so my name is Paul wishm I am a professor of anesthesiology and surgery at the Duke University School of Medicine I work here as the associate Vice chair of clinical research for anesthesiology I'm the director of The Nutrition Therapy team and the parental nutrition team here at Duke for the hospital and I'm the director and founder of the Duke clinical nutrition online Fellowship um a fellowship we use to train phys Ians and other providers all over the world in in clinical nutrition to get to the question of where we stand right now with the role that nutrition plays in preparation and Recovery is is it it's a role that's far underutilized and I I think the critical reason for that is Physicians are not taught nutrition in medical school 75% of our medical schools have no clinical nutrition training required at all so our physicians and our Healthcare Providers aren't taught the iCal role of nutrition in the preparation and recovery and health in general of their patients and when you survey new Physicians somewhere between 10 and 15% of them as all will say they have any ability to discuss nutrition with their patients so that means about 90% of our physicians feel no confidence in their ability to talk about nutrition with their patients must let give them the best routes by which they can optimize their nutrition care or even take basic nutrition care of themselves when they're not sick much less when they are and so I think we have an enormous deficit in nutrition teaching and knowledge um in our physicians that exist but it that creates an enormous opportunity because the research is robust for the incredible benefit and role nutrition can play in recovery and in preparation for illness and surgery and so I think it provides a unique opportunity for a very lowcost very safe intervention that we can teach our physician colleagues and teach our Healthcare provider colleagues to employ um and is not being utilized almost at all now and so I think it creates a huge opportunity especially for Unique Products like what men makes to really now have a high quality product that is evidence-based science-based and has extensive clinical research trials behind it to give Physicians the tools to meet the nutrition needs of our patients who are preparing and recovering from surgery and other illness