Your Checkup

Send us a message with this link, we would love to hear from you. Standard message rates may apply.We investigate how pulse oximeters – those small devices that clip onto your finger and measure oxygen levels – can show bias against people with darker skin tones. This critical medical tool may overestimate oxygen readings in Black patients, potentially leading to delayed or inadequate treatment.• Pulse oximeters use infrared light to measure blood oxygen, but melanin in darker skin can scatter this light and cause inaccurate readings• Studies show Black patients are nearly three times more likely to have hidden low oxygen episodes missed by pulse oximeters• During COVID-19, this bias became particularly dangerous as oxygen readings determined critical treatment decisions• Most pulse oximeters were originally calibrated on light-skinned individuals, with minimal diversity requirements• The FDA is now developing better standards requiring more diverse testing groups• This issue extends beyond pulse oximeters and reveals broader systemic healthcare inequities• Medical practitioners need to consider the whole clinical picture rather than relying solely on pulse ox readingsStay healthy, my friends, until next time.Support the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Insulin resistance often precedes diabetes by 5-10 years and serves as an early warning sign of potential damage to your cardiovascular system and other organs. We explore this common condition, its risk factors, and how simple lifestyle changes can reverse it before more serious health problems develop.• Insulin resistance occurs when muscles, liver, and fat cells fail to respond to normal levels of insulin• The pancreas compensates by producing more insulin, eventually leading to beta cell failure• Clinical signs include dark skin patches in body folds (acanthosis nigricans), elevated triglycerides, and increased waist circumference• One in three Americans have prediabetes, with many also experiencing insulin resistance• Risk factors include central obesity, sedentary lifestyle, family history, PCOS, and certain racial/ethnic backgrounds• Sleep disturbances, chronic stress, and fatty liver disease are emerging factors linked to insulin resistance• A 5-7% weight reduction improves insulin sensitivity by over 50%• Regular physical activity (150+ minutes weekly) helps glucose enter cells more efficiently• Diet modifications focusing on whole foods, limiting refined sugars, and following Mediterranean or DASH patterns show significant benefits• "The movement is the medicine, the food is the medicine" when addressing insulin resistanceSupport the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Prediabetes affects over one-third of Americans, yet 80% don't know they have it. We break down what this silent condition means for your health and provide practical strategies to prevent progression to diabetes.• Prediabetes is defined as blood sugar that's elevated but not high enough to be diabetes• Risk factors include being over 45, overweight, family history of diabetes, and certain racial backgrounds• Prediabetes independently increases risk for heart disease, stroke, and kidney disease• Losing just 7% of body weight and exercising 150 minutes weekly reduces diabetes risk by 58%• Even without weight loss, exercise alone cuts diabetes risk by 44%• Focus on whole foods, legumes, fruits, vegetables, and limiting processed foods• Poor sleep significantly increases diabetes risk—aim for 7-8 hours of quality sleep• Metformin may be recommended for higher-risk individuals• Prediabetes is reversible with lifestyle changesFollow our podcast and share this episode with a loved one—since one-third of Americans have prediabetes and most don't know it, you could help someone take control of their health before it's too late.Support the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.We dive deep into the essential topic of skin cancer prevention and sun protection methods. As summer approaches, it's crucial to understand how to protect yourself from harmful UV rays that can lead to skin cancer, a condition that affects one in five Americans in their lifetime.• One in five Americans will develop skin cancer in their lifetime• Seek shade between 10am-2pm when the sun's rays are strongest• Wear protective clothing including lightweight long sleeves, pants, and wide-brimmed hats• Choose broad-spectrum, SPF 30+ water-resistant sunscreen• Apply one ounce (a shot glass amount) to cover an adult body• Reapply sunscreen every two hours or after swimming/sweating• SPF 30 blocks 97% of UVB rays, but no sunscreen blocks 100% of rays• Babies under six months should avoid sun exposure completely• For sunburns: stay indoors, keep skin moisturized, drink extra water, and don't pop blistersShare this episode with anyone who spends time in the sun. Check us out on Instagram, visit our website for all our old episodes, or sign up for our email list in the description wherever you listen to podcasts.Support the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Cardiorespiratory fitness might be the strongest predictor of how long you'll live, with a massive study showing fitness level may have a more significant impact than traditional risk factors like smoking or diabetes.• Study of 122,000 people undergoing treadmill testing followed for eight years• People with elite fitness were 80% less likely to die than those with low fitness• Being unfit appeared worse for mortality than smoking, diabetes, or heart disease• Benefits were seen across all age groups and genders• Even modest improvements in fitness can make a significant difference• Benefits begin at 0.1-7.5 MET hours per week of activity• Optimal benefits occur at 22.5-75 MET hours weekly• Strength training benefits begin at once weekly and peak at 60 minutes per week• VO2 max can be tracked with fitness watches to monitor cardiorespiratory fitnessPlease send us an email at yourcheckuppod@gmail.com with questions or topics you'd like us to cover in future episodes.Support the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Safe infant sleep guidelines have reduced SIDS deaths by 50-80% over the last three decades, yet funding for this critical public health campaign is now at risk of being cut.• Explained difference between SIDS (sudden infant death syndrome) and SUID (sudden unexpected infant death)• Described the "triple risk model" that leads to SIDS: vulnerable infant + critical developmental period + external stressor• Detailed the history of the Back to Sleep campaign which began in 1994• Outlined key safe sleep recommendations: babies on backs, firm flat surface, no loose bedding or soft objects• Discussed why co-sleeping increases SIDS risk despite cultural preferences• Clarified that products like Dockatot are not designed for safe sleep• Highlighted that Black and Indigenous communities experience higher SIDS rates• Examined how funding cuts could impact access to life-saving health information• Connected these changes to a broader pattern of removing evidence-based health information from government resourcesCheck out our website, email us at yourcheckuppod@gmail.com with questions or feedback, and most importantly, stay healthy until next time.Support the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Back pain affects 80% of people at some point in their lives, but the good news is that approximately 90% of cases improve within 6-12 weeks with proper care and movement. Understanding the causes, treatments, and prevention strategies for back pain can help you navigate this common but often debilitating condition.• Most back pain is "non-specific" with muscle strain being the most common cause• Common types include lumbosacral strain, SI joint dysfunction, and disc herniations• Imaging (X-rays, MRIs) usually unnecessary in first 4-6 weeks unless "red flags" present• Many people with no pain have abnormal findings on imaging• Brief rest is okay but prolonged inactivity makes recovery worse• Heat, over-the-counter pain medications, and lidocaine patches can provide temporary relief• Physical therapy with core strengthening exercises significantly improves outcomes• Your core includes abs, obliques, back muscles, pelvic floor, and diaphragm• Good posture means stacking head, shoulders, spine, and pelvis vertically• Common posture mistakes: tech neck, slouching, crossed legs, improper work setups• Movement is medicine - think of your body as cement waiting to harden• Seek medical attention for numbness, weakness, loss of bowel/bladder control, or persistent painIf you learned something today, pass this episode along to a friend or neighbor who's dealing with back pain. You can sign up for our email list to receive written content and updates about future episodes.Support the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.• Full body MRIs cost around $2,500 and are being promoted as the "gold standard" for preventative health without proper medical context• Unlike established screening tests, these scans haven't been evaluated by medical societies for appropriate use in healthy populations• 15-30% of diagnostic images have at least one incidental finding, which can lead to unnecessary anxiety and further testing• The marketing tactics use fear-based messaging about finding cancer early, which might be ethically concerning• These services create healthcare disparities since they're only accessible to those with financial resourcesSign up for our email list in the show notes to receive notifications about new episodes and access our written materials as we expand our content.Support the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.We dive deep into hypoglycemia (low blood sugar), exploring its causes, symptoms, and critical treatment options for patients with diabetes and their loved ones. This episode provides essential knowledge that could potentially save lives in emergency situations.• Hypoglycemia defined as blood sugar below 70 mg/dL, with severe cases below 54 mg/dL• Common causes include excess insulin/medication, inadequate food intake, vigorous exercise, irregular eating patterns, and alcohol consumption• Early symptoms include sweating, trembling, hunger and anxiety, progressing to confusion, unusual behavior, and potentially seizures if untreated• Hypoglycemia unawareness occurs when individuals don't experience warning symptoms, putting them at serious risk• The 15-15 rule for treatment: consume 15g of fast-acting carbs, wait 15 minutes, recheck blood sugar• Emergency glucagon (injection or nasal spray) for severe cases when a person cannot safely consume sugar• Children may sometimes appear asymptomatic with dangerously low blood sugar levels• Post-hypoglycemia follow-up with healthcare providers is essential to adjust treatment plansShare this episode with loved ones who have diabetes or anyone who might benefit from understanding how to recognize and respond to low blood sugar emergencies. Sign up for our email list at our website for notifications and additional written materials, or email us at yourcheckuppod@gmail.com.Support the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Managing allergic rhinitis requires realistic expectations and a strategic approach to medication. Though no treatment will completely eliminate symptoms, the right combination of therapies can significantly reduce discomfort and improve quality of life during allergy season.• Nasal corticosteroid sprays are first-line treatments that reduce inflammation in nasal passages• Proper technique matters: point spray toward outside of nostril and sniff gently "like smelling a flower"• Non-sedating antihistamines (Zyrtec, Claritin, Allegra) relieve itching, sneezing, and runny nose without drowsiness• Nasal antihistamine sprays provide targeted relief and can start working within minutes• Oral decongestants raise concerns about blood pressure and heart rate increases• Avoid nasal decongestant sprays (like Afrin) beyond 2-3 days to prevent rebound congestion• Combination therapies often work better than single medications• Consider allergen immunotherapy when standard treatments don't provide adequate reliefThank you for coming back to another episode of Your Checkup. Hopefully you were able to learn something for yourself, a loved one, or an allergic neighbor. Please check out our website, find us on Instagram, send us an email at yourcheckuppod@gmail.com and, most importantly, stay healthy my friends, until next time.Support the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Allergic rhinitis affects 20% of people with substantial impact on quality of life, causing symptoms like nasal inflammation, itchy eyes, and post-nasal drip.• Allergic rhinitis is a nasal reaction to airborne particles causing a histamine response• Symptoms include itchy nose, watery eyes, sneezing, nasal congestion, and sinus pressure• Allergens fall into four categories: pollens, insects, animal dander, and molds• Allergies can be seasonal (specific times of year) or perennial (year-round)• Trigger avoidance is the first line of defense before medication• For dust mites, use allergen-impermeable covers and wash bedding weekly in hot water• Pet allergies are challenging—consider HEPA filters and increased cleaning if removal isn't possible• Changing pillowcases daily during high symptom periods can significantly reduce exposure• Controlling humidity below 50% helps with dust mites and mold allergens• For outdoor allergens, stay inside during peak times and shower before bedJoin us next week for an in-depth conversation about medication options for managing allergic rhinitis.Support the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.The meteoric rise in demand for weight loss drugs has created widespread shortages, leading to the emergence of compounding pharmacies as an alternative source for these medications.• Compounding pharmacies create custom medications by combining, mixing, or altering ingredients to meet specific needs• Unlike FDA-approved medications, compounded drugs don't undergo the same rigorous safety and effectiveness reviews• Dosing errors with compounded weight loss medications have led to serious adverse events requiring hospitalization• Confusion between units, milliliters, and milligrams contributes to potentially dangerous dosing mistakes• Some compounding pharmacies add unproven ingredients like vitamins, L-carnitine, and NAD to their formulations• The long half-life of these medications (about one week) means overdose symptoms can persist for extended periods• Pharmaceutical companies have responded with direct-to-consumer models offering FDA-approved versions at reduced prices• Eli Lilly now offers Zepbound in vial form for approximately $499/month versus $1000+ for pen versions• Novo Nordisk's NovaCare pharmacy provides direct-to-patient delivery of Wegovy single-dose pens at similar price pointsPlease talk to your healthcare provider about what option might be right for you, as these medications require careful consideration and proper dosing is essential for safety.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.SummaryIn this episode, Ed Delesky, MD, and Nicole Aruffo, RN, discuss the impact of GLP-1 medications on lean body mass and muscle mass during weight loss. They explore definitions of lean body mass and skeletal muscle mass, the effects of weight loss medications on muscle physiology, and strategies to preserve muscle mass through diet and exercise. The conversation emphasizes the importance of understanding muscle quality and the potential risks of sarcopenia, particularly in vulnerable populations. The episode concludes with practical advice for maintaining muscle health while using weight loss medications.TakeawaysGLP-1 medications can impact muscle mass during weight loss.Lean body mass includes all tissues except fat.Skeletal muscle mass is crucial for strength and metabolism.Different studies show varying impacts of GLP-1 on muscle mass.Weight loss can lead to reduced resting energy expenditure.Muscle quality is an important factor in health outcomes.Sarcopenia may be concern for older adults on weight loss medications.Increasing protein intake can help preserve muscle mass.Resistance training is essential for maintaining muscle strength.Consult your doctor for personalized dietary and exercise advice.Keywordsweight loss, GLP-1 medications, muscle mass, lean body mass, obesity, health, nutrition, exercise, patient education, diabetes, zepbound, wegovy, ozempic, mounjaroSupport the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.In this episode, Ed Delesky, MD, and Nicole Aruffo, RN, discuss Irritable Bowel Syndrome (IBS), covering its symptoms, causes, diagnosis, and various treatment options. They emphasize the importance of understanding IBS as a common condition affecting a significant portion of the population and provide insights into managing symptoms through dietary changes, stress management, and medical treatments. The conversation aims to educate listeners about IBS and encourage proactive health management.TakeawaysIBS affects 10-20% of the population.Symptoms include abdominal pain and changes in bowel habits.Diagnosis is based on symptoms, not a single test.Treatment requires a personalized approach.Dietary changes can significantly impact IBS symptoms.Stress management is crucial for IBS patients.Medications can help but do not cure IBS.Probiotics and herbal remedies lack strong evidence for IBS.Most people with IBS can lead normal lives.Understanding IBS empowers patients to manage their health.KeywordsIBS, irritable bowel syndrome, digestive health, symptoms, treatment, management, gut-brain axis, dietary changes, healthcare, patient educationSupport the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Depression requires a comprehensive treatment approach addressing biological, psychological, and social dimensions for true healing. We explore the three essential components of effective depression management: medication, therapy, and behavioral activation.• Depression categorized as mild, moderate, or severe, with treatment options varying accordingly• PHQ-9 questionnaire serves as both diagnostic tool and progress tracker• SSRIs (like Lexapro, Prozac, and Zoloft) serve as first-line medications with fewer side effects• Antidepressants typically require six weeks at therapeutic dose to determine effectiveness• Psychotherapy, especially cognitive behavioral therapy, proven equally effective as medication• Combined medication and therapy approach provides superior outcomes to either alone• Psychology Today website offers accessible therapist-finding tool• Exercise (30-60 minutes, 3x weekly) prescribed as essential treatment component• Behavioral activation through resuming enjoyable activities crucial for recovery• Recovery is possible with comprehensive treatment even when motivation is lowVisit psychologytoday.com to find therapists in your area based on specialty, insurance coverage, session format, and more.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.We are offering a trigger warning for this episode as we discuss topics related to depression including suicide. Please know 988 as a phone number and a resource to get immediate help in a mental health crisis. Do you feel persistently sad, hopeless, or disinterested in the things you once enjoyed? This episode of Your Checkup explores the complexities of clinical depression, a common yet often misunderstood mental health condition. We'll break down the key symptoms, discuss why people might hesitate to seek help, and highlight the importance of diagnosis and treatment. Learn about the different forms of depression, its connection to other medical conditions, and how to access immediate support if you or someone you know is struggling. Remember, depression is treatable, and there is hope for recovery.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Stay informed and protect your family from measles! In this episode of Your Checkup, we discuss the current measles outbreak, including the situation in Texas. Learn about measles symptoms, how it spreads, and the potential complications. We emphasize the critical role of the MMR vaccine in preventing measles and discuss the importance of maintaining high vaccination rates to protect our communities. Get the facts about measles and the MMR vaccine.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.This episode of Your Checkup examines a recent study investigating the effects of semaglutide, a medication used for weight loss, on individuals with both obesity and knee osteoarthritis. We will delve into how this trial was conducted, the key findings related to weight reduction and pain relief, and what these results might mean for patients experiencing these conditions. The study showed that semaglutide led to significant weight loss and pain reduction in participants. Join us as we explore the potential benefits and considerations of this new treatment approachSupport the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Are you feeling overwhelmed by the sheer amount of health information available online? It's getting harder to tell what's true and what's not, especially with so much misinformation spreading like wildfire on social media and even through friends and family. This episode of "Your Checkup" will equip you with the tools you need to navigate the confusing world of medical information. We'll discuss what exactly misinformation is, why it spreads so quickly, and, most importantly, what steps you can take to protect yourself and your loved ones from the harmful effects of false health claims. Join us to become a savvy consumer of health information and make informed decisions about your well-being.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply."Cholesterol Treatment Options" is a comprehensive guide to understanding the available treatments for high cholesterol. The episode explains when treatment is needed, the importance of lifestyle modifications, and a focus on medication options, including statins. This episode aims to help listeners make informed decisions about their cholesterol management and take control of their cardiovascular health.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.This episode of "Your Checkup" tackles norovirus, a highly contagious virus that's a leading cause of vomiting, diarrhea, and foodborne illness in the U.S. We'll break down how it spreads, explore common outbreak locations like healthcare facilities, restaurants, schools, and even cruise ships, and give you practical prevention tips. We'll also cover current food safety alerts and discuss how to respond if you suspect you have norovirus. Whether you're a parent, a traveler, or anyone who wants to stay healthy, this episode will equip you with the knowledge you need to protect yourself and your community from norovirus.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.This episode is designed to inform listeners about cardiovascular health. It explains what cardiovascular risk is, its significance, and the various risk factors involved, such as smoking, hypertension, and diabetes. The episode details how cardiovascular risk is assessed, including the use of risk calculators for different age groups and the importance of considering risk-enhancing factors. The podcast emphasizes the importance of lifestyle modifications and medical interventions, along with the need for shared decision-making with healthcare providers to reduce risk and promote better heart health.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.This episode is a comprehensive episode designed to educate listeners about the complexities of cholesterol and its impact on cardiovascular health. The episode defines hyperlipidemia  detailing various types of lipids, including LDL, HDL, and triglycerides. The discussion covers recommended lipid screening guidelines, risk factors, and the importance of personalized risk assessment. By the end of this episode, listeners will have a deeper understanding of cholesterol and will be empowered to take proactive steps towards better heart health.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.The FDA has recently announced a ban on Red Dye No. 3 in food and ingested drugs due to concerns about its safety, based on studies showing it caused cancer in male laboratory rats. This episode of Your Checkup will explore what this means for you, the consumer, including which products commonly contain Red Dye No. 3, why it's being banned, and what to look for on food labels in the meantime. We'll delve into the details of how the FDA regulates color additives and clarify any confusion about the safety of other color additives in your food. Join us as we navigate the world of food additives and empower you to make informed choices about your health and diet.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.This episode of "Your Checkup" provides an in-depth look at Human Metapneumovirus (hMPV), a common respiratory virus that often circulates alongside seasonal influenza and Respiratory Syncytial Virus (RSV). We will explore how hMPV spreads, its typical cold and flu-like symptoms, and when it can become more severe, potentially leading to complications like pneumonia or bronchiolitis. You'll learn who is most at risk for severe illness, and how to take practical steps to protect yourself and your family. The episode will also cover current treatment options including over-the-counter remedies and the latest in diagnostic testing. Finally, we will discuss current trends in hMPV cases, including how the virus is being monitored globally, as well as how it is being considered alongside other common seasonal respiratory infectionsSupport the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.This episode of "Your Checkup" provides an in-depth look at the current H5N1 bird flu situation, including recent outbreaks in the U.S. Learn how the virus spreads, who is at risk, and practical steps to protect yourself. We'll discuss food safety, how to handle sick or dead birds, and when to seek medical attention. Learn the difference between seasonal flu and bird flu, as well as current vaccine and treatment options for H5N1.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.This episode of "Your Checkup" dives deep into the science of effective goal setting, offering practical strategies to help you reach your full potential. We'll explore the SMART framework, a powerful method for creating goals that are clear and achievable, and the "fresh start effect," a psychological phenomenon that can significantly boost your motivation. Learn how to use temporal landmarks to your advantage, break large goals into smaller steps, and apply these strategies to any area of your life. We'll also examine the data that supports these methods to give you the tools you need to set and meet your goals.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.During our holiday break we wanted to highlight an important episode of our curriculum as people make goals heading into the new year. Exercise remains one of the most important things you can do for your health. Tune in to learn just how important. In this episode of "Your Checkup," we tackle the age-old question: How much exercise do you really need to reap its incredible health benefits? Join us as we explore recommended exercise guidelines and dive into  the profound impact regular physical activity can have on your life. From boosting your mood and energy levels to preventing chronic diseases, the advantages are truly life-changing. With engaging stories, and a sprinkle of humor, we'll persuade you to lace up those sneakers and embrace the power of movement. Don't miss this episode that promises to get you up and moving toward a healthier, happier you!Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.This week, we're discussing a significant development in the treatment of obstructive sleep apnea (OSA). The FDA has recently approved Zepbound, a medication used in combination with diet and exercise, as the first drug option for moderate to severe OSA in adults with obesity. We'll break down how Zepbound works by targeting hormones that reduce appetite, which leads to weight loss, and how this can improve OSA symptoms. We'll also explore the details of the clinical trials that led to this approval, including how they measured the medication's effectiveness and what potential side effects patients should be aware of.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Join us as we demystify insulin treatment for type 2 diabetes! We'll break down the different types of insulin, how they work, and when you might need to start them. We'll also cover practical tips for injecting insulin, factors that affect its effectiveness, and how to handle special situations like eating out and travel. This episode is packed with essential information to empower you to manage your type 2 diabetes and live a healthier life!Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.This episode explores the science behind flatulence odor and introduces a simple, over-the-counter remedy: Pepto-Bismol. The episode explains that the unpleasant odor associated with flatulence is primarily caused by hydrogen sulfide (H2S), a gas produced in the colon during the breakdown of food. Pepto-Bismol, or bismuth subsalicylate, works by binding to hydrogen sulfide in the colon and reducing the amount of gas released. The episode highlights a study published in Gastroenterology which found that bismuth subsalicylate significantly reduced H2S release in human fecal samples. Participants in the study experienced a greater than 95% reduction in fecal H2S release after taking Pepto-Bismol for 3-7 days. The episode also emphasizes the importance of consulting a doctor before using Pepto-Bismol, especially for those with medical conditions or taking other medications.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.This episode breaks down the different medications used to treat type 2 diabetes, helping patients better understand their treatment options and how these medications work in the body. From metformin to insulin and everything in between, we'll cover the mechanisms, benefits, and potential side effects of each medication class, empowering you to have more informed conversations with your healthcare provider.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.In this episode of Your Checkup, we break down everything you need to know about checking your blood sugar levels at home. Learn the step-by-step process of monitoring your glucose, the importance of timing, and what your readings mean for your overall diabetes management. Whether you're newly diagnosed or looking to fine-tune your routine, this guide will help you understand the numbers and take charge of your health. Tune in to gain clarity and confidence in controlling your diabetes! Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Are you monitoring your blood pressure at home? Did you know that using the wrong size blood pressure cuff can lead to inaccurate readings? In this episode, we'll discuss the importance of choosing the right blood pressure cuff size and the different types of blood pressure monitors available. We'll provide tips for selecting a validated device and ensuring you get the most accurate readings possible for effective blood pressure management.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Millions of people suffer from sleep apnea, a condition that disrupts sleep and impacts overall health. In this episode, we discuss the types of sleep apnea, how it occurs, the health risks, and various treatment options available to improve sleep quality and overall well-being. Tune in to learn if you, a loved one, or a neighbor may be experiencing sleep apnea and find out how to get help.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Respiratory syncytial virus (RSV) is a common respiratory virus that can be dangerous for infants. This episode of Your Checkup provides essential information about RSV, exploring new prevention methods like the monoclonal antibody nirsevimab and the maternal RSV vaccine. We discuss how they work, who should consider them, and their safety profiles. Tune in to learn how to safeguard your baby from this potentially serious virus.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.This episode of Your Checkup explores the common but often misunderstood condition of GERD. We break down the science behind the burning sensation, discuss risk factors and symptoms, and offer practical advice on seeking help. From lifestyle changes to medications and potential complications, we cover everything you need to know to manage GERD and find relief.Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.In this episode of Your Checkup, we're diving into a topic that's all about saving lives: breast cancer awareness! We'll break down everything you need to know about mammograms—what they are, why they matter, and how they play a crucial role in early detection. Whether you're wondering when to start screening or just curious about the process, we'll make it simple, clear, and even a little fun. Let's empower you with the knowledge to take control of your health and help others do the same. Join us for this important conversation! Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply. In this episode of Your Checkup, we dive into simple, effective ways to start managing acne at home. From understanding the importance of cleansing routines to selecting the right over-the-counter treatments, we'll guide you through the basics of skincare that can make a big difference. Tune in to learn how to tackle common triggers like excess oil, clogged pores, and inflammation, while also debunking popular acne myths that could be holding you back from clearer skin. Whether you're dealing with breakouts or want to prevent them, this episode is your starting point! Please find out detailed show notes below Acne BasicsAcne is the most common skin disorder in North America, affecting 85% of teenagers.Pimples form when skin cells block a hair follicle. This is made worse by oil (sebum) production and bacteria on the skin.Acne SeverityAcne can range from mild to moderate to severe.At-home treatments can usually handle mild acne. Moderate and severe acne usually require prescription medications from a primary care doctor or dermatologist.Acne Treatment LayersHygiene: Wash your face no more than two times a day with a gentle, non-soap cleanser and warm water. Don't use washcloths or loofahs.Moisturization: Use a non-comedogenic moisturizer, especially if other treatments dry out your skin.Sun Protection: Protect your skin from the sun with sunscreen (SPF 30 or higher) or protective clothing. Too much sun can worsen acne and age your skin.Over-the-Counter Treatments for Mild AcneTopical Retinoids: Adapalene 0.1% gel is the only topical retinoid available over the counter in the US.Apply a thin layer to the entire affected area (don't spot treat) once a day, usually at night. Start every other night to reduce irritation, working up to every night over a few weeks.Use a pea-sized amount for the entire face and make sure your skin is dry.Don't use with benzoyl peroxide.Benzoyl Peroxide: Comes in cleansers, gels, lotions, creams, pads, masks, and washes. Concentrations range from 2.5% to 10%.Apply once a day.Benzoyl peroxide can bleach fabric and hair.Salicylic Acid: A good alternative if your skin can't tolerate topical retinoids.These treatments may take up to 12 weeks to work.Combination TherapyUsing benzoyl peroxide in the morning and a retinoid at night can be effective.Sometimes topical clindamycin is used with benzoyl peroxide.Treatment for Moderate to Severe AcneFor severe or widespread acne, or acne that's causing scarring, doctors will start systemic therapy right away, instead of waiting to see if topical treatments work.Doxycycline is an antibiotic that reduces inflammation and fights bacteria.Spironolactone is a medication that can help regulate hormones.IsotretinoinImportant NotesDon't pick or squeeze pimples: This can worsen acne and may cause swelling and scarring.Be patient: It can take several weeks for treatments to show results.Talk to a doctor: If you have concerns about your acne or at-home treatments aren't working,Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.In this bonus episode of Your Checkup, titled "Tasty Tip," we'll share a quick piece of health advice that came up during the week, whether it's something that could benefit your own health, that of a neighbor, or a loved one. Plus, we'll talk a little bit about something delicious we've enjoyed eating recently! It's a short and sweet addition to keep you informed and inspired. Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply. In this episode of Your Checkup, we're diving into a topic that's got everyone… stuck! Constipation may not be glamorous, but it's a real pain in the gut for millions of Americans. We'll break down the common causes, from ignoring your body's natural cues to skimping on fiber, and share simple lifestyle changes that can get things moving again. From morning coffee tricks to the fiber showdown, we'll also cover the basics of laxatives—fiber boosters, stool softeners, and the “pushers” you should save for emergencies. Tune in for the scoop on smooth moves and when it's time to check in with your doc! Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply. In this episode of Your Checkup, we tackle the flu and why getting vaccinated is crucial for staying healthy. We break down who should get the flu vaccine, how often the flu impacts people each year, and why it's so important to protect yourself and others through vaccination. Drawing from trusted CDC guidelines, we give you the facts you need to make informed decisions this flu season. Tune in to learn how you can prevent serious illness and keep your family safe. Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply. As children head back to school, colds and RSV are on the rise. In this episode of Your Checkup, we pull back the curtain on what happens when a sick child ends up in the hospital and when it's time to seek professional help. We also share expert advice on common at-home remedies to help manage your child's symptoms and keep colds in check this season. From prevention tips to knowing when to act, we cover everything parents need to know to navigate cold and flu season with confidence. Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply. In this episode of Your Checkup, we dive into the world of weight loss medications, with a special focus on the popular GLP-1 drugs like Ozempic, Wegovy, and Zepbound. We'll explain how these medications work, the potential challenges they present, and their role in the broader treatment of obesity. Whether you're curious about the science behind these treatments or wondering if they're right for you, we cover everything you need to know, including why they can be tricky to use. Tune in to get the full picture on how medications fit into a comprehensive weight loss strategy. Support the showProduction and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.In this must-listen episode of Your Checkup, we dive into three essential facts that can transform your approach to weight loss. Discover which diets have proven success, learn the truth about processed versus unprocessed foods, and find out why the timing of your meals might be just as important as what's on your plate. Plus, we'll reveal some surprising numbers about how your metabolism works to keep you at the same weight, and what you can do to counteract it.  If you're serious about achieving your weight loss goals, this episode is packed with the insights you need to make informed, lasting changes. Plus, if you are a long time listener of the show, we have two updates you wont want to miss Support the Show.Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply. In this episode of Your Checkup, we explore how making sustainable lifestyle changes can be the key to successful weight loss. We break down how to set realistic and achievable weight loss goals, focusing on the importance of consistency, mindset, and personalized strategies. Whether you're just starting your weight loss journey or looking for ways to maintain your progress, this episode will give you the tools and motivation to stay on track and reach your health goals. Tune in for practical tips and expert advice that can make a lasting impact on your weight loss efforts. Support the Show.Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply. In this episode of Your Checkup, we dive deep into the obesity set point theory—an often overlooked reason why losing weight and keeping it off can feel like an uphill battle. Learn how your body's natural mechanisms may resist weight loss, why diets often fail, and what science suggests about overcoming these challenges. Whether you're struggling with weight loss or simply curious about the science behind it, this episode will shed light on why it's not just about willpower. Support the Show.Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply. In this episode of Your Checkup, we unlock the secrets to a balanced approach to nutrition, helping you navigate the often confusing world of healthy eating. We'll dive into the key components of a diet that can boost your health, such as nutrient-rich vegetables, fruits, and whole grains, while also shedding light on certain dietary elements that might not be as beneficial as you think. Join us as we break down the essentials for achieving a well-rounded and sustainable diet. Support the Show.Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply. In this enlightening episode of Your Checkup, we explore the Stages of Change and how your doctor views your journey toward healthier behaviors. From precontemplation to maintenance, discover the psychological steps that underlie your progress and setbacks. Gain insights into how medical professionals support and guide you through these stages to help you achieve lasting change. Tune in to understand the roadmap to better health and how to navigate it with confidence. Support the Show.Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Join us on Your Checkup as we kick off a comprehensive series on one of the most pervasive chronic conditions: obesity. In this first installment, we delve into what it truly means to classify obesity as a chronic disease, the various ways it is measured, and why understanding it is crucial for your health. This episode sets the stage for a deep dive into a topic that affects millions—don't miss the beginning of our journey towards better health!Support the Show.Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Send us a message with this link, we would love to hear from you. Standard message rates may apply. In this episode of Your Checkup, we dive into the elusive world of sleep with a spotlight on insomnia. From counting sheep to cutting-edge meds, we explore the myriad of strategies to reclaim your nights and wake up refreshed. Tune in as we unravel the behavioral tweaks that can transform restless nights into serene slumbers and discuss the pharmaceutical options that may be used along the way. Don't snooze on this episode—your dreamland awaits! Support the Show.Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski