Podcasts about Anemia

Sick while breastfeeding or pregnant? Click here to learn all Dr. Morgan's top natural and effective remedies to help yourself through colds, flus, allergies, and UTIs! What if the real reason for low milk supply isn't your body at all?In this episode, we sit down with Lynnelle King, an International Board Certified Lactation Consultant and craniosacral therapist. She brings decades of experience, a deep background in lactation and tongue and lip ties, and the perspective of a mother of eight who runs a busy clinic helping women succeed at breastfeeding when nothing else has worked.We open up the conversation on low milk supply. From true insufficient glandular tissue to tongue ties and structural issues, we get into the realities behind why breastfeeding can feel impossible. This is a grounded, practical look at the different causes and what mothers often miss when they're told their bodies “just don't make enough milk.”Timestamps:[00:00] Introduction[13:10] Why true insufficient glandular tissue is rare, and what breast changes signal it[16:40] How using a supplemental nursing system can build more milk-making tissue [17:10] The reality of grief when supply is low and the role of donor milk[18:12] How undiagnosed tongue and lip ties quietly reduce supply[37:41] Why toxic exposures in utero can affect breast development[38:50] Why implants and reductions affect milk supply in completely different ways[56:40] What happens to milk supply when you get pregnant again[1:05:05] The link between stress hormones, oxytocin, and the let-down reflexResources Mentioned:Healthy as a Mother podcast episode on A Deep Dive into Lip and Tongue Ties | Apple or SpotifyMastitis Manual by Dr. Morgan MacDermott | WebsiteImmune Wellness class with Dr. Morgan MacDermott | WebsiteSNS Tube | AmazonBreath by James Nestor | Book or AudiobookNipple Shield | AmazonNinni Co-Pacifier | Website Use Code MORGM10 for 10% off Learn more from Lynnelle on her website. You can also follow her on Instagram.Find more from Dr. Leah:Dr. Leah Gordon | InstagramDr. Leah Gordon | WebsiteDr. Leah Gordon | WebsiteFind more from Dr. Morgan:Dr. Morgan MacDermott | InstagramDr. Morgan MacDermott | WebsiteUse code HEALTHYMOTHER and save 15% at RedmondFor 20% off your first order at Needed, use code HEALTHYMOTHERSave $260 at Lumebox, use code HEALTHYASAMOTHER

Anemia affects millions but is often misunderstood or oversimplified. Anemia isn't just about having low iron. It means you don't have enough healthy red blood cells or hemoglobin to get vital oxygen to your tissues, organs, and brain. Host Chrissy Sutton breaks down the many different forms of anemia, from iron-deficiency to anemia of inflammation, and even discusses why you can actually have too much iron and still be anemic.We'll explore how to spot anemia not just with lab work, but by recognizing physical signs like paleness, fatigue, brittle nails, and even changes in your tongue and the whites of your eyes. Dr. Sutton highlights why anemia is more than just feeling tired—it's tied to everything from exercise intolerance and heart palpitations to developmental delays in children and increased risk for disorders like ADHD.This episode also unpacks the confusing overlap between high ferritin from inflammation versus hemochromatosis, goes in-depth on the impact of pregnancy and menstruation on iron levels, and shares actionable tips for both clinicians and patients. To learn more, enroll in the Master Class “Iron Overload and Undiagnosed Anemias” at https://pages.kharrazianinstitute.com/sutton-anemiaFor patient-oriented functional medicine courses, visit https://drknews.com/online-courses/For practitioner functional medicine certification courses, visit https://kharrazianinstitute.com/For Certified Functional Nutrition education for both practitioners and lay people, visit https://afnlm.com/00:00 Anemia and Heart Strain Connection10:13 Low Iron Risks in Pregnancy11:40 Early Pregnancy Iron Supplementation18:14 Acid Reducers Impact Iron Levels26:50 Pregnancy: Nutrient Absorption Challenges31:43 "Decoding Iron Deficiency Causes"34:08 Iron Deficiency Anemia Symptoms40:51 Vitamin A Deficiency Risk Factors47:24 "Copper's Role in Iron Regulation"53:34 Diagnosing Hemolytic Anemia54:26 Managing Aplastic Anemia Basics01:01:52 Lead Cabinet Toxicity Solved01:06:09 Ferritin Management Without Blood Removal01:11:14 Digestive Challenges of Low Stomach AcidSupport this show http://supporter.acast.com/solving-the-puzzle-with-dr-datis-kharrazian. Hosted on Acast. See acast.com/privacy for more information.

Heart attacks aren't just an older generation's issue anymore. A new Mayo Clinic study shows that 1 in 10 heart attacks in women under 40 are linked to stress, anemia, overexercising, and postpartum recovery — not clogged arteries. In this episode, Coach Cynthia explains these hidden risks and how moms can protect their heart health, reclaim energy, and create a calmer, healthier home.  

An approach to anaemia, including MCV classification of the different causes of anaemia in a structured easy to remember layout. Consider subscribing on YouTube (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps: 0:00 What is Anaemia?1:55 Microcytic Anaemia - Iron Deficiency Anaemia3:48 Microcytic Anaemia - Thalassemia 4:57 Microcytic Anaemia - Anaemia of Chronic Disease 6:02 Microcytic Anaemia - Sideroblastic Anaemia 7:09 Normocytic Anaemia - Hypoproliferative 8:49 Normocytic Anaemia - Hyperproliferative 10:04 Normocytic Anaemia - Mixed10:33 Macrocytic Anaemia - Megaloblastic (Vitamin B12 / Folate Deficiency) 11:48 Macrocytic Anaemia - Non Megaloblastic 12:20 Anaemia Symptoms13:39 Anaemia TreatmentReferencesBMJ Best Practice. Assessment of anaemia – Diagnosis Approach. Updated 24 September 2024. Available at: https://bestpractice.bmj.com/topics/en-gb/93/diagnosis-approachMDCalc. Mentzer Index. Published 2017. Available at: https://www.mdcalc.com/calc/10534/mentzer-index#evidenceGeeky Medics. Anaemia Overview. Published 3 April 2021. Available at: https://geekymedics.com/anaemia-overview/StatPearls. Anemia. StatPearls Publishing; last updated 8 August 2023. Available at: https://www.ncbi.nlm.nih.gov/books/NBK499994/American Academy of Family Physicians (AAFP). Evaluation of Anemia in Children. American Family Physician, 2009;79(3):203-208. Available at: https://www.aafp.org/pubs/afp/issues/2009/0201/p203/jcr:content/root/aafp-article-primary-content-container/aafp_article_main_par/aafp_figure1.enlarge.htmlPlease remember this podcast and all content from Rhesus Medicine is meant for educational purposes only and should not be used as a guide to diagnose or to treat. Please consult a healthcare professional for medical advice. #medicalmnemonic #medicalmnemonics #rhesusmedicine #studymedicine #studygram #medstudent #medicalschool

SHOWNOTES:

Nutritionist Leyla Muedin discusses the crucial role of iron in the body. She explains iron's importance in producing hemoglobin for oxygen transport, supporting the immune system, and ensuring overall energy levels. Leyla delves into iron's impact on brain health, cognitive function, and mood regulation, and discusses the differences between heme and non-heme iron in foods. Emphasizing the need for balance, she warns against both deficiency and excess iron, and highlights groups at higher risk for iron deficiency. Listeners are encouraged to get their iron levels checked and consult healthcare professionals for appropriate supplementation.

Farm Service Agency's Fiscal Year 2025 Roscoe Ellis, Jr. Lecturer: Sasha Kravchenko Adult Cattle with Anemia   00:01:05 – Farm Service Agency's Fiscal Year: Starting today's show is David Schemm, state executive director for the Kansas Farm Service Agency, as he provides an update on programs and a summary of stats from the 2025 fiscal year at FSA. Farmers.gov   00:12:05 – 2025 Roscoe Ellis, Jr. Lecturer: Sasha Kravchenko: The 2025 Roscoe Ellis Jr. Lecturer, Sasha Kravchenko, keeps the show moving by discussing her research on soil pores as habitats for microorganisms. Kravchenko Lab Website Roscoe Ellis, Jr. Lectureship   00:23:05 – Adult Cattle with Anemia: Brad White, Todd Gunderson and Bob Larson with the Beef Cattle Institute's Cattle Chat podcast end the show as they describe how to identify anemia in adult cattle. BCI Cattle Chat Podcast Bovine Science with BCI Podcast Email BCI at bci@ksu.edu     Send comments, questions or requests for copies of past programs to ksrenews@ksu.edu.   Agriculture Today is a daily program featuring Kansas State University agricultural specialists and other experts examining ag issues facing Kansas and the nation. It is hosted by Shelby Varner and distributed to radio stations throughout Kansas and as a daily podcast.   K‑State Research and Extension is a short name for the Kansas State University Agricultural Experiment Station and Cooperative Extension Service, a program designed to generate and distribute useful knowledge for the well‑being of Kansans. Supported by county, state, federal and private funds, the program has county Extension offices, experiment fields, area Extension offices and regional research centers statewide. Its headquarters is on the K‑State campus in Manhattan

Sean Morrison, Ph.D., from the Children's Medical Center Research Institute at UT Southwestern, investigates how stem cells function, regenerate, and interact with their surrounding environment in the bone marrow. His research reveals how leptin receptor-positive cells—key components of the bone marrow niche—regulate hematopoietic stem cell maintenance and regeneration, influence platelet production, and respond to physiological stress like pregnancy. Morrison uncovers a reciprocal relationship between these niche cells and peripheral nerves, showing that disrupting nerve signals impairs bone marrow recovery after chemotherapy or radiation. His work also links retrotransposon activation during pregnancy to increased red blood cell production, with implications for maternal health and transplant medicine. Series: "Stem Cell Channel" [Health and Medicine] [Science] [Show ID: 40449]

Sean Morrison, Ph.D., from the Children's Medical Center Research Institute at UT Southwestern, investigates how stem cells function, regenerate, and interact with their surrounding environment in the bone marrow. His research reveals how leptin receptor-positive cells—key components of the bone marrow niche—regulate hematopoietic stem cell maintenance and regeneration, influence platelet production, and respond to physiological stress like pregnancy. Morrison uncovers a reciprocal relationship between these niche cells and peripheral nerves, showing that disrupting nerve signals impairs bone marrow recovery after chemotherapy or radiation. His work also links retrotransposon activation during pregnancy to increased red blood cell production, with implications for maternal health and transplant medicine. Series: "Stem Cell Channel" [Health and Medicine] [Science] [Show ID: 40449]

Sean Morrison, Ph.D., from the Children's Medical Center Research Institute at UT Southwestern, investigates how stem cells function, regenerate, and interact with their surrounding environment in the bone marrow. His research reveals how leptin receptor-positive cells—key components of the bone marrow niche—regulate hematopoietic stem cell maintenance and regeneration, influence platelet production, and respond to physiological stress like pregnancy. Morrison uncovers a reciprocal relationship between these niche cells and peripheral nerves, showing that disrupting nerve signals impairs bone marrow recovery after chemotherapy or radiation. His work also links retrotransposon activation during pregnancy to increased red blood cell production, with implications for maternal health and transplant medicine. Series: "Stem Cell Channel" [Health and Medicine] [Science] [Show ID: 40449]

Sean Morrison, Ph.D., from the Children's Medical Center Research Institute at UT Southwestern, investigates how stem cells function, regenerate, and interact with their surrounding environment in the bone marrow. His research reveals how leptin receptor-positive cells—key components of the bone marrow niche—regulate hematopoietic stem cell maintenance and regeneration, influence platelet production, and respond to physiological stress like pregnancy. Morrison uncovers a reciprocal relationship between these niche cells and peripheral nerves, showing that disrupting nerve signals impairs bone marrow recovery after chemotherapy or radiation. His work also links retrotransposon activation during pregnancy to increased red blood cell production, with implications for maternal health and transplant medicine. Series: "Stem Cell Channel" [Health and Medicine] [Science] [Show ID: 40449]

Sean Morrison, Ph.D., from the Children's Medical Center Research Institute at UT Southwestern, investigates how stem cells function, regenerate, and interact with their surrounding environment in the bone marrow. His research reveals how leptin receptor-positive cells—key components of the bone marrow niche—regulate hematopoietic stem cell maintenance and regeneration, influence platelet production, and respond to physiological stress like pregnancy. Morrison uncovers a reciprocal relationship between these niche cells and peripheral nerves, showing that disrupting nerve signals impairs bone marrow recovery after chemotherapy or radiation. His work also links retrotransposon activation during pregnancy to increased red blood cell production, with implications for maternal health and transplant medicine. Series: "Stem Cell Channel" [Health and Medicine] [Science] [Show ID: 40449]

Sean Morrison, Ph.D., from the Children's Medical Center Research Institute at UT Southwestern, investigates how stem cells function, regenerate, and interact with their surrounding environment in the bone marrow. His research reveals how leptin receptor-positive cells—key components of the bone marrow niche—regulate hematopoietic stem cell maintenance and regeneration, influence platelet production, and respond to physiological stress like pregnancy. Morrison uncovers a reciprocal relationship between these niche cells and peripheral nerves, showing that disrupting nerve signals impairs bone marrow recovery after chemotherapy or radiation. His work also links retrotransposon activation during pregnancy to increased red blood cell production, with implications for maternal health and transplant medicine. Series: "Stem Cell Channel" [Health and Medicine] [Science] [Show ID: 40449]

Welcome to BCI Cattle Chat! In this week's episode of Cattle Chat, we start by answering a listener question on creep feeding bulls. Next, the crew cover anemia; the causes, effects, and treatment. Finally they discuss investigating new diseases in your herd. Thanks for listening and enjoy the episode! 2:54 Creep Feeding BullsArticle Mentioned: Review:… Continue reading Bull Creep Feeding, Anemia, New Diseases

https://www.tadeclinicagem.com.br/cursos/antibiotico/

On this episode, we define anemia and describe its clinical presentations, classifications, and underlying etiologies. We evaluate current guidelines and evidence-based strategies for diagnosing and managing different types of anemia, including iron-deficiency, vitamin B12/folate-deficiency, and anemia of chronic disease.  Cole and I are happy to share that our listeners can claim ACPE-accredited continuing education for listening to this podcast episode! We have continued to partner with freeCE.com to provide listeners with the opportunity to claim 1-hour of continuing education credit for select episodes. For existing Unlimited (Gold) freeCE members, this CE option is included in your membership benefits at no additional cost! A password, which will be given at some point during this episode, is required to access the post-activity test. To earn credit for this episode, visit the following link below to go to freeCE's website: https://www.freece.com/ If you're not currently a freeCE member, we definitely suggest you explore all the benefits of their Unlimited Membership on their website and earn CE for listening to this podcast. Thanks for listening! If you want to support the podcast, check out our Patreon account. Subscribers will have access to all previous and new pharmacotherapy lectures as well as downloadable PowerPoint slides for each lecture. If you purchase an annual membership, you'll also get a free digital copy of High-Powered Medicine 3rd edition by Dr. Alex Poppen, PharmD. HPM is a book/website database of summaries for over 150 landmark clinical trials.You can visit our Patreon page at the website below:  www.patreon.com/corconsultrx We want to give a big thanks to Dr. Alex Poppen, PharmD and High-Powered Medicine for sponsoring the podcast..  You can get a copy of HPM at the links below:  Purchase a subscription or PDF copy - https://highpoweredmedicine.com/ Purchase the paperback and hardcover - Barnes and Noble website We want to say thank you to our sponsor, Pyrls. Try out their drug information app today. Visit the website below for a free trial: www.pyrls.com/corconsultrx We also want to thank our sponsor Freed AI. Freed is an AI scribe that listens, prepares your SOAP notes, and writes patient instructions. Charting is done before your patient walks out of the room. You can try 10 notes for free and after that it only costs $99/month. Visit the website below for more information: https://www.getfreed.ai/  If you have any questions for Cole or me, reach out to us via e-mail: Mike - mcorvino@corconsultrx.com Cole - cswanson@corconsultrx.com

Most people think iron is only a concern if they're deficient, but too much iron can be just as dangerous. In this episode, I sit down with Dr. Christy Sutton, a leading figure in the study of iron imbalances, to explore the often-overlooked health epidemic of unrecognized iron overload. Anchored around her book, The Iron Curse, we discuss why outdated laboratory ranges often fail to detect these imbalances and why recognizing them is so crucial for long-term health. From there, we dive into the intricacies of iron metabolism and the need for updated functional health ranges tailored to healthy populations. Dr. Sutton explains how imbalances can signal underlying health problems and highlights the value of functional lab testing in catching issues conventional methods often miss. We also explore the role of genetic testing—especially for hereditary hemochromatosis—and how genetics and environmental factors work together to influence iron levels. Key Takeaways: Iron Imbalance Epidemic: Iron imbalances, particularly overload, are often underdiagnosed due to outdated lab ranges and misconceptions, representing a silent health epidemic. Functional vs. Conventional Ranges: Functional health ranges, as opposed to traditional lab ranges based on sick populations, are crucial for accurate diagnosis of iron-related health conditions. Importance of Genetic Testing: Genetic factors (hemochromatosis genes) play a significant role in iron overload, necessitating comprehensive testing beyond typical lab work. Dietary and Lifestyle Influences: Both high and low iron levels are influenced by diet, lifestyle, and, importantly, how iron interacts with other nutrients and lifestyle factors like exercise. Gender and Iron Requirements: Iron needs differ significantly by sex and life stages, with menstrual and post-menopausal women, as well as men, needing tailored iron management strategies. More About Dr. Christy Sutton, D.C.: Dr. Christy Sutton is interested in asking why health problems happen and finding the safest and least problematic solutions. Her work takes a deep and meaningful dive into genomics, labs testing and creating a personalized health plan. Her focus on finding and avoiding health landmines early stems from her personal experience with Crohn's and celiac disease plus her husband's experience with high iron, hemochromatosis, and a pituitary tumor that likely was associated with having undiagnosed hemochromatosis. Website Instagram Connect with me! Website Instagram Facebook YouTube This episode is sponsored by Professional Co-op®, where clinicians gain exceptional access to industry-leading lab services without the hefty price tag—since 2001, they've been redefining what efficient, patient-focused support looks like. Imagine no hidden fees, no minimums, and only paying for completed tests. Experience lab services that not only meet but also exceed your expectations. Join the co-op trusted by countless licensed clinicians nationwide. Visit www.professionalco-op.com to learn more! This episode is also made possible by Functional Medicine University. FMU is a fully online, self-paced training program in functional medicine, founded in 2006 by Dr. Ron Grisanti. With students in all 50 U.S. states and 68 countries globally, FMU has become a cornerstone in advanced clinical education for healthcare practitioners. The curriculum is led by Dr. Grisanti, alongside contributions from over 70 distinguished medical experts on FMU's advisory board. Graduates earn the prestigious Certified Functional Medicine Practitioner (CFMP®) credential upon completion. FMU is also a nationally approved provider of continuing education for a wide range of licensed professionals, including MDs, DCs, DOs, NDs, acupuncturists, PAs, NPs, nurses, dietitians, pharmacists, and dentists. Whether you're looking to expand your clinical knowledge or bring a functional approach to your practice, FMU offers the tools, guidance, and certification to help you thrive. Visit www.functionalmedicineuniversity.com to learn more!

As natural thyroid ban looms, thyroid sufferers gird for battle with regulators; Rapid weight loss, muscle wasting—what to do? Could overuse of CT scans cause 100,000 extra cancers in the U.S.? Martha's Vineyard, Nantucket residents afflicted with tick-borne meat allergy; Beyond Meat headed for Chapter 11 bankruptcy; Searching for the causes of low iron.

Lio Barnhardt joins Ethics Talk to discuss their pair of illustrations: “Radiation Rejuvenation” and “Anemia and Necrosis.”  Recorded June 2, 2025.  View the artwork at JournalOfEthics.org

This week Doug and Alice spend a lot of time chatting about old teen sitcoms involving twins, retired football stars, bands, evil twins, and fantastic(?) theme songs. They cap off the episode by trying to update an old classic singalong for the modern child.In between there are yard sales, heartburn, and...long burgers? Other discussion topics may include:- When was Sir Mix-a-Lot knighted?- A bad time at the Golden Corral- Revealing the long-debated origins of the "Meat Plate"- Sweet Valley Dysentery- Why aren't Supernatural fans called "Supernatches"?

Reducing food waste Please share your thoughts concerning controversies about the significance of telomere length

Why is my B6 so high when I only take a small amount of it?Can nocturia be associated with dehydration?Please weigh in on allulose. Is it too good to be true?My husband's hemoglobin is lower than his previous lab test. Is this a cause for concern? 

294: If you struggle with candida, are low in iron or have been diagnosed with anemia, or perhaps you're pregnant and have been told to take iron supplements, I urge you to listen to this episode before taking additional steps. Morley Robbins is back after 2 years of initially being on my podcast back in 2023 and we dive into the confusing topic of why so many are anemic despite getting iron infusions, taking iron supplements, and even eating red meat and liver without any improvements. This episode may be the answer you're looking for when it comes to iron deficiency. In fact, you probably have an overload of iron but are missing other elements in your diet that facilitate iron absorption and iron in the blood vs. iron in the tissue. Just like certain vitamins are fat soluble which means you need fat to be able to absorb those vitamins, iron needs other co-factors to be able to be utilized properly.  Oh, and I know I mentioned candida! And if you have candida, most likely you are anemic and if you're anemic, you probably have candida! This is not a doom and gloom episode, but quite an inspiring one because this gives hope and insight to those looking for answers.  Topics Discussed: → Why iron isn't the cause of anemia → The difference between iron in the blood vs iron in the body tissue → Iron recycling  → The role our spleen has on the body and iron → How to support the spleen naturally → What causes our spleen to not function properly  → Mind body connection → Heme iron vs non-heme (synthetic) iron → Why fortified products are not good for you → Why iron infusions could do more harm than good → The role copper plays in iron absorption → Why donating blood is beneficial for our bodies → Why getting iron tests while pregnant is inaccurate → Why we need retinol and beta-carotene → The candida and iron connection   As always, if you have any questions for the show please email us at digestthispod@gmail.com. And if you like this show, please share it, rate it, review it and subscribe to it on your favorite podcast app.  Sponsored By:  → Manukora | Head to MANUKORA.com/DIGEST to get $70 off the Starter Kit → Fatty15 | For 15% off the starter kit go to fatty15.com/digest → Equip Foods | Code DIGEST gets you 20% off at Equipfoods.com/digest → Seed | Go to seed.com/digest and use code 25digest for 25% off Check Out Morley Robbins: → www.therootcauseprotocol.com  → Morley Robbins book, The Cure Check Out Bethany: → Bethany's Instagram: @lilsipper → YouTube → Bethany's Website → Discounts & My Favorite Products → My Digestive Support Protein Powder → Gut Reset Book  → Get my Newsletters (Friday Finds)

Anemia emosional adalah ketika seseorang tidak memberi atau menerima penghargaan, kasih sayang, atau kedekatan. Jika kondisi ini tidak diketahui sejak dini dan diperbaiki maka hubungan bisa mati.

Hoy en el cuerpo habla lo que la boca calla vamos a hablar del conflicto biológico de la sangre y esta llamada desvalorización para poder liberte de esas creencias. Déjanos tus comentarios y siguenos en Instagram quantum_gdl y Telegram en nuestro canal Centro Quantum. Ahora en Patreon con audios subliminales para Reprogramación R3PR0 5D HACK3O M3NTAL.... #tupuedescrearturealidad #fisicacuantica #taniaramón #spotify #centroquantum #podcast #googlepodcasts #quantum #spotifypodcast #amazonmusic #applepodcasts #cuantica #constelacionesfamiliares #Quantum #Desarrollopersonal #taniaramón #CentroQuantum #despertardeconsciencia #conciencia ##inteligenciaemocional #autoestima #AutoestimaElevada #emociones #biodescodificacion

Episode 198: Fatigue.  Future doctors Redden and Ibrahim discuss with Dr. Arreaza the different causes of fatigue, including physical and mental illnesses. Dr. Arreaza describes the steps to evaluate fatigue. Some common misconceptions are explained, such as vitamin D deficiency and “chronic Lyme disease”. Written by Michael Ibrahim, MSIV, and Jordan Redden, MSIV, Ross University School of Medicine. Edits and comments by Hector Arreaza, MDYou are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Dr. Arreaza: Today is a great day to talk about fatigue. It is one of the most common and most complex complaints we see in primary care. It involves physical, mental, and emotional health. So today, we're walking through a case, breaking down causes, red flags, and how to work it up without ordering the entire lab catalog.Michael:Case: This is a 34-year-old female who comes in saying, "I've been feeling drained for the past 3 months." She says she's been sleeping 8 hours a night but still wakes up tired. No recent illnesses, no weight loss, fever, or night sweats. She denies depression or anxiety but does report a lot of work stress and taking care of her two little ones at home. She drinks 2 cups of coffee a day, doesn't drink alcohol, and doesn't use drugs. No medications, just a multivitamin. Regular menstrual cycles—but she's noticed they've been heavier recently.Jordan:Fatigue is a persistent sense of exhaustion that isn't relieved by rest. It's different from sleepiness or muscle weakness.Classification based on timeline:    •   Acute fatigue: less than 1 month    •   Subacute: 1 to 6 months    •   Chronic: more than 6 monthsThis patient's case is subacute—going on 3 months now.Dr. Arreaza:And we can think about fatigue in types:    •   Physical fatigue: like muscle tiredness after activity    •   Mental fatigue: trouble concentrating or thinking clearly (physical + mental when you are a medical student or resident)    •    Pathological fatigue: which isn't proportional to effort and doesn't get better with restAnd of course, there's chronic fatigue syndrome, also called myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), which is a diagnosis of exclusion after 6 months of disabling fatigue with other symptoms.Michael:The differential is massive. So, we can also group it by systems.Jordan:Let's run through the big ones.Endocrine / Metabolic Causes    • Hypothyroidism: A classic cause of fatigue. Often associated with cold intolerance, weight gain, dry skin, and constipation. May be subtle and underdiagnosed, especially in women.    • Diabetes Mellitus: Both hyperglycemia and hypoglycemia can cause fatigue. Look for polyuria, polydipsia, weight loss, or blurry vision in undiagnosed diabetes.    • Adrenal Insufficiency: Think of this when fatigue is paired with hypotension, weight loss, salt craving, or hyperpigmentation. Can be primary (Addison's) or secondary (e.g., due to long-term steroid use).Michael: Hematologic Causes    • Anemia (especially iron deficiency): Very common, especially in menstruating women. Look for fatigue with pallor, shortness of breath on exertion, and sometimes pica (craving non-food items).     • Vitamin B12 or Folate Deficiency: B12 deficiency may present with fatigue plus neurologic symptoms like numbness, tingling, or gait issues. Folate deficiency tends to present with megaloblastic anemia and fatigue.    • Anemia of Chronic Disease: Seen in patients with chronic inflammatory conditions like RA, infections, or CKD. Typically mild, normocytic, and improves when the underlying disease is treated.Michael: Psychiatric Causes    • Depression: A major driver of fatigue, often underreported. May include anhedonia, sleep disturbance, appetite changes, or guilt. Sometimes presents with only somatic complaints.    • Anxiety Disorders: Mental fatigue, poor sleep quality, and hypervigilance can leave patients feeling constantly drained.    • Burnout Syndrome: Especially common in caregivers, healthcare workers, and educators. Emotional exhaustion, depersonalization, and reduced personal accomplishment are key features.Jordan: Infectious Causes    • Epstein-Barr Virus (EBV):Mononucleosis is a well-known cause of fatigue, sometimes lasting weeks. May also have sore throat, lymphadenopathy, and splenomegaly.    • HIV:Consider it in high-risk individuals. Fatigue can be an early sign, along with weight loss, recurrent infections, or night sweats.    • Hepatitis (B or C):Can present with chronic fatigue, especially if liver enzymes are elevated. Screen at-risk individuals.    • Post-viral Syndromes / Long COVID:Fatigue that lingers for weeks or months after viral infection. Often, it includes brain fog, muscle aches, and post-exertional malaise.Important: Chronic Lyme disease is a controversial term without a consistent clinical definition and is often used to describe patients with persistent, nonspecific symptoms not supported by objective evidence of Lyme infection. Leading medical organizations reject the term and instead recognize "post-treatment Lyme disease syndrome" (PTLDS) for persistent symptoms following confirmed, treated Lyme disease, emphasizing that prolonged antibiotic therapy is not effective. Research shows no benefit—and potential harm—from extended antibiotic use, and patients with unexplained chronic symptoms should be thoroughly evaluated for other possible diagnoses.Michael: Cardiopulmonary Causes    •   Congestive Heart Failure (CHF): Fatigue from poor perfusion and low cardiac output. Often comes with dyspnea on exertion, edema, and orthopnea.    •   Chronic Obstructive Pulmonary Disease (COPD): Look for a smoking history, chronic cough, and fatigue from hypoxia or the work of breathing.    •   Obstructive Sleep Apnea (OSA): Daytime fatigue despite adequate hours of sleep. Patients may snore, gasp, or report morning headaches. High suspicion in obese or hypertensive patients.Jordan:Autoimmune / Inflammatory Causes    •   Systemic Lupus Erythematosus (SLE): Fatigue is often an early symptom. May also see rash, arthritis, photosensitivity, or renal involvement.    •   Rheumatoid Arthritis (RA): Fatigue from systemic inflammation. Morning stiffness, joint pain, and elevated inflammatory markers point to RA.    •   Fibromyalgia: A chronic pain syndrome with widespread tenderness, fatigue, nonrestorative sleep, and sometimes cognitive complaints ("fibro fog").Cancer / Malignancy    •   Leukemia, lymphoma, or solid tumors: Fatigue can be the first symptom, often accompanied by weight loss, night sweats, or unexplained fevers. Consider when no other cause is evident.Michael:Medications:Common culprits include:    ◦   Beta-blockers: Can slow heart rate too much.    ◦   Antihistamines: Sedating H1 blockers like diphenhydramine.    ◦   Sedatives or sleep aids: Can cause grogginess and daytime sedation.    •   Substance Withdrawal: Fatigue can be seen in withdrawal from alcohol, opioids, or stimulants. Caffeine withdrawal, though mild, can also contribute.Dr. Arreaza:Whenever we evaluate fatigue, we need to keep an eye out for red flags. These should raise suspicion for something more serious:    •   Unintentional weight loss    •   Night sweats    •   Persistent fever    •   Neurologic symptoms    •   Lymphadenopathy    •   Jaundice    •   Palpitations or chest painThis patient doesn't have these—but that doesn't mean we stop here.Dr. Arreaza:Those are a lot of causes, we can evaluate fatigue following 7 steps:Characterize the fatigue.Look for organic illness.Evaluate medications and substances.Perform psychiatric screening.Ask questions about quantity and quality of sleep.Physical examination.Undertake investigations.So, students, do we send the whole lab panel?Michael:Not necessarily. Labs should be guided by history and physical. But here's a good initial panel:    •   CBC: To check for anemia or infection    • TSH: Screen for hypothyroidism    • CMP: Look at electrolytes, kidney, and liver function    • Ferritin and iron studies    • B12, folate    • ESR/CRP for inflammation (not specific)    • HbA1c if diabetes is on the radarJordan:And if needed, consider:    • HIV, EBV, hepatitis panel    • ANA, RF    • Cortisol or ACTH stimulation testImaging? Now that's rare—unless there are specific signs. Like chest X-ray for possible cancer or TB, or sleep study if you suspect OSA.Dr. Arreaza:Unaddressed fatigue isn't just inconvenient. It can impact on quality of life, affect job performance, lead to mood disorders, delay diagnosis of serious illness, increase risk of accidents—especially driving. So, don't ignore your patients with fatigue!Jordan:And some people—like women, caregivers, or shift workers—are especially at risk.Michael:The cornerstone of treatment is addressing the underlying cause.Jordan:If it's iron-deficiency anemia—treat it. If it's depression—get mental health involved. But there's also: Lifestyle Support: Better sleep hygiene, light physical activity, mindfulness or CBT for stress, balanced nutrition—especially iron and protein, limit caffeine and alcoholDr. Arreaza:Sometimes medications help—but rarely. And for chronic fatigue syndrome, the current best strategies are graded exercise therapy and CBT, along with managing specific symptoms. Beta-alanine has potential to modestly improve muscular endurance and reduce fatigue in older adults, but more high-quality research is needed.SSRI: fluoxetine and sertraline. Iron supplements: Even without anemia, but low ferritin [Anecdote about low ferritin patient]Jordan:This case reminds us to take fatigue seriously. In her case, it may be multifactorial—work stress, caregiving burden, and possibly iron-deficiency anemia. So, how would we wrap up this conversation, Michael?Michael:We don't need to order everything under the sun. A focused history and exam, targeted labs, and being alert to red flags can guide us.Jordan:And don't forget the basics—sleep, stress, and nutrition. These are just as powerful as any prescription.Dr. Arreaza:We hope today's episode on fatigue has given you a clear framework and some practical tips. If you enjoyed this episode, share it and subscribe for more evidence-based medicine!Jordan:Take care—and get some rest~___________________________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:DynaMed. (2023). Fatigue in adults. EBSCO Information Services. https://www.dynamed.com (Access requires subscription)Jason, L. A., Sunnquist, M., Brown, A., Newton, J. L., Strand, E. B., & Vernon, S. D. (2015). Chronic fatigue syndrome versus systemic exertion intolerance disease. Fatigue: Biomedicine, Health & Behavior, 3(3), 127–141. https://doi.org/10.1080/21641846.2015.1051291Kroenke, K., & Mangelsdorff, A. D. (1989). Common symptoms in ambulatory care: Incidence, evaluation, therapy, and outcome. The American Journal of Medicine, 86(3), 262–266. https://doi.org/10.1016/0002-9343(89)90293-3National Institute for Health and Care Excellence. (2021). Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: Diagnosis and management (NICE Guideline No. NG206). https://www.nice.org.uk/guidance/ng206UpToDate. (n.d.). Approach to the adult patient with fatigue. Wolters Kluwer. https://www.uptodate.com (Access requires subscription)Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3044: Dr. Neal Malik explains how pernicious anemia, an autoimmune condition, prevents proper absorption of vitamin B12, leading to serious health risks if untreated. While high-dose oral supplements may help in certain cases, he emphasizes that B12 injections are typically the most reliable way to manage the condition and protect red blood cell and nerve health. Quotes to ponder: "Pernicious anemia is actually a type of autoimmune condition." "Most studies do find that injections are more effective." "Unfortunately, there is no cure for pernicious anemia, but it can be well-managed with B12 supplements." Learn more about your ad choices. Visit megaphone.fm/adchoices

Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3044: Dr. Neal Malik explains how pernicious anemia, an autoimmune condition, prevents proper absorption of vitamin B12, leading to serious health risks if untreated. While high-dose oral supplements may help in certain cases, he emphasizes that B12 injections are typically the most reliable way to manage the condition and protect red blood cell and nerve health. Quotes to ponder: "Pernicious anemia is actually a type of autoimmune condition." "Most studies do find that injections are more effective." "Unfortunately, there is no cure for pernicious anemia, but it can be well-managed with B12 supplements." Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, we review the high-yield topic Diamond-Blackfan Anemia ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠from the Hematology section at ⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets

In this episode, we review the high-yield topic of Anemia of Chronic Disease from the Hematology section.Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets

Anemia is one of the most overlooked yet impactful conditions affecting energy, mood, cognition, and hormone balance. In this episode, we unpack the many root causes of anemia beyond just low iron—including micronutrient deficiencies, MTHFR mutations, lack of intrinsic factor, and the impacts of vegetarian or low-protein diets. We explore the difference between microcytic and macrocytic anemia and how to interpret key markers on an iron panel, including ferritin, transferrin saturation, and total iron-binding capacity. You'll also learn about the important connections between thyroid function and iron status, the role of hormones like estrogen and cortisol, and how symptoms like fatigue, hair loss, or irregular cycles may trace back to suboptimal iron levels. Whether you're dealing with diagnosed anemia or suspect you're trending low, this episode will help you understand how to restore balance from a functional, root-cause perspective. Also in this episode: What is anemia? Why does anemia occur? Risk factors for anemia Symptoms of anemia Assessment for anemia CBC Ferritin Serum Iron TIBC % saturation Transferrin Other lab considerations Serum B12 Serum Folate MMA Homocysteine Stool Occult Blood (GI Map Includes)  Ferritin and thyroid function Food as Medicine for iron repletion Noble Origins Organ Complex use code ALIMILLERD Liver Pills Force of Nature Ancestral Blends use code ALIMILLERRD Foods to watch out for when low in iron Supplementation MultiAvail Mama Multidefense with Iron Hemagenics MethylComplete Root cause approaches to anemia Gut Health GI Map Digestaid GI Lining Support Inflammation EPA DHA Extra Super Turmeric Cellular Antiox Heavy Metals Cellular Antiox Detox Packs Naturally Nourished Episode 426 Why You Need to Detox and How!  E3 Live Overtraining, chronic dieting and protein restriction   Sponsors for this episode:  This episode is sponsored by Wild Foods, a company that puts quality, sustainability, and health first in all of their products. They have everything from coffee to turmeric to medicinal mushrooms, and every single product is painstakingly sourced from small farms around the globe. They take their mission seriously to fix the broken food system, and believe real food is medicine. They've partnered with us to give you guys an exclusive discount, so use the code ALIMILLERRD for 12% off your order at WildFoods.co! 

To receive my free and daily newsletter, go to: www.SmartDigestion.com Would you like to schedule a consultation? Call 586-685-2222 To try Dr. Christine's Smart Carb-45 for go to: www.TrySmartCarb.com

Send us a textOrder your Hair Tissue Mineral Analysis Today!https://www.soreadyforhealth.com/Join my Tg channel to stay connected and for other videos, posts, etc. that can't be shared on YT. https://t.me/soreadyforhealthSupport my Podcast!https://www.buzzsprout.com/838417/supporters/newSupport the show

What happens when an old virus makes a new appearance? In this episode, we explore the legacy and resurgence of Infectious Salmon Anemia (ISA)—a disease that has shaped the global salmon industry for decades. With recent outbreaks reported in Northern Norway, we dive into what ISA is, how it spreads, and what history can teach us from past crises in Canada, Chile, Scotland, and the Faroe Islands. You'll learn how modern tools like genetic sequencing, DNA vaccines, and strict biosecurity protocols are helping farms fight back—and what today's uptick in cases might signal for the industry's future. For more aquaculture insights head to our Fish n' Bits blog.

Send us a textWelcome back Rounds Table Listeners! Today we have another special episode— Trial Files turns two years old this June, and we're celebrating with an episode summarizing the Top 5 RCTs in the Trial Files catalogue to date. Dr. Mike Fralick takes us through five trials in 15 minutes. Here we go!1. Effects of Semaglutide on Chronic Kidney Disease in Patients with Type 2 Diabetes (0:00 - 3:08)2. Restrictive or Liberal Transfusion Strategy in Myocardial Infarction and Anemia (3:09 - 5:37)3. Once-Weekly Semaglutide in Persons with Obesity and Knee Osteoarthritis (5:38 - 8:33)4. Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections (8:34 - 11:22)5. Finerenone in Heart Failure with Mildly Reduced or Preserved Ejection Fraction (11:23 - 13:23)Happy 2nd Birthday, Trial Files!A free monthly newsletter on practice-changing trials, delivered straight to your inbox-- sign up at https://trialfiles.substack.com/ (13:24 - 14:19)Questions? Comments? Feedback? We'd love to hear from you! @roundstable @InternAtWork @MedicinePods

Watch the NEJM In Studio video of this interview at NEJM.org. David Jones is the Ackerman Professor of the Culture of Medicine at Harvard University. Harleen Marwah, the interviewer, is an Editorial Fellow at the Journal. W. Xue and D.S. Jones. Debating Race and the Diagnosis of Anemia — How Medicine Moved Away from Race-Based Standards. N Engl J Med 2025;392:2168-2173.

Hola :)En el episodio de hoy os explico por qué puedes tener la proteína ferrritina alta en sangre:1- Explicaremos qué es la ferritina2- Niveles altos de ferritina: valores mayores o igual a 89 ug/L en mujeres en edad fértil, 212 ug/L en mujeres en etapa de la menopausia y valores mayores o iguales a 147 ug/L en hombres-3-Por qué el "higado graso" es causa y consecuencia de elevación de la ferritina y acumulación de hierro en el higado con el consecuente incremento del estado oxidativo general y hepático en particular. Y todas las consecuencias metabólicas y hormonales derivadas.4- Por qué enfermedades autoinmunes pueden dar lugar a elevación de la ferritina incluso teniendo falta de hierro.5- Causas genéticas de acumulo de hierro y ferritina: hemocromatosis hereditaria.6-Otras causas NO hereditarias de hemocromatosis: falta de cobre, alcohol, hepatitis B y C, fármacos como la isoniazida o sindrome mielodispasico.Además, aprenderemos qué recomendaciones de estilo de vida existen para cada caso y en el caso de que se necesite, tratamientos que pueden mejorar. Espero que os guste :)Para mas información ya sabéis que me tenéis en mi instagram @isabelvina dónde te comparto contenido diario  Mi TikTok @isabelvinabasEn mi canal de YouTube https://www.youtube.com/channel/UC-dfdxLBcvfztBvRAKZSXGQY los suplementos formulados por mi https://ivbwellness.com

In this episode of Hope Natural Health, Dr. Erin chats about a topic that affects so many women: anemia. During this episode you will learn about: What anemia actually is Common tests your doctor might use to diagnose anemia and pinpoint its root cause Holistic healing strategies for anemia https://weightloss.drerinellis.com/hope-for-hormones For more on Dr. Erin: Work with Dr. Erin here: https://p.bttr.to/3E88ps4 Buy Dr. Erin's Supplements here: https://drerinellis.com/shop Get the Period Productivity Planner here:  https://www.amazon.com/dp/B0BBYBRT5Q?ref_=pe_3052080_397514860 Download the FREE Menstrual Cycle Nutrition Guide here: https://detox.drerinellis.com/ Watch The Free Video "7 Hormones Affecting Your Weight Loss Goals" here: https://weightloss.drerinellis.com/ Let's Be Friends: Follow Dr. Erin on Instagram: https://www.instagram.com/dr.erinellis/ Follow Dr. Erin on Facebook: https://www.facebook.com/drerinellisnmd Follow Dr. Erin on TikTok: https://www.tiktok.com/@dr.erinellis?lang=en Join the Fix My Period Private Facebook Group: https://www.facebook.com/groups/470429440943215 Bookmark Dr. Erin's Website: https://drerinellis.com/ Subscribe to Hope Natural Health on YouTube: https://www.youtube.com/channel/UChHYVmNEu5tKu91EATHhEiA Follow Hope Natural Health on FB: https://www.facebook.com/hopenaturalhealth Sign up for Newsletters here: https://dashboard.mailerlite.com/forms/129653/99504448452166810/share Link to Testing: https://hopenaturalhealth.wellproz.com/   #AnemiaHealing #HolisticHealth #WomensWellness #NaturalHealing #IronDeficiency #HopeNaturalHealth #FatigueRelief #NutritionalHealing #HormoneHealth #DrErinEllis  

We talked to the mother of someone who has fought through AML, Anemia and a bone marrow transplant - Lisa Heiden shares the inspiring and heartbreaking story and the climbing back she has gone through since her 2020 diagnosis. Also this half we give away the ultimate Minnesota Twins broadcast package where you can go behind the scenes of the Twins broadcast - again, all courtesy of your donations to the Cure Blood Cancer Radio Auction alongside NMDP!

On this episode NinaMaria talks with influential leaders of the Cooley's Anemia Foundation (CAF). Guests Bob Ficarra, Craig Butler, and Ralph Colasanti discuss the foundation's 70-year history, advocacy efforts, and pivotal role in advancing research and patient care for thalassemia. The conversation also emphasizes the significance of patient involvement, global outreach, and ongoing initiatives such as gene therapy and the annual CAF conference. Join us as we explore how CAF continues to impact patients' lives through comprehensive support and a strong sense of community.   SHOW DESCRIPTION Thal Pals: The Alpha Beta Revolution Podcast is intended for patients, caregivers, providers, and the greater community of people who are impacted by thalassemia. Each episode strives to provide listeners with critical education, the latest scientific updates, and voices from the thalassemia community. Learn more about thalassemia by visiting RethinkThalassemia.com. Join an inclusive community and build connections with other hemolytic anemia allies by following @AllyVoicesRising on Instagram. Thal Pals is sponsored by Agios Pharmaceuticals Inc. Visit Agios.com to learn more.   This podcast is intended for informational and educational purposes only and is not intended as medical advice. Please speak with your healthcare professional before making any treatment decisions.    TRANSPARENCY STATEMENT  Thal Pals: The Alpha Beta Revolution Podcast is made possible by Agios Pharmaceuticals Inc. Visit Agios.com to learn more. The following Agios-supported programs are intended for informational and educational purposes only and are not intended as medical advice. Please speak with your healthcare professional before making any treatment decisions. Host and guest featured in this episode have been compensated for their time.  

Drs. Pemmaraju and Bose discuss the revised International Working Group criteria for anemia response in patients with myelofibrosis, outlining new definitions for transfusion status, gender-specific hemoglobin thresholds, and benchmarks for major and minor responses.

A 10-year-old of Middle Eastern ancestry , assigned female at birth, is seen for routine well child care. She is generally healthy and plays soccer, reporting excellent exercise tolerance, stating, “I'm the fastest midfield on the team.” Physical examination is within normal limits with Tanner stage 2. Height and weight are at 40% tile, consistent with previous measures. Laboratory evaluation reveals a mild microcytic hypochromic anemia with a NL RDW. This likely represents which of the following?A. Vitamin B 12 deficiencyB. G6PD deficiencyC. Iron deficiencyD. Beta thalassemia minor---YouTube: https://www.youtube.com/watch?v=ch5dbCqkPTM&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=114Visit fhea.com to learn more!

Hola!!En el episodio de hoy os traigo toda la información que podais necesitar y os puede sumar en vuestra salud sobre la vitamina B9 o folatos.En el podcast de hoy aprenderemos:La diferencia entre folatos ( formas naturaled y activas de la vitamina B9) y el acido fólicoEn qué alimentos se encuentran los folatos y cuales son otras fuentes de ellos.Como se absorbe la vitamina B9 de los alimentos  y como la hace la de los suplementosActivación del acido folico inactivo de determinados suplementos de acido folico y alimentos enriquecidosFunciones claves de la vitamina B9 activa ( Tetrahidrofolato, 5 metiltetrahidrofolato, 5 formyl tetrahidrofolato. 5,10 metileno THF, 5, 10 metenil THF..)Requerimientos diarios de folatoComo saber si lo tienes bajo en analisis y sintomasFormas activas de folato: 5 metiltetrahidrofolato, quatrefolic, metafolin, lederfolin, metiltetrahidrofolatoEspero que os guste :) Para mas información ya sabéis que me tenéis en mi instagram @isabelvina dónde te comparto contenido diario.Mi TikTok @isabelvinabas En mi canal de YouTube https://www.youtube.com/channel/UC-dfdxLBcvfztBvRAKZSXGQY los suplementos formulados por mi https://ivbwellness.com

We dive into the recognition and management of blast crisis. Hosts: Sadakat Chowdhury, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Blast_Crisis.mp3 Download Leave a Comment Tags: Hematology, Oncology Show Notes Topic Overview Blast crisis is an oncologic emergency, most commonly seen in chronic myeloid leukemia (CML). Defined by: >20% blasts in peripheral blood or bone marrow. May include extramedullary blast proliferation. Without treatment, median survival is only 3–6 months. Pathophysiology & Associated Conditions Usually occurs in CML, but also in: Myeloproliferative neoplasms (MPNs) Myelodysplastic syndromes (MDS) Transition from chronic to blast phase often reflects disease progression or treatment resistance. Risk Factors 10% of CML patients progress to blast crisis. Risk increased in: Patients refractory to tyrosine kinase inhibitors (e.g., imatinib). Those with Philadelphia chromosome abnormalities. WBC >100,000, which increases risk for leukostasis. Clinical Presentation Symptoms often stem from pancytopenia and leukostasis: Anemia: fatigue, malaise. Functional neutropenia: high WBC count, but increased infection/sepsis risk. Thrombocytopenia: bleeding, bruising. Leukostasis/hyperviscosity effects by system: Neurologic: confusion, visual changes, stroke-like symptoms. Cardiopulmonary: ARDS, myocardial injury. Others: priapism, limb ischemia, bowel infarction.

266: If you struggle with anemia, leaky gut, low red blood cells, high LDL cholesterol, brain fog, fatigue—or if you bruise easily—this episode is for you. There's a special fat that's been shown to support all of these issues. It's called C15:0, and it's the first essential fatty acid discovered in over 90 years! Stephanie joins me today for an eye-opening conversation about this unique fat—an odd-chain saturated fatty acid that's changing the game. She breaks down the difference between odd-chain and even-chain saturated fats and clears up the common misconception that all saturated fats are bad news. (Spoiler: they're not.) We also dive into how C15:0 could benefit pregnant mothers and developing babies, and why there's growing interest in adding it to infant formula. So, what foods actually contain C15:0? Are there any that block its absorption? And why are so many of us deficient in it to begin with? If you're curious whether you're lacking this essential fat, good news—there are tests for that. And within just 3 to 6 months of supplementing with Fatty15 (a C15:0 supplement), people are reporting some incredible results. We definitely get a little nerdy in this episode—and I loved every minute of it! Fatty15 | Get 15% off when you use code: DIGEST Topics Discussed: The essential fatty acid we're missing The difference between short, medium, and odd-chain fatty acids What C15:0 is and where to find it Why Americans are so deficient in it Connections to anemia, leaky gut, and aging Why pregnant and nursing moms need C15:0 The potential of adding it to infant formula Sponsored By: Fatty15 | Get 15% off when you use code: DIGEST at fatty15.com/digest Manukora | Head to MANUKORA.com/DIGEST to get $70 off the Starter Kit LMNT | Get your FREE sample pack with any LMNT purchase at drinklmnt.com/DIGEST Our Place | Go to fromourplace.com and use code DIGEST for 10% Ollie | https://www.myollie.com/digest/ & enter code DIGEST to get 60% off your first box. As always, if you have any questions for the show please email us at digestthispod@gmail.com.  And if you like this show, please share it, rate it, review it and subscribe to it on your favorite podcast app.  Show Links:  Check out Fatty15 scientific studies: https://www.discoverc15.com/  Check Out Bethany: Bethany's Instagram: @lilsipper YouTube Bethany's Website Discounts & My Favorite Products My Digestive Support Protein Powder Gut Reset Book  Get my Newsletters (Friday Finds)

How digestive health can ruin your physique & quality of life w/ Austin StoutJoin the Bodybuilding-friendly HRT Clinic - Get professional medical guidance on your health as a bodybuilder:[ Pharma Test, IGF1, Tesamorelin, Glutathione, BPC, Semaglutide, Var troche, etc]https://transcendcompany.com/patient-intake-form/?ls=Nyle+NaygaWatch it: https://www.youtube.com/watch?v=6Ihq4tIzyS8&t=5618sRP Hypertrophy Training App: rpstrength.com/nylePlease share this episode if you liked it. To support the podcast, the best cost-free way is to subscribe and please rate the podcast 5* wherever you find your podcasts. Thanks for watching.To be part of any Q&A, follow trensparentpodcast or nylenayga on instagram and watch for Q&A prompts on the story  https://www.instagram.com/trensparentpodcast/Huge Supplements (Protein, Pre, Defend Cycle Support, Utilize GDA, Vital, Astragalus, Citrus Bergamot): https://www.hugesupplements.com/discount/NYLESupport code 'NYLE' 10% off - proceeds go towards upgrading content productionYoungLA Clothes: https://www.youngla.com/discount/nyleCode ‘NYLE' to support the podcastLet's chat about the Podcast:Instagram: https://www.instagram.com/trensparentpodcast/TikTok: https://www.tiktok.com/@transparentpodcastPersonalized Bodybuilding Program:  https://www.nylenaygafitness.comTimestamps:00:00 Start of Gut Health02:20 Protein Digestion and Overeating05:10 High DHT Doses in Bodybuilding08:00 Genetics and Drug Dosages11:30 Social Media vs Real Life Knowledge14:00 Bodybuilders Eating Too Much Protein?18:00 Digestion Issues from High Protein22:00 Nutrient Deficiencies in Bodybuilding26:00 Magnesium Deficiency Explained30:00 Bloodwork Tips: Alkaline Phosphatase34:30 Anemia, Iron, and Lactoferrin39:00 How to Fix Low Iron Safely43:00 Electrolytes and Muscle Function46:30 Adrenal Fatigue and Cortisol Levels50:00 Adrenal Health and Blood Markers53:00 How to Recover from Burnout57:00 Managing Allostatic Load01:00:00 Psychological Stress and Training01:01:53 Stress & Mindset in Bodybuilding01:07:58 GLP-1 Peptides & Weight Loss01:15:24 Obesity & Hunger Hormones01:26:39 Autoimmune & Gut Health01:33:46 Fruits, Veggies & Digestion01:43:11 Insulin & Growth in Women01:50:20 Metabolic Damage & Prep Struggles01:54:28 Longevity in Bodybuilding01:56:22 Final Thoughts & Sign-Off

Send us a textWhat if the crushing fatigue, the anxiety, the brain fog, and the constant crying aren't mental health issues at all—but signs your client's body is depleted and screaming for help? The truth is; Postpartum depression  symptoms mimic postpartum iron deficiencies and postpartum anemia. This episode takes a bold look at one of the most underdiagnosed, misunderstood, and easily missed causes of postpartum “depression”: anemia. We're breaking down how iron deficiency, B12, and folate depletion can mimic mental illness in postpartum women, and how so many providers are missing the signs. If you're a postpartum provider, doula, midwife, nurse, or any practitioner supporting postpartum women—you cannot afford to overlook this conversation. We're talking labs, clinical clues, testing gaps, and holistic strategies to support deep, root-cause healing.Check out the episode on the blog: https://postpartumu.com/podcast/is-it-postpartum-depression-or-postpartum-anemia-ep-212/Key Time Stamps: 00:00 – The misdiagnosis of postpartum depression01:40 – What is anemia, and how is it connected to postpartum?03:19 – Overlapping symptoms of anemia and depression06:05 – Ferritin levels and common signs of deficiency07:27 – Maranda's personal story of missed anemia09:23 – Why most checkups aren't helping moms10:43 – What labs to run + strategies for healing13:09 – Iron absorption + practical supplementation tools15:00 – Signs to look for when “depression” isn't depression15:35 – MTHFR, genetics, and what really matters16:36 – Empowering providers to support real postpartum healingNEXT STEPS:

Frank Suárez explica por qué algunas anemias no mejoran solo con hierro y cómo el hongo cándida puede afectar la absorción de nutrientes esenciales.