Podcasts about bmd

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Play Episode Listen Later Oct 21, 2024 99:49

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter Belinda Beck, founder of The Bone Clinic and a leading authority on exercise physiology and bone health, delves into the science of osteoporosis, bone density, and the lifelong importance of maintaining skeletal health. In this episode, she explains how the foundation for strong bones is established during childhood, offering valuable advice for parents on optimizing bone health for their kids. She also explores how bone remodeling occurs throughout life, driven by activity, nutrition, and hormones. Belinda highlights the power of resistance training in improving bone strength, even for those at risk of bone loss, and emphasizes the role of essential vitamins and minerals in maintaining bone health. She shares practical strategies, backed by research, for preventing fractures and combating osteoporosis. We discuss: Belinda's journey into bone health research and training [2:45]; The physiology of bone and how bones adapt to mechanical loading [8:15]; Bone development from birth to adulthood, why early life is a crucial period, the functions of osteoblasts and osteoclasts, and gender differences in BMD [14:00]; How parents can optimize their children's bone health through diet (calcium and vitamin D), sunlight exposure, and physical activity [27:30]; The best sports and activities for promoting bone health, weight training for kids, and advice for parents [36:30]; The impact of corticosteroid use on bone health in children and strategies to minimize negative effects [48:30]; Advice for people in middle age to preserve bone density: physical activity and bone-loading exercises [52:00]; Bone loss during the menopause transition for women: hormone replacement therapy and other strategies to mitigate BMD losses [59:30]; Interpreting the bone mineral density results from a DEXA scan: T-score, Z-score, and more [1:03:00]; The LIFTMOR study: testing the effects of heavy weightlifting on bone health in postmenopausal women with low bone density [1:10:15]; Profound benefits of weight training outside of BMD improvements: exploring the broader impacts on patients in the LIFTMOR study [1:19:30]; Guidance for people wanting to use exercise designed to improve their bone health [1:29:30]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

Can You Wear a Weighted Vest with Osteoporosis?

4D: Deep Dive into Degenerative Diseases - ANPT

Play Episode Listen Later Aug 16, 2024 45:12

The short answer is yes. The long answer here in this episode is how. Using a weighted vest with osteoporosis comes up frequently as a question. Whether or not you have osteoporosis, stay with me, as I will talk about the overall benefits and science that's been out since at least 2000, perhaps as long as I've been using my weighted vest. Questions I'll Answer in this Episode: Can you use a weighted vest with osteoporosis? [00:06:20] If so, how do you get started safely? [00:09:30] What weight should you be using? [00:39:00] What if you have already fractured? [00:06:30] What if you have chronic upper back and neck pain? [00:40:20] Within this episode I'll show some images of my weighted vest and what you want to look for. They're so much better now than they used to be! It was an injury weighting (see what I did there?) to just put one on two decades ago. And they definitely were not made for women. I've been lecturing about osteoporosis and osteopenia since 1995. That first adult education class I taught was the first time I left my house without my infant son, I think! Back then I had to draw pictures on the chalkboard of modeling and remodeling of bone, explain these then, new terms, and what was happening. And… we had a list of contraindications that are no longer the best science we have. While much of the decade-by-decade steps to build bone and then prevent or slow loss still are true, the veil of doom has been lifted. We no longer have to pop someone into bubble wrap. But you might think so because a search online will bring up ALL the content over decades. You'll think you are a delicate flower and that oh, my you shouldn't do rotation ever. And this fear mongering has to end - not that you shouldn't be informed about how to exercise correctly and what starting and progression looks like. Breaking Barriers Using Weighted Vest with Osteoporosis Back in 1996 I started working with one client, and then another would be diagnosed with osteoporosis. If you're listening, Mary, you were the first to break some barriers and overcome the fear. You had a good doctor who understood the whole person, and the real way healed. If I were concerned about osteoporosis, what I would do: Resistance training - progressive overload to as heavy as safely possible. My preferred is 5 x 5 reps Employ power in those workouts High Impact - at least 4 sets of 10-20 impacts a day most days of the week Moving during the day, breaking up sedentary periods of time, on non-exercise or recovery days (from strength training and HIIT with impact) the addition of weighted vest during walks or movement around house Whole Body Vibration use most days of the week (in conjunction with strength training and for balance or core exercise. (I use the Move: https://www.flippingfifty.com/powerplate and you can get 20% off with code Flipping50) Yoga consistently for the anti-gravity benefit of unique positions (and maintenance of mobility crucial to stability) Though wearing a weighted vest did not have a significant positive impact on the lumbar spine, Whole Body Vibration does. “lumbar spine BMD (MD: - 0.01; 95% CI [- 0.02, - 0.01]) reduced significantly when aerobic exercise training was used as intervention compared with RCTs that utilized resistance training, combined training, and WBV. By contrast, these analyses did not have significant effect on change in femoral neck BMD. WBV is an effective method to improve lumbar spine BMD in older PMW.” References: Mohammad Rahimi GR, Smart NA, Liang MTC, Bijeh N, Albanaqi AL, Fathi M, Niyazi A, Mohammad Rahimi N. The Impact of Different Modes of Exercise Training on Bone Mineral Density in Older Postmenopausal Women: A Systematic Review and Meta-analysis Research. Calcif Tissue Int. 2020 Jun;106(6):577-590. doi: 10.1007/s00223-020-00671-w. Epub 2020 Feb 13. PMID: 32055889. Snow CM, Shaw JM, Winters KM, Witzke KA. Long-term exercise using weighted vests prevents hip bone loss in postmenopausal women. J Gerontol A Biol Sci Med Sci. 2000 Sep;55(9):M489-91. doi: 10.1093/gerona/55.9.m489. PMID: 10995045. Shaw JM, Snow CM. Weighted vest exercise improves indices of fall risk in older women. J Gerontol A Biol Sci Med Sci. 1998 Jan;53(1):M53-8. doi: 10.1093/gerona/53a.1.m53. PMID: 9467434. Other Episodes You Might Like: Build Bone After Osteoporosis: https://www.flippingfifty.com/build-bone-after-osteoporosis/ Bone Health, Osteoporosis, Osteopenia Tips You've Never Heard: https://www.flippingfifty.com/bone-coach/ Exercise for Bone Density Then and Now: https://www.flippingfifty.com/exercise-for-bone-density/ Resources: Synergee Weighted Vest Infinity Vest Workout Equipment - Body Cardio Walking or Running Vest - 20lbs: https://www.amazon.com/dp/B07VQLDGPS?linkCode=ssc&tag=onamzvoicefor-20&creativeASIN=B07VQLDGPS&asc_item-id=amzn1.ideas.78VF9ZN2VWI0&ref_=aip_sf_list_spv_ofs_mixed_d_asin Short Weighted Vest 12lbs - 50lbs: https://www.amazon.com/dp/B001VE9RY4?linkCode=ssc&tag=onamzvoicefor-20&creativeASIN=B001VE9RY4&asc_item-id=amzn1.ideas.78VF9ZN2VWI0&ref_=aip_sf_list_spv_ons_d_asin&th=1

The Shocking Results of my Bone Mineral Density Scan!

The Wellness Glow®

Play Episode Listen Later Aug 5, 2024 35:37 Transcription Available

Did you know that a simple Bone Mineral Density scan (BMD) could reveal more about your health than you ever imagined? Join me on a personal journey as I uncover my surprising diagnosis of osteopenia, despite maintaining a healthy diet and active lifestyle. We'll explore the importance of early detection and why women in their late forties and beyond should seriously consider getting a BMD scan to monitor their bone health.We'll dive into the often-overlooked impact of certain medications on bone density. From diuretics to corticosteroids, many common medications can impair calcium absorption, increasing the risk of osteopenia and osteoporosis. Through real-life examples and proactive management strategies, such as weight-bearing exercises, resistance training, and adequate vitamin D levels, I share my approach to minimising these risks and optimising strong bones for the future.Boost your nutritional know-how with an exploration of calcium-rich foods that support bone health. Learn about the power of seeds, nuts, dairy, fish, legumes, and leafy greens, and how to incorporate these foods into your diet effectively. Whether it's the omega-3 fatty acids in chia seeds or the probiotic benefits of yogurt, discover the simple dietary changes that can make a big difference. Send me a text! Want my FREE Radiant Reset Hormone Detox for Perimenopausal Women? Of course you do! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Click here and download now.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Are you a woman feeling stressed, flat and experiencing the challenges of perimenopause? It's time to reclaim your youthful energy, radiance and self-assurance (and your ideal weight). I'm here to help with my proven method. Here's how I can support you - 1. Hit your health and wellbeing goals this year, balance your hormones and lose weight with your own personalised protocol, based on your body's biochemistry. Sounds awesome right!! Book a free 30 minute Introduction Call with me so we can discuss your health and wellbeing goals and also see how I might be able to support you. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Book your call here. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 2. The 10 Day Radiant Reset Hormone Detox for Perimenopausal Women has been designed to give you the tools to nourish and detox your body at a cellular level while supporting your hormone balance and your gut health so that you feel revitalised and in control without feeling deprived. Click here to learn more. 3. Follow me on Instagram and Facebook - ...

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DD SIG Episode 49: Muscular Dystrophy with Claudia SenesacDD SIG Episode 49: Muscular Dystrophy with Claudia Senesac

Play Episode Listen Later Jul 24, 2024 57:10

In this installment of our series on rare neurologic diseases, host Ken Vinacco talks with Claudia Senesac about physical therapy for people with Duchenne Muscular Dystrophy (DMD) and Becker Muscular Dystrophy (BMD). DMD and BMD are both disorders that cause progressive muscle weakness, with BMD often presenting with less severe weakness and later in life. Claudia covers the medical management and prognosis, PT assessment, and PT treatment for people with these unique diagnoses. The Degenerative Diseases Special Interest Group is part of the Academy of Neurologic Physical Therapy – www.neuroPT.org A link to the show notes will be posted here when available

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212. Menopause Treatments And Attitudes In Europe - Dr. Dorenda Van Dijken

Hack My Age

Play Episode Listen Later Jul 15, 2024 78:40

We covered: Menopause treatment in Europe and particularly in Holland Which countries in Europe are more progressive Menopause guidelines and doctor training in Europe The attitudes of women and practitioners (GPs) toward HRT in Europe What our guest is going to do with the 7 million euro grant for menopause research and how she got it. What hot flashes put us more at risk for Mental health and menopause Tips on how to ease through menopause and lower the symptoms How women differ from men in medicine and what needs to change in the curriculum and in the workplace in Europe The best way to get information on menopause The big myths of menopause in Europe Testosterone recommendations from the International Menopause Society Dr. Dorenda Van Dijken is born and raised in Amsterdam, Holland. Completed her medical education at the University of Amsterdam. Since 1994 she has been a gynecologist at the OLVG (Onze Lieve Vrouwe Gasthuis is a major clinical hospital situated near Oosterpark in Amsterdam in the Netherlands). Chairman Dutch Menopause Society. Board of IMS (International Menopause Society) Member of the Editorial Board of the website www.vrouwenindeovergang.nl . Contact point Social Card VGV Amsterdam. Member of the NVOG (Dutch Society of Obstetrics and Gynecology) Guidelines writers group. Member of the Board of VPG (Reproductive Medicine department) Pillar NVOG. Teacher training in menopause nurses at Erasmus MC Rotterdam - Erasmus University Medical Center, the largest and one of the most authoritative scientific University Medical Centers in Europe Global Consensus Position Statement on the Use of Testosterone Therapy for Women https://www.imsociety.org/wp-content/uploads/2020/07/global-consensus-testosterone-english.pdf RESOURCES: Female androgen insufficiency: the Princeton consensus statement on definition, classification, and assessment https://pubmed.ncbi.nlm.nih.gov/11937111/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098532/levels. Association between testosterone levels and bone mineral density in females aged 40–60 years from NHANES 2011–2016: https://www.nature.com/articles/s41598-022-21008-7 Effect of Testosterone Treatment on Volumetric Bone Density and Strength in Older Men With Low Testosterone: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2604138 Testosterone deficiency in women: etiologies, diagnosis, and emerging treatments: https://pubmed.ncbi.nlm.nih.gov/11991434/ Higher serum free testosterone concentration in older women is associated with greater bone mineral density, lean body mass, and total fat mass: https://academic.oup.com/jcem/article/96/4/989/2720846 Testosterone pellet therapy alone or in combination with low-dose E2 pellet therapy improved spine and hip BMD. https://www.sciencedirect.com/science/article/abs/pii/S1094695023000422 Contact Dr. Dorenda Van Dijken: Website: https://demenopauzespecialist.nl/dorenda-van-dijken/ Website: https://www.olvg.nl/zorgverleners/drs-d-k-e-van-dijken/ This episode is sponsored by Oxford Healthspan. The makers of my favorite spermidine supplement Primeadine. Use code ZORA for 15% off Primeadine spermidine ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Download the ⁠⁠⁠⁠⁠⁠⁠⁠Hack My Age menopause programs⁠⁠⁠⁠⁠⁠⁠⁠ to optimize your menopause journey with evidence biohacks tailor made for a woman in perimenopause and menopause. Join the ⁠⁠⁠Biohacking Menopause⁠⁠⁠ community now for information and sharing you won't find anywhere else. This month's giveaway....win a Glycanage biological age test kit. Join before August 1, 2024 to enter into the draw. If you missed the deadline, grab Glycanage kit for 15% off with the code ZORA here. Join the Hack My Age community on: Facebook Page : ⁠⁠⁠⁠⁠@⁠Hack My Age⁠ Facebook Group: ⁠⁠⁠⁠⁠⁠@⁠Biohacking Menopause⁠⁠⁠⁠⁠⁠ ⁠ Instagram: ⁠⁠⁠⁠⁠@⁠HackMyAge⁠ Website: ⁠⁠⁠⁠⁠⁠HackMyAge.com⁠ ⁠Biohacking Menopause⁠ membership group Email: zora@hackmyage.com This podcast is edited by ⁠⁠⁠⁠⁠jonathanjk@gmail.com --- Support this podcast: https://podcasters.spotify.com/pod/show/hackmyage/support

#306 - AMA #60: preventing cognitive decline, nutrition myths, lowering blood glucose, apoB, and blood pressure, and more

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Play Episode Listen Later Jun 17, 2024 18:15

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter In this “Ask Me Anything” (AMA) episode, Peter provides insights on a broad range of important topics. He delves into the prevention of cognitive decline, the link between cardiovascular disease and Alzheimer's disease, and methods to lower blood glucose, insulin, and apoB. He also addresses nutrition-related queries, exploring the impact of dietary habits on weight loss and longevity, how a person can identify the best diet for themselves, and common nutrition myths. Additional discussions include optimal blood pressure, daily step goals, the benefits of standing versus sitting desks, and much more. If you're not a subscriber and are listening on a podcast player, you'll only be able to hear a preview of the AMA. If you're a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #60 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here. We discuss: Overview of topics and episode format [1:40]; Preventing cognitive decline [5:00]; How to lower blood glucose and insulin [13:30]; The relationship between lipids, CVD, and Alzheimer's disease, and whether statins can increase the risk of neurodegenerative disorders and AD [23:15]; Reducing apoB levels through exercise and diet [31:45]; Pharmacological options for lowering apoB [38:00]; How nutrition impacts longevity via metabolic health, muscle mass, BMD and more [40:15]; How can someone determine the best diet for themselves? [43:45]; Nutrition myth: All weight loss is good [46:45]; Nutrition myth: Metabolic rates are dramatically different among individuals based on genetics [49:00]; Nutrition myth: Losing weight after a brief period of overeating is impossible [53:45]; Nutrition myth: GLP-1 agonists are a replacement for a healthy lifestyle [57:45]; Nutrition myth: There is a single best diet for weight loss [1:03:00]; Nutrition oversimplification: All calories are created equal [1:05:45]; Daily step goals [1:06:45]; The benefits of standing versus sitting throughout the day [1:10:45]; How to identify the most impactful and easiest-to-implement ways to improve your health [1:12:30]; The critical importance of emotional health [1:14:30]; Why supplements should be considered as supportive aids rather than primary solutions in one's strategy to improve longevity [1:18:00]; Strategies for reducing high blood pressure [1:20:45]; Peter's biggest frustrations with "mainstream health advice" [1:28:00]; Peter's chaotic, yet cherished, morning routine [1:31:00]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

Muscle Makeover: Why Resistance Training is Essential in Menopause

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Play Episode Listen Later Jun 7, 2024 28:33

Resistance training is essential in menopause. It is supportive of your hormones. It's an endocrine organ. It supports blood sugar levels, moods and more! All inside! Are you navigating menopause noticing unfavorable changes in your body composition? This episode of Flipping 50 is your ticket to understanding why muscle matters now more than ever. Discover how resistance training can transform not just your muscles, but your overall menopausal journey, with expert insights and actionable tips. I'm sharing a new study on resistance training to combat muscle loss, increase bone density, and improve metabolic health during and after menopause. The study aimed to identify the most effective resistance training protocols to combat osteoporosis by improving BMD in postmenopausal women. It specifically evaluated the impact of different exercise intensities and frequencies. Resistance training is essential in menopause for maintaining bone density and metabolic health. Questions We Answer In This Episode: Why is muscle mass particularly important for women entering menopause? [00:24:04] How does resistance training impact bone health and help prevent osteoporosis? [00:07:24] What are the best resistance training exercises for women over 50? [00:19:24] How often should menopausal women engage in resistance training? [00:15:54] What are some common misconceptions about weight lifting and menopause? [00:08:54] How can resistance training improve hormonal balance during menopause? [00:20:44] The research concluded that for postmenopausal women, resistance training at moderate intensity, conducted three times a week, offers the best outcomes for increasing BMD. This protocol should be integrated into fitness routines to effectively manage and mitigate the risks of osteoporosis in this population. Monday and Friday 10 repetitions (80%) Wednesday 16 repetitions (65%) - unilateral work Might be an ideal combination to provide stimulus without endocrine disruption (cortisol/adrenals/thyroid) Objectives The study aimed to identify the most effective resistance training protocols to combat osteoporosis by improving BMD in postmenopausal women. It specifically evaluated the impact of different exercise intensities and frequencies. Methods Studies assessed resistance training's impact on BMD. The studies were categorized by exercise intensity (high, moderate, low) and frequency (high frequency of three days per week and low frequency of two days per week). Findings Overall Effectiveness: The meta-analysis found that resistance training is beneficial in increasing BMD in postmenopausal women, particularly at lumbar spine and femoral neck sites. Intensity and Frequency: Moderate-intensity training (65%–80% 1RM) performed three times a week was most effective in improving BMD. This regimen provided a balance that was intense enough to stimulate bone density improvements without the risks associated with high-intensity training. Comparison of Protocols: The study revealed that while all resistance training positively impacted BMD, the moderate intensity at a higher frequency provided the most significant benefits. Statistical Analysis: Data were analyzed using network meta-analysis, which allowed for comparison across multiple interventions. The results suggested that moderate-intensity, high-frequency training was superior to other combinations in improving BMD. Conclusions The research concluded that for postmenopausal women, resistance training at moderate intensity, conducted three times a week, offers the best outcomes for increasing BMD. This protocol should be integrated into fitness routines to effectively manage and mitigate the risks of osteoporosis in this population. Monday and Friday 10 repetitions (80%) Wednesday 16 repetitions (65%) - unilateral work Might be an ideal combination to provide stimulus without endocrine disruption (cortisol/adrenals/thyroid) Reference: "Comparative efficacy of different resistance training protocols on bone mineral density in postmenopausal women: A systematic review and network meta-analysis" by Z Wang et al. (2023) examines various resistance training regimens and their effectiveness on bone mineral density (BMD) in postmenopausal women. Resources: Stronger 12-Week Program: https://www.flippingfifty.com/getstronger Other Episodes You Might Like: 21 Ways to Optimize Your Workouts After 40: https://www.flippingfifty.com/optimize-your-workout/ Science that Makes Exercise Essential in Menopause: https://www.flippingfifty.com/exercise-essential-for-menopause-health/ 21 Reasons Strength Training Should Be Mandatory After 50: https://www.flippingfifty.com/weight-training-should-be-mandatory/

E37 – High Power Microwave Weapons

The Merge

Play Episode Listen Later Jun 2, 2024 69:43

Don't miss our ⁠newsletter! Mike hosts Andy Lowery to dig deep into directed energy weapons—specifically high-power microwave (HPM) systems. Andy is the CEO of Epirus, a venture-backed defense tech startup inverting the cost equation of drone defense and swarm protection. We talk about the tech, how it affects electronics, and how Epirus' flagship product—Leonidas—is designed with adaptability and scale in mind. Turns out that HPM systems share more in common with an F-35 radar and an EA-18 jammer than a kitchen appliance! The Army is currently in a rapid buy-and-try phase of these counter-UAS (CUAS) systems and is sending them to the Middle East. The systems have a host of other applications, though—the Navy is experimenting with them to disable boat motors, and the Air Force is also interested. This episode is a defense tech episode you don't want to miss! For those interested in #military #nationaldefense #warfare #nationalsecurity #defense #nationaldefense #tech #technology #defensetech #army #navy #airforce #drone #drones #swarm #HPM #DEW #microwave #directedenergy ---- Links • Sign up for our ⁠⁠⁠amazing newsletter⁠⁠⁠! • Support us on ⁠⁠⁠Patreon⁠⁠⁠! • ⁠⁠Mike Benitez (LinkedIn)⁠ • ⁠Andy Lowery (LinkedIn)⁠ • Epirus ---- Follow us on... • ⁠⁠Instagram⁠⁠ • ⁠⁠Facebook⁠ • ⁠X (Twitter)⁠ • ⁠LinkedIn⁠ • ⁠Website⁠ ---- Show Notes (00:47) Intro (01:36) Epirus (02:11) the “prime problem” (02:43) 3 disruptions in modern warfare (07:07) asymmetric advantage and cost imposition (09:57) inverting the equation (11:40) $1 billion in weapons (11:59) Congressional hearing (12:32) microwaves (14:53) name origins (17:04) serial killer vs mass murderer (17:46) Star Trek (18:26) Leonidas (18:46) wicked fast tech development (19:42) speed of technology (20:19) inventory investment (20:29) needs vs requirements (22:02) Andy's 3 careers (29:19) product vs services (24:32) 80/20 business model (25:08) Thor HPM (25:25) old school HPM (26:03) new way of HPM (26:20) like the next-gen jammer (27:06) like an AESA radar (27:32) GaN-based AESA (30:09) designed to adapt (31:02) how HPM actually works (34:07) like radar jamming techniques (35:13) YouTube video controversy (35:58) copper tape vs HPM myth (37:20) faraday cage concept (38:41) copper tape studies (40:10) a systems approach (41:32) ballistic missile defense (BMD) (41:57) Army IFPC program (43:26) Army base defense charter (43:50) SHORAD (44:21) scenarios (44:48) layers of SHORAD (45:49) Anduril Industries (46:12) layered defense problem (46:41) GWOT killed SHORAD (47:08) Syria and Jordan (47:58) company culture (49:33) government pain points (49:59) export restrictions (50:35) the “MRAP response” way (51:26) 1990 policy blocker (51:56) The FAA (52:03) NOARD issue (52:33) homeland defense issue (53:45) pre-mortem (54:43) team-of-teams approach (56:43) the government's budgeting problem (58:55) boats! (1:00:00) HPM vs other electronics (1:02:18) airborne HPM? (1:04:06) Epirus, the next few years (1:06:04) factory and scale (1:08:37) outro

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Episode 20 - Bonus Episode with Danny Gray

PRESZN Podcast

Play Episode Listen Later May 31, 2024 82:41

In this episode we wrap up the BMD competition with the Falcons coach and discuss what he's looking for in the 47th Battalion.

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Iran and Israel's Missile War

Arms Control Wonk

Play Episode Listen Later May 18, 2024 25:21

We have data! Jeffrey and Aaron walk through the new primary source data to figure out if either Iran's missile raid or Israeli's missile defense efforts were effective. This appears to be the first time that successful wartime ballistic missile defense intercepts can be validated via open source means, which is a major step forward for open source missile and BMD analysis. Jeffrey and Aaron also talk about the relative impact of conventional ballistic missiles, and what secondary effects must be considered when assessing the value of interceptors vs. offensive missiles. This one gets wonky. Support us over at Patreon.com/acwpodcast!

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Blackmagic Design focusing on SMPTE 2110, Remote Production in 2024

Geekazine

Play Episode Listen Later May 3, 2024 11:50

Blackmagic Design announced new devices for SMPTE 2110 compliance, along with an updated Davinci Resolve 20 The post Blackmagic Design focusing on SMPTE 2110, Remote Production in 2024 appeared first on Geekazine.

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The Truth About Osteoporosis How To Prevent And Reverse It With Lisa Tamati

Pushing The Limits

Play Episode Listen Later Apr 19, 2024 54:26

In this weeks episode we dive into a topic that is close to my heart after watching the pain and suffering my mum went through and the complications and difficulties she has had after falling in her bedroom one day and breaking her hip. This experience of course led me deep into the research on osteoporosis and in todays video/podcast we cover What osteoporosis is and what osteopenia is How is it diagnosed What drugs are used to to treat it - the good, the bad and the ugly of these What exercises you can do to stave off osteoporosis and reverse bone loss What nutrient deficiencies or diseases can lead to osteoporosis What supplements can reverse and or slow bone loss The role of different hormones in osteopororsis The role of nutrition in osteoporosis What medications can cause osteoporosis What lifestyle factors can lead to osteoporosis Who is more at risk for osteoporosis. General info on osteoporosis Loss of Bone Mass Density Dexa Scan T-score -1.0 to -2.5 is Osteopenia T-score less than -2.5 is Osteoporosis Bone is 40-50% inorganic component (hydroxyapatite), 10-15% water and 35% organic component(protein). 90% of the organic component is collagen Type 1 and the remaining 10% non-collagenous proteins Osteoblasts-formation of bone, secrete alkaline phosphatase to create sites for calcium and phosphate deposition. Osteoclasts-bone resorption, secretes acid phosphatase which unfixes the calcium Osteocytes are osteoblasts which are responsible for homeostasis of oxygen and mineral levels. Function: Supports the body, protects the organs, produces blood cells, and stores minerals and fats. Collagen, the protein that gives bones a framework for strength and flexibility Calcium-phosphate mineral complexes, that fill in the gaps between the collagen frame work, making bones hard and strong Living bone cells that remove and replace weakened sections of bone KoACT-Calcium collagen chelate Animal Study-8 weeks 4 groups No supplement KoACT-increased bone density by 3.5% 10x KoACT-increased bone strength by 10% Calcium and Collagen supplement increase bone strength by 1% Study 39 women 2 groups-12 months Post-menopausal women. 5 g of CC(calcium-collagen chelate) which contains 500 mg of elemental calcium and 200 IU Vitamin D 500 mg of calcium and 200 IU of Vitamin D The loss of whole body BMD in women taking CC was substantially lower than that of the control group at twelve months KoACT improves bone synthesis and reduces bone loss KoACT counteracts the natural process of bone loss in post-menopausal women KoACT improves bone mineral density KoACT improves bone mineral density better than calcium in post-menopausal women KoACT improves total body bone mineral density significantly better than calcium in just three months Biomarkers for bone formation were increased significantly with KoACT KoACT improves biomarkers for bone formation, better than calcium. KoACT improves bone strength significantly better than calcium in animals Peak bone mass is around 30 years old. Losing 2-3% a year thereafter. 20% of hip fracture patients will pass away within a year. 1 out of 3 post menopausal women will fracture a bone Osteoporosis drugs (Bisphosphonate) slows down osteoclast activity. Increase risk of jaw necrosis and atypical femoral fractures. After 3 years of use the suggest a "Drug Holiday" Lifestyle: Lack of physical activity Excessive exercise Inflammation Smoking Alcohol Medication Family history Vitamin and nutrient deficiency Gluten Eliminate excess sugar, cigarette smoke and phosphoric acid-containing soda. Be sure your intake of calcium and magnesium is in the 700-1000 mg range of each daily. Other trace minerals, boron, manganese, chromium, copper, zinc, silicon...animal food Weight bearing activity Post-menopausal women make consider bioidentical hormone replacement. Mediterranean diet with increase protein intake. Vegetarian and vegan diets and risks of total and site-specific fractures increases significantly. Exercise: Weight bearing resistance exercise is best Vibration-10 minutes per day 2-3x per day (check with your medical professional first) Muscle-vibration 20-50 hz Exercise inhibits bone loss, frequency matters clinical research links mentioned in this podcast https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1308846/ https://pubmed.ncbi.nlm.nih.gov/9177517/ https://pubmed.ncbi.nlm.nih.gov/9431639/ https://www.ncbi.nlm.nih.gov/books/NBK499863/#:~:text=Wolff's%20Law%20states%20that%20bones,strengthening%20of%20the%20cortical%20layer. https://pubmed.ncbi.nlm.nih.gov/23702931/#:~:text=Menaquinone%2D4%20(MK%2D4,health%20in%20healthy%20postmenopausal%20women. Personalised Health Optimisation Consulting with Lisa Tamati Lisa offers solution focused coaching sessions to help you find the right answers to your challenges. Topics Lisa can help with: Lisa is a Genetics Practitioner, Health Optimisation Coach, High Performance and Mindset Coach. She is a qualified Ph360 Epigenetics coach and a clinician with The DNA Company and has done years of research into brain rehabilitation, neurodegenerative diseases and biohacking. She has extensive knowledge on such therapies as hyperbaric oxygen, intravenous vitamin C, sports performance, functional genomics, Thyroid, Hormones, Cancer and much more. She can assist with all functional medicine testing. Testing Options Comprehensive Thyroid testing DUTCH Hormone testing Adrenal Testing Organic Acid Testing Microbiome Testing Cell Blueprint Testing Epigenetics Testing DNA testing Basic Blood Test analysis Heavy Metals Nutristat Omega 3 to 6 status and more Lisa and her functional medicine colleagues in the practice can help you navigate the confusing world of health and medicine . She can also advise on the latest research and where to get help if mainstream medicine hasn't got the answers you are searching for whatever the challenge you are facing from cancer to gut issues, from depression and anxiety, weight loss issues, from head injuries to burn out to hormone optimisation to the latest in longevity science. Book your consultation with Lisa Join our Patron program and support the show Pushing the Limits' has been free to air for over 8 years. Providing leading edge information to anyone who needs it. But we need help on our mission. Please join our patron community and get exclusive member benefits (more to roll out later this year) and support this educational platform for the price of a coffee or two You can join by going to Lisa's Patron Community Or if you just want to support Lisa with a "coffee" go to https://www.buymeacoffee.com/LisaT to donate $3 Lisa's Anti-Aging and Longevity Supplements Lisa has spent years curating a very specialized range of exclusive longevity, health optimizing supplements from leading scientists, researchers and companies all around the world. This is an unprecedented collection. The stuff Lisa wanted for her family but couldn't get in NZ that's what it's in her range. Lisa is constantly researching and interviewing the top scientists and researchers in the world to get you the best cutting edge supplements to optimize your life. Subscribe to our popular Youtube channel with over 600 videos, millions of views, a number of full length documentaries, and much more. You don't want to miss out on all the great content on our Lisa's youtube channel. Youtube Order Lisa's Books Lisa has published 5 books: Running Hot, Running to Extremes, Relentless, What your oncologist isn't telling you and her latest "Thriving on the Edge" Check them all out at https://shop.lisatamati.com/collections/books Perfect Amino Supplement by Dr David Minkoff Introducing PerfectAmino PerfectAmino is an amino acid supplement that is 99% utilized by the body to make protein. PerfectAmino is 3-6x the protein of other sources with almost no calories. 100% vegan and non-GMO. The coated PerfectAmino tablets are a slightly different shape and have a natural, non-GMO, certified organic vegan coating on them so they will glide down your throat easily. Fully absorbed within 20-30 minutes! No other form of protein comes close to PerfectAminos Listen to the episode with Dr Minkoff here: Use code "tamati" at checkout to get a 10% discount on any of their devices. Red Light Therapy: Lisa is a huge fan of Red Light Therapy and runs a Hyperbaric and Red Light Therapy clinic. If you are wanting to get the best products try Flexbeam: A wearable Red Light Device https://recharge.health/product/flexbeam-aff/?ref=A9svb6YLz79r38 Or Try Vielights' advanced Photobiomodulation Devices Vielight brain photobiomodulation devices combine electrical engineering and neuroscience. To find out more about photobiomodulation, current studies underway and already completed and for the devices mentioned in this video go to www.vielight.com and use code “tamati” to get 10% off Enjoyed This Podcast? If you did, subscribe and share it with your friends! If you enjoyed tuning in, then leave us a review and share this with your family and friends. Have any questions? You can contact my team through email (support@lisatamati.com) or find me on Facebook, Twitter, Instagram and YouTube. For more episode updates, visit my website. You may also tune in on Apple Podcasts. To pushing the limits, Lisa and team

Christi'an's Cow Head Tradition (feat. Christi'an)

Close Your Ears

Play Episode Listen Later Mar 18, 2024 117:06

This episode it's just Icepick and he's joined by #CYE alum Christi'an Yellowdy as she returns for her third time around on the set and we catching up on the madness thats been happening in Gotham City since the judge shooting went viral last month. So we're discussing an flustered BMD league, teacher vs pastor fight at the high, shootout with the pigs and much more !!!

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Episode 1624 - Fall prevention & management: what's missing?

#PTonICE Daily Show

Play Episode Listen Later Dec 20, 2023 22:26

Dr. Julie Brauer // #GeriOnICE // www.ptonice.com In today's episode of the PT on ICE Daily Show, Modern Management of the Older Adult lead faculty Julie Brauer discusses the importance of fracture risk screening & osteoporosis management, including utilizing the FRAX tool & DEXA scans to better help assess & manage fall risk with patients. Take a listen to learn how to better serve this population of patients & athletes, or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about live courses designed to better serve older adults in physical therapy or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION INTRODUCTION Hey everyone, this is Alan. Chief Operating Officer here at ICE. Before we get started with today's episode, I want to talk to you about VersaLifts. Today's episode is brought to you by VersaLifts. Best known for their heel lift shoe inserts, VersaLifts has been a leading innovator in bringing simple but highly effective rehab tools to the market. If you have clients with stiff ankles, Achilles tendinopathy, or basic skeletal structure limitations keeping them from squatting with proper form and good depth, a little heel lift can make a huge difference. VersaLifts heel lifts are available in three different sizes and all of them add an additional half inch of h drop to any training shoe, helping athletes squat deeper with better form. Visit www.vlifts.com/icephysio or click the link in today's show notes to get your VersaLifts today. JULIE BRAUER Welcome to the Geri on Ice segment of the PT on Ice Daily Show. My name is Julie Brauer. I'm a member of the Older Adult Division. Excited to be talking to you all this morning all about the big critical piece that is missing from our fall prevention and management frameworks. The big critical piece that is missing from our fall prevention and management framework. So before we get into the goods, I want to let you all know about our courses that are coming up in January because we are hitting the new year just right out the gate. We are absolutely slammed. So our L1 and L2 online courses kick off January 11th and January 12th. And then we will be on the road all throughout the month. So we will be in Columbus, Ohio, We will be in Santa Rosa, California, Clearwater, Florida, and Kearney, Missouri. So we would love to see you in our online courses or out on the road starting the year off strong with us. FRAMEWORKS FOR ASSESSING FALL RISK Okay, let's dive in. I want you all to think of your typical frameworks for your fall risk assessment and your management plan. I want you to think about it. So I want you to think that 70 year old Betty is coming into your clinic or you're going to see her at her home or in her hospital room. She's been referred for strength and balance deficits. She's had a fall in the past. I want you to think about kind of that long list of assessment pieces that come into your head. You know, what you're probably going to evaluate or be thinking about. So when I think about that long list, here are some of the things that come to my mind that are probably coming to your mind. You may do some evaluations and assessments like the short physical performance battery. You may run a tug. You may look at strength. You're probably going to do a gait speed. Maybe you want to do a mini best and check Betty's vision, check her cognition, talk to her about her environment. Maybe you do a medication review or you check her shoe wear. Maybe you're going to check her vitals, right? This list could go on and on. It's definitely not all inclusive, but I would bet that a large percentage of you that for a large percentage of you, the piece that didn't make that list was fracture risk screening and osteoporosis management. FRACTURE RISK SCREENING & OSTEOPOROSIS MANAGEMENT This is our critical missing piece, fracture risk screening and osteoporosis management. So we are going to start by setting the foundation and talk about why that piece is commonly missed. We are going to talk about why as fitness forward rehab professionals, fracture risk screening and osteoporosis management has to be on our radar, especially given the fact that we have the goal, especially in this crew, we have the goal of identifying, seeking out, and absolutely destroying one ret max living in order to make our older adults as robust as possible. And in this specific case, helping to make their bones as robust as possible. And then I will give you guys a few clear, easy to implement actionables that you can start getting after this week that are going to be able to give you a very comprehensive clinical picture of your patient's skeletal health. Okay. So first and foremost, we need to think about why is this not on our radar? You know, why for many of us was fracture risk screening and osteoporosis management not something that came to our minds. And if you're like me, I didn't really learn about that in school. It wasn't emphasized. I definitely didn't learn it out on clinical. And I really didn't address it in my clinical practice. If someone, one of my patients had osteoporosis, I kind of just assumed that it was going to be managed by their PCP or the medical team. And I didn't really have a big role to play, right? And we also have to realize that we understand that falls and fractures are important, right? Like falls and fractures, especially in working with older adults, this is on our mind a lot. And we know that as our older adults age, falls and fractures are going to increase. And we know that This results in years and years and years of disability that our older adults have to live with. So we know that it's important. So we have to start thinking like, why isn't this on our radar? So I want you all to start getting really curious about your patient's skeletal health. And when we look to the literature, we further see that this is an undertreated and an underdiagnosed condition. In the literature, it'll be deemed as the silent disease. And there are so many retrospective cohort studies that show that individuals who sustain a fracture after a fall, a very alarming high percentage of them were never scanned. They never had a DEXA scan. They were not on osteoporosis medication. And a very high percentage of them will go on to have another fracture in a few years. So this is a massive, massive problem that we are seeing and we have to realize that we have a role here and we can be the individuals to help screen and identify this as a problem and interrupt that cycle. So when we start to get curious about our patient's skeletal health, I want you all to think about Betty, right? About 75-year-old Betty who's coming in to see you. And we're really good at looking at Betty and assessing Betty and thinking, like, Betty's got a lot of muscular weakness on board. So if we know that Betty is weak muscularly, we have to remember that it's called the musculoskeletal system, and that those bones also may be very weak as well. So as soon as you identify muscular weakness in Betty, I want you all to be thinking, okay, I need to start thinking, hmm, are those bones weak as well? The other side of this, though, is that Betty may blow that, you know, 30 seconds to stand out of the water. Her gait speed may be great. Like she's really kind of crushing it on her on these outcome measures that we're running. And we may think like, oh, she's thriving. However, we can't automatically assume that those bones are thriving as well because there are so many factors that go into bone health that are not visible to the eye. So don't make the assumption that her skeletal system is absolutely crushing it. You want to continue to be curious and you have to start thinking there's so much more that goes into this. I need to do some assessments and do some screening to really get a clinical picture of what Betty's skeletal health is actually like, right? And we need to start thinking about this in terms of urgency. In the older adult division, the urgent situation is identifying someone who is at one rep max living, and then triaging our fitness forward approach, because that individual needs our fitness forward approach the most. So if you think about it, and Betty is coming in, and you're running assessments on her, and she's at risk for falls, and you haven't even looked at her skeletal health yet, Well, you're going to say, whew, Betty's at risk for falls. I definitely need to really triage a fitness board approach for her. But then if you also assess her skeletal health and you realize that she has weak bones and she's at risk for falls, my God, that is an incredibly, incredibly urgent situation. That individual needs our fitness forward approach the most, but we're not going to be able to know how to intervene, how to appropriately intervene if we don't even know the problem exists. So we have to be able to identify that this is a problem. We are the providers that can make this silent, invisible disease very visible. So how do we do that? Let's talk about some actionables here that you guys can start doing immediately that are going to be able to give you really critical data in order to gain a comprehensive picture of her skeletal health. Number one, it is the lowest hanging fruit. It's the easiest place to start. SCREENING FOR FRACTURE RISK: THE FRAX TOOL You can screen for fracture risk and you can do that by using the FRAX tool. The FRAX tool is so easy, so quick to implement. I will link it here for you. It takes two minutes, but the algorithm gives the 10-year probability of a fracture. So it's gonna give the 10-year probability of a hip fracture and the 10-year probability of a major osteoporotic fracture, so of the spine, forearm, hip, or shoulder. In the questionnaire for the FRAX, ask some questions that start giving you an idea of things that affect bone health. So really easy, they're going to be asking just age and height and weight, right? These things you can get from EMRs or your patient. really quickly and then they're going to be asking some questions like have they had a previous fracture? Did one of their parents fracture a hip? Are they smoking? Are they on medications like glucocorticoids? Do they have an inflammatory disease like rheumatoid arthritis? Do they drink excessive alcohol? All of these factors that can really affect our bone health negatively. It will also ask for their bone mineral density. And you do not have to have Betty's bone mineral density in order to fill this out and for it to be to give you a validated probability. The frax has been validated without a bone mineral density value. However, Betty may have her bone mineral density. She may have a DEXA scan, and you can use that value, but only for the femoral neck. It is only validated for the bone mineral density of the femoral neck. So that's the caveat there, right? So really quick and dirty, you can do the FRAX tool. It's going to shoot out a probability. What happens next? This is going to start to give you an idea, like, whew, there's a lot going on here that I didn't realize with Betty. Her skeletal health isn't really thriving. And let's assume that Betty has not had a bone mineral density scan. And you're really thinking, well, I mean, gosh, she smokes, she's been on glucocorticoids, she drinks alcohol, she has had a previous fracture, like, she should probably get a DEXA scan. and you're thinking like, but you know, what are some, like, should I suggest that? The great news is that there are guidelines that tell us if we should suggest that Betty get a bone marrow density scan. I will link the clinician's guide to prevention and treatment of osteoporosis as well for you all to look at, but it just gives some general guidelines. A lot of the things that you have just heard about from the FRAX tool. So, it will tell us that we should consider BMD testing if with individuals based on age, based on the clinical risk factors such as taking glucocorticoids or having an inflammatory disease, individuals who have had a fracture. So we have guidelines to tell us this. TESTING FOR OSTEOPOROSIS So You've run the FRAX tool, you've looked at the guidelines, you are sure, you're like, Betty needs to go get a DEXA scan. So you're gonna communicate this to Betty. But what you're gonna do next is not, hey Betty, I really want you to go get those bones looked at. So schedule that with your doctor. I'll see you next week. That's not what we're gonna do. you're gonna help Betty set that appointment up or call a doctor, right? You are going to help her advocate for herself. You're not just gonna give that piece of education and then peace out, Betty. So what can you do? You can get the doctor on speakerphone during your session with Betty. and you can guide the conversation while she asks to set up an appointment to get a DEXA scan done. You can make sure Betty knows how to get into her MyChart so she can send a message to her doctor and you can help guide her on how she should formulate that message so she's communicating effectively. Make sure that you are a guide during that process and that you're not just throwing an educational piece at her and expecting her to take care of it. Help her through the process. Okay, so let's say we got a DEXA scan scheduled for Betty and she goes and has her appointment. She gets her DEXA scan. She has her results. This is where you can have a major role, not only in helping to deal hope to Betty once we are looking at those results, but it's also gonna be your guide when you start to implement your interventions. And it gives you very critical information, okay? So if you all have not seen a DEXA scan in the wild and what that looks like, I'm gonna tell ya, it's not patient friendly. I have seen one after my mom had to get one before she had a lumbar fusion surgery. It is chock full of scary words like osteopenia, fracture, osteoporosis. There's a lot of negative values, right? Like her T-scores all over the place and there's these negative numbers. It'll say increased risk for fracture. It is not easy to comprehend. and it deals a lot of fear. So this is an opportunity to help Betty interpret what this means. And you can really offer a lot of hope here. So with the DEXA scan, right, and with this data, you can be looking at it, and it's gonna give you that T-score, right? Betty may be looking at this and be like, oh my gosh, this number is so low, this is awful, right? I'm so scared. you can deal hope because you know, based on the law of initial values, those lower T-scores are going to respond to bone loading the best. They're gonna have the best result from starting to load those bones up. That's an amazing thing. You can share that news. So even if that T-score is really low, you can say, Betty, that's all right. That low score, those bones, you're gonna respond the best. And together, we're gonna help get those bones stronger. So right away, you can start dealing some hope. It's also going to tell you where those low T-scores are. The location of where the osteopenia or osteoporosis is is incredibly critical. How many of you have had patients come into your clinic and say, I can't lift that because I have weak bones? And you know, Betty, if it was Betty, she may assume that her weak bones are all over the place. However, that DEXA scan could tell you that the only place where she has weak bones is in her radius. Okay, well, all those squats and the jumping and things that Betty's like, absolutely not, I can't do, they're kind of irrelevant because it's in her radius and not in the legs, right? So to help Betty alleviate some of that fear, you could reassure her where those weak bones are. And that could really work in your favor when you're trying to get her to buy in to do exercise. However, you are also thinking, I need to know where and where is important because you know that bones are going to adapt specifically to where load is put on them. So let's say the low T score is in Betty's hip. You know that you have to load that hip up in order for that bone mineral density to increase. However, you also are taking this information and being cautious to say where it is so that Betty knows, yes, it's weak here. She may be a little apprehensive to load that area. So you know that you can give her the hope of, hey, it's weak here, but your bones are strong in these other places. So we can start loading where those strong bones are. So you can gradually expose her and mitigate some of the fear she may have. The other piece of information that is really important from the DEXA scan that you get as a provider is that it just gives you the severity, right? How low is low in that T-score? Because that is going to determine your rate of loading progression. So you have to know, hey, maybe this is someone where we are not going to start with impact exercises, we're going to start with just resistance exercises. And maybe I'm going to modify where I place that weight based on where that low T-score is. And maybe if we do start impact, or when we start impact, it's going to be upper extremity assisted versus just having Betty do jumping right away. So it's incredibly important so you know where the entry point is of appropriate and safe loading. So the bone mineral density scan, helping Betty interpret that information and you using it as a guide, sets you up to be able to appropriately intervene and start loading those bones up. All right. That is it, that is what I got for you all. I want you to start getting really curious about your patient's skeletal health, and then get after these two easy actionables. Run the FRAX tool, advocate for a bone mineral density test. Once you get the DEXA scan and you get that information, interpret that with Betty, use that as your guide, use it to deliver hope to Betty. After that, it is off to the races with your loading interventions. this framework of how to manage osteoporosis. This is one small piece. We expand on this so much greater in our L2 course. We talk about medical management. We talk about further into guidelines and how to load and what's appropriate to load. And we dig into the research. We would love to see you in that L2 course so that you all can really get a comprehensive really get comprehensive knowledge of how to manage this condition. In our live course, we have an entire lab focused on impact training, so it gives you all the ideas, all the ideas. You get to try them out of how to initiate bone loading for your athletes who are seated and they are non-ambulatory, they're in wheelchairs, all the way up to a very high, highly active older adult. That's what I got for you guys. I would love to hear if you all run the Fractual this week or interpret your patient's DEXA scan with them. I would love to hear how that goes. Have a wonderful rest of your Wednesday. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.

Providing Options for PrEP Reengagement: Strategies to Support PrEP Persistence and Reengagement

CCO Infectious Disease Podcast

Play Episode Listen Later Dec 15, 2023 16:11

In this episode, Kevin Astle, PharmD, BCPS, BCACP, AAHIVP, CDCES, discusses data and recommendations for providing HIV prevention options as a strategy to support PrEP persistence and engagement, including: Postexposure prophylaxis (PEP) recommendations and the data for PEP-in-PocketOffering PrEP to everyone who receives PEPCurrently recommended PrEP options and the safety and adverse event considerations with each optionMonitoring recommendations for the different PrEP optionsThe importance of proactively addressing PrEP safety concerns that could lead to PrEP discontinuationFacultyKevin Astle, PharmD, BCPS, BCACP, AAHIVP, CDCESAssistant ProfessorPharmacotherapeutics and Clinical ResearchUniversity of South Florida Taneja College of MedicineTampa, FloridaFollow along with the slides:bit.ly/48cULUNLink to full program:bit.ly/3ZlICsL

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"Building Blocks" - Developer Insights

Finance With Factor

Play Episode Listen Later Nov 1, 2023 24:14

Why do economists focus so much on builders' confidence levels and metrics? One reason is because they are the key to many economic indicators and future housing inventory. Mike Preston, Co-Founder & Principal of Beacon Montclair Development and Managing Partner of C21 Revolution, shares what developers are looking for in a purchase and resale. As the BMD team's lead and acquisition and sale strategist, his insights on how builders approach their budgets can inform buyers and buyer's agents on how to best approach an offer on new construction. We discuss new construction trends, profitability, and how agents looking to get into evelopment can get started.

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10 Things to Know About Osteoporosis Fitness Clients

Fitness Marketing Mastery

Play Episode Listen Later Oct 7, 2023 18:06

October is Menopause Awareness Month and October 20 is Osteoporosis Day, so it's only fitting we discuss the truths about working with osteoporosis fitness clients. Questions are abundant both among women diagnosed and trainers and coaches working with them. Information once on the internet lives on the internet and it's up to you to filter through it. Here's a little vetted information to help. Several references are included, but I encourage you to take your own primary research further. If you're working with someone with osteoporosis or osteopenia or you want to be a part of preventing it, you owe it to them and yourself to do your homework. Prior to dogma about weight management and lack of consistent information about prevention of bone loss are big contributors to a woman's risk of osteoporosis After diagnosis fear is the biggest obstacle many women face due to decades-long information that women with osteoporosis are delicate and should do less At this time 50% of women diagnosed with osteoporosis suffer a fracture During menopause transition bone loss can accelerate to 4% a year for up to 10 years according to previous studies reported by John Hopkins Misinformed from perpetuating outdated information from both doctors and trainers (since 2015 evidence of not only increased safety and viability of high impact and high intensity exercise for osteoporotic postmenopausal women is much more promising than prior goals of stopping or slowing losses) 41% of women over 40 had either osteopenia (>31%) or osteoporosis (>14%) in a 2010 study. Said differently, 31% of women over 40 had osteopenia and more than 30% of women over 60 had osteoporosis. The further from menopause (>10 years the increase in prevalence of osteoporosis = 40% compared to just 5 years post menopause at 9%) It's not only about calcium, it's about whether it's absorbed. Yes, to Vitamin D and magnesium but if gut issues persist and a woman is tolerating them or describing as “normal for me” there's a potential gap Intense weight training and high impact exercise have been safely employed in a number of studies since 2015 with positive results, no negative effects and a high adherence rate Yoga too has been proven to improve bone density with a daily practice of 12 poses each held for a minute Whole body vibration increased BMD by 2% with 5 minutes 3x a week in postmenopausal women. In physically restricted individuals it's an alternative to other exercise. In able-bodied, in combination with resistance training WBV increases results of both muscle and bone regeneration. “Whole-body vibration therapy is an intentional biomechanical stimulation of the body using various frequencies of vibrations with the motive of health improvement. Ever since its discovery, this therapy has been extensively used in physiotherapeutic measures and the sports industry. For its property of increasing bone mass and density, space agencies use this therapy on astronauts who return to Earth after long-term space missions to regain lost bone and muscle mass. The potential of this therapy to restore bone mass encouraged researchers to look for its scope in the treatment of age-related bone degenerative diseases such as osteoporosis and sarcopenia, as well as in the correction of posture control and gait in geriatrics and post-menopausal women.” First used by NASA with astronauts as a way to overcome the muscle and bone losses experienced by astronauts in space. affects bone metabolism, muscle function, muscle training, and the endocrine system Vibration therapy provides anabolic mechanical signals to the bone and musculotendinous systems It improves blood circulation to the bones, ensuring an improved nutrition supply. Human adipose-derived stem cell differentiation into osteoblasts is facilitated by vibration therapy inhibiting excessive osteoclast formation improves bone health by amplifying gap junctional communication in osteocytes activate the tonic vibration reflex and induce non-voluntary muscular contraction activation of previously inactive muscle fibers enhances the endocrine system's functioning: Growth hormone increases by 500% (though it sounds inflated: true) References: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3139257/ https://pubmed.ncbi.nlm.nih.gov/36793830/ https://pubmed.ncbi.nlm.nih.gov/27331044/ https://www.hopkinsarthritis.org/arthritis-info/osteoporosis-info/ Other Episodes You Might Like: 10 Things to Know About Coaching Menopause Fitness Clients: https://www.fitnessmarketingmastery.com/menopause-fitness-clients/ Training Midlife Clients | Zone 2 Training For Menopause: https://www.fitnessmarketingmastery.com/zone-2-training-for-menopause/ Resources: Your Business Scorecard: For Fitness & Health Coaches: https://www.fitnessmarketingmastery.com/business-scorecard/ Menopause Fitness Specialist™ Program: https://www.flippingfifty.com/menopause-fitness-specialist-program-2022/ Save 20% off with code: Flipping50 https://www.flippingfifty.com/powerplate Send an Email to support@flippingfifty.com if you want to learn more about the founding member's rate for the Health & Well Pros mastermind.

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Whole Body Vibration for Bone Density | Medical Exercise Specialist Report

united states co founders good news becker retreats dmd barbera muscular dystrophy orgif bmd brave together

Play Episode Listen Later Sep 26, 2023 21:52

What do you know about whole body vibration for bone density? Curious? Skeptical? Me too. But with more and more instances of degeneration, chronic illness or long haul preventing the active life that supports bone health, additional means of stimulating both muscle and bone density are always on my mind. Falls are the second leading cause of unintentional death in the world. Older women are especially at risk due to decreased strength, reaction skills, balance, and low bone density. Falls result in fracture 31% percent of the time and 95% of hip fractures are the result of falls. For those who've had a prior fracture, they are twice as at risk for a future fracture. Whole body vibration (WBV) was first used by NASA with astronauts as a way to overcome the muscle and bone losses experienced by astronauts in space in the early 60s. Why the Need for Whole Body Vibration for Bone Density? Let me give a little background on why this is so problematic. Misinformed from perpetuating outdated information from both doctors and trainers (since 2015 evidence of not only increased safety and viability of high impact and high intensity exercise for osteoporotic postmenopausal women is much more promising than prior goals of stopping or slowing losses) 41% of women over 40 had either osteopenia (>31%) or osteoporosis (>14%) in a 2010 study Said differently, 31% of women over 40 had osteopenia and more than 30% of women over 60 had osteoporosis. The further from menopause (>10 years the increase in prevalence of osteoporosis = 40% compared to just 5 years post menopause at 9%) Whole body vibration increased BMD by 2% with 5 minutes 3x a week (for 6 mos) in postmenopausal women. In physically restricted individuals it's an alternative to other exercise. In able-bodied, in combination with resistance training, WBV increases results of both muscle and bone regeneration. While I wouldn't advocate only doing whole body vibration for bone density if you're able to do more, in conjunction with resistance training exercises, impact to your tolerance level, and attention to dietary and gut health, whole body vibration for bone density is an “extra” form of insurance. It not only improves bone density, but is beneficial to muscle, balance, and healing or regeneration in the case of injury. “Whole-body vibration therapy is an intentional biomechanical stimulation of the body using various frequencies of vibrations with the motive of health improvement. Ever since its discovery, this therapy has been extensively used in physiotherapeutic measures and the sports industry. For its property of increasing bone mass and density, space agencies use this therapy on astronauts who return to Earth after long-term space missions to regain lost bone and muscle mass. The potential of this therapy to restore bone mass encouraged researchers to look for its scope in the treatment of age-related bone degenerative diseases such as osteoporosis and sarcopenia, as well as in the correction of posture control and gait in geriatrics and post-menopausal women.” Mechanisms of Whole Body Vibration for Bone Density (and more) affects bone metabolism, muscle function, muscle training, and the endocrine system Vibration therapy provides anabolic mechanical signals to the bone and musculotendinous systems It improves blood circulation to the bones, ensuring an improved nutrition supply. Human adipose-derived stem cell differentiation into osteoblasts is facilitated by vibration therapy inhibiting excessive osteoclast formation improves bone health by amplifying gap junctional communication in osteocytes activate the tonic vibration reflex and induce non-voluntary muscular contraction activation of previously inactive muscle fibers enhances the endocrine system's functioning: Growth hormone increases What questions do you have about WBV for osteoporosis? References: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3139257/ https://pubmed.ncbi.nlm.nih.gov/36793830/ https://pubmed.ncbi.nlm.nih.gov/27331044/ https://www.hopkinsarthritis.org/arthritis-info/osteoporosis-info/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422949/#:~:text=Multiple%20factors%20are%20known%20to,fracture%20%5B18%E2%80%9320%5D. Other Episodes You Might Like: Exercise for Bone Density Then and Now: https://www.flippingfifty.com/exercise-for-bone-density/ 21 Reasons Weight Training Should Be Mandatory Exercise After 50: https://www.flippingfifty.com/weight-training-should-be-mandatory/

THE SPORTCAST - Episode #102

The Leg it Podcast

Play Episode Listen Later Aug 4, 2023 61:14

A look back at the week of sport, and a look forward to this weekend's action. On this week's episode: Saudi taking Premier League refs Mane to Saudi Do Saudi teams want defenders? Kane closer to Bayern transfer Who replaces Kane? Rasmus Højlund to United United takeover still not done Raya to Arsenal Lavia to LFC stalling Liverpool squad still too light? New Liverpool hierarchy Salah not selected for leader roles BMD to be "deafening" Everton need more signings Everton ins and outs Gray to Fulham? Crawford v Spence What's next for Crawford Smith v Beterbiev postponed Connor Benn cleared to fight Join us on Patreon for all of the other Patreon Perks... https://www.patreon.com/legitpodcast Shout out to our sponsors... VIR Clothing | https://www.virclothing.com Type in LEGIT25 for 25% off Prepped With Passion | https://preppedwithpassion.co.uk Type in LEGIT15 for 15% off Pro Hormones | https://pro-hormones.co.uk Type in LEGIT for 10% off Follow us on Social Media: Leg It Podcast https://twitter.com/thelegitpodcast https://www.instagram.com/thelegitpodcast Andy https://twitter.com/AndyGbootneck https://www.instagram.com/andygbootneck

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What the F*** Do They Think the Russians are Going to Shoot at Them?!

Arms Control Wonk

Play Episode Listen Later Jul 18, 2023 26:09

Germany has a gap that needs to be filled in the face of Russian threats. But this time it isn't Fulda, it is....the exoatmospheric layer of ballistic missile defenses? Jeffrey and Aaron try to understand Germany's decision to buy the very fancy Israeli/American Arrow-3 exoatmospheric BMD system, in absense of a specific Russian missile system and despite two Aegis Ashore sites coming online in Europe. Support us over at Patreon.com/acwpodcast!

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How to Prevent Fragility Fractures: A Guideline for Family Doctors

CMAJ Podcasts

Play Episode Listen Later May 8, 2023 23:12 Transcription Available

Fragility fractures are a major health concern for older adults and can result in disability, admission to hospital and long-term care, and reduced quality of life. The Canadian Task Force on Preventive Health Care guideline published in CMAJ provides evidence-based recommendations on screening for primary prevention of fragility fractures.In this special episode of the CMAJ podcast, CMAJ editor-in-chief Dr. Kirsten Patrick speaks to Dr. Roland Grad, a family physician and an author of the new guideline, about the evidence reviews conducted by the task force, the main points of the new guideline, and how family doctors can use it in practice. The guideline recommends screening females over 65 using the FRAX tool without bone mineral density (BMD) as a risk assessment first strategy. Dr. Grad emphasizes the importance of shared decision making, which can be facilitated using the Fragility Fracture Decision Aid, which incorporates the FRAX tool. This online, interactive tool helps guide discussions with patients about their fracture risk and potential benefits of preventive treatment.Links to resources mentioned in the interview:Canadian Task Force on Preventive Healthcare guidelineFragility Fractures Clinician InfographicFragility Fracture Decision Aid Article in Journal of Systematic ReviewsJoin us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.You can find Blair and Mojola on Twitter @BlairBigham and @DrmojolaomoleCMAJTwitter (in English): @CMAJ Twitter (en français): @JAMC FacebookInstagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions

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When No News is TRULY Good News with Ryan Barbera

Brave Together

Play Episode Listen Later Apr 19, 2023 30:26

One of the invisible burdens many parents of children with degenerative or recurring disease carry is the knowledge that someday the other shoe may drop. They don't know when or at which doctor's appointment, but that knowledge, that things could take a turn for the worse, bears weight on their souls.Our story teller on this episode, is a father, Ryan Barbera, whose son was diagnosed with the rare degenerative disease, Becker's Muscular Dystrophy. He shares today with host Jessica Patay, about the challenges he faces as a parent: misdiagnosis, searching for a cure, always being the person at the party talking about their sick kid and the stress of waiting for results. They also discuss the importance of taking care of your mental health in this high stress parenting scenario and why modeling all the emotions with your kids is important. It's a very deep, open and inspiring conversation.Ryan Barbera is the Co-Founder of Strongest Hearts a non-profit that is designed to exclusively work to find a cure or treatment, educate and advocate for DMD and BMD. DMD is the number one killer for adolescents in the US and we search to find a solution that will help over 90% of the DMD and BMD community.Connect with Ryan Barbera and Strongest Hearts here.Brave Together is the podcast for We are Brave Together, a not-for-profit organization based in the USA. The heart of We Are Brave Together is to strengthen, encourage, inspire and validate all moms of children with disabilities and other needs in their unique journeys. JOIN the international community of We Are Brave Together here.Donate to our Retreats and Respite Scholarships here.Donate to keep this podcast going here.Can't get enough of the Brave Together Podcast?Follow our Instagram Page @wearebravetogether or on Facebook.Feel free to contact Jessica Patay via email: jpatay@wearebravetogether.orgIf you have any topic requests or if you would like to share a story, leave us a message here.Please leave a review and rating today! We thank you in advance!

Flowing

Boulware Boys FOH Podcast

Play Episode Listen Later Mar 15, 2023 98:44

This episode we are flowing!!!! Took a trip to the 717 to see the fam, hang and peep the BMD league!! Slid to Brooklyn to see my Bro Idi and it was a vibe. BMF is outta control and it's Lit. I thought Lucille was gon crack girly with that cast iron

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S2E24: Karin Ashley, NP | More Time, Attention, Focus and Addressing the ROOT CAUSE

The Fit and Fabulous Podcast

Play Episode Listen Later Oct 18, 2022 55:24 Very Popular

On today's episode, Dr. Jaime interviews Women's Health Nurse Practitioner and Health Coach, Karin Ashley, NP!Karin graduated with a Bachelor's Degree in Nursing (BSN) in 2007, a Master's Degree in Nursing (MSN) in 2010, Board Certification as a Women's Health Nurse Practitioner (APRN), also in 2010. Karin was a student of the Integrative and Functional Women's Health Training for practitioners with Aviva Romm, MD in 2020-2021. She maintain her board certification, but now practice as an Integrative and Functional Women's Health Coach, where she feels she can best serve her clients with more time, more attention, and more focus on addressing the root causes of illness. SPONSOR: Get 20% Off Sparkle Wellness new OSTEO BOOST using code DRFIT at www.lovespark.life. Formulated with clinically studied collagen peptide, FORTIBONE®, Osteo Boost improves bone strength and flexibility, increases bone mineral density (BMD), and improves bone healing.

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Bone up on Bone for immune and metabolic health | Episode 5

vlmd rounds

Play Episode Listen Later Oct 18, 2022 65:24

DescriptionWe discuss the structural function of bone and how to improve bond mass and quality through nutrition. In addition, we talk about the immune and hormonal functions of bone. Learn how bone can help you with stress!Time stamps:2:48 Body composition review3:37 Bone density and DXA4:16 Bone structure4:45 Osteoblasts7:30 Osteocytes8:55 Osteoclasts10:16 Osteoporosis10:58 Osteoporotic fractures13:44 Cost burden of osteoporotic fractures16:23 Risks for osteoporotic fractures17:42 Ethnic differences in BMD, fracture risks19:50 Calcium/PTH/Vitamin D26:06 Vitamin D30:00 What you need for good bone33:10 Magnesium43: 37 Immune aspects of bone48:50 Hormonal functions of bone49:37 Osteocalcin55:00 Functional unit of FMB1:02:35 Wrap upCC

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#227 - AMA #40: Body composition, protein, time-restricted feeding, fasting, DEXA scans, and more

Play Episode Listen Later Oct 17, 2022 16:08 Very Popular

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter In this “Ask Me Anything” (AMA) episode, Peter discusses the importance of understanding body composition and explains how to interpret the most important metrics revealed by a DEXA scan, such as lean muscle tissue mass, visceral adiposity tissue mass, bone mineral density, and more. He discusses common concerning trends in these metrics as well as strategies to address them. He goes through DEXA scan results of both male and female patient case studies and explains the prescribed intervention for each patient. Additionally, Peter answers numerous questions about dietary protein including how much we need, when we need it, and how intake should be divided throughout the day to optimize muscle protein synthesis. Finally, Peter provides his updated point of view on time-restricted feeding and fasting and how his personal approach and recommendations for patients has evolved. If you're not a subscriber and are listening on a podcast player, you'll only be able to hear a preview of the AMA. If you're a subscriber, you can now listen to this full episode on your private RSS feed or on our website at the AMA #40 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here. We discuss: Interpreting DEXA scans: important metrics, radiation levels, and more [2:15]; DEXA metrics: Bone mineral density (BMD) [12:00]; DEXA metrics: Visceral adipose tissue (VAT) [14:30]; DEXA metrics on lean tissue: appendicular lean mass index (ALMI) and fat-free mass index (FFMI) [20:45]; Concerning trends in BMD, VAT, & muscle mass revealed through DEXA scans [24:15]; Muscle and lean tissue loss with age and how to overcome anabolic resistance [29:15]; Female patient case studies: DEXA scan results and prescribed interventions [35:00]; Male patient case studies: DEXA scan results and prescribed interventions [42:45]; Protein consumption: recommended daily intake, Peter's personal approach, timing around workouts, and more [48:15]; What to look for with protein supplements [53:15]; Protein intake: optimal timing and how it should be divided throughout the day [55:30]; Time-restricted feeding (TRF): Peter's updated perspective [57:45]; Three strategies for reducing energy intake in over-nourished patients [1:03:15]; Prolonged fasting: potential benefits and tradeoffs [1:07:15]; A protein-supplemented version of time-restricted feeding (TRF) [1:09:30]; Theories about time-restricted feeding (TRF) and its positive influence on sleep and circadian rhythm [1:12:00]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

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Strength Training Enough for Bones, Not Too Much for Adrenal Fatigue

A Few Things with Jim Barrood

Play Episode Listen Later Sep 30, 2022 30:48 Very Popular

If you are a midlife woman I'm going to share some success stories here I think that you will love. With each, I'm going to share a research study linking to why and what happened. These successes are no accidents. I also want you to know that these women before they started strength training, weren't. Obvious, right? But we forget it. We think, well that's because they've always done it. We all start from a place of not doing it and move to doing it. Some of them were doing too much and came to realize that finding their sweet spot was the key to easier results. Others had to change their focus from tons of endurance to one of more muscle so that less fat could also be a truth. Somewhere here, whether you need a shift in your program, you want reinforcement you're on the right path, or you want to get started but are still on the fence wondering if now is the time… there's something for you here. 00:00 Diane changed her bone density by strength training at home during the pandemic from January to September of 2020. 03:45 “For this type of exercise to be effective a joint reaction force superior to common daily activity with sensitive muscle strengthening must be determined.” Whole Plate Vibration - effect for deteriorating elderly, but only effective at gains when combined with strength training component. “However the combination of exercise should be tailored on the patient's clinical features. No agreement exists on the best protocol in terms of duration, frequency, and the type of exercises to be combined.” The exercise types most effective on BMD for the neck of femur, which should be considered in clinical practice, appear to be the progressive resistance strength training for the lower limbs. The most effective intervention for BMD at the spine has been suggested to be the multicomponent training exercise programme. Strength training enough for muscle strength may still not be enough for bone density. Jennifer lost 100 lbs and she hit that threshold during the pandemic combining lifting weights at home with her regular walking and cardiovascular training. 07:25 Jennifer followed a training program consisting of two high intensity(heavy) strength training sessions a week, one functional movement session, and two interval training sessions along with daily movement in the form of walking, golf, hiking, biking, or swimming. For post-menopausal women, HIIT compared to endurance exercise training is much more effective at removing adipose tissue and visceral belly fat. Weight training even with minimal exercises is proven to predict weight control in post menopausal women. Weight loss comes from increasing lean muscle creating metabolic changes adequate enough to promote energy but under the threshold where rest or couch compensation occurs. Jennifer likes to work hard. INsulin sensitivity is another reason post menopausal women want to exercise. In a pre-diabetic state, midlife women often need the boost of muscle to support blood sugar control. Even T1 Diabetics find more opportune exercise in strength training compared to aerobic exercise. (3) Jeanie says she was doing too much too often, or caught wondering if she had time to do it today, and not stretching or knowing the importance of it. 10:36 In spite of this, it's important to note that I'm asked frequently about women in perimenopause should do Flipping 50, or women in post menopause (in their 60s and 70s) should do the same as Flipping 50. The before (peri), mid, and post menopause workouts are indeed similar. One study recently hypothesized that post menopause women would have more muscle damage due to lower hormone levels or what they called “hormone deprivation.” It was disproven. Heavy weight training positive outcomes without negative repercussions were experienced by both peri and post menopausal women. Now, consider that study done in 2021, but… on women not on HRT. The difference I would hypothesize and have seen it myself and in our community is that those women on HRT have an easier time gaining lean muscle and losing fat. Or avoiding muscle loss and fat gains, depending on their status. Kathy mentioned gratitude for the safe form and demonstrations of it that helped her. Beyond that it was the community that gave her such a boost in realizing that she could exercise even when hosting house guests since another person in her Facebook group had followed my suggestion that the way we deal with the holidays can be different. 13:44 There is some evidence that women are more prone to injury compared to men, and older women more at risk than younger. But there is not a lot of data on this. The injuries to tend to occur in overuse syndrome more than they don't, and in the application of endurance exercise. This makes sense, as the repetitive injury strain causes break down over time. And a singular sport activity like running or even too much walking creates muscle imbalances eventually. This 40 year fitness professional is a prime example of this. It wasn't when I was doing marathons and teaching classes frequently but when I became a triathlete with a much more balanced use of my body that I truly became fit. Those of us who have an addictive personality though, and we are all vulnerable to addition. Feeling good feels good and we tend to want more. (greedy!) and even that can go too far. Emily says she always thought weights would end up being monotonous but that the program kept it interesting and different each time. She also appreciated that knowing only having to do it twice a week is good. 17:45 Women's perceptions of strength training is changing, but slowly. Interestingly enough, the older we are the more committed we get. Barriers include being too busy, lack of desire, and too much discipline required to continuously take part in a regular resistance training program, even for young college women. The biggest barriers weren't gaining bulk, or size. Still some of those feelings linger for women over 50 who grew up with those myths - and with a high carb diet that most likely contributed to any “bulk” experienced. Hana said this in the middle of the Stronger program: definitely stronger, happier, better sleep, more muscle and don't even care about the scale. Hard to believe she said, but true. 19:35 The struggle to weigh and put your measure of success on the scale is real. Giving that up, letting it go is empowering. Knowing what you gain or lose can be important. Did you lose muscle ? or fat? Did you gain? Muscle? Scale Shopping?? My scale recommendations so you can monitor. Infrequently. Susan finished STRONGER Tone & Define definitely seeing more muscle definition. She lost 2 inches from her belly and 1 inch from her hips. Clothes fit better. After shoulder and back injuries last year she managed to recover and use this program to get back into weights. So fantastic! The goal to keep in mind, is strength training enough to create results and never so much that other activity is compromised. Allyson was pleased with the program and her progress. She had definition in her triceps which she never had before. Joanna noted she actually did the exercises for 12 weeks which never happened in the gym. She said it was much better for her than at gym with leeway for time. Convenience of exercise is big. The resistance to strength training is often multifactorial: Inconvenient Time Uncomfortable in a gym The reasons given by all-ages of women for exercise at home: Don't want to be seen exercising Don't want to commute Not in the mood Tired, too much fatigue Sore, achy or don't want to be This is really a big part of the reason behind the frequency of programming and encouragement toward movement outside of exercise. It allows freedom, complete recovery, and reduction of injury or soreness. One of our former students, Tamara, said this, “the STRONGER program impacted my life. The lessons you learn on lifting weight allows you to feel comfortable walking into any gym. This program was one of the best things I could have done for myself. Even when women begin a program to mitigate menopause symptoms - bone or muscle loss, belly fat or weight gains - they stay, if they can stay beyond a sticking point, because it becomes enjoyable and empowering according to a recent study in BMC Women's Health. And I didn't need research to tell me this. I see it daily. Comments like, I started for weight loss, but I got my life back, are a frequent occurrence here at Flipping 50. Terry said she had started gaining weight and when she tried what always worked, it didn't. She gained more weight, about 16 lbs. She felt weaker, tired, anxious and was having hot flashes. She found me on YouTube and was trying to piece together an exercise program. She learned about cortisol, core exercises, why situps are not good for the back, so when she got the info about STRONGER, she was ready to find out what else she didn't know. She realized she can eat a variety of food and still lose inches = amazing? She's getting more energy. She also did the companion Food Flip program and said she thinks everyone should - within 2 days of starting it her hot flashes! 27:54 If you're on the fence… I hope that these comments and the research behind them have helped you. I hope you understand the why, that they're no accidents. The programs are designed to support your physical and your emotional changes during midlife and later. And if not this program, something. If you're unsure, you need to talk to a real human, DM me on Instagram. I don't check FB messenger often so that is not a good place. But I see and respond to all DMs on Instagram if you message at @flipping50tv (be sure it's got the tv on it) I have three questions for you: Are you strength training enough to positively impact your bone & muscle? Could you be strength training too much so it negatively impacts your adrenals and fat? Have you considered STRONGER Tone & Define to get started on a made-for-menopause path? REFERENCES: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323511/ https://pubmed.ncbi.nlm.nih.gov/29088015/ https://pubmed.ncbi.nlm.nih.gov/34444464/ https://www.cdc.gov/mmwr/preview/mmwrhtml/rr4902a3.htm https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5955292/ https://www.heart.org/en/news/2019/01/02/the-pros-and-cons-of-weighing-yourself-every-day https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0264158 https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-022-01900-0

5 Years Later: Do you return to your pre-DPC self?

Dead Parent Club

Play Episode Listen Later Sep 30, 2022 33:05

Someone once said that you 'won't start to feel more like your normal self until 5 years after the death'. Is this true? Is it partially true? Does it really ever happen? In this episode we discuss how our emotions and sense of self changed between before-Mum-dying (BMD) and after-Mum-dying (AMD) - and how those parts of us changed or returned after 5 years. Are there any parts of the before-parent-dying (BPD) self that you miss? Let us know! To find out more, visit our website at www.deadparentclub.co.uk or follow us on social media by clicking the links below:InstagramFacebookTwitterSpecial thanks to This Is Distorted for their time and effort in producing this podcastSupport this show http://supporter.acast.com/deadparentclub. Hosted on Acast. See acast.com/privacy for more information.

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#85 Entrepreneur Chat: Pavel Stuchlik, NOA | AON - A Few Things - 60 Min

Play Episode Listen Later Sep 5, 2022 60:57

NOA|AON aka Pavel Stuchlik is an expert in self-realization technique + application, international conscious DJ/Producer, serial impact entrepreneur & investor, certified Ambassador of Peace and Wim Hof Instructor. NOA means movement; AON is 'all or none'' With #noamovement NOA|AON is bringing people back to their center in union with others. He created the BMD method to combine all of the most effective tools and wisdom from around the world to share with others.

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#214 - AMA #37: Bone health—everything you need to know

impact nutrition defining types member bones bone factors ama pharmaceutical bone health variability dexa ask me anything ama bmd

Play Episode Listen Later Jul 18, 2022 17:22 Very Popular

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter In this “Ask Me Anything” (AMA) episode, Peter dives deep into the topic of bone health and explains why this is an important topic for everyone, from children to the elderly. He begins with an overview of bone mineral density, how it's measured, how it changes over the course of life, and the variability between sexes largely due to changes in estrogen levels. From there he provides insights into ways that one can improve bone health, from exercise to nutrition supplements to drugs. Additionally, Peter discusses what happens when one may be forced to be sedentary (e.g., bedrest) and how you can work to minimize the damage during these periods. If you're not a subscriber and listening on a podcast player, you'll only be able to hear a preview of the AMA. If you're a subscriber, you can now listen to this full episode on your private RSS feed or on our website at the AMA #37 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here. We discuss: Overview of bone health topics to be discussed [1:45]; Bones 101: bone function, structure, and more [5:15]; Bone mineral density (BMD), minerals in bone, role of osteoblasts and osteoclasts, and more [8:30]; The consequences of poor bone health [13:30]; The devastating nature of hip fractures: morbidity and mortality data [17:00]; Where fractures tend to occur in the body [23:00]; Defining osteopenia and osteoporosis [24:30]; Measuring BMD with DEXA and how to interpret scores [27:00]; Variability in BMD between sexes [34:15]; When should people have their first bone mineral density scan? [36:45]; How BMD changes throughout the life and how it differs between men and women [39:00]; How changes in estrogen levels (e.g., menopause) impact bone health [44:00]; Why HRT is not considered a standard of care for postmenopausal bone loss [47:30]; Factors determining who may be at higher risk of poor bone health [50:30]; Common drugs that can negatively impact BMD [54:15]; How children can optimize bone health and lay the foundation for the future [57:45]; Types of physical activity that can positively impact bone health [1:02:30]; How weight loss can negatively impact bone health and how exercise can counteract those effects [1:10:45]; Nutrition and supplements for bone health [1:14:15]; Pharmaceutical drugs prescribed for those with low BMD [1:17:15]; Impact of extreme sedentary periods (e.g., bedrest) and how to minimize their damage to bone [1:22:00]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

Wilbur reaction

Play Episode Listen Later Jul 17, 2022 23:07 Very Popular

we're back with shitty audio !! Bmd and buddy recorded their reaction to the wilbur on their way home

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The Funeral ft Kirk Minihane

funeral buddy bmd kirk minihane

Play Episode Listen Later May 23, 2022 62:04 Very Popular

Kirk Minihane is a man of his word. He said he'd be our last guest and he came through on it! Buddy and Bmd fumble their way through an interview with their white whale

Magnolia Week

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Play Episode Listen Later Apr 7, 2022 41:19

BMD and Buddy are back talking about the week in KMS. We get into the Howie Carr drama, Harrison phone call, Callahan Coffee and more. At the end of the episode we have the Kevin From Bristol song " Creaming" that got cut off early by Kirk as well as the Murchison's Mouse song " Kevin From Bristol" which was also hooked early

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EP #689: Brennan Manna Diamond PL with Donna Flammang

Good Neighbor Podcast

Play Episode Listen Later Apr 2, 2022 9:26

What Makes Brennan Manna Diamond PL a Good Neighbor...BMD is a full-service law firm serving entrepreneurs and businesses in a wide variety of industries. True to the entrepreneurial spirit, we appreciate the challenges and opportunities faced by businesses in today's ever evolving marketplace.Our professionals collaborate seamlessly across practice areas and geographies to provide our clients with exceptional service, sophisticated advice and creative and practical solutions that reflect a deep understanding of the legal landscape, market trends and our clients' businesses and objectives. Click here to learn more about BMD's strategy for growth and how it realizes the firm mission of Clients First, Business Family & Entrepreneurship.Listen. Solve. Empower. is not just a tagline, it is the cornerstone of BMD's success.To learn more about Brennan Manna Diamond PL, go to: https://www.bmdllc.com/Brennan Manna Diamond PL8891 Brighton LaneSuite 112Bonita Springs, Florida 34135239.992.6578Support the show

April Fools

will smith april fools bmd

Play Episode Listen Later Apr 1, 2022 39:33

this week on an Andrew-less Kirkin Off Buddy and BMD talk about the Will Smith fiasco, Klemmer Hate, Wednesdays big announcement and more

Sigmund Freudihane

Play Episode Listen Later Feb 27, 2022 52:45

Sig joins the show to talk about the week of shows in KMS. Come for him doxxing himself while telling a story about his dads jeans, stay for his and BMD's dad tips for Buddy

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Billboard Charts Guy

world billboard charts kms montante bmd

Play Episode Listen Later Feb 21, 2022 48:27

we're back after an impromptu week off w special guest Billboard Charts Guy, we get into his love of music, billboard charts, the top 100 and KMS. before BBCG jumps in the boys talk about BMD on Montante's World, the future of Kirkin off (yes, again.) as well as everyones favorite topic, conservative politics!!

#08. The Book of Boba Fett - Chapter 7: In the Name of Honor

Blue Milk Drop: A Star Wars Podcast

Play Episode Listen Later Feb 13, 2022 64:39

Welcome back to Blue Milk Drop! The finale of The Book of Boba Fett is upon us! Join the conversation as Nate and Brucker go back and forth on this final chapter, share what they would do differently, rank each episode, and speculate of the future of this story arc. Also, a quick teaser at the end for the future of BMD “off-season” content until the Kenobi series kicks off!Follow us and reach out with comments, questions, or suggestions! Also, please give us a 5 Star rating on iTunes and Spotify. Twitter: @bluemilkdropInstagram: @bluemilkdropTikTok: @bluemilkdropYouTube: @bluemilkdropEmail: bluemilkdrop@gmail.com

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Kris Kirk's Off

Play Episode Listen Later Jan 23, 2022 47:44

Kris in Methuen fills in for BMD this week as the boys get into the Rovell drama, Nicki Glazer, At a Theatre Near Me, Kris' call this week and the missing Minifan News

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Happy Christmas

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Play Episode Listen Later Dec 24, 2021 46:17

In our last episode of 2021 we talk about the excellent week of shows in KMS including, Magnolia, Linda Marks , Thom Hartman, Tim in Canton gets another blowjob from BMD and much more! our 2021 wrap up will come out just after New Years. Be safe yadda yadda Merry Christmas from your favorite idiots

Did the 'Main Show' get it wrong?

Minifandom

Play Episode Listen Later Dec 22, 2021 35:58

Andrew Augustus was given permission by BMD and Buddy to join me for this episode and speak. See omnystudio.com/listener for privacy information.

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Killer Kowalski

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Play Episode Listen Later Dec 18, 2021 47:02

This week on Kirkin Off the boys have Killer Kowalski on to talk about the week that was in KMS. They get into the Tibbetts drama, QWC vs Justin, Carano. Plus at long last the news is back on Kirkin Off, and we close w a BMD and Tim in Canton prank call that didnt make the show.

Future of Court Operations - In Person & Virtual

The Bold Sidebar

Play Episode Listen Later Dec 1, 2021 17:40

COVID COURT ALERT!The NJ Supreme Court and AOC issued an order to continue handling most routine court matters virtually. Here is the Order - https://www.njcourts.gov/notices/2021/n211118a.pdf?c=BMD(1) Case - G.C. v. Division of Medical Assistance and Health Services - counting income in qualifying for Medicaid - regulation invalidated https://www.njcourts.gov/attorneys/assets/opinions/supreme/a_35_36_37_20.pdf?c=GZZ

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Andrew Bailed