Podcasts about BMI

Endocrinologist and obesity specialist Dr. Karl Nadolsky joins me to bust myths, debunk pseudoscience, and share evidence-based nuance around:• Whether “adrenal fatigue” is a real thing• What adrenal insufficiency actually is• The most common symptoms people misattribute to “adrenal fatigue”• Thoughts on self-proclaimed “hormone specialists”• The marketing of “hormone balancing” and why it's misleading• How lifestyle improvements get mistaken for medical fixes• The nuance behind BMI, waist circumference, and metabolic risk• What happens when cortisol is too high or too low• The truth about hormones and fat gain or loss• Are diet drinks really bad for your liver?• And much moreCHAPTERS00:00:49 Debunking Adrenal Fatigue00:03:29 Symptoms and Misdiagnosis00:05:05 Real Medical Concerns00:06:24 The Role of Lifestyle Changes00:06:59 Challenges in Healthcare00:13:45 Understanding Hormone Specialists00:19:51 The Problem with Hormone Balancing00:23:51 Hormones and Metabolic Rate00:26:13 Understanding Hormonal Impact on Weight Gain00:27:25 Cortisol and Its Complex Role in Weight Gain00:31:06 Menopausal Hormone Therapy and Obesity00:31:56 The Dangers of Abdominal Obesity00:32:46 BMI vs. Waist Circumference: A Better Indicator?00:42:03 Musculoskeletal Risks of Obesity00:48:30 Debunking Myths About Diet DrinksSUPPORT THE SHOWIf this episode helped you, you can help me by:• Subscribing and checking out more episodes• Sharing it on your social media (tag me—I'll respond)• Sending it to a friend who needs thisFOLLOW ANDREW COATESInstagram: @andrewcoatesfitnessWebsite: https://www.andrewcoatesfitness.comPARTNERS & RESOURCESRP Strength App (use code COATESRP)https://www.rpstrength.com/coatesJust Bite Me Meals (use code ANDREWCOATESFITNESS for 10% off)https://justbitememeals.com/MacrosFirst (nutrition tracking)https://www.macrosfirst.com/KNKG Bags (15% off)https://www.knkg.com/Andrew59676Versa Gripps (discount link)https://www.versagripps.com/andrewcoatesTRAINHEROIC — FREE 90-DAY TRIAL (2 steps)Go to https://www.trainheroic.com/liftfreeReply to the email you receive (or email trials@trainheroic.com) and let them know I sent you

Sunday, November 2, 2025 Title: "Witness: Living the Legacy" Scripture: Matthew 16:13-19 By: Rev. Marisa Gertz Scripture https://www.biblegateway.com/passage/?search=Matthew%2016%3A13-19&version=NRSVUE Bulletins https://trinitygnv.org/s/Sunday-Bulletins-11-02-25-8AM-samb.pdf https://trinitygnv.org/s/Sunday-Bulletins-11-02-25-930AM-WEB-a8x6.pdf https://trinitygnv.org/s/Sunday-Bulletins-11-02-25-11AM-7lla.pdf 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.

Peso Pluma BioSnap a weekly updated Biography.Peso Pluma has had a blockbuster week packed with major headlines, historic milestones, and buzzy public moments that showcase why his star continues to rise in the Latin music industry. On March 6, he was honored as the reigning champion at the 32nd BMI Latin Awards in Miami, where he received the coveted BMI Champion Award for his transformative impact on música mexicana and for a sound that has captivated millions worldwide, according to Variety and AOL. Peso Pluma was also named regional Mexican songwriter of the year, a distinction previously held by Grammy-winning producer Edgar Barrera. Notably, several top tracks penned or performed by Peso Pluma, including Bipolar, Bye, El Gavilan, Igualito a Mi Apa, Luna, and his much-streamed Bzrp Music Sessions Vol. 55, dominated BMI's list of most-performed songs, sealing his legacy as a hitmaker.The ceremony doubled as a celebration for Double P, Peso Pluma's own label. Tito Double P, one of his signees and a close collaborator, won the BMI Impact Award for co-writing some of Peso Pluma's early defining hits like El Belicon and AMG. Peso Pluma delivered a heartfelt speech, crediting his team, family, and fans for supporting this massive movement in regional Mexican music, highlighting a pivotal moment not only for himself but also for the genre's mainstream evolution.Days before, Peso Pluma made history by performing at ComplexCon 2025 in Las Vegas, marking the first-ever appearance of a regional Mexican artist at the culture-shaping festival. As News3LV and Las Vegas Weekly reported, ComplexCon set a new attendance record with over 70,000 festival-goers, as Peso Pluma shared the lineup with major hip-hop acts and influencers. This is widely viewed as a breakthrough that could open doors for other Mexican acts on global cultural stages—an event with potential long-term significance for both Peso Pluma and the industry.Meanwhile, the Peso Pluma lookalike contest in Los Angeles drew over a hundred fans to Echo Park Lake, as reported by LAist. The playful event was a testament to his sweeping popularity and impact on youth culture, with contestants judged on their dance skills and Peso “Bella” impersonations. Social media buzzed with clips from the contest, and Oscar Reyes from Downey walked away with the grand prize, later proclaiming Peso Pluma “one of the greatest artists right now.”Not all chatter was about music and fandom—Peso Pluma's romantic history had spillover headlines as ex-girlfriend Nicki Nicole trended after her breakup with soccer star Lamine Yamal. Hola! recalls the couple's brief but memorable red carpet moment at last year's Grammy Awards, but confirms their relationship ended months ago amid viral cheating accusations against Peso Pluma. While Nicole swiftly deleted all traces of the romance from Instagram, Peso Pluma focused squarely on his career milestones, staying clear of public comment and letting achievements speak louder than gossip.In sum, Peso Pluma's past few days have been marked by cultural crossover triumphs, record-breaking public appearances, and an award season sweep that further cements his reputation as the face of modern Mexican music. With the flood of recognition from industry insiders and explosive crowd reactions, it's clear Peso Pluma's next chapter is unfolding before a global audience, where breaking records and inspiring fandom are quickly becoming his new normal.Get the best deals https://amzn.to/3ODvOtaThis content was created in partnership and with the help of Artificial Intelligence AI

"Human philosophy was beaten from its usurped province, but not by any counter-philosophy; and unlearned Faith, establishing itself by its own inherent strength, ruled the Reason as far as its own interests were concerned, and from that time has employed it in the Church, first as a captive, then as a servant; not as an equal, and in nowise (far from it) as a patron." St. John Henry Newman's Oxford Sermons, delivered during his time as an Anglican preacher at the University of Oxford, were instrumental in shaping the Oxford Movement, which sought to revive High Church traditions within the Church of England and ultimately led to many conversions to Catholicism. In addition to the profound influence these sermons had on both Anglican and Catholic theology, they also bore a personal significance for Newman's own conversion to Catholicism years later. These fifteen sermons, though deeply interconnected in theme and insight, are not sequential in nature; rather, each stands on its own as a distinct and self-contained reflection on faith and reason. Newman lays the groundwork for themes developed in later works, such as Grammar of Assent and Essay on the Development of Christian Doctrine. In this fourth sermon, Newman demonstrates how Reason oversteps its bounds when it sets itself up as the legitimate judge of religious truth, over and against childlike spiritual discernment. Links The Usurpations of Reason full text: https://www.newmanreader.org/works/oxford/sermon4.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.

Welcome to our latest Jazz Cast with the spotlight on jazz phrasing and clear-tone lead sounds. The inter-play between the rhythm and lead guiitars is also highlighted throughout the set.  The titles: "THE SCENIC ROUTE", "DOUBLE HEADER", our feature song for this week, "THE RIDE BACK HOME" and "JUST THE BEGINNING FROM THE TOP, PART II". (compliments of cosmic consciousness music ©2025 BMI). Enjoy!

Description Join host and Digital Education Committee Member, Danesh Kella, MBBS, FHRS and his guests Ratika Parkash, MD, MS, FHRS and Prashanthan Sanders, MBBS, PhD, FHRS at HRX Live 2025 in Atlanta, for this exciting discussion. The PRAGUE-25 trial, published in JACC in 2025, compared catheter ablation with a program of lifestyle modification plus antiarrhythmic drugs in obese patients (BMI 30–40 kg/m2) with symptomatic atrial fibrillation. At 12 months, freedom from atrial fibrillation was significantly higher with ablation (73%) than with lifestyle modification + AADs (35%), despite the latter group achieving greater weight loss and metabolic improvement. The findings suggest that while aggressive risk-factor control improves overall health, catheter ablation remains more effective for rhythm control in this population.    Learning Objectives Describe the comparative effectiveness of catheter ablation versus lifestyle modification with antiarrhythmic drug therapy in obese patients with symptomatic atrial fibrillation. Discuss how weight reduction and risk-factor modification influence atrial fibrillation outcomes, while recognizing that catheter ablation provides superior rhythm control despite metabolic improvements achieved through lifestyle intervention.   Article Authors Pavel Osmancik, Tomas Roubicek, Stepan Havranek, Jan Chovancik, Veronika Bulkova, Dalibor Herman, Martin Matoulek, Vladimir Tuka, Ivan Ranic, Jana Hozmanova, Marek Hozman, Lucie Znojilova, Adam Latinak, Jan Pidhorodecky, Milan Dusik, Jan Simek, Otakar Jiravsky, Bogna Jiravska-Godula, Frantisek Lehar, Michal Cernosek, Zuzana Hejdukova, Hana Zelinkova, Jiri Jarkovsky, and Klara Benesova  Podcast Contributors Prashanthan Sanders, MBBS, PhD, FHRS Danesh Kella, MBBS, FHRS Ratika Parkash, MD, MS, FHRS    All relevant financial relationships have been mitigated. Host Disclosure(s): D. Kella •Speaking/Teaching/Consulting: Zoll Medical Corporation, MBW Spectrum  ​Contributor Disclosure(s):    R. Parkash •Research: Abbott, Medtronic, Novartis • Membership on Advisory Committees: Medtronic  P. Sanders •Membership on Advisory Committees: Medtronic PLC, Pacemate, CathRx, Boston Scientific, Abbott Medical • Research: Abbott, Becton Dickinson, Calyan Technologies, Ceryx Medical, Biosense Webster, CathRx, HelloAlfred, Medtronic, Inc., Abbott Medical  Staff Disclosure(s) (note: HRS staff are NOT in control of educational content. Disclosures are provided solely for full transparency to the learner): S. Sailor: No relevant financial relationships with ineligible companies to disclose.

In this episode, I unpack what ASCAP, BMI, and SOCAN's new policy on partially AI-generated works means for production music composers. We'll talk about where the line is between using AI as a creative assistant and letting it compose for you, what this shift means for publishers and libraries, and whether the “stink of AI” will ever really go away.Plus we take a listen to a brooding intrigue cue, "Crisis Me a River."Watch this episode on YouTube - https://youtu.be/pIELNVxo73Qhttps://www.bmi.com/news/entry/ascap-bmi-and-socan-announce-alignment-on-ai-registration-policieshttps://www.musicbusinessworldwide.com/ascap-bmi-and-socan-will-now-accept-registrations-of-partially-ai-generated-musical-works/ https://www.musicbusinessworldwide.com/can-ai-generated-content-be-copyrighted-heres-what-a-new-report-from-the-us-copyright-office-says1/https://www.musicbusinessworldwide.com/germanys-gema-launches-ai-charter-laying-out-legal-and-ethical-principles-for-artificial-intelligence-in-music/ Support for the 52 Cues Podcast comes from ReelCrafter, the professional way to pitch your production music and know exactly when your cues are heard.Start your free trial at ReelCrafter.com/52Cues! Cymbal SFX - Bowed! Elevate your soundscapes with Cymbal SFX - Bowed—a masterful collection of 68 unique bowed cymbal performances, meticulously recorded for tension-filled tracks and cinematic trailers. Now available exclusively at Production Music Tools!https://productionmusictools.com/products/bowed-cymbals-by-52-cues Join the 52 Cues Community! – https://my.52cues.comIt's free to post your cues for feedback from the community, network with other composers, and ask questions about the industry!Plus, member subscribers get extra perks like workshops, livestreams, cue breakdowns, live feedback sessions, hundreds of hours of video archives, and opportunities to submit to real music libraries.One-on-one coaching sessions and video critiques also available at http://52cues.com/coaching!Note: Links may be affiliate links which generate a small commission but at no extra cost to you!

Time: ~34 min. I'm back with Episode 76, and this week I'm talking about the upcoming Mesa Music Festival, the latest in indie music news — including TikTok's U.S. deal, new AI music registration rules, and Spotify's crackdown on fake and AI-generated tracks — plus a marketing tip every indie artist needs to hear: stop auto-posting from Instagram to Facebook! I've also got fresh tracks from Bear Ghost, Adam Sherman Band, The Chelsea Curve, Derek D'Acoustic, and Lynda Mandolyn to round out the show. LINKS: SIGN UP FOR THE NEWSLETTER!  Get your merch! Thank you for supporting the show and indie artists Join the exclusive group on Facebook!  MESA MUSIC FESTIVAL  TikTok deal being finalized this week ASCAP, BMI, and SOCAN will accept registrations of partially AI generated music Spotify cracking down on AI fakes People are rethinking how they learn piano MUSIC:  Bear Ghost - Necromancin' Dancin'  Adam Sherman Band - Everyday Dangers The Chelsea Curve - Rally 'Round Derek D'Acoustic - Hero (Family of the Year cover) PICK OF THE WEEK! Lynda Mandolyn - Gimme Gimme Halloween Feedback: scenemomsays@gmail.com Submit Your Music: https://danicutler.com/podcast/submit-your-music/ All Things Dani

Dr. Jeanne De Lavallaz and Dr. Ramy Doss discuss the results of the  TRANSFORM-AF Trial with expert faculty Dr. Sanjeev Saksena and Dr. Varun Sundaram.   The TRANSFORM-AF trial enrolled 2,510 patients with atrial fibrillation (AF), type 2 diabetes, and obesity across 170 Veterans Affairs hospitals to evaluate the impact of diabetes-dose GLP-1 receptor agonists on AF-related outcomes. Participants were assigned to receive either a GLP-1 receptor agonist, a DPP-IV inhibitor, or a sulfonylurea. The primary composite outcome included AF-related hospitalizations, cardioversions, ablation procedures, and all-cause mortality. Over a median follow-up of 3.2 years, GLP-1 use was associated with a 13% reduction in major AF-related events compared to other therapies. The study population was predominantly male, with a high prevalence of severe obesity (BMI >40 kg/m²) in whom the benefit appeared most pronounced. Notably, the observed benefit occurred despite only modest additional weight loss, suggesting potential non-weight-mediated effects of GLP-1 therapy  This episode was planned in collaboration with  Heart Rhythm TV with mentorship from Dr. Daniel Alyesh and Dr. Mehak Dhande.  CardioNerds Journal Club PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron!

Chris Boardman is a master musician, arranger and composer. His resume is off the charts. He began his career in film, tv and recording in 1974. He's received an Academy Award nomination for his work on “The Color Purple”, 6 Emmy Awards, 13 Emmy nominations, and ASCAP and BMI film awards. He's worked with a Who's Who including Steven Spielberg, Barbra Streisand, Quincy Jones, Julie Andrews and Marvin Hamlisch. He's worked on the “Lethal Weapon” and “Die Hard” films, and on Anthony Newley's “Chaplin” on Broadway to name just a few. My featured song is “Catch You Later” from my 2012 album Spring Dance by my band Project Grand Slam. Spotify link.—-----------------------------------------------------------The Follow Your Dream Podcast:Top 1% of all podcasts with Listeners in 200 countries!Click here for All Episodes Click here for Guest List Click here for Guest Groupings Click here for Guest TestimonialsClick here to Subscribe Click here to receive our Email UpdatesClick here to Rate and Review the podcast—----------------------------------------CONNECT WITH CHRIS:www.soundbridgehealth.com—----------------------------------------ROBERT'S NEW SINGLE:“MI CACHIMBER” is Robert's new single. It's Robert's tribute to his father who played the trumpet and loved Latin music.. Featuring world class guest artists Benny Benack III and Dave Smith on flugelhornCLICK HERE FOR YOUTUBE LINKCLICK HERE FOR ALL LINKS—--------------------------------------ROBERT'S RECENT SINGLE:“SUNDAY SLIDE” is Robert's recent single. It's been called “A fun, upbeat, you-gotta-move song”. Featuring 3 World Class guest artists: Laurence Juber on guitar (Wings with Paul McCartney), Paul Hanson on bassoon (Bela Fleck), and Eamon McLoughlin on violin (Grand Ole Opry band).CLICK HERE FOR ALL LINKSCLICK HERE FOR THE OFFICIAL VIDEO—-------------------------------------------ROBERT'S LATEST ALBUM:“WHAT'S UP!” is Robert's latest compilation album. Featuring 10 of his recent singles including all the ones listed below. Instrumentals and vocals. Jazz, Rock, Pop and Fusion. “My best work so far. (Robert)”CLICK HERE FOR THE OFFICIAL VIDEOCLICK HERE FOR ALL LINKS—----------------------------------------Audio production:Jimmy RavenscroftKymera Films Connect with the Follow Your Dream Podcast:Website - www.followyourdreampodcast.comEmail Robert - robert@followyourdreampodcast.com Follow Robert's band, Project Grand Slam, and his music:Website - www.projectgrandslam.comYouTubeSpotify MusicApple MusicEmail - pgs@projectgrandslam.com  

In our chat, Dr. Ben White dives into why DEXA scans are agame-changer for understanding body composition, going beyond the usual BMI. He breaks down how these scans give us a full picture by measuring bone density, visceral fat, and lean mass. We also talk about why strength training is crucial, especially for women after menopause, to keep bones strong and healthy. Plus, Dr. White stresses the importance of keeping an eye on body composition to catch any health issues early on.Dr. White is a residency trained and board certified orthopedic clinical specialist physical therapist, husband, father, and general nerd. He is in private practice for physical therapy and as of last year opened up the first and only Dexa Scan body composition testing facility in North East Ohio, DexaFit Cleveland. You can find him at www://cleveland.dexafit.com and on Instagram at Dexafit Cleveland

Loved this episode, Tonya has had an amazing journey. Enjoy this encore episode as we take a short holiday break , We will be back next week with all new episodes. Tonya Kortekaas lives in Pontiac, Michigan, with her husband, Michael, of 11 years. She is the mother of three adult sons and a “bonus” mom to Michael's three children.Tonya spent most of her adult life as a stay-at-home mom of 3 growing boys and self-employed as a portrait photographer.  She felt that her most important mission in life was to raise her children and give them all the care and love they deserved.  She has been good at putting her family before her own needs, but the costs of that have been not caring for her mind and body as she should.  As her children have become adults and she has had more time to work on herself, she has entered into the full timeworking world and currently works for Oakland University.  She enjoys outdoor walks, kayaking, biking, watercolour painting and coffee in her free time. Tonya has struggled with her weight since her early 20s. She realizes that emotional eating and overindulging in sweets have been her issues.   She has tried countless diets, which have allowed her to lose weight but eventually gain it all back and more over the years.  At her annual physical exam in March of 2022, she was confronted with the highestweight of her lifetime at 349 lbs. and a BMI of 51.  Her blood pressure was soaring to a dangerous high, and her blood tests showed she was pre-diabetic.  She knew at that moment it was time for a significant change. Shewas sick of living life with this ongoing weight struggle and longed deeply to be a “normal” "-sized person.  Little did she know that change was going to lead her to an intermittent fasting lifestyle and complete freedom from her struggles with eating.  She's lost 155 lbs over 26 months of her weight loss journey. Since being on the podcast in February of 2023, episode 161, Tonya has discovered the benefits of a carnivore lifestyle and hasnoticed numerous health benefits by cutting the sugar and processed foods out of her life.   Our Patreon Supporters Community Please consider joining the Fasting Highway Patreon community. It has been great for all who have joined. It has become an excellent add-on to our Patreon members' IF lifestyle, who enjoy a lot of bonus content to support them in living an IF life.For less than a cup of coffee a month, you can join and support your own health goals.Graeme hosts three Zoom meetings monthly in the Northern and Southern hemispheres for members to come and get support for their IF lifestyle, which has proven very popular with our Patreon members.You will not find anywhere that provides that kind of support and accountability for just 0.16 cents a day. I cannot urge you more strongly to give it your utmost consideration. Please go to www.patreon.com/thefastinghighway to see the benefits you get back and how to join.Private coaching is available with Graeme one-on-one. Please go to www.thefastinghighway.com, click help get coaching, and book a time that suits you. All times you see are in your local time zone.Graeme's best-selling book, The Fasting Highway, about his journey and how he did it, is available in paperback and Kindle at your local Amazon store. It is also available on audio at Applebooks, Kobo, Spotify, and many other audiobook platforms. Disclaimer: Nothing in this podcast should be taken as medical advice. The opinions expressed herein are those of the host and guest only.

In part 1 of the Cardiometabolic Rx podcast, host Emma Sutherland is joined by Dr Adrian Lopresti, Dr Michelle Woolhouse, Lisa Costa-Bir, and Mick Alexander for a wide-ranging discussion on the foundations of cardiometabolic health. Together, they explore how individualised nutrition, hormonal balance, stress adaptation, and muscle and bone integrity as well as kidney health influence metabolic outcomes, emphasising why truly integrative care must extend beyond BMI, cholesterol and blood pressure checks. The panel shares the latest evidence on emerging assessment tools - including continuous glucose monitoring, homocysteine and trimethyl amine and oxide (TMAO) testing, and the body roundness index and how these measures can reveal early signs of dysfunction before overt disease develops. In an engaging exchange of clinical perspectives, the ambassadors uncover the “silent hijackers” of cardiometabolic health such as poor sleep, loneliness, medications, and gut dysbiosis. This thought-provoking discussion challenges long-held assumptions and equips practitioners with practical, evidence-based strategies to assess and address cardiometabolic risk at every stage of patient care. COVERED IN THIS EPISODE (1:07) Welcome – fx Medicine ambassadors (2:42) Cardiometabolic myth 1: “there is no one-size-fits-all when it comes to diet” (4:57) Cardiometabolic myth 2: – “I've got big bones” (7:23) Cardiometabolic myth 3: – Cardiometabolic disease is an old person's disease (10:21) Cardiometabolic myth 4: – If your BMI is normal, then your metabolic health is fine (11:19) Cardiometabolic myth 5: – People with a heart condition should avoid exercise (15:16) Cardiometabolic disease drivers – Stress and cardiovascular disease (18:07) Cardiometabolic disease driver – Complex interplay of conditions (20:10) Cardiometabolic disease driver – Muscles and bones (21:56) Cardiometabolic disease driver – Chronic kidney disease (25:20) Cardiometabolic disease driver – Lifestyle factors (35:06) Assessment tools – Waist measurement (37:29) Assessment tools – Continuous glucose monitoring (41:49) Assessment tools – Blood tests (44:12) Assessment tools – Pharmacy screening (49:33) Assessment tools – Cortisol testing (53:44) Cardiometabolic hijacker – Early childhood trauma (58:19) Cardiometabolic hijacker – Relationship between cardiometabolic and mental health (1:01:04) Cardiometabolic hijacker – Common medications (1:03:50) Cardiometabolic hijacker – Gut bacteria (1:06:52) Final remarks Find today's transcript and show notes here: https://www.bioceuticals.com.au/education/podcasts/the-cardiometabolic-rx-part-1-metabolic-fundamentals-and-myths Sign up for our monthly newsletter for the latest exclusive clinical tools, articles, and infographics: www.bioceuticals.com.au/signup/ DISCLAIMER: The information provided on fx Medicine by BioCeuticals is for educational and informational purposes only. The information provided is not, nor is it intended to be, a substitute for professional advice or care. Please seek the advice of a qualified health care professional in the event something you learn here raises questions or concerns regarding your health.

Sunday, October 26, 2025 Title: "Finding the Right Fit" Scripture: Romans 12:1-6a By: Rev. Steve Price Scripture https://www.biblegateway.com/passage/?search=Romans%2012%3A1-6a&version=NRSVUE Bulletins https://trinitygnv.org/s/Sunday-Bulletins-10-26-25-8AM.pdf https://trinitygnv.org/s/Sunday-Bulletins-10-26-25-930AM-WEB-rwax.pdf https://trinitygnv.org/s/Sunday-Bulletins-10-26-25-11AM.pdf 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.

Colossians 3:1-4 | October 26, 2025 | Pastor Todd SmithThis powerful message from Colossians 3:1-4 challenges us to shift our focus from the temporary to the eternal, from the 'now' to the 'then.' We're reminded that as Christ followers, we're called to be heavenly distracted—to seek the things above where Christ sits at the right hand of God, and to set our minds on eternal realities rather than earthly distractions. The sermon unpacks two foundational pleas and two transformative promises. First, we're commanded to seek continuously—with pesky persistence—the things that are above, not giving up despite life's billion distractions. Second, we're called to set our minds on heaven, to think heaven, to be so preoccupied with eternity that we pull into our driveways wondering what it will be like to walk streets of gold rather than rehearsing tomorrow's worries. The promises are equally stunning: our lives are hidden with Christ in God, safe and secure in the shelter of the Almighty, and when Christ appears in glory, we will appear with Him. This isn't just theological theory—it's the anchor that transforms how we live today. When we hold earthly things loosely and eternal things tightly, we find freedom from the tyranny of the immediate and discover the joy of living for what truly lasts.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.

Welcome to Fertility & Sterility Roundtable! Each month, we will host a discussion with the authors of "Views and Reviews" and "Fertile Battle" articles published in a recent issue of Fertility & Sterility. This month, we welcome Dr. Brian Levine and Dr. Kate Schoyer to discuss if physicians should be facilitating gestational carrier arrangements in the absence of a medical indication, also known as elective surrogacy. Dr. Brian Levine is the founding partner and practice director of CCRM New York, where he has helped countless families on their path to parenthood. Dr. Levine is also the founder of Nodal, the premier online gestational surrogacy platform, which connects intended parents and surrogates in a trusted and transparent way. Dr. Kate Schoyer is an Associate Professor of Obstetrics and Gynecology and Reproductive Endocrinology and Infertility at the Medical College of Wisconsin. She is the Director of the Division of Reproductive Endocrinology and Infertility and is the Medical Director of the Reproductive Medicine Center at Froedtert Hospital. Her research interests include factors contributing to success with ART, the impact of BMI, and therapies for patients with diminished ovarian reserve. View Fertility and Sterility at https://www.fertstert.org/

Chris recaps his trip to europe, the guys debate their BMI's and talk Brendan only sucking on candies because of his teeth pain, the Ed Gein series, which Ryan Murphy films they like the most, an update of Chris' macros and workout routine, Brendan's fascination with military movies and shows, the new panty bush trend, their favorite Texas Chainsaw Massacre movies, favorite horror movies and much more! Get this episode AD FREE + 2 PATREON ONLY episodes/month only at https://patreon.com/thegoldenhourpodcastQuince - Go to https://quince.com/golden for free shipping on your order and 365-day returnsDraftKings - Download the DraftKings Pick6 app now and use code GOLDEN. That's code GOLDEN — play just $5, get $50 in Pick6 bonus picks.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Despite that body mass index (BMI) is a measure widely recognized as imprecise and of limited diagnostic utility, it remains in use in health care, including in procedure candidacy screening and to disqualify some patients' access to indicated interventions. In this Sept 10th Grand Rounds, Drs Fatima Cody Stanford and Natalie Boero will examine the clinical applications of BMI and their effects on patients, and how our understanding of the obesity "epidemic" has evolved. Recorded September 10, 2025.  Watch the video and claim CE credit at JournalOfEthics.org

Chasen Wayne took the long road to honky tonk stage success. The native Texan's first job in the music industry – if you could call it that – was a club bouncer as a teenager. His reputation and professionalism landed him at a popular venue in Austin, Texas where he wound up booking shows, too. Nevermind that his big claim to fame in Austin is booking a video shoot for Zach Bryan, a story he tells us in the latest episode of Roots Music Rambler. Wayne's primary focus was on his weekend residency at the club and building his musical career. His new album Corpus shares stories of his path out of addiction to sobriety, fatherhood and much more. Wayne's stories are mostly true and autobiographical. But they're raw and revealing which has him destined to continue to grow an already avid fan base and keep living that honky tonk dream. We talked to Wayne about sobriety, father hood, digging tunnels and a lot more. And we got to hear the details behind the big Zach Bryan video shoot, too.  Also on this episode of Roots Music Rambler, Frank and Falls discuss Morgan Wallen deciding not to nominate his latest album for Grammy consideration, the pop country vs. “real” country debate, and they share their picks for Pickin' the Grinnin' – music you should listen to.  Watch the Episode on YouTube Download the episode and subscribe at rootsmusicrambler.com, watch the full episode on YouTube, or download wherever you get your podcasts.  Also be sure to help spread the love of the show with Roots Music Rambler's new merch, now available at rootsmusicrambler.com/store. Authentic t-shirts, hats and stickers are now available.  Buckle up for The Hoe-Down and the Throw-Down! It's a new episode of Roots Music Rambler. Notes and links:  Morgan Wallen says “No” to the Grammy's Chasen Wayne on Spotify Chasen Wayne on Instagram Zach Bryan's “Nine Ball” (filmed at Sagebrush) The Roots Music Rambler Store Roots Music Rambler on YouTube Roots Music Rambler on Instagram Roots Music Rambler on TikTok  Roots Music Rambler on Facebook Jason Falls on Instagram Jason Falls on TikTok Francesca Folinazzo on Instagram Pickin' the Grinnin' Recommendations The Onlies Del Roscoe Subscribe to Roots Music Rambler on YouTube, Spotify, Apple Podcasts, GoodPods or wherever you get your podcasts.Theme Music: Sheepskin & Beeswax by Genticorum; Copyright 2025 - Falls+Partners. All music on the program is licensed by ASCAP, BMI and SESAC. Roots Music Rambler is a member of the Americana Music Association. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this personal episode, I'm sharing my PCOS journey - from diagnosis at 16 to navigating fertility and finding weight-neutral care approaches.What We Cover:My PCOS story and unexpected fertility journey3 major PCOS myths that need bustingWeight-neutral care advice that doesn't involve weight-loss!Sponsored by Inofolic Alpha Plus - The only PCOS supplement designed for folks with BMI over 25. Use code NICOLAPOD for 10% off.Resources:Book a Fat Positive Fertility Roadmap SessionJoin the Substack communityGet the book: Fat and FertileHave questions about PCOS? Share your story in the Substack comments - I'd love to hear from you! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit fatpositivefertility.substack.com/subscribe

After talking about my training, diet, Muskoka trip, and the Toronto Blue Jays going to the World Series, I talk about how to avoid gaining too much weight this Winter and then I talk about cold and heat exposure. How to avoid excessive weight gain during Winter (5:05) Cold and heat exposure (11:11)

What if everything you thought GLP-1s were for—was just the beginning? I sit down with Dr. Rocio Salas-Whalen, a board-certified endocrinologist and obesity medicine specialist with over 15 years of experience prescribing GLP-1s, to explore what these medications are really doing in the body. Whether you're already taking Ozempic or Wegovy, considering starting, or just curious, this conversation will change how you think about metabolism, hormones, and health. Dr. Salas-Whalen explains how GLP-1s go far beyond appetite suppression and weight loss—they can impact fertility, inflammation, autoimmune conditions, and even how your brain responds to addictive cravings and stress. You'll also hear how body composition, not BMI, is the future of metabolic health, and what to ask your doctor before starting GLP-1s.

ASOPRS Website: Click Here Have you ever wanted to know more about aesthetic lasers, but don't know where to start?  Confused by the lingo? Join Dr. Nicole Langelier as she takes Dr. Christina Choe and Dr. Sandy Zhang-Nunes through a whirlwind tour of laser physics, laser terminology, and laser-tissue interactions. We'll explain how lasers work, discuss selective photothermolysis, cover basic skin anatomy, and define workhorse terms like chromophore, wavelength, joules, watts, fluence, thermal relaxation time, and pulse width. Consider this the prequel to upcoming episodes on the clinical uses of ablative laser resurfacing, non-ablative laser resurfacing, light and energy based devices.  By understanding the language and core scientific concepts of lasers, we hope to make you a safer and more educated laser provider!   Corrections/Clarifications: - Blood vessels are lined by endothelium (not epithelium) - The skin registers pain from heat at 45C, but may occur between 43-44C with variability based on the time of exposure and area of exposure (I stated it occurs at 42C) https://www.cardinalhealth.com/content/dam/corp/web/documents/whitepaper/cardinal-health-localized-temperature-therapy%20White%20Paper.pdf - The exact number varies by source, but waters absorbs the erbium 2940nm wavelength 10-20 times more efficiently than it absorbs the CO2 10,600nm wavelength (I said 30 times) - Clarification:  Eyelid skin is thinner closer to the lashes and on the medial aspect of the eyelid as compared to skin further from the lashes and the lateral aspect of the eyelid.  A study in Korean skin by Hwang et al found the thickest part of the eyelid to be just below the eyebrow (1.127 +/- 238um) with the thinnest skin near the ciliary margin 320 +/- 49um).  Jeong et al found that epidermal thickness is similar between genders while men had thicker reticular dermis than women and skin thickness was not correlated with BMI. - The UV wavelengths range from 100nm - 400nm.  UVC: 100nm - 280nm; UVB: 280nm-315nm; UVA: 315-400.  (I used single wavelength numbers rather than a range for ease of explanation).   Citations for skin thickness: Full thickness punch biopsies from cadaver heads processed with paraffin-embedded slides: Karan Chopra, Daniel Calva, Michael Sosin, Kashyap Komarraju Tadisina, Abhishake Banda, Carla De La Cruz, Muhammad R. Chaudhry, Teklu Legesse, Cinithia B. Drachenberg, Paul N. Manson, Michael R. Christy, A Comprehensive Examination of Topographic Thickness of Skin in the Human Face, Aesthetic Surgery Journal, Volume 35, Issue 8, November/December 2015, Pages 1007–1013, https://doi.org/10.1093/asj/sjv079   Ultrasonographic measurements in live participants: Jeong KM, Seo JY, Kim A, Kim YC, Baek YS, Oh CH, Jeon J. Ultrasonographic analysis of facial skin thickness in relation to age, site, sex, and body mass index. Skin Res Technol. 2023 Aug;29(8):e13426. doi: 10.1111/srt.13426. PMID: 37632182; PMCID: PMC10370326.   Cut and trichrome stained specimens from fresh cadavers Hwang, Kun MD, PhD*; Kim, Dae Joong PhD†; Hwang, Se Ho†. Thickness of Korean Upper Eyelid Skin at Different Levels. Journal of Craniofacial Surgery 17(1):p 54-56, January 2006. | DOI: 10.1097/01.scs.0000188347.06365.a0  

Ever catch yourself criticizing your reflection and instantly regret it when your kid's in earshot? You're not alone, mama. In this empowering episode, we chat with our good friend, board-certified pediatrician and author Dr. Whitney Casares — founder of Modern Mommy Doc, spokesperson for the American Academy of Pediatrics, and author of the new children's book My One-of-a-Kind Body — shares how your own body talk shapes your child's confidence. You'll hear why BMI is outdated, how diet culture still sneaks into our homes, and the simple language shifts that help you raise kids who feel proud of their bodies — no matter their size. Listen in to discover how embracing body positivity for moms can transform how your kids see themselves — and finally help you silence that inner critic for good. Resources We Shared: Get My One-of-a-Kind Body HERE ⁠Fat Talk: Parenting in the Age of Diet Culture by Virginia Sole Smith ⁠ Ready to ditch the chaos? Grab our FREE Stop Doing Checklist and start crossing things off your plate like a boss! Want to keep the convo going? Come hang out with us in the FREE No Guilt Mom Podcast Community—real talk, support, and zero mom guilt. Visit No Guilt Mom Follow us on Instagram! Explore our No Guilt Mom Amazon Shop filled with juicy parenting reads and guest favorites!  Rate & Review the No Guilt Mom Podcast on Apple here. We'd love to hear your thoughts on the podcast! Listen on Spotify? You can rate us there too! Love the show? Show it some love back by checking out our ah-maz-ing sponsors who help keep it all going—right here! Access the full episode transcript HERE Learn more about your ad choices. Visit podcastchoices.com/adchoices

Send us a textA brutal chest tear, a fast recovery, and a bigger question: what happens when fitness, nutrition, and medicine actually work together? Anthony shares how early movement, protein, creatine, collagen, and fish oil reduced pain and accelerated healing post-op—then we zoom out with Dr. Anderson, a family physician who believes the best care blends evidence-based prescriptions with real lifestyle change.We get honest about why many clinics still default to statins, how short visits and insurance friction push doctors into checklists, and what it takes to build a patient-doctor partnership where “no” is the start of a plan, not the end of a visit. From multivitamins and omega-3s to protein needs for women 40-plus, we lay out supplement strategies that actually move the needle, while stressing that movement—not bedrest—is the engine of recovery.We also tackle the rising tide of GLP-1 medications like Ozempic. Where can they help? When do they fail? The answer often hinges on habits. Meds can flip hunger signals, but long-term success still depends on protein-forward eating, resistance training, and sleep. We challenge outdated measures like BMI, favor better metrics, and highlight new research showing how training the non-injured limb can speed healing on the injured side. Along the way, we pull back the curtain on rural care deserts, urban abundance, and why medical training needs more nutrition and lifestyle medicine now.If you're tired of extremes—pill-only fixes or wellness-only promises—this conversation lands in the productive middle. Hit play to learn how to partner with your doctor, choose supplements wisely, train through setbacks, and protect your long-term health with strategies that last. If this resonated, subscribe, share with a friend, and leave a quick review so more people can find the show. Your support helps spread a simple truth: fitness is medicine.Support the showLearn More at: www.Redefine-Fitness.com

Sunday, October 19, 2025 Title: "Gifts: The Power of We" Scripture: Exodus 35-36 By: Rev. Steve Price Scripture https://www.biblegateway.com/passage/?search=Exodus%2035-36&version=CEB Bulletins https://trinitygnv.org/s/Sunday-Bulletins-10-19-25-8AM-yp5s.pdf https://trinitygnv.org/s/Sunday-Bulletins-10-19-25-930AM-WEB.pdf https://trinitygnv.org/s/Sunday-Bulletins-10-19-25-11AM-z3k4.pdf 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.

Colossians 2:16-23 | October 19, 2025 | Pastor Todd SmithIn this powerful message, we're challenged to examine the difference between man-made religion and a genuine relationship with Christ. The sermon delves into Colossians 2, exposing the dangers of legalism, mysticism, and asceticism. We're reminded that these practices, while appearing spiritual, often lead to self-righteousness and pride rather than true godliness. The key takeaway is that our salvation and spiritual growth come from Christ alone, not from following rigid rules, seeking mystical experiences, or inflicting suffering on ourselves. As believers, we're called to keep our eyes fixed on Jesus, understanding that He is the substance behind all religious shadows. This message encourages us to evaluate our own faith practices, ensuring we're not substituting religious activities for a living, breathing relationship with our Savior.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 review an episode from 3 years back and delve into the world of adult congenital heart disease when we review a recent work from the ACHD team at UCSF that assesses the impact of BMI on clinical outcomes in the single ventricle adult Fontan patient. What is the cause of elevation in BMI in some Fontan patients? Is obesity the only explanation? Is BMI a modifiable risk factor for our Fontan patients and should exercise be 'prescribed' for these patients? If so prescribed, what type of exercise is best for the Fontan patient? This week's work's senior author, Dr. Anushree Agarwal, Assistant Professor of Medicine at UCSF, shares her insights into this important topic. DOI: 10.1161/JAHA.122.026732Also mentioned in today's episode is episode #222 with Dr. Dan Halpern of NYU medical center (https://www.stitcher.com/show/pediheartpediatric-cardiology-today/episode/pediheart-podcast-222-impact-of-cardiac-rehab-on-exercise-tolerance-in-the-achd-patient-206781483)

Welcome to the Mind Muscle Connection Podcast!In this Q&A episode, I'm answering What's a Good Lean Body Mass Number To Aim For (and How to Know If You've Reached It) and MoreI break down how I use FFMI, BMI, and body fat percentage to help clients figure out their progress, plus give my take on training back-to-back full body sessions and what to do when increasing your range of motion feels unstable. If you're trying to build muscle and not sure if you're doing enough (or doing too much), this episode will give you clarity!Let's talk about:IntroductionWhat's a good lean body mass for a 5'7” femaleUnderstanding FFMI, BMI, and Body Fat TogetherConditions to build more muscleWhat to do if you feel unstable at lower box squat depthsFollow me on Instagram for more information and education: @jeffhoehn_FREE 30 Min Strategy Call: HEREBody Recomp Checklist 2.0 HERENutrition Periodization Masterclass: HEREHow You Can Work With Me?: HERECoaching application: HEREBody Recomp Checklist 2.0: HERE

Medical care for people with obesity is changing rapidly. Body mass index, or BMI, was once considered the gold standard for diagnosis but has proven to be less accurate than once thought. Meanwhile, the advent of GLP-1 drugs has provided patients with treatment options that were unimaginable just a decade ago. Dr. Fatima Cody Stanford, an obesity medicine physician, joins host Dr. Joel Bervell on a new episode of The Dose podcast to talk about the state of obesity care in the United States. Together, they explore why insurers are hesitant to cover medications like Ozempic, how BMI fails to catch real health risks, and what the future of obesity treatment looks like for patients and public health.

Sleeve, bypass, or something new – which surgery really dominates the day?  This Bariatric Surgery Journal Club dives into the debate over which bariatric operation is best. We compare the outcomes of the gastric bypass, sleeve gastrectomy, and the newer Sadie procedure, exploring how bypass may have an edge in long-term diabetes remission and weight loss.  We also discuss revisional options for failed sleeves and the importance of matching the patient to the right operation for their specific needs. Hosts: - Matthew Martin, trauma and bariatric surgeon at the University of Southern California/Los Angeles General Medical Center (Los Angeles, California)  - Adrian Dan, bariatric and MIS surgeon, program director for the advanced MIS bariatric and foregut fellowship at Summa Health System (Akron, Ohio) - Crystal Johnson Mann, bariatric and foregut surgeon at the University of Florida (Gainesville, Florida) - Katherine Cironi, general surgery resident at the University of Southern California/Los Angeles General Medical Center (Los Angeles, California) Learning objectives: - Contrast the outcomes of Roux-en-Y gastric bypass, sleeve gastrectomy, and revisional options such as the single-anastomosis duodeno-ileal bypass (SADI) - Article #1: Hauge 2025, Effect of gastric bypass versus sleeve gastrectomy on the remission of type 2 diabetes, weight loss, and cardiovascular risk factors at 5 years (Oseberg): secondary outcomes of a single-centre, triple blind, randomized controlled trial https://pubmed.ncbi.nlm.nih.gov/40185112/ - Describe the design and unique triple-blind methodology of a single-center randomized trial comparing bypass and sleeve in patients with obesity and type 2 diabetes.  - Interpret the clinical relevance of the 5-year outcomes, including 63% diabetes remission with bypass vs 30% with sleeve.  - Examine secondary outcomes such as weight loss and cholesterol reduction, which favored bypass over the sleeve - Formulate patient-centered strategies for selecting bypass versus sleeve in populations with advanced metabolic disease, balancing efficacy with patient preference  - Article #2: The By-Band-Sleeve Collaborative Group 2025, Roux-en-Y gastric bypass, adjustable gastric banding, or sleeve gastrectomy for severe obesity (By-Band-Sleeve): a multicenter, open-label, three-group, randomized controlled trial https://pubmed.ncbi.nlm.nih.gov/40179925/ - Summarize the findings of this multi-center, open-label randomized controlled trial of over 1,300 patients comparing bypass, sleeve, and gastric banding at 5 years - Discuss the relative weight loss outcomes: 67% excess weight loss for bypass, 63% for sleeve, and 28% for adjustable gastric band - Evaluate the improvements in diabetes remission, hypertension control, and lipid management with bypass and sleeve compared to banding. - Analyze the declining role of gastric banding in modern bariatric surgery, while acknowledging its benefits compared to no weight loss treatment - Article #3: Thomopoulos 2024, Long-term results of Roux-en-Y gastric bypass (RYGB) versus single anastomosis duodeno-ileal bypass (SADI) as revisional procedures after failed sleeve gastrectomy: a systematic literature review and pooled analysis https://pubmed.ncbi.nlm.nih.gov/39579238/ - Compare long-term outcomes of bypass versus SADI after failed sleeve gastrectomy, based on pooled analysis of over 1,000 patients  - Interpret the trade-offs: SADI provides greater weight loss and metabolic improvements, but carries a higher risk for malnutrition and fat-soluble vitamin deficiencies  -  Develop strategies for preoperative counseling, nutritional supplementation, and close long-term monitoring, particularly for patients undergoing SADI - Individualize decision-making for revisional surgery, considering factors such as patient goals, comorbidity burden, prior anatomy, BMI, and reliability with follow-up - Evolving revisional strategies will influence the next decade of bariatric surgical innovation   - Overall, bariatric surgery consistently improves weight, diabetes control, and cardiovascular risk. - The procedure of choice should be tailored to the patient through detailed discussion between surgeon and patient, aligning clinical evidence with patient goals and risks.   References 1.     Wågen Hauge J, Borgeraas H, Birkeland KI, Johnson LK, Hertel JK, Hagen M, Gulseth HL, Lindberg M, Lorentzen J, Seip B, Kolotkin RL, Svanevik M, Valderhaug TG, Sandbu R, Hjelmesæth J, Hofsø D. Effect of gastric bypass versus sleeve gastrectomy on the remission of type 2 diabetes, weight loss, and cardiovascular risk factors at 5 years (Oseberg): secondary outcomes of a single-centre, triple-blind, randomised controlled trial. Lancet Diabetes Endocrinol. 2025 May;13(5):397-409. doi: 10.1016/S2213-8587(24)00396-6. Epub 2025 Apr 1. PMID: 40185112. https://pubmed.ncbi.nlm.nih.gov/40185112/ 2.     By-Band-Sleeve Collaborative Group. Roux-en-Y gastric bypass, adjustable gastric banding, or sleeve gastrectomy for severe obesity (By-Band-Sleeve): a multicentre, open label, three-group, randomised controlled trial. Lancet Diabetes Endocrinol. 2025 May;13(5):410-426. doi: 10.1016/S2213-8587(25)00025-7. Epub 2025 Mar 31. PMID: 40179925. https://pubmed.ncbi.nlm.nih.gov/40179925/ 3.     Thomopoulos T, Mantziari S, Joliat GR. Long-term results of Roux-en-Y gastric bypass (RYGB) versus single anastomosis duodeno-ileal bypass (SADI) as revisional procedures after failed sleeve gastrectomy: a systematic literature review and pooled analysis. Langenbecks Arch Surg. 2024 Nov 23;409(1):354. doi: 10.1007/s00423-024-03557-9. PMID: 39579238; PMCID: PMC11585492. https://pubmed.ncbi.nlm.nih.gov/39579238/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

In this powerful and moving episode, Dr. Cristina Castagnini welcomes Kerry Melachouris, a former performer turned CCI-certified Eating Disorder Coach and psychiatric mental health nurse practitioner. Kerry brings both lived experience and clinical insight to the table as she shares her decades-long battle with anorexia, bulimia, overexercise, and atypical anorexia—and her journey to full recovery.Kerry's story challenges two dangerous myths: that only certain bodies can recover and that if treatment hasn't “worked,” you're a lost cause. Through raw honesty and hope, Kerry sheds light on the realities of eating disorders in the performing arts, the trauma that often fuels them, and the systemic barriers patients face when seeking care.Together, Kerry and Dr. Castagnini unpack the flawed reliance on BMI and “normal labs,” the harmful role of industry pressures, and why primary care providers need more education on identifying eating disorders. Kerry also speaks candidly about her relapses, health consequences, and how she ultimately found lasting recovery and purpose as an advocate and professional helping others.This conversation is both validating and empowering, proving that recovery is possible at any size, at any stage, and for anyone.SHOW NOTES: Click hereFollow me on Instagram: https://www.instagram.com/behind_the_bite Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Send us a textCancer is the second leading cause of death, and while it sparks fear for good reason, 40% of cases are preventable. In this episode, I outline six practical, evidence-based steps that can help reduce your risk.We begin by understanding which cancers are most common based on gender—breast, colon, and lung in women; prostate, colon, and lung in men. While some rare cancers (like pancreatic or ovarian) evoke greater fear, the focus here is on the ones we're more likely to face and can meaningfully act on.Next, I break down risk factors into two categories. Some are unavoidable—your sex, age, or family history. For example, if a close relative had breast or colon cancer, early screening or genetic testing may be warranted. However, only about 5–10% of cancers are directly linked to inherited genetic mutations (American Cancer Society).The more empowering list? Avoidable risk factors—where our actions matter most. Smoking remains the leading modifiable cause of cancer, responsible for about 19% of all cases. Excess weight and obesity account for another 8% and are especially tied to hard-to-treat cancers like pancreatic and ovarian (ScienceDirect) and PubMed). Visceral fat appears more predictive than BMI alone. Alcohol, especially in large quantities, is also linked to liver, GI, and breast cancers.Some risks are cancer-specific. HPV causes nearly all cervical cancers, and melanoma is largely driven by UV exposure. Air pollution, especially particulate matter, may slightly increase lung cancer risk (ASCO Global Oncology).Step three is to act on what you can. Quit smoking, aim for a healthy weight, wear sun protection, and ensure your kids get their routine HPV and Hepatitis B vaccines. Exercise plays a major role too—high activity levels correlate with 10–20% lower risk of several major cancers (JAMA). In colon cancer survivors, regular exercise reduced recurrence by 30% (PubMed).Step four is awareness: don't ignore new symptoms like unexplained bleeding or lumps. Early detection can be life-saving.Step five is screening. If you're 45 or older, colonoscopy is now recommended. Women should get regular mammograms and PAP smears, and individuals with smoking history may benefit from lung CT scans. For rarer cancers with family history, targeted screenings may apply. I also address why whole-body MRIs and liquid biopsies aren't ready for routine use.Step six? Don't put your hope in supplements. Large trials show omega-3s, vitamin D, beta carotene, and vitamin C offer no real protective benefit (NEJM VITAL Study, Meta-analysis on Vitamin C, JNCI on aspirin).Takeaways: You can reduce your cancer risk by modifying lifestyle factors like smoking, weight, and activity. Don't delay screenings—they catch cancers early when treatment is most effective. And remember: no supplement replaces proven preventive strategies.Visit drbobbylivelongandwell.com for more evidence-based tools, and listen to the full episode for actionable steps to help you live long and well.

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog As the founder and Medical Director of BioBalance® Health, an anti-aging longevity practice for 23 years, I have long sought a blood test that serves as a reliable indicator of aging and disease risk. Identifying those at highest risk allows me to better motivate patients to follow my treatment plan and pursue a longer, healthier life. For people who test negative, I would reassure them they are doing well and encourage them to maintain healthy habits. Over time, I assessed common medical tests that many doctors use to steer patients toward certain treatments that do not reduce pain and may shorten life. I examined the actual risk of death and illness through clinical evaluations and credible, though less publicized, research studies. Here is what I found: Elevated blood lipids are not reliably predictive of vascular plaque. In my experience, both high and low cholesterol patients show similar rates of plaque in Cardiac Calcium Scans. Despite this, primary care physicians often prescribe statins, which may be unnecessary for many. Statins were not initially tested on women, who tend to experience more severe side effects such as cognitive impairment, muscle breakdown, and fatigue, likely because these drugs impact mitochondrial function—the cell's energy source. BMI has long been used to assess whether someone is at a healthy or risky weight, but it is often inaccurate. It overlooks individuals with low muscle and high fat, while labeling muscular people as overweight. As a result, BMI is being replaced by body composition measurements.   Recently, body composition analysis using InBody has become more common than BMI for evaluating patient health, frailty, and muscle mass. Measurements of visceral fat and body composition are considered indicators of current health status. BMI is a straightforward calculation that only uses height and weight, whereas body composition includes assessments of visceral fat and percent body fat. Only one weight- and height-based test directly relates to health status. High muscle mass indicates health, while excess visceral fat signals risk, and normal body fat percentage reflects current—but not future—health. Since body composition can shift over time, it is a useful measure of present health but does not reliably predict longevity and is just one aspect of overall health. Several blood tests can indicate current health, such as fasting blood sugar, HbA1c, IGF-1, and fasting insulin. For assessing future health risks and existing damage, HS-CRP (high-sensitivity C-reactive protein) is crucial, as it measures inflammation—a major factor in unhealthy aging and reduced longevity, especially when levels exceed 3.0. An article in Life Extension (July 2025) refers to persistently high CRP as “inflammaging.”   The Truth About Aging and Inflammation? Temporary spikes in HS-CRP from infections or surgeries usually do not cause lasting issues unless inflammation persists. Chronically high HS-CRP levels (>3) are linked to various age-related diseases, such as obesity, arteriosclerosis, autoimmune disorders, poor dental hygiene, and other conditions that reduce health and lifespan. We now can measure “inflammaging” with HS-CRP blood test.  This test indicates increased risk of heart disease, cancer, stroke, dementia, autoimmune disease, and other degenerative diseases.” A review of studies with more than 400,000 participants revealed that people with a High HS-CRP had 75% increased risk of all-cause mortality compared to people with a low HS-CRP. These studies found that HS-CRP may be a more reliable predictor of heart attack and stroke, than LDL cholesterol! HS-CRP may predict age-related diseases because chronic inflammation leads to issues such as arterial plaque and Alzheimer's. Although white blood cells fight infection, their persistent activity can damage healthy tissue and accelerate age-related conditions. The changes that you can make to decrease inflammation, Inflammaging, include: Fat loss to ideal weight Low inflammatory mediterranean diet Omega 3 oil supplements or in food Daily exercise Probiotics Quercetin supplement Treat joints that are damaged (inflammation is increased with injured joints) At least 3 cups of coffee per day Less than 4 oz of alcohol a day No sugar in the diet ***Replacing hormones to the levels of a young man or women with non-oral hormones, pellet testosterone for men and both testosterone and estradiol for women.   BioBalance® Health assesses new information through medical studies and bases treatments on knowledge of human physiology and the aging processes. No single test can determine if you are aging well, but HS-CRP is a better indicator than cholesterol or BMI. At BioBalance®, we've tested HS-CRP for 20 years and developed treatments to address inflammaging. Citation: Life Extension –July 2025

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog When I go to Fitness Edge, the place I have worked out with weights twice a week for 38 years, I know I am increasing my muscle mass and my metabolism for the next 72 hours…that's right, after just an hour of lifting weights, my body burns more calories over the next 3 days.  Lifting weights not only increases muscle mass, strength and is the key element in weight loss, because it raises resting metabolism throughout the day, even while you are sleeping. As long as I have been a physician, we always knew that exercise was important to health, but not until recently did medicine did not know WHY exercise is so important, and WHAT type of exercise is the most important to healthy aging. Recently the research has exploded with research that supports the metabolic truth that muscle mass, and resistance exercise (weight training, training with bands, calisthenics) is necessary for health and longevity! Even though this is a complicated science that is primarily addressed to professional athletes, there are several discoveries that everyone can understand and employ in their quest for a long and healthy life. Muscle Mass, Percent Body fat and Exercising Your total weight doesn't matter as much as your total muscle mass and percent body fat.  So, the amount of muscle you have compared to the amount of fat is the key to metabolic health. Muscle burns calories and decreases blood sugar, while fat is metabolically inactive.  However, the amount of muscle you have isn't as important as how often you use your muscles against gravity.  That is what weight training is: lifting weights against gravity, using barbells, free weights, resistance bands or Nautilus-type machines. Muscle Is the Major Site of Glucose uptake The more muscle you have, and the more you exercise them the more blood sugar is metabolized into energy. Your muscles soak up glucose from the blood for 120 minutes after weight training, and insulin sensitivity increases for 16 hours after exercise. Metabolic stimulation continues for 72 hours. Those people with less muscle who don't exercise use extra glucose to make fat. Body Composition is Improved with Weight Training Body composition can be measured with our InBody Machine.  We follow each of our patient's body composition instead of just getting a weight. We find that when measuring our patient's progress, the percent body fat inversely relates to their Basal Metabolic Rate.  In other words, the lower the body fat percentage, the higher the metabolic rate. The higher the body fat %, the lower the number of calories that patient burns at rest. For example, a woman with 40% body fat, depending on her height, burns about 1,100 calories over 24 hours when at rest.  If the same woman achieves the ideal percent body fat with medical dieting and achieves less than 26% body fat, she will increase her BMI to over 1,400 calories/ day at rest. Weight training alone will increase muscle mass and decrease fat with the outcome of increasing basal metabolic rate, so she will burn her calories instead of storing them as fat. In short, weight training to increase muscle mass will decrease body fat and improve metabolic health. Weight Training Can Reverse the Loss of Muscle that Comes with Aging The above statement is a tricky statement.  Women can exercise with weights their whole life and maintain a healthy body composition until they turn 45, then weight training just can't do the job without adding testosterone pellets.  It is the magic of testosterone pellets—Testosterone PLUS Weight Training increases and sustains muscle mass. “I have worked out with weights since my residency when I was 28 yo.  I realized that because I was 5-3 and 118 lbs, I would not be strong enough to do my job, delivering babies, operating and lifting patients on and off the table.  I began with a Nautilus circuit followed by 10 minutes on the treadmill 2-3 times a week. After I delivered my daughter, Rachel, I was 31 and I started training with a trainer because to get y body and strength back, I needed someone to make me accountable and to guide me to gaining strength where I needed it.  I have lifted weights 2-3 times a week ever since at my training facility, Fitness Edge, across the street from my current medical office. As of last week my body fat is 19%, and my weight is now 113.  I have shrunk a bit and am now 5-2. When I go to the Fitness Edge with my husband, John, I notice that many of the hardest working “fellow exercisers” never change their body composition. I would love to tell my fellow lifters that working out with weights is only part of the program to becoming strong and building good muscle mass.   The fact is they need to increase their testosterone level if they are over 40 for females and 50 for males, to improve their muscle mass and decrease body fat, and their hard work will be repaid with visible, stronger muscles, Fat loss and improved and metabolism.” Dr. Maupin's Formula for Building Muscle after age 40: Weight Training 2-3 times a week Testosterone Pellet treatment in women over 40 and men over 50 Diet must include the number of grams of protein equal to your weight Low carb high protein/healthy fat diet Eliminate food with preservatives, canned food and processed food. Eat whole/fresh foods. Supplement with Creatine (if your kidneys are healthy), Arginine, Vitamin D, E, K and Vitamin C, multi vitamin with Methyl B12 and Methyl Folate, Probiotics, Magnesium 400-800 mg/day, Protein powder without Soy. Water consumption in oz = to ½-1x your weight in pounds If I have convinced you to start using weights regularly, here are the variety of types of resistance training that will build muscle and improve metabolism. Must exercise for 50 minutes at one time per day. Resistance Band Work Outs- you can do anywhere even at home. Body weight exercises like squats, push-ups, lunges, planks Free weights using dumbbells, kettle balls, bars Weight Machines that target one muscle group at a time.   Now I Can Almost Hear Half of You Asking What About Aerobic Exercise? My best friend is a runner, and she has run marathons for decades, and now in her 60s, she is still fit and healthy without joint damage.  Most of her fellow runners don't know that she also lifts weights to keep her in the running game…and she takes testosterone pellets. Most runners are fit and have strong hearts, but their muscle mass is not always robust. Cardio-exercises can improve cardiovascular health and burn calories during the activity itself. Strength Training builds muscle mass which has a long-term effect on the metabolism.If nothing else, I hope you are inspired to initiate a resistance training program to benefit your metabolism now and for your longevity in the future.  YOU CAN DO IT!

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog You will learn: What holds up new treatments for diseases and conditions How long the FDA sits on a known safe medical medication before it is released to the public. Why safe and effective drugs are NOT approved by the FDA Why doctors are forced to use medications off label How you can help During my 44 years of medical practice, I have encountered conditions for which there is no approved medication or surgical treatment available as recognized by the American College of OBGYN or the FDA. This situation can present challenges both for physicians managing these patients and for individuals seeking relief from their symptoms. This issue is not often addressed on Dr Oz, in the news, or at medical conferences. For many conditions, physicians wait for the development of approved medications or treatments, and in the meantime may inform patients that there is currently no treatment or cure available. Some doctors may attribute a patient's concerns to aging, stating that it is a universal experience. While this may be accurate, such explanations may not provide comfort to patients seeking solutions to their symptoms. This lack of helpful guidance can discourage individuals from seeking medical care when they feel their concerns are not acknowledged. This seems to result from insurance companies prioritizing cost savings by minimizing patient care.  Every year insurance companies decrease what they pay doctors for their services, while their expenses go up, and the Government requires more and more work behind the scenes like HIPPA, OSHA, and Clia requirements that costs more to deliver the same service.  If you have a problem with the time your doctor spends with you then blame the insurance companies whose profits rise every year…Soon doctors will do what I do and only take cash.  The practice of medicine is not working in a free market. While insurance limits the prescriptions of medication to those meds that are FDA Approved, the FDA and medical specialty colleges often delay approval of new, low-risk treatments for up to 20 years after their effectiveness is demonstrated. This lengthy process should be reconsidered to treat people who are ill and suffering, now. There is plenty of research in the medical journals that explain the safety of new and effective treatments that can save peoples' lives that are not FDA approved yet. The FDA is not interested in expediting the release of medication/ devices quickly to those people who need help now. They drag out the testing of a medicine that has been effective for years and may or may not approve it. On the flip side they have approved many drugs that later are found to have severe side effects, and they just change the warnings on the medication inserts. They don't take them off the market except in severe cases. Drugs that have worked treating patients successfully are being used but are not FDA approved. These “grandfathered drugs” don't need to go through the testing that new drugs go through because they work with few well-known risks. I use many if these medications because they are inexpensive for my patients and are often more effective than new meds for the same problem. One of the drugs that the FDA has not had to approve is Armour Thyroid, a natural thyroid replacement. My experience with treatments not approved by the FDA Armour Thyroid: Armour Thyroid (AT) has been prescribed by doctors to replace thyroid hormones for about 100 years. It is natural, made from Pig thyroid. It only comes from “medical Pigs” that are raised for medical purposes.  We use medical pigs for skin grafts, and other parts of the pig to treat human diseases like heart valve replacements.  Armour Thyroid is composed of the four thyroid hormones that humans make: T4, T3, T2, T1. The synthetic thyroid replacement, Synthroid/levothyroxine is only T4.  The active form of thyroid is T3, and it requires an enzyme to convert T4 into T3. If a person can't convert T4 into active T3 then nothing improves except the blood levels of T4, and TSH. The majority of women cannot convert T4 into T3. Therefore, if they take Synthroid or levothyroxine and their doctor only checks their TSH level and not the level of free T3 and free T4 to see if the Thyroid is working, then women are told that they are healed, yet they know they are not because none of their low thyroid symptoms are resolved. When this happens, doctors tell female patients that it is all in their heads and dismiss us when we tell them we are not cured with this synthetic T4 medication. Yet Synthroid is a chemical, and AT is natural from medical pigs, so the FDA is trying to Bann the only drug that has successfully treated millions of women. PS. Synthroid was not tested on women like many other drugs that were passed through the FDA before 2014! If you think this is a small problem, think again. Thyroid hormones are vital to human life, and the thyroid gland requires Iodine in the diet. The Midwest US has no Iodine in the soil or water. Therefore, this area is overburdened with hypothyroidism. I have been on AT for 50 years without complication and I have prescribed it thousands of times ever since I went into private practice.  AT works to relieve the symptoms of hypothyroidism for women and men, and it works better for women that the “new” drug Synthroid/levothyroxine, which is FDA approved. You ask how could the FDA approve a drug that doesn't successfully treat women? It is because Synthroid was not tested on women!  Until 2014 the FDA did not test women in the required drug trials.  AT works for us (women), Levothyroxine does not. Now the FDA wants to ban AT. It is not approved because it was around for decades before they started testing medications like they do now, and the history of successful treatment should stand on its own merit! Example 2: Bio-Identical Hormones BIH:  BIHs had not been approved by the FDA until recently and there was no announcement that they are now approved for women who have hormone deficiency symptoms or postmenopausal symptoms. Most doctors and women who have been afraid of the only hormones that can help them, bioidentical hormones, haven't yet been told that NOW, FINALLY the medical colleges and the FDA finally have quietly approved BI hormones.  There are no pure estradiol and pure testosterone pellets that are made by a drug company for women. My patients get their estradiol and testosterone pellets from a compounding pharmacy.  I have been prescribing BIH since 1985 without FDA approval because the oral estrogen formulations that were available at pharmacies caused weight gain and put women at high risk for blood clots. Non-oral BI hormones have fewer risks than FDA approved estrogens.  I waited more than 45 years for the FDA to approve BI hormones for treatment of women.  All those women in the last 45 years who were taking FDA approved estradiol and those who couldn't tolerate them have been harmed by FDA goals of never approving compounded or bio-identical hormones.  The delay has harmed 50% of American women. Example #3 Devices for Weight Loss I was involved in the discovery and testing of a unique device that stimulated acupuncture points with a TENS-unit-type patch connected to your cell phone for easy adjustment of your hunger or “fullness”. The FDA requires testing to approve any new device so the group of investors I was part of had to invest thousands of dollars for a device we already knew worked. The FDA told the investigators of all new devices who they should test, who they can't have in the study, and how long the testing should take. I found their parameters for the study of this device to be unrealistic. The women in our test group could not be taking hormones of any kind (birth control, ERT, HRT), and could not be on antidepressants, could not have diabetes or insulin resistance or be on any drug that assisted in weight loss. These women subjects had to be a certain BMI (level of obesity) and had to be tested repeatedly with weight and body composition measurements None of my patients who needed weight loss could participate.  Most GYN patients are on some medication or supplement, so the FDA made this study of our device so narrow that REAL WOMEN weren't tested! Sadly, we lost many women in the control group from the study because they were NOT losing weight while the ones on the device were obviously dropping pounds, so we had trouble maintaining test subjects. The testing phase of this simple device took 7 years! Our device works and no one will ever know about it or be able to use this non-medicinal weight loss device because when the FDA rejects your device you will be breaking the law if you produce and sell it directly to the public. It has no side effects or dangers..it just controls the amount you eat with stimulation of an acupuncture point. There are many ways to change this situation, and it takes years and billions of dollars to change the whole system of bringing treatments to patients quickly.  I'm afraid I won't see a revolution of the way we bring medicines and devices to market during my lifetime. Currently there is a 17-year delay between proving a drug or device works for a particular illness or condition and when it becomes available to doctors and patients. So what do we do in the meantime?  I seek treatments for patients who are unresponsive to traditional medicine by reading journals like Life Extension, that inform doctors and patients alike about new effective solutions for common medical complaints and diseases that the FDA has ignored or stymied with endless drug trials.  Life Extension Magazine highlights studies on new medications for diseases without an FDA approved solution and publicizes diagnostic tests often overlooked by mainstream publications because they are not yet FDA approved. The medical journals I read (New England Journal of Medicine, JAMA, Menopause, Metabolism and Endocrinology, Journal of Age management, to name a few) offer treatments for orphan diseases or even common problems that haven't been blessed by the FDA. It takes an average of 17 years from the culmination of research on a new drug, test or device until it is approved for use by the public! At the end of this Blog, I will give you a link to make your voice heard by signing a petition to shorten the approval of new treatments and medications from the average of 17 years to 3 years! My patients don't have time to wait for relief, and that may be the case for you as well. If you want to do something to help, please click this link and let the FDA know how you feel. Please sign a Petition to enact an amendment to the FOOD, DRUG and COSMETIC ACT, by going to: https://age-reversal.net/fda/

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog WHAT YOU WILL LEARN: How to SCULPT YOUR MUSCLES AND TIGHTEN YOUR SKIN after weight loss! How to decrease VISCERAL FAT A new way to IMPROVE MUSCLE MASS by 30% for strength and beauty in 4 weeks DECREASE SUBCUTANEOUS FAT by 25% in 4 weekly treatments INCREASE MUSCLE DEFINITION with Emsculpt Neo A way to REHABILITATE AFTER SURGERY PRE-TREAT BEFORE SURGERY: Improve your post op joint surgery condition by increasing muscle around the joint HOW TO RECOVER Quickly AFTER CHILDBIRTH A Way to IMPROVE CORE AND PELVIC FLOOR STRENGTH How EM-Sculpt-Neo works Most of you know me as the expert in Bioidentical Hormone Pellet Replacement, but I am also expert in Skin and body care.  If my patients have problems that your PCP has not been able to solve.  I will refer you for new therapies, cutting edge treatments that work to treat your problem. The most common problem that my patients complain of is loss of muscle mass and changes in body fat that make them look old.  I found a treatment that is not a laser, but the Emsculpt Neo uses safe and effective magnetic energy plus RF treatment to reduce fat and build muscle in a 30-minute painless treatment. Today I am going to talk about a painless treatment that we offer at my medical spa, BioBalance® Skin that has just been approved by the FDA for rehab after joint surgery.  The magnetic energy (HIFEM) combined with RF energy increases muscle size and strength by 30%, dissolve fat by 25%, as well as tightens skin with the same treatment! EM Sculpt Neo is a 30-minute treatment that uses magnetic energy to make your muscles contract and is equal to thousands of crunches for 30 minutes. The RF portion breaks down subcutaneous fat in the same area.  There is no work on your part, you just lie there, and your muscles respond to the magnetic pull by increasing in size and strength.  Four sessions one week apart is the ideal number of treatments, and they come a in a package of four treatments to one area. The areas that most of us want to build muscle and lose fat in are our abs, upper arms, thighs, calves, love handles, and hips. If you need to do more than one area at a treatment you can do up to three areas, each for 30 minutes. If you have had joint surgery and need to increase your strength around that joint, EMSculpt Neo is very effective, after your doctor releases you to exercise. One of the big concerns with the new weight loss medications is that people often lose muscle as they lose weight.  This is especially common after age 40, in those people who are not on testosterone pellets. EMSculpt Neo adds a tool that can preserve or even increase muscle mass and decrease fat where you want to lose it. EMSculpt Neo for fat loss and muscle building (not for rehabilitation) should be saved for those weight loss patients who lose enough weight to achieve a BMI under 30. For the best results, we suggest a high protein low carb diet, protein, low carb diet, to give your body the building blocks for muscle tissue. We also will suggest supplements for nutrition and to abstain from alcohol to get the best results. Healthy fat loss takes combination of EMSCULPT NEO, Weight Loss Medication, activity, Low carb high protein diet.  We advise our patients over BMI of 30 to get started on weight loss first and continue diet medications while you are receiving EM-Sculpt Neo treatments. How do you lose weight without losing muscle? The Best Combination for the best results while you are losing weight on medication: EMSCULPT NEO to the areas you want to remove fat from Semaglutide or Tirzepatide medication to treat obesity for weight loss Testosterone Pellets if you are a woman over 40, and man over 50. Regular exercise like walking High protein diet Supplements to improve your ability to make muscle Who should do this EMSCULPT treatment? People who are working out but cannot do sit ups because of back injury Those folks who want fast muscle mass increase in specific areas Anyone who is on a weight loss program who is losing muscle and fat, or who has saggy skin in areas where they lost weight Patients anticipating a joint surgery Patients healing from joint surgery after PT Patients who cannot lift weights because of injury Those people who lift weights but cannot develop definition People with a Beer Belly with a lot of visceral fat Some people may not be able to enjoy this sculpting, muscle building method: We will do a free consultation before you sign up for a package of EMSculpt Neo and some patients will not get optimal results if they have any of the factors below: BMI greater than 30 Metal implants anywhere that are not titanium. Titanium is not magnetic, so it is ok to have a treatment if you have a titanium joint implant. No Rods or pins. Any pacemaker implant, pain pump under your skin, nerve stimulator or you are in the first 6 weeks post-surgery for any muscle area in the area. If you have a large abdominal hernia that was not repaired, then abdominal treatment is not advisable. You can still have other areas treated. If you have unrepaired joint damage, you can still have this treatment but let us know so we can slowly work the energy up around that joint. Those people who have a pannus, an apron of skin that hangs down below the vulva, or penis will not get enough relief from this procedure. These patients will need an abdominoplasty. This surgery is done by a plastic surgeon who removes excess skin and fat and repairs the muscles and fascia. You should not waste your money if you continue to drink alcohol while undergoing this treatment. Alcohol is a toxin and will prevent the growth of muscle and loss of body fat. Don't waste your money if you are not going to follow a low carb high protein diet during and after our treatment.  How does EMSCULPT Work? EMSCULPT combines HIFEM (High Intensity Focused Electromagnetic technology) and RF (Radio Frequency). HIFEM uses magnetic energy to contract muscles in a particular area at intensities that are not achievable with routine weightlifting. Fat tissue in the treated area is also reduced by increasing metabolic activity.  This results in Body Contouring. HIFEM is approved by the FDA for Body contouring, muscle stimulation, growth and to rehabilitate patients with injuries or after surgery. The second treatment that occurs at the same time as HIFEM is RF, Radio Frequency treatment. RF is a low frequency electromagnetic wave that heats up fat in 4 minutes to stimulate collagen and elastin to tighten skin. All this happens in 30 minutes with minimal discomfort.  4 treatments, one a month, is all that is needed to increase muscle 25% and to decrease fat by 30%, and to visibly improve skin tone. Answers to questions about this procedure: What should my diet consist of to optimize my treatment? To gain muscle you must eat your weight in pounds equivalent to grams of protein every day. E.g. If you weigh 200 lbs. and you want to gain muscle, you should eat 200 grams of protein a day. What foods should I eat to optimize my treatment? The best most concentrated protein is found in animal products-eggs, milk products, fish, chicken and red meat. What supplements will help support my treatment? You may want to supplement your diet with our BioBalance Magnesium combination twice a day, Probiotics, Creatine or Arginine and Ornithine combination. You should also take a methyl B12 and Methyl Folate while you are sculpting your body. Why can't I eat a lot of carbs and drink alcohol during or after the treatment? If you eat a high carb diet, your fat loss portion of Em-Sculpt will be limited, because whatever carb you eat over-stimulates insulin, which increases insulin resistance, and increases fat deposition. Whatever is eaten goes directly to fat again and replaces what you just lost. When can I start EMSculpt after joint surgery? After PT is completed or your surgeon releases you for exercise. Can I lift weights while I am being treated? Yes, but we advise not to lift weights the day before, the day of or the day after your EMSCULPT treatment. What does hydration have to be optimal for the treatment to work effectively? The human body is almost all water, and hydration is needed for muscle contraction. Muscles don't contract optimally when you are dehydrated. We put you on a body composition machine to both document your muscle mass and fat mass, as well as tell if you are hydrated adequately. Now that you know how EMSculpt Neo can change your body composition and build muscle, I hope you are comfortable enough to let us help you get the body you have always wanted. BioBalance Skin phone for an appointment:

Nutrition today feels more like a battlefield than a science. Vegans swear by plants, carnivores praise meat, and everyone has “evidence” to prove the other wrong. In this episode, we cut through the noise with nutritionist Sangeetha Aiyer, exploring what truly nourishes the human body, beyond trends, labels, and diet wars.In this episode, Dr Vignesh challenges dietary extremism, and Sangeetha debunks popular misconceptions around diet trends, metabolic health, and builds lifestyle awareness suited to one's body type and daily activity.Episode Highlights:Nutrition is just one pillar of healthNutritionist on Extreme diets like vegan & ketoUnderstanding body constitution (prakriti)Protein diversity, plate proportions, and mindful eating India's rising triglyceride and cholesterol issues Practical guidance on improving nutrition Timestamps:00:00 - 10:30: Vegan vs Non-Vegetarian10:30 - 25:00: Which Diet Works for me?25:00 - 35:00: Common Myths around Nutrition35:00 - 43:30: How we cook our Food 43:30 - 01:09:00:Thermic Value of Our Food01:09:00 - 01:23:30: Cholesterol and Nutrition 01:23:30 - 01:40:30 Plate Proportion for Indians 01:40:30 -01:46:30: Plant, Whey & Other Proteins 01:46:30 - 01:49:15: Picking Battles and Beliefs 01:49:15 - 01:36:41: Reaching Sangeetha AiyerBook a Consultation with Dr. Vignesh DevrajIf you're interested in a one-on-one Ayurvedic consultation with Dr. Vignesh Devraj, you can schedule your session through this link: https://calendly.com/drvignesh/30-minute-session-with-dr-vignesh-devraj-md-ay-ist For those facing financial difficulties, we offer limited free consultations. You may apply using the form here: https://docs.google.com/forms/d/e/1FAIpQLSd29nHcrC1RssR-6WAqWCWQWKKJo7nGcEm8ITEl2-ErcnfVEg/viewform About the GuestSangeetha Aiyer is a certified nutritionist and founder of Rewrite Your Story, a platform dedicated to reversing metabolic syndrome. With over 18 years of study and 4 years of hands-on practice, she has guided more than 2000 individuals with her approach, which goes beyond calorie counts and BMI, focusing instead on holistic well-being.Twitter/X : @saaiyerInstagram @sangeethaaiyerWebsite : www.rewriteyourstory.inEmail : sangeetha@rewriteyourstory.in Balance the Mighty Vata – Online Course Now AvailableAyurveda's unique strength lies in its deep understanding of Vata—the dynamic force behind Prana (life energy), the nervous system, and our emotional well-being. Managing Vata is often considered the most challenging yet crucial part of healing.To help guide you through this, I've recorded a comprehensive workshop titled “Balancing the Mighty Vata”—featuring over 6 hours of in-depth content and practical guidance you can integrate into daily life.

One in three adults now has fatty liver disease, and most don't even know it. It's become the most common form of liver dysfunction worldwide—even outpacing alcohol-related liver damage. And the real danger? It often progresses in silence, from fat to inflammation to fibrosis, with no symptoms until it's too late.In this episode of ReInvent Healthcare, Dr. Ritamarie exposes a quiet transformation that's becoming alarmingly common: the metabolic cascade behind fatty liver. It doesn't start with pain or obvious signs. It starts with subtle shifts in biochemistry that most protocols completely miss.Before the liver scars, there are clues. And if you know where to look, you can help reverse the damage long before it becomes permanent.What's Inside This Episode? Why liver damage is now driven more by food than by alcoholThe signals that mark the shift from fat accumulation to fibrosisWhat “normal” AST and ALT might be hiding, and how to interpret themA critical lab ratio that reveals what single values can'tEarly metabolic signs that point to liver inflammation before imaging shows a thingTherapeutic strategies to restore liver function, starting with the kitchenHow trauma and oxytocin tie into liver recoveryThe botanical allies that protect and regenerate hepatic tissueResources and Links:Download our FREE Metabolic Health Guide here. Check out the FREE From Fat to Fibrosis Practitioner Quick GuideHere is a FIB-4 Calculator Tool FIB-4 = (Age × AST) / (Platelets × √ALT)NAFLD fibrosis score (NFS) = -1.675 + (0.037 × age) + (0.094 × BMI) + (1.13 × hyperglycemia) + (0.99 × AST/ALT ratio) - (0.013 × platelet count) - (0.66 × albumin)Join the Next-Level Health Practitioner Facebook group here for free resources and community supportVisit INEMethod.com for advanced health practitioner training and tools to elevate your clinical skills and grow your practice by getting life-changing results. Check out other podcast episodes here

BMI is not evil, it's quite accurate if you are the average person. In short, don't be average, be SWOLE!Join The SwoleFam https://swolenormousx.com/membershipsDownload The Swolenormous App https://swolenormousx.com/swolenormousappMERCH - https://papaswolio.com/Watch the full episodes here: https://rumble.com/thedailyswoleSubmit A Question⁠ For The Show: https://swolenormousx.com/apsGet On Papa Swolio's Email List: https://swolenormousx.com/emailDownload The 7 Pillars Ebook: https://swolenormousx.com/7-Pillars-EbookTry A Swolega Class From Inside Swolenormous X: https://www.swolenormousx.com/swolegaGet Your Free $10 In Bitcoin: https://www.swanbitcoin.com/papaswolio/   Questions? Email Us: Support@Swolenormous.com

In this episode of Docs Who Lift, the Nadolsky brothers dive deep into the newly released American Association of Clinical Endocrinology (ACE) Algorithm for Obesity Care led by Dr. Karl himself. They explore:Why ACE moved away from a BMI-only approach to a person-centered, complication-centric modelThe new staging framework (ABCD) that helps individualize treatment intensityHow to interpret “clinical” vs “preclinical” obesity under the new modelUpdated targets for clinically meaningful weight loss (5%, 10%, 15% tiers)The emphasis on resistance training, sleep, and behavioral health alongside nutritionPractical guidance for selecting anti-obesity medications and identifying the right therapy for each patientWhether you're a clinician, health professional, or patient trying to understand modern obesity care, this episode breaks it all down in a practical, real-world way without the jargon.Youtube Video to follow along the graphic mentioned Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Colossians 2:11-15 | October 12, 2025 | Pastor Todd SmithIn this powerful message, we explore the transformative reality of being 'in Christ.' Drawing from Colossians 2:11-15, we discover three profound spiritual truths about our past in Christ: we've been spiritually circumcised, buried, and raised with Him. This isn't mere symbolism, but a deep spiritual reality that fundamentally changes who we are. The message challenges us to grasp the magnitude of this transformation - we're no longer slaves to sin, but alive in Christ! As we delve into our present realities in Christ, we're reminded that God has made us spiritually alive, forgiven all our sins, and given us victory over evil forces. The vivid imagery of our sins being 'nailed to the cross' serves as a powerful reminder of the complete forgiveness we have in Jesus. This message urges us to live in the freedom and victory that Christ has secured for us, encouraging a life of confident faith and joyful obedience.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.

Nutritionist Leyla Muedin discusses the critical health impacts of visceral fat, which is the hidden fat around the organs, and its role in accelerating heart aging. Drawing from recent research conducted by the Medical Research Council and published in the European Heart Journal, she explains how visceral fat differs from subcutaneous fat and its association with inflammation, heart diseases, and premature aging. The episode also highlights the importance of exercise, diet, particularly low-carb intake, and hormone replacement therapy in managing visceral fat and reducing health risks. Leyla also shares practical dietary advice and underscores the significance of focusing on fat distribution over total body weight for better health outcomes.

Exercise—for those who hate exerciseDealing with post-exercise pain and fatigueIs there any treatment for Primary Progressive Aphasia?

Should you train for how you look, or how long you live? We're unpacking the research on BMI vs muscle for longevity, the body image tug-of-war many women face when it comes to aesthetics in fitness, and how to know if you need a deload week. Plus, we cover the surprising nutrient depletions that can happen with medications like birth control and SSRIs.Timestamps:[1:50] Welcome[3:13] Study whether muscle mass index helps you actually lives longer[10:08] I sometimes struggle to balance the aesthetic side of strength training (wanting to look fit) and the longevity side of strength training (wanting to be healthy). How do you both think about strength training as women in a culture that pushes us towards body ideals and how can we shift our motivation so it's less about appearance and more about health and independence long -term? [22:24] Can you talk about deload weeks vs rest weeks? How do you manage mindset and guilt? Can you discuss nutrient depletion around medications and should you supplement? [40:15] Do I need to incorporate heavy weights in my workout to set myself up for my goals in old age? Episode Links:Article: Muscle Mass Index as a Predictor of Longevity in Older-AdultsEpisode #213: The Pill, Irregular Periods, & Post-Birth Control Syndrome with Dr. Jolene Brighten Beyond the PillSponsors:Go to http://mdlogichealth.com/whey-protein, and use coupon code WELLFED for 10% off.Go to drinklmnt.com/wellfed and use code WELLFED to get a free 8-pack with any drink mix purchase!Go to coconutsandkettlebells.com/air and click the link in the review for $300 off select models and 10% off filters. 

Check out Marek Health at https://marekhealth.com/syatt and get 10% OFF your first order using code: SYATTIn this episode of The Jordan Syatt Podcast, I shoot the breeze and answer questions from listeners with my podcast producer, Tony, and we discuss:- Is running hurting your weight loss?- Marathons, diet, and low testosterone- Optimizing 30-minute workouts- Strength training after cancer- Getting daily movement when you aren't super mobile- Counting calories for cooking oils and marinades- Restaurant food vs home cooking- Does more body fat help you lift heavier?- BMI and bone density- Protecting children from social media- And more...Check out the podcast episode with my FREE TRX workout program: https://podcasts.apple.com/us/podcast/the-jordan-syatt-podcast/id1348856817?i=1000724343689Do you have any questions you want us to discuss on the podcast? Give Tony a follow and shoot him a DM on Instagram - @tone_reverie - https://www.instagram.com/tone_reverie/ I hope you enjoy this episode and, if you do, please leave a review on iTunes (huge thank you to everyone who has written one so far).Finally, if you've been thinking about joining The Inner Circle but haven't yet... we have hundreds of home and bodyweight workouts for you and you can get them all here: https://www.sfinnercircle.com/

Obesity is not caused by lack of exercise, as people in wealthier nations burn more calories daily yet still gain more fat Eating ultraprocessed foods is strongly linked to higher body fat because they disrupt hunger signals and make calories easier to store Body fat percentage, not BMI, is the most accurate way to measure obesity and related health risks Modern ultraprocessed diets and lower immune demands in industrialized countries lower resting energy needs, making fat storage more likely You can restore your metabolism by removing vegetable oils, eating the right carbs for your gut health, reducing estrogen and EMF exposure, and avoiding ultraprocessed foods

Obesity is not caused by lack of exercise, as people in wealthier nations burn more calories daily yet still gain more fat Eating ultraprocessed foods is strongly linked to higher body fat because they disrupt hunger signals and make calories easier to store Body fat percentage, not BMI, is the most accurate way to measure obesity and related health risks Modern ultraprocessed diets and lower immune demands in industrialized countries lower resting energy needs, making fat storage more likely You can restore your metabolism by removing vegetable oils, eating the right carbs for your gut health, reducing estrogen and EMF exposure, and avoiding ultraprocessed foods

In this episode of Intermittent Fasting Stories, Gin talks to James Wells from Fairbanks, AK.Are you ready to take your intermittent fasting lifestyle to the next level? There's nothing better than community to help with that. In the Delay, Don't Deny community we all embrace the clean fast, and there's just the right support for you as you live your intermittent fasting lifestyle. You can connect directly with Gin in the Ask Gin group, and she will answer all of your questions personally. If you're new to intermittent fasting or recommitting to the IF lifestyle, join the 28-Day FAST Start group. After your fast start, join us for support in The 1st Year group. Need tips for long term maintenance? We have a place for that! There are many more useful spaces beyond these, and you can interact in as many as you like. Visit ginstephens.com/community to join us. An annual membership costs just over a dollar a week when you do the math. If you aren't ready to fully commit for a year, join for a month and you can cancel at any time. If you know you'll want to stay forever, we also have a lifetime membership option available. IF is free. You don't need to join our community to fast. But if you're looking for support from a community of like-minded IFers, we are here for you at ginstephens.com/community. James is a DOD civilian employee. He shares his long journey with weight loss and how intermittent fasting transformed his life, helping him lose 60+ pounds, from a high of 265 pounds. Through various trials with different diet methods over the years and even medical prescriptions, James has found intermittent fasting to be the key to achieving his health goals.James delves deep into how he first encountered intermittent fasting over a decade ago. Initially skeptical, his real transformation began around seven to eight years ago when traditional calorie counting and diet attempts failed to yield lasting results. This led him to explore intermittent fasting more seriously. His thorough research into the health benefits related to autophagy, neuroplasticity, and overall metabolic health convinced him to adopt this lifestyle.Throughout James's discussion, he highlights significant improvements in his health metrics, such as reducing his blood pressure and BMI, as well as the challenges he faced from skeptical family members and friends. Despite initial resistance, especially from his wife and children in the medical field, James stood by his commitment to intermittent fasting. He prefers natural and wholesome meals, and keeps his window flexible while also remaining consistent. His success story serves as an inspiration for those facing similar opposition in their health journeys.James's advice for those starting with intermittent fasting is to know your 'why.' Understanding the personal reasons and health goals behind adopting intermittent fasting is crucial for staying committed. He encourages beginners to start with achievable goals, like a 12-hour fast, and gradually extend their fasting windows. James also recommends utilizing resources like Gin's 28-Day Fast Start book to ease into the process and find support in the intermittent fasting community.Get Gin's books at: https://www.ginstephens.com/get-the-books.html. Good news! The second edition of Delay, Don't Deny is now available in ebook, paperback, hardback, and audiobook. This is the book that you'll want to start with or share with others, as it is a simple introduction to IF. It's been updated to include the clean fast, an easier to understand and more thorough description of ADF and all of your ADF options, and an all new success stories section. When shopping, make sure to get the second edition, which has a 2024 publication date. The audiobook for the second edition is available now! Join Gin's community! Go to: ginstephens.com/communityDo you enjoy Intermittent Fasting Stories? You'll probably also like Gin's other podcast with cohost Sheri Bullock: Fast. Feast. Repeat. Intermittent Fasting for Life. Find it wherever you listen to podcasts. Share your intermittent fasting stories with Gin: gin@intermittentfastingstories.comVisit Gin's website at: ginstephens.com Check out Gin's Favorite Things at http://www.ginstephens.com/gins-favorite-things.htmlSubscribe to Gin's YouTube Channel! https://www.youtube.com/channel/UC_frGNiTEoJ88rZOwvuG2CASee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.