Neal K. Shah: Caregiving & Aging

Neal K. Shah

America's Chief Elder Officer. Over 3 million followers across social media. Neal K. Shah is a Johns Hopkins- and NIH-funded caregiving researcher, and CEO of CareYaya. He discusses topics relevant to older adults and caregivers, those caring for loved ones with dementia, cancer and serious illness. Subscribe and together let's build a better future for aging and caregiving! ❤️Links:Neal K. Shah - Bio: https://www.careyaya.org/neal-k-shahInstagram - Neal K. Shah: https://www.instagram.com/nealkshahFacebook - Neal K. Shah: https://www.facebook.com/nealkshahcareyayaLinkedIn - Neal K. Shah: https://www.linkedin.com/in/neal-shah-careyaya/TikTok - Neal K. Shah: https://www.tiktok.com/@nealkshah

  1. 27m ago

    The Medicare Advantage Bloodbath Has Begun (Check Your Mail)

    We are witnessing the largest disruption to Medicare Advantage in over 20 years, and millions of older adults are opening their mailboxes to a terrifying letter: your health plan will CEASE to exist on December 31. Humana, Centene, and Aetna are pulling out of entire counties, canceling thousands of plan options, and gutting drug coverage, which means some people could wake up on New Year’s Day with no private coverage at all.Uploaded 09-10-26Here is the hidden trigger almost no one is explaining. The government quietly changed the math behind its Star Ratings (a method called Tukey outlier deletion), and overnight it wiped out billions in insurer bonus payments, an estimated $3.5 billion hit to Humana alone. The insurers are retaliating by abandoning unprofitable, mostly rural and suburban counties and stripping down the plans that stay.But there is a silver lining almost no one is talking about. Because the insurer is breaking the contract, a canceled plan hands you a rare “guaranteed issue” right: you can buy top-tier Medigap coverage with NO medical questions asked, even with cancer, heart disease, or diabetes. In this deep dive I show you who is leaving, the December 7 trap, and how to turn this corporate retreat into the best coverage upgrade of your retirement.WHAT YOU’LL LEARN- The Star Ratings “bloodbath” and how the Tukey method erased billions in insurer bonuses- Which carriers are exiting, and why they are fleeing rural and suburban counties specifically- The December 7 trap, and the dangerous default that can strip your drug coverage- How plans that stay are quietly gutting benefits (out-of-pocket maxes, perks, drug tiers)- The guaranteed-issue “golden ticket” that lets you buy Medigap with no health questionsCHAPTERS0:00 The largest Medicare Advantage disruption in 20 years2:55 The $13 billion engine that just blew up4:33 The CMS Star Ratings system, and the Tukey method7:39 The bloodbath: Humana’s $3.5 billion hit and the lawsuits11:06 Involuntary disenrollment spikes to millions11:41 Who is running: Centene, Humana, Aetna, UnitedHealthcare13:00 Why they flee rural and suburban areas14:01 If your plan stays: soaring costs, vanishing perks14:47 Drug formularies get squeezed15:42 The two letters in your mailbox17:00 The plan non-renewal notice18:30 The default trap, explained20:00 The silver lining: guaranteed issue22:30 Your step-by-step action plan and bottom lineFREQUENTLY ASKED QUESTIONSWhy are Medicare Advantage plans being canceled for 2027? A change to the CMS Star Ratings math (the Tukey outlier deletion method) sharply lowered many plans’ ratings, cutting the quality bonus payments that funded extra benefits. Facing billions in lost revenue and rising costs, insurers are exiting unprofitable counties and trimming plans.What is involuntary disenrollment? It is when your insurer discontinues your plan, so coverage ends (typically December 31) and you must pick a new plan. Over a million beneficiaries are affected this year. Watch for a non-renewal or termination notice in your mail.What happens if I do nothing before December 7? If your plan is ending and you do not act, you can be dropped into Original Medicare with no drug coverage (risking a lifelong penalty) and no cap on hospital costs. December 7 is the Annual Enrollment Period deadline.What is a guaranteed-issue right? When your plan is involuntarily canceled, federal rules give you a special window to buy a Medigap (Medicare Supplement) policy without medical underwriting, meaning the insurer cannot reject you or charge more based on your health.SOURCES and REFERENCES1) CMS Star Ratings and the Tukey outlier deletion method; the Quality Bonus Program (which grew from roughly $3 billion to over $13 billion a year).2) Carrier 2027 filings and reporting on exits: Centene/Wellcare, Humana (~600,000 members), CVS/Aet Learn more about your ad choices. Visit megaphone.fm/adchoices

    The Medicare Advantage Bloodbath Has Begun (Check Your Mail)

  2. 1h ago

    Medicare Proposal to Pay Caregivers? A New Senate Proposal.

    The federal government is quietly laying the groundwork to pay for in-home caregiving - something that could transform the $120,000/year costs many families face. What if Medicare started covering respite care and caregiver training for millions of Americans? It’s already happening under a little-known program, and the political momentum is building faster than you think.Neal K. Shah, a Johns Hopkins- and NIH-funded caregiving researcher and CEO of CareYaya, reveals how bipartisan support, groundbreaking surveys, and innovative policies are converging towards a future where caregiving becomes a covered, accessible service for all. He uncovers why the GUIDE Model - paying for dementia care navigation, training, and relief - is already proving this approach works, yet remains limited by outdated enrollment rules. With over 63 million caregivers across the country, most unpaid and stretched thin, this shift could be a game-changer - if political will catches up.Uploaded 25-05-26You’ll discover in this episode:- The surprising bipartisan support across political lines favoring investment in the care economy.= The real story behind the GUIDE Model’s potential to extend federal respite benefits to all Medicare beneficiaries, including those on Advantage plans.- How growing caregiver costs (up to $200K/year) make current policies unsustainable and why urgent action is needed.- The critical role of caregiver training, workforce standards, and quality improvements in changing elder care forever.- Why the next 18 months could deliver meaningful policy breakthroughs, and how YOU can push this movement forward.Beyond policy, I think this is about the future of family care and ensuring no one falls through the cracks because of outdated systems or political gridlock. If you’re caring for an aging loved one, an advocate, or simply interested in the future of healthcare reform, this episode will equip you with the knowledge and call-to-action you need to shape the next big shift in elder care policy.Prepare to be inspired - and to see a new horizon where support, dignity, and affordability become the norm for millions of families.What this episode covers:- Medicare caregiving policy changes- In-home care funding solutions- Bipartisan support for caregivers- Respite care benefits expansion- GUIDE Model Medicare program- Caregiving cost reduction strategies- Elder care policy reform- Family caregiving support initiatives- Care economy investment trends- Future of healthcare for seniorsFollow along on socials:Instagram: https://www.instagram.com/nealkshahFacebook: https://www.facebook.com/nealkshahcareyayaLinkedIn: https://www.linkedin.com/in/neal-shah-careyayaSubstack: https://nealkshah.substack.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

    Medicare Proposal to Pay Caregivers? A New Senate Proposal.

  3. 5h ago

    Explosive Diarrhea Parasite in Salads (How to Protect Yourself from Cyclospora Outbreak)

    A parasite causing explosive diarrhea is spreading through salads and cold food in 31 states — and the standard stool test most doctors order is famous for missing it. That means the real outbreak is almost certainly far bigger than the official count, and the people most likely to land in a hospital bed are adults over 65.Uploaded 12-07-26I'm Neal K. Shah — NIH-funded caregiving researcher and CEO of CareYaya. I spent hours digging into the 2026 Cyclospora (cyclosporiasis) outbreak so you don't have to, and what I found will change how you shop, wash, and eat this summer. This is the one explainer that gives you the exact sentence to say to your doctor, the single antibiotic that actually works, and the truth about the "natural parasite cleanses" flooding your feed right now.WHAT YOU'LL LEARN▸ What Cyclospora cayetanensis is — and the bizarre biological reason it CANNOT spread person to person (a huge relief if you're a caregiver)▸ The warning signs that separate it from ordinary food poisoning, including the relapsing "you-think-it's-over-then-it-roars-back" pattern that's a red flag▸ Why older adults are most at risk — and how "just dehydration" can turn into a fall, a broken hip, and a lost sense of independence▸ The ONE proven treatment (a cheap, decades-old antibiotic) — and why four popular "parasite cleanse" remedies don't work, graded honestly▸ The exact script to say to your doctor so they order the RIGHT test (most standard panels miss this parasite entirely): "Can we specifically test for Cyclospora — using a modified acid-fast stain, or a stool PCR panel that includes it?"▸ Why washing your produce isn't enough — and what actually protects your family▸ The straight, non-partisan answer to "why is this happening now?"▸ A 340-year-old mystery: how humans first learned to see the parasites in our own gutCHAPTERS00:00 Intro / outbreak context02:14 What this episode will cover04:33 What Cyclospora is and why it matters07:32 Outbreak scale and why the numbers may be bigger08:58 Foods linked to previous outbreaks09:38 Symptoms and who is most at risk11:38 When to call the doctor12:33 Natural remedies vs. evidence15:26 Proven treatment and medication cautions16:36 Testing pitfalls and what to ask your doctor17:31 Prevention and food safety19:58 Why this outbreak may be worse than it looks21:50 Caregiver checklist and closing adviceQUICK ANSWERSIs Cyclospora contagious? No. Freshly shed parasites aren't infectious — they must sit in the environment for 1–2 weeks to "ripen" before they can infect anyone — so you cannot catch it from the person you're caring for.What are the symptoms of cyclosporiasis? Watery, often explosive diarrhea, loss of appetite, weight loss, cramping, bloating, nausea, and deep fatigue — usually starting about a week after exposure, and often relapsing over weeks.How is Cyclospora treated? The proven treatment is the antibiotic trimethoprim-sulfamethoxazole (brand names Bactrim or Septra). Over-the-counter anti-diarrheal medicines can make it worse — ask your doctor first.Do parasite cleanses work for Cyclospora? No published human study shows any herb treats Cyclospora. Skipping the proven antibiotic for herbal tinctures risks the exact complication — dehydration — that sends older adults to the hospital.Who is most at risk? Older adults, young children, and immune-compromised people — mainly because of dehydration from prolonged diarrhea.How do I prevent it? Cook produce when you can (heat kills it), choose whole heads of lettuce over bagged salad during the outbreak and discard the outer leaves, wash produce under running water, and sanitize boards and counters. Note: rinsing and chlorine do NOT reliably remove or kill it.FREE RESOURCES- CDC Cyclosporiasis outbreak page: https://www.cdc.gov/cyclosporiasis- FDA foodborne outbreak investigations: https:// Learn more about your ad choices. Visit megaphone.fm/adchoices

    Explosive Diarrhea Parasite in Salads (How to Protect Yourself from Cyclospora Outbreak)

  4. 13h ago

    The Plague Just Escaped a Russian Lab...

    A 28-year-old lab worker in a high-security Siberian institute dropped a single glass vial, and days later she was DEAD, with nearly 200 people quarantined and a whole district locked down. The vial reportedly held Yersinia pestis, the bacterium behind the Black Death. But the truly frightening part is not this 700-year-old killer. It is what happens when an ancient pathogen collides with modern AI and gene editing.Uploaded 06-10-26I think this tragedy is a wake-up call about the biggest biosecurity risk of our generation. In this deep dive I explain what happened inside that Russian facility, the biology that let the plague wipe out a third of Europe, and why the airborne form is so lethal. Then I show how cheap DNA sequencing, CRISPR, and powerful AI are rewriting the rules of biosecurity, taking tools that once needed billions of dollars and secret labs and putting them within reach of a laptop. Most importantly, I lay out four concrete defenses.WHAT YOU'LL LEARN- What actually happened at the Irkutsk anti-plague institute, and why officials reacted so fast- The three forms of plague, and why the airborne (pneumonic) form terrifies scientists- Why natural plague is usually treatable, and the one change that could erase that shield- The "dual-use dilemma" and how AI erodes the old "tacit knowledge" safety barrier- Four defensive pillars: gene-synthesis screening, AI guardrails, biosurveillance, and new medicinesCHAPTERS0:00 A broken vial and a deadly outbreak2:55 Inside the Irkutsk anti-plague institute4:31 Conflicting stories, and why one word triggers alarm5:40 The Black Death: a third of Europe in four years6:21 Yersinia pestis and the flea it hijacks7:43 The three forms of plague9:00 Why pneumonic plague goes airborne10:40 How humanity survived, and the antibiotic shield11:52 Why 2026 is different: the biotech revolution12:53 The Carlson Curve and the fall of DNA costs14:00 Writing life: synthetic biology and CRISPR15:40 The miracles, and the dual-use dilemma17:10 The old safety net, and how AI dismantles it19:30 What AI red-teaming exercises revealed22:12 Why this accident should wake us all up24:08 The real lesson, and can wisdom keep pace?FREQUENTLY ASKED QUESTIONSWhat happened at the Russian plague lab? A lab technician at the Irkutsk Anti-Plague Research Institute in Shelekhov, Siberia died in early October 2026 after reportedly being exposed to plague bacteria. Nearly 200 contacts were placed under observation and a hospital was quarantined. Russian officials have formally described it only as "pneumonia of unknown etiology," and the plague link is suspected, not confirmed.Is the plague still dangerous today? Natural plague still occurs worldwide and is usually curable with common antibiotics if caught early. The pneumonic (lung) form spreads person to person and is nearly always fatal untreated, which is why any case triggers a fast response.Why do experts worry about AI and bioweapons? Reading and writing DNA has become cheap and accessible, and biosecurity researchers warn that advanced AI can lower the "know-how" barrier that once protected society. The concern is dual-use: the same tools that cure disease could be misused.How can we defend against engineered pathogens? The video outlines four pillars: mandatory screening of commercial DNA orders, safety guardrails on frontier AI, real-time biosurveillance such as wastewater sequencing, and next-generation medicines.SOURCES and REFERENCES1) Reporting on the October 2026 Irkutsk lab death and quarantine (Al Jazeera, NBC News, TIME, Forbes, The Moscow Times, CNN); WHO and CDC monitoring.2) History and microbiology of Yersinia pestis and the Black Death (1347 to 1351).3) The Carlson Curve (biophysicist Rob Carlson); the Human Genome Project; CRISPR gene editing.4) Biosecurity analysis of dual-use research, AI red-teaming, DN Learn more about your ad choices. Visit megaphone.fm/adchoices

    The Plague Just Escaped a Russian Lab...

  5. 14h ago

    This 10-Second Test Predicts How Long You’ll Live...

    A new study of more than 13,000 older adults found that four simple physical tests predict how LONG you will live, and your doctor has almost certainly never run a single one of them. These are not blood draws or scans. They are movements you can do right now, in your living room, in under five minutes, with nothing but a sturdy chair, and performing well on them was linked to a 42% to 59% lower risk of dying over the next seven years.Uploaded 10-10-26Here is why this matters: your annual checkup measures your body sitting perfectly still (blood pressure, cholesterol, blood sugar). But those numbers cannot show how your brain, nerves, heart, and muscles work together the moment you stand, turn, or catch yourself from a fall. That real-world function is one of the most powerful survival predictors we have, and it often waves a red flag years before a blood test does.In this deep dive I walk you through all four tests step by step, the exact numbers you should be hitting for your age, and the surprising biology behind each one. I also share a few things most people never hear, including why walking five miles a day will NOT save you from failing the most dangerous test, and the exact words to say to your doctor if your numbers start slipping.WHAT YOU’LL LEARN- The four at-home tests from a 13,000-person study, and how to do each one safely- The target numbers for your 60s, 70s, and 80s, and the clear warning thresholds- Why balance and agility (not flexibility) were the strongest predictors of survival- Why endless walking does not train the fast-twitch power that stops a fall- The exact words to tell your doctor if you notice your function decliningCHAPTERS0:00 Four tests that predict how long you’ll live2:34 Why these four tests matter so much3:51 Function is a biomarker your bloodwork misses4:28 Why your doctor never runs them5:53 Inside the landmark JAMA study (13,000 adults)7:46 Why flexibility did not predict survival8:17 Test 1: the one-leg stance, and the biology of balance10:40 How to do it safely at home11:47 The numbers to hit by age12:31 Test 2: the 8-foot up-and-go, the strongest predictor15:00 How to do the up-and-go at home16:30 Test 3: the 30-second chair stand19:30 How to do the chair stand at home20:40 Test 4: the 2-minute step test23:20 Why walking alone is not enough, and how to train26:00 What to say to your doctor, and the bottom lineFREQUENTLY ASKED QUESTIONSWhat are the four tests that predict longevity? From a 2026 JAMA Network Open study of 13,423 older adults in Taiwan: the 8-foot up-and-go (about 59% lower mortality risk for top performers), the one-leg stance (50% lower), the 30-second chair stand (about 45% lower), and the 2-minute step test (about 42% lower). Combined, the fittest group had roughly a 61% lower risk over seven years.How long should I be able to balance on one leg? Research links being unable to hold a one-leg stance (eyes open) for 10 seconds to a much higher mortality risk. Rough age averages: about 22 to 27 seconds in your 60s, 15 to 18 in your 70s, and 5 to 8 in your 80s. Under 80 and unable to reach 5 seconds is a clear warning sign.Why doesn’t my doctor do these tests? A typical primary-care visit is about 15 minutes in a small exam room, and there is no well-paid billing code for timing a chair stand. So medicine defaults to what is fast to measure sitting down.Does walking protect me from falls? Not fully. Steady walking builds endurance but does not train the fast-twitch muscle power and split-second balance corrections that actually stop a fall, which is why those need to be trained directly.SOURCES and REFERENCES1) Wu MC, et al. “Physical Fitness and All-Cause Mortality in Older Adults.” JAMA Network Open, August 2026 (Taiwan National Physical 2) Fitness Survey; 13,423 adults; ~7-year follow-up).3) Araujo CG, et al. One-leg balance Learn more about your ad choices. Visit megaphone.fm/adchoices

    This 10-Second Test Predicts How Long You’ll Live...

  6. 15h ago

    Home care costs $82K a year. How can we change that? | Mind What Matters with Liz Humphreys

    In this conversation on Mind What Matters, Neal shares why home care costs $82,000 a year while care workers make $34,000, why the government subsidizes nursing homes but not home care, and what families can actually do about it.Uploaded 08-05-26Neal K. Shah, CEO of CareYaya and Johns Hopkins researcher, went from running a $250 million hedge fund to becoming a full-time caregiver for his wife during her cancer battle. After watching the caregiving system fail his grandfather with Alzheimer's and his own family, he walked away from Wall Street to build CareYaya, making home care affordable for middle-class families.Watch the full podcast episode here: https://youtu.be/gHa3QnmXtuE?si=zHAIja0HHLaoZB4GLearn more about CareYaya: https://www.careyaya.org#CaregivingCrisis #DementiaCare #ElderCare #CareYaya #NealKShah #MindWhatMatters #AgingParents #caregiversupport 🔔 Subscribe for weekly caregiver support. Because you matter in this journey too. Learn more about your ad choices. Visit megaphone.fm/adchoices

    Home care costs $82K a year. How can we change that? | Mind What Matters with Liz Humphreys

  7. 16h ago

    Dementia cases will jump 70% by 2030 and nobody is READY | Neal K. Shah and Mind What Matters

    Home care costs $45 an hour. The caregiver doing the work makes $12.50. Where does the rest go?Uploaded 16-05-26Neal K. Shah shut down his $250 million hedge fund after caring for his grandfather through dementia and his wife through cancer. Now he's building CareYaya, a system that pays caregivers $20-22 an hour and charges families the same, cutting out the middlemen who have been profiting off both sides.In this conversation with Mind What Matters hosts Liz Humphreys and Nikki DeLoach, Neal breaks down why home care is unaffordable, why care workers are underpaid, and why the system is about to break in the next 3-5 years. Dementia cases in North Carolina alone are expected to jump 60-70% by 2030, pandemic isolation tripled dementia odds for millions of seniors, and COVID neuroinflammation is accelerating brain decline even in people who recovered.Liz and Nikki share their own caregiving journeys and why finding connection with other caregivers changed everything about how they survived it.Watch the full podcast: https://www.youtube.com/watch?v=jARX_7bE4tsPodcast: Mind What Matters (@mindwhatmatterspodcast)Learn more about CareYaya: https://www.careyaya.org#NealKShah #CareYaya #CaregivingCrisis #CaregiverSupport #DementiaCare #ElderCare #MindWhatMatters #HomeCare🔔 Subscribe for weekly caregiver support. Because you matter in this journey too. Learn more about your ad choices. Visit megaphone.fm/adchoices

    Dementia cases will jump 70% by 2030 and nobody is READY | Neal K. Shah and Mind What Matters

  8. 17h ago

    Patrick Clancy’s REVEAL on 60 Minutes

    Patrick Clancy, the father at the center of one of the most heartbreaking family tragedies in recent memory, is breaking his silence in an exclusive CBS 60 Minutes interview, speaking to millions of Americans nationwide for the first time. And I think the timing tells you almost everything about where this story now stands.Uploaded 18-09-26Just days before the cameras rolled, Patrick's Boston legal team issued a sweeping public warning: creators, commentators, and influencers who publicly accuse him of involvement in his children's deaths could face defamation lawsuits and criminal referrals. Then, days after demanding silence from the public, he stepped into the biggest primetime spotlight in American television.In the official legal record, Patrick Clancy has NEVER been named a suspect, a person of interest, or an uncharged accomplice by any law enforcement agency. Yet across TikTok, YouTube, and Reddit, a huge segment of the public remains convinced he played some role.In this deep dive, I weigh the sworn court testimony and forensic facts against the viral theories, the 45-minute errand, his timeline after the deaths, the remarriage, then examine the harder question: is Patrick's mix of legal threats and a national broadcast the natural defense of a grieving victim, or a calculated PR campaign ahead of a possible retrial and major civil lawsuits?This follows the September 2026 mistrial of his ex-wife, Lindsay Clancy, whose jury deadlocked 11-1 over whether she was criminally responsible or in the grip of severe postpartum psychosis when her three children, Cora, Dawson, and Callan, died in 2023. It sits where maternal mental health, healthcare-system failures, and internet culture collide.WHAT YOU'LL LEARN- Why Patrick has never been charged and what the court record actually establishes- The forensic timeline from January 24, 2023: GPS, CVS surveillance, receipts, and phone data- Why even Lindsay's own defense attorney conceded Patrick's account of that night- How three viral theories hold up against the law and the evidence- The fair, unresolved questions about his media strategy and the wrongful-death lawsuit behind itCHAPTERS0:00 Patrick Clancy breaks his silence1:18 What this deep dive covers2:51 The paradox: court record vs. public opinion3:24 The September 2026 mistrial (11-1)3:58 Will the DA retry the case?4:23 The lawyer's cease-and-desist5:00 60 Minutes drops: two possible motives5:18 Read #1: a grieving father's trauma defense6:01 Read #2: aggressive narrative control7:01 Theory 1: the 45-minute errand7:29 What the sworn testimony shows8:05 Evidence that Lindsay planned the errand8:38 Patrick's verified timeline: CVS, GPS, receipts9:26 Theory 2: his behavior after the deaths9:45 The Costa Rica rumor, debunked10:26 The move, and the new relationship11:10 Theory 3: marriage and spousal privilege11:22 Why that theory fails under the law12:16 Proportionality bias: why theories persist13:10 Back to 60 Minutes: the fair questions13:37 The wrongful-death suit against providers14:11 Two ways to see Patrick ClancySOURCES and REFERENCES1) The Sept. 2026 mistrial in Lindsay Clancy's murder trial; jury deadlocked with a single holdout (NPR, CNN, WBUR).2) Authorities have never accused Patrick Clancy of any involvement in the deaths (WCVB, Boston25).3) Attorney Howard Cooper's Sept. 8, 2026 statement on a "defamation campaign" and warning of legal action (WCVB, Boston25).4) Patrick's exclusive 60 Minutes interview teaser, his first comments since the mistrial (CBS 60 Minutes; Boston.com).5) Trial testimony, Plymouth Superior Court; Erin Orbey's reporting in The New Yorker.SUPPORTPostpartum psychosis is a rare medical emergency, not a character flaw. If you or someone you love is struggling after birth, contact Postpartum Support International (1-800-944-4773) or call/text 988 Learn more about your ad choices. Visit megaphone.fm/adchoices

    Patrick Clancy’s REVEAL on 60 Minutes
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About

America's Chief Elder Officer. Over 3 million followers across social media. Neal K. Shah is a Johns Hopkins- and NIH-funded caregiving researcher, and CEO of CareYaya. He discusses topics relevant to older adults and caregivers, those caring for loved ones with dementia, cancer and serious illness. Subscribe and together let's build a better future for aging and caregiving! ❤️Links:Neal K. Shah - Bio: https://www.careyaya.org/neal-k-shahInstagram - Neal K. Shah: https://www.instagram.com/nealkshahFacebook - Neal K. Shah: https://www.facebook.com/nealkshahcareyayaLinkedIn - Neal K. Shah: https://www.linkedin.com/in/neal-shah-careyaya/TikTok - Neal K. Shah: https://www.tiktok.com/@nealkshah

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