Podcasts about Behavioral medicine

Dr. Andreas Walther is a senior researcher for science and teaching at the Department of Clinical Psychology and Psychotherapy of the University of Zurich and clinical psychotherapist with the outpatient clinic for Cognitive Behavioral Therapy and Behavioral Medicine of the Psychotherapeutic Centre of the University of Zurich. Andreas discussed the journey to his work focused on developing a treatment for men experiencing masculine or masked depression. He mentioned his father's struggle with depression and a serendipitous meeting with a graduate school advisor who needed a student to conduct research on men. Andreas' initial work was focused more on the effects of testosterone on mood in men, but increasingly his work led him to also integrate the investigation of masculinities into his research. He is currently conducting a clinical trial that involves the investigation of gendered depression in men. We discussed what this treatment looks like compared to a standard treatment for depression.   D83

In this conversation, Dr. Jennie Berkovich and Dr. Alan Rozanski explore the intricate relationship between stress, optimism, and cardiac health. They discuss the impact of chronic stress on cardiovascular disease, the importance of resilience, and how positive mindsets can promote longevity. The dialogue emphasizes the need for a holistic approach to health that includes behavioral management, mindfulness, and exercise. Dr. Rozanski shares insights on how to effectively communicate these concepts to patients, highlighting the significance of time management in maintaining health. The conversation concludes with a look towards the future of cardiology and patient education.Dr. Alan Rozanski is Professor of Medicine at the Icahn School of Medicine at Mount Sinai, and Chief Academic Officer, Executive Director of Cardiac Education and Fellowship Training Programs, and Director of Nuclear Cardiology for the Department of Cardiology at Mount Sinai St. Lukes.A graduate of Yale University and the Tufts University School of Medicine, Dr. Rozanski completed his Internal Medicine and Cardiology Fellowship training at Mount Sinai Hospital and a fellowship in Nuclear Medicine at Cedars-Sinai Medical Center in Los Angeles.While at Cedars-Sinai Medical Center, Dr. Rozanski founded a large multi-disciplinary program in Preventive and Rehabilitative Cardiology and initiated research which helped lead to the creation of a new field of Behavioral Cardiology. This led to a prestigious Sabbatical Fellowship from the MacArthur Foundation to study the determinants of health-promoting and health-damaging behaviors alongside many leading behavioral clinicians across the nation.In 1990, Dr. Rozanski joined the cardiology staff of St. Lukes/Roosevelt Hospital (now Mount Sinai St. Lukes and Mount Sinai West Hospitals) where he eventually served as Chief of Cardiology before assuming his current positions.Dr. Rozanski is noted for his unique clinical and academic focus and novel research that uniquely integrates the fields of Preventive Cardiology with Health Psychology and Behavioral Medicine.In addition, Dr. Rozanski is a leading expert in applying Cardiac Imaging for optimal Risk Assessment and Clinical Decision Making among patients who are candidates for cardiac testing due to risk factors or symptoms which are suggesting of heart disease.Dr. Rozanski is the co-author of over 270 peer-reviewed medical articles, book chapters and medical editorials, many of which are considered seminal contributions to the fields of Cardiology and/or Health Psychology._________________________________________________Sponsor the JOWMA Podcast! Email digitalcontent@jowma.orgBecome a JOWMA Member! www.jowma.orgFollow us on Instagram! www.instagram.com/JOWMA_orgFollow us on Twitter!www.twitter.com/JOWMA_medFollow us on Facebook! https://www.facebook.com/JOWMAorgStay up-to-date with JOWMA news! Sign up for the JOWMA newsletter! https://jowma.us6.list-manage.com/subscribe?u=9b4e9beb287874f9dc7f80289&id=ea3ef44644&mc_cid=dfb442d2a7&mc_eid=e9eee6e41e

Guest: Martin Cheatle, PhD A thoughtful, communicative, and compassionate approach to opioid use is essential for responsible patient use. Join Dr. Martin Cheatle as he explains the neuroscience of chronic pain, the psychosocial components often overlooked in these patients, and evidence-based strategies for evaluating risk and treatment response. Dr. Cheatle is the Director of Behavioral Medicine at the Penn Pain Medicine Center as well as an Associate Professor of Psychiatry, Anesthesiology, and Critical Care and the Director of Pain and Chemical Dependency Research at the Center for Studies of Addiction at the University of Pennsylvania. He also presented on this topic at the 2025 Congress of Clinical Rheumatology East conference.

Associations of Dispositional Mindfulness with Obesity and Central Adiposity: The New England Family StudyIn this episode, Dr. Jud Brewer and colleagues examine how dispositional mindfulness—the ability to nonjudgmentally attend to one's mental and physical experiences—relates to obesity and central adiposity. Drawing on findings from the New England Family Study, they explore associations between mindfulness levels and body composition, including android fat mass and android/gynoid fat mass ratio. Discover how mindfulness might influence long-term self-regulation and lifestyle choices, potentially offering a novel pathway for obesity prevention and intervention. This research highlights the importance of integrating psychological and behavioral insights into public health strategies for addressing obesity.Full Reference:Loucks, E. B., Britton, W. B., Howe, C. J., Gutman, R., Gilman, S. E., Brewer, J. A., & Eaton, C. B. (2015). Associations of dispositional mindfulness with obesity and central adiposity: The New England Family Study. International Journal of Behavioral Medicine. https://doi.org/10.1007/s12529-015-9513-zLet's connect on Instagram

Ronald A. Alexander, PhD, MFT, SEP (Somatic Experiencing Practitioner) is a Creativity and Communication Consultant, and an Executive and Leadership Coach, with a private psychotherapy practice working with individuals, couples, families, and groups in Santa Monica, California. He is the Executive Director of the OpenMind® Training Institute, a leading-edge organization that offers personal and professional training programs in core creativity, mind-body therapies, transformational leadership, and mindfulness meditation. For more than forty-four years, Alexander has been a trainer of healthcare professionals in North America, as well as in Europe, Russia, Japan, China, and Australia. As a Mindfulness and Zen Buddhist practitioner, he specializes in utilizing mindfulness meditation in his professional and corporate work to help people transform their lives by accessing the mind states that open the portal to their core creativity.Alexander is a leading pioneer in the fields of Mindfulness Based Mind-Body Therapies, Gestalt Therapy, Somatic Experiencing, Ericksonian Mind-Body Therapies, Holistic Psychology, and Integrative and Behavioral Medicine. He is a long-time extension faculty member of the UCLA Departments of Humanities, Social Sciences, and Entertainment, a lecturer in the David Geffen School of Medicine, and an adjunct faculty member at Pacifica Graduate Institute and Pepperdine Universities. Alexander received his SEP Certificate from the Somatic Experiencing Trauma Institute in Boulder Colorado. He consulted with and received treatment from Milton H Erickson MD. He personally trained with Ernest Rossi and Steven Gilligan in Ericksonian Hypnotherapy as well as with Daniel P. Brown of the Harvard Medical Cambridge Hospital professional training's seminars in hypnosis and hypno-analysis. He trained with and was certified by the Los Angeles Gestalt Therapy Institute and with Erving and Miriam Polster PhD of the Gestalt Training Center of La Jolla. He also received training and supervision in Contemporary Gestalt and Family Therapies, Psychoanalytic Self-Psychology, Relational and Object Relations Therapies.Dr. Ronald Alexander, PhD is a leading Creativity and Communication Coach, International Clinical Trainer, Executive and Leadership Coach, with a private practice in Santa Monica, California. He is the originator of the OpenMind Training® Institute, a leading edge organization that offers personal and professional training programs in mindfulness based mind-body therapies, transformational leadership, and meditation. His unique method combines ancient wisdom teachings with Leadership Coaching and Core Creativity into a comprehensive integrated, behaviorally effective mind-body program. This system combines techniques that support strategies of personal, clinical, and corporate excellence and growth.Alexander's extensive training includes core creativity, conflict management, Gestalt therapy, leadership and organizational development, and vision and strategic planning. He pioneered the early values and vision-based models for current day leadership and professional coaching. He specializes in Mind-Body therapies and has been studying and teaching Mindfulness Meditation, Creative Visualization and Transpersonal Psychology since 1970. Alexander studied with and was influenced by noted leaders in these fields such as Ken Blanchard, Werner Erhard, Warren Bennis, Umberto Materana and Francesco Variela, and was one of the grandfathers of coaching along with Jim Rohn, Tony Robbins and Jack Canfield.To learn more about Dr. Ron and his work, visithttps://ronaldalexander.com

This week we speak to getting results—it's what we all want, right? But what if the secret isn't just about working harder but working smarter? In this episode, I'm diving into the strategy of reverse engineering success, breaking down how to set clear goals, anticipate obstacles, and make real progress. We'll talk about the mindset shifts that make all the difference and the science-backed methods that help you lose weight and keep it off.Because here's the truth—your future isn't something you wait for; it's something you create. And that's why I love this week's quote: "The best way to predict the future is to create it." – Peter Drucker. So, let's create it - let's get to work.Citations:National Institutes of Health, 2020Sonnentag, Journal of Occupational Health Psychology, 2003Harvard Business Review, 2017Journal of Behavioral Medicine, 2019The American Journal of Clinical Nutrition, 2021Locke & Latham, American Psychological Association, 2002Gollwitzer & Sheeran, Harvard Business Review, 2006Wing & Phelan, National Weight Control Registry, 2005Clear, J. (2018). Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones. Avery.Let's go, let's get it done. Get more information at: http://projectweightloss.org

Manchmal verletzten uns Menschen so sehr, dass es uns schwer fällt, ihnen zu verzeihen. Psychologe Mathias Allemand erklärt, ob wir das überhaupt müssen, und wie wichtig eine Entschuldigung fürs Verzeihen ist.**********Ihr hört: Gesprächspartnerin: Lisa, kann ihrer Mutter ihre Erziehung nicht verzeihen Gesprächspartnerin: Maike Braun, Kommunikationspsychologin an der Uni Hohenheim Gesprächspartner: Mathias Allemand, Psychologe, arbeitet im Bereich der Persönlichkeitsentwicklung, -dynamik, -bewertung und (digitalen) Intervention an der Uni Zürich Autor und Host: Przemek Żuk Redaktion: Friederike Seeger, Yevgeniya Shcherbakova, Clara Neubert Produktion: Frank Klein**********Quellen:Allemand, M., Schilter, S.A., Hill, P.L. (2022). Verzeihen und subjektives Wohlbefinden. In: Frank, R., Flückiger, C. (Hg.) Therapieziel Wohlbefinden. Psychotherapie: Praxis. Springer, Berlin, Heidelberg.Allemand, M., Steiner, M.(2010). Verzeihen und Selbstverzeihen über die Lebensspanne. Zeitschrift für Entwicklungspsychologie und Pädagogische Psychologie, 42(2):63-78.Morikawa, T. (2018). Verzeihen, Versöhnen, Vergessen. Soziologische Perspektiven. Bielefeld.Toussaint, L. L., Owen, A. D., & Cheadle, A. (2012). Forgive to live: Forgiveness, health, and longevity. Journal of Behavioral Medicine, 35, 375-386.**********Mehr zum Thema bei Deutschlandfunk Nova:Verzeihen: Unbeschwert ins neue JahrCoach Martin Weiss: Wie wir in drei Schritten verzeihen könnenLoslassen: Wie wir unserem früheren Ich verzeihen**********Den Artikel zum Stück findet ihr hier.**********Ihr könnt uns auch auf diesen Kanälen folgen: TikTok auf&ab , TikTok wie_geht und Instagram .**********Meldet euch!Ihr könnt das Team von Facts & Feelings über WhatsApp erreichen.Uns interessiert: Was beschäftigt euch? Habt ihr ein Thema, über das wir unbedingt in der Sendung und im Podcast sprechen sollen?Schickt uns eine Sprachnachricht oder schreibt uns per 0160-91360852 oder an factsundfeelings@deutschlandradio.de.Wichtig: Wenn ihr diese Nummer speichert und uns eine Nachricht schickt, akzeptiert ihr unsere Regeln zum Datenschutz und bei WhatsApp die Datenschutzrichtlinien von WhatsApp.

Testing a Mobile Mindful Eating Intervention Targeting Craving-Related Eating: Feasibility and Proof of ConceptIn this episode, Dr. Jud Brewer and colleagues discuss the results of a groundbreaking study testing a smartphone-based mindful eating intervention. Designed to target craving-related eating through mindfulness and operant conditioning principles, the intervention demonstrated significant reductions in food cravings, emotional eating, and overeating among overweight and obese women. Dr. Brewer explores how this scalable, low-burden approach leverages awareness to disrupt habitual eating patterns, reduce cravings, and support sustainable weight management. Tune in to learn how mobile mindfulness tools can reshape eating behaviors and promote healthier relationships with food.Full Reference:Mason, A. E., Jhaveri, K., Cohn, M., & Brewer, J. A. (2017). Testing a mobile mindful eating intervention targeting craving-related eating: Feasibility and proof of concept. Journal of Behavioral Medicine. https://doi.org/10.1007/s10865-017-9884-5Let's connect on Instagram

Dr. Kevin Masters is a clinical psychologist and a leader in the fields of health psychology and behavioral medicine. He is a professor of psychology at the University of Colorado Denver. He served a term as the Editor-in-Chief of Annals of Behavioral Medicine. He is a Fellow of the American Psychological Association and the Society of Behavioral Medicine. In this conversation with Vikas, Dr Masters discusses why it is difficult to take up a fitness habit and sustain and what are the key reasons that build a habit. The conversation will delight you and hopefully teach you a few things to continue with the love of running.About Vikas Singh:Vikas Singh, an MBA from Chicago Booth, worked at Goldman Sachs, Morgan Stanley, APGlobale, and Reliance before coming up with the idea of democratizing fitness knowledge and helping beginners get on a fitness journey. Vikas is an avid long-distance runner, building fitpage to help people learn, train, and move better.For more information on Vikas, or to leave any feedback and requests, you can reach out to him via the channels below:Instagram: @vikas_singhhLinkedIn: Vikas SinghTwitter: @vikashsingh101Subscribe To Our Newsletter For Weekly Nuggets of Knowledge!

In her follow-up interview with Dr. David Hanscom, Brenda Stockdale explores the profound impact of reducing chronic stress on healing and managing illnesses like cancer and autoimmune disorders. She shares insights from pioneers like Dr. Lawrence LeShan, whose approach encouraged terminally ill patients to live authentically and passionately, often resulting in unexpected recoveries. She highlights the importance of behavioral medicine techniques, such as diaphragmatic breathing, guided imagery, and self-awareness, in promoting safety physiology and allowing the body to heal. She underscores universal principles of healing—connecting with oneself, letting go of stress, and finding purpose and meaning in life.   Download the transcript. As the Director of Behavioral Medicine at regional and nationally recognized cancer centers, Dr. Stockdale synthesizes relevant research into clinical practice through the design and implementation of evidence-based biobehavioral programming. As a result of this rigor, her work is nationally recognized and endorsed by leading specialists in multiple disciplines. For two-decades her programs have been implemented in major cancer centers and other healthcare organizations. In addition to her private practice, Stockdale is a consultant for corporate and health care organizations and developed a health psychology program for primary care settings specializing in preventive medicine, autoimmunity and stress-related conditions. She is the author of “You Can Beat the Odds: Surprising Factors Behind Chronic Illness and Cancer.”  For more information, visit: https://www.brendastockdale.com Learn more about your ad choices. Visit megaphone.fm/adchoices

In her follow-up interview with Dr. David Hanscom, Brenda Stockdale explores the profound impact of reducing chronic stress on healing and managing illnesses like cancer and autoimmune disorders. She shares insights from pioneers like Dr. Lawrence LeShan, whose approach encouraged terminally ill patients to live authentically and passionately, often resulting in unexpected recoveries. She highlights the importance of behavioral medicine techniques, such as diaphragmatic breathing, guided imagery, and self-awareness, in promoting safety physiology and allowing the body to heal. She underscores universal principles of healing—connecting with oneself, letting go of stress, and finding purpose and meaning in life.   Download the transcript. As the Director of Behavioral Medicine at regional and nationally recognized cancer centers, Dr. Stockdale synthesizes relevant research into clinical practice through the design and implementation of evidence-based biobehavioral programming. As a result of this rigor, her work is nationally recognized and endorsed by leading specialists in multiple disciplines. For two-decades her programs have been implemented in major cancer centers and other healthcare organizations. In addition to her private practice, Stockdale is a consultant for corporate and health care organizations and developed a health psychology program for primary care settings specializing in preventive medicine, autoimmunity and stress-related conditions. She is the author of “You Can Beat the Odds: Surprising Factors Behind Chronic Illness and Cancer.”  For more information, visit: https://www.brendastockdale.com Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Dr. David Hanscom talks with Brenda Stockdale, Director of Behavioral Medicine at regional and nationally recognized cancer centers. She explores her innovative work in health psychology, focusing on helping individuals manage chronic pain and overcome serious illnesses through techniques like psychoneuroimmunology. She discusses her involvement with Bernie Siegel's Exceptional Cancer Patients (ECAP) program, highlighting the transformative impact of fostering self-mastery, commitment, and the ability to view challenges as turning points. In addition, she shares her personal journey with lupus, illustrating how principles like relaxation, gratitude, and self-compassion facilitated her recovery. She emphasizes the physiological underpinnings of stress and healing, underscoring how tools like breathwork, imagery, and emotional reframing can stimulate the body's healing mechanisms. Download the transcript. As the Director of Behavioral Medicine at regional and nationally recognized cancer centers, Dr. Stockdale synthesizes relevant research into clinical practice through the design and implementation of evidence-based biobehavioral programming. As a result of this rigor, her work is nationally recognized and endorsed by leading specialists in multiple disciplines. For two decades her programs have been implemented in major cancer centers and other healthcare organizations. In addition to her private practice, Stockdale is a consultant for corporate and health care organizations and developed a health psychology program for primary care settings specializing in preventive medicine, autoimmunity and stress-related conditions. She is the author of “You Can Beat the Odds: Surprising Factors Behind Chronic Illness and Cancer.”  For more information, visit: https://www.brendastockdale.com Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Dr. David Hanscom talks with Brenda Stockdale, Director of Behavioral Medicine at regional and nationally recognized cancer centers. She explores her innovative work in health psychology, focusing on helping individuals manage chronic pain and overcome serious illnesses through techniques like psychoneuroimmunology. She discusses her involvement with Bernie Siegel's Exceptional Cancer Patients (ECAP) program, highlighting the transformative impact of fostering self-mastery, commitment, and the ability to view challenges as turning points. In addition, she shares her personal journey with lupus, illustrating how principles like relaxation, gratitude, and self-compassion facilitated her recovery. She emphasizes the physiological underpinnings of stress and healing, underscoring how tools like breathwork, imagery, and emotional reframing can stimulate the body's healing mechanisms. Download the transcript. As the Director of Behavioral Medicine at regional and nationally recognized cancer centers, Dr. Stockdale synthesizes relevant research into clinical practice through the design and implementation of evidence-based biobehavioral programming. As a result of this rigor, her work is nationally recognized and endorsed by leading specialists in multiple disciplines. For two decades her programs have been implemented in major cancer centers and other healthcare organizations. In addition to her private practice, Stockdale is a consultant for corporate and health care organizations and developed a health psychology program for primary care settings specializing in preventive medicine, autoimmunity and stress-related conditions. She is the author of “You Can Beat the Odds: Surprising Factors Behind Chronic Illness and Cancer.”  For more information, visit: https://www.brendastockdale.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Ronald A. Alexander, PhD, MFT, SEP (Somatic Experiencing Practitioner) is a Creativity and Communication Consultant, and an Executive and Leadership Coach, with a private psychotherapy practice working with individuals, couples, families, and groups in Santa Monica, California. He is the Executive Director of the OpenMind® Training Institute, a leading-edge organization that offers personal and professional training programs in core creativity, mind-body therapies, transformational leadership, and mindfulness meditation. For more than forty-four years, Alexander has been a trainer of healthcare professionals in North America, as well as in Europe, Russia, Japan, China, and Australia. As a Mindfulness and Zen Buddhist practitioner, he specializes in utilizing mindfulness meditation in his professional and corporate work to help people transform their lives by accessing the mind states that open the portal to their core creativity.Alexander is a leading pioneer in the fields of Mindfulness Based Mind-Body Therapies, Gestalt Therapy, Somatic Experiencing, Ericksonian Mind-Body Therapies, Holistic Psychology, and Integrative and Behavioral Medicine. He is a long-time extension faculty member of the UCLA Departments of Humanities, Social Sciences, and Entertainment, a lecturer in the David Geffen School of Medicine, and an adjunct faculty member at Pacifica Graduate Institute and Pepperdine Universities. Alexander received his SEP Certificate from the Somatic Experiencing Trauma Institute in Boulder Colorado. He consulted with and received treatment from Milton H Erickson MD. He personally trained with Ernest Rossi and Steven Gilligan in Ericksonian Hypnotherapy as well as with Daniel P. Brown of the Harvard Medical Cambridge Hospital professional training's seminars in hypnosis and hypno-analysis. He trained with and was certified by the Los Angeles Gestalt Therapy Institute and with Erving and Miriam Polster PhD of the Gestalt Training Center of La Jolla. He also received training and supervision in Contemporary Gestalt and Family Therapies, Psychoanalytic Self-Psychology, Relational and Object Relations Therapies.Dr. Ronald Alexander, PhD is a leading Creativity and Communication Coach, International Clinical Trainer, Executive and Leadership Coach, with a private practice in Santa Monica, California. He is the originator of the OpenMind Training® Institute, a leading edge organization that offers personal and professional training programs in mindfulness based mind-body therapies, transformational leadership, and meditation. His unique method combines ancient wisdom teachings with Leadership Coaching and Core Creativity into a comprehensive integrated, behaviorally effective mind-body program. This system combines techniques that support strategies of personal, clinical, and corporate excellence and growth.Alexander's extensive training includes core creativity, conflict management, Gestalt therapy, leadership and organizational development, and vision and strategic planning. He pioneered the early values and vision-based models for current day leadership and professional coaching. He specializes in Mind-Body therapies and has been studying and teaching Mindfulness Meditation, Creative Visualization and Transpersonal Psychology since 1970. Alexander studied with and was influenced by noted leaders in these fields such as Ken Blanchard, Werner Erhard, Warren Bennis, Umberto Materana and Francesco Variela, and was one of the grandfathers of coaching along with Jim Rohn, Tony Robbins and Jack Canfield.To learn more about Dr. Ron and his work, visithttps://ronaldalexander.com

Wir können lernen, zu verzeihen. Es gibt dazu Kurse, wie zum Beispiel das Mindfulness-Based Training in Forgiveness (MBTF) und weitere Übungen im Vergebungsprozess. Darüber sprechen wir diese Woche in Achtsam.**********Quellen aus der Folge:Toussaint, L. L., Owen, A. D., & Cheadle, A. (2012). Forgive to live: Forgiveness, health, and longevity. Journal of Behavioral Medicine, 35, 375-386. Wade, N. G., Hoyt, W. T., Kidwell, J. E., & Worthington Jr, E. L. (2014). Efficacy of psychotherapeutic interventions to promote forgiveness: a meta-analysis. Journal of consulting and clinical psychology, 82(1), 154. Karremans, J. C., van Schie, H. T., van Dongen, I., Kappen, G., Mori, G., van As, S., ... & van der Wal, R. C. (2020). Is mindfulness associated with interpersonal forgiveness?. Emotion, 20(2), 296. **********Mehr zum Thema bei Deutschlandfunk Nova:Sorry: Warum uns aufrichtige Entschuldigungen so wichtig sindNachsicht – wie wir uns und anderen vergebenVerhalten: Warum wir uns so oft entschuldigen**********Den Artikel zum Stück findet ihr hier.**********Ihr könnt uns auch auf diesen Kanälen folgen: TikTok auf&ab , TikTok wie_geht und Instagram .**********Ihr habt Anregungen, Ideen, Themenwünsche? Dann schreibt uns gern unter achtsam@deutschlandfunknova.de

About two years ago, we released a podcast with Dr. Thomas Wadden of the University of Pennsylvania describing work on a new generation of medications to treat diabetes and obesity. They were really taking the field by storm. Since then, much more is known since many additional studies have been published and so many people have been using the drugs. So many, in fact, the market value of the Danish company, Novo Nordisk, one of the two major companies selling the drugs, has gone up. It is now greater than the entire budget of the country of Denmark. This single company is responsible for about half of Denmark's economic expansion this year. So, a lot of people are now taking the drugs and this is a great time for an update on the drugs. And we're fortunate to have two of the world's leading experts join us: Dr. Wadden, Professor of Psychology and Psychiatry at the University of Pennsylvania School of Medicine and the inaugural Albert J. Stunkard Professor of Psychiatry at Penn. Joining us as well as Dr. Robert Kushner, a physician and professor of medicine at Northwestern University and a pioneer in testing treatments for obesity. Interview Summary Tom, you and I were colleagues at Penn decades ago. And I got frustrated the treatments for obesity didn't work very well. People tended to regain the weight. And I turned my attention to prevention and policy. But you hung in there and I admired you for that patience and persistence. And Bob, the same for you. You worked on this tenacious problem for many years. But for both of you, your patience has been rewarded with what seems to me to be a seismic shift in the way obesity and diabetes can be treated. Tom, I'll begin with you. Is this as big of a deal as it seems to me? Well, I think it is as big of a deal as it seems to you. These medications have had a huge impact on improving the treatment of type 2 diabetes, but particularly the management of obesity. With older medications, patients lost about 7 percent of their starting weight. If you weighed 200 pounds, you'd lose about 15 pounds. That was also true of our best diet and exercise programs. You would lose about 7 percent on those programs with rigorous effort. But with the new medications, patients are now losing about 15 to 20 percent of their starting body weight at approximately one year. And that's a 30-to-40-pound loss for a person who started at 200 pounds. And with these larger weight losses, we get larger improvements in health in terms of complications of obesity. So, to quote a good friend of mine, Bob Kushner, these medications have been a real game changer. Thanks for putting that in perspective. I mean, we're talking about not just little incremental changes in what treatments can produce, which is what we've seen for years. But just orders of magnitude of change, which is really nice to see. So, Bob what are these medications that we're talking about? What are the names of the drugs and how do they work? Well, Kelly, this transformation of obesity really came about by finding the target that is really highly effective for obesity. It's called the gut brain axis. And when it comes to the gut it's starting off with a naturally occurring gut hormone called GLP 1. I think everyone in the country's heard of GLP 1. It's released after we eat, and it helps the pancreas produce insulin, slows the stomach release of food, and reduces appetite. And that's where the obesity story comes in. So pharmaceutical companies have taken this hormone and synthesized it, something similar to GLP 1. It mimics the action of GLP 1. So, you could actually take it and give it back and have it injected so it augments or highlights this hormonal effect. Now, that same process of mimicking a hormone is used for another gut hormone called GIP that also reduces appetite. These two hormones are the backbone of the currently available medication. There's two on the market. One is called Semaglutide. That's a GLP 1 analog. Trade name is Wegovy. Now, it's also marketed for diabetes. Tom talked about how it is used for diabetes and increases insulin. That trade name is Ozempic. That's also familiar with everyone around the country. The other one that combined GLP 1 and GIP, these two gut hormones, so it's a dual agonist, the trade name for obesity is called Zep Bound, and the same compound for diabetes is called Mounjaro. These are terms that are becoming familiar, I think, to everyone in the country. Tom mentioned some about the, how much weight people lose on these drugs, but what sort of medical changes occur? Just to reiterate what Tom said, I'll say it in another way. For Semaglutide one third of individuals are losing 20 percent of their body weight in these trials. For Tirzepatide, it even outpaces that. And I got a third of individuals losing a quarter of their body weight. These are unheard of weight losses. And with these weight losses and these independent effects from weight, what we're seeing in the trials and in the clinic is that blood pressure goes down, blood sugar goes down, blood fats like triglyceride go down, inflammation in the body goes down, because we marked that with CRP, as well as improvement in quality of life, which we'll probably get to. But really interesting stuff is coming out over the past year or two or so, that it is improving the function of people living with congestive heart failure, a particular form called a preserved ejection fraction. We're seeing improvements in sleep apnea. Think of all the people who are on these CPAP machines every night. We're seeing significant improvements in the symptoms of sleep apnea and the apneic events. And lastly, a SELECT trial came out, that's what it was called, came out last year. Which for the very first time, Kelly, found improvements in cardiovascular disease, like having a heart attack, stroke, or dying of cardiovascular disease in people living with obesity and already have cardiovascular disease. That's called secondary prevention. That, Tom, is the game changer. Bob, I'd like to go back to Tom in a minute but let me ask you one clarifying question about what you just said. That's a remarkable array of biological medical benefits from these drugs. Just incredible. And the question is, are they all attributable to the weight loss or is there something else going on? Like if somebody lost equal amounts of weight by some other means, would these same changes be occurring? Those studies are still going on. It's very good. We're thinking it's a dual effect. It's the profound amount of weight loss, as Tom said. Fifteen to 21 to even 25 percent of average body weight. That is driving a lot of the benefits. But there also appear to be additional effects or weight independent effects that are working outside of that weight. We're seeing improvements in kidney function, improvement in heart disease, blood clotting, inflammation. And those are likely due to the gut hormone effect independent of the weight itself. That still needs to be sorted out. That's called a mitigation analysis where we try to separate out the effects of these drugs. And that work is still underway. Tom, one of the most vexing problems, over the decades that people have been working on treatments for obesity, has been long term results. And I'm curious about how long have people been followed on these drugs now? What are the results? And what was the picture before then? How do what we see now compared to what you saw before? The study that Bob just mentioned, the SELECT trial followed people for four years on Semaglutide. And patients achieve their maximal weight loss at about one year and they lost 10 percent of their weight. And when they were followed up at four years still on treatment, they still maintained a 10 percent weight loss. That 10 percent is smaller than in most of the trials, where it was a 15 percent loss. But Dr. Tim Garvey showed that his patients in a smaller trial lost about 15 percent at one year and while still on medication kept off the full 15 percent. I think part of the reason the weight loss in SELECT were smaller is because the study enrolled a lot of men. Men are losing less weight on this medication than women. But to your question about how these results compare to the results of earlier treatment, well with behavioral treatment, diet, and exercise back in the 70s beyond, people lost this 7 or 8 percent of weight. And then most people on average regain their weight over one to three years. And the same was true of medication. People often stopped these earlier medications after 6 to 12 months, in part because they're frustrated the losses weren't larger. Some people were also worried about the side effects. But the long and short is once you stop taking the medication, people would tend to regain their weight. And some of this weight regain may be attributable to people returning to their prior eating and activity habits. But one of the things we've learned over the past 20 years is that part of the weight regain seems to be attributable to changes in the body's metabolism. And you know that when you lose weight, you're resting metabolic rate, which is the number of calories your body burns at rest to maintain basic bodily functions. Your resting metabolic rate decreases by 10 to 15 percent. But also, your energy expenditure, the calories you burn during exercise decreases. And that may decrease by as much as 20 to 30 percent. So, people are left having to really watch their calories very carefully because of their lower calorie requirements in order to keep off their lost body weight. I think one thing these new drugs may do is to attenuate the drop both in resting metabolic rate and energy expenditure during physical activity. But the long and short of it is that if you stay on these new medications long term, you'll keep off your body weight. And you'll probably keep it off primarily because of improvements in your appetite, so you have less hunger. And as a result, you're eating less food. I'd like to come back to that in a minute. But let me ask a question. If a person loses weight, and then their body starts putting biological pressure on them to regain, how come? You know, it's disadvantageous for their survival and their health to have the excess weight. Why would the body do that? Well, our bodies evolved in an environment of food scarcity, and our physiology evolved to protect us against starvation. First, by allowing us to store body fat, a source of energy when food is not available. And second, the body's capacity to lower its metabolism, or the rate at which calories are burned to maintain these basic functions like body temperature and heart rate. That provided protection against food scarcity. But Kelly, you have described better than anybody else that these ancient genes that regulate energy expenditure and metabolism are now a terrible mismatch for an environment in which food is plentiful, high in calories, and available 24 by 7. The body evolved to protect us from starvation, but not from eating past our calorie needs. And so, it's this mismatch between our evolution and our appetite and our body regulation in the current, what you have called toxic food environment, when you can eat just all the time. I guess you could think about humans evolving over thousands of years and biology adapting to circumstances where food was uncertain and unpredictable. But this modern environment has happened really pretty rapidly and maybe evolution just hasn't had a chance to catch up. We're still existing with those ancient genes that are disadvantageous in this kind of environment. Bob back to the drugs. What are the side effects of the drugs? Kelly, they're primarily gastrointestinal. These are symptoms like nausea, diarrhea, constipation, heartburn, and vomiting. Not great, but they're generally considered mild to moderate, and temporary. And they primarily occur early during the first four to five months when the medications are slowly dose escalated. And we've learned, most importantly, how to mitigate or reduce those side effects to help people stay on the drug. Examples would be your prescriber would slow the dose escalation. So. if you're having some nausea at a particular dose, we wait another month or two. The other, very importantly, is we have found that diet significantly impacts these side effects. When we counsel patients on these medications, along with that comes recommendations for dietary changes, such as reducing fatty food and greasy food. Reducing the amount of food you're consuming. Planning your meals in advance. Keeping well hydrated. And very importantly, do not go out for a celebration or go out to meals on the day that you inject or at least the first two days. Because you're not going to tolerate the drug very well. We use that therapeutically. So, if you want to get control on the weekends, you may want to take your injection on a Friday. However, if weekends are your time out with friends and you want to socialize, don't take it on a Friday. Same thing comes with a personal trainer, by the way. If you're going to have a personal trainer on a Monday where he's going to overwork you, don't take the injection the day before. You'll likely be nauseated, you're not eating, you're not hydrating. So actually, there's a lot that goes into not only when to take the dose and how to take the dose, but how to take it to the best ability to tolerate it. Two questions based on what you said. One is you talked about these are possible side effects, but how common are they? I mean, how many people suffer from these? Well, the trials show about 25 to 45 percent or so of individuals actually say they have these symptoms. And again, we ask them mild, moderate, severe. Most of them are mild to moderate. Some of them linger. However, they really do peak during the dose escalation. So, working with your prescriber during that period of time closely, keeping contact with them on how to reduce those side effects and how you're doing out of medication is extremely important. And the second thing I wanted to ask related to that is I've heard that there's a rare but serious potential side effect around the issue of stomach paralysis. Can you tell us something about that? I mentioned earlier, Kelly, that these medications slow gastric emptying. That's pretty much in everybody. In some individuals who may be predisposed to this, they develop something called ileus, and that's the medical term for gastric paralysis. And that can happen in individuals, let's say who have a scleroderma, who have longstanding diabetes or other gastrointestinal problems where the stomach really stopped peristalsis. In other words, it's moving. That's typically presented by vomiting and really unable to move the food along. We really haven't seen much of that. We looked at the safety data in a SELECT trial that Tom mentioned, which was 17,000 individuals, about 8,000 or so in each group. We really did not see a significant increase in the ileus or what you're talking about in that patient population. Okay, thanks. Tom had alluded to this before, Bob, but I wanted to ask you. How do you think about these medicines? If somebody takes them, and then they stop using the medicines and they gain the weight back. Is that a sign that the medicine works or doesn't work? And is this the kind of a chronic use drug like you might take for blood pressure or cholesterol? That's a great way of setting up for that. And I like to frame it thinking of it as a chronic progressive disease, just like diabetes or hypertension. We know that when you have those conditions, asthma could be another one or inflammatory bowel disease, where you really take a medication long term to keep the disease or condition under control. And we are currently thinking of obesity as a chronic disease with dysfunctional appetite and fat that is deposited in other organs, causing medical problems and so on. If you think of it as a chronic disease, you would naturally start thinking of it, like others, that medication is used long term. However, obesity appeared to be different. And working with patients, they still have this sense 'that's my fault, I know I can do it, I don't want to be on medication for the rest of my life for this.' So, we have our work cut out for us. One thing I can say from the trials, and Tom knows this because he was involved in them. If we suddenly stop the medication, that's how these trials were definitely done, either blindly or not blindly, you suddenly stop the medication, most, if not all of the participants in these trials start to regain weight. However, in a clinical practice, that is not how we work. We don't stop medication suddenly with patients. We go slowly. We down dose the medication. We may change to another medication. We may use intermittent therapy. So that is work that's currently under development. We don't know exactly how to counsel patients regarding long term use of the medications. I think we need to double down on lifestyle modification and counseling that I'm sure Tom is going to get into. This is really work ahead of us, how to maintain medication, who needs to be on it long term, and how do we actually manage patients. Tom, you're the leading expert in the world on lifestyle change in the context of obesity management. I mean, thinking about what people do with their diet, their physical activity, what kind of thinking they have related to the weight loss. And you talked about that just a moment ago. Why can't one just count on the drugs to do their magic and not have to worry about these things? Well, first, I think you can count on the drugs to do a large part of the magic. And you may be surprised to hear me say that. But with our former behavioral treatments of diet and exercise, we spent a lot of time trying to help people identify how many calories they were consuming. And they did that by recording their food intake either in paper and pencil or with an app. And the whole focus of treatment was trying to help people achieve a 500 calorie a day deficit. That took a lot of work. These medications, just by virtue of turning down your appetite and turning down your responsiveness to the food environment, take away the need for a lot of that work, which is a real blessing. But the question that comes up is, okay, people are eating less food. But what are they eating? Do these medications help you eat a healthier diet with more fruits and vegetables, with lean protein? Do you migrate from a high fat, high sugar diet to a Mediterranean diet, or to a DASH like diet? And the answer is, we don't know. But obviously you would like people to migrate to a diet that's going to be healthier for you from a cardiovascular standpoint, from a cancer risk reduction standpoint. One of the principal things that people need to do on these medications is to make sure they get plenty of protein. And so, guidance is that you should have about 1 gram of dietary protein for every kilogram of body weight. If you're somebody who weighs 100 kilograms, you should get 100 grams of protein. And what you're doing is giving people a lot of dietary protein to prevent the loss of bodily protein during rapid weight loss. You did a [00:20:00] lot of research with me back in the 80s on very low-calorie diets, and that was the underpinning of treatment. Give people a lot of dietary protein, prevent the loss of bodily protein. The other side of the equation is just physical activity, and it's a very good question about whether these medications and the weight loss they induce will help people be more physically active. I think that they will. Nonetheless for most people, you need to plan an activity schedule where you adopt new activities, whether it's walking more or going to the gym. And one thing that could be particularly helpful is strength training, because strength training could mitigate some of the loss of muscle mass, which is likely to occur with these medications. So, there's still plenty to learn about what is the optimal lifestyle program, but I think people, if they want to be at optimal health will increase their physical activity and eat a diet of fruits and vegetables, leaner protein, and less ultra processed foods. Well, isn't it true that eating a healthy diet and being physically active have benefits beyond their impact on your ability to lose the weight? You're getting kind of this wonderful double benefit, aren't you? I believe that is true. I think you're going to find that there are independent benefits of being physical activity upon your cardiovascular health. There are independent benefits of the food that you're eating in terms of reducing the risk of heart attack and of cancer, which has become such a hot topic. So, yes how you exercise and what you eat makes a difference, even if you're losing weight. Well, plus there's probably the triple one, if you will, from the psychological benefit of doing those things, that you do those things, you feel virtuous, that helps you adhere better as you go forward, and these things all come together in a nice picture when they're working. Tom, let's talk more about the psychology of these things. You being a psychologist, you've spent a lot of time doing research on this topic. And of course, you've got a lot of clinical experience with people. So as people are losing weight and using these drugs, what do they experience? And I'm thinking particularly about a study you published recently, and Bob was a coauthor on that study that addressed mental health outcomes. What do people experience and what did you find in that study? I think the first things people experience is improvements in their physical function. That you do find as you've lost weight that you've got less pain in your knees, you've got more energy, it's easier to get up the stairs, it's easier to play with the children or the grandchildren. That goes a long way toward making people feel better in terms of their self-efficacy, their agency in the life. Big, big improvement there. And then, unquestionably, people when they're losing a lot of weight tend to feel better about their appearance in some cases. They're happy that they can buy what they consider to be more fashionable clothes. They get compliments from friends. So, all of those things are positive. I'm not sure that weight loss is going to change your personality per se, or change your temperament, but it is going to give you these physical benefits and some psychological benefits with it. We were happy to find in the study you mentioned that was conducted with Bob that when people are taking these medications, they don't appear to be at an increased risk of developing symptoms of depression or symptoms of suicidal ideation. There were some initial reports of concern about that, but the analysis of the randomized trials that we conducted on Semaglutide show that there is no greater likelihood of developing depression or sadness or suicidal ideation on the medication versus the placebo. And then the FDA and the European Medicines Agency have done a full review of all post marketing reports. So, reports coming from doctors and the experience with their patients. And in looking at those data the FDA and the European Medicines Agency have said, we don't find a causal link between these medications and suicidal ideation. With that said, it's still important that if you're somebody who's taking these medications and you start them, and all of a sudden you do feel depressed, or all of a sudden you do have thoughts like, maybe I'd be better off if I weren't alive any longer, you need to talk to your primary care doctor immediately. Because it is always possible somebody's having an idiosyncratic reaction to these medications. It's just as possible the person would have that reaction without being on a medication. You know, that, that can happen. People with overweight and obesity are at higher risk of depression and anxiety disorders. So, it's always going to be hard to tease apart what are the effects of a new medication versus what are just the effects of weight, excess weight, on your mood and wellbeing. You know, you made me think of something as you were just speaking. Some people may experience negative effects during weight loss, but overall, the effects are highly positive and people are feeling good about themselves. They're able to do more things. They fit in better clothes. They're getting good feedback from their environment and people they know. And then, of course, there's all the medical benefit that makes people feel better, both psychologically and physically. Yet there's still such a strong tendency for people to regain weight after they've lost. And it just reinforces the fact that, the point that you made earlier, that there are biological processes at work that govern weight and tendency to regain. And there really is no shame in taking the drug. I mean, if you have high blood pressure, there's no shame in taking the drug. Or high cholesterol or anything else, because there's a biological process going on that puts you at risk. The same thing occurs here, so I hope the de-shaming, obesity in the first place, and diabetes, of course, and then the use of these medications in particular might help more people get the benefits that is available for them. I recommend that people think about their weight as a biologically regulated event. Very much like your body temperature is a biologically regulated event, as is your blood pressure and your heart rate. And I will ask people to realize that there are genetic contributors to your body weight. just as there are to your height. If somebody says, I just feel so bad about being overweight I'll just talk with them about their family history of weight and see that it runs in the family. Then I'll talk to them about their height. Do you feel bad about being six feet tall, to a male? No, that's fine. Well, that that's not based upon your willpower. That's based upon your genes, which you received. And so, your weight, it's similarly based. And if we can use medications to help control weight, cholesterol, blood pressure, blood sugar, let's do that. It's just we live in a time where we're fortunate to have the ability to add medications to help people control health complications including weight. Bob, there are several of the drugs available. How does one think about picking between them? Well, you know, in an ideal medical encounter, the prescriber is going to take into consideration all the factors of prescribing a medication, like any other medication, diabetes, hypertension, you name the condition. Those are things like contraindication to use. What other medical problems does the patient have that may benefit the patient. Patient preferences, of course and side effects, safety, allergies, and then we have cost. And I'll tell you, Kelly, because of our current environment, it's this last factor, cost, that's the most dominant factor when it comes to prescribing medication. I'll have a patient walk in my room, I'll look at the electronic medical record, body mass index, medical problems. I already know in my head what is going to be the most effective medication. That's what we're talking about today. Unfortunately, I then look at the patient insurance, which is also on the electronic medical record, and I see something like Medicaid or Medicare. I already know that it's not going to be covered. It is really quite unfortunate but ideally all these factors go into consideration. Patients often come in and say, I've heard about Ozempic am I a candidate for it, when can I get it? And unfortunately, it's not that simple, of course. And those are types of decisions the prescriber goes through in order to come to a decision, called shared decision making with the patient. Bob, when I asked you the initial question about these drugs, you were mentioning the trade name drugs like Mounjaro and Ozempic and those are made by basically two big pharmaceutical companies, Novo Nordisk and Eli Lilly. But there are compounded versions of these that have hit the scene. Can you explain what that means and what are your thoughts about the use of those medications? So compounding is actually pretty commonly done. It's been approved by the FDA for quite some time. I think most people are familiar with the idea of compounding pharmacies when you have a child that must take a tablet in a liquid form. The pharmacy may compound it to adapt to the child. Or you have an allergy to an ingredient so the pharmacy will compound that same active ingredient so you can take it safely. It's been approved for long periods of time. Anytime a drug is deemed in shortage by the FDA, but in high need by the public, compounding of that trade drug is allowed. And that's exactly what happened with both Semaglutide and Tirzepatide. And of course, that led to this compounding frenzy across the country with telehealth partnering up with different compounding pharmacies. It's basically making this active ingredient. They get a recipe elsewhere, they don't get it from the company, they get this recipe and then they make the drug or compound it themselves, and then they can sell it at a lower cost. I think it's been helpful for people to get the drug at a lower cost. However, buyer beware, because not all compounded pharmacies are the same. The FDA does not closely regulate these compounded pharmacies regarding quality assurance, best practice, and so forth. You have to know where that drug is coming from. Kelly, it's worth noting that just last week, ZepBound and Mounjaro came off the shortage list. You no longer can compound that and I just read in the New York Times today or yesterday that the industry that supports compounding pharmacies is suing the FDA to allow them to continue to compound it. I'm not sure where that's going to go. I mean, Eli Lilly has made this drug. However, Wegovy still is in shortage and that one is still allowed to be compounded. Let's talk a little bit more about costs because this is such a big determinant of whether people use the drugs or not. Bob, you mentioned the high cost, but Tom, how much do the drugs cost and is there any way of predicting what Bob just mentioned with the FDA? If the compounded versions can't be used because there's no longer a shortage, will that decrease pressure on the companies to keep the main drug less expensive. I mean, how do you think that'll all work out? But I guess my main question is how much these things cost and what's covered by insurance? Well first how much do the drugs cost? They cost too much. Semaglutide, known in retail as Wegovy, is $1,300 a month if you do not have insurance that covers it. I believe that Tirzepatide, known as ZepBound, is about $1,000 a month if you don't have insurance that covers that. Both these drugs sometimes have coupons that bring the price down. But still, if you're going to be looking at out of pocket costs of $600 or $700 or $800 a month. Very few people can afford that. The people who most need these medications are people often who are coming from lower incomes. So, in terms of just the future of having these medications be affordable to people, I would hope we're going to see that insurance companies are going to cover them more frequently. I'm really waiting to see if Medicare is going to set the example and say, yes, we will cover these medications for anybody with a BMI of 40 or a BMI of 35 with comorbidities. At this point, Medicare says, we will only pay for this drug if you have a history of heart attack and stroke, because we know the drug is going to improve your life expectancy. But if you don't have that history, you don't qualify. I hope we'll see that. Medicaid actually does cover these medications in some states. It's a state-by-state variation. Short of that, I think we're going to have to have studies showing that people are on these medications for a long time, I mean, three to five years probably will be the window, that they do have a reduction in the expenses for other health expenditures. And as a result, insurers will see, yes, it makes sense to treat excess weight because I can save on the cost of type 2 diabetes or sleep apnea and the like. Some early studies I think that you brought to my attention say the drugs are not cost neutral in the short-term basis of one to two years. I think you're going to have to look longer term. Then I think that there should be competition in the marketplace. As more drugs come online, the drug prices should come down because more will be available. There'll be greater production. Semaglutide, the first drug was $1,300. Zepbound, the second drug Tirzepatide, $1,000. Maybe the third drug will be $800. Maybe the fourth will be $500. And they'll put pressure on each other. But I don't know that to be a fact. That's just my hope. Neither of you as an economist or, nor do you work with the companies that we're talking about. But you mentioned that the high cost puts them out of reach for almost everybody. Why does it make sense for the companies to charge so much then? I mean, wouldn't it make sense to cut the price in half or by two thirds? And then so many more people would use them that the company would up ahead in the long run. Explain that to me. That's what you would think, for sure. And I think that what's happened right now is that is a shortage of these drugs. They cannot produce enough of them. Part of that is the manufacturing of the injector pens that are used to dispense the drug to yourself. I know that Novo Nordisk is building more factories to address this. I assume that Lilly will do the same thing. I hope that over time we will have a larger supply that will allow more people to get on the medication and I hope that the price would come down. Of course, in the U. S. we pay the highest drug prices in the world. Fortunately, given some of the legislation passed, Medicare will be able to negotiate the prices of some of these drugs now. And I think they will negotiate on these drugs, and that would bring prices down across the board. Boy, you know, the companies have to make some pretty interesting decisions, don't they? Because you've alluded to the fact that there are new drugs coming down the road. I'm assuming some of those might be developed and made by companies other than the two that we're talking about. So, so investing in a whole new plant to make more of these things when you've got these competitor drugs coming down the road are some interesting business issues. And that's not really the topic of what we're going to talk about, but it leads to my final question that I wanted to ask both of you. What do you think the future will bring? And what do you see in terms of the pipeline? What will people be doing a year from now or 2 or 5? And, you know, it's hard to have a crystal ball with this, but you two have been, you know, really pioneers and experts on this for many years. You better than anybody probably can answer this question. Bob, let me start with you. What do you think the future will bring? Well, Kelly, I previously mentioned that we finally have this new therapeutic target called the gut brain axis that we didn't know about. And that has really ushered in a whole new range of potential medications. And we're really only at the beginning of this transformation. So not only do we have this GLP 1 and GIP, we have other gut hormones that are also effective not only for weight loss, but other beneficial effects in the body, which will become household names, probably called amylin and glucagon that joins GLP 1. And we not only have these monotherapies like GLP 1 alone, we are now getting triagonists. So, we've got GIP, GLP 1, and glucagon together, which is even amplifying the effect even further. We are also developing oral forms of GLP 1 that in the future you could presumably take a tablet once a day, which will also help bring the cost down significantly and make it more available for individuals. We also have a new generation of medications being developed which is muscle sparing. Tom talked about the importance of being strong and physical function. And with the loss of lean body mass, which occurs with any time you lose weight, you can also lose muscle mass. There's drugs that are also going in that direction. But lastly, let me mention, Kelly, I spend a lot of my time in education. I think the exciting breakthroughs will not be meaningful to the patient unless the professional, the provider and the patient are able to have a nonjudgmental informative discussion during the encounter without stigma, without bias. Talk about the continuum of care available for you, someone living with obesity, and get the medications to the patient. Without that, medications over really sit on the shelf. And we have a lot of more work to do in that area. You know, among the many reasons I admire the both of you is that you've, you've paid a lot of attention to that issue that you just mentioned. You know, what it's like to live with obesity and what people are experiencing and how the stigma and the discrimination can just have devastating consequences. The fact that you're sensitive to those issues and that you're pushing to de-stigmatize these conditions among the general public, but also health care professionals, is really going to be a valuable advance. Thank you for that sensitivity. Tom, what do you think? If you appear into the crystal ball? What does it look like? I would have to agree with Bob that we're going to have so many different medications that we will be able to combine together that we're going to see that it's more than possible to achieve weight losses of 25 to 30 percent of initial body weight. Which is just astonishing to think that pharmaceuticals will be able to achieve what you achieve now with bariatric surgery. I think that it's just, just an extraordinary development. Just so pleased to be able to participate in the development of these drugs at this stage of career. I still see a concern, though, about the stigmatization of weight loss medications. I think we're going to need an enormous dose of medical education to help doctors realize that obesity is a disease. It's a different disease than some of the illnesses that you treat because, yes, it is so influenced by the environment. And if we could change the environment, as you've argued so eloquently, we could control a lot of the cases of overweight and obesity. But we've been unable to control the environment. Now we're taking a course that we have medications to control it. And so, let's use those medications just as we use medications to treat diabetes. We could control diabetes if the food environment was better. A lot of medical education to get doctors on board to say, yes, this is a disease that deserves to be treated with medication they will share that with their patients. They will reassure their patients that the drugs are safe. And that they're going to be safe long term for you to take. And then I hope that society as a whole will pick up that message that, yes, obesity and overweight are diseases that deserve to be treated the same way we treat other chronic illnesses. That's a tall order, but I think we're moving in that direction. BIOS Robert Kushner is Professor of Medicine and Medical Education at Northwestern University Feinberg School of Medicine, and Director of the Center for Lifestyle Medicine in Chicago, IL, USA. After finishing a residency in Internal Medicine at Northwestern University, he went on to complete a post-graduate fellowship in Clinical Nutrition and earned a Master's degree in Clinical Nutrition and Nutritional Biology from the University of Chicago. Dr. Kushner is past-President of The Obesity Society (TOS), the American Society for Parenteral and Enteral Nutrition (ASPEN), the American Board of Physician Nutrition Specialists (ABPNS), past-Chair of the American Board of Obesity Medicine (ABOM), and Co-Editor of Current Obesity Reports. He was awarded the ‘2016 Clinician-of-the-Year Award' by The Obesity Society and John X. Thomas Best Teachers of Feinberg Award at Northwestern University Feinberg School of Medicine in 2017. Dr. Kushner has authored over 250 original articles, reviews, books and book chapters covering medical nutrition, medical nutrition education, and obesity, and is an internationally recognized expert on the care of patients who are overweight or obese. He is author/editor of multiple books including Dr. Kushner's Personality Type Diet (St. Martin's Griffin Press, 2003; iuniverse, 2008), Fitness Unleashed (Three Rivers Press, 2006), Counseling Overweight Adults: The Lifestyle Patterns Approach and Tool Kit (Academy of Nutrition and Dietetics, 2009) and editor of the American Medical Association's (AMA) Assessment and Management of Adult Obesity: A Primer for Physicians (2003). Current books include Practical Manual of Clinical Obesity (Wiley-Blackwell, 2013), Treatment of the Obese Patient, 2nd Edition (Springer, 2014), Nutrition and Bariatric Surgery (CRC Press, 2015), Lifestyle Medicine: A Manual for Clinical Practice (Springer, 2016), and Obesity Medicine, Medical Clinics of North America (Elsevier, 2018). He is author of the upcoming book, Six Factors to Fit: Weight Loss that Works for You! (Academy of Nutrition and Dietetics, December, 2019). Thomas A. Wadden is a clinical psychologist and educator who is known for his research on the treatment of obesity by methods that include lifestyle modification, pharmacotherapy, and bariatric surgery. He is the Albert J. Stunkard Professor of Psychology in Psychiatry at the Perelman School of Medicine at the University of Pennsylvania and former director of the university's Center for Weight and Eating Disorders. He also is visiting professor of psychology at Haverford College. Wadden has published more than 550 peer-reviewed scientific papers and abstracts, as well as 7 edited books. Over the course of his career, he has served on expert panels for the National Institutes of Health, the Federal Trade Commission, the Department of Veterans Affairs, and the U.S. House of Representatives. His research has been recognized by awards from several organizations including the Association for the Advancement of Behavior Therapy and The Obesity Society. Wadden is a fellow of the Academy of Behavioral Medicine Research, the College of Physicians of Philadelphia, the Obesity Society, and Society of Behavioral Medicine. In 2015, the Obesity Society created the Thomas A. Wadden Award for Distinguished Mentorship, recognizing his education of scientists and practitioners in the field of obesity.

In this episode of the Making Ripples podcast, we are thrilled to welcome Dr. Daniela Zurr, a distinguished behavioral veterinarian from Nuremberg, Germany. With over 25 years of experience as a veterinarian and a Tellington TTouch instructor, Dr. Zurr combines her expertise in behavioral medicine, zoo animal consultations, and positive reinforcement training to create innovative approaches to animal care. Dr. Zurr shares her journey from an early passion for reptiles to her current role, where she works with a wide range of animals, from household pets to zoo residents. She discusses the profound influence of mentors like Linda Tellington-Jones, the evolution of her work with TTouch, and the development of her holistic method to improve animal behavior and welfare. Listeners will gain insights into the principles of TTouch, including its focus on mindfulness, trust, and connection, and learn how it can be used to address behavioral challenges, prevent stress, and improve the bond between humans and animals. Dr. Zurr also shares personal stories, such as her experiences with her own rescue dog and her work with shelter animals, highlighting the importance of adaptability and compassion in animal care. Whether you're a pet owner, trainer, or behavior enthusiast, this episode offers a wealth of inspiration and practical advice for fostering trust and connection with the animals in your life. Links www.ttouch.com www.tellington-methode.de www.ttouch-n-click.de www.tierverhalten-zurr.de Email; mail@tierverhalten-zurr.de  

Want to add a healthy habit to your daily routine that is absolutely free and incredibly effective? Looking to reduce insulin resistance and lose visceral fat? Want to boost mental health and improve cognitive function? Look no further than walking! Tune in to hear us unpack the myriad of research-supported benefits.   In this episode, we discuss the incredible benefits of walking, from lowering blood pressure to improving heart rate variability to reducing stress and so much more. Learn about the magic number when it comes to step count, our thoughts on walking in nature vs. on a treadmill, and get practical tips for getting those steps!    Also in this episode:  Naturally Nourished Teas are buy 3 get 1 FREE, use code FREETEA Gift cards at Naturally Nourished Detox Masterclass 1/8 Keto Masterclass 1/15 Walking Pad C2 use code ALIMILLERRD for savings Health Benefits of Walking Lowers Blood Pressure Hypertension: Brisk walking for 30 minutes, five days a week reduces blood pressure (Hypertension, 2020). Improves Cholesterol Levels Cholesterol: Effects on LDL and HDL cholesterol (Journal of the American Heart Association, 2021). Lipid Profiles: Walking improves triglycerides and HDL (Atherosclerosis, 2021). Reduces the Risk of Coronary Artery Disease Coronary Artery Disease Risk: 150 minutes of walking weekly (Circulation, 2022). Enhances Cardiorespiratory Fitness Reduces Systemic Inflammation Systemic Inflammation: Walking lowers CRP and IL-6 (Arteriosclerosis, Thrombosis, and Vascular Biology, 2020). Systemic Inflammation: Walking reduces inflammatory cytokines (The Journal of Endocrinology, 2022). Helps Maintain Healthy Weight and Prevent Obesity Improves Heart Rate Variability Heart Rate Variability: HRV improvement with regular walking (Heart, 2022). Prevents Peripheral Artery Disease Peripheral Artery Disease: Walking improves circulation and function in PAD patients (Journal of Vascular Surgery, 2021). Reduces Resting Heart Rate Enhances Endothelial Function Supports Recovery After Cardiac Events Improves Insulin Sensitivity Insulin Sensitivity: Improvements with post-meal walks (Diabetes Care, 2021). Enhances Glucose Regulation Boosts Fat Oxidation Fat Oxidation: Brisk walking boosts fat metabolism (Journal of Applied Physiology, 2022). Reduces Visceral Fat Reduction of visceral fat after 10,000 steps/day (Obesity, 2021). Promotes Energy Balance Energy Balance: 12,000 steps/day for maintaining weight (Medicine & Science in Sports & Exercise, 2020). Regulates Hormones Related to Metabolism Increases Mitochondrial Efficiency Improves Metabolic Flexibility Prevents Metabolic Syndrome Helps Manage Type 2 Diabetes Mental health Stress Reduction: Nature walks lower cortisol more than treadmill (Environmental Research, 2022). Stimulates Neurogenesis and Brain Plasticity Brain Connectivity: Walking improves default mode network activity (Journal of Aging Research, 2021). Enhances Neurotransmitter Balance Supports Autonomic Nervous System Regulation Improves Sensory Integration Vestibular Function: Enhancing balance and stability with walking (Frontiers in Neuroscience, 2021). Strengthens Cognitive Function Neurogenesis and Cognitive Function: Exercise-induced brain growth (Nature Neuroscience, 2021). Promotes Myelination and Nerve Health Enhances Emotional Regulation via the Vagus Nerve Reduces Neurological Disease Risk Synchronizes the Nervous System Through Rhythmic Movement Improves Sleep and Circadian Rhythm Bone and Joint Health Immune System Support Longevity and Reduced Mortality Gut Health Gut Health: Positive effects on microbiota diversity (Gut Microbes, 2020). The Science of Step Counts Thoughts on Nature vs. Treadmill Walking Cognitive Benefits: Nature walking improves attention restoration (Nature Neuroscience, 2021). Proprioception: Benefits of uneven terrain in natural settings (Journal of Sports Medicine, 2023). Motivation: Outdoor walkers maintain habits better than treadmill users (Behavioral Medicine, 2022). Immune Boosting: Increased NK cell activity in forest walkers (International Journal of Environmental Health Research, 2021).   Sponsors for this episode:  According to extensive research by the Environmental Working Group, virtually every home in America has harmful contaminants in its tap water. That's why you've got to check out AquaTru. AquaTru purifiers use a 4-stage reverse osmosis purification process, and their countertop purifiers work with NO installation or plumbing. It removes 15x more contaminants than ordinary pitcher filters and are specifically designed to combat chemicals like PFAS in your water supply. Naturally Nourished Podcast listeners can use code ALIMILLERRD at AquaTru.com to save 20% off. 

How much do you know about milieu therapy and how it works?  This episode of The Menninger Clinic's Mind Dive Podcast features Michael McClam, MD, medical director for Menninger's youth division, for a conversation about milieu therapy and how clinicians and patients play an active role in its effectiveness. It also explores the hidden dynamics that emerge within communal therapy.  Dr. McClam shares his wisdom about the challenges and rewards that clinicians face as they navigate patient relationships and team dynamics within milieu therapy. Drawing from his experiences running milieu treatment at Menninger, Dr. McClam addresses the complexity of authority and clinical distance while building patient trust and developing the crucial connection needed for communal therapy.  Dr. Michael McClam, MD, FAPA, is board certified in psychiatry and works on Menninger's Compass Program for Young Adults. He also is an assistant professor in the Menninger Department of Psychiatry & Behavioral Medicine at Baylor College of Medicine and previously served as director of admissions. “There's an intentionality to our thinking about relationships,” says Dr. McClam. “We help them foster, develop, maintain relationships and be curious about the whole unit as everyone there contributes to the therapeutic environment.”  Follow The Menninger Clinic on Twitter, Facebook, Instagram and LinkedIn to stay up to date on new Mind Dive episodes. To submit a topic for discussion, email podcast@menninger.edu. If you are a new or regular listener, please leave us a review on your favorite listening platform! Visit The Menninger Clinic website to learn more about The Menninger Clinic's research and leadership role in mental health.

Pediatrician Dr. Paul Bunch consults Dr. Kelli Lupas from the Cincinnati Children's Division of Behavioral Medicine and Clinical Psychology on ADHD.  Episode recorded on October 23, 2024. Resources discussed in this episode: Cincinnati Children's Center for ADHD Vanderbilt Assessment Child Behavior Checklist Triple P / Positive Parenting Program meHealth DRCO / Daily Report Card Online CHAD parent course Cincinnati Children's Academic Success Groups 

About Michelle:Michelle is an award-winning, NIH-funded researcher at the University of Michigan with thirty years studying how to help people change their healthy behavior in sustainable ways.Her work focuses on how to adopt physical activity and other lifestyle behaviors in ways that can be sustained within the unpredictability of the real world - and her client list includes Kaiser Permanente, The Permanente Medical Group, Business Group on Health, Walmart, WW, and Anytime Fitness. Michelle's research on creating sustainable change is recognized as uniquely pragmatic for real-world applications. Her advice is sought for prominent initiatives, including the World Health Organization's expert group on the Global Action Plan on Physical Activity and she was selected to be the inaugural chair of the United States National Physical Activity Plan's Communication Committee. She has also written two critically acclaimed books about how to support lasting changes in lifestyle behaviors, No Sweat and The Joy Choice.Michelle has a doctorate in Psychology (PhD), master's degrees in Health Behavior/Health Education (MPH) and Kinesiology (MS) from the University of Michigan and she is a Fellow of the Society of Behavioral Medicine. Michelle's decades of academic research combined with her real-world coaching offers her a comprehensive perspective and permits her to create and scale engaging and practical sustainable-change systems for digital health and patient counseling. Michelle speaks around the world, trains clinicians in easy-to-use sustainable-change methods, and is frequently interviewed in major media outlets including The New York Times, NPR, The Atlantic, Forbes, The Wall Street Journal, The Washington Post, Prevention, Real Simple, and TIME. She ran with the Olympic Torch at the 1992 Olympic Games in Barcelona. Links:Connect with Michelle at her website, MichelleSegar.com, or LinkedIn at https://www.linkedin.com/in/michellelsegar/

Kathryn H Schmitz, Ph.D., M.P.H., FACSM, FSBM, FTOS, FNAK, FSEM, is aProfessor in the division of Hematology and Oncology at the University of Pittsburgh School of Medicine. She serves as the Associate Director of Population Science, Co-leader of the Biobehavioral Cancer Control program, Co-leader of the UPMC Hillman Survivorship program and Director of the Moving Through Cancer Exercise Oncology Program for the UPMC Hillman Cancer Center.  Dr. Schmitz's research focuses on people living with and beyond cancer andinvestigates the role of exercise in improving physiologic and psychosocial outcomes, including symptoms, treatment tolerance, and other chronic diseases. In addition, Dr. Schmitz studies technology based supportive care interventions (that include physical activity) to improve outcomes among advanced cancer patients. She has held NCI funding consistently since 2001. She has published over 350 scientific peer reviewed papers, some in prestigious journals such as JAMA, New England Journal of Medicine, and Journal of Clinical Oncology. Her well regarded research on resistance exercise and breast cancer related lymphedema has been translated into a physical therapy delivered program called ‘Strength After Breast Cancer' that is available in over 1000 locations across the United States and beyond. Dr. Schmitz was the moving force behind two American College of Sports Medicine development processes for exercise and cancer guidelines for patients in 2010 and 2018. She founded the Moving Through Cancer initiative of the American College ofSports Medicine, which has a bold goal of making exercise standard of care in oncology by 2029. She has written a popular press book to raise awareness about exercise for cancer patients and survivors entitled ‘Moving Through Cancer' that was released by Chronicle Books in October 2021. She is the winner of numerous awards, most notably the Distinguished Scientist Award from the Society of Behavioral Medicine, the Citation Award from the American College of Sports Medicine, and the Clinical Research Professorship from the American Cancer Society. In fall 2023, she was inducted as an Honorary Fellow at the Royal College of Surgeons in Edinburgh, Scotland. She is the past president of the American College of Sports Medicine.Support the show

There are several stories in the Bible that tell us when God's people obey Him, they are in better physical and emotional shape. Remember, Daniel and his friends refuse to eat the rich food sent by the king. After several weeks of their own diet, they emerged healthier than other young men in the Babylonian kingdom. So, too, do we learn that an attitude of forgiveness leads to peace. In Matthew 18:21–22, we read, “‘Lord, how many times shall I forgive my brother when he sins against me? Up to seven times?' Jesus answered, ‘I tell you, not seven times, but 77 times.'”When Peter asked this, Jesus was thinking not only of the person who was to be forgiven, but also about the well-being of Peter. We know from scripture that the hot-tempered Peter learned to temper his temper over time.Notice that the exchange between Peter and Jesus about forgiveness is an ongoing process. It isn't a one-time deal. Being intentional about the art of practicing forgiveness ensures that we don't fall back into bad habits. A Journal of Behavioral Medicine study tells us that forgiving someone can reduce feelings of tension, anger, depression, and fatigue. This leads to much better sleep patterns. Another study provides evidence that forgiveness can lower blood pressure significantly, especially among spouses. An article in the Journal of Health Psychology provides a link between much lower stress levels and people who forgive.God knows us in every way. He created us. In Philippians 4:7 we read, “And the peace of God, which surpasses all understanding, will guard your hearts and your minds in Christ Jesus.” This comes in the form of a person who is willing to make a conscious choice to forgive, and let grudges go. The enemy of our souls wants us to hang on to bitterness. The God who created us and loves us wants to see us well, along with those who have hurt us. Healing replicates itself, and it starts with us. Let's pray. Father, it's painful to watch someone who's locked down by unforgiveness. Help us model what it looks like to be healthy and whole when we forgive. In Jesus' name. Amen.Change your shirt, and you can change the world! Save 15% Off your entire purchase of faith-based apparel + gifts at Kerusso.com with code KDD15.

Tracy Latz, M.D., M.S. is a Cell Biologist, Physician, Integrative Psychiatrist, Metaphysician and Holistic Practitioner. She holds a Doctorate in Medicine from Wake Forest University and Doctorate in Metaphysics & Holistic Healing from Delphi University; a Master of Science in Cell Biology/Immunology from Georgetown University. She holds certifications in Mind-Body Medicine from the National Institute for the Clinical Application of Behavioral Medicine and as a Medical Qigong. Practitioner and teacher. Dr. Latz has co-authored 5 books on personal transformation, has published 7 scientific articles, and is an international speaker. She has been on clinical adjunct faculty involved in medical education for Wake Forest University Medical Center, Broughton State Psychiatric Hospital, and MAHEC – UNC Asheville School of Medicine. Dr. Latz is currently working in her own solo private practice in a suburb of Charlotte, NC with over 35 years of clinical experience in shifting lives. She is also one of the 2 ‘Shift Doctors' at ShiftyourLife.com. http://shiftyourlife.com https://www.facebook.com/share/8e9z5nY8fySuaZus/?mibextid=LQQJ4d https://www.facebook.com/shiftdoctors?mibextid=LQQJ4d https://www.linkedin.com/in/tracy-latz-m-d-m-s-mh-d-b0499412?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_app @TracyLatz and @ShiftYourLife on ‘X' (formerly Twitter) @shiftyourlife.com on TikTok Free Gift The Loving Compassionate Benefactor Meditation/ Exercise and the Qigong Emotional Release video   About The Flare Up Show Find Chrissy Cordingley at ⁠⁠⁠⁠https://www.risethrive.ca⁠⁠⁠⁠ Follow the Flare Up Show on ⁠⁠⁠⁠Instagram⁠⁠⁠⁠ Join the Rise and Thrive Wholeness Community on ⁠⁠⁠⁠Facebook⁠⁠⁠   Welcome to The Flare Up Show with Chrissy Cordingley. We tackle tough health topics with humor, share epic comeback stories, and explore ways to boost your mind and body. Whether you're feeling meh or need a laugh, join us for expert tips, inspiring chats, and a dash of fun to help you flare up to your best self. Ready to rise and thrive? Tune in and let's set your journey on fire! #TheFlareUpShow #RiseAndThrivePodcast #WholenessCoaching #WholeBeing #WellBeing #ReAlign #ReAlive #ElevateYourLife   VIDEO MUSIC Credit; Happy Place Courtesy of ClipChamp Audio version Music Credit: Y2K by Lunareh

Kennedy Dunn, 3rd year medical student at Howard U and Oyinemi “Yemi” Iyebote discuss how we define what is Ours and what it means to be human in the 6th episode of Stranger Fruit Vol. II   Timestamp: 0:00 Exploring Psychiatry and Mental Health 6:55 The Intricacies of Mental Health Disorders 14:07 Embracing Emotions and Overcoming Challenges 23:36 Community Support and Understanding Pain 36:44 Navigating Relationships and Societal Roles   Reference: Eaton, W. W., Byrne, M., E. A., & Mors, O. (2008). The epidemiology of psychotic disorders in the community. In J. L. C. & L. W. M. (Eds.), Schizophrenia: Theory, Research, and Therapy (pp. 161-177). Wiley. Hsiao, C. Y., & Kales, H. C. (2018). Antipsychotic use and racial disparities: A review. Journal of the American Geriatrics Society, 66(3), 564-570. Whitfield, E. A., & Williams, D. R. (2017). Racial differences in psychiatric diagnosis and treatment. American Journal of Psychiatry, 174(9), 880-891. Williams, D. R., & Mohammed, S. A. (2009). Discrimination and racial disparities in health: evidence and needed research. Journal of Behavioral Medicine, 32(1), 20-47. Intro Music: Bosch's Garden - by Kjartan Abel. This work is licensed under the following: CC BY-SA 4.0 Attribution-ShareAlike 4.0 International.

Ready to ditch calorie counting and unlock the secrets to sustainable weight loss? In this episode of Weight Loss Made Simple, Dr. Stacy Heimburger dives into the multi-pronged approach to holistic weight loss. Discover why focusing on more than just calories is essential for long-term success. We explore the impact of psychological stress, the role of quality sleep, the importance of nutrient-dense foods, effective physical activity, and building a supportive network. Tune in to learn how integrating these lifestyle changes can transform your weight loss journey and overall wellness.References:Psychological Stress and Obesity - A. M. C. Farrow, E. E. White, A. M. Jacobs, Physiology & Behavior, October 2003Sleep and Obesity - M. G. Knutson, L. L. Van Cauter, Current Diabetes Reports, April 2006Nutrient-Dense Foods and Weight Management - K. L. Hlebowicz, E. D. Solomon, M. M. Mitchell, Nutrients, August 2019Physical Activity and Weight Loss - C. S. Albright, R. D. Thompson, G. T. Wright, Journal of Clinical Endocrinology & Metabolism, August 2008Stress Management and Weight Loss - J. K. Smith, R. S. Peterson, L. T. Morgan, Journal of Behavioral Medicine, April 2011Free 2-Pound Plan Call!Want to jump start your weight loss? Schedule a free call where Dr. Stacy Heimburger will work with you to create a personalized plan to lose 2 pounds in one week, factoring in your unique circumstances, challenges, and aspirations. Schedule now! www.sugarfreemd.com/2poundThis episode was produced by The Podcast Teacher.

Dr. Alan Rozanski is Professor of Medicine at the Icahn School of Medicine at Mount Sinai, and Chief Academic Officer, Executive Director of Cardiac Education and Fellowship Training Programs, and Director of Nuclear Cardiology for the Department of Cardiology at Mount Sinai St. Lukes.  A graduate of Yale University and the Tufts University School of Medicine, Dr. Rozanski completed his Internal Medicine and Cardiology Fellowship training at Mount Sinai Hospital and a fellowship in Nuclear Medicine at Cedars-Sinai Medical Center in Los Angeles. While at Cedars-Sinai Medical Center, Dr. Rozanski founded a large multi-disciplinary program in Preventive and Rehabilitative Cardiology and initiated research which helped lead to the creation of a new field of Behavioral Cardiology. This led to a prestigious Sabbatical Fellowship from the MacArthur Foundation to study the determinants of health-promoting and health-damaging behaviors alongside many leading behavioral clinicians across the nation. In 1990, Dr. Rozanski joined the cardiology staff of St. Lukes/Roosevelt Hospital (now Mount Sinai St. Lukes and Mount Sinai West Hospitals) where he eventually served as Chief of Cardiology before assuming his current positions.     Dr. Rozanski is noted for his unique clinical and academic focus and novel research that uniquely integrates the fields of Preventive Cardiology with Health Psychology and Behavioral Medicine.  In addition, Dr. Rozanski is a leading expert in applying Cardiac Imaging for optimal Risk Assessment and Clinical Decision Making among patients who are candidates for cardiac testing due to risk factors or symptoms which are suggesting of heart disease.    Dr. Rozanski is the co-author of over 270 peer-reviewed medical articles, book chapters and medical editorials, many of which are considered seminal contributions to the fields of Cardiology and/or Health Psychology.

Retirement is no longer defined by rocking chairs and endless afternoons. Instead, it's a time to reimagine life, fueled by purpose and passion. For Baby Boomers, career changers, and retirees, this phase can be the most rewarding period yet. This episode will guide you through the importance of having a sense of purpose in retirement and provide actionable advice on how to cultivate it. Learn why purpose matters, how to find your retirement passion, manage your finances wisely, stay socially engaged, and more. The Science of Purpose Why Purpose Matters: Research shows that having a sense of purpose can significantly enhance both physical and mental well-being. Dr. Alex Lee, a prominent gerontologist, states, "Studies consistently show that individuals with a strong sense of purpose in their daily lives are happier and healthier in retirement." This sense of purpose can reduce stress, improve heart health, and even increase your lifespan. Physical Benefits: A longitudinal study on retirees published in the Journal of Behavioral Medicine highlights that those engaged in purpose-driven activities had lower instances of chronic illnesses and better mobility. The act of setting goals and achieving them releases dopamine, which has numerous health benefits. Mental Health Benefits: Purpose-driven individuals also exhibit lower rates of depression and anxiety. According to Dr. Jane Smith, a behavioral economist, "Retirement is not the end of the road. It's the beginning of the open highway of life, reimagined with passion and purpose." This new outlook can foster a sense of accomplishment and mental resilience. Finding Your Retirement Passion Community and Social Engagement Importance of Social Connections: Social isolation can have detrimental effects on your health. A study published in the Journal of Psychology and Aging found that retirees with strong social networks live longer and experience fewer health issues. Ideas for Getting Involved: Join local clubs, volunteer organizations, or online communities that align with your interests. Whether it's a book club or a gardening group, these connections can enrich your life. Building Lasting Relationships: Forming meaningful relationships takes time and effort. Attend community events, host get-togethers, and be proactive in maintaining friendships. These relationships can provide emotional support and a sense of belonging. 5 Action Steps Before Retiring B.A.C.O.n B – Budgeting A - Assess Investments C - Cultivate Interests O – Outreach N - Nurture Health Not quite the end… Retirement is not just an end—it's a new beginning filled with opportunities for growth and fulfillment. By finding your purpose and passion, managing your finances wisely, and staying socially engaged, you can make this phase of life incredibly rewarding. Remember, the key to a fulfilling retirement lies in how you choose to spend your time. Approach your retirement with enthusiasm and resolve, and you'll find yourself living a life rich with purpose and joy. For more personalized guidance on navigating your retirement with purpose and passion, consider booking a session with one of our expert retirement advisors. Let's make your retirement not just the end of a career but the start of an exciting new chapter. www.MasterHappiness.com www.WhatsYourBacon.com

This episode of VHHA's Patients Come First podcast features Dr. Bob Trestman, Chair of Psychiatry and Behavioral Medicine at Carilion Clinic for a conversation about his work, mental health, collaboration with the Virginia Coordinated Clinical Research Network, and more. Send questions, comments, feedback, or guest suggestions to pcfpodcast@vhha.com or contact us on X (Twitter) or Instagram using the #PatientsComeFirst hashtag.

In this episode, I have the pleasure of speaking with Dr. Martin Picard, a mitochondrial researcher who directs the Mitochondrial Psychobiology Group at Columbia University Irving Medical Center and is an Associate Professor of Behavioral Medicine in Psychiatry and Neurology. We explore the fascinating topic of how stress affects your mitochondria and the link to aging, resilience, disease resistance, and, of course, energy levels!  This conversation was one of my personal favorites, and I can't wait for you to hear it! (This podcast was originally released in August 2019)  

In this episode, Charmaine, a seasoned dietitian, and Ghalia, an expert coach in the Reversing Diabetes Program, unravel the complexities of managing diabetes in the digital age. Navigating through the overwhelming and often conflicting information online, it can be hard to know what's true and what's not.Join the journey as they discuss the traits of individuals who successfully transform their health and their life!If you want to know more about the traits of individuals who are successful on their respective journeys towards better health and are looking to understand practical ways that you can cultivate these traits, then this podcast episode is a must-listen!⇰FREE WEBINAR TRAINING & OTHER LINKS: https://stan.store/reversingdiabetesrevolutionMy name is Charmaine and I'm the registered dietitian who helps people reverse Type 2 Diabetes with plant-based eating.⧫CATCH ME ON:Instagram: @ReversingDiabetesRevolutionTik Tok: @ReversingDiabetesRVLTNYoutube: https://www.youtube.com/c/CharmaineDomingue?sub_confirmation=1Sources:Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., & Bernard, J. (2008). The brief resilience scale: assessing the ability to bounce back. International Journal of Behavioral Medicine, 15(3), 194-200.de Ridder, D. T. D., Lensvelt-Mulders, G., Finkenauer, C., Stok, F. M., & Baumeister, R. F. (2012). Taking stock of self-control: a meta-analysis of how trait self-control relates to a wide range of behaviors. Personality and Social Psychology Review, 16(1), 76-99.Meule, A., & Kübler, A. (2012). The relationship between self-control and dietary success: the role of dietary restraint, nutrition knowledge, and hunger. Appetite, 58(2), 715-718.Mason, A. E., Epel, E. S., Aschbacher, K., Lustig, R. H., Acree, M., Kristeller, J., … Daubenmier, J. (2016). Reduced reward-driven eating accounts for the impact of a mindfulness-based diet and exercise intervention on weight loss: data from the SHINE randomized controlled trial. Appetite, 100, 86-93.Teixeira, P. J., Silva, M. N., Mata, J., Palmeira, A. L., & Markland, D. (2012). Motivation, self-determination, and long-term weight control. International Journal of Behavioral Nutrition and Physical Activity, 9(1), 22.Wing, R. R., & Phelan, S. (2005). Long-term weight loss maintenance. The American Journal of Clinical Nutrition, 82(1), 222S-225S.

How to overcome inertia and research-backed plans that actually work.Dr. Gary G. Bennett is Dean of the Trinity College of Arts & Sciences at Duke University. He is also a professor of psychology & neuroscience, global health, medicine, and nursing, and is the founding director of the Duke Digital Health Science Center. He has authored nearly 200 scientific papers and is a past president of the Society of Behavioral Medicine.T. Morgan Dixon is the founder and CEO of Girl Trek, the largest health movement in America for Black women– with over one million members. Also check out Jeffrey Walker's podcast, System Catalysts, where they did an episode on Morgan and Dr. Bennett.This is the latest episode of our Get Fit Sanely series. This is the third time we've done Get Fit Sanely, and in this go-round, we'll be covering not only longevity but also ozempic, exercise, and the Buddhist case for laziness. Related Episodes:Get Fit Sanely PlaylistThe Dharma of Harriett Tubman | Spring Washam Sign up for Dan's weekly newsletter hereFollow Dan on social: Instagram, TikTokTen Percent Happier online bookstoreSubscribe to our YouTube ChannelOur favorite playlists on: Anxiety, Sleep, Relationships, Most Popular EpisodesFull Shownotes: https://www.tenpercent.com/tph/podcast-episode/dixon-bennettSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this fascinating interview for The MindHealth360 Show, Dr. Leslie Korn discusses the connection between our biochemistry and our psychology; between trauma, nutrition, and mental health. With extensive expertise in integrative medicine and somatic and psychological therapies, Dr. Korn explores the impact of trauma and chronic stress on our biochemistry, and tells us how to balance our biochemistry for better nervous system resilience and better health. She explains how dietary choices, specific nutrients, plants and herbs, and personalised nutritional strategies can be vital for recovery from trauma, PTSD and mental and physical well-being. She underlines the therapeutic potential of psychedelics, especially when integrated with traditional healing rituals, and uses her extensive experience of working with indigenous cultures to suggest tried and tested approaches to improving mental health and resilience.  Dr. Leslie Korn is an expert in integrative medicine with over 40 years of clinical experience, focusing on stress, trauma, cognitive function, and chronic physical illness. She began her training in Mexico where she worked extensively with indigenous cultures, and continued at Harvard Medical School. Dr. Korn holds a PhD in Behavioral Medicine, an MPH from Harvard, and an MA in cross-cultural health psychology. She has developed the Brainbow Blueprint®, an individualized integrative approach, and has trained over 30,000 health professionals. Additionally, she directs the Leslie Korn Institute of Integrative Medicine, has pioneered somatic therapies at Harvard, and is an author of 10 books on related subjects including Nutrition Essentials for Mental Health, Rhythms of Recovery: Integrative Medicine for the treatment of PTSD and Complex Trauma, The Good Mood Kitchen, Natural Woman, and The Brainbow Blueprint: A Clinical Guide to Integrative Medicine and Nutrition for Mental Well-Being.   In this interview learn about: Dr. Korn's key principles for better mental health (eat breakfast, nourish both brains, eat only when relaxed, eliminate toxins, etc.) The best nutrition for your gut (foods that damage, foods that heal) and the link between gut health, mood and brain health The importance of circadian rhythms, exercise and other movement in combination with the right nutrition Key herbs and plant therapies for healing The importance of community for physical, emotional and spiritual healing Biochemical and psychological stressors which hamper our innate capacity to heal How trauma and PTSD impact our biochemistry (inflammation, gut dysbiosis, poor nutrition, difficulty with self-care, immune and neuro-endocrine imbalances, metabolic dysfunction, difficulty with detoxification) What we can learn from indigenous cultures about healing, nutrition, sacred rituals, and mental health How addictions and eating disorders are dissociative disorders and the link with trauma and control   Why eating more fats and proteins and less sugar is so crucial to brain health and mood stability; and sugar addiction, food cravings and their link with trauma and stress The connection between dysregulated cortisol rhythms and mood, anxiety and sleep, and how chronic cortisol exposure can cause neuronal death The best biochemical tests for mental health (toxins, nutrients status, etc.) Key nutrients for mental health (vitamin D, omega 3 fatty acids, B vitamins, magnesium, chromium, lithium) How trauma creates an altered state of consciousness, and how psychedelics also create an altered state of consciousness, but one that can help us heal    Why it's so important to use psychedelics in their traditional and sacred contexts, and how the ritual of therapy is crucial to the experience  How psych drugs such as SSRIs, sleeping pills and antipsychotics as well as other medications such as statins and NSAIDs can suppress mitochondrial function and harm the gut, thereby exacerbating mental health issues  Why daily self-care practices are so important for mental health and healing  Dr. Korn will further elaborate on these concepts in her upcoming talk Integrative Medicine for PTSD and Complex Trauma at the Integrative Medicine for Mental Health conference (IMMH2024) in Washington, October 2024. For more details, visit IMMH.  

In the midst of life's constant demands and stressors, the quest for inner peace can often feel like an uphill battle. From the moment we wake up to the sound of our alarm clocks to the time our heads hit the pillow at night, we are bombarded with endless tasks, responsibilities, and challenges that can leave us feeling overwhelmed, anxious, and disconnected from our own sense of well-being. But what if there was a simple, effective technique that could help you tap into a deep well of calm and tranquility, no matter what life throws your way? Enter progressive muscle relaxation, a powerful tool for cultivating inner peace and resilience in the face of stress.First developed by American physician Edmund Jacobson in the 1920s, progressive muscle relaxation is a technique that involves systematically tensing and relaxing different muscle groups throughout the body. The premise is simple: by focusing on the physical sensations of tension and relaxation, you can quiet your mind, release pent-up stress and anxiety, and cultivate a profound sense of calm and well-being.To begin, find a quiet, comfortable place where you can sit or lie down without interruption. Take a few deep breaths, allowing your body to settle into the surface beneath you. Now, starting with your feet, gently tense the muscles for five to ten seconds, focusing on the sensation of tension. Then, slowly release the tension, paying attention to the feeling of relaxation that washes over the area. Take a moment to notice the difference between the tension and relaxation before moving on to the next muscle group.Work your way up the body, tensing and relaxing each muscle group in turn. Move from your feet to your calves, then your thighs, buttocks, abdomen, chest, back, hands, arms, shoulders, neck, and finally, your face. As you progress through each area, imagine the tension melting away, replaced by a profound sense of relaxation and calm that envelops your entire being.The beauty of progressive muscle relaxation lies in its simplicity and accessibility. It requires no special equipment or training, and can be practiced virtually anywhere, at any time. Whether you're sitting at your desk at work, waiting in line at the bank, or even stuck in traffic, you can take a moment to tense and relax your muscles, bringing a sense of peace and tranquility to your day.But beyond its immediate calming effects, progressive muscle relaxation has been shown to have a profound impact on overall mental health and well-being. By reducing physical tension and quieting the mind, this technique can help alleviate symptoms of stress, anxiety, and even depression, leading to greater emotional resilience and a more positive outlook on life.In a study published in the Journal of Clinical Psychology, researchers found that participants who practiced progressive muscle relaxation for eight weeks experienced significant reductions in anxiety and depression compared to a control group. They reported feeling more relaxed, centered, and better equipped to handle the challenges of daily life.But the benefits of this technique extend far beyond the realm of stress and anxiety. Research has shown that regular practice of progressive muscle relaxation can also help alleviate chronic pain, improve sleep quality, and even boost immune function. By learning to recognize and release physical tension, you can cultivate a greater sense of body awareness and overall health.In a study published in the Journal of Behavioral Medicine, researchers found that individuals with chronic lower back pain who practiced progressive muscle relaxation for six weeks experienced significant reductions in pain intensity and disability compared to a control group. These findings suggest that this simple technique can be a powerful tool for managing chronic pain and improving quality of life.So how can you incorporate progressive muscle relaxation into your own life? The key is to start small and be consistent. Set aside 10-15 minutes each day, preferably at the same time, to practice the technique. Find a quiet, comfortable space where you can sit or lie down, and begin working through the muscle groups as described earlier.As you become more comfortable with the technique, you may find that you can practice it in shorter bursts throughout the day, whenever you feel stress or tension rising. Take a moment to tense and relax your shoulders while sitting at your desk, or focus on releasing the tension in your jaw and face during a challenging conversation.Over time, progressive muscle relaxation can become a powerful tool in your self-care arsenal, helping you cultivate a greater sense of calm, resilience, and well-being in all aspects of your life.But perhaps the most profound benefit of this technique lies in its ability to foster a deeper connection between mind and body. In a world that often feels fragmented and disconnected, progressive muscle relaxation offers a simple, powerful way to bridge the gap between the physical and the emotional, the conscious and the unconscious.As you sit or lie in a quiet space, focusing on the sensations of tension and relaxation, you may find your mind beginning to quiet, your thoughts slowing down and drifting away. In this space of deep relaxation, you may discover insights and inspirations that had previously been obscured by the noise of daily life.And as you move through your day with a greater sense of calm and centeredness, you may find that the benefits of progressive muscle relaxation extend far beyond the boundaries of your practice. With regular use, this technique can help you cultivate a greater sense of presence, compassion, and connection in all aspects of your life.So the next time you find yourself feeling overwhelmed, anxious, or disconnected from your own sense of well-being, remember the power of progressive muscle relaxation. Take a deep breath, focus on the sensations of tension and relaxation, and allow yourself to be carried away on a wave of deep, abiding calm.As the great spiritual teacher Eckhart Tolle once wrote, "The present moment is all you ever have." With progressive muscle relaxation as your guide, you may just discover the pathway to inner peace and contentment, one muscle at a time. Namaste.

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In this month's episode, we talk heart health with Dr. Gbenga Ogedegbe, renowned cardiologist and founding director of the Institute for Excellence in Health Equity at NYU Langone Health. Dr. Ogedegbe provides an overview of how exactly the heart works and shares the good news and the not-so-good news about heart disease. He reviews the target numbers we should all aim for and offers simple steps we can take to keep our hearts in good working order. And because stress is a major risk factor for heart disease, Dr. Ogedegbe shares some of his own stress-busting strategies he practices daily.     The Takeaway  Find out where you stand heart-wise by making an appointment with your primary care physician. Don't have one? Find one at our Provider Directory: www.1199SEIUBenefits.org/find-a-provider.    Visit the Healthy Living Resource Center for wellness tips, information and resources; www.1199SEIUBenefits.org/healthyliving.  Get to know your numbers at www.1199SEIUBenefits.org/healthyhearts.    Join WeightWatchers at a discounted rate of just $8 a month; $0 if you are living with diabetes or prediabetes: www.1199SEIUBenefits.org/ww.  If you are living with type 2 diabetes, find out more about our partner Virta's diabetes reversal program: www.1199SEIUBenefits.org/news/virta.   Get inspired by fellow members through our new Members' Voices series: www.1199SEIUBenefits.org/healthyliving/membervoices.   Stop by our Benefits Channel to join webinars on managing stress, building healthy meals and more: www.1199SEIUBenefits.org/videos.  Visit our  YouTube channel to view a wide collection of healthy living videos: www.youtube.com/@1199SEIUBenefitFunds/playlists.  Sample our wellness classes to exercise body and mind: www.1199SEIUBenefits.org/wellnessevents.     Guest Bio  Gbenga Ogedegbe, MD, MPH is the inaugural and founding director of the Institute for Excellence in Health Equity (IEHE) at NYU Langone Health. He is the Dr. Adolph & Margaret Berger Professor of Medicine and Population Health at NYU Grossman School of Medicine. He is a leading NIH-funded scientist in health equity research. He has led numerous NIH-funded studies for cardiovascular disease risk reduction with a focus on developing and evaluating clinic-community linkage models of care to address inequities in health outcomes.   Dr. Ogedegbe is a member of the National Academy of Medicine and the United States Prevention Services Task Force (USPSTF). He is a Fellow of many scientific organizations including the American Heart Association, American College of Physicians and the Academy of Behavioral Medicine.   After obtaining his MD degree in Ukraine, Dr. Ogedegbe completed his residency in internal medicine at Montefiore Medical Center, followed by a fellowship training in Health Services Research and Clinical Epidemiology at Cornell University, during which received his MPH from Columbia University Mailman School of Public Health. Prior to his current position, he was a faculty member at both Cornell Weill Medical College and Columbia University College of Physicians and Surgeons. 

In this enlightening episode of The Health Feast, Dr. Rak and Po sit down with Dr. Michelle Segar, a leading expert in health behavior and motivation from the University of Michigan. Dr. Segar's extensive research has revolutionized the way we approach exercise and self-care, emphasizing sustainable practices that fit into the unpredictability of everyday life. From her advisory roles with global health organizations to her transformative books, "No Sweat" and "The Joy Choice," Dr. Segar offers invaluable insights into creating lasting motivation and participation in physical activity. Dr. Rak and Po delve deep into topics such as the importance of rebranding exercise as a joyful activity, the pitfalls of traditional motivators, and the innovative concept of the "Joy Choice" which combats all-or-nothing thinking. Dr. Segar also shares her expertise on the psychological aspects of motivation, the impact of societal structures on health behaviors, and practical strategies for implementing sustainable change in healthcare and daily routines. Whether you're looking to redefine your relationship with exercise, seeking strategies for maintaining healthy habits, or simply interested in the science behind motivation, this conversation with Dr. Michelle Segar is packed with transformative insights and practical advice. Discover how Dr. Rak, Po, and Dr. Segar explore ways to embrace flexibility, overcome setbacks, and integrate joy into the journey toward health and well-being. Timestamps: [00:10:01] Exercise and Behavior Change [00:13:19] Origin story and motivation. [00:16:51] Embracing life's ebb and flow. [00:22:52] Values and decision-making. [00:27:25] The joy of flexible choices. [00:29:19] The struggle with weight loss. [00:33:03] Sustainable behavior change. [00:40:20] Marketing strategies and consumer behavior. [00:41:23] Exercise prescription in healthcare. [00:46:59] Implementing change in healthcare. [00:50:01] Overcoming setbacks in fitness. [00:55:28] Exercise sustainability insights. [00:58:22] Inherent deficiency in healthcare. [01:01:38] Something is better than nothing. [01:06:15] Shifting mindset towards movement. [01:12:15] The joy choice. [01:13:19] Flexibility in daily routines. Books and Publications Mentioned: No Sweat: How the Simple Science of Motivation Can Bring You a Lifetime of Fitness  The Joy Choice: How to Finally Achieve Lasting Changes in Eating and Exercise Online Platforms: Dr. Michelle Segar's website Guest Bio Dr. Michelle Segar, PhD, MPH, MS, is a distinguished behavioral sustainability scientist at the University of Michigan, celebrated for her innovative research into how we can adopt and sustain exercise and self-care behaviors in the face of life's inevitable unpredictability. With over thirty years of experience, Dr. Segar's work stands out for its practical applications in the real world, earning her collaborations with esteemed organizations such as Kaiser Permanente, Walmart, WW (formerly Weight Watchers), Anytime Fitness, Adidas, and the Business Group on Health. Her pioneering research has led to the development of strategies that significantly depart from traditional approaches, focusing instead on how to cultivate a daily motivation for physical activity that endures. This research has not only garnered the attention of major global health initiatives, including the World Health Organization and The Surgeon General's Call to Action to Promote Walking and Walkable Communities, but has also established Dr. Segar as a leading voice in the field. Dr. Segar's practical wisdom is encapsulated in her bestselling books, "No Sweat: How the Simple Science of Motivation Can Bring You a Lifetime of Fitness" and "The Joy Choice: How to Finally Achieve Lasting Changes in Eating and Exercise." These works provide a fresh perspective on overcoming the all-or-nothing mindset and making sustainable health behaviors a feasible part of daily life. An acclaimed keynote speaker and trainer, Dr. Segar has developed a certification program for professionals based on her transformative system, which reconfigures people's internal narratives about exercise and motivation. Her expertise is frequently sought by major media outlets, including The New York Times, NPR, The Atlantic, Forbes, and The Wall Street Journal, among others, for her ability to translate complex behavioral science into accessible, actionable advice. With a unique blend of academic research and real-world coaching experience, Dr. Segar holds a PhD in Psychology, MPH in Health Behavior/Health Education, and MS in Kinesiology from the University of Michigan. She is also a Fellow with the Society of Behavioral Medicine. A fun fact about Dr. Segar: she had the honor of running with the Olympic Torch at the 1992 Barcelona Olympics, symbolizing her commitment to health, motivation, and the pursuit of excellence. Follow @thehealthfeast on IG and YT for more. The Health Feast is available where you get podcasts and thehealthfeast.com. Have a question or comment for Dr. Rak and Po? You can submit them on our website https://www.thehealthfeast.com  - Level up your health journey! Learn how to work with Dr. Rak 1:1 or join a health coaching Tribe for a transformative health journey. Limited spots available! Visit us at https://www.rakyourlife.com. - Elevate your Mondays! Elevate your week with Reflection, Awareness, and Kindness. Subscribe to RAK ON for weekly inspiration: https://rakyourlife.substack.com/about Disclaimer: The Health Feast is provided for educational and informational purposes only and does not constitute providing medical advice or professional services. As with any changes affecting your health, we recommend and encourage you to consult your medical doctor or other qualified healthcare professionals before making lifestyle changes. The opinions expressed are our own and do not necessarily reflect the views of our employers.

For a full transcript of this episode, click here. First of all, I just want to start out this pod and really thank everyone listening and for showing up for a show like this one. You do it and you are here because you care about patients/members. It's just so easy to feel like we'll never be able to do enough, and that's a rough, rough feeling. Please take a moment to truly hear how grateful I am for you being here and for doing all that you do and that you try to do. I saw on the interwebs the other day a Marcus Aurelius quote. What he said was, “Be satisfied with even the smallest progress.” And I think this is really important to remember because nobody working in the healthcare industry, especially today, is ever probably gonna get anything close to a perfect solution. So instead, just aim for progress—even the smallest amount—and feel good about that, please. This show is an important one for anybody either in the business of healthcare delivery or buying healthcare delivery services. It's an exploration of what works and what doesn't work and how what works can easily become what doesn't work in the face of the real world. This peril of cutting clinical “waste” perilousness all starts with the whole “Hey, let's make some money, so we gotta scale and be efficient. We gotta do our thing at as low as possible a cost and maybe grow as fast as possible. We gotta keep our investors happy or pay off the debt we got saddled with or pay that giant management fee we're being charged or compensate the C-suite at the level they've grown accustomed to.” So again, the “let's be efficient and get everything repeatable” has entered the building. The first point my guest today, Kate Wolin, ScD, makes about all of this—and this is exactly the same point that Rik Renard made in episode 427—efficient to what endgame? Now, it turns out, surveys show, only a small, small percentage of healthcare delivery solution providers are measuring outcomes of pretty much any kind. So, how do we even know if cutting so-called waste is actually waste at all? I mean, in the absence of any actual measures—here's a hypothetical for you—someone could look around: “Hey, I see these nurses. They're all just sitting around chatting with patients and, I don't know, talking about throw rugs? What is this? An episode of HGTV? Who cares if a patient with diabetic neuropathy has throw rugs in their hallway? Let's tell these nurses chop-chop, get them on the computer using AI to be efficient, right? Let's get rid of that clinical waste.” I just made a point in the most sarcastic way possible, but the bottom line is this: It's actually really efficient to not engage patients in these ways, right? Patients, they talk slow, they ask questions that seem irrelevant, and they're time-consuming. It's very efficient to not build relationships or foster trust or, I don't know, assess fall risks … but whatever is going on is also going to fail in that model—from a patient outcome standpoint at least. Here's a quote from Sergei Polevikov, with some light edits. He wrote on LinkedIn: Primary care is not scalable in the same way as Scrub Daddy or Bombas Socks. That's something not taught in MBA and CFA programs. Someone should have told Walgreens, CVS, Amazon, and Walmart. They also probably should tell a whole bunch of point solutions and payers. Also, some health system execs or pharmacy leaders might also want to get that memo. What I really liked about the conversation with Kate Wolin in this healthcare podcast is that she retains optimism in the face of all of this. She offers advice for how to navigate the balance between mission and margin in a way that's better for patients and also sustainable financially. She talks about three points: 1. Founders and investors being in alignment and the essential nature of that 2. The importance of having clinical leadership and a team dynamic that enables innovation but in a clinically sound way 3. How you gotta measure what matters and do it in a way that inspires a mission-driven culture If we're talking about relevant shows to listen to next after you listen to this one, please do not forget episode 331. This is where Al Lewis teaches us how to evaluate wellness vendors and health solutions, but it also teaches us how to be a good wellness vendor or health solution. Also, do come back and listen to the encore with Jerry Durham next week about front desks and the total care experience. Lots of really bad avoidable things happen if the front desk isn't considered—and it isn't often considered. For sure, also listen to the show with Kenny Cole, MD (EP431); that's a must-listen. Then again, the show with Rik Renard (EP427) came up several times in this episode. The show with Jodilyn Owen (EP421) also gets brought up; that's a great cautionary tale there to keep in mind for mission-driven entrepreneurs and investors. And then, I also recommend J. Michael Connors, MD. He writes a lot of stuff in a newsletter along these lines. Last, last, last … Please go to our Web site and subscribe to the weekly email. I am planning on doing a few invite-only sessions for email subscribers. Plus, the weekly email is a really very convenient way to get the episode transcripts and stuff. And if you don't get it, you're making your life less efficient. So, go fix that. Kate Wolin, my guest today, trained as a behavioral epidemiologist and has done research in chronic disease prevention and management. She launched and led a digital health start-up and sold it to Anthem. She's been in the digital health start-up space largely at the intersection of science and product strategy ever since. Also mentioned in this episode are Rik Renard; Sergei Polevikov; Walgreens; Amazon; Walmart; Al Lewis; Jerry Durham; Kenny Cole, MD; Jodilyn Owen; J. Michael Connors, MD; Carly Eckert, MD; and Mike Pykosz. You can learn more by following Dr. Wolin on LinkedIn.   Kate Wolin, ScD, is a behavioral epidemiologist who left academic medicine to launch and lead a digital health start-up, which she bootstrapped to profitability before selling to Anthem. She has since been a C-suite leader, investor, and advisor to digital health start-ups and enterprise organizations on bridging clinical and behavioral science with product strategy and execution. She has been named as a Forbes Healthcare Innovator That You Should Know and a Notable Woman in STEM by Crains. Dr. Wolin is a Fellow of the Society of Behavioral Medicine and the American College of Sports Medicine and teaches entrepreneurship at Kellogg.   06:24 Irrespective of money, what works in clinical care and population healthcare? 09:51 EP361 with Carly Eckert, MD, PhD(c), MPH. 10:26 Why is creating a gathering place and sense of community important in clinical care? 12:46 “Sometimes, we make this about the clinical provider. It always makes me think about the rest of the people in an ecosystem that create trust.” 13:49 EP297 with Jerry Durham. 14:11 Where can things go wrong when we start to think about the margin in respect to the clinical care that works? 16:47 EP427 with Rik Renard. 19:35 “We're actually very unspecific in what we're trying to achieve a lot of times in these digital health programs.” 24:00 “Are you aligned as a founder, as a business with your investors on the pace of growth and what is feasible … ?” 25:30 Why is Dr. Wolin optimistic about achieving growth and still providing value? 28:17 Why is it important to ask why something is being done? 30:39 EP421 with Jodilyn Owen. 34:35 How are people motivated, and how can you use that to reduce turnover? 35:21 Why measuring what matters and communicating that is important.   You can learn more by following Dr. Wolin on LinkedIn.   Kate Wolin, ScD, discusses #clinicalwaste on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Dr Kenny Cole, Barbara Wachsman, Luke Slindee, Julie Selesnick, Rik Renard, AJ Loiacono (Encore! EP379), Nina Lathia, Marshall Allen, Stacey Richter (INBW39), Peter Hayes  

In this episode of SBM's Buzz in Behavioral Medicine, Dr. Monica Baskin, a prominent figure in community based participatory research (CBPR), shares her journey from being an undergrad at Emory University to holding leadership roles at University of Alabama at Birmingham, University of Pittsburgh, UPMC Hillman Cancer Center, and SBM. Delve into her insights on the evolution of her career, the impact of personal grief and loss, and her pivotal work in diversity, equity, and inclusion (DEI). Dr. Baskin shares advice on respecting diversity, being intentional about inclusion, and dealing with the physical and mental toll of being “the first” or “the only” in a room.Key Takeaways:Stressing the importance of diverse, multidisciplinary teams, and shared decision making in community based research. The importance of DEI in shaping the future of behavioral medicine and public health.Strategies for effective leadership and fostering diversity and inclusion in academic and research settings.Career advice for early-, mid-, and senior-stage professionals in the field.Tune into this episode to explore Dr. Baskin's impactful work and gain inspiration for your own career in behavioral medicine.SBM: https://www.sbm.org/about Monica Baskin Diversity Institute for Emerging Leaders: https://www.sbm.org/training/monica-baskin-diversity-institute Community Engagement Studios: https://www.sbm.org/training/community-engagement-studiosSBM Diversity Initiatives: https://www.sbm.org/members/policies/diversity SBM Leadership Institute: https://www.sbm.org/training/leadership-institute Connect and Grow: Subscribe to SBM's BUZZ in Behavioral Medicine to unlock the secrets to a fulfilling career in behavioral medicine. Engage with each episode to learn from the best in the field and stay ahead in your professional journey. Hit 'Like', subscribe, and turn on notifications to never miss an episode dedicated to your career development in behavioral medicine. Interested in becoming a member of SBM? Check us out at https://www.sbm.org/membership Special Thanks to our production team and Jay Conner of Jaybird Media for his skillful work in compiling and editing the audio and video for the Buzz in Behavioral Medicine: Season 2 podcast series.

In this episode of the Buzz in Behavioral Medicine, Dr. Abby King delves into her pioneering work in citizen science and the intersection of digital technology and public health using human-centered AI. Her contributions, encapsulated in initiatives like the "Our Voice" global movement, demonstrate the transformative power of community-driven data collection in promoting health equity and environmental justice. Explore Dr. King's innovative strategies for engaging communities in health advocacy and her vision for a more inclusive and participatory approach to health promotion.Key Takeaways:The impact of citizen science on empowering communities and advancing public health initiatives.Innovative approaches to incorporate participatory research and human-centered AI in your researchStrategies for early-career professionals in behavioral medicine to deal with the politics of academia.Subscribe to SBM's Buzz in Behavioral Medicine and join the conversation across our platforms to gain more insights into Dr. King's work and explore the potential of citizen science in shaping the future of health promotion.Our Voice website:  https://ourvoice.stanford.eduSBM: https://www.sbm.org/about History of SBM and our Founders: https://www.sbm.org/UserFiles/sbm40yrs.pdf  Connect and Grow: Subscribe to SBM's BUZZ in Behavioral Medicine to unlock the secrets to a fulfilling career in behavioral medicine. Engage with each episode to learn from the best in the field and stay ahead in your professional journey. Hit 'Like', subscribe, and turn on notifications to never miss an episode dedicated to your career development in behavioral medicine. Interested in becoming a member of SBM? Check us out at https://www.sbm.org/membership Special Thanks to our production team and Jay Conner of Jaybird Media for his skillful work in compiling and editing the audio and video for the Buzz in Behavioral Medicine: Season 2 podcast series.

Join us in this compelling episode of SBM's Buzz in Behavioral Medicine featuring Dr. Karen Emmons, PhD, FSBM renowned for her work at Harvard T.H. Chan School of Public Health (Learn more). Dr. Emmons delves into her journey, from growing up on the grounds of a state hospital, to growing a career in tobacco control research, health equity, and community-based interventions. Explore how her efforts align with SBM's mission (About SBM) and the innovative Community Engagement Studios (Explore CE Studios). Engage with Harvard T.H. Chan School of Public Health on social platforms to continue the conversation News | Twitter | Facebook | LinkedIn | YouTube.Key Takeaways:Insights into impactful community-based research and its role in advancing public health, including how Dr. Emmons' research expanded to social determinants of health (before it was even a term!).Strategies for fostering health equity and effective tobacco cessation programs.Guidance for aspiring professionals in behavioral medicine on leveraging interdisciplinary approaches, choosing an area of research, and bouncing back from “failures.”SBM: https://www.sbm.org/about Community Engagement Studios: https://www.sbm.org/training/community-engagement-studiosSBM Sci Comm Toolkit: https://www.sbm.org/scicomm/TopofFormDr. Karen Emmons Publications: https://connects.catalyst.harvard.edu/Profiles/display/Person/80726#  Connect and Grow: Subscribe to SBM's BUZZ in Behavioral Medicine to unlock the secrets to a fulfilling career in behavioral medicine. Engage with each episode to learn from the best in the field and stay ahead in your professional journey. Hit 'Like', subscribe, and turn on notifications to never miss an episode dedicated to your career development in behavioral medicine. Interested in becoming a member of SBM? Check us out at https://www.sbm.org/membership Special Thanks to our production team and Jay Conner of Jaybird Media for his skillful work in compiling and editing the audio and video for the Buzz in Behavioral Medicine: Season 2 podcast series.

Dr. Ramani Durvasula is a licensed clinical psychologist in Los Angeles, CA, Professor Emerita of Psychology at California State University, Los Angeles, and the Founder and CEO of LUNA Education, Training & Consulting, a company focused on educating individuals, clinicians and businesses/institutions on the impact of narcissistic personality styles. She received her BA from the University of Connecticut, and her MA and Ph.D. from UCLA, and completed her clinical training at the UCLA Neuropsychiatric Institute. She is an author of multiple books including It's Not You: Identifying and Healing from Narcissistic People (February 2024), Should I Stay or Should I Go: Surviving A Relationship with a Narcissist, and "Don't You Know Who I Am?": How to Stay Sane in an Era of Narcissism, Entitlement, and Incivility. Dr. Durvasula is a faculty member for the APA Leadership Institute for Women in Psychology, and a consulting editor for the journal Behavioral Medicine, and her academic research was focused on the impact of personality and personality disorders on health and behavior. She has spoken widely on the impact of narcissism on mental health, relationships and the workplace. She also operates a popular YouTube channel and podcast (Navigating Narcissism). Dr. Durvasula has also developed an educational and certification program for clinicians working with clients experiencing the fallout of narcissistic relationships.

In this episode of SBM's Buzz in Behavioral Medicine, we're joined by Dr. Sherry Pagoto, a notable figure in digital health and social media's role in behavioral medicine. From her roots in Michigan to her impactful work in skin cancer prevention and obesity, Dr. Pagoto shares her journey and insights into the evolving landscape of health communication. As a former SBM president and a proponent of collaboration, she discusses the power of social media for scientists, her philosophy on teamwork, and what lies ahead for the next generation in the field. Tune in for a deep dive into how Dr. Pagoto's career reflects the dynamic interplay between technology, research, and community engagement in behavioral medicine.Key Takeaways for Early Career Professionals:Leveraging social media for scientific engagement and public health advocacy.The significance of interdisciplinary collaboration in advancing behavioral medicine.Navigating career paths and future challenges in the field. Don't miss this insightful episode with Dr. Sherry Pagoto, especially valuable for those early in their behavioral medicine careers. Subscribe, like, and turn on notifications for SBM's Buzz in Behavioral Medicine to access this and other episodes full of expert advice and career development strategies.SBM: https://www.sbm.org/about SBM Sci Comm Toolkit: https://www.sbm.org/scicomm/Dr. Pagoto on X: @drsherrypagoto Dr. Pagoto on LinkedIn: https://www.linkedin.com/in/sherry-pagoto-b5424525/ Website: https://mhealth.inchip.uconn.edu/ Community Engagement Studios: https://www.sbm.org/training/community-engagement-studios Connect and Grow: Subscribe to SBM's BUZZ in Behavioral Medicine to unlock the secrets to a fulfilling career in behavioral medicine. Engage with each episode to learn from the best in the field and stay ahead in your professional journey. Hit 'Like', subscribe, and turn on notifications to never miss an episode dedicated to your career development in behavioral medicine. Interested in becoming a member of SBM? Check us out at https://www.sbm.org/membership Special Thanks to our production team and Jay Conner of Jaybird Media for his skillful work in compiling and editing the audio and video for the Buzz in Behavioral Medicine: Season 2 podcast series.

Most narratives around narcissism in relationships center on individuals with narcissistic personalities. My guest this week, Dr. Ramani, shifts the focus to the survivors, giving them a voice and discussing the emotional turmoil and psychological impact of being in a relationship with a narcissistic individual. Through Dr. Ramani's latest book, “It's Not You: Identifying and Healing from Narcissistic People,” she offers invaluable insights into navigating the aftermath of narcissistic relationships, empowering survivors to reclaim their sense of self and find a path forward. Her extensive research and clinical experience offer practical guidance for individuals navigating a divorce or contemplating leaving a narcissistic relationship, providing a beacon of hope and understanding in the journey toward healing. Featured topics: Narcissism is a personality style. It is a series of traits. (8:04) Why is it hard for people in a relationship with a narcissist to understand what's actually happening? (14:43) What's happening to us when we are gaslit and in a fog of confusion from narcissistic abuse? (18:37) What radical acceptance is and how it can help you build a path forward toward healing (35:06) How Dr. Ramani helps people get to a place of radical acceptance (44:07) Learn more about Dr Ramani: Dr. Ramani Durvasula is a licensed clinical psychologist in Los Angeles, CA, Professor Emerita of Psychology at California State University, Los Angeles, and the Founder and CEO of LUNA Education, Training & Consulting, a company focused on educating individuals, clinicians and businesses/institutions on the impact of narcissistic personality styles. Her academic research was focused on the impact of personality and personality disorders on health and behavior. She is an author of multiple books including Should I Stay or Should I Go: Surviving A Relationship with a Narcissist, and “Don't You Know Who I Am?”: How to Stay Sane in an Era of Narcissism, Entitlement, and Incivility and her newest book, It's Not You: Identifying and Healing from Narcissistic People will be released in February, 2024 (Penguin Life). Dr. Durvasula is a faculty member for the APA Leadership Institute for Women in Psychology, and a consulting editor for the journal Behavioral Medicine. She has spoken widely on the impact of narcissism on mental health, relationships and the workplace. She also operates a popular YouTube channel and podcast (Navigating Narcissism). Dr. Durvasula is also working with PESI on the development of an educational and certification program for clinicians working with clients experiencing the fallout of narcissistic relationships. Resources & Links: Kate's book “The D Word Phoenix Rising: A Divorce Empowerment Collective Dr. Ramani's website Dr. Ramani on Instagram Dr. Ramani on TikTok Dr. Ramani on YouTube Get Your Curated Podcast Playlist! Answer four easy questions and you'll get a curated list of podcast episodes to best support you as you navigate these tricky waters. I'll also help you identify where you currently stand on this journey, and what's ahead, with resources to help you move through this process with knowledge and grace. GET IT HERE DISCLAIMER: THE COMMENTARY AND OPINIONS AVAILABLE ON THIS PODCAST ARE FOR INFORMATIONAL AND ENTERTAINMENT PURPOSES ONLY AND NOT FOR THE PURPOSE OF PROVIDING LEGAL OR PSYCHOLOGICAL ADVICE. YOU SHOULD CONTACT AN ATTORNEY, COACH, OR THERAPIST IN YOUR STATE TO OBTAIN ADVICE WITH RESPECT TO ANY PARTICULAR ISSUE OR PROBLEM.

Most narratives around narcissism in relationships center on individuals with narcissistic personalities. My guest this week, Dr. Ramani, shifts the focus to the survivors, giving them a voice and discussing the emotional turmoil and psychological impact of being in a relationship with a narcissistic individual. Through Dr. Ramani's latest book, "It's Not You: Identifying and Healing from Narcissistic People," she offers invaluable insights into navigating the aftermath of narcissistic relationships, empowering survivors to reclaim their sense of self and find a path forward. Her extensive research and clinical experience offer practical guidance for individuals navigating a divorce or contemplating leaving a narcissistic relationship, providing a beacon of hope and understanding in the journey toward healing.  Featured topics: Narcissism is a personality style. It is a series of traits. (8:04) Why is it hard for people in a relationship with a narcissist to understand what's actually happening? (14:43) What's happening to us when we are gaslit and in a fog of confusion from narcissistic abuse? (18:37) What radical acceptance is and how it can help you build a path forward toward healing (35:06) How Dr. Ramani helps people get to a place of radical acceptance (44:07) Learn more about Dr Ramani: Dr. Ramani Durvasula is a licensed clinical psychologist in Los Angeles, CA, Professor Emerita of Psychology at California State University, Los Angeles, and the Founder and CEO of LUNA Education, Training & Consulting, a company focused on educating individuals, clinicians and businesses/institutions on the impact of narcissistic personality styles. Her academic research was focused on the impact of personality and personality disorders on health and behavior. She is an author of multiple books including Should I Stay or Should I Go: Surviving A Relationship with a Narcissist, and "Don't You Know Who I Am?": How to Stay Sane in an Era of Narcissism, Entitlement, and Incivility and her newest book, It's Not You: Identifying and Healing from Narcissistic People will be released in February, 2024 (Penguin Life). Dr. Durvasula is a faculty member for the APA Leadership Institute for Women in Psychology, and a consulting editor for the journal Behavioral Medicine. She has spoken widely on the impact of narcissism on mental health, relationships and the workplace. She also operates a popular YouTube channel and podcast (Navigating Narcissism). Dr. Durvasula is also working with PESI on the development of an educational and certification program for clinicians working with clients experiencing the fallout of narcissistic relationships. Resources & Links: Kate's book “The D Word Phoenix Rising: A Divorce Empowerment Collective Dr. Ramani's website Dr. Ramani on Instagram Dr. Ramani on TikTok Dr. Ramani on YouTube Episode Link: https://kateanthony.com/podcast/episode-254-its-not-you-identifying-and-healing-from-narcissistic-people-with-dr-ramani/   Get Your Curated Podcast Playlist! Answer four easy questions and you'll get a curated list of podcast episodes to best support you as you navigate these tricky waters. I'll also help you identify where you currently stand on this journey, and what's ahead, with resources to help you move through this process with knowledge and grace. GET IT HERE ============================================== DISCLAIMER:  THE COMMENTARY AND OPINIONS AVAILABLE ON THIS PODCAST ARE FOR INFORMATIONAL AND ENTERTAINMENT PURPOSES ONLY AND NOT FOR THE PURPOSE OF PROVIDING LEGAL OR PSYCHOLOGICAL ADVICE.  YOU SHOULD CONTACT AN ATTORNEY, COACH, OR THERAPIST IN YOUR STATE TO OBTAIN ADVICE WITH RESPECT TO ANY PARTICULAR ISSUE OR PROBLEM.

 In this engaging episode of SBM's BUZZ in Behavioral Medicine, we sit down with Dr. Kelly Brownell, a trailblazer in the fight against obesity and a staunch advocate for public health policy. Dr. Brownell discusses the importance of "Strategic Research" in addressing global health challenges, advocating for a multidisciplinary approach to behavioral medicine. Dive into the conversation as we explore how community engagement and strategic partnerships can catalyze change in public health, inspired by principles outlined in his influential work in The Lancet (Read more). Discover how SBM fosters a community of professionals dedicated to improving health and well-being through behavior change, promoting initiatives like the Community Engagement Studios to bridge research and real-world application (Learn about SBM, Community Engagement Studios, Communities in Partnership). Join us in this insightful dialogue that not only highlights Dr. Brownell's contributions to behavioral medicine but also encourages us to think broadly about the role of community and interdisciplinary collaboration in advancing health. Key Takeaways for Early Career Professionals/Undergrads: Insights into blending public health policy with behavioral science for societal impact.Strategies for engaging with communities and leveraging interdisciplinary teams.Guidance on carving out unique career paths within the behavioral medicine landscape.Don't miss this enlightening conversation with Dr. Kelly Brownell, especially if you're navigating the early stages of your career in behavioral medicine. Subscribe to SBM's BUZZ in Behavioral Medicine, hit 'Like', and turn on notifications to gain access to this and other episodes filled with expert advice and career development strategies tailored for the aspiring behavioral medicine professional. Connect and Grow: Subscribe to SBM's BUZZ in Behavioral Medicine to unlock the secrets to a fulfilling career in behavioral medicine. Engage with each episode to learn from the best in the field and stay ahead in your professional journey. Hit 'Like', subscribe, and turn on notifications to never miss an episode dedicated to your career development in behavioral medicine. Interested in becoming a member of SBM? Check us out at https://www.sbm.org/membership Special Thanks to our production team and Jay Conner of Jaybird Media for his skillful work in compiling and editing the audio and video for the Buzz in Behavioral Medicine: Season 2 podcast series.

This episode is also sponsored by PearsonRavitz– helping physicians protect their most valuable assets.  Also sponsored by Freed.AI - Get 50% off your first month of using their AI-powered medical scribe software! Just add PGD50 to your cart! In this year-end episode of The Physician's Guide to Doctoring, I revisit  top episodes that resonated with listeners as well as MYSELF. The episode highlights conversations on nonverbal communication in healthcare with Blake Eastman, the impact of tiny habits in patient care with Dr. BJ Fogg, sensitive approaches to discussing weight with Dr. Stephanie Sogg, and the use of humor in patient interactions with Scott Dikkers. I conclude with a note on upcoming content and schedule changes, emphasizing the show's commitment to enhancing physician-patient communication and personal growth. More on each episode: Nonverbal Communication from Behind the Mask with Blake Eastman Published Jun 17, 2020 Blake Eastman is a guest like no other we've had. He is a professional poker player and founded School of Cards, the first brick and mortar poker school in the country and is the creator of Beyond Tells, a poker tells training site. He has a graduate degree in psychology and taught psychology at the City University of New York for six years. While he was doing all of that, he also provided consulting services to physicians, practices, and hospitals regarding nonverbal communication and conducted large scale independent research on nonverbal communication. The current pandemic has hamstrung our ability to read nonverbal communication and convey it. We are either behind a mask or a blurry image on a telehealth visit. He teaches us what to prioritize with regards to our own nonverbal cues, how to optimize a telehealth visit, the importance of the cadence and volume of our speech, and cues for recognizing understanding. https://www.schoolofcards.com/ https://www.beyondtells.com/ @blakeeastman Size Matters Not: Tiny Habits for Big Changes with BJ Fogg, PhD Published Aug 12, 2020 This interview is one of my most important. If you are doing to share any of my episodes, this is one that I would implore you to share with your friends, family and colleagues. This is part 1 of 2 of my interviews with BJ Fogg, PhD, author of the book Tiny Habits: The Small Changes That Change Everything. We all struggle to change our behaviors, to develop good habits and stop bad habits. There is a lot of popular wisdom about this and most, if not all, is just wrong. This is where Dr. Fogg steps in. Dr. Fogg discovered the keys to changing behavior through changing habits. For those of you on medical school faculty, this should be a class. This should actually be taught in high school. Until then, as physicians, this information is critical, not just for lifestyle changes that can help patients eat better, move more, and smoke less, but even applies to checking their blood pressure and taking their medication. Popular wisdom is wrong. Guilt and shame are destructive. People don't start habits by feeling badly, they start habits by feeling successful. And we are more likely to be successful by starting a habit that is small, that we actually want to do, and the third key to this is a prompt that reminds you it is time to perform the behavior. If you are going to learn piano, you start with chopsticks. If you are going to start to exercise, you do one sit-up. The smallest increment that you can fall back on when you motivation is waning so you don't fall off the wagon completely and you keep your habit. And you do it at a point in your day that you can associate with the new behavior, even if they are completely unrelated. You'll have a reminder that is baked into your day. Dr. Fogg founded the Behavior Design Lab at Stanford University. In addition to his research, Dr. Fogg teaches industry innovators how human behavior really works. He created the Tiny Habits Academy to help people around the world and interestingly, the Tiny Habits Academy long preceded the Tiny Habits book. He lives in Northern California and Maui. He can be found at BJFOGG.com  and tinyhabits.com When and How to Discuss a Patient's Weight with Stephanie Sogg, PhD Published Jan 28, 2022 Back for her second appearance is Dr. Stephanie Sogg, a clinical psychologist who has been at the MGH Weight Center since 2003. One our previous episode, we discussed the importance of language when discussing someone's weight, so on this episode, we talk about when and how to bring it up. We talk about how body acceptance is actually important to sustained weight loss, although on the surface it may seem like a contradiction. We talk about the influence of sleep, mental health, and when it is time to make recommendations, what actually works. As with most things, it is complicated. Dr. Sogg earned her PhD in clinical psychology from Rutgers University in 1998 and completed a post-doctoral fellowship with Harvard Medical School. In addition to her clinical work, Dr. Sogg conducts research on obesity and bariatric surgery, and the intersection between obesity and addiction, and has published widely on obesity and related topics. She is an author of the Boston Interview for Bariatric Surgery, and of the official ASMBS Recommendations for the Pre-Surgical Psychosocial Evaluation of Bariatric Surgery Patients. She is the director of the Weight Center rotation for Behavioral Medicine psychology interns and is active in national and international scientific obesity and weight loss surgery societies. Learn to Make Your Patients Laugh with Scott Dikkers of The Onion Published Oct 19, 2021 Last month marked the 20th anniversary of 9/11. Two weeks after that tragic day, The Onion, the famed comedy newspaper, put out an issue with jokes about 9/11. How did they do that? Scott Dikkers, one of The Onion's founders teaches us how. His rule is that comedy is meant to “afflict the comfortable and comfort the afflicted.” That's why they put out that issue. To comfort the afflicted. As physicians, that's what we do! How can we be funny, even in the face of tragedy? Mr. Dikkers teaches comedy writing and has turned what seems unteachable into a science. He has described funny filters and all comedy fits into one of those filters. He teaches us which are the best for the exam room, how to recover from a failed joke, how to work humor into our office visits and lectures, and what jokes comedians can't use, but we can! Scott Dikkers founded the world's first humor website, TheOnion.com, in 1996. A few years earlier he helped found the original Onion newspaper. He's served as The Onion's owner and editor-in-chief, on and off, for much of the last quarter century.  He led The Onion's rise from small, unknown college humor publication to internationally respected comedy brand.  He is also a New York Times best seller, and Peabody Award winner.  He documented his process for creating humor in his book, How to Write Funny, and the second in the series, How to Write Funnier, and next on the way, How to Write Funniest, which are the basis of the Writing with The Onion program he created and teaches at The Second City Training Center in Chicago. Scott offers other courses and free resources for comedy writers on the How to Write Funny website. Did ya know…  You can also be a guest on our show? Please email me at brad@physiciansguidetodoctoring.com to connect or visit www.physiciansguidetodoctoring.com to learn more about the show! Socials: @physiciansguidetodoctoring on FB  @physicianguidetodoctoring on YouTube @physiciansguide on Instagram and Twitter

In today’s episode, I speak with Dr. Paul J Mills, the Professor of Public Health and Family Medicine and Director of the Center of Excellence for Research and Training in Integrative Health at the University of California San Diego. He is the former Chief of Behavioral Medicine and Former Director of the Clinical Research Biomarker Laboratory at the University of California San Diego. His scientific career has been active and diverse, with over 400 scientific publications in the fields of pharmacology, oncology, cardiology, psychoneuroimmunology, space physiology with NASA, behavioral medicine, and integrative health. He was part of the research team that published some of the earliest scientific research on meditation. He has held leadership positions in many national and international scientific societies as well as in numerous scientific journals. In 2022, Paul completed serving as Guest Editor for the journal Global Advances in Health and Medicine (GAHM) on a Special Collection of articles on the topic of Whole Health. GAHM is the official journal of the Academic Consortium for Integrative Health and Medicine. His work has been featured in Time Magazine, The New York Times, National Public Radio, US News and World Reports, Consumer Reports, The Huffington Post, Gaia TV, and WebMD, among others. He’s presented his work at hundreds of conferences and workshops around the world, including presenting at the United Nations. His book, SCIENCE, BEING, & BECOMING: The Spiritual Lives of Scientists is available. We talk about the following and so much more: ✅ The science of spirituality and what it means to be a spiritual scientist ✅ Some of the research he has done on integrative medicine ✅ What it was like to direct Chopra Foundation’s Research Program ✅ In his latest book, he talks about the need to transform materialistic science and why ✅ The Galatic Alignment and why is understanding this important ✅ Some of the leading scientists he looks up to now - and why? This episode is sponsored by BloodMoonBox.com If you’d like to join the waitlist for my next coaching program, sign up here: https://www.yasmeenturayhi.com/gateways-to-awakening/ Please tag us and tell us what you loved! You can follow @Gateways_To_Awakening on Instagram or Facebook if you’d like to stay connected.

This episode is brought to you by Paleovalley, Athletic Greens, and InsideTracker.How do we want to show up, especially when things get tough? This is a great question to ask ourselves as many of us have the tendency to fall quickly and easily into patterns that don't serve us well, often causing more harm than good, both physically and mentally. There are ways we can take back control of our minds, however, so that we can let go of stress and enjoy what most matters in life.In today's episode, I talk with Dr. Elissa Epel, Dr. Susan David, and Gabrielle Bernstein about the power of the mind to create or reduce stress.Elissa Epel, PhD, is an internationally renowned health psychologist who is focusing on how to live well and thrive with existential stress, despite the challenges we face personally and globally. She is a professor at UCSF and the director of UCSF's Aging, Metabolism, and Emotion Center. She is a member of the National Academy of Medicine and past president of the Academy of Behavioral Medicine and serves on scientific advisory committees for the National Institutes of Health. She is the coauthor of the New York Times bestseller The Telomere Effect. Her latest book is The Stress Prescription: Seven Days to More Joy and Ease.Susan David, PhD, is one of the world's leading management thinkers and an award-winning Harvard Medical School psychologist. Her Wall Street Journal bestselling book, Emotional Agility, describes the psychological skills critical to thriving in times of complexity and change. Susan's TED Talk on the topic went viral, with over 1 million views in its first week of release. Susan is the CEO of Evidence Based Psychology, on the faculty at Harvard Medical School, a cofounder of the Institute of Coaching (a Harvard Medical School/McLean affiliate), and on the scientific advisory boards of Thrive Global and Virgin Pulse. Gabrielle Bernstein is the New York Times bestselling author of The Universe Has Your Back and has written six additional bestsellers, including Super Attractor, which launched in September 2019. She was featured on Oprah's Super Soul Sunday as a “next-generation thought leader,” and the Oprah Winfrey Network chose Gabrielle to be part of the “Super Soul 100,” a dynamic group of 100 trailblazers whose vision and life's work are bringing a higher level of consciousness to the world.This episode is brought to you by Paleovalley, Athletic Greens, and InsideTracker. Paleovalley is offering my listeners 15% off their entire first order at paleovalley.com/hyman.Athletic Greens is offering 10 FREE travel packs with your first purchase by visiting athleticgreens.com/hyman.InsideTracker is offering my community 20% off at insidetracker.com/drhyman.Full-length episodes of these interviews can be found here:Dr. Elissa EpelDr. Susan DavidGabrielle Bernstein Hosted on Acast. See acast.com/privacy for more information.

Emergency services are called to a New York home after reports of an unresponsive 8-year-old boy. His father says he fell in the driveway. Medical technicians and cops are suspicious considering the boy's body temperature is just 76 degrees. Thomas Valva dies and his policeman father and the stepmother are charged. Investigators say the couple left him overnight in a cold garage. The outside temperature was 19 degrees. Former NYPD Officer Michael Valva was convicted in his son's death and sentenced to 25 years to life. It took just five hours of deliberation for a jury to also find Angela Pollina.  guilty of all counts:  second-degree murder and four counts of endangering the welfare of a child. Joining Nancy Grace Today: James Shelnutt - 27 years Atlanta Metro Area Major Case Detective, Swat officer Lawyer www.ShelnuttLawFirm.com Dr. Jeff Gardere - Board Certified Clinical Psychologist, Prof of Behavioral Medicine at Touro College of Osteopathic Medicine www.drjeffgardere.com, Author: 'The Causes of Autism” @drjeffgardere  Steven Lampley - Author, Speaker, Retired Police Officer and Undercover SVU Detective, Author, "12 and Murdered," www.stevendavidlampley.com, Facebook.com/StevenDavidLampleyPage Joe Scott Morgan - Professor of Forensics Jacksonville State University, Author, "Blood Beneath My Feet" featured on "Poisonous Liaisons" on True Crime Network  Ray Caputo - Former Lead News Anchor for Orlando's Morning News, 96.5 WDBO   Learn more about your ad-choices at https://www.iheartpodcastnetwork.comSee omnystudio.com/listener for privacy information.