Welcome to The Nose Dose Opioid 
Opioid Crisis Unplugged is a 
offering a deeper dive into the 
combating the opioid epidemic. 
expert panelists from our 
behind the scenes look at their 
pressing issues of prevention 
opioid use, treatment, recovery 
All right. 
you by the Nevada Opioid Center 
coe.org. 
Bianca D McCall. 
examine how opioid use disorder 
groups with distinctive health 
And this journey, it takes us 
amplifies the voices and unique 
And I'm grateful that you are 
resilience of individuals with 
neurodivergence and birthing 
and performers alike, honoring 
healing trajectories of a 
Let's get ready to debrief. 
session, we explored the 
effects of opioid exposure at 
the experiences of birthing 
engagement opportunities with 
systems, and how in utero 
feeding, and long term 
Listening session was 
revisit is sure to carry that 
Joining us today is Doctor Annie
Specialist at the University of 
research and community based 
nutrition and resilience in 
Now she's also part of the 
and trains providers across the 
housed at UNR and Doctor Lindsay
And I'm a foodie, so I love the 
around nutrition, and I'm so 
us today. 
doing today? 
I'm doing awesome. 
I'm so excited to have you here 
right to it. 
So you, you talked about, you 
the listening session that that 
reproductive age, are the 
by opioid use. 
picture, if you will. 
that and what it would look like
respond to the social and 
that trend? 
I mean, if you look at the data,
company, Millennial Health that 
know, the blood screens that 
that come in and they report 
through these through these 
And honestly, we have an opioid 
And I'm, I'm glad that we're 
epidemic, but I, I really think,
before that we've had a 
decades, right? 
enough. 
screens that are coming in, in 
methamphetamine, as you know, 
opioids. 
the first, you know, since 2000.
know, in the last five to that gender specifically. 
reasons, but I think some of it 
using methamphetamine, 
attention to it as much until it
And opioids is a different 
But unfortunately, this fentanyl
like 100 times heroin, right? 
just Mexico. 
of any anywhere. 
manufactured here. 
prescribed it's it's coming 
say. 
know, people dying from 
lot, especially for women. 
and a stimulant problem. 
You know, I mean, we could go 
that women were using 
related to health, right? 
They're taking care of kids like
They have so much to do. 
education. 
they're the primary caregivers 
getting child support. 
don't have family support. 
what they got to do and they 
So they're not going into 
So it's a very, I call it social
in, in women of that age. 
just creates a problem that 
at enough. 
with everybody who's got an 
Sure, sure. 
So the, the social and inhuman 
thinking about social 
you, you name so many different,
there's a bit of a disparity 
experiences of, of women over 
And I, I don't know, that's 
for you is looking at kind of 
lot of these disparities. 
said, if we're looking at 
emotional and all the other 
like there's the most advocacy, 
physical. 
the conversation the around 
And you would think that was 
fundamental subject matter, a 
all consider ourselves, you 
wealthy in terms of, of that 
You, you would think that there 
more education, more empowerment
of opioid use disorder, right? 
us such such incredible insight 
impacts recovery, especially for
So can you, can you talk to us 
translate that knowledge into 
those social and, and, and human
would it take for nutritional 
part of treatment and not just 
Yeah, that's, that's the 
And I kind of feel like could be
comes to women, because first of
Yeah, we know that there's, 
But there's also this, there's 
trauma. 
population, especially, it can 
99% that have traumas, sexual 
emotional, physical abuse, you 
still still now. 
there's even one more aspect 
the social capital and the 
physiologically, there's 
There's a ton of studies out 
enough that show physiological 
male and female rather than men 
about biological differences, 
body, right? 
different and, and parts. 
like women can use opioids for a
dependent. 
methamphetamine tend not to 
that's what you know and how 
their body in terms of cravings,
differently. 
techniques biologically for men 
You know, you know, patches 
And so there's, when you look at
I mean hundreds, if not 
know how they manifest 
But I think the interesting 
we're not translating that. 
One of my colleagues said, you 
nutrition and neuroscience, when
the library shelves and put it 
In terms of nutrition, there's 
So to answer that question 
we know, you know about this 
of, you know, bipolar, high 
depression and poor nutrition 
And so if you look at those, 
that we can do, right? 
skills, how to feed their 
reunification and have really 
the table practices. 
what we know in terms of, you 
little bit, you know, with, with
foods, but maybe supplements 
they are low Omega threes or 
vitamin D or they might be 
vitamins and minerals that, 
subclinical levels or some 
And maybe we need to boost that.
we've been talking about for something. 
we, we just stick with the, you 
know, eat healthy, be active. 
But in this particular audience,
I think we need to do more. 
them get dietitians more 
the different people to the 
while they're in, you know, 
Yeah, and, and you know, I, I 
listening session about linking,
to serotonin, you know, or 
It these are conversations that 
right. 
clinical settings. 
from research. 
you said about from the library 
and and from the grocery shelves
our our daily conversations. 
is the best party trick, best 
Doctor Lindsey, I was at AI was 
right after the listening 
conversations with a do you know
Likely because the the carbs are
is literally literally the feel 
It was a huge hit. 
Great party trick. 
anybody listening. 
We and yet, and yet yet our, 
against the clinical people, but
people, Oh, I know you're 
So let's, I've heard the, you 
great or, or I, you know, I do 
dangerous because now that you 
it's going to affect because we 
certain, you know, fatty acids 
micronutrients that directly 
neurotransmitters. 
diets or tell people to go on a 
opposite of what you're trying 
in helping them, right? 
brain by doing therapy, But then
you're, if you're, you know, 
for instance. 
sense. 
of like body dysmorphia and some
you know, starvation and, and, 
keto or anything where you're 
nutrients that it needs in order
function in, in the sense of 
some of these these challenges, 
And so can we speak more about 
how that might be, you know, 
gender related consequence. 
want to acknowledge that there 
issue as well. 
in women. 
the drugs they're using when it 
much more equal. 
into treatment, men versus 
So, so so men do have this, but 
women. 
talked about earlier with the 
These are again, I call them 
to self medicate. 
of methamphetamine immediately, 
right? 
happened because it's your 
I mean that's why you see people
hair and things like that 
pick can't process calcium 
very well through 
So there's a lot of nutritional 
one of those is the weight gain 
run by the drug for so long. 
So now that they don't have that
you need me now I got to figure 
Like you're going to have to 
Meanwhile, you know, they're 
like you said, be looking for 
emotional side, but they're also
they're they're having cravings,
And so the cravings make you 
quick sugar, but then you crash 
or even alcohol because that's a
So, you know, to teach them how 
that blood sugar instead of 
of this process. 
from different reasons and 
sorry, they, they will self 
They're like, OK, I'll figure 
I'll try this diet or that diet.
drugs. 
and it, it, it might sound 
diet culture and the, the 
women that has led to this. 
think. 
it has become our metric of, you
society has put on us as women. 
care of kids or you're trying to
this stuff and you need to look 
works. 
work, you know, these drugs 
bullet, you know, pill that, 
And so UCLA integrated substance
2004. 
published that said, you know, 
reasons women use use 
weight loss. 
that is, is defined by body 
bodies, how they're, you know, 
Internet, on the social media, 
Women have these body image 
And then when you combine it 
develop, when they stop using 
some eating pathologies of sort,
dieting or restricting or 
And we've actually seen these 
We've actually looked and 
these different mechanisms that 
And they're trying to still 
methamphetamine or the drug is 
Sometimes even opioids help them
When that's gone, they're still 
And it's, you know, and so, you 
know, our dietitians, our 
support more along the lines of 
And dietitians and doctors may 
supplements early in recovery, 
need to recognize that we need 
right? 
skinny and losing weight, you 
disorder. 
malnutrition comes in excess, in
deficiency and eating pathology 
underweight, normal weight. 
multidisciplinary team that 
know, comorbidities and factors 
And, and what I love about that 
you, you guided us in the 
right, why women use and, and, 
lot of those comorbidities and 
every, everything like that. 
You also mentioned kind of like 
time. 
listening session, we talked 
cycles in the nature of, of 
And, and especially as we look 
specifically looking at the 
female, you know, this is, this 
age-old tale, right? 
to meet people where they are 
the functioning of their use. 
the listening session 
and, and I love your examples of
shopping and the cooking with 
as a village. 
listening today who are building
are some of the strategies that 
are while protecting the next 
Yeah, yeah, I do call that 
generations. 
from thousands of years, from 
generations of people did 
And then all of a sudden some 
to sidestep. 
anymore. 
generation and start, you know, 
And that's how I like to think 
And I've seen so many women make
because when we teach programs, 
we have women that don't have 
But they're planning to have 
They immediately look, look, 
not, they immediately look to 
say, wow, my, my, my mother or 
whoever caregivers used to 
the time. 
body and I need to fix this 
a lot of them, their mothers 
them how to do that, said this 
So they've learned a lot of 
know, whether it's it's drug 
or it's just a, a condition 
hating your body or something 
They've learned it a lot of 
generations. 
like, OK, I'm not going to do 
And you don't teach body image 
you're so beautiful. 
in the mirror next to your child
And then the child says, yeah, 
Yes, you are. 
You can't say mommy's fat, but 
They don't hear that. 
That's not what they hear. 
generational thing where we 
We have family conversations and
positive experiences around 
activity with the families, 
Right. 
at the game that they're good 
Because they, they, they, you 
You don't have to be good. 
store, taking kids to the store 
out the green vegetable going to
You can pick the red one that 
for lunch. 
we're going to have for dinner. 
They're like, Oh, yeah, I like 
eat it. 
around the family, right? 
their body image. 
say one thing about body image. 
I, I, I, I instead of hating my 
I know a very few women in this 
They might say, look at this, I 
They don't love their bodies. 
thinking about your body all the
That's the goal. 
look in the mirror today or did 
or what I, you know, it When 
adjusted myself or fix my hair, 
I think about that because I see
And so I, I, you know, we have 
an evidence based program that 
available to people to use that,
educational, not just nutrition,
about healthy body image about, 
from dieting about, you know, 
pathology. 
disordered eating behaviors that
disorder? 
disordered eating, but not 
So yeah, I think it's 
But again, I still think 
need a little bit more of a 
nutrition along with the 
I love that and and gosh, what 
that I, that I hope our our 
mommy in the mirror, you know, 
not above singing classic tunes.
I doctor Lindsay, I'm a 
that millennials we we assign or
in life, right. 
the mirror with their with their
beautiful. 
looking at the mom in the 
Oh. 
And so I had, I had to go there.
But no. 
OK, the mommy in the mirror, he 
Proud of you. 
that. 
Yeah. 
apologies to the listeners. 
anything before I I hit some 
I won't say the notes, but I hit
You nailed it, girl. 
You nailed it. 
You but the, the looking in the 
an, an activity, an exercise. 
consciousness, you know, and, 
all the time, you know, just 
inner voice being kind of the 
realities and, and the center 
It are those moments of looking 
That's when we are, I, I call 
consciousness because we're 
We're, we're defining who we are
And, and that, that dissonance 
insecurities and, and, and that 
And, and I tell people about a 
know, I used to, to brush my 
to look at myself in the mirror 
And it wasn't until I, I, I 
recognize kind of this, this 
strength of sense of self when I
the mirror and, and with loving,
And, and I spent those moments 
to look at myself and say, you 
thought you were. 
be. 
doing that and sharing those 
our, our children, with our 
transferring that, that thought,
emotion, that existential, you 
get in some existentialism in 
But I love that. 
you talk a little bit more 
and things like that, 'cause I 
timing as well. 
ahead of the holidays as we're 
And, and the holidays you 
around, you know, maybe mother 
other other family members where
your value, your, your sense of 
on what other people, the most 
think about us and think about 
And so ahead of, ahead of the 
traumatic time, most wonderful 
I, I'd love to know where, where
Where do we, how do we get it? 
and and connected with those 
Yeah. 
specifically for women, it's 
We actually developed a 
almost 15 to 20 years ago and 
couple of, you know, revisions 
we want to make sure it's within
published some papers on to show
And, and we use clinical tools 
just, you know, nutrition 
actually changed the way that 
So there's a lot of great 
really, and, and now we're 
finishing a middle school, high 
That's, I call it resilience. 
prevent anything obesity. 
prevention because there's too 
And once that we can't control. 
have the, these conversations 
program around these things that
and that are preventing them 
completely, are things that 
I mean, we have four and five 
It's hard to believe that a 
their body, but it's happening 
with preschool as well. 
a resilience, like what are the 
about adult women starts early 
What do we do in those middle 
build that resilience? 
you know, somebody in one out 
recently said, you know, those, 
in front of the car places, 
they fold over and they, you 
that guy. 
takes him and he just, he just 
Like that's, that's the true 
I got this, I got this. 
you can't prevent what's coming 
So I think in early years, we 
resilience and then we have to 
action, you know, once we've 
But it's it's sort of the same 
And to your point about things 
doesn't even have to be the 
We see women in recovery and in 
come to visit and they want 
see their kids. 
or even some of the adult kids 
kids. 
fat? 
or they have to call home and 
new jeans, 'cause I need bigger 
This is traumatic for these 
And I tell them, you know what, 
recovery. 
say, you can't talk about my 
it. 
encourage me. 
don't know that they're hurting 
They don't know how much it's 
And we have to own it. 
ours. 
figure out how to manage that 
All right, Doctor Lindsay, so if
wants to continue this 
perhaps wants to grab a bite to 
either protecting them or their 
health, their behavioral health 
how can one connect with you? 
well, first of all, let me say 
but I am physically located in 
which is where the majority of 
are in this particular area. 
be. 
Reno as well. 
lunch in Reno or anywhere in the
But probably the easiest way is 
Lindsay all as no ES in the a 
So it's a lindsay@unr.edu. 
some teams at UNR that do this 
And so I can, whether you're 
which I, I did share some of 
So whether you're looking for 
maybe get a hold of the 
training for your staff or for 
the right folks, but just start 
that would probably be the 
Wonderful, thank you so much. 
out to, to Doctor Lindsay. 
knowledge. 
these sessions with being very 
And so now speaking to the one 
hope hears this conversation. 
listening to this conversation, 
conversation that we had today. 
What do you want to resonate 
needed to receive the 
delivered with us today? 
Well, I think as a, if that 
would definitely say, you know, 
doing because in our field, in 
clinical, anything that's 
discipline of addiction and 
field, we need to be multi 
We, we need to be compassionate.
than anything, we need to, to 
Because unfortunately, we can do
I mean, our attempt to help 
doing more harm by some of the 
You know, whether it's dieting 
to do right. 
We don't want to do that. 
our approach and bring other 
conversation. 
this is this is my world right 
Like I feel like one of those 
all of those issues that you 
And I'm, you know, surrounded by
the history of substance use and
I would say that there is help. 
We don't hear about it very much
We don't, we don't have that 
But but, but we're here and 
even in our communities, they're
And so again, I would say reach 
maybe find how to connect you 
there. 
know that they're there. 
to find those really great 
a very complex individuals, 
We we are complex humans, so and
We love our complex. 
I love it. 
Doctor Lindsay, thank you so 
And I, I've said it before and 
to connect science and systems 
that are unique to, to women. 
And, and you brought the kind of
conversation and pushes us to 
possible across generations. 
time, your clarity, your 
work and all the resources that 
Thank you so much for joining us
And, and thank you to everyone 
These conversations are are 
They're meant to challenge and, 
about how we support families 
substance use. 
helpful, make sure to subscribe,
until the next time. 
stay informed, and take great 
Thank you. 
nostos. 
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