Podcasts about Chronic

Contributor: Meghan Hurley, MD Educational Pearls: What is hyperkalemia? Hyperkalemia is when the measured blood level of potassium reaches above 5.2 - 5.5 mEq/L (normal 3.5 - 5.2 mEq/L).  What are common causes of hyperkalemia?  Chronic or acute kidney disease. Medications that impact the Renin-Angiotensin-Aldosterone-System (RAAS).  Hypoaldosteronism and primary adrenal insufficiency (Addison's Disease). What are concerns of hyperkalemia? The biggest concern with hyperkalemia is the impact on the cardiac conduction system. At differing levels of hyperkalemia, the patient may initially have peaked T waves, that then progress into a widening of the QRS complex which may eventually lead to a sine wave pattern.  This increases risk for cardiac arrest with ventricular fibrillation, PEA, and asystole. What is the treatment algorithm for hyperkalemia? Works through a three-tier approach. First tier treatment is with a calcium agent (calcium gluconate or chloride).  Thought for the longest time to "stabilize the cardiac membrane/action potential". Recent research shows the true mechanism of action is likely through acting on calcium dependent channels.  Does not fix underlying hyperkalemia, but buys time for the heart.  Second tier treatment is inducing intracellular potassium shift. Can be achieved through agents such as insulin (which may need to be bolused with glucose to prevent hypoglycemia), albuterol, or sodium bicarbonate.  Third tier is potassium elimination If the patient is producing urine, loop or thiazide diuretics can be considered.  Hemodialysis may also be considered based on patient condition.  Long term (and slowest method of elimination) through fecal excretion. Unlikely to see benefits in emergency management.  Key Takeaways?  Hyperkalemia is a condition that can be brought on by primarily renal conditions and medication side effects. Careful attention must be paid to the patient's cardiac status, and urgent cardiac stabilization (though now we may know that calcium doesn't truly "stabilize" the cardiac membrane) must be performed to prevent deadly arrhythmias. Definitive management involves addressing the offending agent, offloading potassium, and stabilizing the patient long term.   References: Geldermann N, Dzimiera J, Fischer H, Christ M. Acute hyperkalaemia in emergency care: evidence-based approaches. Emerg Med J. 2026;43(5):305-311. doi:10.1136/emermed-2025-215469 Piktel JS, Wan X, Kouk S, Laurita KR, Wilson LD. Beneficial Effect of Calcium Treatment for Hyperkalemia is Not Due to "Membrane Stabilization." Crit Care Med. 2024;52(10):1499-1508. doi:10.1097/CCM.0000000000006376 Hunter RW, Bailey MA. Hyperkalemia: pathophysiology, risk factors and consequences. Nephrol Dial Transplant. 2019;34(Suppl 3):iii2-iii11. doi:10.1093/ndt/gfz206   Summarized by Dan Orbidan, OMS3 | Edited by Dan Orbidan & Ahmed Abdel-Hafiz, NREMT-P   Donate: https://emergencymedicalminute.org/donate/   Join our mailing list: http://eepurl.com/c9ouHf

The Harrisburg nonprofit All You Can Incorporated is collecting school supplies to donate to families in need.Central Pennsylvania's Community College has a new president. The college saw a 3.1% decrease in enrollment in the last year as a demographic cliff looms. State officials are highlighting Penn State's contributions to military and national security research.Several Schuylkill County communities are in the midst of water main replacement projects by the water company Aqua Pennsylvania.Two Pennsylvania Department of Agriculture leaders are being honored with Governor's Awards for Excellence.Hospital stays are stressful at any age, but they can be dangerous for older adults. Hospitalizations are also expensive. Chronic care in hospital settings is one major driver of healthcare spending. Japan has sought to reduce hospitalizations for the elderly by providing care in the patient's home. But Kiley Koscinski from our friends at WESA reports in part THREE of the series Designing Dignity, a workforce shortage could threaten the success of home-based care.It's been one year since public media's federal funding was revoked. Thanks to our community, we're still here for you and looking toward the future. Join the thousands of members who are building a stronger WITF. Go to  www.witf.org/givenow. And thank you.

Join me to paint the MUSEDear One, If you happen to have a chronic stress or chronic health condition, please listen because this matters. The hours of your day are not neutral. They're counting on your body's clock. Hypervigilance over time wears the body down. You know this, but what you might not know is how much pleasure builds the body back. Pleasure is not a treat. Pleasure is a counterweight to pain. And here's why I believe it. Chronos. Chronic. It means with time. So if you have chronic health and chronic stress, it means you're living with it, inside of it. These words come from the Latin and the Greek. When it first began to enter the human language, it was not about a severity, it was about duration, the time it takes. Chronic, on its own, isn't something bad. It's what travels with you. But it's not a singular event. It's time itself. And if the condition that you are navigating is having an impact on your life. It's impacting your time. Not just the quantity of your time, but the quality of your time. So what if the remedy to Chronos and Chronic is connected with time itself? Think about this for a moment with me. Chronos connects with the brainwave of Beta, what I call busybody beta, and hypervigilance, and also the critic. The critic lives in Chronos. Chronos is sequential, the clock, the calendar, the appointment, the countdown, the quantity. Beta is the brainwave that runs it. Hypervigilance is what beta feels like from the inside when you live in a body that communicates to you about what it is experiencing in languages that are hard to understand and so unpredictable. When you're always scanning for what's next, what's going to bring on the inflammation or the flare, whether or not you feel like showing up for something that you've already said yes to. Small example, yesterday I spent quite a few hours feeling creative and lit up and informed. And then suddenly my computer was out of battery and I was in a public place. And I didn't feel like expending the energy to get up and plug it in. So I just closed it and just sat there instead. I was weighing whether or not it felt worthwhile to find the socket. Because when you're navigating chronic conditions, sometimes the simple act like plugging in a cord can feel like you don't want to do it. Are you, like I am sometimes, weighing every move? The weighing itself, the evaluation is not free. Researchers have measured what it does to a body over the years. And this buildup is called allostatic load. The wear accumulates. And so when we stay hypervigilant and stressed and in the stressful parts of the beta brainwaves over and over and over, it accumulates. It's a toxic load. Accumulation: Is a word that's been changing everything for me. Hypervigilance is not waiting for a flare. It's showing up in the good times too. When I'm doing things that I love, it's just there in the background. And it fills up peaceful times with stress if I don't pay attention. But there's something else. This one has to be chosen. Chronos is Predictable. What is not predictable is Kairos. Kairos is a choice. Kairos is divine time, God timing, supreme timing, synchronicity, everything in right time. Kairos, theta brainwaves, flow state, and the Muse. Kairos is about quality, not quantity. It's about opportunity, never too early, never too late. It's the opening. The space to breathe in between, or what I would call Tea with Muse. Chronos is spent. It's finite. Kairos, you enter and it's infinite, or at least the experience of it can be when you enter a flow state. Theta is the brainwave that's operating in Kairos. You don't just arrive there all at once. You have to pass through other brainwaves. You begin to leave the beta and you pass through the imagination of alpha and into the spacious mystical theta. And as you go. Hypervigilance and stress dissolves along the way. This also counts, especially if you declare that it does. Flow is what it feels like from the inside. Flow is the felt sense of the Kairos state. And this is where science is on my side and the side of Intentional Creativity. The researchers have a name for what happens to time in that state. They actually call it time distortion. It's one of the defining markers where hours go by and you can't account for them. You're so in the flow. You're in your jam. There's a theory called transient hypofrontality that says that the self-monitoring part of the brain quiets down during times of deep absorption. The part of you that is over hypervigilant, that guards, that worries, goes quiet, measurably quiet during Kairos. So when you're in self-expression, particularly things like drawing or painting or singing or weaving or digging in the dirt or cooking food, things that require intention you go into Kairos. When you're sitting with the Muse and letting her have her way with you. Two hours go by and you don't even know where they went. That happened just this morning. Coffee with two people I adore. We read poetry from my book, Tea with the Midnight Muse. We did the Mother Mary Oracle Deck and applied it to our health. We talked to the kitties. We talked about the roses and the tomatoes. I made a soup of everything from the garden. And the hours were gone and they couldn't even believe it. And I said, that? That's Tea with the Muse. That's what I want to talk about today. We traveled out of beta and we stopped guarding the parameter of our consciousness. We stopped listening to the Chronos critic who told us we must be productive. We entered the place where there is no clock. Instead, there's a cuppa.Here's the interesting thing, is that this time wasn't about healing something completely, not about overcoming something. When we come back out of it, the same conditions are waiting for us, but our perspective is shifted and we can bring magic out of Kairos into the Chronos. Let me tell you this, the pleasure time, the Muse time, that also is accumulative, just like the stress. The body, the heart, the mind, and the identity, they begin to fill up with a different kind of energy. This is why my entire day is filled with little bursts of chosen micro-pleasure. Chronos, Beta, Hypervigilance, Critic, Finite. That one writes by itself all day long, whether we consent or not, where Kairos, Theta, Flow, and the Muse, and the Infinite, that one only writes in us when we choose it, and also choose to be conscious of it. Kairos offsets days of bracing and worry for the worst. What if Tea with the Muse Is this life-saving as I've been saying it is all these years? You might ask yourself, why does Shiloh spend so much time on pleasure when the world is on fire? Because I know what's possible, because I've seen it for myself. I've seen people move out of chronic pain and into practices of pleasure that change our world. You know what? Chronos gets the clock. It's operating all day long. Kairos only gets what we choose and appoint. While you might think that 15 minutes of Tea with the Muse against the rest of the hours spent just fighting the onslaught of overwhelm and chaos: I challenge you to consider this is not just a lovely invitation. For many of us, it's life-saving. Pleasure is our activism. Kairos, like the Muse, must be courted. Kairos doesn't just arrive on its own, usually. The only times I've seen it come are through falling in love or worshipping at the altar of the Divine. Every other time, I need to choose it. Pain is inevitable, but pleasure is chosen. Kronos never has to be chosen. Kronos is chronic, just like the critic is chronic, keeping you scrolling and reminding you that time is running out. Kairos is a ritual. And while many of us in our community do prefer a giant canvas, in addition, take a walk and let the flowers speak poetry to you. Look out the window at the farthest point you can find and ask what color that is, if you were to paint it. Talk to the part of your body that hurts and ask what it wants. One of the people I was sitting with this morning is navigating a health condition and I asked her to ask that part of her body what the message was. Only one small thing came. But for me, as I sat with her and listened to the space in between the spaces, I heard a very clear instruction about a particular form of rest and I invited her to take that rest today - and she did and she's doing it right now while I do this. Information comes when you're having Tea with the Muse. So open the page and give the Muse of Kairos the pen. Ask What wants to reveal itself to you today? Do you believe me that a practice of pleasure could be the counterpoint of a lifetime of pain and could actually be, not just a coping mechanism but a practice to deal with states of chronic health and stress? I know it works. The only question is how much? Will you try? I will. I'll see you with the Muse. This is Curate Shiloh Sophia for Tea with the Muse podcast and I'm grateful to be in your life. Let's choose the Muse.Amber and Shiloh Sophia Get full access to Tea with the Muse at teawiththemuse.substack.com/subscribe

Feeling lost isn't a sign that you're broken, it's a sign that you've finally arrived in the present moment. And that feeling? It's older than you think.Most of us grew up with timelines. Future plans. A sense that if we just followed the path, we'd be safe. But when chronic illness, burnout, or life itself strips all that away, we find ourselves somewhere unfamiliar: right here, right now. And in that stillness, an old, painful feeling surfaces, the feeling of being lost.Here's the reframe: that feeling was always there. It was just buried under the noise of planning and doing. Now that you've slowed down enough to feel it, it's trying to leave. The only way out is through.

Stress has become so normalized we call it smart, even loving, when it is actually wearing down every organ in the body. Learn how stress hormones move through the body with every unresolved worry, and why highly sensitive people are especially prone to this pattern. Chronic stress has shortened lives I love. Real peace begins with recognizing this pattern and finally choosing something different, one precious life at a time. - The Yearly Boundaries Intensive ⁠https://soulcare.emotionalbadass.com/boundaries?coupon_code=EARLYBIRD Resources: - Work with Me 1:1: https://www.EmotionalBadass.com/coaching - 30 Days to Peace Course: https://www.EmotionalBadass.com/peace CODE: BADASS for 30% Off - Intro To Boundaries https://www.EmotionalBadass.com/intro - Mapping your Recovery from Narcissistic Abuse Workshop https://www.EmotionalBadass.com/workshops CODE: BADASS for 30% Off - Get the Patternscapes Wellness Deck ⁠https://www.getpatternscapes.com - Join the Patreon Community: ⁠https://www.patreon.com/emotionalbadass - Download the FREE Morning Routine PDF ⁠https://www.emotionalbadass.com/morning - Join our newsletter https://www.emotionalbadass.com/newsletter - Check out our Guided Meditations https://www.emotionalbadass.com/store/meditations Follow us on Social Media: Youtube: https://www.youtube.com/emotionalbadass IG: https://www.instagram.com/emotional.badass FB: https://www.facebook.com/emotionalbadass TIKTOK: https://www.tiktok.com/@emotionalbadass Learn more about your ad choices. Visit megaphone.fm/adchoices

You could get a three for one deal at your flu shot appointment this year. Researchers have discovered how to overcome chemo resistance. Are you properly prepared for your next hike? The mystery of chronic itch may finally be traced back to the finest hairs on your skin. Facebook: ingoodhealthpodX: @ ingoodhealthpodIG: @ingoodhealthpodYouTube: @ingoodhealthpodSpotify Apple Podcast In Good Health PodcastSubscribed to the newsletterFull ArchiveContact UsBecome an Affiliate Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode I am joined by James Ellis - independent researcher; writer; host of the Hermitix podcast; and founder of the online magick school, the Hermitage. James traces his spiritual journey including new atheism, explorations in the occult, Gurdjieff work, conversion to and deconversion from Catholicism, and the founding of his online magick school, the Hermitage. James offers his critique of magickal protection practices, recounts his experiences of summoning demons of the Goetia, and explains his approach to spiritual teaching. James also describes his years of alcoholism, the complexities of British class culture, the awakening of his intellectual potential, his graduate studies in Continental Philosophy, why he did not enjoy reading Homer's Odyssey, and the pros and cons of talking in stories. … Also available on Youtube, iTunes, & Spotify – search ‘Guru Viking Podcast'. … Topics include: 00:00 - Intro 01:33 - James on Homer's Odyssey and favourite fiction 07:02 - Church of England upbringing 09:26 - A class mutt 12:22 - Working class lessons 15:10 - Winnie the Pooh vs the Moomins 16:13 - Chronic underachieving at school 22:36 - Functional alcoholism from 14-22 years old 26:53 - Discovering a passion for reading 30:50 - James' reading regime 32:36 - Finding time for reading 35:41 - School is an engine of trauma 39:45 - University degrees in Fine Art and Continental Philosophy 40:44 - A profound experience at 22 years old 45:08 - Why Continental Philosophy? 48:19 - Awakening intellectual potential 50:52 - Writing from the age of 16 53:53 - Beginnings of spiritual seeking & Alan Watts 56:04 - New Atheism, Chaos Magick, & the Occult 59:18 - Franz Bardon & Gurdjieff 01:03:34 - Franz Bardon and solo practice 01:07:43 - Discipline and building mind power 01:09:45 - Motives for occult involvement 01:12:30 - Crowley and HGA 01:15:47 - Becoming a Catholic 01:18:12 - Seeking falls away 01:23:40 - James draws a line in the interview 01:26:17 - Talking properly vs telling stories 01:28:26 - How to talk properly 01:30:04 - Energetic changes in the chest 01:34:46 - Free flowing being 01:36:56 - James asks for Steve's reaction 01:40:37 - De-converting from Catholicism 01:46:17 - Catholic formation 01:48:28 - Trying to share doubts with Catholics 01:50:09 - A small wave of de-converts 01:51:44 - Why the recent vogue of conversion to traditional Christianity 01:52:55 - Can the modern man return to religion? 01:57:04 - Being a child of Winter 02:00:04 - Magick without seeking 02:00:57 - James' magickal school, the Hermitage 02:09:15 - James on the experience of evil 02:14:27 - Summoning a demon of the Goetia 02:16:32 - Critique of magickal protection 02:20:17 - Why James still teaches banishing and protection magick 02:22:43 - Why James decided not to pursue a PhD 02:25:39 - Alan Chapman, John Michael Greer, and mentors 02:32:04 - Spiritual teaching and so what? … To find our more about James Ellis, visit: - https://www.youtube.com/@hermitixpodcast - https://the-hermitage.mn.co/ For more interviews, videos, and more visit: - https://www.guruviking.com Music ‘Deva Dasi' by Steve James

Why is everyone suddenly sick? If the answer were food or radiation, then why can people switch their symptoms off with emotional work, eating the same food, in the same environment?This video traces a different thread. Not toxins. Not seed oils. Something deeper. What happens when a society dismantles their emotional containers in the span of three generations? What filled the gap? And where does the unprocessed emotion go? What I cover in this free talk:• The Germanic and Celtic tribal container• Secularization and the collapse of collective emotional regulation• Latchkey kids, parenting, and the schooling system• Social media, polarization, and the nervous system• Some crazy parenting ideas from the previous centuryThis is not a doom video. It's an attempt to see the full picture, so we can stop blaming the wrong things and start understanding what our bodies have been trying to tell us.Join the Release program to speed up your healing from ME/CFS, Chronic fatigue, fibromyalgia, MCAS, Post-Vac and other chronic illnesses.

In this episode, host Dr. Kristine Smith speaks with Dr. Leigh Sowerby. They discuss the recently published Clinical Letter: “Evaluating the Potential Infectious Risk Profile of Biologics in Chronic Rhinosinusitis With Nasal Polyposis”. The full manuscript is available as open access in the International Forum of Allergy and Rhinology. Listen and subscribe for free to […]

Could parasites be contributing to chronic fatigue, digestive issues, brain fog, or unexplained health symptoms? In this episode, Bryana Burken, pharmacist and physician liaison with Physicians Preference Pharmacy, is joined by Elaina Mango, Vice President of the Hotze Health & Wellness Center, to discuss common misconceptions about parasites, how exposure can happen in everyday life, and why these infections may be more common than many people realize. Bryana and Elaina explain how parasites can be acquired through pets, food, travel, standing water, and environmental exposure, not just poor sanitation. They discuss the wide range of symptoms parasites may cause, and explore why parasite testing can be challenging, why false negatives are common, and how providers often rely on a combination of clinical symptoms, medical history, and treatment response when evaluating possible parasitic infections. Bryana also explains the role of compounded medications, why customized formulations may be appropriate for some patients, and why working with an experienced healthcare provider is essential when addressing parasites and other chronic health concerns. Watch now and subscribe to our podcasts at www.HotzePodcast.com. To receive a FREE copy of Dr. Hotze's best-selling book, Hormones, Health, and Happiness, call 281-698-8698 and mention this podcast. Includes free shipping!

Nate Stasko, CEO of Vast Therapeutics, is developing a novel nitric oxide-releasing therapy to treat chronic respiratory diseases, particularly fibrosis bronchiectasis, which is frequently misdiagnosed as asthma or COPD. Their lead drug candidate is a dual-mechanism therapy that is delivered to the lungs via a nebulizer to target both infection and inflammation with the potential to eradicate pathogens rather than just suppressing them. This approach, in early trials, is showing excellent tolerability and eliminates the need for chronic antibiotic use, which carries the risks of toxicity and contributes to antibiotic resistance.  Nate explains, "At Vast Therapeutics, our main idea and goal as a company is to come up with better solutions for the 500 million people worldwide who suffer from chronic respiratory disease. And there is a new disease getting a lot of attention that we're targeting with our lead program called bronchiectasis, and it's often been misdiagnosed as asthma or COPD. And now over a million patients in the US are being diagnosed with bronchiectasis. And the whole campaign is to teach physicians and the whole medical community to suspect this disease over some of these other misdiagnosed diseases."  "Traditionally, patients have been managed with either antibiotics to calm down the infection, but you know the problems of chronic antibiotic use- the liver toxicity, kidney toxicity, and hearing loss associated with long-term antibiotic use are just bad for these patients. Not to mention we have the global problem of antibiotic resistance. And so giving a 52-week course of therapy of antibiotics is less than ideal. And then recently, just last year, there's some hope for these patients where there was a new drug approved called brensocatib, which was the first drug ever approved for bronchiectasis by the FDA. And so now it targets the inflammation." "Having the ability to target two mechanisms of action would be the best therapy. And that's actually what Vast is developing. We're using the body's own ability to make and produce nitric oxide, which is a miracle molecule. And we're delivering nitric oxide back to these patients to target both the infection and inflammation at the same time and improve the overall standard of care for these patients."  #VastTherapeutics #Bronchiectasis #Pulmonology #NitricOxide #RespiratoryMedicine #AntimicrobialResistance #ALX1#ChronicLungDisease #HealthcareInnovation #ClinicalTrials vasttherapeutics.com Download the transcript here

Nate Stasko, CEO of Vast Therapeutics, is developing a novel nitric oxide-releasing therapy to treat chronic respiratory diseases, particularly fibrosis bronchiectasis, which is frequently misdiagnosed as asthma or COPD. Their lead drug candidate is a dual-mechanism therapy that is delivered to the lungs via a nebulizer to target both infection and inflammation with the potential to eradicate pathogens rather than just suppressing them. This approach, in early trials, is showing excellent tolerability and eliminates the need for chronic antibiotic use, which carries the risks of toxicity and contributes to antibiotic resistance.  Nate explains, "At Vast Therapeutics, our main idea and goal as a company is to come up with better solutions for the 500 million people worldwide who suffer from chronic respiratory disease. And there is a new disease getting a lot of attention that we're targeting with our lead program called bronchiectasis, and it's often been misdiagnosed as asthma or COPD. And now over a million patients in the US are being diagnosed with bronchiectasis. And the whole campaign is to teach physicians and the whole medical community to suspect this disease over some of these other misdiagnosed diseases."  "Traditionally, patients have been managed with either antibiotics to calm down the infection, but you know the problems of chronic antibiotic use- the liver toxicity, kidney toxicity, and hearing loss associated with long-term antibiotic use are just bad for these patients. Not to mention we have the global problem of antibiotic resistance. And so giving a 52-week course of therapy of antibiotics is less than ideal. And then recently, just last year, there's some hope for these patients where there was a new drug approved called brensocatib, which was the first drug ever approved for bronchiectasis by the FDA. And so now it targets the inflammation." "Having the ability to target two mechanisms of action would be the best therapy. And that's actually what Vast is developing. We're using the body's own ability to make and produce nitric oxide, which is a miracle molecule. And we're delivering nitric oxide back to these patients to target both the infection and inflammation at the same time and improve the overall standard of care for these patients."  #VastTherapeutics #Bronchiectasis #Pulmonology #NitricOxide #RespiratoryMedicine #AntimicrobialResistance #ALX1#ChronicLungDisease #HealthcareInnovation #ClinicalTrials vasttherapeutics.com Listen to the podcast here

Chronic pain in older adults can affect mobility, mood, sleep, social connection, and independence. Una Makris, M.D., M.Sc., UC San Diego and VA San Diego Healthcare System, explains why musculoskeletal pain is common later in life and why medications or procedures alone may not meet the needs of many patients. Drawing on her work in rheumatology and geriatrics, Makris describes how pain and depression can reinforce each other, making it important to address both together. She highlights an age-friendly behavioral coaching approach that uses motivational interviewing, values-based goal setting, physical activity, and social support to help people reconnect with meaningful activities. By focusing on small, safe increases in movement, this research points to practical ways to support better function, quality of life, and healthy aging. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41172]

Chronic pain in older adults can affect mobility, mood, sleep, social connection, and independence. Una Makris, M.D., M.Sc., UC San Diego and VA San Diego Healthcare System, explains why musculoskeletal pain is common later in life and why medications or procedures alone may not meet the needs of many patients. Drawing on her work in rheumatology and geriatrics, Makris describes how pain and depression can reinforce each other, making it important to address both together. She highlights an age-friendly behavioral coaching approach that uses motivational interviewing, values-based goal setting, physical activity, and social support to help people reconnect with meaningful activities. By focusing on small, safe increases in movement, this research points to practical ways to support better function, quality of life, and healthy aging. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41172]

Chronic pain in older adults can affect mobility, mood, sleep, social connection, and independence. Una Makris, M.D., M.Sc., UC San Diego and VA San Diego Healthcare System, explains why musculoskeletal pain is common later in life and why medications or procedures alone may not meet the needs of many patients. Drawing on her work in rheumatology and geriatrics, Makris describes how pain and depression can reinforce each other, making it important to address both together. She highlights an age-friendly behavioral coaching approach that uses motivational interviewing, values-based goal setting, physical activity, and social support to help people reconnect with meaningful activities. By focusing on small, safe increases in movement, this research points to practical ways to support better function, quality of life, and healthy aging. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41172]

Chronic pain in older adults can affect mobility, mood, sleep, social connection, and independence. Una Makris, M.D., M.Sc., UC San Diego and VA San Diego Healthcare System, explains why musculoskeletal pain is common later in life and why medications or procedures alone may not meet the needs of many patients. Drawing on her work in rheumatology and geriatrics, Makris describes how pain and depression can reinforce each other, making it important to address both together. She highlights an age-friendly behavioral coaching approach that uses motivational interviewing, values-based goal setting, physical activity, and social support to help people reconnect with meaningful activities. By focusing on small, safe increases in movement, this research points to practical ways to support better function, quality of life, and healthy aging. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41172]

Chronic pain in older adults can affect mobility, mood, sleep, social connection, and independence. Una Makris, M.D., M.Sc., UC San Diego and VA San Diego Healthcare System, explains why musculoskeletal pain is common later in life and why medications or procedures alone may not meet the needs of many patients. Drawing on her work in rheumatology and geriatrics, Makris describes how pain and depression can reinforce each other, making it important to address both together. She highlights an age-friendly behavioral coaching approach that uses motivational interviewing, values-based goal setting, physical activity, and social support to help people reconnect with meaningful activities. By focusing on small, safe increases in movement, this research points to practical ways to support better function, quality of life, and healthy aging. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41172]

Chronic pain in older adults can affect mobility, mood, sleep, social connection, and independence. Una Makris, M.D., M.Sc., UC San Diego and VA San Diego Healthcare System, explains why musculoskeletal pain is common later in life and why medications or procedures alone may not meet the needs of many patients. Drawing on her work in rheumatology and geriatrics, Makris describes how pain and depression can reinforce each other, making it important to address both together. She highlights an age-friendly behavioral coaching approach that uses motivational interviewing, values-based goal setting, physical activity, and social support to help people reconnect with meaningful activities. By focusing on small, safe increases in movement, this research points to practical ways to support better function, quality of life, and healthy aging. Series: "Stein Institute for Research on Aging" [Health and Medicine] [Show ID: 41172]

Dr. Jordan Fersel, is a pain management physician with decades of experience, focused on uncovering overlooked causes of chronic pain and advancing more effective, patient-centered approaches through education, research, and clinical practice. Top 3 Value Bombs 1. Innovation happens when you question systems that continue operating on habit rather than results. 2. Chronic pain is not always caused by structural damage; it can originate from injured nerves that standard imaging cannot detect. 3. Listening carefully to patients often reveals answers that diagnostic scans alone cannot provide. Grab a copy of Dr. Jordan's book - When Bad Backs Happen to Good People by Dr. Jordan Fersel Sponsors HighLevel - The ultimate all-in-one platform for entrepreneurs, marketers, coaches, and agencies. Learn more at HighLevelFire.com. Strawberry - Discover what's possible with a professional coach by your side. Start today and get 50 percent off your first coaching session at Strawberry.me/fire.

Summary Dr. Tom Walters, a board-certified orthopedic physical therapist and the founder of Rehab Science, returns to talk through two of the most common complaints after 40: knee pain and back pain. We get into why rest alone rarely fixes either one, how cartilage actually gets its nutrients through movement, and how to tell a tendon problem from something deeper in the joint. Tom explains load management, the real reason most aches show up without a specific injury, walks through the red flags that mean you should see someone for back pain, and covers how stress and sleep feed into chronic pain. He also shares his three tactics for staying well: social support, exercise, and sleep. Key Point Timestamps 05:01 The Rehab Science book series and why it was split by body region 07:09 Why knee and back pain are so common after 40 10:05 Telling a tendon problem from a cartilage problem 13:40 Managing flare-ups with rest, heel slides, and gentle mobility 16:17 Load management: why most pain is too much too soon, or too little 19:29 Red flags in back pain that mean see a professional 24:19 Chronic pain, nociplastic pain, and neuroplasticity 26:39 How stress can trigger and sustain back pain 29:51 Nerve pain and sciatica, and how treatment differs 32:47 Sleep, social support, and exercise for staying well Links Dr. Tom Walters / Rehab Science: Website: https://rehabscience.com Instagram: @rehabscience (https://www.instagram.com/rehabscience/) YouTube: search "Rehab Science" Books: the Rehab Science series, on Amazon and Barnes & Noble Rehab Science app (rehab programs by body region) Coach Allan / 40+ Fitness: Daily wellness tips newsletter: https://40plusfitness.com/tips  

Most of us think we're hydrated because we're drinking plenty of water, but wellness expert Kristen Coffield says that's only part of the story. In this episode of SHE MD, Kristen shares why hydration is the foundation for nearly every aspect of your health, from better sleep and more energy to reduced inflammation, improved metabolism, and healthier aging. After navigating thyroid cancer while caring for both of her aging parents, Kristen rebuilt her health one simple habit at a time and now helps women do the same through her Resilient Wellness approach.Kristen and Mary Alice dive into practical, science backed strategies you can start today, including how to hydrate properly with electrolytes, why water alone isn't always enough, the foods that support long term wellness, and how to build sustainable habits instead of chasing diets. They also discuss strength training, sleep, inflammation, active aging, and why it's never too late to invest in your health. Whether you're in your 30s, navigating midlife, or planning for healthy aging, this conversation is full of simple, actionable takeaways that can help you feel your best for years to come.Subscribe to SHE MD Podcast for expert tips on PMOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women's health and well-being.SponsorsProlon: Visit ProlonLife.com/SheMD to claim your 15% discount and your bonus gift.OLLY: You can find OLLY Precise Probiotics with skin, stress, or metabolism support at a Walmart near you.Alaya: Visit www.alaynaturals.com/shemd and enter code SheMD at checkout for 20% off your order.Blueland: If you're looking to make a small change in your routine, you can get fifteen percent off your first order at blueland.com/shemd.What You'll LearnWhy drinking more water doesn't always mean you're hydratedHow electrolytes help your body absorb water properlyA simple morning hydration routine that supports energy and focusThe connection between hydration, inflammation, sleep, and brain fogWhy small daily habits create lasting health changesHow to eat for better energy instead of dietingThe importance of fiber, protein, and healthy fats as you ageHow to build strength and mobility for healthy aging and active grandparentingKey Timestamps00:00 Why Water Is The Most Powerful Supplement You're Ignoring00:55 Meet Kristen Coffield, Wellness Expert And Hydration Advocate02:04 How A Personal Tsunami Led To A Health Transformation03:32 Why Hydration Is The Foundation Of Every Wellness Goal05:31 How To Actually Hydrate The Right Way07:09 Why You're Drinking Water But Still Feel Thirsty08:55 The Best Electrolytes And How To Use Them09:51 The Morning Lemon Water Ritual That Changes Everything10:23 Why You Should Wait 90 Minutes Before Your First Coffee11:36 How Much Water You Actually Need Every Day16:14 How Kristen Coffield Rebuilt Her Health After Thyroid Cancer21:45 How Hydration Helps You Fight Inflammation24:00 Why Food Has Changed More In 60 Years Than All Of Human History27:18 The Easiest Way To Add More Fiber To Your Diet28:29 Five Simple Things To Do In Your Kitchen For Better Health33:04 How To Eat For Energy Throughout The Day34:09 The Sleep Habits And Supplements That Actually Work37:03 Why Active Grandparenting Will Change How You Age40:55 The Functional Movements Every Woman Needs To Start Now48:54 How Hydration And Hormones Are More Connected Than You ThinkKey TakeawaysHydration is the foundation of nearly every health goal, including better sleep, muscle function, energy, and food choices.Water alone isn't always enough. Electrolytes help move water into your cells where it's needed most.Consistency matters more than drinking huge amounts of water all at once. Small amounts throughout the day are more effective.Chronic stress and inflammation can quietly undermine your health, making simple daily wellness practices even more important.Rather than following restrictive diets, focus on eating a wider variety of whole foods rich in fiber, healthy fats, and protein.Creating supportive environments, like stocking your kitchen with nutritious foods, makes healthy choices easier.Strength training, mobility work, and functional movement become increasingly important beginning in your 30s and help preserve independence as you age.Healthy aging starts long before retirement by building sustainable habits one step at a time.Guest Bio: Kristen CoffieldKristen Coffield is a wellness expert, former chef, author of How Healthy People Eat, and founder of The Culinary Cure. After navigating thyroid cancer while caring for both of her aging parents, she developed her Resilient Wellness framework to help women rebuild their health through simple, sustainable daily habits. She is also the creator of the Active Grandparenting Movement, inspiring people to build the strength, mobility, and vitality needed to thrive through every stage of life.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

FREE RESOURCE:  Click the link and see if the SHED METABOLIC RESET PROGRAM is a good fit for you!  FREE RESOURCE:  Try our Protein Calculator, see how much you might require daily!    In this episode of Wild Medicine, Dr. Michelle and Dr. Tara delve into the critical role of inflammation in health, particularly its impact on weight and chronic diseases.  They discuss the differences between acute and chronic inflammation, the significance of visceral fat, and the importance of body literacy in understanding one's health.  The conversation also addresses common myths about inflammation and emphasizes the need for a holistic approach to nutrition and lifestyle changes to manage inflammation effectively.   Takeaways Inflammation is a vital part of the body's response to injury and infection. Chronic inflammation is linked to many chronic diseases and weight gain. Visceral fat contributes to inflammation and complicates weight loss efforts. Superfoods are beneficial but cannot replace a balanced diet. Understanding body signals is crucial for managing inflammation. Lifestyle factors like sleep and stress significantly affect inflammation levels. Not all inflammation is bad; it's about regulation, not elimination. Individual responses to foods vary; not everyone has the same sensitivities. Basic nutrition and lifestyle changes are foundational for health. Chronic inflammation can disrupt hunger signals and appetite regulation.   Chapters 00:00 Introduction to inflammation and its importance 02:09 The body's inflammatory response and signals 04:12 Chronic inflammation and its long-term effects 07:06 Inflammation's role in weight gain and visceral fat 10:51 Strategies to target and reduce inflammation 14:01 Myths about inflammation and diet 17:05 The importance of targeting visceral fat 20:01 Foundational lifestyle habits for inflammation management 23:02 The power of a reset in lowering inflammation   Stay Wild. FREE RESOURCE:  Download one of our SHED Mindset Calls! Connect with Dr. Tara on INSTAGRAM Connect with Dr. Michelle on INSTAGRAM This episode is brought to you by: www.MichellePeris.com Ready to reclaim your Wild? JOIN THE WAITLIST Learn more about The Poppy Clinic: www.poppyclinic.com Is Naturopathic Medicine for you: LEARN MORE HERE Take our HORMONE QUIZ Are you a clinician looking for more impact? START HERE

Please visit answersincme.com/2026-MC-001884-replay860 to participate, download slides and supporting materials, complete the post test, and get a certificate. Presented by Marc Serota, MD; Kristin Sokol, MD, MS, MPH; and Michelle Tarbox, MD. In this activity, experts in chronic spontaneous urticaria (CSU) discuss strategies to reduce diagnostic delays and how to personalize care beyond antihistamines. Upon completion of this activity, participants should be better able to: Recognize the impact of delayed diagnosis on disease control in patients with CSU; Review key inflammatory pathways—including type 2 inflammation—in CSU pathogenesis and how targeted therapies modulate them; Assess the latest clinical data for targeted therapies for the treatment of CSU; and Apply evidence-based strategies to personalize the management of antihistamine-refractory CSU.

Chronic inflammatory demyelinating polyneuropathy (CIDP) presents significant challenges in both diagnosis and long-term disease management. As consensus definitions, emerging targeted therapies, and research into serologic biomarkers evolve, how can clinicians optimize individual care algorithms? In this follow-up discussion, Karissa Gable, MD, Duke University Medical Center, breaks down recent breakthroughs in CIDP care and trial design: - Standardizing CIDP Terminology: Key updates from the new international consensus definitions paper establishing unified criteria for disease remission, stability, treatment response, and refractory disease. - The Emerging Pipeline: What's next in therapeutic development, including FcRn antagonists (nipocalimab and batoclimab) and complement inhibitors. - Shared Decision-Making: Practical strategies for tailoring therapy selection based on patient preferences, lifestyle, comorbidities, and administration routes. - Building Confidence in CIDP Care: Applying 2021 EAN/PNS guidelines to navigate diagnosis and ongoing treatment adjustments when first-line options fall short.

Please visit answersincme.com/2026-MC-001884-replay860 to participate, download slides and supporting materials, complete the post test, and get a certificate. Presented by Marc Serota, MD; Kristin Sokol, MD, MS, MPH; and Michelle Tarbox, MD. In this activity, experts in chronic spontaneous urticaria (CSU) discuss strategies to reduce diagnostic delays and how to personalize care beyond antihistamines. Upon completion of this activity, participants should be better able to: Recognize the impact of delayed diagnosis on disease control in patients with CSU; Review key inflammatory pathways—including type 2 inflammation—in CSU pathogenesis and how targeted therapies modulate them; Assess the latest clinical data for targeted therapies for the treatment of CSU; and Apply evidence-based strategies to personalize the management of antihistamine-refractory CSU.

Please visit answersincme.com/860/2026-MC-001884-replay to participate, download slides and supporting materials, complete the post test, and get a certificate. Presented by Marc Serota, MD; Kristin Sokol, MD, MS, MPH; and Michelle Tarbox, MD. In this activity, experts in chronic spontaneous urticaria (CSU) discuss strategies to reduce diagnostic delays and how to personalize care beyond antihistamines. Upon completion of this activity, participants should be better able to: Recognize the impact of delayed diagnosis on disease control in patients with CSU; Review key inflammatory pathways—including type 2 inflammation—in CSU pathogenesis and how targeted therapies modulate them; Assess the latest clinical data for targeted therapies for the treatment of CSU; and Apply evidence-based strategies to personalize the management of antihistamine-refractory CSU.

Hey friend,  When is the last time you actually rested? Not crashed, not fell asleep out of exhaustion, but actually rested on purpose without guilt? Do you ever try to rest and find that the guilt makes it impossible to actually get there, so you end up more drained than when you started? What if the guilt you feel when you rest isn't telling you to get up - it's just your nervous system doing what it was trained to do after months or years in output mode? I'm Ashley, a mom living with chronic illness in a neurodivergent family. If you're dealing with constant fatigue, brain fog, inflammation, and broken sleep while trying to keep up with your kids, you're not alone. Chronic Illness Moms is a podcast for moms with chronic illness or chronic symptoms who want stress relief, better sleep, and simple, realistic habits that actually work inside a full, demanding life. If you know you need rest but feel guilty every time you try to take it, this one is for you. I share the story of running myself a bath, queuing up my favorite show, and spending the whole time battling guilt instead of actually resting. I explain why rest feels like failure when your nervous system has been in output mode for too long, the real difference between collapsing and actually recovering, and what rest can look like for a mom who can't do nothing. It doesn't have to mean empty to count. This episode is permission, not another thing to add to your list.   Part 3: Resources and Links Mentioned 1:1 chronic health coaching: https://ashleybraden.com/coaching Join the free Chronic Health Moms Facebook community: https://www.facebook.com/groups/chronichealthmoms Natural products to support your stress and sleep: https://payhip.com/hearthwellnaturals Related Episodes: 230.You're Not Failing, You're Overstimulated: The Mental Breathing Room Most Overwhelmed Moms Are Missing 224. Why Stress Relief for Exhausted Moms Isn't More Fun — It's This   Connect with Me: Contact → hello@ashleybraden.com Facebook Page → https://www.facebook.com/chronicillnessmoms Facebook Group → https://www.facebook.com/groups/chronichealthmoms Instagram → https://www.instagram.com/chronicillnessmoms YouTube → https://bit.ly/chronicillnessyoutube   Next Steps: Find fifteen minutes today and protect them for low-input rest — whatever that looks like in your actual life. When the guilt shows up, remind yourself: this is something my body needs. Join a free community of moms who are giving each other permission to rest without earning it first: facebook.com/groups/chronichealthmoms If you're ready to figure out what your body actually needs to start recovering, book a Feel Better Coaching call at ashleybraden.com/coaching

What does Jewish law say about abortion, assisted dying, life support, patient autonomy, mental health, cosmetic surgery, and artificial intelligence in medicine?Rabbi Daniel Levine sits down with Rabbi Jason Weiner, a leading authority on Jewish medical ethics and healthcare chaplaincy, for a nuanced conversation about some of the most difficult decisions patients, families, physicians, and rabbis confront.They discuss when Judaism requires doctors to prolong life—and when it permits a natural death—along with religious refusals of treatment, physician-assisted suicide, the cost of extraordinary medical care, mental illness, abortion under Jewish law, cosmetic surgery, cremation, suicide, and the emerging halakhic challenges posed by ambient AI in hospitals.Rabbi Weiner also introduces his new book, Bedside Halacha, a practical guide for observant Jewish healthcare professionals navigating Shabbat, end-of-life care, medical technology, and conflicts between professional responsibilities and religious commitments.This episode offers a thoughtful exploration of the relationship between halakha, medicine, ethics, human dignity, religious freedom, and the realities of modern healthcare.Chapters00:00 Introduction01:08 Is there a broader Jewish medical ethic?03:36 Applying Jewish ethics to non-Jewish patients05:57 Refusing lifesaving treatment for religious reasons10:10 Patient autonomy and its limits12:53 Autonomy, suffering, and end-of-life care in Jewish law15:18 When does prolonging life become prolonging death?17:03 Chronic illness and defining a terminal patient18:23 Physician-assisted suicide and praying for death19:55 Withholding treatment versus hastening death22:19 Artificial nutrition, hydration, and life support23:48 Must Jews spend everything to save a life?26:51 Mental illness in Jewish law29:32 What does Judaism actually say about abortion?31:39 Rabbi Weiner's practical approach to abortion34:04 Why Jewish law can be morally conservative but politically pro-choice36:03 The Orthodox Jewish response to abortion bans37:01 Is cosmetic surgery permitted under Jewish law?39:14 Nose jobs, tattoos, and Ethiopian Jewish communities41:38 How real patients complicate theoretical halakha42:56 Compassion for those who violate Jewish law44:37 Suicide, cremation, and changing rabbinic responses45:55 Rabbi Jason Weiner's new book, Bedside Halacha47:42 How ambient AI creates new Shabbat questions48:38 ConclusionLearn more about Rabbi Jason Weiner's work and Bedside Halacha through Kodesh Press. Or his website rabbiweiner.com or his instagram rabbi_jwSubscribe for more conversations about Judaism, Jewish law, Israel, ethics, religion, and contemporary Jewish life.#JewishMedicalEthics #jewishlaw #halachah #medicalethics #abortiondebate #endoflifecare #assisteddying #artificialintelligence #judaism #RabbiJasonWeiner #BedsideHalacha #healthcareethics

Chronic emotional patterns are sustained by reactive or adaptive responses. Breaking the cycle requires self-awareness and intentionality to do something different. Here's how.Show Notes:What IS a Failure of Nerve? - Four Week Book StudyCheck out The Non-Anxious Life, a FREE AI Family Systems Coach.Become a Patron for as little as $5/month.Subscribe to my weekly ⁠Two for Tuesday⁠ email newsletter.

In this episode of our Summer Classics series we dive into Dr. Dre's The Chronic 2001. Join Our Mail List forms.gle/4q5pT3GkWJ4czLZm7   Go Check out our Music Listen to WordPlay T. Jay's Music - https://youtube.com/@wordplaytjay  Listen to Icarus Gray's Music - https://youtube.com/@IcarusGray  Try our Sponsors Opus Clip - https://opus.pro/?via=wptj Ground News - 40% off - https://check.ground.news/wptj  SubmitHub - https://submithub.com/coupon/wordplaytjay Amazon Music Unlimited - https://tryamazonmusic.com/Qy5x96  Watch Us On YouTube: https://www.youtube.com/@NoRhymeorReasonPodcast  Follow Us on Social Media Follow Icarus Gray - https://instagram.com/icarus_gray   Follow WordPlay T. Jay - https://instagram.com/wordplaytjay 

You don't have a dysregulated nervous system. That's why nervous system regulation tools will always fail you eventually. Join the Release program to speed up your healing from ME/CFS, Chronic fatigue, fibromyalgia, MCAS, Post-Vac and other chronic illnesses.

Chronic pain is increasingly complex — and frequency-specific microcurrent therapy works best when clinical reasoning, pattern recognition, and evaluation come before frequency selection. Here is what practitioners should understand first. To learn more, visithttps://courses.frequenciesthatmend.com/courses/foundations-1?ref=a402c8 Frequencies that MEND City: Jacksonville Address: 8227 Mar Del Plata Street East Website: https://frequenciesthatmend.com Phone: +1-904-233-2463

PodChatLive 240: Cholesterol & chronic heel pain, and the effect of positioning the diabetic foot on tissue oxygenationContact us: getinvolved@podchatlive.comLinks from this episode:The effect of foot positioning on tissue oxygenation in diabetic foot ulcersChronic plantar heel pain severity is associated with lipid biomarkers

In this episode, we dived deeper into chronic worrying that many of us hold. We shared a real-life example of two colleagues with polar opposite thoughts & emotions, which led to two different outcomes. We shared more about chronic worrying that many of us took on, and how it influences us negatively. We also spoke about Asha's most precious reminders in life that propelled her to step out fully from chronic worrying, and her self-realisations garnered. Lastly, we immersed in an Akashic Records meditation, in the company of our divine team including Lyrans, Arcturians, Dragons, Goddesses, and our Vibrant Ancestors.This is a free monthly meditation series harnessing the transformative wisdom & healing in the Akashic Records.Benefits:Acquire practical tips & techniques to THRIVEFeel calm, confident & purposeful at workRise to your Divine Mission confidentlyThis is an online monthly event. All levels are welcomed; no prior experence is needed.

Hosts: Ed Jones (Owner – Nutrition World) & Clint Powell A variety of topics all related to living a healthy life Presented by: Nutrition World www.nutritionw.com  Broadcasting from the Nooga Dentistry Studio www.noogadentistry.com Production of: Whitfield Media Group www.vitalhealthradio.com Title: Oral Peptides for Appetite & Weight Loss, What Your Phase Angle Means for Your Cellular Health [0:00:00] Intro, Events Tease of the episode's themes: Segment 2: peptides and weight loss. Segment 3: phase angle and cellular health. Lung Coach event at Nutrition World – August 22 Mobile screening for early lung cancer detection. Emphasis that stage 1–2 lung cancer is often curable, stage 4 is not. Calcium score used to estimate plaque burden in arteries. Ed notes ~12 reasons for plaque formation, while most physicians focus on ~3. Mentions Dr. Kurt Dearing's book “Beyond Cholesterol”, covering broader causes of plaque. Financial health talk – August 22 (~11 AM) Michael E, financial planner, giving a free lecture on financial stability. Ed's point: two major life disruptors are declining health and declining finances, and they influence each other. Health Fair – October 24 Described as possibly the biggest health fair in the region. Features reps, free samples, circus‑like but “happy” atmosphere. [0:04:10] Restaurant Talk Light banter about Ed being a restaurant connoisseur and creature of habit. Restaurant recommendations via Ed's employee Fallon: Second Amendment / Second American (downtown). Hello Monty (special but reasonably priced menu). Ed's oxalate/joint pain story: Eating Purely Elizabeth cereal (high in oxalates: chia and other ingredients) triggered severe return of joint pain Discussion that some “healthy” foods can be nutritious but not healthy for everyone, especially for those sensitive to oxalates. Ed references his free oxalate ebook at theholisticnavigator.com and believes oxalates contributed to: His double hip replacement. Feeling old from age 50–65. Mentions OxyGuard supplement (recently restocked) and using 4 capsules/day to help clear excess oxalates (not as a license to keep eating high‑oxalate foods). Quick shout‑out to local farmers from Virginia End Farm selling at Nutrition World on Wednesdays (12–4), and that they've listened to every show. [0:8:55] Tease: Phase Angle & Seca Machine Ed previews Dr. Kurt Dearing's later segment on phase angle: A single number reflecting resilience and proximity to optimal health.. Mention of Be Well Labs / BeginwithLabs.com – Body Blueprint: Advanced lab panel: 50+ predictive health indicators. Pitch: more than a standard physical, actionable results. Price example: $275 vs typical $500, highlighting savings. [0:13:35] Segment Intro: Peptides & Weight Loss Framing: Peptides as one of the hottest trends in 47 years of Ed's experience. Shift from grey‑market injectables to safe, effective oral peptide powders. Ed has seen impressive feedback on an oral peptide powder for weight loss in early customers. [0:13:47] What Are Peptides? Protein basics: Proteins are long chains of amino acids essential for structure, function, and regulation. Peptide defined: A shorter chain of amino acids broken off from a larger protein. Lego analogy: Individual Legos = amino acids. Tall tower of Legos = full protein. Kid knocks tower over; a small intact stack (~8 Legos) that falls off = peptide. Each peptide has a “fingerprint” determined by: Length (how many amino acids/Legos). Sequence (order: e.g., red–red–blue–blue vs red–blue–red–blue). Processing (how it was broken off or created). Clarified: peptides are not primarily for fixing protein deficiency, but more for targeted signaling effects in the body. [0:20:52] Yeast‑Derived Oral Peptide for Metabolism & Drug Comparisons Endogenous peptides: made naturally inside the body. Exogenous peptides: introduced from outside (drug injections, supplements). Ozempic / GLP‑1 drugs: Yes, Ozempic is a peptide. These drugs are lab‑made peptides made to mimic natural body peptides. Peptides are not synthetic drugs in concept; they are peptide structures the body uses, though drugs are engineered. Focus on Ancient Nutrition “Active Peptide for Metabolism”: Contains a yeast peptide derived from Saccharomyces cerevisiae (brewer's yeast), broken from a larger yeast protein. Mechanism & effects: Influences hunger and satiety signaling: Increases leptin (satiety hormone). Decreases ghrelin (hunger hormone). Reported benefits: Reduced hunger and cravings (including boredom eating). Weight loss primarily from fat mass, not muscle mass. Comparison with GLP‑1 injections (semaglutide, etc.): Injections often cause muscle loss (e.g., “Ozempic face,” loss of facial muscle/fat). Yeast peptide research shows fat‑centric weight loss. Clinical results quoted: After 2 months, average daily caloric intake decreased by ~600 calories. Leads to meaningful weight loss, depending on baseline intake and muscle mass. [0:24:25] Dosing, Timing, Stacking & Safety Considerations How to take it: Once daily, typically in the morning to curb cravings throughout the day. Users report: easier recognition of fullness during meals. Stacking with cortisol peptide product: Ancient Nutrition also has a cortisol‑active peptide capsule for stress support. Same amount of yeast peptide per serving; research supports doubling the yeast peptide dose, so: You can use the metabolism powder + cortisol peptide together. Stress, cortisol, and weight: Chronic stress and high cortisol promote fat gain. Stacking stress support + appetite control may help body composition. Onset of effect: Reagan reports she personally noticed benefits around 2 weeks (quicker than many supplements that take 60–90 days). Cost & practicality: Approx cost around $50 for 30 days. Positioned as a cost‑effective alternative or complement to expensive injections. Side effects vs injectables: Reagan's hospital experience with GLP‑1 side effects (e.g., gastroparesis, impaired gastric motility, some requiring tube feeds or IV nutrition). Oral yeast peptide described as gentler, working with natural processes, not “forcing” the system. [0:30:09] Yeast Source, Candida Concerns & Usage Notes Yeast strain: Saccharomyces cerevisiae (not S. boulardii, and not pathogenic/candida). Clarifications: Will not cause yeast infections. Will not feed candida overgrowth. Taste & preparation: Chocolate flavor described as surprisingly good, even for those picky about chocolate. Temperature-sensitive: Must be mixed with cool liquid (NOT hot coffee/tea or hot beverages). Leaving it in high heat (e.g., hot car) can degrade activity. [0:36:03] Segment Intro: Phase Angle & Seca Scan with Dr. Kurt Dearing Discussion of: Seca medical‑grade bioelectrical impedance analysis (BIA) machine (~$12,000). It's commonly in hospitals/clinics, but rarely publicly accessible; Nutrition World and Be Well Labs both have one. Dr. Dearing's consult package: Includes consult + Seca scan + follow‑up visit + follow‑up Seca scan (~$195, promo if listeners mention the show). [0:37:35] What Is Phase Angle? (Deep Dive into Measurement & Meaning) What the Seca scan measures: Total body fat and visceral fat. Muscle mass (overall and by body segment). Phase angle (key focus). Phase angle basics: BIA sends low‑level alternating electrical currents through the body. The phase shift (time/angle difference) between current and voltage is measured. That phase shift = phase angle. Higher phase angle → healthier cell membranes, better cellular integrity, more muscle mass, better hydration. Lower phase angle → often malnutrition, chronic disease, frailty; can be used in dialysis, cancer patients, etc., to predict outcomes. Used as a longevity biomarker: Akin to an “EKG of your cells”. Can function as an early indicator for overall health trajectory, barring accidents Dr. Dearing's personal story: First scan categorized him as “bronze” on Seca's scale: Levels: None → Bronze → Silver → Gold → Platinum. Motivated him to increase strength training and eating healthy. Subsequent scan: improved from bronze → gold. Ed's anecdote: Friend and gym member Fred now tests as platinum, after sustained gym and nutrition efforts. Phase angle as a guide: If results are poor, that's a signal to upgrade the plan (diet, exercise, supplements). If phase angle improves (e.g., 4 → 5), it proves the plan is working, beyond just “feeling” better. [0:43:47] How to Improve Phase Angle (Practical Protocols) Key drivers and interventions: 1. Strength Training & Exercise Primary recommendation: resistance/strength training to build muscle mass. 2. Adequate Protein Ed's guideline: ~1 gram of protein per pound of body weight (men; women can often target ~¾ g per pound). Protein shakes often needed to hit targets. 3. Hydration & Electrolytes Proper cellular hydration improves phase angle. Maintain consistent fluid intake and electrolyte balance (sodium, potassium, magnesium). Avoid excessive diuretics/water pills. Dehydration causes phase angle to drop sharply. 4. Inflammation Control Systemic inflammation lowers phase angle and contributes to chronic disease. Tools: Anti‑inflammatory diet (Mediterranean‑style, high in omega‑3s). Omega‑3 fatty acids. Curcumin. Vitamin D optimization. Also includes sleep quality and stress management. 5. Foundational “Core Four” Supplements (Nutrition World concept) Covering: magnesium, zinc, vitamin D, B vitamins, etc., as baseline. 6. Targeted Add‑ons Creatine (supports muscle and cell energy). HMB (beta‑hydroxy beta‑methylbutyrate) – often paired with creatine. CoQ10 (mitochondrial and cellular energy). Phosphatidylcholine / BodyBio PC – to improve cell membrane integrity. [0:52:45] Closing Reflections Ed reads and comments on an article by Dr. Sircus about: Many doctors being “misaligned”: intellectually capable but no longer listening. Critique of: Over‑reliance on credentials. Under‑reliance on open‑mindedness and corrections. Emphasis that many clinicians are excellent listeners and deeply caring, but that institutional habits can discourage listening.  The post Radio Show / Podcast – July 26, 2026 first appeared on Vital Health Radio.

Dr. Cristine Hull is an integrative mental health practitioner, author, and developer of the Zero Point Meridian technique. With a Master's in Psychology and a Ph.D. in Natural Medicine, she brings over two decades of experience as a substance abuse counselor, school psychologist, and private practitioner. Drawing from her own journey through depression, anxiety, addiction, and a profound spiritual awakening, Cristine works at the intersection of brain chemistry, energy medicine, and the quantum field. She is the creator of the Four Bodies model and trains practitioners in tools that address the physical, vital, mental, and quantum levels of healing. Based in northern Utah, she continues to teach, write, and guide people toward deeper wholeness through her work at Health, Healing & Wholeness.In this episode, Cristine and I cover a wide-ranging conversation that moves from brain chemistry and addiction into spiritual awakening, energy medicine, and what real healing actually requires.Cristine shares her personal journey through severe depression, anxiety, and substance use, and how those experiences led her into decades of work as a counselor and integrative practitioner. She introduces her Four Bodies model (physical, vital, mental, and quantum) and explains why most lasting change has to address more than just the physical level. The conversation explores sugar as part of the narcotic continuum, the difference between dopamine and endorphin addiction, the spiral of recovery she developed while teaching in a jail, and the powerful spiritual experience she had on Yom Kippur that shifted everything. We also dig into entities and generational energy, the development of her Zero Point Meridian technique, the “neutral game” for quieting the mental body, and why conventional mental health often falls short with personality disorders and chronic pain. Cristine closes by pointing back to the deeper truth underneath the endorphin chase: capital-L Love.Timestamps0:00 – Elevator pitch / “junkyard love” framing and four bodies intro1:30 – Four Bodies for Medicines ebook and physical vs. vital/mental/quantum3:00 – Wind analogy for spirit/effects on the physical body4:30 – Personal history: chemical imbalance, depression, anxiety, substances6:30 – First career in substance-abuse counseling; self-medication insight8:00 – Serotonin, carbs, Potatoes Not Prozac, wheat sensitivity discovery9:30 – Endorphins as “inner orphan” / morphine parallel; sugar as narcotic continuum11:00 – Dopamine vs. endorphins; cocaine, bipolar diagnosis, mastering the middle path13:00 – Love addiction, romantic craving, spiral model (abstinence → moderation → attainment)15:00 – Jail curriculum development; 20 years clean vs. relationship patterns still unresolved16:30 – Yom Kippur night/boyfriend breakup; Day of Atonement context18:00 – Light shaft experience through the crown/spine; “whole and complete through divine connection”19:30 – Kundalini as vital-body tool (chakras, meridians, aura)21:00 – Growing up Christian, leaving religion, seeking freedom from guilt and pain22:30 – Cocaine phase; friend returning from overdose funeral; entity/attachment theory24:30 – “Perverse energy” (Quantum University language); generational clearing26:00 – First Kundalini session clearing grandfather's heavy emotion27:30 – EFT training (2002–2003, Gary Craig); shift to private practice29:00 – Zero Point Meridian (ZPM) development; claimed superiority data vs. EMDR31:00 – Mental body chaos of positive/negative thinking; neutrality / “neutral game”34:00 – Yoga entry via client accountability + Baron Baptiste Journey into Power36:00 – Gap between stimulus and response; mind-body necessity of yoga37:30 – TM interest; Vipassana documentary (Doing Time, Doing Vipassana)39:00 – Mahasati movement meditation; fear that stillness = non-existence / black hole41:00 – Moving through zero; zero-point field → unified field; John Hagelin / Frank Kinslow52:00 – Limits of conventional mental health on personality disorders (narcissism, borderline, ego structures)54:00 – Spiritual/quantum solution as transformative where pills and talk therapy fall short56:00 – Quantum Solutions Masterclass / ego-structure component57:30 – Chronic pain and the pain body (Eckhart Tolle); noticing pain-free body parts as anchors59:00 – Endorphins at quantum level = capital-L Love; closing gratitudeKEYWORDS:Four bodies model, Zero Point Meridian, ZPM technique, quantum body, vital body, endorphin continuum, sugar addiction recovery, love addiction spiral, attainment model, perverse energy, generational clearing, Yom Kippur awakening, Kundalini vital body, neutral game mindfulness, Quantum Wholeness Meditation, Love Solve Method, Frequency Formulas, personality disorder spiritual solution, pain body Eckhart Tolle, brain chemistry natural balance, EFT to ZPM evolution, Cache Valley healer, integrative mental health Utah.Checkout more Cristine here! :Website: Cristine HullYoutube - Health, Healing, & Wholeness - YouTubeInstagram - Author Cristine Hull (@cristine.author)LinkedIn - Cristine Hull PhD LinkedinFaceBook - Author Cristine Hull • FacebookQuotes from Cristine in the episode:“Love is an answer. It's a solution for sure.”“The wind is actually the spirit. The effects are the physical body.”“Endorphins… stands for inner orphan, which like morphine… highly addictive… sugar.”“The trick was not to try to change it and stay up. The trick was to realize when I was down, there was some work to do…”“Really, all that matters is that you are whole and complete through a divine connection. And you bring your whole self to it.”“I believe the person who overdosed came with her and walked through the door… this entity… attached to me.”“If we try to use the mind to correct the mind, we can get just a lot of chaos… the solution… is neutrality.”“There's not a lot in mental health and psychology to solve personality disorders… the problem is because there's not really a spiritual solution in the mental health field.”“Notice where you're not in pain - tune into even if it's your hair… their hair doesn't hurt, the tip of their nose probably doesn't hurt…”“What people are looking for in the endorphin experience is love. And it's a capital L-O-V-E…”If you enjoyed our conversation - please like, subscribe, and we'll see ya next on the next episode!

Over 3 hours, OpenAI, Anthropic, Google AND Microsoft all dropped new AI upgrades that are live. How you use AI in your work literally changes every day, as frontier labs are racing to roll out big quality of life updates between big model drops. How can you keep up? With our Friday Features show, where we break down the latest AI updates that are live and available to all, and we tell you how to use them and why they matter. This week did not disappoint. You don't want to miss what's now at your fingertips. JARVIS mode, anyone? ChatGPT goes Jarvis Mode, Claude can learn from you, Google unleashes spark agent and 7 more AI updates you can use today -- An Everyday AI Chat with Jordan WilsonNewsletter: Sign up for our free daily newsletterMore on this Episode: Episode PageToday's Episode on LinkedIn: Thoughts on this? Join the convo on LinkedIn and connect with other AI leaders.Upcoming Episodes: Check out the upcoming Everyday AI Livestream lineupWebsite: YourEverydayAI.comEmail The Show: info@youreverydayai.comConnect with Jordan on LinkedInTopics Covered in This Episode:ChatGPT Health Syncs Apple and Medical DataClaude Voice Mode Adds Opus and SonnetClaude Voice Mode Supports ConnectorsMicrosoft MAI Image 2.5 Pro Launch DetailsMicrosoft MAI Image Model Benchmark PreviewGoogle Gemini 3.6 Flash and Flashlight ReleaseGemini 3.6 Flash: Token Efficiency UpgradesGoogle Gemini Spark Agent for Task AutomationClaude Cowork "Record a Skill" With Voice NarrationChatGPT Voice on Desktop: Full Jarvis ModeChatGPT Voice Controls Apps via App ShotsCross-Platform AI Skills Sharing (Claude, Codex, GPT)Timestamps:00:00 Recent AI feature updates05:22 Unified health data management09:52 New voice feature explanation11:28 Launch of Microsoft's new image model16:17 Explaining the Gemini 3.5 models17:11 Developers benefiting from 3.6 Flash22:45 Introducing Gemini personal intelligence25:10 Claude Cowork's new skill feature28:32 New default feature in Claude Cowork34:22 Using AI like Iron Man35:09 Excitement for future AI advancements38:20 Wrapping up and subscribingKeywords: ChatGPT Jarvis mode, ChatGPT Health, OpenAI, Anthropic, Claude voice mode, Claude Cowork, Claude record a skill, Microsoft, MAI image 2.5 Pro, AI image generator, Google Gemini, Gemini 3.6 Flash, Gemini 3.5 Flashlight, Gemini Spark, Google AI agent, AI-powered personal assistant, AI agents, Agentic workflows, Multimodal AI, Token efficiency, Image generation, Voice-activated AI, AI-powered task automation, App shots, GPT Live, Remote browser, Computer code execution, Slack integration, GitHub integration, Notion, PowerPoint AI features, Workspace plans, Apple Health integration, Medical records AI, Health data privacy, Consumer AI, Chronic condition management, AI-powered document processing, AI for business, AI model benchmarking, AI for developers, AI economics, Personal intelligence, Automated triggers, Google Docs AI, Team collaboration AISend Everyday AI and Jordan a text message. (We can't reply back unless you leave contact info) Ready for ROI on GenAI? Go to youreverydayai.com/partner 

Chronic rhinosinusitis without nasal polyps (CRSsNP) is the type that makes up most chronic sinusitis cases. It's often mistaken for allergies, a lingering cold, or migraines, which can delay a proper diagnosis for years. Dr. Gupta and Kortney sit down with Dr. Anju Peters, an allergist at Northwestern University's Feinberg School of Medicine, to unpack how this condition is actually diagnosed, why it can take patients years to get an answer, and which treatments have real evidence behind them. What we cover in this episode about chronic sinusitis without nasal polyps Two types of chronic sinusitis. About 75% of chronic sinusitis patients do not have nasal polyps, and about 20 to 25% do, and the treatment path differs depending on which type you have. Getting the right diagnosis. Doctors confirm chronic sinusitis without nasal polyps by combining at least 12 weeks of symptoms with objective proof of inflammation. Ruling out look-alikes. Allergies, colds, and migraines can all cause similar congestion and pressure, so doctors pay close attention to how long symptoms last and whether inflammation is actually confirmed. Building a treatment toolkit. Nasal steroid sprays are the backbone of treatment. When to consider surgery. When sinus surgery becomes the next step in sinus care. Resources: Ep. 133 What Is Chronic Rhinosinusitis with Nasal Polyps (CRSwNP)? Ep. 149 What is Chronic Rhinosinusitis without Nasal Polyps Allergy & Asthma Network: chronic rhinosinusitis overview How is chronic rhinosinusitis diagnosed Treatment and management of chronic rhinosinusitis What is chronic rhinosinusitis with nasal polyps How to use the FDA-approved nasal spray *********** Made in partnership with The Allergy & Asthma Network. Thanks to Insmed for sponsoring today's episode.  This podcast is for informational purposes only and does not substitute for professional medical advice. Always consult with your healthcare provider for any medical concerns.

CardioNerds (Drs. Apoorva Gangavelli, Jenna Skowronski, and Hannah Every) discuss the continuum of prevention and heart failure with Drs. Anu Lala and Martha Gulati. Grounded in a clinical case of a 55-year-old woman with uncontrolled hypertension, type 2 diabetes, and obesity who is on the trajectory toward heart failure, this episode unpacks a paradigm-shifting framework from a joint HFSA/ASPC Scientific Statement. The discussion explores how prevention should not be siloed from heart failure management but rather integrated across a patient’s lifespan—from primary prevention in at-risk individuals, to secondary prevention in those with established heart failure, to tertiary prevention in patients with advanced therapies such as LVADs and heart transplantation. The experts highlight the importance of aggressive risk factor management, biomarker-guided screening, the AHA’s Life’s Essential 8, and the need for multidisciplinary collaboration and systems-level change to shift heart failure care from reactive to proactive. Audio editing for this episode was performed by CardioNerds Intern, Dr. Julia Marques Fernandes. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Prevention PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls Systemic inflammatory diseases are associated with an elevated CVD risk that has significant implications for early detection, risk Heart failure prevention is a continuum, not a checkpoint. Prevention applies at every stage—from at-risk (Stage A) through advanced/post-transplant care—and every clinical encounter is an opportunity to intervene. The AHA’s Life’s Essential 8 (diet, physical activity, nicotine exposure, sleep, BMI, blood lipids, blood glucose, blood pressure) forms the foundation at every stage. Hypertension carries the highest population-attributable risk for heart failure of any modifiable risk factor. In the Framingham Heart Study, 91% of patients with newly diagnosed HF had pre-existing hypertension. The SPRINT trial demonstrated a 38% reduction in HF incidence with intensive blood pressure targets (30 ng/L or NT-proBNP >125 ng/L) identify individuals at heightened risk for progression to symptomatic HF. The ACC/AHA/HFSA guidelines give a Class IIa recommendation for natriuretic peptide screening in at-risk patients. Urine albumin-to-creatinine ratio (UACR) is an underutilized screening tool that provides additional insight into CKM risk. The heart failure label does not close the prevention window—it accentuates it. Secondary prevention through GDMT optimization (quadruple therapy in HFrEF) and continued risk factor management remains critical. Tertiary prevention extends to post-LVAD and post-transplant patients, where hypertension, diabetes, obesity, and CKD management remain essential to long-term outcomes. Show notes For a comprehensive review, please review the full HFSA/ASPC Joint Scientific Statement: Lala A, Beavers C, Blumer V, et al. The Continuum of Prevention and Heart Failure in Cardiovascular Medicine. J Card Fail. 2026;32:75-105. doi:10.1016/j.cardfail.2025.06.013 1. What is the “continuum of prevention” framework, and how does it differ from traditional approaches to heart failure prevention? Historically, prevention and heart failure management have been treated as separate disciplines—primary prevention handled by preventive cardiologists and treatment managed by heart failure specialists. This joint HFSA/ASPC Scientific Statement reframes prevention as a dynamic, continuous process that spans a patient’s entire lifespan, regardless of HF stage or ejection fraction. The framework maps onto the ACC/AHA HF staging system: Primary prevention targets Stage A (“at risk”) and Stage B (“pre-HF”) patients to reduce the burden of incident HF. Secondary prevention targets Stage C (symptomatic) and Stage D (advanced) patients to reduce the impact of established HF through GDMT optimization and ongoing risk factor management. Tertiary prevention encompasses risk factor management in patients with LVADs or heart transplants—populations where hypertension, diabetes, and obesity still drive outcomes. The Central Figure of the statement illustrates that Life’s Essential 8 (blood pressure and lipid control, diabetes management, exercise, sleep, smoking cessation, weight management, and diet/nutrition counseling) forms the foundation at every stage, with pharmacologic and device-based therapies layered on top as disease progresses (Figure) 2. How do traditional risk factors drive heart failure, and what should clinicians prioritize? Hypertension carries the greatest population-attributable risk for HF. In the Framingham Heart Study (N=5,143), HTN was associated with a 2- to 3-fold increased risk of HF, with a population-attributable risk of 39% in men and 59% in women. The SPRINT trial showed a 38% reduction in HF incidence and 25% reduction in the primary composite outcome with intensive BP targets (30 ng/L or NT-proBNP >125 ng/L) are associated with heightened risk for progression to symptomatic HF. In the ARIC study, incorporating NT-proBNP reclassified 20% of older adults without HF into Stage B. Factors that affect interpretation include age, sex, obesity (lower values), and CKD (higher values). High-sensitivity cardiac troponin (hs-cTn): Concentrations above the 99th percentile are now included in the definition of Stage B HF. Troponin testing may complement natriuretic peptides, particularly when BNP/NT-proBNP values are ambiguous. Risk scores: The PCP-HF equation predicts 10-year HF risk using traditional risk factors plus QRS duration. The AHA PREVENT score incorporates HF risk calculation and includes markers of kidney function (albuminuria, eGFR), though it may underestimate risk in men and Black adults. The CKM syndrome staging framework (Stages 0–4) provides a holistic approach to assessing systemic cardiovascular-kidney-metabolic risk. 4. What are the key nontraditional risk factors and cross-cutting themes in heart failure prevention? Genetics: Pathogenic cardiomyopathy variants exist in ~1 in 200 individuals in the general population. The HFSA and ACMG recommend cascade testing to identify at-risk family members. Polygenic risk scores for dilated cardiomyopathy show a 3.8-fold risk for DCM in the top 10th percentile compared with the median. Sex-specific considerations: Women have 2.8 times the odds of developing HFpEF, while men have similarly increased odds of HFrEF. A complete obstetric/gynecologic history is essential—preeclampsia is associated with a 4-fold increased risk of HF. Peripartum cardiomyopathy requires intentional screening in high-risk populations. Cardiotoxic exposures: Clinicians should be aware of medications that cause direct myocardial toxicity (e.g., anthracyclines, trastuzumab, tyrosine kinase inhibitors). A team-based approach with pharmacists can help optimize medication selection and risk factor modification. Social determinants of health: Environmental exposures (air pollution, arsenic, lead, cadmium), food insecurity, financial instability, and limited healthcare access contribute to HF risk and progression. Equity-focused, risk-based prevention strategies are needed. Psychological health: Depression is common in HF and independently associated with worse outcomes. Screening with brief questionnaires (e.g., PHQ-2) is recommended. Meditation, spirituality, and holistic wellness approaches remain underutilized. 5. What systems-level and policy changes are needed to move the needle on heart failure prevention? Multidisciplinary HF prevention clinics that bring together preventive cardiologists, HF specialists, endocrinologists, nephrologists, dietitians, pharmacists, exercise physiologists, and genetic counselors are advocated by the statement. EHR-embedded risk stratification could proactively flag patients on a trajectory toward HF—analogous to sepsis alerts or fall risk flags—enabling earlier intervention, particularly for patients who may not reach a cardiologist. Cardiac rehabilitation remains underutilized, particularly in HFrEF (Class 2b recommendation) and HFpEF (not yet covered by Medicare). The HF-ACTION trial showed quality-of-life benefits, and the REHAB-HF trial showed particular benefit in older patients with HFpEF. Policy priorities include expanding insurance coverage for preventive screening and novel therapies (SGLT2i, GLP-1 RAs, nsMRAs), reducing clinical inertia through team-based care models with closer follow-up intervals, and ensuring equitable access to evidence-based therapies across diverse populations. Digital health and AI hold promise for personalized risk prediction, remote monitoring (e.g., wearable devices, implantable PA pressure monitors), and virtual cardiac rehabilitation to overcome access barriers. Figure  Lala A, Beavers C, Blumer V, et al. The continuum of prevention and heart failure in cardiovascular medicine: a joint scientific statement from the Heart Failure Society of America and the American Society for Preventive Cardiology. J Card Fail. 2026;32(1):75-105. doi:10.1016/j.cardfail.2025.06.013) References Key references are bolded. Lala A, Beavers C, Blumer V, et al. The continuum of prevention and heart failure in cardiovascular medicine: a joint scientific statement from the Heart Failure Society of America and the American Society for Preventive Cardiology. J Card Fail. 2026;32(1):75-105. doi:10.1016/j.cardfail.2025.06.013 Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2022;145(18):e895-e1032. doi:10.1161/CIR.0000000000001063 Lloyd-Jones DM, Allen NB, Anderson CAM, et al. Life’s Essential 8: updating and enhancing the American Heart Association’s construct of cardiovascular health: a presidential advisory from the American Heart Association. Circulation. 2022;146(5):e18-e43. doi:10.1161/CIR.0000000000001078 SPRINT Research Group, Wright JT Jr, Williamson JD, et al. A randomized trial of intensive versus standard blood-pressure control. N Engl J Med. 2015;373(22):2103-2116. doi:10.1056/NEJMoa1511939 Levy D, Larson MG, Vasan RS, Kannel WB, Ho KK. The progression from hypertension to congestive heart failure. JAMA. 1996;275(20):1557-1562. doi:10.1001/jama.1996.03530440037034 Major outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs diuretic: the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). JAMA. 2002;288(23):2981-2997. doi:10.1001/jama.288.23.2981 Yusuf S, Sleight P, Pogue J, et al. Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients. N Engl J Med. 2000;342(3):145-153. doi:10.1056/NEJM200001203420301 Zinman B, Wanner C, Lachin JM, et al. Empagliflozin, cardiovascular outcomes, and mortality in type 2 diabetes. N Engl J Med. 2015;373(22):2117-2128. doi:10.1056/NEJMoa1504720 Anker SD, Butler J, Filippatos G, et al. Empagliflozin in heart failure with a preserved ejection fraction. N Engl J Med. 2021;385(16):1451-1461. doi:10.1056/NEJMoa2107038 Solomon SD, McMurray JJV, Claggett B, et al. Dapagliflozin in heart failure with mildly reduced or preserved ejection fraction. N Engl J Med. 2022;387(12):1089-1098. doi:10.1056/NEJMoa2206286 Filippatos G, Anker SD, Agarwal R, et al. Finerenone reduces risk of incident heart failure in patients with chronic kidney disease and type 2 diabetes: analyses from the FIGARO-DKD trial. Circulation. 2022;145(6):437-447. doi:10.1161/CIRCULATIONAHA.121.057983 Solomon SD, McMurray JJV, Vaduganathan M, et al. Finerenone in heart failure with mildly reduced or preserved ejection fraction. N Engl J Med. 2024;391(16):1475-1485. doi:10.1056/NEJMoa2407107 Lincoff AM, Brown-Frandsen K, Colhoun HM, et al. Semaglutide and cardiovascular outcomes in obesity without diabetes. N Engl J Med. 2023;389(24):2221-2232. doi:10.1056/NEJMoa2307563 Deanfield J, Verma S, Scirica BM, et al. Semaglutide and cardiovascular outcomes in patients with obesity and prevalent heart failure: a prespecified analysis of the SELECT trial. Lancet. 2024;404(10454):773-786. doi:10.1016/S0140-6736(24)01498-3  Kosiborod MN, Abildstrøm SZ, Borlaug BA, et al. Semaglutide in patients with heart failure with preserved ejection fraction and obesity. N Engl J Med. 2023;389(12):1069-1084. doi:10.1056/NEJMoa2306963 Ndumele CE, Neeland IJ, Tuttle KR, et al. A synopsis of the evidence for the science and clinical management of cardiovascular-kidney-metabolic (CKM) syndrome: a scientific statement from the American Heart Association. Circulation. 2023;148(20):1636-1664. doi:10.1161/CIR.0000000000001175 Khan SS, Matsushita K, Sang Y, et al. Development and validation of the American Heart Association’s PREVENT equations. Circulation. 2024;149(6):430-449. doi:10.1161/CIRCULATIONAHA.123.067626 Khan SS, Ning H, Shah SJ, et al. 10-year risk equations for incident heart failure in the general population. J Am Coll Cardiol. 2019;73(19):2388-2397. doi:10.1016/j.jacc.2019.02.057 Bozkurt B, Fonarow GC, Goldberg LR, et al. Cardiac rehabilitation for patients with heart failure: JACC expert panel. J Am Coll Cardiol. 2021;77(11):1454-1469. doi:10.1016/j.jacc.2021.01.030 Packer M. Leptin-aldosterone-neprilysin axis: identification of its distinctive role in the pathogenesis of the three phenotypes of heart failure in people with obesity. Circulation. 2018;137(15):1614-1631. doi:10.1161/CIRCULATIONAHA.117.032474 Lala A, Tayal U, Hamo CE, et al. Sex differences in heart failure. J Card Fail. 2022;28(3):477-498. doi:10.1016/j.cardfail.2021.10.006 Bozkurt B, Coats AJS, Tsutsui H, et al. Universal definition and classification of heart failure. Eur J Heart Fail. 2021;23(3):352-380. doi:10.1002/ejhf.2115 Hershberger RE, Givertz MM, Ho CY, et al. Genetic evaluation of cardiomyopathy—a Heart Failure Society of America practice guideline. J Card Fail. 2018;24(5):281-302. doi:10.1016/j.cardfail.2018.03.004 Levine GN, Cohen BE, Commodore-Mensah Y, et al. 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In this episode of the Gladden Longevity Podcast, Dr. Gladden interviews Dr. Bill Rawls, who shares his transformative journey from conventional medicine to holistic healing. Bill discusses his struggles with chronic illness, particularly Lyme disease, and how he discovered the importance of cellular health and autophagy in recovery. He emphasizes the role of herbal therapies and adaptogens in promoting wellness and protecting cellular function, ultimately leading to a deeper understanding of chronic illness and aging. In this conversation, they explore the intricate connections between autoimmunity, chronic illness, and the role of microbial influences. They discuss the implications of long COVID, the benefits of adaptogenic herbs, and the importance of nervous system regulation in healing. The conversation emphasizes the need for a holistic approach to health, focusing on creating a supportive environment for healing and the potential of herbal medicine in managing chronic conditions.   For Audience Join the other 20,000+ high-performers getting weekly insights on biological reversal, exponential strategies, and Life Energy optimization→ https://start.gladdenlongevity.com/subscribe If you're ready to measure your 60+ biological ages and build a personalized reversal plan, apply for a discovery call here → https://start.gladdenlongevity.com/apply-now   Use code 'Podcast10' to get 10% OFF on any of our supplements at https://gladdenlongevityshop.com/!    Takeaways ·       Dr. Bill Rawls transitioned from conventional medicine to holistic healing due to personal health struggles. ·       Chronic Lyme disease was a pivotal point in Dr. Bill's journey, leading him to explore alternative therapies. ·       Understanding cellular health is crucial for addressing chronic illnesses. ·       Autophagy is a key process for cellular rejuvenation and health. ·       Herbal therapies can effectively support the body's healing processes. ·       Adaptogens help the body adapt to stress and promote resilience. ·       Impaired autophagy is linked to many chronic illnesses. ·       Dr. Bill emphasizes the importance of diet, sleep, and lifestyle in maintaining health. ·       Herbs can protect cells from stress and inflammation. ·       The journey of healing is often non-linear and requires exploration of various therapies. Autoimmunity may be driven by microbial invasion and immune response. ·       Long COVID symptoms could be linked to reactivation of dormant pathogens. ·       Adaptogenic herbs can support cellular health and stress management. ·       Nervous system regulation is crucial for effective healing. ·       Herbal preparations can be more effective than traditional medications. ·       Creating a healthy environment is essential for chronic illness management. ·       The body's stress response can exacerbate chronic health issues. ·       Herbs can provide a broad spectrum of benefits beyond just antimicrobial effects. ·       Education and environment play key roles in health improvement. ·       Chronic illness management requires a shift in healthcare focus.  Chapters 00:00 Dr. Bill Rawls' Journey from Conventional Medicine to Holistic Healing 05:12 Understanding Lyme Disease and Chronic Illness 10:46 The Role of Autophagy in Health and Disease 16:36 Herbal Therapies and Adaptogens in Healing 25:20 Protecting Cellular Health and Mitochondrial Function 26:20 Understanding Autoimmunity and Microbial Influence 28:02 Long COVID and Chronic Illness Connections 30:14 The Role of Adaptogenic Herbs in Healing 32:07 Nervous System Regulation and Healing 33:55 Herbal Preparations and Their Efficacy 37:54 The Broad Spectrum of Herbal Medicine 40:59 Creating a Healthy Environment for Healing 49:03 The Future of Health and Chronic Illness Management   To learn more about Dr. Bill Rawls:Facebook: https://www.facebook.com/rawlsmd/ Website: rawlsmd.com Instagram: https://www.instagram.com/rawlsmd/   Reach out to us at:    Website: https://gladdenlongevity.com/     Facebook: https://www.facebook.com/Gladdenlongevity/    Instagram: https://www.instagram.com/gladdenlongevity/?hl=en     LinkedIn: https://www.linkedin.com/company/gladdenlongevity    YouTube: https://www.youtube.com/channel/UC5_q8nexY4K5ilgFnKm7naw       Gladden Longevity Podcast Disclosures Production & Independence The Gladden Longevity Podcast and Age Hackers are produced by Gladden Longevity Podcast, which operates independently from Dr. Jeffrey Gladden's clinical practice and research at Gladden Longevity in Irving, Texas. Dr. Gladden may serve as a founder, advisor, or investor in select health, wellness, or longevity-related ventures. These may occasionally be referenced in podcast discussions when relevant to educational topics. Any such mentions are for informational purposes only and do not constitute endorsements. Medical Disclaimer The Gladden Longevity Podcast is intended for educational and informational purposes only. It does not constitute the practice of medicine, nursing, or other professional healthcare services — including the giving of medical advice — and no doctor–patient relationship is formed through this podcast or its associated content. The information shared on this podcast, including opinions, research discussions, and referenced materials, is not intended to replace or serve as a substitute for professional medical advice, diagnosis, or treatment. Listeners should not disregard or delay seeking medical advice for any condition they may have. Always seek the guidance of a qualified healthcare professional regarding any questions or concerns about your health, medical conditions, or treatment options. Use of information from this podcast and any linked materials is at the listener's own risk. Podcast Guest Disclosures Guests on the Gladden Longevity Podcast may hold financial interests, advisory roles, or ownership stakes in companies, products, or services discussed during their appearance. The views expressed by guests are their own and do not necessarily reflect the opinions or positions of Gladden Longevity, Dr. Jeffrey Gladden, or the production team. Sponsorships & Affiliate Disclosures To support the creation of high-quality educational content, the Gladden Longevity Podcast may include paid sponsorships or affiliate partnerships. Any such partnerships will be clearly identified during episodes or noted in the accompanying show notes. We may receive compensation through affiliate links or sponsorship agreements when products or services are mentioned on the show. However, these partnerships do not influence the opinions, recommendations, or clinical integrity of the information presented. Additional Note on Content Integrity All content is carefully curated to align with our mission of promoting science-based, ethical, and responsible approaches to health, wellness, and longevity. We strive to maintain the highest standards of transparency and educational value in all our communications.

What if the reason your hives keep coming back has nothing to do with what you ate, touched, or put on your skin?When itchy welts appear without warning, it is natural to start searching for an external trigger. But chronic hives are often not an allergy problem at all.In this episode, I explain what is actually happening inside the body when hives appear, what helps, and why there is a genuine reason for hope for people with chronic urticaria.What You'll Discover In This Episode Why chronic hives aren't always an allergic reaction How mast cells act like an oversensitive fire alarm inside the bodyWhy antihistamines don't work equally well for every patientWhy stress can intensify symptoms without being the original causeThe vicious cycle between itching, poor sleep, and increased inflammationWhy eliminating more foods is not always the answerThe lifestyle habits that can support treatment without replacing medicationWhy good medicine is not about ordering every available testAbout Your HostHosted by Dr. Deepa Grandon, MD, MBA, a triple board-certified physician with over 23 years of experience working as a Physician Consultant for influential organizations worldwide. Dr. Grandon is the founder of Transformational Life Consulting (TLC) and an outspoken faith-based leader in evidence-based lifestyle medicine.Work with Me - Learn More About My Soon-to-Launch Telemedicine PlatformExciting news—my virtual medical platform is launching soon! If you're looking for personalized, evidence-based care in allergy, immunology, and lifestyle medicine, stay tuned. Click here to join the wait-list and be the first to receive updates about services, membership options, and launch details.Precision care. Personalized guidance. Wherever you are.Feeling stuck and want guidance on how to transform your spiritual, mental, and physical well-being? Get access to Dr Deepa's 6 Pillars of Health video! Subscribe and watch the video for free here.Want to receive a devotional every week from Dr. Deepa? Devotionals are dedicated to providing you with a moment of reflection, inspiration, and spiritual growth each week, delivered right to your inbox. Subscribe now.Ready to deepen your understanding of trauma and kick-start your healing journey? Explore a range of online and onsite courses designed to equip you with practical and affordable tools. From counselors, ministry leaders, and educators to couples, parents, and individuals seeking help for themselves, there's a powerful course for everyone. Browse all the courses now to start your journey.TLC is presenting this podcast solely for information sharing. It is not medical advice or intended to replace the judgment of a licensed physician. TLC is not responsible for any claims related to procedures, professionals, products, or methods discussed in the podcast, and it does not approve or endorse any products, professionals, services, or methods referenced.

For years, women have been told the answer is simple: Eat less. Exercise more. But what if that's exactly what's keeping you stuck?In this episode of Empowered in Health, Erin sits down with hormone expert Becca Chilczenkowski, co-founder of FitMom, to unpack why so many women in midlife experience stubborn weight gain, fatigue, bloating, poor sleep, hormone imbalances, digestive issues and burnout - even when they're doing everything "right."Becca shares her own journey from Elite CrossFit Athlete to functional health practitioner after years of overtraining, under-fueling, losing her menstrual cycle, struggling with fertility, and ultimately discovering that hormones are only one piece of a much bigger picture. Together, we explain why:• Hormones aren't the root cause.• Chronic stress changes how your body responds.• Under-eating can drastically slow progress.• Overtraining can leave you inflamed instead of fit.• Digestion, sleep, nutrition, liver health and your environment all influence your hormones.• Healing requires creating safety - not more restriction.If you've been frustrated that your body no longer responds the way it used to, this conversation will help you understand what's really happening and where to begin.

Chronic inflammation has become a pervasive health crisis, which can lead to a whole host of other health problems like cardiovascular disease, autoimmunity, cancer, diabetes, and more. And unfortunately, most people in our modern society don't understand the tools we can access to naturally reduce inflammation. Today, you're going to learn nutrition and lifestyle practices that can fight inflammation.  Today's guest is Dr. Shivani Gupta. She is an Ayurvedic practitioner and turmeric researcher who blends Ayurvedic and functional medicine to help women reduce their inflammation and balance their hormones for better energy and better health. Dr. Shivani is here on The Model Health Show to discuss the prevalence of chronic inflammation, the anti-inflammatory properties of spices like turmeric, and so much more.  You're going to learn about Ayurvedic principles, like doshas, Ama, Agni, and more. Dr. Shivani is sharing the healing power of spice and herbs, and other health practices you can implement for lower inflammation and a healthier body. I hope you enjoy this interview with the one and only, Dr. Shivani Gupta!  In this episode you'll discover: The family history that inspired Dr. Shivani to study inflammation. (6:09) How inflammation fuels diabetes and other chronic illnesses. (8:56) What percentage of Americans are suffering from inflammation-related diseases. (9:40) The difference between acute and chronic inflammation. (10:12)  What inflammaging is. (10:56) The role the gut plays in the health of your immune system. (12:26) What Ayurvedic medicine is, and its core principles. (18:59) How your digestive fire regulates your health. (23:45) What Ama is in Ayurveda. (27:00) The anti-inflammatory properties of turmeric and how to use it. (33:23) What a circadian walk is. (53:57) Items mentioned in this episode include: Organifi.com/Model - Organifi makes nutrition easy and delicious for everyone. Take 20% off your order with the code MODEL. Fusionary Formulas - Use code MODELHEALTH - Save 15% on Dr. Shivani's turmeric blends and supplements! The Inflammation Code by Dr. Shivani Gupta - Read about Ayurvdedic practices to reduce inflammation!  Connect with Dr. Shivani Gupta Website / Podcast / Facebook / Instagram  Be sure you are subscribed to this podcast to automatically receive your episodes:  Apple Podcasts Spotify Soundcloud Pandora YouTube  This episode of The Model Health Show is brought to you by Organifi. Make nutrition effortless—and actually enjoyable. Organifi's delicious, superfood blends help you boost energy, reduce stress, and feel your best every day. Get 20% off with code MODEL at organifi.com/model. 

Dr. William Li is a Harvard-trained physician, co-founder of the Angiogenesis Foundation, and New York Times bestselling author whose work centers on one quietly radical premise: the power to stay healthy lives inside you. In this conversation, we explore the five hardwired defense systems the body runs continuously, angiogenesis, stem cells, the gut microbiome, immunity, and DNA protection, and what it looks like to actually support them through food, sleep, and daily choices.What We Dive Into:1. You are not just one organism. You carry 39 trillion bacteria inside you, many of which send signals up through the vagus nerve directly to the brain, shaping mood, social behavior, and stress levels.2. Your body was born with 70 million extra stem cells stored in bone marrow, ready to mobilize and repair damage whenever called. Sleep, food, and metabolic health directly influence how effectively they do their job.3. The environment is full of things we cannot fully control, microplastics, toxins, pollution. What we can control is whether our internal defense systems are strong enough to handle the load. Chronic stress degrades those systems faster than most environmental exposures.Know Thyself, but not by yourself. A guided space to return home to yourself.https://www.knowthyselfcollective.com✨THANK YOU TO OUR SPONSORS:https://drinkLMNT.com/KnowThyselfTry LMNT & get a free sample pack https://oneskin.co/KNOWTHYSELFCode KNOWTHYSELF for 15% off___________00:00 Intro01:42 Health Is Not the Absence of Disease05:24 The Five Health Defense Systems07:14 Defense 1: Angiogenesis and Blood Vessel Health09:07 Defense 2: Stem Cells and the Body's Repair System14:01 Defense 3: The Gut Microbiome and the Holobiont21:38 Defense 4: The Immune System as Inner Army31:44 Defense 5: DNA Repair and the Iron Dome Within36:48 Cancer Is Growing in All of Us Right Now43:07 The Rising Cancer Rates and Why They're Skewing Younger47:40 Microplastics: Where They Come From and Why They Matter55:37 The Case for Keeping Your Shields Up59:15 Practical Steps: Air, Water, and Food Quality1:07:46 Sleep, Movement, and Stress as Health Defenses1:11:04 The Danger of Chronic Overeating1:19:09 The History of Abundance and the Clean Plate Myth1:23:43 Bruce Lee and the Philosophy of Personalized Health1:29:00 What Modern Medicine Got Right and What It Lost1:32:42 The Interstitium, Acupuncture, and Converging Worlds1:35:34 The Future of Cancer Treatment and Health Span1:44:42 Dr. Li's Favorite Foods and Why He Loves Them1:55:53 The Science of Dark Chocolate1:59:00 Closing Message: Optimize Your Gut___________✨MORE FROM DR. WILLIAM LI↳Instagram: https://www.instagram.com/drwilliamli/↳Facebook: https://www.facebook.com/drwilliamli/↳YouTube: https://www.youtube.com/c/DrWilliamLi↳Eat to Beat Your Diet Book: https://drwilliamli.com/etb-diet-book/↳Eat to Beat Disease Book: https://drwilliamli.com/book-li/↳https://drwilliamli.com

Have any unanswered prayers in your life right now? Author Glenna Marshall says prayer is how we survive the grip of crushing pain. And she has been there. Chronic pain and exhaustion that caused her to echo with the Psalmists, how long? Why are you so far away? How can you know God has heard your heart cry when you haven’t been healed? Don’t miss Chris Fabry Live. Featured resource:Praying in Pain: How to Know You're Heard When You Haven't Been Healed by Glenna MarshallWebsite: Celebrating 100 Years of Moody Radio July thank you gift:This is Moody Radio: 100 Years of Proclaiming the Gospel by Kevin Mungons and Phil Shappard Chris Fabry Live is listener-supported. To support the program, click here.Become a Back Fence Partner: https://moodyradio.org/donateto/chrisfabrylive/partnersSee omnystudio.com/listener for privacy information.

Summary In this episode, Ali explores the concept of neuroplastic symptoms—how the brain creates physical symptoms as protective mechanisms—and discusses the seven F's that reinforce these symptoms. She offers practical strategies to shift from fear and resistance to safety and self-care, empowering listeners to understand and manage chronic symptoms effectively. Key Topics  Neuroplastic symptoms and their symptoms The protective role of the nervous system The seven F's that reinforce symptoms: Fear, Focus, Fight, Frustration, Fix, Form beliefs, Expectation Strategies to shift from danger to safety The RAVE method: Reflect, Accept, Validate, Explore The importance of emotional processing and self-care Sound Bites "Symptoms are very real but not dangerous" "Beliefs shape the nervous system and predictions" "Shift from fear to safety with RAVE" Chapters 00:00 Understanding Neuroplastic Symptoms 05:33 The Seven F's of Chronic Symptoms 22:32 RAVE: A New Approach to Healing Unlearn Your Pain by Dr. Howard Schubiner - https://www.amazon.com/s?k=Unlearn+Your+Pain+Howard+Schubiner Dan Buglio's Pain Free You - https://painfreeyou.com/ symptomatic.me - https://symptomatic.me/  

Can calcium make osteoporosis worse? If you're taking a calcium supplement for osteoporosis, it may not be supporting bone strength and bone density the way you think. Discover how to support bone health the right way, and why calcium supplements alone may not be enough. 0:00 Calcium and osteoporosis0:45 What causes osteoporosis?1:04 Magnesium for bones 1:30 Parathyroid hormone and osteoporosis2:31 Bone density vs. bone strength3:38 Magnesium deficiency4:33 Common osteoporosis treatment 5:49 How to reverse osteoporosis6:40 Vitamin D, osteoporosis, and osteomalacia7:47 Vitamin K2 8:36 Bone health tips9:30 Should I take calcium for osteoporosis?

Researchers followed more than 1.39 million adults and found that advanced cardiovascular-kidney-metabolic (CKM) disease was strongly associated with higher cancer risk, especially once people reached the more severe stages tied to insulin resistance, kidney dysfunction, and cardiovascular disease Cancer incidence rose from 81.2 cases per 10,000 person-years in the healthiest group to more than 250 cases per 10,000 person-years in advanced CKM stages (an increase that narrowed to roughly 25% to 30% after adjusting for age and other factors), showing how rapidly risk accelerates once multiple metabolic systems begin failing together Chronic inflammation, insulin resistance and excess dysfunctional body fat may help create a biologic environment associated with higher rates of colorectal, lung, pancreatic, liver, bladder, kidney, and hormone-related cancers Younger adults under 65 with advanced CKM disease showed a 45% higher cancer risk, challenging the idea that metabolic-driven cancer only develops late in life after decades of decline Lowering seed oil intake, improving insulin sensitivity through movement, supporting mitochondrial energy production with sunlight and tracking markers such as HOMA-IR and blood pressure may help slow metabolic deterioration before it reaches the dangerous tipping point tied to higher cancer risk

We all experience stress. The real challenge isn't stress itself—it's whether we recover from it. Over time, chronic stress can quietly affect everything from inflammation and metabolism to sleep, digestion, and healthy aging. This week on The Dr. Hyman Show, I talk with nervous system educator and HRV expert Salim Najjar to explore what heart rate variability (HRV) can reveal about your body's ability to recover from stress and build resilience. Together, we unpack: • How to use HRV to better understand your body's response to stress • Why some stress makes you stronger while chronic stress wears you down • How to get more value from your wearable without obsessing over the numbers • Five daily habits that can help your nervous system recover and become more resilient • How your nervous system influences inflammation, healing, and healthy aging Our bodies are constantly responding to the demands we place on them every day. The good news is that resilience can be built, and the strategies in this conversation can help you recover from stress more effectively and support long-term health. To help you get started, Salim has created a free HRV guide that includes a personalized quiz and AI coach exclusively for listeners.View Show Notes From This Episode Sign up for Dr. Hyman's Brainshaping Academy to learn how to nourish the biological systems that support your mental, emotional, and cognitive health https://drhyman.com/products/brainshaping?utm_source=dr_hyman_show&utm_medium=newsletter&utm_campaign=may_27&utm_content=linkGet Free Weekly Health Tips from Dr. Hymanhttps://drhyman.com/pages/picks?utm_campaign=shownotes&utm_medium=banner&utm_source=podcastSign Up for Dr. Hyman's Weekly Longevity Journalhttps://drhyman.com/pages/longevity?utm_campaign=shownotes&utm_medium=banner&utm_source=podcastJoin the 10-Day Detox to Reset Your Healthhttps://drhyman.com/pages/10-day-detoxJoin the Hyman Hive for Expert Support and Real Resultshttps://drhyman.com/pages/hyman-hive This episode is brought to you by Perfect Amino, Cozy Earth, Timeline, Sunlighten, Made In, and Seatopia. Get daily protein support at bodyhealth.com and use code HYMAN20 for 20% off. Head over to cozyearth.com to save 20% and upgrade all of your daily essentials today. Support healthy aging and get 20% at timeline.com/drhyman with code HYMAN. Discover why so many people are using sunlighten.com and use code HYMAN to save up to $2,100 today with free shipping. Upgrade your cookware at madeincookware.com and save 10% off your first order with code HYMAN-HIVE. Find a cleaner source of seafood. Check out seatopia.fish and receive free shipping on your first order. (0:00) Introduction to HRV (3:43) Introduction to Salim and his HRV expertise (4:18) What is HRV and how is it measured (5:32) Chronic stress, stress regulation, and sovereignty (9:52) Why HRV is an important health metric (20:31) Deeper dive into HRV as a health indicator (25:43) Salim's HRV coaching, website, and personal journey (28:49) Salim's framework and steps for improving HRV (30:07) The role of sleep and hormetic stress in HRV (33:12) Tools and tracking for HRV measurement (37:22) The art framework and five pathways for HRV (38:17) Salim's injury, reframing, and HRV improvement (46:22) Viktor Frankl, intentionality, and alignment (51:46) Community and its role in health and HRV (55:02) Practical steps for building community and emotional regulation (58:18) Emotional processing, elite athletes, and HRV performance (1:00:35) Sovereignty, compassion, and daily nervous system practices (1:03:18) Awareness, parasympathetic activation, and reframing HRV (1:05:01) Closing remarks, social media, and gratitude (1:05:51) Disclaimer and sponsor acknowledgments