Yom Kippur Halachos - When Health Comes First with Rabbi Coren, Rabbi Kalikstein, Dr Don Zwickler

Okay, we're starting. We want to thank Hashem that we have the to have this sh. We have to thank of course laser the sponsor of everything goes on in the show and thank you for making this sh reality and with all I think the catalyst for making maz everyone and especially thank Dr. Wickler who at this at these moments before Yam Kipper has hundreds and thousands probably of patients and Shilas and um I'm just going to share with you one that I think happened to I was speaking today to a lady that really also Mrs. Weber that does a lot of um health coaching and she told me she gave a class yesterday and before that she told me she's nervous about saying things are even though she's not really giving any but one of the points she said that she was so shocked to find out is after she shared the concept of and the importance of the mitzvah of the amount of people that came back and responded and told her that you just validated until now I was embarrassed. I was in a sense of shame that I have to do shim. So it's good to realize that in fact in the parac speaks about the so the beginning of it is that there's a mitzvah to fast in yum kipper there's a mitzvah to eat on yum kiper when you have to eat in yum kipper and it's a mitzvah a mitzvah of and it's I would never would have realized how important this is to stress and to to give So tonight we have amazing amazing also at a doctor that's going to give us a lot more clarity also about different situations and of course if someone has a very specific sha they should uh speak to and the doctor the combination is uh the best team. Welcome everybody. Those are sitting here who are sitting here and those who are not sitting here but will hear us uh hopefully through technology today. Today's topic is uh as I've written about in the past to fast or not to fast. uh that is the question and uh I'm here I'm sitting with Rabonam so I'm not here to be the aos or a rav but I'm here as a physician just to give a little bit of clarity about the issues of fasting or not fasting and kiper uh as a diabetes doctor as Rab Kurran said I get literally hundreds and hundreds of questions in the uh days before yam kiper about what to do I I usually do ask the patients to give me a heads up, you know, weeks before so it doesn't all come at once, but the but it does all come at once and in one day I get a whole flurry of of questions and even though patients have fasted in years before or not fasted, every year is different. Uh the fact is that I do encourage patients not to rely on previous years as to how they've have felt or how they've done. It's important information for me to help make a judgment call, but they I never let them make the decision fully on their own unless they're quite sure that circumstances have not have not changed. The the ba the basic uh uh issues are this uh when a person fasts, so they're um they they have two things that could happen to them. they could easily become dehydrated. Um uh or they could easily become hypoglycemic. Uh what happens is that um although many people have a very strong reserve of what we call glycogen in the liver, probably enough to last at least 36 to 48 hours, even longer. If somebody hasn't eaten well for a few days before or weeks before, their reserves are very low and they could after 12 or 14 hours absolutely deplete all of their glycogen reserves in the liver and become hypoglycemic. This is without any medical issues at all. Uh we find that in pregnancy where the baby, the fetus uses up a lot of sugar. So the mother's liver glycogen might be depleted very early and will have the same problem again even if there are no other uh um medical conditions that would cause the same problem. Um so and if somebody is thin or below ideal body weight they may already have started with a low reserve and become hypoglycemic. Now when you're dealing then with diabetics who are on medications um and medications could last longer than the patient realizes even days after the patient has stopped the medication there is also risks of hypoglycemia. So um low blood sugar is one of the one of the big concerns and uh that's why uh when a patient asks you know whether they can or cannot fast we have to take that into consideration. The other thing is dehydration. Um people do usually have enough reserve to handle 24 hours of not drinking but there are others that get dehydrated easily. They sweat a lot. they might have had an illness before that depleted them of their usual reserve of fluids. So, you're going to have those kind of people that could get dehydrated easily. And there are other other things to take in consideration. Well, the point is that that uh when a doctor is asked about how um about whether or not a patient can fast or not fast, uh we have to take many many things into consideration. We have to take into consideration medications that the patient have been on. We have to take into consideration medical history u other conditions that could impact on um on how well they'll manage with fasting etc etc. Even with all that um uh I'll tell you a very important nuda that Rabbi Korin and Rabi will also mention is that there is a uh mish in that says and that puk teaches us that and it's brought down in the that if mayor a 100 doctors will tell a patient it's Okay, you could fast. I'm sure you could fast. You'll be okay. I checked your blood work. I looked I did a physical exam. Everything is fine. But the patient comes home kipper and they start feeling not well. And they remember what the doctor said, but they just they just feel that they might faint or might pass out. That the leaves means the heart knows the bitterness of its soul. Even though the puzz is not really discussing al peepshot a person's medical condition, misora has it that the Torah the Mish is teaching us that the person trumps 100 doctors and that's it. And we have to let the patient be aware also about that fact. They have to be aware like the Rabbi Karn was saying before about how awareness is so important that nobody should be ashamed or embarrassed or feel ill at ease if they have to break their fast. Leia is is a a very important and it trumps whatever any whatever any other doctor would say very critical. Um the other the other that that will be discussed that are involved is in the um there are there are a lot of things that one should try to do to prevent themselves from getting sick. You know hydrate themselves up uh eat well a few days before so their glycogen reserves are are um are nice and and full so that the person hopefully will be able to fast. They won't run into trouble. I will never forget I have I had a rebi lift and um he was a muvakim and he was said in his name it was very mocked that even though we would we would we were very very uh had very intense learning and at the end of the year that's all you thought about he thought about something else he would call each one of us over and we were a 19 20 year old buckram and he it was if it was a cold day especially he would check is our button closed and he was our coat closed. He would say he's he would be so careful that what we could handle, what we could be to take care of, we should. So the same thing is that you know the message here is going to be although there'll be discussion about when you could break a fast or not it's important to do whatever you can do to avoid problems so that you will be able that you will be able to fast if you can. Um I know that uh in the same play of Yashaber Salvich he was told once by a doctor that you know if you if you you if you uh don't fast to today then you'll be able to fast deny Kipper you know the next day and he knew that the doctor was just trying to you know he knew the holiness of the day was so important he wanted to protect you know raia bear spiritually he said no if you think that I that I I'm not allowed to fast. I'm not going to fast on yum kiper either. Um so uh the doctors have to be also careful not to to protect the rnas of the of the patients either. That's that's the job of the raonum. They the it's like Rabbi Kurin said it's a big mitzvah is a mitzvah that you should uh protect yourself. Um I spoke once in uh uh by by to the about these and Rabbi Eisenberg the Dian said please remind the the the kahill that we're not trying to be in the isurum of yum we're being in the mitzvah of um I also saw once saw that of bells he once uh had to break his fast and apparently he did aimatum when he ate He made a big hu and he did it with such zeal and they asked Rebi why why we understand that you want to you know follow the of but why was such simple he said because not everybody gets the opportunity to be moer nephesh and give up a yum kipper for the mitzvah of so anyhow but kitser uh just to reiterate for one second and I'll give over the microphone is that uh it's important to do whatever you can to be very well hydrated and to for your glycogen stores to be full before the fast start so you don't have to run into the problem. It's important that no matter what type of condition you have or had or what your yum kipper was last year, if you're not sure what to do, please ask uh the doctor, please talk to the RAV. And don't be embarrassed if and if the answer is going to be that you have to break your fast, don't not ask cuz you're worried that that's what they're going to tell you. Again, that's it's such an important mitzvah to protect yourselves. If anyone has questions, it's a it's a great time to ask. >> Yeah, there's no questions. >> Anyone have questions? >> Question is, what's the best way to hydrate? The best way to hydrate is not just although it's important to drink a lot of water, but if you're if you're worried that you might become dehydrated and you're not uh particularly good at fasting, it's best to take an electrolyte drink like Gatorade. Um at least um a good 32 ounces of of Gatorade the day before the fast will help because the water could come out of your system easily. But if the water has also sodium and potassium electrolytes, it'll keep the fluid in your system and you won't be depleted so quickly. If you have to stay away from sodium, then in such a person, water will be sufficient. >> Yes. >> Way that you can tell if you are hydrated. One of one way you could tell if you're dehydrated physically is if you pinch your skin and when you pinch it, it just stays up very for a while for a few seconds. It doesn't come back down. That's a sign of dehydration. But in older people, the skin stays up sometimes anyway. So, it's not in a younger person, it's a good way. Um, you could take your blood pressure and if the blood pressure drops when you stand and doesn't stay up, that's another sign of dehydration. If a person is extremely thirsty and they have this terrible need for drinking, that would be another sign. But sometimes you can't tell. So, it's going to depend on on the individual. For example, if I have a diabetic that is hypoglycemic and the blood sugar is crashing down and he's sweating and shaking and he's starting to lose a little bit his sense of of of thinking and getting confused, then he just breaks his fast, eats whatever he can. But if the person is just sees that he's heading down the blood sugars because they many of them have uh glucose meters and they see their sugars and they see that it's heading down or they just feel that they're getting into a mode where they're not going to where they're going to get into trouble then the will discuss with you the mikashir that you could eat shurim and get your sugar back up or get yourself to be feel well again and um and then maybe you know continue the faster continue uh uh sheerum but it all depends upon the severity of the uh of your condition. You'll also get a discussion I guess about intravenous there's deos about whether intravenous infusions should be done or should not be done um before the yum kipper or after yum or during yum kipper. Uh the Raosha Feinstein has chuvas on it. Others have chuvas but I'll leave it to the Rabum to discuss. Uh I introvenous infusions is is not a thing. Um uh I've put many IVs in and I've seen other people put IVs in. It's not always a simple matter. Sometimes it could lead to infection or bleeding or other problems. It's a very very um simple IV and it goes in smoothly. It's great, but it's not always so simple. So I to go shalom and put an IV um is not such a simple matter um that you would need a in a particular case where it would have to be done. You'd have to have a really good doctor and a good rabbi together to team up to make that decision. fast aids for example like caffeine suppositories and stuff like that you know that's already personal decision some people it's maybe even just psychological but some you know somebody who feels he'll fast better because he just he'll give a terrible caffeine headache if he won't that's part of maybe maybe you know uh it it may be psychologically helpful for some some people they just can't fast without it they get so habituated to certain things and uh I guess if it will help them be able to fast and they could do it um uh ahead of time, it's a reasonable thing to do. But there's no I don't know if that if if it's really if they don't do it I don't think that that would be a reason that they would have to break their fast >> to take take a deep on that's what you said I if a person has terrible headaches to the extent that they that they can't they can't withstand and they'd have to uh some these headaches can be horrendous is they're afraid it could turn into a migraine and become a suffix sakana, then the answer would be yes. If it's just that it'll make them feel a little bit better, I don't I wouldn't recommend them to do it. >> What if someone is on other types of medications on a daily basis? >> So certain medic so that they have to ask their doctor certain medications you have to take every day at a certain time of day and there's no way around it. So then you can take it with a small pus mikashir mime if they're able to swallow it. Um there are a lot of medications that could be taken either doubled up the day before or the next day or or at different times of the day. So it wouldn't be necessary. But if a person has the slightest doubt that um that if they miss their medication it could cause the sakana they should take the medicine or they should ask their doctor if they should deviate from the general uh pattern. You can't you can't be sure the only way to know is to eat healthy and properly for at least 3 days before um if you general just because I don't know if you know grams of carbohydrate if you have approximately the equivalent of six slices of bread which is basically um uh 180 gram of carbohydrate for the 3 days before. It could be as potatoes, rice, or pasta or anything. But if you have that amount, 180 g of carbohydrate for 3 days before, you you will have filled up your your liver stores with glycogen adequately. I just mentioned a few little points. I was I really wanted to go into the sh how much amount you could eat amipper but um there's there's still options of having a suppository which is not the um the he's the club he wrote for he writes in great necessity you could be permit even a that's not life in danger to drink medicine that is bitter less than the year on kipper I'll repeat that it's again in a great in a case of very great necessity. You can permit a a sick person that's not life is is not in danger to drink medicine that is bitter because bitter is considered not the normal way of drinking and it's not the Torah did not pro prohibit that that's the first Mishnum also if he drinks less than a year I heard from Kahanov he was one of the inas when he gave he would uh like supplement her palm shar uh and he would mention that someone has to take medicine. Um, most medicine is bitter and you should mix it with water. Uh, we'll go into how much more water is, but it's usually about an ounce. We'll go more in detail in a second. But uh if you once you mix when you have taken as a medicine and you mix it so you're taking something uh bitter and therefore it is not considered eating on your since the whole thing is since it's for there is there's more room to be lenient. I can go into more detail but it's really uh goes and gimmel goes into these points a little bit uh more especially for these uh take something not the normal way uh it's that would be okay it's also shock this cutting your gimbal um we're going to go back to a little bit to to the main topic of what he had been speaking we wanted to get to and I just want to a little bit background and then what I heard from Belki and Reinber and are the main about the sick person first before we start all measurements are in volume um it's really you could look in it's in at the end it's in the of but that's everything is in volume. This the says the amount of is like a large date and it's less than a little bit less than an egg. Uh and this is for everyone. In other words, no matter how big a person is or small a person is that is a sheer uh to eat. If a person can live and manage being less than the shear, then that is the amount to eat. I want to stop for a second and bring to this point to someone who doesn't want to eat on your kipper, this is a way to help him to not to be so against it that although it's a mitzvah technically if he if he ate less than a year which he is required to when he's sick if you eat when you don't you're not sick. It's half a sheer but it's still considered fasting. The reason being is the Torah says you should you should make be suffering uh but uh it's because someone is on you and will get but this day of kap um and the person should try not to get into this danger into this dangerous situation didn't allow anyone on when he was the last of his life, he did not want anyone to wake him up if he falls asleep during Davening, which he actually did. And he said, "Do not wake him up cuz you're going to you're going to because you wake me up, I might have to break my fast." Am Kipper, I just say briefly, when I saw Musha Feinstein, I used to Yum Kipper for several years. And uh later Kippers in his upper 80s, he would sit instead of the front, he would sit in the back not to bother everyone to stand up him and he would leave after Kadusha and come back right before landing. So because he felt that it was too much for him to stay the whole time. Let me just get back to the main points over here. Um so the says that you should eat in it's usually feed to someone who's sick 2/3 of a medium-sized egg. The question is is it an egg without the shell which is the view of the dog which is also known as a huda and he said so according to him it's two3s of a egg without a shell then bishings authors argue and it doesn't quote how much it doesn't quote it inside but they say that it's a full egg um regarding mata we m like the largest year um so there's the That's that's as far as eating keer. Uh as far as drinking and I'm going to go into into the actual things. Uh the says that a person drinks his cheekful. This is different than eating. Depends on his personal cheekful. So if he has a larger cheekful, he could drink more up to a cheekful. And if he's smaller, then he can have a small amount which is less than a cheekful. Now I was I was asked I went to ask behalf of a sick person that his life was that it was a cancer patient. um he had lung cancer and he was uh this was let's say in around September he passed away in May and uh he just was constantly losing weight you know slowly but uh we you know we didn't want to wake him up and I asked him what he says about this urine and it wasn't like it was urgent that the blood sugar this you know to eat you know we're going to go into more leanage urine so he said ideally I saw belski said ideally They should drink he should drink.9 of an ounce of liquid when and when it's don't just give water it doesn't give you much much nourishment take either grape juice or milk and mix a little honey I'll explain that in a little detail why uh he specifically spoke this gave these examples uh that's as far as um that's so uh so one second I'm Sorry. Eating is.9 uh uh.9 of an ounce. uh according to discipler au it's an ounce and um the the regarding uh regarding uh food he said to one second if eating is point they said 0.9 of an ounce ideal and 1.1 ounce for drinking is what be ideal amount and then every 9 minutes which if you look and simmon sim Uh no uh there's two ch one in sim um I believe it's and he writes that you should have ideally nine minutes every time you you eat eat or drink and you and says eating and drinking can be combined which means that eating and drinking is there's no problem of eating and drinking But uh if you eat too closely or drink too closely that's would be the problem of these shimm of eating too much. So I'm sorry for another true um that well I'm going to mount of sheer that I'll go a little bit later that's I'm going too fast. Um as far as these amounts he told me that this is the amount it's definitely can have more than this. This is not absolute amounts. uh according to you know there's it could have a little more by food is probably it's generally closer to we say the it's there's two places in one of them it seems to be that the amount of a cheekful is more than a ounce at least it's very majority severe This accord small sheet is generally 2 about 2.9 O according to and um as far as using eggs have felt that we should use the size of an average what's called the large size eggs the five sizes of eggs this for bloom and craned there's small medium small they don't sell in the stores but it's usually used for baking small medium large extra large and jumbo so large size eggs is the size eggs that we'll be using as far as eating on kipper Uh tried the check check how much the cheap full is the volume kipper. You could use a lot of these uh whiskey glasses are generally uh more than an ounce. Some of them is very small as we write an ounce. Usually they're about more like 2 ounces. So you can maybe make a you know measure for kipper uh and make a line with a m marker if you don't have a smaller or you have these small measuring cups from these uh medicines and then you could be more exact. Um this is but generally it's it's could be slightly a little more. Usually it's still about you know if you need to it's like 38 grams one little 1.3 it's a little less than 1.3 ounces but um we'll go generally the we're going to go into the time the I wanted to go a little bit into the time um the time period that you can drink this and eat this is time to eat three or four eggs what is that amount of time the paper that I quote earlier [Music] says it's 2 to9 minutes. I heard from that she to 9 minutes but then it's four to five minutes. It's very important to have this point because you can get very confused and say this sheet and that sheet and the cover says five and says four and [Music] says six and I could give you this girl held four. He has a sticker then four to five minutes. He was really talking about uh eating masa on Pesak. It's ideal to eat by by two within two minutes but uh four to five minutes is really at the end. Now there's a very uh big difference when it comes to eating and drinking because when it comes to eating it's mentioned which is anywhere from 2 to 9 minutes and that's why it's a deal 9 minutes. Someone can't manage nine minutes, they'll do five. But usually by food, it's not such a great necessity. As much as there is getting uh uh dehydrated, person will get dehydrated much easier than from lacking of food and especially this could be nourishment in the liquid too. So the the when it comes to the shar of drinking the shar itself bishop learns there's really two places and one place writes that the shar is the amount of time it takes to drink a raas drink three which is like 2.9 ounces which doesn't take very long I didn't measure it but it's probably not more than half minute maybe minute and some Today it's the amount of time to drink a uh it's time of drinking they have to between one time of drinking to the next is uh it's really any time that you're drinking in the which is let's say four to five and 9 minutes that within that 9m minute period you won't be able to drink or whatever four to five you wouldn't be able to eat or drink uh that amount. So the suggest to set this amount of time between eating and drinking. Most doctors will say eat every five drink every five. Well, we'll explain that in a second. Um if the issue only comes about if let's say first one five minute period he'll drink or 9 minutes he'll eat or drink faster and then afterwards slower there might be next time the first time he'll eat slower and second he eats faster he'll might be in the same period. Uh so the the the solution there's a solution by liquid but since there's another writ and he writes the word which as I heard from whenever writes he means to pass in that way but once once says in that preferably you should wait by drinking the amount it takes to eat now it takes to eat by food. So the thing is because of that there's more leniency in drinking. Therefore professional hers even the doctor wickler well they uh I know just this year he has told the patient that for eating she wait 9 minutes and she it was she he she have 9 minutes and for drinking it's 5 minutes. Um it's basically since by drinking there's another I don't know if you call it but there's much more reason to be more lenient because according you're allowed to have a lesser amount and even according to those that is go the amount that it takes to eat uh three or four eggs it's probably more like five minutes maybe four four or five minutes officials was was a Pik was lenient till 4 minutes. So very often they'll be lenient by drinking 5 minutes and it's um that you can have a lesser time period. [Music] I might uh I'll maybe touch on a little bit about IV. Um the STEM writes vast majority of Pimho that uh such as the others eating food in abnormal way of is only prohibited. It's not like the hel because it says you shouldn't suffer. uh if you look in the gar this we learn not from the man it's the most part learned that that eating and that's the way generally we hold that if you're eating not normal way no it's a it makes things hard because ivy is not something that exists in the times of the garra but uh there's a shenan that the intravenous is also obvious is not the known way of eating and he wants to say even more that if you even if you end up having more than a minimum it would be okay since there's no isra because if the if the introvenous would be done a little faster, you could still be leaning uh there's room to be lenient with it. Um I had mentioned earlier one thing I just forgot to mention that certain tablets have a tasty coating on it and if you want to dissolve it, the coating comes out very easily by dissolved in water. The coating could be washed off. keipper and then you could dissolve it and and then it could be crushed and mixed with water and once it's bitter it's also considered not the normal way of eating and therefore there's uh more leniency and uh that's why we'll see part of what we mentioned earlier from the arits it wasn't just there's a bunch of other ps mentioned and um if you quoted in the scene there's others uh is someone whose life is not endangered. There's be room to be lenient on um great necessity. There's a point I want to mention that even though says a person who is a woman that's fasting or a woman that is pregnant um uh or nursing is is is uh we assume that life is not in danger. Uh and it can fast you know if there if the fetus is very small the the fetus can die very easily. It's a new born fetus. It's it's very likely that fasting will be life-threatening. Um and the nursing uh nursing baby Kaznesh was was lenient in case uh the baby will stomach will get harmed and uh talking about a small baby especially if they haven't never tried anything else and trying something um this this if if the I think this was from the nephew uh um Carellis that uh you know it's it's all it all depends you know it's you know if you never tried other foods and he might be be damaged if it's a very young child so the mother if the mother won't eat or be hydrated through ivy or something so there is a lot of times the account of the child is also takes importance uh there's one thing I have to mention a little bit of a woman that gives child birth till 3 days after she um it's I think for us is that uh we counted from the time there childbirth uh and uh she's considered the life of sakana and even if she says she doesn't eat we assume that she needs to eat when she's from 3 to 7 days unless she says that she doesn't need to eat we assume she needs to eat but usually when the the I think what McDonald said the minute was that um three days and when it gives birth we don't mur him she's too weak And once it's from the 3 to 7, we try to eat less than the year. Everything depends on the situation. But um uh 3 days is questionable. It's count the day that the woman gives birth till till the end of the day and then two more days afterwards. Mur is lenient to other that three full days and he le says that he leans to say three or seven days that's the way it should be. Um uh though I think mas he's say about that's once he's three day three days and it's you know it's three days and she feels that she can eat less than a year uh by all means let her do so but um I just would like to I'm going to give someone wants to ask questions or I should give Rabbit corn because he didn't really speak much to continue speaking >> and if anyone has any questions where they're welcome to ask. It's always good to ask your RV uh who knows you and knows the situations uh usually better or your doctor that knows your personal situation. Uh cuz then don't wait as mentioned earlier don't wait till the last minute cuz sometimes you might be able to get through um and uh in general says that the person is not required to take IV just so you should be able to fast. Uh in fact he's really opposed it uh because it might be he might harm himself uh by doing so but um there's definitely you know if you have someone who's expert at doing it you know there you know there are people who do it and um it's not it's definitely not as far as there's not as I mentioned earlier there's no in taking it that Okay. Uh and as I mentioned earlier in medicine if you're taking food suppository it's ideal because if you don't if the water is not literally is not bitter then it would be problem. It's it's not is know even less than a year and uh if it's done through suppository or if it's bitter so then it's not it's not the Torah anyway. But uh person whose life is in danger is supposed to eat what's necessary to preserve a life but not more so. So what's but any if there's any possibility to save life uh that to cause a person's life to be to get in danger even if it's a later amount of time and even a person could prolong someone's life is in danger and even you can prolong someone's life even for a minute uh I believe writes that it's a mitzvah to save a person's life even if the person's bruised and says even if you going to be unconscious and uh in a coma The is that the Torah is given to have a person life. There's other reasons that also you may be able to do more mitzvah or do but says that you don't need to come on to that even if a person will be unconscious and you just want to save a person's life even for several minutes and he prolong their life that's a mitzvah to do so and anyone who's helping them has a tremendous mitzvah of helping of and uh even though maybe he feels like he's doing lesser the main of is to do the it says I said last week's para the mitzvah according the way the Ramban learns the mitzvah of chuva is very close to you it is in your heart in your mouth and your heart to do so can be done anywhere you could just think to be have karat be sorry what you did speak out vid except upon yourself not to do so that could be done anywhere and even if you're not in sh you can't make it to sh uh person's life if a person doesn't have to danger his life uh I don't have to come on to it may be prefer it's definitely preferable uh than violent give because you want to come to sh but if a person's life is in danger they must uh it's a mitzvah and uh and I I would I you know it may be worthwhile encouraging the person who's afraid to eat any kipper that uh he's doing a mitzvah and if it's less than this year then they're fulfilling the mitz kipper too I wish I thank everyone everyone for attending. If anyone has any more questions, they're welcome. They can contra would you like to mention anything? >> Any questions? Cuz we're going to ask in a few minutes. So, we're going to end unless someone has a specific question. And if you want to say privately, you could also ask private. What? >> Oh, there's one more thing I like to mention. >> What was the question? >> I know. I know. >> There's one me I know what he's asking. There's one thing I want to mention. uh resol the there's something the let's make a preview the there's a question asked how we people drink uh you know whiskey and make kdish on something that's not a sheer reve it's not it's maybe an ounce and a half or whatever the shot cups whatever they are and he writes he's uh he wrote that since it's not from the seven liquids that and those liquids that could still liquid cornetura when you drink those liquids as if you are let's say apple juice that's not from concentrate as if you're eating food and not not liquids so I think that is why raiski specifically mentioned these specific liquids milk water grape juice because those are all liquids according to the Tyra and if a person eats and drinks he should drink those liquids and specifically avoid drinking let's say orange juice apple juice not concentrate which may be hal considered as drink eating food and that's what I think uh it was his genius he he didn't he put it in but he didn't like spell it out but I think that's what he perhaps meant so it's worth sticking to those four liquids if you need more fluids you might need water but generally as said that uh it's good to have something which will give you some nourishment too in the liquids and not just plain water okay thank you everyone for attending