Aimee (00:03)

Welcome back to Nice Legs with Dr. Kamran. I’m Aimee Bowen, and in part one of Compression Wear, we talked a little bit about the purpose and overall functionality of compression wear, how it works. We talked about the myths of those cheap online compression socks and why they might not be a good idea.

 

And today in part two, we’re gonna go a little further. We’re gonna be talking a little bit more about the options there are for compression wear. There are different sizes, of course, but there are different shapes and different

 

functionality garments that can help you be on your way to having those nice legs. So from maternity wear to specialized sleeves, we’re gonna get all the insight from Glenn again from medi USA, and we’re gonna take a closer look at some of those incredible fabrics that they have as well. So Dr. Kamran and Glenn

 

I’m gonna hand things over to you.

 

Dr. Kamran (00:53)

Well, Glenn thank you so much again for joining us.

 

for part two, which is today, I have again, these are questions my patients have had for me. I’m going to start off with just the looks of it. a lot of people will still think that compression stockings are their grandma’s you know, TED hose stocking and they just don’t want to wear it. And of course they don’t realize TED hose stockings were not even designed to wear and walk with.

 

So if you could kindly tell us, you know, how much advances we have made and now you’ve got summer colors and winter colors And uh in fact, my wife was wearing one with rhinestone on it and everybody was stopping her and asking her where she bought it from, and she kept on saying, These are compression stockings. And they just would nod their head and said, Yeah, okay. And then where did you buy it from?

 

This is something that you should be able to wear with pride. Technology has moved forward. So if you could kindly just expand on that for me a little bit, I would really appreciate it.

 

Glenn Anderson (01:44)

yeah,

 

absolutely. you know, you’ve really you really hit it on the head when you mentioned, you know, the grandma socking or you know, what people visualize uh certainly. Um I call it the Mrs. Doubtfire syndrome. you know, that’s what they envision. Now of course we’re dating ourselves when we reference that movie, but it’s uh you know, been in the field about twenty five years.

 

You go back twenty-five years ago and and companies are really focused on changing the image of compression stockings. So now you do have sheer fabrics available. You would never know they were compression. Um there’s like softer, less sheer prep fabrics, more like tights you might equate them to, like what a dancer would wear or what women might wear more winter wear. Uh and then of course there’s patterns. There’s really fun patterns. I happen to have one right here.

 

it’s basically a knee-high stocking and it’s got hearts on it. Um so people can wear these and and have some fun with it, uh certainly match their wardrobe and kind of break that stigma around compression stockings and the Mrs. Doubtfire imagery, right? That heavy burlap, difficult to get on, really strain myself to do it. Um so you know, if you go back twenty five years, like I was saying, um compression doesn’t look

 

like compression anymore. Uh and of course in the last fifteen plus years, compression doesn’t feel like compression anymore either. We’ve really made advances on the the properties of the fabrics and their functionality.

 

Dr. Kamran (03:22)

fantastic. And of course, there’s different pressures, right? thirty, forty millimeters is you know, very hard to put on, very hard to take off. And then, you know, for an average

 

uh you know, person, you know, fifteen to twenty, usually it should be enough. Um and then there’s somewhere in the middle. You know, it’s better to wear something with lower pressure and being able to wear it than to say it is so hard to put on, I’m just not gonna wear anything. So um there are different pressures and there are different lengths. Um I’ve been doing vein procedures for a long, long time and doing laser ablation over the past

 

or since two thousand and two. And one lesson I’ve learned, I’ve seen this, regardless of what the literature says, the compression stockings are very important after ablation of the vein, If they don’t wear it, those veins will open up. Some of the veins I have are gigantic. They’re the size of Texas You know, they they need to have a pressure behind it. I try to compare it to when you put a crazy glue in on a surface, you need to have pressure behind it. If you read the instruction it says put apply pressure

 

For 24 hours, because if you don’t, it’s not going to stick. So when we do these, whether we use radio frequency or whether we use laser or we use foam, you’re causing an inflammatory reaction inside the vein. And that inflammatory reaction in that first 24, 48, 72 hours is makes the inside of the vein very sticky, for the lack of better terms. And by pushing those walls together, they fuse.

 

So if you do not wear compression stockings which fit or applies pressure in the right area.

 

uh or you can’t wear it, then a lot of these procedures are not going to be as successful. Uh so uh to me, to get good results, I I rely very much on a compression stocking which fits. So um

 

Glenn Anderson (05:17)

Mm-hmm.

 

Dr. Kamran (05:18)

then it depends which area of the body I’m treating. if I’m trying to close the great saphenous vein which goes all the way down to the groin, I need pressure right at the groin. And with those I’ve noticed the pantyhose uh works the best.

 

But a lot of patients can’t wear the pantyhose. I notice the guys don’t like it because there’s no zipper on it.

 

Which I’d like you to expand on it if there is something in the

 

that you’re considering probably doing in the future. Uh I had one of my lady patients said, uh, you know, I she hates when she has to go to the bathroom and pull those pantyhose down. She’s very hard to do. So a lot of them elect to wear thigh highs and the thigh highs unfortunately uh come down and they’re pretty much sitting about mid thigh, which is not where I want all the pressure on. So could

 

Glenn Anderson (06:02)

Mm-hmm.

 

Dr. Kamran (06:03)

you um let’s start off

 

with the pantyhose and how we could handle that and is there anything in the market where in the future

 

they could have uh something that it would be a little easier to to use the bathroom after

 

Glenn Anderson (06:20)

Sure. Uh y you know, there’s a there’s actually a fair number of options there. One, obviously we we produce pantyhose that are medical compression gradient, meaning the maximum pressures at the ankle or the narrowest part of the leg just above your ankle bone. And then it gradually reduces as you go up. So of course if you need compression in the upper thigh, you know, bordering on the groin area, it’s important.

 

To where the waist ties. And you’re 100% right, obviously, when it comes to the medical efficacy. We always want to compress those veins, we want to allow them to heal together, so to speak, so they stay closed. Um, the waist high products that we happen to make uh are actually varied in their offerings. We actually make a waist high for a male patient with an open pubis. certainly we do the same thing for female patients if

 

you know, shall we say uh the urgency is there and uh the the hand strength is not, so to speak. Um but again that just takes uh a little bit of inquiry and certainly we can support uh those special needs. We make standard pantyhose obviously uh waist high that um have an adjustable waistband actually for comfort so the patient can set it to how they want and of course

 

they don and doff like traditional pantyhose. And you know, for patients that struggle some with reach or hand strength, you know, arthritis happens, you know, people have history of medical issues, whatever the case might be. We do offer specialized donning aids. they’re essentially wireframes where you can stretch both pantyhose legs over it at the same time and that allows you to slide them on much, much easier.

 

So there are there are many, many ways to uh shall we say overcome the challenges. And you know, you know from your experience a lot of the challenge is mental. It it’s just

 

trying to convince yourself to get over that hump and saying, Okay, one, I need this and two, how do I really do it?

 

And once people get a handle on that, there are many, many methods and products that can certainly meet their needs and ensure the medical efficacy.

 

Dr. Kamran (08:39)

Great. If I’m if I may interrupt you there a second, ’cause there’s one point I don’t think I’ve made yet. most insurance companies require you to wear some form of compression stocking before they allow us to do their procedure. And

 

Glenn Anderson (08:51)

Mm-hmm. Yes.

 

Dr. Kamran (08:53)

uh I had, for example, one lady who was actually uh an she’s an anest anesthetist. And she has been wearing compression stocking for twenty years. Uh, that’s the only way she can function. You’re standing in the operating room on your feet, you know.

 

And she comes here, she wants to have the veins treated, and they said that uh we don’t care she’s been wearing it for twenty years. Is this medical grade? So they uh insurance companies understand the word medical grade. So if you picked up your own compression stocking, the chances are it’s not medical grade, which is what insurance companies uh accept.

 

So it has to be a medical grade compression stocking. So there are again a few companies, of course yours is one of them, that they need to make sure it’s medical grade and

 

it is uh, you know, they’re wearing it appropriately. So

 

That obviously is is extremely important. I’m glad to hear that there are options available. Uh one of the things is funny, you were telling me one of my patients came in, he said, Doc, he said I found a great way of putting my knee highs on. He said, What I do, uh he got a actually a water bottle like this. It was a little bigger than this. He said, I stick that in there, it stretches uh around the ankle, then I put it on very easily. So

 

I don’t think that was pretty creative. But uh now Glenn you’re telling

 

Glenn Anderson (10:14)

It is.

 

Dr. Kamran (10:15)

me that actually you do have frames that they can does the same thing, it stretches it. Or you can put your

 

Glenn Anderson (10:20)

Exactly.

 

Dr. Kamran (10:20)

your fist through it and just make sure it stretches so you can get it over your ankle. The other thing is I think people forget, uh these compression stockings, I think it really are designed for life. Even we do a great job uh getting rid of the you know, we map them well, we find that while all the uh bad veins are. Even when you treat them.

 

I’ve noticed that there are perforators, you perforators are what connects the deep and superficial system together. Those perforators, when they come to the knee down, they’re numerous. So when patients got recurrence of their veins, I’ve noticed invariably is from the knee down. So I strongly recommend for patients to go ahead and wear at least wearing knee highs Knee highs are easy to wear, uh, but you know, keep those on, probably as much as they can, maybe the rest of their life, because that prevents you from getting more

 

uh veins in the future. Uh and if these things are going to come, you know, they won’t come as often. Then of course what we forget is salt retention and edema of the legs for due to other reasons. A lot of my patients have not just venous insufficiency, they have pitting edema, secondly to salt retention, whether it is because of the kidney doesn’t function as well as it used to, you know, kidneys and hearts are like bilge pumps. As we get older, they get weaker.

 

it doesn’t mean you’re in kidney failure or heart failure, you just can’t push all the fluid out like you should. So gravity makes all this fluid. By the end of the day, they’re in your ankles. And I’ve had patients who come in, their skin is breaking down, or it’s red, or they get cellulitis, because the poor skin can’t take it anymore. You know, you’re pumping all this fluid into your legs, and the legs are just either oozing or about to bust open. And

 

what I tell them, I said, you know, at night when you go to bed, keep your leg elevated, because I believe you can correct me if I’m wrong, literature shows that once the swelling is there, you can’t push it back out. But it is is all these garments are supposed to stop the fluid from coming out. So at night if you keep your ankles above your groin, when you get up in the morning the ankle have shrunk, now put the stocking before you get up. So the point I’m trying to make, these things are really for life.

 

you need to have a compression stocking which is a good quality, which fits. Learn how to put it on. And then you have to stay with it

 

Glenn Anderson (12:38)

I agree a hundred percent. we all have our genetic history, you know, we can blame our parents for a lot of things. That’s what I like to say. But at the end of the day we have to take care of ourselves medically. I personally wear compression every day. Uh i obviously it’s what I do for a living as well, but at the same time I just feel better. My legs don’t feel heavy, I don’t feel as fatigued at the end of the day.

 

and and why you know, why is that? All the points you make, we we treat a lot of patients obviously, um a lot of swelling, edema, um, not necessarily lymphedema, which is a very specialized condition, but just the buildup of fluid in the legs can lead to some dire consequences

 

most of us wear compression because we just feel better and it’s that simple.

 

And once you’re in the habit, it really is it makes a difference in your day. Especially at the end of your day when you remove your compression stocking, so you you are not nearly as foot sore. You don’t have that ankle swelling or foot swelling that might build up through the day for some people. it makes for a more positive day as you go on. The key is putting them on in the morning, as you mentioned. you know, legs elevated, uh when you’re

 

at the lowest point of swelling. That is certainly one of the key aspects, basically of staying ahead of it. And and then the the fluid will not build up as much through the day. So I I couldn’t agree more with what you’re saying.

 

Dr. Kamran (14:02)

I know we’re taking a lot of your time here, Glenn. Again, I very much appreciate you being here. So I just wanted to make sure at least one thing we definitely get through today, which is the different types of compression stockings which are available.

 

Glenn Anderson (14:13)

Mmm hmm.

 

Dr. Kamran (14:13)

I know uh during pregnancy you can’t do any procedures on anybody, and we know during pregnancy, in fact, that the minute your urine turns positive, it makes your veins dilate. So a lot of people suggest uh put compression stocking the minute your urine turns positive.

 

Um so uh during pregnancy of course the belly is getting bigger. I know with the some of uh they have especially designed maternity compression stockings. If you could can you talk about that for me?

 

Glenn Anderson (14:39)

Yeah,

 

absolutely. Uh it is definitely in our portfolio. it is certainly a concern. A lot of expectant women are prone to swelling in the feet and ankles. of course you know as a physician that you know their blood volume increases significantly while pregnant. Um so it actually puts a lot of stress on the circulatory system. But our our stockings that are they’re basically maternity pantyhose, they are built for the expectant mother where the

 

panty portion, it has a much wider cut to it, so it accommodates uh the baby. And of course, it is gradient compression. Uh the minimal compression obviously is on that belly portion. We certainly don’t need to compress as much up there, but certainly it allows them to function through the day in a very comfortable manner. And like I said, in the evening when they remove those stockings, they’re not having that really heavy leg feeling.

 

or, you know, the ankle swelling, the foot swelling that many expectant women are prone to. it they’re not limited to wearing maternity hose only. Uh a lot of expectant women just wear knee high stockings because once they can get it out of the lower, you know, the extremities, the distal part, whether it’s the foot and ankle, and get that fluid to move through the rest of the system, that is adequate to the cause. and sometimes more manageable.

 

As you’re further on in your pregnancy it it it it takes some effort to don a pair of waist high stockings, no doubt.

 

Dr. Kamran (16:07)

actually, I’m uh ashamed to say that uh all these years I’ve they were either on uh pantyhose, uh thigh-highs or knee highs. Now I realize there are also these sleeves because I’ve been using those. So you could let’s say for example in in my field, you know, you come in for your injections, we do some injections below the knee. all you need is a knee high stocking that day. Now

 

sometimes we do one or two injections above the knee. it doesn’t mean they necessarily have to go into into thigh highs. They could just use a sleeve and just add the extra addition. So and also makes it easier to put on. I notice if you have a knee highs already and you get a sleeve and pull on top of it, the slide’s much easier. And you can bring it right to the mid thigh or

 

or all that, you know,

 

Glenn Anderson (16:57)

Mm-hmm.

 

Dr. Kamran (16:58)

if you need to and I notice not many people know enough about the sleeve. The sleeve seems to work very well. I’ve been wearing a

 

Glenn Anderson (17:04)

Yeah,

 

and so uh sleeves are really uh practical, as you say. They can be used in combination with other products. Uh and and it’s not limited to the sleeves. We we have a lot of patients who might need thirty to forty clinically, you know, more severe cases. actually put a a fifteen to twenty stocking on and you layer another fifteen to twenty stocking over, you are wearing thirty to forty.

 

Compression in elastic stockings, medical stockings, is cumulative. So you it’s not like you’re wearing fifteen to twenty only when you layer it. You you double that. And of course, that can make the putting on or donning of the product much easier. some people have to be in a waist high where might wear a capri and then they wear a knee high over it so that they get full length compression, but they’re donning it a couple separate garments, which is more manageable for them.

 

So certainly the uh somebody who has a preferred foot so stocking, whether it’s non compression or just fashion, they have a certain footwear, say they have to go to work every day with a certain footwear on, uh certainly the calf sleve makes a lot of sense because they’re not limited in what they can do in their everyday life, but they’re still getting the medical compression they need to manage, whether it was a a procedure or just their physical condition in general.

 

Dr. Kamran (18:29)

So uh another point I’ve had uh a lot of complaints uh o over time now they seem to be uh more manageable is with with the thigh highs you use that silicone and a lot of people are

 

quote unquote allergic to that. And they um and it’s very hard to treat those. Uh of course the with the panty hose you don’t to worry about it, but with the thigh highs that silicone seems to be a problem. So could you please uh educate us about the silicone, how to handle it, and is there a allergy free silicone available?

 

Glenn Anderson (19:01)

Well,

 

silicone is a tricky substance, right? it is actually benign in and of itself. What most people uh when they have a reaction, there’s a couple of factors that come into play, and I’m sure you’ve seen this in your practice. One is just friction. The the silicone is rubbing, okay? And you know, we have an example of a silicone band here where it’s a continuous

 

Pattern of silicone. There’s no breaks in the pattern. just as the leg moves, as the person might ambulate or otherwise, it will cause some irritation potentially. Now, the other factor is during laundering, it’s a good idea to just hand wash the silicone separately before you throw it in the washing machine Because silicone will hold other substances.

 

Whether it’s perspiration, body lotions, creams, other things, that can ultimately be an irritant if they reside on the skin too long. the other is there are bands at the top of the thigh highs and some knee highs that where the silicone is not continuous, it’s actually a dot band. So when you stretch the band, you know, as I stretch a continuous silicone pattern, I’m stretching the silicone. But on the dot pattern,

 

You’re not stretching the silicone. The dots are independent of each other. And you’re stretching the elastic band itself. That can also relieve some irritation for some folks. But the an actual true allergy to silicone is incredibly rare because it is essentially a benign material. But it it can lead to complications, especially those with sensitive skin.

 

people with red hair have a tendency to have more sensitive skin. It’s just what happens. So the more fair skin. And uh and certainly the dot patterns help relieve some of that. I know it’s getting a little technical, but uh if you’re looking for a thigh high that will be less irritable, look for a thigh high that doesn’t stretch the silicone. Look for something that just stretches the elastic band where the silicone is applied.

 

Dr. Kamran (21:03)

we’ve been able to uh manage most of them. but yeah, it is as you know, there is there’s there’s always been an issue. Then of course comes to the knee highs, which uh I think everybody should really wear them, especially when you’re on a flight. I mean a lot of people don’t even know they have venous insufficiency. It’s a common condition. Thirty five to forty percent is a lot. It’s almost like morning two. And they get on a plane ride.

 

More than four hours. One study they showed that uh on ultrasound had up to thirty percent. I thought the number was a little high, but up to thirty percent had some form of clot the vein. So if you’re getting on a plane, nowadays I don’t get on a plane unless I’ve got the knee high stocking. Because uh in fact if you get on a plane, uh your your flight is more than four hours and you look at your ankles, your ankles are swollen, the chances are you have some form of venous insufficiency.

 

in fact we just had uh Eagles, you know, quarterback uh ended up uh clot in his leg. And he was flying all the way to London and back. And so uh in my mind, you know, being in this you know, treating Venous disease all my life, I get very paranoid. You wonder could he have developed some clot the plane? And then when he got off there, you know, it just manifested itself. And I all my

 

family

 

members or friends, I tell them do not get on the plane unless you wear your compression stocking, even if you can’t take a baby aspirin and try to get up and walk around as much as you can because venous insufficiency we know gets a lot worse on a on a plane, right? So the knee highs get a knee high you’re comfortable with, which fits. Uh and as you mentioned, you know, they make ones which is actually you can wear it in even those sheers, they make them for men now.

 

And and then of course you have uh a stocking which comes to just to your foot and then to the ankle and then you have with the low ones as well. If you could kindly very briefly tell us the different types that you have from knee down.

 

Glenn Anderson (22:54)

So we we have plenty of below knee options. Obviously we make knee high stockings, uh, and then we actually make something that comes to the middle of the lower leg or a calf eye or mid-calf is often termed used, or crew socks, if you go back to the seventies when that was the term. And then we actually make low cuts, which cover the ankle only, or all the way down to a no-show where it’s inside the shoe only. Of course, the more we go towards the foot.

 

The less compression we’re delivering up the leg. However, a lot of folks combine these things. They might go with a sock that covers to the ankle only and then combine it with a calf sleeve just for convenience and comfort. And of course, when you mention flying, uh obviously compression is more than a good idea. It’s highly recommended. And you know, unfortunately, you know, even a professional athlete in in the can physical condition.

 

that he is in, which most of us will never see in our lifetime, being in that great a shape. any you know, you just never know what’s going on in the underlying systems. so even if you feel like, I’m healthy, I don’t need compression, it really is a good idea when flying for any length of time. Uh I would highly recommend it.

 

if you can bear with me for a minute, we do make one product that is a wrap. You can actually wrap the leg. Okay. And the inspiration for this product, uh, because it wraps around the leg, it’s easy for a caregiver to apply it to someone else or for somebody without hand strength, as opposed to sliding a stocking on, they can actually wrap their leg in compression. and the inspiration for it was the giraffe.

 

So why would a giraffe inspire compression?

 

It’s uh it’s an interesting story, but literally they were at at the zoo and it inspired this gentleman to invent this product because it turns out a giraffe never has swollen legs. Their skin won’t stretch. So they have natural compression built in. The skin will not allow swelling to occur occur, so the fluid is always migrated northward, But so it became the inspiration for this product that we call Circiad

 

And it is a great product that uh it differs from stockings, but it’s also a great solution. So just an alternative.

 

Dr. Kamran (25:13)

I’m actually quite familiar with Circiad. I think it was a great product.

 

one thing most people don’t realize, uh to pull a stocking, ’cause I wear it every day like Glenn does, knee-highs all the way to your knee, the f the friction, the coefficient friction, whatever you like to call it, but you put it on the skin is a little tough. Now, if you put let’s say your sock which goes to your ankle, the second one it slides over so easily because friction is less. So I think just one thing I’ve noticed. Now

 

we cannot change our genes, right? I’m talking about genetics, not jeans But uh

 

Glenn Anderson (25:49)

Mm-hmm.

 

Dr. Kamran (25:51)

uh so we know thirty-five to forty percent of people have some degree of venous insufficiency. We know if one parent has venous insufficiency, you’ve got a ninety percent chance that you’re gonna get it. So you could be the best athlete on the face of the earth.

 

If you have varicose veins or venous insufficiency, you’re prone to getting clots. We know that for a fact. And there’s a lot of patients who are hypercoagulable. They don’t even know that. And they end up, you know, getting clots.

 

And as a vascular surgeon, I’ve been behind a knee. Uh and believe me, if you if you bend that knee ninety degrees, the popliteal vein is is bent like ninety degrees, which means uh flow diminishes.

 

So if you’re on a plane ride, especially because of negative pressure, a lot of my patients are pilots and they tell me it’s not always pressurized.

 

So when you’re in the plane, it’s like anti-gravity, you know, fluid goes the other way. Uh so you’re more prone to getting uh stasis So try to get up, walk around, get hydrated, use your calf muscles. That’s responsible for 90% of the blood getting out of your leg. I call it fake, fake walking. And as long as you move your foot back and forth, it gets the blood flowing.

 

yeah, especially if you’re tall, you know, just you know, you need to get up and stretch those legs. Uh so um final question.

 

one of my my patients was actually uh Olympic swimmer and uh she had to swim like four or five hours a day. this is almost two thousand and two. I told the sure just you know, you should be fine. And the chlorine took all the color off. So what is your recommendation uh when people are swimming with their compression stocking I

 

Glenn Anderson (27:27)

well there’s a couple of factors there. Certainly when swimming in a pool, if it is a chlorine pool, uh you certainly want to rinse your stockings immediately. chlorine or bleach will degrade the elastic material. It it basically bleach eats spandex is the bottom line. ocean water, you know, fresh water,

 

Salt pools are less prone to it even though there is still a chlorine factor, but it’s certainly a good idea. Chlorine is not kind to spandex.

 

Dr. Kamran (27:55)

fi the final analysis, uh if you could kindly tell us what is in the pipeline in the future or is there anything exciting coming out?

 

Glenn Anderson (28:06)

There’s

 

there’s always things in the pipeline, right? technology’s come a long way. Uh you know, we talked about fabrics and making compression that didn’t look like compression. We’re really making strides on making compression that doesn’t feel like compression. There’s a lot of functional fibers out there that have cooling effects that wick moisture away from the skin. there are actually there were you know early experimental stages for some things we call what we call active textiles.

 

where you can actually apply a small charge like a battery to a textile and it will activate the textile. So you can put the stocking on loose and then activate it and it will become the compression profile you need it to be. Again, to overcome some of those donning challenges. Now that’s a little, you know, Batman technology ish, as we would say, but it’s uh it it’s very real and in the labs. So, you know, things are come out have come a long way in this in this arena to

 

basically makes people’s lives better. Uh bottom line. We know compression can be intimidating and challenging and we certainly want to overcome that.

 

Dr. Kamran (29:12)

Well, Glenn, thank you so so much again for your time. Uh this uh strongly recommend this both of these episodes for our patients who have any questions about compression stockings or confused about compression stockings or why is it important Hopefully uh they’re going to be listening to this episode and and uh understand it better. Again, thank you so much for your time

 

Glenn Anderson (29:33)

Thank you. It was a it was a fun.

 

Aimee (29:35)

Thank you so

 

much, Glenn. And thank you, Dr. Kamran. That wraps up part two of our masterclass

 

on compression therapy with Glenn Anderson from medi USA. And again, a massive thank you to Glenn for sharing his expertise with us. If you want to catch up on part one, be sure to head to scarlessvaincare.com forward slash podcast. And don’t forget to subscribe. See you next time on nice legs with Dr. Kamran.