Shadowing Practice: Evidence Based Ways to Treat Stretch Marks - Learn English Speaking with Video

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you're actually a demon no oh sorry mom
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hey guys it's dr daniel sugai board certified dermatologist welcome to my channel i'm a medical surgical
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and cosmetic dermatologist in seattle washington
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and today we're going to talk about a very common question
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how do i work on my stretch marks the medical term for stretch marks is stria
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and we all love the wildly popular netflix movie k -pop demon hunters great music the songs are all
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so catchy the patterns of a demon though the kids got
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it mixed up with mom's stretch marks stretch marks very very normal i just wanted to say
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that i want to put that out there
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that stretch marks during puberty as we have rapid growth around
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the hip girdle the thigh buttocks area very common to get stretch marks there at any point of your life
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but we started seeing them in puberty
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and also in times of rapid weight gain like pregnancy other
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causes of stretch marks would be using topical steroids overusing them
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and not taking breaks always talk to your dermatologist on how to use topical steroids appropriately because
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if you use it too much especially in the folds the armpits around the elbows behind the knees
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you can develop stretch marks as well for stria
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and other conditions would be you know endocrine disorders like cushing's
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disease being on chronic steroids taking exogenous prednisone long term for those with autoimmune disease for example
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so there are different types of stria there's red stria
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and white stria the white stria are very tricky you have a depressed look to them
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and they can be a lot less pigmented than your normal skin tone.
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Now the red stria can also be very bothersome and very pronounced red or stria rubra.
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If you are treating stria rubra, there are different ways to go at it.
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There's topical retinoids like tretinoin.
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So you see a dermatologist for topical retinoids like tretinoin or tizaratine.
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There are studies to show that it can help with stria.
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I would use it for both red and white stria.
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Red stria though, because there might be a vascular component involved, I would say pulse dye laser is a good option for
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that that's a v -beam
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or vascular laser where we're targeting the hemoglobin your blood vessels to treat them
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and then using a retinoid as well only thing for retinoids though
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if you're pregnant you can't use a retinoid oral retinoids like isotretinoin has been associated with birth defects
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so it's definitely class x
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when we use the pregnancy classifications back in the day
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it has always been traditionally considered x means teratogenic do not use
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that during pregnancy
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so same for topical retinoids even though a small amount might be going systemically
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we say don't use any topical retinoids even retinol over the counter
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if you're not pregnant if you don't have access to dermatologists retinol is less potent than trepinoin
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and may help with your stretch marks or stria so
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if you wanted something
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that you could spread very easily
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you can do a retinol body lotion like versed naturium coco kind
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they have nice retinol body topicals the coco kind retinol body cream i've been using more recently
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and i love the texture of that the others are lotions those are nice
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and spreadable if you wanted to use rock fragrance free retinol you could consider
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that as well that that's the same cream
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that you would use for your face you would apply
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it down to the areas where you want to treat them now things don't happen overnight
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if you're using a retinoid always say it takes about six
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or more months to start working on the collagen
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and that's what we're really trying to target is trying to restructure the collagen
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and help strengthen the skin have increased elasticity
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and less fine lines of wrinkles
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and also trying to help with the stria as well
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because what we're having are micro tears in your skin especially down in the dermis
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so we have to repair that and increase collagen production
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if you want to use a peptide containing moisturizer we don't have any studies behind
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that for helping with stria but i can imagine it helping
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or doing something for our collagen so say for example using neutrogena's collagen bank moisturizer
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if you want to use the os1 peptide containing creams by one skin
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they have a body moisturizer you can consider that
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and finally i want to talk about for stria in general
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i don't think vitamin e works well the data behind that's very inconsistent cocoa butter
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and other you know topicals that promise
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that it could work for you i've had patients who brought in sketchy creams into my clinic
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that could help with milia or cellulite or stria and
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if you look at the packaging on the label the ingredients aren't well laid out
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and if they do have an ingredient list there's a lot of misspellings.
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directions have grammatical errors i don't know where these creams are coming from
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so be very careful and i've had patients come in
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and bring these creams that are from unknown brands
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and they're coming in with a bad contact dermatitis either allergic
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or just irritant contact dermatitis where the skin is irritated by the ingredients in the product
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or they have a true allergy which presents with redness swelling blisters
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so be on the lookout for those sketchy products and stay away
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if you just have a bad feeling if it's promising the results
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that are just really sounds too good to be true it's probably not true okay
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so just be careful for those products online the other ingredient
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i want to talk about finally in this video is centella asiatica
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now that's also known as tiger grass we see this a lot in asian beauty products especially k -beauty products
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and i've talked about a few on the channel
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so centella asiatica extract you will see in some products
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i've liked i've talked about on the channel with the madagascar centella hydrating serum by skin 1004 very nice brand
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i feel like it was really nice hydrating my skin
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if you want to put
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that say on your stretch marks on your abdomen on your thighs
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and then cover with a peptide moisturizer i think that's a really nice call there
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because centella has been shown to increase collagen production increase fibroblast proliferation
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and help with tensile strength and might help strengthen
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that dermis where we're having those micro tears from rapid weight gain genetics
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it's probably not going to reverse things a hundred percent but
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if you want to do things preventatively or
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if you have after pregnancy you want to work on a nice postpartum routine
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you could throw in a hydrating serum with centella
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or having a centella cream like dr dark cica cream those are you know great products
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i've liked the green tinted sunscreen for the face
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but they also have just a nice cica cream for the face
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and you can also apply
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it to the body madocastaside is within centella asiatica extract madocastaside is just one of the ingredients within the extract
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and they've isolated that down but there's no good studies on
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that showing that it works on stria itself but
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because madocastaside is known to work on wound healing work on collagen i would say i can actually suspect
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that it might help and so using something like la roche -posay cecoplast balm
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that i have patients use post -operatively on their surgical scars i would say probably a good bet
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and using as a moisturizer for your body for stretch marks we need large scale studies to show
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that even centella asiatica extract itself works really well
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but there are some studies that show the extract works on stria
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and we need to look and see
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if isolated matocastaside itself can help with stretch marks that'd be really interesting for devices
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if you want to work on red stria there's
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that pulse dye laser for depressed white stria you can consider radio frequency microneedling with a trained specialist
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and trying to really break deliver heat down deep into the dermis to try
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and rebuild that collagen structure you can consider also resurfacing lasers
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but all with varying degrees of success rates
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and also depends on the operator of the laser or the device
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so do your homework well before going to a clinic
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if you want to get any kind of procedures done with
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the device please hit the like button guys thank you
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so much for tuning in every saturday please subscribe to the channel
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and hit that bell notification and share this video with friends who are into skincare
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and drop some comments on products that you feel like have helped with your stria
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or stretch marks there's no product out there
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that will fully reverse your stretch marks
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and a lot of times we can't prevent it i just never want
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you to feel badly of your stretch marks because it is common
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and very natural skin finding okay
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so never feel badly about it including cellulite guys that's very very common
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and even though there's no really good devices
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or topicals for reversing cellulite don't feel badly about them all right love you all guys thank you
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so much for your support peace

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Vocabulary and speaking notes for this lesson

This speaking lesson is built on the video “Evidence Based Ways to Treat Stretch Marks”. The speaker keeps coming back to these words: stria, stretch, marks, retinoid, topical. This video has 132 sentences and 1580 words to shadow. The speech runs for 8:44. The speaker talks fast, about 181 words per minute, so expect linked and reduced sounds. Only 77% of the words are among the 3,000 most common in English, so the vocabulary is demanding.

Key vocabulary in this video

15 words from the video worth learning, with pronunciation and meaning:

WordPronunciationMeaning
stretch verb/stɹɛt͡ʃ/To lengthen by pulling.
laser noun/ˈleɪzɚ/A device that produces a monochromatic, coherent beam of light.
extract noun/ˈɛkstɹækt/Something that is extracted or drawn out.
ingredient noun/ɪnˈɡɹiːdi.ənt/One of the substances present in a mixture, especially food.
pregnancy noun/ˈpɹɛɡnənsi/The condition of being pregnant; an instance of this.
badly adverb/ˈbæd.li/In a bad manner.
rapid adjective/ˈɹæp.ɪd/Very swift or quick.
reverse noun/ɹɪˈvɝs/The opposite of something.
demon noun/ˈdiː.mən/An evil being resident in or working for Hell; a devil.
tear verb/tɛɹ/To rend (a solid material) by holding or restraining in two places and pulling apart, whether intentionally or not; to destroy or separate.
clinic noun/ˈklɪn.ɪk/A medical facility, such as a hospital, especially one for the treatment and diagnosis of outpatients.
depressed adjective/dɪˈpɹɛst/Unhappy; despondent.
micro adjective/ˈmaɪ.kɹoʊ/Very small in scale or scope.
pulse noun/pʌls/A normally regular beat felt when arteries near the skin (for example, at the neck or wrist) are depressed, caused by the heart pumping blood through them; the…
surgical adjective/ˈsɝd͡ʒɪkəl/Of, relating to, used in, or resulting from surgery.

Phrasal verbs you will hear

WordPronunciationMeaning
lay out verb/ˌleɪ ˈaʊt/To expend or contribute money to an expense or purchase.
stay away verbTo avoid or not go anywhere near someone or something.

Grammar in this video

The structures the speaker uses most, with the exact words from the video:

StructureIn the video
Present perfect have/has + past participle — a past action that still matters nowhas been associated · has always been · have increased
Passive voice be + past participle — the focus is on what happens, not who does ithas been associated · been traditionally considered · is irritated

Pronunciation to watch

The speaker uses 30 contractions and reduced forms, such as don't, I've, we're. Say them the short way, as you hear them.

  • The “th” sounds: strengthen /ˈstɹɛŋ(k)θən/, thigh /θaɪ/, bothersome /ˈbɑðɚsəm/
  • The “sh” and “zh” sounds: specialist /ˈspɛʃəlɪst/, classification /ˌklæsɪfɪˈkeɪʃən/, traditionally /tɹəˈdɪʃ.ə.nə.li/, notification /ˌnoʊtɪfɪˈkeɪʃn̩/, proliferation /pɹəˌlɪf.əˈɹeɪ.ʃən/
  • Long words — get the stress right: ingredient /ɪnˈɡɹiːdi.ənt/, operator /ˈɑpəˌɹeɪtɚ/, classification /ˌklæsɪfɪˈkeɪʃən/, traditionally /tɹəˈdɪʃ.ə.nə.li/, notification /ˌnoʊtɪfɪˈkeɪʃn̩/

How to practise with this video

  1. Listen to the whole video once without speaking and note the words you do not know.
  2. Start at 0.75× speed, shadow it sentence by sentence, then go back to normal speed once it feels easy.
  3. Record yourself and compare with the original, paying attention to words like stretch, laser, extract.

What is the Shadowing Technique?

Shadowing is a science-backed language learning technique originally developed for professional interpreter training and popularized by polyglot Dr. Alexander Arguelles. The method is simple but powerful: you listen to native English audio and immediately repeat it out loud — like a shadow following the speaker with just a 1–2 second delay. Unlike passive listening or grammar drills, shadowing forces your brain and mouth muscles to simultaneously process and reproduce real speech patterns. Research shows it significantly improves pronunciation accuracy, intonation, rhythm, connected speech, listening comprehension, and speaking fluency — making it one of the most effective methods for IELTS Speaking preparation and real-world English communication.

Shadowing technique: read the full step-by-step guide →