Podcasts about Gerd

Gerd Friedl -Gerd Friedl feiert am 7. November mit seinem neuen Kabarettprogramm „Und täglich grüßt der Schweinehund“ Premiere. In der „Mahlzeit Burgenland“-Küche bringt er eine gegrillte Stelze auf den Tisch.

Brendel, Gerd www.deutschlandfunkkultur.de, Studio 9

Brendel, Gerd www.deutschlandfunkkultur.de, Studio 9

Was für ein Tag! Mitten in der Nacht aufgestanden, jetzt ist es wieder dunkel. Zwölf Stunden unterwegs – und was wir erlebt haben, ist kaum in Worte zu fassen. Mit dabei: Ivonne, Milena und Ulrike – drei Powerfrauen, die mit mir im Speaker-Training sind. Heute waren wir bei der Speaker Excellence von Gerd Kulhavy in Böbingen – ein absoluter Hammer-Tag! So viele tolle Speaker, starke Themen, inspirierende Auftritte. Wir sind alle noch total geflasht. Milena: „Ein wundervoller Tag mit großartigen Menschen. Sie haben die Bühne gerockt – wir auch ein bisschen. Gerd hat ein mega Format geschaffen. Leute, da müsst ihr hin!“ Ivonne: „Spitzenklasse! Gerd Kulhavi ist ein absoluter Profi. Das Konzept mit Parallel-Stages war genial. So viel gelernt, so viele Aha-Momente. Weiterbildung ist Pflicht – wer stehen bleibt, fällt zurück.“ Gerd Kulhavy – ein großartiger Mensch mit einer Vision: Menschen in ihre Sichtbarkeit bringen. Netzwerken ist der Schlüssel, um voranzukommen. Es war eine Ehre, ihn und seine Frau im TV-Studio kennenzulernen. Heute durften wir erleben, was er mit Herzblut aufgebaut hat. Wir hatten auch eine besondere Mission: Live-Learning aus dem Speaker-Training. Ulrike: „Ich konnte heute zum ersten Mal klar erkennen, was einen guten Vortrag ausmacht – danke, Ernst, ohne dein Training hätte ich das nie gesehen.“ Milena: „Man kommt mit Talenten auf die Welt, aber Bühne braucht Feinschliff. Ernst, du zeigst uns, wie das geht. Heute war Feintuning pur.“ Jede Minute ist eine Bühne. Wir verkaufen uns ständig – ob mit Partnern, Kindern, Kunden oder im Alltag. Marketing ist Sichtbarkeit – und Bühne ist Marketing. Deine Trainings, Ernst, sind echte Augenöffner. Du zeigst uns: Du kannst das. Du lernst das. Du machst das. Ivonne: „Ich bin dankbar, heute hier gewesen zu sein. Und stolz, mit einem Coach wie dir unterwegs zu sein. Du bringst uns weiter – als Speaker, als Mensch.“ Du warst heute ständig präsent – auf der Bühne, neben der Bühne, im Kopf. Genau das ist es: Raus aus dem Jammern – rein ins Tun. Ulrike: „Ich gehe hochmotiviert nach Hause. Das war fast wie eine kleine Generalprobe.“ Milena: „Ich bin erfüllt und glücklich. So viele tolle Begegnungen – unter anderem Julien Backhaus. Schön, sich wiederzusehen.“ Ivonne: „Ich habe gelernt: Es geht um Entscheidungen. Du entscheidest, ob du wächst – oder zu Hause bleibst und dich beschwerst.“ Und morgen? Weiter geht's – in Bad Dürkheim im Unternehmerseminar. Alle drei Damen sind nicht nur im Speaker-Training, sondern auch im TV-Expertenrat: Ulrike: Ehemalige Bankdirektorin, heute Expertin für Unternehmerfinanzen. Milena Kostic: Seit 26 Jahren meine Therapeutin – eine medizinische Koryphäe, wo selbst Ärzte aufgeben. Ivonne: Früher Chefärztin, heute Expertin für rechtssichere Patientenverfügungen für Unternehmer. Sie deckt Lücken auf, die Notare übersehen. Ich bin stolz auf euch drei. Danke für euer Vertrauen, eure Energie, eure Entwicklung! Danke an alle Zuschauer – morgen live aus Bad Dürkheim. Schön, dass ihr dabei wart. Alles Liebe und gute Heimfahrt!

In dieser neuen Folge unseres True Dog Story Podcasts spreche ich mit Julia über ein wichtiges Thema: die Junghundeentwicklung und die oft damit verbundene Ressourcenverteidigung. Ich erzähle Julia die spannende und lehrreiche Geschichte von Katha und ihrem Junghund Lui, der seine Halterin vor einige Herausforderungen stellte.Luis Ressourcenverteidigung ist ein häufiges Problem in der Junghundephase. Viele Hundehalterinnen erleben, dass ihr junger Hund Futter, Spielzeug oder seinen Platz verteidigt. Wir beleuchten, warum Hunde dieses Verhalten zeigen und wie Katha es mit den richtigen Ansätzen meistern konnte. Erfahre, wie du die Signale deines Hundes richtig deutest und ihm hilfst, seine Ressourcen entspannt zu teilen.Lösungen für deinen Junghund: Praktische TrainingstippsJulia und ich diskutieren praktische Trainingstipps und bedürfnisorientierte Strategien, die Katha und Lui geholfen haben. Infos für das Einreichen deiner True Dog-StoryWir freuen uns sehr, wenn du deine persönliche Geschichte mit uns teilst und Teil unseres „True Dog Story Podcast“ wirst. Damit wir deine Erzählung bestmöglich umschreiben und vorstellen können (Sylvia erzählt Gerd deine Geschichte, ohne dass er weiß, was ihn erwartet), bitten wir dich, folgende Punkte zu beachten:Erzähle uns, warum du dich entschieden hast, einen Hund zu adoptieren oder anzuschaffen.Berichte, warum es genau dieser Hund geworden ist – was hat dich an ihm besonders angesprochen?Teile deine Vorstellungen und Erwartungen: Wie hast du dir das Leben mit deinem Hund vorgestellt?Beschreibe ehrlich, was tatsächlich passiert ist – sowohl positive als auch herausfordernde Erfahrungen.Berichte, wo du Kompromisse eingehen oder dich komplett umstellen musstest.Schreibe aus deiner persönlichen Sicht über deine Gefühle, Erlebnisse und Entwicklungen.Halte deine Geschichte bitte auf maximal 2,5 DIN A4 Seiten.Füge 4 bis 6 Fotos bei, die wir mit deiner Erlaubnis veröffentlichen dürfen.Schreibe uns ob wir die echten Vornamen und Tiernamen verwenden dürfen oder ob wir Personen oder dich selbst umbenennen sollen.Sende deine Geschichte und Fotos per E-Mail an hundegesabbel@dog-geeks.de mit dem Betreff „True Dog Story Podcast“. Wir freuen uns darauf, deine einzigartige Erfahrung zu hören und mit unserer Community zu teilen!Infos: zu Julia Nowak - JUNO-Coachingzu unseren Trainingsangebotenzu unserem kostenlosen Webinar und uns

In dieser neuen Folge unseres True Dog Story Podcasts spreche ich mit Julia über ein wichtiges Thema: die Junghundeentwicklung und die oft damit verbundene Ressourcenverteidigung. Ich erzähle Julia die spannende und lehrreiche Geschichte von Katha und ihrem Junghund Lui, der seine Halterin vor einige Herausforderungen stellte.Luis Ressourcenverteidigung ist ein häufiges Problem in der Junghundephase. Viele Hundehalterinnen erleben, dass ihr junger Hund Futter, Spielzeug oder seinen Platz verteidigt. Wir beleuchten, warum Hunde dieses Verhalten zeigen und wie Katha es mit den richtigen Ansätzen meistern konnte. Erfahre, wie du die Signale deines Hundes richtig deutest und ihm hilfst, seine Ressourcen entspannt zu teilen.Lösungen für deinen Junghund: Praktische TrainingstippsJulia und ich diskutieren praktische Trainingstipps und bedürfnisorientierte Strategien, die Katha und Lui geholfen haben. Infos für das Einreichen deiner True Dog-StoryWir freuen uns sehr, wenn du deine persönliche Geschichte mit uns teilst und Teil unseres „True Dog Story Podcast“ wirst. Damit wir deine Erzählung bestmöglich umschreiben und vorstellen können (Sylvia erzählt Gerd deine Geschichte, ohne dass er weiß, was ihn erwartet), bitten wir dich, folgende Punkte zu beachten:Erzähle uns, warum du dich entschieden hast, einen Hund zu adoptieren oder anzuschaffen.Berichte, warum es genau dieser Hund geworden ist – was hat dich an ihm besonders angesprochen?Teile deine Vorstellungen und Erwartungen: Wie hast du dir das Leben mit deinem Hund vorgestellt?Beschreibe ehrlich, was tatsächlich passiert ist – sowohl positive als auch herausfordernde Erfahrungen.Berichte, wo du Kompromisse eingehen oder dich komplett umstellen musstest.Schreibe aus deiner persönlichen Sicht über deine Gefühle, Erlebnisse und Entwicklungen.Halte deine Geschichte bitte auf maximal 2,5 DIN A4 Seiten.Füge 4 bis 6 Fotos bei, die wir mit deiner Erlaubnis veröffentlichen dürfen.Schreibe uns ob wir die echten Vornamen und Tiernamen verwenden dürfen oder ob wir Personen oder dich selbst umbenennen sollen.Sende deine Geschichte und Fotos per E-Mail an hundegesabbel@dog-geeks.de mit dem Betreff „True Dog Story Podcast“. Wir freuen uns darauf, deine einzigartige Erfahrung zu hören und mit unserer Community zu teilen!Infos: zu Julia Nowak - JUNO-Coachingzu unseren Trainingsangebotenzu unserem kostenlosen Webinar und uns

Ketika perut terasa nyeri, kembung, atau terasa panas seperti terbakar akibat asam lambung naik, kita membutuhkan solusi yang cepat dan efektif. Jus ramuan herbal kilat ini dirancang khusus untuk meredakan gejala tersebut dengan cepat. Terbuat dari campuran bahan alami seperti madu, lidah buaya, jahe, kunyit, sereh, dan daun pandan. Jus ini bekerja dengan cara menenangkan perut, mengurangi peradangan, dan menstabilkan asam lambung. Madu berfungsi melapisi dinding lambung agar tidak teriritasi, sementara lidah buaya membantu menyejukkan dan memperbaiki jaringan lambung yang meradang.Jahe dan kunyit berperan sebagai antiinflamasi alami yang mengurangi rasa nyeri dan perih, sedangkan sereh dan pandan membantu menenangkan saraf dan mengurangi ketegangan. Selain cepat meredakan gejala, jus herbal ini juga mudah dibuat dan aman dikonsumsi saat kondisi darurat. Jika asam lambung mendadak naik atau perut tiba-tiba terasa sakit, cukup minum segelas jus herbal hangat ini untuk mendapatkan efek menenangkan dan meredakan rasa tidak nyaman. Ramuan ini tidak hanya efektif untuk mengatasi gejala GERD, tetapi juga membantu memperlancar pencernaan dan mencegah kambuhnya gangguan lambung. Dengan rutin mengonsumsinya, tubuh akan terasa lebih nyaman, dan aktivitas sehari-hari pun bisa dilanjutkan tanpa gangguan.

Epi 332What do most bariatric surgeons NOT tell you about reflux, GERD, and hidden hernias?

Friedrich, Uwe www.deutschlandfunkkultur.de, Fazit

Gerd Lehmann hat in 40 Jahren alles fotografiert, was Erinnerungen schafft. In seiner Hofgalerie in Leipzig zeigt der Fotograf eine Mischung aus Werbe-, Mode und Szenefotos. Imme Tröger hat ihn besucht.

Update your approach to the evaluation and management of GERD with Dr. James Callaway. Learn when to consider ambulatory reflux monitoring and how to determine if someone has an indication for long-term PPI therapy.  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Case Definitions and symptoms Reflux mechanisms and triggers Medications for Acid suppression  Endoscopy and Ambulatory Reflux Monitoring  Stopping the PPI  Additional etiologies of reflux symptoms  Outro Credits Written and Produced by: Elena Gibson MD  Infographic and Cover Art:Elena Gibson MD  Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Sai S Achi MD, MBA, FACP Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: James Callaway MD  Disclosures Dr. Callaway reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.  Sponsor: Panacea Financial  Schedule a free consultation today and make sure your career stays more treat than trick. Get started at Panacea.Legal Sponsor: Mint Mobile Ready to say yes to saying no? Make the switch at MINTMOBILE.com/CURB Sponsor:  Continuing Education Company Visit CMEmeeting.org/curbsiders  and use promo code Curb30 to get 30% off all online courses and webcasts.

Brendel, Gerd www.deutschlandfunkkultur.de, Religionen

Are you tired of chasing your acid reflux symptoms with PPI's, annoying food restrictions like the GERD diet, or hyper-vigilance about when and how much food you eat? When you ask your doctor if there's ANYTHING else you can do to help your acid reflux, do they tell you that you just need to pop another antacid, avoid trigger foods, or sleep on a wedge pillow? Do you wish there was a solution to acid reflux that was permanent, so you could eat late at night without worrying about a reflux flare, or that you could eat your favorite foods again without feeling punished for it later? If you said yes to any of these questions, then this episode is for you. On today's episode, my goal is to lay out acid reflux in one MASTER episode so that, by the end of it, you can have a map for exactly how to find, and deal with, the root cause(s) of your acid reflux. In this episode, I'm talking about: The real causes of acid reflux and GERD symptoms (and why it's not “too much acid”)The difference between acid reflux, GERD, LPR, and silent reflux — and why this episode can help ALL of these diagnosesWhy standard acid reflux drugs (PPIs, acid reducers) give quick relief but cause long-term problemsHow the acid reflux diet and GERD diet miss the root causeAnd, most importantly, 2 steps to reversing your acid reflux (for good!) If you're tired of relying on medication to manage your acid reflux and want freedom from your stomach terror - then this episode is for you. TIMESTAMPS:00:00 - Introduction to Acid Reflux Struggles 00:56 - Understanding Acid Reflux and GERD 01:44 - Welcome to the Better Belly Podcast 04:27 - The Anatomy and Symptoms of Acid Reflux 08:16 - Diagnosing Acid Reflux 10:24 - Causes of Acid Reflux 13:00 - Pressure Systems and Acid Reflux 25:49 - Conventional Treatments for Acid Reflux 28:25 - The Impact of Low Stomach Acid on Nutrient Absorption 29:32 - The Vicious Cycle of PPIs and Acid Reflux 31:29 - Steps to Reverse Acid Reflux 33:37 - Identifying Pathogens and Their Effects 40:09 - The Role of Histamine in Acid Reflux 40:49 - Fascial Restrictions and Their Impact 44:53 - Testing for Low Stomach Acid 48:05 - Comprehensive Testing and Treatment Plan 51:22 - Client Success Stories and Testimonials 53:08 - Conclusion and Next Steps EPISODES MENTIONED:47// The Gut-Sinus Connection233// H. Pylori: Symptoms of H. Pylori, How to Interpret H. Pylori Test Results, and Why H. Pylori Treatments Fail40// Reduce Acid Reflux with the Magic Power of Zinc68// 10 Markers on Your Bloodwork Linked to Acid Reflux

Die Bilder zur Folge findest du in unserem Instagram Kanal. Wir freuen uns auf deinen Kommentar. Diese Episode unseres True Dog-Story Podcast begleitet Jeanette und ihren Hund Sky vom ersten Kennenlernen bis zu den Momenten, in denen Bauchgefühl und Realität aufeinandertreffen. Holly – Husky–Akita-Mix – sagt Ja zu Sky, der optisch an sie erinnert. Zuhause werden erste Fragen sichtbar: ein deutlicher Unterbiss, Parasiten, Tierarzttermine und eine notwendige Zahn-OP. Später zeigt sich ein kaum wahrnehmbares Lahmen hinten links. Untersuchungen bleiben zunächst ohne Befund. Über die Physiotherapie führt der Weg nach Eckernförde: Termin in Gut Windeby.Besonders: Sylvia erzählt, Gerd hört die Geschichte zum ersten Mal und beschreibt die gezeigten Bilder spontan. So entsteht eine unmittelbare, nahbare True Dog Story – genau das, was Hundehaltende in ähnlichen Situationen bewegt.Wir freuen uns sehr, wenn du deine persönliche Geschichte mit uns teilst und Teil unseres „True Dog Story Podcast“ wirst. Voraussetzung um dabei zu sein: Du trainierst aktuell über positive Verstärkung. Damit wir deine Erzählung bestmöglich umschreiben und vorstellen können (Sylvia erzählt Gerd deine Geschichte, ohne dass er weiß, was ihn erwartet), bitten wir dich, folgende Punkte zu beachten:Erzähle uns, warum du dich entschieden hast, einen Hund zu adoptieren oder anzuschaffen.Berichte, warum es genau dieser Hund geworden ist – was hat dich an ihm besonders angesprochen?Teile deine Vorstellungen und Erwartungen: Wie hast du dir das Leben mit deinem Hund vorgestellt?Beschreibe ehrlich, was tatsächlich passiert ist – sowohl positive als auch herausfordernde Erfahrungen.Berichte, wo du Kompromisse eingehen oder dich komplett umstellen musstest.Schreibe aus deiner persönlichen Sicht über deine Gefühle, Erlebnisse und Entwicklungen. (Ggf. was hat insbesondere der Wechsel ins bedürfnisorientierte Training verändert?)Halte deine Geschichte bitte auf maximal 2,5 DIN A4 Seiten.Füge 4 bis 6 Fotos bei, die wir mit deiner Erlaubnis veröffentlichen dürfen.Schreibe uns ob wir die echten Vornamen und Tiernamen verwenden dürfen oder ob wir Personen oder dich selbst umbenennen sollen.Sende deine Geschichte und Fotos per E-Mail an hundegesabbel@dog-geeks.de mit dem Betreff „True Dog Story Podcast“. Wir freuen uns darauf, deine einzigartige Erfahrung zu hören und mit unserer Community zu teilen!Mehr über uns

Die Bilder zur Folge findest du in unserem Instagram Kanal. Wir freuen uns auf deinen Kommentar. Diese Episode unseres True Dog-Story Podcast begleitet Jeanette und ihren Hund Sky vom ersten Kennenlernen bis zu den Momenten, in denen Bauchgefühl und Realität aufeinandertreffen. Holly – Husky–Akita-Mix – sagt Ja zu Sky, der optisch an sie erinnert. Zuhause werden erste Fragen sichtbar: ein deutlicher Unterbiss, Parasiten, Tierarzttermine und eine notwendige Zahn-OP. Später zeigt sich ein kaum wahrnehmbares Lahmen hinten links. Untersuchungen bleiben zunächst ohne Befund. Über die Physiotherapie führt der Weg nach Eckernförde: Termin in Gut Windeby.Besonders: Sylvia erzählt, Gerd hört die Geschichte zum ersten Mal und beschreibt die gezeigten Bilder spontan. So entsteht eine unmittelbare, nahbare True Dog Story – genau das, was Hundehaltende in ähnlichen Situationen bewegt.Wir freuen uns sehr, wenn du deine persönliche Geschichte mit uns teilst und Teil unseres „True Dog Story Podcast“ wirst. Voraussetzung um dabei zu sein: Du trainierst aktuell über positive Verstärkung. Damit wir deine Erzählung bestmöglich umschreiben und vorstellen können (Sylvia erzählt Gerd deine Geschichte, ohne dass er weiß, was ihn erwartet), bitten wir dich, folgende Punkte zu beachten:Erzähle uns, warum du dich entschieden hast, einen Hund zu adoptieren oder anzuschaffen.Berichte, warum es genau dieser Hund geworden ist – was hat dich an ihm besonders angesprochen?Teile deine Vorstellungen und Erwartungen: Wie hast du dir das Leben mit deinem Hund vorgestellt?Beschreibe ehrlich, was tatsächlich passiert ist – sowohl positive als auch herausfordernde Erfahrungen.Berichte, wo du Kompromisse eingehen oder dich komplett umstellen musstest.Schreibe aus deiner persönlichen Sicht über deine Gefühle, Erlebnisse und Entwicklungen. (Ggf. was hat insbesondere der Wechsel ins bedürfnisorientierte Training verändert?)Halte deine Geschichte bitte auf maximal 2,5 DIN A4 Seiten.Füge 4 bis 6 Fotos bei, die wir mit deiner Erlaubnis veröffentlichen dürfen.Schreibe uns ob wir die echten Vornamen und Tiernamen verwenden dürfen oder ob wir Personen oder dich selbst umbenennen sollen.Sende deine Geschichte und Fotos per E-Mail an hundegesabbel@dog-geeks.de mit dem Betreff „True Dog Story Podcast“. Wir freuen uns darauf, deine einzigartige Erfahrung zu hören und mit unserer Community zu teilen!Mehr über uns

Are you tired of chasing your acid reflux symptoms with PPI's, annoying food restrictions like the GERD diet, or hyper-vigilance about when and how much food you eat? When you ask your doctor if there's ANYTHING else you can do to help your acid reflux, do they tell you that you just need to pop another antacid, avoid trigger foods, or sleep on a wedge pillow? Do you wish there was a solution to acid reflux that was permanent, so you could eat late at night without worrying about a reflux flare, or that you could eat your favorite foods again without feeling punished for it later? If you said yes to any of these questions, then this episode is for you. On today's episode, my goal is to lay out acid reflux in one MASTER episode so that, by the end of it, you can have a map for exactly how to find, and deal with, the root cause(s) of your acid reflux. In this episode, I'm talking about: The real causes of acid reflux and GERD symptoms (and why it's not “too much acid”)The difference between acid reflux, GERD, LPR, and silent reflux — and why this episode can help ALL of these diagnosesWhy standard acid reflux drugs (PPIs, acid reducers) give quick relief but cause long-term problemsHow the acid reflux diet and GERD diet miss the root causeAnd, most importantly, 2 steps to reversing your acid reflux (for good!) If you're tired of relying on medication to manage your acid reflux and want freedom from your stomach terror - then this episode is for you. TIMESTAMPS:00:00 - Introduction to Acid Reflux Struggles 00:56 - Understanding Acid Reflux and GERD 01:44 - Welcome to the Better Belly Podcast 04:27 - The Anatomy and Symptoms of Acid Reflux 08:16 - Diagnosing Acid Reflux 10:24 - Causes of Acid Reflux 13:00 - Pressure Systems and Acid Reflux 25:49 - Conventional Treatments for Acid Reflux 28:25 - The Impact of Low Stomach Acid on Nutrient Absorption 29:32 - The Vicious Cycle of PPIs and Acid Reflux 31:29 - Steps to Reverse Acid Reflux 33:37 - Identifying Pathogens and Their Effects 40:09 - The Role of Histamine in Acid Reflux 40:49 - Fascial Restrictions and Their Impact 44:53 - Testing for Low Stomach Acid 48:05 - Comprehensive Testing and Treatment Plan 51:22 - Client Success Stories and Testimonials 53:08 - Conclusion and Next Steps EPISODES MENTIONED:47// The Gut-Sinus Connection233// H. Pylori: Symptoms of H. Pylori, How to Interpret H. Pylori Test Results, and Why H. Pylori Treatments Fail40// Reduce Acid Reflux with the Magic Power of Zinc68// 10 Markers on Your Bloodwork Linked to Acid Reflux

Festen, jobbintervjun eller kalaset vad missade du? Lyssna på alla avsnitt i Sveriges Radio Play. Ett nyfiket och underhållande aktualitetsprogram med lyssnaren i fokus.Fredric åkte till fel stad för en jobbintervju, Gerd missade en begravning som hon skulle spela på och Jessica missade dotterns dop efter att hon hade råkat baka ”magsjuketårtor”!I extramaterialet diskuterar vi om man kan klara sig utan en kamera i kylskåpet. Och så berättar Erika om när hon nästan missade sitt bröllop och hennes nu långvariga personliga vendetta med Göteborgsvarvet.

Gerd Schuster lebte als Punk auf der Straße. Als ein Hund für ihn da war, fand er nicht nur den Weg zurück in die Gesellschaft, sondern auch seinen Beruf: Er ist Hundetrainer. Der Nürnberger ist bei Tom Viewegh zu Gast.

In this episode, hosts Drs. Temara Hajjat and Jenn Lee talk to Dr. Jordan Whatley, Assitant Professor of Pediatrics at the Medical University of South Carolina and pediatric gastroenterologist at Shawn Jenkins Children's Hospital in Charleston, South Carolina. We discuss how multi-specialty clinics focusing on children with tracheostomy and ventilator dependence can improve clinical care.Learning Objectives:Describe the reasons children may require a tracheostomy and home mechanical ventilation.Explain multidisciplinary structure and purpose of an aerodigestive clinic in managing complex pediatric patients. Describe the gastroenterologist's role in evaluating and managing GERD, feeding intolerance, and nutritional needs in children with trach/vent dependence. Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

Brendel, Gerd www.deutschlandfunkkultur.de, Rang 1

Leweke, Anke www.deutschlandfunkkultur.de, Vollbild

Bill Snyder, CEO and Founder of Cylinder, is addressing the high prevalence of digestive health issues using a virtual care model to provide access to a coordinated care team, including dieticians and health coaches, to offer personalized care plans. GI conditions are complex and involve a combination of genetic predisposition, environmental factors, and dietary influences. There are strong correlations between the gut and brain, as well as digestive health and various physical and mental conditions. Cylinder fills a gap in traditional GI care, where physicians often lack extensive nutritional training. Bill explains, "First and foremost, we think about the patients that we serve, and the patients that we serve come to us from across the country. We serve patients in every state across the US, and they suffer from a variety of GI-related conditions. That's things like ulcerative colitis, Crohn's disease, irritable bowel syndrome, and GERD. It's also a large population who don't have a formal diagnosis, but are symptomatic of GI conditions. So they may have chronic bloating, chronic constipation, and chronic heartburn, and they may not know what the underlying cause is. And then we also reach those members through our clients, which are large self-funded organizations and health plans. People traditionally gain access to Cylinder as part of their employee benefits package." "But there's also a lot that we continue to understand in terms of our overall digestive health system connection. The gut-brain axis, which serves as a bilateral feedback loop between the gut and the brain, is where we found that your digestive health often correlates with your mental health, and vice versa. So we know that some of the reasons for the onset of these conditions can be genetic, but to your point, we're also seeing a lot of impact from our environment and certainly from the foods we eat. And so as you think about the American diet, and as you think about how that's changed over the past several decades, we're seeing an increase in the incidence of these conditions and an increase in people who are presenting with these symptoms and not really sure where to go or what to do." #CylinderHealth #GIhealth #digestivehealth #cylinderhealth #GIcare #virtualhealth #employeebenefits  cylinderhealth.com Download the transcript here

Bill Snyder, CEO and Founder of Cylinder, is addressing the high prevalence of digestive health issues using a virtual care model to provide access to a coordinated care team, including dieticians and health coaches, to offer personalized care plans. GI conditions are complex and involve a combination of genetic predisposition, environmental factors, and dietary influences. There are strong correlations between the gut and brain, as well as digestive health and various physical and mental conditions. Cylinder fills a gap in traditional GI care, where physicians often lack extensive nutritional training. Bill explains, "First and foremost, we think about the patients that we serve, and the patients that we serve come to us from across the country. We serve patients in every state across the US, and they suffer from a variety of GI-related conditions. That's things like ulcerative colitis, Crohn's disease, irritable bowel syndrome, and GERD. It's also a large population who don't have a formal diagnosis, but are symptomatic of GI conditions. So they may have chronic bloating, chronic constipation, and chronic heartburn, and they may not know what the underlying cause is. And then we also reach those members through our clients, which are large self-funded organizations and health plans. People traditionally gain access to Cylinder as part of their employee benefits package." "But there's also a lot that we continue to understand in terms of our overall digestive health system connection. The gut-brain axis, which serves as a bilateral feedback loop between the gut and the brain, is where we found that your digestive health often correlates with your mental health, and vice versa. So we know that some of the reasons for the onset of these conditions can be genetic, but to your point, we're also seeing a lot of impact from our environment and certainly from the foods we eat. And so as you think about the American diet, and as you think about how that's changed over the past several decades, we're seeing an increase in the incidence of these conditions and an increase in people who are presenting with these symptoms and not really sure where to go or what to do." #CylinderHealth #GIhealth #digestivehealth #cylinderhealth #GIcare #virtualhealth #employeebenefits  cylinderhealth.com Listen to the podcast here

Have feed back, suggestions, or questions? CLICK HERE to Send us a Message.Mind Pilot Episode 86When you only have one way to cope, injury, schedule changes, or a moved away friend can leave you stranded. In this episode, Dr. Jana Price-Sharps teaches how to diversify your coping, pick strategies that truly lower anxiety, and avoid helpers that accidentally inflame it. You will hear why calling an anxious friend can escalate panic, how a glass of wine can turn into a bottle after a rough day, and what to try instead, from happy playlists and favorite photo albums to getting outside, mowing the lawn, fishing, or crafting. Use a simple three by five card to list five or six reliable options, then reach for it when your brain is spinning, so your body can recalibrate and your sleep, mood, and digestion improve. Topics Covered COPING PORTFOLIO: Why one strategy is risky and how to diversify your calm SMART SUPPORT: How to choose centered friends and avoid anxiety amplifiers HEALTHY DISTRACTIONS: Music, photos, nature, hobbies, chores, and movement that reset the system STRESS AND BODY: How high stress fuels GERD, IBS, poor sleep, irritability, and what a daily plan can change Support the show

In this episode of The Horn, Alan is joined by Crisis Group's Africa Program Director, Murithi Mutiga, to discuss the inauguration of the Grand Ethiopian Renaissance Dam (GERD), Africa's largest hydroelectric dam. They trace the project's development during a tumultuous period for the region and explore its economic and political significance for Ethiopia. They examine why the project has raised tensions with the downstream Nile countries, Egypt and Sudan, why mediation efforts failed before completion, and to what extent concerns about GERD are justified. Finally, they discuss whether the dam can deliver the economic transformation Ethiopia hopes for, what it would take for Ethiopia, Egypt and Sudan to avert a future crisis, and how the dispute over the dam could still drive regional tensions for years to come.For more, check out our Ethiopia and Horn of Africa pages. Hosted on Acast. See acast.com/privacy for more information.

Send us a textThat burning sensation creeping up your chest after a delicious meal isn't just uncomfortable—it's your body sending you an important message. Dr. Holly Thacker breaks down the crucial differences between occasional acid reflux and chronic GERD, a condition affecting one in three adults that shouldn't be ignored.Drawing from decades of clinical experience, Dr. Thacker explains how your lower esophageal sphincter functions as the gatekeeper between your stomach and esophagus, and why factors like age, pregnancy hormones, certain medications, and lifestyle choices can compromise this important barrier. You'll learn why that burning sensation happens and how it can lead to more serious complications when left untreated.Whether you experience occasional heartburn or struggle with chronic reflux, this comprehensive guide provides the knowledge you need to take control of your digestive health. Subscribe to our podcast for more expert insights that help you Be Strong, Be Healthy, and Be in Charge!Support the show

The Wine Guys return to Germany for their first German red on the show, the 2023 Gerd Anselmann Pfalz Dornfelder. What starts with jammy blackberries, blueberries, and plum on the nose quickly turns into one of the most unusual tasting experiences they have had all season. Freshness, juiciness, bitterness, and earth all fight for attention in a wine that feels like two different bottles in one sip.The crew dives into Dornfelder's backstory too. Bred in 1955, this crossing has already climbed to become Germany's second most planted red grape. They talk through the two styles you're most likely to run into and where this Pfalz bottle falls. The chat drifts into serving temp, what foods it begs for like lamb or a charcuterie board, and how the wine's unexpected weight and flavor keep throwing them curveballs To close things out, the Wine Vibes game makes another appearance, distilling Dornfelder into pure vibes instead of tasting notes. Weird, surprising, but enjoyable, this wine sparks one of the most curious conversations yet.Connect with the show. We would love to hear from you!Stop Wasting Your Wine on Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/stopwastingyourwine/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Stop Wasting Your Wine on YouTube⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@StopWastingYourWine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The Stop Wasting Your Wine Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://stopwastingyourwine.com/⁠⁠⁠⁠⁠⁠Chapters: 00:00 - Intro02:40 - What we are drinking. 05:33 - Wine Discussion: Smells and Flavors14:26 - Wine Drops: Learning Segment23:28 - Wine Review30:29 - Game: Wine Vibes34:39 - Outro

Aus Köln Ehrenfeld. Mit dem Blogger Gerd Buurmann (https://x.com/Buurmann) Gerd ist zurück und ich stelle ihm ein salziges Hypothetical. Wir sprechen außerdem über die Charlie Kirk Trauerfeier und die nicht endenden Lügen des schlaulinken Elfenbeinturms und ihrer behinderten Fußsoldaten. Seid tugendhaft und fürchtet euch nicht. Escape the Matrix. Finde Aethervox Ehrenfeld überall: https://linktr.ee/AethervoxEhrenfeld

Gerd Schuster betreibt eine Hundepension und -schule in Mittelfranken, kümmert sich um Straßenhunde und gilt als Experte für schwierige Fälle. Als Kind erlebte er Vernachlässigung und Gewalt, er war im Heim und lebte als Punk auf der Straße. Was seine besondere Verbindung zu Hunden ausmacht und wie ihn der christliche Glaube gerettet hat, erzählt der Hundeexperte bei Thorsten Otto.

We all know that awful feeling of eating too much or the wrong kinds of foods and the unpleasantness of an upset stomach. Gastroenterologist Dr. Dhanush Hoskere of GBMC returns to help settle Nestor's stomach about treatments and procedures to help with GERD and acid reflux and some lifestyle choices to help eliminate the problem. The post Dr. Dhanush Hoskere of GBMC returns to help settle Nestor's stomach about GERD and acid reflux care first appeared on Baltimore Positive WNST.

Episode Notes Welcome to another special edition of NHA Today, the official podcast of the National Health Association. As part of our guest host series, this episode is led by Chuck Carroll, host of The Exam Room Podcast from the Physicians Committee for Responsible Medicine (PCRM). Chuck is joined by Dr. Will Bulsiewicz (“Dr. B”), The Gut Health MD, for a wide-ranging conversation on gut health, healing, and lifestyle medicine. Together they explore: Why heartburn and GERD are really gut motility issues The role of diet, fiber, and the microbiome in supporting long-term health The risks of long-term reliance on reflux medications How stress, sleep, and exercise influence digestion through the gut-brain axis The importance of community, including Dr. B's Gut Health Collective Insights from his upcoming book Plant Powered Plus This episode delivers practical strategies and empowering science for anyone looking to improve their gut health and overall well-being.   Links & Resources

Dr Sudarshan Jadcherla visits the studio as we consider gastroesophageal reflux in babies. We explore the difference between GER and GERD, including their symptoms, diagnosis, and management. We hope you can join us!

Contributors: Travis Barlock MD, Jeffrey Olson MS4 Feel free to use the cases below for your own practice. All of the scenarios are completely made up and designed to hit several teaching points. Case 1 25 M, presents to the ED with chest pain. Stabbing, started a few hours ago, substernal. Thinks it is GERD. After 2-3 minutes, pain worsens and radiates to the back. VS: BP 125/50 (Right arm 190/110). HR 120. RR of 18. Sat 98% on RA. Additional VS: Temp of 37.2, height of 6'5”, BMI of 18. PMH: None, doesn't see a doctor. Meds: None FH: Weird heart thing (Mitral Valve Prolapse), weird lung thing (spontaneous pneumothorax), tall family members with long fingers and toes Physical Exam: Cards: Diastolic decrescendo at the RUSB, diminished S2. UE pulses are asymmetric, LE pulses are asymmetric, carotid pulses are asymmetric, BP is asymmetric MSK: Knees, elbows, and wrists are hypermobile. Imaging: CXR #1 normal, #2 widened mediastinum (no read yet but shows widened mediastinum), POCUS shows small effusion CTA/MRA doesn't come back until after the case.  ECG: Sinus Tach Labs: NT-proBNP 500 pg/mL D-Dimer: 7000 ng/L CBC: Hemoglobin: 13.5 g/dL, WBC: 20,000/µL, Platelets: 250,000/µL Chem 7: Na 138, K, 5.7, Cl 102, Bicarb 17, BUN 45, Creatinine: 3.5 mg/dL, Glucose: 180 LFTs: Albumin 2.4, Total protein 5.5, ALP: 140, AST: 3500, ALT: 2800, TBili: 3.2, DirectBili: 2.4, Ca: 7.8 LDH: 2200 PT: 20.5, INR: 2.2, Fibrinogen: 170 5th gen High-Sensitivity Troponin:

Personal trainer and counseling psychology expert Alli Covington exposes the overlooked connection between mental health and metabolic dysfunction that's keeping millions trapped in cycles of weight gain and chronic disease. After watching her father follow every doctor's recommendation only to develop GERD, high cholesterol, diabetes, and die young despite compliance, Alli discovered the missing piece most fitness professionals ignore.In this candid conversation, she breaks down her revolutionary approach that combines biochemistry knowledge with psychological intervention. Learn why thoughts literally trigger hormonal cascades that can sabotage metabolism, how anxiety creates cortisol storms at the cellular level, and why addressing trauma while exercising accelerates healing beyond traditional therapy.Alli shares real client transformations, including her husband's 40-pound weight loss and a 60-year-old woman who reached her high school weight for the first time in decades by addressing deep-rooted anxiety. She also reveals why the bodybuilding community understood nutrition decades before medical professionals caught up, and how fixing gut health can resolve everything from ADHD symptoms to mood disorders.Whether you're struggling with stubborn weight, mysterious digestive issues, or feel trapped by food addiction patterns, this interview provides a fresh framework for understanding how your mental state directly impacts your physical health.BIG IDEAIf somebody's gained more than 20 pounds since their ideal weight, it wasn't on accident - there's some mental stuff going on, and we're using food to cope with some kind of pain.Alli Covington Contact InfoTwitter: @allicovingtonInstagram: @allicovingtonFacebook: @allicovingtonWebsite: https://bodbyalli.comLinkedIn: @allicovingtonSend Dr. Ovadia a Text Message. (If you want a response, you must include your contact information.) Dr. Ovadia cannot respond here. To contact his team, please send an email to team@ifixhearts.com Like what you hear? Head over to IFixHearts.com/book to grab a copy of my book, Stay Off My Operating Table. Ready to go deeper? Talk to someone from my team at IFixHearts.com/talk.Stay Off My Operating Table on X: Dr. Ovadia: @iFixHearts Jack Heald: @JackHeald5 Learn more: Stay Off My Operating Table on Amazon Take Dr. Ovadia's metabolic health quiz: iFixHearts Dr. Ovadia's website: Ovadia Heart Health Jack Heald's website: CultYourBrand.com Theme Song : Rage AgainstWritten & Performed by Logan Gritton & Colin Gailey(c) 2016 Mercury Retro RecordingsAny use of this intellectual property for text and data mining or computational analysis including as training material for artificial intelligence systems is strictly prohibited without express written consent from Dr. Philip Ovadia.

Listen as pulmonologist Peter Dicpinigaitis discusses his approach to the diagnosis and management of patients with refractory chronic cough in the context of a clinically relevant case and provides insights regarding emerging therapies.PresenterPeter Dicpinigaitis, MDProfessor of MedicineAlbert Einstein College of MedicineDivision of Critical Care MedicineMontefiore Medical CenterDirector, Montefiore Cough CenterBronx, New YorkLink to full program:https://bit.ly/4kweynG

GERD, yalnızca bir enerji ve kalkınma projesi olmanın ötesine geçerek, bölgesel dengeleri yeniden tanımlayan "oyun değiştirici" bir gelişme olarak kabul görmektedir. Yazan: Doç. Dr. Yunus TurhanSeslendiren: Halil İbrahim Ciğer

Brendel, Gerd www.deutschlandfunkkultur.de, Studio 9

Brendel, Gerd www.deutschlandfunkkultur.de, Studio 9

Neu im Kanal Schnellroda liest: "Laß dich doch einmal hinauf" - eine Erzählung von Gerd Gaiser, vorgelesen von Götz #Kubitschek.

Brendel, Gerd www.deutschlandfunkkultur.de, Studio 9

Brendel, Gerd www.deutschlandfunkkultur.de, Studio 9

In this episode, Vera and Renae explore bulimorexia—a term used for people who oscillate between restriction and binge/purge behaviors—and how this mixed pattern might help explain stubborn relapse rates across eating disorders and food addiction. Dr. Norton shares her clinical lens on risks (medical and psychological), why some traditional programs may miss the mark, and what a holistic, skills-based, harm-reduction treatment can look like (family involvement, gentle re-feeding, DBT/EMDR, food quality, and relapse prevention). Note: Some views expressed are the guest's opinions and experience. This episode is educational and not medical advice. Please consult your care team. What we cover Defining “bulimorexia”: alternating restriction with binge/purge; how it differs from anorexia nervosa and bulimia nervosa; why it's easier to hide than classic anorexia. Continuum vs. categories: where binge eating disorder fits; overlap with food addiction. Why relapse is common: risks of aggressive refeeding; short-stay residential models; lack of individualized care; missing family systems support. Medical risks (high-level): cardiac arrhythmias and hypotension, esophageal tears/GERD, laxative misuse and constipation, electrolyte disturbance, kidney strain, dental/enamel erosion, parotid swelling, menstrual disruption and fertility concerns. Psychological load: anxiety/OCD traits, depression, social avoidance; the “addiction to restricting” and the short-term ‘high' of hunger. Treatment principles Dr. Norton uses: Gentle, stepwise re-feeding (small, frequent meals; stabilize blood sugar; avoid triggering extremes). Skills over meal plans (shop, prep, and eat whole foods; mindful interoception). DBT for arousal regulation, plus EMDR and trauma work as indicated. Family-based involvement (Maudsley-style boundaries and support). Movement re-entry: slow, safe progression; curbing compulsive exercise. Relapse prevention: strong parent/caregiver alignment, food routines, anxiety skills, and ongoing monitoring. Contested terrain: ultra-processed food, additives, and differing regulations by region; the guest's emphasis on “clean/organic” sourcing. Intermittent fasting cautions: for restrict-prone folks, it can mask restriction; prefer regular, structured eating. What recovery can look like: decreased self-hatred, restored relationships, school/work re-engagement, and more flexible functioning. Resources from the guest: forthcoming book Below the Radar: What They're Not Telling You About Your Food; wellness tools she finds helpful. Suggested chapter markers 00:00 Welcome & guest intro 02:20 What is “bulimorexia”? How it differs from AN/BN 10:55 Why relapse stays high; critique of standard programs 18:30 Medical complications: heart, GI, dental, endocrine 28:15 Psychological patterns: anxiety, OCD traits, depression 34:40 Treatment pillars: re-feeding, DBT/EMDR, family work 45:05 Food quality and UPFs: guest's perspective & debate 53:10 Intermittent fasting cautions; safe movement 58:20 Relapse prevention & outcomes 1:04:10 Advice to clinicians, families, and society 1:08:00 What's next for Dr. Norton & closing Key takeaways (listener-friendly) Mixed patterns (restricting and binge/purge) may be under-recognized and can carry high medical risk. Slow, individualized re-feeding plus emotion-regulation skills (DBT) and family involvement improve safety and engagement. If you're prone to restriction, consistent meals beat fasting. Recovery gains include less self-hatred, more connection, and functional life goals—progress over perfection. Sensitive content note This episode discusses eating-disorder behaviors (restriction, purging, laxatives, insulin manipulation) and medical complications. Please use discretion and support. Links & mentions Dr. Renae Norton — Norton Wellness Institute / Mind, Weight & Wellness Pro Book (forthcoming): Below the Radar: What They're Not Telling You About Your Food Maudsley/Family-Based Treatment (FBT) overview DBT skills resources (distress tolerance, emotion regulation, interpersonal effectiveness) If you need help now: NEDA (US), BEAT (UK), local crisis lines, or your clinician. For clinicians Screen for mixed presentations (restrict + purge), including non-vomit purging (laxatives, insulin manipulation). Prioritize medical monitoring (vitals, electrolytes) during re-feeding; avoid one-size-fits-all calorie jumps. Integrate DBT skills, caregiver coaching, and regular eating structure; track arousal and urge patterns.   The content of our show is educational only. It does not supplement or supersede your healthcareprovider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.

...just doing my Soulful Saturday morning thing - enjoy this 2 hour slice of soulful, deep and broken vibes - the latest in the "Risin' " sessions, for your listening pleasure!!Track-listing:  Mark Francis - Forever (Main Mix)Stacy Kidd feat. Tiffany Jenkins - Look In My Eyes (Main Mix)Stacy Kidd feat. Tiffany Jenkins - Let It Blow (Afro Jazz Extended Remix)GeeW – ShibuyaLesny Deep - ToSoul (Original Mix)L2Sounds – Don't Run Away (Original Mix)Dav Risen - Rain (Main Mix)Dav Risen & Artwork Sounds - So Long (Main Mix)Ann Nesby & The Sounds of Blackness - We Rise (Jonny Montana & Yorkee Remix)DJ Spen, Chieko Kinbara, Lisa Mack & Sharon Adams - Changed My LifeJoy Jones – This Too Shall Pass (Daz-I-Kue Mix)Soul Fuzion feat. Vee – I Got Rhythm (Broken Mix)Mark Grant – Hey You (Swing The Beats Pass)Gerd feat. Marylin David - Fire In My Soul (Delgui Remix)Phazed Groove feat. Marcus T - The Man I Am TodayKings Of Tomorrow feat. Lorenzo Mancillas & Amber Liekhus - Save Me (Sandy Rivera's Club Remix)Demarkus Lewis - Touch My Love (Original Mix)Babs Presents - Satellites Over A Rainforest (Unique Rhythm Original Mix) …and here's the download link: https://www.sendspace.com/file/ucrfty…as always, thanks to all who locked on…  

Brendel, Gerd www.deutschlandfunkkultur.de, Fazit

From heartburn and IBS to more serious gastrointestinal issues like IBD and GERD, First Physicians Group gastroenterologist Mark Radetic, MD, breaks down symptoms, causes, and the latest treatment options.You can also watch the video recording on our Vimeo channel here.For more health tips & news you can use from experts you trust, sign up for Sarasota Memorial's monthly digital newsletter, Healthe-Matters.

Brendel, Gerd www.deutschlandfunkkultur.de, Fazit

In this episode Rachel Muzzy will break down the ins and outs of how people are disconnected with their bodies.  Discussing how she approaches the root cause of gut issues so symptoms can be healed for good and some practical steps you can use to tune back into the body's hunger, satisfaction, and digestive cues.Rachel is a functional dietitian specializing in gut health and GI issues such as IBS, Bloating, and GERD. She believes that you shouldn't have to sacrifice your favorite foods, wearing what you want, and enjoying life because of gut issues & bloating. Rachel helps her clients take control of their gut symptoms using gut testing and & holistic, root cause approach"Healthy food isn't going to do anyone any good if no one's eating it. It has to taste great and be easy to make.”Connect with Yumlish!Yumlish Website: YumlishYumlish on Instagram: @yumlish_Yumlish on Facebook: YumlishYumlish on Twitter: @yumlish_Connect with Elaine Mcgee!Instagram URL: @therecipedoctorFacebook URL: The Recipe DoctorBooks: Tell Me What to Eat If I Have Diabetes, Food Synergy: Unleash Hundreds of Powerful Healing Food Combinations to Fight Disease and Live Well

Tired of bloating, fatigue, or a stubborn stomach ache? Learn how Sarah healed 20+ years of gut pain in 6 weeks with one surprising test.---If you've been struggling with bloating after eating, persistent stomach aches, or weird food reactions that no one seems to understand - then this episode is for you. In today's episode, I'm talking with my client Sarah, who lived with daily bloating, fatigue, and a stomach ache for 20 years. Doctors gave her diagnoses like GERD, slow emptying stomach, and lymphocytic colitis, but no real solutions. She'd tried cutting out gluten, sugar, alcohol, dozens of practitioners, and even a low histamine diet - yet nothing brought relief. Until she found the Better Belly Blueprint. In just 6 weeks, her bloating, fatigue, and stomach pain were gone. She had energy. Hunger. And answers for the first time in decades. So if you've ever wondered:What are the real causes of my bloating and stomach aches?Will I be stuck on an annoying diet like a low histamine diet forever?Or you've wondered how to actually get bloating relief that lasts… This episode is your next step toward real relief. Let's dive in. TIMESTAMPS:00:00 - Introduction to Sarah's Journey01:05 - Meet Sarah: A Long Battle with Digestive Issues02:52 - Sarah's Symptoms and Struggles05:47 - Discovering the Better Belly Blueprint07:35 - Initial Results and Changes09:33 - The Impact of the Zoomer Test12:24 - Ongoing Improvements and Future Plans25:30 - Encouragement and Final Thoughts EPISODES MENTIONED:267// The Best Food Sensitivity Test for You, with Vibrant Wellness243// Histamine Intolerance: Symptoms, Treatment, and Diets to Avoid HEAL YOUR GUT TODAY!Option #1)

In this powerful and eye-opening episode, Dana sits down with wellness coach, Ashley Shields to unpack the hidden barriers that can sabotage weight loss, even when you're “doing everything right.” From hormonal imbalances to gut health and stress, they break down the overlooked factors that might be standing in your way.Dana also opens up about her daughter's recent battle with GERD (Gastroesophageal Reflux Disease), sharing personal insights and practical tips on managing this uncomfortable condition from both a parental and wellness perspective.Whether you're feeling stuck in your weight loss journey or navigating a tricky health issue, this episode is filled with real talk, expert advice, and the reminder that you're never alone on the path to better health. To learn more about Ashley email her: ashley@tbvitality.comIG @ashleyjshieldsfittiktok @ashleyjshieldswebsite www.tbvitality.comSupplements for GERD:ultrainflamx ( reduces inflammation) 1 scoop twice daily https://www.practitionerdepot.com/product/ultrainflamx-plus-360?variant=14%20Day%20/%20Pineapple%20Banana. discount shields5Tummy rescue ( zinc carnosine- helps with mucosal lining ) 1 capsules twice daily https://www.practitionerdepot.com/product/tummy-rescue?variant=Default%20Title discount shields5Spectrazyme Betaine HcL ( to bring up stomach acid) 1 tablet with the first bite of food with all main meals https://www.practitionerdepot.com/product/spectrazyme-metagest?variant=90ctdiscount shields5if ppl are really inflamed start with digestive enzymes vs hcl Pancreatic digest - 2 capsules with each main meal https://www.practitionerdepot.com/product/pancreatic-digest?variant=Default%20Title discount shields5bpc 157 ( for tissue healing) 1 capsule daily 50

Today, we're diving into a condition that's as fascinating as it is complex: Achalasia—where the esophagus stops playing nice, and swallowing becomes a daily challenge. We're breaking down the latest evidence, comparing POEM, pneumatic dilation, and Heller myotomy, and digging into what actually matters when deciding how to treat each achalasia subtype. Join show hosts Drs. Jake Greenberg, Dana Portenier, Zach Weitzner, and Joey Lew as they discuss the past, present, and future of Achalasia management. Whether you're a medical student or a seasoned attending, this episode will arm you with the tools to think critically about diagnosis, tailor your treatment strategy, and stay ahead of the curve on the future of achalasia care. Hosts:  ·      Jacob Greenberg, MD, EdM, MIS Division Chief and Vice Chair for Education, Duke University ·      Dana Portenier, MD, MIS Fellowship Director, Duke University ·      Zachary Weitzner, MD, Minimally Invasive and Bariatric Surgery Fellow, Duke University, @ZachWeitznerMD ·      Joey Lew, MD, MFA, Surgical resident PGY-3, Duke University, @lew__actually Learning Goals:  By the end of this episode, listeners will be able to: ·      Describe the pathophysiology and key diagnostic criteria for achalasia, including the role of manometry, EGD, and esophagram. ·      Differentiate between the three subtypes of achalasia based on the Chicago Classification and understand the clinical significance of each. ·      Compare treatment options for achalasia—pneumatic dilation, Lap Heller myotomy, and POEM—including indications, efficacy, and long-term outcomes. ·      Interpret landmark studies (e.g., European Achalasia Trial, JAMA POEM trial) and their impact on treatment decision-making. ·      Recognize patient-specific factors (age, comorbidities, achalasia subtype) that influence the choice of therapy. ·      Discuss evolving technologies and future directions in achalasia management, including endoluminal robotics, ARMS, and combined anti-reflux strategies. ·      Outline a basic treatment algorithm for newly diagnosed achalasia, incorporating diagnostic steps and tailored interventions. ·      Appreciate the multidisciplinary approach to achalasia care, including the roles of MIS surgeons, gastroenterologists, and emerging procedural skillsets. References: ·      Boeckxstaens G, Elsen S, Belmans A, Annese V, Bredenoord AJ, Busch OR, Costantini M, Fumagalli U, Smout AJPM, Tack J, Vanuytsel T, Zaninotto G, Salvador R; European Achalasia Trial Investigators. 10‑year follow-up results of the European Achalasia Trial: a multicentre randomised controlled trial comparing pneumatic dilation with laparoscopic Heller myotomy. Gut. 2024 Mar;73(4):582‑589. doi: 10.1136/gutjnl‑2023‑331374. PMID: 38050085 https://pubmed.ncbi.nlm.nih.gov/38050085/ ·      He J, Yin Y, Tang W, Jiang J, Gu L, Yi J, Yan L, Chen S, Wu Y, Liu X. Objective Outcomes of an Extended Anti‑reflux Mucosectomy in the Treatment of PPI‑Dependent Gastroesophageal Reflux Disease (with Video). J Gastrointest Surg. 2022 Aug;26(8):1566–1574. doi:10.1007/s11605‑022‑05396‑9. PMID: 35776296 https://pubmed.ncbi.nlm.nih.gov/35776296/ ·      Modayil RJ, Zhang X, Rothberg B, et al. Peroral endoscopic myotomy: 10-year outcomes from a large, single-center U.S. series with high follow-up completion and comprehensive analysis of long-term efficacy, safety, objective GERD, and endoscopic functional luminal assessment. Gastrointest Endosc. 2021;94(5):930-942. doi:10.1016/j.gie.2021.05.014. PMID: 33989646. https://pubmed.ncbi.nlm.nih.gov/33989646/ ·      Ponds FA, Fockens P, Lei A, Neuhaus H, Beyna T, Kandler J, Frieling T, Chiu PWY, Wu JCY, Wong VWY, Costamagna G, Familiari P, Kahrilas PJ, Pandolfino JE, Smout AJPM, Bredenoord AJ. Effect of peroral endoscopic myotomy vs pneumatic dilation on symptom severity and treatment outcomes among treatment-naive patients with achalasia: a randomized clinical trial. JAMA. 2019 Jul 9;322(2):134–144. doi:10.1001/jama.2019.8859. PMID: 31287522. https://pubmed.ncbi.nlm.nih.gov/31287522/ ·      Vaezi MF, Pandolfino JE, Yadlapati RH, Greer KB, Kavitt RT; ACG Clinical Guidelines Committee. ACG clinical guidelines: Diagnosis and management of achalasia. Am J Gastroenterol. 2020 Sep;115(9):1393–1411. doi:10.14309/ajg.0000000000000731. PMID: 32773454; PMCID: PMC9896940 https://pubmed.ncbi.nlm.nih.gov/32773454/ ·      West RL, Hirsch DP, Bartelsman JF, de Borst J, Ferwerda G, Tytgat GN, Boeckxstaens GE. Long term results of pneumatic dilation in achalasia followed for more than 5 years. Am J Gastroenterol. 2002;97(6):1346-1351. doi:10.1111/j.1572-0241.2002.05771.x. PMID:12094848. https://pubmed.ncbi.nlm.nih.gov/12094848/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen