Podcasts about Allergy

Send us a text“Can you just have a look at this mole?” and “I can't take penicillin” are familiar phrases in primary care, but both can lead to difficult decisions. In this episode, we explore how to recognise suspicious, unusual and easily missed melanomas, including which risk factors and examination clues matter most, before tackling the difference between a true penicillin allergy and a troublesome side-effect. With practical pointers on referral, safety-netting and clearer allergy documentation, this is an episode to help you approach two common clinical uncertainties with greater confidence.Useful LinksWebsites describing appearances of lesions in different skin types:BAD Skin Health Info - skin of colourDermnet NZ - skin conditions in skin of colourNottingham Centre of Evidence Based Dermatology - skin of colour GP Trainee Essentials support package information, and the Red Whale CalendarSend us your feedback podcast@redwhale.co.uk or send a voice message Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited.  Find out more here. Follow us:  Facebook, Instagram, LinkedInDisclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

Mast cell disorders can feel confusing, especially with so much information floating around online and on social media. In this episode, we cut to the chase and tackle the most common mast cell disorder FAQs, straight from the community. Dr. Dareen Siri joins us to work through community questions on mast cell disorders one by one, from what a mast cell actually is to testing, treatment, diet, and long-term outlook. What we cover in this episode about mast cell disorders What is a mast cell. Dr. Siri breaks down what mast cells do in the body and why an overactive one causes symptoms. The different mast cell disorders. Allergies, autoimmune activation, and clonal disorders like indolent systemic mastocytosis each work differently. Which tests actually matter. Blood tests, the KIT D816V mutation test, and when a bone marrow biopsy comes into play. Plus, should you consider a urine test? Treatment and long-term outlook. What targeted treatment (avapritinib) looks like now, and whether a mast cell disorder shortens your lifespan. Diet, supplements, and bone health. Whether a low-histamine diet helps, what the evidence says about supplements, and why bone density matters long term. More resources about mast cell diseases All of our mast cell disease episodes About the PIONEER Trial for Avapritinib Mast Cell Disease Toolkit Mental Health and Mast Cell Disorders Symptoms, Diagnosis & Treatment Options for Mast Cell Disorders (Recording) ************ Made in partnership with The Allergy & Asthma Network. Thanks to Blueprint Medicines for sponsoring today's episode.  This podcast is for informational purposes only and does not substitute for professional medical advice. Always consult with your healthcare provider for any medical concerns.

In this episode, I have the pleasure of speaking with Dr. Neil Nathan about the intersection between brain symptoms and complex illness. Dr. Nathan has practiced medicine for over 50 years. He is one of the leading experts in complex chronic illness and mold toxicity — author of the bestselling Toxic: Heal Your Body from Mold Toxicity, Lyme Disease, Multiple Chemical Sensitivity, and Chronic Environmental Illness and The Sensitive Patient's Healing Guide. I am grateful to call Dr. Nathan a mentor and colleague. His pioneering work has been responsible for my healing from chronic illness, as well as that of many patients I've treated. Together, we co-lead a small peer group (within the larger mentoring group he provides with Marie Matheson, ND), supporting practitioners who treat those with complex chronic illness.In this episode we discuss:03:43 – Dr. Nathan's path to understanding complex illness11:20 – Why complex illness is rising and underrecognized19:30 – Why new medical ideas take decades to reach patients23:15 – Mold, Lyme, and long-COVID: the “big three” root causes25:58 – The limbic-vagal-mast cell “trifecta”30:31 – Are some people born more vulnerable?44:39 – The risk in “just do limbic retraining” advice47:35 - Biochemical contributors49:26 – Structural root: jaw and cervical instability53:58 – Differentiating Between Mold, Lyme & Long-COVID58:49 – A message of hope, and where to learn moreFull Transcript belowYou can find Dr. Nathan's books, consultations and mentoring program through his website at neilnathanmd.com. If you'd like to help get this information out into the world, please consider liking, sharing, or commenting.Until next time,CourtneyCourtney Snyder MDDr. Courtney Snyder MD is a holistic and functional child and adult psychiatrist and host of the Holistic Psychiatry Podcast and can be found at courtneysnydermd.comMedical DisclaimerThis podcast is for educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. Consult your own physician for any medical issues you may be having.Full TranscriptDr. Nathan's Path to Understanding Complex Illness03:43Courtney: I'm so glad we're doing this, and I feel like it's long overdue. As you know, in the mental health space in psychiatry, there's a lot of recognition of a dysregulated nervous system, threat response in the body, but oftentimes that's attributed to external forces or trauma, and not necessarily internal threats that we see, obviously, in complex chronic illness, which we'll be talking about. There's also not the recognition of the relationship between physical symptoms and brain-related symptoms. So I know you're going to help us connect a lot of these dots. As we sort of just lay the groundwork for what complex chronic illness is — when in your path did you start to recognize the distinction, when was the beginning of your work and appreciation of complex health issues?Neil: Okay, there are two answers to that question. First, when I went to medical school, my hope was to become a healer. And I was very disappointed that when I got there, I realized they weren't going to teach me to be a healer. And back then I used to question my professors at medical school — why do you do it this way, and how is that? And I kept feeling in all of our interactions that we were missing something. And my professors would go, “Okay, Mr. Wise Guy, smart guy, what are we missing?” And I'd go, “I don't know, I just know we're missing something.” Later I would come to recognize that we were missing the emotional and spiritual component to whatever was affecting people in their illnesses. And I have language for it now — I didn't then. The person in medical school who influenced me the most was Elisabeth Kübler-Ross, who I view as my main mentor in medical school. She, unlike anyone else, had a one-and-a-half-hour seminar once a week. Back then there weren't video cameras — you were in a small confined room with a two-way mirror, and you're sitting there watching someone do this. And she would simply interview one of her patients. She was a psychiatrist, but she was the only one in medical school who demonstrated how to really listen to people, how to really communicate with them, and not have this standard review of systems — here's my questions, here's your answers, and that's what I do, and this is what I write up. She was really listening. She was trying to really take in, okay, what happened to you, and what's going on with you? So I would want to give her credit as a role model to change how I learn to listen. Okay, that was step one.I'm going to fast forward to the early 1980s. And I am, at that point, the medical director of a regional pain clinic. And we are starting to see a whole bunch of patients who had this complicated process of fatigue, unrefreshed sleep, irritable bowel syndrome, and pain migrating all over their body. And back then we called it fibrositis. Now we call this fibromyalgia. And so whenever medicine encounters a thing that they don't know what they're looking at, it's psychological until proven otherwise. And people would get therapy, and they would take antidepressants and anti-anxiety agents. Didn't help much. And so it became clear to me that we didn't understand what this was at all. It was not psychological. Something was going on in their bodies — now I recognize it as an inflammatory process. Back then there was no concept of that at all. And then, slowly, in the early nineties, we began to find pieces of the puzzle to understand what was triggering fibromyalgia. I was working back then with Jacob Teitelbaum, who did a lot of work with chronic fatigue and fibromyalgia, and we both independently came up with an understanding that a deficiency of magnesium, DHEA, adrenal issues, thyroid issues, sex hormone deficiencies, GI dysbiosis, and food allergy — if we looked at those and treated those, the majority of people with fibromyalgia got cured. It was different for different patients. It was not like there was one thing that caused it. And as time evolved, we began to realize that there was lots of other biochemical imbalances in the body that would contribute to this kind of a process that represented chronic fatigue and fibromyalgia.We discovered that Lyme disease and coinfections was a huge piece of that. And later still we discovered that mold toxicity was a huge piece of that. And so my understanding of the complexity — and it's not really confined to chronic fatigue and fibromyalgia at this point, we're really talking about almost all chronic illness — with a huge psychological component to that. So we've begun to understand this as essentially some version of inflammation. And if we start to really dig into what are the potential causes of that inflammation, we can make a huge impact for them. So this is a multi-year evolving understanding of how a person's genetics, biochemistry, physiology impacts their whole being in every way. And that inflammation extends to the nervous system, contributing greatly, if not causing directly, a large number of what are now called psychiatric diagnoses.Courtney: Right. So even among those patients that you were seeing — you were seeing, I'm assuming, depression, anxiety, brain fog?Neil: Yeah, the vast majority of our patients with mold toxicity have brain fog and anxiety, depression, OCD behaviors, mood swings, depersonalization, derealization. I mean, all of that is super common in our patients.Complex Illness Is Rising — and Underrecognized11:20Courtney: Do you feel like this is more recognized now — or do you feel like the number of people being hit with these complex health issues is increasing — or both?Neil: Both. I would love to say that the medical profession is increasingly recognizing all of this as important, but that recognition is coming very, very slowly. The majority of folks out there, if they were to list the symptoms that they had, their doctors would basically look at them like, “I have no idea what's causing it, so this must be in your head.” And that is the message they're getting from their physicians at this point. So many patients are being gaslighted, so many patients are being told it's in your head. And the repercussions of that are the family is hearing that same message, and the families become less supportive of those people, because they're saying, “This is not real, so why would I support you? This is still in your head, go get your head fixed.” And they're wrong, and it's really a travesty. But so yes, very slowly, this awareness is growing. There are now more medical meetings that I'm aware of where psychiatrists can learn more about this than there were ten, fifteen years ago, for sure. But not enough — it's still not enough.The other part of that is some of the main triggers for this inflammatory process are increasing. So we're seeing more and more mold toxicity, we're seeing more and more Lyme and coinfections, partly because the environment that we are all exposed to has gotten extremely increasingly toxic. So it's now known, for example, that there are 350,000 new chemicals in our environment than existed 70 years ago. The vast majority of those have never been tested for safety in human beings. So human beings have a tremendous amount of chemical exposure that they never had before. Human beings have a tremendous amount of EMF, electromagnetic exposures that they never had before in the history of the human race. So these exposures are cumulative. Our major organs, like our liver and our kidney, that have to deal with toxicity, are overloaded. And so, yes, we are seeing an epidemic of a whole bunch of these conditions. In children, we are aware that autism has skyrocketed — it went from one in several thousand kids to one in thirty kids in many states now have autism. And forgive me, but the pediatric profession is not taking this seriously. It's like, “Yeah, that's sad, it's unfortunate.” It's like — really, you don't want to look at this? This means one in every three kids born are getting autism — does that not concern you? But, forgive me, the medical profession is very slow to embrace new information, and that is really to the detriment.We're seeing an epidemic of Alzheimer's, Parkinson's, ALS, all of which involve neuroinflammation. We've seen already an epidemic of chronic fatigue and fibromyalgia. And all of these things are interrelated, because — yes, I'm supposed to be an expert on mold toxicity, and I probably am — but mold toxicity doesn't exist in a vacuum. You have mold toxicity as one of multiple environmental toxins we're being exposed to. It is simply one of the most common, the easiest one to diagnose, because we have tests for it. We don't have tests for the hundreds of thousands of chemicals out there. We're just beginning to be able to have some tests that will tell us what's in someone's body that might be making them sick.Courtney: Right, right. And I would imagine that this typical medical model of looking for one cause to autism, one cause to dementia — it's a completely different way of thinking. When you get away from that and you look at complexity of the human body, that way of thinking holds back the research, it holds back any progress.Neil: What I think is helpful for people to look at is: we are all uniquely, biochemically, genetically different. And so the same inflammation in one person could trigger cardiovascular disease, and another person could trigger Alzheimer's, and another person could trigger chronic fatigue. So we need to take a step back and go, okay — and this is not a brand new idea. For the last ten years, there are many papers in the medical journals that are saying chronic illness is almost certainly an inflammatory process. Now, it hasn't really integrated into what people are being taught in medical school or in their residency program. But this is not a brand new idea, and there's tons of medical research documenting that.What behooves us as physicians is to look at every human being and go, “Okay, this is your named chronic condition — what are the triggers for you?” We have to kind of be like a medical detective and dig in and go, okay, what's triggering your inflammation, so I can treat the cause — not put a band-aid on it, which is, forgive me, in the psychiatric field, taking antidepressants and benzodiazepines. That's a band-aid. It's a helpful band-aid, it could be a very important band-aid, help someone to function. But you really need to be looking at, okay, I have this great band-aid, but wouldn't it be nice to actually cure this? And I think that would be, for me, to your audience, Courtney, my take-home message — which is always look for the root cause, because it is possible that we will find that root cause, and you won't have whatever name you've been given, depression, anxiety, OCD, for the rest of your earthly life. Maybe.And I've treated thousands of people successfully here. So this is not — I've had one or two successes here — we're talking thousands of people that have responded to this way of practicing medicine, with fabulous results. People who've been literally bedridden, incapacitated by their illness, are now out there working again and being with their family and living full lives. So that's the take-home message.Courtney: Right. Which makes it so satisfying to treat. And I mean, I can speak to that, having experienced it personally. But at the same time, you do get pushback from other areas of medicine that don't give it necessarily credibility, even though people, on the other side, are thriving and healing, and it's really amazing.New Medical Ideas & Research Take Decades to Reach Patients19:30Neil: You know, the history of all science, including medicine, is: new technology, new drugs are fast-tracked to get into our lives. Ideas, not so much. Typically it takes a generation — twenty, twenty-five years — for a new idea to come into acceptance. And the first reaction of any science, medicine included, is to get into denial, which is, “There isn't enough data to support this concept, and I can't be perceived as practicing bad medicine by embracing a concept that isn't proven yet.” But that means that all of their patients are going to have to wait twenty years — until suffering — until that person goes, “Now there's enough evidence, now I can learn how to do this, and now I'll begin to help you.” I'm not wired that way. I'm wired that if I have a suffering person, and I have something that I can offer them that might help, I'm going to try it. I'm going to do it in the safest way I know how, but I can't leave someone dangling for twenty years and say, “I'm sorry, I have to wait until my profession figures out what to do.” That's not me.I worked at the medical school at the University of Minnesota Duluth for eleven years. And I was not only on the faculty, but I was on the committee that determined what new information was put into the curriculum. For example, AIDS was just coming into vogue at that particular point, and it was obvious that we needed to have courses on AIDS for the medical students, because this was big. What a lot of people wouldn't understand is that each department in a medical school fiercely guards its time allotment. Everyone gets a certain number of hours, and they're not open to adding new things or giving up any of their time slots for anything new. And so what I would watch is, as new information came into the medical school, each department fiercely refused to add any new lectures in their department, or give up any of the time that they had to anybody else to add that information. So we're talking about university politics now — this is not even medicine, this is people guarding their turf. And I don't even think that would occur to any consumers, that that would happen like that — well, certainly, why would that happen in a medical school? Well, it's because human beings are responsible for each department, and they guard their own turf. So it's a kind of an insidious process about how new information isn't embraced by the profession, to go into the medical school curriculum.Mold, Lyme, and Long-COVID: The “Big Three”23:15Courtney: I want to come back to what you were saying about inflammation being at the core of chronic illness and complex chronic illness. And when it comes to complex chronic illness, whether it's SIRS or mast cell activation from mold or Lyme, we talk about multiple systems being affected — the central nervous system, gastrointestinal tract, endocrine, skin, just you name it. If the inflammation then is from a source of oxidative stress or a major insult — would you say that mold toxicity is the most common, or would you put Lyme or now even COVID on a par with that, as far as the deepest roots causing the inflammation? Not that the chemicals, metals, and everything else we're being exposed to aren't at play.Neil: In my experience, those three are the biggies — mold toxicity, Lyme with its co-infections, and long-haul COVID. Those are the three most common. Of those, in my experience, mold is the most common, and the one that has to be treated first if you have some or all of them. So, for example, in people who have long-haul COVID or Lyme, often their body will not respond to that treatment optimally until you first get the mold out. So there's a little hierarchy of what we do, in what order. And then within that hierarchy, there's also an order in which we do things for people to respond optimally. So, for example, mold toxicity will trigger — and Lyme and Bartonella will do the same thing — limbic dysfunction, vagal nerve dysfunction, and mast cell activation in most of our patients. Not all, but in most. And the longer they have it, the more likely those things are going to get triggered. Once somebody does not feel safe — and the systems that we have in our body to monitor that safety and to keep us safe are the limbic system, the vagal system, and mast cell activation — we have to get the body safer, or it will not be able to take what you need to take to treat mold or Lyme or long-haul COVID. People will literally shut down — their limbic system will essentially go, “Mm, I see what you're trying to do there, and I can't let you do it, because I'm not sure that's safe.” And it will literally not allow people to do it.The Limbic-Vagal-Mast Cell “Trifecta”25:58Courtney: So with one of those, or a combination of those, on board, these threat mechanisms would be kicked up — mast cell activation, limbic system dysfunction, autonomic nervous system dysfunction. If they look similar, or a timeline isn't easily helping parse out what might be primary, how able do you feel to make the distinction — versus if mold is present, starting there?Neil: If we look at our patient's symptoms, they will point us clearly to whether there's a limbic or vagal or mast cell piece, to be specific. The limbic system's job involves primarily monitoring and regulating and keeping emotion and sensitivity in check. So any symptoms that involve those two things are limbic almost by definition. So on the sensitivity side, if someone describes an increased sensitivity to light, sound, touch, smell, chemicals, EMFs, food — they're already telling me my limbic system is dysfunctional. In some ways it doesn't matter what the cause is; if someone has this increased sensitivity, regardless of the cause, I know we have to treat their limbic system first.On the vagal side, the symptoms would primarily run into symptoms that involve the autonomic nervous system, which would involve things like temperature dysregulation, palpitations, insomnia, POTS, blood pressure dysregulation, or symptoms that involve the gastrointestinal tract, because the vagus nerve controls almost the entire intestinal tract. So any GI symptoms — gas, bloating, distension, reflux, diarrhea, constipation, abdominal pain — again, that would lead me to go, the vagus is involved here. So by listening to my patient's symptoms, I can immediately know what's dysregulated here, and what my first treatment arm will be — to get the limbic and vagal systems back up and running again at a safer level, because otherwise our patients aren't going anywhere. They can do binders and antifungals and antibiotics for Lyme, and they will get worse. Their body will basically go, “I know I might need that, but why are you doing that? I can't even get to a place of safety to respond. I'm on self-preservation mode here.”And in the mast cell category — again, all of the same symptoms that could be mold or Lyme or long-haul COVID could also be mast cell. Again, it's a multi-systemic process. A tip-off, which I find very helpful, is if someone describes a symptom that comes on immediately after eating, sometimes while eating. Nothing causes that kind of reaction that fast except mast cell activation. Allergy — and most people, if they do have some symptom that comes after eating, they're going to be thinking, “It must be what I ate, what did I just eat?” But it's not food allergy, it's mast cell activation. In that context, many of our patients have already observed that they can eat a particular food one day and have a very strong reaction, and the next day, same food, nothing. And they'll go, “That doesn't make sense — if this was allergy, I ought to react the same way every time.” And so that is classical mast cell activation, which fluctuates. So — for the first part of your question — that's what I'm looking for. When I take a history, when I talk with patients, I'm going to really dig into: are they already manifesting symptoms that clearly tell me what we need to do first, to get them safer, so that now they can respond properly to the treatment that will really get at their root cause.Are Some People Born More Vulnerable?30:31Courtney: I know you take deep timelines when you meet with someone, so you're really accounting for a lot. But one of the things that I think about a lot is: who is most vulnerable? Do some of us come into the world already with a vulnerability similar to Elaine Aron's highly sensitive person model? And then maybe there's trauma, early attachment disruption — and already vulnerabilities — but then the toxic load that we're all experiencing. But then something like mold or Lyme then hits. And then, all the years and all the patients you've seen — I'm curious how many you feel already had sort of a vulnerability. Not that they ever had to really become sick necessarily, but already had a vulnerability.Neil: Honestly, I would say most. Our limbic system evolves from the time we were in our mother's uterus, so that almost no one has had a perfect childhood. And so whatever someone has had to deal with in childhood — it could be recurrent ear infections or throat infections, or it could be a surgical procedure, or it could be parents, both of whom worked and they didn't get enough time, or they could be abusive parents, sexually, physically, verbally abusive — whatever someone has been exposed to, that forces their limbic system to have to deal with it. Because that's the job of the limbic system, is to keep you safe. So your limbic system is basically going, “Okay, I'm just a little thing here, what do I need to do to cope with this?” And so their limbic system slowly, inexorably, becomes more and more hypervigilant to protect them. Let's say someone had an alcoholic parent, and they would come home, and you were never sure what their status would be — and so you'd kind of hold yourself back from that, which is, “I've got to see what this person is showing me, is it safe for me to come up and give them a hug, or do I want to hang out in my room for a bit until whatever this is settles down?” That's the beginning of this limbic hypervigilance process. And then it just goes on through life. So that if you've had difficult relationships, or surgeries, or severe infections, or anything in the physical or emotional or spiritual plane, a betrayal of some type — the limbic system becomes slowly more and more and more hypervigilant, when the straw hits the camel's back. And that straw could be COVID, or Lyme, or mold toxicity, or another infection of some type — that's the straw that breaks the camel's back. At that point the limbic system goes into shutdown, which — we know the vagal system goes into shutdown, literally, that's something the vagal system is trained to do. It's “okay, we are so unsafe that I'm shutting down my systems here.” And so that predisposes to illness. But I want to tie that back to inflammation, which — a lot of people don't understand that the vagus nerve, for example, controls inflammation in the body also. There are branches of the vagus that go to the spleen, to the gut-associated lymphoid tissue, and to the thymus, all of which are major immune organs. And if the vagus is dysfunctional, inflammation can rage out of control. So again, this comes back to understanding this complexity of inflammation, and how we need to both understand it and know where it is we want to look to get at that inflammation. So there is a profound interconnected limbic-vagal-mast cell piece. Each totally connects to the other. There's an interaction between the thousand biochemical mediators that mast cells make and the nervous system itself. So I call this interconnection the trifecta, which is: you can't just treat the limbic system in a vacuum, because if you're not also looking at the vagal and mast cell system, your treatment may be a little bit helpful, or it might not even work at all, until you combine all three — so that you really understand this is a package deal here, in terms of how we work with it.There was one more piece I wanted to add, Courtney, to understanding the inflammation piece: whether or not someone gets mold toxicity or Lyme or COVID depends on how robust their immune system is. So you could have a family living in a moldy environment — one person is really sick, several are a little bit sick, and one is not sick at all. And the one who's not sick at all can easily go, “I'm not sure what's wrong with you all, but I'm fine in this environment, it can't be my environment because I'm fine.” And what they're not understanding is: yes, they are fine, as long as their immune system stays robust. For the others, they were at risk for all of these conditions because their immune system took a hit. And for many people who were living in a moldy environment, during COVID, for example, when we isolated and people were spending twenty-four hours in their home rather than the eight hours out, they were many now being exposed to more mold at home than they were before. I don't think people began to think about that or look at that. So in that environment, whether or not they were affected depends on the hit they took. Now, the things that will hit an immune system to weaken it, and allow whatever's there to manifest, are: COVID was a biggie, any severe infection, a surgical procedure, childbirth, menopause, or any emotional upheaval will weaken that immune system, and then the immune system loses containment, and now we are off to the races. So what I try to convince people who are living in a moldy environment who are well is that they're living with a ticking time bomb. Should they take an immune hit, they will be just as sick as their family member who they're kind of lording it over, which is, “I'm not sick, what's wrong with you?” You'll be right there yourself if you take that hit — to try to help them understand, yeah, you're okay for now, but once your immune system weakens. So I'm trying to tie together the immune system, its ability to regulate inflammation, and this whole process here.Courtney: Right, right. Which I guess is why we call it complex, complex illness.Neil: It is the way human beings are. We're not making up a new word of complex illness — illness was always complex. We're just beginning to understand how complex it always has been.The Limits of Treating Symptoms Alone44:39Courtney: Right, so there's communities out there addressing mast cell activation. There's communities out there addressing POTS and dysautonomia. Communities out there addressing OCD and more obvious limbic-type issues. And then there's the whole mental health field. And the dots aren't getting connected. I mean, I've yet to see someone with OCD — I think it's like eighty to ninety-five percent have mold toxicity as part of the picture.Neil: You know, an example — and I won't name names — is there's an eminent pediatric physician who is very well known for his work in autism, who thought he was ADD his whole life until he recognized that he had mold toxicity and started taking antifungals, and all of a sudden his brain went online and he doesn't have it anymore. So that's just a very clear example of what you're talking about. And what we are talking about is: it's absolutely essential that all people who work in the medical field, all healthcare providers, embrace this complexity, because if you're only working on a piece of it, you will help some people to a certain extent, but you will not help people optimally. I mean, that is the absolute bottom line.The understanding that mast cell activation was huge came in 2016, when Larry Afrin wrote his book, Never Bet Against Occam. It was a huge game changer. When I read his book, it was like, “My goodness, I've been missing this in my patients.” And the whole world embraced this information, so that every medical center in the country now has a mast cell activation clinic. However, they're looking at it as a single thing with a label to it, and they're treating it just that way. They have not recognized that if they don't add limbic and vagal work to it, their treatment is not going to be adequate. And so, yes, they're helping people, but absolutely not optimally. And to make it worse, very few of those clinics have recognized that what's causing mast cell activation, which absolutely needs to be treated, is mold toxicity and Lyme. So people go to these clinics and get a certain amount of help, but they're not being treated comprehensively, which is a pet peeve of mine — which is, come on, if you're going to have a clinic, understand the whole interactions of whatever name it is you're working with. If you're going to be an ENT specialist, understand everything that impacts that area. If you're going to be a cardiologist, understand everything that impacts it. And we just don't see that. We see people kind of in their little box — “No, no, I've learned this, this is what I do, this is how I work” — and it's just unfortunate that they're not looking at the bigger picture.Courtney: Right, I think add to that PANS and PANDAS, because in psychiatry, people feel like they're deep diving because they're getting to PANS and PANDAS. It's like, okay, you've got to go deeper than that, because even those conferences, they talk about the need for treating relapse, and it's just going to keep reoccurring.Neil: I mean, they're using IVIG to help. That's nice, but they're not getting to cause. And we know when PANS and PANDAS first emerged on the scene, it was all about strep, and that was the focus for a long time. But as time emerged, it was very clear that this was a neurological inflammation triggered — here we go, broken record — Lyme, mold, other infectious agents had to be looked for. And if we treated those, you could cure PANS. It wasn't something that needed IVIG for the rest of your earthly life.Courtney: Even among those, would you say very often mold is underlying the mycoplasma, the candida?Neil: I think mold is one of the most missed components to illness that I can think of. If I have a goal in life, it would be to raise the consciousness of our profession as to the importance of mold toxicity, how common it is. We're talking millions and millions of people who are not diagnosed, because their doctors don't know about it, and therefore are not making the diagnosis. I'd love to see the consciousness get to the point that someone would present with these complicated stories and a doctor would say, “Why don't we think about mold toxicity?” That would be the most important thing I would have done in my career.Courtney: Yeah, well, you're certainly raising awareness.Neil: I'm working — it is slow. As we said, I'm working on a twenty-year generational issue here.Courtney: You've mentioned that the underlying source needs to be addressed, but the nervous system and immune systems need to be addressed. So one of the things that comes up with limbic system retraining is: I've had people hear the message that if they just address their limbic and autonomic nervous system, then they wouldn't need to address what I see as an ongoing threat, such as a mold toxin. So I'm hoping you can speak to that, and the importance of these programs, despite that.Neil: Sure. A couple of the better-known limbic retraining programs, the coaches get a little bit zealous about — “limbic retraining is so important, this is all you need to do alone, don't even do anything else, just do limbic retraining.” And I suspect that there are a handful, very few, but a handful of people who've gotten well just doing limbic retraining. If, for example, if you had mold toxicity, if it was relatively new, if you had not colonized, and you moved out of your mold exposure soon, it is possible that the limbic retraining would help reboot it to the point that your immune system rebooted itself and you'd be fine. I believe there are a few people like that. The vast majority of people who have limbic dysfunction — you need to do limbic retraining and vagal retraining. You may also need to do mast cell retraining, and please look for the cause of that. Those are downstream effects, those are not named diagnoses that you treat alone and it fixes it. Please look for at least mold and Lyme, which are the two most common things that are triggering this at this point. And people are getting the wrong message if they think they need to do it in a vacuum. To make it worse, they're being told, “No, no, just do limbic retraining, that's all you need.” And the truth is, no, you need to combine limbic retraining and vagal rebooting and mast cell activation most of the time. And of course you've got to get back to cause.Courtney: Right, I mean I try to liken it to — if they were in an abusive relationship or toxic relationship, they wouldn't just limbic-system their way out of that, if there was an external threat.Biochemical Contributors47:35Neil: No, you've got to fix what's primary here. I want to add to this discussion — we're focusing on inflammation from toxins and infections, but there are also other biochemical issues, some of them downstream, that need to be looked for and addressed in order for people to recover completely. So, for example, Lyme and mold will trigger kryptopyrrole issues, or imbalances in the ratio between zinc and copper, or they'll trigger methylation issues super commonly. And I just wanted to expand this discussion — I know it's complicated enough, but I don't want to oversimplify it either — that there are other biochemical things that we want to be looking for, because they're treatable, and they will help people to heal faster, if we're also addressing methylation, the need for zinc, the need for magnesium or B6 — those are common components of this whole process here. And so I just want to kind of tie that all together for a moment.Courtney: No, I'm glad you did, because those are topics that I talk about here, so it's important to connect those. The other thing I see, because I integrate the Walsh approaches with treating people that have complex health issues, is zinc seems so amazing when it comes to mast cell activation — making sure that's optimized. As well as connective tissue — and that was something else I wanted to ask you about — is structural issues that can be impacting the autonomic nervous system. I just see a lot of people — I inquire about it because I had it myself — but who have upper cervical instability as part of this whole picture.Structural Contributors49:26Neil: Again, all of these things are interrelated, and the physical structure can prevent people from moving forward in several different ways. One is the structure of the jaw and the face — the body puts a priority on teeth occluding properly. And if the teeth don't meet just quite right, and the jaw is a little bit out of structure, people often talk about TMJ — the body basically freaks out, it goes into sympathetic overdrive. And for some patients — it's not common, but I've seen several dozen — where the jaw had to be realigned by a combination of dentists specially trained in this work, working with osteopathic physicians, to realign the jaw. Often in those patients, they couldn't respond to the limbic and vagal treatment until their jaw got realigned.Same thing is true with what you're talking about, as cervical cranial instability, which is basically a weakening of the ligaments at the base of the skull, where it attaches to the first cervical vertebra. Now, these are all again intertwined — for example, it begs the question of what weakens those ligaments. And the answer is: if you have mast cell activation, some of the materials that the mast cell makes weakens the ligaments. So the ligaments get weak, and where the skull attaches to the first cervical vertebra, instead of being pulled apart, like ligaments do, it collapses. And that influences the blood flow to the brain, the nerve flow to the brain. And again, the body recognizes that as a priority, and often you can't get that better — you can't get limbic and vagal response until that gets fixed.So there are a bunch of structural issues that also need to be looked at, when people become overly sensitive and are not responding properly. And there's more in that area. So, for example, there's a chapter by Tasha Turzo, who's an expert on the jaw structure. There's a chapter in there by Andy Maxwell on cervical cranial instability. So that book would give people a really good overview of how complicated things are, and they might, chapter by chapter, get a clue of, “I haven't looked at this piece yet.” I mean, we haven't talked about oxalate or salicylate imbalances, which can add to that. So I just think that is a resource for folks that could really help them understand how they've gotten where they are, and understand the path out.Courtney: Right, right, because not everyone has all of these areas, but certainly could be held back or have a unique something that they could be getting relief from early on in the process. So I think it's both, to the degree that people are able to learn, and your book Toxic, too — it's like an encyclopedia, even if someone doesn't read straight through it, they can go to the mast cell section, or they can go to the Bartonella section.Neil: It was intended to be a readable way to understand this complexity, because it basically will talk about almost everything we've talked about today, and help people to get better understanding. I mean, we've talked about the bigger picture today. We didn't talk about, okay, how do you diagnose Lyme, how do you diagnose mold toxicity, how do you diagnose long-haul COVID, and most important, because this is very complicated, how do you decide which of those is the biggest player that you want to address first?Distinguishing Between Mold, Lyme & Long-COVID53:58Courtney: Right, I have shared resources on diagnosing mold toxicity. Would you comment on your last point — how do you recognize, are you using specific testing that you want to reference, the RealTime?Neil: I do. But I would emphasize, we're taught in medical school that if you really listen to patients, ninety-five percent of the time you will make the diagnosis by history alone. And I don't want to get too focused on testing, because listening to the patient and having them describe in detail what they're going through will really give you the little pieces you need to tease it apart to a certain degree. That's only possible to a certain degree, because there's a huge overlap between the symptoms of Lyme and Bartonella and mold and long-haul COVID and mast cell activation. Huge overlap. So there's little teeny pieces that will tend to lean more in one way than another. And honestly, that's what's required from all of us, literally years of study, to really get a handle on — someone will say something, okay, that's much more of a mold symptom than it is a Lyme symptom, something else. So I do encourage people, if they think they might have mold, to get a urine mycotoxin test. That has revolutionized our ability to make these diagnoses.Courtney: Would you still set RealTime as the preferred? That's what I've communicated to this audience.Neil: I would. Any test can help make the diagnosis, but for follow-up testing, the only one that's been really consistent is RealTime. And you want a follow-up test, so you want to know what your baseline starting is, and then you want to know, okay, am I getting these toxins out of my body? From my perspective, you know that you're done treating it when that RealTime comes back reading not present in every category. We have better tests now for Lyme than we've had in the past. Years ago, our tests were inadequate to say the least. And the CDC recognized years ago that the tests were so inadequate that it was basically a diagnosis made by a physician by examining all of the history and information that you had. That was enough — you didn't need a lab report to make the diagnosis of Lyme disease. A new test that I'm particularly fond of is Bruce Patterson's fourteen-panel cytokine test. This is a test that measures cytokines, which are the molecules of inflammation — cytokines are made by your immune system to deal with, or fight, different inflammational causes. And so what Dr. Patterson has discovered is there's a pattern of cytokines that we see with long-haul COVID, which is different than the pattern we see for Lyme. And I'm working with him now on the pattern for mold. So we can literally look at that test and look at, okay, what is inflaming this person primarily now, because I'm looking at that inflammational pattern, and I can literally read that. Some of my patients will have all of those on a particular test, or only one, but it really helps tease apart what is — I call it public enemy number one for my patient, what do I need to address as root cause right now. So our science is improving as we go here.A Message of Hope — and Where to Learn More58:49Courtney: And that's huge. Before we go — I think all of your books, but I'm thinking specifically about Toxic and The Sensitive Patient — all the information you generously share gives people a lot of hope who've been struggling out there. And I think your mentoring and teaching so many of us helps extend some of that reach. Is there anything you'd want to convey to people out there in the throes of chronic illness who are feeling hopeless and not getting the feedback from their doctors that this is something they can get beyond?Neil: Sure. My take-home message is always: everything we talked about today is treatable. Is there hope in there? You bet there is. But if you are not getting the help you need from whoever you are seeing, find someone who understands these things. For example, I do have on my website a list of physicians that I've trained over the years that I'm comfortable that they really know what they're doing — it's a growing list. There's someone like Courtney, who's been trained for years to do this, she's good at it. Find someone who knows what they're talking about, so that you can get someone who does embrace this complexity, and will look at it in its entirety, and then get you moving in the right direction, doing the right things in the right order. To me, this can be done. I mean, I have personally helped to cure four or five thousand people with mold toxicity, and an equal number of people with Lyme disease. So we can help the vast majority of people that we're seeing. So, regardless of how long you've been sick, if you haven't been properly diagnosed and you haven't gotten the right treatment, you can be helped.Courtney: Right, right, that's great. And for physicians out there who are interested in learning more about complex chronic illness — are there resources you would point to? I'll be sharing your books, because I think those are great references — but also how people can find what you're doing currently.Neil: Sure, my books — particularly with this discussion, Toxic and The Sensitive Patient's Healing Guide would be the two most appropriate. I would add that I have just finished writing a book on this whole subject of inflammation. It's currently being edited, I hope it'll be out by early next year. So if you stay tuned to my website, I'll let people know when that's going to be available. And I think, Courtney, what you're referring to is: I do have a mentorship program for healthcare providers. We now have three hundred and fifty-plus people in the mentorship program, it keeps growing. You were in one of the first groups — we started with eight, and then people kept wanting to get in on it. So we welcome people to join. If you go to my website, which is simply neilnathanmd.com, there's a whole thing which talks about the mentorship and how to sign up for it. So I certainly welcome people who want to learn more.Courtney: And then you offer consultations and professional consultations also?Neil: I do. My consultations — I am, at this point, since I'm semi-retired, not seeing people directly. But I do offer consultations with a patient and their primary treating physician — so we all get on a Zoom together, and we will go over the details of that person's history and their lab work, and I will help outline a treatment program that looks to me like it will get people well. And actually, Courtney, I actually do a lot of that — I'm not really retired, my wife will tell you. I stay pretty busy. I love helping people. I love being able to take this complicated information and tease it apart, so that I can help people to understand what they need to do, in what order, in order to get better.Courtney: And we're all grateful — grateful that you've followed your path, because so many people have benefited personally and professionally. So thank you for bringing your wisdom and expertise, really appreciate it.Neil: You're very welcome, happy to do that.You can find Dr. Nathan's information, consultations, and mentoring program through his website at neilnathanmd.com. If you'd like to help get this information out into the world, please consider liking, sharing, or commenting.Until next time,CourtneyCourtney Snyder MDDr. Courtney Snyder MD is a holistic, functional, and environmental psychiatrist for children and adults. Find her at courtneysnydermd.com and on the Holistic Psychiatry Podcast on all major platforms.Medical DisclaimerThis podcast is for educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. Consult your own physician for any medical issues you may be having. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit courtneysnydermd.substack.com

Rafe might have allergies. Or a cold. Or he might simply be preparing for pharmaceutical Armageddon.Either way, he arrives with enough medication spread across the desk to make the studio look like a Walgreens with microphones.That's how this episode begins, and somehow things get significantly less sanitary from there.Rafe is determined not to get sick, so he's armed with cold remedies, allergy treatments, mystery medicine from Devon and, naturally, cheese-filled salami wraps. Rizz recommends the traditional cure of chicken soup — AKA “Jewish penicillin” — while everyone tries to determine whether there's actually something magical happening in the broth.This daily podcast then becomes a support group for adults who wake up injured despite accomplishing absolutely nothing.Rizz's hand mysteriously hurts. Lern wakes up with a completely numb hand after falling asleep on the chaise lounge. Rafe routinely loses feeling in entire arms while sleeping. That launches everybody into an extremely detailed comparison of sleeping positions, dead limbs, stomach sleeping, coffin sleeping, restless legs and the bizarre little rituals our bodies apparently demand before allowing us eight hours of unconsciousness.Moon sleeps like a vampire.Lern has an elaborate pelvic-hand configuration.Rafe rubs his feet together like a human cricket.Everybody is doing great.Lern also shares her surprise Mary Kay makeover from a listener, which sends the room down memory lane with pink Cadillacs, parents getting involved with Mary Kay, Tupperware parties and the strange world of home-sales businesses.Naturally, Rafe has a related story.Early in his comedy career, he and another comedian performed at an event and discovered part of their compensation involved a swag bag filled with adult products.Money disappears.Possessions come and go.But apparently a bag of novelty merchandise is forever.From there, Rizz gets into the supposed magic of 10,000 steps a day and explains that the famous number traces back to pedometer marketing rather than some sacred scientific commandment. The crew discusses walking pace, Moon's extremely active 83-year-old mother and the general importance of staying mobile as you get older.Then we meet Hyrox.Imagine running five miles while repeatedly stopping to punish yourself with sled pushes, sled pulls, burpee broad jumps, rowing, kettlebell carries, sandbag lunges and wall balls.Sounds fun!It gets better.The show discusses a 22-year-old competitor who won a Hyrox event despite suffering an absolutely catastrophic bathroom emergency during the race.She kept going.And won.Normally, that would be an inspirational sports story about perseverance.Unfortunately, Hyrox involves shared workout equipment.Now we have a biohazard.The crew debates whether finishing the race was admirable, horrifying or both, especially after learning the incident reportedly happened early enough that the competitor still had multiple shared stations ahead of her.The event ultimately changed its rules for future incidents, but her victory remained intact.A win is a win.Apparently.You might think one poop story is enough for a daily podcast.That would indicate you have never listened to The Rizzuto Show.Welcome to Poopy Tuesday.The next story involves an alleged affair, neighboring units in a Miami-area mobile home park and a woman accused of preparing an entire bucket of human waste specifically to throw in her neighbor's face.That sentence somehow gets worse when the crew learns she reportedly told someone beforehand what she was planning.Nothing says “healthy conflict resolution” quite like collecting ammunition yourself.Crime news continues with authorities reportedly searching for an older Chevy Tahoe bearing the words “Fat Chicks Only” after a burglary. Witnesses allegedly describe two large bearded men, meaning police received perhaps the most specific and simultaneously useless suspect description imaginable.Then Vegas enters the chat.A man meets two women at a nightclub, drinks with them, hits the hot tub and brings them back to his hotel room. He later wakes up to discover cash missing along with tens of thousands of dollars in allegedly unauthorized transactions.The crew immediately begins investigating the most important unanswered question:Did the poor guy at least have a good night first?We may never know.Things eventually move to air travel, where Rizz recalls sitting near a passenger who suffered a seizure before takeoff and was ultimately removed from the flight because of the medical risk.Then comes another flight story involving a passenger who reportedly got completely naked and began engaging in inappropriate behavior in front of neighboring passengers.The pilots apparently decide they're still going to Miami.Honestly, at that point, everybody deserves the vacation.Moon also unloads on airline entertainment systems that constantly interrupt movies with announcements, lengthy videos and pilots who sound approximately 40 years older over the intercom than they looked while boarding.Then Rizz destroys airplane dining forever.According to a flight attendant story discussed on the show, some passengers have changed babies on tray tables.Yes.Those tray tables.The same tray tables where you put your pretzels.Moon says he wipes down his tray, screen and armrests whenever he flies.Suddenly that no longer sounds obsessive.It sounds like basic survival.And because apparently the gastrointestinal theme had not been explored thoroughly enough, the crew circles back to diarrhea for a discussion about a reported cyclospora outbreak tied to shredded iceberg lettuce being declared over.Lettuce is back, baby.The long national nightmare has ended.Finally, the crew gets into one of St. Louis' favorite shared hobbies: complaining about Lambert.Airport pickup congestion, Uber confusion, departures versus arrivals, construction, terminal access and the increasingly chaotic experience of simply trying to collect another human being from the airport all get their turn.For years, one of St. Louis' greatest airport flexes was convenience.Now?Welcome to Thunderdome. Please locate your Uber somewhere in this general zip code.So yes, this episode has allergies, mysterious body pain, bizarre sleeping positions, Mary Kay, unconventional comedy compensation, fitness trends, competitive bathroom disasters, weaponized feces, Vegas mistakes, naked airline passengers, contaminated tray tables, lettuce recalls and St. Louis airport rage.Exactly what you expect from a daily podcast that begins by recommending chicken soup and somehow ends up making you afraid of gyms, airplanes, mobile homes, lettuce and your own digestive system.Feel better, everybody.And maybe disinfect that tray table.Follow The Rizzuto Show → linktr.ee/rizzshow for more from your favorite daily comedy show.Connect with The Rizzuto Show Comedy Podcast online → 1057thepoint.com/RizzShow.Hear The Rizz Show daily on the radio at 105.7 The Point | Hubbard Radio in St. Louis, MO.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Histamine is quite possibly the most popular buzzword in healthcare right now and for good reason. For those living with a vestibular condition and dealing with a histamine intolerance, it can feel like a lot to understand and manage. In this episode, I’m breaking down what histamine is, what histamine intolerance can look like, how it’s impacting vestibular disorders and migraine, and what you can do about it. In this episode, we'll dig into: What histamine is and its role in your immune system, digestion, sleep, mood, memory, and more The 4 types of histamine receptors and what they have to do with your symptoms Histamine intolerance vs. MCAS What happens when you don’t have enough of the DAO enzyme What contributes to histamine intolerance and what it can look like How to properly diagnose histamine intolerance What you can do to support your liver if you have histamine intolerance How to do a low-histamine diet the right way How food freshness affects histamine levels The histamine-migraine connection What research is showing about histamine’s role in the vestibular system and inner ear How addressing histamine can make previous treatments that didn't work suddenly start working When there’s too much histamine in the body than what the body can actively remove, you’ll have more histamine reactions and a harder time processing histamine in general. I want you to remember though that all hope is not lost! For additional support, we have the webinar with Isabel Smith that touches on histamine intolerance, as well as liver and gut support inside Vestibular Group Fit.  We will also have Natalie Sampson, a Board Certified Genetic Counselor, joining me on a future podcast episode! Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email madison@thevertigodoctor.com Otherwise, I'll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. Citations Cleveland Clinic. “Histamine.” Cleveland Clinic, Cleveland Clinic, 28 Mar. 2023, https://my.clevelandclinic.org/health/articles/24854-histamine. Accessed 10 July 2026. Jochum C. (2024). Histamine Intolerance: Symptoms, Diagnosis, and Beyond. Nutrients, 16(8), 1219. https://doi.org/10.3390/nu16081219  Sánchez-Pérez S, Comas-Basté O, Duelo A, Veciana-Nogués MT, Berlanga M, Vidal-Carou MC and Latorre-Moratalla ML (2022) The dietary treatment of histamine intolerance reduces the abundance of some histamine-secreting bacteria of the gut microbiota in histamine intolerant women. A pilot study. Front. Nutr. 9:1018463. doi: 10.3389/fnut.2022.1018463 Jackson, K., Busse, W., Gálvez-Martín, P., Terradillos, A., & Martínez-Puig, D. (2025). Evidence for Dietary Management of Histamine Intolerance. International journal of molecular sciences, 26(18), 9198. https://doi.org/10.3390/ijms26189198 Kong, L., Domarecka, E., & Szczepek, A. J. (2023). Histamine and Its Receptors in the Mammalian Inner Ear: A Scoping Review. Brain sciences, 13(7), 1101. https://doi.org/10.3390/brainsci13071101  Tighilet, B., Trico, J., Marouane, E., Zwergal, A., & Chabbert, C. (2024). Histaminergic System and Vestibular Function in Normal and Pathological Conditions. Current neuropharmacology, 22(11), 1826–1845. https://doi.org/10.2174/1570159X22666240319123151  Chen, Z. P., Zhang, X. Y., Peng, S. Y., Yang, Z. Q., Wang, Y. B., Zhang, Y. X., Chen, X., Wang, J. J., & Zhu, J. N. (2019). Histamine H1 Receptor Contributes to Vestibular Compensation. The Journal of neuroscience : the official journal of the Society for Neuroscience, 39(3), 420–433. https://doi.org/10.1523/JNEUROSCI.1350-18.2018  Ferretti, A., Gatto, M., Velardi, M., Di Nardo, G., Foiadelli, T., Terrin, G., Cecili, M., Raucci, U., Valeriani, M., & Parisi, P. (2023). Migraine, Allergy, and Histamine: Is There a Link?. Journal of clinical medicine, 12(10), 3566. https://doi.org/10.3390/jcm12103566  histamine and vestibular conditions, vestibular migraine, chronic dizziness, migraine attacks, vestibular disorders, vestibular group fit, food sensitivities, MCAS, gut issues, holistic approach, bucket theory, lifestyle changes, allergies and vestibular disorders

There's a question that's been circulating widely these days. It's in the clinic, it's in the news, and it's on patients' minds. Why do allergies appear to be increasing? Enter the epithelial barrier hypothesis. This is a developing theory that sees a connection between the ‘atopic march' and the breakdown of the epithelial barrier.On today's episode we speak with Professor Cezmi Akdis. Professor Akdis is a director of the Swiss Institute of Allergy and Asthma Research in Davos and professor at the University of Zurich. His research has been instrumental in the development of the epithelial barrier hypothesis.We cover:What epithelial barrier integrity looks like when it is workingWhat epithelial dysfunction looks likeEvidence for epithelial barrier breakdown Connection between epithelial barrier dysfunction and the atopic marchEnvironmental factors common to Western societies, such as detergents, processed food and air pollution, that impact the epithelial barrierOpportunities for early intervention to repair the barrierIt can seem like the sources of epithelial dysfunction are just about everywhere but the solution may begin at home.Have an idea for the show or a comment, send us a text!Visit the Canadian Society of Allergy and Clinical ImmunologyFind an allergist using our helpful toolFind Dr. Hanna on X, previously Twitter, @PedsAllergyDoc or CSACI @CSACI_caThe Allergist is produced for CSACI by PodCraft Productions

Wizard is reimagining allergy care for people who are tired of the same clinical, one-dimensional options that have dominated the category for decades. Founded by beauty industry veteran Lorne Lucree, Wizard was born from his own lifelong struggle with allergies and his belief that the category could be approached with the same thoughtfulness, innovation, and attention to experience that transformed skincare. After more than 20 years developing products for brands including Clinique, Tatcha, L'Oréal, R+Co, IGK, and ONE/SIZE, Lorne brought that beauty-world expertise into an entirely different aisle. He assembled a team of allergists, scientists, and formulators to develop drug-free, non-drowsy solutions that work with the body rather than simply masking symptoms. At the heart of Wizard is its proprietary Nasalbiome™ technology, informed by research into the nasal microbiome and its connection to whole-body wellness. From colorful nasal sticks to simplified daily routines, Wizard combines science with sensory appeal to make allergy care feel less like medicine and more like modern wellness. Lorne's vision is simple: allergy relief should work like magic, be backed by science, and actually be something you enjoy using.In this episode, Lorne also discusses:Why drug-free allergy relief could disrupt one of the most outdated aisles in retailThe surprising science behind bringing skincare-inspired ingredients to your noseWhy allergies are becoming more prevalent and what that means for modern wellnessWhy your nose is your body's first line of defense and why daily nasal cleansing mattersTaking Wizard to Coachella and building a brand that shows up authentically The three pillars behind Wizard's approach: cleanse, relieve, and balanceWe hope you enjoy this episode and gain valuable insights into Lorne's journey and the growth of Wizard Wellness. Don't forget to subscribe to the Glam & Grow podcast for more in-depth conversations with the most incredible brands, founders, and more.Be sure to check out Wizard at www.wizardwellness.com and on Instagram at @wizardwellness Rated #1 Best Beauty Business Podcast on FeedPostThis episode is brought to you by WavebreakLeading direct-to-consumer brands hire Wavebreak to turn email marketing into a top revenue driver.Most eCommerce brands don't email right... and it costs them. At Wavebreak, our eCommerce email marketing agency helps qualified brands recapture 7+ figures of lost revenue each year.From abandoned cart emails to Black Friday campaigns, our best-in-class team manage the entire process: strategy, design, copywriting, coding, and testing. All aimed at driving growth, profit, brand recognition, and most importantly, ROI.Curious if Wavebreak is right for you? Reach out at Wavebreak.co

The Gut-Brain Connection: Repairing Gut Health Can Heal Chronic Conditions Many Americans suffer from gut dysregulation. Because crucial mood-regulating chemicals are generated in the gut microbiome, ignoring these warning signs can have profound effects on our overall mental and physical health. Our expert explains the strong connect between gut health, chronic disease, and emotional well-being – and how to heal your gut microbiome. Guest: Martha Carlin, founder, BiotiQuest author, Connected When Immune Cells Go Rogue: The Rapid Rise Of Eosinophilic Esophagitis Our bodies are intricate machines where every cell has a specific job. But when specialized allergy-fighting white blood cells migrate into the esophagus, severe dysfunction follows. Our expert explains how this triggers a chronic immune condition that has rapidly become one of the fastest-growing digestive diseases and can severely disrupt daily life. Guest: Dr. Evan Dellon, professor of medicine, University of North Carolina, director, Center for Esophageal Diseases & Swallowing Facebook: ingoodhealthpodX: @ ingoodhealthpodIG: @ingoodhealthpodYouTube: @ingoodhealthpodSpotify Apple Podcast In Good Health PodcastSubscribed to the newsletterFull ArchiveContact UsBecome an Affiliate Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

When Immune Cells Go Rogue: The Rapid Rise Of Eosinophilic Esophagitis Our bodies are intricate machines where every cell has a specific job. But when specialized allergy-fighting white blood cells migrate into the esophagus, severe dysfunction follows. Our expert explains how this triggers a chronic immune condition that has rapidly become one of the fastest-growing digestive diseases and can severely disrupt daily life. Guest: Dr. Evan Dellon, professor of medicine, University of North Carolina, director, Center for Esophageal Diseases & Swallowing Host: Greg Johnson Producer: Kristen Farrah Facebook: ingoodhealthpodX: @ ingoodhealthpodIG: @ingoodhealthpodYouTube: @ingoodhealthpodSpotify Apple Podcast In Good Health PodcastSubscribed to the newsletterFull ArchiveContact UsBecome an Affiliate Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

How do you decide what is the right medication for you after antihistamines are not working to manage your chronic hives? Dr. David Lang, one of the authors of the new chronic urticaria guidelines (still in review), walks through every advanced treatment option the way he would if he had as much time as possible with a patient in his office. Along with Dr. Gupta, they cover the three treatments available when antihistamines are not enough, what each one asks of you week to week, and how to walk into your appointment ready to choose. Dr. Lang's patient guide: Choosing an Advanced Treatment for Chronic Hives  What we cover in our episode about  chronic hives treatment What to think about when choosing a medication: benefit, harm, and burden. Dr. Lang explains why these are three different things, and why the one most patients are never asked about is what a treatment costs them in time, appointments, and schedule. The three advanced options side by side. Omalizumab (Xolair), dupilumab (Dupixent), and remibrutinib (Rhapsido) compared on how often you take them, how fast they work, and what the side effects really are. What the scary side effects actually mean. Dr. Lang walks through the anaphylaxis, cancer, and heart risks tied to omalizumab, and explains how likely each one really is. When blood tests for chronic hives come into the picture. Testing will not tell you why you have hives, but it may hint at which of the three treatments is more likely to work for you. Insurance may choose your starting point. All three treatments are approved for chronic hives, so if your plan covers one over another, that is a reasonable place to start, not a compromise. ************ Made in partnership with The Allergy & Asthma Network. Thanks to Genentech & Novartis for sponsoring today's episode.  This podcast is for informational purposes only and does not substitute for professional medical advice. Always consult with your healthcare provider for any medical concerns.  

FAACT's Allergy Summit is almost here! This year brings new speakers and fresh topics—from creating social media graphics and editing videos to using advocacy to drive change and connecting directly with medical experts.Healthcare influencer, marketing expert, and Summit moderator, Missy Voronyak, joins us for a sneak peek at what's ahead and shares how you can strengthen your voice, expand your reach, and use social media responsibly.Resources to keep you in the know:Voronyx AgencyFAACT's Allergy Summit FAACT's Allergy Summit Registration and AgendaMissy Voronyack on LinkedInYou can find FAACT's Roundtable Podcast on Apple Podcasts, Pandora, Spotify, Podbay, iHeart Radio, or wherever you listen to podcasts.Follow us on Facebook, Instagram, BlueSky, Threads, LinkedIn, Pinterest, TikTok, and YouTube.Sponsored by: GenentechThanks for listening! FAACT invites you to discover more exciting food allergy resources at FoodAllergyAwareness.org!

This show is brought to you by Foxtrot Mike! Double Tap Double Tap – Ep 478 September 7, 2026 Presented by This episode of Double Tap is brought to you by: Foxtrot Mike (Code: WLSISLIFE) C&G Holsters (Code: WLSISLIFE) Midwest Industries (Code: WLSISLIFE) Blue Alpha Rost Martin (Code: WLSISLIFE) Giveaways!! GAW Text Dear WLS or […]

Double Tap Double Tap - Ep 478 September 7, 2026 Presented by This episode of Double Tap is brought to you by: Foxtrot Mike (Code: WLSISLIFE) C&G Holsters (Code: WLSISLIFE) Midwest Industries (Code: WLSISLIFE) Blue Alpha Rost Martin (Code: WLSISLIFE) Giveaways!! GAW Text Dear WLS or Reviews +1 743 500 2171 Public Show Titles Dear WLS WINNER Question from Anonymous Coward from Oregon Evening gents, Im looking at building a 4.5″ suppressed 10/22 in a chassis for fun. Debating on the polymer sb tactical chassis or the Fletcher hall aluminum chassis. Is there a major pro/con of either (besides price)?Thanks for your deep thought out answer to this manner… -typicalpnwguy Question from Anonymous Coward from Oregon Red. Thoughts on the new burn proof gear plate carrier that's 850+ dollars I love their suppressor covers but would you pay $850 for a plate carrier? Question from Agent Entropy from Georgia If you could load anything into a 12ga shell, what's the most embarrassing load that would still be fatal? Use case: it's pride month.– Agent Entropy (I'm not in Georgia) Question from Anonymous Coward from California Angel from Commiefornia, again, sorry for not being specific on my question I want a riffle that can be used for home defense and some target shooting. I started to look at the rugger harrier. As for budget I like to save up for it and purchase so I don't have debt. Question from Anonymous Coward from Louisiana What's up my inwards? I'm currently sitting on a small stash of 7.62×39, and am minus a rifle that can shoot it. I'm kind of burnt out on AK's at the moment, so I'm trying to avoid that route. Have been kicking around the idea of a bolt gun in x39 for hogs and deer. Do yall have any recommendations for something to feed this shit to besides an AK or an SKS? Question from The typicalPNWguy from Oregon Dear borthers,has there been an update on the ATF not requiring the extra engraving for SBRs? Seems like it was a hot topic for 48hrs then been nothing since. The typicalPNWguy Gun Industry News Thefirearmblog TMC TAO50-18 Short Barrel .50 BMG Rifle The TAO50-18 is a new short-barreled variant of the TAO50 .50 BMG anti-materiel rifle from TMC (Tactical Mindset Company). It features an 18-inch barrel while maintaining the core recoil-reduction and portability design of the platform, aimed at delivering .50 BMG performance in a more compact and maneuverable package than traditional long-barreled .50 cal rifles. Bottom Line: 18″ barrel, .50 BMG caliber, portable anti-materiel rifle design with recoil mitigation features Thefirearmblog CAA Roni Micro Now Compatible with Gen 6 Glock Pistols CAA has updated the Roni Micro pistol-to-carbine conversion platform to support 6th generation Glock pistols. The Roni Micro transforms a compact or subcompact Glock into a shoulder-fired platform with a folding stock, foregrip, and accessory rails while maintaining the original pistol's trigger, magazine, and fire control. The Gist: Availability now for Gen 6 Glock models Bottom Line: Folding stock, integrated foregrip, Picatinny rails; converts Glock pistol into carbine-style platform Thefirearmblog Bersa USA Enters Suppressor Market with Four-Model Lineup Bersa USA has launched its first suppressor line consisting of four models targeting different platforms and calibers. The suppressors utilize a modular design with user-serviceable baffles, stainless steel construction, and are designed for both rifles and pistols. This marks the Argentine manufacturer's expansion beyond firearms into the silencer segment. Bottom Line: Four models: .22 LR (pistol/rifle rated, 5.5″ length, 1.06″ diameter, 4.2 oz, 6 baffles); 9mm (pistol, 7.2″ length, 1.38″ diameter, 9.5 oz, 8 baffles, 32 dB reduction); .30 (rifle, 7.8″ length, 1.5″ diameter, 13.4 oz, 8 baffles, full-auto rated on .308); .338 (precision rifle, 9.2″ length, 1.75″ diameter, 16.8 oz, 8 baffles, rated to .338 Lapua). All models feature stainless steel baffles, titanium tubes on select models, 1/2×28 or 5/8×24 threads, and are user-serviceable. Thefirearmblog CZ 612 Tac Shotgun CZ introduces the 612 Tac, a tactical variant of their pump-action shotgun line chambered in 12 gauge. The model features a durable synthetic stock, Picatinny rail for optics, and multiple M-Lok slots on the forend for accessory mounting. It is designed for tactical and home defense applications with reliable pump-action operation. Bottom Line: 12 gauge pump-action; synthetic stock; Picatinny rail; M-Lok forend; tactical configuration Thefirearmblog Geissele HiCaR Hypervelocity Improved Capability Assault Rifle Geissele Automations has developed the HiCaR (Hypervelocity Improved Capability Assault Rifle), a next-generation assault rifle platform. The design focuses on achieving significantly higher projectile velocities through advanced barrel, chamber, and ammunition integration while maintaining controllability and reliability. Bottom Line: Hypervelocity design for increased projectile speed; improved capability assault rifle platform with advanced engineering for velocity and control Thefirearmblog CZ TS 3 Orange Competition Pistol Now Available in the US The CZ TS 3 Orange is a competition-focused 9mm pistol from CZ featuring a steel frame, optics-ready slide, and competition-oriented ergonomics. It is now available for purchase in the United States through authorized CZ distributors and retailers. The Gist: Now available through authorized CZ distributors and retailers in the US Bottom Line: 9mm, steel frame, optics-ready slide with fiber optic front sight, competition trigger, extended magazine release, checkered grips, aluminum magwell Thefirearmblog MKU Netro NW-3000 Night Vision Sights for Indian Army SIG 716 Rifles MKU has supplied Netro NW-3000 night vision weapon sights for the Indian Army's SIG Sauer SIG 716 patrol rifles. The NW-3000 is a lightweight, high-performance clip-on or stand-alone night vision sight designed for tactical use, providing enhanced low-light targeting capability to standard infantry rifles already in Indian service. Bottom Line: Lightweight high-performance night vision sight; compatible with SIG 716 rifles; enhances low-light targeting for Indian Army infantry Thefirearmblog Smith & Wesson Model 1854 America 250 Heritage Double Duty Lever-Action Rifle Smith & Wesson has released a commemorative edition of its Model 1854 lever-action rifle tied to the America 250 anniversary. The Heritage Double Duty variant features historical styling combined with modern performance enhancements in a lever-action platform chambered for .44 Magnum. The Gist: Available now through authorized Smith & Wesson retailers and distributors Bottom Line: Chambered in .44 Magnum; features include 16.5″ barrel, 9+1 capacity, walnut stock with heritage engraving, modern lever-action design with enhanced ergonomics and reliability updates over traditional designs Thefirearmblog Savage Arms Axis Rifles – All Barrels Now Threaded Savage Arms has updated its Axis bolt-action rifle line so that all barrels are now threaded from the factory. This change applies across the Axis lineup, enabling easier suppressor and muzzle device installation without aftermarket threading. The update simplifies customization for users seeking threaded muzzles on their entry-level rifles. The Gist: Availability: Now (all current production Axis rifles feature threaded barrels) Bottom Line: Key specs/features: All barrels factory-threaded for suppressors and muzzle devices; applies to entire Axis series; maintains existing Axis platform specifications Inside Safariland CZ TS3 Orange Cadre The CZ TS3 Orange is a competition pistol from CZ featuring an orange Cadre frame. It is designed for high-performance shooting with specific ergonomic and aesthetic updates in the orange variant. Bottom Line: Orange Cadre frame; competition pistol configuration Theoutdoorwire September Is Bear Aware Month In Montana Montana Fish, Wildlife & Parks (FWP) has designated September as Bear Aware Month to educate the public on bear safety during the fall season when bears are hyperphagic and more likely to encounter humans while foraging. The campaign promotes using bear spray as the primary deterrent, proper food storage, situational awareness, and making noise in bear country. It highlights that firearms are not the recommended first line of defense compared to bear spray in most scenarios. The Gist: The Gist: FWP and partners including the Interagency Grizzly Bear Committee launched Bear Aware Month in September 2026 to reduce human-bear conflicts through education on bear behavior, proper attractant storage, carrying bear spray, and travel techniques in grizzly and black bear habitat. Impact: Market Impact: Affects hunters, hikers, anglers, and outdoor recreationists in Montana and the Greater Yellowstone Ecosystem; reinforces preference for bear spray over firearms in non-hunting contexts and may influence sales of bear deterrent products. Bottom Line: The Bottom Line: Bear Aware Month underscores proactive prevention and non-lethal tools to coexist with recovering grizzly populations, potentially reducing wildlife conflicts and associated regulatory or economic impacts on public land users. Inside Safariland SIG Sauer P365-AXG Equinox Cadre The SIG Sauer P365-AXG Equinox is a new variant of the popular micro-compact pistol featuring an AXG aluminum grip module with an Equinox slide finish. It incorporates the Cadre Defense grip texture and is designed for enhanced ergonomics and aesthetics whil

AP correspondent Julie Walker reports a Kentucky man with a meat allergy was craving a burger. So he got into ostrich farming.

CPG disruptors have entered just about every legacy category over the past few years in hopes of capturing bored consumers looking for more interesting everyday products.  We've seen this play out across dandruff shampoo, toothpaste and mouth wash, supplements, sunscreen, and, most recently, the allergy aisle.  “We did a ton of consumer work up front, probably too much, pulling research reports, data and our own survey of 600 consumers, and what we realized was that there is a huge experience and efficacy gap,” Loren Lucree, the CEO and founder of 9-month-old allergy-care brand Wizard Wellness, told Glossy. “[We found that] only 7% were loyal to their current solutions, which is bananas. … [The] lesson is nobody's writing love letters to Flonase or Zyrtec.”  Lucree is a beauty industry veteran formulator and executive. His CV includes Unilever and Estée Lauder brands. “One morning I woke up and told my poor husband, ‘I have to do this,' … because somebody else will do it if I don't,” Lucree said. “[I thought], ‘I have this amazing beauty network around me, and now's the time'.” Lucree secured $7 million in funding from True Beauty Ventures, G9 Ventures, Able Partners and The Venture Collective to launch Wizard Wellness via a DTC model in January. The brand is built on a beauty industry playbook, including cleaner ingredients, clear positioning, clinical testing, a dynamic OOH advertising funnel and social-first marketing. Now, just nine months post-launch, Wizard Wellness has entered CVS, Walmart and, as of Monday, Target stores.  Glossy West Coast correspondent Lexy Lebsack sat down with Lucree to learn firsthand how he took on allergy incumbents and what it'll take to become a leader in the space.

Starting a biologic can feel intimidating, especially if you are worried it means being on medication forever, or wondering if it will actually replace your inhaler or your next sinus surgery. After this episode, we hope your biggest biologics questions are answered. Kortney and Dr. Payel Gupta are joined by Dr. Giselle Mosnaim, an allergist and immunologist, to walk through the united airway, what uncontrolled disease really means, and the most common questions patients have before starting a biologic. What we cover in this episode about biologics for asthma, COPD, and nasal polyps The united airway. Why the nose and lungs share the same lining, and why the same biologics can treat conditions in both. What a biologic actually is. How it targets one specific part of the immune system instead of suppressing the whole thing like steroids. What uncontrolled disease means. Why taking your medication as prescribed does not always mean your asthma, COPD, or nasal polyps are under control. The goal of starting a biologic. What results to expect, how biologics work alongside your inhaler or nasal spray instead of replacing it, and how they can reduce the need for repeat sinus surgery. Common myths and fears. Answers to real patient worries about weight gain, needles, side effects, pregnancy, and being on a biologic long term. ________ Made in partnership with The Allergy & Asthma Network. Thanks to AstraZeneca for sponsoring today's episode.  This podcast is for informational purposes only and does not substitute for professional medical advice. Always consult with your healthcare provider for any medical concerns.  

A tick bite can trigger an unusual and potentially life-threatening allergy: Alpha-Gal syndrome. Those affected react to red meat — the symptoms range from hives and itching to severe allergic reactions or anaphylaxis. The disease is particularly common in the Sydney area of all places. - Ein Zeckenbiss kann eine ungewöhnliche und potenziell lebensgefährliche Allergie auslösen: das Alpha-Gal-Syndrom. Dabei reagieren Betroffene auf rotes Fleisch – die Symptome reichen von Nesselsucht und Juckreiz bis hin zu schweren allergischen Reaktionen oder einer Anaphylaxie. Besonders häufig tritt die Erkrankung ausgerechnet im Raum Sydney auf.

(00:00:00) 231b: "I am Allergic to EVERYTHING: Really?" Docs Discuss Allergy Immunology (00:00:11) Welcome to Itchy and Bitchy (00:00:42) Doc Itchy Medical Pet Supplements (00:01:06) The Allergy Enigma (00:03:03) Genetic Predisposition to Allergies (00:05:49) The Complexities of Allergic Reactions (00:08:41) Immunological Mechanisms of Allergies (00:18:40) The Allergy Epidemic (00:23:48) Treatment Options for Allergies (00:31:12) Monoclonal Antibodies: A Breakthrough in Allergy Treatment (00:34:45) The Final Frontier: Steroids and Other Powerful Medications Your immune system is a bouncer with a hair trigger. This episode breaks down the actual allergy cascade, T helper cells barking orders, mast cells detonating, histamine flooding the scene — and why your dog's itchy, oozy ears run on the exact same wiring. Then we get to the good stuff: monoclonal antibodies (Mabs), the designer proteins quietly rewriting allergy medicine. Cytopoint muzzles IL-31 so your dog stops shredding the couch; Dupixent blocks IL-4 and IL-13 so humans stop shredding their own skin. Same playbook, different species. Finally, the patient who's "allergic to literally everything", every antibiotic, every dye, every vitamin. Spoiler: the research points less to true allergy and more to anxiety, somatization, and the nocebo effect. Legit reaction or brain doing a bit? We referee.Get the receipts and the reading list at itchyandbitchy.com.Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.Itchy & Bitchy: Have you felt dismissed, misdiagnosed, or gaslit by a broken medical system.  From gut health, hormones, autoimmune disease, chronic pain, holistic health, and alternative medicine ... medical gaslighting, patient advocacy , or misdiagnosis we'll call that too.  For chronic illness warriors, self-advocacy seekers: WE OFFER  No BS 

878. A tick bite you may not even remember getting can leave you unable to eat a hamburger, a slice of pizza, or a bowl of ice cream. That's alpha-gal syndrome, and it's turning up far outside its original range.Alpha-gal is a sugar molecule found in the cells of most mammals but not in humans. When a lone star tick injects it under the skin, the immune system can start treating it as a threat. After that, beef, pork, lamb, venison, and sometimes dairy or gelatin can trigger a reaction three to six hours later, which is a big part of why this food allergy goes undiagnosed for years.Today, Monica breaks down what the research actually shows:Why the lone star tick's range is expanding into the Midwest, the Northeast, and eastern CanadaHow alpha-gal syndrome differs from Lyme disease, and why they get confusedWhat the CDC's estimate of 450,000 cases means, and why the "1 in 4" figure circulating on social media isn't measuring the same thingWhat a diagnosis means for your diet, including collagen, gelatin, organ meats, and why tolerance varies so much from person to personWhy symptoms can be worse on some days than othersWhether the condition is permanent, and what happens to antibody levels over timeHow to lower your risk of tick bites, per the CDCWhere gene-edited GalSafe pigs fit into the pictureNew to Nutrition Diva? Check out our special Spotify playlist for a collection of the best episodes curated by our team and Monica herself! Follow Nutrition Diva on Facebook and subscribe to the newsletter for more diet and nutrition tips. Find out about Monica's keynotes and other programs at WellnessWorksHere.comNutrition Diva is a part of the Quick and Dirty Tips podcast network. ReferencesAbout Alpha-gal Syndrome | Alpha-gal Syndrome | CDC Nearly One in Four Adults in High-Risk States Have Alpha-gal Antibodies Linked to Tick-Borne Meat Allergy | Institute for Global Health and Infectious Diseases Join us for a live show taping on September 17 in New York City. Details at wellnessworkshere.com/live. Hosted on Acast. See acast.com/privacy for more information.

Managing food allergies is a marathon—and sometimes, we simply get tired. The constant planning, vigilance, and decision-making can leave patients and caregivers feeling overwhelmed and emotionally drained. So, how do we recognize food allergy burnout before it takes over—and, more importantly, how do we recharge?Psychologist and researcher, Dr. Nancy Rotter, joins us to explore why burnout happens and share practical strategies to help you reset, recharge, and move forward with greater confidence.Resources to keep you in the know:Psychology Today: Find a TherapistFAACT's Behavioral Health CenterYou can find FAACT's Roundtable Podcast on Apple Podcasts, Pandora, Spotify, Podbay, iHeart Radio, or wherever you listen to podcasts.Follow us on Facebook, Instagram, BlueSky, Threads, LinkedIn, Pinterest, TikTok, and YouTube.Sponsored by: DBV TechnologiesThanks for listening! FAACT invites you to discover more exciting food allergy resources at FoodAllergyAwareness.org!

With no FDA-approved therapies for Sjögren's disease, how can ENTs and allergists provide effective care and keep up with emerging treatments? On this episode of BackTable ENT & Allergy, Dr. Basil Kahwash interviews Dr. Kara Wada, a Columbus-based allergist, immunologist, and lifestyle medicine physician, about her personal and clinical experience with Sjögren's disease. They discuss the major gaps in current treatment, the evolving role of otolaryngologists and allergists in multidisciplinary care, and the new therapies on the horizon. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:21 - Building A Direct Practice04:24 - Personal Sjogren's Diagnosis08:33 - ENT Presentations11:28 - Biopsy Challenges and Seronegative Disease15:48 - Pulmonary Complications17:55 - Clinical Trial Treatment19:47 - Immunology and Disease Mechanisms25:35 - Lab Workup and Risk Assessment29:32 - Overlooked Symptoms and Nutritional Considerations31:51 - Saliva Stimulants Tradeoffs34:42 - Deciding When to Escalate Systemic Therapy35:51 - Hydroxychloroquine Basics38:26 - Multidisciplinary Dream Team41:45 - Rituximab and IVIG44:35 - Investigating Phase Three Therapies47:23 - Path to Becoming a Sjogrens Expert53:33 - Key Takeaways And Resources --- More about this episode Dr. Wada details her own diagnosis and the complex presentations of Sjögren's across ENT subspecialties, including dry eyes, nasal and throat tissues, chronic sinus issues, laryngitis, reflux, salivary gland swelling, neuropathy, and dizziness. The conversation covers diagnostic workup, the importance of lip biopsy and expert pathology, the challenges of seronegative and pulmonary cases, and the limitations of current medications like hydroxychloroquine and rituximab. They also discuss ongoing clinical trials, dryness management, overlooked symptoms, and the emerging role of agents such as inalumab and dazedalimab in late-phase studies. --- Resources Virtual Sjögren's Summithttps://www.sjogrenssummit.com/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

Dr. Valerie Fadok, a board-certified veterinary dermatologist and nationally recognized expert, clears up common myths about allergies in cats and dogs. She explains why food allergies are often overdiagnosed, reveals the most common cause of allergy symptoms in pets, and discusses how new treatments are improving care. As a member of the Human Animal Bond […]

Coming up, groundbreaking research suggests the shingles vaccine can greatly reduce the risk of heart attacks. What's the science behind it? Also ahead: the New Space Race between the US and China goes up a gear as Beijing unexpectedly delays the launch of its Chang'e 7 mission. Plus, the frozen 'poo pills' that scientists hope can help keep allergies at bay. Like this podcast? Please help us by supporting the Naked Scientists

In this episode, host Dr. Dan Beswick speaks with Dr. Garret Choby and Dr. Alexandria Harris. They discuss the recently published Original Article: ” Early Versus Late Recurrence in Olfactory Neuroblastoma: A Multi-Institutional Analysis of Predictive Risk Factors.” The full manuscript is available as open access in the International Forum of Allergy and Rhinology. Listen […]

Needing oral steroids for your asthma is a signal, not just a setback. It could be a sign that your asthma is not actually under control, even if you feel like you're managing it day to day. Dr. Wes Sublett joins us to talk about why relying on steroid bursts is a warning sign, not a solution. Dr. Sublett breaks down what actually counts as an asthma exacerbation, the real risks of frequent oral steroid use, and the treatment options available so patients can avoid repeat trips to the ER. What we cover in this episode about oral steroids and asthma control Steroid bursts as a warning sign. Needing oral steroids for asthma is a signal your maintenance treatment may not be working. What actually counts as an exacerbation. Dr. Sublett explains the difference between a flare and a true asthma exacerbation, and why that distinction matters. The real risks of oral steroids. Repeated courses are linked to bone loss, diabetes, cataracts, and other long-term health risks. Why your specialist doesn't automatically know. ERs and urgent cares don't notify your asthma specialist when you're treated, so you have to share that history. Treatment options beyond steroid bursts. Triple therapy and biologics can reduce or eliminate the need for oral steroids for many patients. More resources Oral Corticosteroids (OCS) for Asthma, a deeper explainer from Allergy & Asthma Network What if I Can't Afford My Asthma Medication? ________ Made in partnership with The Allergy & Asthma Network. Thanks to AstraZeneca for sponsoring today's episode.  This podcast is for informational purposes only and does not substitute for professio

As we get ready for a new school year, food allergy safety is truly a team effort. Parents, teachers, and school staff all play an important role in helping students feel safe, included, and ready to learn. Today, we're joined by FAACT Director of Education Heather Yee—a former teacher, school board member, and food-allergy parent—to share insights from both sides of the table and help us build stronger partnerships for a successful school year. Resources to keep you in the know:Food Allergies and School - Free DownloadFor School Personnel - Free Downloads and MaterialsPlanning for School: A Parent/Caregiver Guide Schools - Education DownloadsYou can find FAACT's Roundtable Podcast on Apple Podcasts, Pandora, Spotify, Podbay, iHeart Radio, or wherever you listen to podcasts.Follow us on Facebook, Instagram, BlueSky, Threads, LinkedIn, Pinterest, TikTok, and YouTube.Sponsored by: DBV TechnologiesThanks for listening! FAACT invites you to discover more exciting food allergy resources at FoodAllergyAwareness.org!

About this episode:   Accumulating research has linked nitrogen dioxide emissions from gas stoves to exacerbated respiratory issues. A recent study from Case Western Reserve University set out to conduct a large analysis of whether switching to electric stoves could improve breathing conditions, but funding was halted just as early results came in showing significantly improved asthma symptoms. In this episode: what this truncated study can tell us about air quality inside our homes and what's lost when public health research is canceled. Guest:  Ana Rule, PhD, MHS, is an associate professor of Environmental Health and Engineering. Host:  Stephanie Desmon, MA, is a former journalist, author, and the director of public relations and communications for the Johns Hopkins Center for Communication Programs. Show links and related content:  Asthma Control Before and After Changing Gas Stoves to Electric Stoves—The Journal of Allergy and Clinical Immunology The EPA halted a study on gas stoves and asthma. But even partial results were striking.—Washington Post Gas stoves might pose risks to both our planet and health—The Hub How States Can Better Regulate Indoor Air Quality—Johns Hopkins Bloomberg School of Public Health Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌PublicHealthPod on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

In episode 627, Tina and James again invite Danielle Perry and Caitlin Finley back to the podcast to answer the question, in children with peanut allergy, does oral immunotherapy increase peanut tolerance, and what are the adverse effects? It does work, but it is not a cure, so you need to know the numbers and […]

Homily by Fr. Francis Mary Roaldi, CFR.

What if your pharmacist could help optimize a patient's asthma treatment before their next clinic visit? On this episode of the BackTable ENT & Allergy Podcast, Dr. Basil Kahwash welcomes clinical pharmacist Dr. Joelle Ayoub to discuss how ambulatory care pharmacists can partner with ENT and allergy clinics to optimize asthma management. Dr. Ayoub shares her experience working in a family medicine clinic, collaborating with providers through referrals, reviewing medications, and providing direct patient education on inhaler use and disease management. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:40 - The Role of the Clinic Pharmacist05:04 - Teaching Patients and Improving Inhaler Technique12:36 - Choosing Inhalers and Applying Guidelines18:51 - Comparing MDI, DPI, and SMI Devices28:15 - Tracking Asthma Control and Monitoring Adherence33:55 - Inhaler Education and Overcoming Barriers40:00 - Using Social Media for Patient and Provider Education44:16 - Pharmacist Collaboration and the Future of Team Care50:58 - Answering Biologics Patient Questions53:15 - SMART Therapy and Digital Inhaler Advances55:19 - Wrap Up --- More about this episode They discuss common gaps in asthma care, with a focus on inhaler technique and medication adherence. Dr. Ayoub explains how device complexity, cost, and a patient's ability to use their inhaler can all affect treatment. She also reviews the major inhaler types, common technique errors, and what to consider when choosing the right device for each patient. With this, Dr. Ayoub shares practical approaches to adherence monitoring, asthma guideline updates, and biologic monitoring. Throughout, Dr. Ayoub emphasizes the benefits of multidisciplinary collaboration and how pharmacists can help bridge gaps in care for patients with asthma. --- Resources Joelle Ayoub, PharmD, BCACP, APh - https://www.westernu.edu/bios/?bio=jayoub --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

About 30% to 40% of the world's population is affected by some form of allergic disease, making allergy a routine consideration in primary care. But as interest in the microbiome grows, clinicians and patients face an important question: what does the evidence actually tell us about its role in allergic disease? This episode explores immune development, the hygiene and biodiversity hypotheses, food allergy, early-life tolerance, the gut-skin axis, atopic dermatitis, asthma, allergic rhinitis, antibiotic exposure, diagnostic testing, and early peanut introduction. The discussion separates established evidence from emerging associations and considers what, if anything, should change in clinical practice today. Clinicians will come away with practical guidance on maintaining evidence-based allergy diagnosis and management while understanding where microbiome research may shape future approaches to prevention and care. Resources and references: https://www.thermofisher.com/phadia/us/en/resources/immunocast/microbiome-and-allergy-what-primary-care-should-know.html?cid=0ct_3pc_05032024_9SGOV4

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Stupid News 8-24-2026 8am …Havard Medical will settle the lawsuit for $53 million …Nobody puts Freddie the Donkey in a van …There might be a Nut Allergy Cure, but you're not gonna like it

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AccuWeather Senior Meteorologist Chad Merrill joins Megan Lynch with details on the fall allergy outlook.

A trove of newly released documents, colloquially known as the “Fauci Diaries,” offer an unusually revealing window into the decisions and dynamics that shaped the COVID-19 era.Jeffrey Tucker spent days reading all the documents—over 1,100 pages of materials—which were prepared within the National Institute of Allergy and Infectious Diseases and appear to have been intended, at least in part, as the foundation for an autobiography.Tucker argues that these records offer key insights into what Dr. Anthony Fauci knew, when he knew it, and how that knowledge influenced public messaging and policy.We discuss the early push for an mRNA vaccine, the influential WHO delegation to China in February 2020, the origins and consequences of lockdown policies, and Fauci's relationship with the media.Why did so many countries adopt elements of China's COVID response? What do the documents reveal about the debate over the lab-leak theory? And why did the vaccination push intensify even as breakthrough infections became increasingly apparent?We also examine the clash between Fauci and President Donald Trump, the treatment of dissenting scientists behind the Great Barrington Declaration, and the broader question of how the official history of the pandemic will be written.Dr. Fauci did not immediately respond to a request for comment.Views expressed in this video are opinions of the host and guest, and do not necessarily reflect the views of The Epoch Times.

It's Friday, August 21st, A.D. 2026. This is The Worldview in 5 Minutes heard on 140 radio stations and at www.TheWorldview.com. I'm Adam McManus. (Adam@TheWorldview.com) By Adam McManus Nigerian policed arrested 22-year-old for converting to Christianity Nigerian police arrested a 22-year-old woman for converting to Christianity from Islam, reports International Christian Concern. Though the Federal High Court ruled in her favor, the Christian family that helped her is facing false charges of kidnapping. In 2025, “Sarah” fled from her home in Kano State after her elder siblings tried forcing her into an arranged marriage with a Muslim. While she was on the run, a Christian family took her in and shared the Gospel with her. Through the Abaras family's witness, she gave her life to Jesus Christ.  When her siblings learned of her conversion, they began working with the local Hisbah, the Islamic police force, to track her down and arrest her.  Police discovered her and detained her for four days, during which they beat her and pressured her to return home and accept the Muslim-arranged marriage. When she was released, the Abaras family helped her escape to a neighboring state with less Muslim influence. Please pray for Sarah's safety and that her Christian faith would grow stronger. According to Open Doors, Nigeria, Africa is the seventh most dangerous country worldwide for Christians. Ex-Fauci adviser pleads guilty to concealing COVID-19 origins On August 18th, Dr. Anthony Fauci's former senior adviser pleaded guilty to plotting to conceal federal records related to research on the origins of the deadly COVID-19 pandemic, reports the Associated Press. Dr. David Morens is scheduled to be sentenced on November 12 by U.S. District Judge Paula Xinis in Greenbelt, Maryland. Morens pleaded guilty to conspiring to defraud the U.S. government, a felony punishable by a maximum prison sentence of five years. Morens is accused of using his private email account to intentionally circumvent public records laws while employed at the National Institute of Allergy and Infectious Diseases. The Justice Department alleges that he concealed or destroyed records of discussions related to COVID-19 research grants, including an effort to revive a controversial coronavirus grant. The indictment follows a probe by House Republicans into the origins of the COVID-19 pandemic that scrutinized Morens' email communications and accused him of intentionally concealing records. In congressional testimony, Morens denied attempting to evade federal transparency laws by using his personal email. Proverbs 12:22 says, “The Lord detests lying lips, but He delights in people who are trustworthy.” Senator Darline Graham performed poorly in Senatorial run-off debate On August 19th, NewsMaxTV hosted the South Carolina GOP Senatorial run-off debate between Senator Darline Graham, who was appointed by South Carolina Governor Henry McMaster in the wake of the death of her brother Lindsey Graham, and Congressman Ralph Norman. When Greta Van Susteren asked a foreign policy question, it was clear that Senator Darline was out of her depth. Listen. VAN SUSTEREN: “Senator [Graham], are Taiwan and the South China Sea national security issues for the United States? If so, why?” GRAHAM: “Um. I'm sorry. Could you repeat the question?” VAN SUSTEREN: “Are Taiwan and the South China Sea national security issues for the United States. And if so, why or how?” GRAHAM: “I'm just going to be honest here. I'm not on national security. I'm not that informed on national security. (audience boos and laughs) So, but I do support the military. My brother was in the Air Force for 33 years, so I will do everything I can to support the military. My dad was in the Army. “I'm not a polished politician up here. I'm … National security is not my thing, not my area of expertise. But I do support the military.” By contrast, Congressman Ralph Norman, her opponent in the South Carolina GOP Senatorial run-off, said this. NORMAN: “Taiwan's a definite ally. We have a trading relationship with them that is beneficial to the United States – [computer] chips being one of them, and others. “So, what the, what the president is doing right is he's enabling Taiwan to defend themselves against China. But it's peace through strength that he's showing with Iran that China, Russia, others are looking at it. They don't want to deal with America, and that's why they haven't attacked Taiwan. “If they had some weak Democrat in office, like Biden or another Obama, yeah, they'd take it over. But we can't let that happen. Peace through strength is working.” J.D. Vance believes Christian lifestyle suffices over verbal evangelism And finally, in a July 15th appearance on The Joe Rogan Experience podcast, Vice President J.D. Vance, who converted to Catholicism from Protestantism, explained that he does not evangelize by word. VANCE: “You know, I don't preach to people. I don't, like, walk into the White House, tell my employees, ‘You know, you need to be, you need to follow Jesus as your Lord and Savior.' I just try to live my life in a way that hopefully makes people a little curious about what, you know, what motivates me and what inspires me.” Todd Friel, a reformed pastor in Atlanta, is the host of the Wretched Network which produces radio shows, TV shows, and books. He says the notion of wretched is at the very core of the Gospel because God saves wretches like us. Friel had this response to Vice President Vance. FRIEL:  “According to 1 Peter 3, that is true: We should live in such a way that it causes unbelievers, who are persecuting us, to ask about the reason for the hope that lies within us. That is most certainly true. “However, that is not the end of our responsibility. We are also called to make the most of every opportunity, to go and make disciples. It is our lifestyle that undergirds our confession, testimony, and evangelism. But a lifestyle is not evangelism itself.” Joe Rogan agreed with Vice President Vance. ROGAN: “I think living by example is probably the best promotion of any good way to live your life …” VANCE: “I agree.” ROGAN: “… whether it's Christianity or any other religion. I think that's definitely the way to do it.” Friel replied with this analysis. FRIEL: “It is a part of it. It does undergird our testimony, but how will they hear unless somebody preaches to them? In other words, evangelism requires words! Nobody can actually find a credible source of Saint Francis of Assisi, who said, ‘Share the Gospel, and if necessary, use words.' Well, it is necessary! Otherwise, you're just being a nice person.” Indeed, in Romans 10:14-15, the Apostle Paul asks, “How then will they call on Him in Whom they have not believed? And how are they to believe in Him of Whom they have never heard? And how are they to hear without someone preaching? And how are they to preach unless they are sent? As it is written, ‘How beautiful are the feet of those who preach the Good News!'” Close And that's The Worldview on this Friday, August 21st, in the year of our Lord 2026. Subscribe for free by Spotify, Amazon Music, or by iTunes or email to our unique Christian newscast at www.TheWorldview.com. Plus, you can get the Generations app through Google Play or The App Store. I'm Adam McManus (Adam@TheWorldview.com). Seize the day for Jesus Christ.

For decades, the rescue inhaler was simple: feel tight, take a puff, breathe easier. But the newest asthma guidelines have changed what's actually recommended inside that inhaler, shifting away from plain albuterol toward a combination inhaler that treats symptoms and inflammation at the same time. Kortney and Dr. Payel Gupta are joined by Dr. Bill McCann, allergist and CEO of Allergy Partners, to break down why this combo inhaler approach is now preferred, what it actually contains, and why auto-refilling your old rescue inhaler might be working against you. What we cover in this episode about rescue inhalers Understanding asthma: the boiling pot analogy. Dr. McCann explains asthma inflammation using a pot of water on the stove, and why a bronchodilator alone never turns down the heat. Why a combo inhaler is now preferred. The newest guidelines recommend a single inhaler containing both a fast-acting bronchodilator and a low dose of anti-inflammatory steroid. AIR and MART, explained simply. Two ways doctors are using this combo inhaler: either as-needed only, or as a daily plus as-needed routine. The myth of "mild" asthma. Why intermittent or infrequent symptoms don't mean you're free from risk. The auto-refill trap. Why an automatic pharmacy refill on your old rescue inhaler can quietly hide worsening asthma control from your doctor. More resources GINA 2026 Strategy Report (official source) What is asthma? Listen to the BATURA Trial ________ Made in partnership with The Allergy & Asthma Network. Thanks to AstraZeneca for sponsoring today's episode.  This podcast is for informational purposes only and does not substitute for professio

Hour 4 delivers deep-dive legal analysis, county-level police policy battles, and vital health warnings! Former prosecutor and Fox News host Trey Gowdy discusses his new legal thriller, The Sound of Regret, and breaks down high-profile criminal defenses involving postpartum depression. St. Charles County Councilman Joe Brazil outlines co-sponsored legislation to permanently ban automated license plate readers following an employee misuse scandal. Finally, Heather Mincer of Yes Honey shares her experience managing Alpha-gal syndrome alongside updates on Missouri's new tick-borne illness reporting laws! Hashtags:#TreyGowdy #TheSoundOfRegret #JoeBrazil #StCharlesCounty #FlockSafety #HeatherMincer #YesHoney #AlphaGal #MoPolGuest List:Trey Gowdy, former U.S. Representative, prosecutor, and host of Sunday Night in America on Fox News, discussed his novel The Sound of Regret and offered legal perspectives on high-profile criminal cases.Joe Brazil, St. Charles County Councilman (District 2), discussed local police department audits and legislative efforts to eliminate Flock Safety license plate cameras.Heather Mincer, founder and CEO of Yes Honey, shared personal insights into diagnosing and managing Alpha-gal syndrome.

AccuWeather's 2026 fall allergy forecast shows weed pollen will be a widespread concern, while grass pollen remains highest in parts of the East and Midwest. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Send me a derm question or story through text or voicemail!Allergy cases are rarely straightforward... and explaining the diagnostic process to pet owners can be just as challenging as managing the itch.In this episode of The Derm Vet Podcast, I break down a practical approach to talking with clients about allergic skin disease in dogs and cats. From ectoparasites and food allergies to environmental allergies, learn how to organize the conversation so owners understand not only what you're recommending, but why it matters.Watch The Episode: https://www.youtube.com/@thedermvet3932Follow The Derm Vet Podcast: https://www.instagram.com/thedermvetpod/Follow Me: https://www.instagram.com/thedermvet/Timestamps00:00 Intro00:24 Zoetis Ad02:13 Itch Inquiry: Convincing Owners on Symptomatic Meds06:08 Category 1: Ectoparasite Control09:05 Category 2: Food Allergies & Diet Trials11:13 Category 3: Environmental Allergies & Symptomatic Therapy13:24 Allergy Testing & Immunotherapy16:14 Tailoring Communication and Visual Aids20:10 Outro

Indoor air quality is a hot topic, and Eric G is diving deep into the common mistakes we all make in our homes that could be harming our health without us even realizing it. Picture this: you've just spent a fortune on air purifiers and fancy filters, yet you're still cooking up a storm in your kitchen without turning on the exhaust fan. Eric points out the irony that many homeowners will invest in elaborate water filtration systems, but then neglect the fact that they breathe in far more air throughout the day than they drink water. The first mistake he highlights is the failure to properly ventilate while cooking, which can lead to fine particulate matter and nitrogen dioxide building up in the air. He urges listeners to keep those kitchen hoods running—not just when frying bacon but every time the stove is on. It's not just about getting rid of smoke; even boiling water releases harmful particles. But wait, there's more! Eric also tackles the common misconception that indoor plants can clean the air effectively. Spoiler alert: unless you're living in a botanical garden, your houseplants might not be doing as much as you think. He emphasizes the importance of actually addressing the sources of indoor pollutants rather than relying on plants to magically purify the air. With wildfires and pollution on the rise, this advice feels more relevant than ever. Plus, he drops some knowledge on air quality monitors and the importance of understanding what you're really breathing in. As the episode progresses, Eric chats with Joe Semann from Mohawk about their innovative allergen-friendly carpet that's designed to help with indoor air quality. This new technology combines comfort with proactive allergen reduction. Joe explains how the carpet actively breaks down common household allergens instead of just trapping them. That's right, folks, it's not just a pretty surface to walk on, but a game changer for families dealing with allergies. This episode is packed with insights and practical tips that could make your home not just a place of comfort but a sanctuary of clean air—a must-listen for anyone looking to improve their indoor environment.Takeaways:Indoor air quality issues can often be more severe than outdoor pollution, so let's pay attention!Using your kitchen hood fan while cooking is essential to reducing harmful indoor pollutants.Mistakes like turning off your bathroom fan too soon can lead to mold and allergens—keep it running!Ripping out carpets isn't always the answer; new allergen-friendly carpeting can improve air quality.The new Mohawk Smart Strand carpet features probiotic technology that actively reduces allergens in your home.Investing in good ventilation and proper air filtration can drastically enhance your living environment.Links referenced in this episode:aroundthehouseonline.commohawkflooring.comCompanies mentioned in this episode:ComcastXfinityRoborockDysonMohawk IndustriesSmart StrandThanks for listening to Around the house if you want to hear more please subscribe so you get notified of the latest episode as it posts at https://around-the-house-with-e.captivate.fm/listenIf you want to join the Around the House Insider for access to the back catalog, Exclusive Content and a direct email to Eric G and access to the show early https://around-the-house-with-e.captivate.fm/support We love comments and we would love reviews on how this information has helped you on your house! Thanks for listening! For more information about the show head to https://aroundthehouseonline.com/Information given on the Around the House Show should not be considered construction or design advice for your specific project, nor is it intended to replace consulting at your home or jobsite by a building professional. The views and opinions expressed by those interviewed on the podcast are those of the guests and do not necessarily reflect the views and opinions of the Around the House Show.

Florida's primary election results are in, and the news is big. Byron Donalds, a congressman from Florida, has won the Republican nomination for governor, and his wife Erica is a powerhouse advocate for education freedom. But the real story out of Florida isn't about Byron Donalds' victory, it's about the rise of the Marxists in the Democrat Party. Alexander Vinman, the star witness in Donald Trump's impeachment trial, was expected to win the Democrat nomination for Senate, but he lost to a state legislator named Angie Nixon, who is a member of the Democrat Socialists of America. This episode of the podcast dives into the implications of these results and what they mean for the future of the country. Larry discusses the Democrat Party's shift towards Marxism and the consequences of this shift. They also talk about the importance of education freedom and how it can be a game-changer for families. With Byron Donalds' victory, Florida is poised to become a model for the rest of the nation on education freedom. The episode also touches on the story of David Morens, a former top advisor at the National Institute of Allergy and Infectious Diseases, who has been charged with conspiracy and obstruction of justice. Larry discusses the implications of this case and how it relates to the country's current state of affairs.Become a Townhall VIP member with promo code "LARRY": https://townhall.com/subscribeSee omnystudio.com/listener for privacy information.

Aspirin or biologics? How do you choose the right treatment for AERD? On this episode of the BackTable ENT & Allergy Podcast, Dr. Basil Kahwash interviews Dr. Andrew White, Director of the AERD Clinic at Scripps Clinic, to discuss the diagnosis and management of this often underrecognized condition. They cover practical strategies for identifying AERD, the importance of a detailed NSAID history, and how treatment decisions are shaped by patient goals and disease severity. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:08 - What Is AERD and Prevalence 06:32 - History Taking and Mechanism 11:10 - Typical Symptom Progression and Alcohol Intolerance 16:41 - When to Do Aspirin Challenge 19:00 - Challenge Protocol And Upper Airway Reactions24:53 - Aspirin Desensitization vs Challenge27:58 - Aspirin therapy after desensitization and Risk of GI Bleeds31:17 - Biologics Change AERD33:42 - Choosing Aspirin Desensitization vs Biologics 35:52 - Patient Counseling and Motivational Interviewing 41:26 - Convenience and Cost of Therapy 44:10 - ENT Allergy Collaboration47:22 - Rapid Fire Pearls51:13 - Future Research & Management Direction54:05 - Final Takeaways --- More about this episode Dr. White explains that AERD affects about 8 to 10 percent of asthmatics, with even higher rates in those with severe asthma or nasal polyps. He reviews typical adult-onset progression, alcohol-related respiratory symptoms, and the underlying pathophysiology, including imbalances in arachidonic acid mediators and leukotriene surges after NSAID exposure.The conversation includes practical questions to ask when taking an NSAID history, such as reactions to common pain relievers or alcohol, and when to consider aspirin challenge. Dr. White also details long-term treatment strategies, including the role of biologics like dupilumab and aspirin therapy after desensitization, with considerations for dosing and gastrointestinal risk. He explains how factors like asthma severity, recurrent polyp disease, sense of smell, cost, and convenience all influence therapy choice. The episode concludes with a discussion of multidisciplinary collaboration, patient counseling, and Dr. White's insights on future research directions in AERD management. --- Resources Aspirin sensitivity and severity of asthma: evidence for irreversible airway obstruction in patients with severe or difficult-to-treat asthmahttps://pubmed.ncbi.nlm.nih.gov/16275362/ Polyphenolic Activation of Basophils Explains Alcohol Hypersensitivity in AERDhttps://pubmed.ncbi.nlm.nih.gov/41065188/ New insights into the mechanisms of aspirin-exacerbated respiratory diseasehttps://pubmed.ncbi.nlm.nih.gov/39641750/ The role of aspirin desensitization followed by oral aspirin therapy in managing patients with aspirin-exacerbated respiratory disease: A Work Group Report from the Rhinitis, Rhinosinusitis and Ocular Allergy Committee of the American Academy of Allergy, Asthma & Immunologyhttps://pmc.ncbi.nlm.nih.gov/articles/PMC7980229/ Safety and outcomes of aspirin desensitization for aspirin-exacerbated respiratory disease: A single-center studyhttps://pubmed.ncbi.nlm.nih.gov/28550988/ Selection of aspirin dosages for aspirin desensitization treatment in patients with aspirin-exacerbated respiratory diseasehttps://pubmed.ncbi.nlm.nih.gov/17208597/ Factors influencing aspirin therapy after desensitization (ATAD) tolerance in aspirin-exacerbated respiratory disease (AERD) patientshttps://pubmed.ncbi.nlm.nih.gov/41022281/ Feed the Good Wolf: Motivational Interviewing, Cognitive Behavioral Therapy, and Mindsethttps://pubmed.ncbi.nlm.nih.gov/42103433/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

Take whatever you've been told, whatever you think you know, about the true origins of COVID-19 and the subsequent bioweapon known as the COVID vaccine, and throw it out the window because the truth is the real conspiracy theory. This is a story about a 2009 secret project called ‘LS18' imagined by shadowy private venture capital firm Flagship Pioneering, and turned over to DARPA who then created the most visible secret government project in American history. By the time it was over, it would involve the governments of presidents Barack Obama, Joe Biden, Donald Trump and NIAID director Anthony Fauci as the star players responsible for bringing it all to pass. What is LS18? Moderna and the COVID vaccine.“And ye shall know the truth, and the truth shall make you free.” John 8:32 (KJB)On this episode of the Prophecy News Podcast, long before COVID-19, the United States government was pouring money into Moderna's experimental mRNA platform. DARPA awarded Moderna as much as $25 million in 2013 to develop mRNA medicines capable of responding rapidly to natural and engineered biological threats. BARDA later committed money to Moderna's Zika program before providing a maximum award of $1.4 billion to advance its COVID vaccine through clinical development and FDA licensure. Moderna's own federal filings acknowledge that its COVID vaccine was developed in collaboration with the National Institute of Allergy and Infectious Diseases—the agency directed by Anthony Fauci from 1984 through 2022. The government was not standing outside Moderna's laboratory waiting to evaluate a privately developed product. Government scientists participated in its development. Government agencies funded the trials. The government financed manufacturing. The government purchased the doses. Government officials promoted the injections, and government policies created demand. Federal liability protections shielded the manufacturers. This was not a normal relationship between a government regulator and a private pharmaceutical company. This was an integrated government/corporate MAFIA-style operation.This was never simply the story of one vaccine or one pharmaceutical company. It's the all-too true story of what happens when government, medicine, secret military research, corporate profit, media propaganda and emergency authority merge into a single apparatus. It is literally the greatest scandal in American history, and the most deadly coordinated global attack ever conceived and carried out.Trump's Operation Warp Speed supplied the money, military organization and unprecedented acceleration.Fauci and NIAID supplied the scientific partnership, institutional authority and public-health messaging.Moderna supplied the commercial product and collected billions in revenue.Biden supplied the mandates, employment pressure and federal enforcement.The media portrayed questioning as dangerous misinformation.The pharmaceutical companies received sky-high profits and liability protection.What did the American people get? Plenty. We received endlessly-shifting bogus guidance, arbitrary restrictions, economic devastation, coerced medical decisions and endless demands to trust officials who repeatedly resisted scrutiny. People who dared to oppose the Moderna machine were blocked, censored, ridiculed and deplatformed. When it was all over and the dust settled, not a single person in government took responsibility for their actions. Delay, Deny, Defend. Today we follow the money trail, you won't like where it leads, but it will lead you to the truth whether you can receive it or not.

It's Monday, August 10th, A.D. 2026. This is The Worldview in 5 Minutes heard on 140 radio stations and at www.TheWorldview.com.  I'm Adam McManus. (Adam@TheWorldview.com) By Adam McManus Sudanese armed executed pastor and 6 others extrajudicially A pastor in Sudan's Nuba Mountains was executed extrajudicially, along with six other people, after members of an armed faction arrested him at his church residence in the town of Heban, reports The Christian Post. The Rev. Adil Jangoul, of the Sudanese Episcopal Church, was detained on July 23 inside the church compound in Heban's Erie neighborhood, where he lived, reports Christian Solidarity Worldwide. Members of the Sudanese People's Liberation Movement-North, an armed group in the region, seized his money and arrested him without incident. However, his body was later found on a road alongside those of six other people, all from the Otoro ethnic group, most of whom are Christian. All seven had been killed in extrajudicial executions. Christian Solidarity Worldwide President Mervyn Thomas said he was deeply troubled by the rising bloodshed, some of it apparently ethnically motivated. He called the killings especially perplexing because the Nuba Mountains had long been a place of peaceful co-existence, even through Sudan's dictatorship and the civil war. Send a polite, 3-sentence note to the Sudanese Ambassador to America, Mohamed Idris, asking that their government do more to protect the Sudanese Christians. Send it to: 2210 Massachusetts Ave NW, Washington, DC 20008 or email: consular@sudanembassy.org. James 4:17 says, “So whoever knows the right thing to do, and fails to do it, for him it is sin.” Senate Confirms Todd Blanche as Attorney General President Donald Trump's nominee for attorney general, Todd Blanche, was confirmed in a late night vote in the Senate after a handful of fellow Republicans reconsidered their opposition, reports The Epoch Times. Blanche was confirmed in a 50–49 vote in the early hours of August 8th, with Republican Senators Susan Collins of Maine and Lisa Murkowski of Alaska voting in opposition. The deciding vote was cast by GOP Senator Bill Cassidy of Louisiana, who announced on Friday that he believed Blanche was the best option that Trump would put forward. GOP Senator Mitch McConnell of Kentucky did not vote because he is still recuperating from an illness. Fauci subpoenaed by 3 GOP AGs for profiting from COVID guidance Following two disastrous U.S. Senate hearings in as many weeks and publication of his personal diary, Dr. Anthony Fauci has now been subpoenaed by three Republican state attorneys general seeking to determine whether he personally profited from guidance he issued during the COVID-19 pandemic, reports LifeSiteNews.com. While President Joe Biden gave the COVID kahuna a blanket pardon stretching from 2014 to the final day of his presidency, that pardon protects Fauci only from federal prosecution, leaving him exposed to potential legal actions from the states.  Last Wednesday, Florida Attorney General James Uthmeier announced that his state has teamed up with West Virginia and Louisiana to investigate “awards, professional opportunities, financial incentives, grants, and COVID-19 guidance that impacted Florida businesses and consumers.” Uthmeier said that Fauci's diaries “detail substantial awards” connected to the Sunshine State, including a $900,000 Dan David Foundation prize. The Florida Attorney General also cited other troubling ways Fauci may have personally profited from his handling of COVID, such as “offers of named professorships and book deals, board positions, private foundation partnerships, and other professional and financial opportunities concurrent with his federal role and public recommendations impacting Florida.”  The once self-proclaimed “most famous scientist in the world” who obtained secular sainthood status during the pandemic has faced a sudden reversal of fortune this summer. In the words of Victor Davis Hanson, “The Fauci files reveal not just a sociopathic narcissist but also a pathological schizophrenic.” And Fox News host Laura Ingraham alleged that during his time as director of the National Institute of Allergy and Infectious Diseases from 1984 to 2022, Fauci was “a liar, a megalomaniac, a phony, and a total narcissist all rolled into one.” Senator Fetterman takes issue with anti-Israel Democratic Michigan Senate candidate Appearing on CNN, Democratic Senator John Fetterman of Pennsylvania, one of the few Democrats who supports Israel, took issue with Abdul El-Sayed, the newly selected Muslim Democratic nominee to the U.S. Senate from Michigan. Listen. FETTERMAN: “I can't come together with someone if you are willing to embrace people that that loves Hamas or that thinks America deserved 9/11. I think that's reasonable. I think that's the reasonable view. That's not a big tent situation. There are things that are unacceptable to have these views as a Democrat, I think.” Inspiring CEO gives company to charity after working 58 years And finally, Grady-White Boats market their 18 to 45-foot-long vessels as the “finest boats ever crafted” which is quite the statement. For 58 years, Eddie Smith Jr., Grady-White's ex-CEO, worked 80-100 hour workweeks to salvage the near-bankrupt boat builder and turn it into a 9-figure revenue generator that will now power philanthropy in perpetuity, reports GoodNewsNetwork.org. That's because Smith turned down multiple offers around half a billion dollars in order to pass controlling stakes in Grady-White Boats to a “purpose trust” that will operate it according to his values and convert its bottom line into community service, conservation, and other philanthropic causes. Profiled by Fortune Magazine, Smith said he was inspired by entrepreneurs like Yvon Chouinard, the founder of Patagonia, who also turned the brand into a financial engine for conservation. He said, “I just think that those of us that are fortunate enough to be in a position to help others…It's really a gift to me to be able to do what I do.” Born to a father who was orphaned at age 10 during the Great Depression, Smith Jr. grew up near the poverty line. The first break was when his father worked enough odd jobs to start a mail order business. The son, who remembers eating SPAM 3 times a week, then lied about his age to get a job on a paper route, before becoming the first in his family to graduate from college at the University of North Carolina in 1965. Finding Grady-White Boats in a near-bankrupt state, Smith Jr., who described himself as having an “entrepreneurial itch” to prove himself, borrowed some money and took over the business, forsaking golf, his favorite pastime, for over 30 years. Today, revenues average over $100 million per year. When he was given an award known as the Order of the Tar Heel, the highest honor in North Carolina by the state's Labor Commissioner, Eddie Smith was characteristically humble. Listen. SMITH: “Any honor that I am fortunate enough to receive, I receive on behalf of all these wonderful people. You're looking out right there at some of the best craftsmen and most dedicated workers, not only in North Carolina, but I would say in the world. Any accolades that come my way come my way because of them and what they've accomplished here at Grady White.” 1 Peter 5:6 says, “Humble yourselves, therefore, under the mighty hand of God so that at the proper time He may exalt you.” Close And that's The Worldview on this Monday, August 10th, in the year of our Lord 2026. Subscribe for free by Spotify, Amazon Music, or by iTunes or email to our unique Christian newscast at www.TheWorldview.com.  Plus, you can get the Generations app through Google Play or The App Store. I'm Adam McManus (Adam@TheWorldview.com). Seize the day for Jesus Christ.

From Apple News In Conversation: Peak tick season is here — and the fastest-growing tick-borne illness in the country is alpha-gal syndrome, a condition that causes an often-severe allergy to red meat and other animal products. It’s primarily spread by lone-star ticks, once confined to the Southeast but now found as far north as Maine and Michigan. The syndrome can trigger a range of reactions — from hives to anaphylaxis — and at least one death has been attributed to it. New Yorker staff writer Burkhard Bilger, who has reported on the syndrome’s rise, joins Apple News In Conversation guest host David Greene to explain how it was discovered, why it can take years to diagnose, and how it’s reshaping the way people eat, work, and spend time outdoors.

This episode of the Carl Jackson Show is a must-listen for anyone who wants to understand the truth behind the COVID-19 pandemic and the role of Dr. Anthony Fauci in shaping the country's response. The speaker takes a deep dive into the Fauci Diaries, a collection of emails and documents that reveal the inner workings of the National Institute of Allergy and Infectious Diseases (NIAID) during the pandemic. The episode covers the speaker's thoughts on Dr. Fauci's character, labeling him an "empty soul" who is more concerned with adoration from the media than with mitigating the pandemic. The speaker also discusses the complicit media, including Jake Tapper, Dana Bash, and Andrea Mitchell, who were more interested in flattering Dr. Fauci than in holding him accountable for his actions. The episode touches on the lockdowns, the economy, and the impact on American society, highlighting the need for a healthy dose of skepticism when it comes to politicians and their actions. The speaker also delves into the Fauci Diaries, revealing quotes and emails that show Dr. Fauci's true nature. He discusses the media's role in perpetuating the pandemic and the lockdowns, and how they failed to ask tough questions about the government's response. The episode also covers the Democratic Socialists of America (DSA) and their plans for a police state, which the speaker believes is a direct result of the COVID-19 pandemic. If you want to understand the truth behind the COVID-19 pandemic and the role of Dr. Anthony Fauci, you won't want to miss this episode. The speaker's insights and analysis are eye-opening and thought-provoking, and will leave you questioning everything you thought you knew about the pandemic and its aftermath. Follow Carl Jackson:Facebook: https://www.facebook.com/carljacksonradioX/Twitter: https://twitter.com/carljacksonshowInstagram: https://www.instagram.com/thecarljacksonshowWebsite: http://www.TheCarlJacksonShow.comStore: https://CarlJacksonStore.comSee omnystudio.com/listener for privacy information.

Several years ago, in 2016, we told a story about Amy Pearl. For as long as she could remember, Amy loved meat in all its glorious cuts and marbled flavors. And then one day, for seemingly no reason, her body wouldn't tolerate it.  No steaks. No brisket. No weenies. It made no sense: why couldn't she eat something that she had routinely enjoyed for decades?  It turned out Amy was not alone. And the answer to her mysterious allergy involved maps, a dancing lone star tick, and a very particular sugar called Alpha Gal.  In this update, we discover that our troubles with Alpha Gal go way beyond food. We go to NYU Langone Health hospital to see the second ever transplant of a kidney from a pig into a human, talk to some people at Revivicor, the company that bred the pig in question, and go back to Amy to find out what she thinks about this brave new world. The original episode was reported by Latif Nasser, and produced by Annie McEwen and Matt Kielty. Sound design and scoring from Dylan Keefe, Annie McEwen, and Matt Kielty. Mix by Dylan Keefe with Arianne Wack. The update was reported and produced by Sarah Qari. It was sound designed, scored, and mixed by Jeremy Bloom. LATERAL CUTS: How does a tick bit can cause a red meat allergy? - An episode from our friends over at Science Friday, who had a recent conversation with the researcher who discovered the connection, decades ago.   Support Radiolab by becoming a member today at Radiolab.org/donate.    Sign up for our newsletter!! It includes short essays, recommendations, and details about other ways to interact with the show. Signup (https://radiolab.org/newsletter)! Radiolab is supported by listeners like you. Support Radiolab by becoming a member of The Lab (https://members.radiolab.org/) today. Follow our show on Instagram, Twitter and Facebook @radiolab, and share your thoughts with us by emailing radiolab@wnyc.org.Leadership support for Radiolab's science programming is provided by the Simons Foundation and the John Templeton Foundation. Foundational support for Radiolab was provided by the Alfred P. Sloan Foundation. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Like tens of millions of people, Stephen Dubner thought he had a penicillin allergy. Like the vast majority, he didn't. This misdiagnosis costs billions of dollars and causes serious health problems, so why hasn't it been fixed? We find out in this update of a 2025 episode.   SOURCES: Kimberly Blumenthal, allergist-immunologist and researcher at the Mayo Clinic. Theresa MacPhail, associate professor of science and technology studies at Stevens Institute of Technology. Thomas Platts-Mills, professor of medicine at the University of Virginia. Elena Resnick, allergist and immunologist at Mount Sinai Hospital.   RESOURCES: Allergic: Our Irritated Bodies in a Changing World, by Theresa MacPhail (2023). "Evaluation and Management of Penicillin Allergy: A Review," by Erica S. Shenoy, Eric Macy, and Theresa Rowe (JAMA, 2019). "The Allergy Epidemics: 1870–2010," by Thomas Platts-Mills (The Journal of Allergy and Clinical Immunology, 2016). "Randomized Trial of Peanut Consumption in Infants at Risk for Peanut Allergy," by George Du Toit, Graham Roberts, et al. (The New England Journal of Medicine, 2015).   EXTRAS: "The Freakonomics Radio Guide to Getting Better," series by Freakonomics Radio (2026). "Doctors Know They Prescribe Too Many Antibiotics. Why Don't They Stop?" by Freakonomics, M.D. (2022). Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.