Podcasts about American Heart Association

Bob Harringson and former FDA commissioner Rob Califf discuss medical misinformation, its impact on public and individual health, and how to fight against it. This podcast is intended for healthcare professionals only. To read a transcript or to comment, visit https://www.medscape.com/author/bob-harrington  Is a Long-Simmering Crisis Boiling Over? U.S. Primary Care Today https://doi.org/10.1056/NEJMms2510425 The Global Wellness Economy Hits a Record $6.8 Trillion and Is Forecast to Reach $9.8 Trillion by 2029 https://globalwellnessinstitute.org/press-room/press-releases/the-global-wellness-economy-hits-a-record-6-8-trillion-and-is-forecast-to-reach-9-8-trillion-by-2029/  Life's Essential 8: Updating and Enhancing the American Heart Association's Construct of Cardiovascular Health: A Presidential Advisory From the American Heart Association https://doi.org/10.1161/CIR.0000000000001078  Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(04)17018-9/abstract  Here's What We Know https://weillcornell.org/heres-what-we-know  Fifth Circuit sides with ivermectin-prescribing doctors in their quarrel with the FDA https://www.courthousenews.com/fifth-circuit-sides-with-ivermectin-prescribing-doctors-in-their-quarrel-with-the-fda/  SNAP Tracker: People Are Losing Food Assistance as the Republican Megabill Is Implemented https://www.cbpp.org/research/food-assistance/snap-tracker-people-are-losing-food-assistance-as-the-republican-megabill  Chronic Conditions and Food Insecurity in US Children https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2839376  As Unregulated Peptides Flood the Market, Clinicians Encouraged to Counsel Patients https://www.medscape.com/viewarticle/unregulated-peptides-flood-market-clinicians-encouraged-2026a1000e63 Coethia https://coethia.com/  You may also like: Hear John Mandrola, MD's summary and perspective on the top cardiology news each week, on This Week in Cardiology https://www.medscape.com/twic  Questions or feedback, please contact news@medscape.net

Welcome back, everyone. Today we're diving into one of the most hotly debated topics in obstetrics- should we be treating preeclampsia without severe features with antihypertensive medications during expectant management? Now, if you've been following the literature- and our show, you know that the landmark CHAP trial changed the game for chronic hypertension in pregnancy. It showed us that targeting a blood pressure below 140 over 90 reduces serious maternal complications, without harming the baby. That was a big deal. But here's the thing, CHAP studied chronic hypertension. Then there was the CHIP trial- that also found that tight control of gestational hypertension and nonproteinuric chronic hypertension was also beneficial. These did not address preeclampsia without severe features, and yet, the ripple effects of that trial have sparked a global conversation about whether we should be extending those same treatment principles to women with preeclampsia who don't yet have severe features. And this is where it gets really interesting, because the guidelines don't agree. In the United States, ACOG and the Society for Maternal-Fetal Medicine still say: hold off on antihypertensives unless blood pressures hit the severe range at 160/110. But step outside the US, and you'll find the World Health Organization, the International Society for the Study of Hypertension in Pregnancy, FIGO, NICE, and Hypertension Canada all recommending treatment at 140 over 90, regardless of whether the diagnosis is chronic hypertension, gestational hypertension, or preeclampsia. So who's right? And more importantly what does this mean for the patient sitting in front of you right now, at 34 weeks, with a blood pressure of 150 over 95, some proteinuria, but no severe features? Today, we're going to break this down. We'll review the controversy, walk through the divergent guidelines, and most importantly talk about the real, practical implications that favor treating these patients during expectant management. Because when you're watching someone with preeclampsia, waiting for the right time to deliver, there's a strong argument that controlling their blood pressure isn't just reasonable…may be protective. So grab your coffee, settle in, and let's get into it.1. Society for Maternal-Fetal Medicine Statement: Antihypertensive Therapy For mild chronic Hypertension in Pregnancy-The Chronic Hypertension And Pregnancy Trial. American Journal of Obstetrics and Gynecology. 2022. Society for Maternal-Fetal Medicine; Publications Committee. 2. Preeclampsia. The New England Journal of Medicine. 2022. Magee LA, Nicolaides KH, von Dadelszen P.3. Antihypertensive Drug Therapy for Mild to Moderate Hypertension During Pregnancy.The Cochrane Database of Systematic Reviews. 2018. Abalos E, Duley L, Steyn DW, C.4. Prevention and Treatment of Maternal Stroke in Pregnancy and Postpartum: A Scientific Statement From the American Heart Association. Stroke. 2026. Miller EC, Bello NA, Chen PR, et al.5.Hypertension in Pregnancy: Diagnosis, Blood Pressure Goals, and Pharmacotherapy: A Scientific Statement From the American Heart Association. Hypertension. 2022. Garovic VD, Dechend R, Easterling T, et al.

865. The USDA unveiled the 2025–2030 Dietary Guidelines for Americans, and the "Inverted Pyramid" has been sparking a lot of discussion. After a decade of MyPlate, why is the government returning to a pyramid visual—and why is it upside down?In this episode, Monica breaks down the major shifts in the new US guidance, including:The protein pivot: Why protein is taking center stage and what it means for your health.The plant-based omission: Why beans and legumes were left out of the new visuals despite the scientific evidence.The global gap: How the new US pyramid compares to the UK's Eatwell Guide and Canada's food plate.AHA vs. USDA: Why the American Heart Association is issuing its own "course correction" on salt and saturated fat.This episode will help you navigate these changes without losing sight of common-sense nutrition.Nutrition Diva is a Quick and Dirty Tips podcast, hosted by Monica Reinegal.New to Nutrition Diva? Check out our special Spotify playlist for a collection of the best episodes curated by our team and Monica herself! We've also curated some great playlists on specific episode topics including Staying Strong as We Age, Diabetes, Weight Loss That Lasts and Gut Health! Also, find a playlist of our bone health series, Stronger Bones at Every Age. Have a question for Nutrition Diva? Email: nutrition@quickanddirtytips.comFind Monica at wellnessworkshere.comDiscover more from Nutrition Diva:Facebook LinkedInNewsletterTranscripts available at QuickandDirtyTips.com. Hosted on Acast. See acast.com/privacy for more information.

CardioNerds Dr. Joseph Kassab, Dr. Mariana Garcia-Arango, and Dr. Christopher Mason explore the technological revolution of Coronary CT Angiography (CCTA) with expert faculty Dr. Michael Gallagher. The discussion details how CCTA has evolved into a frontline diagnostic and preventive tool, moving beyond simple anatomy to incorporate physiology via CT-FFR and biology through AI-driven plaque quantification. The episode reviews landmark evidence like the SCOT-HEART and PROMISE trials, the nuances of CAD-RADS 2.0 reporting, and the emerging role of AI in monitoring treatment response and personalizing cardiovascular care. Critically, they also discuss some of the assumptions and limitations of these techniques. Stay tuned for a matching review article to be submitted to US Cardiology Review, the official Journal of CardioNerds. This episode was supported by an independent medical education grant from HeartFlow. All CardioNerds education is planned, produced, and reviewed solely by CardioNerds.  Enjoy this Circulation Paths to Discovery article to learn more about the CardioNerds mission and journey. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscripts here. CardioNerds Multimodality Cardiovascular Imaging PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll Pearls Shift in Paradigm: CCTA is no longer just an anatomic test; with some key limitations, it can provide anatomy, physiology (CT-FFR), and plaque biology (AI-CPA) in a single non-invasive scan. The “Power of Zero” vs. Plaque: While a normal CCTA has a >95% negative predictive value, future MIs often arise from non-obstructive plaque that traditional stress tests might miss. CAD-RADS 2.0 Utility: The addition of plaque burden modifiers (P1–P4) is a “game changer,” allowing clinicians to identify high-risk patients who need aggressive lipid-lowering despite having only mild stenosis. CT-FFR as a Virtual Stress Test: CT-FFR uses computational fluid dynamics to simulate blood flow, potentially reducing unnecessary invasive catheterizations by approximately 61% without sacrificing safety. Seeing the Invisible: AI-based quantitative plaque analysis (QCPA) can identify “subvisual” plaque and low-attenuation (lipid-rich) components that are the primary drivers of acute coronary syndromes. Show Notes How has the role of CCTA changed compared to traditional functional testing? Historically, stress testing answered “is there ischemia today?”, which often reflects late-stage disease. CCTA identifies disease across the entire spectrum, asking “is there atherosclerosis and how much plaque is present?”. Landmark evidence: SCOT-HEART showed a 41% relative risk reduction in MI at 5 years attributed to intensified preventive therapies, and PROMISE showed CCTA was better at selecting patients who truly needed invasive angiography. Diagnostic CCTA imaging depends on the protocol, contrast timing, heart rate, heart rhythm, breathholding, scanner quality, and several patient factors (obesity, prior stents, heavy calcification, complex bypass anatomy, and motion artifact all may limit imaging). “CCTA is exceptional for the right patient, with the right scanner, and the right team.” What are the key modifiers introduced in CAD-RADS 2.0, and why do they matter? CAD-RADS 2.0 moved beyond stenosis severity to include plaque burden (P0 to P4), high-risk plaque (HRP) features, and the presence of ischemia based on CT-FFR. It serves as a clinical decision support tool: a patient with mild (25-49%) stenosis but “extensive” (P4) plaque burden is considered high risk and warrants aggressive risk factor modification. How is CT-FFR calculated, and when is it most useful in clinical practice? CT-FFR uses resting CCTA data and computational fluid dynamics to create a 3D model of coronary flow during simulated maximal hyperemia. It is often used for intermediate lesions (40–90% stenosis) to predict if they are  ischemia-producing, guiding the decision whether to proceed with invasive angiography.  The assumptions necessary for this computational modeling may not apply well to patients with microvascular dysfunction, significant myocardial scar or prior infarction, or ventricular hypertrophy. Still, data indicate that CT-FFR performs similarly to PET in predicting hemodynamically significant lesions.  CT-FFR performs well at the extremes (either clearly normal or clearly abnormal). Accuracy dips, however, in the intermediate range (~0.75-0.80), where decision-making is most critical. In this grey zone, additional factors can help guide the approach, including the amount of myocardium supplied, translesional gradient, and plaque features.   CT-FFR has not been validated in distal segments, stented segments, heavily calcified coronary arteries, or in patients with severe aortic stenosis. Caution with CT-FFR should be utilized in very calcified coronary segments.  What is AI-based quantitative plaque analysis (QCPA), and what metrics are ready for clinical use? This is potentially a paradigm shift, moving away from stenosis-centric thinking to a more disease burden and plaque biology focus. QCPA uses deep learning algorithms to automatically segment the vessel wall and quantify plaque volume in mm³. Ready for “prime time” metrics include: Total Plaque Volume (TPV), non-calcified plaque volume, and Low-Attenuation Plaque (LAP) burden. Can serial CCTA be used to monitor the effectiveness of medical therapies like statins? While not yet a routine guideline-driven practice, trials like PARADIGM and EVAPORATE show that therapies can stabilize plaque; notably, CCTA is better for monitoring than CAC scores, which can be misleading as statins often increase plaque calcification as part of the stabilization process. There are no randomized trials that serial CCTAs improve outcomes. Cost and radiation exposure will be notable limitations. Serial scan timing, scan acquisition and interpretation standardization would be key. Dr. Gallagher notes that we are moving toward a world in which plaque burden may become a “treatment biomarker,” similar to tumor burden in oncology.  References 1. Coronary Computed Tomography Angiography From Clinical Uses to Emerging Technologies: JACC State-of-the-Art Review. Abdelrahman KM, Chen MY, Dey AK, et al. Journal of the American College of Cardiology. 2020;76(10):1226-1243. doi:10.1016/j.jacc.2020.06.076. 2. Non-Invasive Imaging in Coronary Syndromes: Recommendations of the European Association of Cardiovascular Imaging and the American Society of Echocardiography, in Collaboration With the American Society of Nuclear Cardiology, Society of Cardiovascular Computed Tomography, and Society for Cardiovascular Magnetic Resonance. Edvardsen T, Asch FM, Davidson B, et al. Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography. 2022;35(4):329-354. doi:10.1016/j.echo.2021.12.012. 3. 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Gulati M, Levy PD, Mukherjee D, et al. Journal of the American College of Cardiology. 2021;78(22):e187-e285. doi:10.1016/j.jacc.2021.07.053. 4. Contemporary, Non-Invasive Imaging Diagnosis of Chronic Coronary Artery Disease. van der Bijl P, Gulati M, Saraste A, et al. Lancet (London, England). 2025;406(10519):2577-2587. doi:10.1016/S0140-6736(25)01586-7. 5. State of the Art: Evaluation and Medical Management of Nonobstructive Coronary Artery Disease in Patients With Chest Pain: A Scientific Statement From the American Heart Association. Slipczuk L, Blankstein R, Bucciarelli-Ducci C, et al. Circulation. 2025;152(23):e443-e466. doi:10.1161/CIR.0000000000001394. 6. Diagnostic Performance of Fractional Flow Reserve Derived From Coronary CT Angiography: The ACCURATE-CT Study. Li C, Hu Y, Jiang J, et al. JACC. Cardiovascular Interventions. 2024;17(17):1980-1992. doi:10.1016/j.jcin.2024.06.027. 7. Clinical Outcomes Based on Coronary Computed Tomography-Derived Fractional Flow Reserve and Plaque Characterization. Sato Y, Motoyama S, Miyajima K, et al. JACC. Cardiovascular Imaging. 2024;17(3):284-297. doi:10.1016/j.jcmg.2023.07.013. 8. Clinical Use of Coronary Computed Tomography Angiography-Derived Fractional Flow Reserve: Expert Consensus by an International Working Group. Tang CX, Leipsic JA, Nørgaard BL, et al. European Radiology. 2026;:10.1007/s00330-025-12313-6. doi:10.1007/s00330-025-12313-6. 9. Diagnostic accuracy of computed tomography–derived fractional flow reserve: a systematic review. Cook CM, Petraco R, Shun-Shin MJ, et al. JAMA Cardiol. 2017;2(7):803-810. Doi:10.1001/jamacardio.2017.1314 10. Diagnostic performance of noninvasive fractional flow reserve derived from coronary computed tomography angiography in suspected coronary artery disease: the NXT trial (Analysis of Coronary Blood Flow Using CT Angiography: Next Steps). Nørgaard BL, Leipsic J, Gaur S, et al. J Am Coll Cardiol. 2014;63(12):1145-1155. Doi:10.1016/j.jacc.2013.11.043 11. Comparison of coronary computed tomography angiography, fractional flow reserve, and perfusion imaging for ischemia diagnosis. Driessen RS, Danad I, Stuijfzand WJ, et al. J Am Coll Cardiol. 2019;73(2):161-173. Doi:10.1016/j.jacc.2018.10.056. 12. 1-year outcomes of FFRCT-guided care in patients with suspected coronary disease: the PLATFORM study. Douglas PS, De Bruyne B, Pontone G, et al. J Am Coll Cardiol. 2016;68(5):435-445. Doi:10.1016/j.jacc.2016.05.057. 13. Comparison of an initial risk-based testing strategy vs usual testing in stable symptomatic patients with suspected coronary artery disease: the PRECISE randomized clinical trial. Douglas PS, Nanna MG, Kelsey MD, et al; PRECISE Investigators. JAMA Cardiol. 2023;8(10):904-914. Doi:10.1001/jamacardio.2023.2595. 14. Diagnostic and clinical value of FFRCT in stable chest pain patients with extensive coronary calcification: the FACC study. Mickley H, Veien KT, Gerke O, et al. JACC Cardiovasc Imaging. 2022;15(6):1046-1058. doi:10.1016/j.jcmg.2021.12.010. 15. Low-Attenuation Noncalcified Plaque on Coronary Computed Tomography Angiography Predicts Myocardial Infarction: Results From the Multicenter SCOT-HEART Trial (Scottish Computed Tomography of the HEART). Williams MC, Kwiecinski J, Doris M, et al. Circulation. 2020;141(18):1452-1462. doi:10.1161/CIRCULATIONAHA.119.044720. 16. AI-Guided Quantitative Plaque Staging Predicts Long-Term Cardiovascular Outcomes in Patients at Risk for Atherosclerotic CVD. Nurmohamed NS, Bom MJ, Jukema RA, et al. JACC. Cardiovascular Imaging. 2024;17(3):269-280. doi:10.1016/j.jcmg.2023.05.020. 17. Interaction of AI-Enabled Quantitative Coronary Plaque Volumes on Coronary CT Angiography, FFRCT, and Clinical Outcomes: A Retrospective Analysis of the ADVANCE Registry. Dundas J, Leipsic J, Fairbairn T, et al. Circulation. Cardiovascular Imaging. 2024;17(3):e016143. doi:10.1161/CIRCIMAGING.123.016143. 18. Prognostic Value of AI-Based Quantitative Coronary CTA vs Human Reader-Based Visual Assessment: Results From the CONFIRM2 Registry. van Rosendael A, Nakanishi R, Bax JJ, et al. JACC. Cardiovascular Imaging. 2026;19(3):345-359. doi:10.1016/j.jcmg.2025.09.021.13. Pericoronary Adipose Tissue as a Marker of Cardiovascular Risk: JACC Review Topic of the Week. Tan N, Dey D, Marwick TH, Nerlekar N. Journal of the American College of Cardiology. 2023;81(9):913-923. doi:10.1016/j.jacc.2022.12.021. 19. Effect of Icosapent Ethyl on Progression of Coronary Atherosclerosis in Patients With Elevated Triglycerides on Statin Therapy: Final Results of the EVAPORATE Trial. Budoff MJ, Bhatt DL, Kinninger A, et al. European Heart Journal. 2020;41(40):3925-3932. doi:10.1093/eurheartj/ehaa652. 20. Coronary CT Angiography Evaluation With Artificial Intelligence for Individualized Medical Treatment of Atherosclerosis: A Consensus Statement From the QCI Study Group. Schulze K, Stantien AM, Williams MC, et al. Nature Reviews. Cardiology. 2026;23(2):100-115. doi:10.1038/s41569-025-01191-6.

In this episode of HeartDoc VIP, Dr. Joel Kahn breaks down the newly released — but not yet fully published — results from the highly anticipated Triumph-1 study on retatrutide, an investigational weight loss medication that's already generating major buzz in the cardiometabolic world. The reported weight loss results at 80 and 104 weeks are remarkable, with side effects appearing consistent with other medications in this class, including semaglutide and tirzepatide. Dr. Kahn discusses what's known so far, what questions still remain, and why the full peer-reviewed publication is so important before drawing final conclusions on risks and benefits. FDA approval may not be far away. Other topics in this packed episode include the troubling rise in fatal heart attacks among younger adults, a modified Mediterranean diet linked to lower diabetes risk, the connection between food preservatives and heart disease, atrial fibrillation in athletes, nitric oxide's role in brain health, fatty liver disease and cardiovascular risk, and how the American Heart Association's Life's Essential 8 score may predict diabetes risk in women. Thanks to Igennus for sponsoring this episode. Visit their site and use promo code DRKAHN to save on high-quality supplements.

In this Retail Technology Spotlight episode, Chris Walton sits down with Kevin Billings, Vice President of Business Development at Sifter Solutions, to unpack how GLP-1 medications, SNAP legislation, and nutrition focused merchandising are reshaping the future of grocery retail. From state-by-state SNAP restrictions to hyper personalized shopping experiences powered by nutrition data, Kevin explains why retailers can no longer afford to treat food intelligence as a niche capability. Drawing from decades of experience across the American Heart Association, Label Insight, NIQ, and Sifter, Kevin shares how retailers can use product level nutritional data to drive compliance, improve shopper experiences, and prepare for a future where health outcomes increasingly influence merchandising strategy. The conversation also explores how grocers can connect pharmacy, loyalty, and merchandising programs to serve shoppers using GLP-1 medications while differentiating themselves against competitors like Amazon and Walmart. From electronic shelf tags and personalized promotions to Arkansas' statewide SNAP technology rollout, this episode offers a practical look at how retailers can prepare for the next era of food as medicine and nutrition driven retail innovation. Key Topics Covered: • 00:11:36 – How SNAP restriction waivers are changing grocery retail state by state • 00:15:57 – Why retailers need product level nutrition data for compliance and merchandising • 00:18:22 – Inside Arkansas' first statewide SNAP shopper technology initiative • 00:24:25 – Why grocers should already be merchandising for GLP-1 shoppers • 00:31:53 – Kevin's vision for the future of hyper personalized grocery shopping See our past 8 years of wonderful Spotlight Series podcast guests, featuring roughly 200 movers and shakers in retail, by clicking here: https://omnitalk.blog/category/spotlight-series-podcast/ #retailtech #groceryretail #GLP1 #foodasmedicine #SNAP #retailinnovation #nutrition #AI #retailoperations #merchandising #loyalty #pharmacy #grocerytech #OmniTalk #retailpodcast *Sponsored Content*

In the first episode of this series on Obesity, our host is joined by Dr. Mikhail Kosiborod to discuss the evolving science and cardiometabolic diseases associated with obesity. This special episode is sponsored with support from AstraZeneca. Presented by: Neil Skolnik, MD, Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health Mikhail Kosiborod, MD, Senior Vice President Late-Stage Development, Cardiovascular, Renal and Metabolism (CVRM), BioPharmaceuticals R&D at AstraZeneca. Selected references: Cardiovascular-Kidney-Metabolic Health: A Presidential Advisory From the American Heart Association. Circulation October 2023

Today's guest is Debbie Hornor, Senior National Consultant for Charitable Estate Planning in Mission Advancement at the American Heart Association, State Volunteer President for AARP Colorado, and currently in remission after primary angiosarcoma of the breast and reoccurrence. She has spent her career in public health policy work, community health, healthcare quality improvement, and so much more. To say she is dedicated to serving others is an understatement. She brings a deeply personal perspective to her work and volunteerism.We talk about the emotional toll of cancer, finding gratitude and joy and being more present in life, the healing power of nature and laughter, community engagement and sharing stories, and so much more!Resources:Debbie's LinkedIn: Debbie Hornor LinkedInAARP Colorado: AARP ColoradoAARP Article about Debbie: A New State President Champions Living Fully At Every Stage Of LifeFollow:Follow me: https://www.instagram.com/melissagrosboll/My website: https://melissagrosboll.comEmail me: drmelissagrosboll@gmail.com

Rep. Allen Chesser is a combat veteran who served more than two decades ago, but he says war is still claiming lives today. With veteran suicide continuing to devastate military families, Rep. Chesser joins Skye and Brian for a candid Memorial Day conversation about service, sacrifice, mental health, and why he believes lawmakers must do more to support veterans long after they return home. The Nash County Republican also discusses his own mental fitness, personal discipline, and how he balances public service and family life. Plus, Skye and Brian break down the latest revenue forecast numbers, where budget negotiations currently stand, a growing list of proposed constitutional amendments at the legislature, and the politics of hugging. The Do Politics Better podcast is sponsored by New Frame, the NC Travel Industry Association, the American Heart Association, the NC Pork Council, the NC Realtors, Heal the System NC, and the NC Healthcare Association.

Our guest leads the American Heart Association's initiatives on brain health and brain science, including stroke, aging and dementia, migraine, traumatic brain injury and mental health.

Join Liz Cruz M.D. and Tina Nunziato, Certified Holistic Nutrition Consultant, as they discuss a study that was presented at a recent American Heart Association conference.  Learn about the potential connection between long-term melatonin use and heart failure.  Find out the right dosage for adults and children and what to look out for in melatonin supplements.  Discover other strategies, aside from the popular supplement for better sleep.  Watch us on YouTube:   https://youtu.be/cN8ahsaXC8oDr. Cruz is a Board Certified Gastroenterologist who practices in Phoenix, AZ. Along with her wife Tina Nunziato, a Certified Holistic Nutritionist, they have helped tens of thousands of individuals get well from a more holistic standpoint. They focus on issues such as constipation, diarrhea, acid reflux, heartburn, gas, bloating, food sensitivities, IBS, Crohn's disease, and diverticulitis in addition to a person's general overall health. They do this by teaching about real food, water, digestive enzymes, probiotics, detox, greens, electrolytes, food sensitivity testing, and so much more. If you're struggling with finding the answers to your issues, tired of not feeling well, and sick of taking over the counter and prescription medicines, schedule a FREE 30 minute phone consult at www.drlizcruz.com.

Former Rep. Leo Daughtry joins Skye and Brian to reflect on his storied political career, including the dramatic battle for Speaker of the North Carolina House heading into the 2003–2004 biennium. For weeks, the Johnston County Republican was widely viewed as the next Speaker after his party narrowly won the NC House in 2002 by a single seat.   But, a last-minute revolt within the Republican caucus stripped away the votes he needed and denied him the gavel on the opening day of session. The political fallout fractured House Republicans for years and remains one of the most talked-about leadership fights in modern North Carolina political history. Plus, the podcast breaks down the celebrated announcement of a budget deal, movement on an ABC reform bill in the House, a new John Locke Foundation poll, TOTW, and more. The Do Politics Better podcast is sponsored by New Frame, the NC Travel Industry Association, the American Heart Association, the NC Pork Council, the NC Realtors, Heal the System NC, and the NC Healthcare Association.

Joanne Alves e Nordman Wall convidam Caroline Millon para discutir a abordagem da Síndrome de Apneia e Hipopneia Obstrutiva do Sono (SAHOS). Referências: Myers, Kathryn A et al. “Does this patient have obstructive sleep apnea?: The Rational Clinical Examination systematic review.” JAMA vol. 310,7 (2013): 731-41. doi:10.1001/jama.2013.276185Gawrys, Breanna et al. “Obstructive Sleep Apnea in Adults: Common Questions and Answers.” American family physician vol. 110,1 (2024): 27-36.Hong, Yanan et al. “The study of the relationship between moderate to severe sleep obstructive apnea and cognitive impairment, anxiety, and depression.” Frontiers in neurology vol. 15 1363005. 10 May. 2024, doi:10.3389/fneur.2024.1363005US Preventive Services Task Force et al. “Screening for Obstructive Sleep Apnea in Adults: US Preventive Services Task Force Recommendation Statement.” JAMA vol. 328,19 (2022): 1945-1950. doi:10.1001/jama.2022.20304Palombini, Luciana de Oliveira. “Critérios diagnósticos e tratamento dos distúrbios respiratórios do sono: RERA” [Diagnostic criteria and treatment for sleep-disordered breathing: RERA]. Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia vol. 36 Suppl 2 (2010): 19-22. doi:10.1590/s1806-37132010001400007Yeghiazarians, Yerem et al. “Obstructive Sleep Apnea and Cardiovascular Disease: A Scientific Statement From the American Heart Association.” Circulationvol. 144,3 (2021): e56-e67. doi:10.1161/CIR.0000000000000988Duarte, Ricardo Lm et al. “Obstructive Sleep Apnea Screening with a 4-Item Instrument, Named GOAL Questionnaire: Development, Validation and Comparative Study with No-Apnea, STOP-Bang, and NoSAS.” Nature and science of sleep vol. 12 57-67. 23 Jan. 2020, doi:10.2147/NSS.S238255Gottlieb, Daniel J, and Naresh M Punjabi. “Diagnosis and Management of Obstructive Sleep Apnea: A Review.” JAMA vol. 323,14 (2020): 1389-1400. doi:10.1001/jama.2020.3514Malhotra, Atul et al. “Tirzepatide for the Treatment of Obstructive Sleep Apnea and Obesity.” The New England journal of medicine vol. 391,13 (2024): 1193-1205. doi:10.1056/NEJMoa2404881

Discover the secret to removing poisons with my Detox Decoded Masterclass! https://hayliepomroy.com/detox  In this episode, I'm excited to be joined by Dr. Farzanna Haffizulla, President-elect of the American Heart Association in South Florida. Together, we discuss important topics around women's health, focusing on how to prevent health issues and make lasting changes in our well-being. We explore the six pillars of lifestyle medicine: exercise, nutrition, sleep, stress resilience, social connections, and avoiding harmful habits. Dr. Haffizulla gives tips on how to incorporate these into your daily life, from simple ways to move more to healthier eating choices.  We even chat about her cooking show, where she transforms traditional recipes into healthier versions without losing the flavors we love. This episode is full of helpful tips to take control of your health and feel better every day. If you're looking for practical ways to improve your well-being, you'll enjoy this conversation!   If your body feels like it's running on empty, overburdened, or just not responding the way it used to, Haylie's latest book, Toxic Overload, tells you exactly what to do. Download your free digital copy today and start understanding what your body is trying to tell you.   Free Download: Get Your Copy of Toxic Overload

Rep. Stephen Ross is wrapping up an incredible political career that began in Burlington, where he served on the City Council, led as Mayor, and eventually was persuaded to run for the NC House. The Alamance County Republican shares how he worked alongside a fellow mayor from another county (and another political party) to deliver results not just for their hometowns, but for North Carolina politics as a whole. But the most powerful moment comes when Rep. Ross reflects on his late mother. After his father died of a stroke while Rep. Ross was still in high school, she found herself rebuilding a family from the ground up after the family business was lost. Her determination didn't just keep the family afloat, it inspired achievement, resilience, and purpose for Rep. Ross and his siblings. It's a moving conversation ahead of Mother's Day weekend. Plus, Skye and Brian break down the week in #ncpol, including a property tax bill on the move, two members of Congress land in hot water, Rep. Budd battles breast cancer, and North Carolina loses a former lawmaker.   The Do Politics Better podcast is sponsored by New Frame, the NC Travel Industry Association, the American Heart Association, the NC Pork Council, the NC Realtors, Heal the System NC, and the NC Healthcare Association.

Walking into a cardiologist appointment is more often than not walking into a time machine. Not only the discussions about disproven risks but unfortunately the outdated tools and technology that have little to no predictive or preventative potential. The worst part is the technology exists that can identify to the microscopic level the type of plague actually causal to more than 80% of heart-attacks! That's what Dr Osborne and ClearCardio are doing right now.Dr. John Osborne is a cardiologist and the founding director of State of the Heart Cardiology, with a strong focus on preventive and non-invasive cardiovascular care. He holds an M.D. magna cum laude, a Ph.D. in cardiovascular physiology, and completed postdoctoral training at Harvard Medical School and Brigham and Women's Hospital. Uniquely board-certified across multiple disciplines, his work spans metabolic health, cardiovascular genetics, and advanced cardiac imaging. Dr. Osborne has received the American Heart Association's Cardiac Care Provider of the Year award. He is also the founder of ClearCardio™, where he is advancing proactive heart health through the use of AI-driven diagnostics and personalized care.Contact:Youtube - https://www.youtube.com/@ClearCardioWebsite - https://clearcardio.comJoin us as we explore:Why EKGs and CAC scores offer far less than advertised.Why so much that happens in a cardiologists office are 20th century tools, and why ClearCardio's cutting-edge AI biotech offers lifesaving  preventative potential.AI's ability to identify and quantify plague  to the 10th of a cubic millimeter!CT vs MR, the different types of arterial plague (hard, soft, lipid rich, active) , why 86% of heart attacks will never show up on your CAC scoreWhy strokes and heart disease are far more connected than appreciated, and how the cholesterol story has misguided us.Why blood markers like hsCRP are far more critical to understanding cardiovascular disease than even I appreciated.MentionsProduct - OMRON, https://omronhealthcare.com/products/evolv-wireless-upper-arm-blood-pressure-monitor-bp7000Test - Cleerly, https://cleerlyhealth.comSupport 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/

May 5, 2026 ~ On this episode of HealthWatch, Lloyd Jackson speaks with Dr. Owais Khadem Alsrouji, a vascular and interventional neurologist at Trinity Health, about a new warning from the American Heart Association projecting that nearly 6 in 10 U.S. women could be living with cardiovascular disease by 2050. The conversation highlights why heart disease remains a leading—and often misunderstood—threat to women's health, explores rising risk factors affecting younger women, and underscores the importance of early detection, lifestyle changes, and recognizing warning signs before serious events occur. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.

May 5, 2026 ~ On this episode of HealthWatch, Lloyd Jackson speaks with Dr. Owais Khadem Alsrouji, a vascular and interventional neurologist at Trinity Health, about a new warning from the American Heart Association projecting that nearly 6 in 10 U.S. women could be living with cardiovascular disease by 2050. The conversation highlights why heart disease remains a leading—and often misunderstood—threat to women's health, explores rising risk factors affecting younger women, and underscores the importance of early detection, lifestyle changes, and recognizing warning signs before serious events occur. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.

May 5, 2026 ~ On this episode of HealthWatch, Lloyd Jackson speaks with Dr. Owais Khadem Alsrouji, a vascular and interventional neurologist at Trinity Health, about a new warning from the American Heart Association projecting that nearly 6 in 10 U.S. women could be living with cardiovascular disease by 2050. The conversation highlights why heart disease remains a leading—and often misunderstood—threat to women's health, explores rising risk factors affecting younger women, and underscores the importance of early detection, lifestyle changes, and recognizing warning signs before serious events occur. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.

Thanks For Listening! LEAVE A REVIEW OF THE SHOW: There is nothing more appreciated to a podcast than leaving a written review and 5-Star Rating. Please consider taking 1-2 minutes to do that (iTunes). You can also leave a review on SPOTIFY! RESOURCES/COACHING: Join TEAM NATTYHOUR at www.thenattyhour.com/apply SOCIAL LINKS: Follow Krysten Janzen on YouTube Follow @krysten.janzen on Instagram Follow @krysten.janzen on Twitter Follow Krysten Janzen on Facebook References Simopoulos, A. P. (2002). The importance of the ratio of omega-6/omega-3 essential fatty acids. Biomedicine & Pharmacotherapy, 56(8), 365-379. Discusses the omega-6 to omega-3 ratio and its potential impact on inflammation. Johnson, G. H., & Fritsche, K. (2020). Effect of dietary linoleic acid on markers of inflammation in healthy persons: A systematic review of randomized controlled trials. Advances in Nutrition, 11(3), 697-709. A systematic review finding no evidence that higher omega-6 intake leads to increased inflammation. Ramsden, C. E., Faurot, K. R., Carrera-Bastos, P., et al. (2012). Dietary fat quality and coronary heart disease prevention: A unified theory based on evolutionary, historical, global, and modern perspectives. Nutrition Journal, 11(1), 10. Concludes that replacing saturated fats with polyunsaturated fats, including omega-6s, does not increase inflammation. Sacks, F. M., Lichtenstein, A. H., Wu, J. H., et al. (2017). Dietary fats and cardiovascular disease: A presidential advisory from the American Heart Association. Circulation, 136(3), e1-e23. Recommends replacing saturated fats with polyunsaturated fats (including those from seed oils) for improved heart health. Food and Chemical Toxicology. (2016). Assessment of potential adverse effects of residual solvents in edible vegetable oils. Discusses the safety of trace amounts of hexane in processed seed oils, concluding that they pose no health risk. Lichtenstein, A. H., Appel, L. J., Vadiveloo, M., et al. (2018). Dietary fat intake and cardiovascular disease risk: A scientific statement from the American Heart Association. Journal of the American Heart Association, 7(10), e013620. Examines the relationship between different dietary fats and heart disease risk, finding benefits in consuming polyunsaturated fats over saturated fats.

What if every time you reached for a packaged snack… you were quietly increasing your risk of a heart attack? In this urgent and deeply personal solo episode, Darin breaks down groundbreaking new research showing that each serving of ultra-processed food may increase cardiovascular risk by over 5%, not over time, but every single time you eat it. This isn't about calories. It's about chemistry, biology, and a system engineered for convenience at the expense of your health. From the shocking data to the underlying mechanisms: gut destruction, visceral fat accumulation, brain hijacking, and toxic exposure, this episode exposes the real cost of ultra-processed food and gives you the tools to reclaim control of your health and your life. What You'll Learn The shocking stat: 5% increased heart risk per serving of ultra-processed food Why ultra-processed foods act like compounding debt on your health The difference between calories vs chemical toxicity in food How emulsifiers and additives destroy your gut microbiome Why ultra-processed foods increase visceral fat around your organs How these foods are engineered to override your brain's satiety signals The hidden toxins from processing and packaging (PFAS, bisphenols, AGEs) Why this crisis disproportionately impacts certain communities The truth: you can't "out-exercise" ultra-processed food damage Practical ways to transition back to real, whole foods Chapters 00:00:04 – Opening: SuperLife mission and setting the stage 00:00:33 – Sponsor: Alkemis Paint and hidden indoor toxicity 00:01:24 – Why conventional paints off-gas harmful chemicals for years 00:02:27 – Cradle-to-Cradle certification and non-toxic living 00:03:24 – Entering the episode: the 5% heart risk question 00:03:34 – The shocking claim: every serving increases heart risk 00:04:16 – Ultra-processed food as "compounding debt" 00:05:08 – Leaning into discomfort as a path to growth 00:06:33 – The convenience trap: food delivered instantly 00:07:15 – The real cost: trading time for lifespan 00:08:07 – 2026 study overview (MESA dataset, 6,800 participants) 00:09:01 – 5.1% increased cardiovascular risk per serving explained 00:09:29 – 66.8% higher risk in high-consumption groups 00:10:08 – Risk is independent of calories, weight, and fitness 00:10:56 – "This is not a calorie story—it's a chemistry story" 00:11:10 – Racial disparities and food system inequality 00:12:08 – Additional studies confirm elevated heart risk 00:13:04 – Global meta-analysis: over 1 million participants 00:13:26 – The conclusion: the science is no longer debatable 00:14:18 – Sponsor: Shakeology and nutrient density 00:15:36 – What is ultra-processed food? (NOVA classification) 00:16:18 – Examples: chips, cereals, protein bars, fast food 00:16:57 – "These foods are engineered—not real food" 00:17:00 – Mechanism #1: gut microbiome disruption 00:18:03 – Emulsifiers and inflammation explained 00:18:49 – Gut inflammation triggers systemic disease 00:19:18 – Mechanism #2: visceral fat accumulation 00:19:56 – Why visceral fat is more dangerous than visible fat 00:20:18 – Mechanism #3: brain hijacking and satiety override 00:20:47 – Engineered foods and addictive eating patterns 00:21:04 – Mechanism #4: toxins from processing and packaging 00:21:30 – PFAS, bisphenols, and chemical contamination 00:21:37 – The solution: whole food first 00:22:02 – Breaking habits and reclaiming control 00:22:20 – Simple swaps: fruit, nuts, whole ingredients 00:23:00 – "If you can't trace it back to a real food, put it down" 00:23:32 – Making whole food convenient 00:24:06 – Batch cooking and preparation strategies 00:24:16 – Personal story: losing a friend to diet-related illness 00:24:40 – The emotional reality: this is life or death 00:25:00 – Community support and accountability 00:25:25 – Call to action: share this message 00:25:41 – Closing: courage, awareness, and living a SuperLife 00:26:23 – Outro Thank You to Our Sponsors: Shakeology: Get 15% off with code DARINO1BODI at Shakeology.com. Alkemis Paint: Go to https://alkemispaint.com/ and use code DARIN10 for 10% off your order. Join the SuperLife Patreon: This is where Darin now shares the deeper work: - weekly voice notes - ingredient trackers - wellness challenges - extended conversations - community accountability - sovereignty practices Join now for only $7.49/month at https://patreon.com/darinolien Connect with Darin Olien: Website: darinolien.com Instagram: @darinolien Book: Fatal Conveniences Platform & Products: superlife.com New Show: Roadmap to Happiness Key Takeaway "Every time you reach for ultra-processed food, you're not just making a small decision—you're compounding a biological cost that your body has to pay later. But the moment you become aware, you reclaim your power. Because the same way those choices can slowly take your health away… different choices, repeated daily, can give it all back." Bibliography/Sources Primary Study — News Hook Haidar, A., Rikhi, R., Watson, K. E., Wood, A. C., & Shapiro, M. D. (2026). Association between ultraprocessed food consumption and cardiovascular disease risk: MESA. JACC: Advances. https://doi.org/10.1016/j.jacadv.2025.102516 Supporting Studies — 2026 Willett, Y., Yang, C., Dunn, J., et al. (2026). Consumption of ultra-processed foods and increased risks of cardiovascular disease in U.S. adults. The American Journal of Medicine. https://doi.org/10.1016/j.amjmed.2026.01.012 Systematic Reviews & Meta-Analyses Dose-response meta-analysis: UPF consumption and cardiovascular events risk — 20 studies, 1.1M participants. (2024). eClinicalMedicine. https://doi.org/10.1016/j.eclinm.2024.102480 Ultra-processed foods and cardiovascular disease: Analysis of three large US prospective cohorts and a systematic review and meta-analysis. (2024). The Lancet Regional Health – Americas. https://www.thelancet.com/journals/lanam/article/PIIS2667-193X(24)00186-8/fulltext Mechanisms — Gut, Inflammation & Additives Ultra-processed foods and cardiovascular diseases: Potential mechanisms of action. (2021). Advances in Nutrition. https://pmc.ncbi.nlm.nih.gov/articles/PMC8483964/ Ultra-processed foods and food additives in gut health and disease. (2024). Nature Reviews. https://pubmed.ncbi.nlm.nih.gov/38388570/ Ultra-processed foods and incident cardiovascular disease in the Framingham Offspring Study. (2021). Journal of the American College of Cardiology. https://doi.org/10.1016/j.jacc.2021.01.047 Ultraprocessed foods and their association with cardiometabolic health: A science advisory from the American Heart Association. (2023). Circulation. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001365 Visceral Fat Konieczna, J., et al. (n.d.). Contribution of ultra-processed foods in visceral fat deposition: Prospective analysis nested in the PREDIMED-Plus trial. Clinical Nutrition. https://www.explorationpub.com/Journals/edd/Article/100523 NOVA Classification Monteiro, C. A., Cannon, G., Levy, R. B., et al. (2019). Ultra-processed foods: What they are and how to identify them. Public Health Nutrition, 22(5), 936–941. https://pubmed.ncbi.nlm.nih.gov/30744710/ Policy & Public Health Context American College of Cardiology. (2025). ACC 2025 concise clinical guidance: Front-of-package labeling endorsement. Journal of the American College of Cardiology. U.S. Departments of Agriculture and Health and Human Services. (n.d.). Dietary guidelines for Americans, 2025–2030. https://www.dietaryguidelines.gov General Coverage — News Hook Food Safety Magazine. (2026, April). Study links diets high in ultra-processed foods to increased heart attack, stroke risk. https://www.food-safety.com/articles/11290-study-links-diets-high-in-ultra-processed-foods-to-increased-heart-attack-stroke-risk ScienceDaily. (2026, March). Ultra-processed foods linked to 67% higher risk of heart attack and stroke. https://www.sciencedaily.com/releases/2026/03/260319074604.htm

Senate President Pro Tem Phil Berger sits down for a candid conversation about the legislative short session and the question everyone in #ncpol is asking: Will the House and Senate actually come together on a new budget? Sen. Berger also reflects on his unsuccessful run for the NC House in 1994, his successful bid for NC Senate six years later, and talks about spending a decade in the minority. We also dig into the pivotal 2010 shift to a Republican majority, Berger's perspective on that transition, and his respect for the way his Democratic predecessor, Sen. Marc Basnight, navigated a change in power. Skye and Brian also run through a packed week in #ncpol: another round of party hopping in the House, budget talks, a brewing dispute over access to water, the passing of a former senator, and a deleted #TOTW salvaged. Along the way, there's also a detour into “slippery when wet” signage at the General Assembly.   The Do Politics Better podcast is sponsored by New Frame, the NC Travel Industry Association, the American Heart Association, the NC Pork Council, the NC Realtors, Heal the System NC, and the NC Healthcare Association.

Today, we're diving into a topic that should be getting far more attention: Cardiovascular disease in women. Heart disease is one of the leading causes of death in women—yet it's often under-addressed, oversimplified, and misunderstood in clinical practice. Most women are told: “Eat better. Take this prescription.” But that approach misses something critical. Full citation list:    •    Hall, Kevin D., et al. “Ultra-Processed Diets Cause Excess Calorie Intake and Weight Gain: An Inpatient Randomized Controlled Trial of Ad Libitum Food Intake.” Cell Metabolism, vol. 30, no. 1, 2019, pp. 67–77.e3. Supports the core causal point that ultra-processed foods drive higher intake and weight gain even under controlled feeding conditions; this is not a women-specific lipid paper, but it is the cleanest experimental anchor for why UPFs create a high-throughput metabolic environment.     •    El Khoudary, Samar R., et al. “Menopause Transition and Cardiovascular Disease Risk: Implications for Timing of Early Prevention: A Scientific Statement From the American Heart Association.” Circulation, vol. 142, no. 25, 2020, pp. e506–e532. Supports the midlife women's frame: across the menopause transition, LDL-C and ApoB rise, metabolic risk shifts, and cardiovascular prevention needs to become more deliberate during this window. This supports the “why I care about lipids in endocrine care” part of the episode.     •    Derby, Carol A., et al. “Lipid Changes During the Menopause Transition in Relation to Age and Weight: The Study of Women's Health Across the Nation.” American Journal of Epidemiology, vol. 169, no. 11, 2009, pp. 1352–61. Foundational SWAN paper establishing that the menopause transition itself — not just chronological aging — is associated with adverse lipid shifts in midlife women. This is the original observation that the timing argument rests on.     •    Wu, Bingjie, et al. “Trajectories of Blood Lipids Profile in Midlife Women: Does Menopause Matter?” Journal of the American Heart Association, vol. 12, no. 22, 2023, e030388. Supports the claim that LDL-C, total cholesterol, and ApoB follow distinct trajectory patterns through the menopause transition, with subgroups of women showing rising lipids in the years before the final menstrual period — useful for the timing argument that body and symptom changes can precede the obvious lab story.     •    Matthews, Karen A., et al. “Age at Menopause in Relationship to Lipid Changes and Subclinical Carotid Disease Across 20 Years: Study of Women's Health Across the Nation.” Journal of the American Heart Association, vol. 10, no. 18, 2021, e021362. Supports the point that ApoB and Apo A1 changes cluster around the final menstrual period and that adverse lipid shifts in the early postmenopausal years track with subclinical carotid disease later — connects menopausal timing to the longer cardiovascular arc rather than a one-time lab blip.     •    De Oliveira-Gomes, Diana, et al. “Apolipoprotein B: Bridging the Gap Between Evidence and Clinical Practice.” Circulation, vol. 150, no. 1, 2024, pp. 62–79. Supports the practical ApoB explanation: ApoB reflects atherogenic particle burden and outperforms LDL-C for ASCVD risk prediction in many settings, but adoption lags because clear apoB targets and triggers are still lacking in mainstream guidelines. Good support for the public-service “what the hell is ApoB anyway?” section.     •    Williamson, Laura. “The Slowly Evolving Truth About Heart Disease and Women.” American Heart Association News, 9 Feb. 2024, heart.org/en/news/2024/02/09/the-slowly-evolving-truth-about-heart-disease-and-women. Supports the broader clinical framing that women remain underrecognized or undertreated in cardiovascular care and that women's heart disease still needs better public and clinical communication. This is more public-facing than mechanistic, but useful for your opening frame. Dr. Brendan McCarthy is the founder and Chief Medical Officer of Protea Medical Center in Arizona. With over two decades of experience, he's helped thousands of patients navigate hormonal imbalances using bioidentical HRT, nutrition, and root-cause medicine. He's also taught and mentored other physicians on integrative approaches to hormone therapy, weight loss, fertility, and more. If you're ready to take your health seriously, this podcast is a great place to start.

In today's episode, Haylie Pomroy sits down with Dr. David Systrom, a pulmonary and critical care physician at Mass General Brigham and Assistant Professor at Harvard Medical School, to explore the science behind exercise intolerance in ME/CFS and long COVID. Dr. Systrom breaks down the invasive cardiopulmonary exercise test (CPET) and what it reveals about blood flow, oxygen extraction, and mitochondrial dysfunction in patients who have been told their tests are normal. He explains why dysautonomia, small fiber neuropathy, and acquired mitochondrial dysfunction may be driving the fatigue, post-exertional malaise, and wide-ranging symptoms these patients experience every day. He also shares details on two active clinical trials at Brigham and Women's Hospital, including the LYFT trial testing low-dose naltrexone, Pyridostigmine (Mestinon), and the combination of both, as well as a muscle biopsy study designed to understand the role of the mitochondrion in post-exertional malaise. If you or someone you love has been dismissed, misdiagnosed, or left without answers, tune in to Fast Metabolism Matters Dr. David Systrom is a physician at Brigham and Women's Hospital. He is also an assistant professor of medicine at Harvard Medical School. He received his medical degree from Dartmouth Medical School. He then completed a residency in internal medicine at Emory University Hospital, followed by a fellowship in internal medicine at Massachusetts General Hospital. He is board-certified in internal medicine and pulmonary disease. An active investigator and director of the Massachusetts General Hospital Cardiopulmonary laboratory, Dr. Systrom regularly publishes research examining pulmonary hypertension, pulmonary vascular disease, right heart failure, and thromboembolic disease. He has authored over 130 peer-reviewed publications, has received funding from the National Institutes of Health and the American Heart Association, and has been named to the annual list of the Best Doctors in America. Dr. Systrom is a member of the American Thoracic Society, the American Heart Association and the American Physiological Society. He has special expertise in the pathophysiology of exercise intolerance in ME/CFS and Long Covid and is conducting clinical trials investigating the same   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   

Episode Description: In this episode of the Elevate Yourself podcast, Rob is joined by Laurie Whitsel and Tom from the Physical Activity Alliance to discuss making physical activity a standard part of healthcare. Laurie shares insights from the It's Time to Move campaign, focused on integrating assessment, prescription, and referral into care systems, while Tom highlights the CEO Pledge and how organizations can create movement-friendly workplaces. Together, they explore how healthcare, workplaces, and communities can align to help more people move more often—and what it will take to turn physical activity into a true standard of care. Guest Bio: Laurie Whitsel, Ph.D. is currently the Vice President of Policy Research and Translation for the American Heart Association, helping to translate science into policy at a national level in the areas of cardiovascular disease and stroke prevention and health promotion. LinkedIn https://www.linkedin.com/in/laurie-whitsel-ph-d-faha-bb4b688/ Tom Richards is the Director of Engagement at the Physical Activity Alliance, where he leads national efforts to build partnerships and advance initiatives that promote physical activity across healthcare, workplaces, and communities. In this role, he supports campaigns like the CEO Pledge for Physical Activity, helping organizations adopt movement-friendly strategies that enhance health and productivity.Tom also serves as Principal of Old Stone Nonprofit Advisory, where he provides strategic planning, partnership development, and growth consulting to mission-driven organizations. Prior to his current roles, he was Director of Stakeholder Engagement at the American Council on Exercise (ACE), where he helped strengthen connections across the health and fitness industry. LinkedIn https://www.linkedin.com/in/thomas-richards1122/ Resources Discussed Physical Activity Alliance https://paamovewithus.org/ It's Time to Move Campaign https://paamovewithus.org/its-time-to-move/ CEO Pledge https://paamovewithus.org/about-the-pledge/ Sign The CEO Pledge https://paamovewithus.org/sign-the-pledge/ Physical Activity Fast Facts https://paamovewithus.org/resource/physical-activity-fast-facts/ *Fact Check Correction: The Cost Estimate of Healthcare expenditures is $192 Billion https://journals.sagepub.com/doi/full/10.1177/08901171251357128 and https://journals.lww.com/acsm-tj/pages/articleviewer.aspx?year=2025&issue=07180&article=00005&type=Fulltext Physical Activity Alliance https://paamovewithus.org/ It's Time to Move Campaign https://paamovewithus.org/its-time-to-move/ CEO Pledge https://paamovewithus.org/about-the-pledge/ Sign The CEO Pledge https://paamovewithus.org/sign-the-pledge/ Physical Activity Fast Facts https://paamovewithus.org/resource/physical-activity-fast-facts/ *Fact Check Correction: The Cost Estimate of Healthcare expenditures is $192 Billion https://journals.sagepub.com/doi/full/10.1177/08901171251357128 and https://journals.lww.com/acsm-tj/pages/articleviewer.aspx?year=2025&issue=07180&article=00005&type=Fulltext The Elevate Yourself Podcast is brought to you in partnership with Athletic Brewing. Use code ELEVATE30 for 30% OFF your first online order at checkout! https://athleticbrewing.com/

Murphy Jensen is the co-founder and EVP of WEconnect Health, a Seattle based healthcare company that provides support & services through a mobile application to people suffering from substance mis-use and mental health disorders.After years of playing professional tennis (winning the French Open Doubles) Murphy hosted TV-shows Open Access  and Murphy's Guide on the Tennis Channel. Using the game of tennis to support his favorite causes, Murphy participates in events like the Prostate Cancer Foundation Pro-Am and Chris Evert's Celebrity Classic.  Lending his infectious positive attitude and genuine love the of the game, Murphy brings fun wherever he goes.Surviving a Sudden Cardiac Arrest in Oct 2021, Murphy was saved by an on-site AED & CPR. Murphy is a spokesman for the American Heart Association and partner in the Gootter-Jensen Foundation. The continued recovery from his cardiac event and the traumatic brain injury he suffered when he collapsed, have added a new layer to Murphy's advocacy for mental health awareness.Murphy is known as one of the most entertaining people in tennis, reminding people that tennis is supposed to be fun.  Breaking down walls and finding a human connection is as much a part of finding success in the game of tennis as a forehand or backhand.

Sleep issues are a BIG deal—just ask someone who's been up all night involuntarily. More than half of all Americans have difficulty falling or staying asleep. Good sleep is critical for "Keeping the 'Live' in 'Alive'!   I had a 'Random Run In' with Dr. Marie-Pierre St-Onge, PhD, a nutrition scientist and a pioneer in the field of sleep health. I was on an Amtrak to Boston, and I happened to choose the seat next to her. She was working diligently on her computer. I kept sneaking peaks at the bright fun patterned shirt she was wearing that I finally figured out reminded me of my old Peter Max stationery I loved so much as a kid. She was focused so I was quiet. At some point during the 3 ½ hour trip I asked what she was working on. (Couldn't help it - I'm a curious stranger talker) That's how I found out I was sitting next to a very big brain wrapped in a very small feminine body. Dr. Marie-Pierre St-Onge PhD is THE 'go-to' expert on the connection between food and sleep.   Dr. Marie-Pierre St-Onge, PhD, is a nutrition scientist and a pioneer in the field of sleep health.  She is the author of Eat Better, Sleep Better: 75 Recipes and A 28-Day Meal Plan That Unlock the Food-Sleep Connection (A Cookbook). She wrote it in a fun recipe collaboration with Kat Craddock Editor-in Chief, CEO and owner of SAVEUR the legacy food magazine. Developed with ingredients that trigger the body's dietary melatonin and serotonin, these recipes align with a Mediterranean diet and trigger a healthy circadian cycle, so you feel energetic during the day and ready for sleep at night. Dr. Marie-Pierre is also the founding director of the Center of Excellence for Sleep and Circadian Research at Columbia University, and her cutting-edge research combines her unique expertise on sleep, nutrition, and weight management to address overall health related to sleep.    The Big Takeaway for Me From Our Amtrak Conversation Was Learning That Sleep and Food Are Powerfully Connected! The way you eat affects how you sleep The way you sleep affects how you eat It's a loop… and if it's broken? You feel it.   Dr. Marie-Pierre made it simple: Better Diet = Better Sleep = Better Life And not in a "perfect eating" way… in a real-life, doable, smart swaps kind of way.   So What Should We Actually Be Eating To Sleep Better? No gimmicks here. Just smart, science-backed choices: Fiber-rich foods (hello whole grains) Healthy proteins (fish, salmon, nuts, seeds) Foods with tryptophan (the Thanksgiving turkey effect is real-ish ) Balanced meals—not heavy, late-night overloads And here's something people don't always realize Dr Marie mentioned: Alcohol may help you fall asleep… but it messes with your sleep later. And Wait… "Sweets for Sleep"? I'm Listening… Now THIS caught my attention. There are actually desserts designed to SUPPORT sleep—like: Sesame shortbread cookies Chamomile ginger panna cotta They're: Lower in sugar Thoughtfully balanced Built with ingredients that help your body relax So yes… you can have your dessert and your sleep. Just smarter.   Timing Matters More Than You Think One thing I loved learning from Dr. Marie? This isn't about a "magic bedtime snack." It's about your entire day of eating. Because your body needs time to: Digest Absorb Convert nutrients (like tryptophan into sleep-supporting compounds) This is a lifestyle—not a quick fix. But it matters.   And About Those Sleep Trackers… I had to ask. Her answer? Refreshingly sane:  Use them  Learn from them  BUT… don't let them run your life Because how you feel still matters.   My Debservation? We spend so much time chasing energy… …but we ignore the foundation of it—sleep. And if food is part of the solution? That's empowering. Because it means we have more control than we think.   Now back to Dr. Marie-Pierre I have no clue when this sleep expert has time to sleep. Lol She's a very busy woman!   Born and educated in Québec, Canada, Dr. Marie-Pierre St-Onge lives with her family in New Jersey. When I met her on Amtrak, she was working on a presentation that she was supposed to have made in person in Chicago that day. However, airplane delays landed her instead on the Amtrak to Boston where she would do the presentation virtually and still be in the right place for another yet another presentation in Boston.  Dr. Marie-Pierre St-Onge, PhD is the recipient of an Outstanding Investigator Award from the NHLBI (National Heart, Lung, and Blood Institute) at the NIH, and she is a Fulbright Scholar as well as a Fellow of the New York Academy of Medicine.  She has authored close to 170 peer-reviewed publications and received scientific achievement awards from the American Heart Association and American Society for Clinical Nutrition.   Amazing right?   But Even Sleep Experts Get Tired. I noticed after typing for hours in the seat next to me that Dr. Marie-Pierre had started to doze off.   When she woke up I offered her a sample Alert Pop™.   What are the chances?   I was on Amtrak that day heading to Boston to meet a major distributor for a new product called Alert Pop™! I'm a Founding Partner of the company behind this new 'better for you' sugar free caffeinated functional energy lollipop that was invented by my partner Stephen Caldwell to help prevent drowsy driving.    Did you know 1 in 25 drivers admit to falling asleep at the wheel? I figured Dr. Marie could appreciate the purpose of the product and told her I'd love her opinion.  She liked it! Perked her right up. I thought maybe we could somehow collaborate.   Anyway, we exchanged contacts and honestly, I felt she was way too impressive a 'random run in' to keep to myself.  So, I'm sharing her and her knowledge with you all today on my Wellness Wednesday Show.   Listen to the Full Interview If you missed it, here's my conversation with Dr. Marie-Pierre St-Onge PhD on The Debbie Nigro Show. It's packed with insights that could genuinely change how you feel every single day.   And it starts with a simple and powerful premise... What you eat today will determine how you sleep tonight.   And 'Good Sleep' is key to "Keeping the Live in Alive! "    Best! Debbie

Speaker Destin Hall previews the short session now underway and breaks down the path forward on the state budget after last year's budget stalemate.  The Speaker walks listeners through his priorities, what's changed since last year, and whether there's a realistic path to breaking the impasse. He also reflects on his first year holding the gavel:  what he's learned, his leadership style, and he talks about "the Schedule". Plus, Skye and Brian run through a packed week: first-day-of-session vibes, the latest on Medicaid rebasing, where budget negotiations stand, and Governor Josh Stein rolling out his proposed budget.  We also hit the formation of a new investigative committee, the swearing-in of three new legislators, a few early session predictions, how AI is creeping into policymaking conversations, and plenty more from around Jones Street. The Do Politics Better podcast is sponsored by New Frame, the NC Travel Industry Association, the American Heart Association, the NC Pork Council, the NC Realtors, Heal the System NC, and the NC Healthcare Association.

In October 2023, the American Heart Association officially admitted something that changes everything: heart disease, kidney disease, and diabetes are not separate conditions — they're one syndrome. CKM syndrome. And 90% of US adults already have it.CHAPTERS:00:00 — 90% of Americans have this condition01:02 — Part 1: What CKM syndrome actually is01:20 — AHA Presidential Advisory: the 2023 definition01:48 — The 4-stage system (Stage 0 through 4)02:38 — JAMA 2024: only 10.6% are Stage 003:15 — 49% are Stage 2 — greatest opportunity for reversal03:38 — Part 2: Why the AHA created it now04:06 — Stage 3: 3x all-cause mortality, 7x cardiovascular mortality04:40 — 45.3% of all cardiovascular deaths are CKM-attributable05:26 — The disease starts silently in your 20s06:10 — Part 3: The root cause finally acknowledged06:22 — Stage 1 = dysfunctional adiposity, not high cholesterol07:41 — HOMA-IR meta-analysis: 64% higher CAD risk, 76% stroke risk08:09 — Part 4: The vindication09:20 — The blind spot: AHA stages disease but won't say how to reverse it09:47 — Part 5: What you can actually do10:42 — Reduce processed food, TRE, walking, sleepREFERENCES:AHA Presidential Advisory on CKM (Circulation, 2023): AHA.orgCKM Prevalence in US Adults (Khan et al., JAMA, 2024): JAMACKM and Mortality NHANES Study (Am J Prev Cardiology, 2025): PMC12003006AHA 2026 Statistics Update: pubmed/41562125HOMA-IR and CVD Meta-Analysis 65 Studies (PLoS ONE, 2012): PMC3532497HOST: Dr. Robert Lufkin MD | robertlufkinmd.com | Lies I Taught in Medical School⭐ Enjoying the show? Please leave a 5-star review on Apple Podcasts — it takes 30 seconds and helps more people discover the science of health and longevity. Thank you!New episodes every Tuesday & Thursday. Subscribe so you don't miss one.Continue this conversation on Substack: https://robertlufkinmd.substack.comLies I Taught In Medical School — Free sample chapter: https://www.robertlufkinmd.com/lies/Web: https://www.robertlufkinmd.comYouTube: https://www.youtube.com/robertlufkinmdX: https://x.com/robertlufkinmdInstagram: https://www.instagram.com/robertlufkinmd/TikTok: https://www.tiktok.com/@robertlufkinLinkedIn: https://www.linkedin.com/in/robertlufkinmd/

Fatty acids remain one of the most debated areas in clinical nutrition, yet many widely held beliefs may not align with current evidence. In this episode of New Frontiers in Functional Medicine, Dr. Kara Fitzgerald sits down with Bill Harris, PhD, Founder of OmegaQuant Analytics and co-inventor of the Omega-3 Index, to examine the role of omega-3 and omega-6 fatty acids in cardiovascular risk and clinical decision-making. Learn how to use the Omega-3 Index as a biomarker, interpret atrial fibrillation risk in the context of omega-3 intake, and differentiate between pharmaceutical and dietary interventions. The conversation also explores emerging data on linoleic acid, challenges simplified “good vs bad fat” models, and highlights the complexity of fatty acid metabolism—offering practical guidance for evaluating labs and refining nutrition strategies in practice. Full show notes + references: https://www.drkarafitzgerald.com/fxmed-podcast/ GUEST DETAILS Dr. Bill Harris, PhD is a leading omega-3 researcher with over 40 years of experience and more than 400 publications on fatty acids and health. He is the co-inventor of the Omega-3 Index and founder of OmegaQuant Analytics. Dr. Harris has held faculty positions at three medical schools, received NIH funding for omega-3 research, and co-authored American Heart Association statements on fatty acids and heart health. He is ranked among the top 2% of scientists worldwide for research impact. Email: wsh@faresinst.com https://omegaquant.com/ https://www.faresinst.org/ THANKS TO OUR DIAMOND SPONSORS Biotics Research: https://www.bioticsresearch.com/ Time—Line Nutrition: http://pro.timeline.com/ DUTCH: https://dutchtest.com/for-providers CONNECT with DrKF Want more? Join our newsletter here: https://www.drkarafitzgerald.com/newsletter/ Or take our pop quiz and test your BioAge! https://www.drkarafitzgerald.com/bioagequiz YouTube: https://tinyurl.com/hjpc8daz Instagram: https://www.instagram.com/drkarafitzgerald/ Facebook: https://www.facebook.com/DrKaraFitzgerald/ DrKF Clinic: Patient consults with DrKF physicians including Younger You Concierge: https://tinyurl.com/yx4fjhkb Younger You Practitioner Training Program: www.drkarafitzgerald.com/trainingyyi/ Younger You book: https://tinyurl.com/mr4d9tym Better Broths and Healing Tonics book: https://tinyurl.com/3644mrfw

In this episode, Steve Yurjevich, Chief Executive Officer of Optum Insight's Payer Market and a member of the American Heart Association Executive Leadership Team, joins the podcast to discuss rising healthcare costs and the growing adoption of AI across the payer landscape. He shares how the industry is shifting from pre-pay models to true avoidance strategies, focusing on preventing unnecessary care and improving overall system efficiency.

Governor Josh Stein talks about how his time in the NC Senate (2009-2016) shaped the way he leads today. Having served under both Democratic and Republican leadership, Gov. Stein reflects on the lessons he learned working across the aisle, building relationships, and navigating the realities of divided government.  It's experience he now leans on as he works with the General Assembly. He also offers a preview of his budget priorities, outlining where he wants to invest, what challenges lie ahead, and how he plans to find common ground with lawmakers. From economic growth to key funding decisions, Gov. Stein shares his approach to governing in a closely divided political environment. Plus, Skye and Brian break down recommendations coming out of two interim committees, take a look at the latest fundraising numbers, and discuss emerging Democratic target districts. They also touch on the selection of a new legislator and what it means for the political landscape moving forward. The Do Politics Better podcast is sponsored by New Frame, the NC Travel Industry Association, the American Heart Association, the NC Pork Council, the NC Realtors, Heal the System NC, and the NC Healthcare Association.

Expect a renewed push to take a statin at your next doctor's visit; PREVENT online calculator skews decisions to prescribe cholesterol reduction as early as 30; American Heart Association discourages at-risk patients from taking fish oil and garlic supplements—REALLY? Renewed interest in muscle as promoter of overall health and metabolism; The key role of urolithin A (Mitopure®️) for supporting muscle function. Is DHEA a reasonable supplement for post-menopausal women?

Dr. Dan and Phil talk about the new American Heart Association dietary guidelines. Some new changes are very familiar to our WFPB way of eating.

TV Guide called her “the most famous soap opera character in the history of daytime TV.” Actor Susan Lucci inhabited the role of bad girl Erica Kane on ABC’s “All My Children” for four decades, from the show’s inception in 1970 until 2011. She earned the Daytime Emmy Award for Outstanding Lead Actress for the role in 1999 after nineteen nominations – and in December 2023, received the Daytime Emmy Lifetime Achievement Award. Lucci’s body of work also includes numerous television series, films and the Broadway stage. She is the author of All my Life: A Memoir and is a National Spokesperson for the American Heart Association. Susan Lucci talks with host Alec Baldwin about how she played a role that evolved over decades, how she realized a lifelong dream of performing on Broadway, and her thoughts on the rumors of a potential reboot of the beloved soap. Originally aired January 23rd, 2024.See omnystudio.com/listener for privacy information.

Heart Association clashes with RFK, Jr., doubles down on recommendation for low-fat diets; Why the evidence for meat and full-fat dairy avoidance is weak; What are the health benefits of circumcision? The ultimate weight loss plan—the Boring Diet; Substituting famotidine for PPIs for reflux; Midlife vitamin D curbs Alzheimer's risk; Natural support for polymyalgia rheumatica; What teens eat could be affecting their mental health.

Episode 218: Statin Therapy Fundamentals What are statins? Zohal: Statins are medications that lower cholesterol by inhibiting the enzyme HMG-CoA reductase, which prevents cholesterol synthesis in the liver. By doing so, statins decrease low-density lipoprotein cholesterol (LDL-C).  Why should we lower LDL? Zohal: There are four main lipoproteins that transport fats in blood, including chylomicrons, VLDL, LDL, and HDL. This is where we get our “bad cholesterol” vs. “good cholesterol”. Of these, LDL is most associated with an increased risk in cardiovascular disease, while a higher HDL is associated with lower risk. Thus, reducing LDL subsequently reduces the risk of cardiovascular disease.  Arreaza: The lowest LDL I've seen was 25, and the highest HDL was 60. HDL doesn't really have a strict upper limit, but most people fall between 40 and 60. Extremely high HDL—above 100—may not always be protective and can sometimes signal underlying issues. Zohal: My HDL is 70! Statins are used for both primary prevention, meaning preventing cardiovascular disease before it occurs, and secondary prevention, meaning preventing disease progression in patients who already have cardiovascular disease. History of statins. Zohal: In the early 1900's, researchers were studying the association between cholesterol and atherosclerosis, and at that time, they primarily used animal subjects. These studies were initially not taken seriously, because most believed cardiovascular disease in humans were simply due to aging and was not preventable.  It wasn't until the middle of the century when researchers began observing that increased levels of LDL and decreased HDL was correlated with an increased rate of heart attacks. This finding prompted interest in determining the pathway of cholesterol synthesis in the human body.  Statins were first discovered in the 1970s when researchers identified compounds that inhibit a critical step in cholesterol synthesis. The first statin approved for clinical use was Lovastatin in 1987. Since then, multiple statins have been developed, including Atorvastatin, Rosuvastatin, Simvastatin, and Pravastatin. Further clinical trials in the 1990s and 2000s showed that statins significantly reduce myocardial infarction, stroke, and cardiovascular mortality. Why do Statins Matter in Primary Prevention Zohal: Cardiovascular disease is the most common cause of death worldwide. As previously mentioned, elevated LDL cholesterol contributes to the development of atherosclerotic plaques within arteries, which can lead to heart attack and stroke. By lowering LDL cholesterol and stabilizing plaque formation, statins implemented in a timely manner significantly reduce the risk of atherosclerotic cardiovascular disease. Arreaza: One of the things I love most about primary care is prevention. You're working upstream, often quietly, humbly, helping people avoid disease before it starts. And the truth is—you rarely see the full impact of your actions. You don't get a notification that says, “this patient didn't have a heart attack because of you.” But every time you help someone control their blood pressure, quit smoking, improve their diet, or stay consistent with their medications, you're shifting their tracks. You're reducing risk in ways that may never be fully visible. That's the paradox and the beauty of it: in primary care, your highest victories are often events that never happen.  Who Should Receive Statins for Primary Prevention? Zohal: Recommendations slightly differ depending on who you ask. We look to the U.S. Preventive Services Task Force, the American College of Cardiology, and the American Heart Association for their recommendations regarding statins for primary prevention. USPSTF on statins. The U.S. Preventive Services Task Force (or USPSTF for short) is an organization that works to improve the health of people nationwide by making evidence-based recommendations on effective ways to prevent disease & prolong life. They recommend statins for the primary prevention of cardiovascular disease in: Adults 40–75 years old With one or more cardiovascular risk factors such as dyslipidemia, diabetes, hypertension, or smoking AND a 10-year cardiovascular risk of 10% or greater Their recommendations are graded A, B, C, D, and I, depending on the strength of evidence and this is a Grade B recommendation. Arreaza: So, you have to meet all the criteria to receive a statin, according to USPSTF: 40-75, one CV risk factor and a high 10-y ASCVD score, by the way, the ASCVD risk calculator was introduced in 2013 by AHA/ACC. It is available online for free and many EHRs have integrated this tool into their software. For example, if you use EPIC, you can type .ascvd and get a score automatically. What about patients with a cardiovascular risk less than 10%? Zohal: For patients with a 7.5–10% risk, some may offer statin therapy on a case-by-case basis as this is a Grade C recommendation. But I'll get more into this later. Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week!  _____________________ References: Grundy SM, et.al, Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019 Jun 18;139(25):e1082-e1143. doi: 10.1161/CIR.0000000000000625. Epub 2018 Nov 10. Erratum in: Circulation. 2019 Jun 18;139(25):e1182-e1186. doi: 10.1161/CIR.0000000000000698. Erratum in: Circulation. 2023 Aug 15;148(7):e5. doi: 10.1161/CIR.0000000000001172. PMID: 30586774; PMCID: PMC7403606. https://pubmed.ncbi.nlm.nih.gov/30586774/ U.S. Preventive Services Task Force. (2022, August 23). Statin use for the primary prevention of cardiovascular disease in adults: Preventive medication.https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/statin-use-in-adults-preventive-medicatio American College of Cardiology ASCVD Risk Estimator: https://tools.acc.org/ascvd-risk-estimator-plus/#!/calculate/estimate/ Guideline Central. (2026, March). ACC/AHA dyslipidemia guideline spotlight (March 2026).https://www.guidelinecentral.com/insights/mar-2026-accaha-dyslipidemia-guideline-spotlight/ Endo A. A historical perspective on the discovery of statins. Proc Jpn Acad Ser B Phys Biol Sci. 2010;86(5):484-93. doi: 10.2183/pjab.86.484. PMID: 20467214; PMCID: PMC3108295. https://pubmed.ncbi.nlm.nih.gov/20467214/ Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

A U.S. fighter jet went down in Iran and there's been a shakeup of Army leadership. The retirement of a privacy officer at the Department of Justice shines a light on the Trump Administration's interest in voter information.And, the American Heart Association releases its guidance on the pattern of eating that promotes good health and helps fend off disease.Please help us out by completing a short survey telling us what you like and how we could improve our podcast. You can find it right now at www.npr.org/springsurveyWant more analysis of the most important news of the day, plus a little fun? Subscribe to the Up First newsletter.To manage podcast ad preferences, review the links below:See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.NPR Privacy Policy

Send Zorba a message!Zorba's thoughts on the American Heart Association's reaction to the red meat recommendations laid out on the new food pyramid.Support the showProduction, edit, and music by Karl ChristensonSend your question to Dr. Zorba (he loves to help!):Phone: 608-492-9292 (call anytime)Email: askdoctorzorba@gmail.comWeb: www.doctorzorba.orgStay well!

Send Zorba a message!Zorba's thoughts on the American Heart Association's reaction to the red meat recommendations laid out on the new food pyramid.Support the showProduction, edit, and music by Karl ChristensonSend your question to Dr. Zorba (he loves to help!):Phone: 608-492-9292 (call anytime)Email: askdoctorzorba@gmail.comWeb: www.doctorzorba.orgStay well!

In this episode of the ASC Podcast with John Goehle, we discuss the latest news, review top technology hazards, review AORN guidance on double gloving, discuss the new RQI program from the American Heart Association, provide an update on survey finding trends, and in our focus segment, continue our Accreditation Organization Series with an interview with Michelle Coalson from DNV.    This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies.     Notes and Resources from this Episode: Job Growth in Healthcare from Health Leaders Media: https://www.healthleadersmedia.com/ceo/healthcare-drives-72-job-growth-november Beckers ASC Review from Dec 29th https://www.beckersasc.com/leadership/inside-leapfrog-recognized-asc-where-staff-arent-scared-of-surveyors/?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=0573H1191845C8E ECRI Top 10 health Tech Hazards for 2026 (Periop Leader Network) https://www.periopleader.com/briefs/ecri-lists-its-top-10-health-technology-hazards-for-2026/?utm_source=omeda&utm_medium=email&utm_campaign=ormam+eletter&oly_enc_id=3914G8504789C8H AORN Position on Double Gloving https://aornjournal.onlinelibrary.wiley.com/doi/10.1002/aorn.14447?mkt_tok=NTQ1LUtDUC0xNjMAAAGex4IC1AFZFI75mpy1pATj6O8lReaLjRiNTr26ffM3gP_eNuVwBDOetc0X-kMkCajRSKRJS7dkozVbeXovvdDBC25EHihs7fHhT6DzC66kRXzb DNV Website: NIAHO® accreditation for ambulatory surgical centers Announcing our upcoming Bootcamps! Director of Nursing Bootcamp April 7-10  Administrator's bootcamp - May 26-29 For More Information, go to: https://conferences.asc-central.com/bootcamps/ INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! https://conferences.asc-central.com/ Join one of our Membership Programs! Our Patron Program: Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.  More information and Become Member The ASC-Central Premium Access Program A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions More Information and Become a Premium Access Program Members Today! Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and Regions CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers 

Today, we're diving into one of the most heated debates in functional medicine right now. We're talking about the vegetable and seed oils that you likely have in your kitchen cabinet. Your grandmother cooked with them, and the American Heart Association has promoted them as “heart-healthy” for decades. Yet some experts are now saying that they are slowly poisoning an entire generation. Practical tips for reducing your seed oil consumption:  Replace your cooking oil with a more stable alternative Check the labels on everyday foods for seed oils Cut back on processed foods  Be mindful when eating out Don't aim for perfection—focus on reducing the main sources first Bio: Stephanie Gray Stephanie Gray, DNP, MS, ARNP, AGNP-C, ABAAHP, FAARFM, is a functional medicine provider who helps men and women build sustainable, optimal health and longevity.  A nurse practitioner since 2009, Dr. Gray completed her doctorate focusing on estrogen metabolism from the University of Iowa in 2011 and holds a Master's in Metabolic Nutritional Medicine from the University of South Florida's Medical School. Dr. Gray is one of the Midwest's most credentialed female healthcare providers. She completed an Advanced Fellowship in Anti-Aging, Regenerative, and Functional Medicine in 2013 and became Iowa's first BioTe certified provider—now the state's only platinum provider with over 10,000 pellet placements. She is also certified as a SIBO doctor-approved practitioner, mold-literate provider, and ReCODE 2.0 practitioner for cognitive decline prevention. An Amazon best-selling author, Dr. Gray wrote Your Longevity Blueprint and Your Fertility Blueprint, and hosts the Your Longevity Blueprint podcast. She co-founded Your Longevity Blueprint Nutraceuticals with her husband, Eric. After her own ten-year fertility journey, she now specializes in helping couples optimize reproductive health through functional medicine. Having lost her grandmother to vascular dementia, she is personally committed to helping families avoid cognitive decline. Dr. Gray founded the Integrative Health and Hormone Clinic in Hiawatha, Iowa. In this episode: How avoiding seed oils may reduce inflammation in the body  How seed oils became mainstream, and how they are processed The potential health implications of high Omega-6 consumption The difference between cold-pressed, unrefined oils and highly processed oils Why seed oils have become increasingly controversial among some health experts The difference between traditional fat extraction methods and industrial seed oil processing Better oil choices for cooking and salads The complex correlation between seed oil consumption and chronic diseases Links and Resources: @stephaniegraydnp Relative Links for This Show: ⁠⁠⁠Your Longevity Blueprint Omega 3s – 60 capsules Integrative Health and Hormone Clinic (IHH Clinic)

A nurse in neurotrauma and cardiac services, someone who had spent her entire adult life inside the healthcare system, was sent home from the ER repeatedly, told it was probably a migraine, given pain medication, and dismissed. It took losing her vision before anyone took her seriously. Sandy Goldstein had a congenital heart defect she didn't know about until her 20s. A hole in her heart was routing unoxygenated blood in the wrong direction, collapsing a vessel in her brain and preventing the release of cerebrospinal fluid. What followed was weeks of misdiagnosis, brain angioplasty, a two-year insurance battle, and finally open heart surgery in August 2010. Around one year later, she had her daughter. Today, the American Heart Association recognizes Sandy as a Woman of Impact in Colorado. She is in the final weeks of a nine-week statewide campaign: working with school districts, deploying hands-only CPR training, earning a gubernatorial proclamation, and closing in on the record for top Woman of Impact in Colorado history. Sarah Lux manages the educational community at The Pause Life, the platform built by Dr. Mary Claire Haver, the physician who has become the most recognized voice on perimenopause and menopause science. The community is free, serves millions of women, and exists to give women the resources and vocabulary to understand what is happening inside their bodies at midlife — because, as Sarah points out, most of their doctors were never taught any of it either. In this episode of Inspiring Women, host Laurie McGraw sits down with Sandy Goldstein and Sarah Lux to make the case that women's heart health is not just underserved — it is the single largest cause of death in women, claiming more lives than all cancers combined. They discuss: Why cardiovascular disease kills more women than all cancers combined — and why most women have no idea How Sandy was dismissed and misdiagnosed for weeks inside the very system she worked in as a nurse, and what it took for one doctor to refuse to give up The direct connection between perimenopause, shifting hormones, and exponentially rising cardiovascular risk that almost no physician is trained to address Why the black box warning on hormone replacement therapy was removed, and what was fundamentally flawed about the original study population How women's cardiac symptoms , GI distress, jaw pain, vision loss — look nothing like the clutching-the-chest picture everyone recognizes, and why that gap costs lives Why women remain underrepresented in the clinical research that sets treatment protocols, and what Sandy's AHA campaign is doing to change the funding behind that What The Pause Life community offers women who have been dismissed, unheard, or simply never given the right vocabulary for what they're experiencing Sandy Goldstein and Sarah Lux are proof that changing the narrative on women's health requires the people who lived it — and the communities built around them — to be louder than the systems that stayed silent.

In this week's episode of Medicine: The Truth, hosts Jeremy Corr and Dr. Robert Pearl balance two sides of American healthcare: the encouraging scientific advances that could help people live longer and healthier lives, and the growing affordability and trust crises threatening patients across the country. The conversation opens on an optimistic note. Dr. Pearl highlights new Yale research showing that aging is far less deterministic than many Americans assume. Rather than a steady and unavoidable decline, the study found that nearly half of adults over 65 improved physically, cognitively or both over a 12-year period. He pairs that story with new cardiovascular guidance from the American College of Cardiology and the American Heart Association, which shifts prevention toward a much longer time horizon and argues that earlier LDL management could prevent a significant share of heart attacks and strokes later in life. The episode then pivots to the mounting financial and institutional pressures facing patients, hospitals and public-health agencies. From rising medical debt and medication nonadherence to declining vaccine trust, hospital cost inflation and the political barriers keeping GLP-1 drugs unaffordable in the United States, the discussion captures both the promise and the fragility of healthcare in 2026. Here are the other major storylines from episode 105: Supplements fail the evidence test: Pearl reviews clinical trial data showing that commonly used supplements such as fish oil, garlic, turmeric, cinnamon and red yeast rice performed no better than placebo in lowering LDL, reinforcing the continued value of lifestyle interventions and low-cost statins. Medical costs continue to destabilize families: New Gallup-linked research shows that 82 million Americans are already making sacrifices to pay medical bills, from skipping meals to delaying retirement. Drug unaffordability worsens medication adherence: A new KFF survey finds that nearly 60% of Americans worry about affording prescriptions, with 43% reporting they have not taken medications as prescribed because of cost. Generative AI adoption surges among physicians: According to a new AMA survey, 81% of doctors now use generative AI in clinical practice, most commonly for documentation, literature summaries and chart support. Hospitals face intensifying economic pressure: The American Hospital Association reports that care delivery costs rose 7.5% last year, driven by higher labor expenses, drug prices, supply inflation and sicker patients. Trust in vaccine authorities continues to erode: Following the legal challenge to RFK Jr.'s overhaul of the federal vaccine advisory committee, new polling shows trust in federal vaccine recommendations has fallen sharply. Newborn preventive care is now affected by distrust: Pearl warns that refusal of vitamin K shots, hepatitis B vaccination and antibiotic eye ointment at birth is rising, reversing decades of scientific progress and reintroducing preventable newborn risks. Alzheimer's blood tests show progress, but not prediction: New FDA-cleared blood tests can help identify Alzheimer's disease as the likely cause of current dementia, but Dr. Pearl explains why they remain far less useful for predicting disease years before symptoms begin. The fax machine may finally be dying: In one of the episode's lighter moments, Dr. Pearl notes that CMS is moving to phase out fax-machine communication across HIPAA-covered entities, a long-overdue modernization step that could save taxpayers nearly $1 billion annually. Residency match reaches record size: The 2026 residency match was the largest in history, with more than 48,000 applicants competing for over 44,000 positions. Early heat waves carry serious health consequences: With unusual March heat across parts of the country, Dr. Pearl explains why early-season heat is especially dangerous, increasing risks of dehydration, kidney injury, cardiovascular strain and mental health emergencies. GLP-1 drugs go generic abroad while U.S. prices stay high: As Novo Nordisk's blockbuster GLP-1 medications go generic in India and other global markets, Dr. Pearl contrasts international pricing with U.S. costs and argues that congressional inaction on drug pricing remains one of healthcare's clearest failures. Tune in for more fact-based analysis and practical perspective on the healthcare stories shaping medicine today. * * * Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine” about the impact of AI on the future of medicine. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on X and LinkedIn. The post MTT #105: New science on aging, rising medical debt & healthcare’s fax problem appeared first on Fixing Healthcare.

For the first time since August 2022, the average price of gas in the U.S. has hit $4 per gallon as the Iran war grinds on. CBS News business analyst Jill Schlesinger breaks down how consumers are feeling the economic pinch with the war now in its fifth week. The American Heart Association has released new dietary guidelines on how to stay heart healthy to improve quality of life and save lives. Dr. Celine Gounder breaks down what to know. The FAA is studying the issue of exploding lithium batteries amid a growing concern over battery fires on planes. Kris Van Cleave shows how they're trying to improve safety. In an exclusive interview, "CBS Mornings" co-host Gayle King speaks with Michael Jordan and Denny Hamlin, the co-owners of 23XI Racing, about how the sport of NASCAR has changed over time, their partnership and what the future holds for 23XI Racing. Sharon Stone reflected on her legendary career as she discussed joining the cast of "Euphoria," working with the show's creator, Sam Levinson, and how she has advocated for women in the entertainment industry. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

At the age of 31, shortly after giving birth to her son Diego, Kisha Stewart experienced a life-threatening heart attack caused by a rare and often under-recognized condition called SCAD. What started as what she thought was normal postpartum fatigue quickly turned into chest pain, dizziness, and nausea — symptoms that could have been easily dismissed. In this episode, Kisha opens up about that terrifying night, the role her intuition played in getting the care she needed, and the challenges of navigating gender bias in the healthcare system. She also shares her journey of rebuilding both her physical health and trust in her body, and offers vital insight into warning signs every woman should know. This is a story of resilience, awareness, and empowerment that every listener can learn from. About Kisha Stewart: Kisha Stewart, a nurse and mother of three, survived a near-fatal "widowmaker" heart attack (SCAD) at age 31, just two weeks after giving birth. Despite having a medical background, her symptoms were initially dismissed as anxiety. Now a Go Red for Women advocate, she shares her story to highlight postpartum risks, racial disparities in care and the need for self-advocacy. She documented her experience in the book "Sonata for a Damaged Heart: A Young Mother's Journey of Survival After a Near Fatal Heart Attack. Keep up with Kisha: Read her story at the American Heart Association: https://www.goredforwomen.org/en/about-heart-disease-in-women/class-of-survivors/kisha-stewart IG - https://www.instagram.com/kishaandscad/ Book - https://www.amazon.com/Sonata-Damaged-Heart-Expanded-Survival-ebook/dp/B0CLKZJKW6 Stay Connected: Is there a topic you'd like covered on the podcast? Submit it to hello@flourishheights.com Subscribe to our quarterly newsletters: Flourish Heights Newsletter Visit our website + nutrition blog: www.flourishheights.com Follow us on social media: Instagram: @flourishheights / Women's Health Hub: @hersidebyfh / @valerieagyeman Youtube channel: https://www.youtube.com/@flourishheights Want to support this podcast? Leave a rating, write a review and share! Thank you!

If you thought high cholesterol was something to worry about later in life, you're not alone. But new advice has a lot of people wondering if they should be getting checked sooner. Dr. Sanjay Gupta breaks down the new guidelines, who should pay attention, and what it actually means for you.  Want to check your risk? Try the American Heart Association's PREVENT calculator.    Producer: Kyra Dahring    Medical Writer: Andrea Kane    Showrunner: Amanda Sealy    Senior Producer: Dan Bloom    Technical Director: Dan Dzula  Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this insightful interview, Dr. Tara Narula shares her holistic approach to resilience, emphasizing the importance of love, purpose, and mental health in healing and well-being. Discover practical tools and inspiring stories to cultivate resilience in everyday life.Chapters00:00 The Heart's Holistic Journey02:58 Mind-Body Connection in Cardiology05:57 Understanding Stress and Its Impact08:57 Acceptance as a Tool for Resilience11:59 Resilience: A Personal Journey14:54 Finding Meaning in Adversity18:05 The Role of Exercise in Resilience20:51 Reframing Denial as a Tool23:10 Resilience and Upbringing26:18 Teaching Resilience to Children29:00 Mental Health and Physical Healing30:00 The Importance of Social Connections31:47 Stress, Inflammation, and Health33:12 Finding Purpose in Life36:47 The Power of Love and ConnectionSponsors: FATTY15 OFFER: Fatty15 is on a mission to replenish your C15 levels and restore your long-term health. You can get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/KIMBERLY and using code KIMBERLY at checkout.USE LINK: fatty15.com/KIMBERLY LMNTOFFER: Right now, for my listeners LMNT is offering a free sample pack with any LMNT drink mix purchase at DrinkLMNT.com/FEELGOOD. That's 8 single serving packets FREE with any LMNT any LMNT drink mix purchase. This deal is only available through my link so. Also try the new LMNT Sparkling — a bold, 16-ounce can of sparkling electrolyte water.USE LINK: DrinkLMNT.com/FEELGOOD Dr. Tara Narula Resources: Book: : The Healing Power of Resilience: A New Prescription for Health and Well-Being Website: www.simonandschuster.com/authors/Tara-Narula/189123064Instagram: @drtaranarulaBio: Bio: Dr. Tara Narula is a board-certified cardiologist at Lenox Hill Hospital in Manhattan, associate professor of cardiovascular medicine at the Zucker School of Medicine, Hofstra/Northwell, associate director of the Women's Heart Program at Lenox Hill Hospital and director of communications for the Katz Institute of Women's Health. An award-winning journalist, she is also the current Chief Medical Correspondent for ABC News and a former NBC News Medical Contributor, CNN Medical Correspondent and CBS News Senior Medical Correspondent. After graduating from Stanford University, she founded her own small business before getting her medical degree at USC Keck School of Medicine. She completed her residency in internal medicine at Harvard University/Brigham and Women's Hospital and her fellowship training in cardiology at New York Presbyterian-Weill Cornell Medical Center. She currently sees patients in her outpatient practice as part of Lenox Hill/Northwell Health. She is a fellow of the American College of Cardiology and serves as a national spokesperson for the American Heart Association. She lives in New York City with her husband, who is also a physician, and her two daughters.  See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

T. Kyle and Brad discuss Demi Lovato explaining her “Heart Attack” at the American Heart Association (she flagged it!), Nicole Scherzinger choking on the Pussycat Dolls trio question, Joni Mitchell and Princess Peach, Legendtina's (New) Mexico performance, Addison Rae's South American takeover, High Fashion Editorial! featuring the Oscars, the ‘Kpop Demon Hunters' win, the ‘Heated Rivalry' boys, The Party by Guy Oseary, Madonna's absence explained, ‘The Studio' Season 2 filming in Venice, Queen of Cringe Lisa Kudrow for ‘The Comeback,' Megan Thee Stallion for ‘Moulin Rouge! The Musical,' Low Fashion Editorial! featuring Olivia Rodrigo doing ‘British Vogue' with her chair, the Temu ‘brat' wall concept and Charli xcx's impact, Jake Shane and influencers getting dragged for their red carpet interviews, new music from Only Chris, MALARKEY, Len Blake, Naomi Scott, Grace Ives, and FLO's “Leak It.” Hosted on Acast. See acast.com/privacy for more information.

1. ABC cancels Taylor Frankie Paul's season of ‘The Bachelorette' in wake of horrifying abuse video (Page Six) (13:48) 2. Secret Lives of Mormon Wives Star Jessi Ngatikaura's Husband Jordan Files for Divorce (PEOPLE) (32:03) 3. Usher and Justin Bieber Have Heated Exchange At Beyoncé's Oscars After-Party (TMZ) (42:50) 4. Demi Lovato sets record straight on viral ‘Heart Attack' performance at American Heart Association event (Page Six) (47:37) 5. ‘SNL' Launches Short-Form Series ‘The Rundown'; Colin Jost Picks a Favorite Cold Open in First Episode (Variety) (51:25) - Queenie and Weenie of The Week (52:05) The Toast with Jackie (@JackieOshry) and Claudia Oshry (@girlwithnojob) ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The Toast Patreon ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Toast Merch ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Girl With No Job by Claudia Oshry ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The Camper & The Counselor⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Lean In Learn more about your ad choices. Visit megaphone.fm/adchoices