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Send us a textThat years-long struggle to conceive doesn't disappear when the baby arrives—it becomes the root cause of challenging postpartum recovery. Fertility specialist Gabriela Rosa is here to expose the devastating link between unresolved fertility trauma and intense perinatal mental health struggles. . We dive deep into the physiological and emotional barriers, highlighting the profound impact of pre-conception health and the shocking reality that the male factor accounts for up to 50% of fertility issues, yet remains frequently ignored. Learn how to shift focus from treating symptoms like postpartum anxiety to addressing the arduous, traumatizing path to pregnancy for true holistic family healing.Check out the episode on the blog HERE. Key time stamps: 04:15: The unresolved trauma of infertility and how it fuels guilt and resentment in the fourth trimester.09:32: Need for trauma-informed perinatal mental health for previously infertile mothers.10:19: Infertility is never "one thing" but systemic, biochemical obstacles.14:27: The concept of transgenerational fertility and lifetime exposures.16:00: Endocrine disruptors and their impact on reproductive lifespan.19:00: Why miscarriages are common but not normal—a call for root-cause investigation.25:52: The critical need to address male factor infertility 27:10: How Gabriela Rosa achieved a 78.8% live birth rate by treating both partners.30:45: The conflicting interests in the healthcare system that promote IVF overuse over prevention.35:18: The massive cost savings of implementing preventative medicine in the perinatal period.36:44: Inspire Study for reproductive grief and trauma.Connect with Gabriela Gabriela Rosa is a renowned fertility specialist, reproductive health educator, and Harvard University-awarded scholar. She is the founder and CEO of The Rosa Institute, the world's first virtual and holistic fertility clinic, serving patients globally. Gabriela's innovative methodology addresses biochemical obstacles to help couples overcome infertility and recurrent miscarriages. With her team, she has educated over 140,000 couples in more than 110 countries. She also hosts the TalkSex with Gabriela Rosa podcast. For more information, visit www.fertilitybreakthrough.com.Website | IG NEXT STEPS:
The episode begins with highlights from the USDF Book Club panel, where Reese and Megan sat with author, Beth Baumert of When Two Minds Meet: The Mental Dynamics of Dressage. Together, they explore the powerful role of mindset, communication, and partnership in dressage — and what it truly means when horse and rider come together as one. Megan and Reese catch up with USDF President Kevin Reinig, who shares insights from the convention and offers a look ahead at what's coming for USDF in 2026 and beyond, including key initiatives and future direction for the organization. To wrap up the episode, Reese and Megan sit down with Dr. Jane Manfredi for an important conversation inspired by her talk about endocrine disease and the equine athlete at the USDF Convention. Dr. Manfredi breaks down how hormonal health impacts performance, longevity, and overall well-being, offering valuable insights for riders, trainers, and owners alike. This episode brings together education, leadership, and horse health — all from the heart of the USDF Convention.Tune in and enjoy the ride with us!GUESTS AND LINKS DRESSAGE EPISODE 784:Co-Hosts: Reese Koffler-Stanfield and Megan McIssac | Instagram | FacebookGuest: USDF President Kevin Reinig | FacebookGuest: Dr. Jane ManfrediBook Club: Begin and Begin Again by Denny EmersonBonus Book: How Two Minds Meet: The Mental Dynamics of Dressage - Beth BaumertDressage Radio Show: Website | FacebookPlease visit our sponsors, who make all this possible: Kentucky Performance Products, Chewy!Advertise on Horse Radio Network Podcasts!
Episode 210: Heat Stroke BasicsWritten by Jacob Dunn, MS4, American University of the Caribbean. Edits and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice. Definition:Heat stroke represents the most severe form of heat-related illness, characterized by a core body temperature exceeding 40°C (104°F) accompanied by central nervous system (CNS) dysfunction. Arreaza: Key element is the body temperature and altered mental status. Jacob: This life-threatening condition arises from the body's failure to dissipate heat effectively, often in the context of excessive environmental heat load or strenuous physical activity. Arreaza: You mentioned, it is a spectrum. What is the difference between heat exhaustion and heat stroke? Jacob: Unlike milder heat illnesses such as heat exhaustion, heat stroke involves multisystem organ dysfunction driven by direct thermal injury, systemic inflammation, and cytokine release. You can think of it as the body's thermostat breaking under extreme stress — leading to rapid, cascading failures if not addressed immediately. Arreaza: Tell us what you found out about the pathophysiology of heat stroke?Jacob: Pathophysiology: Under normal conditions, the body keeps its core temperature tightly controlled through sweating, vasodilation of skin blood vessels, and behavioral responses like seeking shade or drinking water. But in extreme heat or prolonged exertion, those mechanisms get overwhelmed.Once core temperature rises above about 40°C (104°F), the hypothalamus—the brain's thermostat—can't keep up. The body shifts from controlled thermoregulation to uncontrolled, passive heating. Heat stroke isn't just someone getting too hot—it's a full-blown failure of the body's heat-regulating system. Arreaza: So, it's interesting. the cell functions get affected at this point, several dangerous processes start happening at the same time.Jacob: Yes: Cellular Heat InjuryHigh temperatures disrupt proteins, enzymes, and cell membranes. Mitochondria start to fail, ATP production drops, and cells become leaky. This leads to direct tissue injury in vital organs like the brain, liver, kidneys, and heart.Arreaza: Yikes. Cytokines play a big role in the pathophysiology of heat stroke too. Jacob: Systemic Inflammatory ResponseHeat damages the gut barrier, allowing endotoxins to enter the bloodstream. This triggers a massive cytokine release—similar to sepsis. The result is widespread inflammation, endothelial injury, and microvascular collapse.Arreaza: What other systems are affected?Coagulation AbnormalitiesEndothelial damage activates the clotting cascade. Patients may develop a DIC-like picture: microthrombi forming in some areas while clotting factors get consumed in others. This contributes to organ dysfunction and bleeding.Circulatory CollapseAs the body shunts blood to the skin for cooling, perfusion to vital organs drops. Combine that with dehydration from sweating and fluid loss, and you get hypotension, decreased cardiac output, and worsening ischemia.Arreaza: And one of the key features is neurologic dysfunction.Jacob: Neurologic DysfunctionThe brain is extremely sensitive to heat. Encephalopathy, confusion, seizures, and coma occur because neurons malfunction at high temperatures. This is why altered mental status is the hallmark of true heat stroke.Arreaza: Cell injury, inflammation, coagulopathy, circulatory collapse and neurologic dysfunction. Jacob: Ultimately, heat stroke is a multisystem catastrophic event—a combination of thermal injury, inflammatory storm, coagulopathy, and circulatory collapse. Without rapid cooling and aggressive supportive care, these processes spiral into irreversible organ failure.Background and Types:Arreaza: Heat stroke is part of a spectrum of heat-related disorders—it is a true medical emergency. Mortality rate reaches 30%, even with optimal treatment. This mortality correlates directly with the duration of core hyperthermia. I'm reminded of the first time I heard about heat stroke in a baby who was left inside a car in the summer 2005. Jacob: There are two primary types: -nonexertional (classic) heat stroke, which develops insidiously over days and predominantly affects vulnerable populations like children, the elderly, and those with chronic illnesses during heat waves; -exertional heat stroke, which strikes rapidly in young, otherwise healthy individuals, often during intense exercise in hot, humid conditions. Arreaza: In our community, farm workers are especially at risk of heat stroke, but any person living in the Central Valley is basically at risk.Jacob: Risk factors amplify vulnerability across both types, including dehydration, cardiovascular disease, medications that impair sweating (e.g., anticholinergics), and acclimatization deficits. Notably, anhidrosis (lack of sweating) is common but not required for diagnosis. Hot, dry skin can signal the shift from heat exhaustion to stroke. Arreaza: What other conditions look like heat stroke?Differential Diagnosis:Jacob: Presenting with altered mental status and hyperthermia, heat stroke demands a broad differential to avoid missing mimics. -Environmental: heat exhaustion, syncope, or cramps. -Infectious etiologies like sepsis or meningitis must be ruled out. -Endocrine emergencies such as thyroid storm, pheochromocytoma, or diabetic ketoacidosis (DKA) can overlap. -Neurologic insults include cerebrovascular accident (CVA), hypothalamic lesions (bleeding or infarct), or status epilepticus. -Toxicologic culprits are plentiful—sympathomimetic or anticholinergic toxidromes, salicylate poisoning, serotonin syndrome, malignant hyperthermia, neuroleptic malignant syndrome (NMS), or even alcohol/benzodiazepine withdrawal. When it comes to differentials, it is always best to cast a wide net and think about what we could be missing if this is not heat stroke. Arreaza: Let's say we have a patient with hyperthermia and we have to assess him in the ER. What should we do to diagnose it?Jacob: Workup:Diagnosis is primarily clinical, hinging on documented hyperthermia (>40°C) plus CNS changes (e.g., confusion, delirium, seizures, coma) in a hot environment. Arreaza: No single lab confirms it, but targeted testing allows us to detect complications and rule out alternative diagnosis. Jacob: -Start with ECG to assess for dysrhythmias or ischemic changes (sinus tachycardia is classic; ST depressions or T-wave inversions may hint at myocardial strain). -Labs include complete blood count (CBC), comprehensive metabolic panel (electrolytes, renal function, liver enzymes), glucose, arterial blood gas, lactate (elevated in shock), coagulation studies (for disseminated intravascular coagulation, or DIC), creatine kinase (CK) and myoglobin (for rhabdomyolysis), and urinalysis. Toxicology screen if history suggests. Arreaza: I can imagine doing all this while trying to cool down the patient. What about imaging?-Imaging: chest X-ray for pulmonary issues, non-contrast head CT if neurologic concerns suggest edema or bleed (consider lumbar puncture if infection suspected). It is important to note that continuous core temperature monitoring—via rectal, esophageal, or bladder probe—is essential, not just peripheral skin checks. Arreaza: TreatmentManagement:Time is tissue here—initiate cooling en route, if possible, as delays skyrocket morbidity. ABCs first: secure airway (intubate if needed, favoring rocuronium over succinylcholine to avoid hyperkalemia risk), support breathing, and stabilize circulation. -Remove the patient from the heat source, strip clothing, and launch aggressive cooling to target 38-39°C (102-102°F) before halting to prevent rebound hypothermia. -For exertional cases, ice-water immersion reigns supreme—it's the fastest method, with immersion in cold water resulting in near-100% survival if started within 30 minutes. -Nonexertional benefits from evaporative cooling: mist with tepid water (15-25°C) plus fans for convective airflow. -Adjuncts include ice packs to neck, axillae, and groin; -room-temperature IV fluids (avoid cold initially to prevent shivering); -refractory cases, invasive options like peritoneal lavage, endovascular cooling catheters, or even ECMO. -Fluid resuscitation with lactated Ringer's or normal saline (250-500 mL boluses) protects kidneys and counters rhabdomyolysis—aim for urine output of 2-3 mL/kg/hour. Arreaza: What about medications?Jacob: Benzodiazepines (e.g., lorazepam) control agitation, seizures, or shivering; propofol or fentanyl if intubated. Avoid antipyretics like acetaminophen. For intubation, etomidate or ketamine as induction agents. Hypotension often resolves with cooling and fluids; if not, use dopamine or dobutamine over norepinephrine to avoid vasoconstriction. Jacob: What IV fluid is recommended/best for patients with heat stroke?Both lactated Ringer's solution and normal saline are recommended as initial IV fluids for rehydration, but balanced crystalloids such as LR are increasingly favored due to their lower risk of hyperchloremic metabolic acidosis and AKI. However, direct evidence comparing the two specifically in the setting of heat stroke is limited. Arreaza: Are cold IV fluids better/preferred over room temperature fluids?Cold IV fluids are recommended as an adjunctive therapy to help lower core temperature in heat stroke, but they should not delay or replace primary cooling methods such as cold-water immersion. Cold IV fluids can decrease core temperature more rapidly than room temperature fluids. For example, 30mL/kg bolus of chilled isotonic fluids at 4 degrees Celsius over 30 minutes can decrease core temperature by about 1 degree Celsius, compared to 0.5 degree Celsius with room temperature fluids. Arreaza: Getting cold IV sounds uncomfortable but necessary for those patients. Our favorite topic.Screening and Prevention:-Heat stroke prevention focuses on public health and individual awareness rather than routine testing. -High-risk groups—elderly, children, athletes, laborers, or those on impairing meds—should acclimatize gradually (7-14 days), hydrate preemptively (electrolyte solutions over plain water), and monitor temperature in exertional settings. -Communities during heat waves need cooling centers and alerts. -For clinicians, educate patients with CVD or obesity about early signs like dizziness or nausea. -No formal "screening" exists, but vigilance in EDs during summer surges saves lives. -Arreaza: I think awareness is a key element in prevention, so education of the public through traditional media like TV, and even social media can contribute to the prevention of this catastrophic condition.Jacob: Ya so heat stroke is something that should be on every physician's radar in the central valley especially in the summer time given the hot temperatures. Rapid recognition is key. Arreaza: Thanks, Jacob for this topic, and until next time, this is Dr. Arreaza, signing off.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:Gaudio FG, Grissom CK. Cooling Methods in Heat Stroke. J Emerg Med. 2016 Apr;50(4):607-16. doi: 10.1016/j.jemermed.2015.09.014. Epub 2015 Oct 31. PMID: 26525947. https://pubmed.ncbi.nlm.nih.gov/26525947/.Platt, M. A., & LoVecchio, F. (n.d.). Nonexertional classic heat stroke in adults. In UpToDate. Retrieved September 7, 2025, from https://www.uptodate.com/contents/nonexertional-classic-heat-stroke-in-adults. (Key addition: Emphasizes insidious onset in at-risk populations and the role of urban heat islands in exacerbating classic cases.) Heat Stroke. WikEM. Retrieved December 3, 2025, from https://wikem.org/wiki/Heat_stroke. (Key additions: Details on cooling rates for immersion therapy, confirmation that anhidrosis is not diagnostic, and fluid titration to urine output for rhabdomyolysis prevention.)Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.
The episode begins with highlights from the USDF Book Club panel, where Reese and Megan sat with author, Beth Baumert of When Two Minds Meet: The Mental Dynamics of Dressage. Together, they explore the powerful role of mindset, communication, and partnership in dressage — and what it truly means when horse and rider come together as one. Megan and Reese catch up with USDF President Kevin Reinig, who shares insights from the convention and offers a look ahead at what's coming for USDF in 2026 and beyond, including key initiatives and future direction for the organization. To wrap up the episode, Reese and Megan sit down with Dr. Jane Manfredi for an important conversation inspired by her talk about endocrine disease and the equine athlete at the USDF Convention. Dr. Manfredi breaks down how hormonal health impacts performance, longevity, and overall well-being, offering valuable insights for riders, trainers, and owners alike. This episode brings together education, leadership, and horse health — all from the heart of the USDF Convention.Tune in and enjoy the ride with us!GUESTS AND LINKS DRESSAGE EPISODE 784:Co-Hosts: Reese Koffler-Stanfield and Megan McIssac | Instagram | FacebookGuest: USDF President Kevin Reinig | FacebookGuest: Dr. Jane ManfrediBook Club: Begin and Begin Again by Denny EmersonBonus Book: How Two Minds Meet: The Mental Dynamics of Dressage - Beth BaumertDressage Radio Show: Website | FacebookPlease visit our sponsors, who make all this possible: Kentucky Performance Products, Chewy!Advertise on Horse Radio Network Podcasts!
The episode begins with highlights from the USDF Book Club panel, where Reese and Megan sat with author, Beth Baumert of When Two Minds Meet: The Mental Dynamics of Dressage. Together, they explore the powerful role of mindset, communication, and partnership in dressage — and what it truly means when horse and rider come together as one. Megan and Reese catch up with USDF President Kevin Reinig, who shares insights from the convention and offers a look ahead at what's coming for USDF in 2026 and beyond, including key initiatives and future direction for the organization. To wrap up the episode, Reese and Megan sit down with Dr. Jane Manfredi for an important conversation inspired by her talk about endocrine disease and the equine athlete at the USDF Convention. Dr. Manfredi breaks down how hormonal health impacts performance, longevity, and overall well-being, offering valuable insights for riders, trainers, and owners alike. This episode brings together education, leadership, and horse health — all from the heart of the USDF Convention.Tune in and enjoy the ride with us!GUESTS AND LINKS DRESSAGE EPISODE 784:Co-Hosts: Reese Koffler-Stanfield and Megan McIssac | Instagram | FacebookGuest: USDF President Kevin Reinig | FacebookGuest: Dr. Jane ManfrediBook Club: Begin and Begin Again by Denny EmersonBonus Book: How Two Minds Meet: The Mental Dynamics of Dressage - Beth BaumertDressage Radio Show: Website | FacebookPlease visit our sponsors, who make all this possible: Kentucky Performance Products, Chewy!Advertise on Horse Radio Network Podcasts!
Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net.Today on the emDOCs cast with Brit Long (@long_brit), we cover metformin toxicity.To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play
On this episode of Vitality Radio, Jared takes on a fear-based narrative that has been circulating widely in the natural health space—claims that supplements are “toxic,” “fake,” or made from alarming industrial sources. Using vitamin D3 and vitamin K2 as the focal point, Jared breaks down where tiny fragments of truth have been exaggerated into misleading conclusions, and why that kind of half-truth can be more dangerous than an outright lie. If you've ever felt confused or alarmed by supplement claims on social media, this episode will help you develop a more grounded, critical framework—one rooted in physiology, context, and practical application rather than ideology or outrage.Products:Vital D3/K2 High PotencyVital D3/K2Buy D-Mannose Powder and get CranActin FREE ($20 value) - Vitality Radio POW! Product of the Week with PROMO CODE: POW21Visit the podcast website here: VitalityRadio.comYou can follow @vitalitynutritionbountiful and @vitalityradio on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.
Here is a quick clip from this week's podcast. You can listen to the full episode from the show before this one. The clip is also in video format on my YouTube channel.. AND.. If you want other helpful podcast links based around this topic or my top takeaways from the episode this week, subscribe to my Top 3 Thursday Takeaway Newsletter.
In the last five years, the field of artificial intelligence and robotics has taken off and has become a part of our everyday life, and it continues to grow and evolve. How are AI and robotics shaping the field of medicine? How is it improving the lives of doctors and patients? We used to ask, “What is the role of AI in medicine?” Are we getting closer to a time where we’ll be asking what the role is of humans? To help us answer these questions, host Aaron Lohr talks with Hassan M. Heshmati, MD. Dr. Heshmati has been a physician for 49 years and an endocrinologist for 45 years, with experience in clinical research and academia and in the pharmaceutical biotech industry. He founded Endocrinology Metabolism Consulting, based in Anthem, Ariz., and presented an abstract at ENDO 2025 titled, “Update on the Use of Robotic Surgery and Artificial Intelligence for Adrenal Tumors.” Show notes are available at https://www.endocrine.org/podcast/enp108 — for helpful links or to hear more podcast episodes, visit https://www.endocrine.org/podcast
EP. 240: I'm talking about something that's all around us but often goes unnoticed, air pollution, and the ways it can quietly affect our hormones, reproductive health, and overall well-being. I break down what the research actually shows, how everyday exposures, from traffic, indoor toxins, and even common household products, can impact your body, and what you can do to start reducing your toxic load. → Grab a Jaspr Air Scrubber before their best deal of the year ends. Get an extra $100 OFF on top of their holiday sale when you use code DRTYNA at checkout: https://jaspr.co/DRTYNA Topics Discussed: → How does air pollution affect your hormones? → Can PM 2.5 cause early menopause? → Does toxic air impact fertility in men and women? → What are the hidden dangers of indoor VOCs? → How can you reduce your exposure to air toxins? Sponsored By: → Paleo Valley | Head to https://paleovalley.com/drtyna to save 15% on your order today! → Manukora | Head to https://manukora.com/DRTYNA to save up to 31% plus $25 worth of free gifts with the Starter Kit, which comes with an MGO 850+ Manuka Honey jar, 5 honey travel sticks, a wooden spoon, and a guidebook! → Qualia | Boost your energy, recovery, and resilience at the cellular level with Qualia NAD+. Go to https://qualialife.com/drtyna for up to 50% off at and use code DRTYNA for an extra 15% off. → Puori | Go to https://puori.com/DRTYNA and use the code DRTYNA to save 32% on your first subscription OR get 20% off sitewide. The code works on their already discounted subscriptions giving you almost a third off the regular price. → VivaRays | Go to https://VivaRays.com and use code DRTYNA for a special discount. → Vandy | Ready to give Vandy a try? Go to https://vandycrisps.com/TYNA and use code TYNA for 25% off your first order. On This Episode We Cover: → 00:00:00 - Introduction → 00:03:09 - Updated DUTCH test results → 00:08:08 - Benefits of air filtration → 00:09:42 - Different filtration systems → 00:14:06 - Managing pet allergies → 00:17:55 - How filtration impacts pet health → 00:19:31 - Air pollution and midlife women → 00:23:13 - Traffic pollution and reproductive health → 00:25:07 - Air pollution and early menopause → 00:30:37 - Endocrine disrupting chemicals → 00:36:47 - Air pollution and osteoporosis risk → 00:39:37 - Infertility and environmental toxins → 00:45:13 - Overview of hormonal disruption → 00:48:01 - Air pollution and thyroid function → 00:48:51 - Impacts on men's hormonal health → 00:51:20 - Nutrition and lifestyle strategies for detox Show Links: → Jaspr Air Scrubber | https://jaspr.co/DRTYNA → Dr Tyna's Holiday Gift Guide → Amazon Store → AquaTru | Go to https://aquatruwater.com/?oid2=50&affid2=2320&c=docereconsultinggroup now to save. Further Listening → EP. 238: You Need to Become an Air Snob Because Mold Happens | CEO Mike Feldstein of Jaspr → EP. 175: Air Quality, Mold and Autoimmune Issues The Hidden Links | with CEO Mike Feldstein of Jaspr → EP. 181: My Holiday Gift Guide | Solo Disclaimer: Information provided in this 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, or any information contained on or in any product. 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 taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem. Information provided in this blog/podcast and the use of any products or services related to this podcast by you does not create a doctor-patient relationship between you and Dr. Tyna Moore. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease.
Submit your question and we'll answer it in a future episode!Join our Patreon Community!https://www.patreon.com/badassbreastfeedingpodcastThis week's episode is also brought to you by Nursing Queen; stylish nursing clothes that will make your life easier and that you'll want to wear long after your nursing days are over. Use promo code BADASS for 10% off your purchase at www.nursingqueen.com.How can you be sure to establish a good milk supply after your baby is born?Listen in today as Dianne and Abby discuss establishing a good milk supply, thingsto watch for that may interfere with establishing a good supply and some thingsyou can do to help.If you are a new listener, we would love to hear from you. Please consider leavingus a review on iTunes or sending us an email with your suggestions and commentsto badassbreastfeedingpodcast@gmail.com. You can also add your email to ourlist and have episodes sent right to your inbox!Things we talked about:In pregnancy [7:01]24-72 hours after delivery [10:20]The more you feed, the more milk you will make [12:18]Prolactin and oxytocin [13:40]Endocrine control and autocrine control [16:57]8-12 feeds in 24 hours is a baseline [20:00]Taking care of you [25:52]Things that can interfere with establishing a supply [26:38]Things you can do [30:40]Links to information we discussed or episodes you should check out!https://badassbreastfeedingpodcast.com/episode/survival-guide-for-the-4th-trimester/https://badassbreastfeedingpodcast.com/episode/delayed-onset-low-milk-supply/Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/Check out Dianne's blog here:https://diannecassidyconsulting.com/milklytheblog/Follow our Podcast:https://badassbreastfeedingpodcast.comHere is how you can connect with Dianne and Abby:AbbyTheuring ,https://www.thebadassbreastfeeder.comDianne Cassidy @diannecassidyibclc, http://www.diannecassidyconsulting.comMusic we use:Music: Levels of Greatness from We Used to Paint Stars in the Sky (2012)courtesy of Scott Holmes at freemusicarchive.org/music/Scott_Holmes
Featuring an interview with Dr Priyanka Sharma, including the following topics: Endocrine therapy for hormone receptor-positive, HER2-negative high-risk localized breast cancer (0:00) Johnston SR et al. monarchE: Primary overall survival (OS) results of adjuvant abemaciclib + endocrine therapy (ET) for HR+, HER2-, high-risk early breast cancer (EBC). ESMO 2025;Abstract LBA13. Durvalumab in combination with neoadjuvant chemotherapy for localized triple-negative breast cancer (TNBC) (3:25) Loibl S et al. Durvalumab in combination with neoadjuvant chemotherapy in early triple-negative breast cancer (TNBC) – Long-term analysis from the GeparNuevo trial. ESMO 2025;Abstract 292MO. Efficacy and safety findings with TROP2-directed antibody-drug conjugates for metastatic TNBC (5:11) Cortés JC et al. Primary results from ASCENT-03: A randomized phase III study of sacituzumab govitecan (SG) vs chemotherapy (chemo) in patients (pts) with previously untreated advanced triple-negative breast cancer (TNBC) who are unable to receive PD-(L)1 inhibitors (PD-[L]1i). ESMO 2025;Abstract LBA20. de Azambuja E et al. Patient-reported outcomes (PROs) with sacituzumab govitecan (SG) + pembrolizumab (pembro) vs chemotherapy (chemo) + pembro in patients (pts) with previously untreated PD-L1+ metastatic triple-negative breast cancer (mTNBC) in the phase III ASCENT-04/KEYNOTE-D19 study. ESMO 2025;Abstract LBA22. Dent R et al. First-line (1L) datopotamab deruxtecan (Dato-DXd) vs chemotherapy in patients with locally recurrent inoperable or metastatic triple-negative breast cancer (mTNBC) for whom immunotherapy was not an option: Primary results from the randomised, phase III TROPION-Breast02 trial. ESMO 2025;Abstract LBA21. CME information and select publications
🧭 REBEL Rundown 📝 Introduction Welcome to the Rebel Core Content Blog, where we delve into crucial knowledge for emergency medicine. Today, we share insightful tips from PEM specialist Dr. Elise Perelman, shedding light on respiratory challenges in infants, toddlers, and young children during the viral season. Understanding that most cases involve typical viruses, we aim to equip you with diagnostic pearls to identify more serious pathologies. Click here for Direct Download of the Podcast. 🔍 Recognizing Respiratory Patterns Pearl #1: Look at Your PatientBegin exams from the doorway. Observing patterns such as accessory muscle usage can reveal a patient’s respiratory effort. Specify whether the work of breathing occurs during inspiration, expiration, or both. Inspiratory work indicates difficulty getting air in, while expiratory work suggests trouble pushing air out. Silent tachypnea may point to other issues, like acidemia or pneumothorax. 🩺 Localizing Sounds for Accurate Diagnosis Pearl #2: Localize the SoundBreathing noises signal varied respiratory issues. Stridor, often heard on inspiration, results from obstructions above the thoracic inlet. Conversely, wheezing, generally linked to exhalation, indicates obstructions in the lower airways. Watch for signs like ‘silent chest’—a dangerous, severe obstruction, and distinguish grunting as a bodily mechanism to prevent alveolar collapse. Correctly identifying the sound assists in determining the appropriate intervention. 💉 Tailoring Treatment for Effective Results Once a sound is localized, treatments vary. We explore Soder from nasal congestion, typically needing supportive care and suctioning. Stridor from conditions like croup is eased with interventions to reduce airway swelling, such as steroids or inhaled epinephrine. Conversely, wheezing in infants is often due to bronchiolitis—not bronchospasms—and over-treatment is to be avoided. Supportive measures including suction, hydration, and oxygen are preferred unless improvement warrants bronchodilators. 🌬️ Intervening with Severe Asthma In severe cases of asthma or bronchiolitis, where standard at-home treatments fail, immediate adjunct therapies like intramuscular epinephrine become essential. Administering this quickly can alleviate obstruction when inhalants aren’t effective due to low air movement. 🦓 Navigating the Zebras of Respiratory Cases When recognizing Zebras—uncommon cases overshadowed by routine diagnoses—remain vigilant for histories or presentations that don’t conform. Conditions like pneumonia, bacterial tracheitis, and even myocarditis may mimic more common issues. 📌 Conclusion As attending physicians, our role extends beyond conventional treatment—it’s about discerning the atypical from the typical. Dr. Perelman urges continual reassessment, emphasizing reliance on observational skills as much as technological aid. Keeping keen on respiratory nuances ensures we catch those outlier cases, paving the way for adept medical care despite the overwhelming prevalence of viral infections.Stay tuned for more pearls and insights in our future posts, as Dr. Perelman shares further strategies for effective pediatric emergency care. For more resources, continue exploring our faculty’s valuable contributions on our site. Until then, stay safe and perceptive in your practice. Post Peer Reviewed By: Mark Ramzy, DO (X: @MRamzyDO), and Marco Propersi, DO (X: @Marco_Propersi) 👤 Guest Elise Perlman MD Pediatric Emergency Medicine Assistant Professor, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Meet The Team 🔎 Your Deep-Dive Starts Here REBEL Core Cast – Pediatric Respiratory Emergencies: Beyond Viral Season Welcome to the Rebel Core Content Blog, where we delve ... Pediatrics Read More REBEL CAST – IncrEMentuM26 Speaker Spotlight : Drs. Tarlan Hedayati, Jess Mason and Simon Carley Host Dr. Mark Ramzy shines a spotlight on three distinguished ... Resuscitation Read More REBEL Core Cast 145.0: Understanding QTc Prolongation: Causes, Risks, and Management The QT interval is a vital part of ECG interpretation, ... Procedures and Skills Read More REBEL Core Cast 144.0: Tourniquet Tips In this episode of the Rebel Core Content podcast, Swami ... Procedures and Skills Read More REBEL CAST – IncrEMentuM26 Speaker Spotlight : George Willis and Mark Ramzy 🧭 REBEL Rundown 📝Introduction In this exciting episode of REBEL ... Endocrine, Metabolic, Fluid, and Electrolytes Read More REBEL Core Cast – DKA: Beyond the Basics Part 2 – SCOPE DKA-Trial Managing diabetic ketoacidosis (DKA) requires careful consideration of fluid therapy, ... Endocrine, Metabolic, Fluid, and Electrolytes Read More The post REBEL Core Cast – Pediatric Respiratory Emergencies: Beyond Viral Season appeared first on REBEL EM - Emergency Medicine Blog.
Technically known as glucagon-like peptide-1 receptor agonists, or GLP-1, these drugs have been around for years for treating diabetes. Now it seems most people think of GLP-1 drugs as medications to lose weight, and these medications are so popular that for a time, supply could not meet demand, leaving many to seek compounded GLP-1 medications, which were more accessible and affordable. However, compounded medications are not FDA-approved, and there are questions regarding their safety and efficacy. What do doctors and patients need to know when considering using compounded obesity medications? To help answer this, host Aaron Lohr talks with Michael Weintraub, MD, an endocrinologist at NYU Langone Division of Endocrinology. Dr. Weintraub serves on the exam writing committee for the American Board of Obesity Medicine. Support for this episode was provided by Lilly. Show notes are available at https://www.endocrine.org/podcast/enp107 — for helpful links or to hear more podcast episodes, visit https://www.endocrine.org/podcast
In today's episode,filmed live at the 43rd Annual CFS Chemotherapy Foundation Symposium, lung cancer expert Benjamin P. Levy, MD, hosted a cross-specialty discussion with breast cancer experts Kamel Abou Hussein, MD, and Victoria Rizk, MD, about the rapidly evolving therapeutic landscape in breast cancer. Dr Levy is the clinical director of medical oncology at the Johns Hopkins Sidney Kimmel Cancer Center at Sibley Memorial Hospital and an associate professor of oncology at the Johns Hopkins University School of Medicine in Washington, DC. Dr Abou Hussein is co-director of the Janet Knowles Breast Cancer, director of Breast Medical Oncology, and director of Breast Cancer Clinical Trials at Cooper University Health Care; as well as an assistant professor of medicine at Cooper Medical School of Rowan University in Camden, New Jersey. Dr Rizk is a medical oncologist at Tampa General Hospital Cancer Institute in Florida.
On this episode of Vitality Radio, Jared continues his deep dive into one of the most overlooked health threats of our time: endocrine-disrupting chemicals. If you haven't listened to Part 1 yet, hit pause and go back — the two episodes build on each other, and the full picture will make far more sense when heard in order.Here, we shift from identifying the problem to showing you how to clear it from your system naturally. This episode breaks down the detoxification phase of the long-awaited Endocrine Detox Protocol — built around four targeted formulas designed to support receptor clearance, liver pathways, gut integrity, and calcium balance to support healthy hormone signaling.If you've been struggling with stubborn symptoms, slow progress, or hormone fluctuations despite “doing everything right,” this episode will help you understand what's been missing — and how to finally address the upstream causes that matter.Products:LiverVitalityEndoCleanseBack On TractVital D3/K2 High PotencyVital D3/K2Magnesium BisglycinateAdditional Information:#588: The Hidden Epidemic Part 1: How Endocrine Disruptors Are Hijacking Your Health#507: Comprehensive Digestive Support to Get Your Gut ‘Back On Tract'!#565: D3, K2, Boron, and Silica: The Ultimate Synergy for Bones, Hormones, Arteries, and More!#258: Your Magnesium User's GuideVisit the podcast website here: VitalityRadio.comYou can follow @vitalitynutritionbountiful and @vitalityradio on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.
🧭 REBEL Rundown 📝Introduction Welcome to this special edition of the REBEL Cast, where we unravel key highlights and educational insights from the IncrEMentuM Conference in Spain. This event is a cornerstone for advancing emergency medicine education, drawing esteemed speakers and participants from around the globe. As emergency medicine gains traction in Spain, this conference has become an essential platform for knowledge exchange and professional growth. Today, host Dr. Mark Ramzy shines a spotlight on three distinguished speakers: Dr. Jess Mason, Dr. Tarlan Hedayati, and Dr. Simon Carley, who shared their expertise and experiences at this transformative gathering last spring. Click here for Direct Download of the Podcast. 🤔What's IncrEMentuM? A new conference and a pivotal gathering for emergency medicine professionals worldwide, has become an essential platform for education, collaboration, and advocacy, especially in light of emergency medicine’s recent recognition as a specialty in Spain. The conference is praised for its outstanding production quality, engaging speakers, and its capacity to foster a global community of emergency care professionals. 🦪Pearls from Their IncrEMentuM 2025 Lectures Think about alternative diagnoses that could be driving the patient’s atrial fibrillationMaybe the atrial fibrillation is an adaptive response and slowing them down (whether chemically or electrically) may cause more harm than goodGet in the mental space before having to perform a High Acuity Low Occurrence (HALO) procedure and walk through each of the parts step by stepEMRAP has uploaded the video of the Resuscitative Hysterotomy here (Subscription required to watch)Like many things in critical care, a patient with a severe head injury requires you to do many little things very well (ie. reducing ICP increases by taking off the C-collar if able, positioning the patient appropriately, knowing when to use certain medications) See you in Spain! The upcoming conference aims to gather world-class educators once more and promises an enriching experience for all attendees. Drs. Tarlan Hedayati, Jess Mason and Simon Carley, along with many others, will be there at the event. For more information on the IncrEMentuM Conference and to register, visit their website! See you there! Tarlan Hedayati, MD Vice Chair of Education and Associate Program Director Cook County, Chicago, IL Jess Mason, MD Associate Professor of Emergency Medicine Vanderbilt University, Nashville, TN Simon Carley, MD, PhD Professor of Emergency and Dean of the Royal College of Emergency Medicine Manchester, England 🔎 Your Deep-Dive Starts Here REBEL CAST – IncrEMentuM26 Speaker Spotlight : Drs. Tarlan Hedayati, Jess Mason and Simon Carley Host Dr. Mark Ramzy shines a spotlight on three distinguished ... Resuscitation Read More REBEL CAST – IncrEMentuM26 Speaker Spotlight : George Willis and Mark Ramzy 🧭 REBEL Rundown 📝Introduction In this exciting episode of REBEL ... Endocrine, Metabolic, Fluid, and Electrolytes Read More Incrementum Conference 2026: Revolutionizing Emergency Medicine in Spain In this special episode of Rebel Cast, we spotlight the ... Read More REBEL Core Cast 110.0 – On Shift Learning Pearls Take Home Points: Patients with recent onset atrial fibrillation can ... Read More The post REBEL CAST – IncrEMentuM26 Speaker Spotlight : Drs. Tarlan Hedayati, Jess Mason and Simon Carley appeared first on REBEL EM - Emergency Medicine Blog.
Why is it that women experience stress more intensely than men? Drs. Daina Parent and Annette Schippel discuss the connection between women's hormones and the effects of stress on the female body. Dr. Schippel shares her personal and professional experience navigating the stages of a woman's reproductive journey and how endocrine health plays a significant role in hormone balance. Drs. Parent and Schipple emphasize the importance of working with qualified healthcare providers trained in herbal medicine in order to find the right herbs for each person and symptom picture. Dr. Schippel offers invaluable clinical tools and takeaways to create a strong foundation for any woman to navigate stress management and optimal wellness with nutrition, herbs, lifestyle and more. Dr. Annette Schippel is a chiropractor and a graduate of Logan College of Chiropractic, she brings over 25 years of experience to her work. She owns two thriving family practices that focus on pediatrics, women's health, and clinical nutrition, and she regularly sees patients from across the United States and around the world. Known for her expertise in functional medicine and endocrinology, Dr. Schippel has become a respected educator, author, and speaker. She has written and co-authored numerous clinician manuals and lectures domestically and internationally on topics in nutrition and functional endocrinology. She has had the privilege of visiting Medi-Herb in Australia for 3 years to receive advanced training in phytotherapy. She also had the honor to speak on alternative approaches to Metabolic Syndrome at the 2014 International Health Management Forum in Bejing China. Show Summary 2:24 Female hormones and stress sensitivity 4:00 The HPA Axis and the stress response 5:35 The thyroid adrenal connection 7:57 Cortisol, DHEA and the adrenal cortex 9:15 Prolactin, dopamine and high prevalence of autoimmunity in women 11:30 Key differences in male and female hormones: estradiol, testosterone, and DHEA 15:27 Peri- and menopausal hormone shifts 16:33 Adrenal burnout and perimenopause: the resiliency of the stress response affects hormone balance 21:13 Clinical strategies for adrenal support to mitigate perimenopausal symptoms – diet, exercise, sleep, digestion, and mental health 25:42 Herbs for adrenal support and endocrine balance – rehmania, ashwagandha, chaste tree, schizandra and more 29:33 How herbs modulate and synergize with hormones 30:02 Social media trends – perspectives on ashwagandha 33:06 Why guidance from a healthcare provider with herbal knowledge matters – finding the right herbs for each person 35:35 Choosing the right herb – how patient health history and symptom picture inform herbal selection 44:39 Using blood chemistry to inform patient protocols 45:55 Personalizing herbal protocols for different stages of the lifespan 48:38 Nutrients and herbs for libido and vaginal dryness and how adrenal resilience plays a role in these symptoms 50:32 Circulation, sexual health, and blood-flow support 52:53 Improving vasodilation through nitric oxide; whole foods and herbs that support circulation (beets, mountain spinach, red algae, and more) 54:45 Herbs as modulators – herbs won't increase or decrease hormones too much 55:16 The truth about wild yam creams 58:54 The practitioner-patient journey - navigating better health together 1:01:51 Key clinical takeaway for supporting women's health and stress management – how to build a good foundation and never lose sight of what you're trying to build
Today, we have the first episode in a two-part mashup series focused on metabolism and weight loss resistance. I am delighted to be joined today by Dr. William Li, Michelle Shapiro, and Lara Adler. Dr. Li and I explore how our metabolism shifts throughout our lifetime, the role of excess body fat, the influence of lifestyle choices, and the distinction between different types of fat. Michelle and I discuss the complex relationship between weight, shame, and self-perception, including how internal dialogue, orthorexia, and adverse childhood events shape our health journey. Lara and I examine how metabolic health and insulin resistance are affected by the endocrine-disrupting chemicals found in everyday products, food, and the environment. You will love this invaluable compilation, packed with insights and practical knowledge from our expert guests. IN THIS EPISODE, YOU WILL LEARN: How metabolism changes as we age The difference between brown (biologically active) and white fat Excess body fat drives inflammation and hormonal changes. How our internal dialogue influences our lifestyle choices Impact of adverse childhood experiences on long-term health and stress responses Dietary strategies can fail when driven by fear or perfectionism. Endocrine-disrupting chemicals block or mimic hormones Early-life chemical exposures set the stage for lifelong metabolic challenges Reducing toxic exposure can support weight management and metabolic resilience. How reducing your exposure to endocrine-disrupting chemicals present in everyday products can support your metabolic health and help you manage your weight Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. William Li On social media: @Dr William Li On his website Sign up for Dr. Li's free newsletter Ep. 354 Metabolism Myths Debunked: Weight Gain Insights with Dr. William Li Connect with Michelle Shapiro On her website Quiet the Diet Podcast Ep. 390 Understanding Shame, Food Behaviors & Weight Loss with Michelle Shapiro Connect with Lara Adler On her website On Facebook and Instagram Ep. 159 Lara Adler Explains The Link Between Chemical Exposure And Weight Gain & Other Health Issues
In today's episode, I'm diving into a topic I've been thinking about a lot lately: the deep relationship between our nervous system, endocrine system, and digestive system—and how these three powerful systems work together to shape our mood climate.We often talk about emotions as if they are our mood, but they're not the same. Emotions come and go like shifting weather patterns, while mood is more like the long-term climate of our inner world. In this video, I explore what actually influences our mood, how our physiological systems interact, and why understanding this triad can give us more tools for emotional regulation, mental health, and overall well-being.I also share why the choices we make in the heat of an emotional moment can shape our longer-term mood, and how becoming aware of these patterns can help us cultivate more stability, resilience, and self-understanding.We will focus on three adaptogens which specifically address the mood triangle:- Rhodiola- Tulsi- SchisandraIf you've ever wondered why your mood lingers long after an emotion has passed, or how your body's internal systems contribute to how you feel day after day, this conversation will give you a clearer, more empowered perspective.
Mehlman Qbanks: https://qbanks.mehlmanmedical.com/IG: https://www.instagram.com/mehlman_medical/Telegram: https://mehlmanmedical.com/subscribe/
Send us a textI'm Bridget Walton, a Women's Hormone Coach helping ambitious women ages 25-40 naturally restore hormone balance, fix irregular periods, feel confident in their fertility, and resolve gut health issues without restrictive dieting.If you struggle with missing periods, PCOS symptoms, bloating, or unpredictable cycles, this women's health podcast will teach you how to support your hormones through strategic nutrition and lifestyle changes that actually fit your busy life.On I'm Hormonal, you'll discover natural solutions for period problems, learn how gut health impacts your hormones, and get practical hormone balance tips from a functional nutrition perspective - no more guessing what your body needs.Are you thinking about the deals you're going to find on Black Friday? It's a good chance to save on some items that will support your hormone and digestive health as well. Endocrine disruptors are everywhere, and by making these 5 swaps you will be well on your way to supporting balance in your health--and hopefully will save a few bucks doing so.
Bariatric surgery is a procedure used to manage obesity and obesity-related conditions. While studies have shown that bariatric surgery leads to significant weight loss, are there cases where it may be important to consider reversing the procedure? What would such cases look like? How effectively can bariatric surgery be reversed? To help explore those questions, host Aaron Lohr talks with Katherine Hazen, MD, a second-year endocrine fellow at the University of Rochester Medical Center. She and colleagues presented an abstract at ENDO 2025 titled, “Going Backwards as a Means of Moving Forward: Severe Hypoglycemia After Bariatric Surgery.” Show notes are available at https://www.endocrine.org/podcast/enp106 — for helpful links or to hear more podcast episodes, visit https://www.endocrine.org/podcast
Endocrine Emotions: Releasing Stress and Self-Sabotage Through Emotional Healing Emotional healing is never a one and done. We are emotional creatures, and have hundreds of emotions to be felt in one day. Today we get to highlight the emotions of releasing stress and self- sabotage. Life gets to feel easier, and more in alignment with your passions and desires. Let this episode support you and be a teacher for the tools you can lean into for support. You got this! Share this episode with your BFF who could use this beautiful information. #stress #endocrinesystem #emotions #essentialoils #selfsabotage Also...... Get this Book! Link for Essential Emotions book. You need it. https://aromatools.com/collections/frontpage/products/essential-emotions-14th-edition Pre Order The Essential Life book here https://essentiallife.com/product/essential-life-10th-edition/ Are you ready to release emotions that have been weighing you down? Book a session today! Book with Vicki: https://vickilebrilla.com/coaching Book with Sarah: https://sarahsepos.com/coaching Vicki's Link- http://referral.doterra.me/1214454 Sarah's Link- https://referral.doterra.me/107766 Scoop of the Day Get this Book! Link for Essential Emotions book. You need it. https://aromatools.com/collections/frontpage/products/essential-emotions-14th-edition Roller Bottle Recipe 6 Sunny Citrus 8 Osmanthus 4 Blue Tansy in a 5mL roller bottle top off with Fractionated Coconut oil Welcome into our little essential oil world where we talk about the physical and emotional support of our essential oils. Hi friends, don't forget to leave us a review, your feedback is always welcome, and helps this podcast reach more ears. Join us in our New Facebook Community! Connect on Instagram We upload a brand new episode every Tuesday and Thursday! Want to learn more about us? theessentialoilscoop.com Remember to like, share, and subscribe to our podcast so you will be notified every time we upload a brand new episode. Leave us a review as well, your feedback is always welcome. Also opt-in to our newsletter at https://theessentialoilscoop.com/newsletter If you have any questions or have subject ideas you would like us to cover please email us at theessentialoilscoop@gmail.com Tag us on socials using #theessentialoilscoop #essentialoilpodcast #oilpodcast Disclaimer: Welcome to The Essential Oil Scoop Podcast. We want to remind our listeners that the information provided in this podcast is for educational purposes only and should not be considered as a substitute for professional medical advice, diagnosis, or treatment. The use of essential oils is a personal choice and should be done at your own risk. We are not medical professionals and cannot diagnose, treat, or prescribe any medical condition. Please consult with a qualified healthcare provider before using any essential oils or making changes to your healthcare routine. Any information or opinions expressed in this podcast are those of the hosts and guests and do not necessarily reflect the views of any particular organization. Thank you for listening.
Please visit answersincme.com/XCG860 to participate, download slides and supporting materials, complete the post test, and obtain credit. This educational activity brings together leading experts in ophthalmology and oncology to explore clinical strategies for managing ocular adverse events associated with a novel class of therapies for advanced breast cancer: the oral selective estrogen receptor degraders (SERDs). Faculty will share key insights and practical guidance on identifying and managing common ocular side effects—particularly photopsia and dry eye—with the goal of enhancing patient care and improving quality of life for individuals navigating survivorship with advanced breast cancer. Upon completion of this activity, participants should be better able to: Recognize the implications of using oral SERDs in HR-positive, HER2-negative breast cancer for ophthalmic practice; Describe the ocular toxicities associated with oral SERDs used in breast cancer treatment; and Apply multidisciplinary strategies to facilitate the detection and management of ocular toxicities in patients receiving oral SERDs.
I found Dr. Trasande quoted in a Washington Post article The health risks from plastics almost nobody knows about: Phthalates, chemicals found in plastics, are linked to an array of problems, especially in pregnancy. He said, "Endocrine-disrupting chemicals are one of the biggest global health threats of our time ... And 2 percent of us know about it---but 99 percent of us are affected by it.”The article said that he said that "at the population level, scientists can see telltale signs that those chemicals are undermining human health, adding to growing male infertility or growing cases of ADHD." This outcome suggests a violation of this nation being founded on protecting life, liberty, and property, and the consent of the governed. I also found from this video, Food Contaminants and Additives, that he reported his results thoroughly, taking care not to venture outside his research.I had to talk to him.We talked about his research, what brought him to a new field, now burgeoning, of learning about chemicals that disrupt our endocrine systems---that is, they mess with our hormones. You'll hear that he didn't intend to go into it. It was (tragically) growing in importance since our hormone systems are becoming increasingly disrupted, as are those of many species.I should be more accurate. They aren't passively being disrupted. Consumers are paying companies to produce chemicals that do it.It sounds slimy and scary. I'd rather it didn't happen, but since it does, I'd rather know than not know. I think you would too.Dr. Trasande's NYU faculty page Hosted on Acast. See acast.com/privacy for more information.
In this episode, we review the high-yield topic of Carcinoid Syndrome from the Endocrine section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
In this episode, we review the high-yield topic of Adrenal Cortex and Medulla from the Endocrine section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
Angela and Sara Gottfried look at the intricate relationship between trauma, stress responses, and autoimmunity. They discuss how traditional stress responses, such as fight or flight, differ between genders, highlighting the unique ways women may respond to stress through freezing, fawning, or fainting KEY TAKEAWAYS: PINE: The PINE network (Psychology, Immune system, Neurological system, Endocrine system) is particularly vulnerable to toxic stress and trauma Importance of Processing Emotions: Having a supportive network to process emotions is crucial for mitigating long-term consequences of trauma Impact of Puberty on Sensitivity: During puberty, particularly in girls, there is a heightened sensitivity to peer influence, which can lead to emotional dysregulation. Connection Between Emotions and Autoimmunity: There is a potential link between emotional experiences and autoimmune conditions, as suggested by traditions like Ayurveda and insights from figures like Gabor Maté TIMESTAMPS AND KEY TOPICS: [00:03:00] PINE network and trauma connection. [00:05:18] Trauma's impact on hormones. [00:08:16] Autoimmunity and emotional anatomy. VALUABLE RESOURCES Join The High Performance Health Community Click here for discounts on all the products I personally use and recommend A BIG thank you to our sponsors who make the show possible: Full EP 351 Dr Sara Gottfried (Part 2): Trauma, Autoimmunity & Inner Healing https://lnk.to/EP351 ABOUT THE HOST Angela Foster is an award winning Nutritionist, Health & Performance Coach, Speaker and Host of the High Performance Health podcast. A former Corporate lawyer turned industry leader in biohacking and health optimisation for women, Angela has been featured in various media including Huff Post, Runners world, The Health Optimisation Summit, BrainTap, The Women's Biohacking Conference, Livestrong & Natural Health Magazine. Angela is the creator of BioSyncing®️ a blueprint for ambitious entrepreneurial women to biohack their health so they can 10X how they show up in their business and their family without burning out. CONTACT DETAILS Instagram Facebook LinkedIn Disclaimer: The High Performance Health Podcast is for general information purposes only and do not constitute the practice of professional or coaching advice and no client relationship is formed. The use of information on this podcast, or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for medical or other professional advice, diagnosis, or treatment. Users should seek the assistance of their medical doctor or other health care professional for before taking any steps to implement any of the items discussed in this podcast. This Podcast has been brought to you by Disruptive Media. https://disruptivemedia.co.uk/
In this episode, we review the high-yield topic of Thyroid Hormones from the Endocrine section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
In this episode, we review the high-yield topic of Gestational Diabetes from the Endocrine section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
Struggling with brain fog, mood swings, or low energy in midlife? Hormones could be the hidden culprit. In this episode, Lisa Boate talks with hormone expert Eric Collett about how hormones impact brain health, cognitive function, and overall wellness as we age. They explore: Hormonal changes in menopause and their effect on memory, focus, and mood Hormonal shifts in men that often go unnoticed Endocrine disruptors and how they affect your hormonal balance Practical tips for supporting hormonal health naturally The importance of proper testing and working with a knowledgeable healthcare practitioner How to differentiate hormonal symptoms from early signs of dementia Whether you're navigating menopause, perimenopause, or midlife changes as a man, this episode gives you actionable insights to improve hormone balance, brain function, and overall health. Chapters 00:00 Introduction to Brain Health and Hormones 01:23 Understanding Hormones and Brain Function 02:48 The Impact of Hormonal Changes in Women 05:40 Men's Hormonal Changes and Insulin's Role 07:59 Endocrine Disruptors and Their Effects 08:34 Navigating Hormonal Testing and Advocacy 09:12 Alcohol's Impact on Hormones and Sleep 10:45 Practical Steps for Hormonal Health 11:47 The Importance of Holistic Health Perspectives 11:48 Men's Role in Women's Health Conversations 12:36 Distinguishing Between Hormonal Effects and Dementia Let's Stay Connected: Website Instagram Facebook Facebook Group Got questions or feedback? Drop us a message at lisa@liberatedmenopause.ca Download my Free Guide - How To Reignite Your Purpose Without Feeling Overwhelmed or Guilty!
In this episode, we take a closer look at tirzepatide, a type 2 diabetes medication also used to help with weight loss. Postmenopause weight gain can be a normal part of aging, and there are some questions about whether medications like tirzepatide could be useful and safe for postmenopausal women. Host Aaron Lohr talks with Maria Daniela Hurtado Andrade, MD, PhD, assistant professor of medicine at Mayo Clinic Florida, and Regina Castaneda, MD, a research fellow at Mayo Clinic College of Medicine & Science. They presented an abstract at ENDO 2025 titled, “One-Year Real-World Weight Loss Outcomes with Tirzepatide in Postmenopausal Women With and Without Hormone Therapy.” Show notes are available at https://www.endocrine.org/podcast/enp105 — for helpful links or to hear more podcast episodes, visit https://www.endocrine.org/podcast
In this episode, we review the high-yield topic of Metabolic Syndrome from the Endocrine section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
In this episode, we review the high-yield topic of Craniopharyngioma from the Endocrine section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
In this episode, we review the high-yield topic of Hypercalcemia from the Endocrine section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
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Did you know that approximately 50% of breast cancer patients who have been exposed to an aromatase inhibitor (AI) over time in the metastatic setting develop an ESR1 mutation? Credit available for this activity expires: 10/17/26 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/1003008?ecd=bdc_podcast_libsyn_mscpedu
In this episode, we dive deep into the complex and often misunderstood world of endocrine disruption with toxicologist, pharmacologist and endocrine disruption researcher, Chris Borgert PhD. We unpack how the science has evolved, what we actually know about real-world risks, and how public fear has outpaced scientific consensus. From moral panics around masculinity and fertility to the rise of science sensationalism and skewed research incentives, this conversation explores how a nuanced scientific topic became a cultural flashpoint.
Hour 1 -Friday! And the streets are once again ours as we snatch back our soul & freedom from the pawn broker of the weekly grind and here to post bond is Jacob & Tejay. In this segment they further discuss the Big 12 and their problem with tortillas and review TNF Steelers/Bengals.
In the United States, the Food and Drug Administration doesn’t regulate supplements for safety and efficacy, so manufacturers don’t have to disclose their ingredients. We can’t always know for certain what’s in supplements we buy over the counter. Host Aaron Lohr talks with Meghana Pattipati, MD, an endocrine specialist at Ochsner Lafayette General Medical Center in Louisiana. Dr. Pattipati presented a study at ENDO 2025 in San Francisco titled, “Beware of the Hidden Ingredients and Supplement Use in Your Patients With Elevated Testosterone.” The presentation describes a case where a patient unknowingly ingested an ingredient that had a significant endocrine impact. Show notes are available at https://www.endocrine.org/podcast/enp104 — for helpful links or to hear more podcast episodes, visit https://www.endocrine.org/podcast
This podcast is sponsored by YARAL Pharma. In this episode, we are focusing on the management of hypothyroidism -- a treatable, but not curable condition – and will explore unique challenges for patients with hypothyroidism in long-term care – from tolerability and formulation considerations to consistent dosing and patient needs. Dr. Tamara Ruggles is not affiliated with YARAL Pharma. All views and opinions regarding hypothyroidism are solely her own and are not attributable to YARAL or the Pharmacy Podcast Network. IMPORTANT SAFETY INFORMATION for levothyroxine sodium capsules INDICATION AND USAGE Levothyroxine sodium capsules are L-thyroxine (T4) indicated for adults and pediatric patients 6 years and older with: Hypothyroidism - As replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism Pituitary Thyrotropin (Thyroid-Stimulating Hormone, TSH) Suppression - As an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well differentiated thyroid cancer Limitations of Use: Levothyroxine sodium capsules are not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients as there are no clinical benefits and overtreatment with Levothyroxine sodium capsules may induce hyperthyroidism. Levothyroxine sodium capsules are not indicated for treatment of transient hypothyroidism during the recovery phase of subacute thyroiditis WARNING: NOT FOR THE TREATMENT OF OBESITY OR FOR WEIGHT LOSS Thyroid hormones, including levothyroxine sodium capsules, either alone or with other therapeutic agents, should not be used for the treatment of obesity or for weight loss. In euthyroid patients, doses within the range of daily hormonal requirements are ineffective for weight reduction. Larger doses may produce serious or even life-threatening manifestations of toxicity, particularly when given in association with sympathomimetic amines such as those used for their anorectic effects. Contraindications Uncorrected adrenal insufficiency Warnings and Precautions Cardiac adverse reactions in the elderly and in patients with underlying cardiovascular disease: Initiate Levothyroxine sodium capsules at less than the full replacement dose because of the increased risk of cardiac adverse reactions, including atrial fibrillation Myxedema coma: Do not use oral thyroid hormone drug products to treat myxedema coma Acute adrenal crisis in patients with concomitant adrenal insufficiency: Treat with replacement glucocorticoids prior to initiation of levothyroxine sodium capsules treatment Prevention of hyperthyroidism or incomplete treatment of hypothyroidism: Proper dose titration and careful monitoring is critical to prevent the persistence of hypothyroidism or the development of hyperthyroidism Worsening of diabetic control: Therapy in patients with diabetes mellitus may worsen glycemic control and result in increased antidiabetic agent or insulin requirements. Carefully monitor glycemic control after starting, changing, or discontinuing thyroid hormone therapy Decreased bone mineral density associated with thyroid hormone over-replacement: Over-replacement can increase bone reabsorption and decrease bone mineral density. Give the lowest effective dose Adverse Reactions Common adverse reactions with levothyroxine therapy are primarily those of hyperthyroidism due to therapeutic overdosage. They include the following: General: fatigue, increased appetite, weight loss, heat intolerance, fever, excessive sweating Central Nervous System: headache, hyperactivity, nervousness, anxiety, irritability, emotional ability, insomnia Musculoskeletal: tremors, muscle weakness Cardiovascular: palpitations, tachycardia, arrythmias, increased pulse and blood pressure, heart failure, angina, myocardial infarction, cardiac arrest Respiratory: dyspnea Gastrointestinal (GI): diarrhea, vomiting, abdominal cramps, elevations in liver function tests Dermatologic: hair loss, flushing Endocrine: decreased bone mineral density Reproductive: menstrual irregularities, impaired fertility Adverse Reactions in Children Pseudotumor cerebri and slipped capital femoral epiphysis have been reported in children receiving levothyroxine therapy. Overtreatment may result in craniosynostosis in infants and premature closure of the epiphyses in children with resultant compromised adult height. Seizures have been reported rarely with the institution of levothyroxine therapy. Hypersensitivity Reactions Hypersensitivity reactions to inactive ingredients (in this product or other levothyroxine products) have occurred in patients treated with thyroid hormone products. These include urticaria, pruritis, skin rash, flushing, angioedema, various GI symptoms (abdominal pain, nausea, vomiting and diarrhea), fever, arthralgia, serum sickness and wheezing. Hypersensitivity to levothyroxine itself is not known to occur. Drug Interactions: Many drugs and some foods can exert effects on thyroid hormone pharmacokinetics (e.g., absorption, synthesis, secretion, catabolism, protein binding, and target tissue response) and may alter the therapeutic response to Levothyroxine sodium capsules. Administer at least 4 hours before or after drugs that are known to interfere with absorption. See full prescribing information for drugs that affect thyroid hormone pharmacokinetics and metabolism. To report SUSPECTED ADVERSE REACTIONS, contact Yaral Pharma Inc. at 1-866-218-9009, or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. For Full Prescribing Information, including Boxed Warning, go to www.yaralpharma.com/levothyroxine-pi.
If “balance your hormones” feels like a wellness buzzword, this conversation will be a breath of fresh air. Tara and Elizabeth sit down with Gregory Dodell, MD—board-certified endocrinologist, owner of Central Park Endocrinology, and the brain behind Everything Endocrine on Instagram—to unpack hormones without diet culture. Dr. Dodell shares his evolution to weight-neutral, stigma-free care, explains what hormones actually are, and gives clear, practical guidance for PCOS, thyroid health, cortisol, and when GLP-1 medications make sense. We also cover the lab tests worth asking for, why strength training matters, GLP-1s, and how to navigate the “just lose weight” directive so many patients still hear. Consider this your evidence-informed, compassion-first hormone primer. In this episode: Dr. Dodell's shift from weight-centric training to weight-inclusive care Hormones 101: pituitary → thyroid feedback loops, cortisol basics PCOS made simple: insulin resistance as the foundation “Balance your hormones” claims—what helps and what's hype Lab panels to discuss with your provider (and how often) GLP-1 meds: when they help, red flags, and the importance of monitoring + muscle How to respond when a provider says “just lose weight” Connect with Dr. Dodell: Instagram: https://www.instagram.com/everything_endocrine/ Website: https://www.centralparkendocrinology.com/ Wellness: Rebranded is turning 3 years old! We are hosting a live birthday party on October 23rd in Annapolis and would love for you to join. Learn more about the party here: https://www.eventbrite.com/e/1579100093889?aff=oddtdtcreator Tune into My Entrepreneurial Life hosted by Jen Hawat for a behind the scenes look at building, launching and growing your online business! https://www.jenhowat.com/podcast Connect with us! The Ultimate Self Care Planner: https://elizabethharrisnutrition.ck.page/9e817ab37e Elizabeth Harris, MS, RDN, LDN FB: Health and Healing with Intuitive Eating community https://www.facebook.com/groups/healthandhealingwithintuitiveeating Instagram: https://www.instagram.com/ElizabethHarrisNutrition Free download to break up with diet culture: https://elizabethharrisnutrition.com/invisible-diet Tara De Leon, Master Personal Trainer Email: FitnessTrainer19@hotmail.com Instagram: https://www.instagram.com/tara_de_leon_fitness Join Tara's Newsletter: https://mailchi.mp/5290e3f13e08/email-signup Maria Winters, LCPC, NCC Instagram: https://www.instagram.com/coaching_therapist/ FB: https://www.facebook.com/MWcoachingtherapy Website: www.thecoachingtherapist.com
In this episode, we review the high-yield topic Primary Adrenal Insufficiency from the Endocrine section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
In this episode, we review the high-yield topic Glucocorticoids from the Endocrine section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Recently the Endocrine Society held its 12th annual Type 1 Diabetes Fellows Series program, which combines comprehensive education on type 1 diabetes with career development opportunities to build knowledge, practical skills, and a lasting network of colleagues. For this episode, host Aaron Lohr talks with Desmond Schatz, MD, medical director of the Diabetes Institute and director of the Clinical Research Center at the University of Florida. Dr. Schatz gave a talk at the fellows series program titled, “Immunotherapies for Type 1 Diabetes: Need for Early Detection and Screening.” This year’s fellows series program and this episode were made possible by the support of Abbott Diabetes Care, CeQur Corp., Dexcom Inc., Insulet Corp., Breakthrough T1D (formerly the Juvenile Diabetes Research Foundation), Lilly USA, Mankind Pharma Limited, Medtronic Inc., Novo Nordisk Inc., and Vertex Pharmaceuticals Inc. Show notes are available at https://www.endocrine.org/podcast/enp103 — for helpful links or to hear more podcast episodes, visit https://www.endocrine.org/podcast
An adult patient presents with chronic pain, redness, and swelling in the first metatarsophalangeal joint of the right foot. The clinician notes the joint is warm to the touch with multiple subcutaneous tophi present. Which of the following conditions is MOST likely present? 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. #Npte #PT #ptboards #crushtheNPTE #study #studygram #spt #ptstudent #ptlife #sptprobs #physicaltherapystudent #physicaltherapy #physio #physiotherapist #ptlife #ptstudentstudy
Dr. Lora Shahine, renowned fertility specialist, joins Dr. Rena Malik to discuss essential steps for men and women to optimize health before trying to conceive. The conversation covers preconception checkups, the impact of chronic conditions and medications, key lifestyle factors such as nutrition, exercise, sleep, and stress management, as well as the effects of alcohol, smoking, hot tubs, and saunas on fertility. They explore practical strategies for reducing exposure to endocrine-disrupting chemicals in daily life, timing and frequency of intercourse for conception, and demystifying the menstrual cycle and ovulation. The episode also addresses emotional and physical challenges couples face when sex becomes routine, with advice on maintaining intimacy and available medical solutions for sexual dysfunction during the conception journey. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 Introduction00:05 Preconception health checkups00:38 Optimizing health habits01:25 Saunas, hot tubs, fertility02:13 Alcohol recommendations03:39 Endocrine disrupting chemicals05:11 Reducing plastic and toxin exposure09:04 Stopping contraception and ovulation12:14 Understanding menstrual cycles16:09 Timing intercourse for conception17:52 Addressing intimacy challenges Stay connected with Dr. Lora Shahine on social media for daily insights and updates. Don't miss out—follow her now and check out these links! INSTAGRAM - https://www.instagram.com/drlorashahine/?hl=en TIKTOK - https://www.tiktok.com/@drlorashahine?lang=en YOUTUBE - https://www.youtube.com/c/drlorashahine X - https://x.com/drlorashahine?lang=en WEBSITE - https://drlorashahine.com/ Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices
Endocrine disruptors are chemicals that can interfere with the complex system that produces and interacts with our hormones. Research suggests they can affect the reproductive system, our kidneys, and even increase our risk of cancer. There are over 1,000 types of endocrine-disrupting chemicals, according to some estimates, and we are exposed to them daily through things like kitchen utensils and makeup. So how worried should we be about inevitable exposure?Host Elahe Izadi speaks with oncologist Dr. Mikkael Sekeres about the connection between endocrine disruptors and cancer. Dr. Sekeres also shares his advice on steps he takes to avoid these chemicals–and how he puts the risks into perspective.Today's show was produced by Thomas Lu, with help from Rennie Svirnovskiy, who also mixed the episode. It was edited by Ariel Plotnick. Subscribe to The Washington Post here.
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