Podcasts about clinical medicine

Join Professor Peter Nash from the Griffith University in Brisbane; Professor Axel Finckh, from the Division of Rheumatology, Geneva University Hospitals, Geneva, Switzerland; and Bente Glintborg, an Associate Professor from the Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark as they discuss his recent paper ‘Influence of the shared epitope on the effectiveness of biologic antirheumatic agents in European patients with rheumatoid arthritis'.

Obstructive sleep apnea affects approximately one in four adults and is especially common among patients with neurologic disorders, including stroke, Parkinson disease, dementia, epilepsy, and neuromuscular conditions. In this episode, Dr. Stephanie Stahl discusses why neurologists should routinely screen for OSA, highlights key symptoms and risk factors, reviews important considerations when interpreting sleep studies, and outlines current treatment options beyond CPAP. Learn how recognizing and treating sleep apnea can improve quality of life, optimize management of neurologic disease, and reduce long-term health risks. In this episode, Aaron L. Berkowitz, MD, PhD, FAAN, speaks with Stephanie M. Stahl, MD, FAASM, author of the article "Obstructive Sleep Apnea" in the Continuum® August 2026 Sleep Neurology issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology in the Department of Neurology at the University of California, San Francisco, in San Francisco, California. Dr. Stahl is an Associate Professor of Clinical Medicine and Sleep Medicine Fellowship Program Director at Indiana University School of Medicine in Indianapolis, Indiana, where she also serves as Sleep Laboratory Medical Director in the Division of Pulmonary, Critical Care, Sleep, and Occupational Medicine. Additional Resources Read the article: Obstructive Sleep Apnea Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @AaronLBerkowitz  Full episode transcript available here Dr Berkowitz: Obstructive sleep apnea is very common. It can cause or contribute to common neurologic symptoms, such as headache and impaired cognition, and it's a risk factor for stroke. And yet, if you're like me, you may not know too much more about sleep apnea than that. Today, I have the pleasure of talking to sleep expert Dr. Stephanie Stahl to learn what every neurologist should know about OSA.  Dr Jones:  This is Dr. Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast.  Dr Berkowitz: This is Dr. Aaron Berkowitz. Today I'm interviewing Dr. Stephanie Stahl about her article on obstructive sleep apnea. This article appears in the 2026 Continuum issue on Neurology of Sleep. Welcome to the podcast, Dr. Stahl, and could you please introduce yourself to our audience?  Dr Stahl: Yeah. Thank you for having me. I'm a sleep medicine physician and neurologist and medical director of the Indianapolis Sleep Lab at Indiana University Health. I serve as the director of the Sleep Medicine Fellowship program. I'm faculty advisor for our very first student interest group in sleep medicine at Indiana University School of Medicine. I'm also actively involved in some national leadership roles, including the incoming chair of the American Academy of Sleep Medicine's Education Committee and co-chair of the Academy's Inter-Scorer Reliability Gold Standard Panel. So, I really appreciate this opportunity. I look forward to our discussion.  Dr Berkowitz: Me too, and we appreciate the opportunity too to get to talk to you. You have so much expertise in this area, and I certainly encourage our listeners to look at your article, which is very comprehensive and up to date, and I learned a ton from it. I didn't get much exposure to sleep neurology as a trainee, and I've always worked in academic centers where we have a sleep group and we can refer patients there. So, I have to admit, sleep may probably be the area of neurology I know the least about, and felt like I was learning something new from pretty much every line of your article, and I know our readers will too. So, your article has a lot of excellent detail for our readers on the diagnosis and treatment of this very common condition. But I'd like to keep our interview relatively high level today and focus on the essentials for the practicing general neurologist. So, to start, can you just give us a sense of what obstructive sleep apnea is, and what every neurologist should know about it?  Dr Stahl: Yeah. So obstructive sleep apnea is characterized by either partial or full obstructions in the upper airway. That may sound pretty simple, but this leads to a whole bunch of issues. It leads to oxygen desaturations, arousals from sleep, leading to sleep fragmentation. This can then lead to sympathetic nervous system activation, cerebral hypoperfusion, leading to a whole bunch of symptoms or neurologic conditions.  Dr Berkowitz: Great. And you mentioned this in your article, but just to emphasize, how common is obstructive sleep apnea in the general population?  Dr Stahl: Yeah. So, about a quarter of the general population have obstructive sleep apnea. Much more common in many neurologic conditions.  Dr Berkowitz: Yeah, so very common disorder. We are seeing patients with it quite frequently, whether that's the reason they are seeing us in neurology or not. And this leads to my next question, which is what neurologic symptoms or presenting concerns of a patient should make us think about OSA and the differential diagnosis, and what factors based on the history or the exam or the context would make you suspicious for OSA as the cause of a neurologic symptom? In other words, the patient's presenting with classic symptoms of OSA, and that's why they're seeing a neurologist or seeing a primary care doctor, but is coming for evaluation of, say, headache or other symptoms. And what symptoms would make you think of wanting to consider OSA, and then what aspects of the history or otherwise would make you want to evaluate the patient for OSA?  Dr Stahl: I think a really important takeaway is for neurologists to know that obstructive sleep apnea is very common in neurologic conditions and has that potential to worsen a lot of these conditions or their associated symptoms. And so, it should be on our radar. There are certainly some basic questions and signs and symptoms that we can ask patients about or, or take a look at on exam. And so particular symptoms include snoring. Anybody that snores loudly or frequently, that's a strong risk factor for obstructive sleep apnea. If someone's seeing them stop breathing in their sleep, if they are waking up a lot throughout the night. There are some other symptoms that we may not necessarily attribute upfront to obstructive sleep apnea, such as nocturia, nocturnal reflux, night sweats. There are some daytime symptoms, of course, too, like unrefreshing sleep, daytime sleepiness, morning headaches, an important one in neurology. And then we take a look at the patient's exam. And so, some things that neurologists might want to be thinking about are people with obesity are certainly at a risk for obstructive sleep apnea. But it's also very important to know that someone does not need to have obesity in order to have obstructive sleep apnea. We look at neck size, other morphologic characteristics, such as how much that we can see in the back of their mouth. Can we see their uvula? Does their tongue size appear large in their mouth? And then some other risk factors too, such as male gender, older age, family history, post-menopausal state in women. All that being said, though, sometimes in neurologic conditions, we don't have all of those symptoms or risk factors to be thinking about. And so, in certain neurologic conditions such as stroke where obstructive sleep apnea is very common and has the potential to increase the risk of another stroke, we may need to be thinking about testing these patients even with minimal symptoms or other risk factors.  Dr Berkowitz: That's very helpful. So, you mentioned their headache might be the presenting symptom, right, to a neurologist, and we should certainly be thinking about obstructive sleep apnea as a potential diagnosis, even the cause of the patient's headache, particularly you said patients with morning headache. I often try to think about in patients presenting with, for memory loss, or other cognitive concerns, and that may be due more to inattention from poor sleep, so asking about sleep and symptoms of sleep apnea in those contexts. Are there any other presenting neurologic symptoms not particularly related to sleep? I'm thinking of headache, memory loss, other symptoms that would make you think, "Oh, I should actually screen this patient for sleep apnea also."  Dr Stahl: Yeah, other symptoms to think about in pediatrics, hyperactivity, people that have impaired vigilance, as you alluded to, that poor attention. Sometimes people get misdiagnosed with ADHD, and it's actually just a manifestation of obstructive sleep apnea.  Dr Berkowitz: You alluded to this, Dr. Stahl, that stroke, for example, patients are at higher risk of developing sleep apnea as a result of stroke, and it's also a risk factor for stroke. What other neurologic conditions, primary neurologic diseases, put patients at a higher risk of OSA? And again, similar to the last question I asked you, what are some clues that we should evaluate for? We might be following a patient for their post-stroke care over time and not necessarily thinking about diagnosing a separate condition in them since we're following them for their stroke or their degenerative disease. What are the conditions that put patients at a higher risk of OSA as a result of the condition, and then when would you think about screening them for it?  Dr Stahl: Some particular neurologic conditions where obstructive sleep apnea are very common, in addition to stroke and, and TIA, include Parkinson disease. It can worsen a lot of the motor, cognitive symptoms, sleep disruption that we can see in Parkinson disease. Very common in all causes of dementia, but in particular Alzheimer disease and Lewy body dementia. Very common in neuromuscular conditions. We should definitely have obstructive sleep apnea and all forms of sleep-disordered breathing high on our radar. In conditions like myotonic dystrophy. Charcot-Marie-Tooth is another one where obstructive sleep apnea is very common. Myasthenia gravis, it can worsen the symptoms of that. In particular, a pearl is if somebody has morning weakness in myasthenia gravis, obstructive sleep apnea should be high on your radar. And also, as you mentioned, any forms of headaches. There are some other things too. If somebody has poor seizure control, especially nocturnal seizures, you might have obstructive sleep apnea on your radar as well.  Dr Berkowitz: So, I think you've covered essentially every category of neurologic disease, right? We have cerebrovascular, movement, neurodegenerative, neuromuscular, epilepsy, all conditions where either the disorder itself, such as stroke or the, correct me if I'm wrong, the neurodegenerative disease puts the patient at risk. Or the patient may be at risk for exacerbations of their disease, as you mentioned in myasthenia. I love that pearl. Not fatiguable at the end of the day, but if the patient with myasthenia is telling you they're feeling weaker at the beginning of the day, then think about obstructive sleep apnea and that obstructive sleep apnea worsening control of epilepsy due to poor sleep. So really a lot of bidirectional interactions with this common condition. Okay, so if we're concerned about obstructive sleep apnea, again, myself, a general neurologist speaking perhaps on behalf of other general neurologists, we see a patient with headache or reporting memory loss that we find to be impaired attention, or we see exacerbation of their underlying primary neurologic disease. As you mentioned, we think, "Oh, I've listened to this podcast. I've read Dr. Stahl's article. I should probably be thinking about OSA in this patient, and I should order a sleep study." Now, I admit when I get the sleep study back, I scroll to the bottom, I see they do have obstructive sleep apnea, I'm going to send them over to a sleep specialist. But for the general neurologist, what are some high-yield pearls and some pitfalls to be aware of when we get sleep studies for obstructive sleep apnea, and we are looking at the results? Dr Stahl: The first thing is to understand that there are two main types of sleep studies: in-lab polysomnography and home sleep apnea test. In-lab studies are typically what we consider the more accurate type of study. Main reason for that is that we have EEG, so we can see if someone is awake versus asleep. Most home sleep apnea tests do not utilize EEG, and so when we're looking at respiratory events, apneas or hypopneas, we're looking at over the total recording time rather than the total sleep time. So, we know we're going to capture some time where a person is awake, where we don't have sleep apnea events, and that can be a big amount of time in people with insomnia, poor sleep efficiency. And as a result of that, it can lead to an underestimation of the apnea-hypopnea index. That's really important for people to understand that that means we can end up with a false negative home sleep apnea test, or it can put them in a category of lower severity than what they actually have. And so, if you get a home sleep study report back that's negative for sleep apnea and you remain concerned, you need to go on to do an in-lab study, where about twenty to fifty percent of people will go on to have a positive in-lab study. You can also get false positives with home sleep apnea tests too, and so ideally, we should only be doing home sleep apnea tests in people that are at high risk of having obstructive sleep apnea to decrease our chance of false positive study. When we get that sleep study report, what's important to take a look at? So the main number that we look at currently is the apnea-hypopnea index. The number of apneas, which are full obstructions in that upper airway, or hypopneas, partial obstructions in the upper airway where either there's an oxygen desaturation or an arousal associated with that. Less than five is considered to be normal. Anything five or more gives them a diagnosis of obstructive sleep apnea, and then we stratify them based on the AHI. But it's important to take a look at more than just the apnea-hypopnea index. And while my eyes too on various reports like echocardiograms want to jump to the impression, it is important to take a look at that full report, see what their oxygen levels averaged and what they dipped down to. The arousal index, which is how many times a patient may have woken up briefly throughout the night. Take a look at the histogram, usually an image at the bottom of their report that shows what sleep fragmentation may have been like so that you can take that all in and make that decision. How important are these study findings, and is this a person that would benefit from treatment?  Dr Berkowitz: That's a fantastic overview of sleep studies and some of the highlights to look out for, even if we won't be understanding every detail as you would to know most importantly the caveats about home sleep testing having a fairly high percentage of false negative and false positive results. So being wary if our suspicion is high, and that test is normal or inconclusive to get an in-lab sleep study. And if our suspicion is low or maybe we haven't ordered the test and the patient has had it done elsewhere, and the history doesn't really match up to know that there are false positives on the home studies as well, and again, an in-lab study to settle the diagnosis. Is that right?  Dr Stahl: Yes.  Dr Berkowitz: Okay. Now, for most neurologists, probably if we diagnose OSA, we will be referring the patient to a sleep specialist like yourself for treatment. I think we're all familiar with CPAP and patients being on CPAP. Your article mentions a number of treatment modalities I admit I have not heard of before or maybe heard of in passing, acknowledging most general neurologists are not going to be prescribing or knowing with the nuance that you do as an expert how to decide which treatment a patient would most benefit from or most qualify for. So, can you just give us a broad overview, again, for the general neurologist acknowledging we might see a patient whose past medical history says OSA being treated with fill in the blank. What are the different treatment modalities, and how do you think, just so we can learn from you in broad brush strokes, about particular treatments for particular patients?  Dr Stahl: As you mentioned, most people are familiar with positive airway pressure or PAP therapy, and that does remain our most efficacious treatment. The way I explain it to patients is why PAP therapy is the most effective treatment is it's the only treatment that can take all of the tissues of that upper airway and open them up. Whereas all of our other treatments, we're going to target smaller spaces of that upper airway. So, our first option is if we can get somebody on PAP therapy, we know that that's going to be the best option for the majority. PAP therapy works by basically acting as an air splint to open up the air tissues. Know that masks are not interchangeable. There are masks that cover the nose and go over the nose and mouth and under the nose. Full face masks that cover the nose and mouth, they do typically require higher pressures, also tend to be less comfortable for a lot of patients as well. In addition to different PAP masks, there's different modalities of positive airway pressure therapy too. There are machines that auto-adjust, some that provide fixed pressure, bi-level PAP that provides a higher inspiratory pressure, lower expiratory pressure. Then outside of PAP therapy, there are, as you alluded to, a lot of options and more, continuing to come down the pipeline as well. Mandibular advancement devices or a form of oral appliances has been around for a while. This is device that somebody wears in their mouth. It's preferably customized for their teeth and titratable, meaning that they can make adjustments that pulls their mandible forward in relation to the maxilla in order to pull those tongue tissues further away from the back of the upper airway. That's ideally managed by a qualified sleep dentist or someone that specializes in oral appliance management. Other treatments include surgical options, including hypoglossal nerve stimulation, which is an implanted device that causes the tongue to protrude repetitively throughout their sleep period to hopefully open up the airspace. There's some other surgical options too that open up various places of the upper airway. There's a daytime treatment of obstructive sleep apnea, transoral neuromuscular electrical stimulation that changes the muscle fiber type of the tongue. And then there's some adjunctive treatments that can be helpful too, such as positional therapy, oral facial myofunctional therapy that helps a person breathe better through their nose and may help train the upper airway muscles.  Dr Berkowitz: Great. Well, that's a very helpful overview, and again, I refer our listeners to your article, which talks about all of those modalities in very comprehensive detail. So, Dr. Stahl, as we wrap up our conversation, you have a captive audience of neurologists and neurology trainees here. What would you like to leave us with that every neurologist should know about obstructive sleep apnea?  Dr Stahl: The most important, again, is for neurologists to know that obstructive sleep apnea is so common in your patient population, and it can have a significant negative impact on quality of life and health, including many neurologic conditions. And at the same time, obstructive sleep apnea is very treatable. We have so many options nowadays that we can usually get someone onto adequate treatment. And treatment has that potential to improve several neurologic symptoms and disorders, even at times when you don't think that there's an opportunity to improve symptoms such as say in, headache. So, neurologists really should be screening for signs and symptoms of obstructive sleep apnea, as well as considering testing in high-risk, potentially asymptomatic or minimally symptomatic patients.  Dr Berkowitz: That's a fantastic overview of some of the many pearls that you shared with us today, as well as in your article. So, thank you so much again. Today, I've been interviewing Dr. Stephanie Stahl about her article on obstructive sleep apnea. This article appears in the August 2026 Continuum issue on neurology of sleep. Be sure to check out Continuum Audio episodes from this and other issues. And thank you so much to our listeners for joining today, and thank you again, Dr. Stahl.  Dr Stahl: Thank you again for having me.  Dr Monteith: This is Dr. Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.  

This clip comes from Dr. Raj's series with My Care Friends. Watch the video here: About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj ⁠⁠⁠⁠The Dr. Raj Podcast⁠⁠⁠⁠ ⁠⁠⁠⁠Dr. Raj on Twitter⁠⁠⁠⁠ ⁠⁠⁠⁠Dr. Raj on Instagram⁠⁠⁠⁠ Want more board review content? ⁠⁠⁠⁠USMLE Step 1 Ad-Free Bundle⁠⁠⁠⁠ ⁠⁠⁠⁠Crush Step 1⁠⁠⁠⁠ ⁠⁠⁠⁠Step 2 Secrets⁠⁠⁠⁠ ⁠⁠⁠⁠Beyond the Pearls⁠⁠⁠⁠ ⁠⁠⁠⁠The Dr. Raj Podcast⁠⁠⁠⁠ ⁠⁠⁠⁠Beyond the Pearls Premium⁠⁠⁠⁠ ⁠⁠⁠⁠USMLE Step 3 Review⁠⁠⁠⁠ ⁠⁠⁠⁠MedPrepTGo Step 1 Questions⁠⁠⁠⁠ ⁠⁠⁠⁠MedPrepTGo Step 2 Questions⁠⁠⁠⁠ Follow MedPrepToGo ⁠⁠⁠⁠https://medpreptogo.com⁠⁠⁠⁠ ⁠⁠⁠⁠https://www.instagram.com/medpreptogo/⁠⁠⁠⁠ ⁠⁠⁠⁠https://www.linkedin.com/company/medpreptogo/⁠⁠⁠⁠ ⁠⁠⁠⁠https://www.facebook.com/MedPrepToGo/⁠⁠⁠⁠ ⁠⁠⁠⁠https://www.youtube.com/@MedPrepToGo⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

At the 2026 National ICE-T Conference in Orlando, CancerNetwork® sat down with a variety of expert researchers and clinicians to discuss the latest developments in immune effector therapy across different hematologic oncology populations. Sessions at the meeting covered practical considerations for integrating CAR T-cell therapies, bispecific antibodies, and other modalities into the treatment of those with multiple myeloma, lymphoma, and other hematologic malignancies.First, Benjamin Diamond, MD, an assistant professor of Clinical Medicine, a member of the Sylvester Myeloma Institute, and a member of the Myeloma Genomic Lab at the University of Miami Miller School of Medicine, spoke about his presentation reviewing bispecific antibodies for the management of multiple myeloma. In his session, Diamond stated that bispecific T-cell engagers are altering the landscape of multiple myeloma care and will eventually become an option in the frontline setting. With many products to choose from, Diamond emphasized sequencing these novel therapies wisely and stressed aggressive infection prophylaxis as a mandatory facet of care.Next, Tiba Al Sagheer, PharmD, BCOP, BCACP, a pharmacy quality improvement coordinator for transplant and cellular therapy at Miami Cancer Institute of Baptist Health South Florida discussed her presentation focused on defining new thresholds for monitoring and mitigating toxicities associated with CAR T-cell therapy. She described considerations for balancing early toxicity intervention against the risk of blunting efficacy depending on the specific CAR T-cell product used during treatment. Ultimately, she noted that that there is still no definitive answer or threshold for initiating prophylaxis for toxicity associated with CAR T, and that differentiating between immune effector cell (IEC)–associated hemophagocytic lymphohistiocytosis (HLH)–like syndrome (IEC-HS) and cytokine release syndrome (CRS) represents an ongoing challenge in the field.Finally, Nikesh N. Shah, MD, and Carlos Silva Rondon, MD, shared their perspectives on a debate regarding the roles of bispecific antibodies and CAR T-cell therapies in relapsed/refractory follicular lymphoma. In his presentation, Shah, a hematologist-oncologist at Tampa General Hospital who specializes in hematologic malignancies, including aggressive lymphomas and acute lymphoblastic leukemia, took the position that bispecific antibodies should be used prior to CAR T-cell therapy for most patients, although both treatments have utility in the field. Silva Rondon, a hematologist, oncologist, and bone marrow transplant specialist at Moffitt Malignant Hematology and Cellular Therapy at Memorial Healthcare System/Memorial Cancer Institute in Pembroke Pines, advocated for CAR T-cell therapy during the debate but acknowledged that both modalities can make up a complementary strategy for overcoming relapsed/refractory follicular lymphoma.References Diamond B. Bispecific antibodies for the management of multiple myeloma. Presented at the 2026 National ICE-T Conference; July 18, 2026; Orlando, FL. Sagheer TA. Thresholds and therapeutics: a precision approach to CAR T toxicity management. Presented at the 2026 National ICE-T Conference; July 18, 2026; Orlando, FL. Shah N. Debate: bispecific antibodies vs CAR-T in follicular lymphoma. Presented at the 2026 National ICE-T Conference; July 18, 2026; Orlando, FL. Silva C. CAR-T cell therapy for relapsed follicular lymphoma. Presented at the 2026 National ICE-T Conference; July 18, 2026; Orlando, FL.

This clip comes from Dr. Raj's series with My Care Friends. Watch the video here: https://youtu.be/IsnRE6EAygw?si=V0-HJYdIPYNccXC9 About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj ⁠⁠⁠⁠The Dr. Raj Podcast⁠⁠⁠⁠ ⁠⁠⁠⁠Dr. Raj on Twitter⁠⁠⁠⁠ ⁠⁠⁠⁠Dr. Raj on Instagram⁠⁠⁠⁠ Want more board review content? ⁠⁠⁠⁠USMLE Step 1 Ad-Free Bundle⁠⁠⁠⁠ ⁠⁠⁠⁠Crush Step 1⁠⁠⁠⁠ ⁠⁠⁠⁠Step 2 Secrets⁠⁠⁠⁠ ⁠⁠⁠⁠Beyond the Pearls⁠⁠⁠⁠ ⁠⁠⁠⁠The Dr. Raj Podcast⁠⁠⁠⁠ ⁠⁠⁠⁠Beyond the Pearls Premium⁠⁠⁠⁠ ⁠⁠⁠⁠USMLE Step 3 Review⁠⁠⁠⁠ ⁠⁠⁠⁠MedPrepTGo Step 1 Questions⁠⁠⁠⁠ ⁠⁠⁠⁠MedPrepTGo Step 2 Questions⁠⁠⁠⁠ Follow MedPrepToGo ⁠⁠⁠⁠https://medpreptogo.com⁠⁠⁠⁠ ⁠⁠⁠⁠https://www.instagram.com/medpreptogo/⁠⁠⁠⁠ ⁠⁠⁠⁠https://www.linkedin.com/company/medpreptogo/⁠⁠⁠⁠ ⁠⁠⁠⁠https://www.facebook.com/MedPrepToGo/⁠⁠⁠⁠ ⁠⁠⁠⁠https://www.youtube.com/@MedPrepToGo⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Hey Doc—One of the questions I've been asked the most over the past few months is, "Why did you leave medicine?"The short answer is: I didn't leave medicine to do something else.I left clinical practice because I found another way to serve physician moms.In this episode, I share the story behind that decision, why coaching became my second calling, and why stepping away from practicing as an OB/GYN wasn't about walking away from patients. It was about expanding the impact I could have by helping physician moms build lives they actually enjoy living.When a physician mom finds her voice, strengthens her marriage, leads with confidence, creates support at home, and rediscovers herself, the ripple effect reaches her family, her colleagues, and every patient she cares for.That's why this work matters so much to me.In this episode, we discuss:The real reason I stepped away from clinical medicineWhy coaching physician moms became my life's workHow supporting one physician mom creates a ripple effect far beyond one familyWhy I believe this work is an extension of medicine, not a departure from itWhat it means to find a second calling without letting go of the firstLooking back, I don't think I had two separate careers. I've always been committed to helping women thrive. The way I do that has changed, but the mission hasn't.

APR Health Solutions Peptides: www.aprhealthsolutions.com - code nyleOptimize HRT Clinic: https://members.optimize-hp.com - code nyleMerch: https://www.aykons.com/nylePlease share this episode if you liked it. To support the podcast, the best cost-free way is to subscribe and please rate the podcast 5* wherever you find your podcasts. Thanks for watching.To be part of any Q&A, follow trensparentpodcast or nylenayga on instagram and watch for Q&A prompts on the story  https://www.instagram.com/trensparentpodcast/Huge Supplements (Protein, Pre, Defend Cycle Support, Utilize GDA, Vital, Astragalus, Citrus Bergamot): https://www.hugesupplements.com/discount/NYLESupport code 'nyle' 10% off - proceeds go towards upgrading content productionYoungLA Clothes: https://www.youngla.com/discount/nyleCode ‘nyle' to support the podcastLet's chat about the Podcast:Instagram: https://www.instagram.com/trensparentpodcast/TikTok: https://www.tiktok.com/@transparentpodcastPersonalized Bodybuilding Program:  https://www.nylenaygafitness.comRP Hypertrophy Training App: rpstrength.com/nyle (code nyle)00:00:00 Intro00:01:28 Detroit Life00:03:41 Context is King00:08:14 The Peptide Healing Journey00:14:13 Bodybuilding Stress & Sleep00:22:51 Retatrutide for Prep00:31:12 SLU-PP-332 & Endurance00:34:28 Mitochondrial Health & SS-3100:37:30 Clearing Zombie Cells00:41:19 Peptide Bio-Regulators00:47:47 Growth Hormone Truths00:52:36 Fixing Gut Health00:59:16 Mandatory Bloodwork Protocols01:06:06 Long Exposure Anabolics01:13:05 The Health Phase01:15:18 Estrogen & Aromatase Control01:18:57 Mini-Cuts & Insulin Sensitivity01:20:03 Training Volume vs Intensity01:28:28 Retatrutide Digestion Issues01:30:10 Sleep Apnea & High Hematocrit01:32:13 Pre-Workout Orals (Anavar)01:34:41 Fatherhood01:35:54 The StairMaster is Overrated01:39:09 Peri-Workout Insulin01:40:16 Why Supplements Fail01:42:17 Potassium Pulsing & Diuretics01:46:56 Clinical Medicine in Coaching01:47:51 DHEA & Skincare01:50:48 Complex Gut Health Case01:54:00 Adding Lantus to Prep01:57:40 5-Amino-1MQ Fat Loss02:00:00 Impact Over Hype

Today's Guest Vanessa Rossetto is a registered dietitian and the CEO and co-founder of Culina Health, a revolutionary clinical nutrition care company founded in 2020. Prior to starting this venture, Vanessa served as a director of dietetic internships at New York University where she led the clinical nutrition treatment for a diverse patient population and mentored early career dietitians. Before changing careers and becoming a registered dietitian, Vanessa earned her bachelor's degree in history from Fordham University and a master's degree in marketing from NYU. Today, she seamlessly integrates her passions for business, entrepreneurship, and nutrition as the CEO of Culina Health. Vanessa founded Culina Health to make high quality nutrition counseling accessible to all Americans, regardless of race, ethnicity or income. Five years later, Culina Health's mission to democratize access to nutrition care lives on. Vanessa has raised over $20 million and partnered with major hospitals and insurances across the country, all while staying grounded in her mission to improve representation and equity in nutrition care. Links  Culina Health Website Vanessa's Website Culina Health on Instagram About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Follow MedPrepToGo https://medpreptogo.com https://www.instagram.com/medpreptogo/ https://www.linkedin.com/company/medpreptogo/ https://www.facebook.com/MedPrepToGo/ https://www.youtube.com/@MedPrepToGo Learn more about your ad choices. Visit megaphone.fm/adchoices

Drs Kaniksha Desai and Sangeeta Kashyap discuss the complex and clinically important relationship between obesity and the thyroid gland. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/index/list_15483_0 Kaniksha Desai, MD, Associate Professor, Department of Internal Medicine, Endocrinology, Stanford University, Palo Alto, California Sangeeta Kashyap, MD, Professor of Clinical Medicine, Division of Endocrinology, Weill Cornell Medicine, New York, New York

In this episode of Resiliency Radio with Dr. Jill, Dr. Jill Carnahan welcomes Dr. Paul Anderson, one of the leading voices in integrative and naturopathic medicine, for a fascinating discussion on solving the chronic illness puzzle through a root-cause approach. Drawing from more than three decades of clinical experience, Dr. Anderson explains why conventional medicine often struggles with complex chronic illnesses and how functional medicine uncovers the hidden factors driving disease. Together, they explore environmental toxins, chronic infections, mitochondrial dysfunction, immune imbalance, cancer support, and innovative IV therapies that help restore health and resilience. Whether you're dealing with chronic illness, cancer, autoimmune disease, or simply looking to optimize your health, this episode offers practical insights into healing from the inside out.

This clip comes from Dr. Raj's series with My Care Friends. Watch the video here: https://youtu.be/GhwwcL4DPB8?si=jvcCjqbfgZSJbGBT About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj ⁠⁠⁠The Dr. Raj Podcast⁠⁠⁠ ⁠⁠⁠Dr. Raj on Twitter⁠⁠⁠ ⁠⁠⁠Dr. Raj on Instagram⁠⁠⁠ Want more board review content? ⁠⁠⁠USMLE Step 1 Ad-Free Bundle⁠⁠⁠ ⁠⁠⁠Crush Step 1⁠⁠⁠ ⁠⁠⁠Step 2 Secrets⁠⁠⁠ ⁠⁠⁠Beyond the Pearls⁠⁠⁠ ⁠⁠⁠The Dr. Raj Podcast⁠⁠⁠ ⁠⁠⁠Beyond the Pearls Premium⁠⁠⁠ ⁠⁠⁠USMLE Step 3 Review⁠⁠⁠ ⁠⁠⁠MedPrepTGo Step 1 Questions⁠⁠⁠ ⁠⁠⁠MedPrepTGo Step 2 Questions⁠⁠⁠ Follow MedPrepToGo ⁠⁠⁠https://medpreptogo.com⁠⁠⁠ ⁠⁠⁠https://www.instagram.com/medpreptogo/⁠⁠⁠ ⁠⁠⁠https://www.linkedin.com/company/medpreptogo/⁠⁠⁠ ⁠⁠⁠https://www.facebook.com/MedPrepToGo/⁠⁠⁠ ⁠⁠⁠https://www.youtube.com/@MedPrepToGo⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Why does an undetectable HIV viral load sometimes flip to “detectable” — and what does that actually mean for the patient? Host Ben Plumley talks with Ben LaBrot (Professor of Global Medicine, USC; Medical Affairs Lead, Roche Molecular Diagnostics) and Daniel Griffin, MD (Chief of Infectious Disease, Island Infectious Disease Medical, Instructor of Clinical Medicine, Columbia University, Host, This Week in Virology) about the “viral blip” — a brief, low-level detectable result that occurs even in patients on fully effective antiretroviral therapy. The conversation covers the science behind ultra-sensitive viral load assays, the real meaning of U=U (undetectable = untransmittable), why lab handling and patient illness can cause a temporary blip, and why so many patients are blindsided by results in their MyChart before their doctor has a chance to explain. Ben and Daniel also discuss “prebunking” — preparing patients in advance — and the underused role of community health workers in HIV education. Topics: HIV, viral load, U=U, undetectable, antiretroviral therapy, infectious disease, diagnostics, patient communication, global health. 00:00 Welcome and Setup 00:13 The Viral Blip Riddle 01:20 Meet the Guests 04:02 Why Blips Matter Now 05:54 Assay Sensitivity and LOD 06:22 What Undetectable Means 08:36 U Equals U Confusion 12:50 MyChart Panic and Context 17:09 Prebunking Patient Fear 18:21 Why Blips Happen 20:59 Tech Problem Analog Fix 22:26 Testing Noise Sources 23:28 RNA Fragments Explained 25:16 Sample Handling Pitfalls 26:46 Reporting Low Copy Results 29:02 Managing Patient Anxiety 33:14 When a Blip Matters 36:12 Changing the Landscape 40:48 Community Outreach Ideas 43:12 Key Takeaways Check Out Ben's Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

This clip comes from Dr. Raj's series with My Care Friends. Watch the video here: https://youtu.be/8dvO2jDzQtU?si=Nv33rGHM0ZmnYk0T About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj ⁠⁠⁠The Dr. Raj Podcast⁠⁠⁠ ⁠⁠⁠Dr. Raj on Twitter⁠⁠⁠ ⁠⁠⁠Dr. Raj on Instagram⁠⁠⁠ Want more board review content? ⁠⁠⁠USMLE Step 1 Ad-Free Bundle⁠⁠⁠ ⁠⁠⁠Crush Step 1⁠⁠⁠ ⁠⁠⁠Step 2 Secrets⁠⁠⁠ ⁠⁠⁠Beyond the Pearls⁠⁠⁠ ⁠⁠⁠The Dr. Raj Podcast⁠⁠⁠ ⁠⁠⁠Beyond the Pearls Premium⁠⁠⁠ ⁠⁠⁠USMLE Step 3 Review⁠⁠⁠ ⁠⁠⁠MedPrepTGo Step 1 Questions⁠⁠⁠ ⁠⁠⁠MedPrepTGo Step 2 Questions⁠⁠⁠ Follow MedPrepToGo ⁠⁠⁠https://medpreptogo.com⁠⁠⁠ ⁠⁠⁠https://www.instagram.com/medpreptogo/⁠⁠⁠ ⁠⁠⁠https://www.linkedin.com/company/medpreptogo/⁠⁠⁠ ⁠⁠⁠https://www.facebook.com/MedPrepToGo/⁠⁠⁠ ⁠⁠⁠https://www.youtube.com/@MedPrepToGo⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

The central divide in psychiatry, the split between mind and brain, has been holding the field back and preventing people from getting the help they truly since its inception. Dr. Edward Bullmore, psychiatrist and author of The Inflamed Mind and The Divided Mind, has spent 35 years witnessing psychiatry struggle with this false dichotomy. In this conversation, we trace how the trauma of WWII rewrote the diagnostic manual, how antidepressants were discovered by accident and the science was reverse-engineered to justify them, and why the biggest genetic hits in schizophrenia research point not to neurons but to the immune system. If you've ever felt that the current system offers too little too late or that the answers must lie somewhere between biology and biography, this episode is for you.In this episode we discuss:The false brain/mind split that has defined and distorted psychiatry for over a centuryWhy the DSM is rooted in false science and has not held up to recent findingsWhy treatment for schizophrenia hasn't fundamentally changed since the 1980sGenome-wide association studies: what they reveal about schizophrenia, immunity, and shared genetic risk across diagnosesEarly life stressors and epigenetic riskThe case for integrating psychiatry with the rest of medicinePublic health interventions as mental health interventions; why maternal and child health may be the highest-leverage pointHow psychiatry might fundamentally change and what Dr. Bullmore hopes to leave for the next generationBioEd Bullmore studied medicine at the University of Oxford and St Bartholomew's Hospital in London, before training as a psychiatrist at the Maudsley Hospital, and completing a PhD in brain MRI analysis at the Institute of Psychiatry, King's College London. He moved to Cambridge as Professor of Psychiatry in 1999 and his research on brain networks and development of severe mental health disorders has since been highly cited. He was Head of the Department of Psychiatry, then Deputy Head of the School of Clinical Medicine in the University of Cambridge from 2014 to 2024.From 2005 to 2019, he also worked half-time for GlaxoSmithKline, focusing on the links between inflammation and depression, as described in his first book, The Inflamed Mind. He has recently published another book, The Divided Mind, about the past, present and future of schizophrenia. His scientific work has been recognised by election to the Royal Society and the Academy of Medical Sciences. In 2025, he returned to King's College London as the Regius Professor of Psychiatry and Head of the School of Academic Psychiatry.Links:The Guardian: Review of The Divided Mind https://www.theguardian.com/books/2025/dec/17/the-divided-mind-by-edward-bullmore-review-do-we-now-know-what-causes-schizophreniaThe Times Interview: https://www.thetimes.com/life-style/health-fitness/article/psychiatrist-edward-bullmore-divided-mind-schizophrenia-cause-childhood-infection-gm99jzjhm?gaa_at=eafs&gaa_n=AWEtsqfDuktSniOg_lxW5VLwPpLbpeIXNW3mCiER6PIWqRn99oF0SO8llQH-&gaa_ts=69c1a808&gaa_sig=l3rw9dUnzBnRd5S1Q7xd7qTqOE8Kpu63ROoP6N2ANWLN9bJw0cf4d24hJd3JqEhDoXiGaotrTHKgjV0ZMafQKw%3D%3DTelegraph Interview: https://www.telegraph.co.uk/health-fitness/conditions/dementia/prevent-schizophrenia-alzheimers/Resources:Find videos and bonus episodes: ⁠⁠⁠DEPTHWORK.SUBSTACK.COM⁠⁠⁠Get the book: ⁠⁠⁠⁠Mad Studies Reader: Interdisciplinary Innovations in Mental Health⁠⁠⁠Become a member: ⁠⁠⁠The Institute for the Development of Human Arts⁠⁠⁠Train with us: ⁠⁠⁠Transformative Mental Health Core Curriculum⁠⁠Sessions & Information about the host: ⁠⁠⁠⁠JazmineRussell.com⁠⁠⁠⁠Disclaimer: The DEPTH Work Podcast is for educational and entertainment purposes only. Any information on this podcast in no way to be construed or substituted as psychological counseling, psychotherapy, mental health counseling, or any other type of therapy or medical advice.

For Scleroderma Awareness month we are releasing a re-mixed version of this episode. This episode was originally recorded on June 30, 2021. Rest in peace Bob Saget. Today's Episode Dr. Raj sits down with comedy legend Bob Saget to talk about scleroderma, a rare disease that took his sister in 1993.    Today's Guest Bob Saget is a comedian, actor, and director best known for his role as Danny Tanner on the Full House and for hosting America's Funniest Home Videos. He is also on the board of directors for the Scleroderma Research Foundation.    Links for Bob Bob's website - ⁠www.bobsaget.com⁠ Scleroderma Research Foundation website - ⁠https://srfcure.org/⁠ Bob on Facebook - ⁠https://facebook.com/bobsaget⁠ Bob on Twitter - ⁠https://twitter.com/bobsaget⁠ Bob on Instagram - ⁠https://instagram.com/bobsaget/⁠ Cool Comedy, Hot Cuisine - ⁠https://srfcure.org/events/cool-comedy-hot-cuisine/⁠   About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Follow MedPrepToGo https://medpreptogo.com https://www.instagram.com/medpreptogo/ https://www.linkedin.com/company/medpreptogo/ https://www.facebook.com/MedPrepToGo/ https://www.youtube.com/@MedPrepToGo Learn more about your ad choices. Visit megaphone.fm/adchoices

What if one of the most important health crises affecting men today wasn't being caused by aging, but by the environment we live in? In this eye-opening solo episode, Darin Olien investigates the alarming decline in testosterone levels, fertility, and reproductive health among men worldwide. Drawing on decades of research, epidemiological studies, environmental science, endocrinology, and public health data, Darin examines the growing evidence connecting endocrine-disrupting chemicals, microplastics, sleep deprivation, chronic stress, poor lifestyle habits, and environmental toxins to declining testosterone levels across generations. From BPA, phthalates, atrazine, PFAS, and microplastics to sleep quality, circadian rhythms, cholesterol metabolism, cortisol regulation, and natural testosterone-supporting strategies, this episode explores what may be one of the most underreported public health issues of our time—and what men can do to take control of their health today.     What You'll Learn Why testosterone levels have been declining for decades The startling research on global sperm count decline How endocrine-disrupting chemicals interfere with hormone production Why BPA and phthalates may disrupt testosterone synthesis The role of atrazine, PFAS, and environmental toxins How chronic stress diverts resources away from testosterone production Why sleep may be the most important testosterone intervention The connection between cholesterol and hormone production How microplastics are being found throughout the human body The surprising relationship between statins and testosterone levels Natural lifestyle strategies that support healthy hormone production Practical steps to reduce environmental exposure and improve health     Chapters 00:00:00 – Welcome to SuperLife 00:00:33 – Sponsor: Fatty15 and cellular health 00:04:17 – The testosterone collapse explained 00:04:51 – Testosterone levels have been declining for decades 00:06:03 – Global sperm count decline and accelerating trends 00:07:02 – Why treating symptoms misses the root cause 00:07:27 – The hidden public health crisis 00:08:03 – Why low testosterone isn't just about aging 00:09:12 – Why hormone health affects longevity 00:09:53 – Low testosterone and increased mortality risk 00:10:35 – Testosterone's role in metabolism and cardiovascular health 00:11:27 – Endocrine-disrupting chemicals and hormone disruption 00:12:44 – BPA and its effects on testosterone production 00:13:59 – Phthalates and their impact on hormone pathways 00:16:00 – Glyphosate, atrazine, and pesticide exposure 00:17:07 – PFAS and reproductive health concerns 00:17:55 – Environmental toxins and population-wide effects 00:18:11 – Sponsor: Shakeology 00:20:02 – Cholesterol and hormone production 00:20:53 – Chronic stress and cortisol dominance 00:21:45 – Actionable solutions begin 00:21:56 – Why sleep is essential for testosterone production 00:23:07 – How sleep deprivation rapidly lowers testosterone 00:23:21 – Light pollution and circadian disruption 00:23:41 – Foods and nutrients needed for hormone health 00:24:23 – Microplastics and testicular tissue 00:24:53 – Statins and unintended hormonal consequences 00:25:39 – A practical testosterone sovereignty protocol 00:25:48 – Water filtration and reducing toxic exposure 00:26:13 – Eliminating plastics and fragrance chemicals 00:26:35 – Why organic food matters 00:26:45 – Sunlight and vitamin D 00:27:05 – Magnesium, omega-3s, and iodine 00:27:26 – Pine pollen and natural androgen support 00:28:01 – Tongkat Ali and ashwagandha 00:28:48 – Strength training and lifestyle interventions 00:29:10 – Habits that naturally support testosterone 00:29:27 – Darin's approach to healthy aging 00:29:37 – Plants, herbs, and common sense 00:29:51 – Reclaiming your health and sovereignty 00:30:00 – Final thoughts and closing message     Thank You to Our Sponsors Fatty15: Get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/DARIN and using code DARIN at checkout. Shakeology: Get 15% off with code DARINO1BODI at Shakeology.com.     Join the SuperLife Patreon: This is where Darin now shares the deeper work: - weekly voice notes - ingredient trackers - wellness challenges - extended conversations - community accountability - sovereignty practices Join now for only $7.49/month at https://patreon.com/darinolien     Find More from Darin Olien: Website: darinolien.com Instagram: @darinolien Book: Fatal Conveniences Platform & Products: superlife.com New Show: Roadmap to Happiness     Key Takeaway "The testosterone crisis may be about far more than aging. It may be a reflection of the modern environment itself—one increasingly saturated with endocrine-disrupting chemicals, chronic stress, poor sleep, circadian disruption, and toxic exposures. While many of these forces feel outside our control, the encouraging reality is that many of the most powerful interventions remain accessible: improving sleep, reducing toxic load, eating whole foods, getting sunlight, managing stress, exercising regularly, and reclaiming responsibility for our health. The goal isn't fear. The goal is awareness—and action."     Bibliography/Sources: The Decline — Primary Research Levine, H., Jørgensen, N., Martino-Andrade, A., et al. (2022). Temporal trends in sperm count: A systematic review and meta-regression analysis of samples collected globally in the 20th and 21st centuries. Human Reproduction Update, 29(2), 157–176. https://doi.org/10.1093/humupd/dmac035 Lokeshwar, S. D., Patel, P., Fantus, R. J., et al. (2021). Decline in testosterone levels in men aged 15–40: Results from the National Health and Nutrition Examination Survey (NHANES), 1999–2016. World Journal of Urology, 39(2), 447–452. https://doi.org/10.1007/s00345-020-03227-1 Spital Clinic. (2026, March). Declining testosterone levels by generation. https://www.spitalclinic.com Travison, T. G., Araujo, A. B., O'Donnell, A. B., Kupelian, V., & McKinlay, J. B. (2007). A population-level decline in serum testosterone levels in American men. The Journal of Clinical Endocrinology & Metabolism, 92(1), 196–202. https://doi.org/10.1210/jc.2006-1375 Low Testosterone — Mortality & Disease Risk Muraleedharan, V., Marsh, H., Kapoor, D., Channer, K. S., & Jones, T. H. (2013). Testosterone deficiency is associated with increased risk of mortality and testosterone replacement improves survival in men with type 2 diabetes. European Journal of Endocrinology, 169(6), 725–733. https://doi.org/10.1530/EJE-13-0321 Shores, M. M., et al. (2006). Low testosterone associated with increased all-cause and cardiovascular mortality. Archives of Internal Medicine, 166(15), 1660–1665. https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/410754 Yeap, B. B., Marriott, R. J., Dwivedi, G., et al. (2024). Associations of testosterone and related hormones with all-cause and cardiovascular mortality and incident cardiovascular disease in men. Annals of Internal Medicine. https://doi.org/10.7326/M23-2781 Endocrine Disrupting Chemicals Associations between endocrine-disrupting chemical exposure and fertility outcomes: A decade of human epidemiological evidence. (2024). PubMed Central (PMC12299029). https://pmc.ncbi.nlm.nih.gov/articles/PMC12299029/ Hayes, T. B., Haston, K., Tsui, M., et al. (2002). Herbicides: Feminization of male frogs in the wild. Nature, 419, 895–896. https://doi.org/10.1038/419895a Mechanisms of testicular disruption from exposure to BPA and phthalates. (2020). Journal of Clinical Medicine, 9(2), 471. https://pmc.ncbi.nlm.nih.gov/articles/PMC7074154/ Meeker, J. D., Calafat, A. M., & Hauser, R. (2014). Urinary phthalate metabolites and their biotransformation products: Predictors and temporal variability among men and women. Journal of Exposure Science & Environmental Epidemiology. https://www.sciencedaily.com/releases/2014/08/140814124330.htm Zhao, Q., et al. (2023). Male reproductive toxicity of microplastics: Head and tail of the sperm. Science of the Total Environment, 872, 162181. https://doi.org/10.1016/j.scitotenv.2023.162181 Zhong, B., et al. (2024). Mixed EDC exposure associated with reductions in testosterone and free androgen index. Scientific Reports. https://doi.org/10.1038/s41598-024-76972-z Cortisol, Stress & the HPG Axis Bielohuby, M., et al. (2012). Swiss military cadets prolonged stress study. Psychoneuroendocrinology. Preprints.org. (2025). Sleep deprivation: A modifiable cause. https://doi.org/10.20944/preprints202505.0580.v1 SiPhox Health. (n.d.). Summary of Journal of Clinical Endocrinology & Metabolism data. https://www.siphoxhealth.com Viau, V. (2002). Functional cross-talk between the hypothalamic-pituitary-gonadal and -adrenal axes. Journal of Neuroendocrinology, 14(6), 506–513. https://doi.org/10.1046/j.1365-2826.2002.00798.x Sleep & Testosterone Leproult, R., & Van Cauter, E. (2011). Effect of 1 week of sleep restriction on testosterone levels in young healthy men. JAMA, 305(21), 2173–2174. https://jamanetwork.com/journals/jama/fullarticle/1029127 Reiter, R. J., et al. (2021). Melatonin and male reproductive health: Relationship to oxidative stress, mitochondrial function, and Leydig cell protection. Endocrine. Tan, D. X., Hardeland, R., Manchester, L. C., et al. (2023). Melatonin as a pleiotropic antioxidant hormone. Journal of Pineal Research. Nutrition — Zinc, Vitamin D, Cholesterol Corona, G., et al. (2010). Statin therapy and testosterone levels in men: A systematic review. The Journal of Sexual Medicine. Daniell, H. W. (2002). Hypogonadism in men consuming sustained-action oral opioids. The Journal of Pain, 3(5), 377–384. https://doi.org/10.1054/jpai.2002.126790 Pilz, S., Frisch, S., Koertke, H., et al. (2011). Effect of vitamin D supplementation on testosterone levels in men. Hormone and Metabolic Research, 43(3), 223–225. https://doi.org/10.1055/s-0030-1269854 Prasad, A. S., Mantzoros, C. S., Beck, F. W., Hess, J. W., & Brewer, G. J. (1996). Zinc status and serum testosterone levels of healthy adults. Nutrition, 12(5), 344–348. https://doi.org/10.1016/S0899-9007(96)80058-X Natural Testosterone Support — Botanical Evidence Pine pollen impacts testosterone-related symptoms in men. (2024). ACMCR Case Reports, 14(5), 1–9. Chinnappan, S. M., George, A., et al. (2021). Effect of Eurycoma longifolia standardised extract Physta on testosterone levels in ageing males: A randomised, double-blind, placebo-controlled multicentre study. Food & Nutrition Research, 65. https://doi.org/10.29219/fnr.v65.5647 Lazarev, A., & Bezuglov, E. (2021). Testosterone boosters intake in athletes: Current evidence and further directions. Endocrines, 2(2), 109–120. https://doi.org/10.3390/endocrines2020011 Leisegang, K., et al. (2022). Eurycoma longifolia (Tongkat Ali) improves serum total testosterone in men. Food & Nutrition Research. https://pubmed.ncbi.nlm.nih.gov/36013514/ Leitão, A. E., et al. (2021). 6-month double-blind RCT: Eurycoma longifolia 200mg + concurrent training. Maturitas. https://doi.org/10.1016/j.maturitas.2020.10.005 Lopresti, A. L., Smith, S. J., et al. (2019). An investigation into the stress-relieving and pharmacological actions of an ashwagandha extract. Medicine, 98(37), e17186. https://doi.org/10.1097/MD.0000000000017186 Pandit, S., Biswas, S., Jana, U., De, R. K., Mukhopadhyay, S. C., & Biswas, T. K. (2016). Clinical evaluation of purified shilajit on testosterone levels in healthy volunteers. Andrologia, 48(5), 570–575. https://doi.org/10.1111/and.12482 Saden-Krehula, M., Tajic, M., & Kolbah, D. (1971). Testosterone, epitestosterone and androstenedione in the pollen of Scotch pine Pinus sylvestris L. Experientia, 27(1), 108–109. https://doi.org/10.1007/BF02137731 Wankhede, S., Langade, D., Joshi, K., et al. (2015). Examining the effect of Withania somnifera supplementation on muscle strength and recovery: A randomized controlled trial. Journal of the International Society of Sports Nutrition, 12, 43. https://doi.org/10.1186/s12970-015-0104-9

Ozempic, Wegovy and Mounjaro can help people lose weight. But what should you eat on GLP-1 drugs to avoid side effects, protect muscle, and maintain results long term? In this episode, Dr Federica Amati, ZOE's Head Nutritionist and author of The Appetite Reset, explains how these drugs work, why many people struggle with side effects, and why losing weight does not automatically mean better health. You'll learn why the weight lost may not be fat, why nutrient deficiencies, dehydration and muscle loss can become a risk, and what to eat before, during and after treatment. Federica shares four practical principles to help reduce side effects, protect lean mass, improve diet quality and support long-term health whether you stay on these medications or eventually stop taking them. Millions of people are now using GLP-1 drugs. But if these medications reduce appetite so effectively, how do you make sure your body still gets the nutrients it needs?

Today's Guest Cher is the owner of Be Balanced LA and a passionate advocate for women's hormone health and holistic wellness. With nearly two decades of experience in the medical industry, Cher's personal health journey led her to discover the life-changing impact of natural hormone balancing. Today, she helps women over 45 overcome fatigue, brain fog, mood swings, and weight gain through personalized non-medical solutions that restore balance and vitality. https://www.instagram.com/cherolivos About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Follow MedPrepToGo https://medpreptogo.com https://www.instagram.com/medpreptogo/ https://www.linkedin.com/company/medpreptogo/ https://www.facebook.com/MedPrepToGo/ https://www.youtube.com/@MedPrepToGo Learn more about your ad choices. Visit megaphone.fm/adchoices

Could you have metabolic dysfunction even at a normal weight?This episode challenges everything we've been taught about weight and health. Dr. Cooper reveals that up to 25% of normal-weight people have metabolic syndrome, yet they're rarely screened because doctors assume they're healthy based on appearance alone.KEY TAKEAWAYSWeight and metabolic health are not the same thing - you can be metabolically unhealthy at any sizeNormal weight people with metabolic dysfunction are often overlooked and undertreated by healthcare providersKey screening tests include fasting glucose, insulin, HbA1c, triglycerides, HDL cholesterol, blood pressure, and inflammatory markers like HSCRPMetabolic dysfunction can start in your 20s and take decades to develop into serious diseaseBoth normal weight and higher weight patients face bias - normal weight people aren't screened enough, while higher weight people have everything blamed on their weightEarly screening and treatment can prevent catastrophic health outcomes later in lifeThe liver plays a crucial role in metabolism and can become insulin resistant regardless of body weightNOTABLE QUOTE"You cannot tell anything about someone's health from their outside, what they look like or what, even what they're doing necessarily, but definitely not their body size. So you can be healthy or unhealthy at any size body, and I think that's what's overlooked quite a bit." — Dr. Emily CooperLinks & ResourcesPodcast Home: fatsciencepodcast.comCooper Center for Metabolism: coopermetabolic.comResources from Dr. Cooper: coopermetabolic.com/resourcesJoin Our Community: patreon.com/cw/FatSciencePodcastSubmit Your Question: questions@fatsciencepodcast.com or dr.c@fatsciencepodcast.comAppendix: Key ReferencesPrimary literature supporting this episode•       Wang et al. Prevalence of Metabolically Unhealthy Normal Weight and Its Influence on the Risk of Diabetes. Journal of Clinical Endocrinology & Metabolism, 2023.•       Review: Beyond BMI — Rethinking Obesity Metrics and Cardiovascular Risk in the Era of Precision Medicine. Journal of Clinical Medicine, December 2025.•       Korean meta-analyses on metabolic dysfunction phenotypes and cardiometabolic risk, Cardiovascular and Metabolic Sciences Journal review, 2024.•       Frontiers in Nutrition, January 2026. Associations of metabolic heterogeneity with the progression of cardiometabolic multimorbidity.•       International Journal of Obesity, September 2025. Cardiovascular risk factors associated with metabolic health phenotypes.Mechanism references•       MASLD — metabolic dysfunction-associated steatotic liver disease — nomenclature and clinical framework. AASLD/EASL consensus, 2023.•       Insulin signaling, adipose tissue dysfunction, and ectopic fat deposition — reviews on the upstream-downstream relationship.•       Epicardial adipose tissue and cardiovascular dysfunction — Frontiers in Cardiovascular Medicine, January 2026.Fat Science is supported by the Diabesity Institute, a nonprofit dedicated to increasing access to effective, science-based metabolic care.This podcast is for informational purposes only and is not intended as medical advice. Please consult with a qualified healthcare provider for personalized recommendations.

This clip comes from Dr. Raj's series with My Care Friends. Watch the video here: https://www.youtube.com/watch?v=uhvAXWhynL4 About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj ⁠⁠The Dr. Raj Podcast⁠⁠ ⁠⁠Dr. Raj on Twitter⁠⁠ ⁠⁠Dr. Raj on Instagram⁠⁠ Want more board review content? ⁠⁠USMLE Step 1 Ad-Free Bundle⁠⁠ ⁠⁠Crush Step 1⁠⁠ ⁠⁠Step 2 Secrets⁠⁠ ⁠⁠Beyond the Pearls⁠⁠ ⁠⁠The Dr. Raj Podcast⁠⁠ ⁠⁠Beyond the Pearls Premium⁠⁠ ⁠⁠USMLE Step 3 Review⁠⁠ ⁠⁠MedPrepTGo Step 1 Questions⁠⁠ ⁠⁠MedPrepTGo Step 2 Questions⁠⁠ Follow MedPrepToGo ⁠⁠https://medpreptogo.com⁠⁠ ⁠⁠https://www.instagram.com/medpreptogo/⁠⁠ ⁠⁠https://www.linkedin.com/company/medpreptogo/⁠⁠ ⁠⁠https://www.facebook.com/MedPrepToGo/⁠⁠ ⁠⁠https://www.youtube.com/@MedPrepToGo⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

With the launch of a new journal, the American Diabetes Association (ADA) is also launching a brand new podcast: The Points of CARE, the official podcast of Diabetes, Obesity, and CardioMetabolic CARE. Join hosts Richard Beaser, MD and Jane Reusch, MD, as they highlight key research findings, clinical implications, and emerging themes across diabetes, obesity, and cardiometabolic health through interviews with journal authors and subject-matter experts. 4:05 Our hosts speak with Anna Kahkoska, MD, PhD, Joan Heckler Gillings Assistant Professor in the Department of Nutrition and adjunct assistant professor of medicine in the Division of Endocrinology and Metabolism at the University of North Carolina at Chapel Hill, as well as Joshua Niznik, PharmD, PhD, assistant professor in the Division of Geriatric Medicine within the UNC School of Medicine. Their article, "Qualitative Analysis of Patient Portal Messages From Older Adults With Type 2 Diabetes," is available at doi.org/10.2337/doc25-0079. 14:10 Our hosts introduce Esben Thyssen Vestergaard, PhD, clinical associate professor in the Department of Clinical Medicine and Department of Pediatrics Aarhus University in Aarhus, Denmark. His article, "Clinic for Athletes With Type 1 Diabetes: Evaluation of a Structured Clinical Care Model for Physically Active Individuals," is available for free at doi.org/10.2337/doc25-0064. 21:40 Finally, Richard and Jane highlight some of their favorite articles from the May-June issue. Rezaeiahari, et al. Rural–Urban Differences in Use of Diabetes Self-Management Education and Support in Arkansas, 2015–2019 doi.org/10.2337/doc25-0065 Liu, et al. Trends in Nutrient Intake Among U.S. Adults by Diabetes Status: National Health and Nutrition Examination Survey 2011–2020 doi.org/10.2337/doc25-0076 Yanez Bello, et al. Barriers to the Adoption of Diabetes Technologies and the Implementation of Connected Insulin Pens in a Largely Minority Population With Type 1 Diabetes doi.org/10.2337/doc25-0072 Shehab, et al. Barriers to Effective Type 2 Diabetes Care in a Conflict-Affected Region of Syria: A Qualitative Study of Health Care Provider Perspectives doi.org/10.2337/doc26-0021 ElSayed, et al. Enhancing Physician Clinical Competency: A Cluster Randomized Trial of a Multimodal Online Educational Program in a Multinational Diabetes Workforce doi.org/10.2337/doci25-0007 Olesen, et al. A Danish Nationwide Cohort of Foot Health in Individuals With Diabetes From the Danish Foot Status Database doi.org/10.2337/doc26-0002 To learn more about Diabetes, Obesity, and CardioMetabolic CARE please visit diabetesjournals.org/docm-care. Thank you for listening, and don't forget to subscribe.

Have a business idea scribbled in your Notes app?A coaching offer you can't stop thinking about?A course, consulting business, product, podcast, or creative project that keeps tugging at your heart?If you've ever wondered how clinicians actually make the leap into entrepreneurship, this episode is for you.In this episode, we break down the three most common paths clinicians take when building a business:✔️ Keeping your full-time clinical job while building on the side✔️ Transitioning to part-time clinical work while growing your business✔️ Leaving medicine entirely and going all-in on entrepreneurshipYou'll learn the pros, cons, risks, benefits, and realities of each path—including the financial, emotional, and practical considerations most people don't talk about.Because despite what social media may suggest, there is no single "right" way to become an entrepreneur.The best path is the one that aligns with your goals, finances, risk tolerance, and season of life.Key Takeaways:Why entrepreneurship isn't all-or-nothingThe benefits and drawbacks of building a side hustle while working full-timeWhy part-time clinical work can create valuable entrepreneurial runwayThe truth about quitting medicine and going all-in on a businessHow financial stability impacts business growthUnderstanding your personal risk toleranceThe importance of creating optionality in your careerWhy clinicians already possess many entrepreneurial skillsHow to determine which path fits your current life circumstancesYou do not have to burn down your clinical career to build something meaningful outside of medicine.Entrepreneurship can be strategic, intentional, and sustainable.The goal isn't necessarily to leave medicine.The goal is to create options.Join the Clinician Entrepreneur Collective Waitlist: www.tracybingaman.com/waitlist Keywords: clinician entrepreneur, healthcare entrepreneurship, physician assistant business, PA entrepreneur, clinician side hustle, healthcare side business, clinician coaching business, clinician entrepreneur collective, part time clinical work, physician associate entrepreneur, healthcare coaching business, clinician burnout, entrepreneurship for healthcare providers, medical side hustle, healthcare business ideas, clinician career transition, healthcare leadership, entrepreneur mindset, physician assistant career growth, make medicine optional

Learning the “basics” of AI begins with understanding how AI can help lighten the load family medicine educators carry every day in the clinic and classroom. In the first episode of our AI Deep Dive Summer Series, Drs Linda Chang and Rika Bajra discuss how AI has already affected medical education, from curriculum design and competency-based education to formative assessment and personalized learning. They show how AI literacy allows educators to reclaim time to focus on the human-centered aspects of patient care and medical education. And if you feel like it's too late to start learning about AI, they offer practical tips for both using and teaching AI in medical education. Hosted by Omari A. Hodge, MD, FAAFP and Jay-Sheree Allen Akambase, MDCopyright © Society of Teachers of Family Medicine, 2026Resources:Artificial Intelligence and Machine Learning for Primary Care Curriculum (AiMPC) CourseEthical Use of AI in the Family Medicine Clinic - STFM WebinarAn Opportunity to Thrive - AI in Family Medicine - STFM PodcastEstablishing a National Framework for Family Medicine AI Centers of Excellence - Fam Med.Linda Chang, PharmD, MPHDr Chang is an Associate Professor of Clinical Medicine at the University of Illinois Chicago (UIC) College of Medicine Rockford, with a background as a board-certified clinical pharmacist, a degree in Public Health, and ongoing studies toward a Master's in Health Professions Education. She spent 17 years as faculty in the Family Medicine Residency Program and currently serves as the Pharmacology Theme Director at the College of Medicine, where she teaches evidence-based medicine and public health. Her work reflects an interdisciplinary approach to medical education that integrates clinical practice, public health, and emerging technologies. As co-director of the AI in Medicine theme at UIC, Dr Chang has co-led the development and implementation of a longitudinal, integrated AI in Medicine curriculum, a fourth-year elective course, and an AI in Medicine scholarly concentration program.  Rika Bajra, MDDr Bajra is an Assistant Clinical Professor in Primary Care and Population Health at Stanford School of Medicine, where she practices as a family physician and teaches medical students as the Associate Director of the Clerkship in Family and Community Medicine. In her roles as Telehealth Co-Director and Telemedicine Education Curriculum Lead, she is focused on integrating technology tools into clinical practices and medical education through a primary care lens. She has previously developed telemedicine curricula with the STFM Telemedicine Task Force and received an Association of American Medical Colleges (AAMC) grant to create a longitudinal telemedicine curriculum. Currently, Dr Bajra is exploring the integration of artificial intelligence into the Family Medicine curriculum and its application in reducing faculty burden in Objective Structured Clinical Examination (OSCE) assessments. In her personal life, she lives with her husband and three boys and enjoys hiking and traveling.Link: https://www.stfm.org/stfmpodcast062026 

This clip comes from Dr. Raj's series with My Care Friends. Watch the video here: https://youtu.be/tpMpk9UHVTw?si=Z0FBuMI3uxRYJ2Q7 About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj ⁠The Dr. Raj Podcast⁠ ⁠Dr. Raj on Twitter⁠ ⁠Dr. Raj on Instagram⁠ Want more board review content? ⁠USMLE Step 1 Ad-Free Bundle⁠ ⁠Crush Step 1⁠ ⁠Step 2 Secrets⁠ ⁠Beyond the Pearls⁠ ⁠The Dr. Raj Podcast⁠ ⁠Beyond the Pearls Premium⁠ ⁠USMLE Step 3 Review⁠ ⁠MedPrepTGo Step 1 Questions⁠ ⁠MedPrepTGo Step 2 Questions⁠ Follow MedPrepToGo ⁠https://medpreptogo.com⁠ ⁠https://www.instagram.com/medpreptogo/⁠ ⁠https://www.linkedin.com/company/medpreptogo/⁠ ⁠https://www.facebook.com/MedPrepToGo/⁠ ⁠https://www.youtube.com/@MedPrepToGo⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Today's Guest Eloiza Tecson is a CEO, investor, and operational strategist who builds and scales brands in the health and wellness industries. With a track record of growing organizations, she specializes in the transition from a visionary concept to a high-performing, profitable global operation. Currently, Eloiza serves as Chief Executive Officer of LWI, overseeing Southern California's largest network of Lindora clinics. She is simultaneously the CEO of E20, a boutique wellness brand using electro muscular stimulation (EMS) as a more efficient method to resistance training. Beyond the boardroom, Eloiza is a competitive ultramarathoner, testing her mental and physical limits in 100-mile endurance races. Her work has earned her recognition as a Forbes 30 Under 30 honoree and a recipient of the Los Angeles Business Journal's Women's Leadership Awards and Orange County Business Journal's Women in Leadership Awards. Links  Eloiza on Instagram https://www.lindora.com/ Lindora on Instagram https://www.e20training.com/ E20 on Instagram E20 on Facebook E20 on LinkedIn About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Follow MedPrepToGo https://medpreptogo.com https://www.instagram.com/medpreptogo/ https://www.linkedin.com/company/medpreptogo/ https://www.facebook.com/MedPrepToGo/ https://www.youtube.com/@MedPrepToGo Learn more about your ad choices. Visit megaphone.fm/adchoices

This clip comes from Dr. Raj's series with My Care Friends. Watch the video here: https://www.youtube.com/watch?v=ULrG2LLI9Ww About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Follow MedPrepToGo https://medpreptogo.com https://www.instagram.com/medpreptogo/ https://www.linkedin.com/company/medpreptogo/ https://www.facebook.com/MedPrepToGo/ https://www.youtube.com/@MedPrepToGo Learn more about your ad choices. Visit megaphone.fm/adchoices

In today's conversation, we move beyond the idea of simply recording numbers in the cardiac arrest patient. Instead, we explore how physiological data can be used to guide real-time resuscitation, helping clinicians understand what is happening inside the patient, how interventions are working, and where care should go next. Joining us as the guest to discuss this is Mark Faulkner. Mark is an Advanced Paramedic for Hampshire and Isle of Wight Air Ambulance (HIOWAA), where he provides clinical leadership through his critical care practice. His work spans frontline practice, education, quality improvement, and the development of clinical pathways that shape the delivery of advanced pre-hospital care. This is the reading list associated with the episode:Barreto, A. et al. (2020) ‘Diastolic blood pressure and survival in cardiac arrest', Resuscitation, 155, pp. 1–8.Bernard, S.A. et al. (2024) ‘Physiology-guided resuscitation in cardiac arrest', Journal of Clinical Medicine, 13(12), p. 3527.Brede, J.R. et al. (2019) ‘Prehospital REBOA in cardiac arrest', Resuscitation, 140, pp. 136–143.Butterfield, E. et al. (2024) ‘Prehospital arterial monitoring in cardiac arrest', Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 32(1).Kruit, N. et al. (2025) ‘Prehospital ECPR (PRECARE study)', Resuscitation, 188.Nolan, J.P. et al. (2021) ‘European Resuscitation Council Guidelines', Resuscitation, 161, pp. 98–114.Perkins, G.D. et al. (2018) ‘Epinephrine in OHCA', New England Journal of Medicine, 379(8), pp. 711–721.Rubertsson, S. et al. (2014) ‘LINC trial', JAMA, 311(1), pp. 53–61.Sutton, R.M. et al. (2014) ‘Hemodynamic-directed CPR', Resuscitation, 85(3), pp. 397–402.Yannopoulos, D. et al. (2020) ‘Advanced reperfusion strategies', Circulation, 141(10), pp. 784–796.Rees, P. et al. (2023) ‘Prehospital arterial blood pressure monitoring and outcomes in cardiac arrest', Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine.Barrett, J. et al. (2023) ‘Diastolic blood pressure and ROSC in OHCA', Resuscitation.VitalStream from BHA Medical sponsors this podcast: Closing the Haemodynamic Blind Spots in Acute and Pre-Hospital CareVitalStream is a wireless, wearable, non-invasive haemodynamic monitoring platform designed to deliver continuous, real-time physiological data, so you're not relying purely on intermittent cuff readings when patients are unstable, moving, or in non-traditional care environments.Using AI-driven analytics and patented Pulse Decomposition Analysis, it provides continuous blood pressure alongside advanced haemodynamic parameters such as cardiac output, stroke volume, systemic vascular resistance, and fluid status. The aim is simple but critical: to help clinicians understand not just what the blood pressure is, but why, and whether a patient is fluid responsive or in need of a different intervention.BHA Medical's VitalStream solution focuses on integrating this level of monitoring into acute care workflows, streaming real-time data to a centralised platform, supporting earlier recognition of deterioration and more informed clinical decision-making.In corridor medicine, where patients are often managed outside traditional monitored spaces, the challenge is missed deterioration between spot checks. Continuous trending helps reduce those “blind spots,” enabling earlier identification of haemodynamic decline and better prioritisation when systems are under pressure.And in pre-hospital care, the value is in maintaining a clear physiological narrative from first patient contact through to hospital handover. VitalStream is designed for rapid deployment, applied, calibrated, and delivers data within around 90 seconds, using a low-pressure finger sensor that allows teams to follow trends in real time, rather than relying on isolated snapshots.For more information, visit: https://www.bha-medical.com/vitalstream-patient-monitoring

About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Follow MedPrepToGo https://medpreptogo.com https://www.instagram.com/medpreptogo/ https://www.linkedin.com/company/medpreptogo/ https://www.facebook.com/MedPrepToGo/ https://www.youtube.com/@MedPrepToGo Learn more about your ad choices. Visit megaphone.fm/adchoices

About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Follow MedPrepToGo https://medpreptogo.com https://www.instagram.com/medpreptogo/ https://www.linkedin.com/company/medpreptogo/ https://www.facebook.com/MedPrepToGo/ https://www.youtube.com/@MedPrepToGo Learn more about your ad choices. Visit megaphone.fm/adchoices

PDFs available here: https://rhesusmedicine.com/pages/rheumatologyConsider subscribing on YouTube: https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Video Timestamps:0:00 What is Hereditary Angioedema?0:58 Causes of Angioedema1:49 Hereditary Angioedema Pathophysiology3:07 Hereditary Angioedema Types4:41 Hereditary Angioedema Symptoms6:29 Hereditary Angioedema Diagnosis7:29 Hereditary Angioedema TreatmentPlease remember this video and all content from Rhesus Medicine is meant for educational purposes only and should not be used as a guide to diagnose or to treat. Please consult a healthcare professional for medical advice. ReferencesPatient.info (2023) Hereditary angio-oedema. Available at: https://patient.info/doctor/dermatology/hereditary-angio-oedemaBritish Society for Immunology (n.d.) Angioedema due to acquired C1 inhibitor deficiency. Available at: https://www.immunology.org/public-information/bitesized-immunology/immune-dysfunction/angioedema-due-acquired-c1-inhibitorHAE UK (n.d.) Diagnosis and investigations. HAE UK. Available at: https://www.haeuk.org/what-is-hae/diagnosis-and-investigations/American Academy of Allergy, Asthma & Immunology (2026) Immunomodulator medications. Available at: https://www.aaaai.org/tools-for-the-public/drug-guide/immunomodulator-medicationsKnyaMed (n.d.) Angioedema vs edema. Available at: https://knyamed.com/blogs/difference-between/angioedema-vs-edemaDermNet (2025) Hereditary angioedema. DermNet NZ. Available at: https://dermnetnz.org/topics/hereditary-angioedemaBork, K., Wulff, K., Witzke, G., Machnig, T. and Hardt, J. (2020) ‘Treatment of patients with hereditary angioedema with the c.988A>G (p.Lys330Glu) variant in the plasminogen gene', Orphanet Journal of Rare Diseases, 15(1), p. 52. doi: 10.1186/s13023-020-1331-8.Dickeson, S.K., Kumar, S., Sun, M.F., Cheng, Q., Sclafani, S., Verhamme, I.M., Kenne, E., Müller-Esterl, W., Renné, T. and Gailani, D. (2022) ‘A mechanism for hereditary angioedema caused by a lysine 311–to–glutamic acid substitution in plasminogen', Blood, 139(18), pp. 2816–2829. doi: 10.1182/blood.2021014167.Kozma, G.T., Gáll, Z., Hiripi, L., Bakk, E., Bodó, K., Varga, L. and Farkas, H. (2021) ‘Screening for plasminogen mutations in hereditary angioedema patients with normal C1-inhibitor levels', Journal of Clinical Medicine, 10(6), p. 1162. doi: 10.3390/jcm10061162.Matafonov, A., Sun, M.F. and Gailani, D. (2022) ‘Bradykinin formation by mutant plasminogen', Blood, 139(18), pp. 2732–2733. doi: 10.1182/blood.2022015967.Steinmüller-Magin, L., Wulff, K., Witzke, G., Bork, K. and Magerl, M. (2023) ‘Mutant plasminogen in hereditary angioedema is bypassing FXII/kallikrein to generate bradykinin', Frontiers in Physiology, 13, p. 1090732. doi: 10.3389/fphys.2022.1090732.Kaplan, A.P. (2019) ‘Hereditary angioedema: linking complement regulation to the coagulation system', Journal of Thrombosis and Haemostasis, 17(1), pp. 3–10. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC6332742/

Today's Guest Josh and his wife, Sandra are organic farmers in Mendocino County, California. This is a world-renowned cannabis growing region. They breed cannabis seeds and flowers for California's top dispensaries on their permitted 10,000 square feet farm and homestead where they raise a family. They're growing cannabis in the full sun and all the seeds in accordance with the rhythms of nature. Their crop grows in healthy, rich living soil alongside many other crops that do well in their microclimate. There are a lot of plants that are in the symphony of life that you will find when you step into their garden. This diverse garden requires zero pesticides of any kind, even organic, due to the balanced ecosystem which keeps the garden vibrant and healthy. Links  https://www.moongazerfarms.com/ https://www.instagram.com/moongazerfarms About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Follow MedPrepToGo https://medpreptogo.com https://www.instagram.com/medpreptogo/ https://www.linkedin.com/company/medpreptogo/ https://www.facebook.com/MedPrepToGo/ https://www.youtube.com/@MedPrepToGo Learn more about your ad choices. Visit megaphone.fm/adchoices

About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Follow MedPrepToGo https://medpreptogo.com https://www.instagram.com/medpreptogo/ https://www.linkedin.com/company/medpreptogo/ https://www.facebook.com/MedPrepToGo/ https://www.youtube.com/@MedPrepToGo Learn more about your ad choices. Visit megaphone.fm/adchoices

Today's Guest Mary McGowan is the president and CEO of the Foundation for Sarpedosis Research, the leading international organization dedicated to improving the lives of those with sarpedosis. Ms. Gowan leads groundbreaking efforts to improve clinical trial access, advance shared decision making, and accelerate drug development through efforts like the Ignore No More campaign, the Coalition to Advance Clinical Trial Engagement, and the FSR Global Sarcoidosis Clinic Alliance. Ms. Gowan has been recognized for her strategic, innovative, and collaborative efforts to advance the needs of rare disease patients through the creation of practical and impactful programs and collaborative networks. Links  ⁠https://www.stopsarcoidosis.org/ About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj ⁠⁠The Dr. Raj Podcast⁠⁠ ⁠⁠Dr. Raj on Twitter⁠⁠ ⁠⁠Dr. Raj on Instagram⁠⁠ Want more board review content? ⁠⁠USMLE Step 1 Ad-Free Bundle⁠⁠ ⁠⁠Crush Step 1⁠⁠ ⁠⁠Step 2 Secrets⁠⁠ ⁠⁠Beyond the Pearls⁠⁠ ⁠⁠The Dr. Raj Podcast⁠⁠ ⁠⁠Beyond the Pearls Premium⁠⁠ ⁠⁠USMLE Step 3 Review⁠⁠ ⁠⁠MedPrepTGo Step 1 Questions⁠⁠ ⁠⁠MedPrepTGo Step 2 Questions⁠⁠ Follow MedPrepToGo ⁠⁠https://medpreptogo.com⁠⁠ ⁠⁠https://www.instagram.com/medpreptogo/⁠⁠ ⁠⁠https://www.linkedin.com/company/medpreptogo/⁠⁠ ⁠⁠https://www.facebook.com/MedPrepToGo/⁠⁠ ⁠⁠https://www.youtube.com/@MedPrepToGo⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Today's Guest Tracy is a U.S. Air Force veteran and the author of "Warrior Mom, A Mother's Journey into Healing Her Son with Autism." She's also a certified integrative health coach and founder and president of Autism Health, a nonprofit dedicated to educating and empowering families impacted by autism. Her advocacy began in 2008 when her son Noah was diagnosed with autism, and doctors told her it was incurable. Refusing to accept that prognosis, she discovered biomedical interventions that gave her son measurable progress and transformed her mission in life. Over the last 17 years, she has immersed herself in research, collaborated with doctors and scientists, and equipped families with practical tools to improve quality of life. Links  autismhealth.com warriormom.com https://tracyslepcevic.com/ About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj ⁠The Dr. Raj Podcast⁠ ⁠Dr. Raj on Twitter⁠ ⁠Dr. Raj on Instagram⁠ Want more board review content? ⁠USMLE Step 1 Ad-Free Bundle⁠ ⁠Crush Step 1⁠ ⁠Step 2 Secrets⁠ ⁠Beyond the Pearls⁠ ⁠The Dr. Raj Podcast⁠ ⁠Beyond the Pearls Premium⁠ ⁠USMLE Step 3 Review⁠ ⁠MedPrepTGo Step 1 Questions⁠ ⁠MedPrepTGo Step 2 Questions⁠ Follow MedPrepToGo ⁠https://medpreptogo.com⁠ ⁠https://www.instagram.com/medpreptogo/⁠ ⁠https://www.linkedin.com/company/medpreptogo/⁠ ⁠https://www.facebook.com/MedPrepToGo/⁠ ⁠https://www.youtube.com/@MedPrepToGo⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Mallary Tenore Tarpley joins Let's Talk Memoir for a conversation about the middle place between acute sickness and full recovery, living with the imprints of a disorder, resisting thinking in black and white, the memoir plus genre, making memoir reportage and research seamless, showing our imperfections on the page, exploring hard truths along with hope, leaning into the most authentic version of our story, calibrating how much to reveal and how much to conceal, not ever arriving at a place of full recovery, holding onto hope for our book project, upholding values of curiosity and authenticity and truthtelling, when the middle place is the story, restorative narratives, and her new memoir SLIP: Life in the Middle of Eating Disorder Recovery.   Also in this episode:  -writing a book of service -leaving room for readers -applying for a book-writing grant   Books mentioned in this episode: The Invisible Kingdom by Meghan O'Rourke Between Two Kingdoms by Suleika Jaouad Illness As Metaphor by Susan Sontag  Lost and Found by Katherine Schultz   Mallary Tenore Tarpley is an assistant professor of practice at the University of Texas at Austin, where she teaches journalism classes in the Moody College of Communication and writing classes at the McCombs School of Business.   Her debut nonfiction book, SLIP: Life in the Middle of Eating Disorder Recovery, which was published by Simon & Schuster's Simon Element explores the under-discussed complexities of eating disorders and recovery from them. The book is equal parts memoir and journalism, and it weaves together Mallary's own narrative with perspectives from clinicians, researchers, and others with lived experience. In 2023, Mallary received a generous grant from the Alfred P. Sloan Foundation to support the science-related reporting in the book, specifically around the neurobiological and genetic aspects of eating disorders. SLIP received the Association of American Publishers' 2026 Excellence Award for Biological & Life Sciences. It also won first place in the Clinical Medicine category and was a finalist in the Outstanding Work by a Trade Publisher category.   Mallary's articles and personal essays about eating disorders have been published in The New York Times, The Wall Street Journal, The Washington Post, The Los Angeles Times, TIME Magazine, and Teen Vogue, among other publications. She maintains a weekly newsletter, Write at the Edge, featuring writing tips and best practices.   Connect with Mallary: Website: mallarytenoretarpley.com Weekly newsletter: mallary.substack.com Instagram: https://www.instagram.com/mallarytenoretarpley/ LinkedIn: https://www.linkedin.com/in/mallary-tenore-tarpley-6719484/ Facebook: https://facebook.com/mallary.tenore Get the book: https://www.simonandschuster.com/books/Slip/Mallary-Tenore-Tarpley/9781668035016   – Ronit's writing has appeared in The Atlantic, The Rumpus, The New York Times, Poets & Writers, The Iowa Review, Hippocampus, The Washington Post, Writer's Digest, American Literary Review, and elsewhere. Her memoir WHEN SHE COMES BACK about the loss of her mother to the guru Bhagwan Shree Rajneesh and their eventual reconciliation was named Finalist in the 2021 Housatonic Awards Awards, the 2021 Indie Excellence Awards, and was a 2021 Book Riot Best True Crime Book. Her short story collection HOME IS A MADE-UP PLACE won Hidden River Arts' 2020 Eludia Award and the 2023 Page Turner Awards for Short Stories.  She earned an MFA in Nonfiction Writing at Pacific University, is Creative Nonfiction Editor at The Citron Review, and teaches memoir through the University of Washington's Online Continuum Program and also independently. She launched Let's Talk Memoir in 2022, lives in Seattle with her family of people and dogs, and is at work on her next book. More about Ronit: https://ronitplank.com Subscribe to Ronit's Substack: https://substack.com/@ronitplank   Follow Ronit: https://www.instagram.com/ronitplank/ https://www.facebook.com/RonitPlank https://bsky.app/profile/ronitplank.bsky.social

According to Journal of Clinical Medicine, roughly 62.3% of women report experiencing pain around the back or neck and limb areas.  Most of us have accepted the pain as a normal part of life that just happens in our thirties, what comes with having kids and part of aging. Broads coaches have observed that that happens when women have been conditioned to stay small, move less, and treat their bodies as something to shrink rather than something to build. The women who start strength training do not just get stronger. They get their energy back, their pain starts to ease, and have more confidence to move their bodies.  The goal is no longer to tone the muscles but to chase how to finally feel good with their bodies. We dive deeper into this in the latest episode of Broads with Taylor McGee and T-Ferg, two coaches in the Broads Coach Program who have spent years helping women unlearn the myths of the fitness industry and build something real instead. We also discuss why imperfect action breeds motivation and what actually gets women to show up consistently, why the perfect time to start does not exist and why messy is better than waiting. Taylor McGee is a Philadelphia-based certified coach with seven years in the fitness industry. T-Ferg is a Denver-based coach with over ten years in and around movement and strength. Together they bring a clear-eyed, no-nonsense perspective on what women actually need, not just in the gym, but in how they show up for themselves and for their clients every single day. What's Discussed: (03:20) Why pull-ups are one of the most powerful things a woman can build (08:45) How celebrating your wins without a "but" changes everything (12:10) Why confidence and ego are not the same thing & how women were conditioned to confuse them (18:30) The toning myth: why the word was designed to keep women small  (24:15) Why motivation is a myth and what actually gets you to show up consistently (31:40) How to start so small that showing up becomes inevitable (38:20) Why the perfect time to start is always right now especially when life is messy (44:10) What a coach actually does for you that a workout app never can (51:25) Why real results take five years and why that should excite you, not scare you (57:30) What taking up space actually means in the gym and in your life Thank You to Our Sponsors: BroadsCOACH: Head to broads.com/join and apply for BroadsCOACH. IM8: Use my code TARA at checkout to save 10% on your first order at https://im8health.com/   Find more from Broads: Website: https://www.broads.app Instagram: @broads.podcast @broads.app   Check out more from Tara LaFerrara: Website: http://taralaferrara.com Instagram: @taralaferrara Youtube: @TaraLaferrara Tiktok: @taralaferrara Check out more from Taylor McGee: Instagram: @taylormcgeefit Facebook: Taylor McGee Fitness Website: https://taylormcgeefit.com/online-coaching Broads app link: https://www.broads.app/coachtaylormcgee Check out more from Taylor Ferguson: Instagram: @your.wellness.barbie Tiktok: @taylor_melissa_ Broads app link: https://www.broads.app/coachtaylorferguson

Neuroendocrine tumor (NET) care is changing fast—and the pace of innovation is only accelerating. In this episode, Aman Chauhan, MD, Associate Professor of Clinical Medicine at the University of California, San Francisco (UCSF), breaks down the latest advances that are reshaping how clinicians diagnose and treat NETs. Dr. Chauhan, who recently chaired i3 Health's CME activity Optimizing Neuroendocrine Tumor Outcomes: Closing the Gaps in Diagnosis and Care, returns to highlight what's new and what matters most for practice. From evolving epidemiologic insights to emerging targeted therapies and next‑generation immunotherapies, he explains how these developments are expanding options for patients and refining real‑world decision making. Whether you're a clinician treating NETs, a trainee looking to stay current, or a listener interested in where cancer care is headed next, this conversation offers a concise, high‑yield tour of the NET landscape—and where it's going next. Click the link to view the full activity and claim your free CME credit: https://bit.ly/41Qo65Y Click here to download/view the infographic: https://bit.ly/4bbSUmL

Host Dr. Larry Barsh sits down with two frontline Philadelphia healthcare providers to discuss the mounting health crisis driven by fear of immigration enforcement in immigrant communities. The conversation draws on a powerful New York Times op-ed the guests co-authored in February, titled "Our Patients Are More Frightened and Sicker Than Ever," and explores real patient stories, systemic failures, and what listeners can do to help.Dr. Robin Canada - Professor of Clinical Medicine, University of Pennsylvania's Perelman School of Medicine. Primary care physician and community health leader serving as Associate Division Chief for Community Engagement and Director of Residency Education at a clinic specifically for immigrant patients in South Philadelphia. Co-author of the February New York Times op-ed.Elizabeth Whidden - Fifth-year MD/MPH student at the University of Pennsylvania, months away from beginning her residency in internal medicine. Former immigrant case manager. Current leader of an organization coordinating medical-legal partnerships for asylum seekers. Co-author of the February New York Times op-ed.Widespread fear in immigrant communities is causing patients to avoid medical care, even those with legal status.ICE activity has been described as indiscriminate — affecting documented residents, mixed-status families, and U.S. citizens.Medical Consequences of DetentionInterruption of medications for diabetes, hypertension, post-stroke care, dialysis, and addiction leads to rapid deterioration.Reportedly 40+ detainee deaths in 2025; 6–8 already reported in 2026 (exact figures uncertain).An ACLU analysis found roughly 95% of detention deaths between 2021–2024 were preventable with proper medical care.Detained individuals face lack of food access, irregular bathroom schedules, absence of exercise, and extreme psychological stress.How Clinics Are Responding Switching to phone-based telemedicine appointments when ICE threat levels are high.Locking clinic waiting rooms to prevent unannounced ICE entry; installing security in the vestibule.Increased proactive outreach to high-risk patients who have stopped coming in.Writing letters of medical necessity for detained patients to support legal and consulate efforts.Coordinating medical-legal partnerships for asylum seekers through student-led organizations.Relevance to SeniorsMany caregivers in senior living and skilled nursing facilities come from immigrant communities — ICE enforcement directly disrupts elder care.Undocumented seniors are also directly affected — the episode highlights a man in his late 60s on dialysis being worked up for cancer who lives under dual threats of illness and deportation.How You Can HelpDonate to legal aid organizations in your city — immigration lawyers are working around the clock on habeas petitions and there is a serious shortage.Support safety-net clinics caring for immigrant patients — these communities often have no access to Medicaid, Medicare, or food assistance.Search for immigrant rights organizations in your city — most have a "how to help" section on their website with both financial and volunteer opportunities.Attend protests and rallies — as Dr. Canada notes, the world is watching, and advocacy from seniors carries special weight.Stay informed and speak out — sharing the realities of what is happening in your community can shift the conversation.Referenced Article"Our Patients Are More Frightened and Sicker Than Ever" — New York Times op-ed, February 2025, by Dr. Robin Canada and Elizabeth Whidden. The piece describes the devastating health consequences of immigration enforcement on patients in Philadelphia's South Side and calls for systemic reform.Article by Dr, Canadahttps://closler.org/passion-in-the-medical-profession/detained

Lent is underway, and many will be trying to eat healthier after all that king cake. We'll get some tips on the best ways to do that from Dr. Catherine Hudson, Associate Professor of Clinical Medicine at LSU Health New Orleans School of Medicine.

Today's Guest Dr. Tony Nader is a medical doctor who trained at Harvard and the Massachusetts Institute of Technology, where he got a PhD in neuroscience. He is a globally recognized Vedic scholar. As Maharishi Mahesh Yogi's successor Dr. Nader is the head of the International Transcendental Meditation Organizations in over 100 countries. From the Americas to Asia, from Europe to Africa, Dr. Nader guides the Transcendental Meditation Program and its advanced practices. And the practical applications of this technology in all areas of national life, education, health, business, defense, agriculture, and much more. Dr. Nader's vision is to bring happiness, health, and peace to the minds and hearts of the whole world family. His experiences as a teacher, father, leader, scientist, and doctor have inspired his dedication to all global citizens. And his commitment to opening their awareness to the important things in life from a truly profound perspective. To help remove conflicts in society so that higher values and beautiful goals become the guiding light of everyone in his total focus. In his milestone book, Consciousness Is All There Is, Dr. Nader offers ideas that can change the world. He gives profound solutions to questions that have long fascinated and intrigued philosophers and scientists alike, covering the fields as diverse as the purpose of life. The book is available here: https://a.co/d/0a1m8a3 Links  https://drtonynader.com/ https://tm.org About Dr. Raj Dr. Raj Dasgupta is an ABIM Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. More from Dr. Raj The Dr. Raj Podcast Dr. Raj on Twitter Dr. Raj on Instagram Want more board review content? USMLE Step 1 Ad-Free Bundle Crush Step 1 Step 2 Secrets Beyond the Pearls The Dr. Raj Podcast Beyond the Pearls Premium USMLE Step 3 Review MedPrepTGo Step 1 Questions MedPrepTGo Step 2 Questions Follow MedPrepToGo https://medpreptogo.com https://www.instagram.com/medpreptogo/ https://www.linkedin.com/company/medpreptogo/ https://www.facebook.com/MedPrepToGo/ https://www.youtube.com/@MedPrepToGo Learn more about your ad choices. Visit megaphone.fm/adchoices

You've treated the pain. You've tracked the triggers. You've adjusted food, sleep, and stress and yet migraines keep finding a way in.What if the missing piece isn't in your head… but in your metabolism?In this episode of Migraine Heroes Podcast, host Diane Ducarme explores one of the most overlooked drivers of migraine: the thyroid. Not as a single lab value, but as a system that sets the rhythm for your brain, your nervous system, and your tolerance to pain.The thyroid doesn't just influence weight or energy. It acts as a metabolic pacemaker, shaping blood flow, heat production, neurotransmitter balance, and stress resilience. When that rhythm slows or becomes unstable, the migraine brain becomes far more reactive — even to triggers that once felt manageable.Blending modern neuroscience with an Eastern medicine lens, this episode unpacks why migraines often show up alongside fatigue, coldness, brain fog, pressure headaches, and that persistent feeling of running on empty.In this episode, you'll learn:Why the thyroid functions as the metabolic pacemaker for the brain and how a slowed rhythm lowers your migraine thresholdHow reduced internal “fire” contributes to dampness, heaviness, and pressure in the headFive subtle yet powerful ways a struggling metabolism signals the nervous system to trigger migraineWhy thyroid-linked migraines often feel slower, heavier, and harder to shakeHow restoring rhythm, warmth, and flow can change how your migraine brain respondsThis episode isn't about diagnosing disease or blaming a single gland. It's about understanding the deeper patterns your body is communicating and responding before those whispers become pain.If your migraines come with fatigue, cold sensitivity, brain fog, or a sense that your system just can't keep up anymore, this conversation may finally bring clarity.

Protein bars, shakes, and snacks now line grocery shelves, turning a basic nutrient into a booming food trend. Alice Callahan, a nutrition and health reporter for The New York Times and and Dr. Rekha Kumar, an associate professor of Clinical Medicine and Attending Endocrinologist at the Weill Cornell Medical College explains why protein matters for the body, how much people actually need, and how food companies transformed it into big business.

You've probably heard of GLP-1 drugs like semaglutide and tirzepatide—and maybe you've even wondered, “Should I be on one of these?” This conversation is my honest, compassionate take on these powerful weight loss medications: not medical advice, not fear-mongering, and definitely not hype.In this episode, I unpack what GLP-1 receptor agonists (a class of anorectic drugs) really are, how they work, why they're so effective for fat loss—and what most people don't realize about what happens when you stop taking them. I'll walk through recent research, potential side effects, and the rebound weight gain that happens to so many… not because you failed, but because of basic human physiology.This is a supportive conversation for anyone who's considering these medications, already using them, or just wants to better understand their role in the weight loss space. And while there's no shame in using tools like these, lifestyle change still has to be the foundation. Always.What we go over:What GLP-1 drugs actually do in your bodyWhat happens after you stop taking them (and why)Why muscle loss and metabolic slowdown are often overlookedThe importance of strength training, protein, and movement—even with medsWhy long-term success still comes down to habits, not just prescriptionsHow to think critically and compassionately about weight loss toolsThese drugs are effective—but they're not magic. Let's have the real conversation.Sources:Quarenghi M, Capelli S, Galligani G, Giana A, Preatoni G, Turri Quarenghi R. Weight Regain After Liraglutide, Semaglutide or Tirzepatide Interruption: A Narrative Review of Randomized Studies. Journal of Clinical Medicine. 2025; 14(11):3791. Weight Regain After Liraglutide, Semaglutide or Tirzepatide Interruption: A Narrative Review of Randomized StudiesSun Q. (2026). Weight regain after cessation of GLP-1 drugs. BMJ (Clinical research ed.), 392, r2586. https://doi.org/10.1136/bmj.r2586West S, Scragg J, Aveyard P, Oke J L, Willis L, Haffner S J P et al. Weight regain after cessation of medication for weight management: systematic review and meta-analysis BMJ 2026; 392 :e085304 doi:10.1136/bmj-2025-085304Support the showGet Weekly Health Tips: thrivehealthcoachllc.com Join the Thrive Collective Facebook group Let's Connect:@‌ashleythrivehealthcoach or via email: ashley@thrivehealthcoachingllc.com Podcast Produced by Virtually You!

In this episode of Health Matters, host Courtney Allison is joined by Dr. Rekha Kumar, endocrinologist and primary care physician at NewYork-Presbyterian and Weill Cornell Medicine, to unpack the science behind aging well. They discuss biohacking, longevity, and health span, separating evidence-based strategies from social media hype and exploring what truly helps us age well.What You'll Learn in This EpisodeWhat “biohacking” really means● How biohacking ranges from simple lifestyle optimization to high-tech, experimental interventions● The difference between lifespan (how long you live) and health span (how long you live well)The Longevity Pyramid● Why the foundation of healthy aging is built on:SleepMovement and strength trainingNutritionStress managementSocial connection● How advanced tools and supplements sit at the top—and why they should never replace the basicsWearables and Tracking● How devices like smartwatches, glucose monitors, and fitness trackers can support behavior change● When tracking becomes counterproductive or stressfulPeptides and “Anti-Aging” Supplements● What's proven (e.g., metformin, GLP-1 receptor agonists)● What's still experimental or under-studied (BPC-157, sermorelin, NAD boosters)Nootropics and Cognitive Enhancers● Everyday nootropics like caffeine● The role of L-theanine for “calm focus”● Myths around perfectly timed caffeine and cortisol rhythmsNutrigenomics and Personalized Nutrition● How genes can influence responses to foods (e.g., lactose intolerance, APOE and saturated fat)● Why many direct-to-consumer genetic tests may overpromiseThe Gut Microbiome● The role of Akkermansia muciniphila in metabolic health● How medications like metformin and GLP-1s may positively shift gut bacteria● What's still unknown about probiotic supplementationGenetic and Biomarker Testing● The difference between actionable medical insights and “information overload”● Why results of unknown significance can cause unnecessary anxietyThe Big Takeaways● There are no true shortcuts to longevity● Sustainable habits beat quick fixes● Our biology is built for rhythms, not constant optimizationFeatured ExpertAbout Rekha B. Kumar, M.D., M.S.Dr. Rekha B. Kumar is an attending endocrinologist at NewYork-Presbyterian/Weill Cornell Medical Center and an associate professor of Clinical Medicine at Weill Cornell Medicine. She specializes in adult primary care and endocrinology and has academic expertise in the diagnosis and treatment of various endocrine disorders, including obesity/weight management, type 2 diabetes, polycystic ovarian syndrome (PCOS), thyroid disorders, as well as metabolic bone disease.Dr. Kumar completed her undergraduate studies at Duke University and received her masters degree in Physiology from Georgetown University. She received her M.D. from New York Medical College and completed her residency training in Internal Medicine at NewYork-Presbyterian/Weill Cornell Medical Center. Dr. Kumar obtained her clinical fellowship in the combined Diabetes, Endocrinology, and Metabolism program at the NewYork-Presbyterian/Weill Cornell Medical Center and the Memorial Sloan Kettering Cancer Center. Dr. Kumar is Board Certified in Internal Medicine, Endocrinology, Diabetes, & Metabolism, and Obesity Medicine.Coming Up NextIn the next episode of Health Matters, we'll explore brain health and the short- and long-term effects of alcohol on the brain with Dr. Hugh Cahill. Subscribe and follow Health Matters on Apple Podcasts, Spotify, or wherever you listen to stay up to date with expert-driven conversations on living well at every stage of life.About Health MattersHealth Matters is your bi-weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine.To learn more visit: https://healthmatters.nyp.org

What's changing at NBCE, why it's changing, and how it impacts students and the profession. In this episode of the Chiropractic BioPhysics (CBP) Seminars Podcast, Dr. Deed Harrison is joined by Dr. Jason Jaeger and Dr. Joe Ferrantelli for a timely discussion on major updates to NBCE testing, especially changes to the Part IV examination, and what these changes may mean for chiropractic students, new graduates, educators, and the profession at large. Dr. Jaeger (NBCE leadership; state regulatory board experience; ICA and WFC involvement) explains the “why” behind modernization efforts—covering centralized testing, exam integrity, improved reliability, and how increased testing availability can help graduates enter practice sooner. Topics covered: Why NBCE is moving toward centralized Part IV testing Part IV updates: format changes, improved grading consistency, and a more real-world clinical feel Student impact: more frequent testing opportunities and potentially shorter delays to licensure The role of boards: public protection, competency assessment, and stakeholder input Professional Cooperation: reducing noise and focusing on constructive progress Research spotlight: a new CBP paper in the Journal of Clinical Medicine comparing first-episode acute low back pain patients to matched controls using sophisticated sagittal plane analysis Featured doctors: Dr. Deed Harrison Dr. Jason Jaeger Dr. Joe Ferrantelli Upcoming event mention: An AI / machine learning-focused CBP event is scheduled for January 31, 2026. Visit idealspine.com for upcoming seminars and registration. https://www.idealspine.biz/collections/seminars/products/ai-machine-learning-cbp-technique    #Chiropractic #NBCE #CBP #ChiropracticStudents #BoardExams #SpineResearch #LowBackPain #ChiropracticResearch

What's changing at NBCE, why it's changing, and how it impacts students and the profession. In this episode of the Chiropractic BioPhysics (CBP) Seminars Podcast, Dr. Deed Harrison is joined by Dr. Jason Jaeger and Dr. Joe Ferrantelli for a timely discussion on major updates to NBCE testing, especially changes to the Part IV examination, and what these changes may mean for chiropractic students, new graduates, educators, and the profession at large. Dr. Jaeger (NBCE leadership; state regulatory board experience; ICA and WFC involvement) explains the “why” behind modernization efforts—covering centralized testing, exam integrity, improved reliability, and how increased testing availability can help graduates enter practice sooner. Topics covered: Why NBCE is moving toward centralized Part IV testing Part IV updates: format changes, improved grading consistency, and a more real-world clinical feel Student impact: more frequent testing opportunities and potentially shorter delays to licensure The role of boards: public protection, competency assessment, and stakeholder input Professional Cooperation: reducing noise and focusing on constructive progress Research spotlight: a new CBP paper in the Journal of Clinical Medicine comparing first-episode acute low back pain patients to matched controls using sophisticated sagittal plane analysis Featured doctors: Dr. Deed Harrison Dr. Jason Jaeger Dr. Joe Ferrantelli Upcoming event mention: An AI / machine learning-focused CBP event is scheduled for January 31, 2026. Visit idealspine.com for upcoming seminars and registration. https://www.idealspine.biz/collections/seminars/products/ai-machine-learning-cbp-technique  #Chiropractic #NBCE #CBP #ChiropracticStudents #BoardExams #SpineResearch #LowBackPain #ChiropracticResearch

How Conventional Medicine Is Ruining Our Kids | Dr. Larry PalevskyTurn online alignment into an offline community — join us at TheWayFwrd.com to connect with like-minded people near you.We're watching an entire generation of children get sicker, and the medical system still won't admit it's out of answers. Parents see it. Practitioners see it. And the gap between real-world patterns and the official explanations around childhood illness keeps widening.In this episode, Dr. Larry Palevsky breaks down the observations that pushed him to question the pediatric model from within. Standard protocols weren't helping. Some interventions were making symptoms worse. And the infection-based framework he was trained to follow simply didn't explain the chronic inflammation, neurodevelopmental issues, or immune dysregulation showing up in real kids.Looking for clarity, he stepped outside the conventional lane—into nutrition, Chinese medicine, chiropractic, reiki, herbology, and other holistic approaches that offered a fuller picture of children's health. That search opened deeper questions about vaccine ingredients, aluminum adjuvants, immune overload, environmental toxicity, and whether our definition of “infection” actually matches what's happening inside children's bodies.This conversation is for anyone who already knows the system is breaking kids—and wants the language, context, and coherence to understand why, and what truly supports long-term health.You'll Learn:[00:00:00] Introduction[00:06:23] The lost art of Clinical Medicine[00:07:38] The emergency room revelation about ear infections and antibiotics[00:12:21] Discovering the concept of "the body has the innate capacity to heal"[00:17:09] Using reiki in the delivery room to save babies[00:23:24] The pivotal moment a mother asked about mercury in vaccines[00:26:42] The premature baby saved by fish oil[00:33:14] Why Dr. Larry stopped vaccinating and started educating[00:42:18] The troubling science of aluminum adjuvants in vaccines[01:03:08] Three brain regions where nanoparticles travel[01:06:29] What sorbitol in MMR might actually be doing[01:18:21] Why vaccines are "safe and effective" is the wrong debate[01:24:10] The real contagion theory no one talks about[01:34:07] Acute illness is rarely an infection[01:48:42] The 15-year-old diagnosed with autism who actually had addiction[01:41:59] The autism debate, diagnostic labels, and the dozen causes of brain injury in children[02:04:26] The parenting advice that sounds cruel but builds resilience[02:08:40] What "making children well again" actually requires [02:22:15] Symptoms are just the body doing its job[02:16:53] The two-part vision: reforming pediatrics and reclaiming allopathic medicineResources Mentioned:Danish Study on 1.2 Million Children Settles the Vaccine-Autism Debate | ArticleCan You Catch A Cold? By Daniel Roytas | BookFind more from Dr. Larry Palevsky:Dr. Palevsky | WebsiteDr. Palevsky | InstagramFind more from Alec:Alec Zeck | InstagramAlec Zeck | XThe Way Forward | InstagramThe Way Forward is Sponsored By:Designed for deep focus and well-being. 100% blue light and flicker free. For $50 off your Daylight Computer, use discount code: TWF50New Biology Clinic: Redefine Health from the Ground UpExperience tailored terrain-based health services with consults, livestreams, movement classes, and more. Visit www.NewBiologyClinic.com and use code TheWayForward for $50 off activation. Members get the $150 fee waived

Actinomyces species are considered part of the normal vaginal and urogenital tract flora. The percentage of Pap smears containing Actinomyces-like organisms varies but is most commonly reported as approximately 7% among women using IUDs. That number is supported by multiple sources, including the Infectious Diseases Society of America guideline and several clinical studies. The incidence can be higher or lower depending on the type of IUD; for example, copper IUDs have been associated with rates up to 20%, while levonorgestrel-releasing IUDs show lower rates around 2.9%. In women with an IUD, who are found to have this finding on their liquid-based Pap smear, what is the appropriate management? In this episode, which comes from one of our podcast family members, we will discuss this topic and it's management in both symptomatic and symptomatic (pelvic pain) IUD wearing women. 1. McHugh KE, Sturgis CD, Procop GW, Rhoads DD. The Cytopathology of Actinomyces, Nocardia, and Their Mimickers. Diagnostic Cytopathology. 2017;45(12):1105-1115. doi:10.1002/dc.23816.2. Practice Bulletin No. 186: Long-Acting Reversible Contraception: Implants and Intrauterine Devices. Obstetrics and Gynecology. 2017;130(5):e251-e269. doi:10.1097/AOG.0000000000002400.3. Miller JM, Binnicker MJ, Campbell S, et al. Guide to Utilization of the Microbiology Laboratory for Diagnosis of Infectious Diseases: 2024 Update by the Infectious Diseases Society of America (IDSA) and the American Society for Microbiology (ASM). Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America. 2024; ciae104. doi:10.1093/cid/ciae104.5. Carrara J, Hervy B, Dabi Y, et al. Added-Value of Endometrial Biopsy in the Diagnostic and Therapeutic Strategy for Pelvic Actinomycosis. Journal of Clinical Medicine. 2020;9(3):E821. doi:10.3390/jcm9030821.

Plastic is everywhere. In our homes, on our streets, in our oceans. But recent research suggests it's also inside us: in our blood, our organs, even our brain. So how concerned should we be? Today, Jonathan and Dr. Federica Amati are joined by longevity doctor and clinician Dr. Sabine Donnai to explore one critical question: what does plastic exposure mean for our long-term health?  Dr. Donnai breaks down how microplastics travel from packaging, food, and air into our bloodstream, and why their size means they may cross biological barriers once thought impenetrable, including the blood-brain barrier. The conversation also looks at the broader health implications of plastic-associated chemicals like BPA, their potential links to hormone disruption, inflammation, and cardiovascular risk, and why avoiding them may be especially important for those living in urban areas. For listeners keen to take practical steps, this episode offers simple and empowering guidance. Dr. Donnai shares specific tools that can reduce your exposure without creating unnecessary fear or overwhelm. You'll also hear how diet plays a key role in supporting your body's natural detox processes and why a colourful, fibre-rich diet may help us all manage the modern plastic burden. If plastics are entering your brain and bloodstream, what does it mean for your future health? And how much control do we really have in a world built on plastic? Unwrap the truth about your food

Dr. Leonard Weinstock discusses Innovative Solutions for Mast Cell Activation Syndrome with Dr. Ben Weitz.   [If you enjoy this podcast, please give us a rating and review on Apple Podcasts, so more people will find The Rational Wellness Podcast. Also check out the video version on my WeitzChiro YouTube page.]    Podcast Highlights           Dr. Leonard Weinstock is Board Certified in Gastroenterology and Internal Medicine, practicing in St. Louis, Missouri.  He is president of Specialists in Gastroenterology and the Advanced Endoscopy Center.  He teaches at Barnes-Jewish Hospital and is an Associate Professor of Clinical Medicine and Surgery at Washington University School of Medicine. Dr. Weinstock is an active lecturer, including having spoken at some SIBO conferences, and he has published more than 70 articles, editorials, and book chapters.  He has teamed with Dr. Lawrence Afrin to research and publish articles on Mast Cell Activation syndrome and gastroenterology.  His contact info is at Specialists in Gastroenterology and his phone is 314-997-0554. Dr. Ben Weitz is available for Functional Nutrition consultations specializing in Functional Gastrointestinal Disorders like IBS/SIBO and Reflux and also Cardiometabolic Risk Factors like elevated lipids, high blood sugar, and high blood pressure.  Dr. Weitz has also successfully helped many patients with managing their weight and improving their athletic performance, as well as sports chiropractic work by calling his Santa Monica office 310-395-3111.