Podcasts about A1C

In this episode, I'm joined by Coach Lindsey from the Risely team to uncover nine surprising reasons why people with type 1 diabetes often feel exhausted—even when they're doing everything “right.” From hidden blood sugar variability and subtle dehydration to nutrient deficiencies and the cognitive fatigue of nonstop diabetes management, we dive into the physical, mental, and emotional tolls of T1D. Coach Lindsey shares real client experiences and practical insights to help you identify what might be draining your energy. We also explore how overlooked factors like morning caffeine habits, thyroid issues, and burnout can quietly sap your strength. If you're ready to stop guessing and start feeling more energized, this episode will point you toward the clarity and support you need.Quick Takeaways:Understanding your energy levels is crucial for managing T1D Impact of coffee (and cortisol) on blood sugar levels The ‘non-clinical' things contributing to exhaustion (that are in your control) How to know if your tiredness is an underlying autoimmune condition  Diabetes burnout: How to know if you've hit that point and what to do if soTimestamps:[01:11] Breaking down today's conversation [07:26] Prolonged high blood sugars + insulin resistance [11:16] Blood sugar variability, even when you have a good A1C[16:00] How your morning coffee is impacting your BG [20:43] What nutrients your body might be missing as a T1D [24:18] Underlying autoimmune conditions or ‘sister conditions' [26:15] Constantly being tired doesn't mean something is ‘clinically wrong' with you[27:43] Are you dehydrated even if you are drinking water?  [30:12] The cognitive load + mental fatigue of T1D [37:55] “The life burnout that happens that leads to diabetes exhaustion”What to do now: Follow me @lauren_bongiorno and @riselyhealth on Instagram to stay in the loop when new episodes drop.Apply for coaching and talk to our team so you can reclaim the life you deserve. Listen to Episode 121: T1D + Thyroid Health Dr. Sandra Sobel 

Welcome back to our weekend Cabral HouseCall shows!   This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track!   Check out today's questions:     Kellie: Hi Dr. Cabral! I have been with your program for almost 6 months now. I have completed the Vit-Tox tests and have gone through the FM Detox twice and now going through the CBO Protocol. I just turned 38 years old and I feel like my joints are of an 80 year old. I have played soccer since age 5 and still play on a competitive coed league to this day. I have played many other team/contact sports in the past. I have had past ankle, knee, and hip injuries due to sports and I do see possible knee and hip replacements in my future. When I do my daily workouts or go up/down stairs my ankles, knees, hips, and back crack or pop so easily and so much. I don't see glucosamine chondroitin as a supplement in your shop. Are there any suggestions you may have to keep my joints healthier? Thank you!!              Jon: Hey Dr Cabral, looking for advice and i feel like there's a population that struggles with this same topic. My Dr is recommending a statin due to my high LDL-C of 230. My LDL has gone up after cleaning up my diet in the last 7 months however ALL of my markers tested for have improved. Triglycerides have gone from over 200 to 100, HDL is up to 60, VLDL has dropped from 30 to 15, A1C is 5.2, blood pressure is normal for the first time ever, and so onr. My personal opinion is that i'm healthier than ever and i can't imagine having to go on what seems like a lifetime drug due to one marker being off and i don't buy the story that LDL alone is a concern for me. Curious on your opinion here and if you think i have something to worry about. Thanks!!                                                                                                                            Annette: I've been diagnosed with nephrocalcinosis by conventional doctors who say the cause is genetic. I have adjusted my diet to low sodium, low oxalate foods. The doctors say my next step is to try to get on the kidney transplant list before I need dialysis. I take potassium citrate and a calcitriol. Is there anything I can do to improve my kidney function?                                                                                                  Summer: Hi Dr. Cabral! I heard you say that it's best to replace aluminum cookware, but not necessary, and instead to use parchment paper as a barrier. Doesn't the aluminum off gas when heated? How does parchment paper prevent the aluminum from getting into the food? Thanks! By the way, to all my fellow listeners: please contact your state representatives and let them know you do not consent to geo-engineering in your skies. Several states have now banned it. We could all live healthier lives if we could work toward eliminating toxins and heavy metals including aluminum that are regularly being sprayed into our air.                                                                                                                                                Ann: Thank you Dr Cabral- you are changing SO many lives - thank you for all of your wisdom and teachings:) I have a question about Magnesium. My cortisol was high at my last lab test, and I took Full Spectrum magnesium for 12 weeks, and now I take Cal Mag daily. I also understand that I can take Calming Magnesium and CBD at night to help with sleep.I don't want to take too much for too long for my body, but I still think I need the help for my cortisol levels/ sleep. What combination of the above do you recommend? Is there a length of time that is too long to be on Full Spectrum Magnesium? PS. I do the 3-2-1 protocol, take Adrenal Soothe and will be repeating my big 5 this fall. Thank you again!           Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!      - - - Show Notes and Resources: StephenCabral.com/3396 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? 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Don't wait for fatty liver symptoms to address your liver health! Find out what to eat for a fatty liver and discover the #1 superfood for liver health that can remove fat from the liver naturally. NAFLD (non-alcoholic fatty liver disease) is being changed to MASH (metabolic dysfunction-associated steatohepatitis), which essentially means a fatty liver with inflammation. Doctors treat this condition with medications and never truly address the root cause.NAFLD is often blamed on “too much nutrition”, but what does this mean? It's not simply over-nutrition that causes a fatty liver. It's the overconsumption of sugar, starches, and seed oils. Industrial sugars like high-fructose corn syrup are especially problematic for the liver.Fatty liver symptoms include fatigue, pain or discomfort in the right upper quadrant, cognitive problems, yellow skin, hot and itchy feet, and extra weight around the midsection.The medical field has used observational studies to claim that red meat, organ meats, liver, and eggs cause a fatty liver. However, observational studies can not determine causation! Research has shown that if you go on a low-carb, ketogenic diet, you can decrease 50% of the fat from your liver in a matter of weeks! To improve liver health and remove fat from the liver naturally, add the following liver detox foods to your diet:1. Grass-fed red meat offers high-quality protein with vital nutrients such as zinc, copper, and CoQ10. It also supports healthy blood sugar levels. 2. Eggs have zero carbs and are a rich source of choline, which helps protect you from developing a fatty liver.3. Cruciferous vegetables, especially when fermented, help the liver with detoxification and also help to remove fat. 4. Wild-caught salmon and other wild-caught fatty fish are a very nutritious source of protein and are high in omega-3 fatty acids, which reduce liver inflammation. 5. Broccoli sprouts contain sulforaphane, which has potent anti-cancer properties and helps detoxify the liver. They can also decrease A1C to stabilize blood sugar. 6. The #1 food for liver health is grass-fed liver! Beef and lamb liver are low-carb, high in choline, nutrient-dense, and contain many trace minerals, vital in reducing liver fat and inflammation. Dr. Eric Berg DC Bio:Dr. Berg, age 60, is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the author of the best-selling book The Healthy Keto Plan, and is the Director of Dr. Berg Nutritionals. He no longer practices, but focuses on health education through social media.

In this information-packed Q&A episode, Dr. Scott and Tommy tackle your most pressing fasting questions with practical, actionable advice. They discuss how to use fasting for blood sugar management without weight loss, strategies for transitioning to maintenance after reaching your goal weight, and the truth about eating windows and exercise during fasting. Whether you're concerned about A1C levels, wondering about optimal meal timing, or trying to make fasting sustainable long-term, this episode provides personalized solutions to help you adapt fasting to your unique lifestyle needs. The hosts emphasize that as you progress in your fasting journey, focusing on non-scale victories becomes increasingly important for long-term success. Take the NEW FASTING PERSONA QUIZ! - The Key to Unlocking Sustainable Weight Loss With Fasting!⁠ Resources and Downloads: ⁠SIGN UP FOR THE DROP OF THE ULTIMATE GUIDE TO BLOOD SUGAR CONTROL⁠ ⁠GRAB THE OPTIMAL RANGES FOR LAB WORK HERE! - NEW RESOURCE! - December 2024⁠ ⁠FREE RESOURCE - DOWNLOAD THE NEW BLUEPRINT TO FASTING FOR FAT LOSS!⁠ ⁠SLEEP GUIDE DIRECT DOWNLOAD⁠ ⁠DOWNLOAD THE FASTING TRANSFORMATION JOURNAL HERE!⁠ Partner Links: Get your⁠ FREE BOX OF LMNT⁠ hydration support for the perfect electrolyte balance for your fasting lifestyle with your first purchase⁠ here!⁠ Get ⁠30% off a Keto-Mojo⁠ blood glucose and ketone monitor (discount shown at checkout)! ⁠Click here!⁠ Our Community: Let's continue the conversation. Click the link below to JOIN the ⁠Fasting For Life Community⁠, a group of like-minded, new, and experienced fasters! The first two rules of fasting need not apply! If you enjoy the podcast, please tap the stars below and consider leaving a short review on Apple Podcasts/iTunes. It takes less than 60 seconds, and it helps bring you the best original content each week. We also enjoy reading them! Article Links: https://www.mdpi.com/2072-6643/17/6/1022

Dr. Hoffman's vacation cruise highlightsWhich is better for me, NTFactor or Mitopure?My A1c went up since taking Crestor. Should I stop taking it?

Get a Skratch Labs sample pack on us!Support us on Patreon!Thanks, Janji! Use code YDS for 10% off!Are CGMs the new step counter—or a $200 anxiety machine? In this episode, Zoë and Kylee discuss blood sugar basics, why fluctuations are normal, and how endurance athletes can make sense of numbers like A1C and glucose spikes without spiraling into diet culture doom.We break down:Why blood sugar goes up (and why that's not a bad thing)What CGMs actually tell you (and what they don't)How stress, sleep, and undereating mess with your blood sugarCommon myths around “spiking,” bonking, and insulinWhether high-carb fueling is risky or actually the pointWhy your oatmeal might be lying to youHow to build more satisfying meals and snacks—without tracking every gramAnd of course, the history of medical professionals tasting pee, becasue, of course.We also unpack the growing trend of CGM use in healthy athletes, the risks of over-optimization, and what your doctor might be missing when they say “pre-diabetic.”

Join Dr. Emily Cooper, Andrea Taylor, and Mark Wright on Fat Science as they unpack the complexities of dosing GLP-1 medications for metabolic health and weight management. Dr. Cooper emphasizes the importance of an individualized approach, debunking the myth that higher doses or faster titration always lead to better outcomes. The team addresses listener questions about how and when to increase doses, highlight the risks of rapid escalation, and discuss the nuanced ways these drugs impact metabolic health beyond just weight loss. Real-life experiences and thoughtful, science-backed guidance will help you navigate your own journey with metabolic dysfunction and medication.Key Takeaways:Dosing of GLP-1 medications should always be tailored to the individual, considering response, side effects, and other health factors—not just the speed of weight loss.Starting at the lowest dose and titrating slowly increases medication tolerance and long-term effectiveness.Lab markers such as A1C, glucose, cholesterol, and muscle mass are key indicators in determining if the medication and dosing are "working."Rapidly escalating to the highest dose can backfire, causing side effects and limiting future treatment options.Dieting mindsets and using medication solely as an appetite suppressant can lead to loss of lean mass and suboptimal health outcomes.Ongoing patient-provider relationships and regular lab work ensure medication strategies remain safe and effective.Personal Stories & Practical Advice:Andrea reflects on her initial desire for quick fixes and shares lessons learned about patience, nourishment, and long-term progress. Mark discusses insurance-driven medication switches and finding the “sweet spot” for dosing with Dr. Cooper's guidance.Resources:Connect with Dr. Emily Cooper on LinkedIn.Connect with Mark Wright on LinkedIn.Connect with Andrea Taylor on Instagram.Fat Science is a podcast on a mission to explain where our fat really comes from and why it won't go and stay away. We are committed to creating a world where people are empowered with accurate information about metabolism and recognize that fat isn't a failure. This podcast is for informational purposes only and is not intended to replace professional medical advice.If you have a question for Dr. Cooper, a show idea, feedback, or just want to connect, email us at info@diabesityinstitute.org or dr.c@fatsciencepodcast.com.Science is supported by the non-profit Diabesity Institute which is on a mission to increase access to effective, science-based medical care for those suffering from or at risk for diabesity. https://diabesityresearchfoundation.org/

Ever been stuck with a college meal plan that totally wrecked your blood sugars? In this episode of Your Diabetes Insider Podcast, I'm sharing a super personal (and frustrating) story from my college days—and how it's happening again to someone I know right now. We'll talk about what went wrong, why advocating for your needs is so important, and how access to a kitchen literally changed the game for my A1C. If you're in college or know someone who is, this one's a must-listen.   Want the best blood sugars you've ever had while enjoying great food? Peep this: https://www.yourdiabetesinsider.com/coaching   RESOURCES: Download these FREE guides that will help you on your diabetes, nutrition, and exercise journey! https://www.yourdiabetesinsider.com/free-stuff Join our EXCLUSIVE Facebook group! https://www.facebook.com/groups/266766620895432 Watch my food breakdowns here → https://www.youtube.com/@yourdiabetesinsider   LET'S TALK! Instagram: @manoftzeel Tiktok: @manoftzeel  

I'm joined by board-certified general surgeon Dr. Lee Howard, who walked away from traditional medicine. Why he feels traditional medicine doesn't really help its patients plus we cover what supplements are good for everyone to take, how to navigate allergy season with kids, what the heck the MTHFR gene is, how we should be approaching our kids' health, why were gonna start to hear more and more about creatine, ways we can help the aging process, plus perimenopause and menopause- how to minimize symptoms and recognize when we start to enter that stage. And we cover once and for all what those silly eye twitches are from. Clip 3: Low Testosterone and Alzheimer's RiskMost people think of testosterone as a hormone that just affects sex drive or muscle mass. But the brain is actually one of its biggest targets. A massive 2023 study from the University of Sydney looked at older men and found something shocking: men with low testosterone had a 26% higher risk of developing Alzheimer's disease. And we're not talking about late-stage life—these patterns start decades earlier. Testosterone helps regulate inflammation in the brain, supports memory circuits, and even promotes the growth of new neural connections. When levels drop too low, especially without being noticed, the brain becomes more vulnerable to decline. Here's the kicker: most men never get their levels checked. And if they do, the 'normal range' is often outdated or way too broad. What's normal for a 75-year-old is not what you want at 45. I've had women come in concerned about their partner's mood, irritability, even motivation—and it turns out his testosterone was tanked. If you're in a long-term relationship and your partner is acting like a different person, you're not imagining it. And getting his hormones evaluated might be the missing link to helping him feel like himself again—and preventing cognitive decline down the line.Study source: University of Sydney & Neuroscience Research Australia (2023)https://alz-journals.onlinelibrary.wiley.com/doi/10.1002/alz.1252Clip 5: Gut Health and MoodThere's a direct, two-way communication line between your gut and your brain—and researchers now believe that the gut may play just as much of a role in mental health as the brain itself. A major review from 2024 showed that people with poor gut diversity were significantly more likely to suffer from depression and anxiety, even when diet and lifestyle were controlled. Why? Because 90% of your serotonin is actually made in your gut. If your microbiome is inflamed or out of balance, your body literally has fewer raw materials to make feel-good brain chemicals. On top of that, gut inflammation sends stress signals to your brain—keeping you in a low-level “fight or flight” state, even when nothing's wrong. And if you've ever felt brain fog, irritability, or sadness after a weekend of sugar and alcohol… this is why. What's exciting is how quickly you can make a shift. Just increasing your fiber, adding fermented foods, or taking the right probiotic can make a measurable difference in just a few weeks. This isn't woo. This is the future of psychiatry. And if you've done therapy, made lifestyle changes, but still don't feel right—check your gut. It might be where your healing needs to start.Study source: Review from the Polish Society of Gastroenterology (2024)https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811453Clip 8: Hormone Imbalances and MarriageYou'd be shocked how many couples come into my office thinking they have a communication problem—when what they really have is a hormone problem. He's irritable, unmotivated, maybe withdrawing. She's exhausted, anxious, snapping at small things. They think they've grown apart. They think the spark is gone. But when we test their hormones—testosterone, cortisol, DHEA, thyroid—what we find is that their biochemistry is off. And once we start restoring balance, everything shifts. The mood improves. The intimacy returns. The little things don't feel so overwhelming. We now have solid evidence that hormonal health directly impacts emotional regulation, sexual desire, and even empathy. And if both partners are dysregulated, it can feel like the marriage is falling apart—when really, it's just that their physiology is out of sync. This isn't a relationship failure. It's a hormone crisis. And once you name it, you can fix it. I've seen couples on the brink of divorce completely turn things around—because we stopped blaming each other and started healing their bodies.Study source: APA + American Journal of Men's Health (2023–24)https://journals.sagepub.com/doi/10.1177/15579883231166518Clip 11: Whole Milk in Schools Might Actually Be SmarterFor decades, schools have pushed low-fat or skim milk, based on outdated beliefs about fat and weight. But new evidence is flipping that script. A growing body of research now shows that children who drink whole milk are actually less likely to be overweight than those drinking low-fat milk. Why? Because fat makes food more satisfying. It helps with blood sugar regulation and keeps kids fuller longer—so they're less likely to snack on junk later. In 2025, there's increasing pushback from pediatricians and nutrition researchers against the one-size-fits-all low-fat approach. Some school districts are already considering bringing whole milk back, and they're seeing better nutrition outcomes. Whole milk also contains essential nutrients like vitamin D and calcium in more bioavailable forms, especially when paired with fat. It's time we stop fearing fat—especially when the data shows that cutting it hasn't actually reduced childhood obesity. In fact, we may have made things worse. So if your kid likes whole milk, don't feel guilty. It might just be the more nourishing option after all.Study source: Associated Press report (2025)https://apnews.com/article/e4868fdc2dc4e85aeb9375edcd27da49Clip 13: Hormone Fluctuations and Depression in WomenOne of the biggest blind spots in women's health is how powerful hormone fluctuations are—especially on mood. A 2025 study published in Biomedical Reports found that estrogen and progesterone shifts during puberty, pregnancy, postpartum, and perimenopause play a massive role in rates of depression. This isn't just anecdotal. These hormonal changes alter brain chemistry, sensitivity to stress, and even how the body processes trauma. In puberty, many girls who were previously confident begin to struggle with mood and self-esteem—but instead of checking hormones, we tell them to tough it out. In postpartum, we're finally starting to talk about depression more—but the hormonal crash that happens after birth still catches most women off guard. And in perimenopause, where mood swings and anxiety often resurface, women are still too often told it's “just part of aging.” It's not. It's biology. And the good news is, once you understand that hormones are a major player, you can treat the root cause instead of just masking symptoms. Whether it's bioidentical therapy, lifestyle shifts, or targeted nutrients, women deserve to know that their brains and their hormones are on the same team—and that relief is possible.Study source: Biomedical Reports (2025)https://pubmed.ncbi.nlm.nih.gov/40083602Clip 14: Social Media Changes Teen Brain WiringWe now have MRI data showing that the more often a teen checks social media, the more their brain becomes wired for external validation. In a study from UNC Chapel Hill, researchers found that teens who compulsively checked platforms like Instagram or Snapchat showed measurable changes in the brain's reward centers. These areas lit up more intensely over time, meaning their brains were becoming increasingly sensitive to likes, comments, and digital attention. This isn't just about being distracted. It's about a neurological shift in what they find rewarding—and that shift can impact everything from self-worth to emotional regulation. The researchers even found that this pattern predicts increased anxiety and depression, especially in girls. And it makes sense—when your self-esteem is tied to a number on a screen, even a small drop in engagement feels like social rejection. So what can parents do? First, understand that this isn't just 'teen stuff.' This is brain development. Second, set tech boundaries that prioritize boredom, creativity, and real-life interaction. Even a two-week break can reset the system. Social media isn't going away—but we have to teach kids how to use it without letting it rewire them.Study source: UNC-Chapel Hill (2023)https://www.unc.edu/posts/2023/01/03/study-shows-habitual-checking-of-social-media-may-impact-young-adolescents-brain-developmenClip 16: Screen Time and Toddlers' SleepSleep is how toddlers consolidate memory, regulate mood, and grow both physically and neurologically. But more and more research is showing that screen exposure—even if it's 'educational'—can seriously disrupt toddler sleep. A study published in JAMA Pediatrics found that children ages 2 to 5 who used screens within an hour of bedtime had shorter total sleep and more fragmented rest. Blue light delays melatonin production. Fast-paced content overstimulates the nervous system. And passive consumption before bed blunts their natural wind-down process. We think of it as relaxing—but their brains don't. What's worse is that these disruptions don't just affect nighttime. They carry over into the next day—affecting focus, mood, and even immune function. That's why experts now recommend at least 60 minutes of screen-free time before lights out—especially for young kids. Replace it with a bath, a book, a calm routine. These rituals help their circadian rhythm sync naturally. Sleep isn't just a health pillar—it's a developmental requirement. And screens may be the single biggest obstacle we're overlooking.Study source: JAMA Pediatrics (2024)https://jamanetwork.com/journals/jamapediatrics/fullarticle/282519Clip 18: Hormone-Disrupting Chemicals = Global Health RiskA sweeping review by the Endocrine Society in 2024 called endocrine-disrupting chemicals a 'global health threat.' These are substances—often found in plastics, pesticides, cosmetics, and even receipts—that can mimic, block, or interfere with your body's hormones. They've been linked to everything from infertility to obesity to neurological conditions and cancer. And they're everywhere. Prenatal exposure can affect fetal brain development. Chronic exposure is associated with thyroid dysfunction and metabolic syndrome. And it's not about one product—it's about cumulative load. What's scary is how underregulated many of these substances are in the U.S. compared to Europe. But what's hopeful is that you *can* reduce your exposure. Swap plastic for glass. Say no to fragrance. Wash produce well. Choose organic when you can. Each swap reduces total burden. This isn't alarmist. This is modern environmental medicine. And it affects every system in your body.Study source: Endocrine Society Global Consensus Statement (2024)https://www.endocrine.org/news-and-advocacy/news-room/2024/latest-science-shows-endocrine-disrupting-chemicals-in-pose-health-threats-globallyClip 19: Gut-Brain Axis and Mental HealthWe used to think the brain controlled everything. Now we know the gut plays just as big a role—especially in mental health. The gut-brain axis is a communication superhighway that links your microbiome to your nervous system. And studies show that disruptions in gut health are strongly linked to anxiety, depression, and even neurodevelopmental conditions like ADHD. Certain gut bacteria help produce neurotransmitters like serotonin and GABA. Others regulate inflammation, which directly impacts mood. A 2025 review of over 50 studies found that targeted probiotics improved symptoms of depression in many patients—sometimes as effectively as medication. What you eat, how you digest, and what lives in your gut may affect your mind more than your therapist knows. That doesn't mean meds aren't useful—but it means we have to zoom out. If your gut is inflamed, your brain is inflamed. And no amount of mindset work can override a body that's chemically out of balance. Heal the gut. Watch what changes.Study source: PubMed Meta-Review on Gut-Brain Axis (2025)https://pubmed.ncbi.nlm.nih.gov/3963000Perimenopause: Recognizing and Addressing Early SymptomsDid you know that up to 90% of women experience symptoms of perimenopause years before menopause actually begins? Despite that, most women are either dismissed by doctors or told they're too young to be entering that phase. Perimenopause can start as early as your mid-30s, and it's not just hot flashes—it's insomnia, anxiety, irritability, brain fog, and cycle irregularities. A study from Stanford's Center for Lifestyle Medicine in 2025 emphasized that when women are supported with hormone therapy earlier—during perimenopause, not just postmenopause—they report significantly better mental clarity, energy, and quality of life. But here's the problem: most conventional providers aren't trained to spot this transition, and women are left thinking it's just stress, parenting, or age catching up with them. When really, it's hormones shifting. Estradiol begins to fluctuate, progesterone declines, and the nervous system takes the hit. Women deserve to know what's happening inside their bodies—and what they can do about it. Simple steps like tracking symptoms, checking hormone levels through saliva or urine testing, and considering targeted bioidentical support can change everything. This isn't about vanity—it's about function, clarity, and reclaiming your life before things spiral. If you've ever thought, 'I just don't feel like myself anymore,' and your labs came back 'normal,' this is your sign to dig deeper. You're not crazy. You're not weak. You're likely perimenopausal. And you deserve care that actually sees you.Study source: Stanford Lifestyle Medicine (2025)https://longevity.stanford.edu/lifestyle/2025/03/06/menopause-hormone-therapy-is-making-a-comeback-is-it-safe-and-right-for-you/Menopause and Muscle Mass: The Critical Role of Resistance TrainingMuscle loss during and after menopause is one of the most overlooked drivers of weight gain, fatigue, and metabolic decline in women. In fact, women can lose up to 10% of their muscle mass in the first five years post-menopause. That's not just a cosmetic issue—it's a health crisis. Loss of muscle means decreased insulin sensitivity, weaker bones, and lower resting metabolic rate. But the good news? It's reversible. A landmark 2025 study from the University of Exeter showed that menopausal women who engaged in just 12 weeks of resistance training experienced a 21% improvement in lower body flexibility and significant increases in strength and mobility. What's even more promising is that these improvements came from just two to three sessions a week using basic strength exercises. Muscle is your metabolic engine. And during menopause, when estrogen drops, protecting that muscle becomes your superpower. This isn't about getting shredded or spending hours at the gym—it's about lifting enough weight to send your body the message that it's still needed. Because when your body doesn't get that message, it starts letting muscle go. This leads to increased fat gain, inflammation, and risk of chronic disease. If you're entering menopause or already postmenopausal and you're not lifting weights, you're missing one of the most effective, protective tools for your long-term health.Study source: University of Exeter (2025)https://news.exeter.ac.uk/faculty-of-health-and-life-sciences/first-of-its-kind-study-shows-resistance-training-can-improve-physical-function-during-menopause/The Importance of Sexual Activity as We AgeHere's something most people don't expect: research shows that sexual satisfaction actually improves with age. A 2025 study published in Social Psychology revealed that older adults reported higher levels of emotional intimacy, comfort, and fulfillment during sex—especially when partnered with someone long-term. It turns out that fewer distractions, better communication, and reduced self-consciousness all contribute to more satisfying experiences in later years. But biology still plays a role. Hormonal shifts—like lower estrogen or testosterone—can affect desire, arousal, and comfort. The good news? These challenges are highly treatable. We now have non-invasive, low-risk treatments like vaginal DHEA, testosterone therapy, or pelvic floor physical therapy that can radically improve function and satisfaction. And here's the key: sexual health isn't just about sex. It's about cardiovascular health, immune health, sleep, and mood. An active sex life improves oxytocin levels, reduces stress, and strengthens the emotional bond between partners. Unfortunately, a lot of providers still don't ask about it. And many people are too embarrassed to bring it up. But this is a health issue—and you deserve support. So if intimacy has changed, bring it into the conversation. Because aging doesn't have to mean disconnect—it can actually mean rediscovery.Study source: PsyPost (2025)https://www.psypost.org/sexual-satisfactions-link-to-marital-happiness-grows-stronger-with-age/Preventing Alzheimer's and Type 2 Diabetes: Blood Sugar and Brain HealthThere's a reason Alzheimer's is now being called 'Type 3 Diabetes.' A 2024 study published in JAMA Network Open found that people with Type 2 Diabetes who kept their A1C in the target range significantly lowered their risk of developing Alzheimer's disease. In fact, risk was reduced by up to 60%. Why? Because insulin resistance doesn't just affect your pancreas—it affects your brain. High insulin impairs memory centers like the hippocampus, increases inflammation, and accelerates plaque formation. That means your morning bagel and soda aren't just spiking your blood sugar—they may be spiking your dementia risk. The solution isn't extreme dieting. It's metabolic awareness. Simple tools like continuous glucose monitors, strength training, walking after meals, and eliminating ultra-processed carbs can dramatically stabilize blood sugar. Add in sleep and stress management, and you've got a recipe for brain protection. Most people wait until symptoms start. But prevention is where the power is. If you have a family history of Alzheimer's or Type 2 Diabetes, take this seriously. Your future brain is being built right now by the food on your plate.Study source: JAMA Network Open (2024)https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2821878Testosterone and Aging: It's Not Just About Sex DriveMost people hear 'testosterone' and immediately think of sex drive. But this hormone does way more than that. Testosterone plays a critical role in muscle maintenance, bone density, energy, focus, and mood. A 2025 review from the HE Clinics found that testosterone levels in men start declining around age 30—and continue to drop about 1% per year. That might sound gradual, but by your late 40s or 50s, it's enough to cause noticeable issues: brain fog, irritability, fatigue, and loss of motivation. What's even more concerning is that low testosterone has now been linked to a 26% higher risk of developing Alzheimer's. The brain literally needs testosterone to function well. The challenge is, many men go undiagnosed because they don't get tested—or they get told their levels are 'normal for their age.' But 'normal' doesn't mean optimal. And restoring optimal levels, especially with bioidentical therapies under medical supervision, has been shown to improve mood, clarity, libido, and physical performance. This isn't about bodybuilder doses or quick fixes—it's about reversing a gradual decline that's robbing men of their edge. If you or your partner feels like something is off, it's worth investigating. Because aging doesn't have to mean decline. It can mean recalibration.Study source: HE Clinics (2025)https://heclinics.com/testosterone-therapy-in-older-men-recent-findings/Why Functional Medicine Is Gaining Ground Over Conventional CareIf you've ever felt dismissed in a 7-minute doctor's appointment, you're not alone. Traditional primary care is built for volume—not personalization. That's where functional medicine comes in. A 2019 study published in JAMA Network Open found that patients receiving care through a functional medicine model saw a 30% greater improvement in health-related quality of life than those in conventional care. Why? Because functional medicine is built around asking better questions, running more comprehensive labs, and looking for root causes—not just masking symptoms. Instead of saying 'your labs are normal,' we ask, 'are you thriving?' We look at hormones, nutrition, sleep, gut health, toxin exposure, and genetics as pieces of a bigger picture. This approach is proactive—not reactive. It focuses on reversing disease, not just managing it. More and more people are turning to this kind of care because they're tired of feeling unseen. If you've been told everything is fine but you still feel off, functional medicine might be the approach you need. You deserve care that listens longer, digs deeper, and treats the whole you.Study source: JAMA Network Open (2019)https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2753520A word from my sponsors:Quince - Get cozy in Quince's high-quality wardrobe essentials. Go to Quince.com/honest for free shipping on your order and 365-day returns. LMNT - Get your free LMNT Sample Pack with any purchase at drinklmnt.com/HONEST. Ritual - Support a balanced gut microbiome with Ritual's Synbiotic+. Get 25% off your first month at Ritual.com/BEHONEST. Happy Squatting. Primal Kitchen - primalkitchen.com/honest to save 20% off your next order with code HONEST at checkout.Fatty15 - You can get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/HONEST and using code HONEST at checkout.Bilt Rewards - Start earning points on rent you're already paying by going to joinbilt.com/HONEST. For more Let's Be Honest, follow along at:@kristincavallari on Instagram@kristincavallari and @dearmedia on TikTokLet's Be Honest with Kristin Cavallari on YouTubeProduced by Dear Media.This episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct, or indirect financial interest in products, or services referred to in this episode.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Join hosts Dr. Abby Eblen from Nashville Fertility Center, Dr. Susan Hudson from Texas Fertility Center, and Dr. Carrie Bedient from the Fertility Center of Las Vegas as they dive into the role of three key hormones in pregnancy: thyroid hormone, prolactin, and insulin. In this episode, we discuss the thyroid's function and why it's problematic if it works too fast or slow. We explore common thyroid tests, how thyroid issues can impact pregnancy, and their connection to prolactin levels. We also break down prolactin's role, what affects its levels. We discuss the difference between a micro- and macro-adenoma and treatment for both. Additionally, we touch on galactorrhea, a condition causing unexpected breast discharge, and the importance of discussing it with your doctor. We then shift to insulin and its link to diabetes. We explain type 1 diabetes (an autoimmune condition) and type 2 diabetes (where insulin doesn't work effectively), along with the importance of hemoglobin A1C testing. Maintaining proper blood sugar levels before pregnancy is crucial, as poorly controlled diabetes can lead to birth defects, pregnancy complications, and delivery risks. Tune in for expert insights on optimizing hormonal health for pregnancy.This episode was brought to you from ReceptivaDx and RMA of New York.

Topic: The Truth About Insulin ResistanceDeNitra dives into what many don't know but must understand:✅ The body needs protein and fat to thrive✅ Carbs = sugar – and the body doesn't need them✅ A1C above 5? That's already heading toward insulin resistance✅ High-carb, high-sugar diets affect not only your body but your mental health tooShe passionately educates on reversing chronic illness and reclaiming your wellness through nutritional truth and metabolic awareness. You don't want to miss this!

Data normalization in healthcare isn't just complex – it's mission critical. When a simple lab result like hemoglobin A1C can be recorded under half a dozen different names, clinicians face real obstacles in tracking trends, managing care, and making timely decisions. Mika Newton, CEO of xCures, and Rajiv Haravu, SVP of Product Management at IMO Health, break down why non-standardized data jeopardizes care quality, public health insights, and patient safety. From mismatched lab terms to inconsistent clinical narratives, they explore how definition decay and evolving medical language complicate interoperability and downstream data uses. Learn the frameworks and methodologies IMO Health uses to combat variability – leveraging clinical terminologists, curated content releases, and continuous surveillance of healthcare terminology. Discover how structured and narrative data normalization impacts providers, IT leaders, and healthcare operations.

The Original Southern Remedy is hosted by Dr. Jimmy Stewart, professor of internal medicine and pediatrics at UMMC. If you have a question for Dr, Jimmy, email it to remedy@mpbonline.org. In this episode, Dr. Jimmy answers a number of questions including those about drug interactions, nails and hair, A1C, and atrial fibrillation. Hosted on Acast. See acast.com/privacy for more information.

In this week's episode, Lauren sits down with Alison Abate Black, a graduate of the DCB coaching program and a Type 1 diabetic of 25 years, for a deeply honest conversation about the fine line between grace and avoidance. Alison opens up about her journey from “winging it” with her diabetes to building real confidence with food—and how food freedom, while empowering at first, eventually started pulling her away from the goals that mattered most. Together, they explore what it means to give yourself too much grace, and how compassion without intention can become a quiet form of self-sabotage. As Alison prepares for pregnancy, she's learning to redefine grace—not as permission to stay stuck, but as conscious, aligned choices that support her vision for long-term health. This episode is a powerful reminder that transformation isn't a clean before-and-after—it's a living, breathing process. If you've ever asked yourself whether the self-love you're practicing is truly serving you, this conversation will meet you right where you are.Quick Takeaways:Finding Balance: Weight, Health, and HappinessNavigating Emotional Eating and Food FreedomHidden Forms of Self-SabotageTimestamps:[03:09] What inspired Lauren to have Alison on: “just because I can dose for it doesn't mean that's what I need all the time.”[04:11] The beginning of Alison's T1D journey [04:39] “I never had a deep sense of control…'[05:26] “I kind of was like a status quo diabetic, but it always felt like I wanted to be more than that.”[09:58] Emotional eating:  “So I would eat and that would make me feel better…”[11:50] What managing eating a challenging meal looks like NOW [16:04] “... Really it's like the diabetes version of a diet trap, right?”[20:48] Relatability over advice [21:55] What sustainable changes she made to lower her A1C in the low 6.0's for the last year & a half [23:38] The conversations around pregnancy that completely changed her perspectiveWhat to do now: Follow me @lauren_bongiorno and @riselyhealth on Instagram to stay in the loop when new episodes drop.Apply for coaching and talk to our team so you can reclaim the life you deserve. 

In this episode we talk to Julie about her experience with Type 2 diabetes. She works as a fat positive counselor and yoga instructor. In this episode we talk aboutHow providers treat body weight rather than your body which taught Julie how to lose weight rather than care for her diabetes.How to learn how to advocate for yourself in medical institutions and where to get information on treatment options How religion (Evangelicalism) and diet culture overlap; morality, purity, gender, and body control. Expectations to stick to the "good" and when you ultimately slip up with the "bad" you are taught to feel guilt and shame. Living as a visibly able-bodied person as someone with multiple disabilities Resources mentioned on this episode: “PURE” by Linda Kay Klein"Fearing the Black Body" by Sabrina springs Social determinants of healthDiabetic Foot Exam details: https://medlineplus.gov/lab-tests/diabetic-foot-exam/Anemia and A1c: https://pubmed.ncbi.nlm.nih.gov/28541136/Find trustworthy IG and tiktok diabetes educators for non-stigmatizing diabetes informationCheck https://www.cbdce.org/locate to find diabetes educators (note these definitely won't all be fat positive)Find Julie here: @juliemsweeneyLINKS:Apply to be on the podcast! Find out more about Kelly hereFind out more about Erin hereDISCLAIMER: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment. About this episode:

Melissa has kept her A1C around 5.2 for three decades—yet was fired by her endo for refusing strict carb‑count rules. twiist AID System CONTOUR NextGen smart meter and CONTOUR DIABETES app Tandem Mobi ** Free Juicebox Community (non Facebook) Blue Circle Health Eversense CGM Medtronic Diabetes Drink AG1.com/Juicebox Use code JUICEBOX to save 40% at Cozy Earth  Dexcom G7 Go tubeless with Omnipod 5 or Omnipod DASH * Get your supplies from US MED  or call 888-721-1514 Touched By Type 1 Take the T1DExchange survey Apple Podcasts> Subscribe to the podcast today! The podcast is available on Spotify, Google Play, iHeartRadio, Radio Public, Amazon Music and all Android devices The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here or buy me a coffee. Thank you! *The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.  ** t:slim X2 or Tandem Mobi w/ Control-IQ+ technology (7.9 or newer). RX ONLY. Indicated for patients with type 1 diabetes, 2 years and older. BOXED WARNING:Control-IQ+ technology should not be used by people under age 2, or who use less than 5 units of insulin/day, or who weigh less than 20 lbs. Safety info: tandemdiabetes.com/safetyinfo Disclaimer - Nothing you hear on the Juicebox Podcast or read on Arden's Day is intended as medical advice. You should always consult a physician before making changes to your health plan.  If the podcast has helped you to live better with type 1 please tell someone else how to find it!  

Got burning questions about thyroid symptoms, meds and supplements, or what your labs could really mean? This episode has the answers.If you've ever wondered whether the constant fatigue, unexplained weight changes, or racing heart might be tied to your thyroid, this episode is for you. We dive into real questions from listeners just like you—covering everything from the connection between Graves' disease and Hashimoto's to what actually works for shrinking thyroid nodules. This Q&A is packed with honest insights into the various symptoms people quietly deal with, plus practical lifestyle tips that can truly make a difference.Whether you're newly diagnosed or just curious about how stress, diet, or supplements play into thyroid balance, you'll walk away from this conversation with clarity and encouragement. Tune in now!Episode Timeline: 0:00 - Episode Start0:13 - Why these questions matter to so many people0:26 - Splitting this into two parts for deeper answers0:56 - What is the natural treatment for goiter?3:38 - Could radiation from various medical procedures affect existing thyroid nodules?6:50 - If someone reacts to iodine in salt or seaweed, will they always have the same reaction?8:28 - What will shrink thyroid nodules?9:19 - Is there blood work reference that explains more than just the optimal ranges?10:51 - Could my adrenal gland be the root cause for my fatigue, eye bags, and night sweats?12:29 - Are thyroid conditions caused by the Epstein Barr Virus?14:51 - Understanding Antibody testing17:10 - Why did my TSH spike if I'm taking my meds every day?19:42 - Why don't my thyroid medicine seem to work?22:53 - Opinion about having a biopsy performed on the nodule24:14 - As someone with graves, can I eat liver? 25:58 - 30 years with Graves, now Hashimoto's symptoms—Is it safe to treat?27:33 - Can you reverse Graves disease naturally without a program?31:13 - Low blood copper and Ceruloplasmin for a year—What does it mean for my thyroid?32:35 - Why do some doctors say TSH tests aren't reliable anymore?34:17 - Is excess iodine linked to hyperthyroidism or Graves?36:20 - Purplish spots after eating with Hashimoto's36:57 - Does hyperthyroidism elevate hemoglobin A1c?38:35 - Impact of gluten on Hashimoto's and menopause?40:21 - Tests to detect hyperactive thyroid when blood work doesn't show it41:39 - What is the best way to reduce the high level of antibodies?41:19 - Takeaways and Conclusion42:42 - Podcast OutroMentioned In This Episode: Dr. Eric' BooksNatural Treatment Solutions for Hyperthyroidism and Graves' Disease Amazon.com: The Hyperthyroid Healing Diet: Reverse Hyperthyroidism and Graves' Disease and Save Your Thyroid Through Diet and Lifestyle Changes Hashimoto's Triggers: Eliminate Your Thyroid Symptoms By Finding And Removing Your Specific Autoimmune TriggersPodcast Episode: Do You Want Help Saving Your Thyroid? Access hundreds of free articles at www.NaturalEndocrineSolutions.com Visit Dr. Eric's YouTube channel at www.youtube.com/c/NaturalThyroidDoctor/ To work with Dr. Eric, visit https://savemythyroid.com/work-with-dr-eric/

In this episode, we're unraveling one of the most common areas of confusion for people managing type 2 diabetes or prediabetes: the difference between A1c and daily blood sugar readings. If you've ever wondered why your doctor focuses on A1c while you're monitoring your daily levels at home, or how these two measurements work together, this is the episode for you!You'll learn how daily blood sugar provides immediate feedback to guide your decisions, while A1c offers a long-term snapshot of your glucose control. Plus, discover practical steps to manage both effectively, avoid common pitfalls, and how to start using your numbers to achieve better results. CHAPTERS3:38 Always ask questions!4:45 What is blood sugar/blood glucose?6:39 Normal blood sugar levels: in brief7:42 Understanding blood sugar fluctuations10:25 What is A1c?12:51 Normal A1c levels: in brief15:36 How do A1c and blood sugar relate?16:55 Key differences between blood sugar and A1c20:48 The number to monitor to get better A1c resultsFor show notes and resources, please visit: https://Type2DiabetesTalk.comTo share your questions and suggestions, leave us a voice message or email at: https://Type2DiabetesTalk.com/messageExplore our proven programs and services, visit: https://Type2DiabetesTalk.com/programsSubscribe to our free weekly newsletter for podcast updates, valuable nutrition tips and more: https://Type2DiabetesTalk.com/subscribe

Send a Text Message. Please include your name and email so we can answer you! Please note, this does not subscribe you to our email list, it's just to answer if you have a questions for us. GLP-1 medications like Mounjaro are transforming the conversation around weight loss and diabetes management, but behind the headlines and medical jargon lies a real journey—one that's often emotional, confusing, and filled with misconceptions.In this episode, Dave Knapp, the visionary behind OnThePen.com and the voice of @manonthemounjaro, shares his personal journey with type 2 diabetes and Mounjaro. As someone deeply passionate about reshaping the conversation around GLP-1, obesity, and diabetes, Dave offers valuable insights and heartfelt personal stories.Join us as we explore the inspiration behind his book, Decoding GLP-1, where Dave breaks down the complexities of GLP-1 medications and shares practical tips for those supporting loved ones on this journey. Learn how to start stigma-free conversations, connect with a supportive community, and understand why there's no one-size-fits-all solution when it comes to managing obesity.ReferencesDecoding GLP-1 OnThePen.com@manonthemounjaroAudio Stamps01:11 - Dave Knapp shares how his type 2 diabetes journey and Mounjaro experience sparked the creation of On The Pen.03:20 - We learn why Dave wrote his “Decoding GLP-1” book—a quick, accessible guide to help loved ones understand GLP-1 meds and reduce the shame around sharing your story.07:52 -  Dr. Rentea asks how to start honest, stigma-free conversations with loved ones about using GLP-1 medication, especially when shame has made it hard to open up.12:58 - Dave and Dr. Rentea discuss the best ways to start finding a supportive community.19:32 - Dave offers his top tips for anyone getting started on this journey—and reminds us why there's no one-size-fits-all approach to treating obesity.Quotes“The people that have the best voice in this space have a personal experience with it.” - Dr. Rentea“It broke my heart to hear so many people afraid to share the part of their journey with the people that mattered the most.” - Dave Knapp“I could see not only family and friends reading this, but actually physicians giving this to their patients because people need it in one area like this.” - Dr. Rentea“Weight is cosmetic to the rest of the world. They don't see your A1C, they don't see your lipid panel, they don't see your fatty liver. But the reduction of those things is quite a story to tell. “Couching everything aroundAll of the information on this podcast is for general informational purposes only. Please talk to your physician and medical team about what is right for you. No medical advice is being on this podcast. If you live in Indiana or Illinois and want to work with doctor Matthea Rentea, you can find out more on www.RenteaClinic.com Premium Season 1 of The Obesity Guide: Behind the Curtain -Dive into real clinical scenarios, from my personal medication journey to tackling weight loss plateaus, understanding insulin resistance, and overcoming challenges with GLP-1s. Plus, get a 40+ page guide packed with protein charts, weight loss formulas, and more. April 30/30 registration.

Send us a textToday we are releasing a bonus episode!This is my recent appearance on the Low Carb and Fasting YouTube Channel hoisted by Nayiri Mississian!  We were fortunate enough to host Nayiri on our podcast on episode 437 and episode 737 of Boundless Body Radio!As always, it was a fun chat, and I'm always so grateful to be a guest on someone else's show!Nayiri Mississian is an independent nutrition researcher, who has no associations with the food industry, pharmaceutical industry or any politically powered nutrition organizations. Nayiri shares her scientific information with the followers in her members-only exclusive Facebook groups, which promote the low carbohydrate/low insulin lifestyle as supported by scientific evidence. The low carb and fasting group members have free access to summarized information posts, recipes, tips, and weekly live videos. Nayiri is the host of the fantastic Low Carb and Fasting Podcast!Find Nayiri at-https://lowcarbandfasting.com/TW- @NTSTranslationFB- @LOW CARB & FASTINGPodcast- Low Carb and Fasting PodcastNayiri's amazing and very helpful blood glucose conversion charts!Stephen Thomas, known online as the UK Carnivore, debunks and dispels many popular myths about nutrition, fitness, and aging. In the past, while eating high-carbohydrate, low-fat diet, Stephen was a semi-professional soccer player, won a singles tennis tournament, and had run some middle-distance races, but his health was poor, as he had experienced frequent colds, and struggled with several other health issues.Find Stephen at-https://www.theukcarnivore.com/IG- @theukcarnivoreYT- @Coach Stephen BSc HonsPodcast- The UK Carnivore ExperienceFind Boundless Body at- myboundlessbody.com Book a session with us here!

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:      Melissa: I am 43, 160lbs 5ft. 6 good amount of muscle. I eat completely clean as in grassfed fed, organic turkey, organic chicken occasionally brocolli, cauliflower, carrots, asparagus and arugula, pickles, saurkraut and kimchi and I only drink water. I do eat a good amount of protein 140ish grams a day. I just got bloodworm and my A1C was 5.6. All other markers were great just that one was high for me not dr. ...why when I don't eat sugar of any sorts! Just recently as in last few weeks started introducing some fruit back in such as apples, blueberries and strawberries but still so confused can you explain?                                                                                                                                                                                               Kelly: Hi Dr. Cabral, I just completed a 7 day detox, love it. Today I started the Heavy Metal detox. Really excited about detoxing my body from toxic metals. I have high Aluminum and mercury and mineral ratios are off. Anyway, Thank you for your protocols. I'm in menopause and suffering from a couple of symptoms. No libido, no sleep, irritable, brain fog, dryness, I'm not the person i used to be in terms of happiness. I used to be happy for no reason, but since menopause I changed. I'm 51. Do you offer help for those symptoms? I want to be a lovely wife as i used to be. At this point I'm even considering taking Bio Identical hormones. Thank you in advance.                                                                                                    Drew: For almost 2 years I have had a pain behind my right eye. It started as a flare up after cutting grass one day. Most of the pain comes in the morning right before I get out of bed. It is a dull ache and sometimes leaves my eye crusty. I have seen two different eye doctors, my PCP, an ear nose and throat doctor, and a neuro ophthalmologist all of which can find nothing wrong. I have had a CT scan as well as an MRI which revealed nothing. Hoping you could shed some light on next steps that I need to take or where I need to look. Thank you so much for all that you do.     AA: Hi Dr. Cabral, I am hoping that you might have some insight. In Oct. I got extremely sick ( maybe covid) with horrible respiratory issues high fever etc. every month since my period has been 3 weeks late and as of one month I cannot eat without pain. The worst symptom is no sleep because of abdominal cramping and severe full body chills ( tingling) the tingling happens all day but is more apparent after ingesting food. I have taken stool tests/blood tests which seemed normal except for low b12 (300/ml) and went for a colonoscopy ( which resulted in the doc. saying I had some inflammation at the bottom end of my colon and it could be ulcerative colitis but didn't say with certainty. ) I am at a loss its been three weeks without caffeine, sugar, wheat, dairy and the symptoms persist.                                                                 Kay: Hello Dr. Cabral- I really appreciate your very informative podcasts! I am taking pregnenolone capsules at night recommended by my physician to help make some of the hormones that decline with age, and also to enhance cognitive function.. I have 2 questions: 1) Should I discontinue this prior to taking my at-home Equilife Stress, Mood and Metabolism test, and if so, by how many days? 2) Is taking this supplement going to make my body "lazy" and produce less of my natural pregnenolone? I've noticed that this helps me sleep better at night- I take this and a very low dose of naltrexone compounded by a compounding pharmacy. I am hoping that the SM&M test will give me clues to rebalancing my hormones naturally so I do not always need to rely on exogenous (and expensive) compounds. Thx!                                        Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/3361 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Join us for an exclusive interview with Dr. Robert Gabbay, endocrinologist and former chief medical officer of the American Diabetes Association, on "The Heart of Innovation" hosted by Dr. John Phillips and Emmy-award-winning journalist Kym McNicholas. Dr. Gabbay will share cutting-edge developments in diabetes care that go beyond just lowering A1C—they're revolutionizing heart health, kidney function, and mobility for patients! He answers questions about: - Game-changing medications that reduce heart attack risk AND help you walk farther - The latest insulin pump technology transforming daily management - Advanced diabetes screening methods catching the disease earlier than ever - How AI digital twins can visualize the impact of lifestyle changes before you make them This is your chance to learn from a leading expert who has been at the forefront of innovations in treatment options for patients with diabetes and obesity. #DiabetesInnovation #HeartHealth #TheHeartOfInnovation #GlobalPADassociation #peripheralarterydisease #diabetescure #diabetestreatment #padsupport #legcramps #legpaintreatment

Episode 189: Intermittent Fasting (Religious and Sports)Future Doctors Carlisle and Kim give recommendations about patients who are fasting for religious reasons, such as Ramadan. They also explain the benefits and risks of fasting for athletes and also debunked some myths about fasting. Dr. Arreaza add input about the side effects of fasting and ways to address them.    Written by Cameron Carlisle, MSIV (RUSM) and Kyung Kim, MSIV (AUC). Editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Introduction: In the last episode on fasting (#179), we explored how intermittent fasting (IF) can help manage type 2 diabetes by improving insulin sensitivity, promoting weight loss, and lowering inflammation. We discussed the benefits of methods like 16:8 time-restricted eating and the 5:2 meal plan, and even compared IF to medications like metformin. Today, we're bringing that science into real life. We'll talk about how people fast for religious reasons, like during Ramadan, how athletes use IF to stay in shape, and how we can use IF as a tool in family medicine to support community health and A1c control.Intermittent Fasting in Religious PracticeRamadan just ended on 3/30/25, but this is a great time to talk about the broader role of fasting in religion and health. Many faiths incorporate fasting into spiritual practice and understanding this can help us better support our patients.Islam (Ramadan): Ramadan is a month where Muslims fast from dawn to sunset, focusing on spiritual reflection and self-control. No food or drink is consumed during daylight hours. Despite this, studies have shown that with good planning, fasting during Ramadan does not significantly impair physical performance or metabolic health.Key health tips for patients observing Ramadan:Hydrate well between iftar (sunset) and suhoor (pre-dawn).Break the fast with dates and water to gently replenish energy and electrolytes.Eat balanced meals with complex carbs, protein, and healthy fatsAvoid greasy, heavy foods right after fastingLight exercise (such as a walk) after iftar is beneficialReview medications with a healthcare provider, especially for those on insulin or sulfonylureas.For example: Metformin should be taken when you break your fast and then again before dawn. If its an extended-release metformin, take it at night. Metformin does not cause significant hypoglycemia and can be continued during Ramadan. Basal insulin is advised to be given at Iftar, and the dose should be reduced by 25-35% if the patient is not well managed. And regarding the fast-acting insulin, it requires a little more reading, so you can look it up and learn about it. Judaism: In Judaism, fasting is practiced on days like Yom Kippur and Tisha B'Av, typically lasting 25 hours without food or water. These fasts are spiritual and reflective, and patients with medical conditions may seek guidance on how to participate safely.Christianity: Many Christians fast during Lent, either by abstaining from certain foods or limiting meal frequency. Some practice partial-day fasts or water-only fasts for spiritual renewal.A branch of Christianity known as The Church of Jesus Christ of Latter-day Saintsoften observe a 24-hour fast on the first Sunday of each month, known as Fast Sunday, where they abstain from food and drink and donate the cost of meals to charity. This practice is both spiritual and communal.Cameron: Fasting for religious reasons, when done safely, can align with IF protocols and be culturally sensitive for diverse patients in family medicine.IF in Athletes and PerformanceIntermittent fasting is gaining popularity in the sports world. Athletes are using IF to improve body composition, increase fat oxidation, and enhance metabolic flexibility. A recent study, known as the DRIFT trial and published in Annals of Internal Medicine, found that fasting three non-consecutive days a week led to more weight loss than daily calorie restriction. Participants lost an average of 6.37 pounds more over 12 months.Why? Better adherence. People found the 3-day fasting schedule easier to stick to than counting calories every day.Benefits of IF for athletes:Encourages fat burning (via AMPK activation and GLUT4 upregulation, listen to ep. 179).Helps maintain lean muscle while reducing fat.No major drop in performance when meals and workouts are timed properly.What are some practical tips?Schedule workouts during or just before eating windows.Eat protein-rich meals post-workout.Avoid intense training during long fasts unless adapted.Stay hydrated, especially in hot environments or endurance sports.Broader Applications and Myths Around IFHormonal Effects of IF: In addition to improving insulin sensitivity, IF also affects hormones such as ghrelin (which stimulates hunger, remember it as growling) and leptin (which signals fullness). Over time, IF may help the body regulate appetite better and reduce cravings. IF can also decrease morning cortisol levels, the stress hormone. That's why it's important to monitor sleep, hydration, and stress levels when recommending IF.Circadian Rhythm Alignment: Emerging research shows that aligning eating times with natural light/dark cycles—eating during the day and fasting at night—can improve metabolic outcomes. This practice, known as early time-restricted eating (eTRE), has been shown to lower blood glucose, reduce insulin levels, and improve energy use. Patients who eat earlier in the day tend to have better results than those who eat late at night.Myths and Clarifications on IF:-“Fasting slows metabolism” In fact, short-term fasting may boost metabolism slightly due to increased norepinephrine. -“You can't exercise while fasting.” Many people can safely train during fasted states, especially for moderate cardio or strength training. -“Skipping breakfast is bad.” For some, skipping breakfast is a useful IF strategy—as long as total nutrition is maintained. You can break your fast at 2:00 pm, it does have to be at 7:00 AM.What to Eat When Breaking a FastBreaking a fast properly is just as important as fasting itself. Whether it's after a Ramadan fast or a 16-hour fast, the goal is to replenish energy gently and restore nutrients.Ideal foods to break a fast:Dates and water: provide quick energy, potassium, and fiberSoups: lentil or broth-based soups are gentle on digestionComplex carbs: whole grains like brown rice or oatsLean proteins: chicken, fish, eggs, legumesFruits and vegetables: hydrate and provide fiberHealthy fats: nuts, avocado, olive oilProbiotics: yogurt or kefir for gut supportBalanced meals with carbs, protein, and healthy fats help the body transition smoothly back to a fed state.Using IF in Family Medicine and Community HealthIntermittent fasting can be a practical, cost-effective strategy in family medicine. In areas with high rates of obesity and diabetes, like Kern County, IF offers a lifestyle-based tool to improve metabolic health, especially in underserved populations. IF is free!How IF can help in family medicine:Lower A1c levels: improves insulin sensitivity and glucose controlPromote weight loss: decreases insulin resistance and inflammationReduce medication dependence: fewer meds needed over time for some patientsEncourage patient engagement: flexible and easier to follow than strict calorie countingFit diverse lifestyles: aligns with religious and cultural practicesAddress food insecurity: structured eating windows can help patients stretch limited food resourcesHow to apply IF in clinic:Start the conversation by asking if the patient has heard of IFRecommend simple starting points: 12:12 or 14:10Emphasize hydration and nutrient-dense mealsMonitor labs and symptoms, especially in diabetic patientsAdjust medications to avoid hypoglycemiaProvide follow-up and patient education handouts if possibleWhat if a patient isn't ready to try fasting?For those not ready to commit to intermittent fasting, one effective alternative is walking after meals. A simple 10–20 minute walk post-meal can help stimulate GLUT4 receptors in skeletal muscle, promoting glucose uptake independent of insulin. This reduces the demand on pancreatic beta cells and may help improve blood sugar control over time. This strategy is particularly useful for patients with insulin resistance or early-stage type 2 diabetes.Conclusion: Intermittent fasting is not one-size-fits-all, but it can be a powerful tool for both individual and community health. From Ramadan to race day, IF has a place in family medicine when used thoughtfully. Encourage patients to work with their healthcare providers to find an approach that fits their lifestyle, medical needs, and personal values. IF is a cost-effective toolEven without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:American Academy of Family Physicians. (2022). "Intermittent Fasting: A Promising Treatment for Diabetes." AAFP Community Blog. https://www.aafp.org/pubs/afp/afp-community-blog/entry/intermittent-fasting-a-promising-treatment-for-diabetes.htmlHealthline. (2023). "What Breaks a Fast? Foods, Drinks, and Supplements." https://www.healthline.com/nutrition/what-breaks-a-fast.Sarri KO, Tzanakis NE, Linardakis MK, Mamalakis GD, Kafatos AG. Effects of Greek Orthodox Christian Church fasting on serum lipids and obesity. BMC Public Health. 2003 May 16;3:16. doi: 10.1186/1471-2458-3-16. PMID: 12753698; PMCID: PMC156653. https://pmc.ncbi.nlm.nih.gov/articles/PMC156653/.Shang, Y., et al. (2024). "Effects of Intermittent Fasting on Obesity-Related Health Outcomes: An Umbrella Review." eClinicalMedicine.https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(24)00098-1.Abaïdia AE, Daab W, Bouzid MA. Effects of Ramadan Fasting on Physical Performance: A Systematic Review with Meta-analysis. Sports Med. 2020 May;50(5):1009-1026. doi: 10.1007/s40279-020-01257-0. PMID: 31960369. https://pubmed.ncbi.nlm.nih.gov/31960369/.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

Episode 25:16 Natural Remedies For Overcoming Blood Sugar Issues On last week's episode I told you that most Americans are heading down a path that leads to one or more of the following diseases: Alzheimer's. Blood Pressure. Cancer. Diabetes I also said there was a way of knowing whether or not you were on such a path. Specifically, I said there were five blood tests that, when abnormal, put you at an increased risk of developing one or more of those diseases. Two of those blood tests focus on blood sugar metabolism: 1) A!C 2) Fasting Insulin These are very important tests. Why? Because millions of Americans have levels that are HIGH on one and/or the other. That's NOT good as a high A1C level and/or a high Fasting Insulin level is associated with a higher chance of developing the four diseases listed above… and several others as well. Fortunately, there are natural remedies you can use to lower these levels. Remedies that include natural, whole food supplements and herbs. On this week's episode I share the ones I recommend most. Be sure to give this episode a good listen and then share it with a friend... as there's a good chance that he/she struggles with blood sugar issues. Thanks! ———————- Want to learn more? Continue the conversation regarding this episode, and all future episodes, by signing up for our daily emails. Simply visit: GetHealthyAlabama.com  Once there, download the “Symptom Survey” and you will automatically added to our email list. ———————- Also, if you haven't already, we'd appreciate it if you'd subscribe to the podcast, leave a comment and give us a rating. (Thanks!!!)  On Facebook? Connect with us at Facebook.com/GetHealthyAlabama

           * This podcast is for informational and educational purposes only. It is not intended to diagnose or treat any disease. Please consult with your health care provider before making any health-related changes.

Optic neuropathies encompass all congenital or acquired conditions affecting the optic nerve and are often a harbinger of systemic and central nervous system disorders. A systematic approach to identifying the clinical manifestations of specific optic neuropathies is imperative for directing diagnostic assessments, formulating tailored treatment regimens, and identifying broader central nervous system and systemic disorders. In this episode, Gordon Smith, MD, FAAN speaks with Lindsey De Lott, MD, MS, author of the article “Optic Neuropathies” in the Continuum® April 2025 Neuro-ophthalmology issue. Dr. Smith is a Continuum® Audio interviewer and a professor and chair of neurology at Kenneth and Dianne Wright Distinguished Chair in Clinical and Translational Research at Virginia Commonwealth University in Richmond, Virginia. Dr. De Lott is an assistant professor of neurology and ophthalmology at the University of Michigan in Ann Arbor, Michigan. Additional Resources Read the article: Optic Neuropathies Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @gordonsmithMD Guest: @lindseydelott Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Smith: Hello, this is Dr Gordon Smith. Today I'm interviewing Dr Lindsey De Lott about her article on optic neuropathies, which appears in the April 2025 Continuum issue on neuro-ophthalmology. Lindsey, welcome to the podcast, and perhaps you can introduce yourself to our audience. Dr De Lott: Thank you, Dr Smith. My name is Lindsey De Lott and I am a neurologist and a neuro-ophthalmologist at the University of Michigan. I also serve as the section lead for the Division of Neuro-Ophthalmology, which is actually part of the ophthalmology department rather than the neurology department. And I spend a good portion of my time as a researcher in health services research, and that's now about 60% of my practice or so. Dr Smith: I'm super excited to spend some time talking with you. One, I'm a Michigan person. As we were chatting before this, I trained with Wayne Cornblath and John Trobe, and it's great to have you. I wonder if we maybe can begin- and by the way, your article is outstanding. It is such a huge topic and it was actually really fun to read, so I encourage our listeners to check it out. But you begin by talking about misdiagnosis as being a common problem in this patient population. I wonder if you can talk through why that is and if you have any pearls or pitfalls in avoiding it? Dr De Lott: Yeah, I think there's been a lot of great research looking at misdiagnosis in specific types of optic neuropathies; in particular, compressive optic neuropathies and optic neuritis. A lot of that work has come out of the group at Emory and the group at Washington University. But a lot of neuro-ophthalmologists across the country really contributed to those data. And one of the statistics that always strikes me is that, you know, for example, in patients with optic nerve sheath meningiomas, something like 70% of them are actually misdiagnosed. And a lot of those errors in diagnosis, whether it's for compressive optic neuropathy or some other type of optic neuropathy, really comes down to the way that physicians are really incorporating elements of the history in the physical. For example, in optic neuritis, we know that physicians tend to anchor pretty heavily on pain in general. And that often tends to lead them astray when optic neuritis was never the diagnosis to begin with. So, it's really overindexing on certain things and not paying attention to other features of the physical exam; for example, say presence of an afferent pupillary defect. So, I think it just really highlights the need to have a really relatively structured approach to patients that you think have an optic neuropathy when you're trying to sort of plan your diagnostic testing and your treatment. Dr Smith: I do maybe five or six weeks on our hospital service each year, and I don't know if it's just a Richmond thing, but there's always at least two people in my week who come in with an optic neuropathy or acute vision loss. How common is this in medical practice? Or neurologic practice, I should say? Dr De Lott: Optic neuropathies themselves… if you look across, unfortunately we don't have any great data that puts together all optic neuropathies and gives us an actual sort of prevalence estimate or an incidence estimate from year to year. We do have some of those data for specific types of optic neuropathies like optic neuritis and NAION, and you're probably looking around five-ish per one hundred thousand. So, these aren't that common, but at the same time they do get funneled to- often to emergency rooms and to neurologists from our ophthalmology colleagues and optometry colleagues in particular. Dr Smith: So, one other question I had before kind of diving into the topic at hand is how facile neurologists need to be in recognizing other causes of acute visual loss. I mean, we see acute visual loss as neurologists, we think optic neuropathy, right? Optic neuritis is sort of the go-to in a younger patient, and NAION in someone older. But what do neurologists need to know about other ophthalmologic causes? So, glaucoma or acute retinal disorders, for instance? Dr De Lott: Yeah, I think it's really important that neurologists are able to distinguish optic neuropathies from other causes of vision loss. And so, I would really encourage the listeners to take a look at the excellent article by Nancy Newman about vision loss in this issue where she really kind of breaks it down into vision loss that is acute and chronic and how you really think through distinguishing optic neuropathies from other causes of vision loss. But it is really important. For example, a patient with a central retinal artery occlusion may potentially be eligible for treatments. And that's very different from a patient with optic neuritis and acute vision loss. So, we want to be able to distinguish these things.  Dr Smith: So maybe we can pivot to that a little bit. Just for our listeners, our focus today is going to be on- not so much on optic neuritis, although obviously we need to talk a little bit about how we differentiate optic neuritis from non-neuritis optic neuropathies. It seems like the two most common situations we encounter are ischemic optic neuropathies and optic neuritis. Maybe you can talk a little bit about how you distinguish these two? I mean, some of it's age, some of it's risk factors, some of it's exam. What's the framework, of let's say, a fifty-year-old person comes into the emergency room with acute vision loss and you're worried about an optic neuropathy? Dr De Lott: The first step whenever you are considering an optic neuropathy is just making sure that the features are present. I think, really going back to your earlier question, making sure that the patient has the features of an optic neuropathy that we expect. So, it's not only vision loss, but it's also the presence of an apparent pupillary defect in a patient with a unilateral optic neuropathy. In a person who has a bilateral optic neuropathy, that apparent pupillary defect may not be present because it is relative. So, you really would have to have asymmetric vision loss between the two eyes. They should also have impairment of their color vision, and they're probably going to have some kind of visual field defect, whether that's central scotoma or an arcuate scotoma or an altitudinal defect that really respects the horizontal meridian. So, you want to make sure that, first and foremost, you've got a patient that really meets most of those- most of those features. And then from there, we're looking at the other features on their history. How acute is the onset of the vision loss? What is the progression over time? Is there pain associated or not associated with the vision loss? What other medical issues does the patient have? And you know, one of the things you already brought up, for example, is, what's the age of the patient? So, I'm going to be much more hesitant to make a diagnosis of optic neuritis in a much older patient or a diagnosis on the other side, of ischemic optic neuropathy, in a much younger patient, unless they have really clear features that push me in that direction. Dr Smith: I wonder if maybe you could talk a little bit about features that would push you away from optic neuritis, because, I mean, people who are over fifty do get optic neuritis- Dr De Lott: They do. Dr Smith: -and people who get ischemic optic neuropathies who are younger. So, what features would push you away from optic neuritis and towards… let's be broad, just a different type of optic neuropathy? Dr De Lott: Sure. We know that most patients with optic neuritis do have pain, but that pain is accompanied---within a few days, typically---with vision loss. So, pain alone going on for a number of days without any visual symptoms or any of those other things I listed, like the afferent papillary defect, the visual field defect, would push me away from optic neuritis. But in general, yes, most optic neuritis is indeed painful. So, the presence of optic disc edema is unfortunately one of those things that an optic neuritis may be present, may not be present, but in somebody with ischemia that is anterior---and that's the most common type of ischemic optic neuropathy, would be anterior ischemic optic neuropathy---they have to have optic disc edema for us to be able to make that diagnosis, and that is a diagnosis of NAION, or nonarteritic ischemic optic neuropathy. An APD in this case, again, that's just a feature of an optic neuropathy. It doesn't really help you to distinguish, individual field defects are going to be relatively similar between them. So then in patients, I'm also looking, like I said, at their history. So, in a patient where I'm entertaining a diagnosis of ischemic optic neuropathy, I want to make sure that they have vascular risk factors or that I'm actually doing things like measuring their blood pressure in the office if they haven't seen a physician recently or checking a lipid panel, hemoglobin A1c, those kinds of things, to look for vascular risk factors. One of the other features on exam that might push me more- again, in a patient with ischemic optic neuropathy, where it might suggest ischemia over optic neuritis, would be some other features on exam like a crowded optic disc that we sometimes will see in patients with ischemic optic neuropathy. I feel like that was a bit of a convoluted answer. Dr Smith: I thought that was a great answer. And when you say crowded optic disc, that's the- is that the “disc at risk”? Dr De Lott: That is the “disk at risk,” yes. So, crowded optic disk is really a disk that is smaller than what we see in the average population, and the average cup to disk ratio is 0.3. So, I think that's where 30% of the disk should be. So, this extra wiggle room, as I sometimes will explain to my patients. Dr Smith: And then, I wonder if you could talk a little bit about more- just more about exam, right? You raised the importance of recognizing optic disc edema. Are there aspects of that disc edema that really steer you away from optic neuritis and towards ischemia-like hemorrhages or whatnot? And then a similar question about the importance of careful visual field testing? Dr De Lott: So, on the whole, optic disc edema is optic disc edema. And you can have very severe optic neuritis with hemorrhages, cotton wool spots, which is essentially just an infarction of the retinal nerve fiber layer either overlying the disc or other parts of the retina. And ischemia, you can have some of the same features. In patients who have giant cell arteritis, which is just one form of anterior ischemic optic neuropathy, patients can have a pallid optic disc edema where the optic disc is swollen and white-looking. But on the whole, swelling is swelling. So, I would caution anyone against using the features of the optic nerve swelling to make any type of, sort of, definitive kind of diagnosis. It's worth keeping in mind, but I just- I would caution against using specific features, optic nerve swelling. And then for visual field testing, there are certain patterns that sometimes can be helpful. I think as I mentioned earlier, in patients with ischemic optic neuropathy, we'll often see an altitudinal defect where either the top half or, more commonly, the bottom half of the vision is lost. And that vision loss in the field corresponds to the area of swelling on the disk, which is really rewarding when you're actually able to see sectoral swelling of the disk. So, say the top half of the disk is swollen and you see a really dense inferior defect. And other types of optic neuropathy such as hereditary optic neuropathies, toxic and nutritional optic neuropathies, they often cause more central field loss. And in patients who have optic neuropathies from elevated intracranial pressure, so papilladema, those folks often have more subtle visual field loss in an arcuate pattern. And it's only once the optic nerves have sustained a pretty significant injury that you start to see other patterns of field loss and actual decline in visual acuity in those patients. I do think a detailed visual field assessment can often be pretty helpful as an adjunct to the rest of the exam. Dr Smith: So, we haven't talked a lot about neuroimaging, and obviously, neuroimaging is really important in patients who have optic neuritis. But how about an older patient in whom you suspect ischemic optic neuropathy? Do those patients all need a MRI scan? And if so, is it orbits and brain? How do you- how do you protocol it? Dr De Lott: You're asking such a good question, totally controversial in in some ways. And so, in patients with ischemic optic neuropathy, if you are confident in your diagnosis: the patient is over the age of fifty, they have all the vascular, you know, they have vascular risk factors. And those vascular risk factors are things like diabetes, hypertension, high blood pressure, hyperlipidemia, obstructive sleep apnea. They have a “disc at risk” in the fellow eye. They don't have pain, they don't have a cancer history. Then doing an MRI of the orbits is probably not necessary to rule out another cause. But if you aren't confident that you have all of those features, then you should absolutely do an MRI of the orbit. The MRI of the brain probably doesn't provide you with much additional information. However, if you are trying to distinguish between an ischemic optic neuropathy and, say, maybe an optic neuritis, in those patients we do recommend MRI orbits and brain imaging because the brain does provide additional information about other CNS demyelinating disorders that might be actually the cause of a patient's optic neuritis. Dr Smith: I wonder if you could talk a little bit about posterior ischemic optic neuropathy. That's much less common, and you mentioned earlier that those patients don't have optic disk edema. So, if there's a patient who has vision loss that- in a similar sort of clinical scenario that you talked about, how do you approach that and under what circumstances do we see patients who have posterior ischemic optic neuropathy? Dr De Lott: So, you're going to most often see patients with posterior ischemic optic neuropathy who, for example, have undergone a recent surgery. These are often associated with things like spinal surgeries, cardiac surgeries. And there are a number of risk factors that are associated with it. Things like blood pressure, drain surgery, the amount of blood loss, positioning of patient. And this is something that the surgeons and anesthesiologists are very sensitive to at this point in time, and many patients are often- this can be part of the normal informed consent process at this point in time since this is something that is well-recognized for specific surgeries. In those patients, though… again, unless you're really certain, for example, maybe the inpatient neurology attending and you've been asked to consult on a patient and it's very clear that they went into surgery normal, they came out of surgery with vision loss, and all the rest of the features really seem to be present. I would recommend that in those cases you think about orbital imaging, making sure you're not missing anything else. Again, unless all of the features really are present- and I think that's one of the themes, definitely, throughout this article, is really the importance of neuroimaging in helping us to distinguish between different types of optic neuropathy. Dr Smith: Yeah, I think one of the things that Eric Eggenberger talks about in his article is the need to use precise nomenclature too, which I plan on talking to him about. But I think having this very structured approach- and your article does it very well, I'll tell our listeners who haven't seen it there's a series of really great tables in the article that outline a lot of these. I wonder, Lindsey, if we can switch to talk about arteritic optic neuropathy. Is that okay? Dr De Lott: Sure. Yeah, absolutely. Dr Smith: How do you sort that out in an older patient who comes in with an ischemic optic neuropathy? Dr De Lott: Yeah. In patients who are over the age of fifty with an ischemic optic neuropathy, we always need to be thinking about giant cell arteritis. It is really a diagnosis we cannot afford to miss. If we do miss it, unfortunately, patients are likely to lose vision in their fellow eye about 1/3 to 1/2 the time. So, it is really one of those emergencies in neuro-ophthalmology and neurology. And so you want to do a thorough review systems for giant cell arteritis symptoms, things like headache, jaw claudication, myalgias, unintentional weight loss, fevers, things of that nature. You also want to check their inflammatory markers to look for evidence of an elevated ESR, elevated C-reactive protein. And then on exam, what you're going to find is that it can cause an anterior ischemic optic neuropathy, as I mentioned earlier. It can cause palette optic disc swelling. But giant cell arteritis can also cause posterior ischemic optic neuropathy. And so, it can be present without any swelling of the optic disc. And in fact, you know, you mentioned one of my mentors, John Trobe, who used to say that in a patient where you're entertaining the idea of posterior ischemic optic neuropathy, who is over the age of fifty with no optic disc swelling, you should be thinking about number one, giant cell arteritis; number two, giant cell arteritis; number three, giant cell arteritis. And so, I think that is a real take-home point is making sure that you're thinking of this diagnosis often in our patients who are over the age of fifty, have to rule it out. Dr Smith: I'll ask maybe a simple question. And presumably just about everyone who you see with a presumed ischemic optic neuropathy, even if they don't have clinical features, you at least check a sed rate. Is that true? Dr De Lott: I do. So, I do routinely check sedimentation rate and C-reactive protein. So, you need to check both. And the reason is that there are some patients who have a positive C-reactive protein but a normal sedimentation rate, so. And vice versa, although that is less common. And so both need to be checked. One other lab that sometimes can be helpful is looking at their CBC. You'll often find these patients with giant cell arteritis have elevated platelet counts. And if you can trend them over time, if you happen to have a patient that's had multiple, you'll see it sort of increasing over time. Dr Smith: I'm just thinking about how you sort things out in the middle, right? I mean, so that not all patients with GCF, sky-high sed rate and CRP…. And I'm just thinking of Dr Trobe's wisdom. So, when you're in an uncertain situation, presumably you go ahead and treat with steroids and move to biopsy. Maybe you can talk a bit about that pathway? Dr De Lott: Yeah, sure. Dr Smith: What's the definitive diagnostic process? Do you- for instance, the sed rate is sky-high, do you still get a biopsy? Dr De Lott: Yes. So, biopsy is still our gold-standard diagnosis here in the United States. I will say that is not the case in all parts of the world. In fact, many parts of Europe are moving toward using other ancillary tests in combination with labs and exam, the history, to make a definitive diagnosis of giant cell arteritis. And those tests are things like temporal artery ultrasound. We also, even though we call it temporal artery ultrasound, we actually need to image not only the temporal arteries but also the axillary arteries. The sensitivity and specificity is actually greater in those cases. And then there's high-resolution imaging of the vessels and the- both the intracranial and extracranial distributions. And both of those have shown some promise in their predictive values of patients actually having giant cell arteritis. One caution I would give to our listeners, though, is that, you know, currently in the US, temporal artery biopsy is still the gold standard. And reading the ultrasounds and the MRIs takes a really experienced radiologist. So, unless you really know the diagnostic accuracy at your institution, again, temporal artery biopsy remains the gold standard here. So, when you are considering giant cell arteritis, start the patient on steroids and- that's high dose, high dose steroids. In patients with vision loss, we use high dose intravenous methylprednisolone and then go ahead and get the biopsy. Dr Smith: Super helpful. And are there other treatments, other than steroids? Maybe how long do you keep people on steroids? And let's say you've got a patient who's, you know, diabetic or has other factors that make you want to avoid the course of steroids. Are there other options available? Dr De Lott: So, in the acute phase steroids are the only option. There is no other option. However, long term, yes, we do pretty quickly put patients on tocilizumab, which is really our first-line treatment. And I do that in conjunction with our rheumatology colleagues, who are incredibly helpful in managing and monitoring the tocilizumab for our patients. But when you're seeing the patients, you know, whether it's in the emergency room or in the hospital, those patients need steroids immediately. There are other steroid-sparing agents that have been tried, but the efficacy is not as good as tocilizumab. So, the American College of Rheumatology is really recommending tocilizumab as our first line steroid-sparing agent at this point. Dr Smith: Outstanding. So again, I will refer our listeners to your article. It's just chock-full of great stuff. This has been a great conversation. Thank you so much for joining me today. Dr De Lott: Thank you, Dr Smith. I really appreciate it.  Dr Smith: The pleasure has been all mine, and I know our listeners will be enjoying this as well. Again, today I've been interviewing Dr Lindsey De Lott about her article on optic neuropathies, which appears in the most recent issue of Continuum on neuro-ophthalmology. Be sure to check out Continuum Audio episodes from this and other issues. I already mentioned Dr Eggenberger and I will be talking about optic neuritis, which will be a great companion to this discussion. Listeners, thank you for joining us today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Ellie, 33, diagnosed young, defied doctors' warnings; managing T1D, PCOS with GLP, she used Jenny and celebrated ideal A1c pregnancy. Go tubeless with Omnipod 5 or Omnipod DASH * Get your supplies from US MED  or call 888-721-1514 Tandem Mobi ** Twiist AID System Free Juicebox Community (non Facebook) JUICE CRUISE 2025 Blue Circle Health Eversense CGM Medtronic Diabetes Drink AG1.com/Juicebox Use code JUICEBOX to save 40% at Cozy Earth  CONTOUR NextGen smart meter and CONTOUR DIABETES app Dexcom G7 Touched By Type 1 Take the T1DExchange survey Apple Podcasts> Subscribe to the podcast today! The podcast is available on Spotify, Google Play, iHeartRadio, Radio Public, Amazon Music and all Android devices The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here or buy me a coffee. Thank you! *The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.  ** t:slim X2 or Tandem Mobi w/ Control-IQ+ technology (7.9 or newer). RX ONLY. Indicated for patients with type 1 diabetes, 2 years and older. BOXED WARNING:Control-IQ+ technology should not be used by people under age 2, or who use less than 5 units of insulin/day, or who weigh less than 20 lbs. Safety info: tandemdiabetes.com/safetyinfo Disclaimer - Nothing you hear on the Juicebox Podcast or read on Arden's Day is intended as medical advice. You should always consult a physician before making changes to your health plan.  If the podcast has helped you to live better with type 1 please tell someone else how to find it!  

Ready for some hacks that actually work to improve blood sugar? Today, Jessica Jones tackles all of your in-depth questions about managing blood sugar, prediabetes, and diabetes, including food order, post-meal exercise, snacks, and wearable glucose monitors. We also discuss how blood sugar changes in midlife, and common root causes of blood sugar dysregulation. And no, carbs aren't the enemy! Timestamps:[3:90] What are your favorite blood sugar hacks that actually work?[17:16] What are some root causes of blood sugar dis-regulation?[29:59] Do you recommend continuous glucose monitors (CGM's) for everyone or just for those struggling with pre diabetes or diabetes?[34:33] Can blood sugar swings contribute to brain fog? Should we be eating snacks every 3-4 hours or not?[39:42] What are some strategies to manage/lower A1C and how often do you recommend people test? [46:26] One strategy I've heard to manage blood sugar is to walk after you eat. Does the walk post pone the blood sugar spike?[50:12] Are there any negative effects of juicing fresh fruit daily when it comes to blood sugar? [52:15] What's important to know about what we drink and blood sugar (coffee, alcohol, etc.)Episode Links:Visit Diabetes DigitalDiabetes Digital PodcastTo book a virtual diabetes or prediabetes nutrition counseling session with a Diabetes Digital registered dietitian, click here: diabetesdigital.co/patientFood Heaven InstagramDiabetes Digital InstagramSponsors: Go to wellminerals.us/creatine and use code WELLFED to get 10% off your order.Go to http://mdlogichealth.com/immuno and use coupon code WELLFED for 10% off.Go to drinklmnt.com/wellfed and use code WELLFED to get a free 8-pack with any drink mix purchase!

Episode Summary: Today we're diving into a topic that doesn't always get the spotlight—how I handle low time in range blood sugar days. I'm walking you through what happened, what I was feeling, and the 5 things I always do to reset—physically, mentally, and emotionally. If you follow me on Instagram, you've seen my CGM graphs when I'm in range after eating pizza or a bagel, and while I love sharing those wins to show what's possible, it's just as important to keep it real when things don't go as planned. We all have days when our numbers aren't where we want them to be, and that's okay. It doesn't mean we're failing—it just means we're human. If this episode resonates, share it with another T1D—you never know how far a little support can go on the hard days.Quick Takeaways:First and foremost: EVERY T1D has bad blood sugar days, what matters is how you respond How to get to a place where these days are more rare then they are normal   Lauren's five steps for overcoming a bag blood sugar day Why reflecting on these days is important & how to stop procrastinating it Recognizing low TIR days as data to move forward *instead of* a reflection of failure Timestamps:[01:05] Introduction into today's episode [02:27] “It was purely a 100 % human error” [03:07] Events leading up [04:46] “Everything was good until Friday night…”[08:12] Reflections of the day [09:31] “The thing that drives my A1C below six and my 80 to 90 % time in range is not…”[10:27] Debriefing/dissecting the 24-hour graph [12:55] FIVE things that I always do after a tough blood sugar day[25:23] The 4 reasons we avoid reflection–and how to recognize them in yourself What to do now: Follow me @lauren_bongiorno and @riselyhealth on Instagram to stay in the loop when new episodes drop.If you have blood sugar days like this more often than not and you're tired of navigating this alone and want support, this is exactly what we can support you on inside our signature Group Coaching Program for women with diabetes–Apply for coaching and talk to our team so you can reclaim the life you deserve. 

Think fiber is just for digestion? Think again!In this episode, we uncover the incredible benefits of fiber for type 2 diabetes and prediabetes. You'll learn how adding more fiber to your daily routine can help lower your A1c, improve blood sugar control, reduce cholesterol levels, and even combat inflammation—all without adding carbs that spike blood sugar.Discover why soluble fiber in particular, is so effective for blood sugar management, which foods provide the best sources, and why high-carb whole grains might not be the solution you've been told. We also cover one of the best fiber supplements for diabetes—one that can help lower fasting blood sugar, postprandial blood sugar, A1c, cholesterol and more. This episode is packed with actionable insights to help you get better results with your blood sugar levels. CHAPTERS2:09 What is fiber?4:20 Benefits of fiber for blood sugar7:44 Benefits of fiber for insulin resistance, cholesterol and systemic inflammation9:56 Fiber reduces risk of developing type 2 diabetes11:11 How much fiber to eat per day12:40 Best fiber-rich foods for diabetes18:22 Can fiber supplements help lower blood sugar?For show notes and resources, please visit: https://Type2DiabetesTalk.comTo share your questions and suggestions, leave us a voice message or email at: https://Type2DiabetesTalk.com/messageExplore our proven programs and services, visit: https://Type2DiabetesTalk.com/programsSubscribe to our free weekly newsletter for podcast updates, valuable nutrition tips and more: https://Type2DiabetesTalk.com/subscribe

In today's episode Eoin goes through 5 ways you can actively start lowering your A1C today (@insuleoin).Your A1C isn't the “be all and end all”, but it is significantly important when it comes to your Diabetes management and long term health with the condition.Knowing HOW to lower it, and keep it in the range that you want is key to you living a healthy and long life with Type 1 Diabetes.As always, be sure to rate, comment, subscribe and share. Your interaction and feedback really helps the podcast. The more Diabetics that we reach, the bigger impact we can make!Questions & Stories for the Podcast?:theinsuleoinpodcast@gmail.comConnect, Learn & Work with Eoin:https://linktr.ee/insuleoin Hosted on Acast. See acast.com/privacy for more information.

 Medical moralism has transformed heart health from a medical issue into a moral judgment. When we label cholesterol as "good" or "bad" and patients as "compliant" or "non-compliant," we're not practicing medicine - we're passing judgment. In this episode, I expose how the "lose weight or die" narrative serves financial interests while ignoring the real social determinants of health. I ask whether our obsession with metabolic markers has become a moral measuring stick rather than genuine care, and challenge listeners to question whether health status should ever define human worth. This episode's journal article is  "Evidence for the Association Between Adverse Childhood Family Environment, Child Abuse, and Caregiver Warmth and Cardiovascular Health Across the Lifespan: The Coronary Artery Risk Development in Young Adults (CARDIA) Study.” Got a question for the next podcast? Let me know! Connect With Me FREE GUIDES: evidence-based, not diet nonsense NEWSLETTER: Life-changing insights straight to your inbox UNSHRINKABLE: Find out why your body is not designed to shrink MASTERCLASSES: All the evidence doctors should give you NO WEIGH PROGRAM: Join the revolution against weight-loss lies THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters CONSULTATION: For the ultimate transformation in your healthcare journe Find me on Instagram, YouTube, and LinkedIn.

Episode #199 In this Fasting Q&A episode, Megan Ramos answers some of your fasting questions: I've heard Dr Fung mention that he doesn't recommend fasting for people with a BMI under 20. My BMI is under 20. I've recently lowered my A1C from 6.2 to 5.5 but would like to lower it further or at least maintain it. Would IF or OMAD be OK to do? (Beth from North Carolina) [01:40] I have been doing some therapeutic fasting to address my PCOS and hopefully get my period back. Do you have any recommendations for a preconception plan for fasting and nutrition? Is there anything else I should be doing before TTC? How will I know when my body is healthy enough? [10:12] Can you wreck your thyroid by fasting too much? Or is this not true and you can heal it with fasting? Mine was subclinical hypo but returned to normal when I stopped fasting, without meds. I am back to ADF now because I love fasting so much! (Miggy from The Netherlands) [20:46]  I've been on a night shift schedule at the hospital for the last 30 years working 7pm to 7am. I'd love to know the ins and outs of how to stay as healthy as possible on nights and the best way to fast with that schedule. (Suzy from South Carolina) [26:37] Please Submit Your Questions here: https://bit.ly/TFMPodcastQs   Sign Up to the Self-Sabotage Workshop here: https://www.thefastingmethod.com/masterclasses-and-live-workshops-2025/#Self2 Discount Code - PODCAST10   Transcripts of all episodes are available at www.thefastingmethod.com on the Podcast page.   Connect with us: Learn More About Our Community: https://www.thefastingmethod.com Join our FREE Facebook Group: https://bit.ly/TFMNetwork Watch Us On YouTube: https://bit.ly/TFMYouTube Follow Us on Instagram: @fastingmethod   Chapters 00:00 Intro 01:40 Can I fast with a low BMI? 10:12 Healing PCOS and the Best Preconception Plan 20:46 Does Fasting Wreck Your Thyroid? 26:37 How Best to Eat and Fast for Night Shifts   Disclaimer This podcast is for educational purposes only and is not a substitute for professional care by a doctor or other qualified medical professional. You should always speak with your physician or other healthcare professional before doing any fasting, changing your diet, taking or adjusting  any medication or supplements, or adopting any treatment for a health problem. The use of any other products or services purchased by you as a result of this podcast does not create a healthcare provider-patient relationship between you and any of the experts affiliated with this podcast. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease.

Psychiatrist and author Dr. Judith Joseph joins Lesley to unpack "high-functioning depression," a hidden struggle affecting many high achievers who seem successful externally yet feel emotionally exhausted inside. Discover why driven individuals often overlook signs of burnout, the surprising prevalence of anhedonia (lack of joy), and Dr. Joseph's practical framework—the Five Vs—for understanding and enhancing your personal happiness. If you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co.And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe.In this episode you will learn about:How to spot signs of high-functioning depression and overcome anhedonia.Why your emotions, including joy and anhedonia, directly influence those around you.The role of trauma, people-pleasing, and over-functioning in our mental health.Dr. Judith's biopsychosocial model for understanding your own unique path to happiness.Easy ways to reduce burnout by shifting from constant "doing" to mindful "being."Episode References/Links:Dr. Judith Joseph Website - https://drjudithjoseph.comDr. Judith Joseph Instagram - https://www.instagram.com/drjudithjosephHigh Functioning Book by Dr. Judith Joseph - https://a.co/d/9sFHkQWAnhedonia Assessment Quiz - https://drjudithjoseph.com/anhedoniaquizGuided Meditation by Deepak Chopra - https://beitpod.com/deepakchopraGuest Bio:Judith Joseph MD, MBA, is a board-certified psychiatrist, researcher, and award winning content creator who specializes in mental health and trauma. She is chair of the women in medicine initiative at Columbia University Vagelos College of Physicians and Surgeons, clinical assistant professor in child and adolescent psychiatry at NYU Grossman School of Medicine and Chief Investigator at Manhattan Behavioral Medicine, New York City's Premier Clinical Research Site. Dr. Judith was awarded by the US House of Representatives with a 2023 Congress Proclamation Award for her social media advocacy and mental health research. In 2024 she was named a top 6 NAACP Mental Health Champion and a VeryWell Mind top 25 Thought leader. In 2024 She taught a Workplace Mental Health Course to The Executive Office Of The President of The United States of America. In addition to being a notable public speaker at prestigious institutions, Dr. Judith is a sought after on-air expert who has been featured on Oprah Daily's The Life You Want Series, Good Morning America, The Wendy Williams Show, Tamron Hall, Today Show, CNN News With Anderson Cooper, The Mel Robbins Podcast, and more. She recently received a 2020 and 2023 Share Care Award for her MedCircle series on PTSD and a Good Morning America investigative special on ADHD. Social media's favorite psychiatrist, Dr. Judith boasts more than 880,000 followers across platforms, a 30% increase in less than a year. Her Instagram, TikTok, Facebook, and YouTube videos receive more than 15 million views per month. If you enjoyed this episode, make sure and give us a five star rating and leave us a review on iTunes, Podcast Addict, Podchaser or Castbox. https://lovethepodcast.com/BITYSIDEALS! DEALS! DEALS! DEALS! https://onlinepilatesclasses.com/memberships/perks/#equipmentCheck out all our Preferred Vendors & Special Deals from Clair Sparrow, Sensate, Lyfefuel BeeKeeper's Naturals, Sauna Space, HigherDose, AG1 and ToeSox https://onlinepilatesclasses.com/memberships/perks/#equipmentBe in the know with all the workshops at OPC https://workshops.onlinepilatesclasses.com/lp-workshop-waitlistBe It Till You See It Podcast Survey https://pod.lesleylogan.co/be-it-podcasts-surveyBe a part of Lesley's Pilates Mentorship https://lesleylogan.co/elevate/FREE Ditching Busy Webinar https://ditchingbusy.com/Resources:·        Watch the Be It Till You See It podcast on YouTube! https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-g·        Lesley Logan website https://lesleylogan.co/·        Be It Till You See It Podcast https://lesleylogan.co/podcast/·        Online Pilates Classes by Lesley Logan https://onlinepilatesclasses.com/·        Online Pilates Classes by Lesley Logan on YouTube https://www.youtube.com/channel/UCjogqXLnfyhS5VlU4rdzlnQ·        Profitable Pilates https://profitablepilates.com/about/ Follow Us on Social Media:·        Instagram https://www.instagram.com/lesley.logan/·        The Be It Till You See It Podcast YouTube channel https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-g·        Facebook https://www.facebook.com/llogan.pilates·        LinkedIn https://www.linkedin.com/in/lesley-logan/·        The OPC YouTube Channel https://www.youtube.com/@OnlinePilatesClasses Episode Transcript:Dr. Judith Joseph 0:00  I think the more you practice this, the more exposure you get to this, not only do you change, but the people around you change. I always say Anhedonia is contagious, but joy is contagious too.Lesley Logan 0:13  Welcome to the Be It Till You See It podcast where we talk about taking messy action, knowing that perfect is boring. I'm Lesley Logan, Pilates instructor and fitness business coach. I've trained thousands of people around the world and the number one thing I see stopping people from achieving anything is self-doubt. My friends, action brings clarity and it's the antidote to fear. Each week, my guest will bring bold, executable, intrinsic and targeted steps that you can use to put yourself first and Be It Till You See It. It's a practice, not a perfect. Let's get started.Lesley Logan 0:55  Ladies, and the few good men who listen, hi. This is amazing. This is exactly an episode I wanted to have since last fall. We had a whole topic on Anhedonia, and I got so many of you reaching , going oh my God, tell me more. So, I found an expert. Get your notebooks out. If you're driving, you'll hit, you'll, just listen, because you want to listen again, you're going to take some notes, and also you're going to want to get this book. So Dr Joseph's book is going to be out April 8th, and so you, normally, I don't preview that. I let you fall in love with her and then tell you, but I'm already in love. I'm going to make sure I get my hands on a copy of this book. So definitely check it out, but here, for you to get the help that you deserve and some amazing validation of who you are and what you're going through, here is Dr. Judith Joseph. Lesley Logan 1:40  All right, Be It babe. I am honored, truly. I heard about our guest today through one of my favorite people in this world, Amy Lavell, and so Dr. Judith Joseph is our guest today. She has a story to tell us, and also has done so much research, and I wanted her on the show because my high-functioning peeps, I see you, we keep talking about not being a perfectionist, not over committing, not do all this stuff, but I thought we'd have an expert come in and talk about the journey of what that does to us and how we can get out of it. So Dr. Judith Joseph, thanks for being here. Can you tell everyone who you are and what you rock at? Dr. Judith Joseph 2:12  Thank you so much, Lesley. I'm a board certified psychiatrist. I am based in New York City, and I am high-functioning. AF. All of my followers know it. I do a gazillion things on top of being a single mom. I run a lab, content creation, podcaster, author of my book High-Functioning, conducting the first ever study in the world on high-functioning depression, which is something that you know is not really recognized at all in medical literature. But I don't think the depression of our days is our grandma's depression. I think there's a whole new beast out there, and many of us don't even know that we're walking around with it. So I'm trying to demystify that and to bring useful tools to heal.Lesley Logan 2:56  Yeah, that's why I was so intrigued by you. Because what I hear all the time is like, well, I'm not depressed because I get up every day. I do 17 other things, but there's no joy in it. And so can we maybe, maybe take a step back and figure out, like, what is high-functioning depression, and what are the maybe some of the signs that we might be having it?Dr. Judith Joseph 3:15  Well, you said two really great things. You said, listen, we're still getting up. We're doing our stuff. It doesn't look like anything's wrong. And you also said something that's really key, that there's just no joy in it. And actually, the two are connected. So when you go to a doctor or therapist, they're going to pull out this bible of psychiatry called the DSM, and they're going to go through checklists. And according to the DSM, the bible of psychiatry, Diagnostic Statistical Manual, if you don't meet criteria for a lack of functioning or significant distress, but you have all these symptoms of depression, like sometimes you have poor concentration, poor sleep, feeling on edge. That's what we call psychomotor agitation or restlessness, low mood, anhedonia, which is a lack of joy and interest and pleasure in things that once used to light us up, but you don't meet that box of lack of functioning or significant distress. They're going to be like, well, you know, come back and see me when things are really falling apart. The problem with that is that there are tons of people out there who have these symptoms of depression but are still functioning and over functioning because they're the rock, right? They're the mom, they're the boss, they're the teacher, you know, they're the doctor, the nurse, that people depend on, so you can't fall apart. So how do they cope? They busy themselves. They people-please and, eventually, something's going to give either they physically burn out, they mentally burn out, they have a major depressive disorder where they actually do stop functioning. They medicate with substances or with alcohol or self-soothe by shopping too much and going broke, right? Something's gonna give. So why are we waiting for people to lose functioning to do something about this? Why aren't we preventing it? And that's where the research comes in.Lesley Logan 4:56  Oh my gosh. I think first of all, a bunch of people just were like, uh, I have all these things. That's me. I meet a lot of women who are doing all these things, and yet they don't have that joy, that anhedonia that you mentioned, and they try to get help, and the help is either medications that they don't need right now because they're not fully depressed, or they're being told to come back later, and that's so frustrating to not feel heard, and then you just keep doing because you're like, okay, well, maybe I need to do this other seven things. Maybe these things will be the thing that makes me feel better. So I know that people feel so seen, and also I really hope that this becomes the thing people can get diagnosed with, because in that bible, because it does feel like, as you said, this the depression we're having now is not from grandma, because it's true, I don't have children, but if I just were to take off for a week, my team could do a lot, but at some point I need to, like, show up, like the wheels don't spin without, you know, so , it does, it can feel like there's extra pressure on the women who are going through this. How did you get involved in this topic? Were you just seeing it as a bunch of people coming through, or is it something that you went through? Like, can you tell us a little about how you got intrigued by this? Dr. Judith Joseph 6:06  Yeah, actually, it was during 2020, I was given this talk from the same desk that I'm talking from right now, and it was a large hospital system, and it was April, and people didn't know what the pandemic was going to do. They, I mean, we didn't know anything then, and I was called in to really give people the tools to get through a tough time. And halfway through the talk, I realized, I think I'm depressed, but here I am at my desk with my gazillion degrees behind me, instructing doctors and nurses and healthcare professionals on how to heal. And I didn't even realize that I was depressed because I was a doer, you know, and I had this saying, are you a human doing, or are you a human being, right? And I think a lot of us, that's our coping mechanism, at least for me. I'm an immigrant. I come from scarcity. It was never an option of giving up. You had to, you know, if times are tough, you work harder. If you go through something like a breakup, then you just got to take on more tasks at work, you know. And a lot of us cope with our pain by busying ourselves by doing versus just being and feeling and over time that wears on you. And I found myself at that moment in time during this Zoom talk, having that epiphany, and then led me to wonder, how many people on the other side of the Zoom feel like me, because there are a lot of nurses, a lot of doctors in healthcare. Then I started looking into, you know, some I'm in Manhattan, so a lot of my clients are performers, and they went through a really hard time during the pandemic, being out of work, and then the strikes and all that. And many of them, even though they were feeling depressed, they couldn't show it. They had to mask it, because they have to perform. They have to light up a room. So I just started looking at all these different industries, moms, you know, who have to do so many things. They have to go to work, they have to take care of their jobs. They have to take care of their kids. All these people masking these symptoms and just not slowing down and doing instead of feeling and healing. And I just thought, I'm onto something. So I created a reel on socials in 2022 and it went viral. It's been seen over 10 million times around the world. And I had people reaching out to me from different countries saying, I have that. I have anhedonia. This is me. How did you know? Like people were joking, do you have a camera in my home? That's me. Lesley Logan 8:23  Yeah, yeah. Well, I mean, I like, as we're sitting here talking, we're two weeks into the new year, so the before, you're, you know, we're taking a few months before everyone's hearing this. And I have friends who are in LA. I lived in LA for 14 years, and, you know, I checked on my friends where I live, where I lived, is still there, because it's kind of in the total middle. And so they're still going to work. Their jobs still expect them to do the thing that they're supposed to do. So they're showing up and doing all the things, and I'm showing up doing all the things, and I'm kind of like, so do we, this is how we just, like handle everything now. We just like keep doing and I think part of it is like it feels normal. And a lot of times we, when there's tough times, we want to do the thing that feels normal, because we we don't want to experience the other thing. But I also think not a lot of us have the privilege in life to not keep doing when stuff is going on, so then you're kind of stuck. You have to keep going, because the world like you are, that's how you get paid, that's how you make a living, that's how all these, that's what people expect of you. And also, you know, there's this underlying currently you can't really deal with so it feels like what you're onto is something that will continue to be happening, but we need to be able to recognize it, so we can label it, so that we can actually go and address it, right? Because we can't just keep living like high functioning, you know, we can't just keep doing that depression. Dr. Judith Joseph 9:42  Yeah, you're absolutely right. I saw this meme, hilarious meme, where it was like, I told my mom I was depressed, and she said, boy, we broke. We don't got time for that, you know. And I thought it was so funny, because you're right when you go through hard times and you don't have the privilege to slow down or others depend on you even if you are economically sound, but others depend on you. You just don't feel like you have that privilege to slow down. You feel like, well, let me just do because that's what I've always done, but you're absolutely spot on, something's gonna give either your body breaks down. And I think that's why a lot of women have these autoimmune conditions, because women, particularly are like they just have so much on their plate. There's so much expected of them. They're not allowed to seem deflated because someone else is going to take your position. Someone's going to say you're on your period, or you're going through menopause. You know, there's just so much on our plates that we don't feel like we can slow down and certain under represented groups, same way, they're just happy to be in the room. Certain industries, doctors, like, if a doctor says that they are experiencing depression in certain hospital systems, they have to report it to the state. I mean, like, there are certain industries that you just can't even say that you're struggling. So I think that if we allow ourselves to process pain, it's not saying that we have to stop everything, because that's like the worst nightmare for someone who's had function AF. It's about teaching them how to get back into their body, how to process their trauma, so that once you start to feel the pain, then you can also feel the joy. But if you continue to numb and you keep on doing you're not going to be able to feel the pain, but you're also not gonna be able to feel the joys in life that we are all, you know, built to enjoy.Lesley Logan 11:28  That's so, thank you for sharing that. I think , like it's, to feel, I have a yoga teacher who is like, you cannot have one thing without the other. Like in the world, we want balance, you cannot have love in this world and not have hate. If you get rid of the hate, you get rid of the love. If you want to only have peace, there is war. Otherwise, you wouldn't know what you're in. And so if you want to have joy in your life, you do have to also feel your pain. And I think also not many of us were really raised on how to feel our pain. If I cried in public, it's like, hey, don't do that like you learn to mask it or bury it. And you brought up women with autoimmune issues. It is insane. How many women I know with multiple autoimmune issues, and you start to go, okay, what is going on here is either that we actually are testing for it, or the life that we're living now is causing us to harm our bodies in ways that are not visible, and not even things we would choose to do, but because we just keep shoving and not getting the help we need, or even if you're trying to get help, not being heard to get help. It's causing a lot of issues I feel like cannot be reversed, and we're missing out on a lot of life, you know. And you mentioned something about getting into your body that I love, because I'm a Pilates instructor, and I believe if you get into your body, you know so much about yourself. For the people listening, what are ways that you help people get in their body? What are the ways, the tools that you've used? Dr. Judith Joseph 12:49  Well, I love this Venn diagram called the biopsychosocial model, and I teach my patients. I teach my clients. It's three bubbles, if you can imagine them overlapping, but those three bubbles are a nice representation of each of us, and I always say your happiness is not the same as my happiness. Know the science of your happiness because a lot of people out there, they're trying all these different things, and it doesn't work for them, but that's because they're basing it off of the science of someone else's happiness. But there is only ever going to be one you. There's only ever going to be one Lesley, ever. I mean, when I think about that, I get chills, because it's like you're so unique. So understand what your makeup is. Understand your bio, which is basically your past history, in terms of your family history, your current medical conditions, what are the medicines you take? What are the supplements you take? You know? You have a very unique biology. Understand your psychology. That's the psycho part of the biopsychosocial you have traumas that are different than my traumas, right? You have resilience factors that are different than my resilience factors. You have a different attachment style, possibly to mine, right? Or different strengths or weaknesses psychologically. And then, the social aspect, we're just saying, I live in New York, you live in Vegas, there are different environmental factors there, right? You probably eat different foods than me, or we have different movement routines. You may have a different work environment than me, right? Understand your relationships. Those are all the social things. So we all have unique factors. And if we were taught to understand these overlapping diagrams, we would understand the science of our own happiness, and we wouldn't be chasing after someone else's happiness. That's number one. And knowing about the uniqueness of your happiness, if you're someone who tends to have a lot of pent up trauma in your body, then I could tell you to eat as much kale as possible, but that's not going to treat your trauma, right? So in that case, I'm going to focus on the psychology bubble of that Venn diagram, and I'm going to say, let's try and process that trauma. We may have to do some 5-4-3-2-1, exercises with you, or some more trauma-focused work, like EMDR work or trauma-focused therapy, making you feel safe again, because that's something that trauma survivors, you know, really grapple with that sense of safety and psychological safety, right? But if you're someone who, on the biological end of things, has an autoimmune condition, has headaches and really intolerable physiological symptoms, I'm not going to be like, well, let's put you in a trauma workshop, right? I'm going to say, let's work with your nutritionist, let's work with your movement specialist, let's work with your autoimmune doctor, and let's see if we can bring down the levels of inflammation, right? If the social issue is the problem, let's say you're in a toxic work environment, where every time you walk into work, you're triggered. Your heart is racing. You have broken self-esteem because people are like, not kind to you, and this is your job that you depend on for your livelihood. I'm not going to say, well, you know, let's have you go see your cardiologist. I'm going, to fix that fight or flight sensation in your chest, I'm going to say, it's your work environment. Let's see if we get you more support at work or get you out of that environment. So everyone has different factors going on, and I think that makes us really unique and special, but it also complicates things a bit further. So I wanted to democratize this tool that is taught in all of medicine and let everyone have access to it so they can understand their unique workup and areas that they should really focus on first and their step to understanding the science of their own happiness. Lesley Logan 16:24  I love that and I do see that there's a challenge there, because we are kind of trained that if you ask the question, you should get an answer, and that answer should help you. But it is true. You know, we all have different needs, especially, and at different times. And I love the idea of the three bubbles, because you can evaluate for yourself, oh, it is more of the psychos. That's where I need to go get help. It is more of this. But I do love like defining our own happiness, which is not easy if you never explored that, if that wasn't something that we were invited to do or even feel. And so I think that where I feel my listeners struggle, where I get a lot of questions, is almost like, how do they know if they're happy? How do they know? Because they're so busy doing and they might even feel like the pain of stuff that's going on, but they're having a really hard time feeling what's happy also, because I think as women, specifically, we sometimes feel bad if I'm happy and they're going through something, I should put things around so people can't see that I'm happy. I should bring my happiness. I should come down. So, I mean, is there tips on how to know what makes you happy? Dr. Judith Joseph 17:30  Yes, and that is why I have a happiness lab in New York City. And a lot of people don't know this, but happiness researchers, we very rarely use that word happy. People are like mind-boggled when they hear that, because a patientwho will come in to see me for private practice will say, all I want to do is be happy. And so I wear two hats. I wear the research hat and then the private practice hat, where I do traditional therapy and medication, but the research hat is really trying to understand whether or not this person's getting happy or worse, and we use points in research. And so I developed this scale, the Anhedonia Rating Scale. Anhedonia means a lack of joy and pleasure. So basically, you want to know how many points you're getting in these basic pleasures in life. If you have like, high anhedonia and you're not enjoying things, then that's a problem. I love to use these quantitative ways because unlike, you know, let's say diabetes, right? If you go on for diabetes tests, you know where your glucose is, you know where your hemoglobin A1C is. But with mental health, it's kind of harder, like you don't have a test where you can look at and say, oh, I'm getting happier, right? But these quantitative measures, these tests, are really helpful. So you can go on my website, take the Anhedonia Quiz and see if you're getting points of joy. Lesley Logan 18:44  You have a quiz? Dr. Judith Joseph 18:45  Yes, I have an Anhedonia Quiz on my website, and you can see whether or not you're getting points of joy in life. And then what I ask is that people practice the five V's, because that's based on the science of your happiness. So the five v's are, number one is validation. A lot of us with high functioning we're always pushing down our feelings if they're negative. We only talk about the good. We don't like to talk about the bad. Someone says, how you're doing, oh, I'm great, and your house could literally be burning down, and you're saying, great, you know? So I want people to start learning how to accept their emotions, whether they be negative or positive, and there are many tools that I give in my book on how to validate, because people have a hard time with validation. Number two is venting. How do you express your emotions? And there are ways to do healthy venting, but there are ways to engage in unhealthy venting. I do a lot of content on, you know, narcissistic parents, and a lot of us had parents who trauma dumped on us when it was not appropriate. So I talk about how to vent in an appropriate way and the different creative ways to vent. You mentioned crying. You know, crying is something that a lot of people don't engage in because they think from childhood they were told to stop crying, you know, like you're a cry baby. But crying is actually a very healthy way to express emotions. And when you cry and you let a good cry, your body calms down, you feel relaxed, you feel more connected to you. The third V is values. And I say that values are things that don't have price tags. They are things that are priceless. So tap into things that, you know what and when you think at the end of the day, your last minutes of life, you're not going to be like, I wish I had that Gucci bag. You're going to be like, I wish I had five minutes with my loved ones, or I wish I had 10 minutes to do something that I always wanted to do, you know? So tap into those values. Try to get part of those values once a day. For me, it's learning and sharing my knowledge with my daughter, so, like, I love to learn black history and science, and I teach her because she wants to be a scientist. That makes me feel great, or when I volunteer and I offer my expertise to underprivileged youth, because that was me at one point in life that makes me feel good, that, you know, that's a value that I'm going to be like, wow, I wish I could do. I wish I did more good in life, you know. And then the fourth is vital. So we only get one body and brain. We have to take care of it. And so, you know, that's probably a lot where you come in, in terms of understanding how to honor the mind-body connection, eating foods that decrease inflammation that are not processed, drinking enough water, getting sleep, you know, like putting that phone away and getting really rich sleep, getting movement that actually helps your longevity and makes you feel happier, and understanding how relationships can be very toxic. And I wish that this was taught in school when I was growing up, but a lot of people don't understand how negative relationships can really drain your life force, and then having that healthy work life balance that's all in the vitals. And then the fifth V is vision. How do you plan for joy in the future? And when I say a future, I don't mean like, 10 years from now. I mean like, as in an hour from now. So for example, after this podcast, I'm gonna have a nice dinner, probably curry or sushi, and I'm gonna eat it, not in front of a screen. I might watch a little bit of Emily in Paris, because that's my guilty pleasure. You know, like these are little points of joy that I'm gonna plan, to treat myself, because today I helped people. I talked with you, these are all things that I need to celebrate, but we don't celebrate but we don't celebrate that. We're like, well, we're supposed to be doing these things, you know, no, every time I get my daughter to school on time, I pat myself on the back, and I sit and I drink my coffee, my oat milk latte, and I take my time. I don't go straight to work. I go home. Take my time. It, 5, 10 minutes, and just say I did a good job. I got her to work. I got her to school on time today. These are all things that we can savor in life, but we rush, we're busy. We don't take the time. We don't treat ourselves like human beings. You know, how many times have you eaten in front of a screen and they're like, you can't even taste the food, you know, and you love the food, but you're like, did you enjoy that meal? Not really. I just needed to get rid of that hunger pain. So the five Vs can really help you to understand the science of your happiness. Once you do that Venn diagram, and then you apply the five Vs to your life, it can really make a difference and increase those little points of joy every day. Lesley Logan 23:11  I really love each one of those in a different way, also what I'm getting. I love that you introduced yourself as high functioning AF, because I do think that a lot of the people like myself and the people who listen to this podcast, we start to think like, maybe I should do less. If I just do less, then I'll be happier. But then we are not happier doing less, because we are people who want to do things, and we are high-functioning people we and so I loved that it's not necessarily about not doing stuff, it's about how you do stuff and how you acknowledge what you're doing. And I think that that's really special, because it's sort of going, going, going, it's like, yeah, pat, I got my kid, my daughter at school on time today. Way to go. Yes. We have an episode on Fridays here. It's called Fuck Yeah Friday. And just this year I changed it so, like, I share a story from Instagram or the internet that, like, inspired me, some woman who inspired me whatever she did. But then it's about sharing the wins from the listeners. So they send in a win, and sometimes they send in these wins, like I finally did, blah, blah, blah. And my favorite wins are, like, I actually made dinner for myself and I went to bed on time, and I'm like, yes, that's a win. That's a huge win. You know, we have to give ourselves credit for that, because, just because it's what you think you're supposed to be doing you not celebrating it is not going to help you enjoy doing it in the future, and it's not going to help you do it in the future. So I, those are my favorites, and so that's what the episode is about. It's about celebrating the things we did do, as opposed to like these achievements that we're waiting to celebrate until a certain time comes. I think that that is, it's hard to do. Most people can't see a win in something or a celebration in something that they're supposed to do. So thank you for highlighting that. Your book. You wrote a book. I think anyone who writes a book to get their word out into the world is amazing, because it's not the easiest thing to write a book. Who is the book for and what are you hoping they get from it?Dr. Judith Joseph 24:55  I'm glad you said that people who are high-functioning AF want to do everything, because five Vs is a lot. And I can personally say, and I say this in the book, pick one or two, because the rule of twos says you really shouldn't be working on more than one or two things at a time. But I like one and two. I like validation, because it's something we can all do. And I like venting a lot, like, sometimes I'll just be so exhausted, and I'm like, why am I so tired? I'm like, wait a second, I'm not practicing the five Vs. I validate, I acknowledge, actually, I am tired. I had a long day. And then I vent. Sometimes I say it out loud. Or I'll tell my partner, listen, I had a really busy day. Or I'll tell my daughter, I was like, oh, mommy, had a busy day, you know? Like, I then I really try. Or I'll, like, put something on Canva, on IG, and say I've had a rough day, or something like that, but I'm venting. I'm expressing. And the other things, you know, the values, I try to tap into at least something a little a day, you know, for my values, vitals, that's hard to get to. I don't work out every day. I try to, but it doesn't happen. But at least if I'm not going to work out, well, I'm going to eat well. And if I'm not going to eat well, I'm gonna sleep better or drink more water or limit my screen time. So, there's a temptation to want to do it all, but pick one or two and tap into it, and then score yourself and see if the anhedonia is getting better. And I really do believe that once you start to do these things that are not expensive, like these, are all things within your capacity, right, to democratize mental health, you can do these things, and your life will be happier. But this book is for that family member who never acknowledges how they're feeling when they struggle because they're the rock. The book is for that entrepreneur who really is afraid of bankruptcy, doesn't ever want to be in that position again, and overworks and overextends and doesn't enjoy their wins. It's for that mom out there who puts everyone before herself, who feels depleted but can't slow down because she feels empty and restless when she sits still she doesn't even know what makes her happy anymore. You know, it's for that immigrant student who feels as if everyone's dreams are on their back and they can't fail, they can't tell anyone that they're struggling, it really is for those people who wear a mask, like the educator, the teacher who spends all their money getting their students supplies, but doesn't even eat lunch, you know like you are seeing you matter, so take care of yourself, because there's no one else like you, and you're worthy of it.Lesley Logan 27:27  That is so beautiful, and I love that you can be in a different walk of life and this book is still for you, because there is, we all have these dreams and aspirations, and sometimes those are other people's dreams and aspirations on top of that, and it can just be a lot. I'm assuming the five Vs are in this book. If people want to, like, read and score and write notes, I do want to attach that I love, that you put values in there. It's something I really in this house, like, we like to all filter things through my, our values. And I'm like, that's a no, because it's not hitting one of these things, and I can't take on more than that. So I love that. And if it can fit one of these things, I could do it, but doesn't. But I never thought about, like, how to make sure I'm acting with that as a way of finding some joy. Because, yeah, that's really, really cool. And yes, I love that if you're not moving well, then eat well. And if you're not going to eat well, then you got to sleep well. You got to do something. You got to do something for your body. Yes. For you, you practice those five Vs because so in 2020 you felt like, okay, I must have this, like, high-functioning depression thing. Obviously, you worked your way through and this is where you're at, is this something that, as a high-functioning person, you might dip in and out of or you can start to recognize it. And the goal is, like you recognize it faster, so you don't go into the depression for too long before you get yourself out. Like, I guess what I'm asking is for my perfectionist is like, is this a light switch once we get over our shit, can we feel really awesome and we never have to go back? Or is this something that we gotta just monitor?Dr. Judith Joseph 28:55  I'm glad you said that, because one of the risk factors for this is something called people-pleasing. But people don't realize that people-pleasing is actually a watered down version of masochism. So before the term masochistic personality disorder was removed from the DSM, the bible of psychiatry, it was really a caricature of someone who sacrifices their own happiness for someone else's happiness, or who's constantly in a position of giving and not getting. And when people think of masochism, they think of sex. But it's not that type of masochism. It's the personality traits that makes people bend over backwards when they shouldn't be but they feel as if that's the only way right? These are doers. They do, do do but what ends up happening is that the takers, they don't, like, thank you. They're resentful of you. They're like, well, do everything because you wanted something, or did you think I wasn't capable? So it actually backfires. So falling into these traits of being a doer is a pattern. It's a way of life for so long but yeah, you're going to work on yourself, but there's going to be a time when you fall back, and I'm guilty of that too. I'm constantly oscillating. But when I start to practice the five Vs and I'm like, let me, like I just demonstrated, let me validate that I went through a hard day, let me acknowledge these feelings, it's easier for me to snap out of that downward spiral because I'm practicing these skills. And so I always explain happiness as when we think of happiness, we think of this picture in the future, like I finally got the job, or I finally got the clout, or I finally got the thing that I wanted, the person that I wanted, the home that I wanted. And then what research shows us is that when we get these things, we're still unhappy. We're on to the next right? So my philosophy has shifted to finding happiness in the now. So when I get into that slump where I'm like, looking around me and I'm like, oh, so and so is doing that, and I'm starting to feel low, and maybe I should be doing more, it's easier for me to snap back into my values, right? I acknowledge how I feel, I validate, I vent it, but then I also tap into my values. And I'm like, wait, but I don't value what they value. My values are different, and I'm pretty good right here, where I am, I'm pleased in what I value right now. So that allows me to slow down. And so I think the more you practice this, the more exposure you get to this. Not only do you change, but the people around you change. I always say anhedonia is contagious, but joy is contagious, too. If you've ever had a boss that was a micromanager who was doing everything and you all were like, oh my gosh, we're so busy, we're all burnt out. And if that something good happened to that boss, let's say they finally dated someone, or they finally got validation in life, or something happened and or maybe even they got ill and they realized this is not important. When that boss shifts, the organization shifts, right? An organization is only as good as its CEO. So I think that anhedonia is contagious, but so is joy. So when you start to shift inside, people are going to notice it. They're going to come towards you and be like something's different. I want what you have, and you may not be more successful, you may not have more money, you may not be more beautiful, but you have something that they want, and they're going to gravitate towards you, but you have to get it for yourself. They can't have what you have. And I really do think that people will start to cultivate joy within themselves by understanding the science of your happiness and applying your five Vs to your life. Lesley Logan 28:55  Oh my gosh. I feel like every woman has to get this book for their best friend, just even as preventative, even if your friend isn't going through this yet, it's true that anhedonia is contagious, and also so can that high function like the doing can be contagious too. So I really appreciate you. I feel like we could learn so much. Now I might have to just binge out on every video you make, but I can't wait to read the book when it comes out, and probably send it to 17 of my friends. So we're gonna take a brief break, though, and then find out where people can find you, follow you, work with you, get your book and then your Be It Action Items. Lesley Logan 32:58  All right, Dr. Judith, you truly have given us a wealth of knowledge. Where can people connect with you, get your book. Where do you like to hang out? Dr. Judith Joseph 33:06  So they can buy my book at drjudithjoseph.com or follow me on IG, Dr. Judith Joseph and all the socials they could find my book there. And if you order before the pub date, you get preorder bonuses, and I have courses on the science of your happiness and ways to take you through the five Vs. Lesley Logan 33:27  Oh my goodness. Thank you so much for bringing you. You really have given us a lot, the five Vs is amazing. So if that ends up being part of this Be It Action Items, that's totally fine with me, but something that caused this podcast to exist is I would be drawn to someone and love what they said, and then going, okay, like, what is my first next step, though, you know? And so the bold, executable, intrinsic or targeted steps people can take to be it till they see it. What do you have for us? Dr. Judith Joseph 33:51  I just recently did this guided meditation with Deepak Chopra, and he said something that I thought was profound. He just kept saying, lose your name and just say I am. And it's really like a part of the just be, you know, what is it to just be? And if you could just take five minutes a day just to feel your being, just to get to know yourself again, I think many of us have forgotten who we are. So if you could just be, you know, I say, be a human being, not a human doing, you could learn so much about yourself. That self-reflection time, you could practice the five V's during that time, you could just practice one, validation, right, and just be. It sounds simple, but I think it's very difficult for a lot of us to just be. Lesley Logan 34:40  To sit for five minutes is very difficult. And you guys, like, what I found is like, 30 minutes is only 2% of your day, so five minutes is, like, not even a half a percent. So I don't do math well, so don't correct me. But if we cannot take five minutes for our day, we really do have to re evaluate what we're doing and who we're doing it for, because that is not the easiest thing to just be for five minutes, but ooh, I sit in a cold plunge every morning for four minutes, four minutes. And here's why, my tub is not big enough for my whole body. So three minutes with like, shoulders, hips, stomach, ankles, and then a minute for the knees to go in. And what I can say is I don't want to do it before I get in. I step in and I'm like, why am I doing this? I get in, I'm like, the air is sucked out, and then within a few seconds, you kind of settle in, and you're like, I just have to be here for four minutes. This is all I have to do. And it really is something that I'm so grateful that I do every day, because it does let me, like, set to go okay, today is today. Here I am today. I'm not even thinking about the schedule. It's just kind of like this moment and just being in this moment, where am I feeling this and how am I doing? And I highly recommend it. You don't have to get a plunge, but it just sits still for five minutes and see how you're doing. I highly recommend. I love that Be It Action Item. I think it'll be a challenge for a lot of people, unfortunately, but also I hope it's one that they take on, because I do love that. Dr. Judith, you are fabulous. I hope to one day, run into you and see what you're doing changing this world, because I do think this, your book and what you're saying are really what people are needing to hear right now. And I also just want to highlight one more time, everything you said in those five Vs is not actually going to cost a lot of money. It's like things you can just do by evaluating and addressing. So I appreciate tips like that. So thank you being you. Lesley Logan 36:18  Y'all, how are you gonna use these tips in your life? Make sure you tag Dr. Judith, you tag the Be It Pod, share this with a friend, but this is a friend who needs to hear it, you know, sometimes we feel like we have to help everyone, and sometimes we can help them by sending Dr. Judith's words to them so that she can help them and you can go back to taking care of you. So thank you so much. And until next time, Be It Till You See It. Lesley Logan 36:39  That's all I got for this episode of the Be It Till You See It Podcast. One thing that would help both myself and future listeners is for you to rate the show and leave a review and follow or subscribe for free wherever you listen to your podcast. Also, make sure to introduce yourself over at the Be It Pod on Instagram. I would love to know more about you. Share this episode with whoever you think needs to hear it. Help us and others Be It Till You See It. Have an awesome day. Be It Till You See It is a production of The Bloom Podcast Network. If you want to leave us a message or a question that we might read on another episode, you can text us at +1-310-905-5534 or send a DM on Instagram @BeItPod.Brad Crowell 37:21  It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 37:27  It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 37:31  Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 37:37  Special thanks to Melissa Solomon for creating our visuals.Brad Crowell 37:42  Also to Angelina Herico for adding all of our content to our website. And finally to Meridith Root for keeping us all on point and on time.Support this podcast at — https://redcircle.com/be-it-till-you-see-it/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Send us a textIn this episode of The Lifestyle MD, Dr. Angela welcomes a special guest — one of her patients   — who shares his powerful journey of transformation after receiving a diagnosis of type 2 diabetes.Faced with an A1C of 9.2, Tom took ownership of his health through intentional lifestyle changes, demonstrating that true wellness is achievable with clarity, commitment, and a strategic plan.Together, Dr. Angela and Tom explore: ✅ The critical mindset shift that allowed Tom to succeed ✅ The role of real-time feedback using continuous glucose monitoring (CGM) ✅ How nutrition, meal planning, and daily habits helped him reverse course ✅ Managing setbacks without losing momentum ✅ The importance of leading by example — especially for his childrenThis conversation is full of practical insights, encouragement, and real-life strategies for anyone ready to reclaim their health. Whether you're just beginning your health journey or seeking renewed motivation, Tom's story proves that meaningful change is possible. Listen now and be inspired to take the first step toward your transformation!Quick Links: 

In this episode of the Metabolic Freedom Podcast, Ben Azadi sits down with Jason Theobald—fitness coach, IFBB Pro, and founder of Scooby Health—to deliver a masterclass on building lean muscle, optimizing fat loss, and improving metabolic health. Jason shares his top five exercises for maximum results, why muscle mass is critical for longevity, and how stress, inflammation, and poor insulin sensitivity affect fat loss. They also dive into lab testing, fat-burning supplements, keto cycling, and the power of recovery, mindset, and gratitude. Whether you're a beginner or seasoned lifter, this conversation is packed with practical tools to level up your physique and health.

Episode 2627: Vinnie Tortorich and Chris Shaffer speak to two callers about weight loss and sugar addiction, give helpful hints for success, and more. https://vinnietortorich.com/2025/04/helpful-hints-for-success-episode-2627 PLEASE SUPPORT OUR SPONSORS YOU CAN WATCH ALL THE PODCAST EPISODES ON YOUTUBE -  Helpful Hints for Success Food Revolution by Jamie Oliver inspired Hilary Boynton, a guest on episode 2621. (9:00) The first caller is Tim. Tim has been following Vinnie and NSNG® for a few years now. (11:30) Tim shares some of his weight gain and weight loss journey. He tried several diet programs over the years. (20:00) He had a hip replacement at a young age, and more weight crept up. Vinnie mentions AA and a few “old timers” he knows. (25:00) Every day is a decision not to drink. Vinnie and Tim discuss sugar addiction. Tim is currently down by 84 pounds. (38:15) He's 40 years old, and he feels better now than he did at 30 years old. Tim reminds himself that the body heals itself from the inside out. (41:00) Kelli reviews her lifestyle growing up in Wisconsin. (45:15) She has tried multiple diets, including Weight Watchers and a smoothie diet. She enjoys being NSNG® but is struggling to lose weight. A juicing or smoothie diet can help you lose weight, but you will regain weight when you return to real, non-liquid foods. Vinnie reviews with her what her typical day of eating looks like. (56:00) He advises her to get bloodwork done to get a baseline of numbers; for example, her A1C. He recommends other helpful hints like better sleep hours and getting more animal protein. More News If you are interested in the NSNG® VIP group, closed for registration, but you can get on the wait list - Don't forget to check out Serena Scott Thomas on Days Of Our Lives on the Peacock channel.  “Dirty Keto” is available on Amazon! You can purchase or rent it . Make sure you watch, rate, and review it! Eat Happy Italian, Anna's next cookbook is available!  You can go to  You can order it from .  Anna's recipes are in her cookbooks, website, and Substack–they will spice up your day!  Don't forget you can invest in Anna's Eat Happy Kitchen through StartEngine.  Details are at Eat Happy Kitchen.  There's a new NSNG® Foods promo code you can use! The promo code ONLY works on the NSNG® Foods website, NOT on Amazon. https://nsngfoods.com/   PURCHASE  DIRTY KETO (2024) The documentary launched in August 2024! Order it TODAY! This is Vinnie's fourth documentary in just over five years. Visit my new Documentaries HQ to find my films everywhere:  Then, please share my fact-based, health-focused documentary series with your friends and family. Additionally, the more views, the better it ranks, so please watch it again with a new friend! REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! PURCHASE BEYOND IMPOSSIBLE (2022) Visit my new Documentaries HQ to find my films everywhere:  REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! FAT: A DOCUMENTARY 2 (2021) Visit my new Documentaries HQ to find my films everywhere:  FAT: A DOCUMENTARY (2019) Visit my new Documentaries HQ to find my films everywhere: 

In this empowering episode, your host Louise, a multi award-winning women's integrative health practitioner, performance scientist and one of the world's leading exercise physiologists specializing in the needs of active women and recreational runners, opens up about her personal journey through the broken U.S. healthcare system—sharing real frustrations, devastating setbacks, lessons learned, and practical strategies to help you advocate for your own vibrant health and fitness. From being dismissed for "looking healthy" to getting denied essential labs, she highlights the challenges many women face, especially ambitious active women facing hormone challenges and frustrating peri/menopause symptoms.You'll learn how to prepare for a doctor's visit, including ideas of what labs and screenings to request, how to present your health history effectively, and why walking in with confidence and clarity matters. She breaks down how to blend traditional and integrative medicine for optimal care and stresses the importance of tuning into your body over relying solely on expensive tests.Whether you're trying to get answers, ditch symptoms, reverse setbacks or take a more proactive approach to your holistic wellness, this episode will leave you informed, fired up, and equipped to take charge of your healthcare journey!Ready to level up your knowledge of getting the holistic care you deserve? Let's freaking go! Tune in and take action today!Check out Function Health, using our referral link here: https://my.functionhealth.com/signup?code=LVALENTINE11&_saasquatch=LVALENTINE11 If you use our link, a small portion of the sale goes back to support our work at Breaking Through Wellness & this podcast.  Thank you!Get our free nutrition guide, weekly newsletter & explore our industry-leading Badass Breakthrough Academy here: https://www.breakingthroughwellness.com/Get our podcast listener discount of 20% off Kion's science-backed essential amino acids & more at https://www.getkion.com/maximizing  Code “LOUISE” saves on all of your future orders.Episode Highlights:(0:00) Intro(2:10) Why women's healthcare is failing and the personal motivation behind this episode(4:30) Early struggles with hormonal health and long-term impact(5:56) What Breaking Through Wellness offers and how it supports clients(7:04) How to advocate confidently at your doctor's visit(9:10) The problem with denied labs like Vitamin D and A1C(10:54) Using Function Health and customizing lab insights(12:45) Why blood tests aren't always best for hormone tracking(14:25) The frustration of functional medicine being dismissed(19:49) Advocating with lab printouts and history(22:19) Preventive screenings to include in your checklist(25:11) Liver health and when to request an ultrasound(29:54) Advocating for cardiology referrals at age 40(32:38) DEXA scans, bone health, and why you should start early(35:07) Advanced bone health labs (CTX and P1NP)(38:18) What to do if you're denied or dismissed(41:01) A look at intTune in weekly to "Maximizing Fitness, Physique, and Running Through Perimenopause" for a simple female-specific science-based revolution. Let's unlock our best with less stress!I'd love to connect!Instagram

In this episode, Dr. Sara Naseri, CEO and co-founder of Qvin, shares the powerful origin story behind the Q-Pad — a revolutionary menstrual health technology transforming the way women monitor their health.Qvin is pioneering the use of menstrual blood to provide clinically relevant, accessible diagnostics for conditions like diabetes, thyroid imbalance, fertility challenges, and even cervical cancer. Dr. Naseri discusses her 10-year journey from med school to FDA clearance, the data gap in women's health, and how menstrual blood — long stigmatized and overlooked — holds incredible untapped potential for global healthcare impact.From redefining preventative care to making diagnostics available at home, this conversation is a deep dive into innovation, accessibility, and the future of femtech.Timestamps & Sections:(00:00) - Introduction & Background Dr. Sara Nasseri, CEO and Co-Founder of Qvin, introduces the company and its mission to empower women's health through the Q-Pad—a revolutionary diagnostic menstrual pad.(01:00) - Origin of the Idea Sara shares how the concept of using menstrual blood for diagnostics was born during medical school and the long journey that followed.(04:00) - Diagnostic Utility of Menstrual Blood Discussion of early research, the lack of existing data on menstrual blood, and Qvin's role in pioneering this new area of science.(07:00) - The Q-Pad's Functionality & Empowerment How the Q-Pad works, and why accessibility, affordability, and user empowerment are core to its design.(09:00) - Clinical Applications & FDA Clearance Details on the Q-Pad's FDA clearance for hemoglobin A1c monitoring and its ability to support chronic condition management like diabetes.(13:00) - Expanding Use Cases: Cervical Cancer & Beyond Exploration of new biomarkers and the potential for non-invasive cervical cancer screening through the Q-Pad.(17:00) - Tracking Fertility, Thyroid, and Inflammation Future plans to roll out clinical-grade insights into fertility windows, hormone levels, inflammation, and perimenopause—based on strong patient demand.(22:00) - App Integration & Doctor Collaboration How the app provides users with insights, tracks health trends over time, and creates doctor-ready lab reports for easy sharing.(30:00) - Mission, Team & Global Impact Sara talks about the Qvin team's resilience, the mission to close the gender data gap, and their vision of transforming women's health globally.Key Points:• The Q-Pad enables women to collect menstrual blood at home for lab testing • FDA-cleared for Hemoglobin A1C, offering diabetes insights (Type 1 & Type 2) • Cervical cancer detection using menstrual blood could be a game-changer • Clinically validated biomarkers include fertility hormones, thyroid, inflammation, cholesterol, and vitamins • App integration allows women to track biomarkers and easily share lab reports with doctors • Built for convenience: wear like a normal pad, mail sample with prepaid return, results in one week • Accessible pricing matches average U.S. co-pays and is HSA-approved • 400+ unique proteins in menstrual blood — a largely untapped diagnostic resource • Global potential: useful in areas without regular access to doctors or labsNotable Quotes:“Menstrual blood is the most overlooked opportunity in women's health.” – Dr. Sara Naseri “We've been throwing away something that could save lives.” “No woman today should die of cervical cancer — we have the tools, we just need access.” “Be active in designing the future we want.”

Stable overnight blood sugars significantly improve A1C and make daytime management easier. Free Juicebox Community (non Facebook) JUICE CRUISE 2025 Blue Circle Health Eversense CGM Learn about the Medtronic Champions Try delicious AG1 - Drink AG1.com/Juicebox I Have Vision Use code JUICEBOX to save 40% at Cozy Earth  CONTOUR NextGen smart meter and CONTOUR DIABETES app Learn about the Dexcom G6 and G7 CGM Go tubeless with Omnipod 5 or Omnipod DASH * Get your supplies from US MED  or call 888-721-1514 Learn about Touched By Type 1 Take the T1DExchange survey *The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.  How to listen, disclaimer and more Apple Podcasts> Subscribe to the podcast today! The podcast is available on Spotify, Google Play, iHeartRadio, Radio Public, Amazon Music and all Android devices The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here or buy me a coffee. Thank you! Disclaimer - Nothing you hear on the Juicebox Podcast or read on Arden's Day is intended as medical advice. You should always consult a physician before making changes to your health plan.  If the podcast has helped you to live better with type 1 please tell someone else how to find the show and consider leaving a rating and review on Apple Podcasts. Thank you! The Juicebox Podcast is not a charitable organization.  

A case study in high cholesterolHow can I lower my Apolipoprotein B? My husband's A1c went up after taking a statin for 5 months. Help!Can you recommend a good foot cream?Using a heating pad for pain — a listener's success storyHow long of a break should I take from my supplement regimen?

Are you avoiding carbs like the plague, convinced they're the enemy of metabolic health? What if cutting out too many carbs is actually making things worse? In this episode of ReInvent Healthcare, Dr. Ritamarie Loscalzo exposes one of the biggest misconceptions in the keto community—the belief that all carbs are harmful.She breaks down why non-starchy vegetables are not the enemy, but rather an essential part of supporting metabolic health and lowering A1C. Many people following a strict keto diet drastically reduce their carb intake, often to the point of avoiding nutrient-dense vegetables. While this may show short-term benefits, what does it mean for long-term blood sugar control, insulin sensitivity, and overall health?If you've been told to limit yourself to just a few grams of carbs a day to stay in ketosis, this episode will challenge what you think you know about carbohydrates and blood sugar.What's Inside This Episode?Are You Sabotaging Your A1C Without Realizing It? – Why the way you're avoiding carbs might be doing more harm than goodThe Keto Mistake No One Talks About – What happens when you cut out too many carbs, and why some people's blood sugar worsens over timeGood Carbs vs. Bad Carbs – Are You Getting It Wrong? – If all carbs aren't created equal, which ones actually help lower A1C?What Your Doctor Won't Tell You About A1C – Is a “normal” 5.6 actually putting you at risk? When does insulin resistance really start?The Gut-Blood Sugar Connection You Can't Ignore – How does your microbiome play a role in insulin resistance and metabolic health?How to Customize Carb Intake – Why one-size-fits-all nutrition doesn't work and how to tailor your diet for optimal A1C levelsResources and LinksGet Your FREE Guide: FREE CHECKLIST: Foods that Can Reverse Belly Fat, Fatigue, and Lack of FocusJoin the Next-Level Health Practitioner Facebook Group here for resources and community.ReInvent 2025 Replay and Slides: Watch a deep dive into gut health, genetics, and lab testing here.Check out our Insulin Resistance Mastery Program for Practitioners and/or The Sweet Spot Solution for a metabolic reset.Explore Advanced Training and Resources: Visit INEMethod.com to take your practice or personal healing to the next level.Check Out Related Podcast Episodes: Dive into more metabolic health strategies here.

This discussion regarding A1C levels and Blood Sugar is between coaches Justin and Will at highcallingfitness.com. They along with coach Amanda offer various programming, dietary form, and other services. Check them out at highcallingfitenss.com.

Episode 2617: In this Wednesday's episode, Vinnie Tortorich and Chris Shaffer share some knowledge about your health, wealth, and motivation, and more.  https://vinnietortorich.com/2025/03/health-wealth-motivation-episode-2617 PLEASE SUPPORT OUR SPONSORS YOU CAN WATCH ALL THE PODCAST EPISODES ON YOUTUBE - Health, Wealth, and Motivation Motivation: you can achieve what you put your mind to. (3:00) You can learn from others and help yourself. Pure Vitamin Club is back on track, but they discovered some gaps they were unaware of until recently. (7:00) Shout out to Jackie who has been handling calls wonderfully. Vinnie references a recent caller who, despite eating strictly, is struggling to get their A1C down. (21:00) He shares how the call went and where he found problems in the caller's approach. One of the issues was a morning chocolate protein shake made with soy milk. (29:00) What is the difference between “clean” and “healthy” eating? (35:00) They compare a healthy lifestyle to investing your finances. (45:00) No need to spend money where it's not necessary. No need to waste your money on things that ultimately have negative consequences. More News If you are interested in the NSNG® VIP group, closed for registration, but you can get on the wait list - Don't forget to check out Serena Scott Thomas on Days Of Our Lives on the Peacock channel.  “Dirty Keto” is available on Amazon! You can purchase or rent it . Make sure you watch, rate, and review it! Eat Happy Italian, Anna's next cookbook is available!  You can go to You can order it from . Anna's recipes are in her cookbooks, website, and Substack–they will spice up your day! Don't forget you can invest in Anna's Eat Happy Kitchen through StartEngine.  Details are at Eat Happy Kitchen. There's a new NSNG® Foods promo code you can use! The promo code ONLY works on the NSNG® Foods website, NOT on Amazon. https://nsngfoods.com/ [the_ad id="20253"] PURCHASE  DIRTY KETO (2024) The documentary launched in August 2024! Order it TODAY! This is Vinnie's fourth documentary in just over five years. Visit my new Documentaries HQ to find my films everywhere: Then, please share my fact-based, health-focused documentary series with your friends and family. Additionally, the more views, the better it ranks, so please watch it again with a new friend! REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! PURCHASE BEYOND IMPOSSIBLE (2022) Visit my new Documentaries HQ to find my films everywhere: REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! FAT: A DOCUMENTARY 2 (2021) Visit my new Documentaries HQ to find my films everywhere: FAT: A DOCUMENTARY (2019) Visit my new Documentaries HQ to find my films everywhere:

We lifted some styrofoam plates painted like metal before this great episode! The main topic was a new study showing improved fatigue resistance for athletes doing heavy lifting twice per week. Yes... we regret to inform you that we think you should probably have a squat rack nearby. Prepare your butts.We also answered a question on carb intake after exercise, framed around a pro triathlete recently announcing that they had high hemoglobin A1C. We talk about some of the complications of that particular story, and also how high-carb fueling during training may change fueling approaches overall. This episode is not sponsored by Country Time Lemonade, but the Country Time people need to call our people.And there were so many other great topics! Other topics: our first date run in 6 months, Jim Walmsley's dominant 50k, an offer code for the Wahoo Run Treadmill, grunting during training, timing nutrition intake, creating supportive environments, why health is the missing link in many training approaches, fitness and speed offsets, watch data, cadence, and the main thing to look for if you suffer from cramps.This episode is a Public Service Announcement for medicated creams. Medicated Creams: be careful about what you put in your mouth. We love you all! HUZZAH!-David and MeganClick "Claim Reward" for $80 at The Feed here: thefeed.com/swap Use code "SWAP" for a free gift with a Kickr Run Treadmill: https://www.wahoofitness.com/devices/running/treadmills/kickr-run-buyBuy Janji's amazing gear: https://janji.com/ (code "SWAP")For weekly bonus podcasts, articles, and videos (plus hat purchases): patreon.com/swapCheck out the SWAP video series: https://youtu.be/G_o4ZR1vwXQ?si=VRdyfQtzh-K4LpMV

Thank you for joining us for another episode of the Low Carb MD Podcast. Dr. Austin Dudzinski is Board Certified clinical pharmacist with special interest in nutrition and lifestyle modification to address the root cause of chronic, cardiometabolic disease. He is a Board Certified ambulatory care clinical pharmacist at Think Whole Person Healthcare - an integrated medical home - where he works primarily with patients with chronic cardiometabolic disease with the main focus of de-prescribing and getting to the root cause of illness. In this episode, Drs. Tro, Brian, and Austin talk about… (00:00) Intro (05:02) De-prescribing and addressing the root cause of disease with diet/lifestyle (16:38) How Austin first became interested in nutrition and lifestyle interventions (19:16) Pushback from other medical professionals against Austin's new low carb ideas (21:28) GLP-1 drugs (25:30) Bringing the perspective of food addiction into the conversation with obese, metabolically unwell patients (28:19) How the average person should view GLP-1 use and compounding pharmacies (35:29) LDL Cholesterol and A1C (40:16) Cardiovascular risk assessment (44:42) What we know and what we suspect is true of cardiovascular disease (48:52) Rheumatological disease and cardiovascular risk (52:20) The gut microbiome and ketosis (59:12) Plaque reduction and coronary calcium reduction (01:07:34) An overview of drugs and supplements that reduce plaque and, in some cases, all cause mortality (01:11:19) Outro For more information, please see the links below. Thank you for listening! Links: Please consider supporting us on Patreon: https://www.lowcarbmd.com/ Resources Mentioned in this Episode: Nutrition and mental health: A review of current knowledge about the impact of diet on mental health: https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2022.943998/full The role of diet and nutrition on mental health and wellbeing: https://www.cambridge.org/core/journals/proceedings-of-the-nutrition-society/article/role-of-diet-and-nutrition-on-mental-healthandwellbeing/372284768DB78DB02EB199E277AABF79 Bottle of Lies (book by Katherine Eban): https://www.amazon.com/Bottle-Lies-Inside-Story-Generic/dp/0062338781 MESA Study: https://www.mesa-nhlbi.org/MESA_508TextOnly.htm Dr. Austin Dudzinski: Think Health Care: https://thinkhealthcare.org/providers/austin-dudzinski/ Linkedin: https://www.linkedin.com/in/austin-dudzinski-pharmd-bcacp-b1635098/ Dr. Brian Lenzkes:  Website: https://arizonametabolichealth.com/ Twitter: https://twitter.com/BrianLenzkes?ref_src=twsrc^google|twcamp^serp|twgr^author Dr. Tro Kalayjian:  Website: https://www.doctortro.com/ Twitter: https://twitter.com/DoctorTro Instagram: https://www.instagram.com/doctortro/ Toward Health App Join a growing community of individuals who are improving their metabolic health; together.  Get started at your own pace with a self-guided curriculum developed by Dr. Tro and his care team, community chat, weekly meetings, courses, challenges, message boards and more.  Apple: https://apps.apple.com/us/app/doctor-tro/id1588693888  Google: https://play.google.com/store/apps/details?id=uk.co.disciplemedia.doctortro&hl=en_US&gl=US Learn more: https://doctortro.com/community/ 

One of Tom's biggest questions was, “How much bread do I need to eat?" And, to his (and his doctor's) great surprise, he quickly found his answer by increasing his daily intake. As Tom added more Real Bread to his diet, he noticed even greater improvements in his A1C and overall bloodwork, just by adding Real Bread—made from freshly milled flour—to his daily diet.  Topics mentioned in this episode: A1C, blood sugar, diabetes, How much bread should I eat?  LISTEN NOW and SUBSCRIBE to this podcast here or from any podcasting platform such as, Apple Podcasts, YouTube, Spotify, Alexa, Siri, or anywhere podcasts are played. Past episodes mentioned: Shamra Martin - https://breadbeckers.libsyn.com/152-its-the-bread-story-with-guest-shamra-martin Erika Knott - https://breadbeckers.libsyn.com/157-its-the-bread-story-with-guest-erika-knott For more information on the benefits of REAL bread - made from freshly-milled grain, visit our website, breadbeckers.com. Also, watch our video, Only Real Bread - Staff of Life, https://youtu.be/43s0MWGrlT8. Learn more about baking with freshly-milled flour with The Essential Home-Ground Flour Book, by Sue Becker, https://bit.ly/essentialhomegroundflourbook. If you have an It's the Bread Story that you'd like to share, email us at podcast@breadbeckers.com. We'd love to hear from you! Visit our website at https://www.breadbeckers.com/ Follow us on Facebook @thebreadbeckers and Instagram @breadbeckers. *DISCLAIMER: Nothing in this podcast or on our website should be construed as medical advice. Consult your health care provider for your individual nutritional and medical needs. The information presented is based on our research and is strictly that of the author and not necessarily those of any professional group or other individuals. #a1c #bloodsugar #diabetes #carbs #dailydiet 

Alisia, 20, with T1D since 8, rejected parental myths to lower A1C via an iLet pump amid weight, thyroid challenges. Free Juicebox Community (non Facebook) JUICE CRUISE 2025 Blue Circle Health Eversense CGM Learn about the Medtronic Champions Try delicious AG1 - Drink AG1.com/Juicebox I Have Vision Use code JUICEBOX to save 40% at Cozy Earth  CONTOUR NextGen smart meter and CONTOUR DIABETES app Learn about the Dexcom G6 and G7 CGM Go tubeless with Omnipod 5 or Omnipod DASH * Get your supplies from US MED  or call 888-721-1514 Learn about Touched By Type 1 Take the T1DExchange survey *The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.  How to listen, disclaimer and more Apple Podcasts> Subscribe to the podcast today! The podcast is available on Spotify, Google Play, iHeartRadio, Radio Public, Amazon Music and all Android devices The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here or buy me a coffee. Thank you! Disclaimer - Nothing you hear on the Juicebox Podcast or read on Arden's Day is intended as medical advice. You should always consult a physician before making changes to your health plan.  If the podcast has helped you to live better with type 1 please tell someone else how to find the show and consider leaving a rating and review on Apple Podcasts. Thank you! The Juicebox Podcast is not a charitable organization.  

Misdiagnosed for over six years, Polly fought disbelief from doctors despite clear T1D antibodies. Her journey from a misguided rice diet to a staggering A1C of 17 tells a story of resilience, frustration, and finally, clarity. Free Juicebox Community (non Facebook) JUICE CRUISE 2025 Blue Circle Health Eversense CGM Learn about the Medtronic Champions Try delicious AG1 - Drink AG1.com/Juicebox I Have Vision Use code JUICEBOX to save 40% at Cozy Earth  CONTOUR NextGen smart meter and CONTOUR DIABETES app Learn about the Dexcom G6 and G7 CGM Go tubeless with Omnipod 5 or Omnipod DASH * Get your supplies from US MED  or call 888-721-1514 Learn about Touched By Type 1 Take the T1DExchange survey *The Pod has an IP28 rating for up to 25 feet for 60 minutes. The Omnipod 5 Controller is not waterproof.  How to listen, disclaimer and more Apple Podcasts> Subscribe to the podcast today! The podcast is available on Spotify, Google Play, iHeartRadio, Radio Public, Amazon Music and all Android devices The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here or buy me a coffee. Thank you! Disclaimer - Nothing you hear on the Juicebox Podcast or read on Arden's Day is intended as medical advice. You should always consult a physician before making changes to your health plan.  If the podcast has helped you to live better with type 1 please tell someone else how to find the show and consider leaving a rating and review on Apple Podcasts. Thank you! The Juicebox Podcast is not a charitable organization.  

Dr. Eric Westman, a world-renowned physician, researcher, and leading authority on ketogenic diets. He is a past president of the Obesity Medicine Association and he has been instrumental in directing clinical research on the use of low-carbohydrate and ketogenic diets for obesity, type 2 diabetes, and other manifestations of insulin resistance and metabolic syndrome for over twenty-five years. YouTube: https://www.youtube.com/adaptyourlife Book:  End Your Carb Confusion: https://a.co/d/jcYog0J Website: https://adaptyourlifeacademy.com Timestamps: 00:00 Trailer and introduction 05:12 Diet vs. medication for health 06:28 Doctors: drugs vs. nutrition advice 12:20 Food vs. medicine debate 15:30 Pharma prioritizes profit over health 18:46 GLP-1 agonists: post-surgery risks 20:40 Obesity treatment and nutritional guidance challenges 25:52 Creating a patient registry 29:24 Rethinking fat and heart health 30:31 Food over drugs for weight loss 36:22 Reevaluating hemoglobin A1C and metabolism 38:07 Evolving views on metabolic health 42:06 The blood: a medieval street 44:34 Paradigm shift towards low-carb diets 47:53 Behavioral tools for weight loss 52:54 Where to find Eric Join Revero now to regain your health: https://revero.com/YT Revero.com is an online medical clinic for treating chronic diseases with this root-cause approach of nutrition therapy. You can get access to medical providers, personalized nutrition therapy, biomarker tracking, lab testing, ongoing clinical care, and daily coaching. You will also learn everything you need with educational videos, hundreds of recipes, and articles to make this easy for you. Join the Revero team (medical providers, etc): https://revero.com/jobs ‪#Revero #ReveroHealth #shawnbaker  #Carnivorediet #MeatHeals #AnimalBased #ZeroCarb #DietCoach  #FatAdapted #Carnivore #sugarfree Disclaimer: The content on this channel is not medical advice. Please consult your healthcare provider.