose every year (12:58 / 11:21)

    How the science and perspective of weight training have evolved (Spoiler: it’s not just for gym rats anymore) (15:55 / 14:36)

    What is the difference between strength, power, and hypertrophy? (18:00 / 16:22)

    My personal experience overcoming chronic pain through resistance training (19:35 / 17:58)

    The Protein Leverage Hypothesis (This is why you overeat food when you undereat protein!) (25:20 / 23:41)

    The most important way to start your day (36:26 / 32:28)

    JJ’s tips for creating “metabolic spanx” and taking advantage of this “sugar sponge” (43:10 / 39:12)

    Why we should stop using scales as our only parameter of body composition and what do do instead (56:11 / 52:13)

    How your nighttime routine impacts your body composition (1:09:13 / 1:05:15)


    Learn more at jjvirgin.com.

  • Hey podcast community, Dr. Mark here. My team and I are so excited to offer you a 7 Day Free trial of the Dr. Hyman+ subscription for Apple Podcast. For 7 days, you get access to all this and more entirely for free!  It's so easy to sign up. Just go click the Try Free button on the Doctor’s Farmacy Podcast page in Apple Podcast. 
    In this teaser episode, you’ll hear a preview of our latest Dr. Hyman+ Functional Medicine Deep Dive on inflammatory bowel disease with Dr. Dawn Beaulieu.
    Follow Dr. Beaulieu on Instagram @drdawnbeaulieu.
    Want to hear the full episode? Subscribe now. With your 7 day free trial to Apple Podcast, you’ll gain access to audio versions of:
    - Ad-Free Doctor’s Farmacy Podcast episodes
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    Trying to decide if the Dr. Hyman+ subscription for Apple Podcast is right for you?  Email my team at [email protected] with any questions you have.  
    Please note, Dr. Hyman+ subscription for Apple Podcast only includes Dr. Hyman+ in audio content.

  • View the Show Notes For This Episode

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    The foods many of us eat every day, like breads and grains, may have an effect on our health in ways we may not even be aware of. From inflammation to a leaky gut, insulin resistance, and even autoimmune conditions, gluten often plays a role in degrading our health, as do modern farming practices that douse grains with harmful pesticides.

    In today’s episode, I talk with Maggie Ward and Dr. Terry Wahls about the connection between gluten, leaky gut, and autoimmune conditions.

    This episode is brought to you by Rupa University, AG1, and FOND.

    Rupa University is hosting FREE classes and bootcamps for healthcare providers who want to learn more about Functional Medicine testing. Sign up at RupaUniversity.com.

    Get your daily serving of vitamins, minerals, adaptogens, and more with AG1. Head to DrinkAG1.com/Hyman and get a year's worth of D3 and 5 Travel Packs for FREE with your first order.

    Get FOND's amazing bone broth today. Just go to fondbonebroth.com/drhyman and use code HYMAN20 to get 20% off your purchase.

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    A decrease in libido or difficulty in achieving or maintaining an erection during sex are tell-tale signs of erectile dysfunction, and they can be uncomfortable to address. Sure, aging and performance anxiety are part of the story, but believe it or not, erectile dysfunction is not just about sexual health. It’s often the first clue of bigger health issues.
    In this episode of my Health Bites series, I explore the root causes of erectile dysfunction, delving into the limitations of conventional medicine, the little blue pill, and how we can utilize the power of Functional Medicine by making changes to our diet, lifestyle, and even trying things like supplements, peptides, and hormone therapy. 
    This episode is brought to you by Mitopure and Rupa Health.
    Support essential mitochondrial health and save 10% on Mitopure. Visit TimelineNutrition.com/Drhyman and use code DRHYMAN10.
    Streamline your lab orders with Rupa Health. Access more than 3,000 specialty lab tests and register for a FREE live demo at RupaHealth.com.
    In this episode, I discuss (audio version / Apple Subscriber version):

    The prevalence of erectile dysfunction (4:34 / 2:04)

    The root cause of low testosterone (9:38 / 7:08)

    The conventional medicine approach to treating erectile dysfunction (11:51 / 9:21)

    How do Viagra and ED drugs work? (16:34 / 14:04)

    The Functional Medicine approach to treating erectile dysfunction: diagnostic testing (18:58 / 16:28)

    Root causes of sexual dysfunction (29:42 / 27:12)

    Diet, lifestyle, and supplements to improve sexual dysfunction (42:22 / 39:52)