With traditional medical therapies and we think about things Lean Curve Keto like yoga meditation acupuncture cannabis is something we'll talk about today and we'll think about how we can combine those with traditional therapies and that's what we'll spend the latter part of the talk discussing and then alternative therapies are those same things yoga meditation acupuncture cannabis vitamin supplements but they're given differently they're really replace or are an alternative to traditional medical therapies and so it's really how we utilize.