Podcasts about CNS

Please Subscribe and Review: Apple Podcasts | RSS Submit your questions for the podcast here News topic du jour: America Trapped between hyperinflation and great depression: https://youtu.be/005qauRPRgs   Podcast Questions: 1. Protein combining/quality [13:30] Mike says: Hi guys, This isn't your average black beans + corn + rice (or however the vegans tell it) question, or maybe it is??? I was hoping you could clear something up for me. Every week I mix up a huge batch of: 10% milkfat cabot yogurt, 1 can coconut milk, 1-1.5 cup oats, a couple stevia packets, + some combo of various amounts of: raisins, protein powder, collagen protein, chia seeds, coconut flakes, chopped nuts, coco powder, instant coffee, etc; and then batch it out for daily breakfasts. Honestly, its awesome, on the level of some sort of non-frozen ice cream treat, and I would tend to this its at least prettttty healthy. Question: each bowl ends up being a dense 500-600 calories, and 30-40 total grams of protein …I would usually tend to think that everything outside yogurt-protein and whey power are sort of crap-protein that shouldn't hardly be counted, but does this crap-protein gain value when eaten in the complete amino matrix found in the animal foods? Essentially, is incomplete added to complete valuable? I feel like I always hear the combining-question in the context of incomplete incomplete. Side question to squeeze it in; any value to all those things sitting in my yogurt for 5-6-7 days? Fermentationwise.. anti-nutrients go poof!??   2. Brain Fog After Training [19:08] Steve says: I am approaching 40 but still giving hell and setting PRs (late bloomer). I like to lift heavy, ruck, do circuit training, wrestle, play flag football. Already taking 1000mg DHA fish oil, 10g creatine, 6g salt/electrolytes, 2g magnesium malate daily. I'm 6'4" 295lb. Is there a way to avoid or curb the CNS/brain fatigue that follows heavy training. I work from home and have a home gym. I would love to train at about 3pm when I still feel energized. However it can feel impossible to do work after training for about 2-3 hours after. Caffeine is a no go since it will make me stay up all night. Any thoughts?   3. Conflicting Information - Where to Start? [26:23] Shaun says: I am 47 and lived a life of low fat high carb and lots of artificial sweeteners. The thing is I am getting sicker, more unhealthy and my weight is going up. There is so much conflicting information so I don't know where to start. Every time I try to cut carbs down and dump my artificial sweeteners use my energy tanks and I end up on the cycle again. Now please don't judge but at its worse I was using 20 plus packets of equal a day and drinking 2 litres of diet a coke today to keep energy up. Please help. Shaun from New Zealand Sponsor: The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT. Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don't. Click here to get your LMNT electrolytes Transcript: Download a copy of the transcript here (PDF)

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MidazolamVersedNursingConsiderations      Generic Name midazolam Trade Name Versed Indication sedation, conscious sedation, anesthesia, status epilepticus Action acts to produce CNS depression, may be mediated by GABA Therapeutic Class antianxiety agent, sedative/hypnotics Pharmacologic Class Benzodiazepine Nursing Considerations • assess level of sedation during and for 2-6 hours following • monitor blood pressure, pulse, respirations during IV administration • may lead to apnea, cardiac arrest, respiratory depression • antidote for overdose is Romazicon (flumazenil)

On this podcast episode, I discuss gabapentin (Neurontin) pharmacology, adverse effects, drug interactions, and much more! Gabapentin's GI absorption is a little wacky. I discuss on the podcast the clinical effects that this may have on our patients. Renal elimination is critical to gabapentin. Worsening renal function will significantly impact the action of the drug. CNS sedation can be a problem with gabapentin, especially in combination with other CNS depressants. I discuss this further on the podcast.

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MetronidazoleFlagylNursingConsiderations    Generic Name metronidazole Trade Name Flagyl Indication intra-abdominal infections, gynecoligical infections, skin infections, bone and joint infections, CNS infections, septicemia, endocarditis, amebic liver abscess, peptic ulcer disease Action Inhibits DNA and protein synthesis in bacteria, bactericidal Therapeutic Class anti-infectives, antiprotozoals, antiulcer agents Pharmacologic Class none Nursing Considerations • do not take with alcohol-disulfiram reaction • assess for infection before and during treatment • obtain cultures before therapy • monitor neurologic status: parasthesia, weakness, ataxia, or seizures • monitor intake and output, daily weights • may alter liver enzyme tests

USPSTF recommendations on estrogen and progesterone; semaglutide assessed in obese teenagers; efficacy and safety data released for maternal RSV vaccine; updates to clozapine REMS; FDA panel vote on investigational CNS/leptomeningeal metastasis treatment.

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MethylphenidateConcertaNursingConsiderations    Generic Name methylphenidate Trade Name Ritalin, Concerta Indication ADHD, narcolepsy Action improves attention span in ADHD by producing CNS stimulation Therapeutic Class central nervous system stimulant Pharmacologic Class none Nursing Considerations • can cause sudden death, hypertension, palpitations, anorexia, hyperactivity, insomnia • may decrease effects of Warfarin and Phenytoin • do not use with MAOIs • monitor cardiovascular system • monitor for behavioral changes • monitor for dependence • do not consume caffeinated beverages “Drug Holiday” used to assess dependence and status

As a leader in education and innovation, the Congress of Neurological Surgeons (CNS) recognizes high-quality, evidence-based guidelines as a critical tool to confront a rapidly changing health care environment. The CNS supports an infrastructure, including robust, methodological processes to produce high-quality evidence-based clinical practice guidelines. J. Bradley Elder, MD Steven N. Kalkanis, MD Thomas Larrew, MD Mark E. Stephens, MD

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MethadoneMethadoseNursingConsiderations    Generic Name methadone Trade Name Mathadose Indication withdrawal symptoms, pain Action Suppresses withdrawal symptoms. Binds to opiate receptors in the CNS and alters perception of pain while producing a general depression of the CNS. This depression also causes a decrease in the cough reflex and GI motility. Therapeutic Class opioid analgesic Pharmacologic Class opioid agonist Nursing Considerations • use caution if patient is receiving MAO Inhibitors • may cause QT prolongation, hypotension, respiratory depression, dependence, confusion, sedation • assess pain, vital signs, bowel function • may increase pancreatic enzyme levels • assess withdrawal symptoms

Today's guest, Dr. Jaime Schehr, is a nationally recognized expert in integrative medicine and nutrition and holds duel licenses as a Naturopathic Physician and Registered Dietitian - making her one of the few practitioners in the country with both.   She is the co-director of the inter-professional program for integrative health through Mt. Sinai Department of Family Medicine, founder of the Institute for Family Health dietetic internship, contributor to the University of Arizona Integrative Medicine in Residency (IMR), director of the integrative and functional nutrition supervision program for CNS licensing and recurring presenter at continuing education seminars... And she's here to today to drop some of her knowledge on you.  Sponsors Nootopia: The newest addition to your morning routine. All day energy, clarity, and focus without the jitters and crashes. Enhance your mental performance, boost you immunity, and get that glowing, healthy skin we all desire by going to nootopia.com/jaygenius and be sure to use the coupon code JAY10 to save 10%.  Ice Barrel: Get leaner, improve recovery and performance, reduce inflammation, improve mood and brain function, feel and sleep better all from the comfort of your home. Go to icebarrel.com/jay and use the coupon code JAY for $125 off.  Athletic Greens: Detoxify your body, boost your energy, and strengthen your immune system with just one scoop. Go to athleticgreens.com/jay to find out why once people start taking it, they never stop.

Robert Silverman, DC, DACBN, DCBCN, MS, CCN, CNS, CSCS, CIISN, CKTP, CES, HKC, FAKTR, joins Integrative Practitioner associate editor, Avery St. Onge, to discuss ways to optimize immunity through dietary and lifestyle interventions. Find us at integrativepractitioner.com or e-mail us at IPEditor@divcom.com. Theme music: “Upbeat Party” by Scott Holmes via freemusicarchive.org and “Carefree” by Kevin Mcleod via incompetech.com.

Gaemia Tracy, DVM, DACVIM, (Neurology) attended veterinary school at Ohio State University and then completed a one-year rotating small animal internship at Carolina Veterinary Specialists in Charlotte, North Carolina. He joined the VRC team in 2020. Tracy's special interests include IVDD treatment and management, atlantoaxial instability management, management of inflammatory CNS diseases, and seizure management. 

Celebrated plant-based chef, Del Sroufe shares his best tips and recipe ideas for serving healthier vegan meals that deliver on taste and will please omnivores too. Del has written four cookbooks including: “Forks Over Knives,” “Better Than Vegan,” and “The China Study Family Cookbook.” He is a culinary specialist with the T. Colin Campbell Center for Nutrition Studies and he is host of CNS kitchen. Learn more about Laura's television show, access lots of vegan recipes, online videos, cookbooks, and more: JazzyVegetarian.com Learn more about Del Sroufe at chefdelsroufe.com Laura Theodore Jazzy Vegetarian Learn more about your ad choices. Visit megaphone.fm/adchoices

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MeperidineDemerolNursingConsiderations    Generic Name meperidine Trade Name Demerol Indication moderate to severe pain, sedation Action Binds to opiate receptors in the CNS and alters perception of pain while producing a general depression of the CNS. Therapeutic Class Opioid Analgesic Pharmacologic Class opioid agonists Nursing Considerations • may cause alterations in mentation, hypotension, constipation, nausea, vomiting • assess BP, pulse, and respiratory rate prior to administration and frequently during administration • use caution if patient is receiving MAOIs • Narcan (naloxone) is the antidote for opioid agonists • can cause seizure • may increase pancreatic enzyme levels • assess bowel function

We strongly recommend you listen to our previous episodes metastatic lung cancer (Episodes 0032 and 0033) to better be able to follow along with this conversation. Key trials mentioned in this episode include:CHECKMATE 227KEYNOTE 024Q:Do you send molecular testing (PDL1 and NGS) on the biopsy, peripheral blood or both?* Yield is highest from the tissue sample* Peripheral blood (circulating DNA) samples are dependent on the burden of disease and so often the yield is lower ** One of the benefits is that it can be sent quickly and having a fast turn-around; Tissue samples are dependent on being able to schedule a biopsy* Dr. West says he definitely sends this on a non-smoker with non-squamous lung cancer, as they are more likely to have molecular targets* Dr. West has not personally adopted the idea of sending peripheral and tissue samples for NGS testing for everyoneQ: Do you ever use Ipi/Nivo in patients with PDL1

Why You Should Listen:  In this episode, you will learn about the thyroid and how thyroid conditions may be the result of a Cell Danger Response. About My Guest: My guests for this episode are Dr. Eric Balcavage and Dr. Kelly Halderman.   Eric Balcavage, DC, CNS, CFMP, BCIM is the owner and founder of Rejuvagen, a functional medicine clinic in Chadds Ford, PA.  He is a nationally recognized speaker and educator on various health related topics including thyroid physiology, bile physiology, detoxification, oxidative stress, methylation, and chronic illness.  Dr. Balcavage is a Certified Nutrition Specialist (CNS), a Certified Functional Medicine Practitioner, Board Certified in Integrative Medicine, along with being a licensed Chiropractor.   He is the co-host of the Thyroid Answers Podcast. The podcast focuses on answering the pressing questions those suffering with chronic hypothyroid symptoms can't get answered elsewhere. You can find his educational Thyroid Thursday videos on Vimeo and YouTube.  Dr. Balcavage has made it his mission to change the way medicine looks at hypothyroidism.  Kelly Halderman, DCN completed a Family Practice Medicine internship with the University of Minnesota.  She has a Naturopathic Medical Degree from Kingdom College of Natural Health.  She holds certification in MethylGenetic Nutrition by the Nutrigenetic Research Institute and certification from The American Functional Neurology Institute in Functional Neurology and Neurofeedback.  She is an active member of the American Academy of Anti-Aging Medicine, President and Founder of The American Association of Nutraceutical Formulators, as well as a member of The Physician's Committee for Responsible Medicine.  Dr. Halderman is also board certified in Clinical Nutrition by the Clinical Nutrition Certification Board.  She coined the term "Phase 2.5 Detoxification" which involves properly restoring bile physiology.  She serves as Weo Foundation's Chief Health Officer; the global leader in water research and its application to living systems.  Dr. Eric and Dr. Kelly are the co-authors of the book The Thyroid Debacle which addresses the problems with current allopathic and functional medicine approaches to hypothyroidism as well as the solutions to restoring thyroid physiology.   Key Takeaways: What symptoms might lead one to explore thyroid physiology? Why are thyroid issues broader, systemic issues? What is the best way to evaluate thyroid conditions? How does the Cell Danger Response (CDR) play a role in thyroid conditions? What are the primary triggers of the CDR that lead to issues with thyroid physiology? How might an autoimmune attack on the thyroid itself be an intelligent response? Is it more important to kill the bug or to modulate the host response? Could an elevated rT3 be an indicator of a Cell Danger Response? Is iodine appropriate to use in Hashimoto's? What is the role of the mitochondria, compared to the thyroid and adrenals, in chronic illness? How might supporting sulfation and glucuronidation make the thyroid problem worse? What is "Multisystem Adaptive Disorder"? How might SIBO be associated with the thyroid? Is hypercholestolaemia associated with the Cell Danger Response and issues with thyroid physiology? Is blood sugar metabolism associated with cellular hypothyroidism? What is the "Strategic Thyroid Solution Protocol"? What are the fitness factors that comprise the wellness wheel? Connect With My Guests: http://RejuvagenCenter.com http://DrKellyHalderman.com Interview Date: October 7, 2022 Transcript: To review a transcript of this show, visit https://BetterHealthGuy.com/Episode173. Additional Information: To learn more, visit https://BetterHealthGuy.com. Disclaimer:  The content of this show is for informational purposes only and is not intended to diagnose, treat, or cure any illness or medical condition. Nothing in today's discussion is meant to serve as medical advice or as information to facilitate self-treatment. As always, please discuss any potential health-related decisions with your own personal medical authority. 

Alexandria DeVito, CNS, is a functional nutritionist who specializes in fertility and preconception health. She is the founder of Poplin, the first pre-pregnancy wellness company for couples. Poplin empowers conceiving couples to take control of their pre-pregnancy journey with our step-by-step preparation process, starting with the most comprehensive pre-pregnancy wellness lab testing available on the market. Prior to founding Poplin, Alexandria spent a decade in the corporate world. Alexandria holds a Master of Science in Nutrition from the University of Bridgeport and a Master in Business Administration from Harvard Business School. She is also an Institute for Functional Medicine Certified Practitioner, one of only ~2,000 globally.  Website: www.getpoplin.com Connect with Lisa Pineda here: Website www.lisapinedayoga.com TEDx Talks: How Yoga Helped Me to Let Go & How Meditation Can Unlock Your True Potential --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/lisa-pineda/support

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/LorazepamAtivanNursingConsiderations      Generic Name lorazepam Trade Name Ativan Indication anxiety, sedation, seizures Action general CNS depression by potentiating inhibitory neurotransmitters Therapeutic Class anesthetic adjuncts, antianxiety agents, sedative hypnotics Pharmacologic Class Benzodiazepine Nursing Considerations • use caution with COPD and sleep apnea • avoid alcohol use • antidote is Flumazenil (Romazicon) • may cause apnea, cardiac arrest, bradycardia, hypotension • use caution with other CNS depressants • administer slowly and dilute to decrease complications

Meet Sara Keough Sara Keough MS, CNS, LDN, is an "Eco-Nutritionist". She began her career in ecological work in her home state of Colorado and now practices as a clinical nutritionist in Maryland. She supports patients with a wide variety of health conditions, including digestive issues, autoimmune disorders, heart disease, diabetes, and metabolic disorders. Educating patients on the value of nutrient-dense foods and rewilding their microbiomes by consuming food from local, regenerative farmers is vitally important in her practice as this is an essential component of their healing process. Sara utilizes advanced functional testing in her practice to address the root cause of her patient's issues and to nourish their inner ecosystem.   Sara Keough has been helping me on my journey with healing my thyroid, and I'm glad to share her wisdom, perspective, and knowledge to help you with your health and well-being. As always, please take what you like and leave the rest.       The Body Can Heal Let's first start by remembering that our bodies are incredible at self-healing. They are designed to heal and be restored to complete health. Knowing this is crucial, especially if you are working on healing yourself from any kind of condition. It's crucial to affirm and know how powerful your body is. I personally believe that autoimmune disorders are intricately connected to a lack of self-love and self-compassion. Through my inner healing work, I've been learning that one of the most important things I can do is put my self-care first and prioritize loving myself. This might feel awkward and problematic at first, but if you stay with me and put your health first, it will be one of the most important things you can do for your health, well-being, and life.     What Is Your Gut Microbiome? Healing your gut comes down to the microbiome. Think of the gut microbiome as a diverse garden. You want lots of variety of plants, flowers, and crops without weeds or dry soil. What's happening is that for many, we're decimating the beneficial, healthy species because of overconsumption of sugar, processed foods, antibiotics and chemicals, and toxins. Over time this can create fungal, yeast, or bacteria overgrowth. Ideally, you want a gut biome that's a flourishing ecosystem in harmony and full of diversity.      Secrets for Healing Your Gut Some basic ways for healing your gut are chewing your food thoroughly, eating fermented foods, and increasing your stomach acid and enzymes with good probiotics, prebiotics, and digestive tonics. Sara Keough shares her favorite digestive tonic, which is made with: 1 quart of water 1/4 c of Apple Cider Vinegar 1/4 c of lemon juice 1/4 c of raw honey (or don't add if you're sensitive to sugar) and grated ginger root.    This tonic is an excellent way to aid your digestion and help with gut healing. You'll want to drink 4 oz with every meal and keep a fresh batch weekly. Sara also recommended supporting your local farmers and buying local whenever possible.  Final Thoughts To learn more about Sara Keough, healing your gut, and her other work, go to www.eco-nutrition.com. Here's the article Sara referred to about the regenerative farm map: https://regenerationinternational.org/regenerative-farm-map Breakthrough Your Biggest Blocks with Julie Reisler Do you desire to uncover your biggest block? To bust through it and set a clear path? All so you can stride forward in confidence and conquer your goals? Then booking a Breakthrough Session with Julie is just what you need. To learn more go to juliereisler.com/you-me How To Become A Life Coach with Julie If you are ready for greater support to overcome self-doubt and stop your own internal 'not enough' voice so you can step into your genius and design your best life, connect with Julie to see if she is the right fit to coach and mentor you. Julie does coaching for entrepreneurs, leaders, and ambitious creatives. To set up a time to chat further, email team@juliereisler.com. Sacred Connection As always, this community is a sacred, safe place built on love and acceptance. It was created to help you evolve and expand into your highest self. Please share your wisdom, comments, and thoughts. I love hearing from you and learning how you are being your truest, you-est you. Please join us in our Facebook group: The You-est You® Podcast Community. Join host Julie Reisler, author and multi-time TEDx speaker, each week to learn how you can tap into your best self and become your You-est You® to achieve inner peace, happiness, and success at a deeper level! Tune in to hear powerful, inspirational stories and expert insights from entrepreneurs, industry thought leaders, and extraordinary human beings that will help to transform your life. Julie also shares a-ha moments that have shaped her life and career and discusses key concepts from her book Get a PhD in YOU. Here's to your being your you-est you! Enjoying the show? For iTunes listeners, get automatic downloads and share the love by subscribing, rating & reviewing here! *Share what you are struggling with or looking to transform with Julie at team@juliereisler.com. Julie would love to start covering topics of highest interest to YOU.   You-est You Links: Subscribe to the Podcast  Learn more at JulieReisler.com Become a Sacred Member at the Sacredology® Membership Join The You-est You® Podcast Community on Facebook Subscribe to Julie's YouTube Channel Book Julie as a speaker at your upcoming event Amazon #1 Best selling book Get a PhD in YOU Download free guided-meditations from Insight Timer Julie's Hungry For More Online Program (10 Module Interactive Course) 15 Days Of Gratitude To Change Your Life on Insight Timer

Check out our new Patreon page! Get access to the Boundless Body Radio Premium Podcast, with a new episode added every other week! Other perks include early releases of our episodes, extended video content, and group and one on one coaching!Amy Berger, MS, CNS is a returning guest on our show! Be sure to check out her two appearances on our podcast on episode 47 and episode 68 of Boundless Body Radio! Amy Berger, MS, CNS, is a U.S. Air Force veteran and Certified Nutrition Specialist who helps people do “Keto Without the Crazy.”™ She writes about a wide range of health and nutrition-related topics, such as insulin, weight loss, diabetes, Alzheimer's disease, thyroid function, and more. She has presented internationally on these issues and is the author of The Alzheimer's Antidote, The Stall Slayer, and co-author of End Your Carb Confusion, written with Eric Westman, MD, who is also a former guest of our show, featured in episode 51! Amy is the Lead Nutritionist for Adapt Your Life Academy, where she helps create course content and coaches people through implementing low-carb keto diets safely and effectively.Find Amy at-Consultations- https://stallslayer.com/consultation/ YouTube- Tuit Nutrition TW- @Tuit NutritionPatreon- Tuit Nutrition Online courses- http://adaptyourlifeacademy.com/ Amy's blog post that broke my brain about gluconeogenesis!Find Boundless Body at-myboundlessbody.comBook a session with us here! Find Boundless Body at- myboundlessbody.com Book a session with us here! Check out our new Patreon page!

On episode 391 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews Dr. Phyllis Whitehead, PhD, the President of the National Association of Clinical Nurse Specialists (NACNS). In the course of their conversation, Keith and Dr. Whitehead discuss the role of the CNS, how to become a CNS, and the goals of the NACNS to diversify the CNS profession. Dr. Phyllis Whitehead is a clinical ethicist and clinical nurse specialist with the Carilion Roanoke Memorial Hospital (CRMH) Palliative Care Service and Associate Professor at the Virginia Tech Carilion School of Medicine. She initiated the Palliative Medicine and Moral Distress Consult Services at CRMH, and is certified in pain management and as an advanced practice hospice and palliative care nurse. Dr. Whitehead is an expert presenter on the subjects of pain and symptom management, opioid-induced sedation, moral distress, and patients' end of life preferences. Her research interests include moral distress and improving communication with seriously ill patients, and her research has received funding from numerous grants. In 2020, Dr. Whitehead was elected as a Distinguished Practitioner Fellow in the National Academy of Practice in Nursing. She is a graduate of Radford University where she earned her BSN and MSN, and earned her doctorate degree at Virginia Tech. Connect with Dr. Phyllis Whitehead and NACNS: NACNS.org Facebook Twitter Dr. Whitehead on LinkedIn Nurse Keith is a holistic career coach for nurses, professional podcaster, published author, award-winning blogger, inspiring keynote speaker, and successful nurse entrepreneur. Connect with Nurse Keith at NurseKeith.com, and on Twitter, Facebook, LinkedIn, and Instagram. The Nurse Keith Show is a proud member of The Health Podcast Network, one of the largest and fastest-growing collections of authoritative, high-quality podcasts taking on the tough topics in health and care with empathy, expertise, and a commitment to excellence. The podcast is adroitly produced by Rob Johnston of 520R Podcasting, and Mark Capispisan is our stalwart social media manager and newsletter wrangler.

Today's episode features Jamie Smith, founder and head sport preparation coach of The U of Strength.  Jamie is a passionate coach and learner, who strives to help athletes incorporate the fullness of perceptual, social and emotional, elements in the course of training.  Jamie has been a multi-time guest on this show, speaking on his approach to training that meets the demands of the game, and settling for nothing less. The further I get into my coaching journey, the more I understand and appreciate the massive importance of stimulating an athlete on the levels of their physiology, their emotions and social interactions, and their perception of their external environment.  Coach Jay Schroeder had his term called the “PIPES”, referring to the importance of a training session being stimulating Physiologically, Intellectually, Psychologically, Emotionally and Spiritually”.  I certainly agree with those terms, but they could also be re-ordered, as per today's conversation “Physiologically, Individually, Perceptually, Emotionally, and Socially”.  (Individual referring to individual autonomy). On the show today, Jamie goes into how he “stacks” games, play, perception & reaction type work onto more traditional training methods, for greater “sticky-ness” to sport itself.  Through today's conversation, he'll get into concepts of variability in training as it relates to sport, driving intention and learning through a training program, older vs. younger athlete response to game play with potentiation, and much more. Today's episode is brought to you by SimpliFaster, Lost Empire Herbs, and the Elastic Essentials online course. For 15% off your Lost Empire Herbs order, head to lostempireherbs.com/justfly. To try Pine Pollen for FREE (just pay for shipping), head to: justflypinepollen.com View more podcast episodes at the podcast homepage. Timestamps and Main Points: 3:30 – How Jamie infuses “play” into basic exercises and warmup movements 21:50 – How infusing meaning into movement improves intention, immersion and movement quality 49:00 – The role of play in helping infuse natural variability in athletic development 33:38 – How the goal of play and variability changes through a training week 43:17 – Menu systems and autonomy within the scope of games and training sessions for athletes 49:39 – How Jamie's approach to “High CNS”, max velocity days and how layers of challenge are added on, as athletes grow and mature 1:02:53 – What gym work and warming up looks like for Jamie's athletes when those athletes are already playing their sport a lot outside of the weightroom (and how to help use social/emotional elements to create a more restorative stimulus) 1:15:34 – “Sticky-ness” of skill in training, created by blending “training” with gameplay “Play hits those missing pieces of the strength and conditioning model” “Game play can create athlete driven approaches to movement and strength and conditioning” “We teach them for the first few weeks, just so they have a general understanding, “what is a crawl”… but once it gets to the point where they understand what it is, lets layer on challenges” “A big thing with the gameplay, is we never repeat the same thing twice in a row” “I believe in exposing them to a wide range of situations so they can see what works, and what doesn't work” “It's all about intent, and when you add intent, it changes everything” “(With play) I'm talking about focused variability, having a purpose” “They are trying to solve a problem while getting pushed, shoved, knocked off balance; I call that kind of “sticky strength” qualities” “On the low CNS days I am looking at the gameplay, the emotional side of things, the social emotional side of things” “The social-emotional does have an immediate impact on (performance), it does influence the strength, the speed, the power qualities” “You're working with a 7th, 8th, 9th grader,

Lung cancer is one of the most commonly diagnosed type of cancer and so it is fitting that we start the first of our disease-specific oncology series with this diagnosis. This week, we continue our discussion on metastatic non-small cell lung cancer, focusing on NSCLC with driver mutations. * The approach to treatment of a patient with widespread metastatic NSCLC (mNSCLC) is very different than a patient without distant disease, which highlights why we do what we do:- Important to complete staging (discussed in prior episodes) to determine the extent of disease- Important to check molecular testing (looking for mutations in the cancer cells) and IHC for tumor proportion score (TPS) helps determine treatment options - If your molecular testing is identified in a driver mutation gene, there are targeted options for this! *Driver mutations are predictive of response to an oral therapy and a LACK of response to immune therapy (particularly in EGFR and ALK mutated patients) * EGFR Mutation:- Pay attention to the types of mutation in EGFR (not all are the same):-- Exon 19 deletion -- Exon 19 L858R-- Exon 21 T790M-- Exon 20 Insertion (Osimertinib [see below] cannot be used for this mutation)- Osimertinib is first-line standard of care for patients with EGFR-- Used to be a second-line agent. Many patients with EGFR mutations receiving earlier generation TKIs would develop resistance and when these tumors were sequenced, they would have Exon 21 T790M mutations. Osimertinib was effective even with this mutation and had superior overall survival data compared to chemotherapy (AURA3 Trial)--Now it is used in first-line setting for patients with EGFR mutation based on the FLAURA trial --- In this study, patients received osimertinib as first line vs. older generation EGFR-targeting TKIs (erlotinib or gefitib) and Osimertinib had better outcomes: ---- Showed that the median OS was 38.6 months with Osi vs. 31.8 months; also improved brain penetration! ---- Also effective in patients with metastatic disease to the brain: ----- Only 6% of patients had CNS progression with Osi vs. 15% with others- What if a patient is on Osi and later develops new brain mets?-- If there is progression within just the brain (and good control in other sites of the body) you can refer patient to Radiation Oncology for SRS-- Remember, based on discussion with Dr. Osmundson in our RadOnc lectures (Episode 028), it is important to HOLD Osimertinib if patient is going to get radiation to minimize the side effects- What is patient had progression of disease in several sites throughout the body?-- Management is less straightforward. -- In many of these cases, you can consider:--- Consolidative radiation - If small amounts of disease--- Changing therapy - If there has been widespread progression; likely would change to chemotherapy (without IO, since lower predictive response to IO with EGFR mutation)---- No clear guidelines if you should continue the TKI---- Remember that IO + TKIs can cause increased risk of side effects, such as pneumonitis and hepatitis. DO NOT DO THIS!* ALK Mutation:- There are many options for ALK mutations-- The first generation drug is crizotinib--- Lots of side effects —> “It is crazy to start with crizotinib”--- Studies for later generation TKIs were compared to crizotinib -- Many people today will use third generation ALK-inhibitor alectinib (Important trials: ALEX Trial and J-ALEX Trial)--- With alectinib, PFS 34.8 months, RR 83%, less CNS progression (12% vs 45%)--- 5 year OS rate 62.5%- What to do with disease progression while on ALK inhibitor?-- In ALK, you can actually switch to another ALK inhibitor and many will respond well--- Of course, with each change, you may expect not as great of a response * Lots of other mutations!- TFOC recommends just looking these up!-- Link to NCCN Guidelines on NSCLC; Page 41 has full list!- Another way to think about this, when do we NOT do TKIs as first line: -- KRAS G12C-- EGFR Exon 20 Insertion-- HER2- How do you counsel a patient when considering/starting a TKI? -- Patients with highest chance of having a targeted mutation are younger non-smokers with adenocarcinoma-- Set expectations: great outcomes overall, but still not a cure. -- Remembering the drugs: All TKIs usually end in “-nib” -- In general, the way we recommend remembering this: “Fatigue, GI, Derm (skin/nail changes)”; rarely pneumonitis References:* AURA3 Trial - https://www.nejm.org/doi/full/10.1056/NEJMoa1612674Established osimertinib was better than chemo for patients with EGFR mutation and acquired Exon 21 T790M resistance mutation* FLAURA Trial - https://www.nejm.org/doi/full/10.1056/nejmoa1713137 Established osimertinib as first-line agent for patients with EGFR mutation * ALEX Trial - https://www.nejm.org/doi/full/10.1056/nejmoa1704795Helped establish alectinib as superior for ALK mutations compared to crizotinib * J-ALEX Trial - https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)30565-2/fulltextHelped establish alectinib as superior for ALK mutations compared to crizotinib * NCCN Guidelines on NSCLC - https://www.nccn.org/guidelines/guidelines-detail?category=1&id=1450 Please visit our website (TheFellowOnCall.com) for more information Twitter: @TheFellowOnCallInstagram: @TheFellowOnCallListen in on: Apple Podcast, Spotify, and Google PodcastLove what you hear? Tell a friend and leave a review on our podcast streaming platforms!

This episode is about how to be "metabolically flexible" through innovative principles with Narado Zeco Powell CFT, CNS, CES. You might know him from the successful Matter Over Mind Experience podcast. Narado Zeco Powell was born in Montego Bay, Jamaica and as a child, he was underweight. When he moved to the United States at age 16, he was 5'11” and weighed 113 pounds. By age 18, he was inspired to learn more about fitness and nutrition and took a special interest in fitness. He spent 18 years educating himself by reading evidence based scientific articles, learning from mentors and trying different techniques. In 2018, he decided that he wanted to use his knowledge to help others. https://zecohealth.com Zeco is a Certified Lumen Metabolic Coach & carries 7 fitness and nutrition certifications from the International Sports Sciences Association. He shares his knowledge with others via several social media platforms including Twitter and Instagram. He is passionate about educating others and hopes to continue to learn, grow and adapt so that he can bring the most up to date and actionable content to his clients, followers and subscribers. You can learn more about Zeco & his work on his weight management podcast, The Matter Over Mind Experience. Listen & subscribe on Spotify, Amazon, Google, or Apple Podcasts. https://podcasts.apple.com/us/podcast/the-matter-over-mind-experience/id1549417954?ign-mpt=uo%3D4&mt=2 --- Support this podcast: https://anchor.fm/gutfarmacist/support

Dr. Stacey Clardy talks with Dr. Xavier Ayrignac about adult-onset CNS disorders showing as neuroinflammatory disorders. This podcast is sponsored by argenx. Visit www.vyvgarthcp.com for more information.

This month we are celebrating 6 months plus in the podcast game by taking our healing tribe audience back to our most favorite podcast episodes. . we thank you all for your love & support. ENJOY

VIDEOS: Hang on, the WEF is now doing THIS to our internet? | Redacted with Clayton Morris – 7:00 This intense AI anger is exactly what experts warned of, w Elon Musk. – 15:01 New Brain Implant Begins Human Trials – Neuralink Update! – 14:00  Get the latest information from the CDC about COVID-19. Professor Sucharit Bhakdi, M.D – 10:00  Study links omega-3s to improved brain structure, cognition at midlife University of Texas Health Science Center, October 5, 2022 Eating cold-water fish and other sources of omega-3 fatty acids may preserve brain health and enhance cognition in middle age, new evidence indicates. Having at least some omega-3s in red blood cells was associated with better brain structure and cognitive function among healthy study volunteers in their 40s and 50s, according to research published in Neurology®, the medical journal of the American Academy of Neurology. “Studies have looked at this association in older populations. The new contribution here is that, even at younger ages, if you have a diet that includes some omega-3 fatty acids, you are already protecting your brain for most of the indicators of brain aging that we see at middle age,” said Claudia Satizabal, PhD the lead author of the study. Volunteers' average age was 46. The team looked at the relation of red blood cell omega-3 fatty acid concentrations with MRI and cognitive markers of brain aging. Researchers also studied the effect of omega-3 red blood cell concentrations in volunteers who carried APOE4, a genetic variation linked to higher risk of Alzheimer's disease. The study of 2,183 dementia- and stroke-free participants found that: Higher omega-3 index was associated with larger hippocampal volumes. The hippocampus, a structure in the brain, plays a major role in learning and memory. Consuming more omega-3s was associated with better abstract reasoning, or the ability to understand complex concepts using logical thinking. APOE4 carriers with a higher omega-3 index had less small-vessel disease. The APOE4 gene is associated with cardiovascular disease and vascular dementia. “Omega-3 fatty acids such as EPA and DHA are key micronutrients that enhance and protect the brain,” said study coauthor Debora Melo van Lent, PhD, postdoctoral research fellow at the Biggs Institute. “Our study is one of the first to observe this effect in a younger population. More studies in this age group are needed.” Multiple health benefits of b-type procyanidin-rich foods like chocolate and apples consumed in right amounts Shibaura Institute of Technology (Japan), October 5, 2022 B-type procyanidins, made of catechin oligomers, are a class of polyphenols found abundantly in foods like cocoa, apples, grape seeds, and red wine. Several studies have established the benefits of these micronutrients in reducing the risk of cardiovascular diseases and strokes. B-type procyanidins are also successful in controlling hypertension, dyslipidemia, and glucose intolerance. Studies attest to the physiological benefits of their intake on the central nervous system (CNS), namely an improvement in cognitive functions. These physiological changes follow a pattern of hormesis—a phenomenon in which peak benefits of a substance are achieved at mid-range doses, becoming progressively lesser at lower and higher doses. Researchers from Shibaura Institute of Technology (SIT), Japan, led by Professor Naomi Osakabe, reviewed the data from intervention trials supporting hormetic responses of B-type procyanidin ingestion. The team conducted in vivo experiments to understand possible connections between B-type procyanidin hormetic responses and CNS neurotransmitter receptor activation. Their article has been published in Frontiers of Nutrition . The researchers noted that a single oral administration of an optimal dose of cocoa flavanol temporarily increased the blood pressure and heart rate in rats. But the hemodynamics did not change when the dose was increased or decreased. Administration of B-type procyanidin monomer and various oligomers produced similar results. According to Professor Osakabe, “These results are consistent with those of intervention studies following a single intake of food rich in B-type procyanidin, and support the U-shaped dose-response theory, or hormesis, of polyphenols.” To observe whether the sympathetic nervous system (SNS) is involved in the hemodynamic changes induced by B-type procyanidins, the team administered adrenaline blockers in test rats. This successfully decreased the temporary increase in heart rate induced by the optimal dose of cocoa flavanol. A different kind of blocker—a1 blocker—inhibited the transient rise in blood pressure. This suggested that the SNS, which controls the action of adrenaline blockers, is responsible for the hemodynamic and metabolic changes induced by a single oral dose of B-type procyanidin. The researchers next ascertained why optimal doses, and not high doses, are responsible for the thermogenic and metabolic responses. They co-administered a high dose of cocoa flavanol and yohimbine (an α2 blocker) and noted a temporary but distinct increase in blood pressure in test animals. Similar observations were made with the use of B-type procyanidin oligomer and yohimbine. Professor Osakabe surmises, “Since α2 blockers are associated with the down-regulation of the SNS, the reduced metabolic and thermogenic outputs at a high dose of B-type procyanidins seen in our study may have induced α2 auto-receptor activation. Thus, SNS deactivation may be induced by a high dose of B-type procyanidins.” Meditation keeps emotional brain in check Michigan State University, September 29, 2022 Meditation can help tame your emotions even if you're not a mindful person, suggests a new study from Michigan State University. Reporting in the journal Frontiers in Human Neuroscience, psychology researchers recorded the brain activity of people looking at disturbing pictures immediately after meditating for the first time. These participants were able to tame their negative emotions just as well as participants who were naturally mindful. “Our findings not only demonstrate that meditation improves emotional health, but that people can acquire these benefits regardless of their ‘natural' ability to be mindful,” said Yanli Lin, an MSU graduate student and lead investigator of the study. “It just takes some practice.” Researchers assessed 68 participants for mindfulness using a scientifically validated survey. The participants were then randomly assigned to engage in an 18-minute audio guided meditation or listen to a control presentation of how to learn a new language, before viewing negative pictures (such as a bloody corpse) while their brain activity was recorded. The participants who meditated – they had varying levels of natural mindfulness – showed similar levels of “emotion regulatory” brain activity as people with high levels of natural mindfulness. In other words their emotional brains recovered quickly after viewing the troubling photos, essentially keeping their negative emotions in check. In addition, some of the participants were instructed to look at the gruesome photos “mindfully” (be in a mindful state of mind) while others received no such instruction. Interestingly, the people who viewed the photos “mindfully” showed no better ability to keep their negative emotions in check. This suggests that for non-meditators, the emotional benefits of mindfulness might be better achieved through meditation, rather than “forcing it” as a state of mind, said Moser, MSU associate professor of clinical psychology and co-author of the study. A mother's ultra-processed food intake may be linked to obesity risk in her children Massachusetts General Hospital and Harvard Medical School, October 5, 2022 A mother's consumption of ultra-processed foods appears to be linked to an increased risk of overweight or obesity in her offspring, irrespective of other lifestyle risk factors, suggests a U.S. study published by The BMJ today. The researchers that mothers might benefit from limiting their intake of ultra-processed foods, that dietary guidelines should be refined, and financial and social barriers removed to improve nutrition for women of childbearing age and reduce childhood obesity. Researchers drew on data for 19,958 children born to 14,553 mothers (45% boys, aged 7-17 years at study enrollment) from the Nurses' Health Study II (NHS II) and the Growing Up Today Study (GUTS I and II) in the United States. The results show that a mother's ultra-processed food consumption was associated with an increased risk of overweight or obesity in her offspring. For example, a 26% higher risk was seen in the group with the highest maternal ultra-processed food consumption (12.1 servings/day) versus the lowest consumption group (3.4 servings/day). Reishi Mushrooms Proven For Fibromyalgia Pain Relief In Human Study University of Extremadura (Spain), September 29, 2022 A promising double-blind, randomized human clinical study of ganoderma lucidum, also known as reishi mushroom, has been shown to be effective in treating fibromyalgia chronic pain. To begin, science knows that the reishi mushroom is the most studied nutraceutical and that it has been used safely and effectively for thousands of years. It is often called the mushroom of longevity and immortality. Reishi has several biologically-active compounds in it, including triterpenes, which have been shown to increase the production of Nerve Growth Factor. NGF is a protein that helps to create new neurons and repair damaged neurons. This also enhances the communication between cells and reduces inflammation. In the fibromyalgia chronic pain study, one group consumed 6 grams of reishi mushroom powder per day and another group consumed 6 grams of carob powder per day. Each group participated for 6 weeks and continued to self-report their experiences for 72 days after the treatment. The reishi mushroom group experienced pain reduction by up to 30%, which is significant. They also reported getting better sleep, were happier and gained aerobic endurance and body flexibility. Time-restricted eating improves health of firefighters Salk Institute, October 3, 2022 In collaboration with the San Diego Fire-Rescue Department, scientists from the Salk Institute and UC San Diego Health conducted a clinical trial and found that time-restricted eating improved measures of health and well-being in firefighters. The lifestyle intervention only required the firefighters to eat during a 10-hour window and did not involve skipping meals. The new findings, published in Cell Metabolism may also have implications for shift workers, such as military personnel; health care, food service, and transportation professionals; telecommunications staff; and new parents, whose schedules often mimic shift work when caring for a new baby. “Doctors and researchers are always thinking about the magic pill that can cure or reduce disease. Our study showed that shift workers with high blood pressure, blood sugar, or cholesterol can benefit from a simple lifestyle intervention called time-restricted eating,” says Salk Professor Satchidananda Panda, co-corresponding author of the study and holder of the Rita and Richard Atkinson Chair. Almost every cell in the body has a 24-hour biological clock that produces circadian (daily) rhythms. These rhythms regulate behavior (e.g., when to be active and when to rest) and physiology (e.g., blood pressure, blood sugar, muscle function). Circadian rhythms coordinate with the environment in part by regular, timed cycles of light and dark and eating and fasting. Disruptions to these cycles, which can occur with shift work, can impact health, leading to obesity, heart disease, diabetes, and cancer. In this clinical trial, 150 firefighters from the San Diego Fire-Rescue Department used the myCircadianClock app on their phones to track their eating for three months. Half the group ate within a 10-hour window, while the other half (the control group) changed nothing and ate within a 14-hour window. Both groups were encouraged to follow a Mediterranean diet, which is known to have health benefits. The study included both individuals who were healthy and those who were overweight or who had health conditions such as high blood pressure, cholesterol, and/or blood glucose. The researchers found that time-restricted eating within a 10-hour eating window was feasible without adverse effects and helped the firefighters significantly decrease their VLDL (“bad”) cholesterol size by 1.34 nanometers (small VLDL is less likely to block arteries), improve their mental health, and reduce their alcohol intake by roughly three drinks per week. Time-restricted eating also significantly improved blood sugar and blood pressure in firefighters who had elevated levels at the start of the study. The researchers concluded that time-restricted eating may provide even greater benefit for those at risk for cardiometabolic disease and other chronic diseases.

Dr. Xavier Ayrignac discusses adult-onset CNS disorders showing as neuroinflammatory disorders. This podcast is sponsored by argenx. Visit www.vyvgarthcp.com for more information.

After a recent report was published in JAMA, media outlets sounded the alarm that melatonin is unsafe. In this interview, Karolyn A. Gazella talks with long-time integrative health clinician Ronald Hoffman, MD, about melatonin. In addition to addressing these various reports, Hoffman answers questions about melatonin use in children, high-dose melatonin, and who may not benefit from melatonin supplements.   About the Expert Ronald Hoffman, MD, is a physician in private practice of integrative medicine in New York City. He is a graduate of Columbia College and Albert Einstein College of Medicine. Since 1984, he has served as Medical Director of the Hoffman Center in Manhattan. Hoffman is past president of the American College for the Advancement of Medicine (ACAM). Hoffman is the host of Intelligent Medicine, a nationally syndicated radio program, and he produces the daily Intelligent Medicine podcast. He is a certified nutrition specialist (CNS) and the author of several books, including How to Talk with Your Doctor (About Complementary and Alternative Medicine). ------ "Simple and Relaxing Minimal Ambient" by Coma-Media and “Inspirational Background” by AudioCoffee via pixabay.com.

Check out our new Patreon page! Get access to the Boundless Body Radio Premium Podcast, with a new episode added every other week! Other perks include early releases of our episodes, extended video content, and group and one on one coaching!Sara Keough is a returning guest on our show! Be sure to check out her first appearance on our podcast on episode 233 of Boundless Body Radio! Sara Keough MS, CNS, LDN, is an “Eco-Nutritionist” who began her career in ecological work in her home state of Colorado and now practices full-time as a clinical nutritionist in Maryland. She supports patients with a wide variety of health conditions including digestive issues, autoimmune disorders, heart disease, diabetes, and cancer. Educating patients on the value of nutrient dense foods from local farmers is vitally important in her practice as this is an essential component of the healing process for each and every patient. By utilizing advanced functional testing for her patients, Sara is able to identify key nutrient deficiencies in order to get to the root cause of their conditions. Sara is passionate about connecting her patients with local farms to source their food, as she truly believes that regenerative farmers are the real healers of the planet and play a pivotal role in restoring human and ecological health.Find Sara at-https://www.eco-nutrition.com/sara@eco-nutrition.comThe Artificial Animals SeriesSpecial love to-Our interview with Nicolette Hahn Niman!Nourishment by Fred Provenzahttps://understandingag.com/https://regenerationinternational.org/Allan Savory's Ted TalkWhite Oak Pastures Beef Reduces Atmospheric CarbonKiss The Ground DocumentaryThe Biggest Little Farm DocumentarySacred Cow DocumentaryFind Boundless Body at-myboundlessbody.comBook a session with us here! 

Jeffrey Bland, PhD, FACN, FACB, CNS, is a personable and highly respected thought leader who has spent more than four decades focused on the improvement of human health. He is known worldwide as the founder of the Functional Medicine movement, which represents his vision for a care model that is grounded in systems biology and informed by research that he has a unique ability to synthesize. His pioneering work has created the Personalized Lifestyle Medicine Institute (PLMI), as well as the Institute for Functional Medicine (IFM).   Dr. Bland began his career as a Professor of Biochemistry at the University of Puget Sound. He is a natural educator and became involved with numerous academic institutions during the years he spent teaching. This includes the significant contributions he made to the founding and accreditation of Bastyr University, the first federally accredited university offering undergraduate and graduate degrees in natural medicine in the US. In the early 1980s, Dr. Bland was hand-selected by two-time Nobel Laureate Dr. Linus Pauling to serve as Director of Nutritional Research at the Linus Pauling Institute of Science and Medicine. This experience marked both a personal and professional inflection point for Dr. Bland that has become an integral part of his career.   As an expert in a field he helped to establish—science-based nutrition—Dr. Bland has become an iconic figure in the natural products industry. He worked alongside other founders to establish standards for evidence-based formulations, quality ingredient sourcing, and ethical manufacturing practices that stand to this day. He continues to serve as a dynamic mentor and advisor to a new generation of industry leaders.   Dr. Bland is the author of best-selling books and over 120 peer-reviewed research publications. He speaks extensively, and his engaging style makes him popular with both professional and consumer audiences. Dr. Bland's latest project is Big Bold Health, launched in 2018. He's on a mission to transform the way people think about one of nature's greatest innovations: the immune system. Through Big Bold Health, Dr. Bland is advocating for the power of immuno-rejuvenation to enhance immunity at a global level. It is an ambitious and purpose-driven effort that encompasses his active stance on regenerative agriculture, environmental stewardship, and planetary health.  

In this podcast episode, I break down the pharmacology, adverse effects, pharmacokinetics, and drug interactions of phentermine. Phentermine has some CNS stimulant activity so adverse effects like insomnia, hypertension, and tachycardia are possible. Pay attention to drugs that can oppose the effects of phentermine and cause weight gain such as mirtazapine and sulfonylureas. Phentermine is a controlled substance so the risk of addiction and dependence is possible.

Many of you have heard "warm up" before you do anything physical. Priming involves a more in depth process than just getting your blood flowing. It involves getting your central nervous system (CNS) activated to recruit maximum muscle fiber. Also it involves full-range of motion in your chosen area of movement. Its important because many people operate in partial-ranges of motion. Which in turn creates disfunction and PAIN issues. My example is weight lifting in this episode. BUT you can prime before any physical activity. If you're about to go running... well then logically bodyweight lunges as deep as possible would get all leg muscles firing, as well as warm you up, and get the CNS firing. Plus it stretches the muscles involved in running. Why & how many you should do are all discussed during this episode. Every physical movement has a logical priming movement that can help you get the CNS, blood flow, flexibility, & more ready for action as well as possibly reversing some issues with pain because of muscular imbalances. I hope you enjoy this episode on health! If you would like to help support my efforts with this podcast look for the link below. Support starts at $1 a month! You can also drop me a one time tip now on Venmo @ Jay-Scott-Mo contactkeepingitreal@gmail.com --- Send in a voice message: https://anchor.fm/jay-morris9/message Support this podcast: https://anchor.fm/jay-morris9/support

INTRO: This week on The Less Stressed Life Podcast, I am joined by Esther Blum, MS, RD, CNS. In this episode, we discuss all things related to midlife hormones. KEY TAKEAWAYS:Hormone baselines & Meno - MythbustingThe symptoms of perimenopause and menopauseThe benefits of hormone replacement therapyWhy do some doctors dismiss HRT in favor of The Pill or an IUDThe importance of pelvic floor therapy for maintaining vaginal healthGUEST SHARED HELPFUL TIPS ON:How to determine the best types of hormone replacement therapy?Where to start first when treating perimenopause and menopause?What is the dreaded “menopot” and how can women lose it?Organic water-based lube - recommendationsSupplements  & sustainable food recommendations to support midlife hormonesABOUT GUEST:Esther is the bestselling author of Cavewomen Don't Get Fat, Eat, Drink and Be Gorgeous, Secrets of Gorgeous, and The Eat, Drink, and Be Gorgeous Project. She currently maintains a busy virtual practice where she helps women balance hormones, lose stubborn body fat, and treat the root cause of health struggles.Esther was voted Best Nutritionist by Manhattan Magazine. She has appeared on Dr. Oz, the Today Show, A Healthy You with Carol Alt, the ISAAC show, ABC-TV, FOX- 5's Good Day NY, and Fox News Live. Esther is an in-demand authority frequently quoted in E!Online, In Touch, Time Magazine, The New York Post, The Los Angeles Times, In Style, Bazaar, Self, Fitness, Marie Claire, and Cosmo.Esther received a Bachelor of Science in Clinical Nutrition from Simmons College in Boston and is a graduate of New York University, where she received her Master of Science in Clinical Nutrition. Esther is credentialed as a registered dietitian, a certified dietitian-nutritionist and a Certified Nutrition Specialist (CNS), the certification from the Board for Certification of Nutrition Specialists (BCNS). She is also a member of the American Dietetic Association, Dietitians in Functional Medicine, Nutritionists in Complementary Care, and the Connecticut Dietetic Association.Esther is a 4-time bestselling author whose new book SEE YA LATER, OVULATOR: Mastering Menopause with Nutrition, Hormones, and Self-Advocacy hits shelves on October 6, 2022.WHERE TO FIND       :https://www.facebook.com/LivingGorgeoushttps://www.instagram.com/gorgeousesther/https://www.youtube.com/user/estherblumwww.estherblum.comWHERE TO FIND CHRISTA:https://www.christabiegler.com/On IG:instagram.com/anti.inflammatory.nutritionist/Shop our Favoriteschristabiegler.com/shopLoving the podcast? Leave us a review and ENTER OUR GIVEAWAY NOW!Sharing & reviewing this podcast is the BEST way to help us succeed with our mission to help integrate the best of East & West empower you to raise the bar on your health story. Just go to https://reviewthispodcast.com/lessstressedlifeSPONSORS:A special thanks to our VIP sponsor RUPA Health, our lab concierge service that helps our clients get standard bloodwork 2/3 off retail direct to consumer lab test pricing. Let them know I sent you when you sign up for your free practitioner account.

Integrative dietician and menopause expert Esther Blum, MS, RD, CDN, CNS joins us today to talk about her approach to treating women during menopause. Blum shares how to reduce perimenopause and menopause symptoms naturally. She discusses treatment options, lifestyle recommendations, and ways to advocate for yourself through the process. Blum's new book, See Ya Later, Ovulator synthesizes her expertise and recommendations into a concise and approachable format. If you struggle with menopause weight gain, hot flashes, night sweats, or mood swings, you'll find solutions in this book.Highlights From This EpisodeBreaking up with coffee and its effects on your cycle.Antidepressants and birth control: Not the answer for menopause.Gut changes in peri-menopause and menopause. The gut-brain connection: an overview.Reducing baseline stress and exercising your parasympathetic nervous system. Stress and its effect on your health. Esther Blum's meditation and how to replicate it.Final takeaways.Subscribe & ReviewSubscribing and leaving a rating and review are important factors in helping the Reshape Your Health Podcast and the YouTube Channel reach more people. If you haven't already subscribed, please do that today.We would also be grateful if you left a rating and review, too. In your listening app, scroll to the “Ratings and Reviews” section, then click “Write a Review” and let us know what you enjoy about our show. We appreciate you taking the time to show your support. Thank you!Resources From This Episode>> Join Zivli>> Book a Free Zivli Discovery Call>> Freebie: Weight Loss Mindset Audio Training>> Freebie: The Ultimate Food Guide>> Esther Blum's Website>> See Ya Later, Ovulator

Terry Fletcher, Christine Hall, Scott Kraft and Paul Spencer joined the Coding and Compliance Roundtable to discuss a host of critical topics including: 1. Evaluation and Management Services - What does it mean to take a clinically relevant history and examination 2. Telehealth Services - The Challenge Continues 3. Incident-to Services - Can a Physician bill Incident to another physician and can a non-credentialed NP, CNS or PA bill incident to a credentialed physician - MAKE SURE TO LISTEN TO THIS SEGMENT ALL THE WAY TO THE END TO ENSURE YOU DO NOT MISINTERPRET ANYTHING!

#028 – Have you ever had a plant teacher whose clarity and depth of humble wisdom resonates as clear as a bell in the core of your being? Olatokunboh Obasi is an herbal teacher like this, and in this very special Plant Spirit Podcast episode, she shares profound insight into the nature of our connection with plants, the elements, and all Nature. She also offers wisdom on the value of connecting with the plants that grow directly around us, and how plants teach us how to relate better to people and all life. We first recorded this conversation for the Plant Spirit Herbalism Summit. And in the wake of the recent Hurricane Fiona, we are sharing it here today as part of a GoFundMe fundraiser that will allow Olatokunboh to stay in her home in Boriké (Puerto Rico), which is a foundational place for healing and herbal teachings that support so many. This will in turn allow her to rebuild her healing gardens from the recent devastation of Hurricane Fiona and continue to serve as a pillar of healing and Afro-indigenous herbal teachings for both the local and global healing community. Olatokunboh Obasi MSc, RH (AHG), CNS is a Clinical Herbalist & Educator, and founder of the Well of Indigenous Wisdom school for herbal medicine and African cosmology. She's the Boriké (Puerto Rico) Coordinator for Herbalists without Borders International, and up for elections as a Board Member for the American Herbalists Guild. She's also the Owner of Omaroti, a wellness shop for wellbeing, and the visionary founder for the upcoming Caribbean Herbal Symposium. Her devotion is to serve humanity and care-take the earth. Olatokunboh's home in Mayagüez is the foundation for the healing work, herbal gardens, apothecary, and teachings that support so many people in the local and global community.In the recent Hurricane Fiona, her home was damaged and the healing gardens she has invested so much in, were devastated. As you listen to this podcast and incredible conversation of deep plant wisdom, I invite you to please go to the GoFundMe link below, and contribute any donation that you are able to at this time. https://gofund.me/0246163dThank you so much for your time, generosity and contributions. And enjoy the incredible teachings and conversation with Olatokunboh on herbal and Indigenous wisdom!

Welcome to PICU Doc On Call, A Podcast Dedicated to Current and Aspiring Intensivists. I'm Pradip Kamat coming to you from Children's Healthcare of Atlanta/Emory University School of Medicine and I'm Rahul Damania from Cleveland Clinic Children's Hospital. We are two Pediatric ICU physicians passionate about all things MED-ED in the PICU. PICU Doc on Call focuses on interesting PICU cases & management in the acute care pediatric setting so let's get into our episode: Welcome to our Episode: A Somnolent Toddler. Here's the case: A 2 yo M presents to the PICU after being found increasingly sleepy throughout the day. The toddler is otherwise previously healthy and was noted to be in his normal state of health prior to today. The mother dropped the toddler off at his Grandmother's home early this morning. Grandmother states that he was playing throughout the day, and she noticed around lunchtime the toddler stumbles around and acts more sleepy. She states that this was around his nap time so she did not feel it was too out of the ordinary. The toddler 1 hr later was still very sleepy, and the grandmother noticed that the toddler had some shallow breathing. She called mother very concerned as she also found her purse open where she typically keeps her pills. The grandmother has a history of MI and afib as well as hypertension. She is prescribed a multitude of medications. Given the child's increased lethargy, the grandmother presents the patient to the ED. In the ED, the child is noted to be afebrile with HR 55 & RR of 18. His blood pressure is 78/40. On exam he has minimal reactivity to his pupils, he has shallow breathing and laying still on the bed. A POC glucose is 68 mg/dL. Acute resuscitation is begun and the patient presents to the PICU. To summarize key elements from this case, this patient has: Drowsiness Bradycardia Normotension This is in the setting of being at grandma's home and having access to many medications Given the hemodynamic findings and CNS obtundation, this patient's presentation brings up concern for a clonidine or beta-blocker ingestion. This episode will be organized: Beta-Blocker poisoning We will also examine other medications that potentially can be toxic to a toddler (one pill can kill) present in Grandma's purse which include: TCA, CCB, Opioids, oral anti-diabetic agents, digoxin, etc. The presence of a grandparent is a risk factor for unintentional pediatric exposure to pharmaceuticals commonly referred to as the Granny Syndrome. Grandparents' medications account for 10% to 20% of unintentional pediatric intoxications in the United States. To kids, all pills look like candy. Let's start with a multiple choice. An overdose of which of the following medications may mimic the presentation of Metoprolol overdose? A. Verapamil toxicity B. Ketamine toxicity C. Valium toxicity D. Lithium toxicity The correct answer is A, verapamil toxicity. Verapamil is a non DHP CCB. It acts at the level of the SA and AV node similar to Metoprolol, a beta-1-specific antagonist. Both cause bradycardia and AV node block. Valium though a CNS depressant, can cause CV depression as well, however, would have fewer changes on the conduction system compared to a non-DHP CCB.  What is the mechanism of toxicity with beta-blockers? Beta-blockers are competitive inhibitors at beta-adrenergic binding sites, which results in decreased production of intracellular cyclic adenosine monophosphate (cAMP) with a resultant blunting of multiple metabolic and cardiovascular effects of circulating catecholamines. They attenuate the effect of adrenergic catecholamines on the heart Decrease inotropic and chronotropic response. Some drugs like Propranolol can act as Na channel blockers (myocyte membrane stabilizing activity) at high doses resulting in arrhythmias and seizures. Toxic doses of drugs like Sotalol can result in K channel blockade giving rise to prolonged QT and risk for...

Lab Rat Chat - Episode 29 with Dr. Kyle FlippoIn this episode of Lab Rat Chat, Jeff chats with Dr. Kyle Flippo, PhD, who is a postdoc in the University of Iowa Neuroscience and Pharmacology Department.   He studies the role of endocrine signaling in the CNS in regulating metabolism, amongst other things.  One of his current research projects has explored the role of a hormone (FGF21) in suppressing alcohol consumption in monkeys. Not only is this promising for providing a treatment for alcohol use disorders, they've also found this hormone plays a major role in reducing sugar intake as well.  This research is really groundbreaking stuff and thankfully we have scientists out there like Dr. Flippo who works compassionately with laboratory animals to make these sorts of discoveries.Topics discussed in this episode:Dr. Flippo's extensive and impressive background and his journey to get where he's at in her career today.The prevalence of alcoholism in the United States and why Dr. Flippo decided to pursue this area of research.Why vervet monkeys are best suited to study alcohol addiction compared to rodents and why alternative models (e.g., organs on a chip, computer models, etc.) are not viable options.The future application of this research on the human populationPurchase Lab Rat Chat merch and help support our podcast and biomedical research!https://labratchat.myteespring.co/Sign up for the Lab Rat Chat newsletter!https://www.amprogress.org/raising-voices/lab-rat-chat/Resources & Links:A Molecule Tested in Higher Primates Reduced Alcohol Consumption By Half | Brain & Behavior Research Foundation (bbrfoundation.org)Americans for Medical ProgressAmericans for Medical Progress COVID-19 ResourcesFollow us on Twitter! Facebook! Instagram!https://twitter.com/thelabratchat https://www.facebook.com/labratchat https://www.instagram.com/thelabratchat All Lab Rat Chat episodes are edited by Audionauts: https://audionauts.pro/ Support the show

Dr. Justin Abbatemarco talks with Dr. Ken Tyler about CNS infections and next gen sequencing, and ends by touching on the monkeypox virus (MPV), and polio surges.  This podcast is sponsored by argenx. Visit www.vyvgarthcp.com for more information.

If you've had children, you may have been given tips (probably unsolicited) about feeding Baby, but what does the science really say about baby advice? From allergies to getting your child started on the best foot forward, most parents are left trying to decipher an ever-changing landscape while feeling defeated. Today's guest, Meenal Lele, is the author of The Baby and the Biome, a revelatory look at how we all got so sick. She is also the founder & CEO of Lil Mixins, an early allergen introduction solution. She has a chemical engineering and business degree from the University of Pennsylvania. Meenal's book combines her deep clinical experience with her goal to end food allergies that affect 40 million Americans, like her son. Join us as Meenal helps to break down the complicated topic of children's food allergies and what science really says when it comes to a child's microbiome. Does your child have early eczema or food allergies? Post something you learned in your journey in the comments to help other parents! In this episode: The scary stat of how many kids will develop a chronic immune disease How eczema, food allergies and asthma are all related What is the best time window to introduce common allergenic foods to a baby (this goes against common advice) Why staph and eczema can go hand in hand along with food allergies What should parents do to hopefully minimize these issues? Quotes “Foods become an allergen when your body mistakes a totally normal, safe food and decides it's a parasite.” [12:52] “I feel like we're so unwilling to be even momentarily uncomfortable that we end up throwing things at a problem that don't even help. And that's the case for us with antibiotics. In Sweden, they made doctors report every single time they were using antibiotics, and why, and it cut the reuse of antibiotics by 75%, meaning probably for us in the United States, three out of four uses of antibiotics are completely unnecessary." [26:25] Links Connect with Meenal Lele online here Check out Lil Mixins here Follow Lil Mixins on Instagram Order a copy of Meenal's book: The Baby and the Biome: How the Tiny World Inside Your Child Holds the Secret to Their Health Healthy Skin Show ep. 020: How Your Mouth Microbiome Can Mess Up Your Skin w/ Trina Felber Healthy Skin Show ep. 222: Food Allergies + Skin Rashes in Kids w/ Jennifer Brand, MS, MPH, CNS Healthy Skin Show ep. 086: Allergies, Your Immune System & Skin Rashes w/ Dr. Maya Shetreat Healthy Skin Show ep. 110: Missing Links Between Your Little One's Skin Rashes & Mom's Health w/ Jennifer Brand, MS, CNS

Go online to PeerView.com/QSD860 to view the activity, download slides and practice aids, and complete the post-test to earn credit. In this activity, an expert in Rett syndrome discusses the diagnosis and management of this rare disease, as well as the latest data on emerging treatment options. A 3D animation offers an overview of MECP2 mutation, hypothesized to be a major contributor to the CNS manifestations of Rett syndrome. Upon completion of this activity, participants should be better able to: Apply diagnostic criteria to provide a timely diagnosis of Rett syndrome in infants demonstrating subtle signs and symptoms; Implement consensus recommendations on the age-specific management of patients with Rett syndrome; and Evaluate the evidence surrounding the safety, efficacy, and tolerability of emerging pharmacologic treatment options to consider implementing these novel therapies when they become available.

In this week's episode of the Reshape Your Health Podcast, we are talking about how to break the all-or-nothing weight loss mindset with Jessica Hehmeyer, MS, DC, LDN, CNS. If you're working to lose weight or better your health, this conversation is for you. We had a great time and I got more personal than ever before on an episode. I shared parts of my past history with sugar that were mostly embarrassing, but a little funny. We hope you gain value from this episode knowing that losing weight and getting healthy is a journey, not a race. You'll learn practical mindset tools to ditch the all-or-nothing mindset. Highlights From This EpisodeBreakdown of the all-or-nothing weight loss mindset.How to start mastering your middle ground.What 1-2 tools would we give to someone trying to master their weight loss?The “force field” of weight loss, and the shame associated.How we can change our language around food. Is there a role for processed food as a bridge to healthier choices?Sustainable weight loss and quality in food. Tips for staying in the right health mindset during the holidays and the myth of “starting on Monday."Respecting and realizing your growth.Subscribe & ReviewSubscribing and leaving a rating and review are important factors in helping the Reshape Your Health Podcast and the YouTube Channel reach more people. If you haven't already subscribed, please do that today.We would also be grateful if you left a rating and review, too. In your listening app, scroll to the “Ratings and Reviews” section, then click “Write a Review” and let us know what you enjoy about our show. We appreciate you taking the time to show your support. Thank you!Resources From This Episode>> Join Zivli>> Book a Free Zivli Discovery Call>> Freebie: Weight Loss Mindset Audio Training>> Freebie: The Ultimate Food Guide>> Dr. Jessica Hehmeyer's Website

Rarely is there a new medication that is really new and innovative. Imagine a drug that deactivate methamphetamine within 2 minutes and excretes it from the body within 2 hours. CS1103 is that drug. Listen to this episode from the drug developers at Clear Scientific and learn about this magically innovation. Clear Scientific Clear Scientific was founded in Cambridge, MA, in 2019. The heart of our mission is saving lives. We are a biopharmaceutical company pioneering novel therapies for life-threatening and debilitating conditions caused by an excess of harmful substances in the body.www.clearsci.com We are advancing a pipeline of innovative medicines in four therapeutic areas: Overdose caused by methamphetamine, fentanyl and their co-use; Accidental ADHD medication poisoning in children (Adderall and Ritalin); Reversal of neuromuscular blocking agents in anesthesia; Metabolic and neurodegenerative condition-induced CNS dysfunction. Our pioneering work has produced a first-in-class treatment, CS-1103, for methamphetamine overdose, a critical public health crisis. Mitch Zakin, Ph.D., Chief Scientific Officer 35+ years experience developing technologies for life sciences and chemical/biological defense Former DARPA Program Manager, Visiting Scholar Wyss Institute for Bio-Inspired Engineering at Harvard Med School; Co-Founder Soft Robotics Inc. , Physical Chemistry, Harvard University; BS, Chemistry CCNY Winston Henderson, JD, General Counsel 25+ years experience in intellectual property/corporate law and working in technology startups from founding to exit Work experience Kenyon & Kenyon, Anderson Consulting, Surface Logix, Active member Board of Trustees at Boston Children's Hospital JD, Duke University School of Law; BSE, Biomedical Eng & Electrical Engg.

This episode I'm catching you up on what's been happening in our week and discussing the importance of learning to let grief and joy co-exist. As summer comes to a close, it's time for kid's to go back to school and cue: all the back to school photos that are smeared all over my instagram & facebook walls. Last year at this time, seeing these photos was a painful reminder that my children WEREN'T going to school. Yet another huge milestone/experience that we were missing out on. Listen in on how I overcame that hump and learned that it's okay to grieve those "normal" milestones we are missing out on with our children, but at the same time have so much joy and gratitude for the experiences we DO get with our kids on this special journey. Also... BIG NEWS! We found out this week that the FDA has APPROVED the first and only treatment for (the non-nuerological symptoms) ASMD! Read all about it here: https://www.globenewswire.com/news-release/2022/08/31/2507978/0/en/Press-Release-XenpozymeTM-olipudase-alfa-rpcp-approved-by-FDA-as-first-disease-specific-treatment-for-ASMD-non-CNS-manifestations.html

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/HydromorphoneDilaudidNursingConsiderations    Generic Name hydromorphone Trade Name Dilaudid Indication moderate to severe pain Action alters the perception and reaction to pain by binding to opiate receptors in the CNS, also suppresses the cough reflex Therapeutic Class Opioid Analgesic, allergy, cold and cough remedies, antitussive Pharmacologic Class opioid agonist Nursing Considerations • Assess BP, respirations, and pulse before and during administration – medication causes general CNS depression • Narcan (nalaxone) is the antidote for overdose • use caution with concurrent use of MAOI – avoid use within 14 days of each other • may be used as an antitussive • advised to dilute with NS prior to administration and to administer slowly to decrease CNS depression

“Have confidence in your abilities and then be tough enough to follow through until you reach your goals!”-Felicity LuckeyNutrition and healthy living can seem really complicated and almost impossible to achieve. There are so many diets that have extreme guidelines and any deviation from them results in you feeling off track and can ultimately make you quit the diet outright. When it comes to nutrition and living a long term healthy life, simple is best. If you can repeatedly follow a diet for the long term, you are far more likely to live a healthy and happy life!This week's guest is Certified Nutrition Specialist , Kimberly Young. Kimberly is a board certified nutrition specialist (CNS) in private practice in Dallas, Texas. Kimberly's approach is focused on dietary and lifestyle modifications with a primary focus on whole food. She uses various diagnostic tools to evaluate her client's unique needs and customizes results oriented programs based on her clients goals. Throughout this episode we cover how common eating disorders are and why they are so under diagnosed, the first 3 things you need to do in order to build a long term healthy life, and what you didn't know about snacking and why it can cause more problems than good. We also explore the nutrient most people are missing from their meals, the reason we need to have a balance to our meals, why the first meal of the day is the most important one, and so much more!Check out Kimberly's website here! Related Episodes:88 - An Easy Approach to Healthy Living w/ Nutrition Specialist Kimberly Young pt.165 - Using Nutrition to Improve Mental Health & Performance w/ R.D. Andy De Santis pt.264 - Diets: Good, Bad, or Misunderstood? w/ R.D. Andy De Santis pt.159 - Control Your Thoughts, Emotions, & Stress Using Mindfulness w/ author Clif Smith pt.226 - It All Starts with What You Eat w/ Dietician Dr. Allen Knehans pt.212 - Overcome Eating Disorders and Debunking Food Myths w/ Dietician Dr. Leah Hoffman pt.211 - Building a Healthier Life w/ Dietician Dr. Leah Hoffman pt. 1Reach out to and follow us on Instagram!Follow us on Twitter!And remember to GET AFTER IT!