Podcasts about Family medicine

Skin issues like acne, eczema, and rosacea are deeply connected to internal imbalances, especially those originating in the gut. It is important to explore diet—particularly sugar, refined carbs, and dairy—because it can drive inflammation, insulin resistance, and hormonal disruption, all of which contribute to poor skin health. Topical treatments and antibiotics may provide short-term relief, but they often disrupt the skin and gut microbiome, worsening conditions over time. A Functional Medicine approach focuses on restoring gut balance, identifying food sensitivities, and supporting detoxification pathways with nutrient-dense foods, supplements, and lifestyle practices. Addressing the root causes not only improves skin but also promotes systemic healing and resilience. In this episode, I speak with three of our doctors at The UltraWellness Center—Dr. Elizabeth Boham, Dr. Cindy Geyer, and Dr. Todd LePine—about why, when it comes to skin care, we need to look inside the body first. Dr. Elizabeth Boham is Board Certified in Family Medicine from Albany Medical School, and she is an Institute for Functional Medicine Certified Practitioner and the Medical Director of The UltraWellness Center. Dr. Boham lectures on a variety of topics, including Women's Health and Breast Cancer Prevention, insulin resistance, heart health, weight control and allergies. She is on the faculty for the Institute for Functional Medicine. Dr. Cindy Geyer received her bachelor of science and her doctor of medicine degrees, with honors, from the Ohio State University. She completed residency in internal medicine at Strong Memorial Hospital in Rochester, N.Y. and is triple board certified in internal medicine, integrative medicine and lifestyle medicine. Dr. Todd LePine graduated from Dartmouth Medical School and is Board Certified in Internal Medicine, specializing in Integrative Functional Medicine. He is an Institute for Functional Medicine Certified Practitioner. Prior to joining The UltraWellness Center, he worked as a physician at Canyon Ranch in Lenox, MA, for 10 years. Dr. LePine's focus at The UltraWellness Center is to help his patients achieve optimal health and vitality by restoring the natural balance to both the mind and the body. His areas of interest include optimal aging, bio-detoxification, functional gastrointestinal health, systemic inflammation, autoimmune disorders, and the neurobiology of mood and cognitive disorders. Dr. LePine enjoys skiing, kayaking, hiking, camping, and golfing in the beautiful Berkshires, and is a fitness enthusiast. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN10 to save 10%. Full-length episodes can be found here: Treating Acne From The Inside OutChoosing Skin Care Products that Won't Make You SickTreating Adult Acne & Rosacea From The Inside Out

Welcome to the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith sits down with Dr. AJ (Amjed) Kadhim-Saleh, a dynamic family physician and entrepreneur from Toronto. Dr. AJ shares his inspiring journey from dreaming about building his own clinic during residency to actually opening the doors of his practice—starting with just a concrete slab and a vision of long-term sustainability in medicine. The conversation dives into the nuts and bolts of setting up a clinic from scratch, the importance of efficient systems, and the sometimes-overwhelming administrative burden that comes with being both a physician and practice owner. Dr. AJ openly discusses the challenges he faced with paperwork, how it began to impact his family life, and the pivotal moment that led him to co-found Pippin AI, an innovative AI scribe designed to support family doctors. Along the way, Dr. AJ and Dr. Smith explore the often overlooked business side of medical practice, the need for practical education in practice management, and how embracing change (with a little entrepreneurial grit and a supportive team) can help create a more sustainable clinical day—and a life outside of medicine. Whether you're a new resident thinking about your future, a physician looking for inspiration to build a more efficient practice, or just curious about how technology is shaping the future of primary care, this episode is packed with insights, practical tips, and plenty of encouragement to pursue your vision. Here are 3 key takeaways from this episode: Build with Vision & Community: Starting a clinic from the ground up is about more than architectural plans—it's about designing systems, choosing supportive partners, and cultivating a team invested in sustainable change. Embrace Technology for Sustainability: Efficient tools—like secure patient portals and AI-powered documentation—can relieve the paperwork burden, free up precious hours, and allow us to focus on quality patient care (and our lives outside the clinic!). Change is a Team Sport: Successful practice transformation hinges on bringing your people along for the ride. Clearly communicate the “why” behind changes, tailor solutions to their needs, and foster an environment of ongoing collaboration and support. Meet Dr. AJ (Amjed) Kadhim-Saleh: Dr. Amjed Kadhim-Saleh (AJ for short) is a community family physician, clinic owner, and health technology entrepreneur in Toronto. AJ graduated medical school from the University of Ottawa, and completed his family medicine residency at the University of Toronto. Serving a diverse population of over 1700 patients, AJ is passionate about comprehensive family medicine and building efficient practice. AJ developed an AI-powered Physician Assistant called Pippen, which aims to alleviate administrative burden among physicians and encourage better doctor-patient interactions. AJ is also a Clinical Lecturer at the University of Toronto. -------------- Would you like to view a transcript of this episode? Click here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Some relationships stand the test of time—others unravel. In this week's episode, both of our storytellers explore what it means to heal, let go, and move forward. Part 1: Stuck in a monsoon on Kauai, Belinda Fu unintentionally ruins a friendship with a classmate. Part 2: Matt Storrs blames a dinosaur scientist's theory for the end of his marriage. Belinda Fu, MD, (“theImprovDoc”) is a physician, educator, and performing artist based in Seattle. She travels the country teaching about medical improv, using the principles of improvisational theater to improve wellbeing, health, communication, and patient care. (medicalimprov.org) She is also a Clinical Associate Professor of Family Medicine at the University of Washington. Belinda performs and directs improv theatre, studies jazz voice, makes really good popcorn, takes naps in the sun, and would like to say hi to your dog. belindafu.com Matt Storrs is a comedian and storyteller based out of NYC and originally from Phoenix, AZ. Matt created a solo show based upon the story in the episode entitled "Jurassic Heartbreak." It will next be performed at the Harrisburg Fringe Festival in July (https://www.hbgfringe.com/). He has also been featured on NPR and PBS. Matt is known for sharp stories and his esoteric comedy. Matt Storrs is a humor person. He can be found online at @mtstorrs   Learn more about your ad choices. Visit megaphone.fm/adchoices

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In this episode, Drs. Shruti Javali and Adnaan Edun speak with Drs. Maryal Concepcion and Jeannine Rodems live from the CAFP All Member Advocacy Meeting to talk about Direct Primary Care (DPC), what DPC is, how it works with the patient relationship, and resources available for any family physician look at DPC as a potential career. Guests: Maryal Concepcion, MD, FAAFP is a board-certified rural family physician dedicated to serving patients in Northern California since 2012 and Calaveras County since 2015. Passionate about community-focused medicine, she provides comprehensive care for patients of all ages, from infants and expectant mothers to children and adults, including in-office procedures. Jeannine Rodems, MD, FAAFP is a board-certified family medicine physician who brings more than 25 years of experience to Santa Cruz Direct Primary Care. She is a graduate of UC Santa Cruz (go Slugs!), and completed her medical degree at the UCLA School of Medicine with her residency through the UCLA Family Medicine Residency program. She has been an active member of the local physician community in Santa Cruz County for several years. She has been the past president of the Santa Cruz County Medical Society. She has been very active with the California Academy of Family Physicians, having been a previous member of their board of directors, and served as a past president of the Santa Cruz – Monterey — San Benito CAFP Chapter. Shruti Javali, MD is family medicine physician who sees patients of all ages with a specific focus on obstetrics and women's health. In addition to each patient's medical condition, her approach also incorporates whole-person care, considering factors such as nutrition, exercise and work/life balance. Dr. Javali earned her medical degree from Saba University School of Medicine in the Dutch Caribbean and undergraduate degree from McMaster University in Hamilton, Canada. She completed her family medicine residency through Michigan State University at Mercy Health Grand Rapids in Michigan. Adnaan Edun, MD is a board-certified family medicine physician who provides preventive care, such as wellness checks, physicals, health counseling and more, he treats patients with chronic and complex conditions, including obesity, hypertension and depression. Growing up, Dr. Edun became interested in pursuing a career in healthcare as he watched his mother continue to increase her nursing knowledge by studying at home. That interest was solidified when he had open heart surgery, after which he saw healthcare through a different lens. The experience shaped his desire to study medicine and impacts how he provides care with compassion. Dr. Edun also is interested in global and rural medicine and learning about how medicine is practiced around the world. He has participated in medical trips to Peru, Guatemala and Kenya and hopes to continue to share his healthcare knowledge with other underserved communities in the future. Rob Assibey, MD, FAAFP (he/him) identifies as Ghanaian American. Dr. Assibey is the Associate Program Director at San Joaquin General Hospital Family Medicine Residency Program. He practices full spectrum family medicine with an emphasis on street medicine, addiction medicine, SNF. Dr. Assibey is the District 8 Director on the CAFP Board, and a member of the JEDI Committee. Resources: CAFP Direct Primary Care information - www.familydocs.org/dpc  CAFP's New Physician Toolkit - www.familydocs.org/nptoolkit  AAFP Direct Primary Care - https://www.aafp.org/family-physician/practice-and-career/delivery-payment-models/direct-primary-care.html  DPC Summit (July 24-27, 2025) - https://www.dpcsummit.org/home.html  CaliDPC - www.calidpc.com  Inaugural CaliDPC Docs Summit (June 7-8, 2025) - https://www.calidpc.com/resources  The Family Docs Podcast is hosted by Rob Assibey, MD, FAAFP.   The Family Docs podcast is developed, produced, and recorded by the California Academy of Family Physicians. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of any entities they represent or the California Academy of Family Physicians. More information at www.familydocs.org/podcast. Visit the California Academy of Family Physicians online at www.familydocs.org. Follow us on social media: Twitter - https://twitter.com/cafp_familydocs  Instagram - https://www.instagram.com/cafp_familydocs  Facebook - https://www.facebook.com/familydocs 

Garrett Butler, MD. Husband, father, son, friend, and family doc in rural WV. Undergraduate in Physics from Johns Hopkins University. Undergraduate in Molecular and Cell Biology from Towson University. MD from West Virginia University School of Medicine. Family Medicine residency at WVU SOM. Hospitalist at Vandalia Health Davis Medical Center. Outpatient family physician at Vandalia Health Broaddus Family Care. Hospitalist at Vandalia Health Broaddus Hospital. Medical director of Mansfield Place nursing home. Work With Us: Arétē by RAPID Health Optimization Links: Dr. Garrett Butler - Old Fellow Manor Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram

In this episode I rewind time and imagine myself back in residency. I share the top lessons I'd take into my training all over again—everything from clarifying why you went into medicine in the first place, to facing your biggest fears and misconceptions, to mapping out your future career path so you don't get stuck in a rut. I also talk about how medicine is likely to change in the coming years and what that means for your choice of specialty, work-life balance, and long-term financial health. Whether you're a current resident, a med student, or a seasoned physician looking to shake things up, you'll come away with concrete tips to steer your career in the direction you actually want.   00:00 – Intro: why this topic still matters for practicing physicians 00:30 – It's still been a good profession—but times are changing 01:00 – Know your why: intellectual challenge, finances, prestige 01:30 – Understanding the hierarchy and finding your place 02:00 – Facing your biggest fears and misconceptions head-on 02:30 – Planning for future changes in medicine 03:00 – Actionable steps to set yourself up for success   ------ -Dr. Mo Mohammad Ashori LinkedIn Digital Nomad Physicians Website Dr. Ashori Private Practice: https://drashori.com Dr. Ashori Walk-In Clinic: https://drashoriwalkin.com  Physician Coaching & Consulting: https://www.digitalnomadphysician.com/consult Dr. Mo Goodreads Build Your Virtual Medical Practice Online Course: https://learn.digitalnomadphysician.com

Listen in as Paula Henao, MD; Rohit Loomba, MD, MHSc; Cheryl Pirozzi, MD, MS; and Corinne Young, NP, FCCP, discuss their screening and monitoring strategies for patients with alpha-1 antitrypsin deficiency, including:Why early detection is key for improving patient outcomesHow to monitor through use of noninvasive imaging and biopsy per guideline recommendationsHow to coordinate patient care to provide much-needed multidisciplinary careWhat therapies in the pipeline could transform the treatment landscape for this genetic disease PresentersPaula Henao, MDAssistant Professor of MedicineDivision of Pulmonary, Allergy and Critical Care MedicinePenn State Hershey Medical CenterHershey, PennsylvaniaRohit Loomba, MD, MHScProfessor of MedicineChief, Division of Gastroenterology and HepatologyDirector, MASLD Research CenterUniversity of California, San DiegoSan Diego, CaliforniaCheryl Pirozzi, MD, MSAssociate Professor of Internal MedicineDivision of Pulmonary and Critical Care MedicineUniversity of UtahSalt Lake City, UtahCorinne Young, NP, FCCPPresident/FounderAssociation of Pulmonary Advanced Practice ProvidersColorado Springs, ColoradoLink to full program: https://bit.ly/4dgCRnq

Have you ever struggled to support a close friend or family member dealing with a mental health condition? How do you know when you're truly helping rather than enabling? When should you push, simply show up, or even step away? If these questions resonate with you, you're not alone—at least 20% and possibly up to 40% of people will face this reality at some point in their lives. On this week's podcast, you'll meet a psychologist who shares her research and clinical experiences. Listen and learn: How to differentiate between supporting and enabling a loved one Key questions to ask yourself if you're in a caregiving role The impact of online support groups and AI on mental health care Strategies for handling difficult or unpleasant caregiving situations How to find affordable mental health resources locally and nationally Common challenges of caring for aging family members and how to cope Links www.SeedsofHopeBooks.com ABOUT OUR GUEST Dr. Michelle D. Sherman is a licensed clinical psychologist with over 25 years of experience, specializing in individual and couples therapy. She is a professor in the Department of Family Medicine and Community Health at the University of Minnesota Medical School and a board-certified expert in couples and family psychology. Her work focuses on supporting families dealing with mental illness, PTSD, and trauma. She is the author of Loving Someone with a Mental Illness or Trauma History. Like the Show? Leave us a review Check out our YouTube channel

Listen in as Joseph Kim, MD, MPH, MBA, interviews Sejal Desai, MD, DABOM, to learn about how she implemented virtual support groups to improve obesity care at her practice, including:Dedicating 5 support groups with chat features to obesity-specific topics (eg, sleep, nonscale wins)Moderating these chats to ensure no misinformation is shared and a positive, safe space is maintainedExpanding to include other virtual options that allow patients to engage more in their careUtilizing free and subscription-based services to aid in marketing effortsSharing lessons learned for those interested in implementing similar virtual options for their patients PresentersJoseph Kim, MD, MPH, MBAPresidentQ Synthesis, LLCNewtown, PennsylvaniaSejal Desai, MD, DABOMBoard-Certified Obesity Medicine PhysicianOwner & Medical DirectorTula Medical Weight Loss & WellnessKaty, TexasLink to full program: https://clinicaloptions.com/content/qi-resource-hub

Picture a hospital room late at night, the soft hum of machines in the background. A family gathers quietly around their loved one, unsure how to navigate the complexities of end-of-life care. It's a scene playing out every day across the country, highlighting a crucial yet often neglected part of healthcare—the way we care for people as their lives near an end. Joining me today is Ira Byock, a renowned physician, author, and passionate advocate for palliative care, whose groundbreaking work has transformed how we think about living—and dying—well. As the Emeritus Professor of Medicine and Community & Family Medicine, Dartmouth Geisel School of Medicine, Ira has dedicated his career to ensuring that end-of-life care is compassionate, comprehensive, and patient-centered. From developing the influential Missoula Demonstration Project to leading the Robert Wood Johnson Foundation's initiatives on end-of-life care, Ira's pioneering efforts have touched millions of lives. Drawing deeply from his early experiences in rural family medicine, Ira witnessed firsthand the profound gaps in care for dying patients, sparking a lifelong mission to humanize healthcare. His belief that moments of crisis can also be opportunities for growth and wellbeing and reshaped our understanding of what it means to care for the whole person. In this episode, we explore Ira's remarkable journey—from a young physician confronting ethical dilemmas, to a visionary leader reshaping the landscape of hospice and palliative care. We'll discuss the challenges of balancing compassionate care with a profit-driven healthcare system, the transformative power of treating patients as whole people, and Ira's innovative vision for a more humane and effective healthcare future. Do you have thoughts on this episode or ideas for future guests? We'd love to hear from you. Email us at hello@rosenmaninstitute.org.  

Doctor's Farmacy with Mark Hyman, MD: Read the notes at at podcastnotes.org. Don't forget to subscribe for free to our newsletter, the top 10 ideas of the week, every Monday --------- Many people struggle with mysterious symptoms like fatigue, brain fog, food sensitivities, and skin issues—only to be misdiagnosed or dismissed altogether. This conversation highlights how histamine intolerance and mast cell activation syndrome can be the hidden drivers behind a wide range of chronic conditions, and why they're often overlooked in conventional medicine. From the role of gut health, food triggers, and environmental toxins to deeper root causes like Lyme disease or mold exposure, it's clear that personalized, Functional Medicine is key to uncovering real answers. Understanding the immune system's role in histamine reactions—and how even “healthy” foods can be inflammatory for some—is a critical step toward healing. In this episode, I talk with Dr. Todd LePine, Dr. Elizabeth Boham, and Dr. Mark Pimentel about what histamine intolerance is, how it can be related to gut health, and why it's important to address it. Dr. Todd LePine graduated from Dartmouth Medical School and is Board Certified in Internal Medicine, specializing in Integrative Functional Medicine. He is an Institute for Functional Medicine Certified Practitioner. Prior to joining The UltraWellness Center, he worked as a physician at Canyon Ranch in Lenox, MA, for 10 years. Dr. LePine's focus at The UltraWellness Center is to help his patients achieve optimal health and vitality by restoring the natural balance to both the mind and the body. His areas of interest include optimal aging, bio-detoxification, functional gastrointestinal health, systemic inflammation, autoimmune disorders, and the neurobiology of mood and cognitive disorders. Dr. LePine enjoys skiing, kayaking, hiking, camping, and golfing in the beautiful Berkshires, and is a fitness enthusiast. Dr. Elizabeth Boham is Board Certified in Family Medicine from Albany Medical School, and she is an Institute for Functional Medicine Certified Practitioner and the Medical Director of The UltraWellness Center. Dr. Boham lectures on a variety of topics, including Women's Health and Breast Cancer Prevention, insulin resistance, heart health, weight control and allergies. She is on the faculty for the Institute for Functional Medicine. Dr. Mark Pimentel is a Professor of Medicine and Gastroenterology through the Geffen School of Medicine and an Associate Professor of Medicine at Cedars-Sinai. Dr. Pimentel is also the Executive Director of the Medically Associated Science and Technology (MAST) program at Cedars-Sinai, an enterprise of physicians and researchers dedicated to the study of the gut microbiome in order to develop effective diagnostic tools and therapies to improve patient care.  Dr. Pimentel has over 150 publications in many high-profile journals, and he is the author of the book, The Microbiome Connection: Your Guide to IBS, SIBO, and low fermentation eating. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN10 to save 10%. Full-length episodes can be found here: Is Histamine Intolerance The Cause Of Your Mysterious Symptoms? What is Histamine Intolerance? Surprising Symptoms You Need to Know IBS: It's Not In Your Head—Advances In Diagnosing And Treating, Bloating And Tummy Troubles

Doctor's Farmacy with Mark Hyman, MD Key Takeaways  Histamine intolerance and mast cell activation syndrome (MCAS) can be the hidden drivers behind a wide range of chronic conditions, such as fatigue, brain fog, food sensitivities, and skin issues – yet, histamine intolerance is often overlooked by conventional medicineMCAS is a condition where certain immune cells – called mast cells – release too many chemicals (like histamine) at the wrong timesUsing diet as a short-term therapeutic tool: A low-histamine diet or Low-FODMAP Dietis not a lifelong diet because tons of healthy foods have histamine in them Consume the freshest foods possible and avoid leftovers, as histamine levels in food rise over time after preparationFoods that are traditionally categorized as “healthy” may be contributing to your histamine issues; these include: aged meats, cheeses, fermented foods, and dairy Even though they are generally healthy, consuming them is like throwing gas on your histamine fire Implementing a low-histamine diet in three phases Phase 1 – remove alcohol, especially beer, wine, and champagne Phase 2 – remove canned and smoke fish (examples: anchovies), processed and fermented meats, aged cheese, pickled and fermented foods (sauerkraut, kimchi, yogurts, kefir, mustard, ketchups, vinegar, soy sauce)   Phase 3 – remove plant foods such as spinach, avocado, tomatoes, pineapples, citrus foods Treat IBS with a low-FODMAP diet, which is specifically designed to reduce the fermentable carbohydrates that gut bacteria feed on; this helps reduce: gas production, bloating, bacterial Foods to avoid: Garlic, onions, wheat, legumes, milk, soft cheeses, apples, honey, sorbitol, xylitol, stone fruits, artificial sweetenersFoods to consume: Carrots, spinach, bananas, chicken, rice, cheddar cheese, eggsSupplement to support healthy histamine levels:Quercetin – a natural plant compound that helps people with mast cell issues, histamine intolerance, and allergies (with additional benefits to metabolic function) Read the full notes @ podcastnotes.orgMany people struggle with mysterious symptoms like fatigue, brain fog, food sensitivities, and skin issues—only to be misdiagnosed or dismissed altogether. This conversation highlights how histamine intolerance and mast cell activation syndrome can be the hidden drivers behind a wide range of chronic conditions, and why they're often overlooked in conventional medicine. From the role of gut health, food triggers, and environmental toxins to deeper root causes like Lyme disease or mold exposure, it's clear that personalized, Functional Medicine is key to uncovering real answers. Understanding the immune system's role in histamine reactions—and how even “healthy” foods can be inflammatory for some—is a critical step toward healing. In this episode, I talk with Dr. Todd LePine, Dr. Elizabeth Boham, and Dr. Mark Pimentel about what histamine intolerance is, how it can be related to gut health, and why it's important to address it. Dr. Todd LePine graduated from Dartmouth Medical School and is Board Certified in Internal Medicine, specializing in Integrative Functional Medicine. He is an Institute for Functional Medicine Certified Practitioner. Prior to joining The UltraWellness Center, he worked as a physician at Canyon Ranch in Lenox, MA, for 10 years. Dr. LePine's focus at The UltraWellness Center is to help his patients achieve optimal health and vitality by restoring the natural balance to both the mind and the body. His areas of interest include optimal aging, bio-detoxification, functional gastrointestinal health, systemic inflammation, autoimmune disorders, and the neurobiology of mood and cognitive disorders. Dr. LePine enjoys skiing, kayaking, hiking, camping, and golfing in the beautiful Berkshires, and is a fitness enthusiast. Dr. Elizabeth Boham is Board Certified in Family Medicine from Albany Medical School, and she is an Institute for Functional Medicine Certified Practitioner and the Medical Director of The UltraWellness Center. Dr. Boham lectures on a variety of topics, including Women's Health and Breast Cancer Prevention, insulin resistance, heart health, weight control and allergies. She is on the faculty for the Institute for Functional Medicine. Dr. Mark Pimentel is a Professor of Medicine and Gastroenterology through the Geffen School of Medicine and an Associate Professor of Medicine at Cedars-Sinai. Dr. Pimentel is also the Executive Director of the Medically Associated Science and Technology (MAST) program at Cedars-Sinai, an enterprise of physicians and researchers dedicated to the study of the gut microbiome in order to develop effective diagnostic tools and therapies to improve patient care.  Dr. Pimentel has over 150 publications in many high-profile journals, and he is the author of the book, The Microbiome Connection: Your Guide to IBS, SIBO, and low fermentation eating. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN10 to save 10%. Full-length episodes can be found here: Is Histamine Intolerance The Cause Of Your Mysterious Symptoms? What is Histamine Intolerance? Surprising Symptoms You Need to Know IBS: It's Not In Your Head—Advances In Diagnosing And Treating, Bloating And Tummy Troubles

Listen in as our expert panel discusses medications for management of opioid use disorder. They'll review strategies to optimize buprenorphine use and clarify the role of methadone and naltrexone.Special guest:Tyler J. Varisco, PharmD, PhDUniversity of Houston College of Pharmacy Assistant Professor, Department of Pharmaceutical Health Outcomes and PolicyAssistant Director, The PREMIER CenterYou'll also hear practical advice from panelists on TRC's Editorial Advisory Board:Stephen Carek, MD, CAQSM, DipABLM, Clinical Associate Professor of Family Medicine for the Prisma Health/USC School of Medicine Greenville Family Medicine Residency Program at the University of South Carolina School of Medicine, GreenvilleCraig D. Williams, PharmD, FNLA, BCPS, Clinical Professor of Pharmacy Practice at the Oregon Health and Science UniversityFor the purposes of disclosure, Dr. Varisco reports a financial relationship [cardiology, inflammatory bowel disease] with HEALIX Infusion Therapy (research consultant).The other speakers have nothing to disclose.  All relevant financial relationships have been mitigated.This podcast is an excerpt from one of TRC's monthly live CE webinars, the full webinar originally aired in March 2025.TRC Healthcare offers CE credit for this podcast. Log in to your Pharmacist's Letter, Pharmacy Technician's Letter,or Prescriber Insights account and look for the title of this podcast in the list of available CE courses.Claim CreditThe clinical resources mentioned during the podcast are part of a subscription to Pharmacist's Letter, Pharmacy Technician's Letter, and Prescriber Insights: FAQ: Management of Opioid Use DisorderChart: Treatment of Opioid WithdrawalFAQ: Treatment of Acute Pain in Opioid Use DisorderFAQ: Meds for Opioid OverdoseSend us a textIf you're not yet a subscriber, find out more about our product offerings at trchealthcare.com. Follow, rate, and review this show in your favorite podcast app. Find the show on YouTube by searching for ‘TRC Healthcare' or clicking here. You can also reach out to provide feedback or make suggestions by emailing us at ContactUs@trchealthcare.com.

James L. Ali, PA-C, DMSc, MBA, DFAAPA is the president of the Society of PAs in Family Medicine, SPAFM. In Part 2, Jim discusses considerations for opening your own practice, the various models for reimbursement, and the future role of PAs in primary and specialty care. Read his article in the recent AAPA here to learn more about Jim and his journey in PA practice: https://www.aapa.org/news-central/2024/11/the-interconnected-journey-of-a-pa-from-rejection-to-innovation-in-primary-care/

Helping a patient with chronic pain can overwhelm even the most eager residents. Stephen K. Stacey, DO, introduces a transformative approach to whole-patient pain management which partners his osteopathic roots and military background. Dr Stacey guides listeners through the MAGIC model: Multimodal, Active, Goal-based, Interdisciplinary, and Comprehensive care, empowering residents to engage their patients in meaningful, multifaceted treatment. Faculty will gain insights into how teaching MAGIC reshapes resident attitudes, enhances clinical confidence, and creates deeper, more effective interactions with chronic pain patients.Hosted by Omari A. Hodge, MD, FAAFP and Jay-Sheree Allen Akambase, MDCopyright © Society of Teachers of Family Medicine, 2025Resources:An Interprofessional Approach to Chronic Pain Management and Education - Fam Med.Improving Chronic Pain Management in a Family Medicine Residency - Fam Med.Stephen K. Stacey, DO:Dr. Stephen Stacey is the Director of Osteopathic Education for the Mayo Clinic Family Medicine Residency in La Crosse, where he is dedicated to training future physicians in comprehensive, whole-person care. As a skilled osteopathic physician, he specializes in osteopathic manual medicine and holistic treatment for chronic pain, helping patients of all ages achieve better health and overcome barriers to an active lifestyle. Before joining Mayo Clinic, Dr. Stacey served as a battalion and flight surgeon in the U.S. Army. During his service, he deployed to Poland and Ukraine, where he played a vital role in training NATO allies in battlefield trauma care. His military experience has reinforced his deep commitment to patient-centered, hands-on medicine. Outside of his medical practice, Dr. Stacey is an avid outdoor enthusiast who enjoys trail running, mountain biking, and cross-country skiing. Most importantly, he loves spending quality time with his wife and five children. Dr. Stacey attended Kirksville College of Osteopathic Medicine and completed his residency at Family Medicine, Peak Vista Community Health Centers.Link:www.stfm.org/stfmpodcast052025 

Okay, so I made one comment about Kristin's coffee-making skills and instantly became the villain. And then she replaced me—with Family Medicine. Like, actually replaced me. For an entire segment. This episode, we talk about the real heartbreak behind Medicare's decision not to cover GLP-1 medications for weight loss and diabetes, and the wider implications for access, affordability, and the ongoing “just exercise more” narrative that's exhausting all of us. Spoiler: we're not fans of weaponized personal responsibility. Then Family Medicine makes his podcast debut, and wow—he has some things to get off his chest. Like being overworked, underappreciated, and constantly asked to “clear” patients for cataract surgery. (Which isn't a thing. Please stop saying it's a thing.) We close things out with a conversation about burnout, respect, weighted blankets, and fermented Texaco antibiotics. You know, just a normal Tuesday. Takeaways: I mentioned Kristin's coffee grounds and now I'm banned from caffeine commentary. GLP-1 meds aren't being covered by Medicare anymore, and it's as infuriating as you'd expect. Family Medicine is here. He's tired. And he's not “clearing” anyone for anything. If you don't think all doctors are burned out, you're not paying attention. We might've created a new mascot: Emotional Support Drape™. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠ http://www.patreon.com/glaucomflecken⁠  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠http://www.EyelidCheck.com⁠ for more information.  Today's episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit ⁠aka.ms/knockknockhi⁠. Produced by⁠ Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

Do you feel like you're doing everything right—eating healthy, exercising—but still not seeing the results you want, especially with bone health? In this episode, I interview Dr. Melissa Mondala, a lifestyle medicine expert, to explore how mindset and stress management can impact osteoporosis and overall wellness. Dr. Melissa is a triple specialist in Family Medicine, Lifestyle Medicine, and Integrative Psychiatry, and is double-boarded in Family Medicine and Lifestyle Medicine. She is one of the first nationally recognized Lifestyle Medicine Intensivists and serves as Core Faculty at Loma Linda University's Preventive and Lifestyle Medicine Department, which is one of the Blue Zones for longevity.   She prioritizes lifestyle modifications to optimize health, brings evidence-based methods to combat chronic disease, and uplifts potential barriers through self-empowerment and self-compassion Dr. Melissa shares her multidisciplinary approach to bone health, combining nutrition, exercise, and the often-overlooked element of mental well-being. Learn about practical tools and strategies you can implement today to reduce stress, improve your mindset, and protect your bones for the long term. Tune in and discover how lifestyle medicine can revolutionize your health! “Every day, we all have a new beginning. We can choose to live the life we want." ~ Dr. Melissa Mondala   In this episode: - [01:18] - Meet Dr. Melissa Mondala, lifestyle medicine expert - [07:50] - Practical tips for improving our health - [18:52] - Affirmations for reducing stress  - [21:21] - The connection between mental and physical health - [24:53] - The importance of proper nutrition for overall well-being - [29:10] - Glutathione and its role in the body - [31:20] - Tips for preparing healthy meals  - [37:53] - Details about the Plant-Powered Mind Masterclass - [41:48] - Book recommendation: Embody Lifestyle Medicine   Resources mentioned - Embody Lifestyle Medicine: How to Build a Successful Direct Care Startup by Dr. Melissa Mondala - https://www.amazon.com/dp/B0DXRCX8RC - Margie's Favorites (products I personally use and love) - https://margiebissinger.com/margies-favorites/ -    More about Margie - Website - https://margiebissinger.com/  - Facebook - https://www.facebook.com/p/Margie-Bissinger-MS-PT-CHC-100063542905332/  - Instagram - https://www.instagram.com/margiebissinger/?hl=en    DISCLAIMER – The information presented on this podcast should not be construed as medical advice. It is not intended to replace consultation with your physician or healthcare provider. The ideas shared on this podcast are the expressed opinions of the guests and do not always reflect those of Margie Bissinger and Happy Bones, Happy Life Podcast.   *In compliance with the FTC guidelines, please assume the following about links on this site: Some of the links going to products are affiliate links of which I receive a small commission from sales of certain items, but the price is the same for you (sometimes, I even get to share a unique discount with you). If I post an affiliate link to a product, it is something that I personally use, support, and would recommend. I personally vet each and every product. My first priority is providing valuable information and resources to help you create positive changes in your health and bring more happiness into your life. I will only ever link to products or resources (affiliate or otherwise) that fit within this purpose.

Diabetes Core Update is a monthly podcast that presents and discusses the latest clinically relevant articles from the American Diabetes Association's four science and medical journals – Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum. Each episode is approximately 25 minutes long and presents 5-6 recently published articles from ADA journals. Intended for practicing physicians and health care professionals, Diabetes Core Update   discusses how the latest research and information published in journals of the American Diabetes Association are relevant to clinical practice and can be applied in a treatment setting. Welcome to diabetes core update where every month we go over the most important articles to come out in the field of diabetes. Articles that are important for practicing clinicians to understand to stay up with the rapid changes in the field.  This issue will review: 1.     Lepodisiran — A Long-Duration Small Interfering RNA Targeting Lipoprotein(a) - NEJM 2.     Diabetes and Anemia – Diabetes Care 3.     Efficacy and Safety of Finerenone in Type 2 Diabetes: A Pooled Analysis of Trials – Diabetes Care 4.     Cardiovascular and Kidney Outcomes and Mortality With Long- Acting Injectable and Oral Glucagon-Like Peptide 1 Receptor Agonists in Individuals With Type 2 Diabetes: A Systematic Review and Meta-analysis of Randomized Trials – Diabetes Care 5.     Oral Semaglutide and Cardiovascular Outcomes in High-Risk Type 2 Diabetes - NEJM   For more information about each of ADA's science and medical journals, please visit Diabetesjournals.org. Hosts: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health John J. Russell, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Chair-Department of Family Medicine, Abington Jefferson Health

Infectious diseases fellow Sam Peterson, MD, shares her unique journey to ID with Buddy Creech, MD, MPH, FPIDS. The two explore the power of mentorship, the value of storytelling, and what it takes to inspire the next generation of ID specialists. 

Dr. Butt is a retired Clinical Associate Professor in the Department of Family Medicine at the University of Saskatchewan. He served for 24 years as a consultant in Addiction Medicine in the Saskatchewan Health Authority.

James L. Ali, PA-C, DMSc, MBA, DFAAPA is the president of the Society of PAs in Family Medicine, SPAFM. He shares his experience running an APP practice in an underserved community in part 1 of his interview with Sam. Read his article in the recent AAPA here to learn more about Jim and his journey in PA practice: https://www.aapa.org/news-central/2024/11/the-interconnected-journey-of-a-pa-from-rejection-to-innovation-in-primary-care/

In episode #368 of The Hormone Puzzle Podcast, our guest Dr. Miranda Naylor, talks about Explaining Unexplained Infertility. More about Dr. Miranda: Dr. Miranda Naylor is a board-certified Family Medicine and Functional Medicine Doctor specializing in women's hormonal health and fertility. She uses a root-cause approach to help women get to the bottom of symptoms and optimize their health from the ground up. Thank you for listening! This episode is made possible by Puzzle Brew's Fertility Tea: https://hormonepuzzlesociety.com/fertility-tea Follow Dr. Miranda on Instagram: @‌drmirandanaylor Follow Dr. Kela on Instagram: @‌kela_healthcoach Get your FREE Fertility Meal Plan: https://hormonepuzzlesociety.com FTC Affiliate Disclaimer: The disclosure that follows is intended to fully comply with the Federal Trade Commission's policy of the United States that requires to be transparent about any and all affiliate relations the Company may have on this show. You should assume that some of the product mentions and discount codes given are "affiliate links", a link with a special tracking code This means that if you use one of these codes and purchase the item, the Company may receive an affiliate commission. This is a legitimate way to monetize and pay for the operation of the Website, podcast, and operations and the Company gladly reveals its affiliate relationships to you. The price of the item is the same whether it is an affiliate link or not. Regardless, the Company only recommends products or services the Company believes will add value to its users. The Hormone Puzzle Society and Dr. Kela will receive up to 30% affiliate commission depending on the product that is sponsored on the show. For sponsorship opportunities, email HPS Media at media@hormonepuzzlesociety.com

The NACE Journal Club with Dr. Neil Skolnik, provides review and analysis of recently published journal articles important to the practice of primary care medicine. In this episode Dr. Skolnik and guests review the following publications:1. Adverse Outcomes Associated With Inhaled Corticosteroid Use in Individuals With Chronic Obstructive Pulmonary Disease. Annals of Family Medicine 2025. Discussion by:Guest:Barbara Yawn, MD, MSc, MPHAdjunct Professor, Department of Family and Community HealthUniversity of Minnesota Former Chief Scientific Officer at the COPD Foundation2. Optimal dietary patterns for healthy aging. Nature Medicine. Discussion by:Guest:Jessica Stieritz, MD Resident– Family Medicine Residency Program Jefferson Health – Abington3. Amount and intensity of daily total physical activity, step count and risk of incident cancer. British Journal of Sports Medicine. Discussion by:Guest:William Callahan, D.O. Associate Director – Family Medicine Residency ProgramJefferson Health – AbingtonMedical Director and Host, Neil Skolnik, MD, is an academic family physician who sees patients and teaches residents and medical students as professor of Family and Community Medicine at the Sidney Kimmel Medical College, Thomas Jefferson University and Associate Director, Family Medicine Residency Program at Abington Jefferson Health in Pennsylvania. Dr. Skolnik graduated from Emory University School of Medicine in Atlanta, Georgia, and did his residency training at Thomas Jefferson University Hospital in Philadelphia, PA. This Podcast Episode does not offer CME/CE Credit. Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

Many people struggle with mysterious symptoms like fatigue, brain fog, food sensitivities, and skin issues—only to be misdiagnosed or dismissed altogether. This conversation highlights how histamine intolerance and mast cell activation syndrome can be the hidden drivers behind a wide range of chronic conditions, and why they're often overlooked in conventional medicine. From the role of gut health, food triggers, and environmental toxins to deeper root causes like Lyme disease or mold exposure, it's clear that personalized, Functional Medicine is key to uncovering real answers. Understanding the immune system's role in histamine reactions—and how even “healthy” foods can be inflammatory for some—is a critical step toward healing. In this episode, I talk with Dr. Todd LePine, Dr. Elizabeth Boham, and Dr. Mark Pimentel about what histamine intolerance is, how it can be related to gut health, and why it's important to address it. Dr. Todd LePine graduated from Dartmouth Medical School and is Board Certified in Internal Medicine, specializing in Integrative Functional Medicine. He is an Institute for Functional Medicine Certified Practitioner. Prior to joining The UltraWellness Center, he worked as a physician at Canyon Ranch in Lenox, MA, for 10 years. Dr. LePine's focus at The UltraWellness Center is to help his patients achieve optimal health and vitality by restoring the natural balance to both the mind and the body. His areas of interest include optimal aging, bio-detoxification, functional gastrointestinal health, systemic inflammation, autoimmune disorders, and the neurobiology of mood and cognitive disorders. Dr. LePine enjoys skiing, kayaking, hiking, camping, and golfing in the beautiful Berkshires, and is a fitness enthusiast. Dr. Elizabeth Boham is Board Certified in Family Medicine from Albany Medical School, and she is an Institute for Functional Medicine Certified Practitioner and the Medical Director of The UltraWellness Center. Dr. Boham lectures on a variety of topics, including Women's Health and Breast Cancer Prevention, insulin resistance, heart health, weight control and allergies. She is on the faculty for the Institute for Functional Medicine. Dr. Mark Pimentel is a Professor of Medicine and Gastroenterology through the Geffen School of Medicine and an Associate Professor of Medicine at Cedars-Sinai. Dr. Pimentel is also the Executive Director of the Medically Associated Science and Technology (MAST) program at Cedars-Sinai, an enterprise of physicians and researchers dedicated to the study of the gut microbiome in order to develop effective diagnostic tools and therapies to improve patient care.  Dr. Pimentel has over 150 publications in many high-profile journals, and he is the author of the book, The Microbiome Connection: Your Guide to IBS, SIBO, and low fermentation eating. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN10 to save 10%. Full-length episodes can be found here: Is Histamine Intolerance The Cause Of Your Mysterious Symptoms? What is Histamine Intolerance? Surprising Symptoms You Need to Know IBS: It's Not In Your Head—Advances In Diagnosing And Treating, Bloating And Tummy Troubles

"10 Key Questions Facing Medicare Advantage" is the subject for our Medicare Advantage Minute. More trouble ahead? This is the reason we spend time in every episode warning listeners of MA plan dangers! In "Your Medicare Benefits 2024" we learn about how Emergency Department Services are reimbursed by Medicare. As usual they ignore the fact that my clients, and all responsible Medicare participants, will have acquired a Medicare supplement plan to enhance the Medicare reimbursement amount. Average earnings of Medical Doctors by specialty in an interesting way to decide whether you could have chosen a more lucrative path in life! The lowest earning specialties are: Public Health & Preventive Medicine (lowest at $257K per year) Pediatrics and Family Medicine. Highest earners are: Orthopedic & Ortho Surgery ($543K per year) followed by Radiology, Plastic Surgery and Cardiology out of a total of 29 different branches of medicine.   Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)                   Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com.

Episode 189: Intermittent Fasting (Religious and Sports)Future Doctors Carlisle and Kim give recommendations about patients who are fasting for religious reasons, such as Ramadan. They also explain the benefits and risks of fasting for athletes and also debunked some myths about fasting. Dr. Arreaza add input about the side effects of fasting and ways to address them.    Written by Cameron Carlisle, MSIV (RUSM) and Kyung Kim, MSIV (AUC). Editing 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.Introduction: In the last episode on fasting (#179), we explored how intermittent fasting (IF) can help manage type 2 diabetes by improving insulin sensitivity, promoting weight loss, and lowering inflammation. We discussed the benefits of methods like 16:8 time-restricted eating and the 5:2 meal plan, and even compared IF to medications like metformin. Today, we're bringing that science into real life. We'll talk about how people fast for religious reasons, like during Ramadan, how athletes use IF to stay in shape, and how we can use IF as a tool in family medicine to support community health and A1c control.Intermittent Fasting in Religious PracticeRamadan just ended on 3/30/25, but this is a great time to talk about the broader role of fasting in religion and health. Many faiths incorporate fasting into spiritual practice and understanding this can help us better support our patients.Islam (Ramadan): Ramadan is a month where Muslims fast from dawn to sunset, focusing on spiritual reflection and self-control. No food or drink is consumed during daylight hours. Despite this, studies have shown that with good planning, fasting during Ramadan does not significantly impair physical performance or metabolic health.Key health tips for patients observing Ramadan:Hydrate well between iftar (sunset) and suhoor (pre-dawn).Break the fast with dates and water to gently replenish energy and electrolytes.Eat balanced meals with complex carbs, protein, and healthy fatsAvoid greasy, heavy foods right after fastingLight exercise (such as a walk) after iftar is beneficialReview medications with a healthcare provider, especially for those on insulin or sulfonylureas.For example: Metformin should be taken when you break your fast and then again before dawn. If its an extended-release metformin, take it at night. Metformin does not cause significant hypoglycemia and can be continued during Ramadan. Basal insulin is advised to be given at Iftar, and the dose should be reduced by 25-35% if the patient is not well managed. And regarding the fast-acting insulin, it requires a little more reading, so you can look it up and learn about it. Judaism: In Judaism, fasting is practiced on days like Yom Kippur and Tisha B'Av, typically lasting 25 hours without food or water. These fasts are spiritual and reflective, and patients with medical conditions may seek guidance on how to participate safely.Christianity: Many Christians fast during Lent, either by abstaining from certain foods or limiting meal frequency. Some practice partial-day fasts or water-only fasts for spiritual renewal.A branch of Christianity known as The Church of Jesus Christ of Latter-day Saintsoften observe a 24-hour fast on the first Sunday of each month, known as Fast Sunday, where they abstain from food and drink and donate the cost of meals to charity. This practice is both spiritual and communal.Cameron: Fasting for religious reasons, when done safely, can align with IF protocols and be culturally sensitive for diverse patients in family medicine.IF in Athletes and PerformanceIntermittent fasting is gaining popularity in the sports world. Athletes are using IF to improve body composition, increase fat oxidation, and enhance metabolic flexibility. A recent study, known as the DRIFT trial and published in Annals of Internal Medicine, found that fasting three non-consecutive days a week led to more weight loss than daily calorie restriction. Participants lost an average of 6.37 pounds more over 12 months.Why? Better adherence. People found the 3-day fasting schedule easier to stick to than counting calories every day.Benefits of IF for athletes:Encourages fat burning (via AMPK activation and GLUT4 upregulation, listen to ep. 179).Helps maintain lean muscle while reducing fat.No major drop in performance when meals and workouts are timed properly.What are some practical tips?Schedule workouts during or just before eating windows.Eat protein-rich meals post-workout.Avoid intense training during long fasts unless adapted.Stay hydrated, especially in hot environments or endurance sports.Broader Applications and Myths Around IFHormonal Effects of IF: In addition to improving insulin sensitivity, IF also affects hormones such as ghrelin (which stimulates hunger, remember it as growling) and leptin (which signals fullness). Over time, IF may help the body regulate appetite better and reduce cravings. IF can also decrease morning cortisol levels, the stress hormone. That's why it's important to monitor sleep, hydration, and stress levels when recommending IF.Circadian Rhythm Alignment: Emerging research shows that aligning eating times with natural light/dark cycles—eating during the day and fasting at night—can improve metabolic outcomes. This practice, known as early time-restricted eating (eTRE), has been shown to lower blood glucose, reduce insulin levels, and improve energy use. Patients who eat earlier in the day tend to have better results than those who eat late at night.Myths and Clarifications on IF:-“Fasting slows metabolism” In fact, short-term fasting may boost metabolism slightly due to increased norepinephrine. -“You can't exercise while fasting.” Many people can safely train during fasted states, especially for moderate cardio or strength training. -“Skipping breakfast is bad.” For some, skipping breakfast is a useful IF strategy—as long as total nutrition is maintained. You can break your fast at 2:00 pm, it does have to be at 7:00 AM.What to Eat When Breaking a FastBreaking a fast properly is just as important as fasting itself. Whether it's after a Ramadan fast or a 16-hour fast, the goal is to replenish energy gently and restore nutrients.Ideal foods to break a fast:Dates and water: provide quick energy, potassium, and fiberSoups: lentil or broth-based soups are gentle on digestionComplex carbs: whole grains like brown rice or oatsLean proteins: chicken, fish, eggs, legumesFruits and vegetables: hydrate and provide fiberHealthy fats: nuts, avocado, olive oilProbiotics: yogurt or kefir for gut supportBalanced meals with carbs, protein, and healthy fats help the body transition smoothly back to a fed state.Using IF in Family Medicine and Community HealthIntermittent fasting can be a practical, cost-effective strategy in family medicine. In areas with high rates of obesity and diabetes, like Kern County, IF offers a lifestyle-based tool to improve metabolic health, especially in underserved populations. IF is free!How IF can help in family medicine:Lower A1c levels: improves insulin sensitivity and glucose controlPromote weight loss: decreases insulin resistance and inflammationReduce medication dependence: fewer meds needed over time for some patientsEncourage patient engagement: flexible and easier to follow than strict calorie countingFit diverse lifestyles: aligns with religious and cultural practicesAddress food insecurity: structured eating windows can help patients stretch limited food resourcesHow to apply IF in clinic:Start the conversation by asking if the patient has heard of IFRecommend simple starting points: 12:12 or 14:10Emphasize hydration and nutrient-dense mealsMonitor labs and symptoms, especially in diabetic patientsAdjust medications to avoid hypoglycemiaProvide follow-up and patient education handouts if possibleWhat if a patient isn't ready to try fasting?For those not ready to commit to intermittent fasting, one effective alternative is walking after meals. A simple 10–20 minute walk post-meal can help stimulate GLUT4 receptors in skeletal muscle, promoting glucose uptake independent of insulin. This reduces the demand on pancreatic beta cells and may help improve blood sugar control over time. This strategy is particularly useful for patients with insulin resistance or early-stage type 2 diabetes.Conclusion: Intermittent fasting is not one-size-fits-all, but it can be a powerful tool for both individual and community health. From Ramadan to race day, IF has a place in family medicine when used thoughtfully. Encourage patients to work with their healthcare providers to find an approach that fits their lifestyle, medical needs, and personal values. IF is a cost-effective toolEven 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:American Academy of Family Physicians. (2022). "Intermittent Fasting: A Promising Treatment for Diabetes." AAFP Community Blog. https://www.aafp.org/pubs/afp/afp-community-blog/entry/intermittent-fasting-a-promising-treatment-for-diabetes.htmlHealthline. (2023). "What Breaks a Fast? Foods, Drinks, and Supplements." https://www.healthline.com/nutrition/what-breaks-a-fast.Sarri KO, Tzanakis NE, Linardakis MK, Mamalakis GD, Kafatos AG. Effects of Greek Orthodox Christian Church fasting on serum lipids and obesity. BMC Public Health. 2003 May 16;3:16. doi: 10.1186/1471-2458-3-16. PMID: 12753698; PMCID: PMC156653. https://pmc.ncbi.nlm.nih.gov/articles/PMC156653/.Shang, Y., et al. (2024). "Effects of Intermittent Fasting on Obesity-Related Health Outcomes: An Umbrella Review." eClinicalMedicine.https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(24)00098-1.Abaïdia AE, Daab W, Bouzid MA. Effects of Ramadan Fasting on Physical Performance: A Systematic Review with Meta-analysis. Sports Med. 2020 May;50(5):1009-1026. doi: 10.1007/s40279-020-01257-0. PMID: 31960369. https://pubmed.ncbi.nlm.nih.gov/31960369/.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

Steve Bierman, MD is the Director of the Noetic Medicine Institute at the Andrew Weil Center for Integrative Medicine (University of Arizona, College of Medicine). He is also the author of two award-winning books on Noetic Medicine: HEALING (2020) and The END of WORRY (2023). Dr. Bierman is a graduate of Northwestern University's School of Medicine and was board certified in and practiced Emergency and Family Medicine. He is also a diplomate of the American Board of Medical Hypnosis. Dr. Bierman teaches noetic medicine (“mind medicine”) around the world, reminding caregivers that MIND MATTERS – that “the words of a caregiver can harm or heal.” You can connect with Dr. Bierman via YouTube @SteveBierman and the website www.healingbeyondpills.com View his recently published paper, Placebo and the law of identification, here. Related Episodes: Ep 299 - Dr. Wayne Jonas on  Whole Person Care for Cancer and Healing Ep 262 - Upgrade your Language with Mark England If you like this episode, please subscribe to Pursuing Health on iTunes and give it a rating or share your feedback on social media using the hashtag #PursuingHealth. I look forward to bringing you future episodes with inspiring individuals and ideas about health. Disclaimer: This podcast is for general information only, and does not provide medical advice.  I recommend that you seek assistance from your personal physician for any health conditions or concerns.

Welcome to the April episode of the ANMA Podcast, where we continue our mission to protect and promote naturopathy. This month, we spotlight the power of authorship in advancing natural health.In this special episode, we welcome three ANMA members who have transformed their clinical knowledge into published work—helping educate, inspire, and empower others through the written word.Featured Guests:Dr. Ceabert J. Griffith – Wellness and Public Health Consultant, award-winning author, and Adjunct Professor at Touro University Worldwide. With a background in Family Medicine and Public Health, Dr. Griffith has authored five health books and over 40 peer-reviewed articles on topics ranging from hypertension to healthy aging. His latest books—11 Power Habits That Can Reverse High Blood Pressure and 15 Power Habits of Wellness—highlight lifestyle-based strategies for reducing chronic disease. He shares how daily habits, environment, and small changes can drive wellness. Dr. Griffith will be speaking at this year's ANMA Convention and offering signed books.Contact: Okiwellnessdoc@yahoo.comDr. Terence Dulin & Michelle Anglisano, M.Ed. – Co-authors of Methylation Madness, a deep dive into the misunderstood world of methylation. Dr. Dulin brings decades of biochemistry expertise, while Michelle shares her personal journey healing from anxiety and panic through understanding hypermethylation. Together, they explore how methylation influences detox, mood, energy, and chronic symptoms—and why knowing your genetic makeup is essential before supplementing.They'll be presenting at the ANMA Convention on methylation, detox pathways, and customized care strategies.Contact: methylationmadnessinsight2020@gmail.comAlso in this episode:We discuss the importance of professional support and continued education through ANMA membership and ANMCB board certification, along with exciting updates for the 2025 ANMA Convention, including:9 hours of Spanish-language naturopathic educationSessions on hair loss, Korean hand therapy, and moreNetworking opportunities and CEU workshopsResources & Links:Join ANMA: www.anma.orgGet board certified: www.anmcb.orgBuy the featured books on Amazon:– 11 Power Habits That Can Reverse High Blood Pressure– 15 Power Habits of Wellness– Methylation MadnessConnect with us:ANMA 44th Annual Convention – August 22-24, 2025, at the Westgate Las Vegas Resort.More info and registration: www.anma.orgOur Associations:American Naturopathic Medical Association: anma.orgAmerican Naturopathic Medical Certification Board: anmcb.orgAmerican Naturopathic Medical Accreditation Board: anmab.orgSociety of Complementary Alternative and Holistic Practitioners: scahp.orgEmail: admin@anma.orgProduced by: Espresso Podcast Productionespressopodcastproduction.comDisclaimer: The views expressed on the ANMA Podcast are those of the guests and do not necessarily reflect the views of the ANMA or ANMCB. This podcast is for educational purposes only and should not be considered medical advice. Always consult with a qualified health professional. The ANMA does not endorse any specific product or service mentioned in this episode.

Listen in as Joseph Kim, MD, MPH, MBA, interviews Sophia Kwon, MD, to learn about how she implemented a documentation shortcut at her institution to improve obesity care, including:Creating an obesity checklist within the electronic health recordTraining staff to correctly use this checklist and broach obesity topics with patientsGarnering feedback to ensure this checklist did not add to note fatigue or burnout among staffSharing lessons learned for others interested in implementing a similar documentation shortcutPresenterJoseph Kim, MD, MPH, MBAPresidentQ Synthesis, LLCNewtown, Pennsylvania Sophia Kwon, MDInternal Medicine AttendingRiverside University Health System AttendingLoma Linda University Health Associate FacultyLoma Linda, California

Is it too late to say sorry? Do apologies for medical harm actually create change? The Canadian Medical Association recently issued an apology to Indigenous Peoples for the harms inflicted upon them by the medical system, acknowledging a history of racism, neglect, and abuse. In this crucial episode, we delve into the significance of this apology and explore what true transformative medical justice must entail for First Nations, Inuit, and Métis Peoples in Canada. Our esteemed guest, Dr. Jamaica Cass, a First Nation physician, brings her invaluable perspective to this vital conversation. We discuss the limitations of apologies without concrete action and the urgent need for systemic change that respects and upholds Indigenous sovereignty within healthcare. Dr. Cass sheds light on the necessary steps to dismantle colonial structures in medicine, foster culturally safe practices, and ensure equitable access to care that is self-determined by Indigenous communities. Join The Gritty Nurses as we unpack what accountability looks like beyond words, and envision a future where Indigenous health and well-being are centered through the recognition of their inherent rights and sovereignty in healthcare delivery. More About Dr. Cass A member of the Mohawks of the Bay of Quinte, Turtle Clan, Dr. Cass practices Indigenous Health as a primary care physician on-reserve at Tyendinaga Mohawk Territory. In addition, as an assistant professor in the Department of Family Medicine at Queen's University, she currently supervises both undergraduate clerks and family medicine residents. Dr. Cass completed her family medicine residency at the University of Calgary, where she served on the Indigenous Health Working Group in the department of Family Medicine. Prior to her residency, Dr. Cass spent four years in New Orleans, Louisiana, where she completed her Medical Doctorate at Tulane University. With an extensive background in science, Dr. Cass earned her PhD from Queen's University in breast cancer molecular biology before pursuing a career in medicine. She was recognized with several institutional, national and international awards, including the American Association for Cancer Research MICR Scholar-in-Training Award, the Terry Fox Foundation Transdisciplinary Award and the Robert Sutherland Fellowship. While a student at Queen's, she was active in Indigenous mentorship and advocacy, serving on the Indigenous Council of Queen's University and the Native Students' Association, and mentoring Indigenous undergraduate students.  CMA Apology https://www.cma.ca/our-focus/indigenous-health/apology-harms-indigenous-peoples#:~:text=We%20realize%20we%20have%20left,CMA%20apology%20to%20Indigenous%20Peoples   Order our Book, The Wisdom Of Nurses! Leave us a review on Amazon! https://www.harpercollins.ca/9781443468718/the-wisdom-of-nurses/  https://www.grittynurse.com/ YouTube: https://www.youtube.com/@grittynursepodcast  Facebook: https://www.facebook.com/grittynurse Instagram: https://www.instagram.com/gritty.nurse.podcast/ X: https://x.com/GrittyNurse  LinkedIn: https://www.linkedin.com/company/grittynurse

The typical patient/doctor experience is changing as younger generations demand holistic, convenient, and personalized care. To address these expectations, a new medical model is sweeping the nation that includes ample appointment availability, lengthier patient/physician visits, and enhanced continuity of care. In many ways, this model of care is a return to the days of personalized medicine rather than typical medical management as we know it today.Dr. Nicole Dorotik joins us today to acquaint us with the concept of direct primary care. This medical model provides care to all ages, independent of insurance carriers, Medicare, and Medicaid. Direct primary care is a patient-centered model prioritizing personalized care, accessibility, and affordability. Unlike traditional healthcare systems, Dr. Dorotik's practice does not rely on insurance reimbursement. Instead, she and her team establish a direct relationship with their patients, offering comprehensive primary care services for a flat monthly fee. Dr. Dorotik's goal is to ensure that each patient feels comfortable, heard, and empowered - the perfect prescription for patient satisfaction. Show Notes:Dr. Dorotik, earned her medical degree from the University of Arizona College of Medicine and completed her residency at Long Beach Memorial Hospital in Long Beach, California. She is board certified in Family Medicine and has over 20 years of clinical experience. Driven by a passion for providing comprehensive care, Dr. Dorotik is dedicated to staying up to date with the latest medical advancements, and patients can trust her expertise and compassionate approach to healthcare. When she's not working, Dr. Dorotik loves all things outdoors, hiking, biking, and skiing with her three kiddos.To find a direct primary care physician in your area, go to: https://mapper.dpcfrontier.com/To learn more about Dr. Dorotik's practice, visit her website at: https://arvadadpc.com/To vote for our podcast for Best Local Podcast in the 2025 Best of Columbia, go to:https://best-of-columbia-2025-voting--inside_columbia_magazine.contest.vote/local-favorites/best-local-podcastWill the doctor see you now? Maybe not amid the changing health care landscape in the US: https://www.usatoday.com/story/news/nation/2023/06/27/primary-care-doctor-shortages-on-the-rise-in-the-us-as-wait-times-grow/70352744007/#.   How Gen Z are reshaping the healthcare industryhttps://www.weforum.org/stories/2023/09/how-gen-z-are-reshaping-the-healthcare-industry/.

Join us for an insightful conversation with Dr. Christine Tsai, a doctor, educator, and mentor whose career exemplifies excellence in medicine. Dr. Tsai is an associate professor of medicine and attending physician of hospital medicine at RUSH medical center. She completed her B.A. in biochemical sciences at Harvard, her M.D. at Columbia, and her residency in internal medicine at Oregon Health and Science University.Over her 12 years as a practicing physician, Dr. Tsai has demonstrated a devotion to medical education and clinical practice. She has served as the Director of Clinical Skills, Practitioner Role Leader, and the Internal Medicine Sub-Internship Co-Director, shaping both the preclinical and clinical curriculum at Rush Medical College. Dr. Tsai also embodies a passion for mentorship of numerous medical students, residents, and junior faculty members.Come along as the conversation merges from the technical to the philosophical.Host: Samantha ShihGuest: Christine (Steen) TsaiProduced By: Samantha ShihAlert & Oriented is a medical student-run clinical reasoning podcast dedicated to providing a unique platform for early learners to practice their skills as a team in real time. Through our podcast, we strive to foster a learning environment where medical students can engage with one another, share knowledge, and gain valuable experience in clinical reasoning. We aim to provide a comprehensive and supportive platform for early learners to develop their clinical reasoning skills, build confidence in their craft, and become the best clinicians they can be.Follow the team on X:A&OA fantastic resource, by learners, for learners in Internal Medicine, Family Medicine, Pediatrics, Primary Care, Emergency Medicine, and Hospital Medicine.

Joy Falkenberg, M.D., Family Medicine Physician at Monument Health Custer Clinic, joins host, Mark Houston, to dive into the challenges and rewards of rural health care in this first ever episode of Doc Talk Live!. Dr. Falkenberg reflects on her years of experience caring for patients in a rural setting, from mentoring young physicians to providing compassionate, personalized care to individuals in small communities. They discuss the unique obstacles rural doctors face, including recruitment, access to care and the importance of technology in improving patient outcomes. Dr. Falkenberg highlights the fulfillment and human connection that come from working in rural medicine and the critical role it plays in the future of health care. Hosted on Acast. See acast.com/privacy for more information.

What if your fatigue, weight gain, hormone imbalances, and brain fog all traced back to a silent disease that affects 1 in 3 people—and you didn't even know you had it? In today's episode, I'm joined by Dr. Elizabeth Boham and Dr. Yousef Elyaman to talk about a condition that's quietly becoming one of the biggest threats to our health: fatty liver disease—now renamed Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD). It's not just a liver issue. It's deeply connected to heart disease, cancer, infertility, type 2 diabetes, dementia, and even hormone dysfunction. The most alarming part is it's often missed in traditional medicine because there's no easy drug to prescribe. We break down: The real root causes—from sugar and starch overload to gut imbalances, toxins, alcohol, and chronic inflammation The surprising early warning signs your body might be giving you Why standard labs often miss it, and the tests you actually need The step-by-step functional medicine approach to reverse fatty liver naturally—using targeted nutrition, lifestyle upgrades, and proven supplements I also share the latest science on inflammation, why it's the common thread between fatty liver and nearly every chronic disease, and how to calm it down at the root. This is the episode I wish every patient (and doctor) could hear—because fatty liver is reversible when you catch it early, and the ripple effects of healing it are massive. If you care about your energy, hormones, brain health, or longevity… this one's for you. Dr. Elizabeth Boham is Board Certified in Family Medicine from Albany Medical School, and she is an Institute for Functional Medicine Certified Practitioner and the Medical Director of The UltraWellness Center. Dr. Boham lectures on a variety of topics, including Women's Health and Breast Cancer Prevention, insulin resistance, heart health, weight control and allergies. She is on the faculty for the Institute for Functional Medicine. Dr. Yousef Elyaman is the founder and Medical Director of Absolute Health, a primary care functional medicine practice in Ocala, Florida. He is the 100th President of the Marion County Medical Society and the Functional Medicine Director at The Guest House Ocala, a trauma and substance abuse center. Dr. Elyaman also serves as the Medical Director for HumanN, a leading nutraceutical company, and is a Consultant for Quest Diagnostics Laboratory in their Wellness Division. He is teaching Faculty for the Institute for Functional Medicine on their Cardiometabolic module. Dr. Elyaman belongs to the first graduating class of the Institute for Functional Medicine. He is Board-certified in Internal Medicine and holds certifications in functional and integrative medicine as well. His leadership and expertise are reflected in his diverse roles, demonstrating his commitment to advancing medical knowledge and improving patient care. When not at work, Dr. Elyaman loves spending time with his wife and seven children where they live on a cattle and horse ranch. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN10 to save 10%. Full-length episodes can be found here: How To Prevent And Reverse Fatty Liver Disease with Functional Medicine The Best Diet to Reverse Fatty Liver Disease with Dr. Yousef Elyaman Why Fatty Liver Is So Common And How To Heal It

Burnout isn't just a phase… it's been running the show for way too long. You've built a life of success, but at what cost? The combination of stress, exhaustion, and the feeling that you're constantly running on empty isn't sustainable. And I'm sure you know when you're hitting a wall. In this episode of, I sit down with Dr. Melissa Mondala, a powerhouse in lifestyle medicine and integrative psychiatry, to talk about something we all need: a way to heal that doesn't require us to step away from our purpose, but instead, fuels us further into it. We're diving into: ✨ The truth about patient connection and why healing is deeply personal, not just physical. ✨ How to align your life and career with your core values without sacrificing yourself in the process. ✨ Her non-negotiables and tips for staying well while leading, creating impact, and showing up fully. ✨ The power of community, self-care, and personal growth in breaking generational cycles and redefining success.===Dr. Melissa Mondala is a triple specialist of Family medicine, Lifestyle medicine,  Integrative Psychiatry and double boarded in Family Medicine & Lifestyle Medicine. She is an Integrative Medicine Fellow 2025 Candidate at Academy of Integrative Health & Medicine and has completed her Primary & Integrative Psychiatry Fellowship and University of California Irvine Health Coaching Certificate. She is President of Dr. Lifestyle Clinic in Newport Beach, the First Lifestyle & Integrative Direct Primary Care and Rheumatology clinic, which was awarded by University of California Irvine as Public Health Site of Excellence. Her life mission is to bring a voice and guiding light to those who are silently suffering from mental health & women's health conditions, long-covid19, and autoimmune disease.She is an uniquely engaging motivational speaker that brings evidence based methods to combat chronic disease and uplifts potential barriers through self-empowerment and self-compassion.https://drmelissamondala.com/   https://www.instagram.com/drmelissaskitchen/   Embody Lifestyle Medicine: How to Build a Successful Direct Care Startup: https://www.amazon.com/dp/B0DXRCX8RC   ===If you're a high-achieving woman ready to step into your purpose, align with your gifts, and find clarity, the Flourish with Purpose Membership is for you! Whether you're an entrepreneur, coach, or leader, this membership offers tools, resources, and support to help you overcome limiting beliefs, build deep confidence, and create a life that feels aligned and fulfilling. Join a community of like-minded women and start flourishing in every area of your life. Learn more here: www.amandavsevilla.com/   Subscribe to My Newsletter: https://amandavsevilla.substack.com/   Connect with me for daily inspiration to live your purpose on on my socials: Instagram.com/flourishwithpurposepodcast/   Instagram.com/amandavsevilla/   Tiktok.com/@amandavsevilla/  Youtube.com/@amandavsevilla  FREE Resources: https://bit.ly/FWPfreeresources  By accessing this Podcast, I acknowledge that the entire contents are the property of Amanda Sevilla, or used by Amanda Sevilla with permission, and are protected under U.S. and international copyright and trademark laws. Except as otherwise provided herein, users of this Podcast may save and use information contained in the Podcast only for personal or other non-commercial, educational purposes. No other use, including, without limitation, reproduction, retransmission or editing, of this Podcast may be made without the prior written permission of the host Amanda Sevilla, which may be requested by contacting flourishwithpurposepodcast@gmail.com.This podcast is for educational purposes only. The Flourish with Purpose Podcast host claims no responsibility to any person or entity for any liability, loss, or damage caused or alleged to be caused directly or indirectly as a result of the use, application, or interpretation of the information presented herein.

The Smart 7 is an award winning daily podcast, in association with METRO that gives you everything you need to know in 7 minutes, at 7am, 7 days a week...With over 17 million downloads and consistently charting, including as No. 1 News Podcast on Spotify, we're a trusted source for people every day and the Sunday 7 won a Gold Award as “Best Conversation Starter” in the International Signal Podcast Awards If you're enjoying it, please follow, share, or even post a review, it all helps...Today's episode includes the following guests:Guests: Barry “Butch” WIlmore - NASA Astronaut, US Navy Captain (retired) Suni Williams - NASA Astronaut and ISS Commander for Mission 32 / 33 Nick Hague - NASA Astronaut and US Space Force ColonelRabea Rogge - German Astronaut and first German woman in space Will Guyatt - The Smart 7's Tech Guru Doctor Steven Woolf - Professor of Family Medicine and Population Health at Virginia Commonwealth University,Anna-Katharina Hornidge - Professor for Global Sustainable Development at the University of BonnBenjamin Jones - Economist at Northwestern UniversityProfessor Liz Bentley - The Royal Meteorological SocietyProfessor Tara Spires-Jones - President of the British Neuroscience Association Blake Shook - Beekeeper and the Founder of Desert Creek HoneyJuliana Rangel - Associate Professor of Apiculture at A&M University in TexasSimon Saville - Butterfly Conservation Mark Field - Pembrokeshire Farmer and Twin Donkey owner Dr Andrew Clemence - Veterinary Surgeon Contact us over @TheSmart7pod or visit www.thesmart7.com or find out more at www.metro.co.uk This Episode is presented by Mike Wooller, written by Liam Thompson and produced by Daft Doris. Hosted on Acast. See acast.com/privacy for more information.

In this episode of The Aging Well Podcast, Dr. Jeff Armstrong is joined by Dr. Julian R. Gershon, Jr., a triple-board-certified physician in Family Medicine, Sports Medicine, and Anti-Aging & Regenerative Medicine, and author of Beyond the Fountain of Youth. Dr. Gershon shares his extensive journey in medicine, focusing on the importance of hormone optimization for aging well. He discusses the differences between proactive and reactive medicine, emphasizing the need for optimal hormone levels rather than just normal levels. The conversation also touches on the impact of diet and lifestyle on aging, common misconceptions about longevity, and the key hormones that affect our health as we age. In this conversation, Dr. Gershon discusses the importance of hormone therapy, particularly for women experiencing menopause, and the innovative use of pellet therapy for testosterone. He emphasizes the need for personalized medical approaches to optimize hormone levels and enhance longevity. The discussion also covers natural methods to support hormone balance, the significance of comprehensive health assessments, and the complexities of cholesterol management. Additionally, Dr. Gershon highlights the critical role of sleep in overall health and the potential dangers of sleep apnea.Learn more about Dr. Gershon: https://aspen-regenerativemedicine.com/about-us/BUY Beyond the Fountain of Youth on Amazon and support this podcast: https://amzn.to/3X7oZVw

In this episode, Dr. Alex McDonald speaks with Dr. Todd Wolynn of the Trusted Messenger Program on the importance of building a trusted relationship with the physician and patient.  Guests: Alex McDonald MD, FAAFP, CAQSM is a former professional triathlete, Family and Sports Medicine physician and core faculty of the Kaiser Permanente Fontana Family Medicine Reaidency Program. His professional interests include exercise and physical activity, baccine advocacy, social media and patient communication. Dr. McDonald holds degrees from Connecticut College, the University of Vermont Larnar College of Medicine, Southern California Kaiser Permanente as well as Duke University. Dr. McDonald lives in Southern, CA with his wife, 3 children and 3 dogs. He enjoys running, riding his bike, cooking, coffee and 8pm dance parties with his kids Todd Wolynn MD, MMM is the Executive Director of the Trusted Messenger Program, a part of the public health non-profit Public Good Projects. He's been a vaccine advocate Advocate for more than 30 years, through his work as a clinical vaccine researcher, immunizing pediatrician, and immunization confidence and communication researcher.  Rob Assibey, MD, FAAFP (he/him) identifies as Ghanaian American. Dr. Assibey is the Associate Program Director at San Joaquin General Hospital Family Medicine Residency Program. He practices full spectrum family medicine with an emphasis on street medicine, addiction medicine, SNF. Dr. Assibey is the District 8 Director on the CAFP Board, and a member of the JEDI Committee. Resources: CAFP 2025-2027 Strategic Plan goals Advance Payment Reform and System Transformation Develop and diversify the family medicine workforce Champion public health, health equity, and evidence-based medicine Support member wellness and joy in medicine Public Good Project - publicgoodprojects.org Trusted Messenger Program PGP's health care professional networks, health care professional training program, and its significant health communications infrastructure form one program: the Trusted Messenger Program. The Trusted Messenger Program has no equivalent in health care and public health. It brings with it the support of national medical boards and public health associations, as well as sustainable funding from several of the largest health funders. The Trusted Messenger Program is supported by a rigorous evaluation protocol, counting among its partners and stakeholders the institutions that protect and provide the public's health. The Trusted Messenger Program offers the opportunity to strengthen our health systems and to build a bulwark against the continued erosion of trust in health information and intervention. AIMS Approach - Announce, Inquire, Mirror, and Secure Family Medicine POP! - www.familydocs.org/pop The Family Docs Podcast is hosted by Rob Assibey, MD.   The Family Docs podcast is developed, produced, and recorded by the California Academy of Family Physicians. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of any entities they represent or the California Academy of Family Physicians. More information at www.familydocs.org/podcast. Visit the California Academy of Family Physicians online at www.familydocs.org. Follow us on social media: Twitter - https://twitter.com/cafp_familydocs  Instagram - https://www.instagram.com/cafp_familydocs  Facebook - https://www.facebook.com/familydocs 

Diabetes Core Update is a monthly podcast that presents and discusses the latest clinically relevant articles from the American Diabetes Association's four science and medical journals – Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum. Each episode is approximately 25 minutes long and presents 5-6 recently published articles from ADA journals. Intended for practicing physicians and health care professionals, Diabetes Core Update   discusses how the latest research and information published in journals of the American Diabetes Association are relevant to clinical practice and can be applied in a treatment setting. Welcome to diabetes core update where every month we go over the most important articles to come out in the field of diabetes. Articles that are important for practicing clinicians to understand to stay up with the rapid changes in the field.  This issue will review: 1.    Coronary Artery Calcium-Guided Primary Prevention Strategy 2.    Health-Related Quality of Life and Health Utility after Metabolic/Bariatric Surgery vs. Medical/Lifestyle Intervention in Individuals with Type 2 Diabetes and Obesity 3.    Suicide and suicide attempt in users of GLP-1 receptor agonists: a nationwide case-time-control study 4.    Self-Monitored Blood Glucose and Continuous Glucose Monitoring in Youth with Type 1 Diabetes and Medicaid Insurance 5.     Gestational Diabetes to Type 2 Diabetes—Is Poor Sleep to Blame?   For more information about each of ADA's science and medical journals, please visit Diabetesjournals.org. Hosts: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health John J. Russell, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Chair-Department of Family Medicine, Abington Jefferson Health

Welcome to our second episode of the Early Clinical Learners Series - a series dedicated towards fostering clinical reasoning skills and strategies in early clinical learners! In this episode, hosts Caroline Wang, Dr. Kevin Grudzinski, and Samantha Shih guide M1 students Kenny Pham and Naomi Bennett through a classic Alert and Oriented case discussing a farmer's cough. Next, our hosts share clinical pearls and strategies regarding pulmonary diagnostic workups and pulmonary function tests. Hosts: Caroline Wang, Dr. Kevin Grudzinski, Samantha ShihGuests: Kenny Pham, Naomi BennettProduced By: Caroline WangAlert & Oriented is a medical student-run clinical reasoning podcast dedicated to providing a unique platform for early learners to practice their skills as a team in real time. Through our podcast, we strive to foster a learning environment where medical students can engage with one another, share knowledge, and gain valuable experience in clinical reasoning. We aim to provide a comprehensive and supportive platform for early learners to develop their clinical reasoning skills, build confidence in their craft, and become the best clinicians they can be.Follow the team on Twitter:A&OA fantastic resource, by learners, for learners in Internal Medicine, Family Medicine, Pediatrics, Primary Care, Emergency Medicine, and Hospital Medicine.

Alex and Venk discuss the fundamental differences of caring for people during an in-flight emergency: what changes with oxygen and pressure, what is available to you, what are the expectations, and more. Both have been teaching about this scenario to others and have been present for several such encounters. They bring their expertise and the available literature to establish this level-setting chapter of the Always on EM Podcast. By the end of this, hopefully, you'll have zero hesitation standing with confidence that you can provide assistance in any event that arises and be as well prepared as anyone to do it. So, buckle up, put your seatbacks up, stow your laptops, and tune in to this high-flying chapter of Always on EM!   CONTACTS X - @AlwaysOnEM; @VenkBellamkonda YouTube - @AlwaysOnEM; @VenkBellamkonda Instagram – @AlwaysOnEM; @Venk_like_vancomycin; @ASFinch Email - AlwaysOnEM@gmail.com REFERENCES & LINKS Kim Y, Bae SC, Song YS. Exploring the potential of telehealth in-flight medical emergencies. Digit Health. 2025 Mar 13;11:20552076251326666. doi: 10.1177/20552076251326666. PMID: 40093698; PMCID: PMC11907535. Hawati SM, Binobaid F, Alsaeigh A, Alameer W, Al Ajmi AM, Alghamdi MK, Alqarni AA, Al-Harthi SN, Almelaifi A, Al Shehri AA. Assessing Emergency Medicine, Family Medicine, and ICU Doctors' Knowledge, Confidence, and Attitude in Managing In-Flight Medical Emergencies in the Kingdom of Saudi Arabia Hospitals: A Cross-Sectional Study. Cureus. 2025 Feb 1;17(2):e78359. doi: 10.7759/cureus.78359. PMID: 40046350; PMCID: PMC11880637. Hu JS, Smith JK. In-flight Medical Emergencies. Am Fam Physician. 2021 May 1;103(9):547-552. PMID: 33929167. Martin-Gill C, Doyle TJ, Yealy DM. In-Flight Medical Emergencies: A Review. JAMA. 2018 Dec 25;320(24):2580-2590. doi: 10.1001/jama.2018.19842. PMID: 30575886.

In this episode of The Disrupting Dentistry Podcast, Melissa (USA) and Tabitha (Australia) dive into communication's critical role in improving patient outcomes. From explaining the oral-systemic connection to collaborating with medical professionals, they share actionable strategies to enhance patient engagement and drive whole-body health. You'll learn how patient-centered communication, visual aids, and interdisciplinary collaboration can transform your practice and reduce systemic inflammation. Tune in for practical tips backed by science! What You'll Learn in This Episode: Why effective communication is essential for improving patient compliance and health outcomes Patient-centered communication techniques that enhance understanding and engagement The power of visual aids, including biofilm disclosing and voice-activated periodontal charting How to clearly explain the oral-systemic link to patients The importance of collaborating with other healthcare providers for integrated patient care Link to the episode referneced: The One Where We Talk About Communication Key Takeaways: Use patient-friendly language and open-ended questions to foster better communication. Leverage visual aids and real-time technology to help patients "see" their oral health status. Clearly articulate the connection between oral health and systemic conditions like heart disease and diabetes. Build interdisciplinary relationships to deliver holistic patient care. References Mentioned: Bale, B., & Doneen, A. (2022). Beat the Heart Attack Gene: The Revolutionary Plan to Prevent Heart Disease, Stroke, and Diabetes. Epstein, R. M., et al. (2005). Patient-centered communication and diagnostic testing. Annals of Family Medicine, 3(5), 415-421. Gurenlian, J. R. (2022). Patient-centered care in dental hygiene. Journal of Dental Hygiene, 96(2), 121-127. Ha, J. F., & Longnecker, N. (2010). Doctor-patient communication: A review. Ochsner Journal, 10(1), 38-43. Ide, M., et al. (2016). Periodontitis and pregnancy outcomes. Journal of Clinical Periodontology, 43(6), 524-530. Liccardo, D., et al. (2019). Periodontal disease and systemic inflammation. International Journal of Molecular Sciences, 20(6), 1414. Patel, N., et al. (2015). Real-time patient data and adherence. Journal of the American Medical Informatics Association, 22(1), 74-80. Slack-Smith, L., et al. (2017). Interdisciplinary dental and medical collaboration. Australian Dental Journal, 62(1), 115-121. Slade, G. D., et al. (2020). Oral health and systemic disease links. Australian Dental Journal, 65(1), 58-64. van der Sluijs, E., et al. (2018). Biofilm disclosure and patient compliance. International Journal of Dental Hygiene, 16(3), 297-304. Connect With Us: Listen wherever you get your podcasts If you enjoyed this content, please leave us a review Follow us on Instagram: @DisruptingDentistryPodcast Subscribe and leave a review on your favorite podcast platform. Share this episode with your dental colleagues! Next Episode Teaser: Stay tuned for our next episode, where we explore how to prevent gingivitis by making it "sexy."

Has a new frontier in healing been uncovered? Tune in for an inspiring discussion with Shamini Jain, PhD, on her upcoming documentary The Energy That Heals, award-winning book Healing Ourselves: Biofield Science and the Future of Health, and her new album Kaliyuga Blues. Moments with Marianne airs in the Southern California area on KMET1490AM & 98.1 FM, an ABC Talk News Radio affiliate! Dr. Shamini Jain is Founder and CEO of the 501c3 social-profit Consciousness and Healing Initiative (CHI), an international collaborative of scientists, healing practitioners, educators and artists who lead humanity to heal ourselves.  Dr. Jain is a clinical psychologist, and an award-winning researcher and author in psychoneuroimmunology, integrative health and biofield science. She also serves as an adjunct professor at UC San Diego's Department of Family Medicine, where she supports research education within UCSD's Centers for Integrative Health.  Dr. Jain is a sought-after speaker and teacher with ample media experience related to biofield healing research and education, including national television placements, two TEDx talks, and regular talks at universities as well as leading health conferences and retreat centers.  Her two-time award winning book, Healing Ourselves: Biofield Science and the Future of Health is available from booksellers world-wide.FREE GIFT! https://www.shaminijain.com/freegift   The Energy That Heals Documentary: https://www.theenergythatheals.comFor more show information visit: www.MariannePestana.com

Thank you for joining us for another episode of the Low Carb MD Podcast. Dr. Laura Buchanan is board certified in Family Medicine and is on the board of the Society of Metabolic Health Practitioners. She graduated summa cum laude with a Bachelor of Science in Biomedical Sciences from the University of South Florida and was a valedictorian of her class at the University of Florida College of Medicine. She is on staff at Dr. Tro's Medical Weight Loss & Direct Primary Care. In this episode, Dr. Tro and Dr. Laura talk about… (00:00) Intro (03:19) When and how Dr. Laura knew she wanted to go into some form of medical practice and become a doctor (07:25) Dr. Laura's experience working at a small rural hospital in Peru (09:15) The story of how Dr. Laura met her husband, Dr. Matt Calkins (10:31) Some of the most prominent issues with Western medical education and standard nutritional information (14:39) Issues with the medical insurance system in the United States (21:50) Dr. Tro's Employee Wellness Program (26:15) The initial 6 month data results of Dr. Tro and Dr. Laura's employee wellness program study (see links below) (28:59) The incredible effectiveness of DPC and remote monitoring and remote patient care (33:51) The most important findings presented in the Toward Health paper  (36:30) The GLP-1 medications' benefits and downsides for weight loss and metabolic health (43:35) The highlight findings of the Toward Health study (49:52) Outro For more information, please see the links below. Thank you for listening! Links: Please consider supporting us on Patreon: https://www.lowcarbmd.com/ Resources Mentioned in this Episode: The Toward Health Study: https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2025.1548609/full Dr. Laura Buchanan: Twitter The Society of Metabolic Health Practitioners Website Instagram Dr. Brian Lenzkes:  Website: https://arizonametabolichealth.com/ Twitter: https://twitter.com/BrianLenzkes?ref_src=twsrc^google|twcamp^serp|twgr^author Dr. Tro Kalayjian:  Website: https://www.doctortro.com/ Twitter: https://twitter.com/DoctorTro Instagram: https://www.instagram.com/doctortro/ Toward Health App Join a growing community of individuals who are improving their metabolic health; together.  Get started at your own pace with a self-guided curriculum developed by Dr. Tro and his care team, community chat, weekly meetings, courses, challenges, message boards and more.  Apple: https://apps.apple.com/us/app/doctor-tro/id1588693888  Google: https://play.google.com/store/apps/details?id=uk.co.disciplemedia.doctortro&hl=en_US&gl=US Learn more: https://doctortro.com/community/ 

Welcome to a new episode of the Future Generations podcast! Host Dr. Stanton Hom sits down with Dr. Tatum Toner, a medical doctor who underwent a profound transformation from a progressive Democrat and conventional medical practitioner to a passionate advocate for medical freedom, natural birth, and holistic health. In this episode, Dr. Toner shares her eye-opening journey of discovering the dangers of folic acid, challenging medical indoctrination, and embracing the power of intuitive healing and physiological birth.   Highlights: "If any part of you has questioned whether or not midwifery or the OB system is the right way, I would encourage you to pursue that."   "The industry has incentive to make us sick."   "Birth is as different and unique to the baby as to the mama."   "If everyone truly comes to know and love themselves the way that we're supposed to, this world is going to be a blast."   "Your ultimate wellness comes from your connection to spirit and connection to your own intuition."   Timestamps: 0:00:19 Medical Background and Initial Perspective 0:01:31 Transformation from Progressive Democrat to Medical Freedom Advocate 0:08:00 Challenging Medical Indoctrination 0:11:46 COVID-19 and Shift in Birth Choices 0:14:39 The Importance of Physiological Birth 0:37:23 Folic Acid: Understanding Its Dangers 0:44:06 Clinical Observations and Health Impacts 0:52:17 Vision for Personal and Collective Healing 0:58:41 Personal Story of Methyl Folate and Son's Healing 1:05:04 Nutrition and Supplement Insights   Resources:   Remember to Rate, Review, and Subscribe on iTunes and Follow us on Spotify!   Learn more about Dr. Stanton Hom on:   Instagram: https://www.instagram.com/drstantonhom  Website: https://futuregenerationssd.com/    Podcast Website: https://thefuturegen.com Twitter: https://twitter.com/drstantonhom  LinkedIn: https://www.linkedin.com/in/stanhomdc    About Dr. Tatum Toner "Dr. Tatum Toner was in her second year of a Family Medicine residency when the pandemic started, and like so many, experienced a profound spiritual awakening. Having just cured her own chronic illness on her own time, she was the only one of 76 residents to refuse the experimental injection, taking a stand for medical freedom and patient autonomy. Continuing on her own journey toward sovereignty, she subsequently free-birthed her second son during her third and final year of residency, and has free-birthed two daughters since." Brand: Renaissance Wellness  IG Handle: @renwellmd Consultation Services/Website: *coming May 2025* Stay Connected with the Future Generations Podcast:   Instagram:  https://www.instagram.com/futuregenpodcast  https://www.instagram.com/thefuturegensd  https://www.instagram.com/drstantonhom    Facebook: https://www.facebook.com/futuregenpodcast/  https://www.facebook.com/thefuturegensd/  If you would like to learn more about the truth behind the pandemic, please check out The End of C0V1D.  Click the link to sign up: https://theendofcovid.com/ref/352/    Get the Heart of Freedom III Replay here: https://hof3replay.thefuturegen.com/hof3recording  Join the Future Generations Community here: https://community.thefuturegen.com  San Diego area residents, take advantage of our special New Patient offer exclusively for podcast listeners here. We can't wait to experience miracles with you!   The desire to go off grid and have the ability to grow your own food has never been stronger than before. No matter the size of your property, Food Forest Abundance can help you design a regenerative layout that utilizes your resources in the most synergistic and sustainable manner. If you are interested in breaking free from the system, please visit www.foodforestabundance.com and use code “thefuturegen” to receive a discount on their incredible services.   Show your eyes some love with a pair of daylight or sunset (or both!) blue-light blocking glasses from Ra Optics. They have graciously offered Future Generations podcast listeners 10% off any purchase. Use code FGPOD or click here to access this discount, and let us know how your glasses are treating you!   One of the single best companies whose clean products have supported the optimal wellness of our family is Earthley Wellness. Long before there was a 2020, Kate Tetje and her team have stood for TRUTH, HEALTH and FREEDOM in ways that paved the way for so many of us. In collaboration with this incredible team, we are proud to offer you 10% off of your first purchase by shopping here.   Are you concerned about food supply insecurity? Our family has rigorously sourced our foods for over a decade and one of our favorite sources is Farm Match and specifically for San Diego locals, “Real Food Club PMA”. My kids are literally made from their maple breakfast sausage and the amazing carnitas we make from their pasture raised pork. We are thrilled to share 10% off your first order when you shop at this link.   Another important way to bolster food security is by supporting local ranchers. Our favorite local regenerative ranch is Perennial Pastures. They have the best nutrient-dense meats that are 100% grass-fed and pasture-raised. You can get $10 off of your first purchase when you use the code: "FUTUREGENERATIONS" at checkout. Start shopping here.

Family physician Dan Muntean discusses the article, "The heart of family medicine: a doctor's journey of compassion and care." In this episode, Dan shares his personal journey through 30 years of practice in family medicine, reflecting on the lessons learned from his upbringing in Romania, his diverse training experiences, and the deep connections formed with his patients. He emphasizes the importance of listening, empathy, and sacrifice in patient care, and discusses actionable insights for new family doctors on embracing the true spirit of medical practice. Throughout the conversation, Dan highlights how genuine compassion and commitment transform patient care into a familial bond, ultimately shaping the future of health care one patient at a time. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://www.kevinmd.com/cme I'm partnering with Learner+ to offer clinicians access to an AI-powered reflective portfolio that rewards CME/CE credits from meaningful reflections. Find out more: https://www.kevinmd.com/learnerplus

Join MEMBERS ONLY for Early and Ad-Free Podcasts: https://www.elitefts.com/join-the-crew   Dr. Christle Guevarra, DO, MS, CAQSM, and Dr. Mike Israetel join us for this episode of Dave Tate's Table Talk podcast.    Dr. Christle Guevarra earned her M.S. in Chemistry from the University of Wisconsin-Madison and her D.O. from Western University of Health Sciences. She previously taught as a Pre-Doctoral Teaching Fellow at WesternU and completed her Family Medicine residency at Crozer Health in PA, where she was named “Resident of the Year.” After a Sports Medicine fellowship at the University of Nevada Las Vegas, she now runs a telemedicine practice, serves as a Team Physician for US Figure Skating, and manages projects for RP Strength. An advocate for Exercise Is Medicine, Christle, a former competitive powerlifter, enjoys weightlifting and training in Brazilian Jiu Jitsu.   Dr. Mike Israetel holds a Ph.D. in Sport Physiology from Lehman College, CUNY, where he teaches. He co-founded Renaissance Periodization, a diet and training consultancy, and has earned a purple belt in BJJ and a brown belt in jiu jitsu. Mike also competes as an NPC bodybuilder.   Christle's IG: https://www.instagram.com/dr.christle/ Mike's IG: https://www.instagram.com/drmikeisraetel/ Renaissance Periodization: https://rpstrength.com/   THANK YOU TO OUR SPONSORS  AG1: https://drinkag1.com/DAVETATE Marek Health: https://marekhealth.com/tabletalk (CODE: TABLETALK) LMNT: https://partners.drinklmnt.com/free-gift-with-purchase?utm_campaign=agwp&am…  RP Hypertrophy App:https://go.rpstrength.com/hypertrophy-app/ (CODE: TABLE TALK)  elitefts: https://www.elitefts.com/ (CODE: TABLE TALK)     SUPPORT THE SHOW    All profits from elitefts Limited Edition Apparel, Table Talk Coffee, and Team elitefts Workouts, Programs, and Training eBooks support Dave Tate's Table Talk Podcast.    Shop these elitefts items: https://www.elitefts.com/content/table-talk/  elitefts Shop: https://www.elitefts.com/  elitefts IG: https://www.instagram.com/elitefts/ elitefts  Limited Edition Apparel: https://www.elitefts.com/shop/apparel/limited-edition.html

Garrett Butler, MD, is a devoted family man and physician serving rural West Virginia as a husband, father, son, and friend. With a strong academic foundation, he earned undergraduate degrees in Physics from Johns Hopkins University and Molecular and Cell Biology from Towson University, followed by an MD and Family Medicine residency from West Virginia University School of Medicine. He's a busy healthcare professional, working as a hospitalist at Vandalia Health Davis Medical Center and Broaddus Hospital, while also caring for patients as an outpatient family physician at Broaddus Family Care. On top of that, he serves as the medical director of Mansfield Place Nursing Home, showcasing his commitment to his community. Please check out the Mansfield Place nursing home YouTube page Work With Us: Arétē by RAPID Health Optimization Links: Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram