Podcasts about bakersfield

Send Robert a Text! In 1931, a 6-year-old boy never came home. What happened to him, shocked the Bakersfield community. ***SUBSCRIBE HERE*** For only $4 per month, you can Subscribe to Notorious Bakersfield to get access to the entire back catalog of episodes. Subscribe here: https://www.buzzsprout.com/1784628/subscribe

MAPP Show 152 for Club Members / Update 934.1 Listen to a Brief Update to hear why there is no regular show this week. Presenting MAPP Show #152: If you're a PodCacher Club Member, check your email (or the ClubHouse) for the link to the audio file, show notes, and exclusive photos. This is our "Members Appreciation Premium Perk Show", released as BONUS content for all of our Club Members. On this week's MAPP show for our club members, * Some awesome stories of extreme weather geocaching * From a freezing moonlight event to dealing with cold rainy weather for some FTF opportunities * There's an old APE cache hunt in the pouring rain, and sliding down a snowy hill for a cache * From blistering hot Bakersfield to chest-deep snow in Alaska, we have great stories for you * We also have a listener FTF hunt that fits in well with the Extreme Weather theme * Extreme Stats in Project-GC * Prizes for PodCacher Club members and much more! The post Show 934.1 / MAPP Show 152 appeared first on PodCacher: Geocaching Goodness.

If You Missed Romeo In The Morning We Talked About: What was going on in Mexico and the fights you have with your siblings.

Does staging actually help a home sell faster and for more money? Or is it just about making a home look nice?In this episode of the Kern County Real Estate Review, Laurie McCarty explores why preparation is one of the most important steps when selling a home in today's Bakersfield and Kern County real estate market.With buyers paying more per month and becoming more selective, presentation can directly impact buyer perception, negotiating power, days on market, and final sale price.Laurie is joined by staging experts Courtney Montoya and Lauren Sefton, who work behind the scenes preparing listings before they ever hit the MLS. Throughout the episode, they share practical, actionable advice sellers can use right now, including:• What buyers notice immediately when they walk in• The rooms that matter most to stage• Common mistakes sellers make before photos• Simple weekend projects that create the biggest impact• Whether staging is worth it at every price point• How preparation can influence offer strengthIf you're thinking about selling your home in Bakersfield or anywhere in Kern County, this episode explains how to position your property to stand out and sell strong.Because the difference between sitting… and selling often comes down to preparation.

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Sam and Dylan are back to break down: TV Show and Video Game Corner, Sam's 70-year-old TV watching habits, the mysteriously missing 9/11 files, Britain's MI6 allegedly installing the first Saudi king, Trump taking shots at Howard Lutnick and joking about the Twin Towers, Lutnick suing for money and not giving it out, Marie Antoinette levels of Versailles greed, Versailles vs Loyola, Operation Long Leash, Is Noam Chomsky still chill?, Darksmith explains Clavicular and mogging, Jordan is a weird UNC, JD Vance letting people pick what he votes for, and a little Winter Olympics Corner to close it out.   Purchase Sam's Tickets Here: https://samtripoli.com/events/   Pottstown, PA: Feb 21st Las Vegas, NV (The Mutiny 30th Anniversary): Feb 28th Bakersfield, CA: Mar 6th Yuma, AZ: Mar 7th Hollywood, CA (Comedy Chaos at The Comedy Store): Mar 10th Batavia, IL: Mar 26th–28th Toronto, ON (Catacombs Cafe): Apr 17th–18th Dallas, TX (Hyenas): Apr 24th Fort Worth, TX (Hyenas): Apr 25th   Buy Our Merch or Sam Will Fight You: https://conspiracy-social-club-aka-de...   Check out Dylan's instagram -   @dylanpetewrenn    Check out Deep Waters Instagram:   @akadeepwaters    Check out Bad Tv podcast: https://bit.ly/3RYuTG0   Thanks to our sponsors!   HIMS Go to HIMS.COM/CSC your free online visit

On the latest episode of Tin Foil Hat, special guest Bek Lover shares his powerful story as an Albanian American whose family fought communism, lost relatives in the 1998 Kosovo war, and who was beneath the World Trade Center on 9/11. Shaped by those experiences, he discusses whether Muslims and Christians are truly enemies, addresses Jeff Lang's hate marches, outlines the short- and long-term dangers facing America, and offers ways to protect freedom and free speech. He also introduces his film, "The Muslim Invasion of America," which challenges media narratives he believes are designed to divide Americans. Please check out Bek Lover's Movie: The Muslim Invasion of America- /youtu.be/zlkjhmkHNe   Please subscribe to the new Tin Foil Hat youtube channel:  https://www.youtube.com/@TinFoilHatYoutube Grab your copy of the 2nd issue of the Chaos Twins now and join the Army Of Chaos: https://bit.ly/415fDfY Check out Sam "DoomScrollin with Sam Tripoli and Midnight Mike" Every Tuesday At 4pm pst on Youtube, X Twitter, Rumble and Rokfin! Join the WolfPack at Wise Wolf Gold and Silver and start hedging your financial position by investing in precious metals now! Go to https://www.samtripoli.gold/ and use the promo code "TinFoil" and we thank Tony for supporting our show. CopyMyCrypto.com: The 'Copy my Crypto' membership site shows you the coins that the youtuber 'James McMahon' personally holds - and allows you to copy him. So if you'd like to join the 1300 members who copy James, then stop what you're doing and head over to: https://copymycrypto.com/tinfoilhat/ You'll not only find proof of everything I've said - but my listeners get full access for just $1 LiveLongerFormula.com: Check out https://www.livelongerformula.com/sam — Christian is a longevity author and functional health expert who helps you fix your gut, detox, boost testosterone, and sleep better so you can thrive, not just survive. Watch his free masterclass on the 7 Deadly Health Fads, and if it clicks, book a free Metabolic Function Assessment to get to the root of your health issues. Grab Tickets To Sam Tripoli's Live Shows At SamTripoli.com: Hollywood, CA: 2/10 Perryville, MD: 2/20 Pottstown, PA: 2/21 Las Vegas, NV: 2/28 Bakersfield, CA: 3/6 Yuma, AZ: 3/7 Hollywood, CA: 3/10 Batavia, IL: 3/26-3/28 Toronto, CA: 4/17-18 Dallas, TX: 4/24 Fort Worth, TX: 4/25 Albuquerque, NM: 6/12-6/13 Austin, TX: The 100th Episode Of Tin Foil Hat 6/18 Lawerence, KS: 9/17-9/19 Tulsa, OK: 10/9-10/10 Austin, TX: 12/11-12/13   Please check out Bek Lover's internet:  Website:  www.BekLover.com Instagram: https://www.instagram.com/beklovernyc/ Twitter: https://x.com/BekLoverNYC   Please check out Sam Tripoli's internet: Linktree: https://linktr.ee/samtripoli Sam Tripoli's Stand Up Youtube Page: https://www.youtube.com/@SamTripoliComedy  Sam Tripoli's Comedy Instagram: https://www.instagram.com/samtripolicomedy/%20P Sam Tripoli's Podcast Clip Instagram: https://www.instagram.com/samtripolispodcastclips/   Please support our sponsors: Upside:  The free UPSIDE gets you cash back on daily essentials like gas, groceries and dining. Upside has given back $1Billon dollars to it users. To find out how much you could earn download the FREE Upside App and use the promo code TINFOILHAT to get an extra 25 cents fir every gallon on your first tank of gas, That's an extra 25 cents back for every Gallon on your first tank of gas, using the promo code TINFOILHAT Blue Chew Gold: And we've got a special deal for our listeners: Get 10% off your first month of BlueChew Gold with code TINFOIL. That's promo code TINFOIL. Visit BlueChew.com for more details and important safety information, and we thank BlueChew for sponsoring the podcast.  

If You Missed Romeo In The Morning We Talked About: Your pets and how you spoil them, Carlos Mencia and dating younger women.

Episode 213: HIV PrEP Review H. Nicole Magaña, medical student, reviews the history of PrEP and outlines the currently FDA-approved medications used for HIV prevention. Dr. Arreaza provides additional perspective on long-acting injectable options, including how quickly they begin to protect patients after initiation.   Written by Nicole Magana, MSIV, American University of the Caribbean. Comments and edits by Hector Arreaza, MD. You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice. Pre-exposure prophylaxis for HIV. Previous episodes related to HIV:  -Episode 67, HIV history (September 2021) -Episode 68, HIV transmissibility (October 2021) -Episode 70 (October 2021), HIV prevention (including HIV Prep with oral medications) -Episode 98 (June 2022), we introduced Apretude, the first injectable for HIV PrEP. Apretude was approved in December 2021.  What is Pre-Exposure prophylaxis (PrEP)? Pre-exposure prophylaxis, or PrEP, is the use of antiretroviral medications taken by individuals who are HIV-negative to prevent HIV acquisition. There are 30,000 new HIV infections annually in the US.  How effective is it? When taken as prescribed, PrEP is highly effective at reducing the risk of HIV transmission through sexual exposure and injection drug use. Patients who are adherent to PrEP can lower their risk of contracting HIV by 99%. The effectiveness of oral PrEP is highly adherence dependent. In trials with 70% adherence, the relative risk of HIV acquisition was 0.27, compared to 0.51 with 40-70% adherence and no significant benefit with adherence ≤40%. How does PrEP work? PrEP works by maintaining therapeutic drug levels in the bloodstream and in target tissues. If HIV exposure occurs, viral replication is inhibited, preventing the establishment of infection. Brief History of PrEP. The concept of PrEP originated from early animal studies demonstrating that antiretroviral medications could prevent retroviral transmission when administered before exposure. In 2010, the iPrEx trial showed that daily oral tenofovir disoproxil fumarate (known as Truvada) with emtricitabine significantly reduced HIV acquisition among men who have sex with men and transgender women. This was the first large clinical trial to demonstrate the effectiveness of PrEP. In 2012, the FDA approved oral Truvada, which is TDF/FTC (tenofovir disoproxil and emtricitabine) for HIV prevention. Since then, additional studies have expanded indications and introduced new formulations, including long-acting injectable options. Who Should Be Offered PrEP? PrEP should be considered for any HIV-negative individual at increased risk of HIV acquisition, including Men who have sex with men, transgender individuals, heterosexual men and women with an HIV-positive partner, individuals with recent bacterial sexually transmitted infections, people who inject drugs, individuals engaging in condomless sex with partners of unknown HIV status. Remember that PrEP should be offered in a nonjudgmental, patient-centered manner, make it a safe space to talk openly about prevention of HIV.  Available HIV PrEP Options. Daily Oral PrEP: There are 2 formulations of Tenofovir. There is Tenofovir disoproxil fumarate (TDF)/ Truvada and Tenofovir alafenamide (TAF)/ Descovy. Each is available in a tablet combined with Emtricitabine a nucleoside reverse transcriptase inhibitor. Truvada: It is approved for all populations at risk through sexual exposure or injection drug use. Something to look out for before starting this medication is for pre-existing CKD. Do not give to patients who have an estimated glomerular filtration rate of less than 60 mL/min. (6) Descovy: This option is approved for men who have sex with men and transgender women but is not approved for individuals at risk through receptive vaginal sex. It has less impact on renal function and bone mineral density compared to Truvada. It can be used in moderately reduced kidney function (GFR between 30-60 mL/min). Truvada and Descovy are taken orally once a day.  After patients start taking these medications, when are they considered to be protected?  Nicole: With daily oral PrEP, guidelines differ with WHO and International Aids Society-USA stating it takes about 7 days, while CDC states 21 days to allow for adequate concentration in tissues (1). Adherence is critical for efficacy. Injectable HIV PrEP. In 2021, the FDA approved the first Injectable PrEP option Long-acting cabotegravir (CAB-LA)- known on the market as Apretude. Cabotegravir is an integrase strand transfer inhibitor administered as an intramuscular injection.Dosing consists of an initial injection, a second injection one month later, and then maintenance injections every two months (1). Another option is Lenacapavir (Yeztugo). The Yeztugo as a pre-exposure prophylaxis (PrEP) for HIV in Oct 2024. Yeztugo is the first and only FDA-approved HIV prevention treatment that requires just two injections per year, offering a long-acting option for people who weigh at least 35kg. It is given as 2 injections every 6 months. First dose is given with 2 tablets on Day 1 and Day 2, then every 6 months 2 injections on the same day. Clinical trials, including HPTN 083 and HPTN 084, demonstrated that injectable cabotegravir is superior to daily oral PrEP in preventing HIV infection. This advantage is largely due to improved adherence rather than differences in intrinsic drug potency. There have been no head-to-head comparisons between Yeztugo and Apretude, but they are both very effective. Apretude starts protecting 7 days after the first dose, and Yeztugo starts protecting 2 hours after Day 2 (if patient takes the oral loading dose) or 3-4 weeks if no oral load is taken. Injectable PrEP is particularly beneficial for patients who struggle with daily pill adherence, have trouble swallowing pills, prefer a discreet option, have difficulty storing their medication or have renal or bone disease that limits the use of tenofovir-based regimens like Truvada and Descovy (6). In one unpublished report by Medline, patients who received Apretude had an increase in bone mineral density compared to those who received Truvada (1). Tests prior to starting PrEP. Before initiating PrEP, patients must be confirmed to be HIV-negative. Baseline evaluation includes HIV testing with a fourth-generation antigen/antibody assay, HIV RNA testing if acute infection is suspected, renal function testing for oral PrEP, Hepatitis B screening, sexually transmitted infection screening, and pregnancy testing when appropriate. PrEP should not be started in individuals with known or suspected acute HIV infection. Monitoring for patients on HIV PrEP. Monitoring typically includes HIV testing every 2 to 3 months, STI screening every 3 to 6 months, renal function monitoring for those on oral PrEP (tenofovir- based), ongoing adherence and risk-reduction counseling. And for injectable PrEP, adherence to the injection schedule is essential, as delayed dosing may increase the risk of resistance if HIV infection occurs. HIV PrEP is not a prevention for other STIs. Screening for STIs and counseling about prevention is essential. Breakthrough HIV infections on PrEP are rare and most often associated with poor adherence or delayed diagnosis. Truvada is more studied in all populations and is considered safe during pregnancy and breastfeeding. There is less data regarding the injectable option in patients who are pregnant, may become pregnant, or whose primary risk factor is injection drug use (1). Injectable PrEP provides an important alternative for patients with chronic kidney disease and bone disease (1). Key Takeaway Pre-exposure prophylaxis is a safe, effective, and evidence-based strategy for HIV prevention. With both daily oral and long-acting injectable options available, PrEP can be individualized to meet patient needs. Normalizing PrEP discussions in clinical practice is essential to reducing new HIV infections and advancing public health goals.  Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week!  References: Antiretroviral Drugs for Treatment and Prevention of HIV in Adults: 2024 Recommendations of the International Antiviral Society–USA Panel. The Journal of the American Medical Association. 2025. Gandhi RT, Landovitz RJ, Sax PE, et al. Long-Acting Lenacapavir Acts as an Effective Preexposure Prophylaxis in a Rectal SHIV Challenge Macaque Model. The Journal of Clinical Investigation. 2023. Bekerman E, Yant SR, VanderVeen L, et al. Pharmacokinetics and Safety of Once-Yearly Lenacapavir: A Phase 1, Open-Label Study. Lancet. 2025. Jogiraju V, Pawar P, Yager J, et al.

Send a textBakersfield 911 operator goes viral on Tiktok for being extremely rude. Vic sends open invite to have her on the show to explain her side of the storyAbandoned monkey in Japan walks around with a plushie because it has no mom or friends. Absolutely ruined Vic's weekVic kicks of fundraising campaign to raise money for blood cancer researchICYDK: Not only do insects feel pain, but they can also suffer chronic pain recovering from injuries & more!Videos surfacing from Yosemite National Park show its literally a winter wonderlandChinese New Years traditions we learned this year, but everyone is pretending to be an expert at What are you giving up for lent?TRIVIA: more than 40% of Americans say they did not do this even once in 2025. What is it?Find Vic: @vicdradioFind the pod:@ilysayitbackpod

If You Missed Romeo In The Morning We Talked About: Holding a grudge against a cheater, your pets and Cam Newton saying that a woman's value goes down based on the number of kids she has or something like that.

Andrew Mountbatten-Windsor, formerly known as Prince Andrew and the younger brother of King Charles III, was arrested on Thursday on suspicion of misconduct in public office. He has since been released under investigation and has not been charged. TikTok users from across the country are tuned into Bakersfield residents’ stories about a 911 dispatcher who has earned a reputation for harsh and snarky comments while speaking to callers. Natalia Mount was one of the first to post about the rude 911 dispatcher. Her video has over 7 million views and 1.2 million likes. People from all over the world made jokes about the Bakersfield operator. Please Like, Comment and Follow 'Philip Teresi on KMJ' on all platforms: --- Philip Teresi on KMJ is available on the KMJNOW app, Apple Podcasts, Spotify, YouTube or wherever else you listen to podcasts. -- Philip Teresi on KMJ Weekdays 2-6 PM Pacific on News/Talk 580 AM & 105.9 FM KMJ | Website | Facebook | Instagram | X | Podcast | Amazon | - Everything KMJ KMJNOW App | Podcasts | Facebook | X | Instagram See omnystudio.com/listener for privacy information.

Bryan interviews Josh Sherley, Regional Director for Bakersfield.  They talk about some of the uniqueness in the way Bakersfield Influencers are answering the call, but also talk about the upcoming Influencers International Men's Summit, going over the themes of the talks and the speakers.  This is going to be a very special event.  Listen and then SIGN UP!

On the latest episode of Tin Foil Hat, host Sam Tripoli welcomes Gary Wayne to discuss his new novel, The Opprimo Conspiracy: AI's Covenant with Babylon (April 1, 2026). Drawing from his books The Genesis 6 Conspiracy and The Genesis 6 Conspiracy Part II, Wayne explores how the biblical final seven years could emerge through the rise of AI—powered by massive amounts of money, energy, and water. He connects prehistory to prophecy, arguing the end-times may mirror the days of Noah, with giants, fallen angels, secret societies, and even a modern "image of the beast" potentially linked to artificial intelligence. Please check out Gary Wayne's new book: The Opprimo Conspiracy: AI's Convent With Babylon- https://bit.ly/46aNgyz Please subscribe to the new Tin Foil Hat youtube channel:  https://www.youtube.com/@TinFoilHatYoutube Grab your copy of the 2nd issue of the Chaos Twins now and join the Army Of Chaos: https://bit.ly/415fDfY Check out Sam "DoomScrollin with Sam Tripoli and Midnight Mike" Every Tuesday At 4pm pst on Youtube, X Twitter, Rumble and Rokfin! Join the WolfPack at Wise Wolf Gold and Silver and start hedging your financial position by investing in precious metals now! Go to https://www.samtripoli.gold/ and use the promo code "TinFoil" and we thank Tony for supporting our show. CopyMyCrypto.com: The 'Copy my Crypto' membership site shows you the coins that the youtuber 'James McMahon' personally holds - and allows you to copy him. So if you'd like to join the 1300 members who copy James, then stop what you're doing and head over to: https://copymycrypto.com/tinfoilhat/ You'll not only find proof of everything I've said - but my listeners get full access for just $1 LiveLongerFormula.com: Check out https://www.livelongerformula.com/sam — Christian is a longevity author and functional health expert who helps you fix your gut, detox, boost testosterone, and sleep better so you can thrive, not just survive. Watch his free masterclass on the 7 Deadly Health Fads, and if it clicks, book a free Metabolic Function Assessment to get to the root of your health issues. Grab Tickets To Sam Tripoli's Live Shows At SamTripoli.com: Hollywood, CA: 2/10 Perryville, MD: 2/20 Pottstown, PA: 2/21 Las Vegas, NV: 2/28 Bakersfield, CA: 3/6 Yuma, AZ: 3/7 Hollywood, CA: 3/10 Batavia, IL: 3/26-3/28 Toronto, CA: 4/17-18 Dallas, TX: 4/24 Fort Worth, TX: 4/25 Albuquerque, NM: 6/12-6/13 Austin, TX: The 100th Episode Of Tin Foil Hat 6/18 Lawerence, KS: 9/17-9/19 Tulsa, OK: 10/9-10/10 Austin, TX: 12/11-12/13   Please check out Gary Wayne's internet:  Website: https://genesis6conspiracy.com Books: https://bit.ly/4qTX4Vi   Please check out Sam Tripoli's internet: Linktree: https://linktr.ee/samtripoli Sam Tripoli's Stand Up Youtube Page: https://www.youtube.com/@SamTripoliComedy  Sam Tripoli's Comedy Instagram: https://www.instagram.com/samtripolicomedy/%20P Sam Tripoli's Podcast Clip Instagram: https://www.instagram.com/samtripolispodcastclips/   Please support our sponsors: Quo: Quo is the #1-rated business phone system on G2 with over 3,000 reviews, built for how modern teams work. That's why more than 90,000 businesses – from solo operators to growing teams – rely on Quo to stay connected, professional, and consistently reachable. Try QUO for free PLUS get 20% off your first 6 months when you go to Quo dot com slash TINFOIL. Home Chef: Home Chef delivers fresh ingredients and chef-designed recipes, conveniently to your doorstep to simplify your cooking experience.  Users of leading meal kits have rated Home Chef #1 in quality, convenience, value, taste, AND recipe ease. For a limited time, Home Chef is offering my listeners FIFTY PERCENT OFF and free shipping for your first box PLUS free dessert for life! Go to Home Chef dot com slash TINFOIL.    

Kemp Gregory, co-founder and CEO of Renewell Energy, discussed his background in mechanical engineering and petroleum engineering at Shell before transitioning to renewable energy with a master’s from Stanford. He explained that Renewell energy during low-demand periods and releasing it during peak demand, thus increasing grid flexibility. On episode 316 of The Green Insider, Mike and Kemp discussed their business model of leasing abandoned wells from original producers, offering a revenue-sharing option if the well-owners wish to participate in energy storage revenue. Other items included: Proposes converting suitable idle oil and gas wells into energy storage facilities instead of fully plugging and abandoning them This alternative can be lower cost than traditional well plugging while still meeting regulatory well-closure requirements Benefits regulators (meeting plugging quotas), oil and gas companies (cost savings and potential revenue), and the electric grid (added energy storage) Describes a gravity-based storage system that stores energy by lowering and raising a 30,000‑pound weight inside sealed wells Wells are sealed to prevent methane leakage, though carbon credits are not relied on for economic viability The system functions like a battery, storing excess energy during low demand and releasing it during peak demand Repurpose existing wells and electrical infrastructure, avoiding the need for new high-voltage transmission lines Business model involves leasing abandoned wells from original producers, with an option for revenue sharing Notes that Renewell secured $6.4 million in grants to convert additional wells near Bakersfield, California, and build its first commercial-scale system To be an Insider Please subscribe to The Green Insider powered by ERENEWABLE wherever you get your podcast from and remember to leave us a five-star rating. To learn more about our guest or ask about being a sponsor, contact ERENEWABLE and the Green Insider Podcast. The post Energy Storage Using Repurposed Oil and Gas Wells appeared first on eRENEWABLE.

Today's top stories: Rain continues in Kern County Republican Steve Hilton leads in race for governor Civil trial to begin in 2023 Bakersfield Police crash Woman speaks out on viral Bakersfield 911 dispatcherPinpoint Weather Forecast: Feb.18, 2026For more local news, vsiit KGET.com. Stream local news for free on KGET+. Visit KGET.com/plus for more information. 

Send Robert a Text! For decades, anyone with a scanner could listen as Bakersfield police officers and Kern County deputies responded to calls in real time. Now, a massive countywide radio overhaul could encrypt those transmissions, silencing the airwaves to the public. The question is whether this change will enhance officer safety, or will it put a wall between law enforcement and the community they serve.***SUBSCRIBE HERE*** For only $4 per month, you can Subscribe to Notorious Bakersfield to get access to the entire back catalog of episodes. Subscribe here: https://www.buzzsprout.com/1784628/subscribe

If You Missed Romeo In The Morning We Talked About: Valentines Day, and women can control a one night stand or brief relationship and should a spouse have to ask their spouse for permission?

Can you trust real estate listing photos anymore?With editing software and AI tools becoming more advanced, it is easier than ever to alter images of a property before it hits the market. That is exactly why California Assembly Bill 723 (AB 723) is going into effect on January 1, 2026.In this episode of the Kern County Real Estate Review, Laurie McCarty is joined by Chris O'Donnell, owner of Selling Image and one of Bakersfield's most trusted real estate photographers, to break down what AB 723 really means for buyers, sellers, and agents.AB 723 requires a reasonably conspicuous disclosure on any listing photo that has been digitally altered or AI-generated in a way that changes physical elements of a property. It also requires access to the original, unedited images through a link, URL, or QR code. The goal is transparency and protecting buyers from misleading property images.In this episode, we discuss:• What counts as a “digitally altered” real estate photo• How AI is changing real estate photography• What must now be disclosed under AB 723• How this law impacts virtual staging• Why transparency in listing photos matters• What buyers should watch for when viewing homes online• How agents and photographers are adapting to the new requirementsIf you are buying, selling, or simply browsing homes online, this is a conversation you need to hear.Tune in to understand how AB 723 will change real estate listings in California and what it means for the future of real estate photography.

Fire As A Weapon for Murder: A Retired California Cop's Experience With Trauma Few Are Prepared For. When most people think about murder, they imagine firearms or knives. Rarely do they consider fire itself as the weapon. Yet according to retired law enforcement veteran Charles “Chuck” Sherman, fire is one of the most brutal and psychologically devastating methods of killing, not only for victims, but for every Cop forced to witness its aftermath. The Podcast is available and shared for free on the Law Enforcement Talk Radio Show and Podcast website, also on Apple Podcasts, Spotify, YouTube and most major podcast platforms. Drawing from decades of Retired California Police Experience, Sherman now shares his story publicly through a Podcast and across platforms like their Facebook, Instagram, YouTube, LinkedIn, Apple Podcasts, and Spotify, Medium and other social media platforms. He is hoping to spark conversations about officer Trauma, training gaps, and a form of violence many people, including police are unprepared to face. The Law Enforcement Talk Radio Show and Podcast social media like their Facebook , Instagram , LinkedIn , Medium and other social media platforms. “People don't realize fire can be used as a weapon just like a gun,” Sherman said. “And when you see it firsthand, it changes you.”  Supporting articles about this and much more from Law Enforcement Talk Radio Show and Podcast in platforms like Medium , Blogspot and Linkedin . Understanding Fire As A Weapon for Murder Arson is legally defined as the willful and deliberate act of setting fire to or charring property. While commonly associated with buildings, arson can also involve vehicles, boats, forests, or other property. The crime is typically charged as a felony, with harsher penalties when human life is endangered. Fire As A Weapon for Murder: A Retired California Cop's Experience With Trauma Few Are Prepared For. Available for free on the Law Enforcement Talk Radio Show and Podcast website, also on Apple Podcasts, Spotify, Youtube and most major Podcast networks. In some cases, arson is committed for insurance fraud or to conceal crimes such as burglary or homicide. When a death occurs, prosecutors may pursue manslaughter or murder charges. But Sherman emphasizes that arson statistics only tell part of the story. “Quite often people die in building fires,” he explained. “But there are also cases where someone is intentionally set on fire. That's homicide and it happens more than people think.” Each year in the United States, deaths involving fire include accidents, suicides involving self-immolation, and murders where fire becomes the primary weapon. A Veteran Officer Caught Off Guard At the time of the incident that would leave a lasting mark on his career, Sherman was a recently promoted Police Sergeant with years of experience behind him. He had already handled violent crimes, major investigations, and countless critical incidents. Fire As A Weapon for Murder: A Retired California Cop's Experience With Trauma Few Are Prepared For. Look for The Law Enforcement Talk Radio Show and Podcast on social media like their Facebook , Instagram , LinkedIn , Medium and other social media platforms. Nothing prepared him for this call. While on duty, Sherman was alerted by a citizen to a violent crime unfolding nearby. Arriving on scene, he discovered a man who had been doused with a flammable liquid and intentionally set on fire. “I caught the call on view after someone flagged me down,” Sherman recalled. “Within seconds I realized this was something completely different from anything I'd handled before.” Despite decades of training, Sherman says the moment exposed a serious gap in law enforcement preparation. “We train for weapons, tactics, and survival,” he said. “But almost nobody trains you for the emotional impact of seeing someone burned alive.” A Career of Service and an Unexpected Reality Sherman's law enforcement career spanned approximately thirty years. He began as a Detention Officer with the Kern County Sheriff's Department, serving about a decade before joining the Bakersfield Police Department as a full-time officer. During his seventeen years with Bakersfield Police, he worked as a detective, field training officer, and academy coordinator before promoting to Sergeant. Later, he continued public service as an investigator with the Kern County District Attorney's Office until 2022. Fire As A Weapon for Murder: A Retired California Cop's Experience With Trauma Few Are Prepared For. Available for free on their website and streaming on Apple Podcasts, Spotify, Youtube and other podcast platforms. By every professional measure, Sherman was seasoned and experienced. Yet he says nothing in his background prepared him for what he encountered that day. “You think experience prepares you for everything,” he said. “It doesn't.” The Hidden Trauma Police Carry Deaths involving fire are far more common than many Americans realize. Police officers regularly encounter fatal fires, whether accidental, suicidal, or criminal, yet many departments provide limited training on handling the psychological aftermath. It is discussed across News platforms and shared on Facebook, Instagram, LinkedIn, Apple, and Spotify, where true crime audiences continue to get their content. According to Sherman, the trauma can be immediate and long-lasting. “It hits every sense at once, sight, smell, sound,” he said. “Your brain doesn't forget that.” Many officers quietly struggle after such incidents, even while continuing daily duties. “You go from something horrific straight to the next call,” Sherman explained. “There's rarely time to process what you just experienced.” Fire As A Weapon for Murder: A Retired California Cop's Experience With Trauma Few Are Prepared For. You can find the show on Facebook, Instagram, Pinterest, X (formerly Twitter), and LinkedIn, as well as read companion articles and updates on Medium, Blogspot, YouTube, and even IMDB. He believes fire-related deaths are among the most frequent yet least discussed sources of officer trauma nationwide. When Support Falls Short Sherman says the incident was shocking enough on its own, but what followed left an equally lasting impression. The criminal sentence handed down to the murderer surprised many involved in the case, raising questions about how fire-related homicides are viewed compared to other forms of murder. Even more troubling to Sherman was what he describes as a lack of compassion from leadership afterward. “Sometimes you expect understanding from your own organization,” he said. “And sometimes it just isn't there.” The experience reinforced his belief that law enforcement agencies must address mental health support as seriously as operational training. Fire As A Weapon for Murder: A Retired California Cop's Experience With Trauma Few Are Prepared For. Free on their website and streaming on Apple Podcasts, Spotify, Youtube and other podcast platforms. Murder Beyond Guns and Knives Under U.S. law, murder is defined as the unlawful killing of another person with “malice aforethought,” meaning intent or conscious disregard for human life. First-degree murder involves premeditation, while second-degree murder involves intentional killing without planning. Manslaughter differs by involving reckless or emotionally provoked actions rather than deliberate intent. While public perception often centers on shootings or stabbings, Sherman says fire-related killings reveal another reality of violent crime. “Fire is slow, painful, and terrifying,” he said. “It's one of the cruelest ways someone can take a life.” The City Behind the Story Sherman's career unfolded in Bakersfield, California, the county seat of Kern County and a major agricultural and energy-producing region in the southern San Joaquin Valley. With a population exceeding 400,000 residents, the Bakersfield Police Department serves a large and diverse urban community with more than 590 sworn officers and professional staff. Fire As A Weapon for Murder: A Retired California Cop's Experience With Trauma Few Are Prepared For. The Law Enforcement Talk Radio Show and Podcast on social media like their Facebook , Instagram , LinkedIn , Medium and other social media platforms. In recent years, the city has seen encouraging reductions in violent crime, including a drop in murders from 60 in 2021 to 26 in 2024, along with a significant decrease in shootings. But statistics rarely capture the emotional impact carried by first responders. Turning Experience Into Awareness Today, Sherman shares his experiences through the interview on the Law Enforcement Talk Radio Show and Podcast, it's social media, and long-form conversations online, using modern platforms to reach audiences who consume News in new ways. His goal is simple: increase awareness about the realities officers face and encourage departments to improve training and mental health support. “Cops are expected to handle the worst moments of humanity,” Sherman said. “But we're still human beings absorbing trauma every day.” By speaking openly, Sherman hopes conversations about Fire As A Weapon for Murder will expand beyond criminal justice discussions to include officer wellness, compassion, and preparation. Fire As A Weapon for Murder: A Retired California Cop's Experience With Trauma Few Are Prepared For. Available for free on the Law Enforcement Talk Radio Show and Podcast website, also on Apple Podcasts, Spotify, Youtube and most major Podcast networks. Because long after the flames are extinguished, the psychological scars can remain. “Some calls stay with you forever,” he said. “And this was one of them.” Be sure to follow us on X , Instagram , Facebook, Pinterest, Linkedin and other social media platforms for the latest episodes and news. Background song Hurricane is used with permission from the band Dark Horse Flyer. You can contact John J. “Jay” Wiley by email at Jay@letradio.com , or learn more about him on their website . Find a wide variety of great podcasts online at The Podcast Zone Facebook Page , look for the one with the bright green logo. Be sure to check out our website . Fire As A Weapon for Murder: A Retired California Cop's Experience With Trauma Few Are Prepared For. Attributions CRI Wikipedia Google Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Thank you for joining us! If you have any questions please don't hesitate to call the church office at 661-833-2800 or check out our website www.laurelglen.org.Scripture Reference: Titus 3:8,14

Sam and Dylan are back to break down: Darksmith defends ladies, Satanic Super Bowl Halftime symbolism, Bad Bunny x-rated lyrics, Erika Kirk wedding photo and sex list, Highland park mason lodge, Bad Bunny and Cardi B Illuminati swag, Pam Bondi how bout dow, Pam bondi hearing theater, the Kali Yuga Cycle, Cold Sores are they real?, Satanists vs the Molochians, Woke is back, Woke vs Nazi autism power couple, Mayor misgenders trans woman and apologizes, you're a nerd loser if you weren't in the Epstein files, Summer Institute of linguistics, Rockefeller is a spiritual Jew, Save America act voter id, and the German deer calling throat goat competition.   Purchase Sam's Tickets Here: https://samtripoli.com/events/   Perryville, MD: Feb 20th Pottstown, PA: Feb 21st Las Vegas, NV (The Mutiny 30th Anniversary): Feb 28th Bakersfield, CA: Mar 6th Yuma, AZ: Mar 7th Hollywood, CA (Comedy Chaos at The Comedy Store): Mar 10th Batavia, IL: Mar 26th–28th Toronto, ON (Catacombs Cafe): Apr 17th–18th Dallas, TX (Hyenas): Apr 24th Fort Worth, TX (Hyenas): Apr 25th   Buy Our Merch or Sam Will Fight You: https://conspiracy-social-club-aka-deep-waters.myshopify.com/   Check out Dylan's instagram -   @dylanpetewrenn    Check out Deep Waters Instagram:   @akadeepwaters    Check out Bad Tv podcast: https://bit.ly/3RYuTG0   Thanks to our sponsors!   BLUECHEW GOLD Use Promo Code "DEEP" at BLUECHEW.COM to get 10% off your first order

The Moneywise Radio Show and Podcast Friday, February 13th  BE MONEYWISE. Moneywise Wealth Management I "The Moneywise Radio Show & Podcast" call: 661-847-1000 text in anytime: 661-396-1000 website: www.MoneywiseGuys.com facebook: Moneywise_Wealth_Management LinkedIn: Moneywise_Wealth_Management Guest: Kimberly Price, Beautiful Bakersfield Awards Event Director website: https://beautiful.bakochamber.com/ The opinions voiced in this podcast are for general information only and are not intended to provide specific advice or recommendations for any individual. To determine which strategies or investments may be suitable for you, consult the appropriate qualified professional prior to making a decision. Kimberly Price and her business are not affiliated with nor endorsed by LPL Financial or Moneywise Wealth Management].

We recap the 2026 AHL All Star Game! Plus we talk to MVP, Pacific Division Captain and Colorado Eagle Jayson Megna as well as Bakersfield's Quinn Hutson, San Diego's Tim Washe and Coachella Valley's Jagger Firkus!  Join Scott, Steven & Peter on ITHSWpodcasts.Podbean.com, or wherever you get your favorite podcast!  For more, click like and subscribe and go to ITHSWpodcasts.podbean.com

The latest episode of Tin Foil Hat features Susan Bradford, who argues that a centuries-old crime syndicate operating from the City of London controls global finance, intelligence networks, and governments. She traces its origins to the Dutch East India Company and its merger of influence with the East India Company, describing a corporate-government model that expanded through wars like the Napoleonic Wars and revolutions worldwide. Citing figures such as Jeffrey Epstein, she claims modern institutions—including Bank for International Settlements and BlackRock—are vehicles for this agenda, and contends that recognizing what she sees as its illegitimacy is key to reclaiming public power. Please check out Susan Bradford's book: BlackRock Bamboozle- https://www.amazon.com/dp/B0G2L1217N Please subscribe to the new Tin Foil Hat youtube channel:  https://www.youtube.com/@TinFoilHatYoutube Grab your copy of the 2nd issue of the Chaos Twins now and join the Army Of Chaos: https://bit.ly/415fDfY Check out Sam "DoomScrollin with Sam Tripoli and Midnight Mike" Every Tuesday At 4pm pst on Youtube, X Twitter, Rumble and Rokfin! Join the WolfPack at Wise Wolf Gold and Silver and start hedging your financial position by investing in precious metals now! Go to https://www.samtripoli.gold/ and use the promo code "TinFoil" and we thank Tony for supporting our show. CopyMyCrypto.com: The 'Copy my Crypto' membership site shows you the coins that the youtuber 'James McMahon' personally holds - and allows you to copy him. So if you'd like to join the 1300 members who copy James, then stop what you're doing and head over to: https://copymycrypto.com/tinfoilhat/ You'll not only find proof of everything I've said - but my listeners get full access for just $1 LiveLongerFormula.com: Check out https://www.livelongerformula.com/sam — Christian is a longevity author and functional health expert who helps you fix your gut, detox, boost testosterone, and sleep better so you can thrive, not just survive. Watch his free masterclass on the 7 Deadly Health Fads, and if it clicks, book a free Metabolic Function Assessment to get to the root of your health issues. Grab Tickets To Sam Tripoli's Live Shows At SamTripoli.com: Hollywood, CA: 2/10 Perryville, MD: 2/20 Pottstown, PA: 2/21 Las Vegas, NV: 2/28 Bakersfield, CA: 3/6 Yuma, AZ: 3/7 Hollywood, CA: 3/10 Batavia, IL: 3/26-3/28 Toronto, CA: 4/17-18 Dallas, TX: 4/24 Fort Worth, TX: 4/25 Albuquerque, NM: 6/12-6/13 Austin, TX: The 100th Episode Of Tin Foil Hat 6/18 Lawerence, KS: 9/17-9/19 Tulsa, OK: 10/9-10/10 Austin, TX: 12/11-12/13   Please check out Susan Bradford's internet:  Website: https://www.susanbradfordbooks.com/ BlackRock Bamboozle: https://www.amazon.com/dp/B0G2L1217N Royal Blood Lies: https://www.amazon.com/dp/B08Z3QPN6C Substack: https://sbradford.substack.com/ Buy Me a Coffee:https://buymeacoffee.com/susanbradford   Please check out Sam Tripoli's internet: Linktree: https://linktr.ee/samtripoli Sam Tripoli's Stand Up Youtube Page: https://www.youtube.com/@SamTripoliComedy  Sam Tripoli's Comedy Instagram: https://www.instagram.com/samtripolicomedy/%20P Sam Tripoli's Podcast Clip Instagram: https://www.instagram.com/samtripolispodcastclips/   Please support our sponsors: BetterWild: an ancestral blend of wolf probiotics designed to restore your dog's gut to the healthy digestion that its wolf ancestors had called Ancestral Advantage. Betterwild is committed to helping your dogs with science-backed, veterinarian approved solutions that you can feel great about. Right now, Betterwild is offering our listeners up to 40% off your order at betterwild.com slash tinfoil  

HITM: Did Jamie buy a horse on her shopping trip to California? Plus, we'll cover the exciting details of the first-ever sanctioned endurance ride in the stunning Alaskan wilderness. We also have a product review of the Gatsby® Stable Blanket and will announce two new fun prizes for this month's Really Bad Ads. Listen in...AUDITOR POST SHOW: No Post ShowHORSES IN THE MORNING Episode 3884 – Show Notes and Links:Hosts: Jamie Jennings of Flyover Farm and Glenn the GeekJamie and Glenn's Amazon StorePic Credit: Brenna Gallagher-PhillipsTitle Sponsor: Kentucky Performance ProductsGuests: Brenna Gallagher-Phillips and Auditor Sarah Weideman on the Great Alaskan Endurance RaceGuest: Jacqueline Tanzi of Centaur Equestrians LLC in New Jersey reviewing the Gatsby 600D 250g Stable BlanketGiveaway: $100 gift card from Grace 'n Grit, use coupon code HRN for 10% off your next hat.Giveaway: A $250 Gift Pack from Watercolor Western, use coupon code HRN for 20% off for the month of February.Additional support for this podcast provided by: My New Horse, Equine Network and Listeners Like YouTime Stamps: 00:05 - Show open / sponsor mention01:16 - Jamie calls in from Bakersfield about horse shopping23:42 - Alaska endurance ride 34:55 - Gatsby stable blanket review48:08 - Really Bad Ads

HITM: Did Jamie buy a horse on her shopping trip to California? Plus, we'll cover the exciting details of the first-ever sanctioned endurance ride in the stunning Alaskan wilderness. We also have a product review of the Gatsby® Stable Blanket and will announce two new fun prizes for this month's Really Bad Ads. Listen in...AUDITOR POST SHOW: No Post ShowHORSES IN THE MORNING Episode 3884 – Show Notes and Links:Hosts: Jamie Jennings of Flyover Farm and Glenn the GeekJamie and Glenn's Amazon StorePic Credit: Brenna Gallagher-PhillipsTitle Sponsor: Kentucky Performance ProductsGuests: Brenna Gallagher-Phillips and Auditor Sarah Weideman on the Great Alaskan Endurance RaceGuest: Jacqueline Tanzi of Centaur Equestrians LLC in New Jersey reviewing the Gatsby 600D 250g Stable BlanketGiveaway: $100 gift card from Grace 'n Grit, use coupon code HRN for 10% off your next hat.Giveaway: A $250 Gift Pack from Watercolor Western, use coupon code HRN for 20% off for the month of February.Additional support for this podcast provided by: My New Horse, Equine Network and Listeners Like YouTime Stamps: 00:05 - Show open / sponsor mention01:16 - Jamie calls in from Bakersfield about horse shopping23:42 - Alaska endurance ride 34:55 - Gatsby stable blanket review48:08 - Really Bad Ads

If You Missed Romeo In The Morning We Talked About: 35% of you have a dirt car, Sea Bass I guess is a luxury fish and the DMV that is easiest to pass your driving test.

Episode 212: Managing HFpEFHyo Mun and Jordan Redden (medical students) explain how to manage HFpEF with medications and touch some basics about nonpharmacologic treatments. Dr. Arreaza asks insightful questions to guide the discussion. Written by Hyo Mun, MSIV, American University of the Caribbean; and Jordan Redden, MSIV, Ross University School of Medicine. Comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Treatment of HFpEFArreaza: Mike, if you had to name the one therapy everyone with HFpEF should be on, what is it?Mike: That's easy! SGLT-2 inhibitors. This is the one slam-dunk we have in HFpEF. Empagliflozin (Jardiance) or dapagliflozin (Farxiga) should be started in essentially every patient with HFpEF, and it doesn't matter if they have diabetes or not.Jordan: And that's worth repeating, because people still think of these as “diabetes drugs.” They're not anymore. In HFpEF, SGLT-2 inhibitors reduce heart-failure hospitalizations, improve symptoms, improve quality of life, and even reduce cardiovascular death.Dr. Arreaza: They're also simple. Empagliflozin 10 mg daily or dapagliflozin 10 mg daily. No titration, no drama. The effectiveness of these meds was established around 2019 with DAPA-HF and later with DELIVER. These were trials thatdemonstrated that dapagliflozin reduces worsening heart failure and cardiovascular events across the full spectrum of heart failure, from reduced to preserved ejection fraction, independent of diabetes status.Mike: And the number needed to treat is about 28 to prevent one heart-failure hospitalization. That's excellent for a disease where we historically had almost nothing that worked.Jordan: They're also safe in chronic kidney disease down to an eGFR of about 25, which makes them even more useful in this population.Dr. Arreaza: Alright. We got SGLT-2 inhibitor, what's next?Mike: Volume management. Loop diuretics are still the backbone of symptom control in HFpEF. If the patient is volume overloaded, you diurese, and you diurese aggressively.Jordan: The goal is euvolemia. Dry weight, no edema, no orthopnea, no waking up gasping for air. A lot of these patients end up needing chronic oral loop diuretics to stay there.Dr. Arreaza: Something to remember: HFpEF patients don't tolerate congestion well, and being “a little wet” is not benign. Let's move into RAAS inhibition. Where do ARBs and ACE inhibitors fit in?Mike: Between ARBs and ACE inhibitors, ARBs are the winners in HFpEF. They actually reduce heart failure hospitalizations—drugs like candesartan, losartan, valsartan. ACE inhibitors? Not so much. They showed minimal benefit in older HFpEF patients, which is why we go with ARBs instead.Jordan: But a lot of clinicians get nervous about ACE inhibitors and ARBs because of kidney function, so it's worth talking through how these drugs actually work in the kidney.Dr. Arreaza: Yes, misunderstanding may lead to unnecessary drug discontinuation.Jordan: Under normal conditions, the afferent arteriole brings blood into the glomerulus, and the efferent arteriole is constricted by angiotensin II. That constriction keeps pressure high in the glomerulus and maintains filtration.Mike: Here's what happens with an ACE inhibitor: you block angiotensin II, the efferent arteriole relaxes, glomerular pressure drops, and GFR dips slightly. Creatinine bumps up a little, and that scares people, but that's actually the whole point—that's how you get kidney protection long-term.Jordan: High intraglomerular pressure causes hyperfiltration injury and scarring over time. Lowering that pressure protects the kidney long-term. The short-term GFR drop is the price you pay for long-term benefits.Dr. Arreaza: So let's talk about CKD, because this is where people panic.Mike: Right. ACE inhibitors and ARBs are not contraindicated in chronic kidney disease. In fact, they're recommended even in advanced stages. They reduce progression to kidney failure by about a third.Jordan: The key is how you use them. Start low. Check creatinine and potassium one to two weeks after starting, then periodically. A creatinine rise up to 30% from baseline is acceptable. That's not kidney injury, that's physiology.Dr. Arreaza: And what about potassium creeping up?Mike: You adjust the dose or add a potassium binder. You don't just automatically stop the drug.Dr. Arreaza: Now there is one absolute contraindication everyone needs to know about! (board exam test)Jordan: Bilateral renal artery stenosis. This is the big one. In these patients, the kidneys are completely dependent on angiotensin II–mediated efferent constriction to maintain GFR. Take that away, and GFR collapses.Mike: Creatinine can jump dramatically within days. If you see a creatinine rise of 20% or more shortly after starting an ACE inhibitor, you should be thinking about bilateral renal artery stenosis and stopping the drug immediately.Dr. Arreaza: After revascularization, though, many patients can tolerate ACE inhibitors again, so this isn't always permanent. What about cardiorenal syndrome? That's where things get uncomfortable.Mike: It is uncomfortable, but cardiorenal syndrome isn't a contraindication. These patients have severe heart failure and kidney disease, and their mortality is actually higher than patients with heart failure alone.Jordan: ACE inhibitors still reduce mortality and slow kidney disease progression in this group. Studies show that stopping ACE inhibitors during acute heart-failure admissions increases in-hospital mortality three- to four-fold.Dr. Arreaza: So we are cautious, but we don't avoid it.Mike: Exactly. Start low, titrate slowly, monitor labs closely, accept up to a 30% creatinine rise. You only stop if kidney function keeps worsening, or potassium gets dangerously high.Dr. Arreaza: Alright. Let's move on. What about mineralocorticoid receptor antagonists… MRA?Jordan: Spironolactone or eplerenone might reduce hospitalizations in HFpEF, but the data is mixed. This is more of a “select patients” situation.Mike: And you have to watch potassium and kidney function carefully, especially if they're already on an ACE inhibitor or ARB.Dr. Arreaza: What about sacubitril-valsartan, also known as Entresto®?Mike: Entresto may help patients with mildly reduced EF roughly in the 45 to 57% range. It's not first-line for HFpEF, but in select patients, it's reasonable.Dr. Arreaza: Now let's clarify one of the biggest sources of confusion: beta blockers.Jordan: Beta blockers are not a treatment for HFpEF itself. They're only indicated if the patient has another reason to be on them, like coronary disease or atrial fibrillation.Mike: And timing really matters here. You absolutely do not start beta blockers during acute decompensated heart failure. Their negative inotropic effects can make things worse when patients are volume overloaded.Jordan: But, and this is critical, you also don't stop them if the patient is already taking one. Abrupt withdrawal causes a sympathetic surge and dramatically increases mortality.Dr. Arreaza: If a patient is admitted on a beta blocker, what do we do?Mike: Continue it at the same dose or reduce it slightly if they're really unstable. Once they're euvolemic and stable, you can carefully titrate up.Jordan: And watch for chronotropic incompetence. HFpEF patients often rely on heart-rate response to exercise, and beta blockers can worsen exercise intolerance.Dr. Arreaza: Beyond medications, HFpEF is really about treating comorbidities. Aerobic activity can be an initial strategy to improve exercise intolerance and has evidence of improving aerobic function and quality of life. Sodium restriction: improves symptoms, does not decrease risk of death or hospitalizations.Mike: Hypertension control is huge. For diabetes, the SGLT-2 inhibitors will perform double duty. For obesity, weight loss improves symptoms, and GLP-1 agonists like semaglutide are absolute gamechangers.Jordan: Don't forget sleep apnea, atrial fibrillation, and lifestyle. Exercise improves the quality of life, even if it doesn't change hard outcomes. Lifestyle is the main treatment. Dr. Arreaza: And when should you refer to cardiology?Mike: You should refer when the diagnosis isn't clear; symptoms are not responding to treatment, difficult volume management, end-organ dysfunction, or if you are concerned about advanced heart failure.Dr. Arreaza: So, it has been a great discussion. What is the takeaway?Mike: HFpEF treatment isn't about one magic drug -- it's about volume control, SGLT2 inhibitors, smart use of RAAS blockade, and aggressive management of comorbidities.Jordan: And it's understanding the physiology, so you don't withhold life-saving therapies out of fear.Dr. Arreaza: Well said. If you found this helpful, share it with a friend or colleague and rate us wherever you listen. This is Dr. Arreaza, signing off.Jordan/Mike: Thanks! Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Barzin A, Barnhouse KK, Kane SF. Heart Failure With Preserved Ejection Fraction. Am Fam Physician. 2025;112(4):435-440.Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure. Circulation. 2022;145(18):e895-e1032.Kittleson MM, Panjrath GS, Amancherla K, et al. 2023 ACC expert consensus decision pathway on management of heart failure with preserved ejection fraction. J Am Coll Cardiol. 2023;81(18):1835-1878.Anker SD, Butler J, Filippatos G, et al. Empagliflozin in heart failure with a preserved ejection fraction. N Engl J Med. 2021;385(16):1451-1461.Solomon SD, McMurray JJV, Claggett B, et al. Dapagliflozin in heart failure with mildly reduced or preserved ejection fraction. N Engl J Med. 2022;387(12):1089-1098.Pitt B, Pfeffer MA, Assmann SF, et al. Spironolactone for heart failure with preserved ejection fraction. N Engl J Med. 2014;370(15):1383-1392.Yusuf S, Pfeffer MA, Swedberg K, et al. Effects of candesartan in patients with chronic heart failure and preserved left-ventricular ejection fraction. Lancet. 2003;362(9386):777-781.Solomon SD, McMurray JJV, Anand IS, et al. Angiotensin-neprilysin inhibition in heart failure with preserved ejection fraction. N Engl J Med. 2019;381(17):1609-1620.Kosiborod MN, Abildstrøm SZ, Borlaug BA, et al. Semaglutide in patients with heart failure with preserved ejection fraction and obesity. N Engl J Med. 2023;389(12):1069-1084.Xie Y, Xu E, Bowe B, Al-Aly Z. Long-term cardiovascular outcomes of COVID-19. Nat Med. 2022;28(3):583-590.Puntmann VO, Carerj ML, Wieters I, et al. Outcomes of cardiovascular magnetic resonance imaging in patients recently recovered from COVID-19. JAMA Cardiol. 2020;5(11):1265-1273.Basso C, Leone O, Rizzo S, et al. Pathological features of COVID-19-associated myocardial injury. Eur Heart J. 2020;41(39):3827-3835.Nalbandian A, Sehgal K, Gupta A, et al. Post-acute COVID-19 syndrome. Nat Med. 2021;27(4):601-615.Badve SV, Roberts MA, Hawley CM, et al. Effects of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in adults with estimated GFR less than 60 mL/min per 1.73 m². Ann Intern Med. 2024;177(8):953-963.Navis G, Faber HJ, de Zeeuw D, de Jong PE. ACE inhibitors and the kidney: a risk-benefit assessment. Drug Saf. 1996;15(3):200-211.Textor SC, Novick AC, Tarazi RC, et al. Critical perfusion pressure for renal function in patients with bilateral atherosclerotic renal vascular disease. Ann Intern Med. 1985;102(3):308-314.Hackam DG, Spence JD, Garg AX, Textor SC. Role of renin-angiotensin system blockade in atherosclerotic renal artery stenosis and renovascular hypertension. Hypertension. 2007;50(6):998-1003.Ronco C, Haapio M, House AA, et al. Cardiorenal syndrome. J Am Coll Cardiol. 2008;52(19):1527-1539.Prins KW, Neill JM, Tyler JO, et al. Effects of beta-blocker withdrawal in acute decompensated heart failure. JACC Heart Fail. 2015;3(8):647-653.Jondeau G, Neuder Y, Eicher JC, et al. B-CONVINCED: Beta-blocker CONtinuation Vs. INterruption in patients with Congestive heart failure hospitalizED for a decompensation episode. Eur Heart J. 2009;30(18):2186-2192.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

If You Missed Romeo In The Morning We Talked About: Fake Id's, Raider Dave performing and The one that got away.

We are live! And this time from Apogee Dispo in Sunland Park NM. Tune in as Juantito Jones makes his After Party debut and Tiara, a local up and coming nightlife promoter, her company TNS Productions and DJ tells us about some after party stories, her favorite after party she has been to plus! She answers some horny questions straight from instagram. Follow us on social media @AaronScenesAfterParty

A Kern County Superior Court judge has approved mental health diversion for Bakersfield activist Riddhi Patel. Patel is scheduled to return to court next month for a status hearing and progress update on the diversion program. Please Like, Comment and Follow 'Philip Teresi on KMJ' on all platforms: --- Philip Teresi on KMJ is available on the KMJNOW app, Apple Podcasts, Spotify, YouTube or wherever else you listen to podcasts. -- Philip Teresi on KMJ Weekdays 2-6 PM Pacific on News/Talk 580 AM & 105.9 FM KMJ | Website | Facebook | Instagram | X | Podcast | Amazon | - Everything KMJ KMJNOW App | Podcasts | Facebook | X | Instagram See omnystudio.com/listener for privacy information.

A Kern County Superior Court judge has approved mental health diversion for Bakersfield activist Riddhi Patel. Patel is scheduled to return to court next month for a status hearing and progress update on the diversion program. Please Like, Comment and Follow 'Philip Teresi on KMJ' on all platforms: --- Philip Teresi on KMJ is available on the KMJNOW app, Apple Podcasts, Spotify, YouTube or wherever else you listen to podcasts. -- Philip Teresi on KMJ Weekdays 2-6 PM Pacific on News/Talk 580 AM & 105.9 FM KMJ | Website | Facebook | Instagram | X | Podcast | Amazon | - Everything KMJ KMJNOW App | Podcasts | Facebook | X | Instagram See omnystudio.com/listener for privacy information.

The latest episode of Tin Foil Hat features Tony Moon for a deep dive into U.S. civil unrest from the 1992 LA Riots to today's ICE protests, breaking down the patterns and narratives behind them. He also discusses his upcoming book, Rooftop Korean, exploring the legacy of the so-called "Rooftop Koreans," why some prefer "Rooftop Citizens Army," and what the story really means. As a Los Angeles resident since 1977—nearing 50 uninterrupted years in the city—Tony shares firsthand insight into LA's history and evolution. Please check out Tony Moon's Book: Rooftop Korean: Memoir Of The 1992 Riots- https://wargate.store/products/rooftop-korean-memoir-of-the-1992-l-a-riots Please subscribe to the new Tin Foil Hat youtube channel:  https://www.youtube.com/@TinFoilHatYoutube Grab your copy of the 2nd issue of the Chaos Twins now and join the Army Of Chaos: https://bit.ly/415fDfY Check out Sam "DoomScrollin with Sam Tripoli and Midnight Mike" Every Tuesday At 4pm pst on Youtube, X Twitter, Rumble and Rokfin! Join the WolfPack at Wise Wolf Gold and Silver and start hedging your financial position by investing in precious metals now! Go to https://www.samtripoli.gold/ and use the promo code "TinFoil" and we thank Tony for supporting our show. CopyMyCrypto.com: The 'Copy my Crypto' membership site shows you the coins that the youtuber 'James McMahon' personally holds - and allows you to copy him. So if you'd like to join the 1300 members who copy James, then stop what you're doing and head over to: https://copymycrypto.com/tinfoilhat/ You'll not only find proof of everything I've said - but my listeners get full access for just $1 LiveLongerFormula.com: Check out https://www.livelongerformula.com/sam — Christian is a longevity author and functional health expert who helps you fix your gut, detox, boost testosterone, and sleep better so you can thrive, not just survive. Watch his free masterclass on the 7 Deadly Health Fads, and if it clicks, book a free Metabolic Function Assessment to get to the root of your health issues. Grab Tickets To Sam Tripoli's Live Shows At SamTripoli.com: Hollywood, CA: 2/10 Perryville, MD: 2/20 Pottstown, PA: 2/21 Las Vegas, NV: 2/28 Bakersfield, CA: 3/6 Yuma, AZ: 3/7 Hollywood, CA: 3/10 Batavia, IL: 3/26-3/28 Toronto, CA: 4/17-18 Dallas, TX: 4/24 Fort Worth, TX: 4/25 Albuquerque, NM: 6/12-6/13 Austin, TX: The 100th Episode Of Tin Foil Hat 6/18 Lawerence, KS: 9/17-9/19 Tulsa, OK: 10/9-10/10 Austin, TX: 12/11-12/13   Please check out Tony Moon's internet:  Twitter: https://x.com/RoofKorean7 Instagram: https://www.instagram.com/roofkorean7   Please check out Sam Tripoli's internet: Linktree: https://linktr.ee/samtripoli Sam Tripoli's Stand Up Youtube Page: https://www.youtube.com/@SamTripoliComedy  Sam Tripoli's Comedy Instagram: https://www.instagram.com/samtripolicomedy/%20P Sam Tripoli's Podcast Clip Instagram: https://www.instagram.com/samtripolispodcastclips/   Please support our sponsors: Blue Chew Gold: And we've got a special deal for our listeners: Get 10% off your first month of BlueChew Gold with code TINFOIL. That's promo code TINFOIL. Visit BlueChew.com for more details and important safety information, and we thank BlueChew for sponsoring the podcast. Quince:  Refresh your winter wardrobe with Quince.. Go to Quince dot com slash TINFOILHAT for free shipping on your order and 365-day returns. Now available in Canada, too. That's Q-U-I-N-C-E dot com slash TINFOILHAT. Free shipping and 365-day returns. Quince dot com slash TINFOILHAT.          

Dick Stricklen is the owner of Motor City Auto Center in Bakersfield, CA, a sprawling campus which includes a Buick/GMC dealership, a Lexus dealership, and a large used car & truck operation. Dick's team devote themselves to helping and serving their customers and providing staff with the opportunity to develop their skills and interests. Dick took over the GMC dealership at the age of 19 after his father's death and since then has followed his passion for building authentic relationships with team members and clients alike. Dick joins me on the show today to share how he started in the automotive business and why he's grateful to his late father for starting him as a porter at the dealership at a very early age, allowing him to learn from the ground up. He tells the story of how he managed to put together a proposal that saw him successfully take over one of his father's businesses, and why he walked away from a critical bank loan at the 11th hour. Dick also shares the core values of Motor City Auto Center and why promoting the company culture is so important to him as a leader. "Let's all get focused on what we have control over." - Dick Stricklen "I always get in the other person's shoes; I develop a relationship with them a personal relationship." - Dick Stricklen "Bottom line is important to manage, but that's not what we're about. The bottom line is a result of the major motive, and that is to help people get what they want, see them grow, give them opportunities." - Dick Stricklen "We are really in the people business that just happens to sell cars." – Dick Stricklen This Week on The Wow Factor: Why Dick switched his sales team from wearing suits and ties to casual wear and how that small decision impacted his business How Dick developed the core values of Motor City Auto Why the fuel shortages of the 1970s and the jump in interest rates caused Dick to think creatively about how to pull his team together Some of the things that Dick as a leader has found to be helpful in growing and developing the people in his stores How Dick felt during the recession of the late 2000s and the implications for the business Dick's philosophy on developing his team members Dick speaks to the moment in his life when he realized that making money was not his true purpose in life What inspired Dick to write down the guiding principles of his company and why he believes that those principles are at the source of his success Dick Stricklen's Words of Wisdom: Take time, either with prayer or just quiet time, analyzing yourself to figure out what gives you the greatest heartfelt satisfaction in life. Examine your motives and align your behavior as a leader with the values that are truly important to you. Connect with Dick Stricklen: Motor City GMC Website Motor City GMC on Instagram Motor City GMC on Facebook Connect with The WOW Factor: I Like Giving: The Transforming Power of a Generous Life by Brad Formsma Words of Wisdom Website Brad Formsma on LinkedIn Brad Formsma on Instagram Brad Formsma on Facebook Brad Formsma on Twitter

On this episode of the NHRA Insider Podcast Powered by Speedmaster, NHRA Pro Mod legend Von Smith and the March Meet's Blake Bowser join host Brian Lohnes to tell stories, recount history, and explore all that's coming at the 2026 March Meet at historic Famoso Drag Strip in Bakersfield. 2010 NHRA Pro Mod champion Von Smith is the first guest on the show and he talks about his incredible career, transitioning from Funny Car to Pro Mod, winning championships, being among the first to race internationally more than a decade ago, and the kind of inside racer stories we love. Learn about the health battles he overcame, his memorable 2010 season title, and how the world of five second 250mph door slammer racing has evolved and how he himself helped evolve it.  Blake Bowser is the second guest on the show. A man with multiple generations of history at Famoso Drag Strip, he now oversees the operation of the famed Good Vibrations March Meet and the California Hot Rod Reunion. Get the inside scoop on what's happening in 2026, the incredible history of the event, and why it continues to be one of the great drag races on the planet from the guy who knows it best.  All that and more including news and rumors, right here!

If You Missed Romeo In The Morning We Talked About: Talk to a husband that went thru his wife's phone bill, Valentines Day and California is the best state in America.

*Skip the foreplay at around 14:00 (this is a rough guesstimation due to ad placement by AI and not human beings) Plus, our intro went longer than usual. Apologies to those who hate factoids. Can't stop won't stop. On November 26, 2025, police responded to reports of gunfire at a quiet home on Tallulah Falls Court in Bakersfield, California. what they found inside would unravel a devastating story of domestic violence, rage, and a family destroyed from within. Case is still ongoing. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

If You Missed Romeo In The Morning We Talked About: We talked a lot about couples in relationship who should pay the bills and the tax issues in California.

A first-time buyer shares how early planning, relocating for affordability, and buying with a family member helped three roommates become homeowners in California. Eric, his partner, and their cousin Alex were priced out of San Jose and chose to explore Bakersfield after realizing it fit their budget and lifestyle goals. They spent time learning the city firsthand (including a smart Uber/Lyft approach that doubled as income and neighborhood research) while working through job changes and loan qualification. Eric explains how pre-planning with a mortgage pro reduced last-minute stress, and how they protected themselves by backing out of an escrow when a solar loan complication became too costly. The story ends with their team finding a better home quickly—one that met their must-haves—and a reminder that the process can be a stop-and-go emotional rollercoaster. “My biggest tip was pro. It's like starts as early as possible. Even if you don't think you're quite ready yet.” - Eric HighlightsHow early should a first-time homebuyer talk to a mortgage broker and realtor to avoid last-minute stress? What's the smartest way to “learn a new city” before buying—while also earning extra income? How can two people qualify for a mortgage even when a third household member isn't ready to be on the loan yet? When should a buyer walk away from a deal in escrow—and how do you do it without losing your deposit? Check out our updated 2026 First Time Homebuyer's Episode Guide - Over 100 of our BEST Episodes of Detailed Homebuying Knowledge, Interviews, and MORE! Connect with me to find a trusted realtor in your area or to answer your burning questions!Subscribe to our YouTube Channel @HowToBuyaHomeInstagram @HowtoBuyAHomePodcastTik Tok @HowToBuyAHomeVisit our Resource Center to "Ask David" AND get your FREE Home Buying Starter Kit!David Sidoni, the "How to Buy a Home Guy," is a seasoned real estate professional and consumer advocate with two decades of experience helping first-time homebuyers navigate the real estate market. His podcast, "How to Buy a Home," is a trusted resource for anyone looking to buy their first home. It offers expert advice, actionable tips, and inspiring stories from real first-time homebuyers. With a focus on making the home-buying process accessible and understandable, David breaks down complex topics into easy-to-follow steps, covering everything from budgeting and financing to finding the right home and making an offer. Subscribe for regular market updates, and leave a review to help us reach more people. Ready for an honest, informed home-buying experience? Viva la Unicorn Revolution - join us!

A first-time buyer shares how early planning, relocating for affordability, and buying with a family member helped three roommates become homeowners in California. Eric, his partner, and their cousin Alex were priced out of San Jose and chose to explore Bakersfield after realizing it fit their budget and lifestyle goals. They spent time learning the city firsthand (including a smart Uber/Lyft approach that doubled as income and neighborhood research) while working through job changes and loan qualification. Eric explains how pre-planning with a mortgage pro reduced last-minute stress, and how they protected themselves by backing out of an escrow when a solar loan complication became too costly. The story ends with their team finding a better home quickly—one that met their must-haves—and a reminder that the process can be a stop-and-go emotional rollercoaster. “My biggest tip was pro. It's like starts as early as possible. Even if you don't think you're quite ready yet.” - Eric HighlightsHow early should a first-time homebuyer talk to a mortgage broker and realtor to avoid last-minute stress? What's the smartest way to “learn a new city” before buying—while also earning extra income? How can two people qualify for a mortgage even when a third household member isn't ready to be on the loan yet? When should a buyer walk away from a deal in escrow—and how do you do it without losing your deposit? Check out our updated 2026 First Time Homebuyer's Episode Guide - Over 100 of our BEST Episodes of Detailed Homebuying Knowledge, Interviews, and MORE! Connect with me to find a trusted realtor in your area or to answer your burning questions!Subscribe to our YouTube Channel @HowToBuyaHomeInstagram @HowtoBuyAHomePodcastTik Tok @HowToBuyAHomeVisit our Resource Center to "Ask David" AND get your FREE Home Buying Starter Kit!David Sidoni, the "How to Buy a Home Guy," is a seasoned real estate professional and consumer advocate with two decades of experience helping first-time homebuyers navigate the real estate market. His podcast, "How to Buy a Home," is a trusted resource for anyone looking to buy their first home. It offers expert advice, actionable tips, and inspiring stories from real first-time homebuyers. With a focus on making the home-buying process accessible and understandable, David breaks down complex topics into easy-to-follow steps, covering everything from budgeting and financing to finding the right home and making an offer. Subscribe for regular market updates, and leave a review to help us reach more people. Ready for an honest, informed home-buying experience? Viva la Unicorn Revolution - join us!

Is Bakersfield still affordable for home buyers heading into 2026? In this episode of the Kern County Real Estate Review, we break down what affordability really looks like right now and what buyers, sellers, and renters should be paying attention to this year.Laurie McCarty digs into the latest housing data, including a new Realtor.com report ranking California markets by affordability, and explains where Bakersfield stands compared to the rest of the state. The conversation also covers interest rates, Federal Reserve leadership changes, and how potential rate shifts could impact monthly payments and buyer confidence in the months ahead.This episode also features the monthly Open House, Open Mic special, highlighting some of the top open houses happening across Kern County and hearing directly from the agents hosting them. Plus, we explore rental trends, including short-term rentals, luxury apartment demand, and what new developments like Greyhound Flats say about how people want to live in Bakersfield.Whether you're thinking about buying, selling, investing, or just trying to understand where the market is headed, this episode offers real insight, local perspective, and practical context for navigating the 2026 housing market.

Sam and Dylan are back to break down: Howard Lutnick tether lying about Epstein, Trump Epstein photo, The Zodiac society, Hitler was a hooker under a bridge, Epstein's origin story,, The Lifeboat Foundation, Texas governor James Talarico made he's not running against a mediocre black man, Is Hollywood coming back or is it already back,Tulsi Gabbard burying whistleblower, who stole which election?, Newsome costing taxpayers a bazillion dollars, Armo shenanigans, 400 year old sharks, sharks are older than trees, & the School of America terrorist factory.   Purchase Sam's Tickets Here: https://samtripoli.com/events/   Hollywood, CA (Comedy Chaos at The Comedy Store): Feb 10th Perryville, MD: Feb 20th Pottstown, PA: Feb 21st Las Vegas, NV (The Mutiny 30th Anniversary): Feb 28th Bakersfield, CA: Mar 6th Yuma, AZ: Mar 7th Hollywood, CA (Comedy Chaos at The Comedy Store): Mar 10th Batavia, IL: Mar 26th–28th Toronto, ON (Catacombs Cafe): Apr 17th–18th Dallas, TX (Hyenas): Apr 24th Fort Worth, TX (Hyenas): Apr 25th   Buy Our Merch or Sam Will Fight You: https://conspiracy-social-club-aka-deep-waters.myshopify.com/   Check out Dylan's instagram -   @dylanpetewrenn    Check out Deep Waters Instagram:   @akadeepwaters    Check out Bad Tv podcast: https://bit.ly/3RYuTG0   Thanks to our sponsors!   BLUECHEW GOLD Use Promo Code "DEEP" at BLUECHEW.COM to get 10% off your first order

The latest Tin Foil Hat episode with special guest Izzy Griffin explores explosive theories—from Epstein's island temple and his alleged role as a political power broker, to the end of an astrological age and the symbolic fallout of Maduro's capture and a rising Great American Technate. The crew also dives into the architects of a coming Digital Matrix, plans for Digital Gnosticism and an AI demiurge, and Bad Bunny's rumored ties to Maduro, trafficking, and occult symbolism as part of a growing cultural color revolution. Please subscribe to the new Tin Foil Hat youtube channel:  https://www.youtube.com/@TinFoilHatYoutube Grab your copy of the 2nd issue of the Chaos Twins now and join the Army Of Chaos: https://bit.ly/415fDfY Check out Sam "DoomScrollin with Sam Tripoli and Midnight Mike" Every Tuesday At 4pm pst on Youtube, X Twitter, Rumble and Rokfin! Join the WolfPack at Wise Wolf Gold and Silver and start hedging your financial position by investing in precious metals now! Go to https://www.samtripoli.gold/ and use the promo code "TinFoil" and we thank Tony for supporting our show. CopyMyCrypto.com: The 'Copy my Crypto' membership site shows you the coins that the youtuber 'James McMahon' personally holds - and allows you to copy him. So if you'd like to join the 1300 members who copy James, then stop what you're doing and head over to: https://copymycrypto.com/tinfoilhat/ You'll not only find proof of everything I've said - but my listeners get full access for just $1 LiveLongerFormula.com: Check out https://www.livelongerformula.com/sam — Christian is a longevity author and functional health expert who helps you fix your gut, detox, boost testosterone, and sleep better so you can thrive, not just survive. Watch his free masterclass on the 7 Deadly Health Fads, and if it clicks, book a free Metabolic Function Assessment to get to the root of your health issues. Grab Tickets To Sam Tripoli's Live Shows At SamTripoli.com: Hollywood, CA: 2/10 Perryville, MD: 2/20 Pottstown, PA: 2/21 Las Vegas, NV: 2/28 Bakersfield, CA: 3/6 Yuma, AZ: 3/7 Hollywood, CA: 3/10 Batavia, IL: 3/26-3/28 Toronto, CA: 4/17-18 Dallas, TX: 4/24 Fort Worth, TX: 4/25 Albuquerque, NM: 6/12-6/13 Austin, TX: The 100th Episode Of Tin Foil Hat 6/18 Lawerence, KS: 9/17-9/19 Tulsa, OK: 10/9-10/10 Austin, TX: 12/11-12/13   Please check out Sean Izzy Griffin's internet:  Patreon: https://www.patreon.com/cw/izzyngriffin Instagram: https://www.instagram.com/izzyngriffin/   Please check out Sam Tripoli's internet: Linktree: https://linktr.ee/samtripoli Sam Tripoli's Stand Up Youtube Page: https://www.youtube.com/@SamTripoliComedy  Sam Tripoli's Comedy Instagram: https://www.instagram.com/samtripolicomedy/%20P Sam Tripoli's Podcast Clip Instagram: https://www.instagram.com/samtripolispodcastclips/   Please support our sponsors: PrizePicks: Download thePrizePicks app today and use code TFH to get $50 in lineups after you play your first $5 lineup! That's code TFH to get $50 in lineups after you play your first $5 lineup! PrizePicks. It's good to be right. Mint Mobile: This year, skip breaking a sweat AND breaking the bank. Get this new customer offer and your 3-month Unlimited wireless plan for just 15 bucks a month at MINT MOBILE dot com slash tinfoil. That's MINT MOBILE dot com slash tinfoil.               

Episode 211: Understanding HFpEF.  Hyo Mun and Jordan Redden (medical students) explain the pathophysiology of heart failure with preserved ejection fraction (HFpEF) and how it differentiates from HFrEF. Dr. Arreaza asks insightful questions and summarizes some key elements of HFpEF. Written by Hyo Mun, MS4, American University of the Caribbean; and Jordan Redden, MS4, Ross University School of Medicine. Comments and edits by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.What is EF? Just imagine, the heart is a pump, blood gets into the heart through the veins, the ventricles fill up and then squeeze the blood out. So, the percent of blood that is pumped out is the EF. Let's start at the beginning. What is HFpEF?Mike: HFpEF stands for heart failure with preserved ejection fraction. Basically, these patients squeeze normally—their ejection fraction is 50% or higher—but here's the thing: the heart can't relax and fill the way it should. The muscle gets stiff, almost like a thick leather boot that just won't stretch. And because the ventricle can't fill properly, pressure starts backing up into the lungs and the rest of the body. That's when patients start experiencing shortness of breath, leg swelling, fatigue—all those classic symptoms.Dr. Arreaza: And this is where people get fooled by the ejection fraction.Mike: Exactly. The ejectionfraction tells you total left ventricular emptying, not just forward flow.Jordan: The classic example is severe mitral regurgitation. You can eject 60% of your blood volume and still be in cardiogenic shock because most of that blood is leaking backward into the left atrium instead of going into the aorta. So, you get pulmonary edema, hypotension, fatigue, all with a “normal” EF. Which is honestly terrifying if you're over-relying on echo reports without thinking clinically.Dr. Arreaza: And in HFpEF, functional mitral regurgitation often shows up later in the disease. It's not usually the primary cause; it's more of a marker of advanced disease. Moderate to severe MR in HFpEF independently predicts worse outcomes, including a higher risk of mortality or heart failure hospitalization. So, let's contrast this with HFrEF. How are these two different?Mike: HFrEF—heart failure with reduced ejection fraction—is a pumping problem. The heart muscle is weak and can't contracteffectively. Ejection fraction drops below 40%, and this is your classic systolic dysfunction.Jordan: HFpEF, on the other hand, is diastolic dysfunction. The heart muscle is thick, fibrotic, and noncompliant. It squeezes fine, but it just doesn't relax, even though the EF looks reassuring on paper.Mike: I like to explain it this way: HFrEF is a weak heart that can't squeeze. HFpEF is a stiff heart that can't relax. Totally different problems.Dr. Arreaza: And then there's the gray zone: heart failure with mildly reduced EF, or HFmrEF. That's an EF between 41 and 49% with evidence of elevated filling pressures. It really shares the features of both worlds. So, what actually causes HFpEF versus HFrEF?Jordan: HFpEF is basically what happens when all the problems of modern living catch up with you. You've got chronic hypertension, obesity, diabetes, metabolic syndrome, aging, systemic inflammation—all of these things slowly remodel the heart over years. The muscle gets thick and stiff, and eventually the ventricle just loses its ability to relax. So, HFpEF is really a disease of metabolic dysfunction and chronic stress in the heart. Mike: HFrEF is more about direct injury. Think about myocardial infarctions, ischemic cardiomyopathy, viral myocarditis, alcohol toxicity, chemotherapy like doxorubicin, genetic cardiomyopathies, or chronic uncontrolled tachycardia. These insults actually damage or kill heart muscle cells, leading to a dilated, weak ventricle that can't pump effectively.Dr. Arreaza: So the short version: HFpEF is caused by chronic metabolic and hypertensive stress, while HFrEF is caused mainly by myocardial damage. A question we get a lot: does HFpEF eventually turn into HFrEF? What do you guys think?Mike: In most cases, no. HFpEF patients usually stay HFpEF throughout their disease course. They don't just “burn out” and turn into HFrEF.Jordan: They're generally separate disease entities with different pathophysiology. A patient with HFpEF can develop HFrEF if they have a big myocardial infarction or ongoing ischemia that damages the muscle, but that's not the natural progression.Mike: Interestingly though, the opposite can happen. Some HFrEF patients actually improve their ejection fraction with good medical therapy—that's called HF with improved EF—and it's a great sign that treatment is working.Dr. Arreaza: Another question. How do HFpEF and HFrEF compare to restrictive cardiomyopathy and constrictive pericarditis?Jordan: Clinically, they can all look very similar: dyspnea, edema, fatigue, but the underlying mechanisms are completely different.Mike: In HFpEF, the myocardium itself is stiff from hypertrophy and fibrosis. The problem is intrinsic to the heart muscle, and EF stays preserved. Echoshows diastolic dysfunction with elevated filling pressures.Jordan: In HFrEF, the myocardium is weak. The ventricle is often dilated and contracts poorly, with a reduced EF.Mike: Restrictive cardiomyopathy is different. Here, the myocardium gets infiltrated by abnormal stuff—amyloid, iron, sarcoid—and that makes it extremely stiff. It can look like HFpEF on the surface, but it's usually more severe. On Echo You'll see biatrial enlargement, small ventricles, and preserved EF. And importantly, it's a pathologic diagnosis, so you need advanced imaging or biopsy to confirm it.Jordan: Constrictive pericarditis is another mimic, but here the myocardium is usually normal. The problem is that the pericardium is thickened, calcified, and rigid. This will physically prevent the heart from being filled. Imaging shows pericardial thickening, septal bounce, and respiratory variation in flow, and cath shows equalization of diastolic pressures, which is the hallmark of constrictive pericarditis.Dr. Arreaza: So the takeaway is: HFpEF is a clinical syndrome driven by common metabolic and hypertensive causes, while restrictive and constrictive diseases are specific pathologic entities. If “HFpEF” is unusually severe or not responding to treatment, you need to think beyond HFpEF. Which type of heart failure is more common right now?Mike: Good question, the answer is: HFpEF. It now accounts for up to 60% of all heart failure cases, and it's still rising.Dr. Arreaza: Why is that?Jordan: Because people are living longer, gaining weight, and developing more metabolic syndrome. HFpEF thrives in older, or people with obesity, hypertension, or diabetes: basically, the modern American population. At the same time, better treatment of acute MIs means fewer people are developing HFrEF from massive heart attacks.Mike: HFpEF is the heart failure epidemic of the 21st century. It's honestly the cardiology equivalent of type 2 diabetes.Dr. Arreaza: Let's talk aboutCOVID-19. (2025 and still talking about it) Does it actually increase heart failure risk?Mike: Yes, absolutely. COVID increases both acute and long-term heart failure risk.Jordan: During acute infection, COVID can cause myocarditis, trigger massive inflammation, and precipitate acute decompensated heart failure, especially in patients with pre-existing disease. It also causes microthrombi, which can injure the myocardium.Mike: And after infection, even mild cases are linked to a significantly higher risk of developing new heart failure within the following year. Both HFpEF and HFrEF rates go up.Dr. Arreaza: I remember seeing this in 2021, we had a patient with acute COVID and HFrEF, her EF was about 10%, I lost contact with the patient and at the end I don't know what happened to her. What's the pathophysiology of COVID and heart failure?Mike: COVID causes direct viral injury through ACE2 receptors, triggers massive inflammation that damages the endothelium and heart muscle, leads to microvascular clotting and fibrosis—all mechanisms that promote HFpEF.Jordan: Add autonomic dysfunction, persistent low-grade inflammation, and worsening metabolic syndrome, and you've got a perfect storm for heart failure.Dr. Arreaza: Bottom line: COVID is a cardiovascular disease as much as a respiratory one. If someone had COVID and now has unexplained dyspnea or fatigue, think about heart failure. Get an echo, get a BNP, start treatment. Last big question: why did we have so many therapies for HFrEF but essentially none for HFpEF for years?Mike: HFrEF is mechanistically straightforward. You've got a weak heart with excessive neurohormonal activation going on — so you block RAAS, block the sympathetic system, drop the afterload. The drugs make sense.Jordan: HFpEF is messy. It's not one disease. It's stiffness, fibrosis, inflammation, microvascular dysfunction, metabolic disease, atrial fibrillation, all overlapping. One drug can't fix all of that.Mike: And some drugs that worked beautifully in HFrEF actually made HFpEF worse. Take Beta blockers, for example.  They slow heart rate, which is a problem because HFpEF patients rely on heart rate to maintain their cardiac output.Jordan: The breakthrough came with SGLT-2 inhibitors: diabetes drugs that unexpectedly addressed multiple HFpEF mechanisms at once: volume, metabolism, inflammation, and myocardial energetics.Dr. Arreaza: The miracle drug for HFpEF! Alright, let's wrap up.Mike: Bottom line: HFpEF is common, complex, and dangerous: even if the EF looks “normal.”Jordan: And if you're relying on ejection fraction alone, HFpEF will humble you every time.Dr. Arreaza: If you liked this episode, share it with a friend or a colleague and rate us wherever you listen. This is Dr. Arreaza, signing off.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Barzin A, Barnhouse KK, Kane SF. Heart Failure With Preserved Ejection Fraction. Am Fam Physician. 2025;112(4):435-440.Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure. Circulation. 2022;145(18):e895-e1032.Kittleson MM, Panjrath GS, Amancherla K, et al. 2023 ACC expert consensus decision pathway on management of heart failure with preserved ejection fraction. J Am Coll Cardiol. 2023;81(18):1835-1878.Anker SD, Butler J, Filippatos G, et al. Empagliflozin in heart failure with a preserved ejection fraction. N Engl J Med. 2021;385(16):1451-1461.Solomon SD, McMurray JJV, Claggett B, et al. Dapagliflozin in heart failure with mildly reduced or preserved ejection fraction. N Engl J Med. 2022;387(12):1089-1098.Pitt B, Pfeffer MA, Assmann SF, et al. Spironolactone for heart failure with preserved ejection fraction. N Engl J Med. 2014;370(15):1383-1392.Yusuf S, Pfeffer MA, Swedberg K, et al. Effects of candesartan in patients with chronic heart failure and preserved left-ventricular ejection fraction. Lancet. 2003;362(9386):777-781.Solomon SD, McMurray JJV, Anand IS, et al. Angiotensin-neprilysin inhibition in heart failure with preserved ejection fraction. N Engl J Med. 2019;381(17):1609-1620.Kosiborod MN, Abildstrøm SZ, Borlaug BA, et al. Semaglutide in patients with heart failure with preserved ejection fraction and obesity. N Engl J Med. 2023;389(12):1069-1084.Xie Y, Xu E, Bowe B, Al-Aly Z. Long-term cardiovascular outcomes of COVID-19. Nat Med. 2022;28(3):583-590.Puntmann VO, Carerj ML, Wieters I, et al. Outcomes of cardiovascular magnetic resonance imaging in patients recently recovered from COVID-19. JAMA Cardiol. 2020;5(11):1265-1273.Basso C, Leone O, Rizzo S, et al. Pathological features of COVID-19-associated myocardial injury. Eur Heart J. 2020;41(39):3827-3835.Nalbandian A, Sehgal K, Gupta A, et al. Post-acute COVID-19 syndrome. Nat Med. 2021;27(4):601-615.Badve SV, Roberts MA, Hawley CM, et al. Effects of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in adults with estimated GFR less than 60 mL/min per 1.73 m². Ann Intern Med. 2024;177(8):953-963.Navis G, Faber HJ, de Zeeuw D, de Jong PE. ACE inhibitors and the kidney: a risk-benefit assessment. Drug Saf. 1996;15(3):200-211.Textor SC, Novick AC, Tarazi RC, et al. Critical perfusion pressure for renal function in patients with bilateral atherosclerotic renal vascular disease. Ann Intern Med. 1985;102(3):308-314.Hackam DG, Spence JD, Garg AX, Textor SC. Role of renin-angiotensin system blockade in atherosclerotic renal artery stenosis and renovascular hypertension. Hypertension. 2007;50(6):998-1003.Ronco C, Haapio M, House AA, et al. Cardiorenal syndrome. J Am Coll Cardiol. 2008;52(19):1527-1539.Prins KW, Neill JM, Tyler JO, et al. Effects of beta-blocker withdrawal in acute decompensated heart failure. JACC Heart Fail. 2015;3(8):647-653.Jondeau G, Neuder Y, Eicher JC, et al. B-CONVINCED: Beta-blocker CONtinuation Vs. INterruption in patients with Congestive heart failure hospitalizED for a decompensation episode. Eur Heart J. 2009;30(18):2186-2192.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

The latest Tin Foil Hat features Sean McCann breaking down Eyes Wide Shut as a literal depiction of generational ritual abuse and trauma-based mind control. He argues Alice is a fully programmed multiple, while the film tracks the lifecycle of cult victims through Helena, Mandy, Domino, and others—each serving different roles within the system. Bill is an oblivious pawn, easily manipulated and distracted, and there is no happy ending: Helena is taken, the cycle continues, and the ritual never stops.   Please subscribe to the new Tin Foil Hat youtube channel:  https://www.youtube.com/@TinFoilHatYoutube Grab your copy of the 2nd issue of the Chaos Twins now and join the Army Of Chaos: https://bit.ly/415fDfY Check out Sam "DoomScrollin with Sam Tripoli and Midnight Mike" Every Tuesday At 4pm pst on Youtube, X Twitter, Rumble and Rokfin! Join the WolfPack at Wise Wolf Gold and Silver and start hedging your financial position by investing in precious metals now! Go to https://www.samtripoli.gold/ and use the promo code "TinFoil" and we thank Tony for supporting our show. CopyMyCrypto.com: The 'Copy my Crypto' membership site shows you the coins that the youtuber 'James McMahon' personally holds - and allows you to copy him. So if you'd like to join the 1300 members who copy James, then stop what you're doing and head over to: https://copymycrypto.com/tinfoilhat/ You'll not only find proof of everything I've said - but my listeners get full access for just $1 LiveLongerFormula.com: Check out https://www.livelongerformula.com/sam — Christian is a longevity author and functional health expert who helps you fix your gut, detox, boost testosterone, and sleep better so you can thrive, not just survive. Watch his free masterclass on the 7 Deadly Health Fads, and if it clicks, book a free Metabolic Function Assessment to get to the root of your health issues. Grab Tickets To Sam Tripoli's Live Shows At SamTripoli.com: Hollywood, CA: 2/10 Perryville, MD: 2/20 Pottstown, PA: 2/21 Las Vegas, NV: 2/28 Bakersfield, CA: 3/6 Yuma, AZ: 3/7 Hollywood, CA: 3/10 Batavia, IL: 3/26-3/28 Toronto, CA: 4/17-18 Dallas, TX: 4/24 Fort Worth, TX: 4/25 Albuquerque, NM: 6/12-6/13 Lawerence, KS: 9/17-9/19 Tulsa, OK: 10/9-10/10   Please check out Sean McCann's internet:  Website: https://onegreatworknetwork.com/sean-mccann Instagram: https://www.instagram.com/wake_the_dead_podcast/ Twitter: https://x.com/SeanWakeTheDead Youtube: https://bit.ly/4rwhx2P Podcast:  Wake The Dead- https://bit.ly/4qWp0bz   Please check out Sam Tripoli's internet: Linktree: https://linktr.ee/samtripoli Sam Tripoli's Stand Up Youtube Page: https://www.youtube.com/@SamTripoliComedy  Sam Tripoli's Comedy Instagram: https://www.instagram.com/samtripolicomedy/%20P Sam Tripoli's Podcast Clip Instagram: https://www.instagram.com/samtripolispodcastclips/   Please support our sponsors: Helix Sleep: Helix is offering 27% off all mattress orders AND two free pillows for our listeners! Go to Helix Sleep dot com slash Tinfoil. That's helixsleep.com/tinfoil. This is their best offer yet and it won't last long! With Helix, better sleep starts now.  

Send Robert a Text! His name probably isn't familiar to you—and that's what makes the story of Percy Douglas so intriguing. In Bakersfield's Wild West days, he was feared, violent, and impossible to ignore… yet today he survives only as an obscure footnote in local history. ***SUBSCRIBE HERE*** For only $4 per month, you can Subscribe to Notorious Bakersfield to get access to the entire back catalog of episodes. Subscribe here: https://www.buzzsprout.com/1784628/subscribe

Sam and Dylan are back to break down: the death of TikTok, Minneapolis protests, ICE enforcement, MSNBC made the victim hotter, signal chats and manufactured unrest, JD Vance is a liar and Megyn Kelly has hot stripper aura, a prodigious and zesty child pastor, bats are back to kill us/lock us inside, and another obscure island detour.   Purchase Sam's Tickets Here: https://samtripoli.com/events/   Hollywood, CA (Comedy Chaos at The Comedy Store): Feb 10th Perryville, MD: Feb 20th Pottstown, PA: Feb 21st Las Vegas, NV (The Mutiny 30th Anniversary): Feb 28th Bakersfield, CA: Mar 6th Yuma, AZ: Mar 7th Hollywood, CA (Comedy Chaos at The Comedy Store): Mar 10th Batavia, IL: Mar 26th–28th Toronto, ON (Catacombs Cafe): Apr 17th–18th Dallas, TX (Hyenas): Apr 24th Fort Worth, TX (Hyenas): Apr 25th   Buy Our Merch or Sam Will Fight You: https://conspiracy-social-club-aka-deep-waters.myshopify.com/   Check out Dylan's instagram -   @dylanpetewrenn    Check out Deep Waters Instagram:   @akadeepwaters    Check out Bad Tv podcast: https://bit.ly/3RYuTG0   Thanks to our sponsors!   HIMS.COM/CSC Use Promo Code CSC at checkout

The latest episode of Tin Foil Hat features Justin Leslie discussing his work on Pfizer's mRNA vaccine platform, why he became a whistleblower, and his views on true health, the terrain model, and virology. He shares insider perspectives on Project Veritas, Project Whistleblower, and investigations into alternative media figures, raising questions about transparency and controlled opposition. The episode also explores media manipulation, medical ethics, bodily autonomy, and alternative health models beyond Big Pharma. Please subscribe to the new Tin Foil Hat youtube channel:  https://www.youtube.com/@TinFoilHatYoutube Grab your copy of the 2nd issue of the Chaos Twins now and join the Army Of Chaos: https://bit.ly/415fDfY Check out Sam "DoomScrollin with Sam Tripoli and Midnight Mike" Every Tuesday At 4pm pst on Youtube, X Twitter, Rumble and Rokfin! Join the WolfPack at Wise Wolf Gold and Silver and start hedging your financial position by investing in precious metals now! Go to https://www.samtripoli.gold/ and use the promo code "TinFoil" and we thank Tony for supporting our show. CopyMyCrypto.com: The 'Copy my Crypto' membership site shows you the coins that the youtuber 'James McMahon' personally holds - and allows you to copy him. So if you'd like to join the 1300 members who copy James, then stop what you're doing and head over to: https://copymycrypto.com/tinfoilhat/ You'll not only find proof of everything I've said - but my listeners get full access for just $1 LiveLongerFormula.com: Check out https://www.livelongerformula.com/sam — Christian is a longevity author and functional health expert who helps you fix your gut, detox, boost testosterone, and sleep better so you can thrive, not just survive. Watch his free masterclass on the 7 Deadly Health Fads, and if it clicks, book a free Metabolic Function Assessment to get to the root of your health issues. Grab Tickets To Sam Tripoli's Live Shows At SamTripoli.com: Hollywood, CA: 2/10 Perryville, MD: 2/20 Pottstown, PA: 2/21 Las Vegas, NV: 2/28 Bakersfield, CA: 3/6 Yuma, AZ: 3/7 Hollywood, CA: 3/10 Batavia, IL: 3/26-3/28 Toronto, CA: 4/17-18 Dallas, TX: 4/24 Fort Worth, TX: 4/25 Albuquerque, NM: 6/12-6/13 Lawerence, KS: 9/17-9/19 Tulsa, OK: 10/9-10/10   Please check out Justin Leslie's internet:  Website: https://justintegrity.net Rumble: https://rumble.com/c/justintegrity Twitter: https://x.com/justintegrityy Instagram: https://www.instagram.com/justin.leslie3/ Youtube: https://www.youtube.com/@JustIntegrityNetwork   Please check out Sam Tripoli's internet: Linktree: https://linktr.ee/samtripoli Sam Tripoli's Stand Up Youtube Page: https://www.youtube.com/@SamTripoliComedy  Sam Tripoli's Comedy Instagram: https://www.instagram.com/samtripolicomedy/%20P Sam Tripoli's Podcast Clip Instagram: https://www.instagram.com/samtripolispodcastclips/   Please support our sponsors: ShipStation: Try ShipStation free for sixty days with Full access to all features, No credit card needed! Go to Ship Station dot com  and use code tinfoil for sixty  days for free! Sixty days gives you plenty of time to see exactly how much time and money you're saving on every shipment.That's Ship Station dot com code tinfoil. Ship Station dot com code tinfoil. QUO: Quo is the #1-rated business phone system on G2 with over 3,000 reviews, trusted by more than 90,000 businesses to stay connected and professional. Calls, texts, voicemails, transcripts, and contacts all live in one clean view, giving your team full context and faster communication. Make this the year no opportunity slips away. Try Quo for free and get 20% off your first six months at Quo dot com slash TINFOIL. That's Q-U-O dot com slash TINFOIL. Quo — no missed calls, no missed customers.  

The latest episode of Tin Foil Hat features Peter Hyoguchi discussing the dark history of Hollywood, occult influence, and the belief that many in the industry have sold their souls. He also talks about his horror film The Occult, touring it independently across America, and how AI and self-distribution are signaling the end of the traditional studio system. Please check out "The Occult" film: https://roninfilm.com/theoccult Please subscribe to the new Tin Foil Hat youtube channel:  https://www.youtube.com/@TinFoilHatYoutube Grab your copy of the 2nd issue of the Chaos Twins now and join the Army Of Chaos: https://bit.ly/415fDfY Check out Sam "DoomScrollin with Sam Tripoli and Midnight Mike" Every Tuesday At 4pm pst on Youtube, X Twitter, Rumble and Rokfin! Join the WolfPack at Wise Wolf Gold and Silver and start hedging your financial position by investing in precious metals now! Go to https://www.samtripoli.gold/ and use the promo code "TinFoil" and we thank Tony for supporting our show. CopyMyCrypto.com: The 'Copy my Crypto' membership site shows you the coins that the youtuber 'James McMahon' personally holds - and allows you to copy him. So if you'd like to join the 1300 members who copy James, then stop what you're doing and head over to: https://copymycrypto.com/tinfoilhat/ You'll not only find proof of everything I've said - but my listeners get full access for just $1 LiveLongerFormula.com: Check out https://www.livelongerformula.com/sam — Christian is a longevity author and functional health expert who helps you fix your gut, detox, boost testosterone, and sleep better so you can thrive, not just survive. Watch his free masterclass on the 7 Deadly Health Fads, and if it clicks, book a free Metabolic Function Assessment to get to the root of your health issues. Grab Tickets To Sam Tripoli's Live Shows At SamTripoli.com: Hollywood, CA: 2/10 Perryville, MD: 2/20 Pottstown, PA: 2/21 Las Vegas, NV: 2/28 Bakersfield, CA: 3/6 Yuma, AZ: 3/7 Hollywood, CA: 3/10 Batavia, IL: 3/26-3/28 Dallas, TX: 4/24 Fort Worth, TX: 4/25 Albuquerque, NM: 6/12-6/13 Lawerence, KS: 9/17-9/19 Tulsa, OK: 10/9-10/10   Please check out Peter Hyoguchi's internet:  Website: https://roninfilm.com/productions Twitter: https://x.com/PeterHyoguchi Instagram: https://www.instagram.com/hyoguchi/ Youtube: https://www.youtube.com/@peterhyoguchi   Please check out Sam Tripoli's internet: Linktree: https://linktr.ee/samtripoli Sam Tripoli's Stand Up Youtube Page: https://www.youtube.com/@SamTripoliComedy  Sam Tripoli's Comedy Instagram: https://www.instagram.com/samtripolicomedy/%20P Sam Tripoli's Podcast Clip Instagram: https://www.instagram.com/samtripolispodcastclips/   Please support our sponsors: Quince:  Refresh your winter wardrobe with Quince.. Go to Quince dot com slash TINFOILHAT for free shipping on your order and 365-day returns. Now available in Canada, too. That's Q-U-I-N-C-E dot com slash TINFOILHAT. Free shipping and 365-day returns. Quince dot com slash TINFOILHAT. Ethos: Protect your family with life insurance from Ethos now, by going to Ethos dot com slash TINFOIL. In as little as 10 minutes you can get your free quote and up to 3 million dollars in coverage at Ethos dot com slash TINFOIL. That is E-T-H-O-S dot com slash TINFOIL. ETHOS dot com slash TINFOIL. Application times and Rates may vary.