Podcasts about diuretics

Send us a textEspecial Hot Topics 2024: Atualizações em Terapias para Displasia Broncopulmonar Bem-vindos a mais um episódio do Podcast A Incubadora! No episódio de hoje, exploramos três artigos recentes que trazem insights valiosos para a prática clínica na neonatologia.  Esses assuntos foram discutidos no já tradicional evento americano de neonatologia, o Hot Topics, que aconteceu em dezembro de 2024, em Washington e doa qual a nossa apresentadora Marôla participou.Começamos com a apresentação do artigo "Diuretics use in the management of bronchopulmonary dysplasia in preterm infants: A systematic review", de Eoin Ó Briain e colaboradores, publicado na cta Paediatrica. Este estudo sistemático examina a eficácia e segurança do uso de diuréticos no manejo da displasia broncopulmonar em prematuros, oferecendo uma visão abrangente das evidências mais recentes. Leia o artigo completo aqui: https://onlinelibrary.wiley.com/doi/10.1111/apa.17093Em seguida, destacamos a revisão Cochrane intitulada "Methylxanthine for the prevention and treatment of apnea in preterm infants", organizada por Keri A Marques. A metanálise atualiza o papel das metilxantinas, como cafeína, na prevenção e tratamento da apneia, reforçando sua importância em melhorar os desfechos respiratórios de bebês prematuros. Confira o artigo aqui: https://pmc.ncbi.nlm.nih.gov/articles/pmid/37905735/Finalizamos com o estudo clínico randomizado "Azithromycin therapy for prevention of chronic lung disease of prematurity (AZTEC)", liderado por John Lowe e publicado no Lancet Respiratory Medicine. Este estudo multicêntrico e controlado por placebo investigou o uso de azitromicina como terapia preventiva contra a doença pulmonar crônica da prematuridade, apresentando resultados promissores. Acesse o artigo aqui: https://pubmed.ncbi.nlm.nih.gov/38679042/ Aproveitamos para anunciar que estamos fazendo uma parceria com um dos maiores eventos de Neonatologia do país! O IX Encontro Internacional de Neonatologia e VII Simpósio Interdisciplinar de Atenção ao Prematuro acontece nos dias 3, 4 e 5 de abril, na belíssima cidade de Gramado/RS. O evento contará com palestrantes internacionais que são referência na área, sendo uma oportunidade imperdível para multiprofissionais da saúde que atuam em neonatologia.  A Incubadora vai estar lá, cobrindo o evento e trazendo dois programas dedicados aos principais assuntos discutidos nesse que já está consolidado como um dos principais encontros na área.Inscreva-se agora mesmo: https://evento.fundmed.org.br/encontroneonatologia2025 e venha nos conhecer pessoalmente em Gramado!Fique conosco e aproveite o episódio!

BSG Coaching Podcast TIME STAMPS BELOW Dietitian & Coach Dom Mutascio joins Coaches Andrew Berry, Skip Hill & Scott McNally TIME STAMPS BELOW 0:00 Teaser 0:35 Intro and Advertisers 2:00 Dom's background and education 8:30 Does Dom do anything different from other coaches to get them so competitive? 9:40 Condition is one thing you CAN control 11:20 Fat Loading Purpose 13:40 Diuretics 15:35 Protein isn't important in the load 17:15 Sodium and Water During the Load/Peak 21:00 Diazide vs hydrochlorothiazide (HCTZ) 26:20 Pics the day AFTER the show 28:30 Pushing for too much in the peak 30:45 Does Training Change the way the muscle looks? 32:00 Having the Eye for coaching 33:45 Chris Aceto as a coach 35:10 Second guessing coaching decisions 39:30 Improving communication as a coach 44:00 Coaching Relationships Today vs when Skip started 45:00 Continue Learning as a coach 50:30 Follow Dom ! & Consider one of us for coaching

Dr. Hoffman continues his conversation with Dr. Dana Cohen, Integrative Medical Doctor and co-author of “Fuel Up: Harness the Power of Your Blender and ‘Cheat' Your Way to Good Health.” 

In this episode of the Intelligent Medicine Podcast, Dr. Ronald Hoffman discusses the importance of hydration with Dr. Dana Cohen Integrative Medical Doctor and co-author of “Fuel Up: Harness the Power of Your Blender and ‘Cheat' Your Way to Good Health.” They explore the often-overlooked role hydration plays in maintaining health and preventing chronic diseases. Dr. Cohen emphasizes practical strategies to improve hydration through diet and lifestyle changes. They highlight the risks of both dehydration and overhydration, discuss the impact of processed foods, and offer realistic solutions to help listeners incorporate better hydration practices into their lives. Too often doctors are dismissive of pop culture exhortations to pay attention to hydration. Except for those with specific medical conditions, the conventional mantra remains “In ordinary healthy individuals, thirst is a good guide to how much fluid you should consume.” In medicine, we routinely query patients about their diets, their exercise, their sleep, their stress levels, drug, alcohol and tobacco use, their social interactions, their spirituality, even their sexuality. But so seldom do we ask “How's your hydration?” A recent review found that “Hypohydration is known to reduce mental and physical performance, and more recent evidence suggests hypohydration also impairs vascular function and cardiovascular regulation.” But adequate fluid intake is not merely a matter of optimization; a recent medical study sampling 1200 adults aged 51-70  suggests that it may literally be a matter of life and death: “. . . underhydration was significantly associated with increased prevalence of obesity, high waist circumference, insulin resistance, diabetes, low HDL, hypertension, and metabolic syndrome. Over 3–6 years of follow-up, 33 chronic disease deaths occurred in the sample, representing an estimated 1,084,144 deaths in the U.S. Alongside chronic health conditions, underhydration was a risk factor for an estimated 863,305 deaths. Independent of the chronic health conditions evaluated, underhydration was a risk factor for 128,107 deaths.” How prevalent is underhydration in a sample of American adults? According to the study: “Nationally representative data from the National Health and Nutrition Examination Survey (NHANES) indicate that over 65% of adults aged 51–70 years in the U.S. do not meet hydration criteria.” The episode also touches upon broader health issues, contrasting dietary extremes, and the importance of accessible, enjoyable healthy eating habits.

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In this episode, we explore the critical and often overlooked dangers of combining medication with dietary changes through the real-life story of Jane, a health-conscious woman who unknowingly put herself at risk. After eliminating salt from her diet while taking a diuretic for hypertension, Jane found herself in a life-threatening crisis. Her sodium levels plummeted, leading to severe hyponatremia, which caused her to collapse and experience seizures. Through Jane's story, we delve into the importance of consulting healthcare providers before making significant changes, highlighting the delicate balance between medications and diet.

Send us a textSarah welcomes Zac Leason to The Beyond Condition Podcast for an epic episode that covers a huge amount of value for the bodybuilding community.We get stuck in with conversations about stepping on stage for the first time, what it takes to be a competitive bodybuilder and everything in between.Discussions include:*Amateur and professional bodybuilding*Federations and criteria*The extremes of bodybuilding*Off season and monitoring progress*Back to back shows*Show day*Natural and assisted federations*PED's and peptides*GI health and food selection*Post show*Diuretics and oedema*Dealing with conflict*Support network and your circleFind Zac on Instagram @zac_lionheart_leasonWatch it here: https://youtu.be/w1obxpS_M6kGet in touch and share this episode @sarahparker_bb

We're taking a short summer break, but we'll be back at the end of August with brand new episodes. Master common hypertension scenarios in the clinic! Our guest Dr. Jordy Cohen (@jordy_bc) will lead us through the FAQs of outpatient hypertension management, including making a diagnosis of hypertension, managing blood pressure in patients with chronic kidney disease, working up refractory hypertension, and more. Claim CME for this episode at curbsiders.vcuhealth.org! Credits ● Writer: Matthew Watto, MD, FACP ● Producers: Matthew Watto, MD, FACP and Malini Gandhi ● Show Notes, Infographic, and Cover Art: Malini Gandhi ● Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP ● Reviewer: Emi Okamoto MD ● Executive Producer: Beth Garbitelli ● Showrunner: Matthew Watto MD, FACP ● Editor: Clair Morgan of nodderly.com ● Guest: Jordy Cohen MD Show Segments ● Intro, disclaimer, guest bio ● Guest one-liner, Picks of the Week* ● Case from Kashlak: New diagnosis of hypertension ● How to make a diagnosis of hypertension ● When to start anti-hypertensive medication ● Initial blood pressure regimen ● Case from Kashlak: White coat hypertension ● Case from Kashlak: Hypertension in chronic kidney disease ● ACEis and ARBs in chronic kidney disease ● Diuretics in chronic kidney disease ● Case from Kashlak: Refractory hypertension ● History and initial workup for refractory hypertension ● Treatment of primary hyperaldosteronism ● Outro

Nick Walker 14 Weeks out from Mr. Olympia! Enjoy.   Chapters: 0:00 Intro/Heat in Florida 2:16 Blessing Awodibu 3:30 Diuretics 16:00 Nick and Guy talk about their worst cramps 26:10 14 Weeks out for Nick 33:10 Guys Client/ Cheat Meals 41:30 Diet Rage/ Roid Rage 48:30 Steroids/ Most overrated drug in bodybuilding 58:00 Intensity Training VS Volume Training 1:00:00 When Nick realized he was big enough   https://marekhealth.com/guy - Get a 10% discount on Marek's Optimization Package (Code: GUY)   Spotify - https://open.spotify.com/show/1G9vo57... Itunes - https://podcasts.apple.com/us/podcast...   Instagrams: Instagram.com/guycisternino Instagram.com/nick_walker39   Sponsors: Uprisingxtracts.com GaspOfficial.com - Guy15 Fuelchef.com - Quadro20 HdMuscle.com - Mutant YoungLA.com - Mutant Megafitmeals.com Celcius.com CardilloUSA.com MedicalSaunas.com

Send us a Text Message.Cardiopulmonary physiological effects of diuretic therapy in preterm infants with chronic pulmonary hypertension.Zhu F, Ibarra Rios D, Joye S, Baczynski M, Rios D, Giesinger RE, McNamara PJ, Jain A.J Perinatol. 2023 Oct;43(10):1288-1294. doi: 10.1038/s41372-023-01742-0. Epub 2023 Aug 7.PMID: 37550529As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

In this episode, we review the pharmacology, pharmacokinetics, adverse effects, monitoring, medicinal chemistry, and more of loop diuretics. Key Concepts Loop diuretics (furosemide, torsemide, bumetanide, ethacrynic acid) are the most potent type of diuretic and are used to relieve edema. Loop diuretics cause an increased loss of sodium, chloride, potassium, hydrogen, magnesium, and calcium ions into the urine. Excessive loss of these ions manifests as hypokalemia, hypomagnesemia, and metabolic alkalosis. Loop diuretics have an S-shaped dose response curve – a minimum dose is required for diuresis and a “ceiling” effect occurs at higher doses (leading to more ADRs). Doses should be individualized based on the clinical response of the patient. Ethacrynic acid is incorrectly used in patients with a “sulfa” allergy. The other loop diuretics contain a sulfa moiety but are safe for use in patients with “sulfa” allergy (e.g. allergy to sulfamethoxazole-trimethoprim). The TRANSFORM-HF trial strongly suggests that there is no clinical difference between furosemide and torsemide. References Rachoin JS, Cerceo EA. Four nephrology myths debunked. J Hosp Med. 2011;6(5):E1-E5. doi:10.1002/jhm.703 Strom BL, Schinnar R, Apter AJ, et al. Absence of cross-reactivity between sulfonamide antibiotics and sulfonamide nonantibiotics. N Engl J Med. 2003;349(17):1628-1635. doi:10.1056/NEJMoa022963 Buggey J, Mentz RJ, Pitt B, et al. A reappraisal of loop diuretic choice in heart failure patients. Am Heart J. 2015;169(3):323-333. doi:10.1016/j.ahj.2014.12.009 Mentz RJ, Anstrom KJ, Eisenstein EL, et al. Effect of Torsemide vs Furosemide After Discharge on All-Cause Mortality in Patients Hospitalized With Heart Failure: The TRANSFORM-HF Randomized Clinical Trial. JAMA. 2023;329(3):214-223. doi:10.1001/jama.2022.23924

My brother and good friend, Larry Gao, and I sit down and discuss the experiences that got him where he is today, from growing up as an asian American, to competing as a natural in summer shredding… True brothers build each other up and make their come up together.Please share this episode if you liked it. To support the podcast, the best cost-free way is to subscribe and please rate the podcast 5* wherever you find your podcasts. Thanks for watching.To be part of any Q&A, follow trensparentpodcast or nylenayga on instagram and watch for Q&A prompts on the story  https://www.instagram.com/trensparentpodcast/Watch The Podcast:https://www.youtube.com/channel/UCqgN2kieCEHwZ9M-QFBxfCgPharma TRT, GH analogs, peptides, IGF-1, var troche, fat-loss/hair-loss treatments, etc | HRT Men's Health Optimization: https://transcendcompany.com/patient-intake-form/?ls=Nyle+NaygaHuge Elements Line (astragalus, citrus bergamot, etc): https://hugesupplements.com/collections/elementsCode 'NYLE' for 10% off - proceeds go towards upgrading content productionHuge Supplements (Protein, Pre, Utilize, Vital): https://hugesupplements.com/?aff=165Support code 'NYLE' 10% offYoungLA Clothes: https://www.youngla.com/discount/nyleYoungLA For Her: https://www.youngla.com/collections/all-products-1/For-HerCode ‘NYLE' to support the podcastLet's chat about the Podcast:Instagram: https://www.instagram.com/trensparentpodcast/TikTok: https://www.tiktok.com/@transparentpodcastCoaching | Personalized program:  https://www.nylenaygafitness.comTimestamps:00:00:00 - Teaser & Intro00:01:10 - Cactus Thursday00:03:37 - Dah Chove00:09:53 - “Dragon Balls”00:15:24 - Cloning00:18:25 - Nutrition in China vs America00:18:59 - Filipino food00:22:20 - Small talk00:23:10 - Larry's story00:24:01 - “Chove's savage past”00:28:56 - What's the hardest decision you've had to make?00:31:38 - What made you take this path?00:35:10 - Adderall00:38:19 - Asian Americans00:39:58 - Asian & White girls00:44:18 - How was your dating life?00:49:30 - Which generation are you?00:51:41 - How to raise a child?00:53:32 - “Let them cry”00:57:19 - Bad kids00:59:08 - What was the toughest thing you went through as a child?01:05:10 - Hairstyles01:10:18 - Otaku lifestyle01:12:17 - Freedom01:18:25 - Best parents01:19:08 - Q & A01:19:20 - Asian natural American Boydybuiders01:21:20 - Power of being natty01:22:16 - Electrolyte balance01:23:35 - Have you taken any Diuretics?01:24:08 - “Anal Explosion”01:26:44 - How do you feel about being natty?01:29:58 - Genetics & Gear01:34:24 - Justin Foo01:37:21 - Larry's voice01:41:27 - Can boys & girls be friends?01:42:13 - Friend Zone01:45:37 - Akira Toriyama01:50:04 - Last Question#psychology #stories #podcast #mentalhealth #discipline #selfdevelopment #personaldevelopment #fitness #ifbbpro #npc #bodybuilder #bodybuilding #tiktok #shizzy #olympia #mrolympia #2023olympia #selfimprovement #workout #gym #nutrition #mensphysique #classicphysique #love #discipline #relationships #chrisbumstead #tren #workout #gym #trt #hormones #discipline #hardstyle #steroids #larrywheels

Diuretics are essential tools used by clinicians to manage volume status in ambulatory patients and in the critically ill… but are we using them correctly? Join Nick & Cyrus as they explore principles of fluid balance and teach a masterclass on how to approach diuresis in the critically ill patient. You won't want to miss this high-yield episode discussing an evergreen topic in the world of critical care medicine! Hosted on Acast. See acast.com/privacy for more information.

What You Will Learn: An Introduction and overview of kidney functions (1 min) Dr. Jenna Henderson's Bio (2 min) Dr. Henderson's journey relating to her own diagnose of chronic kidney disease (5 min) What is dialysis? (11.30 min) The kidneys' capacities to heal (16.30 min) The number one reason that people go into kidney failure that is not a “kidney disease” (17 min) The second leading cause of kidney failure that is not a “kidney disease” (18 min) Why we have to consider heart health when we think about the kidneys (21.30 min) Some common kidney disorders Dr. Henderson works with (21.45 min) The staging of kidney disease (23.30 min) The reason chronic kidney disease is a “silent killer” (26 min) Where to start if your numbers on labs indicate a kidney issue (29.30 min) At what age our kidney cells begin to break down (31 min) Some common symptoms that could indicate kidney compromise (33 min) The difference between iron-deficiency anemia and renal anemia (35 min) How to support the kidneys for someone who has diabetes using diet, herbs, supplements, and essential oils (37 min) Why you should be mindful of diuretics for kidney disease (40 min) The use of diet modifications, herbs, supplements, and essential oils to support the kidneys of someone with high blood pressure (41.30 min)  The healing power of laughter, a sense of humor, and music for the kidneys (44.30 min) The different types of kidney stones and natural support for them, including essential oils (47 min) Why dairy should not be demonized for kidney disease (50 min) How urinary tract infections impact the kidney, how often you should urinate, and what essential oils may be supportive (55 min) Can myrrh oil be helpful for kidneys? (1 hr. 1 min)  Can you use essential oils in late-stage kidney disease? (1 hr. 2 min) Closing questions and Dr. Henderson's favorite essential oils (1 hr. 4 min) Links to Learn More About Dr. Jenna Henderson, ND and Her Offerings: Website: Holistic Kidney FB: Holistic Kidney LinkedIn: Jenna Henderson References on Essential Oils for Kidney Health: Top 5 Essential Oils to Reduce Kidney Stones (NAHA Certified Aromatherapists Blog, Lemon, Lavender, Helichrysum, Peppermint, and Orange) Essential Oils for Kidney Failure: Do They Really Work? (Animal and Mechanistic Studies: Fennel, Cypress, and Juniper are Diuretics, Some May Enhance Urine Output) 16 Best Essential Oils for Kidney Health (Overview on General Health) Harness the Power of Nature: Essential Oils for Optimal Kidney Function (Rose for Renal Colic Study, Supportive Care of Essential Oils for Mood, Fatigue, and Other Symptoms) Myrrh Essential Oil Mitigates Renal Ischemia/Reperfusion-Induced Injury Deep Insights Into Urinary Tract Infections and Effective Natural Remedies  Antimicrobial Activity of Five Essential Oils against Bacteria and Fungi Responsible for Urinary Tract Infections (In Vitro) Prophylactic and Curative Potential of Peppermint Oil Against Calcium Oxalate Kidney Stones (In Vivo) The Effect of Topical Application of Lavender Essential Oil on Intensity of Pain Caused By the Insertion of Dialysis Needles in Hemodialysis Patients: A Randomized Clinical Trial  Effect of Aromatherapy on Quality of Life in Maintenance Hemodialysis Patients: A Systematic Review and Meta-Analysis  Additional Resources from the Show: The Epigenetics of Mind-Body Medicine: Smile and Relax…You Can Change Your Gene Expression and Alter Your Health by Being Mindful! Discover More in Part III Ep. 394: Essential Oils and the Microbiome, Do They Harm or Hurt our Gut Bugs? Learn more about your ad choices. Visit megaphone.fm/adchoices

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Around 90% of all hypertension is essential hypertension, which means it has no known cause. Southern states have the highest risk of hypertension and the highest risk of strokes. They also have a much higher rate of zinc-deficient soils. Zinc deficiency can cause hypertension. Doctors are often hyper-focused on reducing sodium to lower blood pressure, and people are surprised to find their blood pressure does not go down after reducing their salt intake. If you're deficient in zinc, your sense of taste and smell is often inhibited. This might cause you to add more salt to your food and crave junk food. The average American indeed consumes too much sodium from junk food and not enough potassium, but zinc deficiency is also a significant issue. ACE 2 inhibitors are the number one blood pressure medication. This type of medication depletes zinc, potentially causing more blood pressure problems. Diuretics, antibiotics, antacids, and birth control pills also deplete zinc. Zinc is a helper mineral for making nitric oxide, a vasodilator that helps relax the blood vessels. Zinc is required for nitric oxide to work. Zinc is also necessary to make certain antioxidants, including SOD, which helps to keep inflammation at bay. You can become deficient in zinc by consuming food grown in zinc-deficient soils or if you don't consume shellfish and red meat. Sugar, refined carbs, whole grains, alcohol, and fructose deplete zinc. Weak stomach acid interferes with mineral absorption, which can contribute to a zinc deficiency. Oysters and other shellfish, as well as red meat, are the best sources of zinc.

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Dr. Brewer's pregnancy diet, also known as the Brewer diet, was developed by Dr. Tom Brewer in the 1960s. It emphasizes the importance of nutrition during pregnancy to prevent complications such as pre-eclampsia and to support healthy fetal development. The diet focuses on consuming a variety of whole foods to ensure adequate intake of protein, vitamins, and minerals. The key principles of Dr Brewer's Pregnancy Diet are shared in the episode.Tune in now!We briefly discuss Diuretics which will be elaborated in the upcoming episodesSupport the showPrepare for Birth, explore Prenatal and Postnatal Preparation Classes, visit www.birthagni.comSupport the show: If you like what you hear, leave us a rating on Spotify app and answer the question at each episode! a review on Apple podcasts. Share on Whatsapp/Insta/FB Share on Insta and tag us @divyakapoorvox Support the production by making a donation at https://www.buymeacoffee.com/birthagni. This ensures the continuity and quality and a good coffee on sleepless recording nights! Subscribe to the FREE newsletter at https://www.birthagni.com/#subscribe and receive DISCOUNTS, SALE updates and GIFTCARDS on our premium 'Own your Birth' program You can book a 20 min FREE Discovery call at https://www.birthagni.com/bookfreesession ...

In this excerpt, Dr. Matthew Carmody introduces viewers to the adipocyte and discusses the pathophysiology of lipedema. He also clarifies why diuretics are ineffective for fluid congestion in lipedema and explains the effectiveness of compression therapy.

In this podcast, we're going to talk about potassium on the carnivore diet. You need 4700 mg of potassium each day, more than any other mineral. Potassium is important for the sodium-potassium pump present in all of your cells, which allows the contraction and relaxation of your nerves. Too much potassium is known as hyperkalemia, and too little is known as hypokalemia. Symptoms of high potassium include diarrhea, muscle pain, and muscle numbness. Symptoms of low potassium include constipation, muscle cramps, and fatigue. Potassium is vital for exercise performance. If you don't have enough, you'll probably feel weak or tired. One of the causes of low potassium is low magnesium. Kidney disease can cause high potassium. If the kidney is not functioning properly, it won't be able to get rid of potassium. It's very rare to develop too much potassium in the blood from dietary intake. Blood pressure medications or side effects of an adrenal condition known as Addison's can also cause high potassium. Diuretics and steroids can cause low potassium. Surgeries and injuries can also cause low potassium. The following vegetables are some of the best sources of potassium: •1 cup of beet leaves 1300 mg •1 cup of Swiss chard 900 mg •1 cup spinach 840 mg •1 avocado 500-700 mg •1 cup of beets 520 mg •1 cup of salad 350-500 mg Bananas contain around 300 mg of potassium but have too much sugar. Here are some of the best sources of potassium on the carnivore diet: •1 cup of bone broth 500 mg •3 ½ oz beef 350 mg •3 ½ oz octopus 650 mg •3 oz salmon 300 mg •1 large egg 63 mg •3 oz beef liver 125 mg •3 oz chicken 300 mg

Hyponatremia is a side effect of most diuretics but the incidence from thiazides is unknown. Join host, Geoff Wall, as he evaluates a new study from Denmark evaluating hyponatremia and thiazides. The GameChangerThiazide diuretics are considered first-line therapy but electrolyte side effects are underevaluated. A new study suggests hyponatremia is significantly more common than previously reported, especially in the elderly. HostGeoff Wall, PharmD, BCPS, FCCP, BCGPProfessor of Pharmacy Practice, Drake UniversityInternal Medicine/Critical Care, UnityPoint Health ReferenceAndersson NW, Wohlfahrt J, Feenstra B, et al. Cumulative Incidence of Thiazide-Induced Hyponatremia: A Population-Based Cohort Study. Ann Intern Med. 2023 Dec 19. doi: 10.7326/M23-1989. Epub ahead of print. PMID: 38109740.https://www.acpjournals.org/doi/abs/10.7326/M23-1989?journalCode=aim Pharmacist Members, REDEEM YOUR CPE HERE! Not a member? Get a Pharmacist Membership & earn CE for GameChangers Podcast episodes! (30 mins/episode)CPE Information Learning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Discuss the use of thiazides in hypertension and their adverse effects 2. Assess the strengths and weaknesses of the Andersson et al study0.05 CEU/0.5 HrUAN: 0107-0000-24-032-H01-PInitial release date: 1/15/2024Expiration date: 1/15/2025Additional CPE details can be found here.Follow CEimpact on Social Media:LinkedInInstagram

In a patient with a diagnosis of lymphedema, which of the following statements BEST reflects the effects of taking a diuretic medication? Find it all out in the podcast!  Be prepared for the NPTE so that you can pass with flying colors! Check out www.ptfinalexam.com/podcast for more information and to stay up-to-date with our latest courses and projects.

Show notes at pharmacyjoe.com/episode875. In this episode, I'll discuss whether diuretics are safe for reducing fluid balance in critically ill patients. The post 875: The Safety of Diuretics to Reduce Fluid Balance in Critically Ill Patients appeared first on Pharmacy Joe.

Show notes at pharmacyjoe.com/episode875. In this episode, I ll discuss whether diuretics are safe for reducing fluid balance in critically ill patients. The post 875: The Safety of Diuretics to Reduce Fluid Balance in Critically Ill Patients appeared first on Pharmacy Joe.

Today we're going to talk about how potassium affects diabetes and high blood pressure. Diuretics are commonly used to treat high blood pressure. But, they come with side effects, including an increased risk of developing diabetes. On the flip side, ace inhibitors, also used to treat high blood pressure, protect against diabetes and lower the risk of diabetes. I believe the big difference between these two drugs, when it comes to diabetes risk, is what they do to potassium. Diuretics deplete potassium, and without enough potassium, insulin can't be released very well. A deficiency of insulin can then lead to diabetes. Ace inhibitors increase potassium by helping to prevent the loss of potassium. So why do we even need a drug—why aren't we just consuming more potassium? Many people support healthy blood pressure and healthy blood sugar levels by taking potassium. Benefits of potassium: • It protects the kidneys • It protects the heart • It helps protect against stroke • It helps protect against diabetes • It helps power the nervous system in connection with the muscles • It helps regulate sodium The RDAs for potassium are 4700 mg. It might surprise you, but bananas aren't a good source of potassium. A few of the best sources of potassium are: • Leafy greens • Potatoes • Avocado • Electrolyte powder DATA: https://pubmed.ncbi.nlm.nih.gov/1619503/ https://ucfhealth.com/our-services/en... https://www.ncbi.nlm.nih.gov/pmc/arti...

Looking for more information on this topic? Check out the Physiology of Diuretics brick. If you enjoyed this episode, we'd love for you to leave a review on Apple Podcasts.  It helps with our visibility, and the more med students (or future med students) listen to the podcast, the more we can provide to the future physicians of the world. Follow USMLE-Rx at: Facebook: www.facebook.com/usmlerx Blog: www.firstaidteam.com Twitter: https://twitter.com/firstaidteam Instagram: https://www.instagram.com/firstaidteam/ YouTube: www.youtube.com/USMLERX Learn how you can access over 150 of our bricks for FREE: https://usmlerx.wpengine.com/free-bricks/ from our Musculoskeletal, Skin, and Connective Tissue collection, which is available for free. Learn more about Rx Bricks by signing up for a free USMLE-Rx account: www.usmle-rx.com You will get 5 days of full access to our Rx360+ program, including nearly 800 Rx Bricks.  After the 5-day period, you will still be able to access over 150 free bricks, including the entire collections for General Microbiology and Cellular and Molecular Biology.

John Powell was at a loose end when he returned to Australia in 2021 after calling time on his long riding career in Singapore. It wasn't long before Racing NSW enlisted his services as a mentor for northern NSW jockeys, and more recently Gary Kliese has snapped him up for a co-hosting role on Sky Thoroughbred Central's coverage of northern rivers racing. It's almost forty years since John Powell began his apprenticeship with Helen Page at Warwick Farm. In a 37 year riding career he rode 1400 winners in five jurisdictions, more than half of them in Singapore. We were able to pin him down recently for a lengthy chat about his fascinating journey in racing. John begins by explaining how his opportunity with Sky Thoroughbred Central came up.  He says his main focus is on the characteristics of horses and tactics employed by jockeys. John says he'd barely settled back in Australia when he got a surprise phone call from Corey Brown on behalf of Racing NSW. The former top jockey takes us back to childhood days at Campbelltown and talks about the family friend who introduced him to Helen Page. He recalls his delight when Warwick Farm trainer Frank Bacon gave him his very first race ride.  John hasn't forgotten his very first winner at Gosford for his boss Helen Page. He admits the ride wasn't pretty. The chief steward spoke to him on the day about an entirely different matter. He fondly remembers his magical first city winner at Canterbury in 1987. Powell recalls multiple wins on the Guy Walter trained Prince Invader- a very important horse to the young rider in those early days. He has never forgotten a pick-up ride on brilliant sprinter Show County. He got the ride during a jockey's strike when every runner at a Warwick Farm meeting was ridden  by an apprentice. The recently retired jockey looks back on his affinity with Kembla Grange racecourse. In one season in the late 80's he was champion Kembla apprentice. He talks of Shane Edmonds, another talented apprentice who was with Helen Page at the same time. John talks about his addiction to diuretics, the demon pills used by many jockeys in days gone by to help them excrete water through the kidneys. Diuretics gave jockeys a simple way of losing weight on race days. They were very dangerous long term. He looks back on several short term contracts in Mauritius- a unique racing environment. John talks of his very successful stint in Macau. It was here a Panamanian jockey helped him to fine tune his riding style. He looks back on some of the outstanding horses he got to ride in Australia including a few of Bart Cummings' topliners. John talks of his association with John Hawkes which led him to a full season in Brisbane. The champion trainer once entrusted John with a barrier trial ride on champion Octagonal. He still talks about it. He looks back on his appointment as stable jockey for Don Baertshiger in Singapore- a partnership that would last for many years. John says he got away to a “flyer” in Singapore by winning the Gr 1 Derby on Hello And Goodbye. It was Kiwi trainer Bruce Marsh's first Singapore win. He talks of his first win in the Kranji Mile and a second Singapore Derby. John reflects on a Kranji Mile win for Laurie Laxon and a QE2 Cup success. The former ace jockey talks openly about his cancer scare. The discovery of a lump on his neck during a routine medical check led to further scans. Thyroid cancer was detected. Covid enforced travel restrictions delayed John's return to Sydney for crucial surgery. He says the thyroid complication sent his weight on a spiral, and he knew his riding days were numbered. John remembers the shock he received to read about his retirement on social media, long before he'd made any announcement. It's a laid back chat with a talented jockey who spent 25 of his 37 riding years out of Australia. 

ReferencesJC mentioned that the diagnostic accuracy of 24 hour urine collection increases with more collections! Metabolic evaluation of patients with recurrent idiopathic calcium nephrolithiasisWe didn't refer to a particular study on sodium intake and the 24 hour urine but this meta-analysis Comparison of 24‐hour urine and 24‐hour diet recall for estimating dietary sodium intake in populations: A systematic review and meta‐analysis - PMC 24‐hour diet recall underestimated population mean sodium intake.Anna looking up ace i and urinary sodium Effects of ACE inhibition on proximal tubule sodium transport | American Journal of Physiology-Renal PhysiologyThe original FENa paper by Espinel: The FeNa Test: Use in the Differential Diagnosis of Acute Renal Failure | JAMA | JAMA NetworkSchreir's replication and expansion of Espinel's data: Urinary diagnostic indices in acute renal failure: a prospective studyHere's a report from our own JC on the Diagnostic Utility of Serial Microscopic Examination of the Urinary Sediment in Acute Kidney Injury | American Society of NephrologyJC shared his journey regarding FENa and refers to his recent paper Concomitant Identification of Muddy Brown Granular Casts and Low Fractional Excretion of Urinary Sodium in AKIAnd Melanie's accompanying editorial Mind the Cast: FENa versus Microscopy in AKI : Kidney360 (with a great image from Samir Parikh)JC referenced this study from Schrier on FENa with a larger series: Urinary diagnostic indices in acute renal failure: a prospective study​​Nonoliguric Acute Renal Failure Associated with a Low Fractional Excretion of Sodium | Annals of Internal MedicineUrine sodium concentration to predict fluid responsiveness in oliguric ICU patients: a prospective multicenter observational study | Critical Care | Full TextA classic favorite: Acute renal success. The unexpected logic of oliguria in acute renal failure Marathon runners had granular casts in their urine without renal failure. Kidney Injury and Repair Biomarkers in Marathon RunnersCute piece from Rick Sterns on urine electrolytes! Managing electrolyte disorders: order a basic urine metabolic panelThe Urine Anion Gap: Common Misconceptions | American Society of NephrologyThe urine anion gap in context CJASNExcellent review from Halperin on urine chemistries (including some consideration of the TTKG): Use of Urine Electrolytes and Urine Osmolality in the Clinical Diagnosis of Fluid, Electrolytes, and Acid-Base Disorders - Kidney International ReportsRenal tubular acidosis (RTA): Recognize The Ammonium defect and pHorget the urine pH | SpringerLinkOutlineChapter 13- New part: Part 3, Physiologic approach to acid-base and electrolyte disorders - Do you remember the previous two parts? - Renal physiology - Regulation of water and electrolyte balance- Chapter 13: Meaning and application of urine chemistries - Measurement of urinary electrolyte concentrations, osmolality and pH helps diagnose some conditions - There are no fixed normal values - Kidney varies rate of excretion to match intake and endogenous production - Example: urine Na of 125/day can be normal if patient euvolemic on a normal diet, and wildly inappropriate in a patient who is volume depleted. - Urine chemistries are: - Useful - Simple - Widely available - Usually a random sample is adequate - 24-hour samples give additional context - Gives example of urinary potassium, with extra renal loss of K, urine K should be < 25, but if the patient has concurrent volume deficiency and urine output is only 500 mL, then urine K concentration can appropriately be as high as 40 mEq/L - Table 13-1 - Seems incomplete, see my notes on page 406 - What is Gravity ARF?- Sodium Excretion - Kidney varies Na to maintain effective circulating volume (I'd say volume homeostasis) - Urine Na affected by RAAS and ANP - Na concentration can be used to determine volume status - Urine Na < 20 is hypovolemia - Says it is especially helpful in determining the etiology of hyponatremia - Calls out SIADH and volume depletion - Used 40 mEq/L for SIADH - Also useful in AKI - Where differential is pre-renal vs ATN - In addition to urine Na (and FENa) look at urine osmolality - Again uses 40 mEq/l - Mentions FENa and urine osmolality - Urine Na can estimate dietary sodium intake - Suggests doing this during treatment of hypertension to assure dietary compliance - 24 hour urine Na is accurate with diuretics as long as the dose is stable and the drugs are chronic - Diuretics increase Na resorption in other segments of the tubule that are not affected by the diuretic - Points to increased AT2 induced proximal Na resorption and aldosterone induced DCT resoprtion - In HTN shoot for less than 100 mEq/Day - Urine Na useful in stones - Urine uric acid and urine Ca can cause stones and their handling is dependent on sodium - Low sodium diet can mask elevated excretion of these stone forming metabolites - 24-hour Na > 75 and should be enough sodium to avoid this pitfall - Pitfalls - Low urine sodium in bilateral renal artery stenosis or acute GN - High urine sodium with diuretics, aldo deficiency, advanced CKD - Altered water handling can also disrupt this - DI with 10 liters of urine and urine sodium excretion of 100 mEq is 10 mEq/L but in this case there is no volume deficiency - Opposite also important, a lot of water resorption can mask volume deficiency by jacking up the urine sodium - Advises you to use the FENa - THE FENA - < 1% dry - >2-3% ATN - It will fail with chronic effective volume depletion - Heart failure, cirrhosis, and burns - Suggests that tubular function will be preserved in those situations - Also with contrast, rhabdo, pigment nephropathy - Limitations - Dependent on the amount of Na filtered - Goes through the math of a normal person with GFR of 125/min and Na of 150 has filtered sodium of 27,000/day so if they eat 125-250 mEq their FENa will be 600-800 - Urine osm < plasma osm in face of hypernatremia indicates renal water loss due to lack of or resistance to ADH - In ATN urine OSM < 400 - In pre-renal disease it could be over 500 - Specific but not sensitive due to people with CKD who are unable to concentrate urine- Specific gravity - Plasma is 8-10% igher than plasma so specific gravity is 1.008 to 1.010 - Every 30-35 mOsm/L raises urine Osm of 0.001 - so 1.010 is 300-350 mOsm/L H2O - Glucose raises urine specific gravity more than osmolality - Same with contrast - Carbenicillin- pH - Normally varies with systemic acid-base status - PH should fall before 5.3 (usually below 5.0) with systemic metabolic acidosis - Above 5.3 in adults and 5.6 in children indicate RTA - PH goal 6.0-6.5 - Separate individual RTAs through FR of HCO3 at various serum HCO3 levels - Also can monitor urine pH to look for success in treating metabolic alkalosis - Look for pH > 7 - In treatment of uric acid stone disease - Want to shift eq: H + urate – uric acid to the left because urate is more soluble - PH goal 6.0-6.5

Thiazide diuretics are a first-line treatment for patients with high blood pressure (BP), either as monotherapy or, more often, in combination with other first-line agents, but which one should clinicians use? Chlorthalidone was used in several landmark clinical trials and has a favorable pharmacokinetic profile.  But hydrochlorothiazide is the most commonly used (and cheapest) thiazide. Guest Authors: Brian T Terrell, PharmD, BCACP and Eric J MacLaughlin, PharmD, BCPS Music by Good Talk

Watch the video podcast of this episode here: https://generationiron.com/victor-martinez-igf1-almost-died/ Visit the Generation Iron official website for exclusive video content, feature films, and more: https://generationiron.com/ Follow us on Instagram: https://www.instagram.com/generationiron/ Follow us on Facebook: https://www.facebook.com/GenerationIron/ Follow us on Twitter: https://twitter.com/GenerationIron

Oral Only & Adding Orals to TRT DNS 186 Dave Crosland & Scott McNally TIME STAMPS BELOW

Grab The Bull By The Horns - Bodybuilding Podcast #58 ULTIMATE GUIDE TO ROIDS #1 BOOK ON TRUTH IN THE HISTORY OF BODYBUILDING Link - ⁠https://bodybuilderinthailand.com/ultimate-guide-to-roids/⁠ Daily Text Msg Training $99/month and 1 Hour Phone Call Consult $59 Send Email to inquire about personal training to steroidspodcast@gmail.com 0:00 Remembering Frank Mcgrath Animal pak ads from early 2000's 2:25 "The Beautiful Life" 3:10 How to Test a Man, Taking him to his physical limit 6:00 Football Hell 10:10 Death Mode Training 13:00 Chasing Comfort 15:11 Protein Intake 21:42 Why people become addicted to intoxicating substances 25:27 Do things like everyone, get results like everyone 27:40 You're burning the candle on your lifetime cycles 33:00 Fasting 34:17 Everyone's main enemy is themselves 38:00 Bodybuilder Alpha Male 41:30 Disadvantaged Situation 42:10 Force Your Reality into Existence 44:32 Diuretics for blood pressure 46:30 The Alex Jones of the Steroids World 47:49 Vaping on contest prep 52:44 Crossfit Cycle 56:23 Tren cycle restless legs syndrome 58:46 Prostate Issues 1:00:45 Difference between HGH and HGH secreting peptides 1:04:00 Sustanon 250 first cycle 1:05:15 Family man wants to run low dose trenbolone acetate 1:08:42 Blasting and Cruising on Gear 1:10:13 Metformin during contest prep This Podcast is for entertainment and conversational purposes only. Serious Injury and Death can occur from utilizing chemical performance enhancement. This author does not support the use of illegal performance enhancing drugs. If any substances mentioned in this video are illegal in your country do not use them. The purpose of this podcast is not to glorify the use of PED's but to bring to light the reality of what athletes are doing privately. Consult a doctor before beginning any exercise or supplement routine. Do not take anything mentioned in this video as advice. It is simply conversation, not advice.

Double duty news as heath breaks down his last two weeks? --- Send in a voice message: https://podcasters.spotify.com/pod/show/tgos/message

Double duty news as heath breaks down his last two weeks? --- Send in a voice message: https://podcasters.spotify.com/pod/show/tgos/message

Measurement of intravascular volume has only recently studied, covering the use of diuretics and filtration during dialysis.Dr Matthew Kaptein of Loma Linda University reviews available evidence that may validate the IVC collapsibility index for measuring relative intravascular volume. He has developed a calculator tool which will help doctors navigate this important step for optimizing the intravascular volume of their patients to offer more effective treatments.  Learn more about Kaptein's Calculator Tool: Calculator Tool

Bodybuilding Podcast Episode 56 - Back to Basics How to Become a Pro Bodybuilder - This is what it Takes ULTIMATE GUIDE TO ROIDS 109pg E-BOOK BY DAN THE BODYBUILDER FROM THAILAND. PUTTING THE TRUTH OUT. DARK SECRETS OF BODYBUILDING  LINK FOR IMMEDIATE DOWNLOAD -  https://bodybuilderinthailand.com/ultimate-guide-to-roids/ 0:00 what i've been doing this past year, countries i've been in. 2:30 Information for mental health of bodybuilders 7:15 How to Find Direction and Purpose in your Life 10:54 Tore Bicep how to help the tendon and keep muscle mass 14:55 Do things the way the pros do them 16:43 keeping muscle mass when you're injured 20:20 Muscle Reanimation 21:20 DHT/Versus Estrogen Side effects 23:20 How the Pros Do IT. How they get big. 26:40 Diuretics for blood pressure/daily use 31:00 The Formula 32:00 Training Theory 34:36 Discussion on "Science" 36:37 Clearance of PED's for Testing 40:10 Basics what can a Guy in Vietnam do right now to move towards being a Pro Bodybuilder 44:07 Second Cycle, has estrogen problems, magic remedy 50:00 Information about the use of Anavar and optimizing a cycle. What Eating to Get Big Looks Like. 55:00 Pro way to take Orals 56:30 Recomp Superdrol - Nutrition Requirement for Gaining Muscle and Losing Fat 59:20 Pre Intra Post Workout Nutrition Protocol 1:05:52 Blood Pressure on Cycle This Podcast is for entertainment and conversational purposes only. Serious Injury and Death can occur from utilizing chemical performance enhancement. This author does not support the use of illegal performance enhancing drugs. If any substances mentioned in this video are illegal in your country do not use them. The purpose of this podcast is not to glorify the use of PED's but to bring to light the reality of what athletes are doing privately. Consult a doctor before beginning any exercise or supplement routine. Do not take anything mentioned in this video as advice. It is simply conversation, not advice.

Follow us on Instagram! Podcast: @growordiepodcast  Justin Mihaly: @jmihaly_ Ross Flanigan: @rossflanigan_gainz Dom Cardone: @domcardoneifbb

Anabolic Academy 12Big Lenny in the ER Push pull legs vs Gym Splittest cycle onlyPause reps vs drop setsLower volume while dietingLower back pain from squatting

Today we have special guest, Dr. Sarah Gilligan, a nephrologist, to talk about the new study of thiazides for kidney stones. We all learn in medical school that thiazides reduce urinary excretion of calcium, but does that really translate to fewer kidney stones? We also have Dr. Brian Locke on to talk about the CAPE COD trial, a big new critical care paper on using hydrocortisone in severe pneumonia, as well as the latest COPD guidelines and a retrospective study of oral antibiotics for infective endocarditis. Check it out! Hydrochlorothiazide for Kidney StonesSteroids for Pneumonia Meta-analysisHydrocortisone for Severe CAP (CAPE COD)2023 GOLD COPD GuidelinesReal World Use of Oral Antibiotics for EndocarditisMusic from Uppbeat (free for Creators!):https://uppbeat.io/t/soundroll/dopeLicense code: NP8HLP5WKGKXFW2R

Join us as we review recent practice-changing articles on loop diuretics for heart failure exacerbation (torsemide vs furosemide), time-restricted eating vs small frequent meals for weight loss, how sedentary breaks from sitting effect blood glucose & blood pressure, early FMT for C. diff, and a brief rant on medications for obesity. Fill your brain hole with a delicious stack of hotcakes! Featuring Nora Taranto (@norataranto, The DIGEST), Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto). Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | Swag! |Mailing List | askcurbsiders@gmail.com | Free CME! Show Segments Intro, disclaimer Loop diuretics (torsemide vs furosemide) for heart failure exacerbation Time-restricted eating vs small frequent meals for weight loss Sedentary breaks for lowering blood glucose and blood pressure Early fecal microbiota transplant (FMT) for C. diff infection  Outro Credits Written and Hosted by: Nora Taranto MD; Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP Cover Art: Matthew Watto MD, FACP Reviewer: Rahul Ganatra MD, MPH Technical Production: Pod Paste Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

We're back with Season 4! Sorry for the unplanned hiatus. Today we talk about the CLOVERS trial, which tested the hypothesis that early vasopressors and restrictive fluid would be superior to liberal fluids plus rescue vasopressors. We also looked at the TRANSFORM-HF study, which compared torsemide and furosemide in congestive heart failure, the PREVENT CLOT study, which compared aspirin to enoxaparin for VTE prophylaxis after a traumatic fracture, and the AID-ICU study, which compared haloperidol to placebo in the treatment of ICU delirium. CLOVERS trialTorsemide vs Furosemide in CHFAspirin vs Enoxaparin for VTE ppx after FractureIV Haloperidol in ICU DeliriumWe also quickly review some papers we missed in 2022:Apixaban for VTE in ESRD Acetazolamide for Congestive Heart FailureModerate or Aggressive IV Fluids for PancreatitisPerioperative Management of AnticoagulationCRISTAL study (aspirin vs enoxaparin after TKA/THA)Music from Uppbeat (free for Creators!):https://uppbeat.io/t/soundroll/dopeLicense code: NP8HLP5WKGKXFW2R

In this episode, we review the high-yield topic of Proximal Tubule Diuretics from the Renal section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets --- Send in a voice message: https://anchor.fm/medbulletsstep1/message

The loop diuretic duels, adverse events during hospital admissions, BP accuracy, and, again, left main revascularization strategies (again) are the topics John Mandrola discusses in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I. TRANSFORM HF Clarity on Torsemide vs Furosemide in HF: TRANSFORM-HF Published https://www.medscape.com/viewarticle/987128 • Effect of Torsemide vs Furosemide After Discharge on All-Cause Mortality in Patients Hospitalized With Heart Failure https://jamanetwork.com/journals/jama/fullarticle/2800428 • RANSFORM-HF—Can We Close the Loop on Diuretics in Heart Failure? https://jamanetwork.com/journals/jama/fullarticle/2800445 II. Adverse Events in the Hospital Adverse Events Reported in One Quarter of Inpatient Admissions https://www.medscape.com/viewarticle/987091 • The Safety of Inpatient Health Care https://www.nejm.org/doi/full/10.1056/NEJMsa2206117 III. BP Accuracy Experts Demand Validation of Automatic Blood Pressure Devices https://www.medscape.com/viewarticle/987032 IV. Left Main Coronary Artery Disease Real-World Examination of Revascularization Strategies for Left Main Coronary Disease in Ontario, Canada https://doi.org/10.1016/j.jcin.2022.10.016 Management of Left Main Coronary Artery Disease in Nonemergent Settings: The Heart of Multidisciplinary Teamwork https://doi.org/10.1016/j.jcin.2022.11.024 You may also like: Medscape editor-in-chief Eric Topol, MD, and master storyteller and clinician Abraham Verghese, MD, on Medicine and the Machine https://www.medscape.com/features/public/machine The Bob Harrington Show with Stanford University Chair of Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net

Editor's Summary by Mary McGrae McDermott, MD, Deputy Editor of JAMA, the Journal of the American Medical Association, for the January 17, 2023, issue. Related Content: Audio Highlights

Listen to hear:[6:10] Ways bros are ahead of physique science and ways they are behind[12:46] What people don't know about pharmacology[15:46] Diuretics and risk[26:20] Has diuretic use increased?[34:43] The push toward extremism and the subjectivity of judging[42:49] Having the foundation matters[51:26] Bodybuilders who died young and risk factors[1:06:49] Cardiovascular training[1:11:23] Dr. Escalante's adviceConnect with Dr. Escalante:InstagramFacebookWebsiteReferenced Links:Dead Bodybuilders Speaking from the Heart: An Analysis of Autopsy Reports of Bodybuilders That Died Prematurely - PubMedAnalysis of the efficacy, safety, and cost of alternative forms of creatine available for purchase on Amazon.com: are label claims supported by science? - PubMedCan Bodybuilding Peak Week Manipulations Favorably Affect Muscle Size, Subcutaneous Thickness, and Related Body Composition Variables? A Case Study - PubMedFlex Diet Podcast Episode 107: Peak Week: How to Look Leaner by Manipulating Water, Carbs, Salt, and More with Dr Guillermo Escalante - Dr. Mike T NelsonAbout Dr. EscalanteFrom Dr. Escalante's website:Dr. Escalante is currently a Professor of Kinesiology and Dean Fellow for the College of Natural Sciences at California State University, San Bernardino. He is a scholar in the areas of exercise science, sports nutrition, and sports medicine. His research interests include sports nutrition/supplementation, body composition assessment, physique enhancement, and sports injury prevention/rehabilitation. Dr. Escalante has over 52 peer-reviewed publications and abstracts in the fields of exercise science, sports nutrition, sports medicine, and kinesiology. He regularly presents at regional, national, and international conferences on his research and serves as a sports nutrition/exercise science consultant to various companies in the health/fitness/sports supplement space. Additionally, he has served as an expert witness in the areas of sports nutrition and sports medicine. Dr. Escalante has secured over $150,000 of internal funding to support his teaching and research as well as over $5 million in external funding as principal investigator or co-investigator through various businesses and agencies, inclusive of the US Department of Education and the US Department of Veteran Affairs. Dr. Escalante holds a BS in Athletic Training with a Biology minor and an MBA with concentrations in Marketing and Healthcare Management from the University of La Verne. He also received a Doctor of Science in Athletic Training from Rocky Mountain University of Health Professions and is certified as an athletic trainer through the National Athletic Trainer's Association (NATA), a strength and conditioning specialist through the National Strength and Conditioning Association (NSCA), and as a Sports Nutritionist through the International Society of Sports Nutrition (ISSN). In 2021, Dr. Escalante became one of only 36 fellows (out 36,000+ members) of the ISSN for his contributions in the field of sport nutrition. Dr. Escalante is an active member of the NATA, NSCA, and the ISSN. He serves as a reviewer and associate editor for the Journal of the International Society of Sports Nutrition (JISSN), is the chair of the NSCA Bodybuilding and Fitness Special Interest Group, and is on the executive board for the NSCA Nutrition and Metabolism Special Interest Group. He also serves as a reviewer for 8 major journals including the Journal of Strength and Conditioning Research and the British Journal of Nutrition. Dr. Escalante also has over 50 publications in mainstream fitness magazines and websites including Muscle & Fitness, Muscle & Fitness Hers, Bodybuilding.com, Muscular Development, and MuscleMag International Magazine. He has appeared on television, radio shows, and podcasts discussing fitness, health, bodybuilding, and performance enhancement drugs. He has been a competitive bodybuilder since 2000, a bodybuilding/physique coach since 2004, and was a bodybuilding judge and/or sports medicine provider for MuscleContest International from 2010-2019.Dr. Escalante is an instructor with the Kaiser Permanente Post-Doctoral Physical Therapy Orthopedic and Sports Fellowship programs where he teaches post-doctoral physical therapy fellows sports nutrition and practical applications of exercise science for sports performance enhancement. He was also an instructor to third year Doctor of Physical Therapy students at Western University of Health Professions between 2004-2018. Prior to going into higher level education, Dr. Escalante owned and operated an outpatient orthopedic physical therapy and personal training business for 18 years and was an owner/operator of 2 World Gym franchises.  He also served as interim head athletic trainer for East Los Angeles Community College, was a fitness/health consultant for the US Department of Defense, and was the Chief Operating Officer and Sports Medicine Coordinator for a large physical therapy/sports medicine practice in Southern California. Over the course of his 20+ year career, Dr. Escalante has had the opportunity to train, treat, coach, and/or consult with thousands of athletes and non-athletes alike inclusive of professional athletes in the NFL, MLB, NBA, LPGA, Olympians, and IFBB bodybuilders/physique competitors.Dr. Escalante prides himself in his commitment to life-long learning and professional development. When he is not reading, researching, writing, or teaching, you can find him in the gym working out, walking his dogs, in the kitchen making delicious nutritious food, riding his Harley, and enjoying time with his wife and family traveling or watching TV at home. Dr. Escalante also enjoys singing under his alter-ego “Gil” and is working on his skills in stand-up comedy.  

Dr. Ebell and Dr. Wilkes discuss the POEM titled ' Improved decongestion with the addition of acetazolamide to intravenous loop diuretics for acute heart failure '

Looking for more information on this topic? Check out the Loop Diuretics brick. If you enjoyed this episode, we'd love for you to leave a review on Apple Podcasts.  It helps with our visibility, and the more med students (or future med students) listen to the podcast, the more we can provide to the future physicians of the world. Follow USMLE-Rx at: Facebook: www.facebook.com/usmlerx Blog: www.firstaidteam.com Twitter: https://twitter.com/firstaidteam Twitter: https://twitter.com/mesage_hub Instagram: https://www.instagram.com/firstaidteam/ YouTube: www.youtube.com/USMLERX Learn more about Rx Bricks by signing up for a free USMLE-Rx account: www.usmle-rx.com You will get 5 days of full access to our Rx360+ program, including over 800 Rx Bricks.  After the 5-day period, you will still be able to access over 150 free bricks, including the entire collections for General Microbiology and Cellular and Molecular Biology.

This week, Rob and Zach will be talking about DiureticsWe will be discussing the following topics within this episode on Diuretics!Defining a DiureticDiuretics Drug Categories:Osmotic DiureticsCarbonic Anhydrase InhibitorsLoop DiureticsThiazide DiureticsPotassium Sparing DiureticsDiuretics MOATherapeutic IndicationsAdverse Drug Reactions (ADR's)To follow along with Notes & Illustrations for our podcasts please become a member on our website! https://www.ninjanerd.org/podcast/diureticsFollow us on:YouTube: https://www.youtube.com/ninjanerdscienceInstagram: https://www.instagram.com/ninjanerdlecturesFacebook: https://www.facebook.com/NinjaNerdLecturesTwitter: https://twitter.com/ninjanerdsciDiscord: https://discord.com/invite/3srTG4dngWTikTok: https://www.tiktok.com/@ninjanerdlecturesHealthy Lifestyle Solutions with Maya AcostaAre you ready to upgrade your health to a new level and do so by learning from experts...Listen on: Apple Podcasts SpotifySupport the show

Show notes at pharmacyjoe.com/episode744. In this episode, I'll discuss whether adding acetazolamide to loop diuretics improves the chance of successful decongestion in ADHF. The post 744: Does Adding Acetazolamide to Loop Diuretics Improve the chance of successful decongestion in ADHF? appeared first on Pharmacy Joe.

Show notes at pharmacyjoe.com/episode744. In this episode, I ll discuss whether adding acetazolamide to loop diuretics improves the chance of successful decongestion in ADHF. The post 744: Does Adding Acetazolamide to Loop Diuretics Improve the chance of successful decongestion in ADHF? appeared first on Pharmacy Joe.