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Join Elevated GP at https://www.theelevatedgp.com/sales-page Dr. Gustavo Avila-Ortiz obtained a DDS degree and completed a PhD training program at the University of Granada (Spain), before moving to Ann Arbor, Michigan (USA) where he graduated with an MS degree and a Certificate in Periodontics from the University of Michigan. He is also a Diplomate of the American Board of Periodontology. Dr. Avila-Ortiz has over 10 years of experience as an educator and has worked to advance the profession in numerous institutional committees and scientific organizations. He is a former faculty member at the University of Michigan School of Dentistry and at the University of Iowa College of Dentistry, where he was the Phillip A. Lainson Professor and Chair of the Department of Periodontics until 2022. He currently serves as Editor-in-Chief of The International Journal of Periodontics & Restorative Dentistry. He has authored more than 100 articles published in peer-reviewed journals and numerous book chapters. He is the co-author of the book TISSUES: Critical Issue in Periodontics and Implant-Related Plastic and Reconstructive Surgery (Quintessence Publishing 2022), which has been critically acclaimed within the profession. Dr. Avila-Ortiz is currently a Visiting Professor in the Division of Periodontics at Harvard School of Dental Medicine and a member of Atelier Dental Madrid (Spain), a center for dental excellence where he maintains a private practice limited to Periodontics and Implant Dentistry and is regularly engaged in scholarly and continuing-education activities.
"Doc, do I need to take this forever?" It's one of the most common questions I hear in my office, whether it's someone's very first visit or someone who's already lost 30, 40, even 80 pounds and is feeling great. In this episode, I break down why your body fights so hard to regain weight after you lose it, and why that's biology, not failure. I walk through the new ATTAIN Maintain trial, a study of 376 adults who had already lost significant weight on tirzepatide or semaglutide, testing whether switching to an easier once-daily oral GLP-1 could help them keep the weight off, instead of just asking whether stopping medication causes regain. Maintenance isn't about staying on one medication forever. It's about having an individualized, active plan, and the ATTAIN Maintain data gives us more options than ever to build one. Episode Highlights: Why your metabolism and hunger hormones fight to reverse weight loss Lessons from the SURMOUNT-4 trial on what happens when treatment stops completely Inside the ATTAIN Maintain trial design and who was studied The weight maintenance results: oral medication vs. placebo Why maintenance therapy doesn't have to look like the treatment that got you there What actually goes into a sustainable long-term plan beyond medication Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
When should a dental practice owner continue coaching a team member, and when is it time to let that person go? In this episode, Kirk Behrendt speaks with Katrina Sanders, a clinical dental hygienist, business owner, and dental educator, about identifying leadership gaps, clarifying expectations, evaluating core-value alignment, and addressing performance problems before they damage the team. You will learn how to distinguish between employees who lack support and employees who are unwilling to meet expectations, why accountability should never be a surprise, and which behaviors may signal that termination is the right decision. To build a stronger, more aligned team, listen to Episode 1074 of The Best Practices Show!Main Takeaways:Leaders must clearly communicate expectations, standards, and operating procedures before holding team members accountable.Core values give team members practical guidance for making decisions and understanding what excellence looks like.Practice owners should determine whether inadequate tools, training, calibration, or support are preventing a team member from succeeding.Regular scorecards and feedback conversations give employees a clear understanding of whether they are meeting expectations.A team member's lack of motivation may result from toxic team dynamics rather than an absence of drive.Employees who reject accountability, remain misaligned with core values, or repeatedly refuse to improve may need to be released.Team members should not be surprised by termination when leaders have provided timely feedback, corrective action, and opportunities to improve.Episode Chapters:00:00 Intro01:40 When is it truly time to let a team member go?04:02 Katrina explains what she discovered after returning from maternity leave.06:34 Leaders must examine whether expectations were communicated clearly.12:00 Core values establish practical standards for team behavior.19:23 Missing tools may be the real cause of poor clinical performance.20:24 Regular check-ins create a clear line of sight for success.23:00 Expectations should evolve as team members gain experience.24:01 Drive, determination, and work ethic cannot always be trained.26:11 Toxic team dynamics can demotivate otherwise strong employees.27:48 The “today is the day” conversation allows employees to self-select out.34:00 Counteroffers may not solve the underlying reason an employee wants to leave.37:16 Consistently reinforcing core values helps protect the practice culture.40:31 Katrina identifies the conditions that may justify termination.43:00 Katrina previews her Pockets, Paradigms and Protocols program.Guest Bio/Guest Resources:In the ever-changing world of dental science where research, technology, and techniques for patient care are constantly evolving, dental professionals look to continuing education to provide insight, deliver actionable steps, empower, and create a dramatic impact within their clinical practice.With wit, charm, and a dash of humor, Katrina Sanders enchants dental professionals with her course deliverables, insightful content, and delightful inspiration. Her message of empowerment rings mighty throughout her lectures and stirs a deep sense of motivation amongst course participants.Katrina is the Clinical Liaison for AZPerio, the country's largest periodontal practice. She performs clinically, working alongside Diplomates to the American Board of Periodontology in the surgical operatory. Katrina perfected techniques during L.A.N.A.P. surgery, suture placement, IV therapy, and blood draws. She instructs on collaborative professionalism and standard-of-care protocols while delivering education through hygiene boot camps and study clubs.Resources mentioned:Website: www.katrinasanders.comInstagram: https://www.instagram.com/thedentalwinegenist/Program: https://katrinasanders.com/speaking/https://smilesource.com/exchangeMore Helpful Links for a Better Practice & a Better Life:The Best Practices Show: https://www.actdental.com/podcast/Smile Source Community Hub: https://www.actdental.com/community-hubUpcoming Events & Workshops: https://www.actdental.com/events/Smile Source: https://www.smilesource.com/Subscribe on Apple Podcasts: https://podcasts.apple.comSubscribe on Spotify: https://open.spotify.com
Do you have trouble sleeping? An occasional late night or early morning is probably not dangerous, but too many people get too little sleep on a regular basis. How does that affect their health? Even more importantly, what can they do to change the situation? You'll want to listen to find out if you need a sleep reset. At The People's Pharmacy, we strive to bring you up to date, rigorously researched insights and conversations about health, medicine, wellness and health policies and health systems. While these conversations intend to offer insight and perspective, the content is provided solely for informational and educational purposes. Please consult your healthcare provider before making any changes to your medical care or treatment. How You Can Listen You could listen through your local public radio station or get the live stream at 7 am EST on Saturday, July 18, 2026, through your computer or smart phone (wunc.org). Here is a link so you can find which stations carry our broadcast. If you can't listen to the broadcast, you may wish to hear the podcast later. You can subscribe through your favorite podcast provider, download the mp3 using the link at the bottom of the page, or listen to the stream on this post starting on July 20, 2026. The podcast will be available on Monday (July 20, 2026) Do You Need a Sleep Reset? Why is sleep so important for good health? Our guest is a sleep medicine specialist who uses a metaphor of Disneyland. Crucial maintenance on the theme park happens at night, when there are no visitors. Streets are cleaned, flower beds are weeded, and rides are inspected and, if needed, repaired. None of that can happen while the park is open for business. Our bodies and brains also need time for maintenance and repair, and some of that happens while we are sleeping. When we don't get the rest we need, we may find ourselves at increased risk for diabetes, cardiovascular problems, cancer, cognitive challenges and even premature death. Unfortunately, anxiety about not sleeping can keep people awake all on its own. How can people break that cycle? We'll also discuss ways that people can get help avoiding screens at night. That is an important part of a sleep reset. Blue light from the screen signals the brain to be alert instead of relax. Scrolling social media can often be emotionally upsetting, which also makes it more difficult to fall asleep. Is Your Diet Keeping You Awake? Most of us recognize that a big midnight snack, á la Dagwood Bumstead of the Blondie comic, is probably not conducive to sleeping well. How does nighttime eating affect our circadian rhythm? Are there diets that we should avoid because of their impact on sleep? Dr. Seheult describes a study in which volunteers had their sleep stages monitored closely during the time they were consuming different diets (Obesity, July 2023). When they followed a high-fat, high-sugar diet, it disturbed the pattern of their brain waves during what should have been restorative sleep. How Do Sleep Problems Affect Eating Habits? A lot of us are aware that when we are sleep deprived, we are more inclined to become hangry and we may be less discerning about what we eat. A recent study shows that the sleep deprivation can have an effect even if it is fairly mild and short-term. Scientists recruited people who normally sleep seven to eight hours a night and asked them to stay up an extra hour and a half (Annals of Internal Medicine, July 7, 2026). During the six weeks of that part of the experiment, people were less active during the day. They also ate more, so they gained about a pound, on average, during those six weeks. Presumably, disrupting sleep for a longer period of time would result in greater weight gain and metabolic disruption. Would a Ketogenic Diet Help with a Sleep Reset? A ketogenic diet, in which the body relies on ketones rather than glucose for energy production, may be helpful. In particular, fasting overnight for at least 14 hours helps the body do what it must during sleep time. To figure out when you should stop eating, identify when you usually start to feel sleepy. That should be your bedtime. Having your last meal of the day about three hours before that will generally offer enough time for digestion so that you don't experience reflux in the middle of the night. Morning Light and Afternoon Naps Your sleep reset may depend on getting your own circadian rhythm to synchronize with the rest of the world. That is where early exposure to morning light comes in. It's beginning to feel a bit like The People's Pharmacy is on repeat: get morning light exposure! It sets your system up for feeling awake and alert during the day and starting to feel sleepy as the light fades in the evening. Obviously, this is most helpful for people who work during daylight hours. Those working overnight shifts would have to organize their days differently. People who have trouble falling asleep may be tempted to take a nap in the afternoon to make up for the lost sleep. That could be a mistake, as it relieves the sleep pressure that helps people fall asleep without trying. Learning to Fall Asleep If you interact with parents of very young children, you may have heard of sleep training. People have strong feelings about this, both pro and con. Adults rarely need sleep training, though. What we are more likely to need is “not-sleeping un-training.” Too many people approach the bedroom as though it were a stage, and sleep is the performance. No wonder they may develop some performance anxiety about sleeping! Other individuals have learned to associate the bedroom with tossing, turning and watching the clock. Consequently, their bodies tense up instead of relaxing when they get between the sheets. There is no easy quick fix for this problem, but cognitive behavior therapy for insomnia has been proven effective for most people. How About PM Pain Relievers? Even though there isn't an easy fix for sleep troubles, many people want one. They reach for the PM pain reliever and hope it will offer them a good night's sleep without a prescription. The “PM” part of that pain reliever is an old-fashioned antihistamine called diphenhydramine. You might be more familiar with its brand name: Benadryl. You'll also find it in Tylenol PM, Advil PM and all the other PM meds because it tends to make people feel drowsy. What's wrong with that? To start with, it isn't clear that it remains effective after a week or two. In addition, people with restless leg syndrome often find that it makes their condition worse. Other folks report that diphenhydramine can result in an unpleasant “hangover” the next day, in which they feel drowsy though not asleep for a good part of their waking hours. What Wakes You Up at Night? If your sleep problem is waking in the wee hours and having trouble getting back to sleep, you should consider the possibility that you have sleep apnea. The REM sleep of those early morning hours is not as deep as some other sleep stages. Consequently, an alarm signal from your brain saying you haven't taken a breath for 20 or 30 seconds may be more likely to wake you. Sleep apnea may be treated by providing air so that the pressure props the collapsing airway open. We discuss this in greater detail along with a new alternative to a CPAP machine in the podcast for this week. This Week’s Guest Dr. Roger Seheult is an Associate Clinical Professor at the University of California, Riverside School of Medicine. He is also an Assistant Clinical Professor at the School of Medicine and Allied Health at Loma Linda University. He is quadruple board-certified in Internal Medicine, Pulmonary Diseases, Critical Care Medicine, and Sleep Medicine through the American Board of Internal Medicine. His current practice is in Beaumont, California. He is a critical care physician, pulmonologist, and sleep physician at Optum California. Dr. Seheult lectures routinely across the country at conferences and for medical, PA, and RT societies. He is the director of a sleep lab and the Medical Director for the Crafton Hills College Respiratory Care Program. He is co-founder and presenter for MedCram.com, a site that offers concise and easy-to-follow medical videos on a range of topics. Roger Seheult, MD, MedCram, Loma Linda, UC-Riverside Listen to the Podcast The podcast of this program will be available Monday, July 20, 2026, after broadcast on July 18. You can stream the show from this site and download the podcast for free. Download the mp3, or listen to the podcast on Apple Podcasts or Spotify.
Hormone optimization goes beyond testosterone and estrogen. In this episode of the Optimization Academy Podcast, Dr. Greg Jones talks with Ashley Madsen, PA-C, about why symptoms like fatigue, brain fog, low libido, weight changes, poor recovery, and perimenopause concerns often need a deeper, more personalized approach.They discuss why testosterone levels are dropping in younger men, why many women's hormone symptoms are dismissed or misunderstood, and how stress, sleep, toxins, lifestyle, body composition, and metabolic health can affect hormone balance. Ashley also breaks down common misconceptions around testosterone therapy, estrogen, progesterone, peptide therapy, genomics, and longevity medicine.If you've been searching for answers around low testosterone, perimenopause, fatigue, brain fog, weight resistance, hormone therapy, or recovery, this episode offers a practical look at what may actually be driving those changes, and why symptoms, labs, lifestyle, and personalized care all matter.
Surgery doesn't end when you leave the operating theatre. And in fact, it begins long before you step into the hospital. Dr Rob Whitfield is a surgeon intent on doing things differently for his patients aka doing things better. From informed consent, to holistic and personalized post-op care and removing toxic implants, he is setting a new standard. With AI, regenerative medicine, and direct-to-consumer biotechnology the future isn't just better surgery but smarter preparation and recovery.Dr. Robert Whitfield understands what you're going through. He has listened to thousands of patients describe the same experience: symptoms that don't add up, doctors who dismiss them, and a desperate search for someone who will take them seriously.As a board-certified plastic surgeon certified by the American Board of Plastic Surgery, Dr. Whitfield has published the largest PCR-tested explant capsule series in the world, presented at major medical conferences, and built a patient education library with over 26 million views. He created the SHARP Method specifically because standard surgical care wasn't enough for his patients.ContactWebsite - https://www.drrobertwhitfield.com Join us as we explore:The unappreciated risks of breast implants, breast implant illness and genuine informed consent.What Dr Whifield's has learnt removing implants and testing them, and his unique SHARP method. Genetic sequencing, AI, genomic supplementation and where the standard of care is heading, including surgical robots.MentionsScience - Dr Whitfield's research and publications, https://www.drrobertwhitfield.com/media/researchSupport the showFollow Steve's socials: Instagram | LinkedIn | YouTube | Facebook | Twitter | TikTokSupport the show on Patreon:As much as we love doing it, there are costs involved and any contribution will allow us to keep going and keep finding the best guests in the world to share their health expertise with you. I'd be grateful and feel so blessed by your support: https://www.patreon.com/MadeToThriveShowSend me a WhatsApp to +27 64 871 0308. Disclaimer: Please see the link for our disclaimer policy for all of our content: https://madetothrive.co.za/terms-and-conditions-and-privacy-policy/
Discussion Highlights: the importance of precision medicine as the intersection of biology, lifestyle, and environment, influenced by both genetic predispositions and external factors the complexity of choosing appropriate tests and the need for expertise in interpreting results the gap between standard laboratory testing and deeper molecular analysis needed for precision health the need to equip doctors with tools to interpret multi-omic data as AI becomes more prevalent in healthcare the concept of a "biological 401(k)" to describe the daily deposits and withdrawals of bioenergetic currency, including diet, exercise, sleep, nutrition, meaning, purpose, and environment, which contribute to overall health resilience the importance of understanding and addressing root causes of health issues rather than just treating symptoms Dr. Anil Bajnath is the Founder & President of the American Board of Precision Medicine, author of The Longevity Equation, and a board-certified physician specializing in precision and longevity medicine. His clinical practice is built around root-cause resolution, translating genetics, advanced biomarker analysis, and individualized nutrition into frameworks real people can use. He's known for helping patients and practitioners turn complex data into practical action and lasting lifestyle change. Learn more at ifho.org and follow Dr. Bajnath on Instagram @dranilbajnath Visit ConfidenceThroughHealth.com to find discounts to some of our favorite products.Follow me via All In Health and Wellness on Facebook or Instagram.Find my books on Amazon: No More Sugar Coating: Finding Your Happiness in a Crowded World and Confidence Through Health: Live the Healthy Lifestyle God DesignedProduction credit: Social Media Cowboys
¿Qué pasaría si les dijera que ahora los pediatras pueden seguir una vía de formación diseñada específicamente para quienes desean convertirse en dermatólogos pediatras? Durante décadas, el camino tradicional fue muy claro: completar la carrera de medicina, ingresar a un programa de residencia en dermatología, finalizar la residencia y luego realizar una subespecialidad (fellowship) en dermatología pediátrica. Sin embargo, ahora la Junta Americana de Dermatología (American Board of Dermatology) ha creado una nueva vía de formación que podría transformar la manera en que identificamos, formamos y guiamos a la próxima generación de dermatólogos pediatras. Hoy, en Pediatras en Línea, nos acompaña el Dr. Esteban Fernández Faith para conversar sobre la nueva Vía de Residencia en Dermatología con Enfoque en Dermatología Pediátrica, por qué fue creada, a quién está dirigida y qué significa para el futuro de nuestra especialidad. Si eres estudiante de medicina, residente de pediatría, dermatólogo o director de un programa de residencia, esta conversación ofrece una perspectiva fascinante sobre la evolución de la formación en dermatología pediátrica. ¿Tienes algún comentario sobre este episodio o sugerencias de temas para un futuro podcast? Escríbenos a pediatrasenlinea@childrenscolorado.org.
If you've seen headlines linking Ozempic and other GLP-1 medications to sudden eye strokes, I want to stop the panic right here. In this episode, I break down what the research on NAION actually shows, who's really at risk, and why the scary relative-risk numbers you're seeing online don't tell the whole story. I walk you through what NAION is, why patients on semaglutide often already carry the underlying risk factors that get left out of the clickbait, and what the difference is between an observational study raising a signal and a randomized trial proving cause and effect. I also share the warning signs that mean you should go to the ER immediately, not wait for your next appointment. You'll walk away knowing exactly how to think about this headline, what questions to bring to your own doctor, and why staying on your medication is usually the right call. Episode Highlights: What NAION is and how it affects the optic nerve The risk factors patients on GLP-1s often already have What the 37-million-person study actually found — and didn't Why randomized trials tell a different story than observational data Absolute risk vs. relative risk, explained simply Warning signs that mean go to the ER now Why sleep apnea complicates the whole picture Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
What if the biggest gap in American health care isn't a drug, a device, or a diagnosis, but a discipline? On this episode host Fred Goldstein sits with Dr. Heather O'Hara, Chair of the American Board of Preventive Medicine, and Dr. Joshua R. Mann, founding Chair of the Department of Preventive Medicine at the University of Mississippi Medical Center, to unpack the often-misunderstood specialty of preventive medicine. They trace its reach across public health, occupational and environmental medicine, aerospace medicine, and lifestyle medicine, and explain why prevention-trained physicians rarely run stand-alone clinics, instead embedding inside hospitals, health departments, and employer health systems. The conversation turns candid on the economics of prevention, physician burnout, and what it will actually take for the health system to move "upstream." To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen
Host Dr. Jay Sridhar welcomes Dr. Steven Gedde, the incoming CEO of the American Board of Ophthalmology (ABO), to discuss his outlook on medical education and the evolving board certification process. As medical knowledge now doubles approximately every 60 days, Dr. Gedde envisions the ABO shifting its focus from testing facts to assessing skills like communication, professionalism, and the use of technology. Although current surgical assessments focus on knowledge and decision-making, future evaluations may leverage AI and virtual reality to test technical competence. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.
Filling, stainless steel crown, pulpotomy or extraction — how do you actually decide on a deciduous tooth? Why is the lower first primary molar the one that always seems to flare up? When should you reach for silver diamine fluoride instead of the drill — and when is a child's cooperation telling you to change the plan entirely? And how do you actually do a pulpotomy, step by step, without it blowing up under the crown? This is a paediatric dentistry masterclass with Dr Nidhi Kotak — “The Baby Tooth Dentist,”. It's built for the general dentist who treats children and wants clearer rules: when to fill versus crown, how to read the radiograph, silver diamine fluoride, local anaesthetic and behaviour guidance, isolation, and a full pulpotomy and stainless steel crown technique. The through-line is simple — in children you decide fast, protect the airway, and treat for predictability rather than heroics. https://youtu.be/3OscfwF7SIQ Watch PDP274 on YouTube Protrusive Dental Pearl: Strategic Flexibility You cannot be rigid when treating children. The mindset shift is to stop asking “what should be done for this child?” and start asking “what can be done for this child?” With children you have to be fast and efficient, and curveballs are constant — sometimes the parent is harder to manage than the child. So the plan has to bend. The worked example: you planned a conventional prepped stainless steel crown, but cooperation drops mid-appointment. Rather than abandon the visit, switch to a no-prep whole-crown approach and protect the tooth anyway. It stays in the child's best interest — and it's far kinder to your own mental health. It's a mindset worth carrying into all of dentistry, not just children's. What You'll Take From This Episode When to fill vs crown — the surface rule for baby molars, why crowns are so predictable in children, and where composites still work. The “D” devil tooth — why the lower first primary molar flares up, and why mesial caries on a D is an automatic crown. Pulpotomy indications — the signs that say vital pulpotomy, the ones that say extraction, and why a pulp exposure in a primary tooth is an automatic pulpotomy. SDF, sedation and isolation — arresting decay without drilling, matching sedation to the child, and protecting the airway. The pulpotomy technique — a full step-by-step from caries removal to cementing the stainless steel crown, including the modern medicament choice. Highlights of This Episode 00:00 TEASER 00:59 Pediatric Dentistry for GDPs: The Strategic Flexibility Mindset 07:24 Why GDPs Struggle Treating Children 08:19 When to Fill vs When to Crown a Baby Tooth 12:18 Class II vs Stainless Steel Crown: The Surface Rule 13:41 Reading Pediatric Radiographs & When to Take Bitewings 19:15 SDF vs Fluoride Varnish: When to Use Each 22:37 Resin Infiltration (Icon) for Children’s Teeth 25:15 Pulpotomy in Primary Teeth: When It’s Indicated 26:19 The “D” Devil Tooth: Why Mesial Caries Means a Crown 27:31 Hall Crowns and the Modified Whole Crown Technique 27:48 Midroll 38:39 Local Anaesthetic & Behaviour Guidance in Children 40:38 Sedation Options: Oral, Nitrous & Intranasal 46:22 Rubber Dam vs Isolite: Isolation for Kids 48:59 How to Do a Pulpotomy: Step-by-Step Technique 58:03 OUTRO Dr Nidhi Kotak is a dual US and Canadian board-certified paediatric dentist — a Diplomate of the American Board of Pediatric Dentistry and a Fellow of the Royal College of Dentists of Canada. Follow Dr. Nidhi for more paediatric dentistry tips
Join Drs. Georgoff, Burke, and Premkumar in this episode of the EPA Playbook as they break down a practical, repeatable framework for managing patients in the trauma bay, one of the most high-pressure environments in surgical training. This episode focuses on the critical first minutes of evaluation, anchored in a structured primary survey. We emphasize how to recognize and immediately address life-threatening injuries, while maintaining situational awareness and clear communication with your team. From airway and hemorrhage control to adjuncts like FAST and early imaging, we highlight what matters most when time is critical. ***FREE EPA COURSE: https://behindtheknife.org/premium/epa-playbookSimply create an account on behindtheknife.org or our app and you the course will automatically show up in your Library.For additional information on EPAs, visit the American Board of Surgery EPA webpage: https://www.absurgery.org/get-certified/epas/. BTK Resources:Trauma Video Playlist (FAST, How to Read a CT, and more!)https://behindtheknife.org/video-playlists/trauma-videosBig T Trauma Podcastshttps://behindtheknife.org/podcast-series/big-t-traumaTrauma Surgery Video Atlas (Premium)https://behindtheknife.org/premium/trauma-surgery-video-atlas
Donate to the Institute: https://givenow.nova.edu/donations-for-me-cfs-research-2026 In today's episode, Haylie Pomroy sits down with Dr. Philip DeFina, a leading researcher and clinician in advanced neurorehabilitation, to explore how personalized, non-invasive brain interventions are changing outcomes for patients with traumatic brain injury, disorders of consciousness, long COVID, and neurodegenerative disease. Dr. DeFina explains his approach of combining electrical, magnetic, and chemical interventions simultaneously, a philosophy that has helped over 300 patients emerge from severe disorders of consciousness after being told elsewhere that recovery was not possible. He breaks down the neuroinflammatory feedback loop connecting the brain, the hormone system, and the immune system, the science behind hyperbaric oxygen therapy, his specialized free program for military veterans, and his detailed protocol for addressing the infectious encephalopathy underlying long COVID brain fog. This is a conversation about what becomes possible when brain medicine catches up to the complexity of the brain itself. Tune in to Hope and Help For Fatigue and Chronic Illness. Dr. Philip DeFina has over 40 years of experience as a neuropsychologist and cognitive neuroscientist. He is most known for developing novel, groundbreaking treatment protocols for traumatic brain injury, coma, autism spectrum, and PTSD. He is the founder and Chief Scientific Officer of the International Brain Research Foundation (IBRF). Dr. DeFina previously served on the NYU faculty as an associate professor of neurology and psychiatry at the New York University School of Medicine and the Bellevue Hospital Center. He was a forensic neuropsychologist at the Mount Sinai-Elmhurst Hospital Medical Center and was an adjunct professor at the University of Maryland Psychology Department. Dr. DeFina was also the founder and first director of the Fielding Graduate University's Post-Doctoral Clinical Neuropsychology Training Program. Dr. DeFina subsequently co-founded the school neuropsychology training program at Texas Women's University and co-founded the American Board of School Neuropsychology, and was one of the original founding members of the American Board of Pediatric Neuropsychology. LinkedIn: https://www.linkedin.com/in/philip-defina-11a000165/ Haylie Pomroy, Founder and CEO of The Haylie Pomroy Group, is a leading health strategist specializing in metabolism, weight loss, and integrative wellness. With over 25 years of experience, she has worked with top medical institutions and high-profile clients, developing targeted programs and supplements rooted in the "Food is Medicine" philosophy. Inspired by her own autoimmune journey, she combines expertise in nutrition, biochemistry, and patient advocacy to help others reclaim their health. She is a New York Times bestselling author of The Fast Metabolism Diet. Learn more about Haylie Pomroy's approach to wellness through her website: https://hayliepomroy.com Instagram: https://www.instagram.com/hayliepomroy Facebook: https://www.facebook.com/hayliepomroy YouTube: https://www.youtube.com/@hayliepomroy/videos LinkedIn: https://www.linkedin.com/in/hayliepomroy/ X: https://x.com/hayliepomroy Thank you for tuning in to the Hope and Help For Fatigue and Chronic Illness Podcast. Sign up today for our newsletter.
Join Drs. Georgoff, Burke, and Premkumar in this episode of EPA Playbook, where we tackle the evaluation and management of small bowel obstruction. Through a realistic series of scenarios, we walk step-by-step through how junior residents can approach this diagnosis using an evidence-based approach.We break down the key components of the small bowel obstruction EPA, from rapid initial assessment and focused physical exam to early resuscitation, recognizing when to go straight to the OR, and post-operative care. Along the way, we highlight critical teaching points you'll actually use on call. Whether you're a new intern or an early resident looking to build confidence, this episode is designed to help you act decisively and move one step closer to entrustment. ***FREE EPA COURSE: https://behindtheknife.org/premium/epa-playbookSimply create an account on behindtheknife.org or our app and you the course will automatically show up in your Library.For additional information on EPAs, visit the American Board of Surgery EPA webpage: https://www.absurgery.org/get-certified/epas/.BTK Resources:Nasogastric Tube (NGT) Management Videohttps://behindtheknife.org/video/behind-the-knife-nasogastric-tube-ngt-managementNasogastric Tube (NGT) Placement Videohttps://behindtheknife.org/video/behind-the-knife-nasogastric-tube-ngt-placementOstomy Marking Videohttps://behindtheknife.org/video/behind-the-knife-ostomy-markingHow to Change an Ostomy Appliance Videohttps://behindtheknife.org/video/behind-the-knife-how-to-change-an-ostomy-applianceHow to Manage a Challenging Ostomy Videohttps://behindtheknife.org/video/behind-the-knife-how-to-manage-a-challenging-ostomyCited Studies: National prospective cohort study of the burden of acute small bowel obstruction https://doi.org/10.1002/bjs5.50136 Management and short-term outcomes of patients with small bowel obstruction in Denmark: a multicentre prospective cohort study https://doi.org/10.1007/s00068-022-02171-y Multi-institutional, prospective, observational study comparing the Gastrografin challenge versus standard treatment in adhesive small bowel obstruction https://doi.org/10.1097/ta.0000000000001499 Evaluation and management of small-bowel obstruction: an Eastern Association for the Surgery of Trauma practice management guideline https://doi.org/10.1097/ta.0b013e31827019de
What if everything you've been told about cancer is only half the story? You may have heard that cancer is a genetic disease, a roll of the dice, or simply bad luck. But what if the real story goes much deeper? And what if the answer has been hiding in plain sight for nearly a century? In this episode, Dr. Nasha Winters, a naturopathic doctor, board-certified Fellow of the American Board of Naturopathic Oncology, and author of The Metabolic Approach to Cancer, shares a perspective that could completely shift the way you think about your health. She explains why cancer is actually a disease of metabolic and mitochondrial dysfunction, and why that makes prevention far more within your control than you may realize. Listen now and start preventing cancer by becoming metabolically healthy today! For show notes, visit https://fivejourneys.com/podcasts/prevent-cancer-by-becoming-metabolically-healthy/ Follow us on Instagram at https://www.instagram.com/feelfreakingamazing/ Related Episodes Lower Your Risk for Cancer & Chronic Diseases, with Dr. Greg Eckel Outsmarting Breast Cancer: An Integrative MD's Guide to Prevention, with Dr. Jenn Simmons Achieve Metabolic Flexibility, with Neil Gyte Find Metabolic Freedom, with Ben Azadi
The preconception conversation that nobody is having — what pregnancy loss actually does to the body before the next pregnancy, and why standard care is missing the layer that matters most. Join my FREE live training Preconception Readiness After Loss, Wednesday 8th July, 9:30am AEST. Register HERE Dr. Marc Sklar — natural fertility specialist, Doctor of Acupuncture and Oriental Medicine, Harvard Medical School Mind/Body Medical Institute-trained, Fellow of the American Board of Oriental Reproductive Medicine, creator of Fertility TV, co-founder of Rejuve Fertility, and founder of Reproductive Wellness Clinics in San Diego. In this episode: Sharna sits down with Dr. Marc Sklar for a conversation about what's actually missing from most fertility care — a whole-body, whole-person view. They dig into why so many couples are told their journey is "unexplained," and why that label often just means no one looked past their own specialty. Topics covered: Why digestive health shows up in an estimated 70–75% of the fertility cases Dr. Sklar sees The "silo problem" in modern medicine — why your gynecologist, endocrinologist, and therapist rarely talk to each other, and what gets missed in the gaps Sharna's own journey through an inflammatory bowel misdiagnosis, a missed miscarriage, and finding an integrative doctor who finally treated her as one connected system Why fear-based medicine keeps couples stuck on the "IVF hamster wheel" The age "light switch" myth — reframing fertility decline as a dimmer switch, not a deadline Nervous system regulation and why the body won't prioritize reproduction in survival mode Trusting intuition and body-based decision-making over purely logical, fear-driven choices Why creating space — not pushing harder — is often the actual path forward after loss A key moment: Dr. Sklar's take on the "birthday deadline" belief many patients carry, and why treating fertility as a light switch instead of a dimmer does real harm. Connect with Dr. Mark Sklar: YOUTUBE - http://bit.ly/thefertilityexpert FACEBOOK - https://www.facebook.com/thefertilityexpert INSTAGRAM - https://www.instagram.com/the_fertility_expert/ TikTok - https://www.tiktok.com/@the_fertility_expert WEBSITE https://marcsklar.com/
In this episode of EPA Playbook, Drs. Jason Bingham, Emma Burke, and Agnes Premkumar discuss the evaluation and management of inguinal hernias through a case-based approach that reinforces key EPA concepts for surgical trainees. We specifically highlight the importance of a thorough history and physical exam, emphasize risk stratification, and indications for surgery versus watchful waiting. We briefly review a few postoperative considerations as well. ***FREE EPA COURSE: https://behindtheknife.org/premium/epa-playbookSimply create an account on behindtheknife.org or our app and you the course will automatically show up in your Library.For additional information on EPAs, visit the American Board of Surgery EPA webpage: https://www.absurgery.org/get-certified/epas/. Cited studies:Miserez M, et al. "Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients." Hernia. 2014;18(2):151-163. PubMed ID: 24504225Carrick MA, et al. "Smoking and anaesthesia." BJA Educ. 2019;19(1):1-6. PubMed ID: 33456860Amid PK, et al. "Local anesthesia for inguinal hernia repair step-by-step procedure." Ann Surg. 1994;220(6):735-737. PubMed ID: 7979603Huy TC, et al. "Reoperation for chronic postoperative inguinal pain." JAMA Surg. 2025;160(9):984-991. PubMed ID: 39855588
In this episode of EPA Playbook, Drs. Kevin Kniery, Emma Burke, and Agnes Premkumar discuss management of critically ill surgical patients, using case-based discussions to reinforce core principles of shock, resuscitation, and ICU care. We first review the four major types of shock. We then discuss two cases centered around managing a patient in septic shock and cardiogenic shock, delving into the nuances on how management differs between the two. Additionally, we underscore a physiology-driven approach to critical care, the importance of multidisciplinary collaboration, and the need to align treatment decisions with patient goals and values. ***FREE EPA COURSE: https://behindtheknife.org/premium/epa-playbookSimply create an account on behindtheknife.org or our app and you the course will automatically show up in your Library.For additional information on EPAs, visit the American Board of Surgery EPA webpage: https://www.absurgery.org/get-certified/epas/.
Join Drs. Steele, Burke, & Premkumar in this episode of EPA Playbook, where we tackle a core general surgery EPA: the evaluation and management of benign and malignant colon disease. From common presentations like diverticulitis and lower GI bleeding to the diagnosis and workup of colon cancer, this episode provides a structured framework you can use on the wards, in clinic, and on call. Using case-based discussions, we walk through how to distinguishing benign from malignant processes, selecting appropriate imaging and endoscopy, and recognizing when a patient needs urgent intervention versus outpatient workup. We also cover key principles of colon cancer management, including staging, surgical planning, and multidisciplinary care, alongside high-yield management of benign conditions.***FREE EPA COURSE: https://behindtheknife.org/premium/epa-playbookSimply create an account on behindtheknife.org or our app and you the course will automatically show up in your Library.For additional information on EPAs, visit the American Board of Surgery EPA webpage: https://www.absurgery.org/get-certified/epas/. Cited Studies:Gustafsson, U.O., Scott, M.J., Hubner, M. et al. Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations: 2018. World J Surg 43, 659–695 (2019). https://doi.org/10.1007/s00268-018-4844-yBTK Resources:Ostomy Marking Videohttps://behindtheknife.org/video/behind-the-knife-ostomy-markingHow to Change an Ostomy Appliance Videohttps://behindtheknife.org/video/behind-the-knife-how-to-change-an-ostomy-applianceHow to Manage a Challenging Ostomy Videohttps://behindtheknife.org/video/behind-the-knife-how-to-manage-a-challenging-ostomy
According to the latest research, approximately 40% of women in the United States will experience noticeable hair loss by age 40. Hair loss and thinning hair can have profound emotional and psychological impacts. Dr. Alan Bauman joins us to share valuable insights on the causes of hair loss, supplement recommendations, innovative restoration techniques, the best treatment options available today, where the future of hair restoration is going, and offers practical advice for women struggling with thinning hair. If you are experiencing hair loss, this episode is packed with information you won't want to miss! Be sure to follow the show and share this episode with a friend! KEY TOPICS: Introduction, Why Female Hair Loss Matters, And Dr Bauman's Credentials (0:00:07) Why Dr Bauman Chose Hair Restoration And Life-Changing Impact (0:03:09) Emotional Importance Of Hair And Basic Hair Biology (0:06:17) Genetics, DNA Factors, And Hereditary Hair Loss (0:10:55) Female Pattern Hair Loss, Postpartum, And Menopause Effects (0:15:26) Scalp Health, Microbiome, Trichology, And Styling Risks (0:24:28) Nutrition, Protein, Supplements, Stress, And Inflammation (0:31:01) Minoxidil, Anti-Androgen Medications, And Personalized Treatment (0:41:35) PRP, TED, Laser Caps, And When To Consider Transplant (0:45:22) Future Of Hair Restoration, Stem Cell Banking, And "Time Equals Follicles" (0:52:26) RESOURCES: Join Michele's Newsletter + Get a List of 52-Selfcare Tips Subscribe on YouTube: https://www.youtube.com/watch?v=mF7djlya5z4 Follow + Listen, + Review: APPLE PODCASTS Follow + Listen, + Review: SPOTIFY PODCASTS GUEST INFORMATION WEBSITE: https://shop.baumanmedical.com/ SOCIAL MEDIA: Linkedin: https://www.linkedin.com/company/380395 Instagram: https://www.instagram.com/baumanmedical/ Dr. Bauman's personal IG: https://www.instagram.com/dralanbauman/ Facebook: https://www.facebook.com/baumanmedical GUEST BIO: Dr. Bauman is an acclaimed board-certified hair restoration physician with over 28 years of experience in the medical field. He is the founder and CEO of Bauman Medical, an international leading treatment center in the field of hair restoration. Dr. Bauman has established himself as an authority in the industry.+ 34,000 Patients Treated + 12,000 Hair Transplant Surgeries Performed + 12,000 PRP Hair Regrowth Treatments Administered. Dr. Bauman is one of approximately only 200 physicians worldwide to achieve the certification from the esteemed American Board of Hair Restoration Surgery (ABHRS).
What are the top causes of hair loss, and how can you support thicker, fuller hair naturally? What contributes to gray hair, and are there ways to help slow the process? In this episode, I am joined by returning guest Dr. Alan Bauman, one of the world's leading hair restoration physicians, to discuss the biggest factors contributing to hair loss today, why more people are experiencing thinning hair, and what can actually be done to support fuller, healthier hair as we age.You're going to love this conversation, and you're going to want to share it with everyone you care about who also desires to look and feel their best too!Learn more about Dr. Alan Bauman: Dr. Alan Bauman is an accomplished hair restoration physician, known for his expertise in treating hair loss and his pioneering work in the field. Since starting his medical hair loss practice, Bauman Medical, in 1997, he has treated over 36,000 patients, performed over 14,000 hair transplant procedures, and administered over 15,000 PRP treatments. His state-of-the-art "Hair Hospital" in downtown Boca Raton, FL, covers 12,000 square feet and is recognized worldwide for its advanced hair restoration technologies.His dedication to the field of hair restoration has earned him many accolades throughout his career. He is one of approximately 200 physicians worldwide to have achieved certification from the American Board of Hair Restoration Surgery (ABHRS). He has pioneered numerous technologies in the field of hair restoration, including the minimally-invasive FUE Follicular Unit Extraction, VIP|FUE™ No-Shave Hair Transplant, Low-Level Laser Therapy, PRP Platelet Rich Plasma, PDOgro™, Eyelash Transplants, and his latest needle-free, pain-free treatment for hair shedding and hair loss, TED (TransEpidermal Delivery).Dr. Bauman's expertise has made him a highly sought-after speaker and guest expert at numerous international scientific meetings and live surgery workshops. He has been featured in hundreds of news stories in the media, including NBC Today, CBS Early Show, ABC Good Morning America, CNN, and The Doctors. Dr. Bauman has also been recognized for his contributions to the field of healthcare, being voted “#1 Top Hair Restoration Surgeon” in North America by Aesthetic Everything for the 10th consecutive year, receiving the 2022 "Lifetime Achievement Award in Hair Restoration" and being named one of "10 CEOs Transforming Healthcare in America" by Forbes.Connect with Dr. Alan Bauman:https://www.baumanmedical.com/Step into your Radiance Sanctuary in the Membership https://www.theschoolofradiance.com/membershipFor more resources related to today's episode, click here for the podcast episode page: https://www.theschoolofradiance.com/podcasts Follow Rachel Varga Official on Instagram: https://www.instagram.com/rachelvargaofficial/ —Catch full episodes of The School of Radiance Podcast here on YouTube https://www.youtube.com/@RachelVargaOfficial —Subscribe to the YouTube channel here: https://www.youtube.com/@RachelVargaOfficial —Follow me here:Instagram: https://www.instagram.com/rachelvargaofficial/ Facebook: https://www.instagram.com/rachelvargaofficial/ Website: https://www.theschoolofradiance.com —FREE STUFF: Download my FREE Skincare Checklist, sign up for my FREE 30 minute biohack your way to clear skin and slowing aging training now, and my newsletter for promos and exclusive events just for you! https://www.theschoolofradiance.com/freebiesEveryone gets one FREE call! Book your free 15-minute call with Rachel Varga to see which options will help you achieve your skin radiance goals! https://rachelvarga.as.me/YourPersonalizedRadianceConsultation —Looking for Skincare products, Tutorials, booking YOUR private One-on-One, and the deep dive Radiance Membership?SHOP skincare: https://alwaysradiantskinshop.comBOOK your private One-on-One: https://rachelvarga.as.me/Initialconsultation REGISTER for Tutorials and/or Membership: https://theschoolofradiance.com As a disclaimer, please note that the information shared in this podcast and interview is not to be taken as medical advice, and it's always important to consult with your physician before making any lifestyle changes. Rachel disclaims any responsibility for inaccurate credentials of guests or information used that may cause harm.Thank you for tuning in to this episode of The School of Radiance with Rachel Varga (formerly The Rachel Varga Podcast and The Always Radiant Skin Podcast)!Rachel Vargainfo@theschoolofradiance.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Send us Fan MailKatrina Sanders, RDH, BSDH, M.Ed, RF—known throughout the profession as the “Dental WINEgenist™”—is a clinical dental hygienist, international speaker, author, educator, sommelier, and entrepreneur dedicated to elevating the dental profession through education, innovation, and empowerment.She serves as Clinical Liaison for Hygiene Excellence and Innovation at AZPerio, the country's largest periodontal practice, where she works alongside Diplomates of the American Board of Periodontology. She is also the founder and CEO of Sanders Board Preparatory and has been published in numerous industry publications, including RDH Magazine and Today's RDH.Through her clinical work, writing, and education, Katrina is passionate about empowering dental professionals to better understand the evolving role of dentistry and patient care. She has been recognized with honors including the University of Minnesota Distinguished Alumni Award and the 2024 Sunstar Award of Distinction.In this episode, we discuss the perio-systemic link, dental hygiene workforce issues, and the changing responsibilities within dental hygiene and assisting roles. Katrina shares insights from her clinical and educational experience to help dental professionals better understand the challenges and opportunities shaping modern dentistry.✨Connect with Katrina Sanders: Instagram: https://www.instagram.com/thedentalwinegenist/ Website: https://www.katrinasanders.com/
I hear this from so many of my patients: "Dr. Shelly, I haven't changed anything—not my diet, not my exercise—but I'm gaining weight and my body just doesn't respond the way it used to." If you're a woman in your 40s or 50s, you're probably nodding right now. In this episode, I'm walking you through exactly why menopause causes weight gain, why it has nothing to do with willpower, and what breakthrough new research reveals about Foundayo—an oral GLP-1 medication—and how it helps restore the biological signals that become harder to access during this life stage. I'm sharing real data from the 2026 American Diabetes Association Scientific Conference, including results from the ATTAIN 1 and ATTAIN 2 clinical trials that show meaningful weight loss across all menopausal stages. But here's what matters most: the goal during menopause isn't just weight loss—it's aging healthy. You'll learn exactly what that looks like and what you need to focus on right now. Episode Highlights: What menopause actually is ( How estrogen decline drives abdominal fat storage and insulin resistance Why muscle loss and poor sleep compound weight gain How GLP-1 medications work—and what they don't do The ATTAIN trials: weight loss results before, during, and after menopause Strength training, protein intake, and the non-negotiables for sustainable results REFERENCES: Menopausal Stage and Weight Outcomes with Orforglipron vs. Placebo: Post Hoc Subgroup Analysis from ATTAIN-1 and ATTAIN-2. Presented at the 86th Scientific Sessions of the American Diabetes Association, June 2026. Horn DB, et al. Orforglipron, an oral small-molecule GLP-1 receptor agonist, for obesity treatment in adults with type 2 diabetes. Lancet. 2026. ClinicalTrials.gov. ATTAIN-2 Trial (NCT05872620). The Menopause Society. Menopause practice recommendations and patient resources on metabolic changes during menopause. Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
On this episode of the Family Docs Podcast, Dr. Cynthia Chen-Joea speaks with Dr. Hal Grotke, Dr. Adia Scrubb, and Dr. Tricia Bautista on correctional medicine. This is a part of family medicine where some of the most vulnerable, overlooked and complex patients in our healthcare system receive care. It's work that requires not just strong clinical skills, but incredibly deep empathy, resilience, and a commitment to justice and healing. We are so thankful and incredibly honored to be joined by three absolutely extraordinary family physicians who live this work every day. Each of them brings a different lens: clinical, policy, advocacy, and trauma informed care. Together, they provide a perspective on correctional medicine that every family physician absolutely deserves to hear. Guests: Hal Grotke, MD, FAAFP I'm a 28 year CAFP member since my second year of medical school. I was widowed nine years ago but I am happily married again. I'm a disabled Navy veteran from Operation Desert Storm. I love going for long walks in the mountains with my wife and our dog. Adia Scrubb, MD, MPP Adia Scrubb, MD, MPP grew up in Oakland, California and currently practices at the California Medical Facility in Solano County. Dr.Scrubb received her Doctor of Medicine degree from the David Geffen School of Medicine/ PRIME Program at UCLA and the Charles R. Drew University of Medicine and Science in Los Angeles. She earned a Master of Public Policy degree from the UCLA Luskin School of Public Affairs and completed residency at John Muir Health. Her participation in the CAFP Susan Hogeland CAE Health Policy Fellowship helped her continue policy and advocacy work which included serving on the California Surgeon General's ACEsAware clinical implementation committee, joining the Family Medicine Initiative in Trauma Informed Care (FIT) team, as well as the CAFP JEDI Committee. Tricia Bautista, MD, FASAM Tricia Bautista, MD, FASAM is a native Southern Californian who trained in family medicine at Adventist Health Hanford and pursued an addiction medicine fellowship at Montefiore/Albert Einstein. While a resident, she served on the CAFP Foundation's Student/Resident Council, was an active member of the Kings-Fresno-Madera chapter and advocated for substance use-related issues that have been formally adopted into CAFP policy. During her training in Bronx, NY, she was exposed to correctional medicine and now serves as the Director of Addiction Medicine for one of the nation's largest correctional health services, primarily caring for incarcerated individuals in NYC jails (aka "Rikers Island") and providing transitional primary care upon re-entry within NYC Health + Hospitals. Resources: California Family Physician article "Finding Care in Captivity" by Hal Grotke, MD https://mydigitalpublication.com/article/Finding+Care+In+Captivity/4933678/841484/article.html Resident rotation/fellowship/elective for the California Correctional Health Care Services Educational Partnership Program, the program for medical student and resident rotations within the California prisons. Info at EPP@cdcr.ca.gov Information: This episode of the Family Docs Podcast was supported by the American Board of Family Medicine The Family Docs podcast is developed, produced, and recorded by the California Academy of Family Physicians. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of any entities they represent or the California Academy of Family Physicians. More information at www.familydocs.org/podcast. Visit the California Academy of Family Physicians online at www.familydocs.org. Follow us on social media: Instagram - https://www.instagram.com/cafp_familydocs Facebook - https://www.facebook.com/familydocs LinkedIn - https://www.linkedin.com/company/california-academy-of-family-physicians
Dr. Brianne Butler joins the podcast for a conversation detailing her unique experience as a practitioner in rural Washington and the choices led her to her work. A long-time children's health advocate, Dr. Butler shares her journey from interning in Senator Patty Murray's office during healthcare bill negotiations to making a home for her practice in a location that allows her to not only make a difference in the clinic but also in hercommunity. Dr. Butler and host Dr. Joel Berg also discuss her growth as a volunteer focused on advocacy and optimal oral health for all kids within organized dentistry and how others can use her path as a roadmap. Guest Bio: Dr. Brianne Butler, or “Dr. Bri” as she prefers to be called, was born and raised in Washington State. She completed both dental school and her pediatric residency at the University of Washington and Seattle Children's Hospital, where she received extensive experience in working with children of all ages and children with special needs. After completing residency, she and her husband decided to relocate to the beautiful Olympic Peninsula where she has been serving children for the past nine years. Dr. Butler has also completed her board certification in pediatric dentistry and is a Diplomate of the American Board of Pediatric Dentistry. When Dr. Butler is not in clinic, she volunteers her time working as affiliate faculty at the University of Washington School of Dentistry and attends events throughout the community to promote oral health in children. She is an active member of American Academy of Pediatric Dentistry, American Dental Association, Washington State Dental Association, and Olympic Peninsula Dental Society. She has also served as president of the Washington State Academy of Pediatric Dentistry and is currently serving as a President for the Western Society of Pediatric Dentistry. Dr. Butler is committed to bettering the oral health of our community by working with patients and parents both in the clinic and in the community at large. In her free time, Dr. Butler enjoys spending time with her husband, daughters, and their dog, Huc. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In this special episode of The Points of CARE, recorded live during the American Diabetes Association's (ADA) 2026 Scientific Sessions in New Orleans, hosts Richard Beaser, MD and Jane Reusch, MD highlight a new symposium on the clinical, social, and economic costs of treating—or not treating—individuals with obesity. This panel discussion is moderated by Louis J. Aronne, MD, Sanford I. Weill Professor of Metabolic Research at Weill-Cornell Medical College in New York, former president of the Obesity Society, and chair emeritus of the American Board of Obesity Medicine. Presenters: Timothy Dall, MS Managing Director for Life Sciences Consulting at GlobalData Melanie R. Jay, MD, Professor of Medicine and Population Health at the New York University Grossman School of Medicine Catherine Ferguson, MA, Vice President of Federal Advocacy for the ADA Featured Articles: The Cost of Inaction in Treating Obesity in the U.S. doi.org/10.2337/doci25-0011 Benefits and Costs of Treating Obesity Among Adults in Commercial Insurance Plans doi.org/10.2337/doci25-0006 Estimating the Health, Economic, and Social Benefits of Obesity Treatment Using Microsimulation Modeling doi.org/10.2337/doci25-0004 For more on the Cost of Obesity collection, visit diabetesjournals.org/collection/26413/Cost-of-Obesity To learn more about Diabetes, Obesity, and CardioMetabolic CARE please visit diabetesjournals.org/docm-care. Thank you for listening, and don't forget to subscribe.
A patient asked me this recently: "Dr. Shelley, I've heard that GLP-1 medications can cause muscle loss. Does that mean they can hurt my bones too?" It's an excellent question—and one we don't talk about nearly enough. In this episode, I'm walking you through what the research actually shows about GLP-1 medications and bone health, why weight loss itself poses a different risk to your skeleton, and the five non-negotiable steps you need to take to protect your bones while losing weight. This is the bone health conversation you need to hear before—or while—taking a GLP-1. Episode Highlights: What GLP-1 medications are and how they work in your body Does GLP-1 directly damage bones? What the research says The real issue: weight loss and how it affects bone health How your bones stay strong and why muscle matters Muscle loss during weight loss on GLP-1s (body composition breakdown) Who's at higher risk for weak bones and should be monitoring Eat enough protein: how much you actually need Strength training and resistance exercises for bone protection Getting enough calcium and vitamin D The DEXA bone density scan and when you should ask for one Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
THE EMBC NETWORK featuring: ihealthradio and worldwide podcasts
353. A MAN BECOMES WHAT HE THINKS ABOUT MOST OF THE TIME --Ralph Waldo Emerson ROBERT A. YOHO, MD. President, American Society of Cosmetic Breast Surgery, 2012-2013. Fellow, American Society of Cosmetic Breast Surgery. Passed specialty boards of American Board of Dermatologic Cosmetic Surgery and the American Board of Laser Surgery. Fellow of American Academy of Cosmetic Surgery and American Society of Cosmetic Breast Surgery. California Academy of Cosmetic Surgery, past board member. BIoidentical Hormone Therapy, WorldLinkMedical. Emergency Medicine Board Certified and recertified. AUTHOR: A New Body in One Day. Published over 20 articles for physicians in medical journals. CLIMBER. 24 hour ascents of both El Capitan and Half Dome. Free ascents Astroman, Crucifix. First ascents Yosemite, Joshua Tree, Devils Tower. EAGLE SCOUT. TRIATHLON participant and age group winner. Founder & Director NEW BODY COSMETIC SURGERY ~ Accreditation Association Ambulatory Health Care (AAAHC) Certified & Accredited Surgical/Medical Practice & New Body Cosmetic Surgery DrYoho.com Support the show
THE EMBC NETWORK featuring: ihealthradio and worldwide podcasts
353. A MAN BECOMES WHAT HE THINKS ABOUT MOST OF THE TIME --Ralph Waldo Emerson ROBERT A. YOHO, MD. President, American Society of Cosmetic Breast Surgery, 2012-2013. Fellow, American Society of Cosmetic Breast Surgery. Passed specialty boards of American Board of Dermatologic Cosmetic Surgery and the American Board of Laser Surgery. Fellow of American Academy of Cosmetic Surgery and American Society of Cosmetic Breast Surgery. California Academy of Cosmetic Surgery, past board member. BIoidentical Hormone Therapy, WorldLinkMedical. Emergency Medicine Board Certified and recertified. AUTHOR: A New Body in One Day. Published over 20 articles for physicians in medical journals. CLIMBER. 24 hour ascents of both El Capitan and Half Dome. Free ascents Astroman, Crucifix. First ascents Yosemite, Joshua Tree, Devils Tower. EAGLE SCOUT. TRIATHLON participant and age group winner. Founder & Director NEW BODY COSMETIC SURGERY ~ Accreditation Association Ambulatory Health Care (AAAHC) Certified & Accredited Surgical/Medical Practice & New Body Cosmetic Surgery DrYoho.com Support the show
What does it take to go from working at the bench to becoming a future clinical microbiology laboratory director? In this episode, Luis is joined by Dr. Mackenzie Collins, a CPEP fellow at UCLA, to discuss her journey from Medical Laboratory Scientist (MLS) to PhD scientist and CPEP fellow. Mackenzie shares how she discovered laboratory medicine, her experience working as an MLS in molecular microbiology, and the mentors and opportunities that helped shape her career path. The conversation explores the CPEP fellowship, the role of laboratory directors, and how MLS professionals can strengthen their applications through projects, research, presentations, and professional involvement. Mackenzie also discusses her PhD work involving HIV reservoirs and long-read sequencing, and why genomics and molecular diagnostics will continue to play an increasingly important role in clinical microbiology. Whether you're considering graduate school, interested in the CPEP fellowship, or exploring career paths in laboratory medicine, this episode offers a firsthand look at one MLS's journey from the bench to clinical microbiology leadership. Topics discussed: The MLS-to-CPEP pathway and transitioning from the bench to graduate school Mentorship, professional development, and building a competitive application The role of clinical microbiology laboratory directors and career opportunities beyond the bench Sequencing, genomics, and the future of clinical microbiology Additional Resources CPEP Fellowship Overview with Dr. Sam Goodfellow Interested in learning more about the CPEP Fellowship? In this episode, Dr. Sam Goodfellow discusses the structure of the program, the application process, and what to expect from CPEP training. https://directory.libsyn.com/episode/index/id/36395120 Understanding the ABMM Certification Examination Learn more about the American Board of Medical Microbiology (ABMM) certification, its importance for future laboratory directors, and what candidates can expect from the examination process. https://directory.libsyn.com/episode/index/id/35868345 Stay connected with Let's Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Interested in being a guest on Let's Talk Micro? Fill out the form here: https://forms.gle/V2fT3asjfyusmqyi8 Support the podcast: Venmo Buy me a Ko-fi
Kelly Chia joins host Dr. Emanuel Kanal as guest moderator for a discussion on remote MR scanning and the newly created MR Safety Tech (MRST) position from the American Board of MR Safety (ABMRS). The conversation covers the forces driving remote MR scanning, the dual role of the on-site MRST as both an assistant to the remote technologist and the primary on-site safety lead, the new “Level 1.5” MR personnel classification, and the divided-liability framework — including traceable, time-stamped written orders — that supports safe practice. Claim your Credit Here This MR iCast episode is supported by Bracco Diagnostics Inc. through an unrestricted educational grant.
Estás escuchando #JUNTOSRadio: Cómo hablar sobre los trastornos alimenticios con nuestros hijos ¿Qué papel juegan las redes sociales y modelos de belleza actuales para desarrollarlos? ¿Cómo inciar el acercamiento con tu ser querido que tiene algún trastorno alimenticio? Mitos y realidades más comunes asociados a los trastornos alimenticios. La Dra Romina Barral, Pediatra, profesor asistente de investigación en Pediatría en la Facultad de Medicina de la Universidad de Kansas (KUMC) nos responde estas y otras preguntas. Sobre nuestro invitada: La Dra. Romina Loreley Barral es médica pediatra especializada en Medicina del Adolescente, con una destacada trayectoria clínica, académica y de investigación en Estados Unidos, particularmente en el área de salud reproductiva, equidad en salud y poblaciones latinas rurales. La Dra. Barral nació y se formó inicialmente en Buenos Aires, Argentina, donde cursó la carrera de Medicina en la Facultad de Medicina de la Universidad de Buenos Aires. Posteriormente, fortaleció su formación con entrenamiento específico en investigación en VIH/SIDA en el Centro Nacional de Referencia para la Investigación del SIDA. Completó su residencia en Pediatría en el Wayne State University School of Medicine / Children's Hospital of Michigan. Posteriormente realizó una fellowship en Medicina del Adolescente en el University of Pittsburgh Medical Center (UPMC) / Children's Hospital of Pittsburgh, entre 2008 y 2011, subespecializándose en el abordaje integral de la salud física, mental y reproductiva de adolescents. Está certificada por el American Board of Pediatrics tanto en Pediatría como en Medicina del Adolescente. Desde 2012, la Dra. Barral se desempeña como médica especialista e investigadora en Children's Mercy Kansas City, donde combina la atención clínica con una sólida agenda de investigación. Recursos informativos en español Prueba para identificar trastornos alimenticios https://www.nationaleatingdisorders.org/espanol/ Datos sobre los trastornos alimenticios https://es.aft.org/childrens-health/mental-health/eating-disorders Facebook: @juntosKS Instagram: juntos_ks YouTube: Juntos KS Página web: http://juntosks.org Suscríbete en cualquiera de nuestras plataformas de Podcast: Podbean, Spotify, Amazon Music y Apple Podcast Juntos Radio Centro JUNTOS 4125 Rainbow Blvd. M.S. 1076, Kansas City, KS 66160 Este programa es únicamente con fines educativos. Para recibir un diagnóstico o tratamiento, consulte a su médico. La información proporcionada por el invitado es responsabilidad de este. No tenemos los derechos de autor de la música que aparece en este video. Todos los derechos de la música pertenecen a sus respectivos creadores.
Can retatrutide finally be the breakthrough obesity treatment we've been waiting for? The answer is yes—and the data is stunning. In this episode I'm walking you through the biggest obesity medicine discovery from the ADA's 86th Scientific Session: retatrutide, a triple hormone receptor agonist showing weight loss results that rival bariatric surgery. You'll learn what makes retatrutide different from Wegovy and Zepbound, the stunning results from the Triumph 1 trial, what the side effects actually look like, and when this medication will finally be available. Weight loss medications are evolving faster than ever. But what you really need to know is what these results mean for your health. Listen now! Episode Highlights: Retatrutide is a triple hormone agonist that targets GLP-1, GIP, and glucagon receptors Participants lost an average of 28.3% of their body weight in 80 weeks Two-thirds of participants achieved a normal BMI—moved from obese to healthy weight Nearly everyone with prediabetes reversed it and returned to normal blood sugar Over 70% reduction in knee osteoarthritis pain and 60% reduction in sleep apnea severity The highest discontinuation rate due to side effects was only 11%—mainly GI issues Retatrutide is not yet FDA approved but anticipated to launch early 2027 Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
In this episode, Howard Farran sits down with Dr. Jack Hahn, a pioneering figure in implant dentistry whose career spans more than 58 years — 54 of them dedicated to implants. Dr. Hahn takes listeners through a remarkable journey that began with placing bilateral blade implants in 1970, evolved through subperiosteal and early root form implants, and ultimately led him to design four distinct implant systems, including the Steri-Oss, the Replace Tapered Implant, and the Hahn Tapered Implant now manufactured by Glidewell. Along the way, he shares stories of treating patients and teaching dentists across the globe — from Russia to Saudi Arabia — the skepticism he faced early in his career, and the lessons he learned both in clinical innovation and in business. A recipient of the Lifetime Achievement Award and past president of the American Board of Oral Implantology, Dr. Hahn offers a rare firsthand account of how implant dentistry grew from a fringe idea into a cornerstone of modern care — along with candid advice, including the mistakes he made selling his own practice. Episode #1706 : Dentistry Uncensored with Howard Farran, Howard sits down with Dr. Jack Hahn — a true living legend of implant dentistry with over 58 years in practice and 54 of them devoted to implants. From placing his first blade implants in 1970 to designing four implant systems — including the Hahn Tapered Implant — Dr. Hahn has quite literally helped shape modern implant dentistry as we know it.
In this episode, the Family Docs Podcast hosts Dr. Rob Assibey and Dr. Cynthia Chen-Joea discuss climate informed patient care and what it means for family physicians in everyday practice. Climate related health impacts are showing up in the exam room through heat related illness, poor air quality, and changing patterns of infectious disease. Dr. Diana Howard and Dr. Alex Sherriffs share what they are seeing in practice and offer practical strategies family physicians can use to better support their patients. They also talk about who is most vulnerable and review a few simple steps physicians can counsel patients about climate related health risks. Guests: Diana Howard, MD, AAHIVS is a Family Medicine and HIV specialist who advocates for inclusive, climate-informed medicine that protects vulnerable communities. As UC San Francisco faculty, she empowers residents to understand how a changing climate impacts primary care. Dr. Howard is a constant advocate for medical trainees' involvement in CAFP activities. Alex Sherriffs, MD, FAAFP is a Family Medicine physician and air quality/climate health advocate who has lived and practiced in California's Central Valley for over 52 years. As UC San Francisco faculty, he integrates climate science into primary care and medical education, focusing on geriatrics, environmental health, prevention, and health equity. Dr. Sherriffs brings regional insight into the health impacts of extreme heat, air pollution, wildfire smoke, and climate-sensitive diseases. Resources: CAFP Online Education: Climate Informed Patient Care education.familydocs.org/climate Climate Change and Health resources available at familydocs.org/climatehealth. Heat Illness & Vulnerable Populations presentation at 2026 Family Medicine POP!, August 21-23, 2026 in San Diego - familydocs.org/pop CalEnviroScreen (oehha.ca.gov/calenviroscreen): Identifies populations who are burdened by multiple sources of pollution California Air Districts ww2.arb.ca.gov/california-air-districts Information: This episode of the Family Docs Podcast was supported by the American Board of Family Medicine The Family Docs podcast is developed, produced, and recorded by the California Academy of Family Physicians. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of any entities they represent or the California Academy of Family Physicians. More information at www.familydocs.org/podcast. Visit the California Academy of Family Physicians online at www.familydocs.org. Follow us on social media: Instagram - https://www.instagram.com/cafp_familydocs Facebook - https://www.facebook.com/familydocs LinkedIn - https://www.linkedin.com/company/california-academy-of-family-physicians
Dr. Erin King Mullins is a double board-certified general and colorectal surgeon with 12 years in practice and founder of Colorectal Wellness Center in Metro Atlanta. In this episode, she shares the hard-won business lessons from a difficult exit from her fellowship practice, how she navigated a non-compete clause that left her unable to stay or relocate, and the step-by-step path to launching solo private practice — while pregnant with her second child. Dr. Mullins and host Dr. Amy Vertrees cover what every surgeon must know about physician employment contracts: why you should read your exit clause before your salary, the critical difference between radius-based and entity-based non-competes, and what at-will employment actually means for physicians. They also discuss the human side of running a medical practice — from firing employees the right way to separating friendship from business decisions. In the second half of the episode, Dr. Mullins pulls back the curtain on her experience as a volunteer director with the American Board of Surgery (ABS) — including how complaint reviews actually work, what due process looks like for a surgeon facing a board action, and how the new Entrustable Professional Activities (EPA) framework is transforming resident training and surgical education. Whether you're considering private practice, navigating a contract negotiation, or just want to understand what the ABS actually does for surgeons, this episode is required listening.
Can I restart my GLP-1? The answer is yes — but it requires a strategic plan. In this episode I'm walking you through exactly what happens to your body when you restart a GLP-1, why the timing of your break matters more than you think, how to restart safely without landing yourself in misery, the biggest mistakes I see patients make, and how to get back on track without shame or guilt. Restarting doesn't have to mean starting completely over. But how you restart matters. Listen now! Episode Highlights: Why restarting at your previous dose will make you seriously sick What happens to your hunger, cravings, and fullness signals when you restart How long you've been off determines your restart dose The critical question that changes everything: weeks vs. months off Why weight regain after stopping is biology, not failure 3 practical strategies to minimize side effects and rebuild tolerance How to stay mentally on track without shame or comparison Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Choosing a plastic surgeon can feel overwhelming—but did you know that not everyone performing cosmetic procedures is actually a board-certified plastic surgeon? In this episode of The Cutting Edge Podcast, we break down the critical differences between board-certified plastic surgeons and cosmetic surgeons, why those distinctions matter, and how they can impact your safety, results, and overall surgical experience. If you're considering a tummy tuck, liposuction, BBL, body contouring, breast surgery, or any cosmetic procedure, this conversation could help you avoid costly mistakes and make a more informed decision about who you trust with your care. In This Episode Host Mel sits down with board-certified plastic surgeon Dr. Omar Beidas and therapist Ashlyn Douglass-Barnes to discuss one of the most important questions any patient can ask:
In this episode, Howard Farran sits down with Dr. Jay Reznick, a Diplomate of the American Board of Oral and Maxillofacial Surgery and one of North America's earliest adopters of fully-guided, prosthetically-based implant surgery. Trained at Tufts, USC, and L.A. County-USC Medical Center, Dr. Reznick holds both a DMD and an MD — and has spent the last two decades at the forefront of 3D digital technology in dentistry, becoming the first specialist in the U.S. to integrate CBCT and CAD/CAM into clinical practice. He is a co-founder of OnlineOralSurgery.com, a leading educational platform for practicing dentists seeking to expand their surgical skills, and a frequent lecturer and live-course instructor for dentists around the world. The conversation draws on his extensive clinical and teaching experience, exploring the evolution of implant surgery, the impact of digital workflows, and what it takes to bring advanced surgical techniques into everyday dental practice. Episode #1705 : Dentistry Uncensored with Howard Farran, Howard sits down with Dr. Jay Reznick — oral and maxillofacial surgeon, DMD, MD, and one of the true pioneers of digital implant surgery in the United States. The first specialist in the country to integrate CBCT and CAD/CAM in practice, Dr. Reznick has spent two decades teaching dentists around the world how to think bigger, operate smarter, and deliver better surgical outcomes.
Dive into Episode #170 of the Psych Health and Safety USA Podcast, featuring host Dr. I. David Daniels, PhD, CSD, VPS, and special guest Dr. Kalim Wigfall, a veteran of the U. S. Coast Guard and behavioral health expert, who is the founder of the American Board for First Responder Behavioral Health. Psychosocial hazards may be perceived or experienced differently by individuals, but they originate in fully controllable organizational conditions: workload design, leadership behavior, communication patterns, staffing models, operational tempo, and cultural norms. These are system variables, not personal traits. System variables require system controls. The goal of FRBH is to establish national standards for first responder behavioral health systems and to establish a system to accredit organizations to address the behavioral, emotional, and mental health of their members.
Free course: Improve your metabolic healthGet our free email course on how glucose, nutrition, exercise, sleep, and measurement can help you build habits that support better energy and long-term health: https://levels.link/wnlWhat are GLP-1 drugs actually doing in the body, who are they for, and why might some people want to think twice before treating them like a six-month shortcut?For years, obesity treatment focused largely on behavior: eat less, move more, stay motivated. Yet many people lost weight only to regain it. According to obesity medicine pioneer Dr. Robert Kushner, that wasn't a failure of willpower. It was a failure to fully understand the biology driving weight regulation.In this episode of A Whole New Level, Mike Haney sits down with Kushner, one of the leading figures in obesity medicine and a lead investigator on the landmark STEP trials, to discuss how GLP-1 medications are changing the field. He explains why these drugs may be the first treatments capable of helping patients “fight biology with biology,” why appetite regulation appears to work differently in different people, and why many patients describe a dramatic reduction in food noise after starting treatment.But this conversation goes beyond how the drugs work. Kushner also addresses one of the biggest questions facing obesity medicine today: who should actually take these medications? He explains why obesity specialists evaluate far more than a number on the scale, why someone hoping to lose a modest amount of weight may want to think carefully before pursuing treatment, and why successful long-term health still requires changes that no medication can provide.They also discuss obesity as a disease, the promise and limitations of telehealth prescribing, and why maintaining weight loss often requires something deeper than motivation: a shift in identity.
Send us Fan MailDr. Matthew Zirwas is an American Board of Dermatology certified physician. He has been a nationally known expert specializing in contact dermatitis, pruritus, atopic, and seborrheic dermatitis for the last 20 years.His passion is figuring out the real, practical, take-home messages that we can get from the medical literature. Not just reciting ‘the data,' but synthesizing it and putting it in the context of how it can help patients. He enjoys figuring out ‘what this study means' and ‘how it connects to what we already know' and then explaining it in a practical, relatable, entertaining and memorable way.In addition to the practical experience that comes from taking care of challenging patients, Dr. Zirwas has published over 200 peer-reviewed articles, been an investigator on over 80 clinical trials, co-authored the 7th edition of Fisher's Contact Dermatitis, and has given over 200 national continuing medical education lectures to his peers.Dr. Zirwas attended undergraduate and medical school and completed a dermatology residency at the University of Pittsburgh. He took his first faculty job at the University of Pittsburgh, then moved to The Ohio State University, where he was the residency director for dermatology for almost 10 years before founding Bexley Dermatology Research.In Dr. Zirwas' free time, he enjoys spending time with his kids and cats (in that order)!Find Dr. Zirwas at-TW/X- @MattZirwasThe Viral Tweet- Dermatology is wrong about the sun. And it's killing people.https://bexleyderm.com/Podcast- Derms On DrugsFind Boundless Body at-myboundlessbody.comBook a session with us here!
Double board-certified Diplomate of the American Board of Psychiatry and Neurology and UCSF fellowship-trained Child, Alodescene, and Adult Psychiatrist, Dr.... The post Parent Child Relational Balance with Dr. Debbie Raphael MD appeared first on WebTalkRadio.net.
Send us Fan MailAbout Dr. Joseph J. AllenDr. Joseph J. Allen graduated Magna Cum Laude and Salutatorian from the Rosenberg School of Optometry in 2015 and completed his residency at the Minneapolis V.A. Medical Center. Dr. Allen is a Fellow of the American Academy of Optometry and a Diplomate of the American Board of Optometry. He is a member of the American Optometric Association, the AOA Strategic Communications Committee, and he completed the AOA leadership training in 2022. He was also awarded the Media Advocacy award from the AOA in 2021. Dr. Allen is a practicing optometrist in Virginia and the founder of Doctor Eye Health, an educational YouTube channel and Podcast with more than 1 Million subscribers. There, he provides information about eye health, ocular disease, and vision products. His videos cover a range of topics that his subscribers frequently ask about eye floaters, dry eye syndrome, contact lenses, eyeglasses, eye surgery and more.Dr. Allen has been featured on the Diary of a CEO Podcast, Ask Men and Oprah Daily and in his free time, he enjoys rock climbing, weight lifting, video games and travel.
Get Dr. Vonda's insights Want to understand what's happening in your body — and what to do next? Each week, Dr. Vonda shares science-backed guidance on strength, bone health, muscle, and longevity — the same way she speaks to her patients. Clear. Practical. No noise. Join the newsletter: https://manage.kmail-lists.com/subscriptions/subscribe?a=YqJKtR&g=Ww3gx3& Your feet take 5,000 steps every single day, and most of us don't think about them until something goes wrong. In this episode, I sit down with Dr. Timothy Miller, DPM, FACFAS, to talk about the one body part that literally holds everything else up. We cover everything from plantar fasciitis and Achilles tendonitis to bunions, big toe arthritis, and fallen arches, and what you can do right now to stay strong, mobile, and pain-free for decades to come. This is the conversation I wish every one of my patients had before they ended up in my office. What we explore: - How foot dysfunction travels up the kinetic chain and causes hip, shoulder, and neck pain. - Why perimenopause triggers arch collapse and shoe size changes. - What a biomechanical evaluation is and why every woman over 40 should get one. - Why barefoot shoes are not for everyone and how to know if you are ready. - How estrogen loss accelerates Achilles tendon damage and raises rupture risk. - Why bunion splints do not fix the underlying problem and what actually works. - How foot hygiene is a serious longevity strategy, especially with pre-diabetes. About Dr. Timothy Miller: Timothy J. Miller, DPM, FACFAS, is a fellowship-trained foot and ankle surgeon specializing in lower extremity reconstruction, deformity correction, trauma, limb salvage, and advanced ankle surgery. He is board certified by the American Board of Foot and Ankle Surgery in Foot Surgery and Reconstructive Rearfoot/Ankle Surgery. Connect with Dr. Timothy Miller: Website: www.sunshineankleandfoot.com Instagram: https://www.instagram.com/sunshineanklefootexperts/ LinkedIn: https://www.linkedin.com/in/timothy-miller-dpm-facfas- 4ab18359/ Facebook: https://www.facebook.com/sunshineanklefoot/ Timestamps 00:00 Intro 01:46 Gait Exam: How Your Walk Predicts Pain 04:19 How Feet Affect Your Hips, Shoulders, and Neck 06:30 The Case for a Preventive Foot Visit 09:26 Perimenopause, Relaxin, and Arch Collapse 12:06 Orthotics, Shoes, and Foot Strengthening 14:41 The Truth About Barefoot Shoes 21:00 Achilles Tendon: Estrogen, Damage, and Rupture Risk 27:10 Active Rest vs. Sedentary Rest 31:26 Flat Feet: Causes, Tests, and Treatment 36:36 Big Toe Arthritis and Bunions 43:39 Rapid Fire: Best Habits and Aging with Power Start your Unbreakable journey Most women are never given a clear plan for how to stay strong as they age. The Unbreakable Lifestyle is where that changes. This is the home of Dr. Vonda's method — built from 20+ years of clinical work and designed for real life. Inside: - Unbreakable Assessment — know exactly where you stand - Training plans — build muscle, protect bone, improve performance - AI Dr. Vonda — get answers and guidance anytime - Community — women committed to staying strong and engaged - Exclusive education — what actually works, all in one place This is not another program. This is how you build strength — with direction. Join the Unbreakable Lifestyle: https://www.theunbreakablelifestyle.com/ Build stronger bones Bone loss starts earlier than you think — and speeds up in midlife. Dr. Vonda's Unbreakable Bone Health formula supports bone density, strength, and long-term skeletal health with clinically researched ingredients. Foundational. Not optional. Shop now: https://shop.drvondawright.com/ Read the book Unbreakable: A Woman's Guide to Aging with Power A clear, science-backed roadmap to building strength, supporting your body, and taking control of how you age. Get your copy: https://www.theunbreakablelifestyle.com/unbreakable-book About Dr. Vonda Wright Dr. Vonda Wright is an orthopedic sports surgeon and leading expert in women's health and longevity. For over 20 years, she has helped women build muscle, strengthen bone, and extend their health span — with science, not guesswork. Her mission is simple: help women age with power. Connect with Dr. Vonda Instagram: https://www.instagram.com/drvondawright Substack: https://drvondawright.substack.com/ TikTok: https://www.tiktok.com/@drvondawright LinkedIn: https://www.linkedin.com/in/vonda-wright-md-ms-2803374 Website: http://www.drvondawright.com
You stopped your GLP-1 and now you're wondering can I just restart where I left off? Why am I so hungry again? Why are the side effects back? Did the medication stop working? These are questions I hear all the time in my practice. And the answer is not as simple as picking back up where you stopped. In this episode I am walking you through exactly what happens biologically when you stop a GLP-1, why restarting feels different than when you first started, how to restart safely, the common mistakes I see patients make, and how to get back on track mentally without shame. A pause does not erase your progress. But how you restart matters more than you think. Listen now! Episode Highlights: Why stopping your medication is not failure and why your biology is not your weakness What actually happens to your hunger, cravings, and fullness signals when you go off GLP-1s Why restarting at your old dose can land you in the emergency room How long is too long to be off and what dose to restart at based on your break The 3 most common restart mistakes Practical tips to minimize side effects and rebuild tolerance the right way How to stay mentally on track without shame or comparison to your first journey Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
When looking into tethered oral tissues, it is easy to focus entirely on visual structural appearance. However, judging a restriction by looks alone frequently misses the true clinical picture. Real progress happens when healthcare providers shift the diagnostic paradigm away from what a tie looks like and focus entirely on how it affects dynamic function over a patient's lifespan.In this episode, Hallie sits down with Dr. Richard Baxter, DMD, MS, FAAPD, a board-certified pediatric dentist, founder of the Alabama Tongue-Tie Center, and lead author of the bestselling book Tongue-Tied. Dr. Baxter shares his personal and professional insights into the complexities of identifying oral restrictions, moving past basic anatomical definitions to explore how a tiny string under the tongue can alter systemic, long-term health.About the Guest: Dr. Richard BaxterDr. Richard Baxter is a board-certified pediatric dentist, a Fellow of the American Academy of Pediatric Dentistry (AAPD), a Diplomate of the American Board of Laser Surgery, and the founder of the Alabama Tongue-Tie Center. As an internationally recognized speaker and creator of the Tongue-Tied Academy, he has dedicated his career to educating healthcare providers and parents on the structural and functional impacts of oral restrictions. Having experienced a tongue-tie himself and treated his three daughters as infants, his dedication to the field is deeply personal. He resides in Birmingham, Alabama, with his family.Key Topics & TakeawaysSymptoms Over Appearance: Why a visual exam never tells the full story and why diagnostic protocols must prioritize symptom functional profiles over pure aesthetics.Groundbreaking Research in Complex Profiles: Dr. Baxter shares fascinating insights from recent research surrounding oral restrictions and their structural correlations to cerebral palsy.Buccal and Lip Ties Exploded: Clarifying the distinct functional impacts of cheek and lip restrictions, and how they play a role in infant feeding dynamics.The Interdisciplinary Standard: Best practices for post-operative care, follow-up timelines, and maintaining clear, collaborative communication lines across the therapy team.Soundbites"Common does not mean normal." "Digestion starts in the mouth.""Untie the shoelaces for proper function."Timestamps00:00:00 – Intro Hook: The Shoelace Analogy breakdown.00:01:03 – Guest Welcome: Dr. Richard Baxter joins the show.00:02:43 – Clinical Debate: Treating oral restrictions based on symptoms vs. appearance.00:06:51 – Collaborative Care: How a therapist should present a concise, one-page case review to a doctor.00:09:13 – The Post-Op Rule: Why myofunctional therapy is essential (The knee surgery comparison).00:11:51 – Clinical Truths: Why "common" does not mean "normal" when tracking snoring or mouth-breathing.00:13:08 – Complex Case Study: Dr. Baxter's landmark research on tongue-tie releases in children with Cerebral Palsy.00:20:27 – Digestion & The Nervous System: How poor swallowing mechanics trigger chronic fight-or-flight states.00:26:49 – Emerging Research: Survey insights on identifying and treating Buccal (cheek) ties globally.00:32:24 – The Bed-Wetting Link: The surprising connection between airway stress, heart peptides, and nocturnal polyuria.00:48:28 – Reclaiming "No-Man's Land": Why releasing ties between 6 months and 4 years old is critical for core brain development.Links & ResourcesRead the Best Selling Book: Tongue-Tied by Dr. Richard BaxterExplore Clinical Resources: Visit TongueTie.comWatch and Learn: Tune into Dr. Baxter's YouTube ChannelWORTH A LISTEN: CONTINUE YOUR JOURNEYEpisode 200: Functional Impact: When A Tongue Tie Is ACTUALLY A Tongue TieEP 348: Tongue Ties, Sleep Apnea & More: The Patient-Centered Approach to Airway DentistrySTAY CONNECTED & GROW YOUR PRACTICEJoin the conversation: Get behind-the-scenes insights, clinical pearls, and real conversations over on Substack. Hosted on Acast. See acast.com/privacy for more information.
A patient finally decides to prioritize their health. They wait weeks for an appointment. We talk, we plan, and they leave with hope. Then the pharmacy calls with a price tag over $1,000 a month and that hope disappears. If that's happened to you, I made this episode for you. Because what most patients don't know is that there are real, legitimate ways to make this work and I'm breaking all of them down today. An insurance denial is not a verdict on your health or your worth. It just means we need to get strategic. Listen now! Episode Highlights: Why I never let my patients stop at the first insurance "no" The Zepbound Lilly Direct self-pay program and what it actually costs The Wegovy NovoCare self-pay option and its introductory pricing Oral GLP-1 medications — who they're right for and why they may surprise you Manufacturer coupons, GoodRx, and savings tools most patients walk past How to appeal a denial and exactly what documentation can move the needle Why thinking long-term changes everything about affordability Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
It's In The News, where we bring you the top diabetes stories and headlines happening now. Top stories this week: Dexcom shares details of its next generation CGM, T1D and GLP-1 studies, weight loss management on GLP-1 medications updates, all-in-one CGM and pump, and more! Announcing Community Commericals! Learn how to get your message on the show here. Learn more about studies and research at Thrivable here Please visit our Sponsors & Partners - they help make the show possible! Omnipod - Simplify Life All about Dexcom All about VIVI Cap to protect your insulin from extreme temperatures The best way to keep up with Stacey and the show is by signing up for our weekly newsletter: Sign up for our newsletter here Here's where to find us: Facebook (Group) Facebook (Page) Instagram Check out Stacey's books! Learn more about everything at our home page www.diabetes-connections.com Episode transcript: XX Dexcom announces some features of it's next generation CGM – the G8. We've been talking about this with CEO Jake Leach for a while now – it will be a 50% smaller with what they're calling advanced sensing capabilities. According to Leach, G8 will adapt to the physiologic variability of each user. It has additional technology built in, based on a new silicon chip design and algorithm. 15 day wear is now the baseline for all Dexcom sensors moving forward. At launch the G8 will only measure glucose but the plan is for a multi-analyte version to follow. That would measure ketones and potassium. Ketones we know – but potassium is very important for people with kidney and possible for people taking some diabetes meds. It's an interesting space to watch.. btw, analyte is just a medical word for the specific thing you're measuring – the target of the test you're running. we're going to hear that word a lot I think.. Looks like an FDA submission for the G8 next year.. with an outside the US launch the following year. https://www.drugdeliverybusiness.com/dexcom-unveils-next-gen-g8-cgm/ XX Glucotrack has submitted its implantable continuous blood glucose monitor (CBGM) for FDA IDE, that's investigational device exemption and would enable the company to initiate a U.S. clinical study for the fully implantable technology. Rutherford, New Jersey-based Glucotrack's device features no on-body external component. The company aims to offer it for three years of continuous, accurate blood glucose monitoring for a more convenient, less intrusive solution. Unlike traditional CGMs that measure glucose in interstitial fluid, the CBGM measures glucose levels directly from the blood. The implant goes five centimeters within the subclavian vein. Glucotrack's active implantable device has a small battery and some electronics that go just under the skin in the pectoral region. The location of the implant is not in a major vessel, but the implant can measure real-time glucose levels as pulsatile blood flows over the tip of the sensor. https://www.drugdeliverybusiness.com/glucotrack-submits-long-term-implantable-cbgm-fda-ide/ XX PharmaSens today announced the publication of data from the first clinical study evaluating its all-in-one insulin patch pump offering. The all-in-one pump pairs the Niaa Essential insulin patch pump with the SynerG continuous glucose monitor (CGM) sensor developed by Pacific Diabetes Technologies. However, this system would be one device that features both the pump and CGM technology. PharmaSens and SiBionics also have a collaboration aimed at developing the all-in-one solution. They are jointly developing the next-generation Niia insulin patch pump with a SiBionics CGM. PharmaSens expects a second feasibility study in the second quarter to evaluate the next-generation pump with SiBionics' CGM. PharmaSens says the clinical feasibility study of Niia demonstrated for the first time ever that the combined offering is, in fact, feasible. It believes its device addresses the need for alternatives to multi-device diabetes management. systems. Aggregated MARD for the investigational device came in at 11.6%. A MARD target of less than 10% is considered ideal for CGM devices, but PharmaSens said that, in the context of the early feasibility study, the results were encouraging and provide evidence supporting the development of an all-in-one system. https://www.drugdeliverybusiness.com/pharmasens-efs-insulin-patch-pump-cgm/ XX XX ViCentra launches the newest version of the Kaleido pump system in Europe. This is that small colorful pump, with Diabeloops algorithm and the Dexcom G7. It'll be in Germany and the Netherlands later this summer. https://hellokaleido.com/vicentra-announces-commercial-launch-of-new-smartphone-controlled-kaleido-automated-insulin-delivery-patch-pump-system/-- XX Diabeloop just got CE Mark approval for DBLG2 integrations – it's latest AID platform the company has kicked off the gradual European launch of the technology. It currently offers DBLG2 as a smartphone application on Android, with iOS integration coming soon. As you just heard, it's integrated with kaleido and the company says it plans to make additional configuration for DBLG2 with alternative pumps "available soon." Running on a user's smartphone, DBLG2 works as a self-learning algorithm. It continuously analyzes glucose data, calculates insulin needs in real time and automatically adjusts delivery. https://www.drugdeliverybusiness.com/diabeloop-fda-next-gen-algorithm-g7/ XX Among adults with type 1 diabetes (T1D), the initiation of GLP-1-based therapy was associated with a lower risk for all-cause death, several cardiovascular outcomes, all-cause hospitalisations, and hypoglycaemia, without a higher risk for diabetic ketoacidosis. METHODOLOGY: Researchers in Greece conducted a retrospective cohort study utilising real-world data from a global health research network to evaluate the association between GLP-1-based therapy and cardiovascular and renal outcomes in adults with T1D. A total of 4088 patients receiving GLP-1-based therapies (median age, 43 years; 34.3% men) were propensity score matched with an equal number of patients not receiving the treatment. The risk for hypoglycaemia was lower with GLP-1-based therapy (hazard ratio, 0.72; P = .021); however, the risk for diabetic ketoacidosis did not differ significantly between the two groups. https://www.medscape.com/viewarticle/glp-1-drugs-tied-cardiovascular-benefits-t1d-2026a1000fbx XX Eli Lilly and Company (NYSE: LLY) today announced detailed results from two late-phase trials showing that people with obesity maintained their weight loss long term with either Foundayo or lower-dose Zepbound after switching from higher doses of injectable incretin therapy. The findings from SURMOUNT-MAINTAIN and ATTAIN-MAINTAIN, were presented at the 33rd European Congress on Obesity (ECO) and published in The Lancet and Nature Medicine, respectively. "Weight regain remains one of the biggest challenges in obesity care, and is often the result of treatment interruptions that cause biology to work against patients, undoing the progress they've made," said Louis J. Aronne, M.D., FACP, DABOM, founder and Chair Emeritus of the American Board of Obesity Medicine, former president of The Obesity Society, Fellow of the American College of Physicians, world-renowned obesity specialist and Lilly consultant. "These medicines can be used for long-term maintenance today, and results from SURMOUNT-MAINTAIN and ATTAIN-MAINTAIN provide additional evidence of their potential when switching from higher doses of injectable incretin therapy." https://investor.lilly.com/news-releases/news-release-details/lillys-foundayo-and-lower-dose-zepbound-helped-people-maintain XX Scientists in Sweden have developed a more reliable way to create insulin-producing cells from human stem cells. These lab-grown cells not only respond strongly to glucose but were also able to restore blood sugar control when transplanted into diabetic mice. When transplanted into diabetic mice, the cells gradually restored the animals' ability to regulate blood sugar. Long way to go, as we say with most of these mice studies. https://www.sciencedaily.com/releases/2026/05/260505234620.htm XX Interesting look at how the body controls sugar storage – apparently this finding challenges long-standing biology concepts and could open new directions for disease treatment. Published in Nature, the study describes a potential method for directly reducing glycogen, the stored form of sugar in the body. These scientists discovered that glycogen can be directly regulated by ubiquitin, a protein best known for marking damaged proteins for recycling or removal. The study is the first to show that ubiquitin can regulate glycogen in humans, overturning more than 50 years of scientific understanding. Excess glycogen is also associated with more common health problems, including diabetes, obesity, liver disease, and heart disease. https://scitechdaily.com/scientists-just-rewrote-biology-hidden-mechanism-could-transform-diabetes-treatment/ XX A new Oklahoma law will give parents the option to have their children screened for Type 1 Diabetes. The measure passed with overwhelming bipartisan support in the Legislature and takes effect Nov 1. Oklahoma consistently ranks among the states with the highest rates of diabetes and diabetes-related deaths. The law gives parents access to antibody testing that can detect risk years before symptoms develop, helping families take preventive action and avoid emergency room visits. https://journalrecord.com/2026/05/11/oklahoma-law-expands-access-type-1-diabetes-screening/ XX More to come including a new study trying to figure out why some people are more likely to develop diabetes, a look at cannabis and preventing metabolic disorders, and XX A National Institutes of Health (NIH)-funded study has identified key differences in human pancreatic islet cells that may help explain why some people are more likely to develop diabetes. Researchers found that the mix of hormone-producing cells in the pancreas varies widely from person to person, and that variation plays a central role in how the body regulates blood sugar. The study involved a deep dive into islet cell function that is linked to donor traits associated with observable characteristics, or phenotype, such as sex, race and ethnicity, as well as genetic information, or genotype, including predicted ancestry and genetic risk for both type 1 and type 2 diabetes. The findings highlight that islet cell composition, rather than the physical size and shape of islets, is a key factor in regulating hormone release. The team found that the makeup of pancreatic islets plays a major role in how effectively they release insulin and glucagon — key hormones that regulate blood glucose. Islets with a higher proportion of insulin-producing beta cells showed stronger insulin secretion in response to various stimuli, while higher levels of alpha and delta cells were generally linked to reduced insulin output. In addition, the researchers found that islet hormone secretion is affected by donor traits, such as sex, race and ethnicity and their genetic makeup, including ancestry predicted from genetic testing and genetic risk for type 2 diabetes. Combined, the findings of the study have significant implications for understanding the factors that may predispose people to diabetes. "This study is the tip of the iceberg," said Dr. Evans-Molina. "We hope this dataset becomes useful to the entire diabetes research community and that researchers use it to answer questions about the genotype-phenotype correlation within these data." https://www.nih.gov/news-events/news-releases/nih-funded-study-maps-human-pancreatic-islet-cells-offering-new-clues-diabetes-risk XX XX XX Research published recently in JAMA Network Open offers illuminating evidence suggesting there is a positive association between GLP-1 agonists—drugs commonly used to treat obesity and diabetes—and better outcomes among breast cancer patients. "This study suggests that GLP-1 drugs may offer protective benefits potentially improving survival and recurrence risk in some female patients with breast cancer – whether this is related to weight control, improve cardiovascular health or other mechanisms remains to be studied," said study senior author Bernard F. Fuemmeler, Ph.D., MPH, associate director for population sciences and the Gordon D. Ginder, M.D., Chair in Cancer Research at VCU Massey Comprehensive Cancer Center. Breast cancer patients who are also obese or have type 2 diabetes experience more aggressive cancer growth and worse outcomes. Prior studies have shown that weight loss treatment and surgery following a breast cancer diagnosis are associated with improved heart health and increased survival. What are GLP-1 drugs? Glucagon-like peptide-1 receptor agonists (GLP-1 RAs). Approved to treat type 2 diabetes in 2005 and weight management in 2021. Impacts on breast cancer survival and recurrence are still unclear. Since 2020, the use of these drugs has increased dramatically, where approximately 12% of Americans have used GLP-1s for weight loss, according to a RAND report. The research findings Through a retrospective cohort study examining the electronic health records of more than 840,000 breast cancer patients who were diagnosed between 2006 and 2023, the results suggest there is a potential link between GLP-1 RAs and improved outcomes among breast cancer patients who are also obese or have type 2 diabetes. GLP-1 RA use was associated with an overall lower risk of death from any cause over a 10-year follow-up period among breast cancer patients. Additionally, breast cancer survivors who used GLP1-RAs for diabetes or obesity had a significantly lower risk of their cancer returning over 10 years following their initial treatment. "Our findings align with emerging preclinical research and contribute to a growing body of literature related to GLP-1 RA use in oncology settings," said study lead author Kristina L. Tatum, PsyD, MS, of the VCU School of Public Health. What's next? Further studies are needed to understand the biological mechanisms, if any, between GLP-1 RAs and breast cancer outcomes. The research team intends to further evaluate these correlations through randomized clinical trials. "Our study underscores the potential of GLP-1 RAs as an adjunct strategy for improving cancer-related outcomes among patients with breast cancer, although clinical trials are needed to inform effective therapeutic approaches and clinical decision making," Fuemmeler said. https://www.oncology-central.com/could-glp-1-receptor-agonists-improve-outcomes-for-breast-cancer-patients-with-obesity-or-with-type-2-diabetes/ XX Researchers at UC Riverside gave cannabis to obese mice and found that not only did the rodents lose weight, but when given a concentrated cannabis oil, the mice also saw striking benefits in their metabolic function. DiPatrizio said his team studied the issue to better understand why cannabis users show significant reductions in weight and risk for diabetes compared with nonusers. "We would think that chronic cannabis users would be eating more and weigh more, but it's just the opposite," DiPatrizio said. Scientists are increasingly examining the possibility that cannabis compounds could fight obesity or metabolic disorders like diabetes. Cannabinoids interact with the body's endocannabinoid system, which partially controls nearly every aspect of our physiology, including metabolism and appetite. That creates the possibility that targeting this widespread system could unlock new therapies for these conditions. https://www.sfgate.com/cannabis/article/cannabis-weight-loss-california-study-22255328.php XX A new campaign launched by diaTribe and Genentech aims to empower and educate people about diabetes-related eye disease. Here's what you can do today to protect your eye health. To help address these barriers, diaTribe and Genentech partnered to launch All Eyes on DME, a new campaign that aims to spread awareness and educate people at-risk for or living with diabetes-related eye conditions like DME. Also partnering in the campaign is actor and comedian Damon Wayans, who wanted to share his journey (and, of course, a joke or two) with type 2 diabetes to open up the conversation about what is often a stigmatized or less talked about topic: eye health and diabetes. One of these important conversations happened recently at the All Eyes on DME launch in New York City, where Wayans joined a panel of experts, advocates, and people living with DME to talk about diabetes-related eye disease and how to help prevent it. https://www.alleyesondme.com/dme-in-the-spotlight.html https://diatribe.org/diabetes-complications/all-eyes-dme-new-campaign-spotlights-eye-health-and-diabetes
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