跟讀練習: Evidence Based Ways to Treat Stretch Marks - 通過影片學習英語口語

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you're actually a demon no oh sorry mom

hey guys it's dr daniel sugai board certified dermatologist welcome to my channel i'm a medical surgical

and cosmetic dermatologist in seattle washington

and today we're going to talk about a very common question

how do i work on my stretch marks the medical term for stretch marks is stria

and we all love the wildly popular netflix movie k -pop demon hunters great music the songs are all

so catchy the patterns of a demon though the kids got

it mixed up with mom's stretch marks stretch marks very very normal i just wanted to say

that i want to put that out there

that stretch marks during puberty as we have rapid growth around

the hip girdle the thigh buttocks area very common to get stretch marks there at any point of your life

but we started seeing them in puberty

and also in times of rapid weight gain like pregnancy other

causes of stretch marks would be using topical steroids overusing them

and not taking breaks always talk to your dermatologist on how to use topical steroids appropriately because

if you use it too much especially in the folds the armpits around the elbows behind the knees

you can develop stretch marks as well for stria

and other conditions would be you know endocrine disorders like cushing's

disease being on chronic steroids taking exogenous prednisone long term for those with autoimmune disease for example

so there are different types of stria there's red stria

and white stria the white stria are very tricky you have a depressed look to them

and they can be a lot less pigmented than your normal skin tone.

Now the red stria can also be very bothersome and very pronounced red or stria rubra.

If you are treating stria rubra, there are different ways to go at it.

There's topical retinoids like tretinoin.

So you see a dermatologist for topical retinoids like tretinoin or tizaratine.

There are studies to show that it can help with stria.

I would use it for both red and white stria.

Red stria though, because there might be a vascular component involved, I would say pulse dye laser is a good option for

that that's a v -beam

or vascular laser where we're targeting the hemoglobin your blood vessels to treat them

and then using a retinoid as well only thing for retinoids though

if you're pregnant you can't use a retinoid oral retinoids like isotretinoin has been associated with birth defects

so it's definitely class x

when we use the pregnancy classifications back in the day

it has always been traditionally considered x means teratogenic do not use

that during pregnancy

so same for topical retinoids even though a small amount might be going systemically

we say don't use any topical retinoids even retinol over the counter

if you're not pregnant if you don't have access to dermatologists retinol is less potent than trepinoin

and may help with your stretch marks or stria so

if you wanted something

that you could spread very easily

you can do a retinol body lotion like versed naturium coco kind

they have nice retinol body topicals the coco kind retinol body cream i've been using more recently

and i love the texture of that the others are lotions those are nice

and spreadable if you wanted to use rock fragrance free retinol you could consider

that as well that that's the same cream

that you would use for your face you would apply

it down to the areas where you want to treat them now things don't happen overnight

if you're using a retinoid always say it takes about six

or more months to start working on the collagen

and that's what we're really trying to target is trying to restructure the collagen

and help strengthen the skin have increased elasticity

and less fine lines of wrinkles

and also trying to help with the stria as well

because what we're having are micro tears in your skin especially down in the dermis

so we have to repair that and increase collagen production

if you want to use a peptide containing moisturizer we don't have any studies behind

that for helping with stria but i can imagine it helping

or doing something for our collagen so say for example using neutrogena's collagen bank moisturizer

if you want to use the os1 peptide containing creams by one skin

they have a body moisturizer you can consider that

and finally i want to talk about for stria in general

i don't think vitamin e works well the data behind that's very inconsistent cocoa butter

and other you know topicals that promise

that it could work for you i've had patients who brought in sketchy creams into my clinic

that could help with milia or cellulite or stria and

if you look at the packaging on the label the ingredients aren't well laid out

and if they do have an ingredient list there's a lot of misspellings.

directions have grammatical errors i don't know where these creams are coming from

so be very careful and i've had patients come in

and bring these creams that are from unknown brands

and they're coming in with a bad contact dermatitis either allergic

or just irritant contact dermatitis where the skin is irritated by the ingredients in the product

or they have a true allergy which presents with redness swelling blisters

so be on the lookout for those sketchy products and stay away

if you just have a bad feeling if it's promising the results

that are just really sounds too good to be true it's probably not true okay

so just be careful for those products online the other ingredient

i want to talk about finally in this video is centella asiatica

now that's also known as tiger grass we see this a lot in asian beauty products especially k -beauty products

and i've talked about a few on the channel

so centella asiatica extract you will see in some products

i've liked i've talked about on the channel with the madagascar centella hydrating serum by skin 1004 very nice brand

i feel like it was really nice hydrating my skin

if you want to put

that say on your stretch marks on your abdomen on your thighs

and then cover with a peptide moisturizer i think that's a really nice call there

because centella has been shown to increase collagen production increase fibroblast proliferation

and help with tensile strength and might help strengthen

that dermis where we're having those micro tears from rapid weight gain genetics

it's probably not going to reverse things a hundred percent but

if you want to do things preventatively or

if you have after pregnancy you want to work on a nice postpartum routine

you could throw in a hydrating serum with centella

or having a centella cream like dr dark cica cream those are you know great products

i've liked the green tinted sunscreen for the face

but they also have just a nice cica cream for the face

100

and you can also apply

101

it to the body madocastaside is within centella asiatica extract madocastaside is just one of the ingredients within the extract

102

and they've isolated that down but there's no good studies on

103

that showing that it works on stria itself but

104

because madocastaside is known to work on wound healing work on collagen i would say i can actually suspect

105

that it might help and so using something like la roche -posay cecoplast balm

106

that i have patients use post -operatively on their surgical scars i would say probably a good bet

107

and using as a moisturizer for your body for stretch marks we need large scale studies to show

108

that even centella asiatica extract itself works really well

109

but there are some studies that show the extract works on stria

110

and we need to look and see

111

if isolated matocastaside itself can help with stretch marks that'd be really interesting for devices

112

if you want to work on red stria there's

113

that pulse dye laser for depressed white stria you can consider radio frequency microneedling with a trained specialist

114

and trying to really break deliver heat down deep into the dermis to try

115

and rebuild that collagen structure you can consider also resurfacing lasers

116

but all with varying degrees of success rates

117

and also depends on the operator of the laser or the device

118

so do your homework well before going to a clinic

119

if you want to get any kind of procedures done with

120

the device please hit the like button guys thank you

121

so much for tuning in every saturday please subscribe to the channel

122

and hit that bell notification and share this video with friends who are into skincare

123

and drop some comments on products that you feel like have helped with your stria

124

or stretch marks there's no product out there

125

that will fully reverse your stretch marks

126

and a lot of times we can't prevent it i just never want

127

you to feel badly of your stretch marks because it is common

128

and very natural skin finding okay

129

so never feel badly about it including cellulite guys that's very very common

130

and even though there's no really good devices

131

or topicals for reversing cellulite don't feel badly about them all right love you all guys thank you

132

so much for your support peace

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本課的詞彙與口語要點

這節口語課以影片“Evidence Based Ways to Treat Stretch Marks”為素材。影片中反覆出現的詞有：stria, stretch, marks, retinoid, topical。這段影片共有 132 個句子、1580 個單詞可供跟讀。講話部分時長為 8:44。說話人語速較快，每分鐘約 181 個詞，會出現較多連讀和弱讀。只有 77% 的單詞屬於英語最常用的 3,000 詞，詞彙難度較高。

影片中的重點詞彙

影片中 15 個值得學習的單詞，附發音和釋義：

單詞	發音	釋義
stretch 動詞	/stɹɛt͡ʃ/	伸展, 拉
laser 名詞	/ˈleɪzɚ/	雷射, 雷射
extract 名詞	/ˈɛkstɹækt/	精
ingredient 名詞	/ɪnˈɡɹiːdi.ənt/	成份, 材料
pregnancy 名詞	/ˈpɹɛɡnənsi/	懷孕 /懷孕, 妊娠
rapid 形容詞	/ˈɹæp.ɪd/	快, 迅速
demon 名詞	/ˈdiː.mən/	邪魔, 邪神
tear 動詞	/tɛɹ/	撕, 撕破
clinic 名詞	/ˈklɪn.ɪk/	診所 /診所, 醫院 /醫院
depressed 形容詞	/dɪˈpɹɛst/	沮喪 /沮喪, 鬱悶 /鬱悶
pulse 名詞	/pʌls/	脈 /脈, 脈搏 /脈搏
strengthen 動詞	/ˈstɹɛŋ(k)θən/	加強 /加強
serum 名詞	/ˈsɪɹəm/	血清
thigh 名詞	/θaɪ/	大腿
isolate 動詞	/ˈaɪ.sə.leɪt/	孤立

影片中的語法

說話人最常用的結構，並附上影片中的原話：

結構	影片中的用法
現在完成時 have/has + 過去分詞 — 過去發生但與現在仍有關聯的事	has been associated · has always been · have increased
被動語態 be + 過去分詞 — 強調發生了什麼，而不是誰做的	has been associated · been traditionally considered · is irritated

需要注意的發音

說話人用了 30 次縮略和弱讀形式，例如 don't, I've, we're。請按聽到的簡短形式來說。

“th” 音: strengthen /ˈstɹɛŋ(k)θən/, thigh /θaɪ/, bothersome /ˈbɑðɚsəm/
“sh” 和 “zh” 音: specialist /ˈspɛʃəlɪst/, classification /ˌklæsɪfɪˈkeɪʃən/, traditionally /tɹəˈdɪʃ.ə.nə.li/, notification /ˌnoʊtɪfɪˈkeɪʃn̩/, proliferation /pɹəˌlɪf.əˈɹeɪ.ʃən/
長單詞——注意重音位置: ingredient /ɪnˈɡɹiːdi.ənt/, operator /ˈɑpəˌɹeɪtɚ/, classification /ˌklæsɪfɪˈkeɪʃən/, traditionally /tɹəˈdɪʃ.ə.nə.li/, notification /ˌnoʊtɪfɪˈkeɪʃn̩/

中文母語者容易讀錯的音：

/v/ — 不要讀成 /w/，上齒輕觸下唇: reverse /ɹɪˈvɝs/, vascular /ˈvæskjələ/, vessel /ˈvɛsəl/, vary /ˈvɛəɹi/, overnight /əʊvə(ɹ)ˈnaɪt/
詞尾子音 — 要讀清楚，後面不要加母音: stretch /stɹɛt͡ʃ/, extract /ˈɛkstɹækt/, ingredient /ɪnˈɡɹiːdi.ənt/, rapid /ˈɹæp.ɪd/, reverse /ɹɪˈvɝs/
/r/ 和 /l/ 的區別: oral /ˈɔː.ɹəl/, traditionally /tɹəˈdɪʃ.ə.nə.li/, rebuild /ɹiːˈbɪld/, proliferation /pɹəˌlɪf.əˈɹeɪ.ʃən/, allergy /ˈæl.əɹ.d͡ʒi/

如何用這段影片練習

先完整聽一遍影片，不要開口，記下不認識的單詞。
先用 0.75 倍速逐句跟讀，熟練之後再回到正常速度。
錄下自己的聲音並與原聲對比，特別注意 stretch, laser, extract 這類單詞。

什麼是跟讀法？

跟讀法 (Shadowing) 是一種有科學依據的語言學習技巧，最初開發用於專業口譯員的培訓，並由多語言者Alexander Arguelles博士普及。這個方法簡單而強大：您在聽英語母語原聲的同時立即大聲重複——就像是一個延遲1-2秒緊跟說話者的影子。與被動聽力或語法練習不同，跟讀法強迫您的大腦和口腔肌肉同時處理並模模擬實的講話模式。研究表明它能顯著提高發音準確性，語調，節奏，連讀，聽力理解和口語流利度——使其成為雅思口語備考和真實英語交流最有效的方法之一。

影子跟讀法: 閱讀完整分步指南 →

跟讀練習: Evidence Based Ways to Treat Stretch Marks - 通過影片學習英語口語

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