Podcasts about Abdominal pain

OBGYN and mom-by-IVF, Susan Caldwell, shares the full, complicated story of her decision to pursue IVF in the past and why she'd never do it now. She's honest with us as she details the physical pain and emotional turmoil she faced due to assisted reproductive technology treatments and offers the hope of an alternative--an approach she's dedicated her professional life to sharing with other women and couples desperate to grow their families.GUEST BIO: Dr. Susan Caldwell is a primary care physician specializing in women's health and a NaProTECHNOLOGY Medical Consultant practicing near New Orleans, Louisiana. Most importantly, she is a proud mama of three amazing adult children.NOTE: This episode is appropriate for all, but does include discussion of IVF, pregnancy loss, and concerns around assisted reproductive technologies.OTHER HELPFUL EPISODES:Ep. 31: The Napro Difference, with Laura Ducote, F-NP, CFCPEp. 72: Naprotechnology, with Dr. PakizEp. 99: Client Story - Anna (Infertility: Update)Ep. 106: Creighton vs. NaProTechnology - What are they?Ep. 155: "How I got pregnant when IUIs didn't work" -- Braelyn's storyEp. 163: Healthy pregnancy in 3 cycles after being told IVF was her only hope, with LorenSend us a textSupport the showOther great ways to connect with Woven Natural Fertility Care: Learn the Creighton Model System with us! Register here! Get our monthly newsletter: Get the updates! Chat about issues of fertility + faith: Substack Follow us on Instagram: @wovenfertility Watch our episodes on YouTube: @wovenfertility Love the content? The biggest gift you could give is to click a 5 star review and write why it was so meaningful! This podcast is provided for educational and informational purposes only and does not constitute providing medical advice or professional services. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with a licensed physician. Always seek the advice of your doctor or other qualified health provider regarding a medical condition. If you think you may have a medical emergency, call 911 or go to the nearest emergency room immediately. Neither Woven nor its staff, nor any contributor to this podcast, makes any represe...

Thu, Feb 5 7:13 PM → 7:14 PM 50 Massachusetts Avenue Northeast union station ambulance responding to abdominal pain Radio Systems: - DC Fire and EMS

AEM Podcast host Ken Milne, MD, and guest skeptic Kirsty Challen, PhD, interview lead author Michael Ray, MS, DC. Learn more in the accompanying Hot Off the Press article available in The Skeptics' Guide to Emergency Medicine.

Date: November 26, 2025 Reference: Ray et al. Emergency Department Visit Frequency Among Adults with Chronic Abdominal Pain: Findings From the 2023 US National Health Interview Survey. AEM November 2025. Guest Skeptic: Dr. Kirsty Challen is a Consultant in Emergency Medicine in the UK and an evidence-based medicine advocate. She’s a seasoned knowledge translator with […] The post SGEM#494: Another day for you and me in pain – Chronic Abdominal Pain and ED visits first appeared on The Skeptics Guide to Emergency Medicine.

In this episode, Dr. Kahleb Graham (Cincinnati) joins us to chew on functional abdominal pain. Together, we explore the GI tract and the many symptoms that can result from poor gut-brain communication! From diagnosis to management, this episode is packed full of digestible insights!

Abdominal pain in EDS can be a puzzle with countless hidden pieces. In this episode, Dr. Linda Bluestein welcomes back Dr. Pradeep Chopra for part two of their exploration into gastrointestinal problems. Together, they uncover overlooked causes of abdominal pain, from drooping intestines and tethered spinal cords to mast cell activation and nerve entrapment. Listeners will hear surprising connections between the spine, bladder, ribs, and gut, with insights that could explain symptoms often dismissed or misunderstood. Takeaways: How intestines “dropping” into the pelvis complicate digestion and bladder function. Why tethered cord surgery may relieve unexpected symptoms, including GI issues. The overlooked role of mast cell activation in abdominal pain and food intolerances. How abdominal pain can actually begin in the ribs, nerves, or pelvic floor. Why abdominal migraines and CRPS challenge traditional medical thinking. Find the episode transcript here. Want more Dr. Pradeep Chopra? Website: ⁠⁠https://www.painri.com/⁠⁠Contact Dr. Chopra's Office: ⁠⁠⁠snapa102@gmail.com Want more Dr. Linda Bluestein, MD? Website:  ⁠⁠⁠https://www.hypermobilitymd.com/⁠⁠⁠. YouTube: ⁠⁠⁠⁠youtube.com/@bendybodiespodcast⁠⁠⁠⁠  Instagram: ⁠⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠⁠  Facebook: ⁠⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠⁠  X: ⁠⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠⁠  LinkedIn: ⁠⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠⁠  Newsletter: ⁠⁠⁠⁠https://hypermobilitymd.substack.com/⁠⁠⁠⁠ Shop my Amazon store ⁠⁠⁠⁠https://www.amazon.com/shop/hypermobilitymd⁠⁠⁠ To check out all of my favorite products, please click on this link: ⁠⁠https://www.hypermobilitymd.com/productswelove⁠ Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Check out the following episodes to learn more: Find previous Bendy Bodies episodes featuring Dr. Pradeep Chopra here:https://www.bendybodiespodcast.com/guests/dr-pradeep-chopra/Find previous Bendy Bodies episodes featuring Dr. Theoharis Theoharides here:https://www.bendybodiespodcast.com/guests/theoharis-theoharide/Hidden Causes of Pain ‘Down There' with Dr. Andrew Goldstein (Ep 148):https://www.bendybodiespodcast.com/hidden-causes-of-pain-down-there-with-dr-andrew-goldstein-ep-148/Hidden Causes of Painful Sex with Dr. Irwin Goldstein & Sue Goldstein (Ep 130): https://www.bendybodiespodcast.com/hidden-causes-of-painful-sex-ep-130/Slipping Rib Surgery in EDS with Adam Hansen, MD: https://www.bendybodiespodcast.com/videos/84-slipping-rib-surgery-in-eds-with-adam-hansen-md/Testosterone is Essential for Women with Dr. Kelly Casperson (Ep 131) https://www.bendybodiespodcast.com/testosterone-is-essential-for-women/Signs of Tethered Cord You Shouldn't Ignore with Dr. Petra Klinge (Ep 137): https://www.bendybodiespodcast.com/signs-of-tethered-cord-you-shouldnt-ignore-with-dr-petra-klinge-ep-137/Why Do Some GI Problems Hide from Every Test? with Dr. Zachary Spiritos (Ep 153): https://www.bendybodiespodcast.com/why-do-some-gi-problems-hide-from-every-test-ep-153/ Join YOUR Bendy Bodies community at ⁠⁠⁠https://www.bendybodiespodcast.com/⁠⁠⁠. YOUR bendy body is our highest priority!⁠⁠⁠⁠ Learn more about Human Content at ⁠⁠⁠⁠http://www.human-content.com⁠⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠⁠sales@human-content.com⁠⁠⁠⁠ Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Learn more about your ad choices. Visit megaphone.fm/adchoices

Abdominal pain in EDS can be a puzzle with countless hidden pieces. In this episode, Dr. Linda Bluestein welcomes back Dr. Pradeep Chopra for part two of their exploration into gastrointestinal problems. Together, they uncover overlooked causes of abdominal pain, from drooping intestines and tethered spinal cords to mast cell activation and nerve entrapment. Listeners will hear surprising connections between the spine, bladder, ribs, and gut, with insights that could explain symptoms often dismissed or misunderstood. Takeaways: How intestines “dropping” into the pelvis complicate digestion and bladder function. Why tethered cord surgery may relieve unexpected symptoms, including GI issues. The overlooked role of mast cell activation in abdominal pain and food intolerances. How abdominal pain can actually begin in the ribs, nerves, or pelvic floor. Why abdominal migraines and CRPS challenge traditional medical thinking. Find the episode transcript here. Want more Dr. Pradeep Chopra? Website: ⁠⁠https://www.painri.com/⁠⁠Contact Dr. Chopra's Office: ⁠⁠⁠snapa102@gmail.com Want more Dr. Linda Bluestein, MD? Website:  ⁠⁠⁠https://www.hypermobilitymd.com/⁠⁠⁠. YouTube: ⁠⁠⁠⁠youtube.com/@bendybodiespodcast⁠⁠⁠⁠  Instagram: ⁠⁠⁠⁠https://www.instagram.com/hypermobilitymd/⁠⁠⁠⁠  Facebook: ⁠⁠⁠⁠https://www.facebook.com/BendyBodiesPodcast⁠⁠⁠⁠  X: ⁠⁠⁠⁠https://twitter.com/BluesteinLinda⁠⁠⁠⁠  LinkedIn: ⁠⁠⁠⁠https://www.linkedin.com/in/hypermobilitymd/⁠⁠⁠⁠  Newsletter: ⁠⁠⁠⁠https://hypermobilitymd.substack.com/⁠⁠⁠⁠ Shop my Amazon store ⁠⁠⁠⁠https://www.amazon.com/shop/hypermobilitymd⁠⁠⁠ To check out all of my favorite products, please click on this link: ⁠⁠https://www.hypermobilitymd.com/productswelove⁠ Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Check out the following episodes to learn more: Find previous Bendy Bodies episodes featuring Dr. Pradeep Chopra here:https://www.bendybodiespodcast.com/guests/dr-pradeep-chopra/Find previous Bendy Bodies episodes featuring Dr. Theoharis Theoharides here:https://www.bendybodiespodcast.com/guests/theoharis-theoharide/Hidden Causes of Pain ‘Down There' with Dr. Andrew Goldstein (Ep 148):https://www.bendybodiespodcast.com/hidden-causes-of-pain-down-there-with-dr-andrew-goldstein-ep-148/Hidden Causes of Painful Sex with Dr. Irwin Goldstein & Sue Goldstein (Ep 130): https://www.bendybodiespodcast.com/hidden-causes-of-painful-sex-ep-130/Slipping Rib Surgery in EDS with Adam Hansen, MD: https://www.bendybodiespodcast.com/videos/84-slipping-rib-surgery-in-eds-with-adam-hansen-md/Testosterone is Essential for Women with Dr. Kelly Casperson (Ep 131) https://www.bendybodiespodcast.com/testosterone-is-essential-for-women/Signs of Tethered Cord You Shouldn't Ignore with Dr. Petra Klinge (Ep 137): https://www.bendybodiespodcast.com/signs-of-tethered-cord-you-shouldnt-ignore-with-dr-petra-klinge-ep-137/Why Do Some GI Problems Hide from Every Test? with Dr. Zachary Spiritos (Ep 153): https://www.bendybodiespodcast.com/why-do-some-gi-problems-hide-from-every-test-ep-153/ Join YOUR Bendy Bodies community at ⁠⁠⁠https://www.bendybodiespodcast.com/⁠⁠⁠. YOUR bendy body is our highest priority!⁠⁠⁠⁠ Learn more about Human Content at ⁠⁠⁠⁠http://www.human-content.com⁠⁠⁠⁠ Podcast Advertising/Business Inquiries: ⁠⁠⁠⁠sales@human-content.com⁠⁠⁠⁠ Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Learn more about your ad choices. Visit megaphone.fm/adchoices

Eva Diehl - Wiesenecker, MD - Rare Causes of Abdominal Pain: Differential Diagnosis of Uncommon but Diagnosable Causes in the Emergency Room

Eva Diehl - Wiesenecker, MD - Rare Causes of Abdominal Pain: Differential Diagnosis of Uncommon but Diagnosable Causes in the Emergency Room

Eva Diehl - Wiesenecker, MD - Rare Causes of Abdominal Pain: Differential Diagnosis of Uncommon but Diagnosable Causes in the Emergency Room

Eva Diehl - Wiesenecker, MD - Rare Causes of Abdominal Pain: Differential Diagnosis of Uncommon but Diagnosable Causes in the Emergency Room

Eva Diehl - Wiesenecker, MD - Rare Causes of Abdominal Pain: Differential Diagnosis of Uncommon but Diagnosable Causes in the Emergency Room

Eva Diehl - Wiesenecker, MD - Rare Causes of Abdominal Pain: Differential Diagnosis of Uncommon but Diagnosable Causes in the Emergency Room

Eva Diehl - Wiesenecker, MD - Rare Causes of Abdominal Pain: Differential Diagnosis of Uncommon but Diagnosable Causes in the Emergency Room

Eva Diehl - Wiesenecker, MD - Rare Causes of Abdominal Pain: Differential Diagnosis of Uncommon but Diagnosable Causes in the Emergency Room

Gut health and constipation are closely linked, with imbalances in gut microbiota contributing to constipation. Factors like diet, lifestyle, and certain medical conditions can affect both gut health and bowel movements, leading to constipation. In this episode, Dr. Tom Roselle, DC shares eye-opening insights, surprising triggers, and simple real-life fixes to help you get things moving again—naturally and effectively. Listen to the Ageless Health with Dr. Tom Roselle, DC podcast at https://www.drtomroselle.com/ageless-health-podcast/ #agelesshealth @dctomroselledc @WMALDC @rosellecare #appliedkinesiology #constipation #hardstools #IBS #irritablebowelsyndrome #bloating #abdominalpain #nausea #stomachache #stomachcramps #stress #anxiety #inflammation #fat #weightloss #bowelhealth #bowlemovement #hydration #guthealth #nutrition #diet #diarrhea #migraine #guttoxicity #immunesystem

    Episode description RR discuss abrupt abdominal pain, nausea and vomiting   Student discount https://www.rlrcpsolvers.com/student-discounts/   IMG discount Use coupon code RLRIMG at check out  https://rlrcpsolvers.com/annual-plan

Dr. Tom Roselle, DC discusses how gut toxicity can contribute to chronic inflammation. Look out for the signs including diarrhea, cramping, blood in the stool, loss of appetite and extreme fatigue. Listen to the Ageless Health with Dr. Tom Roselle, DC podcast at https://www.drtomroselle.com/ageless-health-podcast/ #agelesshealth @dctomroselledc @WMALDC @rosellecare #appliedkinesiology #constipation #hardstools #IBS #irritablebowelsyndrome #bloating #abdominalpain #nausea #stomachache #stomachcramps #stress #anxiety #inflammation #fat #weightloss #bowelhealth #bowlemovement #hydration #guthealth #nutrition #diet #diarrhea #migraine #guttoxicity

When clients come to work with me, one of the most common stories I hear is: "I've already spent THOUSANDS of dollars healing." This story often comes with a mix of bitterness, grief, and discouragement, but the most dangerous emotion it can come with is distrust. While other emotions like bitterness and grief can be painful or heavy to bear, distrust is one of the most dangerous emotions I see potential clients have because it breaks their ability to rely on others. Relying on others is something we all need to heal, because whether it's a matter of paying an expert to help us do something or simply trusting a friend or family member to care about us and bear our burdens with us, distrust sows the seed of unwillingness to move forward and get what we actually need to heal - others. That's why, on today's episode, I'm digging into the topic of how to handle the distrust that comes along when multiple providers or "solutions" you've paid time, money, and effort on end up in disappointment and pain. On this episode, I'll be sharing parts of my own personal story with distrust and discouragement in my health along with quotes from a book I've been digging into on trust, and stories from the lives of my clients. Whether you're trying to heal your gut, hormones, thyroid, brain, or any other set of symptoms or diagnoses - I hope this episode encourages you and gives you brain something new to chew on as you move forward in healing. TIMESTAMPS:00:00 - Introduction: The Struggle with Healing and Distrust 00:57 - Today's Episode: Handling Distrust in Healing 01:13 - Personal Stories and Insights on Trust 02:46 - The Importance of Mental, Emotional, and Spiritual Health 03:32 - Lysa TerKeurst and Her Work 07:01 - Trust Issues with Providers and Practitioners 13:35 - Acceptance and Moving Forward 26:00 - Practical Tips for Trust and Healing 33:35 - Resources and Final Thoughts EPISODES MENTIONED:33// How to Know It's Time to Get Help + How to Find a GOOD Health Practitioner233// H. Pylori: Symptoms of H. Pylori, How to Interpret H. Pylori Test Results, and Why H. Pylori Treatments FailDownload our Podcast Vault and find all our testimonials in the "Testimonials" category, plus some sprinkled in categories by symptom!Top 10 Favorite Podcast Testimonials:Abby (First Testimonial on Podcast): 13// Drop Sugar Cravings, Lose Weight, and Get Glowing Skin [Client Testimonial – Abby Herman]Abby Pt. 2 (Year Later): 96// How to Permanently Heal Your Gut [Client Testimonial – One Year Later]Dessie (Healthy Mom): 35// Get Rid of Abdominal Pain, Joint Pain, and Fatigue, Lose 10 lbs., and Feel Better Than Ever [Client Testimonial – Dessie]Jessica (Hormones, PCOS):

Dr. Tom Roselle, DC discusses IBS, a common disorder that affects the large intestine and can cause a variety of symptoms, including constipation and diarrhea. Listen to the Ageless Health with Dr. Tom Roselle, DC podcast at https://www.drtomroselle.com/ageless-health-podcast/ #agelesshealth @dctomroselledc @WMALDC @rosellecare #appliedkinesiology #constipation #hardstools #IBS #irritablebowelsyndrome #bloating #abdominalpain #nausea #stomachache #stomachcramps #stress #anxiety #inflammation #fat #weightloss #bowelhealth #bowlemovement #hydration #guthealth #nutrition #diet # diarrhea

Dr. Tom Roselle, DC discusses three common factors that can significantly impact bowel regularity. Listen to episodes of Ageless Health with Dr. Tom Roselle, DC at https://www.drtomroselle.com/ageless-health-podcast/ #agelesshealth @dctomroselledc @WMALDC @rosellecare #appliedkinesiology #constipation #hardstools #IBS #irritablebowelsyndrome #bloating #abdominalpain #nausea #stomachache #stomachcramps #stress #anxiety #inflammation #fat #weightloss #bowelhealth #bowlemovement #hydration #guthealth #nutrition #diet

Nutritionist Leyla Muedin discusses the benefits of drinking water over diet beverages for women with type 2 diabetes, highlighting a study that found water consumption led to greater weight loss and a higher rate of diabetes remission. Additionally, the episode explores how a low FODMAP diet can alleviate gastrointestinal symptoms for women suffering from endometriosis. Leyla explains the science behind FODMAPs and provides practical dietary advice for those affected by these conditions.

Struggling with a bloated stomach after eating or chronic abdominal distension? In this episode, I'll explain why dysfunction in three major systems causes bloating and reveal 5 evidence-based microbiome fixes that can help reduce stomach bloating while healing your gut naturally.   Start healing with us! Learn more about our virtual clinic:  https://drruscio.com/virtual-clinic/   Free downloadable Low FODMAP Diet guide: https://drruscio.com/guides/get-low-fodmap-diet-guide/   Featured products: Elemental Diet: https://store.drruscio.com/products/elemental-heal Triple Therapy Probiotics: https://store.drruscio.com/products/triple-therapy-probiotic Biota Clear Series: https://store.drruscio.com/search?q=biota+clear Biota Dissolve: https://store.drruscio.com/products/biota-dissolve VaguStim: https://vagustim.io/  

A 50 yo woman presents with a 6-month history of intermittent RUQ abdominal pain, bloating and nausea, particularly after eating fatty food, describing the discomfort as sharp, occasionally radiating to the right shoulder, usually lasting around 45 mins,  and accompanied by eructation.  She is currently without distress, stating that, “I cut back on food that I know bothers my stomach.  Physical exam reveals, BMI=35, no jaundice, mild RUQ abdominal tenderness and negative Murphy's sign.  Which of the following is the next step in her care?  A. Provide a 1-month trial of proton pump inhibitor (PPI) therapy.B. Refer to surgery for further evaluation.  C. Order a RUQ ab for abdominal ultrasound and hepatic enzymes.D. Obtain serum H. pylori testing.  ---YouTube: https://www.youtube.com/watch?v=qZSVLmpbTEA&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=118Visit fhea.com to learn more!

https://bit.ly/4mDRbKKAula de Laringoscopia: O passo a passo para fazer do jeito certo.

Right Side Abdominal Pain: Could Your Alcohol Use Be Causing It?Ready to quit drinking? Imagine, no more hangovers! Find out how and get a free copy of my bestselling book:Free quit drinking webinar - https://www.stopdrinkingexpert.com/Not a replacement for professional medical advice.#sober #stopdrinking #soberlife #alcoholfree #quitdrinkingSupport the show

Encouraging physicians to make a diagnosis of irritable bowel syndrome and prescribe medication for it is big business. I'm not saying that medication for IBS is never a good idea or never effective, but I am saying that it is often an overly expedient solution that doesn't usually lead to lasting relief for the simple reason that IBS consists of multiple different conditions. Since there is no one unifying diagnosis of "IBS" there can't be one unifying pharmaceutical solution. We'd love to hear from you - send us a text!Thank you for being a part of our community! For the latest in digestive wellness go to https://gutbliss.com and follow us on https://www.instagram.com/gutbliss/ for more gut health info. Dr. Robynne Chutkan

This week's episode is another example of why you should reject a blanket diagnosis of irritable bowel syndrome, and ask your doctor to roll their sleeves up and help you uncover the root cause of your symptoms. The solution for everyone who's diagnosed with IBS is not always a diet change. But it should never just be "your bowel is irritable and here's a drug".We'd love to hear from you - send us a text!Thank you for being a part of our community! For the latest in digestive wellness go to https://gutbliss.com and follow us on https://www.instagram.com/gutbliss/ for more gut health info. Dr. Robynne Chutkan

Host: Jasmine T. Kency, M.D., Associate Professor of Internal Medicine and Pediatrics at the University of Mississippi Medical Center.Topic: Abdominal PainEmail the show any time women@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.

America's food fight and dietary guidelinesMy son-in-law suffers from bloating and abdominal pain. Any suggestions?I have positive but low anti-gliadin antibodies. Should I embark on a gluten-free diet?

CardioNerds co-founders Dr. Daniel Ambinder and Dr. Amit Goyal are joined by Dr. Spencer Weintraub, Chief Resident of Internal Medicine at Northwell Health, Dr. Michael Albosta, third-year Internal Medicine resident at the University of Miami, and Anna Biggins, Registered Dietitian Nutritionist at the Georgia Heart Institute. Expert commentary is provided by Dr. Zahid Ahmad, Associate Professor in the Division of Endocrinology at the University of Texas Southwestern. Together, they discuss a fascinating case involving a patient with a new diagnosis of hypertriglyceridemia. Episode audio was edited by CardioNerds Intern Student Dr. Pacey Wetstein. A woman in her 30s with type 2 diabetes, HIV, and polycystic ovarian syndrome presented with one day of sharp epigastric pain, non-bloody vomiting, and a new lower extremity rash. She was diagnosed with hypertriglyceridemia-induced pancreatitis, necessitating insulin infusion and plasmapheresis.   The CardioNerds discuss the pathophysiology of hypertriglyceridemia-induced pancreatitis, potential organic and iatrogenic causes, and the cardiovascular implications of triglyceride disorders. We explore differential diagnoses for cardiac and non-cardiac causes of epigastric pain, review acute and long-term management of hypertriglyceridemia, and discuss strategies for the management of the chylomicronemia syndrome, focusing on lifestyle changes and pharmacotherapy.  This episode is part of a case reports series developed in collaboration with the National Lipid Association and their Lipid Scholarship Program, with mentorship from Dr. Daniel Soffer and Dr. Eugenia Gianos. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls - Hypertriglyceridemia Cardiac sarcoidosis can present with a variety of symptoms, including arrhythmias, heart block, heart failure, or sudden cardiac death. The acute management of hypertriglyceridemia-induced pancreatitis involves prompt recognition and initiation of therapy to lower triglyceride levels using either plasmapheresis or intravenous insulin infusion +/- heparin infusion. Insulin infusion is used more commonly, while plasmapheresis is preferred in pregnancy.   Medications such as fibrates and omega-3 fatty acids can be used to maintain long-term triglyceride reduction to prevent the recurrence of pancreatitis, especially in patients with persistent triglyceride elevation despite lifestyle modifications. Statins can be used in patients for ASCVD reduction in patients with a 10-year ASCVD risk > 5%, age > 40 years old, and diabetes or diabetes with end-organ damage or known atherosclerosis. Consider preferential use of icosapent ethyl as an omega-3 fatty acid for triglyceride lowering if the patients fit the populations that appeared to benefit in the REDUCE IT trial.   Apply targeted dietary interventions within the context of an overall healthy dietary pattern, such as a Mediterranean or DASH diet. Limit full-fat dairy, fatty meats, refined starches, added sugars, and alcohol. Encourage high-fiber vegetables, whole fruits, low-fat or fat-free dairy, plant proteins, lean poultry, and fish. Pay special attention to the cooking oils to ensure the patient is not using palm oil, coconut oil, or butter when cooking. Instead, use liquid non-tropical plant oils. Initiate a very low-fat diet (< 5% of total daily calories from fat) for 1-4 weeks when TG levels are > 750 mg/dL.  Recommend and encourage patients to exercise regularly, with a minimum goal of 150 minutes/week of moderate-intensity aerobic activity. If weight loss is required, aim for more than >225 - 250 minutes/week.   Develop patient-centered and multidisciplinary stra...

This episode covers abdominal pain in children.Written notes can be found at https://zerotofinals.com/paediatrics/gastro/abdominalpain/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

Dr. Shouhed is a nationally renowned, board-certifiedminimally invasive weight loss surgeon with expertise in Robotic Bariatric, Gastrointestinal, and Complex General Surgery. He was born and raised in Los Angeles, California, and graduated summa cum laude from UCLA with adegree in Human Physiology.  Dr. Shouhed earned early recognition, a Phi Beta Kappa induction, and a near-perfect MCAT score, which secured him a placeat UCSD School of Medicine with the highest merit-based scholarship. Dr. Shouhed completed his general surgery residency training at Cedars Sinai (#2Hospital in the country), where he graduated as Administrative Chief Resident.  He completed his fellowship at Mount Sinai Hospital in New York, the first fellowship in the country, where he focused on minimally invasive bariatric, foregut and complex general surgery. Dr. Shouhed is also Medical Director of the Bariatric Surgery and Metabolic Weight Loss Center, Providence Saint John's Hospital.  Our focus today is really about the vascularabdominal syndromes that we can see so prevalent in connective tissue disorders & complex conditions. Please get us started with a description of the anatomy of the abdomen, including the GI organs, but also the ligaments &connective tissue that holds these organs in place and the vasculature that feeds them oxygen & carries away metabolic wastes.     Now, let's get into the syndromes that we wantto focus on today & we're going from the top down because that's how they might be unlocked, meaning closest to the heart to the most distant to the heart and in the pelvis, that's from chest to pelvis direction.     a. MALS: median arcuate ligament syndromeb. SMAS: superior mesenteric artery syndrome(duodenal comp) (meat?)c. Nutcracker: renal vein compressiond. May Thurner: iliac vein compressione. Pelvic congestion syndromes including pelvicvenous insufficiency, vaginal/ labial varices  For each we talk about: a. Symptomsb. Evaluation c. Treatment: ancillary tx? Visceral manipulation? What would a patient look for in a provider? Whois doing this care? How easy/ common are folks doing these treatments? Howoften can or do treatments go wrong? We end with discussing: where is research going with this? To find out more about our clinic (and request a call back): ⁠https://www.neurovedahealth.com/⁠- Phone: 206-379-1213- Email Reception@neurovedahealth.com

Let's start your week strong with a quick tip you can incorporate right away. In this Mo's Monday Minute shortie episode, I'm sharing insight on one of the most mysterious of things in the clinical setting - abdominal pain. Many times it can be something simple and easily fixable like gas pains and other times it's a true emergency. ___________________ FREE CLASS - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! 20 Secrets of Successful Nursing Students – Learn key strategies that will help you be a successful nursing student with this FREE guide! All Straight A Nursing Resources - Check out everything Straight A Nursing has to offer, including free resources and online courses to help you succeed!

When I first met Jamie, she had been dealing with gut health issues, as of a mom of 2, since high school. She'd spent all of her developing years searching for a solution to her bloating, constipation, and acid reflux - only to get answers from doctors that never worked OR made her feel worse. Suggestions like drink more water, eat fiber, take probiotics, or use laxatives either didn't work or made her feel WORSE.Enter: the Better Belly Blueprint.After a cruise that made her feeling worse than ever, Jamie stumbled across the Better Belly Podcast (this podcast!) and our proven solution to all gut health issues: the Better Belly Blueprint. After just ONE MONTH following her personalized protocols she built in the program using our protocol templates and her unique lab results, Jamie was having daily bowel movements and NO bloat - for the first time in decades!!Now, Jamie is joining us on the podcast to share her story of how taking a step of faith in one more solution for her gut not only helped her while in the program, but has created sustained change in her - even a year after finishing the program.If you're a little like Jamie and have been dealing with gut health issues for years, or even decades, and are tired of the same bloat, constipation, and acid reflux recommendations that don't work - then this episode is for you.Tune in to learn exactly how Jamie found natural constipation relief for her bloated belly - and why this solution could be for you, too. TIMESTAMPS00:00 Jamie's Gut Health Journey Begins 00:27 Introducing the BetterBelly Blueprint 00:41 Jamie's Transformation with the Blueprint 01:35 Welcome to the BetterBelly Podcast 02:39 Jamie's Experience with the Blueprint 03:57 Jamie's Health Before the Blueprint 07:24 Life After the Blueprint 15:44 The Cost of Gut Health Solutions 22:24 The Financial Strain of Health Investments 23:26 Transitioning from Traditional to Functional Medicine 24:02 Comparing Health Investments to Other Expenses 25:43 Balancing Motherhood and Health Commitments 26:13 The Value of Group Coaching and Personal Insights 29:10 Discovering Food Sensitivities and Their Impact 30:55 Understanding Temporary vs. Permanent Food Sensitivities 33:39 The Importance of Salt and Mineral Balance 37:04 Encouragement for Taking Control of Your Health 41:02 The Journey to Better Health and Final ThoughtsEPISODES MENTIONED:165// The Constipation Magnesium Myth178// Why Constipation Medicine and Laxatives Are Not Helping + What to Do When Probiotics, Fiber, Water, and Magnesium Aren't Working232// Is Sodium Deficiency Causing Your Bloating and Constipation?35// Get Rid of Abdominal Pain, Joint Pain, and Fatigue, Lose 10 lbs., and Feel Better Than Ever [Client Testimonial – Dessie]GET RESULTS LIKE JAMIE!Option #1)

Danni Hertel (aka foodie_with_da_booty) has turned her passion for baking into a full time career. She is known for putting a fresh spin on classic treats. Her recipes have been featured in the Houston Chronicle, she has worked with dozens of celebrities and she has even won Best Holiday Cookie for the Houston area in 2021. While she enjoys bringing tasty treats to the masses, behind the scenes not everything is so sweet. For almost 5 years she has been dealing with intense abdominal pain, which is set off almost every time she eats. Danni has been through every test her doctors can think of, but her pain remains a mystery. She experiences early satiety (getting full quickly when eating), bloating, nausea and sharp shooting pains that often leave her curled up in agony. This condition seems to be flared not only by eating, but by external stress and anxiety. Doctors often don't take her complaints seriously, blame it on anxiety, or even on the fact that she is a woman. She says, "A young woman walking into a hospital or ER complaining of stomach pains, the first thing they always think of, oh, it's your cycle, you're pregnant ... and so I've been tested for pregnancy a million times because that's what they think it is." In this episode of the Major Pain podcast, Danni describes her quest to diagnose her medical mystery. She shares the mental toll her journey has taken, including the development of an avoidant eating disorder. Since she experiences pain so often after eating, she struggles to eat at all. She tells us about the tests she has undergone, the potential diagnoses her doctors have discussed and the immense impact her symptoms have had on her life. Even though this situation has been extremely difficult, it has also prompted intense personal growth. She shares the things she's learned, the ways she's changed and how this challenge has helped her become a better person. After hearing Danni's story, please reach out to majorpainpodcast@gmail.com if you have any ideas of what might be causing her symptoms. Connect with Danni on her website: https://www.foodiewithdabooty.com/ PlayWatch the episode on YouTube, or listen on your favorite podcast platform.

In this episode, hosts Drs. Peter Lu and Jennifer Lee talk to Dr. Ann Ming Yeh about non-pharmacological treatment for children and adolescents with chronic abdominal pain and nausea, including lifestyle modification, herbal supplements, and acupuncture. Dr. Yeh is a pediatric gastroenterologist at Lucile Packard Children's Hospital and Clinical Professor at Stanford University.Learning Objectives:Understand the definition of integrative health.Recognize herbal supplements that can help children with chronic abdominal pain and nausea.Recognize the role of acupuncture for children with chronic abdominal pain and nausea.Links:Natural Medicine Database: https://naturalmedicines.therapeuticresearch.com/CHOP Integrative Health Resources: https://www.chop.edu/centers-programs/integrative-health/resources National Pediatric Hypnosis Training Institute (NPHTI): https://www.nphti.org/Helms Medical Institute: https://hmieducation.com/Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

Send us a textStomach cancer, often referred to as gastric cancer, is a sneaky cancer.  Its symptoms can be easily mistaken for more benign conditions like indigestion or acid reflux, making early detection a challenge. In our latest podcast episode, we delve into this complex disease with the help of two esteemed experts: gastroenterologist Dr. Walid Chaloub, and Dr. Ritu Mukherji, a medical oncologist from MedStar Georgetown Cancer Institute in D.C. Host Debra Schindler explores the biology of stomach cancer with her physician guests to understand how mutations in the DNA of stomach cells can lead to uncontrolled growth and tumor formation. This formidable disease often goes unnoticed until it has advanced significantly, highlighting the critical need for awareness and early detection. Dr. Mukherji shares the various risk factors associated with stomach cancer, including smoking, diet, and certain bacterial infections like H. Pylori. She emphasizes the importance of molecular testing in diagnosing and treating this disease, as it can reveal specific mutations that may be targeted with personalized therapies. The episode also explores the different diagnostic tools available, such as endoscopy and CT scans, and the role of tumor markers in assessing the presence of cancer. While these tools are invaluable, Dr. Mukherji stresses that they are not foolproof, underscoring the importance of comprehensive testing and expert analysis. One of the most enlightening parts of the discussion is the potential for treatment and even cure. While surgery is a common approach, not all patients are candidates. The podcast highlights the evolving role of chemotherapy, immunotherapy, and targeted therapies, offering hope to those battling this disease. Listeners will gain a deeper understanding of the symptoms to watch for, the importance of genetic predispositions, and the latest advancements in treatment. This episode is a must-listen for anyone interested in learning more about stomach cancer, whether for personal knowledge or to support a loved one. Tune in to this informative episode to arm yourself with the knowledge needed to recognize the signs of stomach cancer early and explore the treatment options available. Your Health, or that of someone you care about, could depend on it.---For more episodes of MedStar Health DocTalk, go to medstarhealth.org/doctalk.

Have you ever been diagnosed with IBS-C, IBS-D, or IBS-M?Do you have severe constipation, but no diet change, supplements, or doctor visits have helped?Do you have anxiety, fatigue, or weight gain - despite doing lots of things to manage all 3?Do you flip between constipated and getting diarrhea, and have no idea how to stop the cycle?Or - do you have unexplained diarrhea that diet changes and supplements haven't helped?If you said yes to any of these questions, then you may have a pathogen called Clostridium Difficile, or for short - C. Diff! Continuing with week 5 of our 7 pathogen series, today I'm going over:What Clostridium Difficile isCommon C. Diff. symptoms (like bloating and constipation OR diarrhea!)Less-common symptoms of C. Diff. (that you most likely have)How C. Diff. is spreadHow long C. Diff. can lastThe best chronic C. Diff. testingWhy C. Diff. gets overlookedAnd how to identify a good - and bad - C. Diff. protocolI'm going to debunk every single myth I can think of, because the #1 reason that clients who work with me AREN'T feeling after ALL the work they've done on their health is because of ALL the little things that can go wrong - but don't HAVE to go wrong. In part 5 of this series, I'm going to point you to the FASTEST way to heal. Because NO pathogen needs to be ruling your life. It's time to feel your best, have energy, and get back to your life.It's time to find, and kill, some C. Diff.EPISODES MENTIONED:41// Anxiety, depression, or ADHD? One reason to check your gut214// Is this Gene Mutation Making Your ADHD Worse?118// LIVER: The #1 Thing You Can Do to Ease Bloating and PMS45// The Gut-Skin Connection: Is your gut flaring up your skin?47// The Gut-Sinus Connection113// Crush Abdominal Pain & Get 90% of Your Energy Back [Dessie Pt. 2]35// Get Rid of Abdominal Pain, Joint Pain, and Fatigue, Lose 10 lbs., and Feel Better Than Ever [Client Testimonial – Dessie]HEAL YOUR GUT - FOR GOOD!Option #1)

Do you suspect you have mold toxicity? Have you tried numerous protocols without results?  In this episode, mold expert Dr. Andrew Campbell explains how he determines the mold toxicity warning signs and his 4-step treatment protocol for healing.  Dr. Campbell's Immune Questionnaire: https://drive.google.com/file/d/1qEDuNgxRuY4XX34uc87EqvaUR0TOpTae/view  

Today we're talking all about my favorite: The pelvic floor. From how the pelvic floor changes in pregnancy, birth, and postpartum, to what the signs and symptoms to see a pelvic floor PT are, to what happens at an actual appointment… we cover it all. Joining me today on Yoga | Birth | Babies for this conversation is Dr. Amy Stein. Amy is a premiere physical therapist and is at the forefront of treating pelvic floor disfunction and pelvic pain. In addition to being the founder of Beyond Basics PT, Amy has served as the President – and is currently on the advisory board – of the International Pelvic Pain Society. As an award-winning author, Amy has written books on pelvic pain (Heal Pelvic Pain) and endometriosis (Beating Endo: How to reclaim your life from Endometriosis) and created a video on pelvic pain (Healing Pelvic Pain and Abdominal Pain). Amy is also a co-editor of Healing in Urology as well as a featured author in many medical textbooks, including Pelvic Pain Management, Female Sexual Pain Disorders: Evaluation and Management, Management of Sexual Dysfunction in Men and Women, and The Overactive Pelvic Floor. Amy's bio speaks for itself, and it goes without saying that she is the ideal person to have on for this discussion which I am so happy to bring you. Happy listening and happy learning! Get the most out of each episode by checking out the show notes with links, resources and other related podcasts at: prenatalyogacenter.com Don't forget to grab your FREE guide, 5 Simple Solutions to the Most Common Pregnancy Pains HERE  If you love what you've been listening to, please leave a rating and review! Yoga| Birth|Babies (Apple) or on Spotify! To connect with Deb and the PYC Community:  Instagram & Facebook: @prenatalyogacenter Youtube: Prenatal Yoga Center Learn more about your ad choices. Visit megaphone.fm/adchoices

A 14 yo presents with a 4 h history of sudden onset LLQ abdominal and scrotal pain, described as a pulling, burning sensation. He denies vomiting, diarrhea or constipation, and reports mild nausea and is taking fluids without difficulty. HPI is negative for recent trauma to the region, dysuria, penile discharge, genital lesions or fever. He reports milder, similar episodes during the past 3 months, “that just went away.” Physical exam reveals loss of the cremasteric reflex, negative Blumberg sign and a high riding left testicle.A. Testicular NeoplasiaB. Acute EpididymitisC. Incarcerated Inguinal HerniaD. Testicular TorsionVisit fhea.com to learn more!

Thanks for listening!

Do you deal with abdominal pain or cramps? They're never comfortable and can be down right painful. We're gling to to talk about why they happen, the different types of abdominal pain/cramps you can experience, and of course, what to do about it. TOPICS DISCUSSED: What cramps are and what parts of the body are actually experiencing them What pain and cramps can mean for you What sorts of things can trigger cramps 10 different types of abdominal pain we can experience Why it's so hard for doctors to diagnose abdominal pain How to reduce pain, bloat and cramping   Join our Rerversing IBD Community: Click here to learn more about how to reverse IBD inside our community!   Contact us: reversablepod.com/tips    Leave us a Review: https://www.reversablepod.com/review   SOCIAL MEDIA: Instagram  Facebook  YouTube  

This summer on the Better Belly Podcast, I am releasing 2 episodes every week for a summer of Double Dipping.We already have over 200 amazing podcast episodes, so I'm spending time this summer reviewing some of our best podcast episodes in different categories. Last week, I shared the top 8 gut health myths that we've busted on the Better Belly Podcast (on episode 204). And today, I'm sharing 10 of my favorite gut health testimonials that we've put on the Better Belly Podcast.Through the Better Belly Method, we've had women overcome everything from constipation, bloating, acid reflux, chronic fatigue, PCOS, endometriosis, IBS, and fibromyalgia. If you are looking for encouraging, heart-warming, educational stories on how 10 women overcame it all when their doctors said they couldn't - then this episode is for you.EPISODES MENTIONED:Testimonials: Abby (First Testimonial on Podcast): 13// Drop Sugar Cravings, Lose Weight, and Get Glowing Skin [Client Testimonial – Abby Herman]Abby Pt. 2 (Year Later): 96// How to Permanently Heal Your Gut [Client Testimonial – One Year Later]Dessie (Healthy Mom): 35// Get Rid of Abdominal Pain, Joint Pain, and Fatigue, Lose 10 lbs., and Feel Better Than Ever [Client Testimonial – Dessie]Jessica (Hormones, PCOS): 67// Endometriosis, Brain Fog, Eczema, Fatigue, Irritability, and Insomnia – How to Fix It All 40% or more in 3 Months [Client Testimonial -Jessica]Sharon (Fibromyalgia): 76// Heal Your Fibromyalgia [Testimonial – Sharon Pt. 1] BONUS Episode: 83// The IBS-Fibromyalgia Connection Becca (IBS): 79// Overcoming a Decade of IBS, Weight Gain, Sleep Problems, and Fatigue – Testimonial with my client BeccaAnitra (Constipation): 117// End Six Years of Constipation in One Month [Testimonial – Anitra]Ti (Worked with me b/c of Anitra's episode): 158// How She Ended a Decade of Chronic Constipation in 1 Month [Testimonial - Ti]Helaine (Not too old to heal): 130// Feel Like a Digestive Nightmare? Achieve No Bloat, No Pain, and No Constipation in 6 months with My Client HelaineRachel (Never too recent of a problem to heal):

This episode is part 2 of episode 213. Utilizing evidence-based research and the latest clinical guidelines, the presentation will examine the multifactorial nature of chronic constipation, including non-pelvic interventions that can complement existing treatments. One key aspect will be the practical application of the balloon catheter, demonstrating its effective use for both assessment and therapeutic interventions.   A glance at this episode: [0:01] Chronic constipation interventions and assessment, including muscle tightness and behavioral factors [3:27] Using balloon catheter for rectal biofeedback to treat constipation [8:37] Constipation, abdominal distension, and neural tension, with exercises to improve GI function and reduce discomfort [14:54] Stress, sleep, and nervous system regulation for chronic problems [20:16] GI health, manometry for constipation in infants, and mindfulness techniques   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

Utilizing evidence-based research and the latest clinical guidelines, the presentation will examine the multifactorial nature of chronic constipation, including non-pelvic interventions that can complement existing treatments.  One key aspect will be the practical application of the balloon catheter, demonstrating its effective use for both assessment and therapeutic interventions.   A glance at this episode: [0:01] Chronic constipation and its impact on pelvic floor health [4:24] Constipation and irritable bowel syndrome (IBS) causes, symptoms, and diagnosis [12:18] Bloating and distension in chronic constipation, including causes and treatments [17:07] Diaphragm function in chronic low back pain   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

In this episode, my guest is Dr. Sean Mackey, M.D., Ph.D., Chief of the Division of Pain Medicine and Professor of Anesthesiology, Perioperative and Pain Medicine and Neurology at Stanford University School of Medicine. His clinical and research efforts focus on using advanced neurosciences, patient outcomes, biomarkers and informatics to treat pain. We discuss what pain is at the level of the body and mind, pain thresholds, and the various causes of pain. We also discuss effective protocols for controlling and reducing pain, including the use of heat and cold, acupuncture, chiropractic, physical therapy, nutrition, and supplementation. We also discuss how pain is influenced by our emotions, stress and memories, and practical tools to control one's psychological perception of pain. And we discuss pain medications, including the controversial use of opioids and the opioid crisis. This episode will help people understand, manage, and control their pain as well as the pain of others. For show notes, including referenced articles and additional resources, please visit hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman AeroPress: https://aeropress.com/huberman Levels: https://levels.link/huberman BetterHelp: https://betterhelp.com/huberman InsideTracker: https://insidetracker.com/huberman Momentous: https://livemomentous.com/huberman Timestamps (00:00:00) Dr. Sean Mackey (00:02:11) Sponsors: AeroPress, Levels & BetterHelp (00:06:13) Pain, Unique Experiences, Chronic Pain (00:13:05) Pain & the Brain (00:16:15) Treating Pain, Medications: NSAIDs & Analgesics (00:22:46) Inflammation, Pain & Recovery; Ibuprofen, Naprosyn & Aspirin (00:28:51) Sponsor: AG1 (00:30:19) Caffeine, NSAIDs, Tylenol (00:32:34) Pain & Touch, Gate Control Theory (00:38:56) Pain Threshold, Gender (00:44:53) Pain in Children, Pain Modulation (Pain Inhibits Pain) (00:53:20) Tool: Heat, Cold & Pain; Changing Pain Threshold (00:59:53) Sponsor: InsideTracker (01:00:54) Tools: Psychology, Mindfulness-Based Stress Reduction, Catastrophizing (01:08:29) Tool: Hurt vs. Harmed?, Chronic Pain (01:12:38) Emotional Pain, Anger, Medication (01:20:43) Tool: Nutrition & Pain; Food Sensitization & Elimination Diets (01:28:45) Visceral Pain; Back, Chest & Abdominal Pain (01:34:02) Referenced Pain, Neuropathic Pain; Stress, Memory & Psychological Pain (01:40:23) Romantic Love & Pain, Addiction (01:48:57) Endogenous & Exogenous Opioids, Morphine (01:53:17) Opioid Crisis, Prescribing Physicians (02:02:21) Opioids & Fentanyl; Morphine, Oxycontin, Methadone (02:07:44) Kratom, Cannabis, CBD & Pain; Drug Schedules (02:18:12) Pain Management Therapies, Acupuncture (02:22:19) Finding Reliable Physicians, Acupuncturist (02:26:36) Chiropractic & Pain Treatment; Chronic Pain & Activity (02:31:35) Physical Therapy & Chronic Pain; Tool: Pacing (02:36:35) Supplements: Acetyl-L-Carnitine, Alpha Lipoic Acid, Vitamin C, Creatine (02:42:25) Pain Management, Cognitive Behavioral Therapy (CBT), Biofeedback (02:48:32) National Pain Strategy, National Pain Care Act (02:54:05) Zero-Cost Support, Spotify & Apple Reviews, YouTube Feedback, Sponsors, Momentous, Social Media, Neural Network Newsletter Disclaimer