Family of globular proteins
POPULARITY
18 episodes with Albumin
4 episodes with Albumin
4 episodes with Albumin
4 episodes with Albumin
3 episodes with Albumin
2 episodes with Albumin
2 episodes with Albumin
2 episodes with Albumin
3 episodes with Albumin
In this episode of the PFC Podcast, Dennis and ICU doctor Doug discuss the intricacies of resuscitation techniques, focusing on the use of freeze-dried plasma (FTP) and its benefits in trauma care. They explore the physiological aspects of trauma, the role of endotheliopathy, and practical applications of FTP in emergency situations. The conversation also touches on the comparison between FTP, whole blood, and albumin, highlighting the challenges and considerations in using these fluids for resuscitation. The episode concludes with a discussion on the future of blood products in trauma care and the importance of making FTP more accessible. Takeaways FTP is a viable alternative to whole blood in trauma resuscitation. Endotheliopathy of trauma can lead to widespread coagulation issues. FTP helps stabilize the vascular endothelium during resuscitation. Whole blood is preferred when available, especially in early resuscitation. Albumin has limited benefits and can dilute clotting factors. FTP has a longer shelf life and is easier to store than whole blood. The physiological effects of trauma require careful consideration in resuscitation. Resuscitation goals should focus on patient stability rather than strict numerical targets. Acidosis can complicate trauma resuscitation and should be monitored closely. Increased access to FTP could improve outcomes in trauma care. Thank you to Delta Development Team for in part, sponsoring this podcast. deltadevteam.com For more content go to www.prolongedfieldcare.org Consider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
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Neste episódio discutimos brevemente quais as indicações de rastreio de albuminúria, como realizar a avaliação e quais armadilhas ficar atento. Não esqueça de nos avaliar, ativar o sininho de notificações e nos seguir: @endodirect
In this episode of Critical Matters, Dr. Zanotti discusses the use of intravenous albumin in critical care. He is joined by D. Jeannie Callum, Director of Transfusion Medicine and Professor of Pathology and Molecular Medicine at Queens University in Ontario, Canada. Dr. Callum's research focuses on blood utilization, hemostasis in the bleeding patient, and transfusion-related errors. She has received numerous awards and published extensively. Dr. Callum is the lead author of “Use of Intravenous Albumin: A Guidelines from the International Collaboration for Transfusion Medicine Guidelines,” published earlier this year in CHEST. Additional Resources: Use of Intravenous Albumin. A Guideline from the International Collaboration for Transfusion Medicine Guidelines. CHEST 2024: https://journal.chestnet.org/article/S0012-3692(24)00285-X/fulltext International Collaboration for Transfusion Medicine Guidelines Website: https://www.ictmg.org/ Ten myths about albumin. M Joannidis, et al. Intensive Care Med 2022: https://pubmed.ncbi.nlm.nih.gov/35247060/ A comparison of albumin and saline for fluid resuscitation in the intensive care unit. SAFE Study Investigators. N Engl J Med 2004: https://pubmed.ncbi.nlm.nih.gov/15163774/ Albumin Replacement in Patients with Severe Sepsis or Septic Shock. ALBIOS Study Investigators. N Engl J .Med 2014: https://www.nejm.org/doi/full/10.1056/NEJMoa1305727 Books mentioned in this episode: Ending Medical Reversal: Improving Outcomes, Saving Lives. By Vinayak K. Prasad: https://bit.ly/4dAimRa The Time Machine. By H.G. Wells: https://amzn.to/4eK4apG
Testosteronmangel, DHT, Haarverlust & Hormongesundheit Im heutigen Interview geht es um Testosteronmangel, DHT, Haarverlust und Hormongesundheit, hierzu ist Dr. Jonathan Abhazou zu Gast. Dr. Jonathan Abhazou, Arzt und Unternehmer, spricht über seine Reise vom Medizinstudium zum Unternehmertum und die Gründung seines eigenen Unternehmens Ardon Health. Die Mission von Ardon Health ist es, die Hormongesundheit für Millionen von Menschen zugänglich zu machen. Dr. Abhazou erklärt die Bedeutung von Testosteron und die vielfältigen Funktionen dieses Hormons sowohl bei Männern als auch bei Frauen. Er betont, dass Testosteronmangel nicht nur mit Muskelaufbau, sondern auch mit Müdigkeit, sexuellen Funktionen, Hautgesundheit, Gehirnfunktionen, Herz-Kreislauf-Erkrankungen und Körpergewicht zusammenhängt. Er diskutiert auch die Ursachen für den zunehmenden Testosteronmangel in unserer Gesellschaft, wie endokrine Disruptoren und Übergewicht, und betont die Bedeutung von ganzheitlichen und zugänglichen Lösungen wie die von Ardon Health. In diesem Teil des Gesprächs geht es um die Labortests zur Bestimmung des Testosteronwerts und der Hormonversorgung. Es werden verschiedene Parameter wie Gesamttestosteron, SHBG, Albumin und LH bestimmt, um den freien Testosteronwert zu berechnen. Es werden auch verschiedene Arten von Testosteronmangel besprochen, wie primärer, sekundärer und funktionaler Hypogonadismus. Weitere Tests wie der PSA-Wert und der Hämatokrit werden vor der Therapie gestartet. Es wird auch die Bedeutung von DHT und die Auswirkungen auf Haarausfall diskutiert. Das Thema der sinkenden Spermienanzahl und -qualität wird ebenfalls angesprochen. Schließlich wird die Optimierung des Hormonsystems und der Spermienqualität diskutiert. In diesem Teil des Gesprächs geht es um die Testosteron-Ersatztherapie und alternative Ansätze zur Behandlung von Testosteronmangel. Dr. Jonathan Apasu erklärt, dass die Testosteron-Ersatztherapie bei Männern mit einem echten Testosteronmangel sehr effektiv sein kann. Er betont jedoch, dass es wichtig ist, das Stigma um diese Therapie aufzubrechen und die positiven Aspekte der männlichen Attribute zu bewahren. Er empfiehlt auch, parallel zur Hormonersatztherapie an den Ursachen des Testosteronmangels zu arbeiten, wie z.B. Schlafoptimierung, gesunde Ernährung, Stressreduktion und regelmäßige körperliche Aktivität. Er erwähnt auch die Möglichkeit von medizinischen Eingriffen und Nahrungsergänzungsmitteln. Abschließend spricht er über die Bedeutung der Männergesundheit und die Notwendigkeit, die Bedürfnisse von Männern im Gesundheitssystem besser zu berücksichtigen. Du möchtest Epigenetic oder Longevity Coach werden? kostenloser Beratungstermin: https://calendly.com/inex-marina/kostenloses-erstgespraech?month=2024-02 INEX Academy: https://www.inex-health.com/education Zeitstempel und Themen: 00:00 Von Medizinstudium zum Unternehmertum: Die Gründung von Ardon Health 03:22 Die Bedeutung von Testosteron und seine vielfältigen Funktionen 07:23 Testosteronmangel: Ursachen und Auswirkungen 20:41 Ganzheitliche und zugängliche Lösungen für Testosteronmangel 23:25 Arten von Testosteronmangel und ihre Diagnose 33:24 Die Rolle von DHT bei Haarausfall 38:06 Der besorgniserregende Trend der sinkenden Spermienanzahl und -qualität 41:21 Optimierung des Hormonsystems und der Spermienqualität 43:18 Die Testosteron-Ersatztherapie 52:56 Alternative Ansätze zur Behandlung von Testosteronmangel 59:23 Die Bedeutung männlicher Attribute und die Herausforderungen der heutigen Gesellschaft 01:04:06 Die Notwendigkeit, die Bedürfnisse von Männern in der Gesundheitsversorgung zu berücksichtigen Links: https://www.adon-health.de/
Send us a message!In this episode we will be covering Facebook Live Questions 8/5-8/11/24 from Dana's free Facebook Group Registered Dietitian Exam Study Group with Dana RD! Don't forget to check out my recorded courses here.Looking for additional tutoring service? Visit my website! Interested in monthly group tutoring? Click here to learn more and apply.Shop all recorded courses at https://danajfryernutritiontutoring.teachable.com/p/signaturecourseFree Downloads: danajfryernutritiontutoring.teachable.com/p/my-downloadable-462494Enrollment is now open for Summer Group Tutoring with access 8/1-9/30/24. This program is designed for students who mis the school environment and features 8 weeks of access to 25 recorded courses, homework assignments and practice questions. Plus we have live group (limited to 1 students) tutoring 6 times on Monday nights starting 8/12 (no class on labor day). Learn more and register here: https://danajfryern
JAKSO ON ÄÄNITETTY LIVELÄHETYKSENÄ 23.5.2024. Suomenkielistä rockia soittava Varjola julkaisi debyyttialbuminsa 100 rumaa tunnetilaa 24.5.2024 ja osa bändistä hyppäsi musisoimaan ja juttelemaan muutamia tunteja ennen julkaisua levyn biiseistä ja vastaamaan livenä fanien kysymyksiin. Intro alkaa kohdassa 00.30 sec, koska mukana on nopeutettuna livestreamin countdown.
I ftuar në “Live from Tirana” ishte këngëtari Auron Deva, për të folur rreth rrugëtimit të tij artistik. Ai së fundmi ka publikuar projektin e tij më të ri që mban titullin “In Silence”, që është dhe pjesë e “The Top List”.
HRS-AKI & Terlipressin Special Guest: Stephanie Bass, PharmD, FCCP, BCPS, BCCCP 05:45 – HRS and HRS-AKI diagnosis 17:00 – Albumin and volume status 23:55 – Terlipressin/vasoconstrictor treatment 52:00 – Medication safety considerations Reference List: https://pharmacytodose.com/wp-content/uploads/2024/07/hrsaki-terlipressin-references.pdf PharmacyToDose.Com @PharmacyToDose PharmacyToDose@Gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices
Tue podcastia kupposella kuumaa: https://buymeacoffee.com/viikonloppusoturitLevyjen aloitusbiisit. Albumin avausraidalla on erityinen painoarvo: sen tulisi asettaa tunnelma ja odotukset levyä kohtaan paikoilleen ja imaista mukaan albumin maailmaan. Kokonaisuuden kannalta voi kuitenkin olla järkevää, ettei kaikkia kortteja paljasta heti kärkeen, vaan helmiä löytyy myöhemminkin levyltä. Tällä kertaa Iron Maidenin tuotantoa tarkastellaan albumeiden starttereiden näkökulmasta. Miten bändi on uransa varrella onnistunut avausraitojen säveltämisessä ja toisaalta valinnassa? Alkuun fiilistellään totta kai yhdessä kuulijoiden kanssa Bruce Dickinsonin keikkoja. JA ensi jaksossa perataan sitten luonnollisesti lopetusbiisejä!P.S. Äänitysten tuoksinnassa jäi lukematta kuulijakommentit, jotka oli lähetetty suoraan Instagramin tai FB:n inboxiin. Suurpahoittelut.
In this episode we will be covering Facebook Live Questions 6/3-6/9/24 from Dana's free Facebook Group Registered Dietitian Exam Study Group with Dana RD! Don't forget to check out my recorded courses here.Looking for additional tutoring service? Visit my website! Interested in monthly group tutoring? Click here to learn more and apply.Free Downloads: danajfryernutritiontutoring.teachable.com/p/my-downloadable-462494
I ftuar në ” ishte këngëtari i mirënjohur i rrymës hip hop Arkimed Lushaj, i njohur në skenë si Stresi. Në këtë intervistë ekskluzive, ai foli më shumë rreth albumit të tij të fundit, i cili titullohet “Archimed”. Ai ka vendosur ta titullojë me emrin e tij të përkthyer në gjuhën franceze. Kjo sepse artisti ka jetuar një pjesë të jetës së tij në Belgjikë dhe këtë album ja dedikon pikërisht asaj periudhe.
Witnessing your child's bravery and resilience as they navigate a life-altering condition like hypoplastic left heart syndrome (HLHS) is both harrowing and inspiring. Hollie Stevenson joins Anna to share the profound story of her son Tom, who not only fought through the early challenges of HLHS but also the complex battle with protein-losing enteropathy (PLE) in his later years. Her vivid accounts from Tom's diagnosis in utero, through his surgeries, and onto his impressive transition into adulthood, working in politics, is nothing short of remarkable. Their journey underscores the unpredictable nature of congenital heart defects and the critical importance of vigilant medical care.Through Tom's story, we uncover the myriad of long-term treatments and daily hurdles that come with managing PLE. We discuss the innovative treatments at the Children's Hospital of Philadelphia (CHOP) that led to significant improvements in his health and share insights from another patient's experience where a medication for Crohn's disease offered unexpected relief. These narratives illuminate the evolving field of pediatric cardiology and the crucial balance of medication management, driving home the message that children with heart conditions can and should lead full, joyous lives.Parenting is an art—especially so when your child has a heart condition. Our conversation traverses the delicate art of letting go, allowing our children to taste independence and embrace life's experiences, from participating in sports to taking on careers. We explore the shift from advocacy to supporting our children's autonomy, the complexities of medication management into adulthood, and the emotional journey that comes with each milestone. Hollie and Anna share their personal challenges and triumphs, offering a heartfelt insight into what it means to parent through uncertainty with hope and courage. Join us for an episode that's not just about the struggles, but also the extraordinary victories that come with raising a child with a heart condition.Support the Show.Anna's Buzzsprout Affiliate LinkBaby Blue Sound CollectiveSocial Media Pages:Apple PodcastsFacebookInstagramMeWeTwitterYouTubeWebsite
E ftuar në emisionin “Pardon My French” ka qenë artistja e njohur, Lorè, emri i vërtetë i të cilës është Lorela Karoshi. Ajo ka zbuluar më shumë detaje në lidhje me karrierën, emocionet që përcjellin projektet dhe albumin e saj më të ri që do të vijë së shpejti.
Një emision ku si asnjëherë më parë mendimet dhe fjalët vijnë si në jetë, të pacensuruara…Mirë, ndoshta pak të censuruara. “Pardon my French” nga Jonida Alickolli, të cilës këtë sezon të ri i është bashkuar në moderim Arbër Çepani, ku e vetmja gjë që nuk dinë të bëjnë është të flasin frengjisht!
Taking a look at some of the American Gastroenterological association guidelines from the past 6 months that covers Fecal Microbiota Transplantation, IBD biomarkers and dietary recommendations, and a few more updates in ascites and cirrhosis management via albumin and vasoactive medications. | 00.00 - Intro | 00.52 - FMT [AGA 2024] | | 03.31 - The use of Biomarkers in Crohn's Disease [Gastro 2023] + a quick call do Dr. Sara Lewin, inpatient IBD specialist at UCSF | | 10.42 - IBD dietary recommendations [AGA 2024] + a chat with RD Neha Shah, IBD dietary specialist at UCSF | | 22.26 - Albumin, vasoactives, and ascites [AGA 2022] | | 24.24 - Summary | [The appearance of external hyperlinks does not constitute endorsements by UCSF of the linked websites, or the information, products, or services contained therein. UCSF does not exercise any editorial control over the information found therein, nor does UCSF make any representation of their accuracy or completeness. All information contained in this episode are the opinions of the respective speakers and not necessarily the views their respective institutions or UCSF, and is only provided for information purposes, not to diagnose or treat.] Music by Amit Apte. Image generated using Copilot.
Welcome to a pivotal episode of the Balanced Bodies Blueprint! Today, we're unraveling the significance of key lab tests critical for maintaining optimal health throughout your life's journey. I'll be your host, steering the discussion, while Dr. Eryn sheds light on the importance of these fundamental tests. 1. CMP (Comprehensive Metabolic Panel) The Comprehensive Metabolic Panel (CMP) is a comprehensive blood test that provides valuable insights into your body's metabolic functions. It includes markers such as Blood Urea Nitrogen (BUN) and Creatinine (Cr), which are essential for assessing kidney function. Elevated BUN and Cr levels may indicate kidney damage or dehydration, emphasizing the importance of regular monitoring to ensure kidney health. 2. LFTs (Liver Function Tests) Liver Function Tests (LFTs) are a series of blood tests designed to evaluate the health and functionality of the liver. This panel typically includes markers such as Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Alkaline Phosphatase (ALP), Total Bilirubin, Albumin, Total Protein, and Prothrombin Time (PT) and International Normalized Ratio (INR). Abnormal LFT results can indicate liver damage, inflammation, or other underlying conditions, making regular monitoring essential for maintaining liver health. 3. CBC (Complete Blood Count) The Complete Blood Count (CBC) is a comprehensive blood test that evaluates various components of your blood, including red blood cells, white blood cells, and platelets. Specific markers within the CBC, such as Mean Corpuscular Volume (MCV), Mean Corpuscular Hemoglobin (MCH), and Red Cell Distribution Width (RDW), can help diagnose conditions such as iron-deficiency anemia. Monitoring these markers allows for early detection and management of blood-related disorders. 4. Thyroid Function (TSH and T4) Thyroid Function tests measure levels of Thyroid-Stimulating Hormone (TSH) and Thyroxine (T4), essential for assessing thyroid health. Abnormal TSH and T4 levels may indicate thyroid dysfunction, such as hypothyroidism or hyperthyroidism. Regular thyroid function testing is crucial for diagnosing thyroid disorders early and guiding appropriate treatment interventions. 5. Lipid Panel A Lipid Panel is a blood test that measures levels of cholesterol and triglycerides in the bloodstream. Elevated lipid levels, including Total Cholesterol (TC), Low-Density Lipoprotein (LDL) cholesterol, and triglycerides, contribute to an increased risk of cardiovascular diseases such as atherosclerosis. Monitoring lipid levels allows for the early identification of cardiovascular health risks and enables interventions such as lifestyle changes and medication to manage lipid abnormalities effectively. 6. HbA1C (Glycated Hemoglobin) HbA1C, also known as Glycated Hemoglobin, is a blood test that provides valuable insights into long-term blood sugar control. Unlike traditional fasting glucose tests, HbA1C reflects average blood sugar levels over the past two to three months, offering a more comprehensive assessment of diabetes management. Elevated HbA1C levels indicate poor blood sugar control and may necessitate adjustments to diabetes treatment plans to prevent complications. Tune in as we navigate the significance of these essential lab tests and empower you to take charge of your health with informed decisions and proactive monitoring strategies! Coach Vinny Email: vinny@balancedbodies.io Instagram: vinnyrusso_balancedbodies Facebook: Vinny Russo Dr. Eryn Email: dr.eryn@balancedbodies.io Instagram: dr.eryn_balancedbodies Facebook: Eryn Stansfield LEGION 20% OFF CODE Go to https://legionathletics.com/ and use the code RUSSO for 20% off your order!
Contributor: Travis Barlock MD Educational Pearls: There are three indications for IV albumin in the ED Spontaneous bacterial peritonitis (SBP) Patients with SBP develop renal failure from volume depletion Albumin repletes volume stores and reduces renal impairment Albumin binds inflammatory cytokines and expands plasma volume Reduced all-cause mortality if IV albumin is given with antibiotics Hepatorenal syndrome Cirrhosis of the liver causes the release of endogenous vasodilators The renin-angiotensin-aldosterone system (RAAS) fails systemically but maintains vasoconstriction at the kidneys, leading to decreased renal perfusion IV albumin expands plasma volume and prevents failure of the RAAS Large volume paracentesis Large-volume removal may lead to circulatory dysfunction IV albumin is associated with a reduced risk of paracentesis-associated circulatory dysfunction There are many other FDA-approved conditions for which to use exogenous albumin but the data are conflicted about the benefits on mortality References 1. Arroyo V, Fernandez J. Pathophysiological basis of albumin use in cirrhosis. Ann Hepatol. 2011;10(SUPPL. 1):S6-S14. doi:10.1016/s1665-2681(19)31600-x 2. Bai Z, Wang L, Wang R, et al. Use of human albumin infusion in cirrhotic patients: a systematic review and meta-analysis of randomized controlled trials. Hepatol Int. 2022;16(6):1468-1483. doi:10.1007/s12072-022-10374-z 3. Batool S, Waheed MD, Vuthaluru K, et al. Efficacy of Intravenous Albumin for Spontaneous Bacterial Peritonitis Infection Among Patients With Cirrhosis: A Meta-Analysis of Randomized Control Trials. Cureus. 2022;14(12). doi:10.7759/cureus.33124 4. Kwok CS, Krupa L, Mahtani A, et al. Albumin reduces paracentesis-induced circulatory dysfunction and reduces death and renal impairment among patients with cirrhosis and infection: A systematic review and meta-analysis. Biomed Res Int. 2013;2013. doi:10.1155/2013/295153 5. Sort P, Navasa M, Arroyo V, et al. Effect of Intravenous Albumin on Renal Impairment and Mortality in Patients with Cirrhosis and Spontaneous Bacterial Peritonitis. N Engl J Med. 1999;341(6):403-409. Summarized by Jorge Chalit, OMSII | Edited by Meg Joyce & Jorge Chalit
HEALTH NEWS An apple cider vinegar drink a day? New study shows it might help weight loss Food Additive in Pizza, Pancakes Linked to Lower Sperm Counts Ramadan fasting may protect patients with heart problems, say researchers An investigation into the potential association between nutrition and Alzheimer's disease Breakthrough Discovery Shows That Resonant Frequencies Can Kill Cancer Cells Study finds interactions with dogs can increase brainwaves associated with stress relief and heightened concentration An apple cider vinegar drink a day? New study shows it might help weight loss Holy Spirit University of Kaslik (Lebanon), March 13, 2024 An experimental study, released today, looks into whether apple cider vinegar could be effective for weight loss, reduce blood glucose levels and reduce blood lipids (cholesterol and triglycerides). A double-blinded, randomized, clinical trial in a group of overweight and obese young people aged from 12–25 years suggest it could reduce all three—but it might not be as simple as downing an apple cider vinegar drink a day. The participants were instructed to consume either 5, 10 or 15ml of apple cider vinegar diluted into 250ml of water each morning before they ate anything for 12 weeks. A control group consumed an inactive drink (a placebo) made (from lactic acid added to water) to look and taste the same. After a period of three months apple cider vinegar consumption was linked with significant falls in body weight and body mass index (BMI). On average, those who drank apple cider vinegar during that period lost 6–8kg in weight and reduced their BMI by 2.7–3 points, depending on the dose. They also showed significant decreases in the waist and hip circumference. The authors also report significant decreases in levels of blood glucose, triglycerides, and cholesterol in the apple cider groups. While the study appears promising, there are also reasons for caution. The study participants were aged from 12 to 25, so we can't say whether the results could apply to everyone. Food Additive in Pizza, Pancakes Linked to Lower Sperm Counts University of Kentucky, March 11, 2024 An ingredient commonly found in many baked goods and processed foods — including school lunches — may cause oxidative stress, DNA damage and decreased testosterone levels and sperm counts in male mammals. Sodium aluminum phosphate is an additive used in food products as an emulsifying agent, leavening acid and stabilizer. It is a white, odorless solid slightly soluble in water. The widespread use of sodium aluminum phosphate in everyday food products and commercially baked goods such as cakes, muffins and biscuits, and self-rising flours and baking powders. It is also used in processed cheeses to improve texture and melting properties. A peer-reviewed scientific literature on aluminum reproductive toxicity by Robert A. Yokel, Ph.D., published in Critical Reviews in Toxicology found aluminum exposure can lead to adverse reproductive outcomes in male and female mammals. Yokel's analysis revealed that “male reproductive endpoints were significantly affected after exposure to lower levels of Al [aluminum] than females.” In both male and female mice and rats, increased aluminum intake resulted in higher concentrations of the metal in the fetus, placenta and testes. Ramadan fasting may protect patients with heart problems, say researchers University of Sharjah (United Arab Emirates) & University of Utah, March 13, 2024 Those observing Ramadan may have their cholesterol, other lipids, and inflammatory markers in their blood reduced. This is the conclusion of a group of scientists examining the model of Ramadan Intermittent Fasting (RIF) in overweight and obese people. "RIF is associated with improvements in plasma sphingosine, sphinganine sphingomyelin, and dihydrosphingomyelin lipid species," the scientists write in their study published in Scientific Reports. RIF is a special type of intermittent fasting during which fasting Muslims refrain from eating, drinking (including water), smoking, or engaging in sexual activities from pre-dawn to sunset. The fasting duration differs depending on geographical location, but it is generally estimated to last between 12-17 hours a day. The daily average fasting duration for Muslims worldwide is reported to be approximately 15 hours per day, depending on location. An investigation into the potential association between nutrition and Alzheimer's disease Capital Medical University (China) (Frontiers) Malnutrition is the most common nutritional issue in Alzheimer's disease (AD) patients, but there is still a lack of a comprehensive evaluation of the nutritional status in AD patients. This study aimed to determine the potential association of various nutritional indices with AD at different stages. Lower levels of total protein, albumin, globulin, and apolipoprotein A1 were associated with AD (all p
Dr. Casey Clements spent two hours breaking down the history and influences in sepsis care over the past three decades and going through the best practices in today's emergency medicine. This is the second part of the two part series. Do you know how Sepsis is defined currently? What is the difference between SEP - 1 and surviving sepsis campaign? What is the role of steroids or vitamin C? Can you resuscitate these patients with albumin? These and so many more questions will be answered in this two part series. We review the PROCESS, PROMISE, and ARISE trials and provide pragmatic approach to your septic patients. So join Venk like vancomycin, and Alex (aka Zosyn) and Casey "not-cidal" Clements in these amazing episodes. CONTACTS X - @AlwaysOnEM; @VenkBellamkonda YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - AlwaysOnEM@gmail.com REFERENCES & LINKS Intravascular volume assessment Azadian M, Win S, Abdipour A, et al. Mortality benefit from the passive leg raise maneuver in guiding resuscitation of septic shock patients: A systematic review and meta-analysis of randomized trials. J Intensive Care Med. 2022 May;37(5):611-617 Spiliotaki E, Saranteas T, Moschovaki N, et al. Inferior vena cava ultrasonography in the assessment of intravascular volume status and fluid responsiveness in the emergency department and intensive care unit: a critical analysis review. J Clin Ultrasound. 2022 Jun;50(5):733-744 Chest radiography paper referenced Poku JK, Bellamkonda-Athmaram VR, Bellolio F, Nestler DM, Stiell IG, Hess EP. Failure of prospective validation and derivation of a refined clinical decision rule for chest radiography in emergency department patients with chest pain and possible acute coronary syndrome. Acad Emerg Med. 2012 Sep;19(9):E1004-10 Albumin Caironi P, Tognoni G, Masson S, Fumagalli R, Presenti A, Romero M, Fanizza C, Caspani L, Faenza S, Grasselli G, Iapichino G, Antonelli M, Parrini V, Fiore G, Latini R, Gattinoni L, ALBIOS Study Investigators. Albumin Replacement in patients with severe sepsis or septic shock. NEJM. 2014;370(15):1412 Xu JY, Chen QH, Xie JF, Pan C, Liu SQ, Huang LW, Yang CS, Liu L, Huang YZ, Guo FM, Yang Y, Qiu HB. Comparison of the effects of albumin and cyrstalloid on mortality in adult patients with severe sepsis and septic shock: a meta-analysis of randomized clinical trials. Crit Care. 2014;18(6):702 Jiang L, Jiang S, Zhang M, Zheng Z, Ma Y. Albumin versus other fluids for fluid resuscitation in patients with sepsis: A meta-analysis. PloS One. 2014;9(12):e114666 Unbundling studies ProCESS Trial: ProCESS Investigators, Yealy DM, Kellum JA, Huang DT, Barnato AE, Weissfeld LA, PIke F, Terndrup T, Wang HE, Hou PC, LoVecchio F, Filbin MR, Shapiro NI, Angus DC. A randomized trial of protocol based care for early septic shock. NEJM 2014;370(18):1683 ProMISE Trial: Mouncey PR, Osborn ™, Power GS, Harrison DA, Sadique MZ, Grieve RD, Jahan R, Harvey SE, Bell D, Bion JF, Coats TJ, Singer M, Young JD, Rowan KM, ProMISe Trial Investigators. Trial of early, goal directed resuscitation for septic shock. NEJM 2015;372(14):1301 ARISE Trial: ARISE investigators, ANZICS Clinical Trials Group, Peake SL, Delaney A, Bailey M, Bellomo R, Cameron PA, Cameron PA, Cooper DJ, Higgins AM, Holdgate A, Howe BD, WEbb SA, Williams P. Goal-directed resuscitation for patients with early septic shock. NEJM 2014;371(16):1496 Angus DC, Barnato AE, Bell D, Bellomo R, Chong CR, Coats TJ, Davies A, Delaney A, Harrison DA, Holdgate A, Howe B, Huang DT, Iwashyna T, Kellum JA, Peake SL, Pike F, Reade MC, Rowan KM, Singer M, Webb SA, Weissfeld LA, Yealy DM, Young JD. A systematic review and meta-analysis of early goal-directed therapy for septic shock: the ARISE, ProCESS, and ProMISE investigators. Intensive Care Med. 2015 SEp;41(9):1549-60 PRISM Investigators. Early Goal-Directed Therapy for Septic Shock - A Patient-Level Meta-Analysis. NEJM 2017 Lu Y, Zhang H, Teng F, Xia WJ, SUn GX, Wen AQ. Early goal-directed therapy in severe sepsis and septic shock: A meta-analysis and Trial sequential analysis of randomized controlled trials. J Intensive Care Med. 2018;33(5):296 Vitamin C Sevransky JE, et al. Effect of vitamin C, thiamine, and hydrocortisone on ventilator- and vasopressor-free days in patients with sepsis: The VICTAS randomized clinical trial. JAMA. 2021 Feb 23;325(8):742-750
Littoisten lahja suomiräpille, kameleontin lailla eri tyylisuuntiin sulautuva Jambo saapuu Taakan sohvalle juuri julkaistun Eläintarha-kakkosalbuminsa julkaisurumban keskellä. Albumin, jonka tarkoitus on tanssittaa. Itsekin podcast-historiaa vyönsä alla kantava artisti tarjoilee intohimolla ja avoimuudella Taakan ystäville erinomaisia ja ajatuksellisia hetkiä. Älä missaa tätä.
OutlineChapter 14- Hypovolemic States- Etiology - True volume depletion occurs when fluid is lost from from the extracellular fluid at a rate exceeding intake - Can come the GI tract - Lungs - Urine - Sequestration in the body in a “third space” that is not in equilibrium with the extracellular fluid. - When losses occur two responses ameliorate them - Our intake of Na and fluid is way above basal needs - This is not the case with anorexia or vomiting - The kidney responds by minimizing further urinary losses - This adaptive response is why diuretics do not cause progressive volume depletion - Initial volume loss stimulates RAAS, and possibly other compensatory mechanisms, resulting increased proximal and collecting tubule Na reabsorption. - This balances the diuretic effect resulting in a new steady state in 1-2weeks - New steady state means Na in = Na out - GI Losses - Stomach, pancreas, GB, and intestines secretes 3-6 liters a day. - Almost all is reabsorbed with only loss of 100-200 ml in stool a day - Volume depletion can result from surgical drainage or failure of reabsorption - Acid base disturbances with GI losses - Stomach losses cause metabolic alkalosis - Intestinal, pancreatic and biliary secretions are alkalotic so losing them causes metabolic acidosis - Fistulas, laxative abuse, diarrhea, ostomies, tube drainage - High content of potassium so associated with hypokalemia - [This is a mistake for stomach losses] - Bleeding from the GI tract can also cause volume depletion - No electrolyte disorders from this unless lactic acidosis - Renal losses - 130-180 liters filtered every day - 98-99% reabsorbed - Urine output of 1-2 liters - A small 1-2% decrease in reabsorption can lead to 2-4 liter increase in Na and Water excretion - 4 liters of urine output is the goal of therapeutic diuresis which means a reduction of fluid reabsorption of only 2% - Diuretics - Osmotic diuretics - Severe hyperglycemia can contribute to a fluid deficit of 8-10 Iiters - CKD with GFR < 25 are poor Na conservers - Obligate sodium losses of 10 to 40 mEq/day - Normal people can reduce obligate Na losses down to 5 mEq/day - Usually not a problem because most people eat way more than 10-40 mEq of Na a day. - Salt wasting nephropathies - Water losses of 2 liters a day - 100 mEq of Na a day - Tubular and interstitial diseases - Medullary cystic kidney - Mechanism - Increased urea can be an osmotic diuretic - Damage to tubular epithelium can make it aldo resistant - Inability to shut off natriuretic hormone (ANP?) - The decreased nephro number means they need to be able to decrease sodium reabsorption per nephron. This may not be able to be shut down acutely. - Experiment, salt wasters can stay in balance if sodium intake is slowly decreased. (Think weeks) - Talks about post obstruction diuresis - Says it is usually appropriate rather than inappropriate physiology. - Usually catch up solute and water clearance after releasing obstruction - Recommends 50-75/hr of half normal saline - Talks briefly about DI - Skin and respiratory losses - 700-1000 ml of water lost daily by evaporation, insensible losses (not sweat) - Can rise to 1-2 liters per hour in dry hot climate - 30-50 mEq/L Na - Thirst is primary compensation for this - Sweat sodium losses can result in hypovolemia - Burns and exudative skin losses changes the nature of fluid losses resulting in fluid losses more similar to plasma with a variable amount of protein - Bronchorrhea - Sequestration into a third space - Volume Deficiency produced by the loss of interstitial and intravascular fluid into a third space that is not in equilibrium with the extracellular fluid. - Hip fracture 1500-2000 into tissues adjacent to fxr - Intestinal obstruction, severe pancreatitis, crush injury, bleeding, peritonitis, obstruction of a major venous system - Difference between 3rd space and cirrhosis ascities - Rate of accumulation, if the rate is slow enough there is time for renal sodium and water compensation to maintain balance. - So cirrhotics get edema from salt retension and do not act as hypovolemia - Hemodynamic response to volume depletion - Initial volume deficit reduced venous return to heart - Detected by cardiopulmonary receptors in atria and pulmonary veins leading to sympathetic vasoconstriction in skin and skeletal muscle. - More marked depletion will result in decreased cardiac output and decrease in BP - This drop in BP is now detected by carotid and aortic arch baroreceptors resulting in splanchnic and renal circulation vasoconstriction - This maintains cardiac and cerebral circulation - Returns BP toward normal - Increase in BP due to increased venous return - Increased cardiac contractility and heart rate - Increased vascular resistance - Sympathetic tone - Renin leading to Ang2 - These can compensate for 500 ml of blood loss (10%) - Unless there is autonomic dysfunction - With 16-25% loss this will not compensate for BP when patient upright - Postural dizziness - Symptoms - Three sets of symptoms can occur in hypovolemic patients - Those related to the manner in which the fluid loss occurs - Vomiting - Diarrhea - Polyuria - Those due to volume depletion - Those due to the electrode and acid base disorders that can accompany volume depletion - The symptoms of volume depletion are primarily related to the decrease in tissue perfusion - Early symptoms - Lassitude - Fatiguability - Thirst - Muscle cramps - Postural dizziness - As it gets more severe - Abdominal pain - Chest pain - Lethargy - Confusion - Symptomatic hypovolemia is most common with isosmotic Na and water depletion - In contrast pure water loss, causes hypernatremia, which results in movement of water from the intracellular compartment to the extracellular compartment, so that 2/3s of volume loss comes from the intracellular compartment, which minimizes the decrease in perfusion - Electrolyte disorders and symptoms - Muscle weakness from hypokalemia - Polyuria/poly dips is from hyperglycemia and hypokalemia - Lethargy, confusion, Seizures, coma from hyponatremia, hypernatremia, hyperglycemia - Extreme salt craving is unique to adrenal insufficiency - Eating salt off hands ref 18 - Evaluation of the hypovolemic patient - Know that if the losses are insensible then the sodium should rise - Volume depletion refers to extracellular volume depletion of any cause, while dehydration refers to the presence of hypernatremia due to pure water loss. Such patients are also hypovolemic. - Physical exam is insensitive and nonspecific - Finding most sensitive and specific finding for bleeding is postural changes in blood pressure - I don't find this very specific at all! - Recommends laboratory confirmation regardless of physical exam - Skin and mucous membranes - Should return too shape quickly - Elastic property is called Turgur - Not reliable is patients older than 55 to 60 - Dry axilla - Dry mucus membranes - Dark skin in Addison's disease Frim increased ACTH - Arterial BP - As volume goes down so does arterial BP - Marked fluid loss leads to quiet korotkoff signs - Interpret BP in terms of the patients “normal BP” - Venous pressure - Best done by looking at the JVP - Right atrial and left atrial pressure - LV EDP is RAP + 5 mmHg - Be careful if valvular disease, right heart failure, cor pulmonare, - Figure 14-2 - Shock - 30% blood loss - Lab Data - Urine Na concentration - Should be less than 25 mmol/L, can go as low as 1 mmol/L - Metabolic alkalosis can throw this off - Look to the urine chloride - Figure 14-3 - Renal artery stenosis can throw this off - FENa - Mentions that it doesn't work so well at high GFR - Urine osmolality - Indicates ADH - Volume depletion often associated with urine osm > 450 - Impaired by - Renal disease - Osmotic diuretic - Diuretics - DI - Mentions that severe volume depletion and hypokalemia impairs urea retension in renal medulla - Points out that isotonic urine does not rule out hypovolemia - Mentions specific gravity - BUN and Cr concentration - Normal ratio is 10:1 - Volume depletion this goes to 20:1 - Serum Na - Talks about diarrhea - Difference between secretory diarrhea which is isotonic and just causes hypovolemia - And osmotic which results in a lower electrolyte content and development of hypernatremia - Talks about hyperglycemia - Also can cause the sodium to rise from the low electrolyte content of the urine - But the pseudohyponatraemia can protect against this - Plasma potassium - Treatment - Both oral and IV treatment can be used for volume replacement - The goal of therapy are to restore normovolemia - And to correct associated acid-base and electrolyte disorders - Oral Therapy - Usually can be accomplished with increased water and dietary sodium - May use salt tablets - Glucose often added to resuscitation fluids - Provides calories - Promotes intestinal Na reabsorption since there is coupled Na and Glucose similar to that seen in the proximal tubule - Rice based solutions provide more calories and amino acids which also promote sodium reabsorption - 80g/L of glucose with rice vs 20 g/L with glucose alone - IV therapy - Dextrose solutions - Physiologically equivalent to water - For correcting hypernatremia - For covering insensible losses - Watch for hyperglycemia - Footnote warns against giving sterile water - Saline solutions - Most hypovolemic patients have a water and a sodium deficit - Isotonic saline has a Na concentration of 154, similar to that of plasma see page 000 - Half-isotonic saline is equivalent to 550 ml of isotonic saline and 500 of free water. Is that a typo? - 3% is a liter of hypertonic saline and 359 extra mEq of Na - Dextrose in saline solutions - Give a small amount of calories, otherwise useless - Alkalinizing solutions - 7.5% NaHCO3 in 50 ml ampules 44 mEq of Na and 44 mEq of HCO3 - Treat metabolic acidosis or hyperkalemia - Why 44 mEq and not 50? - Do not give with calcium will form insoluble CaCO3 - Polyionic solutions - Ringers contains physiologic K and Ca - Lactated Ringers adds 28 mEq of lactate - Spreads myth of LR in lactic acidosis - Potassium chloride - Available as 2 mEq/mL - Do not give as a bolus as it can cause fatal hyperkalemia - Plasma volume expanders - Albumin, polygelastins, hetastarch are restricted to vascular space - 25% albumin can pull fluid into the vascular space - 25% albumin is an albumin concentration of 25 g/dL compare to physiologic 4 g/dL - Says it pulls in several times its own volume - 5% albumin is like giving plasma - Blood - Which fluid? - Look at osmolality, give hypotonic fluids to people with high osmolality - Must include all electrolytes - Example of adding 77 mEw of K to 0.45 NS and making it isotonic - DI can be replaced with dextrose solutions, pure water deficit - Case 14-3 - Diarrhea with metabolic acidosis - He chooses 0.25 NS with 44 mEq of NaCl and 44 NaHCO3 - Talks about blood and trauma - Some studies advocate delaying saline until penetrating trauma is corrected APR about to. Keep BP low to prevent bleeding. Worry about diluting coagulation factors - Only do this if the OR is quickly available - Volume deficit - Provides formula for water deficit and sodium deficit - Do not work for isotonic losses - Provides a table to adjust fluid loss based on changes in Hgb or HCTZ - Says difficult to estimate it from lab findings and calculations - Follow serial exams - Serial urine Na - Rate of replacement - Goal is not to give fluid but to induce a positive balance - Suggests 50-100 ml/hr over what is coming out of the body - Urine - Insensibles 30-50 - Diarrhea - Tubes - Hypovolemic shock - Due to bleeding - Sequesting in third space - Why shock? - Progressive volume depletion leads to - Increased sympathetic NS - Increased Ang 2 - Initially this maintains BP, cerebral and coronary circulation - But this can decrease splanchnic, renal and mucocutaneous perfusion - This leads to lactic acicosis - This can result in intracellular contents moving into circulation or translocation of gut bacteria - Early therapy to prevent irreversible shock - In dogs need to treat with in 2 hours - In humans may need more than 4 hours - Irreversible shock associated with pooling of blood in capillaries - Vasomotor paralysis - Hyperpolarization of vascular smooth muscle as depletion of ATP allows K to flowing out from K channels opening. Ca flows out too leading to vasodilation - Glyburide is an K-ATP channel inhibitor (?) caused increased vasoconstriction and BP - Pluggin of capillaries by neutrophils - Cerebral ischemia - Increased NO generation - Which Fluids? - Think of what is lost and replace that. - Bleeding think blood - Raise the hct but not above 35 - Acellular blood substitutes, looked bad at the time of this writing - Di aspirin cross linked hemoglobin had increased 2 and 28 day mortality vs saline - Colloids sound great but they fail in RCTs - SAFE - FEAST - Points out that saline replaces the interstitial losses why do we think those losses are unimportant - Pulmonary circulation issue - Pulmonary circulation is more leaky so oncotic pressure less effective there - Talks about the lungs be naturally protected from pulmonary edema - Rate of fluid - 1-2 liters in first hour - Suggests CVP or capillary wedge pressure during resuscitation - No refs in the rate of fluid administration section - Lactic acidosis - Points out that HCO can impair lactate utilization - Also states that arterial pH does not point out what is happening at the tissue level. Suggests mixed-venous sample.ReferencesJCI - Phenotypic and pharmacogenetic evaluation of patients with thiazide-induced hyponatremia and a nice review of this topic: Altered Prostaglandin Signaling as a Cause of Thiazide-Induced HyponatremiaThe electrolyte concentration of human gastric secretion. https://physoc.onlinelibrary.wiley.com/doi/10.1113/expphysiol.1960.sp001428A classic by Danovitch and Bricker: Reversibility of the “Salt-Losing” Tendency of Chronic Renal Failure | NEJMOsmotic Diuresis Due to Retained Urea after Release of Obstructive Uropathy | NEJMIs This Patient Hypovolemic? | Cardiology | JAMAAnd by the same author, a textbook: Steven McGee. 5th edition. Evidence-Based Physical Diagnosis Elsevier Philadelphia 2022. ISBN-13: 978-0323754835The clinical course and pathophysiological investigation of adolescent gestational diabetes insipidus: a case report | BMC Endocrine DisordersSensitivity and specificity of clinical signs for assessment of dehydration in endurance athletes | British Journal of Sports MedicineDiagnostic performance of serum blood urea nitrogen to creatinine ratio for distinguishing prerenal from intrinsic acute kidney injury in the emergency department | BMC NephrologyThe meaning of the blood urea nitrogen/creatinine ratio in acute kidney injury - PMCLanguage guiding therapy: the case for dehydration vs volume depletion https://www.acpjournals.org/doi/10.7326/0003-4819-127-9-199711010-00020?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmedValidation of a noninvasive monitor to continuously trend individual responses to hypovolemiaReferences for Anna's voice of God on Third Spacing : Shires Paper from 1964 (The ‘third space' – fact or fiction? )References for melanie's VOG:1. Appraising the Preclinical Evidence of the Role of the Renin-Angiotensin-Aldosterone System in Antenatal Programming of Maternal and Offspring Cardiovascular Health Across the Life Course: Moving the Field Forward: A Scientific Statement From the American Heart Association2. excellent review of RAAS in pregnancy: The enigma of continual plasma volume expansion in pregnancy: critical role of the renin-angiotensin-aldosterone systemhttps://journals-physiology-org.ezp-prod1.hul.harvard.edu/doi/full/10.1152/ajprenal.00129.20163. 10.1172/JCI107462- classic study in JCI of AngII responsiveness during pregnancy4. William's Obstetrics 26th edition!5. Feto-maternal osmotic balance at term. A prospective observational study
Health Hero Show: The official Chemical Free Body Lifestyle Podcast
Episode 191 - Hello Health Heroes! The family of 4-year-old Autumn Schall recently retained our advocacy services at Remnant Nursing after multiple ethics violations by the staff at Lucile Packard Children's Hospital in Palo Alto, CA left them feeling abandoned, alone, and frightened for the life of their child. Autumn was diagnosed with an E. coli infection at her local ER. They advised her parents that they did not treat pediatric e-coli infections at this hospital and that a transfer of care to Lucile Packard Children's Hospital for “Fluid Management" would be necessary. Upon arrival at LPCH, Autumn was labeled by physicians as a “case study.” Per Autumn's mother Hope, they then began an aggressive swarm of medications including Lasix and Diarel to force her kidneys to excrete more urine in an attempt to “mass flush” the infection byproducts. This just overwhelmed her system. Her mother attempted to advocate, demanding pacing, but physicians and hospital staff continued to fight her and ignore her pleas. Only when Autumn began vomiting blood, did they finally discontinue ONE of the medications. From here it has been a constant barrage of multiple interventions that many of the medical professionals we have consulted agreed were aggressive, unnecessary, and likely contributing factors to her declining health. When a blood transfusion was deemed necessary, the hospital staff fought any attempt by the family to facilitate a directed donation, to the point of threatening a court order to transfuse without parental consent. Autumn was placed on dialysis that included the use of Albumin, a human blood product. Her parents were not informed, nor did they consent to its use. This exposure has understandably caused her family a considerable amount of stress. The family was ready to remove Autumn from the hospital, but they have since placed her on a ventilator, impeding their ability to do so. A 22-year veteran Pediatric Respiratory Therapist whom we have consulted on this case, states that there is no justification for her prolonged intubation and that based on her numbers, she meets the standard criteria for extubation. Despite the parent's multiple requests to do so, they are refusing to extubate her. They are keeping her heavily sedated and blaming her mother's insistence on the use of a gentler diuretic as the reason for indefinite intubation, which carries a myriad of risks. The family feels as if they are being held hostage in this situation, with each additional intervention causing greater harm than the last. With time being of the essence, they feel that bringing their story to the media, may be the only chance they have to save their precious daughter from being the latest victim in a rash of medical kidnappings that we have seen around the country. I was just informed that Child Protective Services has arrived at the hospital. We know that this is a shameful tactic that is often used to gaslight parents and force compliance with hospital protocols. Please leave a comment and share this episode and remember you can always send us topics you're interested in knowing more about. Love & Light Coach Tim. Help Save Autumn, go to: https://www.remnantnursing.org/ or send and email to: clientservices@nursefreedomnetwork.org You can donate and also please call the Hospital and let them know in a nice way you are watching them. Lucile Packard Children's Hospital 650-736-4089 Tim's Favorite, HIGHEST QUALITY Health Product Recommendations: Best Detox & Nutrition Supplements: https://www.chemicalfreebody.com/ Best Hydrogen Machine: Tim's personal unit - CLICK HERE Best Infrared Saunas & Healing Lamps: Tim's personal unit - Save $100 CLICK HERE Water Purification/Restructuring System: Book FREE Consult CLICK HERE Best Home Air Purification Unit : Tim's personal unit CLICK HERE Best Non Toxic Home Building Materials: CLICK HERE See omnystudio.com/listener for privacy information.
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Linktree: https://linktr.ee/AnalyticDrake Reveals Tracklist for "For All The Dogs" AlbumIn this segment of Notorious Mass Effect, we dive into the highly anticipated release of Drake's upcoming album, "For All The Dogs." With the album set to drop on October 6th, fans are eagerly counting down the days, but there's a little twist in the release time. Instead of the usual midnight drop, Drake has announced that the album will hit the airwaves at 6 AM, adding to the suspense.The big news, however, is the unveiling of the full tracklist for "For All The Dogs." This album boasts a whopping 23 songs, and it's all kicked off by the lead single, "8AM Charlotte," which was released in the early hours of a Thursday morning. What's more, the music video for this single featured appearances from none other than Drake's adorable 6-year-old son, Adonis, adding a heartwarming touch to the visual experience.One intriguing aspect of this album release is the mystery surrounding its featured artists. The tracklist doesn't list any collaborators, but that doesn't mean there won't be some exciting surprises as fans delve into the album. Drake has a history of pulling off unexpected collaborations, so who knows what musical surprises he has in store for us.Adding even more excitement to the mix is the fact that NBA star Kevin Durant took on the role of A&R for "For All The Dogs." It's no secret that Drake and Durant share a close friendship, so having Durant involved in the album's production and curation is sure to bring a unique touch to the project.Looking back at Drake's recent successes, this album marks his third release since 2022. Both "Honestly, Nevermind" and "Her Loss," his previous albums with 21 Savage, soared to the top of the Billboard 200, solidifying his position as a chart-topping powerhouse in the music industry. With "For All The Dogs" on the horizon, it's safe to say that Drake's career is on a hot streak, and fans can't wait to see what he has in store for us next.So, if you're a fan of Drake or hip-hop in general, be sure to keep an eye on this segment. We'll be here to provide you with all the latest news and updates leading up to the release of "For All The Dogs," and we can't wait to discuss every track, feature, and surprise that Drake has in store for us. Stay tuned!Support this podcast at — https://redcircle.com/analytic-dreamz-notorious-mass-effect/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode, Sachin interviews Dr. Bryan Walsh. Sachin bumped into Dr. Walsh at ECO, the CellCore Conference. After talking, Sachin invited Bryan to be a guest on Perfect Practice. Bryan is extremely passionate about functional medicine. He brings over 25 years of experience in helping us become better clinicians, looking at our patients through a slightly different lens and upgrading our paradigm so we can be of better value to the people we want to serve the most. Key Takeaways: [2:12] Sachin welcomes Dr. Bryan Walsh and thanks him for joining the podcast today. Sachin speaks of producing evidence-based treatment driven by awareness. There are more tests coming onto the market and more supplements and more research being done every year. [3:10] Bryan started as a fitness specialist. He read much about nutrition. Before going to naturopathic school, Bryan went to a functional medicine weekend seminar produced by a lab. He was amazed by all the available tests. That hooked him on functional medicine. [4:06] Bryan then went to naturopathic school where he met his wife. He learned about many tests and did them all: organic acid test, salivary cortisol test, urinary hormone test, stool test, hair tissue mineral analysis test, you name the test, he did it. But he started hearing gurus say things he knew not to be true and he started questioning the supplements. [6:14] Bryan asked himself why he was running expensive tests if he didn't know their scientific validity. The scientific literature is not friendly to these biomarkers and tests. He compares it to testing your home for radon with a bad test. Bryan is trying to raise the bar in the industry for better practitioners and healthier patients for less money, and being more evidence-based. [8:10] Bryan and his wife run their business while trying to raise the bar in the industry as much as they can. Sachin loves that they are holding the entire industry to a higher standard. You have to feel solid on the tests you order for people. The foundation of our business is the outcomes we produce. [9:24] Sachin asks, “How do I create a program that is independent of the labs, that produces results every single time that has tons of evidence and ancient wisdom wrapped up into it, and common sense wrapped up into it, and develop a lifestyle-design program that isn't dependent on lab testing?” Sachin includes Oura rings for his patients so they can measure their progress. [10:18] Bryan's view is that a lab test should not give you any new insights into the person, it should just confirm what you already believe to be true. That means going back to your clinical skills, history-taking, symptom questionnaire, and physical exam. Bryan's not opposed to any test that he knows of, but a test is not a fishing expedition, it's confirmation of a suspected issue. [11:28] For example, if a patient has hypoglycemic symptoms, there's probably something going on. Testing blood glucose and A1C gathers hard data and allows for interventions and tracking progress. If someone has hypothyroid symptoms, run a complete thyroid panel and see where the defect is. [12:35] Blood chemistry is one of Bryan's passions. Standard blood chemistry is one of the most studied labs around the world. It's been scientifically validated over and over. It's inexpensive for what you get, if you know what you're doing, have good reference markers, and are up to date on the modern literature on these markers. [14:02] When you look at the literature on Albumin, old markers have new reasons they might be high or low that have implications for us as practitioners. If you take old tests and combine them with updated research on the markers, they can tell you as a clinician far more than you were using them for in the past. [14:47] Bryan cites recent research linking high HDL with leaky gut. A high HDL may indicate testing for intestinal permeability of lipopolysaccharides to confirm. There is updated research on many old markers. Some inoculations are indicated from existing markers. There are new calculations for fatty liver. Some markers are useless and don't need to be run. [17:55] Bryan notes that with too much data, it's hard for practitioners to know what to work on first. Go back to the fundamentals and the basics that you have evidence that they improve people. People are suffering and practitioners are suffering with inaccurate tests. Patients are spending on tests unnecessarily. Some tests just give patients something new to worry about. [21:50] Bryan does not see people being plain honest about the industry. Practitioners do the best they can and show confidence about it but they don't know if the second test will show improvement over the first test. [23:46] Bryan tells more about HDL. If triglycerides are low, HDL tends to be high, lymphocytes tend to be high and neutrophils in women tend to decrease. Potassium tends to high normal and sodium tends to low normal, because of low cortisol and aldosterone. Females with this pattern have autoimmunity and get dizzy when they stand up. Bryan looks hard at HDL. [24:51] Bryan found one paper years ago that included in the data tape but did not report, data that people that had a higher HDL also had a higher incidence of cancer. There is an HDL immunological component. Bryan has been seeing HDL higher than LDL in the past five years more than ever before. [24:45] Bryan talks about optimal functional ranges and shares a story. If you don't have a reference, don't speak of an optimal range. Bryan has stacks of references of ranges for various markers and he has the papers about them and how he came up with the ranges. [28:06] The literature on GGT very clearly says high normal levels, in the upper 20s or 30s, are more accurate as a pathophysiology marker than CRP, some metrics like blood pressure, or A1C. GGT is a robust marker of pathology, xenobiotic exposure, and hepatic glutathione deficiency. It's a marker to justify your use of n-acetylcysteine. [29:51] Pyroglutamic acid is lower in autoimmune patients than in healthy patients. Low bilirubin is a marker of fat-soluble oxidative stress. Papers that Bryan read recently show a highly increased risk of mortality for bilirubin levels below .4. This points to fat-soluble oxidative stress and may call for support from fat-soluble anti-oxidants, Co-Q 10 and Vitamin E and/or GGT. [31:28] Bryan refers to water-soluble glutathione. N-acetylcysteine can lower High-normal GGT. These are old markers. Bryn mentions there are also loads of novel and new markers. [32:13] What about mold? Bryan waits for the bandwagon to turn around and come back before hopping on. He doesn't want to give the newest supplement only to find it causes cancer. Mold is insidious. People are hyper-stressed about mold. A few years ago, people were stressed about candida and then heavy metals. Bryan doesn't run a blood chemistry for mold. [35:41] High albumin is a dehydration marker. Low albumin is an inflammation marker. A1C and C-peptide are insulin markers. If fasting glucose is normal with high A1C, give a C-peptide test. Globulin is a marker of all globulins. IGG antibodies are the greatest contributor to serum globulin. To make globulin, tryptophan is required. High globulin is an autoimmunity marker. [38:32] If a woman is taking exogenous estrogen (birth control, hormone replacement) that will drive up sex hormone-binding globulin. These women may have mild depression because of a relative tryptophan deficiency. Try tryptophan. Bryan discusses protein electrophoresis, CBC, and other tests. [40:02] Iron fluctuates by within-person variability. Bryan talks about homocysteine. It is suggested to have a within-person variance of about 8% of 10 Mol/L. About 95% of people will have within +/- 2 standard deviations of that 8% variance. The results of a year's worth of monthly homocysteine tests might be as high as 11.2 mol/L and as low as 8.4. [41:50] Iron has a 32% within-person variance. If iron is all over the place, so will serum iron. Don't consider iron overload protocol unless a reading is high again in 30 days. A standard iron test would be, iron, ferritin, and TIBC. Some use transferrin instead of TIBC. Ferritin has a variance of around 20%. Iron has a variance of upwards of 32%. TIBC has a low variance. [43:19] When TIBC goes up, the body is looking for more iron. This may be because of a bacterial infection. TIBC is an important marker. The soluble transferrin receptor is a receptor for iron on transferrin. If there are no iron receptors on transferrin, the body is low on iron but doesn't want any, because it's fighting off a bacterial infection that thrives on iron. Clear it up. [48:47] Bryan believes the bacteria appear first in a leaky gut situation. He describes how they wake up without proliferating into sepsis. That's where the HDL test comes in. Bryan doesn't differentiate between a gut protocol and a non-gut immune protocol. Any botanical gets absorbed in the gut. Fibers and most minerals don't get absorbed. [53:46] Bryan lists classifications of tests he recommends not using, and he explains why: Organic acid tests, salivary cortisol tests (unless you run it serially a few times in a week for patterns), hair tissue mineral analysis tests, and stool tests (unless you suspect a raging infection). Bryan cites incorrect medical treatments of past decades. [1:04:45] Bryan started his career with more liberal and aggressive protocols. He is conservative now. He works with blood chemistry, evidence-based supplements, and the mental-emotional components and how they affect physiology. Not running all these labs and not going crazy about the best diet has been a huge stress reliever for Bryan. [1:05:58] About CGM. Sometimes more data can cause anxiety, especially when used by people without diabetes. Bryan is interested in what the counterregulatory hormones are doing. If someone has hyperglycemia, is it because they have no insulin, or too much insulin and it's not working? [1:07:56] Why do you have high glucose? Is it because you're not making enough insulin, insulin's late to the party, or do you have hyperinsulinemia and insulin resistance? That's two different patients and protocols. [1:08:23] There is also hyper insulin sensitivity. Bryan believes that is caused by too much GLP-1. These patients have totally normal glucose but they're having a hyper insulin response with insulin receptors that are more sensitive. That is not normal physiology. The only thing CGMs focus on is the easy one, glucose. Bryan has never recommended one to a client. [1:08:38] Sleep trackers were part of a study. They put two groups of sleepers in a room with a clock showing the wrong time. Some people had a great night's sleep but they thought they had a restricted sleep. They were asked to do math problems and they did poorly. They thought they were exhausted after eight hours of sleep. [1:10:12] The other sleep group was interrupted after four hours of sleep but the clock showed they had slept eight hours and they believed it. They reported feeling wonderful. They did well on the math problems. The problem with gadgets is that a little information is good but we can sometimes get taken too far. Use tools as they are defined and don't take them too far. [1:11:39] Sachin commits to give up personal tech devices for a week and see the results. Bryan says one of the biggest issues we have right now is that we are hyper-focused on ourselves and no longer focused on life and our community. In the past, who you were was who you were to the community. It was your purpose in the community. [1:12:43] Now we look so much within ourselves, we don't look out anymore. Nobody's focused on anybody else anymore. Bryan thinks that one of the biggest health issues we have is people running around lacking purpose, lacking knowing who they are and lacking connections to other people. Bryan thinks it's showing up in neurotransmitters and hormone issues. [1:13:54] Sachin is a student for life, like Bryan, willing to learn and adapt and experiment. He will let Bryan know in a week how the tech fast goes. The Oura ring will sit on his desk for a week. [1:14:37] What is Bryan's take on AI in blood chemistry? He thinks it has fantastic potential. His fear is that people don't like to think. Thinking is hormetic but we just want a protocol. The literature about AI in interpreting blood chemistry is good. It does what we are trying to do mentally and manually with the numbers. Bryan's concern is we will forget how to observe. [1:16:05] Bryan has experience with AI and labs. He looks at the lab first and draws his conclusions without bias before looking at the AI interpretation. Sachin agrees. No one can do your pushups for you. [1:17:09] Bryan and his wife have their business at MetabolicFitnessPro.com. They are trying to raise the bar. They are Christian. In a world of dishonesty, they run with humility and integrity and they hope that everything they do emanates from there. They have a number of courses people can get to improve what they do in their practice, be successful, and feel good about it. [1:18:47] Bryan says he doesn't think of himself as smart; when you're dumb, you keep trying to be smart. He's always trying to impress his wife, who doesn't impress easily. They are working on creating a lab with some pretty cool markers that aren't on standard labs but the evidence suggests they should be. They teach a course in blood chemistry analysis. [1:20:04] Sachin thanks Dr. Bryan Walsh for this enlightening conversation. Sachin invites Bryan to return for further discussions, to speak at Sachin's events, and to offer mentorships. Mentioned in this episode Perfect Practice Live ECO CellCore Conference More about your host Sachin Patel How to speak with Sachin Go one step further and Become The Living Proof Perfect Practice Live sachin@becomeproof.com To set up a practice clarity call and opportunity audit Books by Sachin Patel: Perfect Practice: How to Build a Successful Functional Medical Business, Attract Your Ideal Patients, Serve Your Community, and Get Paid What You're Worth The Motivation Molecule: The Biological Secrets To Eliminate Procrastination, Skyrocket Productivity, and Get Sh!t Done
Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices
Dr. Sand takes a deep dive into how cortisol effects intestinal permeability and the GI lining. Topics covered include: - Cortisol and the gut lining and the brain - Parkinson's disease and intestinal permeability - Inflammatory bowel disease and intestinal permeability - Stress and the mucus membrane lining - Albumin is a marker for intestinal permeability and IBD - Meditation techniques for treatment of intestinal permeability - FOS and GOS as a way of address intestinal permeability - Fiber and the mucus membrane - GOS prebiotics and GI and brain health - Hypnotherapy for IBS - FODMAP as a treatment for IBS - Supplements for cortisol and the GI track - Adaptogenic plants for cortisol Dr. Rebecca Sand, ND, LAc: https://www.drrebeccasand.com/ Dr. Ami Kapadia, MD, ABFM, ABIHM: https://www.amikapadia.com/ Dr. Ilana Gurevich, ND, LAc: https://www.naturopathicgastro.com/ Don't forget to write a review and subscribe!
To learn more about working with me and to get a free call and digestion training, go to: www.bit.ly/gutcall Or call us now at 586-685-2222
Lab Values Podcast (Nursing Podcast, normal lab values for nurses for NCLEX®) by NRSNG
Overview Albumin Normal Value Range Pathophysiology Special Considerations Too High: Causes, Symptoms, Treatments Too Low: Causes, Symptoms, Treatments Nursing Points General Normal value range 3.5 – 6.0 g/dL Pathophysiology Produced in the liver Main protein of plasma Responsible for maintaining oncotic pressure Draws fluid into blood vessel “Protein pulls” Refer to Fluid & Electrolytes lesson 01.02 Fluid Pressures Transport protein Serves as amino acid Nutrition Poor indicator of nutrition Due to long half-life Pre-Albumin Better indicator of nutrition Special considerations Green top typically Usually sent with several other labs Chemistries Liver function tests Nutritional labs Elevated Albumin levels Dehydration Excess infusion of albumin Decreased albumin levels Liver disease Fluid loss Fistula Hemorrhage Kidney Disease Burns Congestive heart failure Long term poor nutrition Inadequate intake Inflammation Assessment Assess patient's pre-albumin for nutritional status or indications of acute illness Nursing Concepts Lab Values Nutrition
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: Bec: Hey Stephen! I have a 5 week old little girl and I was wondering if it is safe to use my Joovv red light panel on her to reset her circadian rhythm and help her build her melatonin? If so what time of day would be best and for how long? And if not, what age would it be safe for her to start using it? Angela: My mother is 83 years old and suffering from Parkenson's. She is on Levo/Cabidopa, Aspirin, Calcium, Vit D3 (but only 2000 iu). She weighs about 135 lbs so I believe she needs more Vit D3. She is also on iron and Modafinil. I believe the Modafinil is to help with her daytime sleepiness. She struggles with drinking enough water and gets constipated (probably from the iron too) and frequent UTIs as well. She fell for the 2nd time and broke her hip again so she is wheel chair bound, and movement is very minimal. All in all she is a hot mess and it's really hard to watch her decline this way. What would you suggest for someone that age and at that level of fragility? Ryan: Hello Doc, Wanted to see if you could briefly explain the connection or potential of albumin binding to testosterone and lowering the free levels of test in the body. My albumin has chronically been about a 5 or 5.1. My total testosterone has always been high, but my free doesn't seem optimal. I'm 31 and just looking to see what I can do naturally. I'm an IHP 2 so I understand the basics of increasing testosterone naturally. But wanted to hear your thoughts on albumin and testosterone connection, how can we lower albumin levels to a better range. Lower protein? Lower sodium? Any genetic issues I should look into? Liver or kidney? Etc. Thanks! Emily: Hi Dr. Cabral! I am wondering if you could share your thoughts on sorbitol intolerance, how to test for it, and how to treat it? I have been diagnosed with IBS in the past (which was an unhelpful diagnosis at best) and have recently been wondering if I may snuggle with sorbitol intolerance as well, which I have not been tested for. My thinking about this stems from the intense gas, bloating, diarrhea, and abdominal discomfort I have been struggling with daily lately. These symptoms are not new for me, however, I have noticed they are more intense and frequent lately, and am wondering if this is connected to my increased sorbitol consumption over the summer from stone fruits (peaches, plums, nectarines…). Thank you for your work! I am saving up now to take Levels 1&2 IHP:) Sara: Hi there, I love your podcast - thank you for your work! Does fasting help the clean up of damage from chronic alcohol abuse on the body and brain? Thank you! Sara Linden: Hi there! I would love any help I can get for lowering Candida while living in mold. Unfortunately I have no other option but to be in this environment for a few more months, but I'm dealing with pretty intense Candida and I know mold/mycotoxins can really fuel it's overgrowth. Any recommendations on a diet approach to keeping it as low as possible & other ways to support my body while I live here? Thank you so much!! 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/2521 - - - 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!
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