Podcasts about ATP

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Kiera is joined by the tooth-healer himself, Jason Dent! Jason has an extensive background in pharmacy, and shares with Kiera where his pharmaceutical experience has bled over into dentistry. This includes the difference between anti-quag and anti-platelet and which medications are probably safe, what to do to shorten the drag time in the pharmacy, how to write prescriptions most efficiently, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and today is a really awesome and unique day. It is, think the second time I've had somebody in the podcast studio with me live for a podcast and it's the one and only Jason Dent. Jason, how are you? I'm doing well. Good morning. Thanks for having me. It is crazy. I I watch Instagram real like this all the time where people are like in the podcast and they're hanging out on two chairs and couches and now look at us. We're doing it. Cheers. Cheers.   That was a mic cheer for those of you who are only listening, but yeah, Jace, how does this feel to be on the podcast? It's weird. Like I was not nervous at all talking about it. I got really nervous as soon as you hit play. So if I stumble over my words, please forgive me ahead of time. Well, Jason, I appreciate you being on the podcast because marketing had asked me to do a topic about teledentistry and I was like, oh shoot, that's like not my forte at all. so   You and I were actually chatting in the hot tub. call it Think Tank session and you and I, we have a lot of good ideas that come from that Think Tank. A lot of business. no phones. That's why. We do leave our phones out. But I was talking to Jason and this is actually a podcast we had talked about quite a while ago. Jason has a lot of information on pharmacy. And if you don't know, Jason isn't really, we were going through all of it last night. It's kind of a mock in the tub. And I think it's going to be great because I feel like this is an area, I'm working at Midwestern and   knowing about how dentists, pharmacology was surely not your favorite one. Jason actually helps a lot of dentists with their clearances. And so we were talking about it and I like it will just be a really awesome podcast for you guys to brush up on pharmacology, different things from a pharmacist's side. So Jason, welcome. Thank you. Yeah, no, we were talking about it and here's like, what should I talk about on the podcast next? I have all these different topics and she's like, what do you know? And the only real interaction I have with dentists is doing clearances for procedures. We get them all the time, which makes sense.   Lots of people are on blood thinner, I've always told Kiera, like, hey, I could talk about that. Like, that's kind of a passion of mine. I'm not a dentist. Or my name is Jason Dent. So in Hebrew, Jason means tooth. No, no, no, sorry. Nerves are getting to me. Jason means healer and Dent means tooth. So my name means tooth healer. So, here's a little set. Hold on, on, hold Can we just talk about? I brought that up before you could talk about it more. So.   My name means tooth healer but I did not become a dentist. I know you wanted me to become a dentist. did. I don't know why. I enjoy medicine. I know what you're going to get to already. The things you're going to ask me. There's been years of this. But nevertheless, that's my name. We'll get that out of the way. But you did give me a great last name. So I mean, it's OK. You're All is fair and love here. SEO's up for that. But yeah, Jason, I'm going to get you right into the show. And I'm going to be the host. And we're going to welcome to the podcast show. Jace, how are you?   Good, good, good. Good, good, good. So by getting into clearances, right? This is what you're kinda talking about with you know, before we get to clearances, I actually wanted Jason, for the listeners who don't know you, who haven't talked to you, who don't know, let's kinda just give them like, how did you go from, Kiera wanted you to be a dentist, to now Jason, you are on the podcast talking as our expert on pharmacy. fantastic. I've always really loved medicine, a ton. As a kid getting headaches and taking Excedrin, like you just feel like a miserable pile of crap.   and then you take two pills and all of a sudden you feel better. Like that's amazing, like how does that happen? Also getting ear aches as a kid, just being in so much pain and then taking some medicine and you start feeling a lot better. I always had a lot of appreciation for that. I've always been mechanically inclined. I went to, started doing my undergrad and took biology and learned about ATP synthase, which is a spinning enzyme that's inside the mitochondria, like a turbine engine. I used to work on small engines on my dirt bike and thought that is so cool. So I really got wrapped up into chemistry.   All the mechanics of chemistry really pulled me in. I'm not getting goosebumps. checking. I usually get goosebumps when I think about chemistry. But it's so cool. You think an engine's awesome, like pistons and camshafts and pressures, the cell is the same thing. It's not as loud, so it's not as cool. But it's fascinating. that's why we're like. ⁓   chemistry and really got into coagulation. So I did my residency after pharmacy school. we went to Arizona for three years. ⁓ You did and your main focus, you were never wanting to be the guy behind the counter. No, I haven't done that. Yeah. No, I love them though. I've always really want to go clinical. ⁓ But I love my retail ⁓ pharmacists. They're amazing resources. And ⁓ I use the retail pharmacist every day still to this day, but I went more the clinical route, really love the chemistry aspect of it.   did my doctorate degree and then I did my residency in Reno. Reno's kind That's how we got here everybody. Welcome to Reno. Strategically placed because I was really interested in critical medicine and where we're located we cover a huge area. So we pull in to almost clear, we go clear to Utah, clear to California, all of Northern Nevada. We get cases from all over. So we actually are kind like the first hub of care for lot of areas. So we really get an eclectic mixture of patients that come in that need-   all kinds of different cases that are coming to them. So it's what I really wanted. So I did my residency in critical care there. And then for the next 10 years, I worked in vascular medicine with my final five years being the supervisor of the clinic. Ran all the ins and outs of that. So my providers, two doctors were on our view. So when we talk about dentistry, talk about production, those kinds of things, totally get it. My doctors were the exact same way, my vascular providers. ⁓   There's some pains there, right? You wanna be seeing patients as much as possible, being able to help as many people, keeping the billing up. And had other nurse practitioners, four practitioners, a fleet of MAs, eight pharmacists. We also had that one location we had, going off the top of my head, I think we had eight locations running as well. And we took care of all the different kinds of vascular cases that came to us. Most common was blood clots, ⁓ which is just a...   which is an easier way of saying VTE. There's so many different ways to say a blood clot. Like you might hear patients say, I've had a PE or a DVT or a venous thromboembolism or a clot in my leg, right? They're all clots, but in different locations. Same with an MI, and MI can be a clot as well. ⁓ there's a lot of, everybody's kind of saying the same thing, but sometimes the nomenclature can make it sound hard, but it really is actually pretty simple.   No. And Jason, I love that you went through, you've been in like, and even in your, ⁓ when you were getting your doctorate, you were in the ER. You also worked in retail pharmacy. remember you having a little sticker on your hand. And retail pharmacy, I have a lot of respect for those guys. They have a lot of pressure on them. and then you also, ⁓ what was that test that you had to take that? I don't know. You were like studying forever for it. ⁓ board certification for, ⁓ NABP. Yeah. So I did that board certification as well.   And now you've moved out of the hospital side onto another section in your career. Now in the insurance, right? So it's really, really interesting. So now I'm on the other side reading notes and evaluating clinical appropriateness and trying to help patients with getting coverage and making those kinds of determinations. So yeah, I've really jumped all over. Really love my clinical days. I know. don't I don't I do miss them. But yeah, kind of had a good exposure to a lot of.   pharmacy a lot a lot of dentists actually with all the places that come through which Jason I really appreciate that and honestly I know you are my spouse and so it's fun to have you on but when I go into conversations like this I don't know any of this information and so finding experts and Jason I think here's me talk more about dentistry and my business than I do hear about him on pharmacy so as we were chatting about this I really realized you are a wealth of knowledge because you've been on the clinical side so you've done a lot of patient care and you've seen how   medications interact and I know you've had a few scares in your career and ⁓ you've known some physicians that have had a few scares and ⁓ you've seen plenty of patients pass away working in the ER and gosh in Arizona drownings were such a big deal. I remember when you were in the ER on your rotations I'd be like who died today? Like tell me the stories and you've really seen and now going on to the insurance side I felt like you could just be such a good wealth of knowledge because I know dentists are sometimes so   I would say like maybe just a little more anxious when it comes to medications. I know that dental students from Midwestern were like here was like four months and we had to like pass it, learn it. And Jason, you've done four years plus clinical residency, plus you've been in it. And something I really love about Nevada Medicine is they've been so collaborative with you.   like your heart, your cardiologist, they diagnose and then they send to you to treat with medicine and... Yeah, I've been really lucky being here in Reno too. The cardiology team has been amazing to work with. We started a CHF program, sorry, congestive heart failure program for patients. So we would collaborate with cardiologists. They'd see the cardiologists and then they send them to the pharmacist to really manage all the medications. So there's pillars of therapy ⁓ called guideline directed medical therapy and the pharmacist would take care of all that. So that's gonna be your...   your beta blockers, your ACEs, your ARBs, your Entresto, which would be a little bit better, spironolactone. So just making sure that all these things are dosed appropriately, really monitoring the heart, and make sure that patients are getting better. we've had real positive outcomes when the, sorry, this is totally off topic. do, talk about that study. When we looked at when patients were coming to see our pharmacists in our clinic that we started up, the patients were half as likely to be readmitted. And this was in 2018, and our pharmacists,   We're thinking about all the medications. We're usually adjusting diabetes medications too at the same time. Just kind of naturally just taking care of all the medications because we kind of got a go ahead from the providers, a collaborative practice agreement that we could make adjustments to certain medications within certain parameters. So we weren't going rogue or maverick, but we were definitely trying to optimize our medications as much as possible. And then years later, some studies came out with, I'm sure you've seen Jardins and Farseegh. not trying to, I'm not.   I don't get any kickback from them. I have no conflicts to share. But because our pharmacists were really optimizing that medication, those medications were later shown to reduce hospitalizations and heart failure, even though they're diabetes medications. Fascinating. So it wasn't really the pharmacists. It was just the pharmacists doing as much as they can with all the tools that were in front of them. And then we found out that the patients were going back to the hospital.   half as much as regular patients. So, yeah, being here, it's been so amazing to work with providers here. the providers here want help, want to help patients, don't have an ego. I mean, I just, it's awesome. I love it. I do love how much I think Jason sees me geek out about dentistry and I watching Jay's geek about his pharmacy and how much he loves helping patients. And ⁓ really that was the whole idea of, all right.   Dentistry has pharmacy as a part of it. And I know a lot of dentists are sending in clearances and I know working in a chair side, it would be like, oh no, if they're on warfarin or on their own blood clot, you guys, honestly don't even know half of what I'm talking about because this is not my jam, which is why Jason's here. But I do know that there was always like, well, we got to talk with their provider. And so having Jason come in and just kind of explain being the pharmacist that is approving or denying or saying yes or no to take them off the blood thinners in different parts, because you have seen several dental   I don't know what they're called. What is it? Clarence's? that what comes to you? don't even know. All day my mind, it's like, here is the piece of paper that gets mailed to you to the pharmacist and then you mail it back. So whatever that is. But Chase, let's talk about it because I think you can give the dentist a lot of confidence coming from a pharmacist. What you guys see on that side. When do you actually need to approve or disapprove? Let's kind of dig into that. Yeah. Well, first of all, I think I'm not a replacement for any kind of clinical judgment whatsoever. Every patient's different. But the American Diabetes Association, you   I work with diabetes a lot. American Dental Association has some really great guidelines on blood thinners and I would always reference them. I actually looked at their website today. Make sure I'm up to speed before I get back on this again. They have resources all around making decisions for blood thinners. And I think the one real important thing in putting myself in the shoes of a dentist or any kind of staff that's around a patient that's in a chair, if they say I'm on a blood thinner, right, a flag goes up. At least in my mind, that's what goes up.   Like, okay, how do we get across this bridge? And I think the important thing to really distinct right then when they say they're on a blood thinner is that is kind of a slang word for a lot of different medications, right? Like it's the overarching word that everybody pulls up saying, I'm on a blood thinner. It's like, okay, but I don't know what say. It's like, I have a car. You're like, okay, do you have a Mazda? Do you have?   Toyota, Honda, what do you have? or even worse it'd be like saying I have a vehicle, right? So when somebody says they're on a blood thinner, it opens up a whole box of possibilities of what they're Blood thinners are also, doesn't, when they're taking these types of medications that are quote unquote a blood thinner, it doesn't actually thin the blood, like adding water to the blood, if that makes sense, or like thinning paint, or like thinning out a gravy, right? It doesn't do the same thing. Blood thinners, really what they're doing is they're working on the blood, which.   which is really cool, try not to tangent on that. ⁓ When they're working on the blood, it's not thinning it per se, but it's making it so that the proteins or platelets that are in it can't stick together and make a cloth quite as easy. So whenever somebody's on a blood thinner, I usually ask, what's the name of the blood thinner that you're on? It's not bad that they use that slang, that's okay, on the same page, but it's really broken into two different classes. There's anticoagulant and antiplatelet.   And a way to kind of remember which is which, when residents would come through our clinics, the way that I teach them is a clot is like a brick wall. You know, it's not always a brick wall. Usually the blood is a liquid going through. But once they receive some kind of chemical message, it starts making a brick wall with the mortar, which is the concrete between the and the bricks, the two parts. When it's an anti-quagent, it's working on that mortar part. When it's an anti-platelet, it's working on the bricks part, right? You need both to make a strong clot or strong brick wall.   But if you can make one of them not work, obviously like if your mortar is just water, it's not working, right? You're not gonna make a strong brick wall. So that's kind of the two deviants right there. So that's what I do in my mind real quickly to find out because antiplatelets are usually, so that's gonna be like your Plavix, Ticagrelor, Brilinta. And hold on, antiplatelets are bricks? Good job, bricks. They're the bricks. And so the reason I was thinking you could remember this because I'm, antiplatelets, it's a plate and a plate is more like a brick.   And anti coagulant, I don't know why quag feels like mortar to me, like quag, like, know, it's like slushy in the blood, like it's coagulating. It's a little bit of that, like, honestly, I'm just thinking like coagulated blood is a little bit more mortar-ish. And so platelet is your plate, like a brick, and anti-quag is like.   the gilly between the bricks. Okay, okay, I got it. Yeah, so there's an exception to every rule, but when they're on that Don't worry, this is Kiera, just like very basic. You guys are way smarter listening to this, and that's why Jason's here. No, no, you helped me pass pharmacy school. When we were doing all the top 200, you helped me memorize all know what flexorill is, all right? That's a muscle relaxant. Cyclo? I don't know that part. It's a cyclo, because you guys are cycling and flexing. I don't actually know. just know it's a muscle relaxant, so that's about as far as I got. When we're looking at antitick platelets, so that's the brick part, so that's going to be your, you know,   Hecagrelor, Breitlingta, Clopidogrel is the most common one. It's the cheapest one, so probably see that one the most. Those, I mean, there's an exception to every rule, but that's generally being used after like a stent's placed in the heart. It can be used for VTE, there's some out there, but that's pretty rare. But also for some valves that are placed in the hearts, it can be used for that as well. So antiplatelet, really thinking more like a cardiac event, right? Like I said, there's always an exception to every rule, but that's kind of where my mind goes real quickly, because we're gathering information from the patient.   They're on anticoagulant. Those are like going to be the new ones that you see commercials for all the time. So Xeralto, Alequis, those are the two big ones right now. They're replacing the older one. And also we were supposed to do a disclaimer of this is current as of today because the ADA guidelines do change. this will be current as of today. And Jason, as a pharmacist, is always looking up on that. I had no clue that you are that up to speed on dental knowledge. so just throwing it out there that if you happen to catch his podcast,   a few years back that obviously check those guidelines for sure. But the new ones are the Xarelto and Eloquist. They're replacing the older ones of warfarin. Warfarin's been around for a really long time. We've seen that one. Those are anti-coagulants. So when you're looking, when a patient says that, generally they're on that medication because they've possibly had a clot in the past or they have a heart condition called atrial fibrillation. Those are kind of the two big ones. Like I said, there's always caveats to it, but that's kind of where my mind goes real quickly. And then,   as far as getting patients cleared, the American Dental Association has really good resources on their website. You can look at those and they're always refreshing that up. They even say in their own words that there's limited data around studying patients in the dental chair and with anticoagulants or anti-platelets. It's pretty limited. There's a few studies, some from 2015, some from 2018. There's one as recent as 2021, which is nice. But really, all of those studies come together and it's really more of an expert consensus.   And with that expert consensus, they have kind of simplified things for dentistry, which is really nice. ⁓ comparing that to, we have more data for like total hip replacement, total knee replacement. We have a lot of data and we know really what we should be doing around then. But going back to dentistry, we don't have as much information, so they always say use clinical judgment, but they do give some really great expert guidance on that. So if a patient's on an anticoagulant, ⁓   they generally recommend that it doesn't need to be stopped unless there's a high bleeding risk for a patient. as a provider or as a clinician in the practice, you can be looking at high bleeding risk. Some things that make an oral procedure a little bit lower risk is one, it's in the compressible site, right? Like we can actually put pressure on that site. That's the number one way to stop bleeding is adding pressure. It's not like it's in the abdominal cavity where we can't get in and can't apply pressure. So number one, that kind of reduces the bleeding risk.   is number one. Two, we can add topical hemostatic agents. Dentists would know that better than me. There's a lot of topical ways to do that. So not only pressure, but there's those things as well. And also, but there are some procedures that are a little bit more likely to bleed. And that's where you and dentists would come in hand in What's the word in APO? Oh, the APOectomy. I got it right. Good job. like, didn't you tell me last night that the ADA guideline was like what?   three or four or more teeth? great question. So you can extract one to three teeth is what their expert consensus One to three teeth without. Without really managing or stopping anticoagulation or doing anything like that. I think that's some good guidance from them. I'm gonna add a Jasonism on that though. So with warfarin, I do see why dentists would be a little bit more conservative or worried about stopping the warfarin because warfarin isn't as stable as these newer agents. Warfarin, the levels.   quote unquote levels can go really high, they can go really low. And if the warfarin levels are high, they're more likely to bleed. So I do think it makes sense to have a really recent INR. That's how we measure what the warfarin's doing. I think that makes a lot of sense, but the ADA guidelines really go into the simplification version of all these blood thinners. Generally, it's recommended to not stop them because the risk of stopping them outweighs the benefit of stopping them in almost every case. Almost every case.   ⁓ So when you're with that patient, right, they say I'm on a blood thinner, finding out which kind of blood thinner that they're on, you find out that they're on Xeralto, right? How long have you been on Xeralto for? I've been on it for years. You don't know exactly why, but if they haven't had any recent bleeding, you're only gonna remove one tooth. ⁓ You can do what's called a HasBlood score. That kind of looks at the bleeding risk that they'd have. That'd be kind of going a notch above, but in my mind, removing one tooth isn't a real serious bleeding risk. I'd love to hear from my dentist friends if they...   disagree, right, but ADA says one to three tooth removals, extractions, that's the fancy word. Extractions, yeah, for extracting teeth out. Is not really that invasive. Sure. It's not that high risk, so it's usually perfectly fine. So if a patient was on Xarelto, ⁓ no other, this is in a vacuum, right? I'm not looking at any other factors, which you should be looking at other factors. I would be perfectly fine to just remove one to two.   And when those clearances come in, because dentists do send them, talk about what happens. You guys were working in the hospital and you guys would get these clearances all the time. do. We get them so often. I mean, we get like four or five a day. We'd love to give it to our students, student pharmacists, and ask them what to do. And they would usually look up the American Dental Association guidelines and come up with something. We're like, yep, that's what we say too. In fact, we say it so many times a day that we have a smart phrase.   which just blows in the information real quickly and faxes it right back to the So it's like a copy paste real quick. So what I wanted to point out when Jason told me this is dentists like hearing this and learning this, this can actually save you guys a ton of time to be able to be more confident, to not need to send those clearances on. And we were actually talking last night about how I think this might be a CYA for dentists. like, as we were talking, I think Jason, you seeing so many other aspects of medicine, like you've literally seen patients die, you've seen other areas.   And so coming from that clinical vantage point, we were realizing that dentists, we are so blessed to live in an injury. I enjoy dentistry because possibly there's someone dying, not super high, luckily in dentistry. The only time that I have actually had a doctor have a patient pass away, and it was only when they were completely sedated and doing ⁓ some other things, but that was under the care of an anesthesiologist. And so that's really our high, high risk. And so hearing this, Jason,   That was one of the reasons I wanted him to come on is to give you doctors more confidence of do we have to always send to a pharmacist? I mean, hearing that on the pharmacy side, they're just sending these back and not to say to not see why a to not cover this because you might be questioning like, well, do I really need to? But you also were talking about some other ways of so number one, you guys are just going to copy back the 88 guidelines. So so 88 guidelines. Yeah. And I think that that gives a lot of confidence to a provider or a dentist is that you can go to the 88 guidelines and read them, right? Like you're listening to some   nasally monotone pharmacist on a podcast. Rumor has it, people love him at the hospital. were like, you're the voice, he's been told he has a good radio So for the clinic, I was the voice. Like, yeah, you've reached the vascular clinic, right? And they're like, oh my gosh, you're the voice. But sorry, you me distracted. That'll be your next career, Jace. You're going to be a radio host. OK. I would love that. I love music. But you're hearing from a nasally guy, but you can actually read the ADA guidelines. You just go right to the ADA, click on Resources, and under Resources, it has the   around anticoagulants, I think that's the best way to get a lot of confidence about it because they have dentists who are the experts making calls on these. I'm just reiterating what they say, but I think it makes a lot of sense to help providers. And the reason why my heart goes out to you as well is having the providers that used to work underneath me, they're always looking for our views, which is a fancy way of making sure that they're drilling and filling. Can I say that? Yeah, can say drilling and filling. They're being productive, right? They're being productive, right?   They're always looking to make sure if a patient's canceling, like get somebody in here. Like I need to be helping people all day long. That's how I, we keep the lights on. That's how I help as many people. And so if you have a patient coming in the chair and it has an issue, they say I'm on Xeralto. Well, you can ask real quickly, why are you on Xeralto? I had a clot 10 years ago. my gosh. Well, yeah, we're pretty good to go. Then I'm not worried. We're only removing one tooth or we're just doing a cavity or a cleaning. Something like that. Shouldn't be an issue whatsoever because there's experts in the dental. ⁓   in the dental society, the ADA guidelines that recommend three teeth or less, minimally invasive. They really recommend if it's gonna be really high bleeding risk. And clinically, that's where you would come in, ⁓ or yourself. know, apioectomy is one that's like on the fence line. I don't know where implants set. though, and like we were talking, implants aren't usually like a date of procedure. Most people aren't popping in, having tooth pain, and we're like, let's do an implant. Now sometimes that can be the case, but typically that one's gonna have   a few other pieces involved. And so that is where you can get a clearance if you want to. ⁓ But we were really looking at this of like so many dentists that I know that you've seen will just send in these clearances because they are. And I think maybe a way to help dentists have more confidence is because you know, I love routines. I love to not have to remember things. So why don't we throw it in, have the team member set it up where every quarter we just double check the ADA guidelines. Are there any updates? Are there any other things that we need to do on that? That way you can just see like   getting into the language of this, of what do I need to do? Because honestly, you guys, know pharmacy was not a big portion for it, so, recommending different parts, but I think this is such a space where you can have confidence, and there's a few other things I wanna get to, and I you- I some pearls too. Okay, go. I'm so when she get me into talking about drugs, I'm not gonna stop. So, some other things around that too is these newer blood thinners like Xarelto Eloquist, they now have reversal agents, so a lot of providers in the past were really worried about bleeding because we can't turn it off. We can turn those off. Warfarin has reversal as well, right?   So I'm looking at these patients. It's really low risk. It's in the mouth, generally speaking. Very rarely are they a high bleeding risk. Now if you're doing maxillofacial surgery, this does not apply, right? This does not apply whatsoever. you're like general dentist, you're pediatric dentist. Yeah, yeah, and it's kind of on the fly. So just trying to really help you to be able to take care of those patients on the moment, have that confidence, look at the ADA guidelines, have that in front of you. I don't think it's a bad thing to ever...   check with their provider if you need to. If you're thinking, I feel like I should just check with the provider, I would never take that away from you. But I just want to kind of steer towards those guidelines that I have to help. But what did you want to share? No, yeah, I love that. And I think there were just a few other nuggets that we were chatting about last night that can help dentists just kind of get things passed a little bit easier. So you were mentioning that if they were named to their cardiologist, what was it? was like, who is the last? Great question. Yeah, when a patient's on a blood thinner,   It could be prescribed by the cardiologist. It could be prescribed by the family provider or could have been punted to like a vascular clinic like where I was working. It can go to any of those. And when you send that fax, right, if it goes to the cardiologist and it's supposed to go to the family care provider, like it just kind of goes, goes nowhere, right, from there. So I think it's a really good idea to find out who prescribed it last. If the patient doesn't know who prescribed their blood thinner last, you can call their pharmacy. I call pharmacies all day long.   I have noticed in the last year, they are way easier to get a hold of, which has made my job a lot easier, working on the insurance portion. So reaching out to the pharmacy, finding out who that provider is and sending it to them, because they should be able to help with that. I thought that was a good shift in verbiage that you had of asking instead of like the cardiologist, because that's who you would assume was the one. But you said like so many times you guys would take care of them, and then they go back to family practitioner, and you guys would get the clearances, but you couldn't clear because you weren't overseeing. So just asking the patient.   who prescribed their medication for them last time. That way you can send the clearance to the correct provider. then- And they might not know. You know patients, right? They're like, I don't know, my mom's or else, I don't know who gave it to me. Somebody told me I need to be on this. But at least that could be another quick thing. And then also we were talking last night about-   ⁓ What are some other things that dentists can do when like writing scripts to help them get what I think like overarching theme of everything we discussed is one how to help dentists have less I think drag through pharmacy. ⁓ Because pharmacy can take a little while and so perfect we now know the difference between anti-quag and anti-platelet. We know which medications are probably safe. We know we can check the ADA guidelines so that we were not having to do as many clearances. We also know if they're on a medication to find out and we do need a clearance.   who we can go to for the fastest, easiest result. And now, in talking about prescriptions, you had some really interesting tips that you could share with them. Yeah, so with writing prescriptions, right, pharmacies are pharmacies. So I'm not gonna say good thing or bad thing. There are challenges working with pharmacies. I'm not gonna play that down at all. ⁓ If you're writing prescriptions and having issues and kickbacks from pharmacies, there's some interesting laws around ⁓ writing prescriptions. Say that you're trying to ⁓ prescribe   augmentin, you know, 875 BID, and you tell the patient, hey, I want you to take this twice a day for seven days, and then you put quantity of seven, because you're moving fast, right? You want it for seven days, quantity of seven. Quantity would actually be 14, right? It's not that big of a deal. Anybody with common sense would say if you're taking a pill for twice a day for seven days, you need 14 tablets. But LAHA doesn't allow pharmacists to make that kind of a change, unfortunately. They have to follow what you're saying there. So you're going to get a...   An annoying callback that says, you wrote for seven tablets. I know you need 14. Is that OK? Just delays things, right? So ⁓ I really like the two letters QS. That's Q isn't queen. S isn't Sam. Yeah. It stands for quantity sufficient. So you don't have to calculate the amount of any medication that you're doing. So for me, as a pharmacist, when I was taking care of patients, I hated calculating the amount of insulin they would need for an entire month. So I would say.   Mrs. Jones needs 15, I'd say 15 units ⁓ QD daily. ⁓ And then I say QS, quantity sufficient, ⁓ 90 day supply through refills. So the pharmacy can then go calculate how much insulin that they need. I don't have to even do that. So anytime you're prescribing anything, I like that QS personally. So that lets the pharmacy use ⁓ common sense, as I like to call it, instead of giving you a call. I think that's super helpful. I also thought of one thing too.   going back to blood thinners is when it's kind of like a real quick, like they're not gonna have you stop the blood thinner at all. like you're seeing if you can stop the blood thinner for a patient, there's some instances it's just not gonna happen. And that's whenever they've been, they've had a clot or a stroke or a heart attack within the last three months. Three months. Yeah, that's kind of like the.   Because so many people are like, they had a heart thing like six years ago. And so I think a lot of my dentists that I worked with were like, we got to stop the blood thinners. But it sounds like it's within three months. Yeah, well, I'm just the time. Like this is general broad strokes. What I'm just trying to say is when you want to expect a no real quick. Got it. Right. So because benefits of stopping a blood thinner within those first three months of an event is very, very risky versus the, you know, the benefit of reducing a little bit of blood coming out of the mouth. Right. Like that's not that bad.   when somebody's had a stroke or a heart attack or pulmonary embolism, a clot in the lung, like we can't replace the lung, heart or brain very easily. We can replace blood a lot better. We've got buckets of it at most hospitals have buckets of it, right? So I'm always kind of leaning towards I'd rather replace blood than tissue at all times. So that's kind of a quick no. If they've had one those events in the last three months, we are really, really gonna watch their brain instead of getting.   root canal, right? Like really worried about them. So you'll just say no. And they could the dentist still proceed with the procedure or would you recommend like a three month wait? Or is it provider specific way the pros and cons because sometimes you need to get that tooth out. Great question. think then it's going to come into clinical. That's that's when you send in the clearance, right? Like, and it's great to reach out to the provider who's managing it for you. But I think it's kind of good to know exactly when you get a quick no quick no is going to be less than three months.   ⁓ Or when it's going to be like a kind of a typical, yeah, no problem. If it's been no greater than six months, they're on the typical anticoagulants or alto eloquence. Nothing crazy is going on for them. You're only removing two teeth. This is very, very low risk. But again, I'd urge everybody to read the ADA guidelines. That way you feel more comfortable with it. I'm not as eloquent as they do. They do a real good job. So I don't want to take any of their credit. I think they do a real good job of simplifying that and making you feel confident with providing.   more timely care for patients. Which is amazing. And Jayce, one last thing. I don't remember what it was. You were talking about the DEA and like six month rule. yeah. Let's just quickly talk about that and then we'll wrap this because this is such a fascinating thing for me last night. Yeah. So when comes to prescribing controlled substances, most providers have to have a DEA license. OK. First of all, though, what's your take on dentist prescribing controlled substances? ⁓ I don't think, you know, I worked on the insurance side of things. Right. And I look at the requirements for the   as the authorizations, what a patient, the criteria a patient needs to hit in order to qualify for certain medications. A lot of times for those controlled substances, they have pretty significant issues going on, like fibromyalgia or cancer-related pain or end-of-life care versus we don't, in all my scanning thread, I don't have a ⁓ perfect picture memory. Sure. But I don't usually see oral.   pain in there. There is some post-operative pain that can be covered for those kind of medications but I really recommend to keep those lower and in fact in a lot of our criteria it recommends you know have they tried Tylenol first, they tried, have they filled NSAIDs or are they contraindicated with the patient. So really they should be last line for patients in my two cents but there's always going to be a caveat to the rule right? Of course. comes through that has oral cancer and you're taking   like that would make sense to me. Got it, so then back to the DEA. Yeah, okay. Okay, ready. So as a provider, you should be checking the, if you're doing controlled substances, you should be checking the prescription drug monitoring program, or sometimes called the PDMP, looking to see if patients are getting ⁓ controlled substances from another provider. So it's really just a check and balance to make sure that they're not going from provider to provider to getting too many narcotics and causing self harm or harm to others.   And so with checking that PDMP before prescribing, I think a lot of providers do that. A lot of softwares that I'm aware of, EMRs, electronic medical records, sometimes have links so that you can do that more quickly. However, I don't think it's as intuitive that they need to be checking that every six months in some states. And like here in Nevada, you're supposed to be checking it every six months, not for a patient, but for your actual DEA registration to see if anybody else is prescribing underneath you. Because if you don't check that every six months, you could get in some serious trouble with...   not only DEA, but even more the Board of Pharmacy and your state. Now, I don't know all 50 states, so I check with your state to see if you need to be checking that every six months, but set an alarm just to check that real quickly, keep your nose clean. ⁓ I've had providers, I've had to remind to do that. And if somebody was using your account, prescribing narcotics, you'd never know unless you went and checked that PDMP.   Yeah, I remember last night you were like, and if that was you, I would not want to be you. The Board of Pharmacy is going to be real excited to find you. So that was something where I was like, got it. So, and we all know I'm big on let's make it easy. And Jason, I love that you love this so much and you just brought so much value today. And like also for me, it's just fun to podcast. fun. Yeah. But I got a nerd out on my world a little bit. Bring it into yours. I work with dentists or at least you know, when I was working in Vascular Clinic all day long. Great questions that would come through. Yeah.   So I think for all of us, as a recap on this is number one, I think setting yourself ⁓ some cadences. So maybe every quarter we check our ADA guidelines and we check our, what is it, PDMP. PDMP. so each state, so they call it Prescription Drug Monitoring Program. We need that. Yeah, but there are different acronyms in different states, though. That's just what it's called in Nevada. I forget what it is in California, but you can check your state's prescription monitoring program, make sure that opioids aren't being prescribed under your name. Got it. So we just set that as a cadence.   We know one to three teeth most likely if they're on a blood thinner is According to the 88 as of today is good to go You know things that are going to get a quick know are going to be within the last three months of the stroke the heart attack or the Clot I'm thinking like the pulmonary embolus. Yeah, that's what we're trying to prevent   Those are gonna be quick knows and then if we're prescribing, let's do QS. We've got quantity is sufficient so that we're not getting phone calls back on those medications that we are. And then on narcotics, just being a bit more cautious. Of course, this is provider specific and in no way, or form did Jason come on here to tell you you are the clinical expert.   Jason's the clinical expert on medications. And if you guys ever have questions, I know Jason, you geek out and you want to talk to people so that anyone wants to chat shop. Be sure to reach out and we'll be able to connect you in. we've even talked about possibly, so let me know listeners. You can email in Hello@TheDentalATeam.com of ask a pharmacist anything. I talked to Jason. I was like,   We'll just have them like send in questions and maybe get you back on the podcast or we do a webinar. But any last thoughts, Jace, you've got of pharmacy and dentistry as we as we wrap up today? No, I think that's pretty much it. So check the ADA guidelines. I think it's really good to have cross communication between professions. Right. If you're working with the pharmacy, CVS, Walgreens or something like that or Walmart, I know that it can be challenging. Right. They're under different pressures. You're under different pressure. So I think ⁓ just coming in with an understanding, not being angry at each other.   you know what mean, is super beneficial and working together. When it comes to it, every dentist that I've talked to is actually worried about their patient. Every pharmacist that I've worked with is really worried about the patient as well. So we're trying to accomplish the same thing, but we have different rules and our hands are bound in different ways that annoy each other, right? Like I know Dr. Jones, want 14 tablets, but you said seven. And I know Common Sense says I should give them 14, but I've got to make that change.   knowing that their hands are tied by the law. They can't use as much common sense, which is aggravating. I mean, that's why I love what I gotta do here. I gotta just kind of help a lot more and use common sense and improve patient care. But those kinds of things I think are really beneficial as you work together and then not being so afraid of blood thinners, right? So I think those guidelines do a great job of giving you confidence and not worrying about the side effects. And there's a lot of things that you can do locally for bleeding.   You have a lot of control over that. I think that's pretty cool, the tools they have. Yeah. And at the end of the day, yes, you are the clinician. You are the one who is responsible for this. so obviously, chat, but I think collaborating, talking to other pharmacists, talking to them in your state, finding out what are the state laws, things like that I think can be really beneficial just to give you peace of mind and confidence. And again, dentistry, are maybe a bit more risk adverse because luckily we don't have patients dying That's great thing. Yeah, that's fantastic. I want my dentists to be risk adverse. I think so too. But Jason, I appreciate you being on the podcast today.   And for all of you listening, ⁓ more confidence, more clarity, more streamline to be able to serve and help our patients better. if we can help you in any way or you've got more questions, reach out Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.  

Late-night musings from Dylan and Max: corrections on "newest airports," a touchdown-point math fix, and Max's Cub antics after an oil change—including a surprise landing on BLM dirt near Lake Pleasant. Then: the inaugural JSX ATR into Scottsdale, a Japan trip preview, a wild "Gleaming the Cube" airport intro, Jepp AMM taxi chart nerd-out, ForeFlight layoff chatter, and Airplane Manager's new AI. The mailbag brings career moves, SOP love, a real-world bird strike at rotation, and finally: Flight Advice from a pilot spouse (Marie) asking what "stay flexible" really means when you've got kids, a career, and possible commuting in the future. Episode 71 What's it like to be Married to a Pilot and Raise a Family Gleaming the Cube movie Show Notes 0:00 Intro 6:46 Max's Cub & Musings 18:29 AMM Charts & ForeFlight Layoff 21:47 Reviews & Comments 24:14 Mailbag 35:15 Flight Advice Our Sponsors Tim Pope, CFP® — Tim is both a CERTIFIED FINANCIAL PLANNER™ and a pilot. His practice specializes in aviation professionals and aviation 401k plans, helping clients pursue their financial goals by defining them, optimizing resources, and monitoring progress. Click here to learn more. Also check out The Pilot's Portfolio Podcast. Advanced Aircrew Academy — Enables flight operations to fulfill their training needs in the most efficient and affordable way—anywhere, at any time. They provide high-quality training for professional pilots, flight attendants, flight coordinators, maintenance, and line service teams, all delivered via a world-class online system. Click here to learn more. Raven Careers — Helping your career take flight. Raven Careers supports professional pilots with resume prep, interview strategy, and long-term career planning. Whether you're a CFI eyeing your first regional, a captain debating your upgrade path, or a legacy hopeful refining your application, their one-on-one coaching and insider knowledge give you a real advantage. Click here to learn more. The AirComp Calculator™ is business aviation's only online compensation analysis system. It can provide precise compensation ranges for 14 business aviation positions in six aircraft classes at over 50 locations throughout the United States in seconds. Click here to learn more. Vaerus Jet Sales — Vaerus means right, true, and real. Buy or sell an aircraft the right way, with a true partner to make your dream of flight real. Connect with Brooks at Vaerus Jet Sales or learn more about their DC-3 Referral Program. Harvey Watt — Offers the only true Loss of Medical License Insurance available to individuals and small groups. Because Harvey Watt manages most airlines' plans, they can assist you in identifying the right coverage to supplement your airline's plan. Many buy coverage to supplement the loss of retirement benefits while grounded. Click here to learn more. VSL ACE Guide — Your all-in-one pilot training resource. Includes the most up-to-date Airman Certification Standards (ACS) and Practical Test Standards (PTS) for Private, Instrument, Commercial, ATP, CFI, and CFII. 21.Five listeners get a discount on the guide—click here to learn more. ProPilotWorld.com — The premier information and networking resource for professional pilots. Click here to learn more.   Feedback & Contact Have feedback, suggestions, or a great aviation story to share? Email us at info@21fivepodcast.com. Check out our Instagram feed @21FivePodcast for more great content (and our collection of aviation license plates). The statements made in this show are our own opinions and do not reflect, nor were they under any direction of any of our employers.

SMU Men's HC Grant Chen and Baylor Men's HC Michael Woodson join the show to preview the 2026 ITA Men's National Indoor Championship. They talk about the enhanced fan experience for those that attend the 2026 event, and reflect upon a remarkable Kickoff Weekend. Coach Chen then sticks around to discuss Trevor Svajda's run to the 2025 NCAA Singles Final, hosting an ATP 500, plus SO much more!! Laurel Springs Ranked among the best online private schools in the United States, Laurel Springs stands out when it comes to support, personalization, community, and college prep. They give their K-12 students the resources, guidance, and learning opportunities they need at each grade level to reach their full potential. Find Cracked Racquets Website: https://www.crackedracquets.com Instagram: https://instagram.com/crackedracquets Twitter: https://twitter.com/crackedracquets Facebook: https://Facebook.com/crackedracquets YouTube: https://www.youtube.com/c/crackedracquets Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Cracked Racquets Editor-in-Chief Alex Gruskin offers his thoughts on those ATP players that did the most to either improve or hurt their standing in the opening month of the 2026 season with a game of "Stock Up, Stock Down". He breaks down remarkably impressive hard court Januarys for Baez and Darderi. He also looks at a tough month for the Canadian men, plus SO much more!! Don't forget to give a 5 star review on your favorite podcast app! In addition, add your twitter/instagram handle to the review for a chance to win some FREE CR gear!! Episode Bookmarks Learner Tien, Stock Up - 8:15 Hubert Hurkacz, Stock Up - 14:40 Luciano Darderi, Stock Up - 18:35 Sebastian Baez, Stock Up - 22:55 College as a pathway, Stock Up - 28:00 Stock Up Honorable Mention - 31:00 Denis Shapovalov, Stock Down - 33:00 Gabriel Diallo, Stock Down - 35:00 Sebastian Korda, Stock Down - 36:22 Stock Down Honorable Mention - 38:20 _____ Laurel Springs Ranked among the best online private schools in the United States, Laurel Springs stands out when it comes to support, personalization, community, and college prep. They give their K-12 students the resources, guidance, and learning opportunities they need at each grade level to reach their full potential. Find Cracked Racquets Website: https://www.crackedracquets.com Instagram: https://instagram.com/crackedracquets Twitter: https://twitter.com/crackedracquets Facebook: https://Facebook.com/crackedracquets YouTube: https://www.youtube.com/c/crackedracquets Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Mitochondria, Metabolism & Modern Medicine   When "Everything Looks Normal"… But You Don't Feel Normal The Cellular Health Conversation Most People Never Get Why Your Energy, Hormones, and Metabolism Start at the Mitochondria   You can be "doing everything right"… and still feel wiped out by 2 p.m.  You can have "normal" labs… and still feel like something is off.    In this episode of Richer Soul, Rocky sits down with Dr. William Haas to explore what modern medicine often misses: cellular dysfunction, mitochondrial health, gut integrity, hormones, toxins, and recovery tools like hyperbaric oxygen—especially for high performers who hit the wall despite clean living.  "Medical school is teaching how to manage disease. And that was a rude awakening."    5 Soul-Level Insights from Dr. William Haas: (This isn't about chasing more hacks. It's about understanding what your body is telling you.)  Mitochondria aren't just "energy." Dr. Haas explains mitochondria produce ATP (your energy currency) and influence inflammation and immune pathways—so mitochondrial dysfunction can ripple into far more than fatigue.  Some "normal" meds can quietly derail cellular performance. He specifically calls out antibiotics like Cipro and Levoquin as "terrible" for mitochondrial health, notes OTC anti-inflammatories can "uncouple" mitochondria, and discusses metformin potentially impacting mitochondria and contributing to B12 deficiency.  Food sensitivities may be a symptom, not the root cause. When people "light up like a Christmas tree" on food sensitivity testing, Dr. Haas says it often points to gut barrier issues ("leaky gut")—and that fixing the gut can make sensitivities go away.  Hormones don't fail in isolation—stress and sleep shape the outcome. He emphasizes starting with fundamentals like sleep, alcohol reduction, and stress management, and explains "cortisol steal" where high stress drives cortisol production at the expense of testosterone.  Metabolism isn't magic: build lean muscle. When asked how to increase metabolic rate, Dr. Haas gives the simplest (and most effective) answer: build lean muscle mass.    Why This Conversation Matters: Dr. Haas shares that in his 40s—while scaling his medical practice, starting another business helping other doctors, and growing his family—fatigue hit hard, even while he was "doing the right things." It became a wake-up moment that something at a cellular level was off.  That experience pushed him deeper into what he describes as cellular medicine: mitochondria, redox/repair pathways, hormones, toxins, and tools like hyperbaric oxygen.  And it highlights a hard truth for high performers: If your health collapses, your freedom collapses with it.    Money Learning: Dr. Haas also touches a reality most people don't think about: Becoming a doctor can delay earning for a long time. He says he was about 38 when he made his first "real" doctor paycheck—and contrasts that with his brother who started earning right after college.  Rocky adds an important point: sometimes the best decisions happen outside the traditional insurance-driven system—when you can get proactive testing and establish baselines, rather than waiting until the system says you're "sick enough" to qualify.    Key Takeaway: If you want more energy, better recovery, and a longer health span, you can't only focus on symptoms—you have to protect the foundations: mitochondria, gut function, hormones, and lean muscle mass.    Guest Bio: Dr. William Haas: Dr. William Haas is trained in family practice and describes his path into integrative medicine, which he frames as focusing on prevention, food as medicine, the mind-body connection, and pulling tools from different healing modalities. He also mentions training/mentorship with Andrew Weil.  In this episode, he discusses deeper evaluation beyond basic labs, including gut function/microbiome, micronutrients, hormones, inflammation, and toxins such as mycotoxins/mold, microplastics, and heavy metals.    Links: Website: https://vyvewellness.com/ Facebook: https://www.facebook.com/VYVEWellness/ Instagram: https://www.instagram.com/vyvewellness YouTube: https://www.youtube.com/@VYVEWellness Blog: https://vyvewellness.com/blog/   Ready to Go Deeper? Stop accepting "everything looks normal" as the end of the conversation. If you want to identify your own detox, redox, and repair blind spots, start with the free assessment at vyvewellness.com.   #RicherSoul #DrWilliamHaas #Mitochondria #MitochondrialHealth #Metabolism #LeanMuscle #FunctionalMedicine #IntegrativeMedicine #GutHealth #LeakyGut #HormoneHealth #Testosterone #HyperbaricOxygen #HBOT #Longevity #HealthOptimization    Watch the full episode on YouTube: https://www.youtube.com/@richersoul Richer Soul Life Beyond Money. You got rich, now what? Let's talk about your journey to more a purposeful, intentional, amazing life. Where are you going to go and how are you going to get there? Let's figure that out together. At the core is the financial well-being to be able to do what you want, when you want, how you want. It's about personal freedom! Thanks for listening! Show Sponsor: http://profitcomesfirst.com/ Schedule your free no obligation call: https://bookme.name/rockyl/lite/intro-appointment-15-minutes If you like the show please leave a review on iTunes: http://bit.do/richersoul https://www.facebook.com/richersoul http://richersoul.com/ rocky@richersoul.com Some music provided by Junan from Junan Podcast Any financial advice is for educational purposes only and you should consult with an expert for your specific needs.

Vitamin D and magnesium work together to regulate muscle contraction, energy production, bone strength, and recovery, forming a nutrient pairing that determines how effectively your body responds to training Research consisting of professional and Olympic sports shows widespread vitamin D and magnesium deficiency, which raises injury risk, slows recovery, weakens strength, and reduces endurance through impaired calcium and adenosine triphosphate (ATP) function Magnesium deficiency often hides behind normal blood tests, disrupts cellular energy production, worsens fatigue and cramps, and increases soreness, especially in endurance athletes training hard or in hot environments Endurance exercise increases magnesium needs by shifting the mineral into working muscles and increasing losses through sweat and urine Supplementing magnesium and vitamin D together improves strength, endurance, recovery, and soreness within weeks, particularly in athletes starting deficient or training at high volumes, without increasing workout intensity

Tem algo muito sério que ainda não está sendo dito por quem ainda promove o corte de carboidratos por aí...  Algo que eu percebi em mim mesmo há 6 anos atrás e que venho alertando vocês aqui desde então...  Este enorme problema é ofuscado pela perda de peso relativamente rápida que low carb pode de fato promover e as melhoras metabólicas no curto prazo que também podem acontecer...  No entanto, benefícios assim não são únicos da low carb somente, nao nao... mas aqui está o ponto: Se você é como eu, você não quer emagrecer hoje só pra ficar ainda mais propenso ao ganho de peso amanhã, certo? Você não quer adoecer seu corpo metabolicamente, não quer engordar depois com qualquer deslize na dieta e com certeza você também não quer construir uma prisão alimentar pra se trancar dentro dela pro resto da vida, certo?  Veja, depois de eu mesmo ter cortado carboidratos por anos a fio com low carb, cetogênica e até carnívora, eu vi nos meus próprios exames a minha glicose em jejum PIORAR ao longo do tempo, minha sensibilidade a insulina cair, minha tireoide desacelerar e até meu colesterol disparar.  Então, neste vídeo eu quero te mostrar porque eu nunca mais cortaria carboidratos pra emagrecer e revelar pra você algumas provas de que isso de fato promove a resistência a insulina no corpo e uma cadeia de adaptações metabólicas negativas com o passar do tempo que tenho certeza que você quer evitar...  Então, vamos a isso pra você se dar bem a partir de agora e não mal...  

MANUAL DESCARGAR: https://drive.google.com/file/d/18-eu...Me pueden encontrar tambien en Instagram:   / medhacker  TikTok: https://www.tiktok.com/Compartan si me quieren apoyar! Gracias! ¿Qué es la creatina?-Descubierta en 1832, incluso antes que el ATP.-Es un compuesto nitrogenado que el cuerpo produce en hígado y cerebro.-Se obtiene en pequeñas cantidades de carne y pescado, pero es casi inexistente en dietas vegetarianas o veganas.-Funciona como "el Robin de Batman (ATP)": ayuda a regenerar rápidamente energía para contracciones musculares.Efectos principales en el músculo-Mejora fuerza y rendimiento: más repeticiones, mejor recuperación entre series.-Aumento de masa magra: en promedio 700 g de músculo en 6 semanas.-Recuperación: acelera la reparación muscular y disminuye daño.-Efectos en aeróbicos: ayuda en hidratación y reduce inflamación tras maratones o ironman.-No es un esteroide.Propiedades antiinflamatorias-Reduce citocinas inflamatorias (IL-6, TNF-α, CRP).-Tiene potencial en condiciones donde la inflamación es clave: envejecimiento, sarcopenia, enfermedades neurológicas.-Puede proteger al cerebro en situaciones de estrés metabólico (falta de sueño, jet lag, trauma).Cerebro y cognición-Beneficios en memoria, atención, depresión, Alzheimer, Parkinson y conmociones cerebrales.-Mejora síntomas de privación de sueño y fatiga mental.-En Alzheimer: 20 g/día por 8 semanas mostró mejoría cognitiva.-En depresión: 5 g/día junto con terapia o medicación ayudó a reducir síntomas.Salud ósea-En mujeres postmenopáusicas: 8–12 g/día redujo pérdida de densidad mineral ósea en cadera.-Puede actuar como anti-resortivo, parecido a los bifosfonatos.-Potencial para disminuir riesgo de fracturas y fragilidad.Mujeres, embarazo y niños-Mujeres: suelen tener menores reservas, responden bien a suplementación.-Embarazo: estudios en animales muestran beneficios en placenta y desarrollo fetal; ensayos clínicos en humanos están en curso.-Niños y adolescentes: dosis seguras (0.1 g/kg). Evidencia positiva en deportes y en casos de conmoción cerebral.Dosis y formas de uso-Estándar: 3–5 g/día.-Carga rápida: 20 g/día (divididos) por 5–7 días, luego 3–5 g/día.-Enfocado en cerebro: más de 10 g/día, incluso hasta 20 g en patologías como Alzheimer.-Se puede tomar con comida (mejor absorción con proteínas o carbohidratos).-No importa la hora: lo clave es la consistencia.Mitos y realidades-Daño renal: falso (creatinina puede subir, pero es marcador falso).-Hipertensión: no aumenta la presión arterial.-Retención de líquidos peligrosa: la hidratación es intracelular y benéfica.-Pérdida de cabello: no hay evidencia.-Engorda: al contrario, puede favorecer leve pérdida de grasa.-Necesidad de ciclo: no es necesario suspender.Seguridad-Considerado por la FDA como “Generally Recognized as Safe (GRAS)”.-Más de 1000 estudios respaldan su seguridad y eficacia.-Puede usarse en jóvenes, adultos, mujeres y mayores.Futuras áreas de investigación-Uso en cáncer, tanto en prevención como adyuvante en tratamientos.-Embarazo y lactancia: estudios en humanos en curso.-Trastornos neurológicos y psiquiátricos: depresión, ansiedad, PTSD, ADHD.Recomendaciones prácticas-Base de salud: ejercicio + sueño + buena nutrición.-Creatina es “la cereza del pastel”: segura, económica y altamente estudiada.-Idealmente acompañada de entrenamiento de fuerza y suficiente ingesta proteica.-En pacientes que usan GLP-1 (semaglutide, tirzepatide): fundamental para evitar pérdida de músculo.

In this episode of Ageless Future, Cade Archibald reframes aging as a bioenergetic problem—not simply “wear and tear” or the passage of time. He explains how mitochondrial dysfunction can quietly precede chronic disease through declining ATP production, rising oxidative stress (ROS), and increasingly inefficient cellular signaling, setting the stage for issues like neurodegeneration, cardiometabolic disease, and autoimmune/inflammatory disorders. Cade highlights how mitochondria act as intelligent signaling hubs that help the body adapt to stress, why symptoms often appear before labs look abnormal, and how restoring energy can unlock repair, detoxification, hormone balance, and immune stability. He closes with practical “mitochondria-charging” strategies—recovery, sleep, heat/cold exposure, red light, and foundational habits—challenging listeners to prioritize restoration to restore health.AGELESS FUTURE:Book Comprehensive Labs: https://agelessfuture.com/longevity-labs/FREE copy of The Peptide Blueprint: https://agelessfuture.com/blueprintSign up for future Health Accelerator Challenges calls LIVE! https://us02web.zoom.us/webinar/register/WN_YZsiUMOzSyqcE8IinC5YEQ#/registrationBooks: https://www.amazon.com/Books-Regan-Archibald/s?rh=n%3A283155%2Cp_27%3ARegan%2BArchibaldArticles: https://medium.com/search?q=Regan+ArchibaldLIKE/FOLLOW/SUBSCRIBE AGELESS FUTURE:YouTube -https://www.youtube.com/@ReganArchibald / https://www.youtube.com/@Ageless.FutureLinkedIn: https://www.linkedin.com/in/regan-archibald-ab70b813Instagram: https://www.instagram.com/ageless.future/Facebook: https://www.facebook.com/AgelessFutureHealth/DISCLAIMER: This video is for educational purposes only and does not provide medical advice, diagnosis, or treatment.  Many of the molecules discussed in this video are research compounds and are not approved by the U.S. Food and Drug Administration (FDA) for any specific medical use, indication, or condition. They are mentioned only in the context of existing scientific literature and ongoing research and are not being recommended, prescribed, sold, or offered through this video.  This content does not endorse or recommend any specific tests, products, procedures, or treatment protocols.References to our clinic are for general educational context only; investigational or non‑approved products are not available for direct ordering or prescribing based solely on viewing this content.  Do not start, stop, or change any medication, peptide, or supplement based on this video. All medical decisions must be made with a licensed prescribing clinician after a proper evaluation. No provider–patient relationship is created by viewing this content or contacting our clinic.  Regan Archibald is a Licensed Acupuncturist and longevity coach. He is not a medical doctor. Cade Archibald is COO and Co-Founder of Ageless Future, also not a medical doctor. All medical decisions, lab ordering, and prescribing in our clinic are performed only by our licensed medical team (MD, APRN, PA).  Viewers should follow the guidance of their own licensed clinicians and local health authorities regarding diagnosis and treatment decisions.

Chuck Kriese spent 33 years at Clemson University before retiring in 2008. He became the winningest coach in ACC history, piling up 685 victories, 10 conference titles, and a legacy that produced All-Americans, national players of the year, and future ATP standouts. A former US National Coach and the author of four influential tennis books, Chuck has shaped how generations of coaches think about development, leadership, and building programs that last. In 2013, Chuck surprised many by returning to college coaching at The Citadel, driven by the same passion for teaching and growth that defined his career.

Financial planner Timothy P. Pope of 360 Aviation Advisors returns to break down 2026 retirement updates that matter to pro pilots. From new Roth catch-up rules to Southwest's bold move on NEC contributions, he digs into the real tax impacts for airline crews. Bonus: comparisons across the majors, advice for CFI's just starting out, and a hangar office update. Listen in and get smarter about your money. Show Notes 0:00 Intro 3:23 What's New: Retirement Considerations 13:26 Southwest Airlines & Carrier Benefits 32:28 Retirement For Younger Pilots 35:29 Financial Planning for Younger Pilots 44:35 Practice Updates: Tax Prep 48:01 Pilots Portfolio Podcast & Final Thoughts Our Sponsors Tim Pope, CFP® — Tim is both a CERTIFIED FINANCIAL PLANNER™ and a pilot. His practice specializes in aviation professionals and aviation 401k plans, helping clients pursue their financial goals by defining them, optimizing resources, and monitoring progress. Click here to learn more. Also check out The Pilot's Portfolio Podcast. Advanced Aircrew Academy — Enables flight operations to fulfill their training needs in the most efficient and affordable way—anywhere, at any time. They provide high-quality training for professional pilots, flight attendants, flight coordinators, maintenance, and line service teams, all delivered via a world-class online system. Click here to learn more. Raven Careers — Helping your career take flight. Raven Careers supports professional pilots with resume prep, interview strategy, and long-term career planning. Whether you're a CFI eyeing your first regional, a captain debating your upgrade path, or a legacy hopeful refining your application, their one-on-one coaching and insider knowledge give you a real advantage. Click here to learn more. The AirComp Calculator™ is business aviation's only online compensation analysis system. It can provide precise compensation ranges for 14 business aviation positions in six aircraft classes at over 50 locations throughout the United States in seconds. Click here to learn more. Vaerus Jet Sales — Vaerus means right, true, and real. Buy or sell an aircraft the right way, with a true partner to make your dream of flight real. Connect with Brooks at Vaerus Jet Sales or learn more about their DC-3 Referral Program. Harvey Watt — Offers the only true Loss of Medical License Insurance available to individuals and small groups. Because Harvey Watt manages most airlines' plans, they can assist you in identifying the right coverage to supplement your airline's plan. Many buy coverage to supplement the loss of retirement benefits while grounded. Click here to learn more. VSL ACE Guide — Your all-in-one pilot training resource. Includes the most up-to-date Airman Certification Standards (ACS) and Practical Test Standards (PTS) for Private, Instrument, Commercial, ATP, CFI, and CFII. 21.Five listeners get a discount on the guide—click here to learn more. ProPilotWorld.com — The premier information and networking resource for professional pilots. Click here to learn more.   Feedback & Contact Have feedback, suggestions, or a great aviation story to share? Email us at info@21fivepodcast.com. Check out our Instagram feed @21FivePodcast for more great content (and our collection of aviation license plates). The statements made in this show are our own opinions and do not reflect, nor were they under any direction of any of our employers.

What if one of the most powerful healing tools available today is not a pill, a procedure, or a supplement, but light. In this episode of The Healthier Tech Podcast, Dr. Carl Rothschild, founder of Trifecta Light Technologies, takes us deep into the science, history, and real world results of red light therapy and why he believes it has the potential to change how we think about health, recovery, and longevity With more than four decades in clinical practice, Dr. Rothschild has seen health trends come and go. Red light therapy is the one he did not walk away from. This is a wide ranging, candid conversation that blends clinical experience, bioenergetic science, and a strong challenge to conventional healthcare thinking. In this episode, you will learn: How Dr. Rothschild went from skepticism to full commitment after seeing early red light therapy results in his practice Why whole body red and near infrared exposure creates fundamentally different outcomes than spot treatments How red light supports mitochondrial function and ATP production, the core of cellular energy and healing Why red light therapy does not destroy tissue and how it differs from heat, lasers, and other aggressive modalities The connection between light exposure, fat metabolism, recovery, and systemic healing Why athletes, chronic illness patients, and aging adults are seeing dramatic improvements in stamina and recovery What makes medical grade red light therapy different from consumer devices flooding the market Why Dr. Rothschild believes health care focuses too heavily on managing disease instead of restoring function This episode is not about hype or miracle cures. It is about understanding how light interacts with biology and why supporting cellular energy may be one of the most overlooked foundations of health. If you are curious about red light therapy, skeptical of wellness trends, or looking for smarter ways to support healing, recovery, and longevity, this conversation will expand how you think about what is possible. Connect With Dr. Carl Rothschild Dr. Carl Rothschild is the founder of Trifecta Light Technologies and a lifelong healthcare practitioner dedicated to advancing professional grade red light therapy. Website  https://trifectalight.com Find a Provider or Contact Trifecta Light  https://trifectalight.com/contact/ Use the contact page to locate a Trifecta Light Bed near you or to explore incorporating red light therapy into a clinic, fitness space, or wellness business. Social Media  All social links and platforms  https://linktr.ee/trifectalightofficial Connect with R Blank: For more Healthier Tech Podcast episodes, and to download our Healthier Tech Quick Start Guide, visit https://HealthierTech.co and follow https://instagram.com/healthiertech  Additional Links: EMF Superstore: https://ShieldYourBody.com (save 15% with code “pod”) Digital Wellbeing with a Human Soul: https://Bagby.co (save 15% with code “pod”) Youtube: https://youtube.com/shieldyourbody Instagram: https://www.instagram.com/bagbybrand/ Tiktok: https://www.tiktok.com/@bagby.co Facebook: https://www.facebook.com/shieldyourbody This episode is brought to you by Shield Your Body—a global leader in EMF protection and digital wellness. Because real wellness means protecting your body, not just optimizing it. If you found this episode eye-opening, leave a review, share it with someone tech-curious, and don't forget to subscribe to Shield Your Body on YouTube for more insights on living healthier with technology.

Join Nik as he sits down with aerial survey pilot Joe Foster to demystify the world of aerial surveying and explain why this under-the-radar flying job can be an hours booster for aspiring ATP pilots. Joe walks through a typical day in the life of an aerial survey pilot, from in-depth mission planning to precise execution with only 20 feet of horizontal and vertical tolerance. Along the way, Nik and Joe explore how aerial survey flying delivers meaningful, real-world experience, making it an often-overlooked but highly effective resume booster for pilots trying to land that big airline job.  CONNECT WITH US Are you ready to take your preparation to the next level? Don't wait until it's too late. Use the promo code "R4P2025" and save 10% on all our services. Check us out at www.spitfireelite.com! If you want to recommend someone to guest on the show, email Nik at podcast@spitfireelite.com, and if you need a professional pilot resume, go to www.spitfireelite.com/podcast/ for FREE templates! SPONSOR Are you a pilot just coming out of the military and looking for the perfect second home for your family? Look no further! Reach out to Marty and his team by visiting www.tridenthomeloans.com to get the best VA loans available anywhere in the US. Be ready for takeoff anytime with 3D-stretch, stain-repellent, and wrinkle-free aviation uniforms by Flight Uniforms. Just go to www.flightuniform.com and type the code SPITFIREPOD20 to get a special 20% discount on your first order.  #Aviation #AviationCareers #aviationcrew #AviationJobs #AviationLeadership #AviationEducation #AviationOpportunities #AviationPodcast #AirlinePilot #AirlineJobs #AirlineInterviewPrep #flying #flyingtips #PilotDevelopment #PilotFinance #pilotcareer #pilottips #pilotcareertips #PilotExperience #pilotcaptain #PilotTraining #PilotSuccess #pilotpodcast #PilotPreparation #Pilotrecruitment #flightschool #aviationschool #pilotcareer #pilotlife #pilot

O governo americano recém anunciou a NOVA PIRÂMIDE ALIMENTAR oficial e está todo mundo batendo palma que nem macaco de circo, é lamentável de ver...  Até que enfim inverteram a pirâmide!  Nossa que legal essa pirâmide!  Uau! O foco agora é em comida de verdade!  ACORDA!!!  Você não precisa do GOVERNO para saber como se alimentar e MAIS: O real problema aqui começa justamente quando você pelo menos entende que sua alimentação deveria ser baseada em comida de verdade, a grande maioria das pessoas já sabe disso...  Olha, eu vou te mostrar agora sem papas na língua as armadilhas escondidas por trás disso tudo e como confiar nessa pirâmide pode ser um tiro no pé ao invés de uma ajuda a sua saúde e boa forma, então, respire fundo e vem comigo  

Today I'm joined by neuroscientist and mitochondrial health expert Siobhan Mitchell to cut through the noise around mitochondria, inflammation, NAD, and what actually matters for energy, recovery, and brain health in midlife We unpack why mitochondria are not just “battery packs”, they are a master regulator of oxidative stress, immune signalling, and cellular aging. Siobhan explains the difference between hormetic stress that upgrades your system (like training) versus chronic stress that drains it WHAT YOU'LL LEARN: • What mitochondria actually do, beyond “energy production”  • Mitophagy and mitochondrial biogenesis, and why both decline with age  • The difference between hormetic stress (exercise) and chronic stress (modern life)  • Why mitochondrial dysfunction can drive inflammation and immune overactivation  • How brain energy demand and oestrogen loss intersect in menopause symptoms  • CD38, inflammation, and why staying lean matters for NAD preservation  • Why NAD precursors can be wasted, and what supports conversion inside the cell  • The practical take on timing, training, and recovery support TIMESTAMPS 00:01 Mitochondria, ATP, and the oxidative stress trade-off  04:14 Mitophagy, mitochondrial biogenesis, and aging  16:13 Mitochondria as immune regulators, inflammation and cytokines  23:09 Brain energy, menopause, oestrogen, and cognitive decline mechanisms  29:33 NAD explained, CD38, and why NAD drops with age  48:56 NAD, GLUT4, insulin sensitivity, and perimenopause metabolism  53:19 Where to learn more, discount code, and closing VALUABLE RESOURCES ⁠Join The High Performance Health Community⁠ ⁠Click here⁠ for discounts on all the products I personally use and recommend A BIG thank you to our sponsors who make the show possible Get 10% off MitoQ NAD+ - www.mitoq.com with code ANGELA Get 35% off Timeline Mitopure by visiting this link while the offer lasts - https://www.timeline.com/promotions/angela35 Upgrade your cellular health - get 20% off Beam Minerals at http://beamminerals.com/ANGELA & use code ANGELA at checkout ABOUT THE GUEST Dr Siobhan Mitchell - Chief Scientific Officer - MitoQ Siobhan is the Chief Scientific Officer at MitoQ. She completed her PhD at SUNY Albany and a post-doctoral fellowship in brain ageing at the University of Washington. Siobhan has held roles at the three largest food companies in the world (Unilever, Nestlé, and PepsiCo), where she conducted trials in Europe, North America, and Asia, investigating the effects of nutrition on cognitive decline, mood, and performance. Additionally, she was Senior Director of Research at Noom, where she led a team investigating the behavioural and health effects of weight loss and mental health ABOUT THE HOST Angela Foster is an award winning Nutritionist, Health & Performance Coach, Speaker and Host of the High Performance Health podcast. A former Corporate lawyer turned industry leader in biohacking and health optimisation for women, Angela has been featured in various media including Huff Post, Runners world, The Health Optimisation Summit, BrainTap, The Women's Biohacking Conference, Livestrong & Natural Health Magazine. Angela is the creator of BioSyncing®️ a blueprint for ambitious entrepreneurial women to biohack their health so they can 10X how they show up .without burning out. CONTACT DETAILS ⁠Instagram⁠ ⁠Facebook⁠ ⁠LinkedIn⁠ Disclaimer: The High Performance Health Podcast is for general information purposes only and do not constitute the practice of professional or coaching advice and no client relationship is formed. The use of information on this podcast, or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for medical or other professional advice, diagnosis, or treatment. Users should seek the assistance of their medical doctor or other health care professional for before taking any steps to implement any of the items discussed in this podcast.

The Shadow: A Dance with Deception and DestinyIn this engaging story, Lamont shares his experiences and insights from the world of gambling and personal interactions. He reflects on the highs and lows of his gambling journey, emphasizing the emotional rollercoaster that comes with it. The dialogue also touches on relationships, with Lamont discussing encounters with various characters, hinting at deeper narratives and connections that shape his life. The tone is candid and raw, revealing both vulnerability and resilience as he navigates through challenges and memories.In the shadowy corners of a world where intrigue and deception reign supreme, Lamont finds himself ensnared in a web of gambling, secrets, and high-stakes drama. This episode of "The Shadow" unfolds with Lamont navigating a labyrinth of hidden motives and unexpected alliances, challenging him to confront his own values and decisions.As the narrative progresses, Lamont's interactions with various characters reveal layers of suspense and moral dilemmas. The tension builds in a setting that is as mysterious as it is captivating, drawing listeners into a story that questions the very essence of trust and loyalty.Join Lamont on this thrilling journey as he grapples with the shadows of his past and the uncertainties of his future. Will he emerge victorious, or will the shadows consume him? Tune in to find out.Subscribe now to stay updated on the latest episodes and delve deeper into the world of "The Shadow."Takeaways"I've gambling and losing so much.""Believe me, I don't run this place for my own amusement.""You won't be carried.""I'm out of time.""This is Robin O'Dowd, ATP."gambling, personal stories, relationships, emotional journey, resilience, insights, life experiences, candid conversation, character interactions

Send us a textThe AMP kinase pathway's role in cellular energy sensing, nutrient allocation, and its connections to health practices like fasting, exercise, and diet.TOPICS DISCUSSED:Cellular energy basics: ATP/ADP/AMP as energy currencies; AMP kinase activates on low ATP to conserve and redirect resources, like a budget manager.AMP kinase mechanics: Heterotrimeric enzyme phosphorylating 100+ substrates; localizes dynamically in cytosol, mitochondria, nucleus to integrate signals.Nutrient detection: Senses fatty acids in fasting/ketogenic states, boosting fat oxidation and mitochondria independent of energy drops.Fasting/exercise impacts: Elevate AMP kinase for mitophagy, better fuel switching; mimic historical scarcity absent under modern constant feeding.mTOR relationship: AMP kinase inhibits mTOR to stop growth in low energy states; feedback loop disrupted by abundance, promoting tissue buildup.Disease links: Low AMP kinase in obesity/diabetes reduces flexibility; activation prevents cancer but may aid tumor survival in therapy.Drugs/diets: Metformin and GLP-1s like Ozempic activate AMP kinase for glucose control/weight loss; ketogenic diets activate at intermediate levels for fat efficiency.ABOUT THE GUEST: Gregory Steinberg, PhD is a Professor of Medicine at McMaster University and co-directs the Centre for Metabolism, Obesity, and Diabetes Research, focusing on cellular energy sensors like AMP kinase.RELATED EPISODE:M&M 260 | Energy Resistance Principle in Life, Healing & Disease | Martin Picard & Nirosha MuruganSupport the showHealth Products by M&M Partners: SporesMD: Premium mushrooms products (gourmet mushrooms, nootropics, research). Use code TRIKOMES for 20% off. Lumen device: Optimize your metabolism for weight loss or athletic performance. MINDMATTER gets you 15% off. AquaTru: Water filtration devices that remove microplastics, metals, bacteria, and more from your drinking water. Through link, $100 off AquaTru Carafe, Classic & Under Sink Units; $300 off Freestanding models. Seed Oil Scout: Find restaurants with seed oil-free options, scan food products to see what they're hiding, with this easy-to-use mobile app. KetoCitra—Ketone body BHB + electrolytes formulated for kidney health. Use code MIND20 for 20% off any subscription (cancel anytime) For all the ways you can support my efforts

Why do so many people struggle with fatigue, stubborn weight gain, hormone issues, and burnout — even when they're eating “clean” and training hard? In this episode, we break down the real reason your body isn't healing and why most health advice fails to address the root cause.Joined by Lindsay Perry, this conversation dives deep into a systems-based approach to health, exploring how the gut, liver, hormones, nervous system, sleep, and stress all work together to control energy, metabolism, and long-term results.Rather than focusing on symptoms, trends, or extreme diets, this episode explains what's happening under the hood — from ATP production and mitochondrial function to cortisol regulation, nervous system balance, and metabolic flexibility. You'll learn why pushing harder often backfires and how chronic stress quietly sabotages recovery, fat loss, and hormone health.We cover:Why gut and liver health are foundational for hormones and energyHow stress and nervous system dysregulation block healing and fat lossThe role of sleep and circadian rhythm in metabolism and recoveryWhy detoxification and elimination are biological processes — not fadsHow to fuel properly based on stress, activity, and current health stateLindsay Perry brings real-world coaching insight throughout the episode, helping connect science with practical application for people who feel stuck despite doing “everything right.”If you're tired of surface-level health advice and want a clear, root-cause explanation of how the body actually heals, this episode will change how you think about health, fitness, and recovery.00:00 – Introduction & Why Most People Aren't Healing00:41 – The “March Method” & Root-Cause Health Explained01:02 – ATP, Mitochondria & Cellular Energy Basics01:19 – Hormones, Cycles & Why Balance Matters02:44 – Detox, Elimination & Why the Body Gets Stuck04:14 – Cold Exposure, Stress Adaptation & Recovery05:50 – Stress Load, Burnout & Early Cortisol Discussion07:55 – Fueling the Body: Fat vs Carbs Explained10:57 – Sleep, Circadian Rhythm & Metabolic Health12:12 – Gut Health: The Foundation of Healing15:48 – Liver Function, Detox Pathways & Hormones18:35 – Inflammation, Energy Deficits & Fatigue21:30 – Nervous System Regulation & Chronic Stress24:35 – Cortisol, Survival Mode & Weight Loss Resistance28:10 – Why Pushing Harder Makes Things Worse32:24 – Metabolic Flexibility & Long-Term Healing34:27 – Nervous System Reset & Final Takeaways35:57 – Closing ThoughtsDisclaimer:The information discussed in this episode is for educational and informational purposes only and is not intended as medical advice. This content is not a substitute for professional medical diagnosis, treatment, or guidance. Always consult with a qualified healthcare provider before making changes to your diet, lifestyle, supplements, or health practices.

We're answering your fitness-focused questions about effective strategies for improving performance through various methods, including palm cooling, pre-workout nutrition, ATP supplements, and more!

Full Day 3 reaction including Naomi Osaka, Taylor Fritz, Ben Shelton, and the rise of NCAA Tennis in Slams. Andy Roddick and Producer Mike discuss why the "four lost years" of college are now the ultimate training ground. From SMU's world-class facilities to the 34 collegiate players in the 2026 draw, the data proves the old federation model is dying. COMMENT BELOW: What was your favorite match from Day 3? What are the popcorn matches in Day 4?

Most workouts fail not because people are lazy, but because effort is misused. Amy Hudson and Dr. James Fisher continue the series on the principles of exercise design. In this episode, they cover concentrated cardio and why short, high-effort intervals create bigger physiological changes than long, steady workouts. Tune in to hear how brief bursts of intensity improve cardiovascular fitness, raise metabolic rate, enhance insulin sensitivity, increase muscle blood flow, and make everyday tasks feel easier, all while taking far less time than traditional cardio. Amy and Dr. Fisher discuss concentrated cardio and why it matters. You will learn exactly what concentrated cardio is, what it looks like in real training, and why it pairs so well with strength work. Dr. Fisher reveals the defining feature that separates concentrated cardio from other workouts. These are brief intervals above seventy five percent of maximal power or very close to all-out effort. The recovery periods are just as important because they allow you to hit that high level again. Why steady state cardio feels different from concentrated cardio. One approach keeps the same effort the whole time, while the other alternates between hard sprints and slowing down.  Dr. Fisher covers why the benefits of concentrated cardio go far beyond just getting tired. Your VO2 max improves, your resting metabolic rate increases, and insulin sensitivity gets better. This means better oxygen use, more calories burned at rest, and real support for metabolic health. Amy shares why working with a personal trainer can change how you approach concentrated cardio. A good personal trainer helps you find the right intensity without guessing or overdoing it. That guidance builds confidence, keeps you safe, and makes every hard effort count. Learn how everyday life starts to feel easier when you train this way. Tasks like running up a short flight of stairs stop feeling overwhelming. You raise the ceiling of what your body believes is hard work by briefly pushing into discomfort on purpose. Dr. Fisher reveals how concentrated cardio disrupts homeostasis. A single thirty-second sprint can cut intramuscular ATP levels by about half. That level of energy depletion simply does not happen with other forms of exercise. Dr. Fisher reveals a surprising effect on blood flow after concentrated cardio. Blood flow to muscles can be up to one hundred times higher than at rest or after traditional exercise. This sets the stage for faster recovery and bigger physiological change. Learn why more blood flow to muscle tissue is important. It helps clear metabolic byproducts while delivering antioxidants and nutrients that drive adaptation. Over time, this improves capillarization and makes oxygen transfer into muscles more efficient. Dr. Fisher covers the difference between aerobic and anaerobic effort. When you stay aerobic, your body does only what it needs to get through the task. That bare minimum response limits how much progress you can make. With anaerobic exercises, short bursts of very high effort create stress your body must adapt to. You cannot hold that intensity for long, which is exactly why it works. Dr. Fisher reveals how muscle fiber recruitment changes with different workouts. Long steady runs mostly use type one fibers. Short, intense intervals recruit type two fibers, which are the ones you want to preserve as you age. Amy and Dr. Fisher cover the practical rule that simplifies training decisions. You can work long, or you can work hard, but not both. Twenty seconds of true effort creates more adaptation than a full minute of easier work. Dr. Fisher talks about common fears about working at high intensity. Research shows this approach can be safe and effective even for people with conditions like diabetes, heart failure, and coronary artery disease. With proper guidance and personal training, intensity is not something to fear. Learn why tracking heart rate can be a useful feedback tool when training. It helps you understand effort and recovery rather than guessing. Used correctly, it builds confidence instead of anxiety. Dr. Fisher reveals a simple sign that your fitness is improving. If your heart rate drops quickly after exercise, that is a strong indicator of better conditioning. Recovery speed often matters more than peak numbers.     Mentioned in This Episode: The Exercise Coach - Get 2 Free Sessions! Submit your questions at StrengthChangesEverything.com     This podcast and blog are provided to you for entertainment and informational purposes only. By accessing either, you agree that neither constitute medical advice nor should they be substituted for professional medical advice or care. Use of this podcast or blog to treat any medical condition is strictly prohibited. Consult your physician for any medical condition you may be having. In no event will any podcast or blog hosts, guests, or contributors, Exercise Coach USA, LLC, Gymbot LLC, any subsidiaries or affiliates of same, or any of their respective directors, officers, employees, or agents, be responsible for any injury, loss, or damage to you or others due to any podcast or blog content.

本集節目內容為各個台灣選手在世界各地征戰的賽況介紹，包含 1. 職業網球賽事： Ø 澳洲網球公開賽，曾俊欣、許育修、葛藍喬安娜等人出賽。 Ø ATP&WTA巡迴賽，何承叡、謝淑薇、吳芳嫺、葛藍喬安娜等出賽。 Ø ATP挑戰賽，吳東霖、黃琮豪、莊吉生、李冠毅、謝政鵬等人出賽。 Ø ITF巡迴賽，梁恩碩、卓宜萱、卓宜岑、李亞芯、李羽芸、楊亞依、李亞軒等人出賽。 2. BWF羽聯賽事： Ø 超級1000馬來西亞公開賽、超級750印度羽球公開賽：林俊易、戚又仁、李哲輝楊博軒、劉廣珩楊博涵、謝沛珊洪恩慈、許尹鏸林芝昀、許雅晴宋祐媗等人參賽。 3. WTT桌球賽事： Ø 林昀儒、郭冠宏、鄭怡靜、葉伊恬、蔡昀恩等人參賽。 4. 台語時間，每週介紹幾個簡單的台語詞， Ø 爸母疼囝長流水，囝疼爸母樹尾風。Pē-bú thiànn kiánn tn̂g lâu-tsuí, kiánn thiànn pē-bú tshiū-bué hong：父母疼愛子女，就像日夜不停的流水，兒女會想到父母，卻像樹梢上的風時有時無。 形容父母愛護子女的心無窮無盡、無止無休，兒女孝順父母卻是偶一為之、難以長久。 自以為是運動員的子路，希望以運動員的角度出發，觀察球場上的變化，然後跟大家一起討論喇低賽，不管打的好壞，永不放棄，這就是運動員的精神。一場球賽就就像人生的縮影，時而順遂時而艱辛，不管如何讓我們注入運動的熱血與拼勁，朝著目標努力邁進。 歡迎提供各式意見，讓這個新的節目有更多元的發展。 大家可以在相關的 Podcast APP 收聽我們的節目，希望大家可以介紹給喜愛運動的朋友們。 如果喜歡我們的節目，也希望大家可以在 Apple Podcast 專區給我們五顆星。 有興趣合作的廠商歡迎私訊或email聊聊 email：baseballuncle543@outlook.com IG：baseballuncle543 FB：大叔野球543 －－－－以下為 SoundOn 動態廣告－－－－ 想補蛋白又怕乳糖？ 馬玉山植物基全素食「高蛋白高鈣極細穀飲：黑芝麻糊／杏仁粉」 每份12g蛋白，0乳糖、0膽固醇、無人工甜味劑； 高鈣、高鐵、富含膳食纖維，極細易溶，冷熱皆宜。 提供不同需求族群的營養支持！ 連結：https://sofm.pse.is/8m7mzl -- Hosting provided by SoundOn

Eu acredito que existe um esforço intencional para deixar a população cada vez mais gorda, doente e dependente a ponto de muitos dos hábitos recomendados pra gente ser o exato oposto do que realmente funciona para reverter esta situação...  Quando aqueles que deveriam nos ajudar a solucionar o problema são justamente aqueles que parecem querer que ele só piore, não nos resta alternativa nenhuma a não ser ignorar e fazer diferente.    Agora eu vou te mostrar 5 hábitos “muito saudáveis” que todo mundo por aí conhece, como “cortar o açúcar”, mas que na verdade podem estar te mantendo acima do peso e dificultando cada vez mais a busca pelo que você mais quer, que é simplesmente saúde e um corpo em forma. Aliás, o quinto hábito é crucial neste sentido...   Veja, desde que o governo decidiu dar pitaco a respeito do que devemos ou não comer e as faculdades a treinar soldados na nutrição para empurrar suas diretrizes, tudo só começou a ir ladeira abaixo mais rápido, e hoje, literalmente, 68% da população brasileira está acima do peso, imagina só!    Este número nunca foi tão alto e nunca tivemos tantos nutricionistas e tantas academias neste mundo antes. Algo está muito errado e a dura verdade é o seguinte... se você quer resultados diferentes, você precisa fazer diferente, então, vem comigo !  

Join Our Online Education Community "The School of Doza" Here: https://community.schoolofdoza.com/ In this podcast episode, Nurse Doza discusses the common complaint of fatigue and offers insights into its possible causes. He emphasizes the importance of addressing fatigue, as it should not be a daily occurrence. He also recommends getting blood tests, particularly one for DHEAS, to assess adrenal function and the body's response to stress. He mentions that chronic stress, lack of sleep, and unhealthy lifestyle habits can contribute to fatigue. Nurse Doza encourages listeners to prioritize self-care, including good sleep and stress management, to improve their energy levels and overall health.   TIMESTAMPS: 00:00 START 05:50 Adrenal issues can cause fatigue. 11:46 Inflammation and fatigue are connected. 16:34 Address underlying causes of fatigue. 22:08 Check homocysteine levels for fatigue. 27:43 Sugar and inflammation decrease ATP. 32:15 Adrenal support supplement is recommended.     Looking for a boost in energy and mood? Discover Zen, MSW's premium adrenal support supplement. Packed with natural ingredients, it aids in balancing your hormones and combating fatigue. Elevate your health and regain that lost zest for life.  Click here

We preview the Nexo Dallas Open's second year as an ATP 500 with tournament director Peter Lebedevs. Peter and I discuss court speed and ball consistency on tour. We also dive into what he learned in year one at the new Dallas Open facility and what changes fans can expect in 2026.Peter is an excellent coach as well, so I asked him how he would help a club player improve their game this year.How court speed is measured and targeted for fairnessWhy balls feel different despite standardizationVenue upgrades that fans and players asked forHow to predict the Dallas Open doubles champs

Resh and Stef kick off the Australian Open 2026 with a gloriously unhinged, deeply gay return to tennis nonsense, politics, and pure fandom. Putting the Tea firmly in WTA, they break down the draws, obsess over Coco Gauff's glow-up era, dream big for Naomi Osaka, worship at the altar of Venus Williams, and ride hard for pod faves, rising stars, and queer icons across the tour. Along the way, they unpack wildcard drama, Melbourne memories, experimental slam chaos, and why the Australian Open remains the most innovative major.This episode also makes space for the real stuff: calling out transphobia in tennis, talking queerness in sport, and refusing to let bigots, billionaires, or bad vibes steal the joy. Expect righteous side-eye, laugh-out-loud moments, and exactly five minutes (no more!) on the ATP before returning to what actually matters. It's smart, funny, political, and unapologetically queer — a reminder that when we keep showing up, they don't win. The girls, the gays, the theys and the days are BACK.

If you're noticing changes in your skin — dryness, fine lines, faster wrinkling — you might be blaming age. But what if the real cause is happening… in your gut? In today's deep-dive episode, I uncover how my skin was the messenger, alerting me to deeper internal dysfunction I could only see through testing — not guessing. I take you behind the scenes of my own:

In this episode, I sit down with Luke, a flight instructor based in Utah who's currently at around 900 hours and grinding his way toward the airlines. Luke shares his experience going through ATP Flight Training in just 8.5 months, the reality of being a CFI without the guaranteed job he expected, and how social media helped him land his current position as chief instructor at a flight school in Provo.We discuss the challenges of building time in today's aviation environment, the pros and cons of the ATP route, and what it's really like to be in the trenches as a CFI. Luke opens up about his ultimate goal of flying for Delta, his concerns about being an aviation influencer while job hunting, and the valuable lesson he's learned about building relationships in this industry.Whether you're currently grinding toward 1,500 hours, considering flight training, or just finished your ratings, Luke's honest perspective on the realities of early career aviation will resonate with you. This is the grind—unfiltered and real.Topics covered:Why Luke chose ATP and if he regrets itThe hidden costs and realities of accelerated flight trainingFinding CFI work without the ATP guaranteeBuilding time through aerobatics and upset recovery trainingBalancing social media presence with professional aviation careerThe importance of mentorship and networking in aviation

Who, if anyone, will challenge Aryna? Will the Alcaraz-Sinner machine make it nine in a row? What's Craig Tiley up to this year? We're dusting off the cobwebs to bring you our Australian Open preview, complete with draw analysis (if you want to call it that), major storylines, and a quick review of the “Opening Week” and the successful 1 Point Slam. Tune in to find out the new hottest man in the ATP and who Jonathan thinks might have a career resurgence this year (there's two).  2:30 Catching up with this week's results 8:45 The 1 Point Slam: success! 16:50 This year's (and last year's) major questions 27:25 Women's draw: “… or Mboko!” 38:15 Men's draw: will Novak slice through his section? 54:15 Qualifying intrigue: Nishesh and the choking gesture

In this exciting episode, the guys wrap up the last regular Friday edition before the Australian Open kicks off and we switch into Something Major! They dive into early takes on the Australian Open, which includes some hilarious impressions. Then, Sam & Stevie are joined by the ladies from The Player's Box - Desirae Krawczyk, Jennifer Brady, Jessica Pegula, and Madison Keys - for an epic collaboration. Highlights include ATP pet peeves, insights on life on tour and the much anticipated ATP Tinder Part 3!Australian Open Bracket Draw is now live! For the first time we are doing a draw for both the men & women.Submit yours to win some amazing Nothing Major prizes!  http://bracket.nothingmajorshow.com/nothingmajor00:00 Introduction00:44 Early Takes on the Australian Open01:33 Predictions04:54 Australian Open Qualifying and Media Coverage13:20 Interview with The Player's Box26:59 Rising Stars and Rivalries in Women's Tennis28:03 Intimidating Opponents and Game Styles29:56 Balancing Personal Life and Professional Tennis31:27 Tennis Fashion and Player Personalities32:55 Starting Young on the Tour39:35 Rapid Fire Questions43:57 ATP Tinder Part 350:11 Wrapping Up and Looking Ahead

San Diego continues its reign as the busiest single-runway "how is this legal?" airport, plus we nerd out on new terminals, recurrent training wins, and a Challenger sim surprise when Dylan's seat decided to yeet itself at ~90 knots. In the Mailbag, we hit ferry flying as a niche career path, a home-buying reality check from Diamond Dog Tim Pope (mortgage recasts, baby), and a training-center SOP rant that's painfully relatable. We also kick off the 2026 ops-manual push with the "latest touchdown point" concept and how to actually mark it on ForeFlight without fat-fingering your zoom. Flight Advice closes with a CFI weighing a pay-your-own 737 type rating in Dubai (plus a non-pro-rated five-year contract) vs staying stateside and waiting out hiring—spoiler: lots of red flags and lots of "talk to expats first." Show Notes 0:00 Intro 2:56 Max's Musings: Airport Design 15:11 Allegiant to Acquire Sun Country 24:28 Dylan's Recurrent Training 33:14 Small Flight Department Counseling Session 44:25 NBAA Opps Manual Integration 56:16 Rolex GMTs vs 21Five Watch 1:07:08 Reviews & Comments 1:16:34 Mailbag 1:36:24 Flight Advice Our Sponsors Tim Pope, CFP® — Tim is both a CERTIFIED FINANCIAL PLANNER™ and a pilot. His practice specializes in aviation professionals and aviation 401k plans, helping clients pursue their financial goals by defining them, optimizing resources, and monitoring progress. Click here to learn more. Also check out The Pilot's Portfolio Podcast. Advanced Aircrew Academy — Enables flight operations to fulfill their training needs in the most efficient and affordable way—anywhere, at any time. They provide high-quality training for professional pilots, flight attendants, flight coordinators, maintenance, and line service teams, all delivered via a world-class online system. Click here to learn more. Raven Careers — Helping your career take flight. Raven Careers supports professional pilots with resume prep, interview strategy, and long-term career planning. Whether you're a CFI eyeing your first regional, a captain debating your upgrade path, or a legacy hopeful refining your application, their one-on-one coaching and insider knowledge give you a real advantage. Click here to learn more. The AirComp Calculator™ is business aviation's only online compensation analysis system. It can provide precise compensation ranges for 14 business aviation positions in six aircraft classes at over 50 locations throughout the United States in seconds. Click here to learn more. Vaerus Jet Sales — Vaerus means right, true, and real. Buy or sell an aircraft the right way, with a true partner to make your dream of flight real. Connect with Brooks at Vaerus Jet Sales or learn more about their DC-3 Referral Program. Harvey Watt — Offers the only true Loss of Medical License Insurance available to individuals and small groups. Because Harvey Watt manages most airlines' plans, they can assist you in identifying the right coverage to supplement your airline's plan. Many buy coverage to supplement the loss of retirement benefits while grounded. Click here to learn more. VSL ACE Guide — Your all-in-one pilot training resource. Includes the most up-to-date Airman Certification Standards (ACS) and Practical Test Standards (PTS) for Private, Instrument, Commercial, ATP, CFI, and CFII. 21.Five listeners get a discount on the guide—click here to learn more. ProPilotWorld.com — The premier information and networking resource for professional pilots. Click here to learn more.   Feedback & Contact Have feedback, suggestions, or a great aviation story to share? Email us at info@21fivepodcast.com. Check out our Instagram feed @21FivePodcast for more great content (and our collection of aviation license plates). The statements made in this show are our own opinions and do not reflect, nor were they under any direction of any of our employers.

We're back from break with season 12 of The Body Serve! The off-season didn't let up for a second, with its fair share of surprising breakups: Carlos and Juan Carlos, Naomi and Evolve, and Novak splitting from the players' organization he co-founded. We also cover Potapova's copypasta, Venus' wedding, the ESPN commentary reshuffle, Iga's viewing habits, and more off-season stuff. We look ahead to the coming season with our usual breakout picks – no ADF this time – plus we recap the opening week Down Under, as Bencic leads her team to the final while Poland snatches their first United Cup. 3:25 Alcaraz and Ferrero split 10:35 Naomi Evolves away from the agency she co-founded 15:10 Djokovic quits the PTPA 22:10 Other off-season stuff: Iga didn't watch, ATP rolls out safeguarding program, Next Gen Finals, Venus at the altar!  35:30 Looking ahead: our breakout picks for 2026 45:30 Changes to the ESPN commentary lineup 51:50 United Cup highlights: Hubie, Belinda, Zizou 60:00 Titles for Sabalenka, Svitolina, Medvedev, Bublik 65:35 The podcast landscape

Holger Rune joins Andy Roddick to give the update on his Achilles injury rehab, reaching World No. 4, and the mental grind of being on the ATP Tour. Rune pulls back the curtain on what it's like playing Alcaraz, Sinner, Djokovic, and more of the top players on the tour today. COMMENT BELOW: What current ATP player would you want to play a match against? SIGN UP FOR THE '26 AO BRACKET CHALLENGE: https://served.bracket.tennis/

Before anything else, our thoughts this week are firmly with teh family of Damian Kust. Damian was a cherished and passionate member of the tennis community whom we lost at the age of just 26. His work covering the Challenger Tour set him apart, but his passion and knowledge was what really made him shine. RIP Damian. Details of his funeral and donations to the foundation his parents have chosen are here: https://x.com/damiankust/status/2009644081207709969 It always feels utterly empty to follow such profoundly sad news with the mundanity of the week's tennis news. Here is what else Calvin Betton, James Gray and George Bellshaw discussed this week... Novak Djokovic has pulled out of Adelaide, his only planned warm-up for the Australian Open, saying he is not physically ready for the challenge Jannik Sinner and Carlos Alcaraz have not played an ATP event yet this year either, but were busy playing an indoor practice match in front of 15,000 people in Seoul, South Korea. Poland FINALLY won the United Cup, Hubert Hurkacz gaining redemption for spurning two championship points against Alexander Zverev in 2024, beating the German en route to leading his nation to victory... ...but Iga Swiatek's form was far from impressive, and it was Katarzyna Kawa and Jan Zielinski, Luke Johnson's new partner, who were instrumental in securing the title PLUS: No Australian Open wildcard for Nick Kyrgios; there is one for Stan Wawrinka; titles for Daniil Medvedev, Alexander Bublik, Aryna Sabalenka and Elina Svitolina; Emma Raducanu's return; and OF COURSE *that* wildcard in Nairobi. Learn more about your ad choices. Visit podcastchoices.com/adchoices

What if the core of fatigue, brain fog, and “getting old” is really an oxygen problem? We sit down with Brad Pitzele to unpack how exercise with oxygen therapy (EWOT) and red and near-infrared light can reboot cellular energy, open microcirculation, and dial down inflammation in a way that's fast, practical, and measurable. Brad's story moves from autoimmune arthritis and melanoma risk to a sustainable routine that restored clarity and stamina—without spending hours in a chamber or crushing workouts.We break oxygen down to first principles: aerobic vs anaerobic ATP, why lactic acid spikes when cells are starved, and how oxygen use declines about 1% per year after 25. From there, we get tactical. EWOT leverages exercise-driven vasodilation to flood plasma with oxygen, reaching capillary “nooks and crannies” red blood cells can't. Hyperbaric oxygen raises partial pressure and helps specific cases like non-healing wounds or those unable to exercise, but EWOT's 15-minute sessions, lower cost, and vessel-friendly physiology often make it the go-to choice for daily use.Light therapy adds the second lever—demand. Red and near-infrared wavelengths signal mitochondria to take in more oxygen and make more ATP, supporting skin renewal, muscle recovery, and cognitive performance. Use them together for a supply-and-demand loop: EWOT first, then light for longevity; light first, then EWOT for performance. We also cover safe ramp-ups to avoid Herxheimer reactions, how to start if you're deconditioned, what biomarkers to track, and myths to ditch about “no pain, no gain” and red light overdosing.If you've wondered whether brain fog can lift, whether energy can return without heroic protocols, or whether oxygen and light can support long COVID, Lyme, or cognitive decline strategies, this conversation offers clear steps and honest limits. Subscribe, share with someone who needs hope and a plan, and leave a review with your top question so we can tackle it next.https://www.onethousandroads.com/Continue this conversation on SubStack: https://robertlufkinmd.substack.com Lies I Taught In Medical School : Free sample chapter- https://www.robertlufkinmd.com/lies/Complete Metabolic Heart Scan (LUFKIN20 for 20% off) https://www.innerscopic.com/Fasting Mimicking Diet (20% off) https://prolonlife.com/Lufkin At home blood testing (20% off) https://siphoxhealth.com/lufkin Web: https://robertlufkinmd.com/X: https://x.com/robertlufkinmdYoutube: https://www.youtube.com/robertLufkinmd Instagram: https://www.instagram.com/robertlufkinmd/LinkedIn: https://www.linkedin.com/in/robertlufkinmd/TikTok: https://www.tiktok.com/@robertlufkinThreads: https://www.threads.net/@robertlufkinmdFacebook: ...

Coffee does NOT give you energy! Here's why quitting coffee could give you more energy than ever before, plus how to prepare for coffee withdrawal symptoms and reduce them.

Tem uma coisa, talvez a mais poderosa de todas, que você pode mudar na sua dieta para reduzir drasticamente a inflamação no corpo junto com todos os danos causados por ela e ainda de brinde, dar uma boa emagrecida no processo Isso está mais do que comprovado cientificamente e não é reduzir o açúcar, cortar carboidratos, comer menos ou tomar qualquer suplemento exótico...  E ainda sabendo que a inflamação por si só também promove o ganho mais fácil de peso diretamente, resolver isso pode ser um verdadeiro atalho para conseguir afinar mais fácil e retomar a saúde metabólica que você merece.  E agora pra você entender que mudança é essa e como você pode faze-la na sua rotina com algumas dicas práticas que tenho pra você, eu preciso começar com uma história real, então, vem comigo..  

Creatine is a hot subject right now, but I'm guessing you might not know as much about it as you could. Well step into a new creatine masterclass with our friends from Qualia. This episode shows you why it is not just for muscle, but one of the most powerful and well studied upgrades for brain energy, metabolism, sleep resilience, and long term human performance. You will learn how creatine supports mitochondria, buffers ATP, reduces cravings, and helps you think, train, and recover with more energy instead of relying on willpower. Watch this episode on YouTube for the full video experience: https://www.youtube.com/@DaveAspreyBPR Host Dave Asprey sits down with Greg Kelly for a deep, practical masterclass on creatine and energy biology. Greg Kelly is a naturopathic physician, functional medicine expert, and longtime researcher in supplements and nootropics. He has spent decades studying creatine, mitochondrial function, cognition, and performance, and has contributed to peer reviewed research while working directly with athletes, clinicians, and high performers. Together, Dave and Greg break down how creatine works at the cellular level, why it matters for cognition, emotional regulation, and metabolism, and how it supports the brain and body during stress, sleep deprivation, dieting, and recovery. They explore neuroplasticity, ATP production, magnesium, methylation, and why energy availability drives discipline, focus, and resilience more effectively than willpower alone. They also explain why creatine matters for women, aging adults, and people dealing with fatigue or obesity, and how creatine supports brain function even when muscle mass is low. This conversation connects bodybuilding research with modern longevity science, nootropics, functional medicine, and sleep optimization. Dave and Greg also expose why creatine quality matters, how contaminants can impair mitochondrial function, why some products fail label claims, and how to choose forms that absorb better and cause less bloating. Practical strategies like dosing, timing, stacking with magnesium, and using creatine with hot coffee are all covered, including why Dave uses it with Danger Coffee as part of his Smarter Not Harder approach. You'll Learn: • Why creatine acts as an ATP buffer for both muscles and the brain • How mitochondria drive cognition, metabolism, and emotional regulation • The real dosing debate from low daily maintenance to higher cognitive doses • Why women often need more creatine than men • How creatine supports performance during sleep deprivation and sleep debt • The link between magnesium, creatine phosphate, and ATP production • How methylation and TMG relate to creatine synthesis and timing • Why creatine can reduce cravings by improving cellular energy • How low quality creatine and contaminants can damage mitochondrial function • When creatine matters most for longevity, resilience, and human performance Dave Asprey is a four time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade is the top podcast for people who want to take control of their biology, extend their longevity, and optimize every system in the body and mind. Each episode features cutting edge insights in health, performance, neuroscience, supplements, nutrition, hacking, emotional intelligence, and conscious living. Episodes are released every Tuesday and Thursday, where Dave asks the questions no one else dares, and brings you real tools to become more resilient, aware, and high performing. Thank you to our sponsors! • Screenfit | Get your at-home eye training program for 40% off using code DAVE at https://www.screenfit.com/dave • ECHO Water | Go to http://echowater.com/dave and use code DAVE10 for 10% off your ECHO Flask • NeuroVeda Health | Go to https://www.neurovedahealth.com/aspery to learn more and book your week • STEMREGEN | Go to http://stemregen.co/dave30 and use code DAVE30 for 30% off your next order Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights in health, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: creatine brain energy, creatine ATP buffering, creatine mitochondria, creatine cognitive performance, creatine supplementation science, creatine dosing cognition, creatine sleep deprivation, creatine emotional regulation, creatine cravings metabolism, creatine fatigue brain, creatine women dosing, creatine longevity science, creatine nootropics, creatine brain optimization, ATP brain energy, mitochondrial energy production, magnesium creatine ATP, creatine methylation TMG, creatine bioavailability, danger coffee creatine, dave asprey creatine, greg kelly creatine, smarter not harder energy Resources: • Go To: www.qualialife.com/humanupgrade for an automatic extra 15% discount to try Qualia Creatine. • Get My 2026 Biohacking Trends Report: https://daveasprey.com/2026-biohacking-trends-report/ • Join My Low-Oxalate 30-Day Challenge: https://daveasprey.com/2026-low-ox-reset/ • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15 • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Upgrade Collective: https://www.ourupgradecollective.com • Upgrade Labs: https://upgradelabs.com • 40 Years of Zen: https://40yearsofzen.com Timestamps: 00:00 – Trailer 01:25 – Introduction 04:57 – History of Creatine 07:47 – How Creatine Works 12:00 – Dietary Sources of Creatine 13:30 – Creatine Dosing Guidelines 18:08 – Cognitive Benefits of Creatine 19:36 – Bodybuilding vs Biohacking Doses 22:08 – Kidney Function and Safety 24:42 – Sleep, Recovery, and Creatine 26:08 – Bloating and Absorption Issues 30:53 – Timing, Caffeine, and Coffee Stacks 34:07 – Different Forms of Creatine 43:06 – Weight Loss, Obesity, and Metabolism 45:50 – Testosterone and Hormones 47:47 – Women and the Menstrual Cycle 50:12 – Pregnancy and Fertility 53:44 – Magnesium and ATP Connection 56:17 – Methylation and TMG 01:01:18 – Creatine Quality and Contaminants 01:09:17 – Practical Creatine Tips 01:15:46 – Creatine for Kids and Teenagers See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Leucine, an essential amino acid found in foods like grass fed beef, eggs, and dairy, triggers a cellular pathway that boosts mitochondrial performance and energy output New research from Nature Cell Biology shows leucine prevents the breakdown of key mitochondrial proteins, allowing your cells to generate more adenosine triphosphate (ATP) — the fuel that powers every function in your body The study revealed that leucine's effects appear within hours, not weeks, improving mitochondrial respiration and helping your cells burn fuel more efficiently Unlike other amino acids, leucine uniquely stabilizes the mitochondrial membrane, helping your body maintain energy balance, enhance endurance, and recover faster from stress or exertion Eating high-quality protein from whole foods supplies the leucine your cells need to keep mitochondria performing at their best, supporting steady energy, mental clarity, and resilience throughout the day

On Monday Match Analysis, Gill Gross predicts the ATP year-end top-10 for the 2026 season. Last year's top-10 finishers included Carlos Alcaraz, Jannik Sinner, Alexander Zverev, Novak Djokovic, Felix Auger-Aliassime, Taylor Fritz, Alex de Minaur, Lorenzo Musetti, Ben Shelton and Jack Draper. Players eyeing a top-10 bounceback in 2026 include Daniil Medvedev, Casper Ruud, Stefanos Tsitsipas and Andrey Rublev. Young players poised for top-10 breakthroughs include Joao Fonseca, Arthur Fils and Flavio Cobolli. We'll hit on all of them.0:00 Intro0:45 Damian Kust2:20 Opening Thoughts6:10 Honorable Mentions19:55 No. 1023:30 No. 926:00 No. 830:10 No. 731:50 No. 635:40 No. 538:50 No. 442:15 No. 345:00 No. 248:10 No. 1 IG: https://www.instagram.com/gillgross_/TikTok: https://www.tiktok.com/@gill.gross24/7 Tennis Community on Discord: https://discord.gg/wW3WPqFTFJTwitter/X: https://twitter.com/Gill_GrossThe Draw newsletter, your one-stop-shop for the best tennis content on the internet every week: https://www.thedraw.tennis/subscribeBecome a member to support the channel: https://www.youtube.com/channel/UCvERpLl9dXH09fuNdbyiLQQ/joinEvans Brothers Coffee Roasters, the Official Coffee Of Monday Match Analysis... use code GILLGROSS25 for 25% off your first order: https://evansbrotherscoffee.com/collections/coffeeAUDIO PODCAST FEEDSSpotify: https://open.spotify.com/show/5c3VXnLDVVgLfZuGk3yxIF?si=AQy9oRlZTACoGr5XS3s_ygItunes: https://itunes.apple.com/us/podcast/monday-match-analysis/id1432259450?mt=2 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

First show of 2026: we talk Garmin Autoland in a King Air and why internet speculation is the fastest way to sound like a jabroni. We also hit the chaos of international ops (Mexico permits/APIS pain) and tease the Chicago Layover Guide dropping soon. In the Mailbag: Coeur d'Alene layover intel, a legendary lav story, Pilot Pete confusion gets cleaned up, airline-switching "sunk cost" drama, and surviving an unhinged sim instructor. Flight Advice is a big one: a 2,000-hr pilot with a baby inbound weighs staying in a single-pilot piston twin 135 gig vs taking a King Air 200 EMS job (and whether a regional/fractional move makes more sense). Luggage Review Series Show Notes 0:00 Intro 4:02 Musings: Training & Self-Landing Planes 28:03 Other Incidents 50:55 Caribbean Airspace Shutdown 56:07 Reviews 1:01:15 Mailbag 1:24:21 Flight Advice Our Sponsors Tim Pope, CFP® — Tim is both a CERTIFIED FINANCIAL PLANNER™ and a pilot. His practice specializes in aviation professionals and aviation 401k plans, helping clients pursue their financial goals by defining them, optimizing resources, and monitoring progress. Click here to learn more. Also check out The Pilot's Portfolio Podcast. Advanced Aircrew Academy — Enables flight operations to fulfill their training needs in the most efficient and affordable way—anywhere, at any time. They provide high-quality training for professional pilots, flight attendants, flight coordinators, maintenance, and line service teams, all delivered via a world-class online system. Click here to learn more. Raven Careers — Helping your career take flight. Raven Careers supports professional pilots with resume prep, interview strategy, and long-term career planning. Whether you're a CFI eyeing your first regional, a captain debating your upgrade path, or a legacy hopeful refining your application, their one-on-one coaching and insider knowledge give you a real advantage. Click here to learn more. The AirComp Calculator™ is business aviation's only online compensation analysis system. It can provide precise compensation ranges for 14 business aviation positions in six aircraft classes at over 50 locations throughout the United States in seconds. Click here to learn more. Vaerus Jet Sales — Vaerus means right, true, and real. Buy or sell an aircraft the right way, with a true partner to make your dream of flight real. Connect with Brooks at Vaerus Jet Sales or learn more about their DC-3 Referral Program. Harvey Watt — Offers the only true Loss of Medical License Insurance available to individuals and small groups. Because Harvey Watt manages most airlines' plans, they can assist you in identifying the right coverage to supplement your airline's plan. Many buy coverage to supplement the loss of retirement benefits while grounded. Click here to learn more. VSL ACE Guide — Your all-in-one pilot training resource. Includes the most up-to-date Airman Certification Standards (ACS) and Practical Test Standards (PTS) for Private, Instrument, Commercial, ATP, CFI, and CFII. 21.Five listeners get a discount on the guide—click here to learn more. ProPilotWorld.com — The premier information and networking resource for professional pilots. Click here to learn more.   Feedback & Contact Have feedback, suggestions, or a great aviation story to share? Email us at info@21fivepodcast.com. Check out our Instagram feed @21FivePodcast for more great content (and our collection of aviation license plates). The statements made in this show are our own opinions and do not reflect, nor were they under any direction of any of our employers.

Andy Roddick and Jon Wertheim kick off the 2026 season by talking Stan Wawrinka announcing his final season. Andy Roddick explains why he respects Stan and Venus Williams for continuing to play when they no longer have the "Grand Slam carrot" in front of them. Plus, we break down the new ATP heat policy and injuries heading into the Aussie swing with stars like Jack Draper, Holger Rune, and Arthur Fils all out from the 2026 AO. Plus developing news from Novak Djokovic. Click here for Novak Djokovic statement: https://x.com/DjokerNole/status/2007915011239551208?s=20 Click here for PTPA statement: https://x.com/ptpaplayers/status/2007995991954256280?s=20 COMMENT BELOW:What are you most looking forward to in the 2026 tennis season?Who do you think is looking good for AO so far?

Começar a comer mais de colher no almoço e jantar é uma coisa que pode ajudar, e muito, a acelerar seu progresso no emagrecimento, mas não pelos motivos que você deve imaginar, você vai ver...    Além disso, começar a passar mais na frente da academia ao invés de entrar nela, pode também ser outra coisa esperta a se fazer...  Hoje eu tenho 3 dicas contraintuitivas, porém, testadas na prática para ajudar você a fazer de 2026 o último ano em que você sequer precise pensar em emagrecimento...    Porque veja, em um mundo onde a maioria das pessoas, literalmente, está acima do peso e cada vez mais doente, começar fazer as coisas diferente passou a ser uma obrigação de quem quer fugir dessa estatística, então, deixe me te contar agora como fazer isso quebrando totalmente a velha idéia do ganho de peso que muitos ainda acreditam e revelando sua real solução, vem comigo.

Cracked Racquets Editor-in-Chief Alex Gruskin previews Week 1 of the 2026 ATP and WTA Season. He breaks down a fascinating first few days of United Cup results, names the players he's watching closest in Week 1, plus SO much more!! Don't forget to give a 5 star review on your favorite podcast app! In addition, add your twitter/instagram handle to the review for a chance to win some FREE CR gear!! Episode Bookmarks United Cup - 4:24 WTA Brisbane - 26:25 ATP Brisbane - 30:45 ATP Hong Kong - 35:40 WTA Auckland - 37:27 ATP Challengers + WTA 125K - 40:18 _____ Laurel Springs Ranked among the best online private schools in the United States, Laurel Springs stands out when it comes to support, personalization, community, and college prep. They give their K-12 students the resources, guidance, and learning opportunities they need at each grade level to reach their full potential. Find Cracked Racquets Website: https://www.crackedracquets.com Instagram: https://instagram.com/crackedracquets Twitter: https://twitter.com/crackedracquets Facebook: https://Facebook.com/crackedracquets YouTube: https://www.youtube.com/c/crackedracquets Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this hour of A Numbers Game, Gill Alexander and Kelley Bydlon continue to go through the NFL Week 18 slate, plus Gill goes through season-long tennis props for the WTA and ATP. Also on the show, VSiN Senior Editor Zach Cohen joins the show to talk about tonight's NBA slate and tennis.Get instant access to expert picks, public betting splits data, and pro betting tools when you join VSiN Pro. Grab your first month for only $9.99 or take over 15% off an annual subscription when you use promo code: POD25. Click here to get started. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Full Shownotes: https://bengreenfieldlife.com/podcast/495/ In this episode, I take you through a solo Q&A exploring topics like the best sauna practices, the real benefits of walking 7,000 steps a day, and the latest research on gut health treatments—including my personal experience starting a fecal microbiota transplant for chronic issues. How perceived food sensitivities can sometimes create real symptoms, clear up concerns about ketone supplements and liver health, and emphasize the importance of staying active throughout the day. I also mention my biohacking binder and let you know all the resources, studies, and tools I recommend will be linked in the show notes for anyone wanting more details. You’ll gain access to my complete binder of home biohacking tools and gadgets designed to support long-term health and performance (click here to start exploring). Episode Sponsors: IM8: Ditch the cabinet full of supplements—IM8 packs 92 powerhouse ingredients into one delicious scoop for all-day energy, gut health, and cellular support. Go to IM8Health.com and use code BEN for an exclusive gift—fuel your body the right way! Quantum Upgrade: Recent research has revealed that the Quantum Upgrade was able to increase ATP production by a jaw-dropping 20–25% in human cells. Unlock a 15-day free trial with the code BEN15 at quantumupgrade.io. Muse: Muse S Athena combines clinical-grade EEG and fNIRS technology to train your brain in real time while tracking sleep with 86% expert-level accuracy. Get 15% off at choosemuse.com/BENGREENFIELD or use code BENGREENFIELD at checkout. BIOptimizers Magnesium Breakthrough: The 7 essential forms of magnesium included in this full-spectrum serving help you relax, unwind, and turn off your active brain after a long and stressful day, so you can rest peacefully and wake up feeling refreshed, vibrant, and alert. Go to bioptimizers.com/ben and use code ben15 for 15% off any order. LMNT: Everyone needs electrolytes, especially those on low-carb diets, who practice intermittent or extended fasting, are physically active, or sweat a lot. Go to DrinkLMNT.com/BenGreenfield to get a free sample pack with your purchase!See omnystudio.com/listener for privacy information.

Try LMNT and get a FREE gift: https://partners.drinklmnt.com/free-gift-with-purchase?rfsn=5182916.370beb&utm_medium=sponsor&utm_source=daveasprey&utm_campaign=agwp&utm_content=podcast&utm_term=&rfsn_cn=EXCLUSIVE+GIFT+FOR+DAVE+ASPREY%27S+COMMUNITYIn this video, Dave Asprey exposes the hidden reason why people lose muscle tone and mental sharpness as early as their 30s… and reveals the simplest, cheapest powder to reverse the process.Dave walks the viewer through how this powder can directly protect the brain by replenishing cellular energy, restoring ATP production, improving memory, supporting resilience to stress and sleep loss, and slowing age-related decline. He details why most people fail to feel its benefits, the correct science-based dosing protocol, how to avoid stomach issues, and why women need it even more than men. *** Dave's Biohacking Holiday Gift Guide | Go to https://daveasprey.com/giftguide/ to explore the full guide. ***Thank you to our sponsors! • AquaTru | Go to https://aquatruwater.com/daveasprey and save $100 on all AquaTru water purifiers.• BrainTap | Go to http://braintap.com/dave to get $100 off the BrainTap Power Bundle.Timestamps00:00 – The Hidden Sleep Switch Nobody Talks About01:35 – The Root Causes of Bad Sleep02:13 – The Invisible Force Ruining Your Sleep03:48 – The Worst Sleeping Positions (and Why)04:30 – Correct Setup for Side and Back Sleepers06:23 – Why Food Timing Destroys Deep Sleep08:29 – The 3-Hour Rule09:33 – The Circadian Rhythm Problem in Modern Life11:30 – The Brain's Master Clock12:30 – Mimicking Nature with Morning and Evening Light14:20 – Proof That Light Manipulation Works15:05 – How to Reset Your Circadian Rhythm Step-by-StepResources: • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15 • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Upgrade Collective: https://www.ourupgradecollective.com • Upgrade Labs: https://upgradelabs.com • 40 Years of Zen: https://40yearsofzen.com Connect with Dave Asprey!Website: https://daveasprey.comTikTok: https://www.tiktok.com/@daveaspreyofficialInstagram: https://www.instagram.com/dave.asprey/Facebook: https://www.facebook.com/Daveaspreyofficial/X: https://x.com/daveaspreyYouTube: https://www.youtube.com/c/daveaspreybprThe Human Upgrade Podcast: Instagram: https://www.instagram.com/TheHumanUpgradePodcast/ Facebook: https://m.facebook.com/Thehumanupgrade/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.