Podcasts about crp

Most of us think of inflammation when an ankle swells or a cut turns red. It's our body's immune system, and without it, we couldn't fight infections or repair injuries.  But when it stays switched on, this chronic inflammation can drain your energy, can affect your health over the years, and even lead to heart disease. Eventually, 1 in 3 of us will develop an inflammatory disease. In today's episode, Professor Luke O'Neill - one of the world's top 1% immunologists - explains why that matters and what you can do about it. He explores how everyday foods can push inflammation up, or help calm it. He also explains why balance matters more than banning foods like sugar, red meat, gluten, and dairy. As for your gut, you'll learn how anti-inflammatory foods like plants, fibre, and a healthy microbiome can help keep inflammation down.  By the end of the episode, you'll know how to eat, rest, and enjoy life in ways that can keep inflammation in check.  Could the way you eat help your body's healer do its job without going into overdrive? 

When a woman sits across from Dr. Anna after a breast cancer diagnosis, she asks one question. What did your oncologist say caused it? Almost every time, the answer is a blank stare. Dr. Nasha Winters has lived that silence from the inside. By 19, she had collected a decade of diagnoses, including PCOS, endometriosis, IBS, anxiety, and thyroid trouble. Then she landed in the ER with a grapefruit-sized tumor and was told she was too ill for treatment. In this conversation, she shares the three things she credits with changing her path. She also explains how childhood trauma can shape the immune system and why she sees the body as a garden to tend rather than a battlefield. Dr. Nasha is a naturopathic doctor and the author of The Metabolic Approach to Cancer. She walks through the ten areas of terrain she evaluates, the neutrophil-to-lymphocyte ratio hiding in a standard CBC, and her inflammation "trifecta" of CRP, sed rate, and LDH. She explains why ringing the bell after treatment is the beginning of rebuilding. She also shares the four S's she sees as common threads in breast health. Key takeaways Recurring symptoms and diagnoses can be signals worth investigating, not just labels to manage. Dr. Nasha looks at ten areas of terrain and now starts with mental and emotional health. A standard CBC can reveal your neutrophil to lymphocyte ratio. She prefers it closer to 2 to 1. She tracks CRP, sed rate, and LDH together as a picture of inflammation and metabolic health. In her view, finishing treatment is when the work of rebuilding healthy cells begins. Research links a balanced microbiome with a better response to immunotherapy. Her four S's for breast health are sugar, stress, sleep, and sex. Timestamps  00:00 The question most women are never asked 05:45 A terminal ovarian cancer diagnosis at 19 12:15 The three "accidents" she credits 17:00 Dr. Anna on the 13-hour overnight fast 19:00 The ACE score and psychoneuroimmunology 37:45 The 10 areas of terrain 44:40 The neutrophil to lymphocyte ratio 48:15 CRP, sed rate, and LDH 53:30 Why ringing the bell is the beginning 56:00 The microbiome and immunotherapy 61:30 Saliva vs. urine pH and your body's capacity 71:00 The four S's of breast health Memorable quotes "So I thought I was pre-med. Cancer had another story for me." Dr. Nasha Winters "They were trying to be a guidepost of, hey, there's something wrong here that needs our attention." Dr. Nasha Winters, on her early diagnoses "It's very simple. Test, assess, address, don't guess." Dr. Nasha Winters "What I tell folks is that's actually just the beginning." Dr. Nasha Winters, on ringing the bell after treatment "Your body is always speaking to you." Dr. Anna Cabeca "The best years of your life aren't behind you. They're waiting for you." Dr. Anna Cabeca Resources mentioned Dr. Nasha Winters at drnasha.com, which has her books, terrain questionnaire, podcast, Substack, and free resources on what to do after a diagnosis The Metabolic Approach to Cancer by Dr. Nasha Winters Mistletoe and the Emerging Future of Integrative Oncology by Dr. Nasha Winters The Adverse Childhood Experiences (ACE) questionnaire The 2016 JAMA Oncology study on overnight fasting and breast cancer recurrence The Girlfriend Doctor community [TEAM TO ADD LINK] Connect with Dr. Nasha Winter Website: https://drnasha.com Podcast: https://www.youtube.com/@drnashawinters Instagram: https://www.instagram.com/drnashawinters Facebook: https://www.facebook.com/drnashawinters LinkedIn: https://www.linkedin.com/in/drnashawinters   Connect with Dr. Anna Website: Dranna.com Instagram: https://www.instagram.com/thegirlfrienddoctor/  YouTube: https://www.youtube.com/@thegirlfrienddoctor  TikTok: https://www.tiktok.com/@drannacabeca Facebook: https://www.facebook.com/thegirlfrienddoctor   Share the love If this conversation moved you, share it with a woman who needs to hear it. Women heal in community. Your ratings, reviews, and shares help keep conversations like this going. This episode is for educational purposes only and is not medical advice. It is not intended to diagnose, treat, cure, or prevent any disease. Please talk with your healthcare provider before making changes to your care.  

When a woman sits across from Dr. Anna after a breast cancer diagnosis, she asks one question. What did your oncologist say caused it? Almost every time, the answer is a blank stare. Dr. Nasha Winters has lived that silence from the inside. By 19, she had collected a decade of diagnoses, including PCOS, endometriosis, IBS, anxiety, and thyroid trouble. Then she landed in the ER with a grapefruit-sized tumor and was told she was too ill for treatment. In this conversation, she shares the three things she credits with changing her path. She also explains how childhood trauma can shape the immune system and why she sees the body as a garden to tend rather than a battlefield. Dr. Nasha is a naturopathic doctor and the author of The Metabolic Approach to Cancer. She walks through the ten areas of terrain she evaluates, the neutrophil-to-lymphocyte ratio hiding in a standard CBC, and her inflammation "trifecta" of CRP, sed rate, and LDH. She explains why ringing the bell after treatment is the beginning of rebuilding. She also shares the four S's she sees as common threads in breast health. Key takeaways Recurring symptoms and diagnoses can be signals worth investigating, not just labels to manage. Dr. Nasha looks at ten areas of terrain and now starts with mental and emotional health. A standard CBC can reveal your neutrophil to lymphocyte ratio. She prefers it closer to 2 to 1. She tracks CRP, sed rate, and LDH together as a picture of inflammation and metabolic health. In her view, finishing treatment is when the work of rebuilding healthy cells begins. Research links a balanced microbiome with a better response to immunotherapy. Her four S's for breast health are sugar, stress, sleep, and sex. Timestamps  00:00 The question most women are never asked 05:45 A terminal ovarian cancer diagnosis at 19 12:15 The three "accidents" she credits 17:00 Dr. Anna on the 13-hour overnight fast 19:00 The ACE score and psychoneuroimmunology 37:45 The 10 areas of terrain 44:40 The neutrophil to lymphocyte ratio 48:15 CRP, sed rate, and LDH 53:30 Why ringing the bell is the beginning 56:00 The microbiome and immunotherapy 61:30 Saliva vs. urine pH and your body's capacity 71:00 The four S's of breast health Memorable quotes "So I thought I was pre-med. Cancer had another story for me." Dr. Nasha Winters "They were trying to be a guidepost of, hey, there's something wrong here that needs our attention." Dr. Nasha Winters, on her early diagnoses "It's very simple. Test, assess, address, don't guess." Dr. Nasha Winters "What I tell folks is that's actually just the beginning." Dr. Nasha Winters, on ringing the bell after treatment "Your body is always speaking to you." Dr. Anna Cabeca "The best years of your life aren't behind you. They're waiting for you." Dr. Anna Cabeca Resources mentioned Dr. Nasha Winters at drnasha.com, which has her books, terrain questionnaire, podcast, Substack, and free resources on what to do after a diagnosis The Metabolic Approach to Cancer by Dr. Nasha Winters Mistletoe and the Emerging Future of Integrative Oncology by Dr. Nasha Winters The Adverse Childhood Experiences (ACE) questionnaire The 2016 JAMA Oncology study on overnight fasting and breast cancer recurrence The Girlfriend Doctor community [TEAM TO ADD LINK] Connect with Dr. Nasha Winter Website: https://drnasha.com Podcast: https://www.youtube.com/@drnashawinters Instagram: https://www.instagram.com/drnashawinters Facebook: https://www.facebook.com/drnashawinters LinkedIn: https://www.linkedin.com/in/drnashawinters   Connect with Dr. Anna Website: Dranna.com Instagram: https://www.instagram.com/thegirlfrienddoctor/  YouTube: https://www.youtube.com/@thegirlfrienddoctor  TikTok: https://www.tiktok.com/@drannacabeca Facebook: https://www.facebook.com/thegirlfrienddoctor   Share the love If this conversation moved you, share it with a woman who needs to hear it. Women heal in community. Your ratings, reviews, and shares help keep conversations like this going. This episode is for educational purposes only and is not medical advice. It is not intended to diagnose, treat, cure, or prevent any disease. Please talk with your healthcare provider before making changes to your care.  

What labs should women actually be asking for, and what do those numbers really tell you about your health? In this episode of Healthy As A Mother, Dr. Leah Gordon breaks down the key labs she believes women should understand, from blood sugar and fasting insulin to thyroid, iron, inflammation, reproductive hormones, vitamin D and more. She explains what these markers can reveal about metabolic health, fertility, energy, hormones, symptoms and overall health, and why looking at a single lab without the right context can sometimes miss the bigger picture.The conversation also dives into reproductive hormone testing, including estradiol, progesterone, FSH, LH, AMH, testosterone, SHBG and DHEA, with a major emphasis on understanding where you are in your menstrual cycle when certain labs are drawn. Leah and Morgan discuss why cycle tracking and understanding ovulation can give women important context about their own health, whether they are trying to conceive, trying to avoid pregnancy, navigating postpartum or breastfeeding, or approaching perimenopause.They also cover thyroid markers, ferritin and iron studies, hs-CRP and inflammation, cortisol, vitamin D, ANA, and the importance of considering a partner's semen analysis when trying to conceive. The episode ultimately comes back to one central idea: learning the basics of your own health can help you ask better questions, recognize when something deserves further investigation, and become more informed about what is happening in your body.00:00 Trailer + Introduction03:26 Understanding Women's Health Labs04:58 Why Testing Matters for Women's Health09:29 Blood Sugar, Insulin & Metabolic Health16:34 Thyroid Labs: TSH, T3, T4 & Antibodies23:18 Iron & Ferritin: What Women Should Know29:10 Inflammation & hs-CRP33:59 Why Preconception Lab Testing Matters38:57 Reproductive Hormones & Cycle Timing40:52 Estradiol: When to Test Estrogen42:17 Progesterone: When to Test It45:37 Cycle Tracking & Knowing When You Ovulate49:46 FSH & LH: What They Tell You54:42 AMH & Ovarian Reserve57:54 Testosterone, SHBG & DHEA61:14 Cortisol, Vitamin D & Stress62:38 ANA, Fertility & Partner Testing63:56 Understanding Your Labs & Advocating for Your HealthResources From This Episode:Dr. Leah's Free Fertility Lab Guide - https://drleahgordon.com/fertility-lab-guide-freebieDr. Leah's Free Fertility Masterclass - https://fertilitymasterclass.drleahgordon.com/Dr. Leah's Taking Back Fertility Program - https://takebackfertility.drleahgordon.com/Dr. Leah's Womanhood Wellness Membership - https://drleahgordon.com/joinHealthy As A Mother Podcast | YouTubeHealthy As A Mother Podcast | InstagramHealthy As A Mother Podcast | TikTokHealthy As A Mother Podcast | Merch StoreFind more from Dr. Leah:Dr. Leah Gordon | InstagramDr. Leah Gordon | WebsiteWomanhood Wellness | WebsiteFind more from Dr. Morgan:Dr. Morgan MacDermott | InstagramDr. Morgan MacDermott | WebsiteUse code HEALTHYMOTHER and save 10% at EarthleyUse code HEALTHYMOTHER and save 15% at RedmondFor 20% off your first order at Needed, use code HEALTHYMOTHERSave $260 at Lumebox, use code HEALTHYASAMOTHERUse code HAAM and save 10% at Fond

The Derm on RheumNow podcast is a review of recent citations and content curated for dermatologists – addressing Psoriasis, PsA, CLE, calcinosis, CTD skin disorders. dermatology drugs, biologics, and JAK inhibitors. Features Dr. Jack Cush, Editor at RheumNow.com. Show Notes: FDA Grants Priority Review to Zasocitinib for Plaque Psoriasis. Regulatory decision expected 1st quarter 2027. Supported by phase 3 RCTs, 3000 pts -- LATITUDE PsO 3001 and 3002 clinical trials. https://t.co/o7oqxSXHSw Systematic review of 290 psoriasis pregnancies 211 live births (73%) finds biologic exposure (UST 241, 42 TNFi) during PREG assoc w/ favorable maternal/fetal outcomes. Only 24 cont either CZP or ADA throughout PREG. Rates of miscarriage, LBW, congenital anomalies, comparable w/ https://t.co/H5GLrvxwPv SELECT-PsA 2 subanalysis of 195 active PsA not responding to TNFi shows switching to upadacitinib 15 (vs PBO) was superior @wk 24 - ACR20 (58% vs 22%), ACR50 (38% vs 9.5%), ACR70 (22% vs 0%), MDA (24% vs 3%) & maintained thru wk 152. Switching MOAs makes sense! https://t.co/YEkZuQ95Mu Do biologic Rx lower risk of PsA? Metanalysis (15 studies, 124,138 psoriasis pts, 778K PYrs F/U), showed Biologic use assoc w/ lower risk of PsA (HR 0.54); best for IL-17i (0.65) & IL-12/23 or IL-23i (0.46) vs TNFi. IL-23i superior to IL-17i (HR 0.67) https://buff.ly/N4froBW OL study of tofacitinib in 20 juvenile DM pts w/ calcinosis cutis (11 boys; age 10.4 yrs; CC x 31 mos). Calcinosis assessed by CT scan showed decr Agatston score from 6,349 to 4,007. No SAE. https://t.co/UDLLwce3mp Metanalysis of Metabolic syndrome (MetS) in #SLE (65 articles, 11K pts). MetS prevalence 27% (higher in males (36 vs 27%). HCQ assoc w/ signif less MetS (OR 0.66), but more w/ CTX (1.39), AZA (1.25), MMF (1.13), but not steroids or MTX. MetS pts were older, obese, w/ high Chol & LDL https://buff.ly/VQNvSI9 TriNetX retrospective EHR study showed VTE in #RA not incr by taking JAKi. Pts undergoing THA/TKA Rx w/ JAKi (n 284) vs TNFi (n 288). VTE- 17 JAKi (6%) vs 11 TNFi (3.8%)- nonsignif incr (RR 1.57) https://t.co/OM5ipieQtr In 2022, Overweight & obesity affect 65.8% of Swiss PsA pts (vs gen pop.= 43%) and has increased since 2007. Obesity was assoc w/ elevated CRP (56% vs 37%), Inc Pt global assess (3.2 vs 2.8), & MD global (2.5 vs 2.1) & lower EQ-5D-3L(0.7 vs 0.8). https://t.co/xPoy4dgvlD Study of 119 Rheum pts on GLP-1 Rx (65% T2DM, 35% obesity; mean BMI 35). @ 12 mos wt loss −7.7 kg & 56% improved 1 BMI category. Signif decr in A1c, FBS, lipids, LDL, TG, ESR & CRP. GLP-1RAs useful cardiometabolic benefits https://t.co/fdNtvGu8Vb~ Estimated 7 million Americans (~1/3 US GLP1 Rxs) get GLP-1 drugs from online compounding source- but these are not FDA approved. They maybe cheaper, but dosing/quality is suspect. FDA needs to close the 503B loophole to outlaw these copycat Rxs https://buff.ly/xezDWaJ Data presented at 2027 ASMBS meeting showed betw 2020-2024, wt loss surgeries dropped 23%, from 230,000 in 2022 to 177,000 in 2024. Less than 1% of eligible pts are now having weight-loss surgery https://t.co/UnYIIBDdnz Together PsA 52 wk data (n 271): ACR50 plus 10% wt loss - 39.2% w/ Taltz & Zepbound vs 1.7% w/ Taltz alone. Together PsO trial results (n 274): PASI100 plus 10% wt loss - 30.6% w/ Taltz & Zepbound vs 4.4% w/ Taltz alone. https://t.co/27TBZyL8l1 FDA Approves Brepocitinib to Treat Dermatomyositis Necrotizing arteritis is rare w/ IgA Vasculitis (IgAV). Review compared 30 IgAV-NA to 257 adult IgAV & 196 PAN pts. Overall IgAV-NA is a severe IgAV phenotype with life-threatening complications & should prompt vascular imaging and intensified immunosuppression. IgAV-NA had more more GI bleeds, perforation, surgical abdomen, neuropathy, pancreatitis, livedo, more multi-organ involvement and mortality https://t.co/XdPbGX770D

What happens when a successful employer partnership becomes the start of something much bigger? In this episode of Manager Minute, Carol Pankow talks with Paul DiBello, Director of Business Services at Missouri Vocational Rehabilitation, about Missouri's Nexus network. What began with one collaborative group has grown to approximately 18 groups connecting VR, workforce and community partners, and businesses across the state. Paul shares how regular meetings, employer involvement, "Nexus Mission Moments," and a one-team approach have helped sustain the work—and why employers who experience success often become VR's most powerful ambassadors. During National Disability Employment Awareness Month, this episode celebrates the partnerships and practices that create meaningful employment opportunities and keep opening doors for people with disabilities. Listen Here Full Transcript {Music} Paul: The Nexus, it's really a collaboration of community partners and local businesses. We started, like I said, with one, and I think we're up to 18 different groups now. Once you have that one success story with a candidate and business, it can really snowball into that business sharing nexus with other businesses. We've seen that where they call their friends at other businesses and say, hey, you've got to check this out. These folks have a talented pool of candidates or you can learn about resources. I have to say, word of mouth is still a great marketing tool in this business. Carol: That's good stuff. Intro voice: Manager minute, brought to you by the Vocational Rehabilitation Technical Assistance Center. Conversations powered by VR. One manager at a time, one minute at a time. Here is your host, Carol Pankow. Carol: Well, welcome to the Manager Minute. Joining me in the studio today is Paul DiBello, Director of Business Services at Missouri Vocational Rehabilitation. How are things going in Missouri, Paul? Paul: Things are going great, Carol. Thanks for asking. Carol: Awesome. Good to have you. Well, October is National Disability Employment Awareness Month, and this conversation offers a wonderful opportunity to recognize not only the contributions of workers with disabilities, but also the partnerships and practices that help create meaningful employment opportunities. And what makes today's story really interesting is that it began nearly a decade ago, back in 2017. Missouri VR shared with our old WINTAC grant how the agency was collaborating with workforce partners and employers to strengthen business engagement across the state. And so nine years later, my colleague Doug Keast circled back to see what happened, and he freaked out. He's like, Carol, you have got to call Paul. He's got to be on a podcast. And Doug had found that it wasn't simply that the work had continued, but it had expanded, it matured. It was even more deeply embedded in your system. And so today, Paul is joining to talk about how that collaboration grew and what helped to sustain it, and what the rest of you listeners can learn from this. So let's dig in. So, Paul, can you tell our listeners a little bit about yourself and how you came into the VR world? Paul: Sure. It's kind of a little bit of a curvy road for me, to be honest. My undergrad degree was in music education, and actually I was a high school band director for a couple of years, then followed my new wife out to Virginia. She got a job in her field, and we lived out there for a while, and I somehow got into accounting. So I went back to   school and got an accounting degree and worked for a couple of fortune 500 companies out there over the course of about eight years, and then three kids and a dog and a cat later, we decided we lived too far from family. So we moved back to Missouri, closer to family and I ended up getting a job with the job center, actually with our WIOA title one Youth folks. So I started there and really fell in love with the work. I started there as a Youth Job developer in the Job Center, and then later became an assistant Youth Program Coordinator for all of our youth services within the 19 counties in central Missouri, under the Workforce Board there. And it was kind of it was at that time that I really started to get to know a little bit about VR services. I have to give a shout out to my good friend and Missouri VR coordinator programs doctor Elizabeth Perkins. I partnered with her back then. She was actually a VR counselor, and she would come into the job centers and work a day or two there, take customers there. So we got to know each other real well. I learned more about VR. We started to partner on some things and it really opened, kind of opened my eyes to how awesome VR is. I'm just going to say it's different and I love all of our Workforce partners, but there's something special about VR counselors. So anyway, kind of fell in love with it then, but again, kind of a curvy path. My next stop, I worked as an EO officer for the central region. So I actually worked directly for the workforce board. And there I got to work on our state's non-discrimination plan and got to do some disability projects and stuff with partners. So a little bit closer to VR there. And then I was recruited as a actually a statewide job center provider for one of our WIOA program providers who also was a community rehabilitation provider. So even a little closer to VR, because I got to work on some contract management, and I was actually the assistant director of workforce programs for that company. So got to see both sides, the job center side and the CRP side. And then finally, in July of 2019, there was a VR job became open. And Elizabeth kind of encouraged me to apply for it. It was actually in procurement. So I started, then got to move into some case management stuff and then round about all the way back to business services where I started with WIOA. So that's where I am now. Carol: Holy smokes, you did take a long and winding road with a stop off with an accounting degree. Like where did that come out of the blue? Paul: Really weird. Carol: I love it. We're gonna have to bring you over to our fiscal management community of practice. Paul: Ok, that sounds fun. Carol: Yeah. You're like, no, I got out of that. I don't want to do that. That's awesome. So I know you weren't in Missouri in 2017, actually at the VR agency, but you were doing things out and about. So what was Missouri trying to accomplish back then? If you could like, put on that view from way back through that collaborative business engagement? Paul: Yeah. And I do remember even I wasn't with VR. I do remember how things were starting to come together back then. It was really just building partnership with WIOA partners. And it was through the development of a really a state level workforce system business committee, I guess you would call it didn't really have a formal name back then, but VR helped kind of host events with WIOA partners. And that's also where I got to know VR a little better, too, through some of that, to survey businesses together kind of as a team. And this eventually developed one of the very first lasting collaborative business and community engagement Nexus groups. And I think we're going to talk about Nexus here soon, but that was in the Kansas City area, and it consisted of monthly meetings that kind of brought community partners together with businesses to expand employment opportunities. And this would be for individuals with any barriers to employment. So it wasn't just focused on disabilities, but that was part of it. It was a great way to get all that collaboration with all of our state agency and partners. And then we really realized like, just so, you know, like the word nexus, we realized we wanted a system that was defined really by the very definition of the word nexus. And according to Merriam-Webster, nexus is a connection link or tie between people or things. It can also mean a central hub, or the core place where multiple parts of a system meet and come together. So that's really what we wanted for our state workforce system, just to have some really solid partnerships and where we were working together as a team. So that's kind of what was going on then. Carol: I love that. So nine years later, you look at, okay, what's changed the most for you guys? Paul: I would have to say, first of all, for VR, we've expanded our business team from, I think it was about three members. I'm not I wasn't there yet, but we have expanded to seven, which is huge for us. It gives us the ability to really get out across every region of the state and our VR business services team. It's really gained more clarity in our responsibility in terms of providing that menu of individualized and relevant services to meet those dual customer needs. So in essence, I think above all else, we've focused on being strategic connectors between VR, the workforce system, businesses, and then ultimately our dual customer, our clients as well. Carol: I know talking to Doug, he said, in talking to other people, like you guys have been able to sustain and move this stuff along. Like you not only started it, but you've made this even better. That is not the case everywhere there have been starts and stops, and it almost seems like with WIOA, you know, people went in great gangbusters and then it kind of petered out in some places. But you've been able to really sustain and strengthen the work over time. What helped you guys to be able to do that? Paul: Some of it was, I guess, probably trial and error, but definitely just continued development and expansion of these partnerships. Our blind agency Rehabilitation services for the blind. Our sister agency was a huge part of that too. And then really just working with the local Workforce boards and the Job Center staff, I know that it helps, you know, with our infrastructure agreements with the Workforce boards and making sure that because, you know, I don't always think of Missouri as I know some states are more of a one stop where people are actually under the same roof. We are not that, but we really do try to partner very closely. And those infrastructure agreements with Workforce really helped make sure there was a place for our counselors and our business folks to be under the same roof some days of the week and things like that. So I think that helped strengthen just partnerships in general. And then our employment Nexus groups, as they started to grow, just played a huge role in maintaining the partnerships. In a way, having these regularly monthly collaboration meetings have kind of built a mechanism for continued contact and communication. So I don't want to say it's forced, but it's there every month. Like we have these meetings every month and we're going to see these folks. And so we might as well work together. And it's just taken off in a really good way. Carol: Well, since you keep bringing up Nexus, we might as well talk about that next. Paul: Okay. Carol: How does that Nexus model really work at the local level? Paul: Nexus, it's really a collaboration of community partners and local businesses. We started, like I said, with one, and I think we're up to 18 different groups now. So we are very close to having all 114 counties in Missouri covered by at least one Nexus group, which I think is outstanding. And that's been our goal for the last few years to just really expand it and give opportunities for everyone in every county. Basically, there's a statewide planning committee, which is basically all of the local Nexus group planning committees, and we have a quarterly call and meeting. But as far as the local meetings go, there's a small planning committee and then there's a monthly meeting schedule and it's always it's the same time, same day every month. A typical agenda. It's open to all. We really try to invite an employer or a partner to do somewhat of a formal presentation, you know, on what they have to offer. And then there's usually an open forum where people can ask questions, and then we invite as many businesses as we can to join as well. And then there'll be time for networking and also time for those businesses to report out and tell us what they need. What are they seeing on the ground? What kind of candidates are they looking for? What kind of problems are they having that we might be able to solve? And then a real big part of those meetings are what we call Nexus Mission Moments. We actually establish a time toward the end of the meeting where people can kind of report out, like how Nexus has helped them. And it could just be a connection, it could be a connection to a candidate or maybe an existing employer with its existing employees that found out about a program that can help their employees. And those are the best. Because when you have a new partner or a new employer on the call or in the room, they hear that. And then it's kind of like, okay, what's in it for me? Well, that might be in it for me. So all of those things together have really that makes up what a Nexus meeting is. And we've just been able to, to keep the movement going. And every month we do them. So it's good. Carol: Well, I'm sure that your states, like other states where you have different sectors and different regions, like every state is different. You know, you have different parts that maybe there's more manufacturing or you might have more other kind of agricultural industry or whatever's going on depending on the quadrant of the state. And so I'm just thinking about those employer needs that are in those different areas. How do those employers in those specific regions really help shape the work of the Nexus team? Are they intricately involved? I know you've alluded to some of this, but is there something really direct that they do? Paul: Yeah. well, I can say in a few of our groups They are on the planning committees, which is great. Mercy Health and Saint Louis is a huge partner with VR and they're a great inclusive hiring partner. But yeah, they're actually on the planning committees and bring other employers with them. So that's good. And then as far as the regions, yeah, sometimes we can specialize a little bit if we're in a more rural area or an area where there's a lot of manufacturing, then we're going to be able to bring those employers into the fold and show them that, you know, we do have a talented pool of candidates that can help them. Yeah. Carol: I like it, I like it. So how is this collaboration expanded opportunities for people with disabilities? Paul: Well, I think it's created great partnerships with employers first of all. And we at VR, we might have otherwise overlooked some of those employers, to be honest, that show up for these meetings. We also at the same time, we're connecting our agency to other area partners that have complementary services, which can also help our clients. We've been able to set up company tours for entire Nexus groups, which has been awesome. You know, a company will actually invite the whole Nexus group to. Maybe we might even meet on their campus, get a tour. Learn more about a business. That way we can come back to our vocational rehabilitation counselors and clients and tell them about that. And then in some cases, we've learned about like new resources available by some local area community agencies, like community action agencies and things like that that can directly also help our clients. Nexus groups, they've partnered together to hold reverse job fairs and other events. So that's becoming a kind of a big thing. And we call them talent showcases in Missouri. But probably most importantly, I think VR has had the opportunity to educate our partners and employers just on the advantages of hiring from a talent pool of qualified individuals with disabilities. It's just a bigger audience. So it's been great. Carol: So what kind of results or changes tell you that this approach is working for you. Paul: I think anecdotally, repeat business customers as well as new business customers in attendance at our Nexus meetings in general, to me, is a huge indicator that we've made progress with relationships and partnerships. The ability to have a single point of contact within Nexus also is really big. If that works best for an employer and they've requested that we can do that within a Nexus group itself, so business can come to a Nexus meeting and basically learn all the ways our wioa partners can serve them, you know, at one meeting sometimes. Most importantly, I think we've gained access to businesses that we know are interested in our candidate pools because they return. And I can say beyond anecdotally, our employer services have increased, you know, that we would record as a direct result of attending Nexus groups and making these newfound partnerships. And I can also say, once you have that one success story with a candidate and business, it can really snowball into that business sharing nexus with other businesses. We've seen that where they call their friends at other businesses and say, hey, you've got to check this out. These folks have a talented pool of candidates, or you can learn about resources, all the things. So I have to say, word of mouth is still a great marketing tool in this business. Carol: That's good stuff. So what advice would you give another VR agency that would like to build this kind of network? I know folks have struggled like there's been this starts and stops or they're all in and then it all like kind of peters out. What advice do you have for folks? Paul: I think really building a solid foundation with your community partners and other agencies is paramount. If you start a group like Nexus or that kind of a working group with some of our Nexus groups, we had more than one initial planning meeting for networking and just to really get to know our agency partners and how they serve customers and just really get to know each other intimately before we even invite businesses to the meetings. I just think it really helps to start with like a genuine partnership where you leave like any territorial issues at the door, so to speak, and just present the group as a united team that's just simply there to serve the needs of employers without worrying about who gets the credit. It just needs it really needs to be a one team approach. And that's what's I think worked for us and kept employers coming back. I think they do recognize that. Carol: I like it. Well, and it feels like to Missouri's Workforce system is really cohesive, you know, and I'm sure looking at the role that you all are playing as part of that big network. What do you think that looks like today, maybe compared to before? Like, as you've grown this over the years, that leadership role that Missouri's taken in the Workforce system? Paul: Hmm. I think, uh, are you saying Missouri or VR? Carol: I'm talking about Missouri VR within the bigger Workforce system. Because I know you all seem to drive a lot of things that are going on down there. Paul: Yeah, I think just the growth of our Nexus groups in particular, VR can take some credit for that, for sure. And that was part of that was expanding our business services team. But we've really, really made that a priority for ourselves and our partners. Carol: And I'm sure Chris Claus, your director, who is like amazingly astute and thoughtful and loves partnering, has been a big champion for all the work that you're doing. Paul: He has been a huge champion for sure. Yeah, absolutely. Carol: Well, as we recognize National Disability Employment Awareness Month, what do you hope employers and workforce professionals take away from Missouri story? Paul: I will say for us, partnership has been just the key to success in Missouri. Don't take your WIOA and other community partners for granted. Together as a team, honestly, we've learned so much from each other and once our partners understand the way we can help our clients with disabilities and get to share in some of the successes, they really only want to contribute more. And I think that goes for our partners and our employer, partners and businesses. Carol: Good stuff. Paul, Missouri story reminds us that meaningful disability employment, it's not created through just one event, one program, or one agency working alone. It really grows through those relationships that are built locally, supported statewide and sustained over time. And you all have done a bang up job. I really appreciate having you on today. Thanks so much. Paul: Thank you. {Music} Outro Voice: Conversations powered by VR, one manager at a time. One minute at a time. Brought to you by the VRTAC. Catch all of our podcast episodes by subscribing on Apple Podcasts, Google Podcasts, or wherever you listen to podcasts. Thanks for listening.

Coffee Time Wednesday with Kent and Riley. We dig into the National Cover Crop Survey: who's planting covers, what it costs, why so many farmers quit after one year, and whether Iowa can pay its way to cleaner water. Plus a combine door that tried to end harvest.   hokseynativeseeds.com (for all your native seed, backyard prairie, hunting mixes, CRP mixes, native pasture mixes, and more) iowacovercrop.com (for all your cover crop mixes, waterway mixes, forage mixes, small grains, and more) MckayInsAgency.com (for all your financial planning and insurance needs)

Just because something can be measured doesn't mean it deserves equal weight when you're thinking about your health. Episode #277

This episode is sponsored by Life Extension. I am delighted to have Dr. Crystal Gossard, the Manager of Education at Life Extension, joining me today. Dr. Gossard is a Doctor of Clinical Nutrition with over 15 years of experience in nutrition, fitness, dietary supplements, and integrative functional medicine. In our conversation today, Dr. Gossard and I discuss uncommon heart health testing, including gaps in care for women in perimenopause and menopause, and clarify the critical importance of a bioindividual personalized approach. We dive into specifics on labs, including ApoB as a direct measurement, the influence of glycation, insulin resistance and insulin sensitivity, LP(a), and high-sensitivity CRP as both a marker of systemic inflammation and a targeted inflammatory profile marker. We also cover oxidized LDL, inflammation and oxidative stress, the importance of CoQ10, and screening modalities like coronary artery calcium scoring, CCTA, CT angio, and Cleerly, and minerals, including magnesium and its role in over 600 enzymatic reactions in the body. Stay tuned for more! IN THIS EPISODE, YOU WILL LEARN: The importance of advanced lab testing for cardiovascular and metabolic health in women, particularly during perimenopause and menopause What ApoB reveals about cardiovascular risk Why Dr. Gossard considers LP(a) a one-and-done test How elevated high-sensitivity CRP can indicate inflammation “simmering” in the background How to manage inflammation through nutrition How Dr. Gossard explains oxidized LDL The value of CoQ10 for oxidized LDL When should someone move beyond lab work to cardiovascular screening? What magnesium testing can reveal How magnesium supports the body  Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia's website. Submit your questions to support@cynthiathurlow.com  Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.  Purchase Cynthia's book, The Menopause Gut. Cynthia's Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Connect with Dr. Crystal Gossard Life Extension Instagram  LinkedIn Live Foreverish Podcast Try Life Extension and save $10 on orders of $50 or more, plus free shipping, with code: CYNTHIA10.

INTRODUCTION:Fever of Unknown Origin, or FUO: We have all had a fever at some point—maybe from seasonal flu or a brief stomach bug—where the body turns up the heat, fights off the bug, and recovers in a couple of days. Fever is a very efficient defense mechanism to fight microorganisms by making your body a hostile environment where they cannot survive. But what happens when a fever lasts for weeks, standard tests come back normal, and usual fever reducing medications do not seem to work?We will talk about the surprising root causes, the latest imaging technology like PET scans, and what to do when a fever refuses to break. Whether you are a medical student, a healthcare professional, or simply curious about how our body's defense mechanisms work, this episode is for you. Let us get into it!Definition of Fever of Unknown Origin.A standard fever is like a smoke alarm going off when you burn toast—you quickly spot the cause, fix it, and the alarm stops. FUO is like an alarm ringing continuously for weeks, but despite searching every room, you cannot find the source of the fire.Clinical Criteria (Classic FUO):1. Temperature >38.3 C measured on multiple occasions.2. Duration of at least 3 weeks.3.Unexplained after 1 week of intensive outpatient or inpatient evaluation (or three outpatient visits).Categories of FUO.1. Classic FUO: The traditional presentation described above.2. Nosocomial (Hospital-Acquired) FUO: Fevers in hospitalized patients without infection upon admission.3. Neutropenic FUO: Fevers in immunocompromised patients (e.g., undergoing chemotherapy) with low white blood cell counts.4. HIV-Associated FUO: Fevers lasting weeks in patients with HIV, often driven by opportunistic infections like Tuberculosis or CMV, that stands for cytomegalovirus. What a mouthful!The Big Four Causes are:Infections (~30–40%): Atypical presentations of common diseases (e.g., hidden abscesses, endocarditis, tuberculosis, or tick-borne illnesses). Our priority will be to determine if this patient is having an infection, unless we get clinical manifestations that would guide us in another direction.Autoimmune & Inflammatory Diseases (~20–30%): The immune system overreacting and attacking the body's tissues (e.g., Adult-onset Still's disease, Temporal Arteritis/Giant Cell Arteritis, Lupus).Malignancies / Cancers (~10–20%): Blood cancers (Lymphoma, Leukemia) or solid tumors (Renal cell carcinoma). Infections, autoimmune/inflammatory diseases, and malignancies cover 60-90% of the causes of FUO.Miscellaneous / Drug Fevers (~10–15%): "Drug fever" caused by adverse reactions to common medications (e.g., antibiotics, anti-seizure meds), thyroid storm, or deep vein thrombosis (DVT).Modern Medicine: Advanced imaging (CT, MRI, PET scans) which have helped us diagnose cancers and abscesses much earlier. As a result, modern FUOs are increasingly driven by autoimmune conditions, non-infectious inflammatory disorders. Sometimes it feels like we solve one problem and uncover another one!Important: Some cases remain undiagnosed (up to 30–50%) and resolve without a specific label.Diagnostic Approach:Step 1: The "Detective Work" (History & Physical):● Detailed History: Travel history, animal exposure (ticks, pets), occupational hazards, social history, medication review (to exclude drug fevers), and family history.● Potential Diagnostic Clues: Looking for subtle signals (e.g., a new heart murmur, temporal tenderness, hidden skin rashes, or swollen lymph nodes).Step 2: Basic Tiered Testing:● Blood Work: CBC (complete blood count), inflammatory markers (ESR, CRP, Ferritin), comprehensive metabolic panel, blood cultures.● Targeted Serologies: HIV, viral panels, autoimmune antibodies (ANA, Rheumatoid Factor).● Initial Imaging: Chest X-ray, abdominal ultrasound.Step 3: Advanced Diagnostic Workup:FDG-PET/CT Imaging: One of the most significant updates in recent guidelines. FDG-PET/CT uses a radioactive sugar tracer to highlight areas of high metabolic activity (inflammation, infection, tumor) throughout the entire body in a single scan. FDG-PET is a functional nuclear-imaging technique that uses ¹⁸F-fluoro-deoxy-glucose (FDG) — a radioactive glucose analog — to map tissue glucose metabolism.Targeted Biopsies: Biopsying tissues guided by PET scan findings (e.g., lymph node, liver, or temporal artery)."Refractory" Fevers:Fever vs. Hyperthermia: Standard fevers are driven by the brain's hypothalamus resetting the body's thermostat upward (often mediated by prostaglandins). ● Antipyretics (acetaminophen, NSAIDs) block prostaglandin synthesis.● If a fever does not respond to antipyretics, it may indicate non-prostaglandin-mediated inflammation (e.g., severe cytokine storm, drug-induced hyperthermia, or central nervous system dysregulation).Empiric Treatment vs. Observation:● The "Hold Your Horses" Principle: Current guidelines strongly advise against starting empirical antibiotics or steroids right away in stable patients. Antibiotics can mask infections and produce false-negative culture results, while steroids can hide inflammatory signs or exacerbate hidden infections.● When to Treat Empirically: Reserved for hemodynamically unstable patients, neutropenic patients, or specific high-suspicion conditions (e.g., suspected Temporal Arteritis to prevent blindness).Diagnostic Trial: Naproxen Test (Historical & Clinical Pearl): A brief trial of naproxen can sometimes distinguish tumor fevers (which often drop sharply in response to NSAIDs) from infectious fevers, though it is used cautiously as a supportive diagnostic clue rather than a rule. So, if a patient responds to a trial of naproxen, then we can suspect a tumor as a cause of the patient's fevers. But it is not a strong recommendation.A 2019 systematic review/meta-analysis (15 studies, 582 patients) found a 94.1% success rate for naproxen in treating confirmed neoplastic fever. The test is not specific and lacks validation, but I can see the importance of knowing this: Naproxen is effective against cancer fever.FUO evaluation is a marathon, not a sprint. Re-evaluating the patient daily in the hospital for new physical clues is often more valuable than ordering endless specialized tests. I would like to emphasize that modern tools PET/CT have transformed how quickly we locate hidden inflammation. Also, let us remember that a huge proportion of undiagnosed FUOs eventually resolve spontaneously with good long-term outcomes, provided serious conditions have been systematically ruled out.Take away messages:First, FUO is a diagnostic marathon, not a sprint. Finding the cause takes patient detective work, careful daily exams, and targeted testing rather than rushing into quick fixes.Second, modern imaging like FDG-PET scans has completely transformed how we spot hidden inflammation and infection long before standard blood work gives us an answer.And finally, 'refractory' fevers require caution. If a fever is not responding to standard antipyretics, starting antibiotics or steroids right away can hide the real culprit. In stable patients, holding off and continuing the search is often the safest path.__________________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:1) David AB, Quinlan JD. Fever of Unknown Origin in Adults. American Family Physician. 2022;105(2):137-143.2) Wright WF, Stelmash L, Betrains A, Mulders-Manders CM, Rovers CP, Vanderschueren S, Auwaerter PG; International Fever and Inflammation of Unknown Origin Research Working Group. Recommendations for Updating Fever and Inflammation of Unknown Origin From a Modified Delphi Consensus Panel. Open Forum Infectious Diseases. 2024;11(7):ofae298.3) Wright WF, Durso SC, Forry C, Rovers CP. Fever of unknown origin. BMJ. 2025;388:e080847.4) Wright WF, Auwaerter PG. Fever and fever of unknown origin: review, recent advances, and lingering dogma. Open Forum Infectious Diseases. 2020;7(5):ofaa132.5) Cunha BA, Lortholary O, Cunha CB. Fever of unknown origin: a clinical approach. The American Journal of Medicine. 2015;128(10):1138.e1-1138.e15.6) Nazar AH, Naswa N, Sharma P, et al. Spectrum of 18F-FDG PET/CT findings in patients presenting with fever of unknown origin. American Journal of Roentgenology. 2012;199(1):175-1851) Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 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!

Kent Boucher turns the mic on Nicolas Lirio for a look back at Hoksey Native Seeds' first year after Carroll. They cover an auction gone sideways, a lost recording, stubborn spiderwort, and big wins like Judd and backyard prairies, plus native pasture, faith, and why the Prairie Farm Forum matters.   hokseynativeseeds.com (for all your native seed, backyard prairie, hunting mixes, CRP mixes, native pasture mixes, and more)   MckayInsAgency.com (for all your financial planning and insurance needs)   BirdHunterSupply.com (for all your bird hunting supplies and dog hunting supplies)

MAPS Abs and Butt: https://mapsabsandbutt.com Code: LAUNCH for 40% off. Includes Butt Building Diet Guide, Women's Supplement Guide, at-home dumbbell version and a free second program at checkout (Muscle Mommy or Muscle Mommy 15). Dr. Stephen Cabral returns to break down the seven blood markers that predict heart disease better than cholesterol. He explains what each one means, what optimal ranges look like versus what standard lab ranges say, and how to improve each one through diet, exercise and targeted supplementation. He then reveals the guys' individual omega-6 to omega-3 inflammation test results live on air — comparing where they were two years ago to where they are now and why Doug is the clear winner. They also cover the cyclosporiasis parasite outbreak in lettuce, natural parasite treatment protocols, PDE5 inhibitors for cardiovascular health, why glucose monitors are overused in athletic populations, and whether rancid fish oil is a real problem and how to avoid it. 50% Off Inflammation Test https://stephencabral.com/inflammation    SPONSORS  Zbiotics Pre-Alcohol: https://zbiotics.com/MINDPUMP26 Code: MINDPUMP26 for 15% off first purchase. World's first genetically engineered probiotic. Breaks down acetaldehyde in the gut before it causes next-day issues.   GUEST LINKS Dr. Stephen Cabral: https://stephencabral.com Inflammation test: https://stephencabral.com/inflammation   LINKS Mind Pump Store: https://mindpumpstore.com Maps Fitness Products: https://mapsfitnessproducts.com Instagram: @mindpumpmedia   0:00 - Intro 3:03 - 7 blood markers that predict heart disease better than cholesterol 4:38 - Marker 1: ApoB — the most important predictor of arterial plaque that all cardiologists now look at 8:12 - Marker 2: High sensitivity CRP — how chronic inflammation embeds cholesterol into arterial tissue 10:05 - Marker 3: Homocysteine — methylation issues, optimal range and the B vitamin fix 12:30 - Marker 4: Total cholesterol to HDL ratio — why a 3 to 1 ratio is the target 14:57 - Marker 5: Triglycerides to HDL ratio — the metabolic disease predictor most doctors ignore 20:13 - Marker 6: Hemoglobin A1C — why athletes with spiking glucose still have perfect A1C 25:03 - Marker 7: Omega-6 to omega-3 ratio — 90% cardiovascular death risk reduction above 9% saturation 30:49 - The guys' live omega inflammation test results — two years of data revealed 35:08 - Adam's result — dropped from 7.3 to 6.0 without supplementing 36:23 - Sal's result — improved from 7.8 to 4.9 with sardines and omegas 37:55 - Doug's result — already at 3.7 and winning the whole room 43:18 - How to choose a quality fish oil — cold processed, third party tested, no mercury 46:28 - When to take vitamin D vs omega-3 and why timing matters 48:01 - Cyclosporiasis parasite outbreak and natural parasite treatment protocols 52:12 - Dr. Cabral's free at-home inflammation test — how to get it

Fire may be the cheapest pest control tool on the prairie. Nicolas, Kent, and Riley break down research showing burned pastures cut horn flies on cattle by 41% and slash tick counts. Then they honor conservation legend Wendell Berry and ask what it takes to keep young people on the land.   hokseynativeseeds.com (for all your native seed, backyard prairie, hunting mixes, CRP mixes, native pasture mixes, and more) iowacovercrop.com (for all your cover crop mixes, waterway mixes, forage mixes, small grains, and more) Alex's Youtube Channel (Churched Up Garage)

Você se cobra demais e sabe disso. Mas a voz que exige perfeição não para. Essa meditação guiada de autoperdão ajuda você a soltar a culpa, a autocobrança e o peso de não poder errar.Não porque você é fraca. Porque essa crença foi aprendida em algum momento. E o que foi aprendido pode ser desaprendido.Nessa prática a gente faz dois movimentos:Desprogramação: identificar a crença que está te travando, rastrear de onde ela veio e soltar, sem drama.Nova programação: instalar uma crença nova no lugar da antiga, ancorando no corpo, não só no pensamento.Porque mente não destrava pensando. Destrava ensaiando e agindo.A realidade externa é cópia da realidade interna. Quando você muda por dentro, o lado de fora começa a acompanhar.CAPÍTULOS00:00 Abertura01:00 Chegando no corpo02:30 Desprogramação: identificando a crença06:00 O autoperdão09:00 Nova programação12:30 Encerramento━━━━━━━━━━━━━━━━━Eu sou Ana Mediolaro, psicóloga e hipnoterapeuta, CRP 06/85707.Atendo profissionais de alta performance em Jundiaí, São Bernardo do Campo e online.Instagram: @anamediolaro.oficialCanal de meditação: @atuamentealinhadaPodcast: @atuamenteSite: www.anamediolaro.com.br━━━━━━━━━━━━━━━━━Use essa meditação sempre que a culpa por errar aparecer, seja no trabalho, na maternidade ou em qualquer área da vida. Ela trabalha autoperdão, merecimento, autocobrança e crenças limitantes a partir de uma base clínica, com hipnose e reprogramação mental. Não faça enquanto dirige.#meditacaoguiada #autoperdao #culpa #autocobranca #merecimento #reprogramacaomental #hipnose #crençaslimitantes #atuamentealinhada #anamediolaro #saudemental #meditacao

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 Britt Brown, CRP GDS, Directorof Market Development at Better Homes and Gardens Real Estate / The Mosiello Group and WERC Ambassador:How did Britt get started in relocation? What story does Bitt share about getting her CRP designation?What does Britt share about the benefits of having aCRP? What does Britt share about Celebrating CRP DAY onSeptember 22?What does Britt share about WERC Global Conference?What advice does Britt share to help others in theworkplace? What is on Britt's CRP Play list – that's the real question! Interview resources:Favorite quote from Britt:“The CRP was on my vision board as soon as I became a relocation director.”Connect with Britt – ask her about the CRP Template to celebrate your CRP!Learn more about the CRPJoin the CRP ForumRegister for WERC ConferenceVisit WERCLearn 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; MovingLeaders 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.Connect with Bruce on LinkTreeSubscribe to Bruce's Blog “Move to Inspire” Get relocation support for your next household goods or commercial office move across the US by reaching out to Bruce at bwaller@goarmstrong.com or visit The Armstrong Company

In this episode, Prof Chapman unpacks the science behind immune add-ons in IVF, explaining why an embryo behaves almost like a transplant and how a woman’s body has to tolerate a pregnancy that is half foreign. Responding to a listener’s question about steroids, NK cells and CRP, he separates the one immunological condition backed by real evidence, antiphospholipid syndrome, from the many popular tests that offer little scientific justification. With characteristic warmth and candour, he explains why he remains sceptical of steroids for most patients, what the soon to be released Australian IVF data shows about persistence, and why pregnancy rates keep climbing cycle after cycle even without any add-ons. Explore the ‘Prof. Michael Chapman – The IVF Journey’ Facebook Page, your reliable destination for cutting-edge insights and guidance within the realm of In Vitro Fertilization (IVF). Don’t miss out on the IVF Journey podcast; stay informed with the latest episode updates. Tune in for expert discussions and valuable information on navigating the intricate path of IVF

Barons author Austin Frerick joins Nicolas and Kent to unpack why American butter turned white, how JBS and Cargill captured the food system, what a chicken contract actually costs the farmer who signs it, and how ethanol quietly erased the pastures Iowa used to graze. Plus Costco, Sysco, and GLP-1s.   hokseynativeseeds.com (for all your native seed, backyard prairie, hunting mixes, CRP mixes, native pasture mixes, and more) iowacovercrop.com (for all your cover crop mixes, waterway mixes, forage mixes, small grains, and more) MckayInsAgency.com (for all your financial planning and insurance needs)

Day 1,663.Today, we hear reaction to the US Congress approving a bipartisan bill which could see significant sanctions against Russia enshrined into US law, with the potential of 100% tariffs against countries purchasing energy from Moscow. Then we bring you reports of airspace being closed over Poland, and the latest developments of the Ukrainian counteroffensive around Lyman. Later, Francis speaks to one of the UN team documenting Russian forces' appalling sexual violence against Ukrainians, and leading the push for accountability for these war crimes.Contributors:Francis Dearnley (Host on Ukraine: The Latest). @FrancisDearnley on X.Sophie O'Sullivan (Telegraph Journalist).With thanks to Commissioner Vrinda Grover of the UN's Ukraine Commission of Inquiry.Senior Producer: Lilian FawcettVideo Producer: Sophie O'SullivanSocial Producer: Tom SteedStudio Director: Meghan SearleExecutive Editor: Francis DearnleyCreated by David KnowlesNOW IN FULL VIDEO WITH MAPS & BATTLEFIELD FOOTAGE:Every episode is now available on our YouTube channel shortly after the release of the audio version. You will find it here: https://www.youtube.com/@UkraineTheLatest CONTENT REFERENCED:The Graham sanctions act is a chance to punish Putin. Here's what the White House should do next. (Daniel Fried for the Atlantic Council)https://www.atlanticcouncil.org/dispatches/the-graham-sanctions-act-is-a-chance-to-punish-putin-heres-what-the-white-house-should-do-next/ Russians Prepare to Vote in Parliamentary Elections With Little Hope for Change (New York Times)https://www.nytimes.com/video/world/europe/100000011153874/russia-parliamentary-elections.html Summary factsheet of UN Ukraine Inquiry's main findings on sexual violence:https://www.ohchr.org/sites/default/files/documents/hrbodies/hrcouncil/coiukraine/iicoiu-sgbv-may2026-en.pdf Call for submissions by the UN Independent International Commission of Inquiry on Ukraine:https://www.ohchr.org/en/hr-bodies/hrc/iicihr-ukraine/call-for-submission Papers featuring testimony of sexual violence in war:August ‘23 – https://www.ohchr.org/sites/default/files/2023-08/A_HRC_52_CRP.4_En%20%28003%29.pdfMarch ‘24 – https://undocs.org/en/A/HRC/55/66 October ‘24 – https://docs.un.org/en/A/79/549 March ‘25 – https://docs.un.org/en/A/HRC/58/67 Germany to send fighter jets to Latvia during election amid drone threat (Politico)https://www.politico.eu/article/germany-to-send-fighter-jets-to-latvia-during-election-amid-drone-threat/Russia stages early voting in occupied Ukraine ahead of national election (Euronews)https://www.euronews.com/video/2026/09/15/russia-stages-early-voting-in-occupied-ukraine-ahead-of-national-electionPutin weaponizing migration to destabilize Europe, Kyiv says (Kyiv Independent)https://kyivindependent.com/putin-weaponizing-migration-to-destabilize-europe-kyiv-says/Global hunger is a threat to Britain's national security, report says (The Telegraph)https://www.telegraph.co.uk/global-health/climate-and-people/global-hunger-is-a-threat-to-britains-national-security/Russia plans new prison complex in occupied Kherson Oblast among wider prison expansion (Kyiv Independent)https://kyivindependent.com/russia-plans-new-prison-complex-in-occupied-kherson-oblast-among-wider-prison-expansion/If you're interested in sponsoring Dom's upcoming defence event, email our colleagues at events@telegraph.co.ukEMAIL US:Contact the team on ukrainepod@telegraph.co.uk. We continue to read every message, and seek to respond to as many as possible.HIGHLIGHTS:'We'll throttle your war machine': US lawmakers pass major Russia sanctions billUkraine targets Russian oil refinery and aircraft, igniting huge blaze Hosted on Acast. See acast.com/privacy for more information.

Riley takes the host chair for a Prairie Farm Podcast trivia showdown. Nicolas and Kent face 20 questions pulled from past guest episodes, covering prairie food plants, planting dates, grazing, Iowa water quality, and the Black Hawk War.  Can you beat Nicolas and Kent's score? hokseynativeseeds.com (for all your native seed, backyard prairie, hunting mixes, CRP mixes, native pasture mixes, and more)   BirdHunterSupply.com (for all your bird hunting supplies and dog hunting supplies)

Das Video zur Folge findest du hier Und hier geht's zum YouTube Kanal – gleich abonnieren und keine neue Folge mehr verpassen! ☀️ UNTERSTÜTZT DURCH DEN FOR YOU VITAMIN D3 + K2 TEST! ☀️ Gerade im Herbst und Winter – oder wenn du schon länger supplementierst – ist Vitamin D oft so ein „Ich glaub, ich bin okay"-Thema. Mein Tipp: Nicht schätzen, sondern nachmessen! Und weil Vitamin D und K2 zusammengehören, empfehle ich den For You Vitamin D3 & K2 Test. Der Test funktioniert ganz einfach zu Hause per Trockenblut: wenige Tropfen aus der Fingerkuppe, ab in den Rückumschlag – und deine Ergebnisse bekommst du übersichtlich online. Gemessen werden 25-OH-D3 und K2 (MK-7) – ideal, um deine Supplementierung sinnvoll einzuordnen und anzupassen.

Hosts: Ed Jones (Owner – Nutrition World) & Clint Powell A variety of topics all related to living a healthy life Presented by: Nutrition World www.nutritionw.com Broadcasting from the Nooga Dentistry Studio www.noogadentistry.com Production of: Whitfield Media Group www.vitalhealthradio.com Title: Pasture-Raised Eggs and Smarter Supplementation  [0:02:35] Clint's Podcasts & New Health Success-Story Show Clint mentions he has multiple podcasts under the Nuga Podcast umbrella. Shares that he's curating and sharing many shows (20+). Ed and Clint plan a new podcast through Nutrition World on health success stories. [0:03:02] Ed's Injury & The Body's Healing Power Ed describes nearly severing his middle finger in a steel door. Took 3 days to stop bleeding, now ~70% healed in 5 days. Uses this to illustrate the “magic” of the human body when given what it needs. Critiques tendency to credit treatments instead of the body's inherent healing capacity. Highlights tension between the traditional medical model and holistic philosophies. [0:04:25] New Azure Partnership for Food Products Announces partnership with Azure (AZURE): Nutrition World will stock ~100 new high-quality, holistic food items: Maple syrup, coconut oil, apple cider vinegar, organic chicken breast, cheeses, farm butters, etc. Positioned as top-quality natural food products aligned with Nutrition World's standards. [0:05:13] Ed's Bodybuilding Contest Prep & Carb Refeed Lesson Ed is training for his 4th Chattanooga fitness/bodybuilding contest. Coached by Matt Davis (Train Station gym owner) and his wife Julie. Current approach: High protein, ~40% fewer calories than usual. Dealing with hunger and caloric restriction. Matt's key advice: Eat 300g carbs (vs usual 50g) on a specific Sunday. Result: Ed realized how depleted he had been; refeed improved performance and appearance. [0:11:08] Segment with Kristy: Homesteading, Chickens, and Truly Pasture-Raised Eggs Christy: long-time friend and staff member at Nutrition World; now a homesteader. Has ~100 chickens, plus donkey, goats, dogs, cats, husband. Sells eggs through Nutrition World; Ed personally eats 12–18 of her eggs per week. Philosophy: Doesn't “domesticate” or Instagram her chickens. Lets chickens “do chicken things”: peck, eat bugs, scratch soil. No chemicals on property: no weed killers, garden chemicals, or pest sprays. Birds are effectively free-range in the woods, not fenced.  Predator Management with Donkey & Dogs Previously lost 3 chickens to a fox attack. Now uses: Bradford the donkey – daytime guardian; alerts with noise and stomping. Great Pyrenees dog – night guardian for coyotes. Roosters help herd hens to cover when alerted. [0:15:36] Water Filtration & “Structured Water” for Animals Christy filters all animal water with a strong (non-RO) filtration system. Then uses a “structuring” device that swirls water to mimic natural flowing water over rocks, restoring “life” and improving hydration. Reports animals (and people) feel more hydrated and less thirsty on structured water. [0:18:13] Egg Production, Breeds, and Yolk Color Different shell colors = different breeds (white Leghorn, Rhode Island Red, etc.). Shell color does NOT indicate health (brown ≠ healthier than white). Key health marker: deep orange yolk Pale yellow = missing nutrients, especially protein-rich, nutrient-dense feed. Production: A chicken lays about 5–6 eggs/week, with 3 most productive years. Christy does not cull hens at 2–3 years like many operations; keeps older birds for tick and bug control and because they're still valuable. [0:21:17] Feed, Herbs, and Natural Health Strategies Summer: chickens get very little commercial feed, mostly bugs and forage. Uses pumpkin seeds, oregano, rosemary, etc. daily to support gut health and control worms. Avoids antibiotics; instead builds terrain (overall resilience) through diet and environment. [0:22:07] Eggs as “Perfect Protein” & Cholesterol Discussion Ed: eggs have top-tier Protein Efficiency Ratio (PER) and complete amino acid profile. Highlights key yolk nutrients: especially choline for brain health. Addresses cholesterol myth: Ed eats 12–18 eggs/week, yet his total cholesterol is ~140 and ApoB is 43 (very low). Emphasizes ApoB and Lp(a) are more meaningful than plain cholesterol. Suggests dietary cholesterol from eggs is not the main driver of cardiovascular risk for most people. Organic eggs: chickens get organic feed, but may still be caged indoors. Producers can sometimes switch feed briefly and still qualify. Pasture-raised: chickens outdoors, in sunlight, foraging — Christy's preference and Ed's recommendation. Chickens are not vegetarians; they're meant to eat bugs and animal protein, so “vegetarian-fed” marketing is misleading for their natural diet. [0:26:34] Other Egg Tips Chickens love scrambled eggs as a high-protein treat. She also feeds them crushed eggshells back for calcium, supporting strong shells. Storing unwashed farm-fresh eggs: Have a natural “bloom” (protective coating). Can be kept unrefrigerated for ~6 weeks or more. Storing retail eggs: Legally must be washed, removing that coating. Must therefore be refrigerated and cannot safely sit on the counter. [0:33:27]  Segment with Curt Dearing: Deprescribing & “Desupplementing” Curt recaps prior discussion on deprescribing medications and the danger of polypharmacy (average American: ~17 prescriptions/year). Introduces “desupplementing”: Many people take too many supplements, often focused on low-impact (“tier 4”) items rather than foundational ones. Goal: simplify supplement regimens, cut redundancy, and focus on what truly matters. Warns about a false sense of security: People think “I'm taking a pill, so I don't need to improve diet or lifestyle.” Applies to pharmaceuticals and supplements. [0:37:41] Case Study: Simplifying a Real Person's Regimen Medications this person was on: Atorvastatin (for cholesterol) Nexium (PPI for reflux) Amlodipine (for blood pressure) Zoloft (for mood) Curt's key points: Standard lipid panel is limited; LDL number alone is not predictive. Recommends advanced lipoprotein testing (ApoB, etc.) and calcium score. Patient had a calcium score of 0 (good), but: That only measures calcified plaque, not soft plaque. Still must monitor inflammation markers like hs-CRP. On specific meds: Atorvastatin: Curt can support stopping it outright, especially with good advanced labs and zero calcium score. Notes statins lower numbers but don't always improve real-world outcomes or calcium scores. Nexium (PPI): Must taper (risk of rebound acid if stopped cold turkey). Long-term use harms magnesium, calcium, micronutrient absorption and may affect bones, kidneys, cognition. Amlodipine: Often tapered (half-dose a few weeks, then lower), while improving lifestyle and boosting magnesium intake. Curt believes conventional targets may push blood pressure too low in older adults. Zoloft: Psych meds generally need careful tapering, not abrupt cessation. [0:47:51] Desupplementing: Cutting Redundancy & Upgrading Quality Key supplement clean-up actions Curt recommends in the case study: Switch to a high-quality multivitamin that includes: B vitamins → drop separate B-complex. CoQ10 (100 mg) → drop separate CoQ10. Vitamin D: always pair with Vitamin K for calcium direction (bones vs arteries). Probiotics: Take breaks (e.g., a month off periodically). Rotate brands/strains, including spore-based options. Quercetin + stinging nettle for allergies: Great combo, but if allergies are seasonal, use it seasonally, not all year. Magnesium: Many people take too little and/or the wrong form. Curt prefers glycinate and taurate for blood pressure, relaxation, sleep, and broad benefits. Omega-3s: Ensure triglyceride form for better absorption. For blood pressure and inflammation, consider high-DHA formulas (e.g., DHA Extra ~960 mg DHA). Berberine/Bergamot: Combines as “Berbercol” to support lipids, blood sugar, and cardiovascular health. Weight-loss products: Instead of chasing stimulants, tackle sleep quality, mood, and lifestyle (he mentions different forms of saffron for mood vs weight management, with the right extract making a difference). Overall result: fewer pills, more targeted impact, and cost savings. [0:56:11] Policy Wins, Tax Treatment of Supplements, and Food Spots Ed shares good news on alternative health funding: Despite fears it might be cut from the federal budget, support for alternative/holistic health remains in the proposal. Dietary Supplement Access Act: Would classify dietary supplements as a qualified medical expense in the IRS code. Proposed annual limits: Up to $500/year per individual. $250/year for married filing separately. Could effectively make many people's basic supplement costs tax-advantaged. Ed plugs Tallow House in Cleveland (tallow-based burger concept, extremely busy) and his regular Cheesecake Factory order: Steak Diane, extra broccoli, extra mushrooms, no mashed potatoes. Matches his preferred macro pattern: high protein, healthy fat, and a colorful vegetable. Clint closes by encouraging listeners to control what they can about their health and keep making incremental improvements. The post Radio Show / Podcast – September 13, 2026 first appeared on Vital Health Radio.

What if the fatigue, joint pain, digestive issues, skin changes, or inflammation you've learned to live with are actually clues your body has been giving you for years?In this episode of the Wise Divine Women Podcast, Dana Irvine welcomes VJ Hamilton, The Autoimmunity Nutritionist, to explore autoimmune conditions, rheumatoid arthritis, chronic fatigue, gut health, inflammation, and the role nutrition can play in supporting recovery.VJ's passion for autoimmune health began with her own journey. Diagnosed with alopecia areata at just seven years old, she later experienced psoriasis, joint problems, severe fatigue, and eventually chronic fatigue syndrome. Combined with her background in immunology and biochemistry, these experiences ultimately led her from a career as a chartered accountant into functional nutrition.Today, VJ works with clients worldwide, helping them investigate potential contributors to chronic inflammation and autoimmune symptoms.Dana and VJ take a closer look at rheumatoid arthritis, how it differs from age-related arthritis, and why symptoms such as fatigue, stiffness, joint discomfort, headaches, digestive concerns, skin changes, gum inflammation, and foot pain may deserve deeper investigation.They also explore the connection between oral health, gut health, inflammation, and immune function, including how microbiome imbalances, nutrient depletion, digestive health, stress, and environmental exposures may influence overall immune health.In This Episode, You'll Learn:How VJ's personal autoimmune journey shaped her careerWhat vasculitis is and why autoimmune conditions can be complexWhy rheumatoid arthritis should not simply be dismissed as agingWhy fatigue may appear early in autoimmune conditionsCommon signs of inflammation worth paying attention toThe possible connection between oral bacteria and rheumatoid arthritisWhy gut health is central to VJ's functional approachHow nutrition and nutrient density can support recoveryBlood markers such as CRP, hs-CRP, ferritin, and ANA to discuss with your providerFunctional testing including stool testing, DUTCH hormone testing, organic acids testing, and food sensitivity assessmentConnect with VJ HamiltonWebsite: theautoimmunitynutritionist.comInstagram: @theautoimmunitynutritionistReady to Understand Your Own Health Story?If you're experiencing persistent fatigue, inflammation, digestive changes, hormone concerns, breast health changes, or symptoms that simply don't feel like “you,” it may be time to look deeper.For support with hormones, metabolism, breast health, digestion, and whole-body wellness, visit DanaIrvine.com and book a Health Clarity Call.autoimmunity, autoimmune disease, rheumatoid arthritis, autoimmune nutritionist, functional medicine, functional nutrition, chronic fatigue, gut health, gut microbiome, inflammation, women's health, autoimmune symptoms, nutrition for autoimmunity, holistic healing, autoimmune recovery, chronic inflammation, oral health and autoimmunity, long COVID, menopause and autoimmunity, functional medicine testing

TL;DRA few weeks ago someone asked me on Instagram: if I could only choose four tests to check whether the terrain — the internal environment — is still safe for cancer to return, which four would I pick? This episode is the answer. The four are a metabolic panel (glucose, insulin, HbA1c, triglyceride/HDL ratio, hsCRP, vitamin D, homocysteine), deuterium levels, the omega-3 index, and 8-Oxo-guanine (a marker of oxidative DNA damage). I also cover four bonus markers — LDH, NK cell activity, ferritin, and GlycoMark — and where to get several of these run yourself if your doctor won't order them.* Book a Metabolic Blueprint Session with me: calendly.com/tripleplaydoc/complimentary-consult* Order your own omega-3 index test: OmegaQuant* The core idea: the right question isn't “did it come back” — it's “is my body still a place cancer could thrive.” That's the terrain, and it's what conventional follow-up rarely checks.* Test 1 — Metabolic Terrain Panel: glucose, insulin, HbA1c, triglyceride/HDL ratio, hs-CRP, vitamin D, and homocysteine. Insulin resistance and chronic inflammation are consistently linked to cancer recurrence,¹ and “normal” lab ranges are far looser than the optimal ranges Dr. Mike targets post-cancer.* Case story: “Sandra” had a clean oncology bill of health, but her metabolic panel told a different story — every marker inside “normal,” every one outside optimal. Six months of correcting it, and she felt like herself again.* Test 2 — Deuterium levels: an overlooked marker of mitochondrial function. Excess deuterium gums up ATP production, and cancer cells' metabolism may get a competitive edge in a high-deuterium environment.³* Test 3 — Omega-3 Index: a ~3-month tissue-level reading of EPA/DHA in red blood cells — a better marker than diet recall, with direct ties to inflammation and immune surveillance.⁵ Order it yourself through OmegaQuant.* Test 4 — 8-Oxo-guanine: a direct, real-time biomarker of oxidative DNA damage — not theoretical risk.⁶* Bonus markers: LDH, NK cell activity, ferritin, and GlycoMark round out the picture when standard labs won't order the core four.* Bottom line: these aren't one-and-done tests — they're a dashboard. Ask for them by name, and track trends over 3/6/12 months.References* Obesity, metabolic syndrome, insulin resistance, and chronic inflammation as drivers of cancer risk and recurrence — Klinická onkologie: 10.48095/ccko2026S36* Vitamin D's role in immune function, anti-tumor effect, and patient prognosis — Nutrients: 10.3390/nu15112592* Blocking intracellular deuterium accumulation prevents cancer-related gene expression, tumor development, and tumor recurrence — 10.1177/10732748211068963* Deuterium-depleted water inhibits proliferation and migration of cancer cells in vitro — Biomedicine & Pharmacotherapy: 10.1016/j.biopha.2013.02.001* Omega-3 index / red blood cell EPA+DHA methodology — Journal of Clinical Lipidology: 10.1016/j.jacl.2019.07.001* OGG1 and repair of 8-oxoguanine oxidative DNA lesions, linking oxidative damage to cancer and inflammation — DNA Repair: 10.1016/j.dnarep.2025.103827* Natural killer cell activity and tumor immune surveillance — International Immunopharmacology: 10.1016/j.intimp.2026.117160Links mentioned:* Book a Metabolic Blueprint Session: calendly.com/tripleplaydoc/complimentary-consult* Order an omega-3 index test: OmegaQuantDisclaimer: This article is educational, not medical advice. Please talk to your doctor or a qualified functional medicine practitioner before ordering or acting on any of the labs discussed below, especially if you're currently in treatment, pregnant, nursing, or managing another chronic condition. Optimal ranges cited here reflect my own clinical approach and are not a replacement for guidance from your own care team. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit tripleplaydoc.substack.com/subscribe

Histamine intolerance spikes in the four to seven days before your period, because progesterone and estrogen drop together and you lose DAO support and GABA buffering at the same time. Liz & Becca break down why perimenopause makes it worse, whether ox bile and digestive enzymes are safe with a gallbladder, and why a normal hs-CRP doesn't rule out inflammation. Hives, migraines, insomnia, bloating, constipation, anovulatory cycles and mast cells — the hormone drop is the trigger, not the cause.***Want our Perimenopause and Histamine Protocol? Click here***Lets Connect:Connect with Liz: Instagram | YoutubeConnect with Becca: Instagram | YoutubeJoin our private community: FitMom Society***Have questions? Ask HereLooking for answers? Work with us***Want to win FitMom Mystery Box?Leave us Apple Review | Spotify ReviewMentioned in this episode:Leela Quantum TechTry the new Heal360 Advanced Frequency from LeelaQ, it's their most comprehensive wellness frequency system yet, designed to support cognitive wellness, recovery, emotional balance, energetic resilience, and a deeper energetic reset, and a more coherent energetic environment in today's rapidly evolving EMF landscape. It's available in wearable capsules in both brass and titanium, plus convenient frequency cards, making it easy to experience wherever life takes you. Visit leelaq.com and use FitMom code at checkout to get 10% off your next order. That's leelaq.com, code FitMom for 10% off

After 40, your biology rewrites the rules — and most people are still playing the old game. In this episode, Dr. Josh Axe breaks down the 7 mistakes that accelerate aging, why the scale is an outdated marker, and what a study of 140,000 people across 17 countries says actually predicts how long you'll live. In this episode: - Why muscle loss after 40 is silent, slow, and almost always preventable — and the two-day-a-week fix that reverses it - The grip strength finding from 140,000 adults that predicts mortality better than blood pressure or cholesterol - Why GLP-1s and aggressive dieting without strength training leave you metabolically weaker, not stronger - The blood markers most doctors skip — fasting insulin, ApoB, and high-sensitivity CRP — and why "normal" isn't the same as optimal - How poor sleep and social isolation are quietly compounding every other health mistake you're making - Josh's personal protocol after recovering from a spinal infection at 41 — and what his 76-year-old water-skiing father proves is possible Grab our free guide for the Bloodwork Markers that Matter Most: https://bit.ly/draxe25bloodworkmarkers Uncover what's really going on in your body with advanced biomarker testing for hormones, thyroid, and metabolism— plus a 1-hour consultation with a Senior Health Advisor! → http://mybloodwork.com *Disclaimer: The bloodwork our team runs at mybloodwork.com covers a handful of the biomarkers listed in the guide above — including critical thyroid and metabolic markers — plus a 1-hour consultation with a Senior Health Advisor, but does NOT cover all 25. You will want to consult your primary or functional doctor for the entire list. Thank you to our sponsors! Sunlighten Sauna: https://get.sunlighten.com/axepodcast Manukora Manuka Honey: https://manukora.com/axe Watch The Dr. Josh Axe Show every Monday & Thursday on YouTube: https://www.youtube.com/@drjoshaxe?sub_confirmation=1

In Episode 299 of the Fit Father Project Podcast, Dr. Anthony Balduzzi steps away from the usual guest format to do something different — and personal.As the show approaches its 300th episode, Dr. A sits down solo to share 10 of the most powerful physical health and longevity lessons he's learned over 15 years building the Fit Father and Fit Mother communities.This is part one of a two-part series, covering the training, nutrition, sleep, and recovery insights that have shaped his own evolving approach to staying strong for life.Part two — covering mindset, relationships, and fulfillment — drops next episode.From why explosive "speed training" may be the most overlooked key to staying young, to why nutrient density matters more than macros once your basics are dialed in, to the deep-cleaning protocols he personally uses once or twice a year — this episode is a masterclass in what actually moves the needle after 40.Rate & Review — If this episode gave you something new to think about, please take a moment to rate and review the Fit Father Project Podcast. Your review helps more busy dads discover practical, science-backed health conversations that can genuinely change their lives.Join the Fit Father Project Community — If you're ready to put these lessons into action with support, accountability, and a brotherhood of men committed to thriving after 40, come join us. We're here to help you build real, lasting health together.Key TakeawaysMove fast or get old — fast-twitch motor units decline starting in your 30s-40s and accelerate in your 50s-60s; explosive training (sprints, plyometrics, assault bike intervals) is what keeps your nervous system young and prevents the falls that come with aging.Adaptability is the keystone of longevity training — what worked in your 30s won't work the same in your 50s and beyond; the goal is progressively joint-friendly, sustainable movement (dumbbells, kettlebells, calisthenics) you can do for life."Eustress" is the name of the game — good stress (lifting, sprinting, fasting, even polyphenols in blueberries) is what signals your body to adapt and grow stronger; the moment you stop applying it is the moment decline accelerates.Macros are level one, nutrient density is level two — once your protein, carbs, and fats are dialed in, the next upgrade is prioritizing micronutrient-dense foods like organ meats, egg yolks, salmon, cruciferous veggies, berries, and colorful carbs.Clean water is the basis of life — municipal tap water and plastic bottles introduce chlorine byproducts, heavy metals, and microplastics; whole-home filtration plus reverse osmosis water (with minerals added back in) is a foundational health upgrade.Cleanse your body once or twice a year — like deep-cleaning your house or car, periodic multi-day fasts or juice cleanses help clear your "total body burden" of heavy metals, plastics, and other accumulated toxins.Sleep is your highest-leverage, most under-optimized habit — sleep regulates inflammation, hormones, and recovery more than any workout; under-sleeping is the fastest path to overtraining, anxiety, and low motivation.Circadian rhythm and nature connection drive recovery — morning sunlight, blue-light blocking at night, and grounding your feet on the earth all measurably reduce inflammation and improve energy.Don't guess, test — get advanced labs (vitamin D3, full thyroid panel, ApoB, hs-CRP, microbiome testing) instead of relying on how you feel; objective data catches deficiencies you'd never notice otherwise.Injuries are part of the process, not the end of it — every setback (Dr. A has broken his arm five times and had seven leg reconstructions) is an opportunity to learn your body deeper and come back stronger; staying in the game long-term is what actually matters.10 Health Lessons From 15 Years Building Fit Father & Fit Mother (Ep. 299)Want To Change Your Life? Check Out FF30X!FF30X is a simple, sustainable, and specific weight loss program designed especially for busy men over 40.With short metabolic workouts, an easy-to-follow meal plan, and an accountability team there for you every step of the way, FF30X can help you lose weight, regain energy and vitality, and live life to the fullest. Click here to see everything you get when you join FF30X.After watching his own Dad lose his health and pass away at the young age of 42, Dr. Balduzzi founded The Fit Father Project and Fit Mother Project to help busy dads and moms get and stay healthy for their families.Dr. Anthony Balduzzi holds dual degrees in Psychology & Nutrition from the University of Pennsylvania, a Doctorate of Naturopathic Medicine, and is also a former national champion bodybuilder.He's most proud of the fact that he's helped over 60,000 parents in 125+ countries lose weight and get healthy for life.Please know that weight loss results and health changes/improvements vary individually; you may not achieve similar results. Always consult with your doctor before making health decisions. This is not medical advice – simply very well-researched information on longevity training, muscle health, and healthy aging.

Can GLP-1 medications like Ozempic, Wegovy, Mounjaro and Zepbound do more than support weight loss? In this episode of Reversing Hashimoto's, we explore the emerging connection between GLP-1 therapy, metabolic health, inflammation, insulin resistance and autoimmune thyroid disease.We discuss what the current research actually shows about GLP-1 medications and inflammation, including their effects on markers such as CRP, while separating promising science from social-media hype. Could improving obesity, insulin resistance, fatty liver and metabolic inflammation create a healthier environment for someone with Hashimoto's?You'll also learn why GLP-1s should not currently be considered a proven treatment for Hashimoto's, why there isn't enough evidence to say they reliably reduce TPO or thyroglobulin antibodies, and what to consider if you take levothyroxine while losing significant weight.The episode also covers muscle preservation, protein intake, strength training, nutrition, thyroid monitoring, supplements, peptides and the thyroid-cancer warning associated with GLP-1 medications.Timestamps:00:00 – GLP-1s & Hashimoto's: The Big Question02:00 – Hashimoto's Is More Than a Thyroid Problem05:00 – GLP-1s and Inflammation08:00 – Metabolic Inflammation & Hashimoto's11:00 – What the Research Actually Shows15:00 – Who May Benefit From GLP-1 Therapy?18:00 – Thyroid Function & Levothyroxine21:00 – Protecting Muscle While Losing Weight25:00 – Nutrition, Protein & Strength Training29:00 – Supplements & Experimental Peptides33:00 – GLP-1s & Thyroid Cancer Concerns37:00 – Can GLP-1s Reduce Thyroid Inflammation?41:00 – Practical Hashimoto's Approach & Final Takeaway#Hashimotos #GLP1 #ThyroidHealth #AutoimmuneDisease #ThyroidInflammation #Ozempic #Wegovy #Mounjaro #Zepbound #MetabolicHealth #InsulinResistance #ThyroidHealth

Headlines on today's program include:· USDA rolls out its data modernization plan· The Ag bioeconomy and national security· Potential changes to the CRP program· Rising costs are making it harder for food banks to meet increased demand· Corn and soybean exportsSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What if the symptoms we associate with PMOS are actually signs of a much bigger metabolic picture? In this episode of the IRH Clinician's Corner, Margaret Floyd Barry sits down with one of IRH's most esteemed faculty members, Sara Fields, to unpack a major shift in women's health: the renaming of PCOS (Polycystic Ovarian Syndrome) to PMOS (Polyendocrine Metabolic Ovarian Syndrome). Together, they explore what this new name truly means for clinicians and clients alike, why it's a long-overdue change, and how it reflects a deeper understanding of the metabolic and endocrine complexities behind this common condition. Inside this episode, we explore: Why PCOS is becoming PMOS The symptoms practitioners may be missing Insulin resistance as a key driver The gut–hormone connection Essential testing for suspected PMOS Addressing root causes, not just androgen levels The Clinician's Corner is brought to you by the Institute of Restorative Health: https://instituteofrestorativehealth.com/ Upcoming Event: Margaret Floyd Barry is teaching a free session on September 15 for practitioners who want a smaller, structured offer to bring new clients in the door. She's walking through how to build a challenge-style entry point using CGM data, tested across real client volume in her own corporate wellness practice. If you've been asking too much, too soon, of new clients before they know you, this is worth an hour. Register Here! Follow us on IG: https://www.instagram.com/instituteofrestorativehealth/ Join our email list here: https://instituteofrestorativehealth.com/join-our-email-list/ Book a call with the admissions team to continue your training: https://instituteofrestorativehealth.com/study-with-us/?utm_source=email Connect with Sara Fields: Website: https://sarafieldswellness.com/ Instagram: https://www.instagram.com/sarafieldswellness/ Timestamps:  00:00 Expanding the conversation on diagnosis 08:48 Shifting focus to endocrine aspects 12:33 Patient involvement in global initiative 22:06 Understanding insulin resistance in PCOS 25:56 Hormonal Imbalances in PMOS 28:55 PCOS diagnosis criteria updates 34:59 Gut Health and Hormonal Balance 40:45 Importance of gut testing 48:43 Developing client treatment protocols 52:02 Addressing sleep apnea in PMOS 58:32 Connecting the dots on symptoms 01:03:26 Broadening diagnostic perspectives Guest bio:  Sara Fields has been an instructor with IRH since March 2019. She teaches and mentors across all four levels—GI Healing, Hormones, Blood Chemistry, and Clinical Mastery—and has played a supportive role in the organization's leadership team. Sara has been immersed in the world of food and nutrition for over 20 years. Her journey has taken her through organic farming, sustainable agriculture, specialty food retail, and, ultimately, to certifications as a Functional Nutritional Therapy Practitioner (2014) and Restorative Health Practitioner (2015). Her passion for the tools she learned at IRH led her to become the very first intern and, eventually, a lead instructor for all of the courses. In her private practice, Sara Fields Wellness, she and her team take a gut-centric approach to supporting clients with chronic and complex health concerns, including skin conditions, autoimmunity, digestive issues, and metabolic challenges. She has also developed and taught fertility and prenatal nutrition classes for a local childbirth education organization, hosted community wellness meetups, and taught garden lessons at her children's elementary school. Keywords: functional health practitioners, polycystic ovarian syndrome, PCOS, PMOS, polyendocrine metabolic ovarian syndrome, metabolic health, endocrine system, reproductive hormones, insulin resistance, blood sugar dysregulation, testosterone, DHEAS, sex hormone binding globulin, luteinizing hormone, follicle stimulating hormone, estradiol, progesterone, ovulatory cycles, cardiometabolic health, gut health, microbiome, estrobolome, estrogen detoxification, beta-glucuronidase, visceral fat, lipid panel, hs-CRP, adrenal hormones, HPO axis, blood testing Disclaimer: The views expressed in the IRH Clinician's Corner series are those of the individual speakers and interviewees, and do not necessarily reflect the views of the Institute of Restorative Health, LLC. The Institute of Restorative Health, LLC does not specifically endorse or approve of any of the information or opinions expressed in the IRH Clinician's Corner series. The information and opinions expressed in the IRH Clinician's Corner series are for educational purposes only and should not be construed as medical advice. If you have any medical concerns, please consult with a qualified healthcare professional. The Institute of Restorative Health, LLC is not liable for any damages or injuries that may result from the use of the information or opinions expressed in the IRH Clinician's Corner series. By viewing or listening to this information, you agree to hold the Institute of Restorative Health, LLC harmless from any and all claims, demands, and causes of action arising out of or in connection with your participation. Thank you for your understanding.  

Follicles not responding? Cycle cancelled? Told it is your low AMH? Book a free Functional Fertility Second Opinion before your next IVF decision → fabfertile.com You have done the injections. You have gone in for monitoring. They may have increased the medication already. And then you hear it again. The follicles are not responding. There are one or two growing. Maybe the cycle gets cancelled. Maybe you make it all the way to retrieval and get one egg. When you ask why, the answer comes back the same way every time. It is your low AMH. It is your age. You are a poor responder. Those are real factors, and I am not going to tell you the AMH does not matter. But if you are about to put your body, your finances, and yourself through another cycle, there is a bigger question worth asking. Is low AMH the whole explanation? Because these are two separate statements: I have diminished ovarian reserve, and low AMH explains everything that happened during that cycle. They are not the same statement. In this episode I walk through what AMH does and does not tell you, what I would want to understand about the 90 days before stimulation started, and what to ask your clinic before you go again. The full thyroid panel, including antibodies rather than TSH alone. Blood sugar and how it moves across a day. hs-CRP and unnecessary inflammation. Vitamin D you may be taking and may not be absorbing. Gut health, food sensitivity, the vaginal microbiome, nutrient status, and an autoimmune issue that gets mentioned as an afterthought when it belongs at the front of the file. CHAPTERS 00:00 The follicles are not responding 01:00 About Sarah and the team 01:20 What AMH does and does not tell you 02:00 Two statements that are not the same 02:20 The 90 days before stimulation started 02:40 hs-CRP and unnecessary inflammation 03:00 Optimal, not normal 03:20 Blood sugar regulation across the day 03:30 The full thyroid panel including antibodies 03:50 Nutrient depletion and secondary infertility 04:10 The vitamin D you may not be absorbing 04:30 An autoimmune issue is not a by the way 05:00 A clean diet that may not be the right diet for you 05:30 Hypervigilance and nervous system load 06:20 One client who did not have enough follicles to qualify 06:40 What I am not claiming 08:00 Annie and Miles. AMH 0.15, FSH 33 08:40 What Your Clinic Missed 09:00 What to ask before another IVF 09:40 Thirty days without medication, and doing this in parallel 11:00 Book a Second Opinion with your partner WHAT YOUR CLINIC MISSED If you have no idea which of these markers to run, we have a checklist called What Your Clinic Missed. It is a list of markers worth reviewing before a donor egg decision or before another IVF, so you can look at your own results and go from there. Email hello@fabfertile.ca with MISSED in the subject line and we will send it to you. FUNCTIONAL FERTILITY SECOND OPINION Book with your partner and load your labs into the secure portal. Before the call I review your fertility history and bloodwork from both partners, looking for patterns, unanswered questions and gaps. We are not diagnosing. Sometimes the review confirms that moving forward with the next IVF makes sense. Sometimes there are questions worth addressing first. Book your call with your partner at fabfertile.com If you want to know whether the call is right for you first, email hello@fabfertile.ca with FERTILE in the subject line and tell me a little about your situation. ABOUT THE HOST I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile. If this episode helped, leave a review. It is how other women find this work.

In this episode, Dr. David Jockers breaks down the science behind five simple drinks that clear your arteries, reduce inflammation, and support long-term cardiovascular health, walking through the human research behind each one and giving you the exact recipe to make it at home.   You will learn why arterial inflammation, not age or cholesterol, is the real driver behind clogged arteries, and how these five drinks work to reduce visceral fat, improve insulin sensitivity, lower inflammatory markers like CRP and ApoB, and support nitric oxide production and arterial repair. Dr. Jockers also shares a simple 30-day rotation plan for weaving these drinks into your daily routine.   In This Episode:  00:00 Chocolate Myth Busted 00:13 Episode Setup and Reviews 01:00 Health Coaching Offer 03:52 Why Arteries Clog 05:37 Drink 1 Pomegranate Elixir 08:06 Drink 2 Turmeric Coffee 12:30 Drink 3 Olive Oil Shot 16:15 Drink 4 ACV Cinnamon Shot 18:53 Drink 5 Cacao Hot Chocolate 22:47 30 Day Rotation Plan 24:41 Wrap Up and Outro   Discover clinically inspired, clean skincare trusted by over 60,000 women and featured in outlets like Elle and Cosmopolitan. Pureance offers advanced formulas like Cellular Restore Serum with bakuchiol, deep-hydration Tremella Mushroom Serum, Lift & Glow Eye Cream, and Even Glow Serum powered by Kakadu plum. For a limited time, get 35% off your entire order when you shop at Pureance.com and use promo code JOCKERS at checkout. n oranges. Go to Pureance.com and enter code JOCKERS at checkout for 35% off your order today. Head to beamminerals.com/DRJOCKERS and use code DRJOCKERS for 20% off your first order. Give BEAM Minerals a try and discover why mineral replenishment could be the missing piece in your wellness routine. Get 20% off your first order at beamminerals.com/DRJOCKERS with code DRJOCKERS.   "Visceral fat chokes off blood supply to your vital organs like your liver and your heart, and releases inflammatory compounds."  ~ Dr. Jockers     Subscribe to the podcast on: Apple Podcast Stitcher Spotify PodBean TuneIn Radio     Resources: Visit https://pureance.com and get 35% off with code JOCKERS at checkout. Visit beamminerals.com/DRJOCKERS and use code DRJOCKERS for 20% off     Connect with Dr. Jockers: Instagram – https://www.instagram.com/drjockers/ Facebook – https://www.facebook.com/DrDavidJockers YouTube – https://www.youtube.com/user/djockers Website – https://drjockers.com/ If you are interested in being a guest on the show, we would love to hear from you! Please contact us here! - https://drjockers.com/join-us-dr-jockers-functional-nutrition-podcast/ 

A Nobel Prize-winning discovery from 1931 described a cellular “fermentation switch” tied to cancer. That same switch shows up — in a much milder form — in millions of exhausted, foggy, always-cold people who've never had the right tests run.TLDR: Fatigue that sleep doesn't fix. Brain fog. Always cold. Muscle heaviness. Crashing after a workout. These aren't personality traits or “just aging”; they're often signs that your mitochondria, the tiny power plants inside every cell, aren't running the way they should. In this episode, I walk through:* What mitochondria actually do (in plain English)* The 6 physical warning signs your body sends when they're struggling* The 5 lab markers that reveal mitochondrial stress — most of which your standard panel isn't interpreting correctly* Why your body's pH and proton gradient might be the most underrated marker you've never heard of* 8 ways to start rebuilding mitochondrial function this week, starting todayWhat Mitochondria Actually Are (In Plain English)This is a very rudimentary explanation…Every one of your roughly 37 trillion cells contains tiny structures called mitochondria. Their job is to take the food you eat and the oxygen you breathe and convert them into a usable form of energy called ATP (adenosine triphosphate).Think of it like currency exchange. Food is your paycheck. But you can't pay your bills with a paycheck directly. You have to convert it into cash first. That's what mitochondria do. Your heart, brain, and liver cells are packed with hundreds to thousands of them, because those organs demand the most energy.So the real question is: what happens when those mitochondria get damaged?The Warburg Connection And What It Actually Tells UsIn 1931, German biochemist Otto Warburg won the Nobel Prize in Physiology or Medicine for his work on cellular respiration. Part of what made him famous was an earlier observation: many cancer cells generate energy primarily through fermentation (a process called aerobic glycolysis) rather than through the oxygen-based process healthy cells typically rely on - even when plenty of oxygen is available. Warburg's Nobel Prize was officially awarded for his discovery of the respiratory enzyme, and part of what he demonstrated along the way was that cancerous cells can live and develop even in the absence of oxygen. This pattern is now known as the Warburg effect.Here's where I want to be careful, because this is the kind of claim that's easy to oversimplify. It's tempting to say “damaged mitochondria cause cancer,” full stop. The real picture is messier and still debated. Researchers have gone back and forth for decades on whether this metabolic shift is a cause of cancer or a consequence of it, and more importantly, later research found that in most cancers, the mitochondria aren't actually broken. Subsequent research has shown that mitochondrial function is not impaired in most cancer cells, even though those cells still preferentially ferment glucose. The “why” behind that switch remains one of the more actively studied questions in cancer metabolism.So what does this mean for you, a person who almost certainly doesn't have cancer but does feel exhausted all the time? It means the fermentation-under-stress pattern Warburg first described is a real, well-documented phenomenon in cell biology, but I'm not going to tell you that your fatigue is “pre-cancer” or that a milder version of the Warburg effect is definitively what's causing your brain fog. What the broader mitochondrial dysfunction research does support is more modest and, frankly, more useful: when mitochondria are chronically stressed by poor diet, chronic stress, poor sleep, toxin exposure, or simply aging, cells generate less usable energy and more oxidative byproducts, and that shows up in the body long before it shows up on a standard lab panel.The Physical Warning Signs Most Doctors MissI hear a version of this sentence constantly: “My doctor ran labs and everything came back normal.” I believe them - the numbers usually do fall within standard reference ranges. But standard panels weren't built to catch mitochondrial strain. The body, on the other hand, tends to tell you well before a lab does. As you read this list, take honest mental inventory:* Brain fog and poor concentration. Your brain uses roughly 20% of your total energy output despite being about 2% of your body weight, so when brain-cell mitochondria underperform, mental clarity is often the first thing to go.* Fatigue that sleep doesn't fix. Not “I'm tired,” but “I slept eight hours, and I'm still exhausted.” This is one of the most common complaints I hear in practice.* Always feeling cold, or a low body temperature. Body heat is a byproduct of mitochondrial activity, so a consistently low waking temperature (roughly below 97.8°F) can point to a slower metabolic rate.* Muscle weakness or heaviness without a clear cause. Muscle cells are mitochondria-dense and need constant energy for contraction.* Exercise intolerance. You work out, and instead of feeling good afterward, you're wiped out for days without properly recovering.* Sensitivity to light or sound. Sensory processing is energy-expensive, and when cellular energy runs low, the nervous system loses some of its buffering capacity.None of these symptoms are proof of mitochondrial dysfunction on their own; fatigue and brain fog have a long list of possible causes, from thyroid issues to iron deficiency to depression to sleep apnea, and a thorough workup should rule those out first. But if several of these are chronic and unexplained, mitochondrial strain deserves a place on the list.The Lab Markers That Tell the Real StoryThese are markers you can request from a standard blood draw, though a few need to be ordered specifically. I want to flag something important up front: the “optimal” ranges I use in my own practice are tighter than the standard reference range most labs will flag as normal. That's intentional. A value can sit inside the reference range and still not be where I'd want to see it for someone chasing energy and longevity, rather than just ruling out overt disease. That distinction matters, and it's worth discussing with your own physician rather than self-diagnosing off a lab printout.* Fasting insulin. Most labs allow up to 25 µIU/mL as “normal.” I typically look for something closer to 2–5. Insulin creeping up into the high single digits or beyond can be an early sign that cells are struggling to use glucose efficiently.* Fasting glucose. Optimal is generally lower than most people assume, closer to 72–85 mg/dL rather than the upper 90s that many labs will still call normal.* High-sensitivity CRP (hs-CRP). This measures systemic inflammation. Levels of CRP less than 1 mg/L are generally considered low cardiovascular risk, 1 to 3 mg/L moderate risk, and above 3 mg/L elevated risk. Damaged mitochondria leak more free radicals, and that oxidative debris is one of several things that can trigger this kind of low-grade inflammatory signal.* CO2 (bicarbonate). Part of a standard basic metabolic panel, usually reported somewhere in the low-to-high 20s (mEq/L). When it trends toward the lower end, it can be a signal of mild metabolic acidosis; worth flagging and discussing with your doctor rather than a red-alert finding on its own.* Lactate-to-pyruvate ratio. This is a more advanced, specialist-ordered marker. Normally pyruvate flows into the mitochondria and gets converted into usable energy; when mitochondrial function is impaired, pyruvate backs up and converts to lactate instead. It's worth being precise here about what the actual research supports: a lactate-to-pyruvate ratio above 20 has been shown to distinguish patients with primary mitochondrial disease from those with other conditions in clinical studies, and this marker's best-documented use is in diagnosing rare inherited mitochondrial disorders or evaluating critically ill patients not as a general screening tool for everyday fatigue. If you're curious about your own ratio, this is a conversation to have with a clinician who can interpret it in the context of your full picture, not something to self-order and self-interpret.The Proton Gradient: Why pH Might Be an Underrated MarkerHere's a mental picture that helped this concept click for me: imagine Niagara Falls. Water crashes from a height, and that force turns a turbine that generates electricity at the base. Mitochondria do something similar, except instead of water, they're moving protons (hydrogen ions) across a membrane, building up a pressure gradient. When those protons flow back through a molecular structure called ATP synthase, that “turbine” spins and produces ATP.Now imagine you lower the height of the falls. Less force, less electricity. That's roughly what happens when your body's internal environment shifts toward acidity; the proton gradient shrinks, and energy production slows with it.Blood pH is tightly regulated and normally stays between 7.35 and 7.45, it doesn't swing wildly, and if you ever see it trend outside that narrow range on a lab, that's a signal your body's buffering systems are genuinely taxed, not a subtle wellness finding. Because blood pH is so tightly controlled and hard to use as an early, everyday signal, a more practical (though far less precise) proxy some practitioners use is first-morning urine pH, tested with an inexpensive strip. Consistently low first-morning urine pH is sometimes used as a rough indicator that the body is buffering more acid overnight than ideal; though it's a screening tool at best, not a diagnostic one, and it can be influenced by diet, hydration, and other unrelated factors.A quick, honest aside on “structured water.” You may hear claims - including sometimes in wellness spaces I respect - that water inside your cells exists in a special “fourth phase” or “exclusion zone” structure that's central to mitochondrial function, an idea popularized by bioengineer Gerald Pollack. I want to be straight with you about where this stands scientifically: it's a genuinely contested hypothesis, not a fact. Independent researchers have proposed alternative physical explanations for the phenomena Pollack describes, and some of his specific claims - like light-driven charge separation in water - are considered difficult to reconcile with basic physical chemistry. The underlying biology of cellular hydration and mitochondrial function is real and important; the specific “structured water” framework is an interesting but unproven idea layered on top of it, and I don't want to present it to you as settled science.8 Ways to Rebuild Mitochondrial Function (Mitochondrial Biogenesis)The good news is that mitochondria aren't fixed in number or function. Your body can build new ones; a process researchers call mitochondrial biogenesis. Here are eight inputs that support it, roughly in the order I'd actually prioritize them with a patient. Notice that supplements are last, not first.* Morning sunlight. Getting outside within about 30 minutes of waking supports circadian alignment, which in turn supports metabolic function.* Zone 2 cardio. This is exercise intensity where you can still hold a conversation roughly 3–4 sessions per week, 30–45 minutes. It's popularly described as uniquely effective for mitochondrial biogenesis through a signaling pathway called PGC-1α. I want to add a fair caveat here: while Zone 2 has been widely positioned in popular media as the optimal intensity for improving mitochondrial and fatty-acid oxidative capacity, a 2025 narrative review found the evidence for that specific claim is more mixed than commonly portrayed, and some research suggests higher-intensity training activates these same pathways just as strongly, if not more so. Zone 2 is still a well-supported, low-risk, sustainable way to build an aerobic base; I just don't want to oversell it as the only path to mitochondrial adaptation.* Cold exposure. This is a stressor, so I don't recommend starting here if you haven't built a foundation first. In animal studies, chronic cold exposure increases expression of mitochondrial proteins and the master regulator of mitochondrial biogenesis, PGC-1α, in brown adipose tissue - human data on the same mechanism is still developing. However, functional brown fat has been confirmed to exist and activate with cold exposure in adult humans. If you're adapted to it, starting with 30–60 seconds at the end of a shower is a reasonable entry point.* Circadian alignment. Consistent sleep/wake timing supports the same systems that morning light and cold exposure influence.* Structured hydration. Beyond simply drinking more water, this includes grounding and infrared light exposure - inputs that (independent of the more speculative “structured water” claims above) are reasonably tied to circadian and metabolic health.* Metabolic flexibility. This is your body's ability to switch between burning glucose and burning fat for fuel. Time-restricted eating is one of the more accessible tools for improving this, but it's a second-phase intervention, not a starting point, especially if your body isn't metabolically ready for it yet.* Red and near-infrared light therapy. Red to near-infrared light is absorbed by cytochrome c oxidase, an enzyme in the mitochondrial electron transport chain, and this interaction is associated with increased ATP synthesis by mitochondria. Most of the research uses roughly 10–20 minutes of targeted exposure, often over the head and torso.* Mitochondrial cofactors. This is where most people want to start and where I'd ask you to start last. CoQ10, magnesium, and B vitamins (especially B1, B2, B3) function as electron carriers within the Krebs cycle, and alpha-lipoic acid is a mitochondria-specific antioxidant. On top of these, I use Nion to support the body's pH and hydration balance, and Protandim NrF2 to help address the oxidative load that builds up when mitochondria are already under stress, but these work best layered on top of the lifestyle inputs above, not as a substitute for them.Quick Reference: What the Markers MeanThese "optimal" figures reflect the ranges I personally use with patients pursuing proactive metabolic health, not universal diagnostic cutoffs. Always interpret your own labs with a clinician who has your full history.This Week's ProtocolThree simple steps, none of which should cost much or take more than a few minutes a day:* Tomorrow morning: get outside within 30 minutes of waking for a few minutes of natural light.* Pick up pH test strips (inexpensive, available almost anywhere) and test your first-morning urine for three consecutive days. Write the numbers down.* Pull your last basic metabolic panel and find your CO2/bicarbonate value. If you don't have a recent one, get one drawn.Where to Go From HereIf you recognized yourself in several of the symptoms above, the first move isn't panic - it's data. We walk through exactly this kind of cellular assessment with patients every week inside the Thrive 120 framework. If you want a professional to look at your labs and symptom picture and tell you the top three things to address first: Disclaimer: this article is educational, not medical advice. Talk to your doctor before making changes to your diet, exercise routine, or supplement regimen, especially if you're pregnant, nursing, on blood thinners, or managing a chronic condition — including cancer. Some links below are affiliate links — if you buy through them, I may earn a commission at no extra cost to you. These statements have not been evaluated by the FDA, and none of these products are intended to diagnose, treat, cure, or prevent any disease.)References* Nobel Prize in Physiology or Medicine 1931 — Otto Warburg, biographical: https://www.nobelprize.org/prizes/medicine/1931/warburg/biographical/* Warburg effect(s) — a biographical sketch of Otto Warburg and his impacts on tumor metabolism — PMC: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4784299/* Warburg Effect — a Consequence or the Cause of Carcinogenesis? — J Cancer: https://www.jcancer.org/v07p0817.htm* Genome-Scale Metabolic Modeling: mitochondrial function is not impaired in most cancer cells — PMC: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3053319/* C-Reactive Protein and cardiovascular risk categories — Circulation (AHA): https://www.ahajournals.org/doi/10.1161/01.cir.0000093381.57779.67* Clinical usefulness of hs-CRP across Framingham risk scores — Circulation (AHA): https://www.ahajournals.org/doi/10.1161/01.cir.0000125690.80303.a8* Diagnostic values of lactate-to-pyruvate ratio in mitochondrial disease — PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC9334250/* Lactate and lactate:pyruvate ratio in pediatric acute liver failure — PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC5328928/* Mitochondrial dysfunction and ischemia in critical illness (lactate:pyruvate ratio) — PMC: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4470667/* Much Ado About Zone 2: A Narrative Review — PubMed: https://pubmed.ncbi.nlm.nih.gov/40560504/* Chronic cold exposure induces mitochondrial biogenesis in brown adipose tissue — iScience: https://www.cell.com/iscience/fulltext/S2589-0042(21)00402-8* Effect of habitual cold exposure on brown adipose tissue activity — systematic review: https://www.tandfonline.com/doi/full/10.1080/22423982.2025.2545059* Photobiomodulation of cytochrome c oxidase by chronic transcranial laser — PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC8971717/* Brain Photobiomodulation Therapy: A Narrative Review — PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC6041198/* Exclusion Zone Phenomena in Water — A Critical Review of Experimental Findings and Theories: https://arxiv.org/pdf/1909.06822Links mentioned:* Metabolic Blueprint Session: https://calendly.com/tripleplaydoc/complimentary-consult * Nion: https://www.nionhealth.com/tripleplaydoc* Protandim NrF2: https://tripleplaydoc.lifevantage.com/us-en/shop/protandim-nrf2 This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit tripleplaydoc.substack.com/subscribe

Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com You got eggs. After everything, that part finally went right. Then day one, this many fertilized. Day three, this many are still growing. Then the call where someone tells you none of them made it. And what comes next, almost word for word on call after call, is you going back through your twenties. The years when maybe you weren't taking the best care of yourself. Maybe you drank more, were under a lot of stress, or simply weren't thinking about your fertility yet. And you start wondering, Did I cause this? Is that why this happened? But then you come back to the same thing: I'm healthy now. I'm active. I take care of myself. So what am I missing? Your age is real, and we are not going to ignore it. It usually is not the only thing on the table. In this episode, I walk through the three questions I want answered before you go again. What that cycle actually told us, and what it could not tell us about the 90 days before the injections started. What was investigated and what was not, including the full thyroid panel, triglycerides and insulin rather than A1C alone, hs-CRP, vitamin D absorption, the gut and vaginal microbiome, food sensitivity, and his side beyond a count. And if you do another retrieval, what specifically is changing and why. Preparing is not the same as being evaluated. CHAPTERS 00:00 None of them made it 01:00 About Sarah and the team 01:20 Question 1. What did that cycle actually tell us 02:00 The 90 days before stimulation started 02:30 Preparing is not the same as being evaluated 03:00 Where the nervous system fits 03:30 Question 2. What was investigated and what was not 03:50 Full blood chemistry, thyroid and triglycerides 04:20 hs-CRP, vitamin D absorption and gut infections 04:40 The vaginal and gut microbiome 05:00 Clean eating that may still be driving inflammation 06:00 His side. DNA fragmentation and bloodwork 06:30 The body is not a silo 07:10 What Your Clinic Missed 07:30 Question 3. If you go again, what will actually be different 08:10 Book a Second Opinion with your partner WHAT YOUR CLINIC MISSED If you are not sure what can be investigated or which way to go next, we have a guide called What Your Clinic Missed. It gives you the patterns and themes to look at before you consider your next move. Email hello@fabfertile.ca with MISSED in the subject line. FUNCTIONAL FERTILITY SECOND OPINION Book with your partner and load your labs into the secure portal. We review your bloodwork for patterns your clinic is not set up to examine, and talk through what is worth digging into before another IVF cycle. It is not IVF or your health. It is both. Book your call with your partner here. If you want to know whether the call is right for you first, email hello@fabfertile.ca with FERTILE in the subject line and tell me a little about your situation. ABOUT THE HOST I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile. If this episode helped, leave a review. It is how other women find this work.

Welcome back to our weekend Cabral HouseCall shows!   This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track!   Check out today's questions:    Anonymous: Good day Dr.Cabral, your doing great work! Can't imagine how proud your family and team are to have you. My question is regarding elevated CRP (didn't do HS-CRP) just did bloodwork for CRP. Which was 13. Also Lip (a) is 180.. which is high due to genetics. In combination.. A1C is creeping up at 6.1.. I know your not giving health advice however, what foods, products help? Berberine? Omega 3s? Thanks!       Matthew: Hi Dr Cabral-thanks for everything you do. My question is on turmeric. I have seen posts that turmeric supplements, especially those that also contain black pepper, are harmful to the liver. Do you agree? If so, what about turmeric that do not include the black pepper? If turmeric supplement's harm to the liver is higher than the benefit, do you have suggestions on a replacement? Thank you     Jasmine: I think my daughter has Lipedema, I've watched a few of your videos and have researched this topic but have never had this topic addressed: she drinks about a liter and a half of water a day, but doesn't urinate that much, never gets up at night, can go the whole day without. Is this affecting her Lipedema and any info you can share, your ideas/opinions would be appreciated. We do things holistically, no drugs unless absolutely necessary (emergency situations), and I don't think diuretics are the way to go. Thanks for any info, Jasmine       Andrea: Hi Dr. Cabral, What is your opinion of the laser therapy for the brain for improved cognition, lymphatic flow? I was made aware of PBM would love to know your opinion. Thanks for everything, grateful for you!       Anonymous: Good morning Dr.Cabral, How would you go about supporting the body naturally dealing with Hepatitis B (chronic).. This has unfortunately been undetected for years due to being born in East Africa. In turn, this long-term Hep B has lead to Hepatocellular caricoma.. However, after a lot of research, the root cause was the Chronic Hep B.. want to deal with this then support the body to shrink the liver mass. Thoughts? Not asking for medical advice. did the HTMA (was unremarkable) but noticing a bit of itching and upper abdominal pain.         Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!      - - - Show Notes and Resources: StephenCabral.com/3851 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Alle Informationen zur Carnivoren Ernährung unter www.carnitarier.de.  Das Handbuch der Carnivoren Ernährung unter www.carnitarier.de. ________________ Unsere natürliche KOSMETIK, Creme und Seife: MARROW GLOW aus Tallow & Marrow: www.marrow-glow.de. ________________ Herzlichen Dank an unsere WERBEPARTNER:  www.carnivoro.eu: Supplemente rund um die Carnivore Ernährung Mit dem Gutscheincode CARNITARIER erhältst du 10 % Rabatt auf deinen ersten Einkauf! Affiliate Link: www.carnivoro.eu/carnitarierin www.kreutzers.eu: Die größte Auswahl an Online verfügbarem frischem Fleisch. Mit dem Gutscheincode CARNITARIER erhältst du 10 % Ermäßigung.   www.mindful-meat.com: Hochwertiges Hirschfleisch aus den Wäldern Deutschlands. Mit dem Gutscheincode CARNITARIER erhältst du 10 € Ermäßigung auf deinen Einkauf.  www.pemmican-shop.de: Europas einzige originale Survival Beef Bar – Made in Germany. Mit dem Gutscheincode CARNITARIER erhältst du 10 % Ermäßigung auf deinen ersten Einkauf. ________________ Olaf bekam Divertikulitis. Sie war zunächst so stark, dass er das Krankenhaus nicht verlassen durfte, weil die Gefahr bestand, einen Darmdurchbruch zu bekommen. Sein Entzündungswert CRP lag bei 129, also weit über der Norm von maximal 5. Seine Ernährung war aber nach gängiger Theorie “normal” bis “gesund”. Dennoch hatte sein Darm sich so schwer entzündet.  Heute ist es so, dass er mit strengem Carnivore keine Probleme hat und aus diesem Grund auch konsequent bleibt. Mit seiner Kenntnis im Programmieren hat Olaf nun eine Simulation entworfen, bei der man den Blutzucker- und Insulinverlauf nach unterschiedlichen Mahlzeiten beobachten kann. Die Funktionsweise dieser Simulation erklärt er außerdem im Podcast. Zu Carnivore und falschen Ernährungsmythen schreibt Olaf außerdem in seinem Blog. Beides findet ihr auf seiner Webseite www.butterbei.de . ________________ Fleischzeit ist der erste deutschsprachige Podcast rund um die carnivore Ernährung. Hier erfahrt ihr Tipps zur Umsetzung des carnivoren Lifestyles, wissenschaftliche Hintergründe zur Heilsamkeit sowie ökologische und ethische Informationen zum Fleischkonsum. Eine Übersicht über alle Folgen findet ihr hier: www.carnitarier.de/fleischzeitpodcast Andrea Siemoneit berichtet nach über sechs Jahren carnivorer Ernährung über ihre Erfahrungen und Erkenntnisse. Außerdem interviewt sie andere Carnivoren und Wissenschaftler. Ihr findet sie auf Instagram unter @carnitarier.de Haftungsausschluss:Alle Inhalte im Podcast werden von uns mit größter Sorgfalt recherchiert und publiziert. Dennoch übernehmen wir keine Haftung für die Richtigkeit, Vollständigkeit oder Aktualität der Informationen. Sie stellen unsere persönliche subjektive Meinung dar und ersetzen auch keine medizinische Diagnose oder ärztliche Beratung. Dasselbe gilt für unsere Gäste. Konsultieren Sie bei Fragen oder Beschwerden immer Ihren behandelnden Arzt.

Disclaimer: this podcast & article is educational, not medical advice. Talk to your doctor before changing your diet, exercise routine, or any treatment plan, especially if you're pregnant, nursing, or managing a chronic condition. The Thrive 120 Show reflects my clinical perspective — it isn't a substitute for individualized care.TLDR“Eat less, exercise more” assumes your metabolism is fundamentally intact — that it's a math problem. It's not. It's a biology problem, and biology has a hierarchy: upstream causes and downstream symptoms. Most conventional advice treats the symptoms.I organize the four real drivers of metabolic breakdown into a framework I call MESS²:* M — Muscle loss. Your metabolic engine. Crash dieting shrinks it further.* E — Endocrine disruption. Your control panel — insulin, thyroid, cortisol.* S — Sun exposure. The free, daily signal almost everyone is missing.* S² — Sleep, Stress, and Systemic inflammation. The silent wreckers that undo the other three.Diet and exercise aren't wrong — they're just in the wrong position in the sequence. Fix the foundation first, and they finally start working the way they're supposed to.If you want help figuring out where your own weak link is, check the show notes below for the Thrive 120 programs and the Metabolic Blueprint Session Your metabolism isn't a math problemYou go in for a visit. Labs show your weight creeping up, your blood sugar drifting higher, your energy in the tank. And you hear the familiar line: eat less, cut calories, exercise more.That advice isn't malicious — it comes from a good place. But it assumes your metabolism is fundamentally intact. That it's calories in, calories out, done.Here's the problem: what if the engine itself is damaged? What if the control panel is sending the wrong signals? Adding intense exercise on top of a body that's already inflamed and hormonally dysregulated isn't a fix — it's closer to pouring gasoline on a fire.Think about it the way you'd think about a car. If the engine light comes on and the car starts making a bad noise, you don't respond by pouring in more premium gas. You find out what's wrong with the engine first. Your body deserves the same order of operations.Left alone, your body doesn't just sit still — muscle drifts downward, hormonal signaling drifts off-schedule, inflammation creeps upward. None of that is a willpower problem. It's biology, and biology has an upstream and a downstream. Most people — and most conventional approaches — spend their time treating the downstream symptoms. Below is the upstream map.THRIVE 120 Substack with TriplePlayDoc is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.The MESS² FrameworkM — Muscle: your metabolic engineMuscle is metabolically expensive. Your body burns calories just to maintain it, even while you're sitting on the couch doing nothing. The more muscle you carry, the higher your resting metabolic rate; the less you carry, the fewer calories your body needs — and the easier it becomes to store fat.After about age 30, you naturally lose muscle mass every decade — commonly cited figures put it in the 3–8% per decade range, accelerating further after roughly age 60 to 70.¹ ² ³ This gradual process is called sarcopenia, and because it happens slowly, most people don't notice until it's already reshaped their metabolic baseline.Here's where it gets worse: when most people try to “fix” their metabolism, they reach for a calorie-restricted diet. Yes, the scale moves. But a meaningful portion of that loss isn't fat — it's muscle. You've made the engine smaller and lowered your metabolic floor. Then you return to normal eating (because restriction isn't sustainable long-term), and your body — now running a smaller engine — needs fewer calories than it did before. The result is the yo-yo cycle, and each round tends to leave you carrying a little more than the last time.If that pattern sounds familiar, it's not a willpower problem. It's a muscle problem, and muscle problems have muscle solutions: protecting and building lean tissue before you fixate on how much you're eating.E — Endocrine disruption: your control panelIf muscle is the engine, your hormones are the control panel. When the control panel sends the wrong signals, it doesn't matter how good the engine is underneath — nothing runs right. Three hormones do most of the damage:Insulin. Insulin's normal job is to move glucose out of your bloodstream and into your cells. When cells are bombarded with insulin repeatedly — from a diet high in refined carbohydrates and sugar, chronic stress, poor sleep, or excess artificial light exposure — they start tuning it out. That's insulin resistance. Blood sugar stays elevated, your body compensates by producing even more insulin, and because insulin is a storage hormone, chronically elevated insulin locks you out of fat-burning mode. Fat oxidation requires insulin to be low — it's not optional.Thyroid. Your thyroid sets the pace for how fast or slow every cell in your body runs. The standard screening test — TSH (thyroid-stimulating hormone) — is just a signal sent from the brain to the thyroid. It doesn't tell you how much active thyroid hormone is actually circulating, whether it's converting properly, or whether something is blocking it at the cellular level. It's common to see patients with textbook hypothyroid symptoms — fatigue, weight gain, brain fog, feeling cold, constipation — while TSH reads “normal.”Cortisol. In short bursts, cortisol is your friend — it gets you moving and helps you respond to real threats. Chronically elevated cortisol is a different story. Your body reads sustained high cortisol as famine or threat, so it holds onto visceral fat (the fat around your organs) as an energy reserve and breaks down muscle tissue to convert into quick glucose. That's a double hit: your engine (muscle) shrinks while your fat stores grow. This is also why jumping straight into intense daily cardio when you're already exhausted and stressed tends to backfire — that kind of training spikes cortisol further, adding fuel to the exact hormone working against you. Exercise is medicine, but which exercise depends heavily on where you're starting from.S — Sun exposure: the signal almost everyone is missingThis is the piece most health-conscious people have never connected to their metabolism — and it goes well beyond “get sunlight for vitamin D.”Alpha-MSH. Ultraviolet light exposure triggers the release of alpha-melanocyte-stimulating hormone (alpha-MSH), produced via the pituitary–hypothalamic axis. Most people only know it as the hormone behind tanning, but alpha-MSH also acts directly on the hypothalamus — the brain region that governs hunger, body temperature, and energy expenditure. Through the melanocortin receptor system (MC3R/MC4R), alpha-MSH suppresses appetite and raises energy expenditure.⁴ ⁵ This is well-established endocrinology at the receptor level; most of the direct evidence for the light-triggered release piece specifically comes from animal and combined animal/human research, so treat “morning sunlight measurably curbs your appetite today” as a reasonable, biologically grounded hypothesis rather than a proven guarantee for every individual.Melanin. Most people think of melanin purely as sun protection. There's also a genuinely interesting — and genuinely early-stage — line of research suggesting melanin can absorb light energy and convert it into other forms of biological signaling.⁶ I want to be direct about where this stands: the clearest demonstrations of melanin's light-to-chemical-energy conversion come from turtle, avian, and in-vitro photoelectrochemical studies, not controlled human metabolic trials.⁷ It's a fascinating emerging area, not an established mechanism for human fat loss — I'm flagging it as something to watch, not something to build a protocol around yet.Melatonin. Most people file melatonin under “sleep supplement.” Its more fundamental role may be different: melatonin is one of the most potent antioxidants in the body, and a substantial body of research — much of it from melatonin researcher Russel Reiter's lab — supports it functioning as a mitochondria-targeted antioxidant that protects your cellular energy factories from oxidative damage.⁸ Melatonin production is directly regulated by light: it rises in darkness and is suppressed by light exposure, which ties it tightly to your circadian rhythm. When melatonin is disrupted — by artificial light at night, poor sleep, or insufficient daytime sunlight — your mitochondria lose one of their primary protectors, and cellular energy production can suffer as a result.Your morning light exposure sets your circadian clock, and that clock governs when cortisol should peak (morning) and fall (night), along with downstream thyroid output and insulin sensitivity. When the clock drifts, those downstream systems drift with it.S² — Sleep, Stress, and Systemic inflammation: the silent wreckersThese three are grouped together because they feed each other, forming what I'd call a metabolic wreckage loop.Sleep. One frequently cited controlled study found that cutting sleep from 8.5 to 5.5 hours a night — while holding calorie restriction constant — reduced the proportion of weight lost as fat by 55% and increased the loss of lean (muscle) mass by 60%.⁹ It's worth noting this came from a small trial (10 participants), though a separate free-living study found a similar shift in body composition over eight weeks.¹⁰ Sleep is also when your body releases growth hormone, the primary fat-burning, muscle-repairing hormone — cutting sleep short cuts those pulses short too. As for hunger hormones: classic research found sleep restriction lowers leptin (the “you're full” signal) and raises ghrelin (the “you're hungry” signal),¹¹ though it's fair to flag that more recent meta-analyses have found this effect isn't consistent across every study,¹² so treat it as a plausible contributor rather than a guarantee for any one person.Stress and inflammation. Chronic stress increases intestinal permeability — commonly called “leaky gut.” When the gut lining becomes more permeable, bacterial fragments and inflammatory particles can enter the bloodstream, and the immune system responds the way it would to an infection: with inflammatory cytokines. Those cytokines can interfere with insulin receptor signaling, contributing to insulin resistance that has nothing to do with what you ate that day.¹³ ¹⁴ Some early gut-microbiome research adds another wrinkle: in animal studies, mice with an “obese-type” microbiome extracted measurably more energy from identical food than mice with a “lean-type” microbiome, and this trait was transmissible via microbiota transplant.¹⁵ Human data shows a correlated shift in gut bacterial composition with obesity and weight loss, but the calorie-harvesting mechanism itself has been demonstrated most directly in mice — worth remembering before assuming it applies identically in people.So when do diet and exercise actually work?Diet and exercise are genuinely powerful tools — they're just not the starting point. They're amplifiers. If what's underneath is hormonal chaos, mitochondrial strain, and chronic inflammation, adding intense exercise and severe caloric restriction just amplifies that chaos. But once the foundation is addressed — light exposure is consistent, sleep is protected, inflammation is trending down, hormones are moving in the right direction — diet and exercise become the rocket fuel. It's the same idea as tuning a guitar before you play it: you wouldn't walk on stage with an out-of-tune instrument and just strum harder.The sequence: light and circadian rhythm first, then sleep, then inflammation, then hormones, then nutrition, then movement. Work from the foundation up, not the top down.Five things to start this week* Get morning sunlight. Within 30–60 minutes of waking, get outside for 10–20 minutes — no sunglasses, no sunscreen, no contacts if you can manage it. Face the direction of the sun without staring directly at it. This is free, takes 15 minutes, and is one of the most direct levers you have on circadian rhythm.* Protect melatonin at night. After sunset, start dimming household lights. Get off screens, or use blue-light-blocking glasses if you can't.* Ask for the right labs. Beyond a basic metabolic panel and TSH: fasting insulin, a full thyroid panel (free T3, free T4, reverse T3), a cortisol curve, and high-sensitivity CRP. These numbers point to which layer of MESS² to address first.* Remove one inflammatory food this week. Just one — refined seed oils (canola, soybean, vegetable) or ultra-processed snacks are a reasonable place to start.* Pause intense exercise if you're exhausted and inflamed. Counterintuitive, but if your body is in survival mode, a 20–30 minute walk lowers cortisol, improves insulin sensitivity, and moves your lymphatics better than another hard session would. Save high intensity for once the foundation is in place.The bottom lineYour metabolism isn't broken — it's very likely just misunderstood, and it's responding logically to signals it's been given: too little muscle to defend, a control panel sending mixed messages, a missing daily light signal, and a background hum of stress and inflammation. None of that is a character flaw. It's biology, and biology responds to sequence.Find your weak link in the framework above. Start at the foundation, and build from there — not the other way around.If this resonated and you want a structured way to work through the MESS² framework for your own situation, the Thrive 120 programs walk through it step by step, and a Metabolic Blueprint Session is a good next move if you want a second set of eyes on your specific labs and history. (Use THRIVER20 at checkout to get 20% off for the life of your membership)References* Preserve your muscle mass — Harvard Health: https://www.health.harvard.edu/staying-healthy/preserve-your-muscle-mass* Sarcopenia (Muscle Loss With Aging) — Cleveland Clinic: https://my.clevelandclinic.org/health/diseases/23167-sarcopenia* An Overview of Sarcopenia: Focusing on Nutritional Treatment Approaches — PMC: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11990658/* Alpha-Melanocyte-Stimulating Hormone-Mediated Appetite Regulation in the CNS — Neuroendocrinology, Karger: https://karger.com/nen/article/113/9/885/836595/Alpha-Melanocyte-Stimulating-Hormone-Mediated* Solar UVB radiation promotes α-MSH secretion via the pituitary–lung axis (human and mouse data) — PMC: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10497598/* Photoelectrochemical properties of melanin — Nature Precedings: https://www.nature.com/articles/npre.2007.1312.1.pdf* The Unsuspected Capacity of Melanin to Transform Light Energy into Chemical Energy (turtle/avian model) — ResearchGate: https://www.researchgate.net/publication/282330655_The_Unsuspected_Capacity_of_Melanin_to_Transform_Light_Energy_into_Chemical_Energy_and_the_Surprising_Anoxia_Tolerance_of_Chrysemys_Picta* Melatonin as a mitochondria-targeted antioxidant: one of evolution's best ideas — Reiter et al., J Pineal Res: https://onlinelibrary.wiley.com/doi/10.1111/jpi.12360* Insufficient Sleep Undermines Dietary Efforts to Reduce Adiposity — Nedeltcheva et al. 2010, Annals of Internal Medicine (PMID 20921542): https://www.acpjournals.org/doi/abs/10.7326/0003-4819-153-7-201010050-00006* Muscle Loss While Dieting Jumped With Less Sleep (summary including Wang et al. 2018 free-living replication) — FitChef: https://fitchef.com/shorts/sleep-keep-muscle-while-dieting/* Sleep Curtailment in Healthy Young Men Is Associated with Decreased Leptin, Elevated Ghrelin — Spiegel et al. 2004, Annals of Internal Medicine: https://www.acpjournals.org/doi/10.7326/0003-4819-141-11-200412070-00008* The Impact of Sleep Deprivation on Hunger-Related Hormones: A Meta-Analysis and Systematic Review — MDPI: https://www.mdpi.com/2673-4168/5/2/48* Gut microbiota, intestinal permeability, and systemic inflammation: a narrative review — PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC10954893/* Cytokines and intestinal epithelial permeability: A systematic review — PubMed: https://pubmed.ncbi.nlm.nih.gov/37030338/* An obesity-associated gut microbiome with increased capacity for energy harvest (mouse model with human comparison) — Turnbaugh et al. 2006, Nature: https://www.nature.com/articles/nature05414 This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit tripleplaydoc.substack.com/subscribe

Natalie Ochoa, president of Jigsaw Health, details widespread magnesium insufficiency and why it occurs (soil depletion, low plant intake/processed foods, stress-related loss, aging, and medication effects including diuretics and proton pump inhibitors). They discuss the poor reliability of standard serum magnesium testing, the limitations of RBC magnesium testing, and using symptoms such as cramps, twitches, constipation, fatigue, and sleep trouble as clues. Ochoa explains Jigsaw's sustained-release magnesium malate (MagSRT) designed to reduce GI side effects and how to read labels for elemental magnesium, with typical intake around 500 mg/day. She reviews the 2018 placebo-controlled Scottsdale Magnesium Study (91 participants) showing increases in RBC and serum magnesium and reduced deficiency symptoms, and a Korean study linking higher magnesium intake to less sarcopenia and lower CRP. They also cover MagSoothe (magnesium glycinate) and an Oura Ring-based sleep trial reporting reduced perceived stress and improved sleep quality, plus mention Jigsaw's potassium drink, electrolyte product, and cod liver oil.

On this episode of The Wisconsin Sportsman, Pierce is joined by Wyatt Barber to dive into insights gained in the whitetail woods through flying thermal drones! Wyatt is a Colorado-native who moved to Wisconsin to pursue a career as a professional fighter, before starting his own business as a drone pilot doing both crop spraying and deer recovery. In this conversation the guys dive into where big bucks hide in vast swaths of swamp and CRP, how little some bucks really move, the role of water and habitat diversity in a buck's decision to bed somewhere, where a buck's primary bed probably is on your farm, how un-huntable some bucks really are, and how to take this knowledge to inform your sits this fall. All that and lots more in this week's episode! Huge thanks to Wyatt for coming on the show! Follow along with his season and get in touch with him on Instagram @wyatt_barber or on Facebook at Dale Wyatt Barber Register for the Okayest Hunter From E-Scouting to In Season Scouting Workshop Big thanks to our fantastic partners: Lone Wolf Custom Gear: www.lonewolfcustomgear.com onX Hunt: www.onxmaps.com Huntworth: www.huntworthgear.com Good Chance Fly Fishing: www.goodchanceflyfishing.com Wisconsin Backcountry Hunters & Anglers: www.backcountryhunters.org/wisconsin TAKE ACTION THROUGH BACKCOUNTRY HUNTERS & ANGLERS Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Failed IVF? Low AMH? High FSH? Told donor eggs? Book a free Functional Fertility Second Opinion before your next fertility decision → fabfertile.com Your cycle was cancelled on day eight or day nine. Someone called and said there were not enough follicles and it was not worth going ahead. At the follow up, you heard the words poor responder. What do you actually do with that? Change the protocol. Go again next month. Take three months off and work on your health. Get another opinion. Or accept that this is what your ovaries are capable of and stop looking for an explanation. This is where I see women get stuck, because if you are listening to this, you have already done a lot. Clean eating, the supplements, CoQ10, a methylfolate prenatal, vitamin D, no alcohol, no plastics, acupuncture twice a week, reading It Starts With The Egg. Almost nobody walks into IVF blindly. None of that answers the question in front of you now. What should I actually do before another retrieval? In this episode, I walk through the three questions I would want answered. None of them are more supplements, and none of them are another checklist. A cancelled cycle tells you how your ovaries responded to medication. It was never designed to tell you about the environment those eggs were developing in during the ninety days before the injections started. What I cover: what the cycle actually established and what it was never built to answer. What happened in those ninety days, including the full thyroid panel with antibodies rather than TSH alone, ferritin where we look at 80 to 100, high sensitivity CRP where we like it below one, and absorption. Your partner's side, including DNA fragmentation, sperm antibodies and the seminal microbiome across his seventy-four days. And the question to ask your fertility team before you agree to another retrieval: what exactly are we changing, and why? I am not telling you which protocol to be on. That is a conversation with your fertility team. I am also not saying any one of these markers explains a cancelled cycle. That is not the claim I am making. It is about whether the investigation was finished before the next decision. CHAPTERS 00:00 Your cycle was cancelled and you heard poor responder 01:00 Question one, what did the cycle actually tell us 02:00 Everything you had already done before the cycle 03:00 Question two, what happened in the ninety days before stimulation 04:00 Full thyroid panel, ferritin, high sensitivity CRP and absorption 05:00 His side, DNA fragmentation, and why this is personal for me 06:00 What Your Clinic Missed, and what we actually look at 07:00 Question three, if you go again, what will be different 08:00 The Functional Fertility Second Opinion 09:00 Closing WHAT YOUR CLINIC MISSED A list of markers worth reviewing before another IVF cycle or a donor egg decision. It also gives you a sense of what we look at with clients, beyond bloodwork. Email hello@fabfertile.ca, subject line MISSED, and we will send you the guide. FUNCTIONAL FERTILITY SECOND OPINION A free 45-minute call where I review your bloodwork, your history, and your partner's results with you. Bring your partner and load your labs before the call. Email hello@fabfertile.ca, subject line FERTILE, or book here. ABOUT THE HOST I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile. If this episode helped, leave a review on Apple Podcasts. It is how other women find this work.

Blueprint info session - (doors close August 24) - https://www.sarahkleinerwellness.com/offers/ExuLzY2G/checkoutLow ferritin can leave you exhausted, shedding hair, and wired at night even when your bloodwork looks "normal." In this episode I break down what "ferritin face" really means, the ferritin numbers that actually matter, and the exact labs to bring to your provider.I share my own story (my ferritin dropped to a 9), the three ferritin patterns to know, why "normal" is not the same as optimal, and the root causes most people miss like estrogen clearance, gut absorption, and blood loss. None of this is medical advice, it's here to help you ask better questions and advocate for yourself.Some of the links below are affiliate links, which means I may earn a small commission if you buy through them, at no extra cost to you. I only share things I actually use and trust.Substack ferritin/iron article with my full personal protocol, estrogen clearance protocol, HCL protocol, and the extended lab lists - https://sarahkleinerwellness.substack.com/p/two-things-everyone-with-a-ferritin?r=5eztl9&utm_campaign=post-expanded-share&utm_medium=post%20viewerPrevious episode: "5 diet trends that can increase estrogen dominance" - https://youtu.be/60U3Fuk340UUlta Labs, for ordering your own direct-to-consumer labs -https://www.ultalabtests.com/oxygenmaskmeditationMelatonin hair serum / hair care system - https://monatsocialshop.com/SARAH-KLEINER?q=ir-clinical-hair-thinning-defenseShampoo + Conditioner I use - https://monatsocialshop.com/SARAH-KLEINER?q=thick-full-haircare-duoFermenting Fairy kefir —code sarahk - https://fermentingfairy.com/products/vanilla-bean-coconut-milkLab list: Low ferritin is never just one marker. Bring these to your provider (not medical advice): ferritin, serum iron, transferrin saturation (TSAT), transferrin, TIBC, CBC (hemoglobin, RBC count, MCV), hs-CRP, ESR, copper, ceruloplasmin, B12, folate, full thyroid panel (TSH, Free T3, Free T4, Reverse T3, thyroid antibodies), liver markers, kidney markers, plus your symptoms and bleeding history. Cofactors to check: copper, retinol (vitamin A), B12, B2, B6, folate This video is not medical advice & as a supporter to you and your health journey - I encourage you to monitor your labs and work with a professional!________________________________________Get all my free guides and product recommendations to get started on your journey!https://www.sarahkleinerwellness.com/all-free-resourcesCheck out all my courses to understand how to improve your mitochondrial health & experience long lasting health! (Use code PODCAST to save 10%) - https://www.sarahkleinerwellness.com/coursesMy free product guide with all product recommendations and discount codes:https://www.canva.com/design/DAF7mlgZpJI/xVyE4tiQFEWJmh_Xwx8Kbw/view?utm_content=DAF7mlgZpJIFree Webinar on Light & Health (includes free light bulb guide) - https://www.sarahkleinerwellness.com/mycircadianapp-free-webinarGet Early Access to Podcast Episodes & my Seasonal Food Course + UVB+Red Light Therapy course for free -  https://open.substack.com/pub/sarahkleinerwellness/p/uvbred-light-protocol?r=5eztl9&utm_campaign=post&utm_medium=web&showWelcomeOnShare=trueQuick note, some of the links in my description are affiliate links, so I may earn a small commission if you use them, and it doesn't cost you anything extra. I only ever share stuff I actually use.

Dr. Daniel Chong has spent years helping patients understand their true cardiovascular risk and take meaningful action to prevent heart attacks and strokes.In this episode, Rip and Dr. Chong dig into the confusing, often polarizing world of cholesterol and heart disease. Is LDL cholesterol really important? How low should it go? Is ApoB a better marker? What about calcium scores, lipoprotein(a), statins, saturated fat, and the growing noise around keto and carnivore diets?Dr. Chong offers a grounded, practical, and highly nuanced perspective. He explains why standard LDL cholesterol is only part of the picture, why ApoB and LDL particle number may provide a clearer view of risk, and why cardiovascular disease is never about one single factor. Instead, it is about the full internal environment: inflammation, endothelial function, blood flow, plaque stability, lifestyle, and diet.Rip and Dr. Chong also explore the limits of coronary artery calcium scores, the risks of relying on a “zero” score too early in life, and why soft plaque can still pose a serious threat even when calcified plaque is not detected.They also discuss saturated fat, heme iron, blood viscosity, hydration, testosterone therapy's potential effect on red blood cell count, and the fascinating protective layer inside our blood vessels known as the glycocalyx.This conversation is a reminder that cardiovascular prevention is about building a body that supports vitality from the inside out.You'll Learn:LDL cholesterol matters, but ApoB and LDL particle number may offer a more precise picture of cardiovascular risk.The longer LDL particles remain elevated, the greater the potential risk over time.Saturated fat can interfere with the body's ability to clear LDL particles from the bloodstream.Coronary artery calcium scores can be useful, but they do not detect soft, non-calcified plaque.A calcium score of zero does not always mean “clean arteries,” especially in younger people.Lipoprotein(a), or Lp(a), is an important marker to test at least once.Dr. Chong recommends looking at a broader cardiovascular panel, including lipids, ApoB, Lp(a), A1C, and hs-CRP.Heme iron from red meat is absorbed differently than non-heme iron from plants and may contribute to oxidative stress when elevated.Blood viscosity — or how “thick” your blood is — can influence endothelial function and plaque formation.Hydration, plant foods, and, in some cases, blood donation may help support healthier blood viscosity.The glycocalyx is a delicate, hair-like protective layer that supports endothelial function.A whole food, plant-based lifestyle remains one of the most powerful foundations for vascular health.Learn More About our 2026 Live PLANTSTRONG Events: https://plantstrongevents.com/ Let Us Help Your PLANTSTRONG JourneyLearn More About Our Corporate Wellness Program: https://liveplantstrong.com/corporate-wellness/ COMPLEMENT: Use code PLANTSTRONG for 30% off at https://lovecomplement.com/pages/plantstrong-special-offer Follow PLANTSTRONG and Rip Esselstynhttps://plantstrong.com/ https://www.facebook.com/GoPlantstrong https://www.instagram.com/goplantstrong/https://www.instagram.com/ripesselstyn/ Follow the PLANTSTRONG Podcast and Give the Show a 5-star RatingApple PodcastsSpotifyWatch on YouTubeEpisode Webpage

Disclaimer: This episode and article are for educational purposes only and are not a substitute for individualized medical advice. Always consult your physician before making changes to your diet, exercise routine, or medications.TL;DR* The CDC's top 10 causes of death account for roughly 74% of all deaths in the US each year, and up to 80% of chronic disease is estimated to be driven by lifestyle factors — diet, movement, sleep, stress, and toxin exposure. * This episode goes cause by cause (heart disease, cancer, COVID/respiratory disease, accidents, stroke, Alzheimer's, diabetes, kidney disease, flu/pneumonia, and suicide) and lays out what the peer-reviewed research says about preventing, slowing, or reversing each one.* Ready to build your own plan? Book a free Metabolic Blueprint Session →The List, and the Number That Should Keep You Up at NightAccording to the CDC, ten conditions account for about 74% of all deaths in the United States every year:* Heart disease* Cancer* COVID-19 / chronic lower respiratory diseases* Accidents (unintentional injuries)* Stroke* Alzheimer's disease* Diabetes* Kidney disease* Influenza and pneumonia* SuicideHere's the part that doesn't get said enough: research estimates that up to 80% of chronic disease is driven by lifestyle factors — diet, movement, sleep, stress, and toxin exposure. Those aren't destinies. They're decisions, and decisions can change.A landmark paper in the Journal of the American Medical Association found that poor diet alone accounts for more deaths in the US than tobacco use. The fork may be more dangerous than the cigarette. And yet, most patients who end up on four to six medications were never once asked what they eat, how they sleep, or whether they move their bodies before those prescriptions were written. That's the difference between a sick care system and a healthcare system.Heart Disease and Stroke: The Most Reversible Disease We KnowHeart disease kills one American every 34 seconds and has held the #1 spot for over a century. But it's also one of the most reversible conditions in medicine.In 1990, Dr. Dean Ornish's landmark Lifestyle Heart Trial showed that intensive lifestyle changes — diet, exercise, stress management, and social support — could reverse coronary artery disease without drugs or surgery. Arterial plaques reduced. Blood flow improved. Chest pain decreased. A 2019 study in the Journal of the American College of Cardiology confirmed it: a plant-predominant diet, regular aerobic exercise, not smoking, and a healthy weight reduced cardiovascular risk by over 80%.What that looks like in practice:* A Mediterranean or whole-food, plant-based diet rich in omega-3s and antioxidants (this isn't the only diet that works — it's the broadest evidence-backed baseline)* Zone 2 cardio (low-intensity aerobic work, three to five times a week — a brisk walk counts)* Managing chronic inflammation, the real driver of arterial plaque formation* Reducing refined sugar and seed oils, which damage the endothelial lining of the arteries* Prioritizing sleep, since poor sleep spikes cortisol and directly harms the heartStroke follows the same playbook: control blood pressure through diet, exercise, and stress reduction. The DASH diet in particular has been shown in multiple studies to lower blood pressure as effectively as medication in many patients.Cancer: 30–50% Preventable, and Possibly More Metabolic Than GeneticTo be clear, this isn't a claim about curing cancer — it's about how much prevention research is available and underused. The World Health Organization estimates that 30–50% of cancers are preventable. The American Institute for Cancer Research has identified lifestyle factors that dramatically reduce risk across multiple cancer types:* Diet. A 2022 meta-analysis in The Lancet linked poor dietary patterns — low fiber, low fruit/vegetable intake, high processed meat — to one in five cancer deaths globally.* Obesity. Excess weight is now the second-leading risk factor for cancer after smoking, because fat tissue is metabolically active and produces hormones like estrogen and inflammatory cytokines that fuel cancer growth.* Exercise. A 2019 study of over 1.4 million people found higher physical activity was associated with lower risk across 13 cancer types, including breast, colon, and endometrial cancer.* Fasting and metabolic health. Emerging research on intermittent fasting and time-restricted eating shows it can lower insulin-like growth factor, a key promoter of cancer cell proliferation.* Toxin reduction. Chronic low-grade exposure to pesticides, plastics (BPA, phthalates), and environmental pollutants has been linked to increased cancer risk. Choosing organic where possible, filtering water and air, and reducing plastic in cookware and storage all matter.There's also a deeper shift happening in how researchers understand cancer itself. It's long been treated primarily as a genetic disease, but the evidence is increasingly pointing toward cancer as a metabolic disease. Dr. Thomas Seyfried at Boston College has done groundbreaking work showing that cancer cells overwhelmingly rely on glucose and glutamine fermentation for energy — which is why a ketogenic or low-glycemic approach may help starve cancer cells while protecting healthy ones. The research is still evolving, but it's compelling.Think of your body like a garden. You can water it, enrich the soil, and pull the weeds — or you can dump sugar and chemicals on it and wonder why nothing grows right. Disease doesn't happen to you. It grows in an environment you create, consciously or not. The good news: you can change that environment starting today.Alzheimer's: “Type 3 Diabetes”Alzheimer's is rising, and it's terrifying to watch someone go through it. But emerging science shows it has a strong lifestyle and metabolic component — researchers now sometimes call it “type 3 diabetes” because of the profound link between insulin resistance and neurodegeneration.Dr. Dale Bredesen's ReCODE Protocol, published in the Journal of Aging, showed that a multimodal lifestyle intervention — diet, exercise, sleep optimization, hormone balancing, and stress reduction — reversed early cognitive decline in the majority of patients treated. In his 2014 case series, 9 of 10 patients with early Alzheimer's or mild cognitive impairment showed measurable improvement, with several returning to work.Key strategies from the research:* Sleep is non-negotiable. The brain's glymphatic (waste clearance) system activates primarily during sleep, flushing out amyloid beta plaque. Poor sleep means plaque buildup.* Exercise. A 2020 study showed aerobic exercise increases BDNF (brain-derived neurotrophic factor) — essentially fertilizer for neurons — and reduces dementia risk by up to 35%.* Mediterranean-MIND diet. Shown to slow cognitive aging by an estimated 7.5 years in adherent individuals.* Blood sugar management. Insulin resistance in the brain disrupts its ability to use glucose for energy, effectively starving neurons.* Social connection. Harvard's 80-year longitudinal study found relationship quality was the single strongest predictor of cognitive health and longevity in old age.Type 2 Diabetes and Kidney Disease: One Disease Driving AnotherOver 37 million Americans have type 2 diabetes, and another 96 million are pre-diabetic. Here's the part that surprises people: type 2 diabetes is reversible in the majority of cases, and this isn't controversial — the science is overwhelming.The 2019 DiRECT trial, published in The Lancet, found that nearly half of type 2 diabetics achieved full remission through an intensive dietary intervention alone, with no medication. Other studies using low-carbohydrate and very-low-calorie diets have replicated these results consistently.Diabetic nephropathy — kidney damage from chronically high blood sugar — is the leading cause of kidney failure in the US. Control the upstream issue (blood sugar and metabolic dysfunction) and you protect the downstream organ.The diabetes reversal framework from the research:* Dramatically reduce refined carbohydrates and added sugars to blunt insulin spikes and reduce fat storage in the liver and pancreas* Practice time-restricted eating or intermittent fasting to improve insulin sensitivity* Add resistance training — muscle is your biggest glucose sink, so more muscle means better blood sugar control* Reduce visceral fat (the fat around and inside your organs), a key driver of insulin resistance and inflammationIf this list feels like a lot, that's fair. But it's not about blame — it's about empowerment. You have more control over your health outcomes than the medical system has typically told you.Respiratory Disease, Flu, and PneumoniaChronic lower respiratory diseases like COPD and emphysema are largely driven by smoking and air quality. Quitting smoking remains the single most impactful intervention here, full stop.For flu and pneumonia risk, immune resilience matters: vitamin D optimization, zinc and elderberry, and gut microbiome health (roughly 70% of your immune system lives in your gut). Even mild sleep deprivation has been shown to quadruple susceptibility to viral infection.Suicide and Mental HealthThis is the cause of death nobody wants to talk about, but it's in the top 10 — and it's the leading cause of death for men under 50, and the second-leading cause of death for people ages 10–34.While this is complex and deeply personal, research points to several lifestyle levers:* Exercise functions as an effective antidepressant, largely through endorphin release* The gut-brain axis matters more than most people realize — over 75% of the body's serotonin is produced in the gut, so gut health directly shapes brain chemistry* Social connection and purpose. Viktor Frankl's Man's Search for Meaning, written while he was in a Nazi concentration camp, captured this: meaning and connection to purpose are essential for survival, and perspective shapes both physiology and outcome* Reducing alcohol, a central nervous system depressant that worsens anxiety and depression despite short-term reliefIf you or someone you love is struggling, crisis hotlines are available 24/7. There's often a reason it's happening, and there's often a way through it.The Common ThreadAcross every single one of these conditions — heart disease, stroke, cancer, Alzheimer's, diabetes, kidney disease, respiratory disease, immune function, mental health — the same five levers keep showing up: diet, exercise, sleep, toxin reduction, and blood sugar balance.Your daily habits are either building disease or building resilience. Every meal, every walk, every night of good sleep compounds — just like interest in a bank account.This Week's Action Plan* Do a food audit. For the next three days, write down everything you eat. No judgment, just awareness — you can't change what you can't see.* Walk 30 minutes a day. It lowers blood pressure, improves insulin sensitivity, boosts BDNF, and reduces cortisol. Simple, not easy — do it anyway.* Optimize your sleep. Consistent bedtime, dark room, cool temperature, no screens.* Get your labs done. Know your fasting glucose, A1C, CRP, vitamin D, triglycerides, and LDL — these are your early warning systems.* Address one stress source this week. A conversation you need to have, a boundary you need to set, or ten minutes of breathwork. Chronic stress is silently killing you — take action on it.Ready for a Real Plan?If you're ready to take your health seriously and want a clear roadmap instead of guesswork, book a Metabolic Blueprint Session. In 30–45 minutes, we'll walk through your top three priority areas and how programs like the Metabolic Momentum Accelerator, the Cellular Reboot Accelerator, and the Total Health Restore Protocols can help.Schedule your complimentary consult →Know someone this could help? Share this episode with them — it might change or even save their life.If this episode was valuable, leaving a review on Spotify or Apple Podcasts helps this show reach more people.ReferencesStudies and sources cited in this episode:* CDC — Leading Causes of Death data* Journal of the American Medical Association (JAMA) — poor diet and US mortality* Ornish, D. et al. (1990) — The Lifestyle Heart Trial* Journal of the American College of Cardiology (2019) — plant-predominant diet, exercise, and cardiovascular risk reduction* DASH diet research on blood pressure control* World Health Organization (WHO) — cancer preventability estimates* American Institute for Cancer Research — lifestyle and cancer risk* The Lancet (2022 meta-analysis) — dietary patterns and cancer deaths* Physical activity and cancer risk study (2019, ~1.4 million participants)* Seyfried, T., Boston College — cancer as a metabolic disease* Bredesen, D., Journal of Aging — the ReCODE Protocol; 2014 case series* BDNF and exercise study (2020) — dementia risk reduction* Mediterranean-MIND diet and cognitive aging research* Harvard Study of Adult Development (80-year longitudinal study) — relationships and longevity* DiRECT Trial, The Lancet (2019) — type 2 diabetes remission through dietary intervention* Frankl, V. — Man's Search for MeaningThis article summarizes claims and studies as presented in the podcast episode. Listeners are encouraged to review primary sources directly and consult their own physician before making health decisions. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit tripleplaydoc.substack.com/subscribe

What if your brain fog, anxiety, and memory lapses all trace back to one thing: an inflamed brain? Naturopathic physician Dr. Jaquel Patterson, ND, MBA joins Nick Urban to explain neuroinflammation in plain language and map the root causes behind it. With 16 years of clinical experience in Lyme disease, autoimmune conditions, and integrative psychiatry, she connects the gut, hormones, chronic infections, and environmental toxins to the same inflammatory loop, and lays out how to calm it naturally. Meet our guest Dr. Jaquel Patterson is an internationally recognized naturopathic physician, three-time Amazon bestselling author, and founder and CEO of Fairfield Family Health, a multidisciplinary practice in Connecticut with 9 doctors offering telemedicine nationwide. She has a TEDx talk on root-cause medicine coming soon. Thank you to our partners Outliyr Biohacker's Peak Performance Shop: get exclusive discounts on cutting-edge health, wellness, & performance gear Ultimate Health Optimization Deals: a database of of all the current best biohacking deals on technology, supplements, systems and more Latest Summits, Conferences, Masterclasses, and Health Optimization Events: join me at the top events around the world FREE Outliyr Nootropics Mini-Course: gain mental clarity, energy, motivation, and focus Key takeaways Neuroinflammation shows up as brain fog, poor focus, memory lapses, and mood swings, an inflamed brain "on fire" The blood-brain barrier keeps out about 98% of solutes until chronic inflammation breaks it down About 90% of your serotonin is made in the gut, linking gut health directly to mood and cognition Deep sleep runs the brain's lymphatic clean-out, and sauna lowers CRP and IL-6 A standard CBC can miss iron deficiency for 3 to 6 months Curcumin downregulates IL-6, and phosphatidylserine lowers cortisol while sharpening focus Small, consistent micro-moments beat dramatic overhauls that never stick   Episode highlights 01:09 The "brain on fire" explanation 02:30 Microglia as your brain's garbage men 11:51 Leaky gut, leaky brain 17:13 Sleep and sauna to lower inflammation 27:58 The iron test most doctors skip 48:31 Curcumin for mood and IL-6 57:02 The cheapest thing you can do for your brain Links Watch it on YouTube: https://youtu.be/yWFYfc80Q1U  Full episode show notes: https://outliyr.com/272  Connect with Nick on social media Instagram Twitter (X) YouTube LinkedIn Easy ways to support Subscribe Leave an Apple Podcast review Suggest a guest Do you have questions, thoughts, or feedback for us? Let me know in the show notes above and one of us will get back to you! Be an Outliyr, Nick

Join us as we chat with Robert Hickerson, owner of Table View Farm in Franklin County. Since 1994, Robert has been the steward of 137 acres of farmland, timber, vegetable production, and CRP. Listen to learn more about the three timber harvests Robert has completed, the special relationship he has with his property, and his future vision for feeding his community directly from the land.Learn more about Robert's farm: https://www.tableviewfarm.com/

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter Jim Otvos is a biophysical chemist who pioneered the use of nuclear magnetic resonance (NMR) spectroscopy to measure lipoprotein particles and developed the first FDA-cleared method for directly quantifying LDL particle number (LDL-P), a technology that has since expanded to provide broader insights into metabolic health, inflammation, insulin resistance, and mortality risk. In this episode, Jim recounts the unlikely story of transforming a flawed cancer test into a new way of measuring lipoproteins, explains what standard cholesterol tests can miss and why LDL-P and apoB can inform treatment decisions beyond LDL cholesterol alone, and dispels the misconception that large, "fluffy" LDL particles are benign. He also explores how NMR can reveal insulin resistance before blood sugar rises, GlycA as a marker of chronic low-grade inflammation, and the metabolic vulnerability index (MVX) as a potential measure of frailty, resilience, and mortality risk across the lifespan. Finally, Jim explains why NMR diagnostics remain underused despite the wealth of information they can extract from a single blood test. We discuss: How investigating a flawed 1986 cancer test led to the development of NMR (nuclear magnetic resonance) lipoprotein testing [3:30]; How standard lipid panels measure cholesterol and triglycerides, and why LDL cholesterol is estimated rather than directly measured [15:15]; How NMR spectroscopy measures lipoprotein particle size and concentration [20:30]; Why LDL particle number matters more than particle size, and why large, "fluffy" LDL is not benign [28:45]; Discordance between LDL cholesterol and LDL particle number: which measure better reflects cardiovascular risk? [36:30]; How metabolic syndrome and lipid-lowering treatment contribute to the discordance between LDL-C and LDL-P, and the value of particle number for managing risk [45:30]; Using the NMR-derived LP-IR score to detect insulin resistance and predict type 2 diabetes before glucose rises [51:15]; The development, commercialization, and uncertain future of the Vantera NMR Analyzer and NMR-based diagnostics [1:04:45]; The analytical efficiency of NMR testing and the data-driven development of the Metabolic Vulnerability Index (MVX) [1:16:00]; GlycA as an NMR-derived marker of systemic inflammation: its discovery, biological basis, and advantages over hs-CRP [1:25:45]; Developing the Metabolic Vulnerability Index (MVX): biomarkers of inflammation, malnutrition, muscle wasting, and mortality risk [1:34:00]; What MVX can tell us about longevity and mortality [1:44:15]; How MVX may reveal metabolic frailty and predict premature mortality decades in advance in young, healthy adults [1:50:30]; Potential applications of MVX for predicting treatment response, surgical resilience, and clinical trial outcomes, and the barriers to broader use [2:00:00]; ApoB versus LDL-P: their clinical similarities, the additional information provided by NMR, and barriers to broader adoption [2:07:30]; Interpreting the effects of the CETP inhibitor, obicetrapib, on LDL-P, apoB, and small HDL particles [2:13:00]; The future of NMR diagnostics and MVX: translating scientific potential into broader clinical use [2:20:45]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

Inside Igniton: The Quantum Supplement Science Boosting Memory, Sleep, and Longevity There's a subatomic particle most scientists don't even know exists, and one entrepreneur just spent $18 million building a private lab to prove it can upgrade your longevity, focus, and sleep. This episode goes inside the lasers, vacuum chambers, and cold plasma behind the new science of quantum-charged supplements. Get 15% off your next purchase at: igniton.com/dave Host Dave Asprey sits down with Ashley Grace, an executive working directly with Igniton, the company behind a new category of supplements charged with particles pulled from the surface of the sun. Dave and Ashley dig into the science and the story behind Igniton: an $18 million private lab built to recreate solar conditions here on Earth, peer-reviewed studies showing major gains in memory, attention, and sleep, and the strange psychological and even bordering-on-supernatural shifts users report after months on the product. They also get into coherence, cellular entropy, and why some of the biggest breakthroughs in human performance and longevity may come from fields and frequencies rather than another pill. This episode is essential listening for anyone into biohacking, nootropics, sleep optimization, brain optimization, and the cutting edge of anti-aging and functional medicine. You'll Learn: How Igniton's lab uses vacuum chambers, cold plasma, and lasers to charge supplement ingredients at a subatomic level The clinical results behind the cognition formula, including gains in mental performance, attention, and short-term memory Why the sleep formula showed a 25 percent increase in REM sleep in just two weeks, verified with wearables like Oura and Apple Watch How charged hydrogen may be boosting bioavailability of nootropics tied to neuroplasticity and mitochondria function The unexpected personal experiences, from heightened intuition to emotional regulation, that both Dave and Ashley report after sustained use Why longevity markers like IL-6 and CRP dropped in Igniton's clinical trials, and what that means for anti-aging and metabolism The next frontier for the company: a chair-based coherence technology already tested by NASA Thank you to our sponsors! - ZenBud | Dave's Nervous System Biohack. Visit zenbud.health and use code DAVE15 at checkout for a discount. - Neuronic | Go to www.neuronic.online Code DAVE for $100 off - BrainTap | Go to http://braintap.com/dave to get $100 off the BrainTap Power Bundle. - Beyond Wonderland Conference | Oct 13 - 14, 2026. Get your ticket now at wonderlandconference.com. Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights inhealth, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: Igniton supplement review, subatomic particle supplement, quantum charged supplements, does Igniton work, Igniton sleep formula REM, Igniton cognition supplement, Jirka Rysavy Gaia, holoton NASA chair, cold plasma supplement technology, charged hydrogen bioavailability, Igniton clinical study results, Igniton vs placebo study, best nootropic for focus 2026, supplements for REM sleep, quantum technology longevity, Igniton.com discount code, Ashley Grace Charlotte's Web, coherence and cellular aging, energy healing biohacking, intuition and meditation supplements Resources: • Get 15% off your next purchase at: igniton.com/dave • Visit https://igniton.com to learn more about their processes and offerings• Get My 2026 Clean Nicotine Roadmap | Enroll for free at https://daveasprey.com/2026-clean-nicotine-roadmap/ • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15? • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Join My Substack (Live Access To Podcast Recordings): https://substack.daveasprey.com/ • Upgrade Labs: https://upgradelabs.com Timestamps: 00:00 – Trailer 00:32 – Show Intro 06:15 – What Are Ignitons? 13:29 – How Ignitons Are Made 17:31 – Coherence & Longevity 22:18 – Water Molecule Charging 26:25 – Sleep Formula & REM Results 32:02 – Yogic Siddhis & Superpowers 38:43 – Dave's Amplified Abilities 43:31 – Energy Healing 46:22 – Consciousness Scale & Muscle Testing 51:08 – Discount Code Offer 55:12 – Closing See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

HEALTH NEWS   Review finds blueberry and grape polyphenols may improve vascular health Plant compound shows promise for treating rheumatoid arthritis at its source, study finds Screen Time at Ages 1 and 6 Linked to Lasting Learning and Memory Effects Some caffeinated drinks are linked to poorer memory Study: Morning Exercise Linked to Lower Daily Calorie Intake Compared to Evening Workouts   Review finds blueberry and grape polyphenols may improve vascular health Universidad Católica de Murcia (Spain), July 27 2026 (News-Medical) A recent review published in the journal Nutrients examined the evidence on the effects of blueberries, grapes, and their bioactive compounds on cardiovascular risk markers. In the present study, a comprehensive systematic literature search was conducted to identify randomized controlled trials (RCTs), systematic reviews, and meta-analyses published from January 2015 through April 2026.  Two systematic reviews and meta-analyses reported that grape polyphenols at doses exceeding 500 mg/day for at least 12 weeks significantly reduced C-reactive protein levels, while the other reported improvements in vascular function or BP in 84% of the human studies it assessed, including a significant reduction in systolic BP. One found a modest reduction in BP and improvement in endothelial function with flavan-3-ol foods, such as tea, apples, cocoa, and grape-derived products. Moderate- and high-quality RCTs reported improvements in lipid peroxidation, lipid profiles, flow-mediated dilation, diastolic BP, and paraoxonase activity. Resveratrol and blueberry RCTs mainly reported endothelial and vascular benefits, such as improved nitric oxide production and flow-mediated dilation and reduced BP and inflammatory markers. One high-quality RCT involving older men with metabolic syndrome showed significant improvements in arterial stiffness and endothelial function after six months of daily blueberry consumption.     Plant compound shows promise for treating rheumatoid arthritis at its source, study finds Guangzhou University of Chinese Medicine, July 27 2026 (Natural News) A plant-derived compound called obakulactone (OL) reduced swelling, inflammation and joint damage in rats with rheumatoid arthritis, according to a study published in Engineering.   The compound, a tetracyclic triterpenoid from the bark of Phellodendri cortex, also rebalanced immune activity and corrected disrupted fatty acid metabolismd. P. cortex has been used in traditional medicine and contains OL along with other constituents, Researchers tested OL in rats with rheumatoid arthritis, administering low, medium and high doses for 21 days. Treatment significantly reduced joint swelling and helped restore the normal structure of cartilage and the synovium, the tissue lining the joints, according to the report.   Blood tests showed dose-dependent decreases in inflammatory molecules including IL-1, IL-6, IL-17 and TNF, as well as rheumatoid arthritis markers RF, CCP-Ab, CRP and MMP-3, officials said. The compound also reduced abnormally high levels of CD3+ T cells and CD68+ macrophages within the joints and shifted macrophages from a proinflammatory M1 state toward an anti-inflammatory M2 state.   Screen Time at Ages 1 and 6 Linked to Lasting Learning and Memory Effects National University of Singapore & Zhejiang University (China), July 28, 2026 (SciTech Daily) A study that tracked children from age 1 through age 8 found that greater screen viewing time, especially during infancy and near the start of school, was associated with lower academic performance at age 9 and weaker working memory at age 10.5. The results indicate that when children use screens may matter as much as how long they spend using them. The World Health Organization (WHO) and the American Academy of Pediatrics advise avoiding screens before 18 to 24 months and limiting viewing to less than one hour per day between ages 2 and 5. Many children exceed those recommendations, yet previous research on screens and cognitive development has produced inconsistent results. The analysis included 502 children followed from infancy into middle childhood. Higher screen viewing during particular stages was associated with poorer academic results and weaker working memory later on. The clearest and most consistent relationships appeared during infancy and near school entry, suggesting that these may be especially sensitive periods for cognitive development. Children with greater total screen exposure across childhood also generally performed less well in school. Together, the findings suggest that both the timing and overall amount of viewing may have implications for learning and memory.   Some caffeinated drinks are linked to poorer memory Applied Science Private University (Jordan), July 28 2026 (News-Medical) A recent study in the Journal of Education and Health Promotion examined the association between caffeine-containing products and memory performance, anxiety, and stress among university students in Jordan. 204 students were ultimately included in the study.  Mild psychological distress was the most common category, with 38.2% reporting such symptoms. About four in ten reported mild depression, and over a quarter experienced moderate anxiety. Only a small minority showed severe or extremely severe stress. Caramel or nut-filled chocolate was the most frequently consumed item, reported by 54.9% of students, followed by Arabic coffee (40.2%) and red tea (35.8%). Milk chocolate was also popular, typically consumed once or twice a day. Dark chocolate was less common, while American coffee and green tea were less popular, and decaffeinated coffee was rarely chosen. Overall DASS scores, representing depression, anxiety, and stress symptoms, showed positive correlations with the consumption of dark chocolate, American/instant coffee, decaffeinated coffee, and red tea, indicating these items were linked to higher psychological distress scores. Memory ability was negatively associated with higher intake of American coffee, Arabic coffee, and soft drinks.  The authors note that chocolate and green tea also contain bioactive compounds such as cocoa flavanols and L-theanine, which may have contributed to these associations alongside caffeine.   Study: Morning Exercise Linked to Lower Daily Calorie Intake Compared to Evening Workouts Copenhagen University Hospital (Denmark), July 27 2026 (Natural News)   A new study has found that morning exercise was associated with lower calorie consumption throughout the day compared to evening workouts, according to the research. Participants who exercised in the morning consumed about 400 fewer calories at the post-workout meal and roughly 547 fewer calories over the full 24-hour period, the study reported.   The study, which involved 35 healthy young adults. Each participant completed 30 minutes of treadmill running multiple times under varying conditions: morning fasted, evening fasted for 12 hours or 6 hours, and morning or evening fed, the study stated. The repeated-measures design enabled researchers to compare the same person's responses across different scenarios, officials said. After evening sessions, participants reported higher hunger, a stronger desire to eat, and lower fullness compared to morning sessions, the study found. Those who worked out in the evening consumed about 400 more calories at the post-workout meal and roughly 547 more calories over the full day, according to the research.   The appetite advantage was attributed to circadian rhythms, researchers said. The hunger hormone ghrelin naturally rises in the evening, while satiety hormones are more active in the morning,.

Normal Is Where Dysfunction Begins: The Truth About Your Bloodwork”You've been told your labs are “normal.”But what if “normal” is actually the starting point of dysfunction?In this episode, Jay breaks down one of the most misunderstood concepts in modern health:

Before menopause, our risk of heart disease is HALF what a man's is. Within a few years of our last period, it is EQUAL. By our seventies, it is HIGHER. So why is nobody screening us for it? This is the conversation midlife women have been waiting for. I sat down with Dr. Jayne Morgan, a research cardiologist and Vice President of Medical Affairs at Hello Heart, who is calling out menopause itself as the most missed opportunity in preventive cardiology. She is the creator of the Stairwell Chronicles, a science communicator who translates complex cardiology into kitchen-table language, and she has spent 25+ years researching what is actually happening to our hearts in midlife. This is our fourth cardiologist on the show. And she is different. She brings the research, the data, and a fierce honesty about why our healthcare system was built around the male body, and what we do about it now.   WE GO DEEP ON: • Why menopause is a CARDIOVASCULAR event, not a gynecologic footnote • The half / equal / greater stat that every midlife woman needs to memorize • The 37-minute delay women face in the ER for cardiac care, and the exact phrase that gets you seen • Why hot flashes, night sweats, palpitations, and brain fog are cardiovascular signals, not just inconveniences • What estrogen actually does for your heart and what happens when it drops, and the 10-year HRT window • Her take on statins, the online backlash, and what the research actually says about LDL • What to do if you tried a statin and felt terrible — • Why it is LDL AND insulin resistance AND inflammation — not one versus the other • The labs to demand: ApoB, Lp(a), hs-CRP, fasting insulin, CAC scan • Why women were excluded from cardiovascular clinical trials until 1993, and how that built the entire field on the wrong data • The exact advocacy phrase that gets your concern documented in your chart • Three things you can do this week that actually move the needle   This is not a doom episode. This is the conversation you bring to your doctor tomorrow.   TIMESTAMPS: • 00:00 — Why menopause is a cardiovascular event • 12:00 — The symptoms women miss and the 37-minute ER delay • 26:00 — Estrogen, HRT and the 10-year window • 42:00 — LDL, cholesterol and the statin debate • 54:00 — What to test, what to track, what to demand • 66:00 — Health equity and self-advocacy • 76:00 — Three things this week   Catch the full episode on YOUTUBE HERE: https://bit.ly/MidlifeConversationsYouTube    Learn More About Dr. Jayne Morgan  Instagram ➜ http://www.instagram.com/drjaynemorgan   Website ➜   https://drjaynemorgan.com/ Hello Heart➜   https://www.helloheart.com/      Thank you to our show sponsors:  LEELA QUANTUM:  Get 10% off your first Leela Quantum order with the code NatalieJill at checkout  at https://midlifeconversations.com/leela TIMELINE: Timeline is offering 20% off your order of Mitopure! Go to https://timeline.com/NATALIEJILL  BIOPTIMIZERS: Stop settling for one form of magnesium when your body needs all 7. This one has them all! Get yours at https://bioptimizers.com/nataliejill  and use code NATALIEJILL to save  Free Gifts for being a listener of Midlife Conversations! Mastering the Midlife Midsection Guide: https://theflatbellyguide.com/ Age Optimizing and Supplement Guide: https://ageoptimizer.com   Connect with me on social media! Instagram: www.Instagram.com/Nataliejllfit Facebook: www.Facebook.com/Nataliejillfit   For advertising inquiries: https://www.category3.ca/  Disclaimer: Information provided in the Midlife Conversations podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before making any changes to your current regimen.  Information provided in this podcast and the use of any products or services related to this podcast does not create a client-patient relationship between you and the host of Midlife Conversations or you and any doctor or provider interviewed and featured on this show. Information and statements may have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease. Advertising Disclosure: Some episodes of Midlife Conversations may be sponsored by products or services discussed during the show. The host may receive compensation for such advertisements or if you purchase products through affiliate links. Opinions expressed about products or services are those of the host and/or guests and do not necessarily reflect the views of any sponsor. Sponsorship does not imply endorsement of any product or service by healthcare professionals featured on this podcast.

Welcome back to our weekend Cabral HouseCall shows!   This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track!   Check out today's questions:    Brent: Hello again, just thought of this and wanted to add some insight to the acid reflux problem, I didnt even think about it but I've been drinking water from a spring for many years now and after some time the water jugs I use start to get algae build up and I have to clean them. Point is algae is high pH and could be throwing off my stomach acid making matters worse, plus the algae feeds good and bad bacteria so I'm sure that didnt help while I was on the cbo protocol... also gonna run the parasite test because i didnt know you could get them from spring water. And gonna start adding lemon or lime to my meals and see of it helps. Again thank you for everything you do and I look forward to hearing your opinion.     Trish: Hello Dr Cabral -- Can you please explain the difference of when to take your estrogen balance or estrogen support? I'm post-menopausal and estrogen dominant. I'm on your progesterone but thought I needed to take an estrogen supplement as well. Thank you!     Jaimie: Thank you for giving us hope when others say there isn't a cure. My 11yr old son was diagnosed with severe Crohn's 6 months ago. No GI symptoms or food triggers or stomach pain. Presented with anal fissures, mouth sores and not growing. He was put on remicaid infusions and his calpractin went from 2500 to 59 in 5 months. CRP levels are normal now and he is gaining weight and growing. Dr doesn't believe in leaky gut or other deficiencies could be part of the issue when I asked about running other labs. What tests would you run if this was your child. I have a hard time accepting infusions are his only solution for the rest of his life. His body is fighting something and the remicaid is just masking the root issue. In addition to the toll it is taking on his liver amongst many other things.    Anonymous: Hi Dr. Cabral - Is there a non-toxic or at least "less" toxic brand of tampons you can recommend? Thank you!    Anonymous: Hi dr Cabral! Thank you for this show! I had my Dutch test done last year. It showed 24hr free cortisol just at the high marker and the metabolized cortisol low just below the normal range marker. My phase 2 estrogen metabolism methylation marker was also low at 1.6 while the beginning normal range marker is 2.5. Does this all point to a detox pathway issue? What would you suggest? My estrodial was also just below the normal range which surprised me since I have very heavy and painful periods, my practitioner at the time said it might have just been an off month, which I remember was a weird month since my period was actually very mild. That is disheartening since the test is so expensive. I know this test is a year ago, but I've always had these questions and results in my mind. Thanks!     Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/3809 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!