Podcasts about BMI

Send us a textIn this episode, I explore whether the famed Blue Zones offer genuine insights for longevity or if they're more marketing myth than science, while highlighting what the evidence truly shows about living to 100.We begin by considering how many people actually reach 100. Currently, just 0.03% of Americans are centenarians, though this is expected to quadruple by 2054, with women comprising about 78% of that group (Pew Research). Globally, regions like Hong Kong show higher longevity, where 12.8% of females and 4.4% of males are projected to reach 100 (Nature). This brings us to the question: what might we learn from regions like the Blue Zones?I break down how the Blue Zones concept originated, starting with Sardinia where researchers Pes and Poulain mapped centenarians with blue dots, hence the term Blue Zones. Their 2004 study highlighted clusters of longevity (ScienceDirect). Dan Buettner later popularized these findings through his National Geographic article (Blue Zones PDF) and subsequent books, documentaries, and programs. The Blue Zones promote nine lifestyle habits: daily activity, minimal meat and processed foods, moderate red wine intake, calorie reduction, life purpose, stress reduction, spiritual community involvement, prioritizing friendships, and surrounding oneself with like-minded people.While these recommendations align in part with my six pillars of health—exercise, nutrition, mind-body harmony, sleep, exposure to heat/cold, and social relationships—the Blue Zones overlook critical factors like sleep and heat/cold exposure. Their encouragement of moderate alcohol use also contrasts with emerging evidence on alcohol's risks.I examine critiques of Blue Zone science, including flawed birth records that may inflate longevity claims, as seen historically in the U.S. and Greece  (bioRxiv, UCL). Some regions, like Okinawa and Sardinia, no longer display exceptional longevity, possibly due to regression to the mean or changes in lifestyle (PubMed).I also share a rigorous epidemiologic study tracking 80-year-olds to 100, identifying key predictors like non-smoking, low alcohol use, regular exercise, healthy BMI, and dietary diversity (fruits, vegetables, fish, beans, tea). Those with high lifestyle scores had a 60% greater chance of reaching 100 (JAMA).Ultimately, while Blue Zones have helped popularize valuable lifestyle habits, the science behind their claims is mixed. My six pillars remain grounded in evidence that applies to real-world aging.Takeaways: Focus on proven factors—exercise, balanced nutrition, sleep, mind-body practices, social connections, and thoughtful heat/cold exposure—to enhance both lifespan and healthspan. Be cautious about adopting longevity claims without strong evidence. Remember, while genetics play a larger role at extreme ages, your daily choices still profoundly influence your journey toward living long and well.

Join Professor Iain McInnes and Professor Rieke Alten for the latest episode on The Immune-Mediated Inflammatory Disease Forum, where they discuss the latest updates in RA. In this episode, they discuss three papers: the impact of TOF treatment on weight and BMI in RA patients, to that of alternate treatment options for RA patients with prior MTX-inadequate response, and the treatment of JAKis versus TNFis in RA.

From weight medication side effects to the best exercises to build muscle as you age. Ask us anything. We’ve got you covered In this episode, Dr Mariam and Claire Murphy answer all your questions about the body. From whether the BMI is bullshit to knowing what a healthy weight range is. Plus, what’s the right age to start getting bone density checks? They also talk to the experts to answer questions about whether genetics impact your weight and whether you need a special diet and exercise plan if you’re prescribed weight loss medication. They also discuss what kinds of health issues can be reversed if you lose weight and how we reframe conversations about our body. THE END BITS For more information on bone density: Healthy Bones Australia Sign up to the Well Newsletter to receive your weekly dose of trusted health expertise without the medical jargon. Ask a question of our experts or share your story, feedback, or dilemma - you can send it anonymously here, email here or leave us a voice note here. Ask The Doc: Ask us a question in The Waiting Room. Follow us on Instagram and Tiktok. All your health information is in the Well Hub. Support independent women’s media by becoming a Mamamia subscriberCREDITS Hosts: Claire Murphy and Dr Mariam Guest: Dr Isobelle Smith Guest: Dr Jessica McEwan Guest: Dr Sonia Davison Senior Producers: Claire Murphy and Sasha Tannock Audio Producer: Scott Stronach Mamamia studios are styled with furniture from Fenton and Fenton. Visit fentonandfenton.com.au Mamamia acknowledges the Traditional Owners of the Land we have recorded this podcast on, the Gadigal people of the Eora Nation. We pay our respects to their Elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander cultures.Information discussed in Well. is for education purposes only and is not intended to provide professional medical advice. Listeners should seek their own medical advice, specific to their circumstances, from their treating doctor or health care professional.Support the show: https://www.mamamia.com.au/mplus/See omnystudio.com/listener for privacy information.

Ever say, “I just need to get something off my chest”? Everyone has said words to that effect at some point. But let's be honest, sometimes we're not looking to confess or be vulnerable… we just want to complain. This message challenges us to recognize the difference between healthy venting and the sneaky sin of grumbling that can damage our hearts, relationships, and even our faith. With a powerful look at the Israelites in Deuteronomy and practical tools for overcoming a complaining spirit, this sermon by Discipleship Pastor Ryan Akers invites us to trade our grumbling for grace and our whining for worship. Don't miss it.Message Notes: https://notes.subsplash.com/fill-in/view?page=BkNMdeRXex5-Day Devotional: https://www.theharbor.life/blog/tag/the-lies-we-love-complainingDiscussion Questions: https://storage2.snappages.site/PJBKS3/assets/files/TLWL4-SGQ.pdf_______________________________________________________________________Subscribe so you don't miss a thing!Christian Copyright Solutions (CCS, BMI, ASCAP, SESAC)License: #14753Find us on:YouTube: YouTube.com/TheHarborInstagram: Instagram.com/TheHarbor_lifeFacebook: Facebook.com/TheHarbordotlifeWebsite: https://www.TheHarbor.lifeWatch/listen on The Harbor AppNew episode every week!

Six years ago, Simon Moores, CEO of Benchmark Minerals Intelligence shook the world in a now legendary testimony in front of the US Senate. Then, Simon predicted the exponential growth of batteries and the control that China was starting to exert of the supply chains.Fast forward today, we bring in, Caspar Rawles, Simon's trusted lieutenant, and COO of Benchmark Mineral Intelligence to assess how Simon's predictions panned out. What was prophetic and what never materialized. Benchmark Mineral Intelligence, a London-based Price Reporting Agency (PRA) founded in 2014, specializes in lithium-ion battery and EV supply chains, offering IOSCO-accredited price assessments, supply-demand forecasts, ESG analytics, consultancy, global events, and policy influence.It focuses on critical minerals and recently expanded with Rho Motion, valued at $500M. Caspar talks about the growth of BMI, about the importance of its agreement with ICE, and how he sees the future.Laurent and Gerard conclude on Lithium and Rare Earths. Not really what you expect.

James 3:13-18 | June 8, 2025 | Pastor Todd SmithIn our exploration of James 4:1-6, we uncover profound insights into the root causes of conflict and the path to spiritual harmony. James challenges us to examine our hearts, revealing how our unchecked desires and worldly attachments can lead to strife. The passage reminds us that our conflicts often stem from internal battles – our 'passions at war within us.' This introspective approach invites us to consider how our own selfishness and misplaced priorities contribute to discord in our relationships and communities. As we reflect on James' words, we're called to a deeper understanding of humility and its transformative power. The promise that 'God opposes the proud but gives grace to the humble' offers us a compelling reason to cultivate humility in our daily lives. This message resonates deeply, urging us to shift our focus from worldly pursuits to a God-centered perspective, potentially revolutionizing our approach to conflicts and relationships.To find out more about Crossroads Community Church or to connect with us, visit the following links:→ lifeatcrossroads.org→ facebook.com/lifeatcrossroadsTo give online: lifeatcrossroads.org/giveonline.CCLI License: 2915685CCS WorshipCast License: 9466GRANT OF LICENSE. Crossroads Community Church is granted a non-exclusive, non-transferable license during the term of the agreement to publicly play, perform, and transmit via the website noted above, any musical composition controlled by one or more of the domestic Performing Rights Organizations (ASCAP, BMI and SESAC), as stated in the CCS WORSHIPcast License Terms and Conditions.

Mikki takes a deep dive into the myth of the "ideal body weight" and why it's not as simple—or helpful—as a single number on the scale. She unpacks the origins of the concept, tracing it back to life insurance tables and BMI metrics designed for populations, not individuals. Mikki explains why these outdated markers fall short and offers evidence-based alternatives that better reflect health: body fat percentage, appendicular lean mass index (ALMI), and waist-to-height ratio. She also discusses why context—like genetics, lifestyle, and functionality—matters far more than any textbook range. Whether you're on a fat loss journey or simply trying to feel better in your skin, this episode is a must-listen for redefining your health goals with clarity and compassion. Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwillidenSave 20% on all Nuzest Products WORLDWIDE with the code MIKKI at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz supplement: MIKKI saves you 25% at www.curranz.co.nz or www.curranz.co.uk off your first order

Story at-a-glance A study found that vegetarians who ate plant-based fake meat are 42% more likely to experience depression than those who don't, even when factors like age, BMI, and lifestyle are taken into account Eating fake meat leads to higher levels of C-reactive protein (CRP), a marker of systemic inflammation linked to chronic diseases like heart disease, diabetes, and autoimmune disorders Triglycerides were elevated and HDL cholesterol was lower in those eating fake meat, increasing their long-term risk for cardiovascular disease The body reacts to fake meat not because of its nutrients, but because of ultraprocessed ingredients and additives that disrupt immune signaling and metabolic function Even when blood nutrient levels appear normal, the deeper immune system activity reveals that fake meat is pushing your body toward inflammation and oxidative stress

(00:00-15:00) Is this a passive aggressive shot? Ladies loved James Taylor. Everybody gets nicked on this show. Martin tried to get a Tkachuk on the show. Might have been a copy and paste situation in the group chat. Panthers already bangin' up The Cup. Are there multiple Stanley Cups? Pony in Ft. Lauderdale. Barkov ringing on doors at 5AM with The Cup. Confirmed copy/paste text from Matthew Tkachuk. Mr. Pick. Tuesdays with Tye.(15:08-31:27) Did Wayne's World ruin Bohemian Rhapsody? Favorite Queen song. News in the St. Louis Business Journal. State legislation on stadium renovations and its effect on the Cardinals. Gotta get those bad boys in your Apple Wallet. You can't let your phone die. The 10 year BMI adjustment at Busch. Nationals have dropped 11 in a row. Audio of Bob Carpenter from the Nationals broadcast giving perspective on underperforming teams.(31:37-53:47) The Graduate, The Godfather, and Goodwill Hunting. The owner of Good or Bad ranks Dustin Hoffman movies. Pre revenue or free revenue. Doug's scared to ask what a BBL is. Sometimes a helmet nacho or two can feign a BBL. Hot dogs or legs? Backfat leading to a housing boom in Arnold. Gangs of New York. Ratings down 22% from last year's deciding game in the NBA Finals. Star power in the Finals. June 17th, 1994.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Send us a textIn this enlightening episode, Joey Pinz sits down at Winthrop Market with Jack Catanzarite, a spine surgery specialist and passionate health advocate, to bust myths and shed light on what really causes back pain—and how to manage it.Jack explains why surgery is often not the first answer, highlighting the importance of physical therapy, exercise, and posture before going under the knife. He also unpacks the misunderstood relationship between obesity, spine health, and surgical outcomes, stressing the impact of lifestyle choices on long-term mobility.But this conversation goes deeper. Jack opens up about the personal loss of his cousin and how that tragedy inspired the creation of the Michael Trella Foundation—supporting families who've lost a child. He shares how grief, community, and personal accountability fuel his motivation and discipline today.Whether you sit at a desk all day or just want to better understand your body, Jack's advice is packed with practical wisdom and heartfelt insight. ✅ Top 3 Highlights:

Is your child's weight something to be concerned about—or just a normal part of growing up? Pediatrician and registered dietitian Natalie Muth, MD joins me to talk about how doctors decide when a child's weight needs attention. We explain why a shift in BMI percentile—not just a number on the scale—can grab our attention, and how puberty, sleep, and lifestyle all play a role. Plus, we share practical tips for supporting healthy habits at home without harming your child's self-esteem.    Read The Family Fit Plan by Dr. Natalie Digate Muth    Send your questions to hello@pediatriciannextdoorpodcast.com or submit at drwendyhunter.com  Find products from the show on the shop page.   *As an Amazon Associate, I earn commission from qualifying purchases.    More from The Pediatrician Next Door:    Website: drwendyhunter.com   Instagram: @the_pediatrician_next_door  Facebook: facebook.com/wendy.l.hunter.75  TikTok: @drwendyhunter  LinkedIn: linkedin.com/in/drwendyhunter    This is a Redd Rock Music Podcast  IG: @reddrockmusic  www.reddrockmusic.com Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Big Butts No Lies, Mavi sits down with board-certified plastic surgeon Dr. Abigail Rodriguez to discuss drainless tummy tucks, rapid recovery protocols, and the newest innovations in plastic surgery.Dr. Rodriguez explains how the drainless technique works, why it can reduce swelling and complications, and how it compares to traditional tummy tucks with drains. She also dives into her enhanced recovery methods (ERAS), which aim to minimize pain, reduce narcotics, and help patients heal faster with less discomfort.They also talk about the exciting future of fat grafting using Alaqulín (lab-processed injectable fat) — a game-changer for patients with little fat to transfer — and the use of tiger mesh in revision breast surgeries. Plus, Dr. Rodriguez shares her new partnership with AVDA to provide reconstructive care for survivors of domestic abuse.Whether you're considering a tummy tuck, a breast revision, or simply want a smoother recovery, this episode is packed with powerful insights for anyone planning cosmetic surgery.Key Topics Covered:What makes a tummy tuck “drainless” — and is it safe?Who qualifies for a drainless tummy tuck (BMI info included!)How rapid recovery protocols reduce pain and speed healingWhy ERAS minimizes opioid use and improves outcomesThe newest fat grafting tech: AlaqulínWhat tiger mesh is and how it supports breast revision surgeryHow Dr. Rodriguez is helping trauma survivors through plastic surgeryFollow Dr. Abigail Rodriguez:Website: drrodriguez.com Instagram: @dr.abigailrodriguez TikTok: @dr.abigailrodriguez

Sunday, June 15, 2025 Series: "The Fruit of the Spirit" Title: "In the Name of Love" Scripture: 1 Corinthians 13 By: Rev. Steve Price Bulletins 11:00 AM https://trinitygnv.org/s/Sunday-Bulletins-06-15-25-11AM-eh4t.pdf 9:30 AM https://trinitygnv.org/s/Sunday-Bulletins-06-15-25-930AM-WEB.pdf 8:00 AM https://trinitygnv.org/s/Sunday-Bulletins-06-15-25-8AM-9mlc.pdf Scripture https://www.biblegateway.com/passage/?search=1%20Corinthians%2013&version=CEB To support the ongoing ministries of Trinity, consider making a gift here: https://pushpay.com/g/trinitygnv?src=hpp For more information, go to https://trinitygnv.org/ Copyrighted content included in this webcast is used with license under one or more of the following: Christian Copyright Solutions WORSHIP cast Streaming License and PERFORM music License #7840 (to publicly perform and/or web stream any musical composition controlled by ASCAP, BMI and SESAC), CVLI (Christian Video Licensing International) #503915511, CVLI ScreenVue License #502477880, CCLI Church Streaming & Podcast License #CSPL016331, CCLI Church Copyright License #1022361, and/or CCLI Church Rehearsal License #CRL011587.

Als je al heel lang kampt met overgewicht en diverse dingen hebt “geprobeerd”, dan kun je je behoorlijk eenzaam en onbegrepen voelen. Want veel mensen hebben je al van alles geadviseerd… maar wat bij anderen lijkt te helpen, werkt voor jou niet. Telkens jojo je weer terug in je oude gewicht. En anderen lijken niet te kunnen begrijpen hoe je daarmee zit. Wat een impact dit heeft op hoe je je voelt. Zolang jij blijft geloven ‘dat niets voor jou werkt', zal er ook niets veranderen. Het ding is alleen: je deed steeds de verkeerde dingen. Want diëten en andere tijdelijke trucjes kúnnen ook niet tot een definitief laag BMI leiden. Simpelweg omdat je daarmee het echte probleem niet oplost. Met als gevolg dat jij je eenzaam en onbegrepen blijft voelen…Luister de podcast!Het nieuwe, unieke en exclusieve 365 dagen programma Afvallen & Mindset vind je hier: https://afvallenzonderdieet.nu/365-dagen-programma/ Boek een gratis, vrijblijvend kennismakingsgesprek waarin ik je al kan adviseren: https://calendly.com/eleonoordeboevere/kennismakingsgesprek Je kunt me uiteraard ook gewoon mailen op info@afvallenzonderdieet.nu Ik kan je individueel begeleiden in een verkort traject https://afvallenzonderdieet.nu/individuele-begeleiding/ of een langere, nog intensievere variant daarvan. Helemaal gratis én bijzonder waardevol, is mijn gratis e-book! Vul het formulier in op mijn website. En ontvang vervolgens regelmatig waardevolle mails met inzichten en adviezen… om van daaruit de juiste stappen te kunnen gaan zetten! https://afvallenzonderdieet.nu/gratis/ebook-afvallen-zonder-dieet/

1 Thessalonians 2:11-12 | June 15, 2025 | Pastor Todd SmithTo find out more about Crossroads Community Church or to connect with us, visit the following links:→ lifeatcrossroads.org→ facebook.com/lifeatcrossroadsTo give online: lifeatcrossroads.org/giveonline.CCLI License: 2915685CCS WorshipCast License: 9466GRANT OF LICENSE. Crossroads Community Church is granted a non-exclusive, non-transferable license during the term of the agreement to publicly play, perform, and transmit via the website noted above, any musical composition controlled by one or more of the domestic Performing Rights Organizations (ASCAP, BMI and SESAC), as stated in the CCS WORSHIPcast License Terms and Conditions.

Well, it's Fathers Day. For me, that means another trip to the cemetery rather than a trip to visit my dad for dinner. I'm not looking for sympathy. That's just the way it is. I mean. That's life! And this episode's featured artist certainly saw his share of ups and downs during his incredibly influential and talented life. He was also my dad's favorite singer. This is the last of five of his solo albums my dad had. But we have heard sing him with the Harry James and Tommy Dorsey Orchestras as well. So, get ready to hear the man who went from pauper to king, a couple of times, in Volume 233: Frank's Life for Fathers Day. For more information about this album, see the Discogs webpage for it.  Credits and copyrights Frank Sinatra – That's Life Label: Reprise Records – F 1020 Format: Vinyl, LP, Album, Promo, Mono Released: 1966 Genre: Jazz, Pop Style: Vocal, Swing Supported by a studio orchestra arranged and conducted by Ernie Freeman We will hear 6 of the 10 songs from this album. That's Life Written-By – Dean Kay and Kelly Gordon number 4 on the Billboard Hot 100 in 1966-67. It also reached number 1 on the Billboard Easy Listening chart. I Will Wait For You Composed By – Michel LeGrand and Norman Gimbel Somewhere My Love Composed By – Maurice Jarre and Paul Francis Webster Winchester Cathedral Written By – Geoff Stephens The New Vaudeville Band/September 26, 1966/Hit song The Impossible Dream  Composed By – Mitch Leigh and Joe Darion What Now My Love Composed By – Carl Sigman and Gilbert Bécaud I do not own the rights to this music. ASCAP, BMI licenses provided by third-party platforms for music that is not under Public Domain. #franksinatra #thatslife #musichistory #musicalmemories #vinylcollecting #vinylrecords #fyp

Welcome to our latest Jazz Cast featuring Lou's new set of clear-tone riffs, runs, rhythms & harmonies. Each piece has a different feel & personality. We think you'll really like it! The songs: "IT'S REALLY SO GOOD TO SEE YOU", "AN EVENING AND SOME STARLIGHT", "NEVER SAW YOU HERE BEFORE" and "AN EVENING CONCERTO: FIRST MOVE" (compliments of cosmic consciousness music co ©2025 BMI). Enjoy!

Recently, sophisticated myelographic techniques to precisely subtype and localize CSF leaks have been developed and refined. These techniques improve the detection of various types of CSF leaks thereby enabling targeted therapies. In this episode, Katie Grouse, MD, FAAN, speaks with Ajay A. Madhavan, MD, author of the article “Radiographic Evaluation of Spontaneous Intracranial Hypotension” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California San Francisco in San Francisco, California. Dr. Madhavan is assistant professor of radiology at the Mayo Clinic in Rochester, Minnesota. Additional Resources Read the article: Radiographic Evaluation of Spontaneous Intracranial Hypotension Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Full episode transcript available here Dr Jones:  This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Grouse:  This is Dr Katie Grouse. Today I'm interviewing Dr Ajay Madhavan about his article on Radiographic Evaluation of Spontaneous Intracranial Hypotension, which he wrote with Dr Levi Chazen. This article appears in the June 2025 Continuum issue on disorders of CSF dynamics. Welcome to the podcast, and please introduce yourself to our audience. Dr Madhavan:  Hi, thanks a lot, Katie. Yeah, so I'm Ajay Madhaven. I'm a neuroradiologist at the Mayo Clinic in Rochester, Minnesota. I did all my training here, so, I've been here for a long time. And I have a lot of interest in spinal CSF leaks, and I do a lot of that work. And so I'm really excited to be talking about this article with you. Dr Grouse:  I'm really excited too. And in fact, it's such a pleasure to have you here talking today on this topic. I know a lot's changed in this field, and I'm sure many of our listeners are really interested in learning about the developments and imaging techniques to improve detection and treatment of CSF leaks, especially since maybe we've learned about this in training. I want to start by asking you what you think is the most important takeaway from your article. Dr Madhavan:  Yeah, that's a great question. I think---and you kind of already alluded to it---I think the main thing is, I hope people recognize that this field has really changed a lot in the last five to ten years, through a lot of multi-institutional collaboration and also collaboration between different specialties. We've learned a lot about different types of spinal CSF leaks, how we can recognize the disease, particularly the types of myelography that we need to be using to accurately localize and treat these leaks. Those are the things that have really evolved in the last five to ten years, and they've really helped us improve these patients' lives. Dr Grouse:  Can you remind us of the different common types of spinal leaks that can cause spontaneous intracranial hypotension? Dr Madhavan:  Yeah, so there are a number of different spinal CSF leaks, types, and I would say the three most common ones that really most people should try to be aware of and cognizant of are: first, ventral dural tears. So those are, like, just physical holes in the dura. And they're usually caused by little bone spurs that come from the vertebral columns. So, they're often patients who have some degenerative changes in their spine. And those are really very common. Another type of spinal CSF leak that we commonly see is a lateral dural tear. So that's like the same thing in a slightly different location. So instead of being in the front, it's off to the side of the dura laterally. And so, it's also just a hole in the dura. And then the third and most recently discovered type of spinal CSF leak is a CSF-venous fistula. So those are direct connections between the subarachnoid space and little paraspinal vein. And it took us a long time to even realize that this was a real pathology. But now that it's been recognized, we've found that this is actually quite common. So those three types of leaks are probably the three most common that we see. And there's certainly others out there, but I would say over 90% of them fall into one of those three categories. Dr Grouse:  That's a great review, thank you. Just as another quick review, as we talk more about this topic, can you remind us of some of the most common or typical brain imaging findings that you'll see in cases of spontaneous intracranial hypotension? Dr Madhavan:  Yeah, absolutely. So, when you do a brain MRI in a patient who has spontaneous intracranial hypotension, you will usually, though not always, see typical brain MRI abnormalities. And I kind of think of those as falling into three different categories. So, the first one I think of is dural enhancement or thickening. So that's enlargement or engorgement of the dura, the pachymeninges, and enhancement on postgadolinium imaging. So, that's kind of the first category. The second is that, when you lose spinal fluid volume, other things often expand to take up the space. So, for example, you can get distension or enlargement of the dural venous sinuses, and sometimes you can also get subdural food collections or hematomas. They can arise spontaneously. And I kind of think of those as, you know, you, you've lost the cerebrospinal fluid volume and something else is kind of filling up the space. And then the third category is called brain sagging. And that's a constellation of findings where the posterior fossa structures and the pituitary gland in the cell have become abnormal because you've lost the fluid that normally cushions those structures and causes them to float up. For example, the brain stem will sag down, the distance between the mammillary body and the ponds may become reduced. The suprasellar cistern space may be reduced such that the optic chiasm becomes very close to the pituitary gland, and the prepontine cistern may also become reduced in size. And there are various measurements that can be used to determine whether something is subtly abnormal. But just generally speaking, those are really the three categories of brain MRI abnormalities you'll see. Dr Grouse:  That was a great review. And of course, I think in many times when we are thinking about or suspecting this diagnosis, we may be lucky to find those imaging findings to reinforce a diagnosis. Because as it turns out, after reading your article, I was really surprised to find out that in as many as 19% of cases we actually see normal brain imaging, which really was a surprise to me, I have to say. And I think that this really encompasses why spontaneous intercranial hypotension is such a difficult diagnosis to make. I think a lot of us struggle with how far to take the workup when, you know, spontaneous intercranial hypotension is clinically suspected, but multiple imaging studies are normal. Do you have any guidance on how to approach these more difficult cases? Dr Madhavan:  So, that's a really good question. And you know, it's- as you can imagine, that's a topic that comes up in most meetings where people discuss this, and it's been a continued challenge. And so, like you said, about 19 or 20% of patients who have this disease can have a, a normal brain MRI. And we've tried to do some work to figure out why that is and how we can identify patients who still have the disease. And I can just provide, I guess, some tips that have helped me in my clinical practice. One thing is, if I ever see a patient with a normal brain MRI where this disease is clinically suspected---for example, maybe they have orthostatic headaches or other very typical symptoms and we don't know why, but their brain MRI is normal---the first thing I do is I try to look back at their old imaging. So many times, these patients who present to us at Mayo, who, when we do their MRI scan here, their brain MRI looks normal… if you really look back at imaging that they've had done elsewhere---maybe even two to three years prior---at the time their symptoms started, they actually had some abnormalities. So, I might see that a patient, two years ago, had dural enhancement that spontaneously resolved; but now they still have symptoms of SIH and they may still have a CSF leak that we can find and treat, but their brain MRI has, for whatever reason, normalized. So, I always start by looking back at old imaging, and I found that to be very helpful. The other thing is, if you see a patient with a normal brain MRI, it's also important to look at their spine MRI because that can provide clues that might suggest that they could still have a spinal CSF leak. And the two things I look for on the spine MRI: one, if there's any extradural CSF. So, spinal fluid outside of where it's supposed to be within the confines of the subarachnoid space. And you know, really, if you see extradural CSF, you know they probably have a spinal fluid leak somewhere. Even if their brain MRI is normal, that just gives you the information that there is a dural tear probably somewhere. And so, in those patients we'll definitely still proceed to myelography or other testing, even if they have a normal brain MRI. And then the last thing I look for is whether or not they have prominent meningeal diverticula. Patients with CSF venous fistulas almost always have one or more prominent diverticula on their spine along the nerve root sleeves. And that's probably because most of these fistulas come from nerve root sleeve diverticula. We don't completely understand the pathogenesis of CSF venous fistulas, but they're clearly associated with meningeal diverticula. So, if I see a patient who has a normal brain MRI, but I see on their spine MRI that they have many meningeal diverticula that are relatively prominent, that makes me more inclined to be a little bit more aggressive in doing myelography to find a CSF leak. And then I look at other demographic features, too. So, for example, elevated BMI and older age are associated with CSF venous fistulas. So, that can help you determine whether or not it's warranted to go on to more advanced imaging, too. So those are all just a variety of different things that we've used to help us. Dr Grouse:  Thank you for sharing that. I wanted to go on to say that, you know, reading your article, of course, as you mentioned, you alluded to the fact there's lots of new imaging modalities out there. It was very illuminating and just an excellent resource for the options that exist and when they're useful. You did a great job summarizing it. And I encourage our readers to check out your article, to refresh themselves, update themselves on what's happened in this space. And of course, we can't summarize them all today, but I was wondering if you could possibly walk us through a hypothetical case of a patient who comes in with a history very suspicious for SIH? How would you approach this patient? Say you have gotten imaging that suggested that there is a spinal fluid leak and now you have to figure out where it is. Dr Madhavan:  Yeah. So, you know, I think the most typical scenario it'll be a patient who has been seen by one of my excellent neurology colleagues and they've done a brain MRI and they've made the diagnosis through a combination of clinical information and brain MRI finding. And then the next thing we'll do always is, we'll obtain a spine MRI. So, I think of the purpose of the spine MRI as to determine what type of spinal fluid leak they have. On the spine MRI, if you see extradural CSF, those patients essentially always will have a dural tear. And it may be a ventral dural tear or a lateral dural tear. But if you see extradural CSF, that is pretty much what they have. And conversely, if you don't see extradural CSF---if you just see, for example, many meningeal diverticula, but you don't see anything else particularly abnormal---most of those patients have a CSF venous fistula, just common things being common. So I use the spine MRI to determine what type of leak they have. And then the next thing I think about is, okay, I'm going to do a myelogram on this patient. How do I want to position them? Because it turns out that positioning is probably the most important factor for finding these spinal fluid leaks. You have to have the patient positioned correctly to find the leak that you're trying to localize. And so, if I suspect they have a ventral dural tear, I will always position those patients prone for their myelogram. And I might do one of many different types of myelograms. And, you know, the article talks about things like digital subtraction myelography and dynamic CT myelography. And you can find any of these leaks with any of those techniques, but you just have to have the patient positioned correctly. So, if I think I have a ventral dural tear, I'll put them prone for the myelogram. If I think they have a lateral dural tear, I'll put them in the cubitus position for the myelogram. And also, if they- if I think they have a CSF-venous fistula, I'll also put them in the decubitus position. Obviously if you're putting them in the decubitus position, you have to decide whether it's going to be left or right side down. So that may require a two-day exam. Sometimes you don't have to; in many cases, we're able to just do everything in one day. But those are all the different factors I think about when I'm trying to determine how I'm going to work those patients up further. So, I really use the spine MRI chiefly to think about what type of leak they're going to have and how I'm going to plan the myelogram. Dr Grouse:  That's really great. And it's, I think, really nice to emphasize how much the positioning matters in all this, which I think is not something we've been classically taught as far as the diagnosis of spinal leaks. Another thing I'm really interested in your opinion on is, you talked a lot about how to optimize and what can make you successful at diagnosis. I'm curious what you think one of the easiest mistakes to make or, you know, that we should hopefully avoid when treating patients with this disease. Dr Madhavan:  Yeah. And I think, you know, one other thing that's been discussed a lot in this topic… you know, we've talked about the patients with a normal brain MRI. Another barrier or challenge particularly with CSF-venous fistulas is, sometimes they can be very subtle on imaging. So, it's not always you see it very definitive CSF-venous fistula where you can say, like, there's no question, that's a fistula. There are many times where we do a good-quality myelogram and we see something that looks, like, possible for a CSF venous fistula, or probable. If I had to put a number on it, maybe there's a 50 to 70% chance of real. So, in those cases, we end up wondering, like, should we treat this suspected leak? And I think one common mistake  or one thing that needs to be looked at further is, how do we handle these patients where we don't know whether the fistula is real or not? That's usually something where I will have a discussion with the patient, and I'm usually just very upfront with him about my interpretation of the imaging. I'll just tell them, we did a good-quality myelogram. You did a great job. We got good images. I don't see anything definitive, but I see this thing that I think has maybe a 60% chance of being real. And then I'll confer with one of my neurology colleagues and we'll decide whether it's worth treating that or not. And we'll just be very upfront with a patient about whether- about the likelihood of its success and what their long-term prognosis is. And oftentimes we let them make the decision. But I think that remains to be one of the big challenges is, how do we treat these patients who have suspected leaks that are not definitive on imaging. Dr Grouse:  That sounds absolutely like an important area where there can be problems, so I appreciate that insight. I'm interested what you think in your article would come as the biggest surprise to our listeners who may not have kept up as much with all of the changes that have happened in recent years? Dr Madhavan:  One of the things that was certainly, at least, a surprise to me as I was going through my training and learning about this topic is how diverse myelography has really become. You know, when I was a radiology resident, I learned about myelography as this thing that we've been doing for 30 to 40 years. And historically we've used myelograms just to look for degenerative changes: disc bulges, you know, disc herniations and things like that. Now that MRI is more prevalent, we don't use it as much, but it has turned out that it has a very big role in patients with spinal fluid leaks. Furthermore, something that I've learned is just how diverse these different types of myelograms have become. It used to kind of be just that a myelogram is a myelogram is a myelogram, but now we have different types of positioning, different types of equipment that we use. We vary the timing between contrast injection and imaging to optimize success for finding spinal fluid leaks. So, I think many times I talk to people who may not be as familiar with this field and they're surprised at just how diverse that has become and how sophisticated some of the various myelographic techniques have become and how much that really makes a difference in being able to accurately diagnose these patients. Dr Grouse:  Well, I can say it was a surprise to me. Even as someone who does treat quite a few patients with this condition, I was surprised to see the breadth of different options that have become available. And then kind of a follow-up to that, what do you think the current area of controversy is in this area of diagnosis and treatment? Dr Madhavan:  The biggest ones are ones you've sort of already alluded to. So, one big one is, how far do we go in patients who have a normal brain MRI who still have a clinical suspicion of the disease? And sometimes it's really hard, because sometimes you will find patients who clinically have a very strong case for having spontaneous intracranial hypotension. You look at them, they have very acute-onset orthostatic headaches. There's no better explanation for their symptoms that we know of. And it's hard to know what to do with those patients, because some of them want to continue to undergo diagnostic workup, but you can only do so many myelograms and you can only do so much with this diagnostic workup that requires some radiation dose before it becomes very challenging. That's a major point of just, I guess, ongoing research as to what can we do better for that subset of patients. Fortunately, it's not all of them, it's a subset of them, but I think we could help those patients better in the future as we learn more about the disease. So that's one. And the other one is treating these equivocal findings, like I discussed.  And where should our threshold be to treat a patient, and what type of treatment should we do in patients where we don't know whether a leak is real? Should we just do a very noninvasive- relatively noninvasive blood patch? Do we do an embolization where we're leaving a foreign body there? Is it worth sending those patients to surgery? Those are all unanswered questions and things that continue to spark ongoing debate. Dr Grouse:  Do you think that there's going to be any new big breakthroughs, or even, do you know of any big developments on the horizon that we should be keeping our eyes out for? Dr Madhavan:  You know, I think for me the biggest thing is, imaging is dramatically improving. We talked a little bit about photon counting detector CT in our article, and that's one of the newest and best techniques for imaging these patients because it has very, very high resolution, it has a lower radiation dose, it has allowed us to find leaks that we were not able to find before. And there are other high-resolution modalities that are emerging and becoming more accessible to things like cone beam CT which we do in addition to digital subtraction myelography. And on top of that, we've started to use AI-based tools to make images look a lot better. So, there are various AI algorithms that have come out that allow us to remove artifacts from imaging. They help us image patients with a bigger body habitus better without running into a lot of imaging artifacts. They help us reduce noise in imaging. They can just give us better-quality images and aid us in the diagnosis. For me as a radiologist, those are some of the most exciting things. We're finding less invasive ways with less radiation to better diagnose these patients with just better-quality imaging. Dr Grouse:  Well, that is definitely something to be excited about. So, I just want to thank you so much for talking with us today. It's been such an interesting, informative discussion and a real privilege to talk with you about this important topic. Dr Madhavan:  Yeah, thanks so much. I really appreciate the time to talk with you, and I look forward to seeing the article out there and hopefully getting some interesting questions. Dr Grouse:  Again, today I've been interviewing Dr Ajay Madhavan about his article on Radiographic Evaluation of Spontaneous Intracranial Hypotension, which he wrote with Dr Levi Chasen. This article appears in the most recent issue of Continuum on disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Valerie Anne Smith's journey is a testament to resilience, transformation, and the power of dietary change in overcoming severe health challenges. Diagnosed with anorexia nervosa at 14, Valerie endured a harrowing 40-year battle with multiple mental health diagnoses, including schizoaffective disorder, clinical depression, anxiety, OCD, and body dysmorphia, compounded by extreme physical health issues. Despite numerous interventions, including inpatient treatment, psychiatric medications, and dietetic guidance that focused on high-carb, low-fat diets, her mental and physical health continued to deteriorate, reaching a critical point with a BMI of 11 and a weight under 80 lbs for most of her adult life. In 2018, at the brink of despair and after decades of suffering, Valerie's relentless pursuit of knowledge led her to explore the healing potential of a carnivore diet, focusing on nutrient-dense foods like beef, salt, and water. This radical dietary shift, initially met with personal resistance due to years of conditioned fear and restrictive eating habits, gradually quieted the debilitating mental turmoil and reversed her numerous physical ailments. Six years into her carnivore journey, Valerie has not only achieved complete remission from her mental and physical disorders but has also embraced a fulfilling life as a wife, mother, and health advocate.   In this episode, Dr. Brian, Dr. Tro and Valerie talk about… (00:00) Intro (03:14) Valerie's history of struggling with mental illness, anorexia, and metabolic dysfunction (08:26) The horrible nutrition standards in eating disorder clinics and the nutrition lies plaguing our society in general (10:19) Valerie's upbringing and medical history (11:52) Valerie's frustrating experience with doctors trying to treat her many issues with meds (16:01) Body dysmorphia and the differences between fasting and starving (20:06) The horrible nutrition prescribed by hospitals and served to their patients (23:36) The incredible and heartbreaking story of how Valerie finally discovered the link between diet and mental health (37:36) The evolution of Valerie's diet as she began transitioning to carnivore and how her doctors reacted (45:45) Valerie's blood markers when she ate no meat and how she started to rebuild her body (51:03) How Valerie's family reacted to her new diet and lifestyle (53:08) The many health benefits that Valerie has experienced since becoming carnivore (57:05) Advice for those struggling with anorexia and mental disorders (01:01:31) Factors other than diet that have been HUGE for Valerie   For more information, please see the links below. Thank you for listening!   Links:   Please consider supporting us on Patreon: https://www.lowcarbmd.com/   Resources Mentioned in this Episode: The Anorexia Case Study that Valerie Participated In: https://journalofmetabolichealth.org/index.php/jmh/article/view/84/254#:~:text=Contribution%3A%20This%20case%20series%20is,nature%20of%20the%20disease%20itself   Valerie Smith: Instagram: https://www.instagram.com/valerieanne1970/ X: https://x.com/valerieanne1970 Links: https://linktr.ee/valerieanne1970 FB: https://www.facebook.com/profile.php?id=61559029245657   Dr. Brian Lenzkes:  Website: https://arizonametabolichealth.com/ Twitter: https://twitter.com/BrianLenzkes?ref_src=twsrc^google|twcamp^serp|twgr^author   Dr. Tro Kalayjian:  Website: https://www.doctortro.com/ Twitter: https://twitter.com/DoctorTro Instagram: https://www.instagram.com/doctortro/   Toward Health App Join a growing community of individuals who are improving their metabolic health; together.  Get started at your own pace with a self-guided curriculum developed by Dr. Tro and his care team, community chat, weekly meetings, courses, challenges, message boards and more.    Apple: https://apps.apple.com/us/app/doctor-tro/id1588693888  Google: https://play.google.com/store/apps/details?id=uk.co.disciplemedia.doctortro&hl=en_US&gl=US Learn more: https://doctortro.com/community/ 

Send us a textDr. John Poothullil revolutionizes our understanding of weight management and diabetes prevention by challenging conventional wisdom with science-backed insights from his decades of medical practice. As an award-winning author and nationally syndicated health expert, Dr. Poothulill observed patterns that led him to question why patients continued developing complications despite medication and traditional treatments.The concept of "authentic weight" stands at the center of his approach – the personalized ideal weight established in your mid-twenties that reflects your unique genetic makeup, ethnicity, and metabolic profile. This individualized perspective rejects standardized BMI charts that fail to account for crucial biological differences. When maintained within 5-10% throughout life, this authentic weight serves as a cornerstone of long-term health.What makes Dr. Poothulill's insights particularly fascinating is his exploration of how modern eating habits disconnect us from our body's natural regulatory mechanisms. Children instinctively eat when hungry and stop when satisfied, but adults override these signals due to social conditioning, marketing influences, and distracted eating. By reconnecting with natural hunger cues and chewing food thoroughly, we allow our taste receptors to identify nutrients and signal the brain about what and how much we need.Perhaps most provocatively, Dr. Poothulill identifies grain-based carbohydrates as a primary driver of obesity and diabetes epidemics worldwide. Following the agricultural revolution, refined grains became our cheapest, most accessible food source, yet our bodies lack specific taste receptors for complex carbohydrates – which is why we rarely enjoy plain rice or bread without adding fats, salt, or sauces. This disconnect leads to overconsumption without satisfaction.Ready to transform your relationship with food? Discover Dr. Poothulill's books "Diabetes: The Real Cause and the Right Cure" and "Beat the Unwanted Weight Gain" on Amazon, and visit his website at drjohnonhealth.com to learn more about his revolutionary approach to weight management and disease prevention.Want to be a guest on Living the Dream with Curveball? Send Curtis Jackson a message on PodMatch, here: https://www.podmatch.com/hostdetailpreview/1628631536976x919760049303001600

A 50 yo woman presents with a 6-month history of intermittent RUQ abdominal pain, bloating and nausea, particularly after eating fatty food, describing the discomfort as sharp, occasionally radiating to the right shoulder, usually lasting around 45 mins,  and accompanied by eructation.  She is currently without distress, stating that, “I cut back on food that I know bothers my stomach.  Physical exam reveals, BMI=35, no jaundice, mild RUQ abdominal tenderness and negative Murphy's sign.  Which of the following is the next step in her care?  A. Provide a 1-month trial of proton pump inhibitor (PPI) therapy.B. Refer to surgery for further evaluation.  C. Order a RUQ ab for abdominal ultrasound and hepatic enzymes.D. Obtain serum H. pylori testing.  ---YouTube: https://www.youtube.com/watch?v=qZSVLmpbTEA&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=118Visit fhea.com to learn more!

Sunday, June 8, 2025 Title: "Series Intro - Holy Spirit" Scripture: Acts 2:1–13  By: Rev. Marisa Gertz 11:00 AM https://trinitygnv.org/s/Sunday-Bulletins-06-08-25-11AM.pdf 9:30 AM https://trinitygnv.org/s/Sunday-Bulletins-06-08-25-930AM-WEB.pdf 8:00 AM https://trinitygnv.org/s/Sunday-Bulletins-06-08-25-8AM.pdf Scripture https://www.biblegateway.com/passage/?search=Acts%202%3A1%E2%80%9313%20&version=CEB To support the ongoing ministries of Trinity, consider making a gift here: https://pushpay.com/g/trinitygnv?src=hpp For more information, go to https://trinitygnv.org/ Copyrighted content included in this webcast is used with license under one or more of the following: Christian Copyright Solutions WORSHIP cast Streaming License and PERFORM music License #7840 (to publicly perform and/or web stream any musical composition controlled by ASCAP, BMI and SESAC), CVLI (Christian Video Licensing International) #503915511, CVLI ScreenVue License #502477880, CCLI Church Streaming & Podcast License #CSPL016331, CCLI Church Copyright License #1022361, and/or CCLI Church Rehearsal License #CRL011587.

James 3:13-18 | June 8, 2025 | Pastor Todd SmithIn this powerful exploration of wisdom, we delve into James chapter 3, uncovering the profound difference between worldly and godly wisdom. The central message challenges us to examine the source and fruits of our wisdom. Are we operating from earthly, self-centered knowledge that leads to chaos, or are we tapping into the pure, peaceable wisdom from above? James teaches us that true wisdom isn't just about what we know, but how we live. It's seen in our actions and attitudes, particularly in meekness - strength under control. This message encourages us to seek wisdom that aligns with God's truth, producing a harvest of righteousness and peace in our lives. As we face complex decisions, we're reminded of the promise in James 1:5 that God generously gives wisdom to all who ask. Let's challenge ourselves to pursue heavenly wisdom that transforms not just our minds, but our hearts and actions.To find out more about Crossroads Community Church or to connect with us, visit the following links:→ lifeatcrossroads.org→ facebook.com/lifeatcrossroadsTo give online: lifeatcrossroads.org/giveonline.CCLI License: 2915685CCS WorshipCast License: 9466GRANT OF LICENSE. Crossroads Community Church is granted a non-exclusive, non-transferable license during the term of the agreement to publicly play, perform, and transmit via the website noted above, any musical composition controlled by one or more of the domestic Performing Rights Organizations (ASCAP, BMI and SESAC), as stated in the CCS WORSHIPcast License Terms and Conditions.

Time to take a road trip around this great country we call the US of A. And who better to be our tour guide than the incredible Ray Charles.  He had over 1,700 listings in discogs, the website I use to catalog my vinyl collections. And it's not easy to catalog just what genre this genius belongs to. Well, he belongs to them all: pop, blues, jazz, gospel, country, and rock. So get ready to hear a guy who once tried to sell an electric piano to Jake and Elwood Blues, “2,000 bucks and it's yours. You can take it home with you. As a matter of fact, I'll throw in the black keys for free!" In Volume 232: Ray on the Road. For more information about this album, see the Discogs webpage for it.  Credits and copyrights Ray Charles – The Genius Hits The Road Label: ABC-Paramount – ABC 335, ABC-Paramount – ABC-335 Format: Vinyl, LP, Album, Mono Released: Sep 1960 Genre: Jazz, Funk / Soul Style: Rhythm & Blues We will hear 7 of the 12 tunes on this album. Alabamy Bound Written-By – Bud Green, Buddy DeSylva, and Ray Henderson Georgia On My Mind Written-By – Hoagy Carmichael and Stuart Gorrell Moonlight In Vermont Written-By – John Blackburn and Karl Suessdorf Mississippi Mud  Written-By – Harry Barris and James Cavanaugh Deep In The Heart Of Texas Written-By – Don Swander and June Hershey California, Here I Come Written-By – Al Jolson, Buddy DeSylva and Joseph Meyer Chattanooga Choo-Choo Written-By – Harry Warren and Mack Gordon I do not own the rights to this music. ASCAP, BMI licenses provided by third-party platforms for music that is not under Public Domain. #musicalmemories #musichistory #vinylcollecting #vinylrecords #fyp

"The Comforter who has come instead of Christ, must have vouchsafed to come in the same sense in which Christ came; I mean, that He has come, not merely in the way of gifts, or of influences, or of operations, as He came to the Prophets, for then Christ's going away would be a loss, and not a gain, and the Spirit's presence would be a mere pledge, not an earnest; but He comes to us as Christ came, by a real and personal visitation." A powerful Pentecost sermon from St. John Henry Newman's Anglican period. Links The Indwelling Spirit full text: https://www.newmanreader.org/works/parochial/volume2/index.html SUBSCRIBE to Catholic Culture Audiobooks https://podcasts.apple.com/us/podcast/catholic-culture-audiobooks/id1482214268 SIGN UP for Catholic Culture's newsletter http://www.catholicculture.org/newsletter DONATE at http://www.catholicculture.org/donate/audio Theme music: "2 Part Invention", composed by Mark Christopher Brandt, performed by Thomas Mirus. ©️2019 Heart of the Lion Publishing Co./BMI. All rights reserved.

Some really disgusting shhh this episode!Episode notes:Top Gut: US Air Force is loosening recruits' body fat requirements to 26% BMI for men and 36% for women to try to boost recruitment (despite growing military fitness crisis)Anheuser-Busch loses more than $5 billion in value amid Dylan Mulvaney Bud Light controversyDalai Lama apologizes after video asking child to ‘suck' his tongue sparks outcryGerman officials seize cooked bats near Belgian borderVideo shows police at the wrong house before fatal shooting of homeowner in New Mexico

Episode 193: Gestational Diabetes IntroJesica Mendoza (OMSIII) describes the pathophysiology of gestational diabetes and the right timing and method of screening for it. Dr. Arreaza adds insight into the need for culturally-appropriate foods, such as vegetables in Mexican cuisine.    Written by Jesica Mendoza, OMSIII, Western University of Health Sciences, College of Osteopathic Medicine of the Pacific. Editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.DefinitionGestational diabetes mellitus (GDM) is a condition that occurs to previously non-diabetic pregnant women, caused by glucose intolerance at around the 24th week of gestation. PathophysiologyGDM arises due to an underlying pancreatic beta cell dysfunction in the mother which leads to a decrease in the amount of insulin produced and thus leads to higher blood sugar levels during pregnancy. The placenta of the fetus will produce hPL (human placental lactogen) to ensure a steady supply of sugars to the fetus, creating an anti-insulin effect. However, hPL readily crosses the placental barrier causing the mothers insulin requirement to increase, when the mother's pancreas cannot increase production of insulin to that level needed to counter the effect of hPL they become diabetic, and this leads to gestational diabetes. So, basically the placenta is asking for more glucose for the baby and the mother's pancreas struggles to keep the glucose level within normal limits in the body of the mother. If left untreated, high levels of glucose in the mother can cause glucotoxicity in the mother.“Glucotoxicity” refers to the toxic effect of glucose. Glucose is the main fuel for cell functions, but when it is high in the bloodstream, it causes toxicity to organs. Prevalence of GDM.The CDC reports mean prevenance of GDM is 6.9%. In U.S. mothers the prevenance increased from 6.0% in 2016 to 8.3% in 2021. Many different factors have played a role in increasing gestational diabetes in American mothers, some of those being the ongoing obesity epidemic with excess body weight being a known risk factor for insulin resistance. Another being advanced maternal age (AMA) as more American women have children later in life their body becomes less sensitive to insulin and requires a higher insulin output on top of the insulin that is required for the fetus. The “American diet” is also something that has a big effect in diabetes development. With the increase of high-carb foods that are readily available, the diet of Americans has declined and is affecting the metabolic health of mothers as they carry and deliver their children. Despite ongoing awareness of GDM, 6% to 9% of pregnant women in the United States are diagnosed with gestational diabetes, and the prevalence continues to increase worldwide. It is estimated that in 2017 18.4 million pregnancies were affected by GDM in the world, which then continued to increase to 1 in 6 births to women with GDM in 2019. It was also found that women living in low-income communities were disproportionately affected due to limited healthcare access. Additionally, women with GDM had a 1.4-fold increase in likelihood of undergoing a c-section, with 15% increase in risk of requiring blood transfusion. Screening for GDMGestational diabetes is screened between the 24th to 28th week of gestation in all women without known pregestational diabetes. In women who have high-risk for GDM the screening occurs during the first trimester, these women usually have at least one of the following: BMI > 30, prior history of GDM, known impaired glucose metabolism, and/or a strong family history of diabetes. The screening during the first trimester is to detect “pregestational diabetes” because we have to keep a good glycemic control to improve outcomes of pregnancy. So, if it's positive, you start treatment immediately. If these women are found to have a normal glucose, they repeat the testing again as done normally, at 24-28 weeks of gestation. How do we screen?The screening itself consists of two types of approaches. The two-step approach includes a 50-gram oral glucose tolerance test (OGTT), where blood glucose is measured in an hour and if it is below 140 they are considered to not have GDM, however if the reading is greater than 140 they must then do a 3-hour, 100g oral glucose tolerance test. The 3-hour OGTT includes measuring the blood sugars at Fasting which should be less than 95, at 1 hour at less than 180, at 2 hours at less than 155, and at 3 hours at less than 140. If 2 or more of these values exceed the threshold the patient is diagnosed with gestational diabetes mellitus. The one-step approach includes 75g after an overnight fast. Blood glucose is measured while fasting which should be less than 92, at 1 hour less than 180 and at 2 hours less than 153. If any one of these values is exceeded, the patient is diagnosed with GDM.If the mother is found to be GDM positive during pregnancy she will also need continued screening post-partum to monitor for any development of overt diabetes. The testing is usually 75g 2-hour OGTT at 6-12 weeks postpartum. If this testing is normal, then they are tested using HbA1c every 3 years. If the post-partum testing shows pre-diabetes, annual testing is recommended using HbA1c measurements. Maternal complications Women with GDM are at an increased risk for future cardiovascular disease, T2DM, and chronic kidney disease. GDM is also associated with increased likelihood of developing pre-eclampsia following delivery. Pre-eclampsia is a complication seen in pregnancy characterized by high blood pressure, proteinuria, vision changes, and liver involvement (high LFTs). Pre-eclampsia can then progress to eclampsia or HELLP syndrome, both of which can include end organ damage. Additionally, she can develop polyhydramnios which leads to overstretching of the uterus and can induce pre-term labor, placental abruption, and or uterine atony, all of which additionally put the mother at increased risk for c-section. All of these maternal complications that stem from GDM lead to complications and extended hospitalization. Child's complications Although there is an increased set of risks for the mother, the neonate can also develop a variety of risks due to the increased glucose while in utero. While the fetus is growing, the placenta is the source of nutrition for the fetus. As the levels of glucose in the mother increase so does the amount of glucose filtered through the placenta and into the fetal circulation. Over time the glucose leads to oxidative stress and inflammation with activation of TGF-b which leads to fibroblast activation and fibrosis of the placenta. This fibrosis decreases the nutrient and oxygen exchange for the fetus. As the fetus attempts to grow in this restrictive environment its development is affected. The fetus can develop IUGR (intrauterine growth restriction) leading to a small for gestation age newborn which can then lead to another set of complications. The low oxygen environment can lead to increased EPO production and polycythemia at birth which can then lead to increased clotting that can travel to the newborn brain. Newborns can also be born with fetal acidosis due to the anerobic metabolism and lactic acid buildup in fetal tissues which can cause fetal encephalopathy leading to cerebral palsy and developmental delay. And the most severe of newborn complications to gestational diabetes can lead to fetal demise. Furthermore, the increase of glucose can also lead to macrosomia in the infant which can often lead to a traumatic delivery and delivery complications such as shoulder dystocia and brachial plexus injury. Brachial plexus injury sometimes resolves without sequela, but other times can lead to permanent weakness or paralysis of the affected arm. The baby can be born too small or too big.Additionally, once the fetus is born the cutting of the umbilical cord leads to a rapid deceleration in blood glucose in the fetal circulation and hypoglycemic episodes can occur, that often lead to NICU admission. The insulin that is created by the fetus in utero to accommodate the large quantities of glucose is known to affect lung maturation as well. The insulin produced inhibits surfactant production in the fetus. Upon birth some of the newborns also have to be placed on PEEP for ventilation and some children require treatment with surfactant to prevent alveolar collapse and/or progression to NRDS created by the low surfactant levels. Additionally, neonates who are macrosomic, which is usually seen in GDM mothers, are larger and stronger and when put on PEEP to help increase ventilation the newborn's stronger respiratory effort can lead to higher pulmonary pressures and barotrauma such as neonatal pneumothorax.Long term complications to the child of a mother with GDM also occur. As the child grows, they are also at an increased risk for developing early onset obesity because of the increased adipose storage triggered by the increase in insulin in response to the high glucose in utero. This then can lead to a higher chance of developing type 2 diabetes mellitus in the child. With diabetes, also comes an increase in cardiovascular risk as the child ages and becomes an adult. The effects of GDM go beyond the fetal life but continue through adulthood.What can be done?Gestational Diabetes Mellitus has many severe and lifelong consequences for both the mother and the child and prevention of GDM would help enhance the quality of life of both. Many of the ways to prevent GDM complications include patient education and dietary modifications with a diet rich in whole grains, fruits, vegetables and lean proteins. Benefits of some vegetables in the Mexican cuisine that may be beneficial: Nopales, Chayote, and Jicama. Those are good alternatives for highly processed carbs.Mothers are usually offered nutritional counseling to help them develop a tailored eating plan. This and 30 minutes of moderate exercise daily is recommended to increase insulin sensitivity and lower the post-prandial glucose levels. If within 2 weeks of implementing lifestyle changes alone the glucose measurements remain high, then medications like insulin can be put onboard to manage the GDM. If they require insulin, I think it is time to refer to a higher level of care, if available, high risk OB clinic.Conclusion: Now we conclude episode number ###, “[TITLE].” [summary here]. _____________________References:Eades CE, Burrows KA, Andreeva R, Stansfield DR, Evans JM. Prevalence of gestational diabetes in the United States and Canada: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2024 Mar 15;24(1):204. doi: 10.1186/s12884-024-06378-2. PMID: 38491497; PMCID: PMC10941381. https://pubmed.ncbi.nlm.nih.gov/38491497/QuickStats: Percentage of Mothers with Gestational Diabetes,* by Maternal Age — National Vital Statistics System, United States, 2016 and 2021. Weekly / January 6, 2023 / 72(1);16. https://www.cdc.gov/mmwr/volumes/72/wr/mm7201a4.htm?utmAkinyemi OA, Weldeslase TA, Odusanya E, Akueme NT, Omokhodion OV, Fasokun ME, Makanjuola D, Fakorede M, Ogundipe T. Profiles and Outcomes of Women with Gestational Diabetes Mellitus in the United States. Cureus. 2023 Jul 4;15(7):e41360. doi: 10.7759/cureus.41360. PMID: 37546039; PMCID: PMC10399637. https://pmc.ncbi.nlm.nih.gov/articles/PMC10399637/?utmPerlman, J. M. (2006). Summary proceedings from the neurology group on hypoxic-ischemic encephalopathy. Pediatrics, 117(3), S28–S33.DOI: 10.1542/peds.2005-0620C.Low, J. A. (1997). Intrapartum fetal asphyxia: definition, diagnosis, and classification. American Journal of Obstetrics and Gynecology, 176(5), 957–959.DOI: 10.1016/S0002-9378(97)70609-0.Hallman, M., Gluck, L., & Liggins, G. (1985). Role of insulin in delaying surfactant production in the fetal lung. Journal of Pediatrics, 106(5), 786–790.DOI: 10.1016/S0022-3476(85)80227-0.Sweet, D. G., Carnielli, V., Greisen, G., et al. (2019). European Consensus Guidelines on the Management of Respiratory Distress Syndrome – 2019 Update. Neonatology, 115(4), 432–450.DOI: 10.1159/000499361.Raju, T. N. K., et al. (1999). Respiratory distress in term infants: when to suspect surfactant deficiency. Pediatrics, 103(5), 903–909.DOI: 10.1542/peds.103.5.903.Burns, C. M., Rutherford, M. A., Boardman, J. P., & Cowan, F. M. (2008). Patterns of cerebral injury and neurodevelopmental outcomes after symptomatic neonatal hypoglycemia. Pediatrics, 122(1), 65–74.DOI: 10.1542/peds.2007-2822.Dabelea, D., et al. (2000). Long-term impact of maternal diabetes on obesity in childhood. Diabetes Care, 23(10), 1534–1540.DOI: 10.2337/diacare.23.10.1534.Dashe, J. S., et al. (2002). "Hydramnios: Etiology and outcome." Obstetrics & Gynecology, 100(5 Pt 1), 957–962.DOI: 10.1016/S0029-7844(02)02279-6.Long-term cost-effectiveness of implementing a lifestyle intervention during pregnancy to prevent gestational diabetes mellitus: a decision-analytic modelling study. Diabetologia.American College of Obstetricians and Gynecologists. (2018). Practice Bulletin No. 190: Gestational Diabetes Mellitus. Obstetrics & Gynecology, 131(2), e49–e64. https://doi.org/10.1097/AOG.0000000000002501Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

Welcome to our new Jazz Cast. We are happy to present 4 new pieces this week along with a focus on inter-play between the guitars. Hope you like it! Enjoy! The titles: "IT'S ALWAYS GOOD TO HEAR YOUR VOICE", "TWO CITIES BLUES", "WHEN YOU PUT THAT HAT ON", and "FOUR ON THE FLOOR" {compliments of cosmic consciousness music co. © BMI 2025} Enjoy!

In this episode of "When Words Fail, Music Speaks," host James Andrew Cox interviews Tom Sweeney, the talented musician behind Black Graz. Tom shares insights into his unique musical journey, blending genres like rock, country, and jazz. He discusses the challenges and triumphs of performing original music in a cover-dominated industry and the inspiration behind his diverse songwriting. Tom also talks about his experiences on the road, the importance of engaging with audiences, and his admiration for musical legends like Stevie Ray Vaughan and ABBA.Key Topics:The inspiration behind the name "Black Graz" and its unique spelling.Tom's approach to performing original music in cover venues.The influence of Stevie Ray Vaughan and other musical legends on Tom's style.The songwriting process and the importance of live performance feedback.Tom's experiences traveling and performing across the country.The impact of ASCAP and BMI on venues and how Tom navigates these challenges.Tom's admiration for diverse musical genres and artists.Guest Information:Name: Tom SweeneyBand: Black GrazWebsite: blackgraz.comSocial Media: Follow Black Grass on all major platforms for updates and new music releases.Call to Action:Visit betterhelp.com/musicspeaks for 10% off your first month of therapy.Follow Black Grass on your favorite streaming service and social media platforms.Join the Black Grass newsletter for tour updates and new music announcements.

Send us a text A third of NHS areas are denying hip and knee replacements based on BMI alone—not for medical reasons, but purely to save money. In this episode, I expose how the medical establishment openly admits these discriminatory policies lack evidence while pushing profitable weight loss interventions instead. Meanwhile, actual surgeons and researchers confirm what we've known all along: this is financial discrimination masquerading as healthcare. Have you been denied a knee replacement because of your BMI? Get your free, customizable template here. The Newspaper article by Rebecca Thomas is "Obese patients denied knee and hip replacements to slash NHS costs"The Journal Article is: Pavlovic, Natalie et al. “The effect of body mass index and preoperative weight loss in people with obesity on postoperative outcomes to 6 months following total hip or knee arthroplasty: a retrospective study.” Arthroplasty (London, England) vol. 5,1 48. 1 Oct. 2023 Got a question for the next podcast? Let me know! Connect With Me FREE GUIDES: evidence-based, not diet nonsense NEWSLETTER: Life-changing insights straight to your inbox UNSHRINKABLE: Find out why your body is not designed to shrink MASTERCLASSES: All the evidence doctors should give you NO WEIGH PROGRAM: Join the revolution against weight-loss lies THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters CONSULTATION: For the ultimate transformation in your healthcare journe Find me on Instagram, YouTube, and LinkedIn.

Most people begin a weight loss journey to improve their health or to ward off possible health conditions, to increase their ability to participate in activities they enjoy, and to increase their odds of living longer to be with the ones they love. However, at some point, a pesky little NUMBER interferes with their health goals and they become focused on a specific number that becomes a goal… Health is not about a number. Listen in and learn more!   Resources:BariAftercare: www.bariaftercare.comConnie Stapleton PhD website: www.conniestapletonphd.comBariAftercare website: https://www.conniestapletonphd.com/bariaftercareBariAftercare Facebook page (for members only): https://www.facebook.com/groups/BariAftercareKevin Stephens: Your Bariatric Buddy   https://www.facebook.com/groups/yourbariatricbuddy/peopleInstagram: @cale101 (Caleshia Haynes)Instagram: @therealbariboss (Tabitha Johnson)Instagram @drsusanmitchell (Dr. Susan Mitchell)Instagram: @lauraleepreston (Laura Preston)ProCare Vitamins (10% off with code ConnieStapleton)Rob DiMedio: https://www.busybariatrics.com/Dr. Joan Brugman: drjbrugman@outlook.comDr. Susan Mitchell:https://www.facebook.com/DrSusanMitchellhttps://www.facebook.com/bariatricsurgerystrategiesWhat doctors wish patients knew about maintaining a healthy weight By Sara Berg, Senior News Writer Ideal Weight ChartAdvantages and Limitations of the Body Mass Index (BMI) to Assess Adult ObesityBody Mass Index Advantages and Disadvantageshttps://www.betterhealth.vic.gov.au/health/healthyliving/body-mass-index-bmihttps://www.nhlbi.nih.gov/health/educational/lose_wt/risk.htmhttps://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmi_dis.htmhttps://www.cdc.gov/obesity/risk-factors/risk-factors.html#:~:text=1-,Health%20conditions%20and%20medications,blood%20pressure%20and%20diabetes%20medicationshttps://www.health.harvard.edu/staying-healthy/why-people-become-overweight#:~:text=Genetic%20influences,of%20treating%20your%20weight%20problemsPlease subscribe to the show and rate it on Apple Podcasts, download free information at www.conniestapletonphd.com, and follow me on Twitter (@cstapletonphd), Instagram (@cstapletonphd), YouTube

Can you actually be healthy at any weight? What do leeches have to do with gynaecological issues? And what to do if you keep getting styes in your eye. In this episode, we have an important conversation about weight. Endocrinologist Dr Isobelle Smith talks about whether weight loss is more than just calories in and calories out, how to downsize fat not muscle and what your hormones have to do with your weight. We also discuss whether BMI is still a valid measure and how focusing on your health, rather than your weight may be the key. Also, is a “weight set point” actually a thing? Sign up to the Well Newsletter to receive your weekly dose of trusted health expertise without the medical jargon. Ask a question of our experts or share your story, feedback, or dilemma - you can email well@mamamia.com.au, send it anonymously here, email here or leave us a voice note here. Ask The Doc: Ask us a question in The Waiting Room. THE END BITS Follow us on Instagram and Tiktok. All your health information is in the Well Hub. Support independent women’s media by becoming a Mamamia subscriber CREDITS Hosts: Claire Murphy and Dr Mariam Guest: Dr Isobelle Smith Senior Producers: Claire Murphy and Sasha Tannock Audio Producer: Scott Stronach Video Producer: Julian Rosario Mamamia studios are styled with furniture from Fenton and Fenton. Visit fentonandfenton.com.au Mamamia acknowledges the Traditional Owners of the Land we have recorded this podcast on, the Gadigal people of the Eora Nation. We pay our respects to their Elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander cultures.Information discussed in Well is for education purposes only and is not intended to provide professional medical advice. Listeners should seek their own medical advice, specific to their circumstances, from their treating doctor or health care professional.Support the show: https://www.mamamia.com.au/mplus/See omnystudio.com/listener for privacy information.

Sunday, June 1, 2025 Title: Saints Among Us; Your Spiritual DNA, Trinity Scripture: Hebrews 12:1; Philippians‬ 4‬:4‬-7‬ ‬‬‬‬ By: Rev. Dr. Dan Johnson 11:00 AM https://trinitygnv.org/s/Sunday-Bulletins-06-01-25-11AM.pdf 9:30 AM https://trinitygnv.org/s/Sunday-Bulletins-06-01-25-930AM-WEB.pdf 8:00 AM https://trinitygnv.org/s/Sunday-Bulletins-06-01-25-8AM.pdf Scripture https://www.biblegateway.com/passage/?search=Hebrews%2012%3A1%3B%20Philippians%E2%80%AC%204%E2%80%AC%3A4%E2%80%AC-7%E2%80%AC%20&version=NIV To support the ongoing ministries of Trinity, consider making a gift here: https://pushpay.com/g/trinitygnv?src=hpp For more information, go to https://trinitygnv.org/ Copyrighted content included in this webcast is used with license under one or more of the following: Christian Copyright Solutions WORSHIP cast Streaming License and PERFORM music License #7840 (to publicly perform and/or web stream any musical composition controlled by ASCAP, BMI and SESAC), CVLI (Christian Video Licensing International) #503915511, CVLI ScreenVue License #502477880, CCLI Church Streaming & Podcast License #CSPL016331, CCLI Church Copyright License #1022361, and/or CCLI Church Rehearsal License #CRL011587.

Skuespiller og retoriker Julie Thalund har altid gerne ville være mor, og da hun er i starten af 30'erne, tager hun sit livs beslutning om at blive solomor. Men rejsen er ikke nem for Julie, som møder et offentligt sundhedsvæsen, der ikke vil hjælpe hende, før hun har tabt sig og fået et lavere BMI. Julie finder en vej i det private og bliver gravid med sin datter Betty, som kommer til verden efter en hurtig, vild og ukompliceret fødsel. Julie og Betty har en flyvende start, hvor Julie føler, at hun er faldet på plads i verden og gennemstrømmes af eufori og lykke. Det er en efterfødselssamtale om solo-forældreskabet på godt og ondt, og ikke mindst om graviditeten og fødslen af familiens nyeste medlem, lillebror Jørgen Bosse - og om den første tid som mor til to. 

James 3:1-12 | June 1, 2025 | Pastor Todd SmithIn this powerful message, we're challenged to examine the immense power of our words. The book of James provides a sobering look at how our tongues can direct, destroy, or deceive. Just as a small bit controls a horse or a tiny rudder steers a massive ship, our words have the power to guide entire lives. We're reminded that 'death and life are in the power of the tongue' (Proverbs 18:21). The imagery of fire illustrates how a careless word can ignite devastating consequences in relationships, families, and communities. As followers of Christ, we're called to tame this 'two-ounce beast' and ensure our speech aligns with our faith. This message urges us to consider: Are our words bringing life or death? Are we speaking blessings or curses? By asking ourselves if our words are true, necessary, and helpful, we can harness the power of our tongues for good, setting a positive atmosphere in our homes, workplaces, and churches.To find out more about Crossroads Community Church or to connect with us, visit the following links:→ lifeatcrossroads.org→ facebook.com/lifeatcrossroadsTo give online: lifeatcrossroads.org/giveonline.CCLI License: 2915685CCS WorshipCast License: 9466GRANT OF LICENSE. Crossroads Community Church is granted a non-exclusive, non-transferable license during the term of the agreement to publicly play, perform, and transmit via the website noted above, any musical composition controlled by one or more of the domestic Performing Rights Organizations (ASCAP, BMI and SESAC), as stated in the CCS WORSHIPcast License Terms and Conditions.

When I featured this artist the first time on this show, he was still with us.  Unfortunately, Harry Belafonte passed away just a few weeks later.  This is the second record we will hear of the two my dad had from this singer. This was Harry's second LP in his illustrious career. While his first did hit number three on the Billboard charts. This was his first of two number one albums. So, get ready to hear one of the purest singing voices ever recorded in Volume 231: Simply Belafonte. For more information about this album, see the Discogs webpage for it.  Credits and copyrights Harry Belafonte – Belafonte Label: RCA Victor – LPM 1150, RCA Victor – LPM-1150 Format: Vinyl, LP, Album, Mono, Rockaway Pressing Released: 1956 Genre: Pop, Folk, World, & Country Style: Calypso, Vocal, Folk We will hear 7 of the 11 songs from this album. Waterboy Written-By – Harry Belafonte Troubles Written-By – Harry Belafonte Matilda (This one made me get my bongo drums out) Written-By – Harry Thomas Noah (Next up a song of biblical proportions) Written-By – Harry Belafonte and William Attaway Scarlet Ribbons (For Her Hair) Written-By – Evelyn Danzig, Jack Segal Unchained Melody Written-By – Alex North, Hy Zaret Jump Down, Spin Around Written-By – H. Belafonte, Norman Luboff, and William Attaway I do not own the rights to this music. ASCAP, BMI licenses provided by third-party platforms for music that is not under Public Domain. #harrybelfonte #calypsomusic #musicalmemories #musichistory #vinylcollecting #vinylrecords #fyp

What is your ideal body weight—and does it really change with age?   Your most Googled health questions answered: - How much should I weigh for my height and age? - Is it natural to gain weight as I get older? - What's the best diet for weight loss?   Dr. Neal Barnard and Chuck Carroll dive into the science of metabolism, hormonal shifts, insulin resistance, and how a low-fat plant-based diet can help you maintain or even lose weight—at any age. The show includes actionable insights on BMI, muscle mass, menopause, testosterone, and reversing weight gain without fad diets.   This episode is sponsored by The Gregory J. Reiter Memorial Fund, which supports organizations like the Physicians Committee that carry on Greg's passion and love for animals through rescue efforts, veganism, and wildlife conservation.   — — SHOW LINKS — — Gregory J. Reiter Memorial Fund https://gregoryreiterfund.org — — EVENTS — — NHA Conference Where: Cleveland, OH When: June 26-29, 2025 Tix & Speakers: https://bit.ly/NHAtix2025 — — — International Conference on Nutrition in Medicine Where: Washington, DC When: August 14-16, 2025 Tix & Speakers: https://www.pcrm.org/icnm — — BECOME AN EXAM ROOM VIP — — Sign up: https://www.pcrm.org/examroomvip — — THIS IS US — — The Exam Room Podcast Instagram: https://www.instagram.com/theexamroompodcast — — — Dr. Neal Barnard Books: https://amzn.to/3HhVlrF Instagram: https://www.instagram.com/drnealbarnard Facebook: https://www.facebook.com/NealBarnardMD X: https://x.com/DrNealBarnard — — — Chuck Carroll Instagram: https://www.instagram.com/ChuckCarrollWLC Facebook: https://www.facebook.com/ChuckCarrollWLC X: https://www.twitter.com/ChuckCarrollWLC — — — Physicians Committee Instagram: https://www.instagram.com/physicianscommittee Facebook: https://www.facebook.com/PCRM.org X: https://www.twitter.com/pcrm YouTube: https://www.youtube.com/user/PCRM Jobs: https://www.pcrm.org/careers — — SUBSCRIBE & SHARE — — 5-Star Success: Share Your Story Apple: https://apple.co/2JXBkpy​​ Spotify: https://spoti.fi/2pMLoY3 Please subscribe and give the show a 5-star rating on Apple Podcasts, Spotify, or many other podcast providers. Don't forget to share it with a friend for inspiration!

In this episode, the hosts introduce their guest Nicola Salmon, a fertility coach with a medical science background who advocates for fat-positive fertility. Nicola shares strategies for navigating the biases in fertility healthcare systems, especially for those in bigger bodies. She discusses her journey, the myths around fertility in fat bodies, and the challenges posed by current medical practices, including BMI restrictions and the implications of GLP-1 medications. Nicola also offers insights on advocating for oneself in medical settings and emphasizes the importance of creating a supportive and safe environment. The conversation covers practical advice, highlights the emotional aspects of the journey, and aims to provide both hope and actionable steps for those struggling with fertility and fat bias. MEET Nicola Salmon Fat Positive Fertility Membership on KOFI Join our support community. This community is for you if you want a safe space to work through your daily struggles with food and body image. Community membership includes livestream episode recordings (online), monthly Zoom support meetings, a private Facebook group and member-only Q&A episodes. For more information go to: https://www.patreon.com/lifeafterdiets Instagram – https://www.instagram.com/lifeafterdietspodcast Email – hello@lifeafterdietspod.com Connect with Stefanie Michele, Binge Eating Coach & Somatic Therapist IT Website – www.iamstefaniemichele.com Instagram – www.instagram.com/iamstefaniemichele Connect with Sarah Dosanjh, Author & Psychotherapist Website – www.thebingeeatingtherapist.com Instagram – www.instagram.com/the_binge_eating_therapist YouTube – https://www.youtube.com/c/TheBingeEatingTherapist Sarah's book I Can't Stop Eating is available on Amazon

Coach Tyler and Dr. Lisa Folden sit down with Ragen Chastain and unapck the damaging use of BMI, the importance of shame-free, inclusive care, and the critical need for informed consent in medical settings. Ragen highlights how stigma impacts healthcare access and outcomes, especially for larger-bodied patients, and offers practical tools for self-advocacy. She also reflects on positive shifts in the medical field and ends with a powerful call to challenge weight-based discrimination and build community-driven change.Mentioned in this episode:Try WeShape for FreeHave WeShape build you a better workout

Send us a textTwo physicians challenge everything you thought you knew about weight loss in this eye-opening discussion on the biology behind obesity. Dr. Rocio Salas-Whalen, a triple board-certified endocrinologist and obesity medicine expert, joins Dr. Daria Hamrah to reframe obesity as a complex medical condition—not a failure of willpower.The conversation delves into why "eat less, exercise more" fails most people long-term. Dr. Salas-Whalen explains how genetics can account for up to 70% of obesity risk, with parents' weight before conception significantly affecting their children's predisposition. Beyond genetics, we learn how hormonal changes, aging, and environmental factors create what she calls "the perfect storm" working against sustainable weight loss.Perhaps most fascinating is the detailed explanation of how GLP-1 medications work by targeting both survival and reward eating patterns. Unlike restrictive diets, these treatments address the biological roots of weight regulation while providing psychological relief many patients describe as life-changing. The doctors share moving patient stories, including one man who transformed so dramatically he was unrecognizable—ultimately quitting his job to become a nutrition specialist after experiencing the profound impact of effective treatment.The episode also covers the alarming impact of endocrine-disrupting chemicals found in everyday items like plastic bottles and food containers, with practical advice on reducing exposure. You'll learn why building muscle might be the most important thing you can do for metabolic health, and why body composition analysis offers far more valuable information than BMI alone.Whether you're struggling with weight, supporting someone who is, or simply interested in the science of metabolism, this conversation offers compassionate, evidence-based perspectives that could change how you think about health forever. Listen now to understand why weight management shouldn't be treated as a cosmetic concern—but rather as the serious medical issue it truly is.Dr. Rocio Salas-WhalenIG: @drsalaswhalenNEW YORK ENDOCRINOLOGY, P.C.1107 PARK AVENUENEW YORK, NY 10128PHONE / (212) 722-ENDO (3636)FAX / 212.722.3639Tweet me @realdrhamrahIG @drhamrah

Buried Secrets: Walmart Santa and Family Face Murder Charges It's one of the most grotesque true crime stories in Georgia's history. Elwyn Crocker Sr., a former Walmart Santa Claus, stands accused of murdering his two children, burying their bodies in his backyard, and continuing life as if nothing happened. But the horror runs deeper: text messages show family members casually discussing burial details, including one that reads, “Cool! How deep?” The children, Mary and Elwyn Jr., were never reported missing. Mary, forensic experts say, starved to death with a BMI of 8.6. Her brother's body was so decomposed the cause of death couldn't be determined—but both deaths were ruled homicides. As this dark saga winds its way through years of court delays, new revelations shake the case: a civil lawsuit now alleges Walmart ignored repeated warnings about Crocker's alleged pedophilic behavior—while he was portraying Santa in their stores. In this episode, we unpack the disturbing messages, the forensic testimony, and the devastating legal implications of both the murder charges and the civil lawsuit. What did Walmart know? Why did no one report the children missing? And how does a man portray holiday cheer while allegedly hiding a house of horror? #elwyncrocker #walmartsanta #doublemurder #childabuse #truecrimegeorgia #marycrocker #effinghamcountyhorror #walmartlawsuit #familicide #truecrimepodcast Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872

Buried Secrets: Walmart Santa and Family Face Murder Charges It's one of the most grotesque true crime stories in Georgia's history. Elwyn Crocker Sr., a former Walmart Santa Claus, stands accused of murdering his two children, burying their bodies in his backyard, and continuing life as if nothing happened. But the horror runs deeper: text messages show family members casually discussing burial details, including one that reads, “Cool! How deep?” The children, Mary and Elwyn Jr., were never reported missing. Mary, forensic experts say, starved to death with a BMI of 8.6. Her brother's body was so decomposed the cause of death couldn't be determined—but both deaths were ruled homicides. As this dark saga winds its way through years of court delays, new revelations shake the case: a civil lawsuit now alleges Walmart ignored repeated warnings about Crocker's alleged pedophilic behavior—while he was portraying Santa in their stores. In this episode, we unpack the disturbing messages, the forensic testimony, and the devastating legal implications of both the murder charges and the civil lawsuit. What did Walmart know? Why did no one report the children missing? And how does a man portray holiday cheer while allegedly hiding a house of horror? #elwyncrocker #walmartsanta #doublemurder #childabuse #truecrimegeorgia #marycrocker #effinghamcountyhorror #walmartlawsuit #familicide #truecrimepodcast Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872

Stressing over your BMI? Perhaps a recent doctor's visit has you spiraling over what you need to do to change your Body Mass Index. Today, Heather sits down with two authors who have researched the history, background, and scientific usefulness of the Body Mass Index. You'll be surprised by where this chart originated, how it's used now that was not at all how it was intended to be used, and more. If you've ever stressed over your BMI...this is the episode for you. Learn more about Stephane Brown and Anna Marie Long's new book, Nourished By Faith, here. https://amzn.to/42JPCmF (Amazon affiliatel link). Connect with Anna Marie here: https://www.annamarierd.com Learn more about Compared to Who? by visiting: Https://www.improvebodyimage.com The 40-Day Body Image Workbook: https://www.improvebodyimage.com/40-Day-Body-Image-Workbook-Christian The 40 Day Journey (starts week of June 16): https://www.improvebodyimage.com/40-day-challenge Discover more Christian podcasts at lifeaudio.com and inquire about advertising opportunities at lifeaudio.com/contact-us.

Two time BMI songwriter of the year, Jesse Frasure (“Halfway To Hell” Jelly Roll, “Dirt On My Boots” Jon Pardi, “Marry Me” Thomas Rhett) closes out the spring season, as always, joined by the Songwriter Soup trio. This episode includes a candid conversation about the highs, the lows, the ease, the difficulty, and the jealousy that come standard with all of our songwriter dreams. Jesse opens up a candid conversation on how to ‘dismantle the bomb' of driving yourself insane, worrying about things you absolutely can't control. The group discusses the importance of keeping your ego in check without suppressing it entirely, and how to stay humble without turning humility into an inferiority complex. Complicated stuff! Enjoy this episode and we will be back in the fall! Love y'all!  Listen to Jesse Frasure: The Songwriters Playlist on Apple Music Learn more about your ad choices. Visit megaphone.fm/adchoices

James 2:14-26 | May 25, 2025 | Pastor Todd SmithIn our exploration of James 2:14-26, we're challenged to examine the authenticity of our faith. The central message is clear: if we don't live it, we simply don't believe it. This passage confronts us with the uncomfortable truth that faith without works is dead. We're reminded of Abraham's willingness to sacrifice Isaac, not as a means of salvation, but as evidence of his already-existing faith. This story beautifully illustrates how true faith inevitably leads to obedience and action. As we reflect on our own lives, we must ask ourselves: Does our conduct match our creed? Are we merely paying lip service to our beliefs, or are we allowing our faith to transform us and compel us to serve others? Let's challenge ourselves to move beyond 'easy believism' and embrace a faith that is alive, active, and evident in how we treat those in need around us.To find out more about Crossroads Community Church or to connect with us, visit the following links:→ lifeatcrossroads.org→ facebook.com/lifeatcrossroadsTo give online: lifeatcrossroads.org/giveonline.CCLI License: 2915685CCS WorshipCast License: 9466GRANT OF LICENSE. Crossroads Community Church is granted a non-exclusive, non-transferable license during the term of the agreement to publicly play, perform, and transmit via the website noted above, any musical composition controlled by one or more of the domestic Performing Rights Organizations (ASCAP, BMI and SESAC), as stated in the CCS WORSHIPcast License Terms and Conditions.

This week we move into the arena of preventive cardiology when we review a recent report from the team at Northwestern and Princeton on the impact of early childhood food insecurity on cardiovascular health of people in young adulthood. How does food insecurity in young childhood impact the cardiac health of adults? Why is most of the impact seen on BMI but not other measures of cardiovascular health. How can food programs that support improved food and nutrition security work to improve long term cardiovascular health of children and adults? Do the benefits of such programs outweight their costs? Dr. Nilay Shah of Northwestern University shares his deep insights into his work and these questions this week.DOI: 10.1001/jamacardio.2025.1062

In this episode, Dr. Jaime Almandoz, Associate Professor of Medicine at UT Southwestern, is joined by Dr. Robert F. Kushner, Professor of Medicine at Northwestern University and a leading authority in obesity medicine, to discuss the recent Lancet Diabetes & Endocrinology Commission report, “Definition and Diagnostic Criteria of Clinical Obesity.” The report introduces a new framework for defining clinical and preclinical obesity, aiming to move beyond the limitations of BMI. Dr. Kushner shares insights into the Commission's global consensus process and how the updated definitions can transform care, reduce weight stigma, and support more targeted treatment. Don't miss this timely conversation on the evolving future of obesity diagnosis and management.

Send us a textMedical weight stigma creates dangerous catch-22 situations for patients seeking care. In this episode, I share Cameron's story of developing gallstones after weight loss surgery, only to be denied treatment because their BMI was "still too high." In this episode, I expose how rapid weight loss can trigger gallstone formation and how medical professionals often ignore evidence-based care when treating higher weight patients. I challenge the "lose weight to get treatment" narrative while offering practical advocacy strategies for navigating a biased healthcare system. Today's journal article was Gregori, Matteo et al. “Day case laparoscopic cholecystectomy: Safety and feasibility in obese patients.” International journal of surgery (London, England) vol. 49 (2018)For free resources on the management of galbladder disease head to noweigh.org And don't forget to check out my masterclass on gallstones Got a question for the next podcast? Let me know! Connect With Me FREE GUIDES: evidence-based, not diet nonsense NEWSLETTER: Life-changing insights straight to your inbox UNSHRINKABLE: Find out why your body is not designed to shrink MASTERCLASSES: All the evidence doctors should give you NO WEIGH PROGRAM: Join the revolution against weight-loss lies THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters CONSULTATION: For the ultimate transformation in your healthcare journe Find me on Instagram, YouTube, and LinkedIn.

Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 2976: Adda Bjarnadottir examines the popular belief that drinking more water leads to weight loss, revealing that while water can aid metabolism, reduce appetite, and replace high-calorie beverages, the evidence for water alone causing weight loss is weak. Still, staying hydrated can support healthier habits and contribute to long-term weight management when paired with other lifestyle changes. Read along with the original article(s) here: https://www.healthline.com/nutrition/drinking-water-helps-with-weight-loss Quotes to ponder: "Drinking water can help burn calories and reduce hunger cravings." "Drinking water may help increase your metabolic rate and how much energy (or calories) you burn." "The benefits are even greater when you replace sugary beverages with water." Episode references: 2023 study on warm water and BMI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9998972/ 2021 water fasting study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8441430/ 2019 study on weight loss and water intake: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6835202/ Learn more about your ad choices. Visit megaphone.fm/adchoices