Podcasts about crp

Episode 194: Acute low back pain.  Future Dr. Ibrahim presents a clinical case to explain the essential points in the evaluation of back pain.  Future Dr. Redden adds information about differentiating between a back strain and more serious diseases such as cancer, and Dr. Arreaza shares information about returning to work after back strain.Written by Michael Ibrahim, MSIV. Editing and comments by Jordan Redden, MSIV, and Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Dr. Arreaza:Welcome back, everyone. Today's topic is one that every primary care provider, emergency doctor, and even specialist sees routinely: low back pain. It's so common that studies estimate up to 80% of adults will experience it at some point in their lives. But despite how frequent it is, the challenge is to identify which cases are benign and which demand urgent attention.Jordan:Exactly. Low back pain is usually self-limiting and mechanical in nature, but we always need to keep an eye out for the rare but serious causes: things like infection, malignancy, or neurological compromise. That's why a good history and physical exam are our best tools right out of the gate.Michael:And to ground this in a real example, let me introduce a patient we saw recently. John is a 45-year-old warehouse worker who came in with two weeks of lower back pain that started after lifting a 50-lb box. He describes it as a dull, aching pain that radiates from his lower back down the posterior left thigh into the calf. He says it gets worse with bending or coughing, but he feels better when lying flat. He also mentioned some numbness in his left foot, but he denies any bowel or bladder issues. His vitals are completely normal. On exam, he had lumbar paraspinal tenderness, a positive straight leg-raise at 40 degrees on the left and decreased sensation in the L5 dermatome, though reflexes were still intact.Dr. Arreaza:That's a great case. Let's take a minute and talk about the straight leg raise test. This is a bedside tool we use to assess for lumbar nerve root irritation often caused by a herniated disc. ***Here's how it works: the patient lies supine, and you slowly raise their straight leg. If pain radiates below the knee between 30° and 70°, that suggests radiculopathy, especially involving the L5 or S1 nerve roots. Pain at higher angles is more likely due to hamstring tightness or mechanical strain.Michael:Right. So, stepping back: what do we mean by "low back pain"? Broadly, it's any pain localized to the lumbar spine, but it's often classified by type or cause:Mechanical (like muscle strain or degenerative disc disease), Radicular (nerve root involvement), Referred pain (like from pelvic or abdominal organs), Inflammatory (AS), and Systemic or serious causes like infection or malignancy. Jordan:In John's case, we're thinking radicular pain, most likely from a herniated disc compressing the L5 nerve root. That's supported by the dermatomal numbness, the leg pain, and that positive straight leg test.Dr. Arreaza:Good reasoning. Now, anytime we see back pain, our brains should run a checklist for red flags. These help us pick up more serious causes that require urgent attention. Let's run through the red flags.Michael:Sure. For fracture, we think about major trauma or even minor trauma in the elderly, especially those with osteoporosis or on chronic steroids. Also, anyone over 70 years old.Jordan:Then we have infections, which could include things like discitis, vertebral osteomyelitis, or epidural abscess. Red flags include fever, IV drug use, recent surgery, or immunosuppression.Michael:Malignancy is another critical one, especially if there's a history of breast, prostate, lung, kidney, or thyroid cancer. Clues include unexplained weight loss, night pain, or constant pain not relieved by rest.Jordan:And don't forget about inflammatory back pain, like ankylosing spondylitis, which is often seen in younger patients with morning stiffness that lasts more than 30 minutes and improves with activity.Dr. Arreaza:And of course, we always rule out cauda equina syndrome: a surgical emergency. That's urinary retention or incontinence, saddle anesthesia, bilateral leg weakness, or fecal incontinence. Missing this diagnosis can be catastrophic.Michael:Thankfully, in John's case, we don't see any red flags. His presentation is classic for uncomplicated lumbar radiculopathy. But we must stay vigilant, because sometimes patients don't offer up key symptoms unless we ask directly.Jordan:And that's where associated symptoms help guide us. For example:Radicular symptoms like numbness or weakness follow dermatomal patterns. Constitutional symptoms like fever or weight loss raise red flags. Bladder/bowel changes or saddle anesthesia raise alarms for cauda equina. Pain that wakes patients up at night might point to malignancy. Dr. Arreaza:So when do we order labs or imaging?Michael:Not right away. For most patients with acute low back pain, imaging is not needed unless they have red flags. If infection is suspected, we'd get CBC, ESR, and CRP. For cancer, maybe PSA or serum protein electrophoresis. And if inflammatory back disease is suspected, HLA-B27 can be helpful.Jordan:Yes, imaging should be delayed for at least six weeks unless red flags or significant neurologic deficits are present. When we do image, MRI is our go-to especially for suspected radiculopathy or cauda equina. X-rays can help if we're thinking about fractures, but they won't show soft tissue or nerve root issues.Michael:In the example from our case, since the patient doesn't have red flags, we'd go with conservative management: start NSAIDs and recommend activity modification. As this is the acute setting, physical therapy would not be recommended.Jordan:For the acute phase, research shows no serious difference between those with PT and those without in the long term. However, physical therapy is really the cornerstone of management for chronic back pain. It's not just movement: it's education, body mechanics, and teaching patients how to move safely. And PT can actually reduce opioid use, imaging, and injections down the line for patient struggling with long term back pain.Dr. Arreaza:Yes, and PT is not one-size-fits-all. PT might include McKenzie exercises, manual therapy, postural retraining, or even neuromuscular re-education. The goal is always to build core stability, promote healthy movement patterns, and reduce fear of motion.Jordan:Let's take a minute to talk about the McKenzie Method, a physical therapy approach used to treat lumbar disc herniation by identifying a specific movement, (often spinal extension) that reduces or centralizes pain. A common exercise is the prone press-up, (cobra pose for yoga fans) where the patient lies face down and pushes the upper body upward while keeping the hips on the floor to relieve pressure on the disc. These exercises should be done carefully, ideally under professional guidance, and discontinued if symptoms worsen.Michael:For our case patient, our working diagnosis is mechanical low back pain with L5 radiculopathy. No imaging needed now, no red flags. We'll treat conservatively and educate him about proper lifting, staying active, and recovery expectations.Jordan:We also emphasized to him that bed rest isn't helpful. In fact, bed rest can make things worse. Keeping active while avoiding heavy lifting for now is key.Dr. Arreaza:Return-to-work recommendations should be individualized. For example, an office worker, positioning while working, or work hours may be able to return to work promptly. However, those with physically demanding jobs may need light duty or be off work.Ice: no evidence of benefit. Heat: may reduce pain and disability in pain of less than 3 months, although the benefit was small and short.And we should always teach safe lifting techniques: bend at the knees, keep the load close, avoid twisting. It's basic knowledge, but it is very effective in preventing recurrence.Jordan:Now, if a patient fails to improve after 6 weeks of conservative therapy, or if they develop new neurologic deficits, that's when we think about referral to spine specialists or surgical consultation.Michael:And as previously mentioned: in cases where back pain becomes chronic (lasting more than 12 weeks) a multidisciplinary approach works best. That can include:Physical therapy, Cognitive behavioral therapy (CBT) And sometimes pain management interventions. Jordan:We can't forget the psychological toll either. Chronic back pain is associated with depression, anxiety, and opioid dependence. Increased risk factors include obesity, smoking, sedentary lifestyle, and previous back injuries.Dr. Arreaza:Well said. So, let's summarize. Michael?Michael:Sure! Low back pain is common, and most cases are benign. But we have to know the red flags that point to serious pathology. A focused history and physical exam are more powerful than many people realize. And the first step in treatment is almost always conservative, with a strong emphasis on maintaining physical activity.Jordan:And don't underestimate the value of patient education. Helping patients understand their pain, set realistic expectations, and stay active is often just as important as the medications or therapies we offer.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Chou, R., Qaseem, A., Snow, V., Casey, D., Cross, J. T., Shekelle, P., & Owens, D. K. (2007). Diagnosis and treatment of low back pain: A joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine, 147(7), 478–491. https://doi.org/10.7326/0003-4819-147-7-200710020-00006Deyo, R. A., Mirza, S. K., Turner, J. A., & Martin, B. I. (2009). Overtreating chronic back pain: Time to back off? Journal of the American Board of Family Medicine, 22(1), 62–68. https://doi.org/10.3122/jabfm.2009.01.080102National Institute for Health and Care Excellence. (2020). Low back pain and sciatica in over 16s: Assessment and management (NICE Guideline No. NG59). https://www.nice.org.uk/guidance/ng59Qaseem, A., Wilt, T. J., McLean, R. M., & Forciea, M. A. (2017). Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 166(7), 514–530. https://doi.org/10.7326/M16-2367UpToDate. (n.d.). Evaluation and treatment of low back pain in adults. Wolters Kluwer. https://www.uptodate.com (Access requires subscription)Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

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

In this episode, I answer a listener questions about using wheat as a food plot and letting it go fallow. Letting the wheat stand all year to provide fawning habitat, brooding cover for turkey, pheasant, and quail. I explain how to handle between an exsisting stand and a current fallow field. I talk about the CRP update on my farm and the black locust we have taken out so far. I hope you all enjoy and thank you for listening!For Listener Questions Habitat Consultations or Forestry Services: JKnox0623@gmail.comFor Real Estate:Jesse.Knox@basecampcountry.comFor any related topic you want discussed on the show or questions please email or send a DM on any of the social media platforms!

Tabitha Panas was one of thousands of people fired by DOGE on February 14th. It's been a rocky and uncertain road for her since then. This is her version of the story.   hokseynativeseeds.com (for CRP mixes and native pasture mix)

This was truly an awesome interview! (For our friends who are only here for Rob Sand, the interview starts at 15:15)   Merch for Conservation (Preorder closes at the end of the day June 12th) Hokseynativeseeds.com (for CRP, Hunting Mixes, and Backyard Prairies)

We're digging into egg health, inflammation, and the key factors that cause it. We often hear about “low AMH” or “poor egg quality” without answers that go beneath the surface. In today's episode, we explore a missing link that could be driving it all: chronic inflammation. Whether you're dealing with diminished ovarian reserve (DOR), premature ovarian insufficiency (POI), or recurrent miscarriage, understanding inflammation's role may be key to moving forward. This episode is for anyone ready to connect the dots between lab results, symptoms, and what's going on inside the body. If you've been told everything is “normal,” but it doesn't feel that way, this is your invitation to dig deeper with science, strategy, and a plan. This episode is for you if: You're struggling with low AMH, diminished ovarian reserve (DOR), or poor egg quality. You want to understand how inflammation could be impacting your fertility journey. You're looking for actionable insights to support egg health naturally through lab markers and lifestyle factors. In this episode you'll learn: How chronic inflammation affects egg quality, ovarian reserve, and miscarriage risk Why low AMH isn't the full story and what labs to ask for next Key blood markers (like hs-CRP, homocysteine, and thyroid antibodies) that reveal hidden inflammation The role of insulin resistance, thyroid imbalance, and nutrient deficiencies in ovarian aging Practical strategies to reduce inflammation and improve egg health with a functional approach --- RESOURCES "Your Labs Are Normal” But Are They? 20 Overlooked Blood Markers & Functional Tests to Improve Egg Quality & Fertility:  https://fabfertile.com/blogs/podcasts/your-labs-are-normal-but-are-they-20-overlooked-blood-markers-functional-tests-to-improve-egg-quality-fertility Why Does It Matter If I Have Migraines and POI?: https://fabfertile.com/blogs/podcasts/why-does-it-matter-if-i-have-migraines-and-poi?_pos=2&_sid=27548216b&_ss=r The Link Between Sleep and Fertility: Why Getting Enough Rest Matters:  https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality Why Addressing Homocysteine Levels Can Boost Egg and Sperm Health: https://fabfertile.com/blogs/podcasts/why-addressing-homocysteine-levels-can-boost-egg-and-sperm-health?_pos=1&_sid=750cbcc5e&_ss=r What Mood Swings, Sugar Cravings, Poor Sleep and Feeling Hangry Have to Do With Your Fertility:  https://fabfertile.com/blogs/podcasts/what-mood-swings-sugar-cravings-poor-sleep-and-feeling-hangry-has-to-do-with-your-fertility?_pos=11&_sid=02696b0e2&_ss=r Why Genomic Testing Can Help With Recurrent Pregnancy Loss, Birth Outcomes and Preconception Health:  https://fabfertile.com/blogs/podcasts/why-genomic-testing-can-help-with-recurrent-pregnancy-loss-birth-outcomes-and-preconception-health?_pos=10&_sid=8a66db686&_ss=r Is Your Thyroid Impacting Egg Health? The Hidden Connection to Low AMH, DOR & Fertility Success:  https://fabfertile.com/blogs/podcasts/is-your-thyroid-impacting-egg-health-the-hidden-connection-to-low-amh-dor-fertility-success?_pos=6&_sid=96ccbdc87&_ss=r Low AMH? Why 'Normal' Vitamin D Levels May Still Be Hurting Your Egg Quality:  https://fabfertile.com/blogs/podcasts/low-amh-why-normal-vitamin-d-levels-may-still-be-hurting-your-egg-quality?_pos=4&_sid=4de32e2e0&_ss=r The Intricate Dance: Cholesterol, Statins, and Fertility: https://fabfertile.com/blogs/education/the-intricate-dance-cholesterol-statins-and-fertility?_pos=1&_sid=2948a9d48&_ss=r Our favorite fertility tracker (use code FABFERTILE15 to save 15): https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes Fab Fertile Method https://www.fabfertile.com/what-we-do/ Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH - https://fabfertile.clickfunnels.com/optinvbzjfsii Not sure where to start? Book a 15-minute call here and we'll give you options to help. ---

In this week's Farm Companion, we're putting in the work and stacking days with fall on our minds. As we wrap up our summer plots, it's hard not to start thinking ahead to deer season. In Illinois, we're locking in the CRP renewal, picking out stand locations, and getting in the mindset of holding mature bucks. Meanwhile, in Ohio, the grind doesn't stop—we're fine-tuning every inch of ground that could turn into a hot spot. Fall plots are up next, and every move we make now is about tipping the odds in our favor when that first buck steps out. Deer season's coming fast—and we're making sure these farms are ready. We hope you guys enjoy this series as much as we do. We live this every day, thinking about hunting season 365 days a year, putting in the work to set ourselves up for whitetail success this fall. Sit back, relax, and enjoy the show.SUBSCRIBE TO THE CHANNEL HERE:https://www.youtube.com/c/HUNTRTUBEBuy some merch on our website:https://wearehuntr.com/HUNTR Podcast is presented by:Hoyt Archery: https://hoyt.com (USE CODE HUNTR FOR 20% OFF APPAREL)DeerGro: https://www.deergro.com (USE CODE HUNTR FOR 15% OFF)Beast Broadheads: https://beastbroadheads.com/(USE CODE HUNTR FOR 10% OFF)MTN Tough: http://lab.mtntough.com/checkout/subscribe/purchase?code=huntr&plan=monthly(USE CODE HUNTR FOR 1 FREE MONTH)RackHub: https://www.rack-hub.com/huntr (USE CODE HUNTR FOR 10% OFF)Pure Wildlife Blends: https://www.purewildlifeblends.com (USE CODE HUNTR10 FOR 10% OFF)Lone Wolf Custom Gear: https://www.lonewolfcustomgear.com/(USE CODE HUNTR FOR 7% OFF)Better Backstrap: https://betterbackstrap.com/(USE CODE HUNTR15 FOR 15% OFF)Spartan Forge: https://spartanforge.ai/(USE CODE HUNTR20 FOR 20% OFF)

Habitat Podcast #333 - In today's episode of The Habitat Podcast, Jared and Andy are joined by Jordan Hanks We discuss: From trail cams to close encounters Spring plots vs. fall planting strategies Taxidermy as an art form Old-school bow-hunting revival Deer camp camaraderie highs CRP program struggles & solutions Summer food plot adaptation plans And So Much More! PATREON - ⁠⁠⁠⁠⁠⁠Patreon - Habitat Podcast⁠⁠⁠⁠⁠⁠ Brand new HP Patreon for those who want to support the Habitat Podcast. Good luck this Fall and if you have a question yourself, just email us @ info@habitatpodcast.com -------------------------------------------------------------------------- ⁠⁠⁠⁠⁠⁠Patreon - Habitat Podcast⁠⁠⁠⁠⁠⁠ Latitude Outdoors - Saddle Hunting: ⁠⁠⁠⁠⁠⁠https://bit.ly/hplatitude⁠⁠⁠⁠⁠⁠ Stealth Strips - Stealth Outdoors: Use code Habitat10 at checkout ⁠⁠⁠⁠⁠⁠https://bit.ly/stealthstripsHP⁠⁠⁠⁠⁠⁠ Midwest Lifestyle Properties - ⁠⁠⁠⁠⁠⁠https://bit.ly/3OeFhrm⁠⁠⁠⁠⁠⁠ Vitalize Seed Food Plot Seed - ⁠⁠⁠⁠⁠⁠https://bit.ly/vitalizeseed⁠⁠⁠⁠⁠⁠ Down Burst Seeders - ⁠⁠⁠⁠⁠⁠https://bit.ly/downburstseeders⁠⁠⁠⁠⁠⁠ 10% code: HP10 Morse Nursery - ⁠⁠⁠⁠⁠⁠http://bit.ly/MorseTrees⁠⁠⁠⁠⁠⁠ 10% off w/code: HABITAT10 Packer Maxx - ⁠⁠⁠⁠⁠⁠http://bit.ly/PACKERMAXX⁠⁠⁠⁠⁠⁠ $25 off with code: HPC25 First Lite --> ⁠⁠⁠⁠⁠⁠https://bit.ly/3EDbG6P⁠⁠⁠⁠⁠⁠ LAND PLAN Property Consultations – HP Land Plans: ⁠⁠⁠⁠⁠⁠LAND PLANS⁠⁠⁠⁠⁠⁠ Leave us a review for a FREE DECAL - ⁠⁠⁠⁠⁠⁠https://apple.co/2uhoqOO⁠⁠⁠⁠⁠⁠ Morse Nursery Tree Dealer Pricing – info@habitatpodcast.com Habitat Podcast YOUTUBE - ⁠⁠⁠⁠⁠⁠https://www.youtube.com/channel/UCmAUuvU9t25FOSstoFiaNdg⁠⁠⁠⁠⁠⁠ Email us: info@habitatpodcast.com habitat management / deer habitat / food plots / hinge cut / food plot Learn more about your ad choices. Visit megaphone.fm/adchoices

Hal Herring is an acclaimed writer on all things public land and outdoors. He has fought ruthlessly over the years to help preserve our Public Land and to save our natural resources. And frankly, he's a really nice guy. We greatly enjoyed this conversation, and we believe you will as well.   Merch for Conservation hokseynativeseeds.com (for CRP mixes and native pasture mixes)

Chad Graeve joins us from Pottawattamie County and the Loess Hills to talk about how we can increase our quality of life by having less. We also discuss alternatives to glyphosate, and how to use fire and grazing.   hokseynativeseeds.com (for hunting mixes and CRP mixes)

Join us for another awesome episode of The Prairie Farm Podcast. In this episode discuss how honey locust are affecting the flora and fauna of water ways. We also answer a fantastic question about establishing a prairie over 10 acres.   hokseynativeseeds.com (for Merch for Conservation) hokseynativeseeds.com (for CRP and Backyard Pollinator Mixes)

Trotz gesunder Ernährung und Bewegung zeigt die Waage keine Veränderung? Möglicherweise sabotieren stille Entzündungen deinen Abnehmerfolg – ganz ohne klare Symptome, aber mit großer Wirkung auf deinen Stoffwechsel. In dieser Folge sprechen wir, Dr. Isabell und Dr. Volker, darüber, wie stille Entzündungen im Körper entstehen, warum sie vor allem bei viszeralem Fett (Bauchfett) ein Risiko darstellen – und was du konkret tun kannst, um sie zu erkennen und zu reduzieren. Du erfährst: ✅ Warum stille Entzündungen so tückisch sind – und oft übersehen werden ✅ Welche Symptome und Laborwerte auf eine chronische Entzündung hinweisen können ✅ Welche Rolle viszerales Fett dabei spielt und wie es den Stoffwechsel blockiert ✅ Wie antientzündliche Ernährung wirklich aussieht – und welche Lebensmittel du meiden solltest ✅ Warum „Eat the Rainbow“, Wildheidelbeeren und fermentierte Lebensmittel deine besten Verbündeten sind ✅ Wie Fastenphasen, guter Schlaf und gezielte Mikronährstoffe wie Omega-3, Vitamin D & Co. helfenUnser Fazit: Stille Entzündungen sind oft der unsichtbare Grund, warum das Gewicht stagniert – trotz aller Anstrengungen. Mit dem richtigen Wissen, gezielter Ernährung und einem achtsamen Lebensstil kannst du deinem Körper helfen, wieder ins Gleichgewicht zu kommen.

*Wheat disease pressure was light this year.  *The Farm Service Agency is now accepting applications for general and continuous CRP.  *Texas cotton gins saw a lot more business last year compared to the previous two years. *The Texas legislature is once again strengthening the right to farm and ranch.  *Texas Panhandle wheat suffered from a lack of moisture early in the spring.  *The Natural Resources Conservation Service wants employees out in the field.  *The hot summer is near and that can affect turfgrass production.  *Avian Influenza has been found in many mammal species in the Texas Panhandle.  

Join Nicolas and Kent for this fantastic conversation with Kyle Lybarger of The Native Habitat Project.   Check out our merch line that fights for conservation!   hokseynativeseeds.com (for CRP and Backyard Pollinator)

Four Fantastic Friends Podcast || Dare To Be Vital BookFIVE PRIMARY POINTS of the PODCAST1. Your Nose Could Predict Your LifespanA reduced sense of smell is significantly linked to early death. In a large study, each misidentified scent increased mortality risk by 5%. Missing 10+ scents raised the risk by 67%, especially from neurodegenerative diseases. Surprisingly, smell training has been shown to support cognitive function and well-being.2. A Selfie May Be a Scientific Vital SignAI tools analyzing facial features from selfies can estimate biological age and predict cancer survival better than chronological age. One model, FaceAge, correlated facial aging with the gene CDK6, a key player in cellular aging—suggesting that what we see in the mirror may reflect what's happening at the molecular level.3. Two Apples a Day Keep Inflammation AwayConsuming apples—especially Gala varieties—reduced inflammatory markers (CRP, IL-6), improved cholesterol, and enhanced antioxidant capacity in studies. Thanks to polyphenols and pectin, apples are a simple, data-backed intervention for improving vitality.4. Grip Strength Is the New SmokingLow grip strength, adjusted for body weight, is strongly linked to accelerated biological aging, chronic diseases, and premature death. It's a powerful, inexpensive, and practical biomarker. Boosting strength through resistance training is one of the most effective longevity tools.5. Optimism Extends LifeA positive mindset is scientifically linked to longer life—up to 15% longer for women and 11% for men. Optimistic individuals had a significantly higher chance of living to 85+. Optimism can be cultivated by reframing challenges and focusing on controllable responses.Four Fantastic Friends Podcast || Dare To Be Vital Book This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit vitalityexplorers.substack.com/subscribe

Sign-ups are open for General CRP and Continuous CRP. More details on Continuous CRP in today's report.

About the Guest(s): Dr. Kristin Hieshetter is a distinguished expert in functional health, with years of professional practice in improving patient outcomes through innovative approaches to wellness. Dr. Laura is a passionate advocate for brain health and a seasoned practitioner in functional medicine. Both guests bring profound insight into optimizing human health by addressing root causes of chronic conditions. Episode Summary: In this eye-opening episode of Functional Health Radio, Dr. Kristin Hieshetter and Dr. Laura delve deeply into the troubling trends in U.S. life expectancy and the rising prevalence of chronic diseases among children. The discussion begins with a stark statistic: for the first time in recorded history, the U.S. life expectancy has declined, prompting a thorough analysis of how modern healthcare practices are failing to halt conditions like heart disease and cancer. The episode offers a roadmap to harnessing the body's incredible potential through functional health principles. This episode intricately explores genetic factors, specifically focusing on the MTHFR SNP and its role in metabolism and health. Dr. Laura shares critical insights on how these genetic factors affect her son, Laird, who has a complex profile including the COMT gene. Detailed recommendations for specific dietary changes and supplementations, like Omega-3 fatty acids and curcumin, highlight the power of tailored health interventions. The episode is rich with actionable advice for parents and healthcare practitioners interested in functional medicine's potential to address neurodegenerative disorders. Key Takeaways: The U.S. is witnessing a significant decline in life expectancy, particularly concerning due to rising chronic disease rates in children. Genetic variations such as the MTHFR and COMT mutations can significantly impact health, underscoring the need for personalized healthcare approaches. Functional health emphasizes the importance of diet and high-quality supplements like Omega-3s, melatonin, and curcumin for brain health. Testing inflammatory markers such as C-reactive protein (CRP) is crucial in managing and optimizing health outcomes in chronic conditions. The episode provides a day-in-the-life insight into managing the health of a child with a neurodegenerative condition through diet and specific nutraceutical protocols. Notable Quotes: "We are no better at healing heart disease and cancer than we were in the 1950s." - Dr. Kristin Hieshetter "Melatonin is the next vitamin D. It's not just the sleep hormone. It's a potent brain antioxidant." - Dr. Laura "You can't do that if you don't fill in the gaps in your diet. So take your supplements or you're not playing sports." - Dr. Kristin Hieshetter "Anytime we can get one more target, that to me, is just one more way to help a child." - Dr. Laura "Inflammation is my jam and brain health is my jam." - Dr. Laura Resources: CDC Vital Statistics Report - Data source on U.S. life expectancy trends. PubMed - Resource for research articles. Functional Health Mastery Group Linda Mood Bell Learning Processes - Education programs mentioned for multi-sensory learning. Stay tuned for more transformative insights from Functional Health Radio, where healthcare meets cutting-edge science to empower listeners towards better health outcomes. Don't miss this thought-provoking episode that covers groundbreaking strategies in functional health.

Host Bob St.Pierre is joined by Pheasants Forever and Quail Forever's Director of Government Affairs Andrew Schmidt to discuss the current Conservation Reserve Program (CRP) signup and its relevance for bird hunters. There are currently 1.8 million acres available for CRP enrollment this fiscal year with a signup underway right now through June 6th. Schmidt also discusses new proposals aimed at improving CRP and increasing funding for walk-in access programs. Episode Highlights: • Schmidt examines how bird populations have correlated with CRP acreage since the program began in 1985 and emphasizes the role of CRP acres in increasing public access through state walk-in programs. • The discussion covers a range of benefits provided by CRP, including contributions to rural economies via wildlife habitat, enhancement of water resources and soil health, and risk mitigation for farmers and ranchers. • Schmidt outlines the distinctions between general CRP, continuous CRP, CREP, and other signups, and explains how the Voluntary Public Access and Habitat Incentive Program (VPA-HIP) increases public access for bird hunters.

In this episode, I complain about the gnats. As one should. I share about my short, but effecient spring drilling season. I then focus on the CPR sign up for 2025 and the issues I am experincing. Mostly the good problems, but challenging aspects of getting back in! I hope you found this interesting and helpful thank you for listening!Real Estate Inquiries www.basecampcountry.com/agent-jesse-knox/Jesse.Knox@basecampcountry.comHabitat Inquiries: jknox0623@gmail.com

Jeffrey Mosher welcomes back Teri Sand, SHRM-CP, PHR, CBSP, CRP, Business Services Manager, Capital Area Michigan Works!, Lansing, MI, but serving Ingham Eaton, and Clinton Counties Theme: Teri talks about the fourth annual DHHS Job Fair, which took place the previous day, and previews the upcoming Juneteenth Job Fair. Question 1: Yesterday was the fourth annual MDHHS Spring Job Fair. Can you tell us about this event, how many employers and job-seekers attended, and how it's changed over the years? The annual DHHS job fair is quickly becoming one of the signature events on the Capital Area's workforce development calendar. MDHHS partnered with Capital Area Michigan Works!; Catholic Charities of Ingham, Eaton & Clinton Counties; and the Lansing Police Department for this year's event. It started in the parking lot of the Ingham County Health Department in 2022, coming out of the pandemic, and featured 20 or so employers, including local government agencies. This year, we had more than 40 employers and [[approximate number of job-seekers]] at the event. The event took place at the Gannon Building on Lansing Community College's main campus to accommodate the number of employers and potential employees. Practically every job sector and industry was represented — public and private, large corporations and small businesses. Question 2: Nowadays, so much of the job search process is digital. Someone looking for work can fill out dozens of applications from the comfort of home, and employers can use screening tools — including A.I. — to zero in on the highest quality candidates. What's the advantage of attending in-person job fairs like these, both for the employer and the worker? First of all, we need to remember that although technology like internet access and smartphones seem ubiquitous, not every job-seeker has access to them. That's why, in addition to helping people fill out digital applications at our American Job Centers, we also teach digital literacy to help people who need to upskill be able to find more job opportunities online. Second, Capital Area Michigan Works! is proud to invite employers who are offering full-time, permanent jobs paying $15 an hour or more. That means the employers have quality jobs to offer. It's our mission to not only help residents of the tri-county area find work, but find good jobs with self-sustaining wages. These employers are also open to hiring from the Capital region's substantial New American population, giving those with limited English proficiency a chance to fully participate in the local economy. Finally, and perhaps most importantly, what's missing from filling out a form on a website and interviewing over Zoom is the human connection between employers and applicants. If employers only look for keywords on resumes and cover letters, they might miss the crucial soft skills that potential employees have to offer. A cover letter and resume emailed to a hiring manager might not convey the passion, drive and integrity that a job-seeker brings to the table. And I think that really speaks to the core of what we do: bridging the gap between employer and employee, creating a human connection that leads to long-term success for both sides. Question 3: For employers or workers who were unaware of this event, do you have any similar opportunities coming up? Where can people find more information? Next month, the Job and Community Resource Fair sponsored by Juneteenth/NAACP Lansing Branch and Capital Area Michigan Works! will take place from 11 a.m. to 3 p.m. on Saturday, June 21, at St. Joe Park on Hillsdale Street in Lansing.

Send us a textTake the Health Type Quiz or Join the Newsletter herePlease give me podcast feedback with a few questions hereIn this episode, I revisit the most powerful tool for longevity—exercise—and unpack fresh research that changes how we should think about its timing, type, and impact.We begin with a quick recap of the foundational elements covered in Episode 2, emphasizing that aerobic activity can lower the risk of mortality, heart attack, stroke, cancer, and dementia by 20–30%, even when started later in life. Then we explore compelling new studies that show how exercise affects everything from blood pressure to brain volume. A meta-analysis of 14,000 participants shows even 15–20 minutes of moderate exercise daily lowers blood pressure. A review of 19 trials links physical activity to better sleep efficiency and reduced wake time. In terms of weight management, a meta-analysis of 116 randomized trials finds that even 30 minutes of exercise weekly leads to measurable weight loss, with a dose-response up to 300 minutes per week.Exercise also appears to influence mood. A review of 33 observational studies involving nearly 100,000 adults suggests that 5,000–7,000 steps daily correlate with reduced depressive symptoms. While causality remains uncertain, the association is intriguing. Beyond mental health, strength training may reduce inflammation: 19 trials show CRP levels dropped in  adults who engaged in resistance training. Perhaps most excitingly, a smaller study found higher cardiorespiratory fitness linked to greater hippocampal volume and better memory in older adults.To optimize these benefits, we explore emerging science around exercise timing and routine structure. A large study of 14,000 users wearing devices found that intense workouts within two hours of bedtime delayed sleep onset by 36 minutes. Perhaps finish workouts at least four hours before sleep for better rest. Interestingly, data from over 400,000 adults reveals that women gain more longevity benefit from exercise than men—and with less time invested.We also cover weekend warriors. A UK Biobank study showed no difference in health outcomes based on when exercise occurred, debunking the belief that daily consistency is essential—what matters is that you do it. If you're sleep-deprived, caffeine might restore performance, as shown in a 10K time trial study. Lastly, a novel study using post-workout cold exposure showed that cold immersion reduced blood flow and amino acid uptake for up to 3 hours.

In this episode of Mikkipedia, Mikki explores a commonly overlooked health marker—C-Reactive Protein (CRP). While traditional lab ranges often label values under 5 mg/L as "normal," Mikki explains why even mild elevations (around 3–4 mg/L) can signal underlying low-grade inflammation. She breaks down what CRP actually reflects, the various root causes (from gut issues and food sensitivities to overtraining and hormonal shifts), and what practical steps you can take to investigate and lower it. If your blood work seems “fine” but you're not feeling your best, this episode is for you.Tune in to learn:What CRP is and why “normal” might not be optimalCommon hidden triggers of low-grade inflammationHow to track and troubleshoot symptoms across lifestyle, diet, and hormonesThe role of food sensitivities, histamine, overtraining, and gut healthStrategic testing, supplements, and self-experimentation tips Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwillidenSave 20% on all Nuzest Products WORLDWIDE with the code MIKKI at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz supplement: MIKKI saves you 25% at www.curranz.co.nz or www.curranz.co.uk off your first order

Explore stroke prevention with Essentia Health, climate challenges with H2O Radio, Nebraska's CRP program struggles, and cultural restoration with Our Living Lands.

Joe's Premium Subscription: www.standardgrain.comGrain Markets and Other Stuff Links-Apple PodcastsSpotifyTikTokYouTubeFutures and options trading involves risk of loss and is not suitable for everyone.0:00 US Planting Window2:49 "Perfect" Brazil Weather4:51 Tariff Exemptions8:26 USDA Budget Cuts9:44 The Funds10:45 Black Sea Drone Attack

In this episode of the School of Doza Podcast, Nurse Doza breaks down the science behind five powerhouse fruits that can naturally boost your immunity. Learn how compounds found in elderberries, tart cherries, avocados, grapes, and cocoa can support immune function, reduce inflammation, and help you stay well year-round. Boost Your IMMUNITY with These 5 Super Fruits! 5 KEY TAKEAWAYS Elderberries contain powerful flavonoids and anthocyanins that enhance immune response and reduce virus activity. Tart cherries rival over-the-counter anti-inflammatories and help lower blood pressure and CRP levels. Avocados, technically berries, offer healthy fats and nutrients essential for resolving inflammation and supporting gut health. Grapes provide resveratrol and other compounds that help modulate immune responses and protect against autoimmune conditions. Cocoa is a potent anti-inflammatory fruit that supports gut health and reduces cortisol, benefiting stress resilience and immunity. FEATURED PRODUCT The D from MSW Nutrition is packed with high-dose Vitamin D3, Vitamin K2, and magnesium—nutrients critical for immune function, calcium absorption, and overall wellness. As discussed in today's episode, strong immunity depends on key vitamins and anti-inflammatory support. The D delivers just that.  Get The D TIMESTAMPS 00:00 START 01:08 What's new at the Nurse Doza Clinic: NAD+ injections 03:42 Why fruits are foundational for immunity 05:30 #1: Elderberries – flavonoids, immune support, antiviral power 12:10 Nurse Doza's elderberry routine during pediatric rotations 15:25 #2: Tart cherries – antioxidant-rich and anti-inflammatory 20:18 CRP and inflammation markers in cherry studies 22:10 #3: Avocados – nutrient-dense and great for immune health 28:45 Healthy fats, fiber, and inflammation resolution 32:00 #4: Grapes – resveratrol, flavonols, and immune modulation 37:40 Grapes' role in gut and cardiovascular health 40:20 #5: Cocoa – flavanols, gut-brain axis, and immune enhancement 45:35 Recap of all five super fruits for immune health 47:00 Final thoughts on food as medicine RESOURCES MENTIONED Elderberry Overview – Examine: https://examine.com/supplements/elderberry/?show_conditions=true Elderberry & Immunity Study: https://pmc.ncbi.nlm.nih.gov/articles/PMC4848651/ Blueberries & Anti-Inflammation: https://pmc.ncbi.nlm.nih.gov/articles/PMC7442370/ Tart Cherry Research: https://pmc.ncbi.nlm.nih.gov/articles/PMC6413159/ Cherry Anthocyanins & Inflammation: https://pmc.ncbi.nlm.nih.gov/articles/PMC6259571/ Avocado & Immunity Study: https://pmc.ncbi.nlm.nih.gov/articles/PMC10349765/ Avocado Nutrition Breakdown: https://www.eatingwell.com/article/8026117/avocados-benefits/ Grape Polyphenols Study: https://pmc.ncbi.nlm.nih.gov/articles/PMC9497968/ Resveratrol & Immune Modulation: https://pmc.ncbi.nlm.nih.gov/articles/PMC8778251/ Cocoa & Gut Health Study: https://www.sciencedirect.com/science/article/pii/S0955286321002746?via%3Dihub Cocoa & IBD Research: https://pmc.ncbi.nlm.nih.gov/articles/PMC3671179/ Cocoa Polyphenols & Immunity: https://pmc.ncbi.nlm.nih.gov/articles/PMC3488419/

We've all had patients struggling with chronic conditions like long COVID, fibromyalgia, Lyme disease, and chronic fatigue. Despite all the tools in our functional medicine toolkit, there's still something missing. How can we truly help them? I'm excited to have Ashok Gupta back on the New Frontiers podcast to offer a new take on healing from chronic illness. He explains that many chronic diseases stem from a malfunction in the brain's threat detection system, where the body overreacts to perceived threats, triggering immune, nervous system, or mood responses, creating a vicious cycle. Ashok shares how retraining the brain and calming the nervous system can reset the body's response to chronic stress and presents the growing body of research supporting the Gupta Program, including new subjective measurements like CRP showing its impact. What excites me most is the potential for this approach to help some of my toughest-to-treat patients. With more studies emerging, I'm increasingly hopeful this could be a game-changer. It's a conversation you won't want to miss! ~DrKF Check out the show notes at https://tinyurl.com/2t55s3y3 for the full list of links and resources. GUEST DETAILS Ashok Gupta Email: ashokguptaprogram@gmail.com https://guptaprogram.com/ Ashok Gupta is an internationally recognized speaker, filmmaker, and health practitioner who specializes in supporting individuals with chronic illness. After overcoming ME (Chronic Fatigue Syndrome) through his own neuroplasticity research, Ashok developed the Gupta Program in 2007 to help others recover. He has published several medical papers and continues to research chronic conditions, with recent studies demonstrating the effectiveness of the Gupta Program. Ashok is dedicated to advancing holistic approaches to healing and improving outcomes for those facing chronic illness. THANKS TO OUR SPONSORS DIAMOND DUTCH: https://dutchtest.com/for-providers Biotics Research: https://www.bioticsresearch.com/ GOLD TimeLine Nutrition: https://tinyurl.com/bdzx2xms Vibrant Wellness: https://www.vibrant-wellness.com/ EXCLUSIVE OFFERS FROM OUR SPONSORS OneSkin: Get 15% off OneSkin with the code DRKARA at oneskin.co/DRKARA MiToQ: Target mitochondria for better health and longevity with MitoQ's advanced supplements at mitoq.com/drkara CONNECT with DrKF Want more? Join our newsletter here: https://www.drkarafitzgerald.com/newsletter/ Or take our pop quiz and test your BioAge! https://www.drkarafitzgerald.com/bioagequiz YouTube: https://tinyurl.com/hjpc8daz Instagram: https://www.instagram.com/drkarafitzgerald/ Facebook: https://www.facebook.com/DrKaraFitzgerald/ DrKF Clinic: Patient consults with DrKF physicians including Younger You Concierge: https://tinyurl.com/yx4fjhkb Younger You book: https://tinyurl.com/mr4d9tym Better Broths and Healing Tonics book: https://tinyurl.com/3644mrfw

Welcome to the land podcast, a platform for people looking to educate themselves in the world of land ownership, land investing, staying up to date with current land trends in the Midwest, and hearing from industry experts and professionals. On today's episode, we dive into a dynamic conversation with land expert Skip Sligh on the Land Podcast. From top-dollar timber decisions to understanding soil health and the fine line of financial moves in landownership, this episode brims with wisdom for the avid land connoisseur. It's a treasure trove of tips mixed with the hearty realities of managing the wild. Veneer walnut timber Strategies for balancing land income Evolving land values post-election Waterhole setups for mature bucks Maximizing land value & plotting Exploring map tech for hunters Soil management tips for fruitful yields Strategies for investing in 'forever farms' Effective bush honeysuckle extermination Balancing income and wild habitat on CRP land https://www.whitetailmasteracademy.com Use code 'HOFER' to save 10% off at www.theprairiefarm.com Massive potential tax savings: ASMLABS.Net -Moultrie: https://bit.ly/moultrie_ -Hawke Optics: https://bit.ly/hawkeoptics_ -OnX: https://bit.ly/onX_Hunt -Painted Arrow: https://bit.ly/41ZtK5i 

Originally uploaded February 4th, re-edited April 20th. Teri Sand, SHRM-CP, PHR, CBSP, CRP, Business Services Manager, Capital Area Michigan Works!, Lansing, MI, but serving Ingham Eaton, and Clinton Counties THEME: Capital Area Michigan Works! Business Services Manager, Teri Sand, recaps some of CAMW!'s key statistics from 2024 and available resources in 2025. Question: What is the Business Services team at CAMW!, and what impact did they have on businesses in 2024? ● CAMW!'s Business Services team partners with businesses when recruiting, hiring and training workers at no cost. ○ Each year, we work with more than 450 employers from all industries to fill job openings and provide other recruiting needs. ○ We aim to help employers increase job retention, increase employee training and develop recruitment strategies tailored to each business's specific needs. ● Over the course of 2024, CAMW! served 469 businesses from across several industries including: ○ Auto Repair. ○ Business Services. ○ Childcare. ○ Communications. ○ Finance. ○ Food service. ○ Government. ○ Healthcare. ○ Insurance. ○ IT. ○ Manufacturing. ○ Nonprofit. ○ Retail. ○ Trades and Transportation. ● Across these industries, CAMW! aided in filling 1,455 jobs, which were typically full-time, permanent and paying at least $15 per hour. Question: What key recruitment and workforce development services did CAMW! provide to employers in 2024? ● In 2024, CAMW! offered a wide range of recruitment and workforce development services to support employers in finding, hiring and retaining employees. ● CAMW! assisted employers with using and navigating the mitalent.org website. ○ Mi Talent is a platform that connects employers with job seekers by displaying active job listings and upcoming networking events for businesses. ○ Throughout 2024, we showed employers how to create MI Talent accounts, post and update job ads, search for candidate profiles to find qualified candidates and how to create hiring events to attract new talent. Question: What were some other highlights CAMW! had in 2024, and how did these initiatives impact the community? ● There were many amazing programs and initiatives that took place in 2024 that allowed us to connect with our current and future workforce. ● MiCareerQuest Capital Area, a career exploration event that connects students and employers through hands-on exhibits, was one event that made a huge impact on the community. ○ Over 2,000 students attended morning sessions of the event last year, and over 70 local businesses highlighted their industries through exhibits. Question: What services and resources will CAMW! continue to offer to businesses and job seekers in 2025? ● CAMW! will continue to help businesses find skilled workers, and support job seekers with training and applying to positions. ● For businesses: ○ CAMW! will help employers find the right employees by connecting them through MI Talent, Employer of the Day events and hosting job fairs and other programs like MiCareerQuest.

In this episode, we're digging deep — literally and figuratively — into the land management that powers our hunts at Whiskey Sloughs. From strategic slough creation along the Platte River to native grass and sunflower plots on our CRP ground, we break down the year-round work it takes to hold birds and build habitat that thrives. We also take a walk through our Upland CSA, where intentional habitat management creates wild-style experiences for pheasant, quail, and chukar hunters alike. Whether you're a landowner, a habitat nerd, or just someone who wants to know what goes into a world-class hunt — this one's for you.

Nutrition Nugget! Bite-size bonus episodes offer tips, tricks and approachable science. This week, Jenn is talking about CRP (C-Reactive Protein), a fascinating blood test that could be key to understanding your body's hidden inflammation. Did you know your CRP levels might reveal more than your heart health? How could this test impact your long-term wellness? Tune in to find out! Like what you're hearing? Be sure to check out the full-length episodes of new releases every Wednesday.  Have an idea for a nutrition nugget?  Submit it here: https://asaladwithasideoffries.com/index.php/contact/       RESOURCES:Want to Jump Into Round 2 of the Healthy Vibe Tribe? Start HERE: https://bit.ly/gotrimprofileBecome A Member of Salad with a Side of FriesJenn's Free Menu PlanA Salad With a Side of FriesA Salad With A Side Of Fries MerchA Salad With a Side of Fries InstagramNutrition Nugget: AntioxidantsThe Ultimate Biohack

In this AMA-style solo episode, I break down the controversial trend of $6,000 full-body longevity scans and answer your burning questions about inflammation, postpartum health, and realistic biohacking options. Curious about biological age, postpartum inflammation, or budget-friendly wellness? This episode is your guide to smart, sustainable longevity. Send me a DM on Instagram to get your questions answered! I TALK ABOUT:  04:00 – $6,000 for a Longevity Scan: Longevity Medicine Institute 11:00 – At-home and affordable longevity tests you can start today: True Diagnostic, Viome, Tiny Health code: BIOHACKINGBRITTANY, Levels Health CGM, Function Health, Siphox code: BIOHACKINGBRITTANY 18:00 - Wearables: Oura Ring, Whoop, BioStrap, Garmin, Circular Ring 21:25 – Dementia, brain aging, and why cognitive longevity matters 23:00 - Daily FREE things you can do for longevity 25:30 – My personal CRP numbers and what they mean for postpartum inflammation 29:25 – Why inflammation is the top silent driver of chronic diseases  33:00 – My current inflammation protocol: Akkermansia, fermented cod liver oil, bone broth, collagen peptides 36:00 – Movement and lymphatic support and retesting for inflammation: PartiQlar supplements, Kineon code: BIOHACKINGBRITTANY 38:35 – The emotional toll of healing and how to truly ask “how are you?” SPONSORS: Protect your reproductive health with Leela Quantum Tech's EMF-blocking underwear. Use code: BIOHACKINGBRITTANY for an extra 10% discount on all of their products! Go to calroy.com/brittany and save over $50 on a 3-month supply of Calroy's Arterosil HP and Vascanox HP, my preferred supplements for optimal blood flow and nitric oxide support for your vascular system. RESOURCES: Optimize your preconception health by joining my Baby Steps Course today! Optimize your preconception health and fertility through my free hormone balancing, fertility boosting chocolate recipe! Download it now! My Amazon storefront Lifespan book by Dr. David Sinclair LET'S CONNECT: Instagram, TikTok, Facebook Shop my favorite health products Listen on Spotify, Apple Podcasts, YouTube Music

Story at-a-glance Chronic inflammation drives diseases like heart disease, Alzheimer's, cancer and autoimmune conditions. However, standard tests only measure generalized inflammation and does not pinpoint the exact tissues affected Researchers at Case Western Reserve University have developed a new method to track inflammation at its source using antibodies that detect molecular markers left by reactive oxygen species (ROS) Unlike traditional markers like C-reactive protein (CRP), this new approach could allow doctors to identify specific organs under inflammatory stress, leading to earlier and more precise diagnoses Emerging research challenges the idea that chronic inflammation is just unresolved acute inflammation. Researchers suggest it results from a lack of anti-inflammatory mediators, not just excessive inflammatory signaling Key drivers of chronic inflammation include excess linoleic acid, endocrine-disrupting chemicals, endotoxins and electromagnetic fields (EMFs)

Optic neuropathies encompass all congenital or acquired conditions affecting the optic nerve and are often a harbinger of systemic and central nervous system disorders. A systematic approach to identifying the clinical manifestations of specific optic neuropathies is imperative for directing diagnostic assessments, formulating tailored treatment regimens, and identifying broader central nervous system and systemic disorders. In this episode, Gordon Smith, MD, FAAN speaks with Lindsey De Lott, MD, MS, author of the article “Optic Neuropathies” in the Continuum® April 2025 Neuro-ophthalmology issue. Dr. Smith is a Continuum® Audio interviewer and a professor and chair of neurology at Kenneth and Dianne Wright Distinguished Chair in Clinical and Translational Research at Virginia Commonwealth University in Richmond, Virginia. Dr. De Lott is an assistant professor of neurology and ophthalmology at the University of Michigan in Ann Arbor, Michigan. Additional Resources Read the article: Optic Neuropathies 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: @gordonsmithMD Guest: @lindseydelott Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Smith: Hello, this is Dr Gordon Smith. Today I'm interviewing Dr Lindsey De Lott about her article on optic neuropathies, which appears in the April 2025 Continuum issue on neuro-ophthalmology. Lindsey, welcome to the podcast, and perhaps you can introduce yourself to our audience. Dr De Lott: Thank you, Dr Smith. My name is Lindsey De Lott and I am a neurologist and a neuro-ophthalmologist at the University of Michigan. I also serve as the section lead for the Division of Neuro-Ophthalmology, which is actually part of the ophthalmology department rather than the neurology department. And I spend a good portion of my time as a researcher in health services research, and that's now about 60% of my practice or so. Dr Smith: I'm super excited to spend some time talking with you. One, I'm a Michigan person. As we were chatting before this, I trained with Wayne Cornblath and John Trobe, and it's great to have you. I wonder if we maybe can begin- and by the way, your article is outstanding. It is such a huge topic and it was actually really fun to read, so I encourage our listeners to check it out. But you begin by talking about misdiagnosis as being a common problem in this patient population. I wonder if you can talk through why that is and if you have any pearls or pitfalls in avoiding it? Dr De Lott: Yeah, I think there's been a lot of great research looking at misdiagnosis in specific types of optic neuropathies; in particular, compressive optic neuropathies and optic neuritis. A lot of that work has come out of the group at Emory and the group at Washington University. But a lot of neuro-ophthalmologists across the country really contributed to those data. And one of the statistics that always strikes me is that, you know, for example, in patients with optic nerve sheath meningiomas, something like 70% of them are actually misdiagnosed. And a lot of those errors in diagnosis, whether it's for compressive optic neuropathy or some other type of optic neuropathy, really comes down to the way that physicians are really incorporating elements of the history in the physical. For example, in optic neuritis, we know that physicians tend to anchor pretty heavily on pain in general. And that often tends to lead them astray when optic neuritis was never the diagnosis to begin with. So, it's really overindexing on certain things and not paying attention to other features of the physical exam; for example, say presence of an afferent pupillary defect. So, I think it just really highlights the need to have a really relatively structured approach to patients that you think have an optic neuropathy when you're trying to sort of plan your diagnostic testing and your treatment. Dr Smith: I do maybe five or six weeks on our hospital service each year, and I don't know if it's just a Richmond thing, but there's always at least two people in my week who come in with an optic neuropathy or acute vision loss. How common is this in medical practice? Or neurologic practice, I should say? Dr De Lott: Optic neuropathies themselves… if you look across, unfortunately we don't have any great data that puts together all optic neuropathies and gives us an actual sort of prevalence estimate or an incidence estimate from year to year. We do have some of those data for specific types of optic neuropathies like optic neuritis and NAION, and you're probably looking around five-ish per one hundred thousand. So, these aren't that common, but at the same time they do get funneled to- often to emergency rooms and to neurologists from our ophthalmology colleagues and optometry colleagues in particular. Dr Smith: So, one other question I had before kind of diving into the topic at hand is how facile neurologists need to be in recognizing other causes of acute visual loss. I mean, we see acute visual loss as neurologists, we think optic neuropathy, right? Optic neuritis is sort of the go-to in a younger patient, and NAION in someone older. But what do neurologists need to know about other ophthalmologic causes? So, glaucoma or acute retinal disorders, for instance? Dr De Lott: Yeah, I think it's really important that neurologists are able to distinguish optic neuropathies from other causes of vision loss. And so, I would really encourage the listeners to take a look at the excellent article by Nancy Newman about vision loss in this issue where she really kind of breaks it down into vision loss that is acute and chronic and how you really think through distinguishing optic neuropathies from other causes of vision loss. But it is really important. For example, a patient with a central retinal artery occlusion may potentially be eligible for treatments. And that's very different from a patient with optic neuritis and acute vision loss. So, we want to be able to distinguish these things.  Dr Smith: So maybe we can pivot to that a little bit. Just for our listeners, our focus today is going to be on- not so much on optic neuritis, although obviously we need to talk a little bit about how we differentiate optic neuritis from non-neuritis optic neuropathies. It seems like the two most common situations we encounter are ischemic optic neuropathies and optic neuritis. Maybe you can talk a little bit about how you distinguish these two? I mean, some of it's age, some of it's risk factors, some of it's exam. What's the framework, of let's say, a fifty-year-old person comes into the emergency room with acute vision loss and you're worried about an optic neuropathy? Dr De Lott: The first step whenever you are considering an optic neuropathy is just making sure that the features are present. I think, really going back to your earlier question, making sure that the patient has the features of an optic neuropathy that we expect. So, it's not only vision loss, but it's also the presence of an apparent pupillary defect in a patient with a unilateral optic neuropathy. In a person who has a bilateral optic neuropathy, that apparent pupillary defect may not be present because it is relative. So, you really would have to have asymmetric vision loss between the two eyes. They should also have impairment of their color vision, and they're probably going to have some kind of visual field defect, whether that's central scotoma or an arcuate scotoma or an altitudinal defect that really respects the horizontal meridian. So, you want to make sure that, first and foremost, you've got a patient that really meets most of those- most of those features. And then from there, we're looking at the other features on their history. How acute is the onset of the vision loss? What is the progression over time? Is there pain associated or not associated with the vision loss? What other medical issues does the patient have? And you know, one of the things you already brought up, for example, is, what's the age of the patient? So, I'm going to be much more hesitant to make a diagnosis of optic neuritis in a much older patient or a diagnosis on the other side, of ischemic optic neuropathy, in a much younger patient, unless they have really clear features that push me in that direction. Dr Smith: I wonder if maybe you could talk a little bit about features that would push you away from optic neuritis, because, I mean, people who are over fifty do get optic neuritis- Dr De Lott: They do. Dr Smith: -and people who get ischemic optic neuropathies who are younger. So, what features would push you away from optic neuritis and towards… let's be broad, just a different type of optic neuropathy? Dr De Lott: Sure. We know that most patients with optic neuritis do have pain, but that pain is accompanied---within a few days, typically---with vision loss. So, pain alone going on for a number of days without any visual symptoms or any of those other things I listed, like the afferent papillary defect, the visual field defect, would push me away from optic neuritis. But in general, yes, most optic neuritis is indeed painful. So, the presence of optic disc edema is unfortunately one of those things that an optic neuritis may be present, may not be present, but in somebody with ischemia that is anterior---and that's the most common type of ischemic optic neuropathy, would be anterior ischemic optic neuropathy---they have to have optic disc edema for us to be able to make that diagnosis, and that is a diagnosis of NAION, or nonarteritic ischemic optic neuropathy. An APD in this case, again, that's just a feature of an optic neuropathy. It doesn't really help you to distinguish, individual field defects are going to be relatively similar between them. So then in patients, I'm also looking, like I said, at their history. So, in a patient where I'm entertaining a diagnosis of ischemic optic neuropathy, I want to make sure that they have vascular risk factors or that I'm actually doing things like measuring their blood pressure in the office if they haven't seen a physician recently or checking a lipid panel, hemoglobin A1c, those kinds of things, to look for vascular risk factors. One of the other features on exam that might push me more- again, in a patient with ischemic optic neuropathy, where it might suggest ischemia over optic neuritis, would be some other features on exam like a crowded optic disc that we sometimes will see in patients with ischemic optic neuropathy. I feel like that was a bit of a convoluted answer. Dr Smith: I thought that was a great answer. And when you say crowded optic disc, that's the- is that the “disc at risk”? Dr De Lott: That is the “disk at risk,” yes. So, crowded optic disk is really a disk that is smaller than what we see in the average population, and the average cup to disk ratio is 0.3. So, I think that's where 30% of the disk should be. So, this extra wiggle room, as I sometimes will explain to my patients. Dr Smith: And then, I wonder if you could talk a little bit about more- just more about exam, right? You raised the importance of recognizing optic disc edema. Are there aspects of that disc edema that really steer you away from optic neuritis and towards ischemia-like hemorrhages or whatnot? And then a similar question about the importance of careful visual field testing? Dr De Lott: So, on the whole, optic disc edema is optic disc edema. And you can have very severe optic neuritis with hemorrhages, cotton wool spots, which is essentially just an infarction of the retinal nerve fiber layer either overlying the disc or other parts of the retina. And ischemia, you can have some of the same features. In patients who have giant cell arteritis, which is just one form of anterior ischemic optic neuropathy, patients can have a pallid optic disc edema where the optic disc is swollen and white-looking. But on the whole, swelling is swelling. So, I would caution anyone against using the features of the optic nerve swelling to make any type of, sort of, definitive kind of diagnosis. It's worth keeping in mind, but I just- I would caution against using specific features, optic nerve swelling. And then for visual field testing, there are certain patterns that sometimes can be helpful. I think as I mentioned earlier, in patients with ischemic optic neuropathy, we'll often see an altitudinal defect where either the top half or, more commonly, the bottom half of the vision is lost. And that vision loss in the field corresponds to the area of swelling on the disk, which is really rewarding when you're actually able to see sectoral swelling of the disk. So, say the top half of the disk is swollen and you see a really dense inferior defect. And other types of optic neuropathy such as hereditary optic neuropathies, toxic and nutritional optic neuropathies, they often cause more central field loss. And in patients who have optic neuropathies from elevated intracranial pressure, so papilladema, those folks often have more subtle visual field loss in an arcuate pattern. And it's only once the optic nerves have sustained a pretty significant injury that you start to see other patterns of field loss and actual decline in visual acuity in those patients. I do think a detailed visual field assessment can often be pretty helpful as an adjunct to the rest of the exam. Dr Smith: So, we haven't talked a lot about neuroimaging, and obviously, neuroimaging is really important in patients who have optic neuritis. But how about an older patient in whom you suspect ischemic optic neuropathy? Do those patients all need a MRI scan? And if so, is it orbits and brain? How do you- how do you protocol it? Dr De Lott: You're asking such a good question, totally controversial in in some ways. And so, in patients with ischemic optic neuropathy, if you are confident in your diagnosis: the patient is over the age of fifty, they have all the vascular, you know, they have vascular risk factors. And those vascular risk factors are things like diabetes, hypertension, high blood pressure, hyperlipidemia, obstructive sleep apnea. They have a “disc at risk” in the fellow eye. They don't have pain, they don't have a cancer history. Then doing an MRI of the orbits is probably not necessary to rule out another cause. But if you aren't confident that you have all of those features, then you should absolutely do an MRI of the orbit. The MRI of the brain probably doesn't provide you with much additional information. However, if you are trying to distinguish between an ischemic optic neuropathy and, say, maybe an optic neuritis, in those patients we do recommend MRI orbits and brain imaging because the brain does provide additional information about other CNS demyelinating disorders that might be actually the cause of a patient's optic neuritis. Dr Smith: I wonder if you could talk a little bit about posterior ischemic optic neuropathy. That's much less common, and you mentioned earlier that those patients don't have optic disk edema. So, if there's a patient who has vision loss that- in a similar sort of clinical scenario that you talked about, how do you approach that and under what circumstances do we see patients who have posterior ischemic optic neuropathy? Dr De Lott: So, you're going to most often see patients with posterior ischemic optic neuropathy who, for example, have undergone a recent surgery. These are often associated with things like spinal surgeries, cardiac surgeries. And there are a number of risk factors that are associated with it. Things like blood pressure, drain surgery, the amount of blood loss, positioning of patient. And this is something that the surgeons and anesthesiologists are very sensitive to at this point in time, and many patients are often- this can be part of the normal informed consent process at this point in time since this is something that is well-recognized for specific surgeries. In those patients, though… again, unless you're really certain, for example, maybe the inpatient neurology attending and you've been asked to consult on a patient and it's very clear that they went into surgery normal, they came out of surgery with vision loss, and all the rest of the features really seem to be present. I would recommend that in those cases you think about orbital imaging, making sure you're not missing anything else. Again, unless all of the features really are present- and I think that's one of the themes, definitely, throughout this article, is really the importance of neuroimaging in helping us to distinguish between different types of optic neuropathy. Dr Smith: Yeah, I think one of the things that Eric Eggenberger talks about in his article is the need to use precise nomenclature too, which I plan on talking to him about. But I think having this very structured approach- and your article does it very well, I'll tell our listeners who haven't seen it there's a series of really great tables in the article that outline a lot of these. I wonder, Lindsey, if we can switch to talk about arteritic optic neuropathy. Is that okay? Dr De Lott: Sure. Yeah, absolutely. Dr Smith: How do you sort that out in an older patient who comes in with an ischemic optic neuropathy? Dr De Lott: Yeah. In patients who are over the age of fifty with an ischemic optic neuropathy, we always need to be thinking about giant cell arteritis. It is really a diagnosis we cannot afford to miss. If we do miss it, unfortunately, patients are likely to lose vision in their fellow eye about 1/3 to 1/2 the time. So, it is really one of those emergencies in neuro-ophthalmology and neurology. And so you want to do a thorough review systems for giant cell arteritis symptoms, things like headache, jaw claudication, myalgias, unintentional weight loss, fevers, things of that nature. You also want to check their inflammatory markers to look for evidence of an elevated ESR, elevated C-reactive protein. And then on exam, what you're going to find is that it can cause an anterior ischemic optic neuropathy, as I mentioned earlier. It can cause palette optic disc swelling. But giant cell arteritis can also cause posterior ischemic optic neuropathy. And so, it can be present without any swelling of the optic disc. And in fact, you know, you mentioned one of my mentors, John Trobe, who used to say that in a patient where you're entertaining the idea of posterior ischemic optic neuropathy, who is over the age of fifty with no optic disc swelling, you should be thinking about number one, giant cell arteritis; number two, giant cell arteritis; number three, giant cell arteritis. And so, I think that is a real take-home point is making sure that you're thinking of this diagnosis often in our patients who are over the age of fifty, have to rule it out. Dr Smith: I'll ask maybe a simple question. And presumably just about everyone who you see with a presumed ischemic optic neuropathy, even if they don't have clinical features, you at least check a sed rate. Is that true? Dr De Lott: I do. So, I do routinely check sedimentation rate and C-reactive protein. So, you need to check both. And the reason is that there are some patients who have a positive C-reactive protein but a normal sedimentation rate, so. And vice versa, although that is less common. And so both need to be checked. One other lab that sometimes can be helpful is looking at their CBC. You'll often find these patients with giant cell arteritis have elevated platelet counts. And if you can trend them over time, if you happen to have a patient that's had multiple, you'll see it sort of increasing over time. Dr Smith: I'm just thinking about how you sort things out in the middle, right? I mean, so that not all patients with GCF, sky-high sed rate and CRP…. And I'm just thinking of Dr Trobe's wisdom. So, when you're in an uncertain situation, presumably you go ahead and treat with steroids and move to biopsy. Maybe you can talk a bit about that pathway? Dr De Lott: Yeah, sure. Dr Smith: What's the definitive diagnostic process? Do you- for instance, the sed rate is sky-high, do you still get a biopsy? Dr De Lott: Yes. So, biopsy is still our gold-standard diagnosis here in the United States. I will say that is not the case in all parts of the world. In fact, many parts of Europe are moving toward using other ancillary tests in combination with labs and exam, the history, to make a definitive diagnosis of giant cell arteritis. And those tests are things like temporal artery ultrasound. We also, even though we call it temporal artery ultrasound, we actually need to image not only the temporal arteries but also the axillary arteries. The sensitivity and specificity is actually greater in those cases. And then there's high-resolution imaging of the vessels and the- both the intracranial and extracranial distributions. And both of those have shown some promise in their predictive values of patients actually having giant cell arteritis. One caution I would give to our listeners, though, is that, you know, currently in the US, temporal artery biopsy is still the gold standard. And reading the ultrasounds and the MRIs takes a really experienced radiologist. So, unless you really know the diagnostic accuracy at your institution, again, temporal artery biopsy remains the gold standard here. So, when you are considering giant cell arteritis, start the patient on steroids and- that's high dose, high dose steroids. In patients with vision loss, we use high dose intravenous methylprednisolone and then go ahead and get the biopsy. Dr Smith: Super helpful. And are there other treatments, other than steroids? Maybe how long do you keep people on steroids? And let's say you've got a patient who's, you know, diabetic or has other factors that make you want to avoid the course of steroids. Are there other options available? Dr De Lott: So, in the acute phase steroids are the only option. There is no other option. However, long term, yes, we do pretty quickly put patients on tocilizumab, which is really our first-line treatment. And I do that in conjunction with our rheumatology colleagues, who are incredibly helpful in managing and monitoring the tocilizumab for our patients. But when you're seeing the patients, you know, whether it's in the emergency room or in the hospital, those patients need steroids immediately. There are other steroid-sparing agents that have been tried, but the efficacy is not as good as tocilizumab. So, the American College of Rheumatology is really recommending tocilizumab as our first line steroid-sparing agent at this point. Dr Smith: Outstanding. So again, I will refer our listeners to your article. It's just chock-full of great stuff. This has been a great conversation. Thank you so much for joining me today. Dr De Lott: Thank you, Dr Smith. I really appreciate it.  Dr Smith: The pleasure has been all mine, and I know our listeners will be enjoying this as well. Again, today I've been interviewing Dr Lindsey De Lott about her article on optic neuropathies, which appears in the most recent issue of Continuum on neuro-ophthalmology. Be sure to check out Continuum Audio episodes from this and other issues. I already mentioned Dr Eggenberger and I will be talking about optic neuritis, which will be a great companion to this discussion. Listeners, thank you for joining us today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Dive deep into Richard Rappley's exciting journey toward buying his first farm, insider tips from NRCS work, and turkey hunting tales, all with a side of conservation chat. Get inspired by Richard's hands-on approach to wildlife habitat and how it may kindle your homesteading ambitions. Don't miss savvy insights on CRP programs and heritage tree hunting. Tune in for a blend of wisdom and wit! • Real talk on CRP and EQUIP programs • The joys and challenges of homesteading • Insights on buying your first farm • Tips for turkey hunting with new gear • Strategies for wildlife habitat improvement https://www.whitetailmasteracademy.com Use code 'HOFER' to save 10% off at www.theprairiefarm.com Massive potential tax savings: ASMLABS.Net -Moultrie: https://bit.ly/moultrie_ -Hawke Optics: https://bit.ly/hawkeoptics_ -OnX: https://bit.ly/onX_Hunt -Painted Arrow: https://bit.ly/41ZtK5i 

Colchicine

The SOUL trial

This episode challenges the dental industry's casual approach to gingivitis and reframes bleeding gums as a severe systemic health warning that demands attention! Melissa and Tabitha reveal why making gingivitis identification compelling to patients is crucial for oral and overall health outcomes. Link to Meissa's Post mentioned in the episode:  https://www.instagram.com/reel/DG0LnVGsrnT/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA== Key Topics Covered

In this episode of the Metabolic Freedom Podcast, Ben Azadi sits down with Jason Theobald—fitness coach, IFBB Pro, and founder of Scooby Health—to deliver a masterclass on building lean muscle, optimizing fat loss, and improving metabolic health. Jason shares his top five exercises for maximum results, why muscle mass is critical for longevity, and how stress, inflammation, and poor insulin sensitivity affect fat loss. They also dive into lab testing, fat-burning supplements, keto cycling, and the power of recovery, mindset, and gratitude. Whether you're a beginner or seasoned lifter, this conversation is packed with practical tools to level up your physique and health.

Dr. Shilpa Sayana is a triple board-certified MD in Internal Medicine, Obesity Medicine, and Functional Medicine with a deeply compassionate, science-backed approach to women's health. She's been helping women in perimenopause and menopause reclaim their energy, balance hormones, and feel like themselves again—even when they've been told everything looks "normal." Her Sayana Medical Road Map goes beyond symptom management to address the full picture of what's going on inside, and her work has earned both peer and patient recognition, including the Best Doctors Women's Choice Award.We break down the real reasons your bones begin to weaken—hint: it's not just about calcium or age. Estrogen, cortisol, and inflammation are central players, and Dr. Sayana explains how they work together to either support or sabotage your bone strength. She also shares what most conventional doctors miss, including the power of Dutch hormone testing, inflammatory markers like CRP, and how you can finally get answers that connect the dots. You are in control of your body and your bones.Key TakeawaysEstrogen Is a Bone Builder – Dr. Sayana explains how the drop in estrogen during menopause removes the natural protection our bones need, contributing to osteoporosis and increased fracture risk.Stress Creates Hidden Bone Loss – Chronic cortisol weakens bone structure, even in women who “look healthy” on the outside.Inflammation Drives Bone Breakdown – Inflammation acts like a slow burn that quietly erodes your bone strength.Look Beyond the DEXA Scan – A clear DEXA doesn't mean your bones are resilient. Bone quality matters just as much as density.Functional Testing Gives You Answers – Tools like the Dutch test and CRP bloodwork show the deeper story behind your symptoms.Your Lifestyle Is the Foundation – Managing stress, eating anti-inflammatory foods, and supporting your hormones can rebuild bone from the inside out.Where to Find Our GuestDr. Sayana's Instagram: https://www.instagram.com/sayanamedicalDr. Sayana's Website: https://www.sayanamedical.comLinks & ResourcesStronger Bones Lifestyle CommunityJoin a supportive space to strengthen your bones naturally with live sessions and masterclasses. Start your 10-day free trial now at https://debirobinson.com/the-stronger-bones-lifestyle-communityHealthy Gut Healthy Bones ProgramDiscover a self-paced course to build stronger bones and better gut health. Enroll now at https://debirobinson.com/healthy-gut-healthy-bones-program-v2/Free Download: Common Root Causes of OsteoporosisGet a free guide on osteoporosis causes and actionable solutions. Download now at https://debirobinson.com/#7rootcausesMasterclass: Stronger Bones Stronger YouWatch an on-demand masterclass for natural bone health strategies. Start here: https://debirobinson.com/bone-health-masterclass-signup-1/Healthy Gut Healthy Bones QuizAssess your bone health and discover personalized solutions. Take the quiz now at https://debirobinson.com/healthy-gut-healthy-bones-quiz-landing-page/Newsletter SubscriptionStay updated with exclusive bone health insights and tips. Subscribe at https://debirobinson.com/#newsletter-signup

Cancer rates are rising rapidly—especially in young adults. With 1 in 2 men and 1 in 3 women being diagnosed with cancer, proactively preventing cancer is an absolute must in our modern world. Today, Dr. Leigh Erin Connealy shares what she's learned in the last few decades treating cancer with an integrative approach. We also answer your questions about root causes of cancer, red flags in labs, how parasites, autoimmunity, and hormone issues can contribute to cancer, and what's worth your time and effort when it comes to reducing overall risk. Timestamps:[3:28] Welcome Dr. Leigh Erin Connealy[3:40] Why do you think cancer rates are continuing to rise even though we have more information than ever? [13:15] Do you think the current standard of care is actually helping people when it comes to cancer?[16:01] What's an ideal C reactive protein and are the standards on labs adequate? [19:00] Is there a significant cause to ovarian and colon cancers because they're becoming more prevalent in younger people?. [24:32] Are parasites connected to cancer?[30:05] If someone is coming in and they already have cancer, are you looking for these underlying root causes and can you treat cancer that way?[33:52] Do you see there being any connection to cancer with long withstanding hormonal imbalances? [38:00] Is there any cancer link with birth control? [39:10] Does autoimmunity and immune suppressive drugs increase cancer risk and if so what can we do to keep risk as low as possible?[41:30] If you could tell people to start incorporating three to five things that would help them make a preventative approach to cancer, what would they be?[50:51] What is the best type of diet for preventing cancer and what should we be focusing on once diagnosis? [55:27] What do you think about routine mammograms and colonoscopies? Do you recommend them and how are we detecting cancer safely? [1:00:48] What are some more cutting edge alternative therapies that you're working into your cancer treatment that is showing promising results that you wish more people would do?Episode Links:Visit Dr. Leigh Erin Connealy's websiteThe Cancer Revolution: A Groundbreaking Program to Reverse and Prevent Cancer Follow Dr. Leigh Erin Connealy on InstagramIdeal lab tests:Fasting blood sugar: 85 (70, too low, 95 and up, too high)SGOT and SGPT: 20-22Ferritin: 50 HA1C: under 5.7 CRP:  0.5Sponsors:Go to wellminerals.us/creatine and use code WELLFED to get 10% off your order.Go to blissy.com/wellfed and use code WELLFED for 30% off your purchase!Go to drinklmnt.com/wellfed and use code WELLFED to get a free 8-pack with any drink mix purchase!Go to http://mdlogichealth.com/immuno and use coupon code WELLFED for 10% off.

"A study that was done in 2022, it looked at over 4,000 adults over a 26-year span, and it found that just a 5-gram increase in fiber led to a lot less inflammation in the body. And they measured inflammation by C-reactive protein, which you can ask your doctor about when you get your next blood test to measure your CRP, or C-reactive protein, to see how inflamed you are. And when you have lower inflammation, this also lowers your heart attack risk. So, higher fiber in your diet can lower your heart attack risk by as much as 30%. Who knew, right?" -Alexandra Paul Today, we're diving into the power of fiber—how it fuels gut health, reduces inflammation, and why most people aren't getting enough. Alexandra breaks down the different types of fiber, why variety matters, and easy ways to boost your intake. Then, Jason shares his experience with heavy metal detox, revealing how hidden toxins affect your health, where they come from, and the best foods for natural chelation. Plus, we explore the surprising link between nutrition and gray hair. So, whether you want better digestion, detox support, or vibrant hair, this episode is a must-listen! Podcast sponsor: Vedge Vegan Collagen: vedgenutrition.com – use code S4G for 30% off your order. - https://www.vedgenutrition.com/ What we discuss in this episode: Why fiber is essential for overall health and how it supports the body. How short-chain fatty acids reduce inflammation and lower blood pressure.  How much fiber you should be eating daily for optimal health. Alexandra's favorite method for tracking daily fiber intake. The polyphenol with anti-aging effects and where to find it. How chelation works to remove heavy metals and the best foods to support this process. Common sources of heavy metal exposure and how they accumulate in the body. Symptoms of heavy metal toxicity and how to identify potential risks. The link between animal protein consumption and toxin exposure. Resources: Luteolin, an antioxidant in vegetables, may contribute to the prevention of hair graying | ScienceDaily https://pmc.ncbi.nlm.nih.gov/articles/PMC11673595/ Dietary Strategies for the Treatment of Cadmium and Lead Toxicity - PMC Phytochemicals Involved in Mitigating Silent Toxicity Induced by Heavy Metals - PMC Click the link below to support the FISCAL Act https://switch4good.org/fiscal-act/ Share the website and get your resources here https://kidsandmilk.org/ Send us a voice message and ask a question. We want to hear from you! Switch4Good.org/podcast Dairy-Free Swaps Guide: Easy Anti-Inflammatory Meals, Recipes, and Tips https://switch4good.org/dairy-free-swaps-guide SUPPORT SWITCH4GOOD https://switch4good.org/support-us/ ★☆★ JOIN OUR PRIVATE FACEBOOK GROUP ★☆★  https://www.facebook.com/groups/podcastchat ★☆★ SWITCH4GOOD WEBSITE ★☆★ https://switch4good.org/ ★☆★ ONLINE STORE ★☆★ https://shop.switch4good.org/shop/ ★☆★ FOLLOW US ON INSTAGRAM ★☆★ https://www.instagram.com/Switch4Good/ ★☆★ LIKE US ON FACEBOOK ★☆★ https://www.facebook.com/Switch4Good/ ★☆★ FOLLOW US ON TWITTER ★☆★ https://twitter.com/Switch4GoodOrg ★☆★ AMAZON STORE ★☆★ https://www.amazon.com/shop/switch4good ★☆★ DOWNLOAD THE ABILLION APP ★☆★ https://app.abillion.com/users/switch4good

In episode 87, Kathryn and Theresa dive into the Critical Response Process (CRP) with Mallory Alekna, Assistant Professor of Music, Human Development, and Learning at Augsburg University. Mallory shares how this four-step feedback framework, developed by choreographer Liz Lerman, can transform music classrooms by fostering meaningful dialogue and empowering students to take ownership of their learning. Through CRP, students learn to articulate their observations, ask thoughtful questions, and engage in constructive, permission-based feedback. By integrating this process into music education, teachers can create more equitable, student-centered environments that encourage creativity, agency, and collaborative learning.Music teachers will leave this episode with practical strategies for implementing CRP in their classrooms, whether through peer feedback on student compositions, discussions about performance techniques, or even broader conversations about musicianship as an ongoing journey. If you're looking for ways to shift from a traditional top-down approach to one where students feel truly heard and valued, this episode is packed with insights and actionable takeaways to help you get started.Connect with Mallory and learn more: Contact MalloryLearn about the Critical Response Process Connect with an Expert Facilitator More about Pass the Baton:Website Join the Coffee Club Support Pass the Baton Amplify student voice with Exit Tickets for Self Reflection

Since joining our RA Coaching Program in 2023, Elaine has normalized her CRP levels and dropped major disease-modifying drugs: she is now symptom-free, and today she shares her story with us. Book Your RA Reversal Strategy Session Here https://www.rheumatoidsolutions.com/book-a-call 1. Learn how you can reverse your RA symptoms here: https://www.rheumatoidsolutions.com/training-2024 2. Follow me on Instagram to get daily pain-reduction insights: www.instagram.com/paddisonprogram

We discuss the evaluation of and treatment options for acute back pain. Hosts: Benjamin Friedman, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Acute_Back_Pain.mp3 Download Leave a Comment Tags: Musculoskeletal, Orthopaedics Show Notes **Please fill out this quick survey to help us develop additional resources for our listeners: Core EM Survey** Clinical Evaluation: Primary Goal: Distinguish benign musculoskeletal pain from serious pathology. Red Flags: Look for indicators of spinal infection, spinal bleed, or space-occupying lesions (e.g., tumors, large herniated discs). Assessment: A thorough history and neurological exam (strength testing, gait) is essential. Additional Tools: Use bedside ultrasound for post-void residual assessment in suspected cauda equina syndrome Imaging Guidelines: Routine Imaging: Generally not indicated for young, healthy patients without red flags. ACEP Recommendations: Avoid lumbar X-rays in patients under 50 without risk factors, as they do not change management and may increase costs and ED time. Advanced Imaging: Reserve MRI for patients with red flags, neurological deficits, or suspected cauda equina syndrome; CRP may be a part of your calculus when evaluating for infectious causes of back pain Treatment Options: Evidence-Based First-Line: NSAIDs offer modest benefit.

Welcome to Life in the Leadership Lane where I am talking to leaders making a difference in the workplace and in our communities. How did they get to where they are and what are they doing to stay there! Buckle up and get ready to accelerate in the Leadership Lane! This week, I am talking with Caroline Cook, CRP, Director Business Development at CWS Corporate Housing and 2025CMARC President (Charlotte Metro Area Relocation Council President) How did Caroline get started in her career? What ledher to Corporate Housing and Leadership? What does Caroline share about relocating to different places while growing up? What does Caroline share about collaboration, creation, and growth? What does Caroline share about 2025 CMARC SpringConference? What does Caroline share about some of the educational topics during conference? What does Caroline share about sponsorships and getting involved? What does Caroline share supporting CMARC charitable organization “Nourish Up” during conference? What does Caroline share about making people feelwelcome at CMARC? …and more as we spend “Time to Accelerate” with afew more questions. Interview resources:Favorite quote from Caroline:“It's a beautiful experience knowing your competitors arefriends.” Connect with Caroline on LinkedInEmail CarolineLearn more about CMARCVisit Conference Website to Register and/or SponsorLearn more about the podcast host Bruce WallerCheck out Bruce's books Drive With Purpose: Move Your Career from Success toSignificance (#1 New Released book on Amazon) Life in the Leadership Lane; Moving Leaders to Inspire and Change the Workplace Find Your Lane; Change your GPS, Change your Career (“Book Authority” Best Books) Milemarkers; A 5 Year Journey …helping you record daily highlights to keep you on track.Subscribe to Bruce's Blog “Move to Inspire” Connect with Bruce on LinkedIn Connect with Bruce on TwitterConnect with Bruce on InstagramConnect with Bruce on FacebookGet relocation support for your next household goods orcommercial office move across the US by reaching out to Bruce at bwaller@goarmstrong.com or visit The Armstrong Company

Dive into a blend of habitat insights and land market trends with Steve Hanson on the Land Podcast. From electric fences to auction tactics, Steve shares a treasure trove of expertise that can transform your hunting game and investment strategies. Catch real-life stories and pro tips that'll make you a land connoisseur in no time! • Steve's approach on land buying and selling • CRP and its impact on land value • Importance of proper habitat management • Hunting strategies and buck encounters • Innovations in land access and food plots https://www.whitetailmasteracademy.com Use code 'HOFER' to save 10% off at www.theprairiefarm.com Massive potential tax savings: ASMLABS.Net CONNECT: https://linktr.ee/TheLandPodcast