{"id":515,"date":"2025-05-10T13:02:39","date_gmt":"2025-05-10T13:02:39","guid":{"rendered":"http:\/\/www.shifakolin.com\/?p=515"},"modified":"2025-05-10T13:02:40","modified_gmt":"2025-05-10T13:02:40","slug":"women-with-endometriosis-and-depression-guide","status":"publish","type":"post","link":"https:\/\/www.shifakolin.com\/ar\/women-with-endometriosis-and-depression-guide\/","title":{"rendered":"Women with Endometriosis and Depression: The Vicious Cycle No One Talks About (2025 Guide)"},"content":{"rendered":"<style>.wp-block-kadence-advancedheading.kt-adv-heading515_f0c978-2e, .wp-block-kadence-advancedheading.kt-adv-heading515_f0c978-2e[data-kb-block=\"kb-adv-heading515_f0c978-2e\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_f0c978-2e mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_f0c978-2e[data-kb-block=\"kb-adv-heading515_f0c978-2e\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_f0c978-2e img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_f0c978-2e[data-kb-block=\"kb-adv-heading515_f0c978-2e\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading515_f0c978-2e wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_f0c978-2e\">Let me be brutally honest: as both a doctor and a woman with endo, I&#8217;ve ugly-cried in my car after appointments more times than I can count. Why? Because\u00a0<strong>women with endometriosis and depression<\/strong>\u00a0aren&#8217;t just fighting physical pain\u2014we&#8217;re battling a system that dismisses our suffering as &#8216;hormonal.&#8217; New research shows\u00a0<strong>60% of us develop clinical depression<\/strong>\u2014and it&#8217;s not &#8216;all in our heads.&#8217; Here&#8217;s what your doctor might be missing.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_b70243-ab, .wp-block-kadence-advancedheading.kt-adv-heading515_b70243-ab[data-kb-block=\"kb-adv-heading515_b70243-ab\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_b70243-ab mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_b70243-ab[data-kb-block=\"kb-adv-heading515_b70243-ab\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_b70243-ab img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_b70243-ab[data-kb-block=\"kb-adv-heading515_b70243-ab\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h3 class=\"kt-adv-heading515_b70243-ab wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_b70243-ab\"><span class=\"ez-toc-section\" id=\"Why_This_Gut-Punch_Connection_Matters\"><\/span><strong>Why This Gut-Punch Connection Matters<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_83 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.shifakolin.com\/ar\/women-with-endometriosis-and-depression-guide\/#Why_This_Gut-Punch_Connection_Matters\" >Why This Gut-Punch Connection Matters<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.shifakolin.com\/ar\/women-with-endometriosis-and-depression-guide\/#The_4-Part_Storm_Crushing_Women_with_Endometriosis_and_Depression\" >The 4-Part Storm Crushing Women with Endometriosis and Depression<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.shifakolin.com\/ar\/women-with-endometriosis-and-depression-guide\/#1_The_Pain-Depression_Feedback_Loop\" >1. The Pain-Depression Feedback Loop<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.shifakolin.com\/ar\/women-with-endometriosis-and-depression-guide\/#2_Hormonal_Sabotage\" >2. Hormonal Sabotage<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.shifakolin.com\/ar\/women-with-endometriosis-and-depression-guide\/#3_Medical_PTSD\" >3. Medical PTSD<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.shifakolin.com\/ar\/women-with-endometriosis-and-depression-guide\/#4_The_Isolation_Spiral\" >4. The Isolation Spiral<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.shifakolin.com\/ar\/women-with-endometriosis-and-depression-guide\/#Symptom_Check_Endo_Depression_or_Both\" >Symptom Check: Endo, Depression, or Both?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.shifakolin.com\/ar\/women-with-endometriosis-and-depression-guide\/#4_Lifelines_That_Actually_Work_2025_Update\" >4 Lifelines That Actually Work (2025 Update)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.shifakolin.com\/ar\/women-with-endometriosis-and-depression-guide\/#When_to_Go_Nuclear\" >When to Go Nuclear<\/a><ul class='ez-toc-list-level-6' ><li class='ez-toc-heading-level-6'><ul class='ez-toc-list-level-6' ><li class='ez-toc-heading-level-6'><ul class='ez-toc-list-level-6' ><li class='ez-toc-heading-level-6'><ul class='ez-toc-list-level-6' ><li class='ez-toc-heading-level-6'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.shifakolin.com\/ar\/women-with-endometriosis-and-depression-guide\/#The_Hard_Truth_No_One_Tells_You\" >The Hard Truth No One Tells You<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_a6741d-7f, .wp-block-kadence-advancedheading.kt-adv-heading515_a6741d-7f[data-kb-block=\"kb-adv-heading515_a6741d-7f\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_a6741d-7f mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_a6741d-7f[data-kb-block=\"kb-adv-heading515_a6741d-7f\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_a6741d-7f img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_a6741d-7f[data-kb-block=\"kb-adv-heading515_a6741d-7f\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading515_a6741d-7f wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_a6741d-7f\"><br>&#8211;<strong>2X higher suicide risk<\/strong>\u00a0in women with endometriosis (<em>Human Reproduction<\/em>, 2024)<br>&#8211;<strong>Inflammation literally rewires your brain<\/strong>: Cytokines from endo lesions slash serotonin production<br>-The cruel twist?\u00a0<strong>Birth control (our &#8216;treatment&#8217;) can worsen depression<\/strong>\u00a0in 30% of cases<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_f374bf-4b, .wp-block-kadence-advancedheading.kt-adv-heading515_f374bf-4b[data-kb-block=\"kb-adv-heading515_f374bf-4b\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_f374bf-4b mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_f374bf-4b[data-kb-block=\"kb-adv-heading515_f374bf-4b\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_f374bf-4b img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_f374bf-4b[data-kb-block=\"kb-adv-heading515_f374bf-4b\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h2 class=\"kt-adv-heading515_f374bf-4b wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_f374bf-4b\"><span class=\"ez-toc-section\" id=\"The_4-Part_Storm_Crushing_Women_with_Endometriosis_and_Depression\"><\/span><strong>The 4-Part Storm Crushing Women with Endometriosis and Depression<\/strong><br><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_cbbeb8-f4, .wp-block-kadence-advancedheading.kt-adv-heading515_cbbeb8-f4[data-kb-block=\"kb-adv-heading515_cbbeb8-f4\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_cbbeb8-f4 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_cbbeb8-f4[data-kb-block=\"kb-adv-heading515_cbbeb8-f4\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_cbbeb8-f4 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_cbbeb8-f4[data-kb-block=\"kb-adv-heading515_cbbeb8-f4\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h4 class=\"kt-adv-heading515_cbbeb8-f4 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_cbbeb8-f4\"><span class=\"ez-toc-section\" id=\"1_The_Pain-Depression_Feedback_Loop\"><\/span><strong>1. The Pain-Depression Feedback Loop<\/strong><br><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_2cdc0a-76, .wp-block-kadence-advancedheading.kt-adv-heading515_2cdc0a-76[data-kb-block=\"kb-adv-heading515_2cdc0a-76\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_2cdc0a-76 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_2cdc0a-76[data-kb-block=\"kb-adv-heading515_2cdc0a-76\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_2cdc0a-76 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_2cdc0a-76[data-kb-block=\"kb-adv-heading515_2cdc0a-76\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading515_2cdc0a-76 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_2cdc0a-76\">Chronic pain floods your brain with stress hormones until you&#8217;re stuck in\u00a0<strong>fight-or-flight mode 24\/7<\/strong>. Result? Constant exhaustion, panic attacks, and that soul-crushing heaviness.<br><\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_09cf8b-e0, .wp-block-kadence-advancedheading.kt-adv-heading515_09cf8b-e0[data-kb-block=\"kb-adv-heading515_09cf8b-e0\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_09cf8b-e0 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_09cf8b-e0[data-kb-block=\"kb-adv-heading515_09cf8b-e0\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_09cf8b-e0 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_09cf8b-e0[data-kb-block=\"kb-adv-heading515_09cf8b-e0\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h4 class=\"kt-adv-heading515_09cf8b-e0 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_09cf8b-e0\"><span class=\"ez-toc-section\" id=\"2_Hormonal_Sabotage\"><\/span><strong>2. Hormonal Sabotage<\/strong><br><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_14f910-a1, .wp-block-kadence-advancedheading.kt-adv-heading515_14f910-a1[data-kb-block=\"kb-adv-heading515_14f910-a1\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_14f910-a1 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_14f910-a1[data-kb-block=\"kb-adv-heading515_14f910-a1\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_14f910-a1 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_14f910-a1[data-kb-block=\"kb-adv-heading515_14f910-a1\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading515_14f910-a1 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_14f910-a1\">Your estrogen-progesterone rollercoaster isn&#8217;t just about cramps\u2014it disrupts dopamine (the &#8220;motivation molecule&#8221;). Ever felt too depressed to move during flares? Now you know why. These hormonal fluctuations could potentially impact your mental health and emotional well-being, leading to moments where even simple tasks may feel overwhelming.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_33b375-2c, .wp-block-kadence-advancedheading.kt-adv-heading515_33b375-2c[data-kb-block=\"kb-adv-heading515_33b375-2c\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_33b375-2c mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_33b375-2c[data-kb-block=\"kb-adv-heading515_33b375-2c\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_33b375-2c img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_33b375-2c[data-kb-block=\"kb-adv-heading515_33b375-2c\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h4 class=\"kt-adv-heading515_33b375-2c wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_33b375-2c\"><span class=\"ez-toc-section\" id=\"3_Medical_PTSD\"><\/span><strong>3. Medical PTSD<\/strong><br><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_2c8e25-08, .wp-block-kadence-advancedheading.kt-adv-heading515_2c8e25-08[data-kb-block=\"kb-adv-heading515_2c8e25-08\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_2c8e25-08 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_2c8e25-08[data-kb-block=\"kb-adv-heading515_2c8e25-08\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_2c8e25-08 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_2c8e25-08[data-kb-block=\"kb-adv-heading515_2c8e25-08\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading515_2c8e25-08 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_2c8e25-08\">After years of being reassured that their symptoms are &#8220;normal,&#8221; many women living with endometriosis and depression often experience white-coat hypertension, where their body reacts anxiously during medical appointments. This heightened stress response can further exacerbate their existing health challenges.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_1c9799-c9, .wp-block-kadence-advancedheading.kt-adv-heading515_1c9799-c9[data-kb-block=\"kb-adv-heading515_1c9799-c9\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_1c9799-c9 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_1c9799-c9[data-kb-block=\"kb-adv-heading515_1c9799-c9\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_1c9799-c9 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_1c9799-c9[data-kb-block=\"kb-adv-heading515_1c9799-c9\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h4 class=\"kt-adv-heading515_1c9799-c9 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_1c9799-c9\"><span class=\"ez-toc-section\" id=\"4_The_Isolation_Spiral\"><\/span><strong>4. The Isolation Spiral<\/strong><br><span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_0b0acb-75, .wp-block-kadence-advancedheading.kt-adv-heading515_0b0acb-75[data-kb-block=\"kb-adv-heading515_0b0acb-75\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_0b0acb-75 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_0b0acb-75[data-kb-block=\"kb-adv-heading515_0b0acb-75\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_0b0acb-75 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_0b0acb-75[data-kb-block=\"kb-adv-heading515_0b0acb-75\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading515_0b0acb-75 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_0b0acb-75\">Missed events, struggle with painful sex, and feelings of infertility shame often lead to profound loneliness, which can exacerbate feelings of depression.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_9e05c5-e4, .wp-block-kadence-advancedheading.kt-adv-heading515_9e05c5-e4[data-kb-block=\"kb-adv-heading515_9e05c5-e4\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_9e05c5-e4 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_9e05c5-e4[data-kb-block=\"kb-adv-heading515_9e05c5-e4\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_9e05c5-e4 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_9e05c5-e4[data-kb-block=\"kb-adv-heading515_9e05c5-e4\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h2 class=\"kt-adv-heading515_9e05c5-e4 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_9e05c5-e4\"><span class=\"ez-toc-section\" id=\"Symptom_Check_Endo_Depression_or_Both\"><\/span><strong>Symptom Check: Endo, Depression, or Both?<\/strong><br><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"683\" height=\"1024\" src=\"http:\/\/www.shifakolin.com\/wp-content\/uploads\/2025\/05\/ChatGPT-Image-10-mai-2025-14_01_39-683x1024.png\" alt=\"\" class=\"wp-image-517\" srcset=\"https:\/\/www.shifakolin.com\/wp-content\/uploads\/2025\/05\/ChatGPT-Image-10-mai-2025-14_01_39-683x1024.png 683w, https:\/\/www.shifakolin.com\/wp-content\/uploads\/2025\/05\/ChatGPT-Image-10-mai-2025-14_01_39-200x300.png 200w, https:\/\/www.shifakolin.com\/wp-content\/uploads\/2025\/05\/ChatGPT-Image-10-mai-2025-14_01_39-768x1152.png 768w, https:\/\/www.shifakolin.com\/wp-content\/uploads\/2025\/05\/ChatGPT-Image-10-mai-2025-14_01_39-700x1050.png 700w, https:\/\/www.shifakolin.com\/wp-content\/uploads\/2025\/05\/ChatGPT-Image-10-mai-2025-14_01_39.png 1024w\" sizes=\"auto, (max-width: 683px) 100vw, 683px\" \/><\/figure>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_c8e948-aa, .wp-block-kadence-advancedheading.kt-adv-heading515_c8e948-aa[data-kb-block=\"kb-adv-heading515_c8e948-aa\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_c8e948-aa mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_c8e948-aa[data-kb-block=\"kb-adv-heading515_c8e948-aa\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_c8e948-aa img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_c8e948-aa[data-kb-block=\"kb-adv-heading515_c8e948-aa\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading515_c8e948-aa wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_c8e948-aa\"><strong>Physical Red Flags<\/strong><br>\u2611\ufe0f Waking up exhausted despite 10+ hours of sleep<br>\u2611\ufe0f Pain so severe you dissociate (aka &#8220;endo brain&#8221;)<br>\u2611\ufe0f Periods that leave you bedridden for days<br><strong>Emotional Red Flags<\/strong><br>\u2611\ufe0f Crying over\u00a0<em>everything<\/em>\u00a0(commercials, misplaced keys)<br>\u2611\ufe0f Feeling &#8220;broken&#8221; or &#8220;defective&#8221;<br>\u2611\ufe0f Secretly believing you&#8217;re &#8220;overreacting&#8221;<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_e1f5bb-d7, .wp-block-kadence-advancedheading.kt-adv-heading515_e1f5bb-d7[data-kb-block=\"kb-adv-heading515_e1f5bb-d7\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_e1f5bb-d7 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_e1f5bb-d7[data-kb-block=\"kb-adv-heading515_e1f5bb-d7\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_e1f5bb-d7 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_e1f5bb-d7[data-kb-block=\"kb-adv-heading515_e1f5bb-d7\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h2 class=\"kt-adv-heading515_e1f5bb-d7 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_e1f5bb-d7\"><span class=\"ez-toc-section\" id=\"4_Lifelines_That_Actually_Work_2025_Update\"><\/span><strong>4 Lifelines That Actually Work (2025 Update)<\/strong><br><br><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_8db3e6-b4, .wp-block-kadence-advancedheading.kt-adv-heading515_8db3e6-b4[data-kb-block=\"kb-adv-heading515_8db3e6-b4\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_8db3e6-b4 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_8db3e6-b4[data-kb-block=\"kb-adv-heading515_8db3e6-b4\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_8db3e6-b4 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_8db3e6-b4[data-kb-block=\"kb-adv-heading515_8db3e6-b4\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading515_8db3e6-b4 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_8db3e6-b4\">1. <strong>LDN (Low-Dose Naltrexone)<\/strong><br>Blocks inflammatory cytokines + boosts endorphins<br><strong>My personal game-changer<\/strong>\u00a0for both pain and mood<br>2. <strong>Endo-Specific Therapy<\/strong><br>Look for therapists trained in\u00a0<strong>chronic illness PTSD<\/strong><br>Script:\u00a0<em>&#8220;I need help processing medical trauma&#8221;<\/em><br>3. <strong>The Blood Sugar Hack<\/strong><br>Eat protein every 3 hours to avoid\u00a0<strong>hypoglycemia mood swings<\/strong><br>(Pro tip: Hard-boiled eggs by your bed for night flares)<br>4. <strong>Peer Support<\/strong><br><strong>@endometriosis.survivors<\/strong>\u00a0on IG gets it<br>Avoid toxic positivity groups (&#8220;just manifest healing!&#8221;)<br><\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_e4b1a3-c3, .wp-block-kadence-advancedheading.kt-adv-heading515_e4b1a3-c3[data-kb-block=\"kb-adv-heading515_e4b1a3-c3\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_e4b1a3-c3 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_e4b1a3-c3[data-kb-block=\"kb-adv-heading515_e4b1a3-c3\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_e4b1a3-c3 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_e4b1a3-c3[data-kb-block=\"kb-adv-heading515_e4b1a3-c3\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h2 class=\"kt-adv-heading515_e4b1a3-c3 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_e4b1a3-c3\"><span class=\"ez-toc-section\" id=\"When_to_Go_Nuclear\"><\/span><strong>When to Go Nuclear<\/strong><br><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_675c1a-70, .wp-block-kadence-advancedheading.kt-adv-heading515_675c1a-70[data-kb-block=\"kb-adv-heading515_675c1a-70\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_675c1a-70 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_675c1a-70[data-kb-block=\"kb-adv-heading515_675c1a-70\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_675c1a-70 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_675c1a-70[data-kb-block=\"kb-adv-heading515_675c1a-70\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h2 class=\"kt-adv-heading515_675c1a-70 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_675c1a-70\"><\/h2>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_1aa1b5-d2, .wp-block-kadence-advancedheading.kt-adv-heading515_1aa1b5-d2[data-kb-block=\"kb-adv-heading515_1aa1b5-d2\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_1aa1b5-d2 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_1aa1b5-d2[data-kb-block=\"kb-adv-heading515_1aa1b5-d2\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_1aa1b5-d2 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_1aa1b5-d2[data-kb-block=\"kb-adv-heading515_1aa1b5-d2\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading515_1aa1b5-d2 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_1aa1b5-d2\">\ud83d\udea8\u00a0<strong>Emergency signs<\/strong>:<br>Thinking &#8220;they&#8217;d be better off without me&#8221;<br>Missing work\/school 3+ days monthly<br>Pain meds stop working<br><strong>Demand:<\/strong><br>\u2705 Pelvic MRI (not just ultrasound)<br>\u2705 Referral to a\u00a0<strong>pain psychiatrist<\/strong>\u00a0(yes, that&#8217;s a specialty)<br><\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_ffa1ea-c6, .wp-block-kadence-advancedheading.kt-adv-heading515_ffa1ea-c6[data-kb-block=\"kb-adv-heading515_ffa1ea-c6\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_ffa1ea-c6 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_ffa1ea-c6[data-kb-block=\"kb-adv-heading515_ffa1ea-c6\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_ffa1ea-c6 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_ffa1ea-c6[data-kb-block=\"kb-adv-heading515_ffa1ea-c6\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h6 class=\"kt-adv-heading515_ffa1ea-c6 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_ffa1ea-c6\"><span class=\"ez-toc-section\" id=\"The_Hard_Truth_No_One_Tells_You\"><\/span><strong>The Hard Truth No One Tells You<\/strong><br><span class=\"ez-toc-section-end\"><\/span><\/h6>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_50ecc2-93, .wp-block-kadence-advancedheading.kt-adv-heading515_50ecc2-93[data-kb-block=\"kb-adv-heading515_50ecc2-93\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_50ecc2-93 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_50ecc2-93[data-kb-block=\"kb-adv-heading515_50ecc2-93\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_50ecc2-93 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_50ecc2-93[data-kb-block=\"kb-adv-heading515_50ecc2-93\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading515_50ecc2-93 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_50ecc2-93\">&#8220;Healing isn&#8217;t linear. Some days, just showering is a victory\u2014and that&#8217;s OK. What matters is\u00a0<strong>knowing this isn&#8217;t your fault.<\/strong>\u00a0Your brain isn&#8217;t broken\u2014it&#8217;s reacting perfectly to an inhuman level of pain.&#8221;<br><strong>To all the women out there battling endometriosis alongside depression: I want you to know that you are seen and heard. Drop a comment saying &#8220;NOT CRAZY&#8221; if you could use some extra support during your upcoming medical visit. \ud83d\udc9b<\/strong><\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_2812a3-73, .wp-block-kadence-advancedheading.kt-adv-heading515_2812a3-73[data-kb-block=\"kb-adv-heading515_2812a3-73\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_2812a3-73 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_2812a3-73[data-kb-block=\"kb-adv-heading515_2812a3-73\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_2812a3-73 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_2812a3-73[data-kb-block=\"kb-adv-heading515_2812a3-73\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading515_2812a3-73 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_2812a3-73\"><a href=\"http:\/\/www.shifakolin.com\/endometriosis-management-strategies-kicking-endo\/\" data-type=\"link\" data-id=\"http:\/\/www.shifakolin.com\/endometriosis-management-strategies-kicking-endo\/\">check out endometriosis management strategies <\/a><\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_2b5df2-3a, .wp-block-kadence-advancedheading.kt-adv-heading515_2b5df2-3a[data-kb-block=\"kb-adv-heading515_2b5df2-3a\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_2b5df2-3a mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_2b5df2-3a[data-kb-block=\"kb-adv-heading515_2b5df2-3a\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_2b5df2-3a img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_2b5df2-3a[data-kb-block=\"kb-adv-heading515_2b5df2-3a\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading515_2b5df2-3a wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_2b5df2-3a\"><\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_7a600f-1c, .wp-block-kadence-advancedheading.kt-adv-heading515_7a600f-1c[data-kb-block=\"kb-adv-heading515_7a600f-1c\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_7a600f-1c mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_7a600f-1c[data-kb-block=\"kb-adv-heading515_7a600f-1c\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_7a600f-1c img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_7a600f-1c[data-kb-block=\"kb-adv-heading515_7a600f-1c\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading515_7a600f-1c wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_7a600f-1c\"><\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading515_80c1d9-eb, .wp-block-kadence-advancedheading.kt-adv-heading515_80c1d9-eb[data-kb-block=\"kb-adv-heading515_80c1d9-eb\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading515_80c1d9-eb mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading515_80c1d9-eb[data-kb-block=\"kb-adv-heading515_80c1d9-eb\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading515_80c1d9-eb img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading515_80c1d9-eb[data-kb-block=\"kb-adv-heading515_80c1d9-eb\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading515_80c1d9-eb wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading515_80c1d9-eb\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Let me be brutally honest: as both a doctor and a woman with endo, I&#8217;ve ugly-cried in my car after&#8230;<\/p>","protected":false},"author":1,"featured_media":516,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-515","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/www.shifakolin.com\/ar\/wp-json\/wp\/v2\/posts\/515","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.shifakolin.com\/ar\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.shifakolin.com\/ar\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.shifakolin.com\/ar\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.shifakolin.com\/ar\/wp-json\/wp\/v2\/comments?post=515"}],"version-history":[{"count":1,"href":"https:\/\/www.shifakolin.com\/ar\/wp-json\/wp\/v2\/posts\/515\/revisions"}],"predecessor-version":[{"id":518,"href":"https:\/\/www.shifakolin.com\/ar\/wp-json\/wp\/v2\/posts\/515\/revisions\/518"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.shifakolin.com\/ar\/wp-json\/wp\/v2\/media\/516"}],"wp:attachment":[{"href":"https:\/\/www.shifakolin.com\/ar\/wp-json\/wp\/v2\/media?parent=515"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.shifakolin.com\/ar\/wp-json\/wp\/v2\/categories?post=515"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.shifakolin.com\/ar\/wp-json\/wp\/v2\/tags?post=515"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}