What "Bone on Bone" Actually Means, and Why It Is Not the End of the Conversation

What "Bone on Bone" Actually Means, and Why It Is Not the End of the Conversation

You are told that your severe knee pain means your joint is "bone on bone" and surgery is your only remaining path forward. When a doctor or physician gives you this diagnosis, it often feels like the end of the conversation. But what if the structural findings on your X-ray are only telling you half the story? In this episode, you will discover powerful 15-year clinical data challenging the default surgical route and revealing how a specific regenerative approach can successfully delay or completely replace a total knee arthroplasty. The window for these regenerative therapies does not stay open indefinitely, and waiting carries a steep biological cost. Tune in to the podcast episode now to learn the exact questions you need to ask your doctor before making your final treatment decision. --------------------------- Key Takeaways * Severe knee osteoarthritis and "bone on bone" diagnoses do not always mean a total knee replacement is the only option. * A 15-year trial showed over 80% of knees treated with subchondral bone marrow aspirate concentrate (BMAC) avoided joint replacement surgery. * Subchondral injections target bone marrow lesions inside the bone, which are drivers of knee osteoarthritis pain. * Bone marrow lesions are a major source of joint deterioration and can only be seen on an MRI, not a standard X-ray. * Traditional intra-articular injections into the joint space result in much higher surgical conversion rates than subchondral treatments. * Regenerative therapies cannot stabilize mechanically unstable joints, meaning patients with severe ligament tears still require surgery. * Waiting too long to address joint deterioration has a biological cost and can permanently close your window for regenerative medicine. * An effective knee osteoarthritis protocol combines subchondral BMAC, intra-articular PRP, and complete soft tissue treatment. * Optimizing your nutrition and metabolic environment before a procedure drastically improves how your biology responds to regenerative therapy. * Patients should proactively ask their physician about bone marrow lesions and regenerative candidacy before scheduling a total knee arthroplasty. --------------------------- Ready to say goodbye to knee pain? Download my FREE PDF guide, 5 Things to do NOW to Reduce Your Knee Pain in 1 Week at https://kneeboostnow.com [https://kneeboostnow.com/]. Start your journey to a pain-free life today! --------------------------- Explore our comprehensive regenerative therapy system for knee pain relief: https://precisionmedprp.com/knee-pain/ [https://www.youtube.com/redirect?event=video_description&redir_token=QUFFLUhqbS01VE9wbHI3aWxxN2pFZUE1N2JhU0E4Q3VOZ3xBQ3Jtc0trYjlDdkNyVklfT2kzTjItNzRwZHdkUnpKcUd2VXR2djB2djZOZUhwQmRlVWtqQ0NVYjNCSlFsV1dtaDRlSVZSMXdNd1BNMFlNSF84ZjJ4d3dsUmlQUml0WFZmNjFGSXFoZ2k5UUJFQjRsWUdkaHJJaw&q=https%3A%2F%2Fprecisionmedprp.com%2Fknee-pain%2F&v=Zeb9djk-iKY] Connect with us online! Visit our website for more information: https://precisionmedprp.com/ [https://www.youtube.com/redirect?event=video_description&redir_token=QUFFLUhqbXR6SDZjQ3NkRjBpOGNrMVhxelZ5Z2JZUTd2Z3xBQ3Jtc0trSWhpR0tnMG5INm1tM2hXSWwwX25wRnlDQ2hvSk1sS091NWtpZEJrRnFNc0N3aVVTMXFzaTNLQkpZZmlhLTd2MFQzQzRmNHVWS2h0SHdVYThxU29YbmVXeWZHeUc1X09IMDFFMHkwNFdEQ1ZxNU5CNA&q=https%3A%2F%2Fprecisionmedprp.com%2F&v=Zeb9djk-iKY] --------------------------- For Products 🛒📚 Buy Here 👇👇👇 Get Knee pain relief cream: https://cbmd.com/collections/pmt-1/products/cbd-topical-cream [https://cbmd.com/collections/pmt-1/products/cbd-topical-cream] Infrared Light Therapy: https://amzn.to/4gz1U5D [https://amzn.to/4gz1U5D] KT Tape: https://amzn.to/3VZoZGK [https://amzn.to/3VZoZGK] Performance and Recovery Knee Sleeve: https://amzn.to/3ZXicOL [https://amzn.to/3ZXicOL] Medial Unloader Brace for Meniscus and Medial Knee OA: https://amzn.to/41X6l5U [https://amzn.to/41X6l5U] Sharper Image Compact Sport Power Percussion: https://amzn.to/41V3gTT [https://amzn.to/41V3gTT] Heal Your Disc End Your Pain BOOK: https://amzn.to/4iWAvfG [https://amzn.to/4iWAvfG] iNCREDIWEAR Shoulder Recovery Sleeve: https://amzn.to/3ZWca0L [https://amzn.to/3ZWca0L] iNCREDIWEAR Back Brace: https://amzn.to/4fH1c54 [https://amzn.to/4fH1c54] iNCREDIWEAR Elbow Sleeve: https://amzn.to/3BPVTCA [https://amzn.to/3BPVTCA] iNCREDIWEAR Hip Brace: https://amzn.to/4fGQPhU [https://amzn.to/4fGQPhU] iNCREDIWEAR Wrist Sleeve: https://amzn.to/49Xd9T4 [https://amzn.to/49Xd9T4] Garden of Life Protein: https://amzn.to/3VZvpFK [https://amzn.to/3VZvpFK] Fullscript Sign-Up Link for Supplements: https://us.fullscript.com/welcome/tpenhollow [https://us.fullscript.com/welcome/tpenhollow] Moringa Leaf Powder: https://amzn.to/3Pkycpf [https://amzn.to/3Pkycpf] Blender Bottles: https://amzn.to/4fDoSav [https://amzn.to/4fDoSav] Mend Surgical Grade Recovery Repair and Regenerate products (5% off with code PENHOLLOW): https://mend.me/ [https://mend.me/]

The Hidden Link Between Heart Health and Joint Pain | Dr. Robert Todd Hurst

Most people never realize how quickly losing mobility can affect their heart health until the damage has already started. In this episode, preventive cardiologist Dr. Robert Todd Hurst shares why chronic pain, reduced movement, and declining fitness may silently increase your risk for heart disease, frailty, and cognitive decline. You’ll hear how preventive cardiology, advanced metabolic testing, and movement-focused care are helping people improve longevity, regain independence, and avoid major health events before they happen. From VO2 max and body composition to chronic pain and healthy aging, Dr. Hurst explains why preserving motion may be one of the most important strategies for protecting your health span. Tune in now to discover how movement and prevention can help you stay stronger, sharper, and healthier for years to come. --------------------------- About Dr. Robert Todd Hurst Dr. Robert Todd Hurst is a nationally recognized preventive cardiologist and longevity expert. He has nearly 30 years of medical experience, including more than 20 years at Mayo Clinic. He specializes in heart disease prevention, metabolic health, and healthy aging. Dr. Hurst founded the Heart Health and Performance Program at Mayo Clinic Arizona. His work focuses on preventing disease before major health problems occur. He uses advanced imaging, lab testing, and personalized prevention strategies. Dr. Hurst also emphasizes physical performance, mobility, and long-term wellness. After years in traditional medicine, he helped create HealthspanMD with Dr. Lisa Hurst. Their goal was to build a more proactive and personalized model of care. Today, Dr. Hurst helps patients improve longevity, cardiovascular health, and overall quality of life. To learn more about Dr. Robert Todd Hurst and his prevention-focused approach to heart health, longevity, and healthy aging, visit HealthspanMD [https://www.healthspanmd.com/]. You can also connect with Dr. Hurst and follow his latest insights on: * LinkedIn [https://www.linkedin.com/company/healthspanmd/] * Instagram [https://www.instagram.com/healthspanmd/] * Facebook [https://www.facebook.com/healthspanmd] * YouTube [https://www.youtube.com/c/RToddHurstMD] --------------------------- Key Takeaways * Movement plays a major role in heart health. * Chronic pain can accelerate physical decline. * Preventive cardiology focuses on avoiding disease early. * VO2 max is a strong predictor of longevity. * Mobility loss can worsen metabolic health. * Exercise supports healthy aging and independence. * DEXA scans help track muscle and body fat changes. * Personalized prevention improves long-term outcomes. * Chronic inflammation can increase cardiovascular risk. * Restoring movement helps rebuild overall health. --------------------------- Ready to say goodbye to knee pain? Download my FREE PDF guide, 5 Things to do NOW to Reduce Your Knee Pain in 1 Week at https://kneeboostnow.com [https://kneeboostnow.com/]. Start your journey to a pain-free life today! --------------------------- Explore our comprehensive regenerative therapy system for knee pain relief: https://precisionmedprp.com/knee-pain/ [https://www.youtube.com/redirect?event=video_description&redir_token=QUFFLUhqbS01VE9wbHI3aWxxN2pFZUE1N2JhU0E4Q3VOZ3xBQ3Jtc0trYjlDdkNyVklfT2kzTjItNzRwZHdkUnpKcUd2VXR2djB2djZOZUhwQmRlVWtqQ0NVYjNCSlFsV1dtaDRlSVZSMXdNd1BNMFlNSF84ZjJ4d3dsUmlQUml0WFZmNjFGSXFoZ2k5UUJFQjRsWUdkaHJJaw&q=https%3A%2F%2Fprecisionmedprp.com%2Fknee-pain%2F&v=Zeb9djk-iKY] Connect with us online! 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Is Your Knee Pain Actually Coming From Somewhere Else?

Your knee pain may not be coming from your knee at all. Many people spend years trying injections, therapy, rest, and even preparing for surgery without realizing the true source of the problem has never been identified. In this episode, you’ll discover why patient selection plays a critical role in determining whether treatment will actually work or continue leading you in circles. You’ll also learn how the spine, hips, nerves, and movement patterns can silently drive chronic knee pain for years. Before you commit to another procedure or surgery, this conversation could completely change the way you look at your pain. Tune in now to learn why finding the real source matters more than treating the symptom. --------------------------- Key Takeaways * Patient selection can determine treatment success. * Knee pain may originate from the spine or hips. * Treating symptoms alone often leads to temporary relief. * Chronic pain can affect sleep and emotional health. * Incorrect treatment may delay proper recovery. * Thorough evaluations help identify the true pain source. * Unnecessary knee surgeries can sometimes be avoided. * Early diagnosis may preserve regenerative treatment options. * The kinetic chain influences how your body moves. * Finding the root cause improves long-term outcomes. --------------------------- Ready to say goodbye to knee pain? Download my FREE PDF guide, 5 Things to do NOW to Reduce Your Knee Pain in 1 Week at https://kneeboostnow.com [https://kneeboostnow.com/]. Start your journey to a pain-free life today! --------------------------- Explore our comprehensive regenerative therapy system for knee pain relief: https://precisionmedprp.com/knee-pain/ [https://www.youtube.com/redirect?event=video_description&redir_token=QUFFLUhqbS01VE9wbHI3aWxxN2pFZUE1N2JhU0E4Q3VOZ3xBQ3Jtc0trYjlDdkNyVklfT2kzTjItNzRwZHdkUnpKcUd2VXR2djB2djZOZUhwQmRlVWtqQ0NVYjNCSlFsV1dtaDRlSVZSMXdNd1BNMFlNSF84ZjJ4d3dsUmlQUml0WFZmNjFGSXFoZ2k5UUJFQjRsWUdkaHJJaw&q=https%3A%2F%2Fprecisionmedprp.com%2Fknee-pain%2F&v=Zeb9djk-iKY] Connect with us online! Visit our website for more information: https://precisionmedprp.com/ [https://www.youtube.com/redirect?event=video_description&redir_token=QUFFLUhqbXR6SDZjQ3NkRjBpOGNrMVhxelZ5Z2JZUTd2Z3xBQ3Jtc0trSWhpR0tnMG5INm1tM2hXSWwwX25wRnlDQ2hvSk1sS091NWtpZEJrRnFNc0N3aVVTMXFzaTNLQkpZZmlhLTd2MFQzQzRmNHVWS2h0SHdVYThxU29YbmVXeWZHeUc1X09IMDFFMHkwNFdEQ1ZxNU5CNA&q=https%3A%2F%2Fprecisionmedprp.com%2F&v=Zeb9djk-iKY] --------------------------- For Products 🛒📚 Buy Here 👇👇👇 Get Knee pain relief cream: https://cbmd.com/collections/pmt-1/products/cbd-topical-cream [https://cbmd.com/collections/pmt-1/products/cbd-topical-cream] Infrared Light Therapy: https://amzn.to/4gz1U5D [https://amzn.to/4gz1U5D] KT Tape: https://amzn.to/3VZoZGK [https://amzn.to/3VZoZGK] Performance and Recovery Knee Sleeve: https://amzn.to/3ZXicOL [https://amzn.to/3ZXicOL] Medial Unloader Brace for Meniscus and Medial Knee OA: https://amzn.to/41X6l5U [https://amzn.to/41X6l5U] Sharper Image Compact Sport Power Percussion: https://amzn.to/41V3gTT [https://amzn.to/41V3gTT] Heal Your Disc End Your Pain BOOK: https://amzn.to/4iWAvfG [https://amzn.to/4iWAvfG] iNCREDIWEAR Shoulder Recovery Sleeve: https://amzn.to/3ZWca0L [https://amzn.to/3ZWca0L] iNCREDIWEAR Back Brace: https://amzn.to/4fH1c54 [https://amzn.to/4fH1c54] iNCREDIWEAR Elbow Sleeve: https://amzn.to/3BPVTCA [https://amzn.to/3BPVTCA] iNCREDIWEAR Hip Brace: https://amzn.to/4fGQPhU [https://amzn.to/4fGQPhU] iNCREDIWEAR Wrist Sleeve: https://amzn.to/49Xd9T4 [https://amzn.to/49Xd9T4] Garden of Life Protein: https://amzn.to/3VZvpFK [https://amzn.to/3VZvpFK] Fullscript Sign-Up Link for Supplements: https://us.fullscript.com/welcome/tpenhollow [https://us.fullscript.com/welcome/tpenhollow] Moringa Leaf Powder: https://amzn.to/3Pkycpf [https://amzn.to/3Pkycpf] Blender Bottles: https://amzn.to/4fDoSav [https://amzn.to/4fDoSav] Mend Surgical Grade Recovery Repair and Regenerate products (5% off with code PENHOLLOW): https://mend.me/ [https://mend.me/]

"It's Just Arthritis" - Why That Explanation Is Incomplete

You have been told that your joint pain is simply the result of aging and wear. But, that explanation is incomplete and may be costing you years of unnecessary struggle. While an X-ray can show the structural changes of arthritis, it fails to capture the hidden process driving your worst days and sleepless nights. In this episode, we explore why the distinction between permanent structural damage and active inflammation is the key to reclaiming your mobility. You will discover why your pain fluctuates even when your bones stay the same and how common treatments might actually be accelerating the breakdown of your joints. Stop accepting decline as an inevitability and learn how to shift the environment inside your body to favor healing. Listen to the full episode to find out how to break the cycle of stiffness and gain back your agency. --------------------------- Key Takeaways * Arthritis describes the permanent structure of a joint while inflammation describes its daily activity. * Structural changes on an MRI do not explain why some days are more painful than others. * Reducing active inflammation can significantly lower pain levels before any structural changes occur. * Persistent inflammation acts as a chemical process that actively accelerates the breakdown of cartilage. * Frequent steroid injections may provide short-term relief while causing long-term damage to joint tissue. * Managing joint inflammation can improve sleep quality and lower your overall sensitivity to pain. * Belly fat creates a pro-inflammatory cycle that biologically and mechanically stresses your joints. * Swelling creates a feedback loop of pain and avoidance that leads to permanent stiffness. * Regenerative treatments like PRP work best when the doctor first optimizes the joint environment. * Shifting your focus to inflammation provides actionable steps rather than a sense of resignation. --------------------------- Ready to say goodbye to knee pain? Download my FREE PDF guide, 5 Things to do NOW to Reduce Your Knee Pain in 1 Week at https://kneeboostnow.com [https://kneeboostnow.com/]. Start your journey to a pain-free life today! --------------------------- Explore our comprehensive regenerative therapy system for knee pain relief: https://precisionmedprp.com/knee-pain/ [https://www.youtube.com/redirect?event=video_description&redir_token=QUFFLUhqbS01VE9wbHI3aWxxN2pFZUE1N2JhU0E4Q3VOZ3xBQ3Jtc0trYjlDdkNyVklfT2kzTjItNzRwZHdkUnpKcUd2VXR2djB2djZOZUhwQmRlVWtqQ0NVYjNCSlFsV1dtaDRlSVZSMXdNd1BNMFlNSF84ZjJ4d3dsUmlQUml0WFZmNjFGSXFoZ2k5UUJFQjRsWUdkaHJJaw&q=https%3A%2F%2Fprecisionmedprp.com%2Fknee-pain%2F&v=Zeb9djk-iKY] Connect with us online! Visit our website for more information: https://precisionmedprp.com/ [https://www.youtube.com/redirect?event=video_description&redir_token=QUFFLUhqbXR6SDZjQ3NkRjBpOGNrMVhxelZ5Z2JZUTd2Z3xBQ3Jtc0trSWhpR0tnMG5INm1tM2hXSWwwX25wRnlDQ2hvSk1sS091NWtpZEJrRnFNc0N3aVVTMXFzaTNLQkpZZmlhLTd2MFQzQzRmNHVWS2h0SHdVYThxU29YbmVXeWZHeUc1X09IMDFFMHkwNFdEQ1ZxNU5CNA&q=https%3A%2F%2Fprecisionmedprp.com%2F&v=Zeb9djk-iKY] --------------------------- For Products 🛒📚 Buy Here 👇👇👇 Get Knee pain relief cream: https://cbmd.com/collections/pmt-1/products/cbd-topical-cream [https://cbmd.com/collections/pmt-1/products/cbd-topical-cream] Infrared Light Therapy: https://amzn.to/4gz1U5D [https://amzn.to/4gz1U5D] KT Tape: https://amzn.to/3VZoZGK [https://amzn.to/3VZoZGK] Performance and Recovery Knee Sleeve: https://amzn.to/3ZXicOL [https://amzn.to/3ZXicOL] Medial Unloader Brace for Meniscus and Medial Knee OA: https://amzn.to/41X6l5U [https://amzn.to/41X6l5U] Sharper Image Compact Sport Power Percussion: https://amzn.to/41V3gTT [https://amzn.to/41V3gTT] Heal Your Disc End Your Pain BOOK: https://amzn.to/4iWAvfG [https://amzn.to/4iWAvfG] iNCREDIWEAR Shoulder Recovery Sleeve: https://amzn.to/3ZWca0L [https://amzn.to/3ZWca0L] iNCREDIWEAR Back Brace: https://amzn.to/4fH1c54 [https://amzn.to/4fH1c54] iNCREDIWEAR Elbow Sleeve: https://amzn.to/3BPVTCA [https://amzn.to/3BPVTCA] iNCREDIWEAR Hip Brace: https://amzn.to/4fGQPhU [https://amzn.to/4fGQPhU] iNCREDIWEAR Wrist Sleeve: https://amzn.to/49Xd9T4 [https://amzn.to/49Xd9T4] Garden of Life Protein: https://amzn.to/3VZvpFK [https://amzn.to/3VZvpFK] Fullscript Sign-Up Link for Supplements: https://us.fullscript.com/welcome/tpenhollow [https://us.fullscript.com/welcome/tpenhollow] Moringa Leaf Powder: https://amzn.to/3Pkycpf [https://amzn.to/3Pkycpf] Blender Bottles: https://amzn.to/4fDoSav [https://amzn.to/4fDoSav] Mend Surgical Grade Recovery Repair and Regenerate products (5% off with code PENHOLLOW): https://mend.me/ [https://mend.me/]

Knee Pain That Keeps Coming Back? Here’s Why It Never Fully Resolves

You might think your recovery is finally on track, only to have that familiar ache return the moment you pick up the pace. It is a frustrating cycle that leaves many feeling stuck and misled by temporary relief. In this episode, we dive into the mechanics of knee pain and why your progress might just be a "quiet" period rather than a permanent fix. You will learn the crucial difference between merely reducing symptoms and actually building the joint capacity you need for daily life. Stop guessing why your progress has stalled and find out what your body is actually trying to tell you. Press play now to discover how to move past temporary fixes and achieve lasting results. --------------------------- Key Takeaways * Recurring pain is a specific signal from your body about joint capacity. * Short-term relief often reflects less irritation rather than a full recovery. * Modifying activity can temporarily mask underlying structural issues. * A joint must be able to handle your full physical load to be considered healed. * Your doctor needs to look at long-term patterns rather than single moments of relief. * Feeling better does not always mean the system has fully adapted. * Returning to normal activity too soon often triggers the same pain response. * Effective treatment requires changing how force moves through your joint. * Temporary improvements can act like a band-aid for deeper mechanical problems. * Seeing a physician helps you address the full picture of joint health. --------------------------- Ready to say goodbye to knee pain? Download my FREE PDF guide, 5 Things to do NOW to Reduce Your Knee Pain in 1 Week at https://kneeboostnow.com [https://kneeboostnow.com/]. Start your journey to a pain-free life today! --------------------------- Explore our comprehensive regenerative therapy system for knee pain relief: https://precisionmedprp.com/knee-pain/ [https://www.youtube.com/redirect?event=video_description&redir_token=QUFFLUhqbS01VE9wbHI3aWxxN2pFZUE1N2JhU0E4Q3VOZ3xBQ3Jtc0trYjlDdkNyVklfT2kzTjItNzRwZHdkUnpKcUd2VXR2djB2djZOZUhwQmRlVWtqQ0NVYjNCSlFsV1dtaDRlSVZSMXdNd1BNMFlNSF84ZjJ4d3dsUmlQUml0WFZmNjFGSXFoZ2k5UUJFQjRsWUdkaHJJaw&q=https%3A%2F%2Fprecisionmedprp.com%2Fknee-pain%2F&v=Zeb9djk-iKY] Connect with us online! Visit our website for more information: https://precisionmedprp.com/ [https://www.youtube.com/redirect?event=video_description&redir_token=QUFFLUhqbXR6SDZjQ3NkRjBpOGNrMVhxelZ5Z2JZUTd2Z3xBQ3Jtc0trSWhpR0tnMG5INm1tM2hXSWwwX25wRnlDQ2hvSk1sS091NWtpZEJrRnFNc0N3aVVTMXFzaTNLQkpZZmlhLTd2MFQzQzRmNHVWS2h0SHdVYThxU29YbmVXeWZHeUc1X09IMDFFMHkwNFdEQ1ZxNU5CNA&q=https%3A%2F%2Fprecisionmedprp.com%2F&v=Zeb9djk-iKY] --------------------------- For Products 🛒📚 Buy Here 👇👇👇 Get Knee pain relief cream: https://cbmd.com/collections/pmt-1/products/cbd-topical-cream [https://cbmd.com/collections/pmt-1/products/cbd-topical-cream] Infrared Light Therapy: https://amzn.to/4gz1U5D [https://amzn.to/4gz1U5D] KT Tape: https://amzn.to/3VZoZGK [https://amzn.to/3VZoZGK] Performance and Recovery Knee Sleeve: https://amzn.to/3ZXicOL [https://amzn.to/3ZXicOL] Medial Unloader Brace for Meniscus and Medial Knee OA: https://amzn.to/41X6l5U [https://amzn.to/41X6l5U] Sharper Image Compact Sport Power Percussion: https://amzn.to/41V3gTT [https://amzn.to/41V3gTT] Heal Your Disc End Your Pain BOOK: https://amzn.to/4iWAvfG [https://amzn.to/4iWAvfG] iNCREDIWEAR Shoulder Recovery Sleeve: https://amzn.to/3ZWca0L [https://amzn.to/3ZWca0L] iNCREDIWEAR Back Brace: https://amzn.to/4fH1c54 [https://amzn.to/4fH1c54] iNCREDIWEAR Elbow Sleeve: https://amzn.to/3BPVTCA [https://amzn.to/3BPVTCA] iNCREDIWEAR Hip Brace: https://amzn.to/4fGQPhU [https://amzn.to/4fGQPhU] iNCREDIWEAR Wrist Sleeve: https://amzn.to/49Xd9T4 [https://amzn.to/49Xd9T4] Garden of Life Protein: https://amzn.to/3VZvpFK [https://amzn.to/3VZvpFK] Fullscript Sign-Up Link for Supplements: https://us.fullscript.com/welcome/tpenhollow [https://us.fullscript.com/welcome/tpenhollow] Moringa Leaf Powder: https://amzn.to/3Pkycpf [https://amzn.to/3Pkycpf] Blender Bottles: https://amzn.to/4fDoSav [https://amzn.to/4fDoSav] Mend Surgical Grade Recovery Repair and Regenerate products (5% off with code PENHOLLOW): https://mend.me/ [https://mend.me/]