Podcasts about GGT

  Succession planning is a critical topic. Understanding how to navigate succession planning is crucial for accountants, financial professionals and those involved in wealth management.    In this second episode in the Tax Time 2025 series, you'll learn about the key points of wealth transfer and what you need to know about succession planning, including:   Current trends   Regulatory aspects   Tax considerations for private groups  Capital gains tax (GGT) in relation to succession planning  Tune in to gain valuable insights into effective strategies for ensuring a smooth transition of wealth while meeting compliance requirements.  Listen now.   Host: Jenny Wong, Tax Lead, Policy and Advocacy, CPA Australia  Guest: Jenny Lin, Assistant Commissioner, Private Wealth, Australian Taxation Office  For information related to this episode, head to the ATO website for information on succession planning   Additionally, you can listen to other episodes in this Tax Time 2025 series.    And you can find CPA Australia's tax resources on the website.    CPA Australia publishes four podcasts, providing commentary and thought leadership across business, finance, and accounting:   With Interest  INTHEBLACK   INTHEBLACK Out Loud  Excel Tips  Search for them in your podcast platform.   Email the podcast team at podcasts@cpaaustralia.com.au  

Hungover from the Masters? Hopefully! The GGT podcast is back to preview a signature event, that being the RBC Heritage.We talk Jordan Spieth's chances this week along with whom we think is likely to be near the top of the leaderboard come Sunday.Enjoy! 

Last week before the Masters = Big, big week.The gentlemen of the GGT podcast are here to discuss their expectations for this week along with what they think Jordan needs to show ahead of the first Major Championship of the year.Listen in to which podcast member specifically has pretty high hopes for Spieth at the famed Oaks Course.Enjoy! 

If you're reading this, the upload worked. It's been more than 14 months since the 100th official session of Group Golf Therapy was released, and the shrinks have finally recovered. In their hiatus, Bradford, Connor, and Drew have been moving and shaking in golf, studying abroad, and “winning therapy”. Don't call this a comeback, but it won't be the last edition of GGT, so long as Larry Mize is still alive.In this session: a 14-month recap, Equipe Celine, hope.As always, thanks for listening to Group Golf Therapy! #mindyourgolfPlease subscribe, rate our podcast, and leave a review—we're always looking to deliver a great show to you.Hit 'em straight, and mind your golf.Follow us: @groupgolftherapyBradford: @bradfordwilsongolfConnor: @thebagbanditDrew: @everydaydrew

You read the title!That's what were discuss in episode 145 of the GGT podcast. As it pertains to Jordan Spieth, there's probably a little bit more negativity then positivity going into this week off a rough Sunday at TPC Sawgrass.But, that doesn't rule out that he can play well. We discuss how that can happen this week in Palm Harbor.Enjoy!

TWiP solves the case of the man with somnolence and something extra-erythrocytic, and presents a new puzzle for you to solve. Hosts: Vincent Racaniello, Daniel Griffin, and Christina Naula Subscribe (free): Apple Podcasts, Google Podcasts, RSS, email Links for this episode Join the MicrobeTV Discord server Letters read on TWiP 253 New Case 26-year-old female with no past medical history.  Patient is from Georgia in the US and is volunteering in Hérico, Guinea (town in the Lélouma Prefecture in the Labé Region of northern-central Guinea). She arrived in Guinea in December  2023.  She was taking doxycycline for malaria prophylaxis and says that she has not missed any doses On October  2024 she presented with fever and dry cough.  Lab work was done and follow up planned for the following day.  The patient slept poorly, was febrile to 104 and had ongoing cough.  The next day she went to the hospital and was evaluated in the ER for acute febrile illness of unclear etiology.   In the hospital, VS were 97.9F, BP 105/70, P 94 Oxy sat 98%, normal physical exam. She was started on Augmentin and Coartem. Pause here to think about the differential at this point and maybe some more history and what testing you might want WBC 14, Hb 13, HCT 40, PLT 285, Neut abs 8, Eos Abso0.80; BUN/creat  normal, AST normal; ALT 44, GGT 125 Stool parasite screen + for some sort of eggs, malaria smear negative, CXR with b/l infiltrates She was given a medication (vomited 30 min after dose received).  She then received a second dose of medication 5 hours after the first) and was discharged. The following day the patient returned to the ER, stating that she felt worse.  Her temperature had climbed to 104 overnight, and she developed watery diarrhea and nausea.  There were no additional episodes of vomiting.  She was given an additional dose of a medication, ibuprofen, and started on ceftriaxone 1 gm IV Q12 hrs.  During the day she continued to have low grade fevers and developed abdominal pain.  That night she was again febrile to 104 F.    She remained admitted for 5 days with ongoing symptoms of diarrhea, nighttime fevers and diffuse abdominal discomfort.  Three more malaria tests were negative (rapid test and slide review) Blood cultures collected – no growth She continued to have mild elevation of WBC and slight elevation of AST and ALT. The patient was transferred to a different hospital. They give her a different medication, and within 24 hours symptoms resolve.  What is the diagnosis and what happened here with management? Become a patron of TWiP  Send your questions and comments to twip@microbe.tv Music by Ronald Jenkees

Visuals: https://getbehindthebillboard.com/episode-80-mary-wearEpisode #80 features copywriter extraordinaire Mary Wear.Mary wrote possibly the most important endline in the history of advertising: ‘Make Poverty History' for Comic Relief in 2004 … a line and movement that involved Richard Curtis, World Leaders and saving lives. The line was everywhere - posters, bus sides, advans, on underpants, on Bono's arm, on the side of St Paul's Cathedral and the coup de grâce, on a lectern in front of Nelson Mandela, who was chanting the words ‘Make Poverty History' to thousands gathered in Trafalgar Square.That is more than most people's entire careers and would easily have been enough to fill the episode. The way Mary tells the story of how the line came about is wonderfully humble, involving a planner and a rather talented chap called Peter Souter.But Mary is no one-trick pony. Her locker is full of great work.Starving a parking meter for TfL was a lesson in never giving up, even when the model maker had ruined the idea. What could have been a catastrophe turned into a seminal award-winning piece of work.Then there was seemingly endless more award winning work for The Economist, the Famous Grouse (a double, a small one, a quick one, a large one - they all went down well) plus an Anti-Smoking like never before. Her partnership with Damon Collins at GGT, Saatchi's and AMV was brilliant and prolific.We even had time for some Russian Vodka and flapjacks ;-)Thank you Mary for coming on and sharing some of the industry's greatest OOH work. It was a real privilege. 

Today Your Mom and Dad are breaking down all their thoughts on this very musical episode of Joan Golden Bachelorette season! They chat about Kim's masterpiece, Pascal getting the most Pascal 1-on-1 ever, sponsored kickball games and injuries, Charles L continuing to be the best, Jonathan's vulnerability, Joan's talk with the men, the return of GGT, and much more! ***Join Your Mom and Dad on Tuesday (10/8) for the first recap of the new Love is Blind season (ep 1-6)  THANKS TO OUR SPONSORS: ***SMALLS: Head to https://www.Smalls.com/MOMDAD and use promo code MOMDAD at checkout for 50% off your first order PLUS free shipping! ***CUDDLY: Head to https://www.cuddly.com/MOMDAD and help make a difference! ***VIONIC SHOES: Use code MOMDAD at checkout for 15% off your entire order at https://www.vionicshoes.com 

Your liver is one of the most important organs inside of your body. The liver is responsible for fat loss, detoxification, energy levels and digestion. The liver has so many roles I've named it the soccer mom organ! One of the most important roles of the liver is its bile production for metabolism.  Of course you can get bloodwork done on the liver markers GGT, ALT, AST which are liver enzymes, and even an ultrasound, but I'm going to share the top 5 warning signs your feet present to you that are a huge red flag that your liver is failing. I am going to share with you 5 early warning signs of liver damage.. The first is that you cannot eat a high fat meal without getting loose stools or diarrhea.  Warning Sign #2 Foot Problems Warning Sign #3 (Yellow skin and eyes) Warning Sign #4 Confusion or Cognitive Impairment (Hepatic Encephalopathy) Warning Sign #5: Swelling in the Abdomen (Ascites) RESOURCES MENTIONED: LifeWave Patches: http://www.ketokamp.com/lifewave BodyBio PC Oil & More:  https://bodybio.com/?ref=KETOKAMP use the code KETOKAMP for 15% off Purity Coffee http://www.ketokampcoffee.com use code ketokamp at checkout 

Episode 175: Alcohol Use Disorder Basics   Future Dr. Sangha explains the clinical presentation, diagnosis, and fundamentals of the treatment of alcohol use disorder (AUD). Dr. Arreaza offers insights about the human aspect of the treatment of AUD.    Written by Darshpreet Sangha, MS4, Ross University School of Medicine. Editing and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.What is Alcohol Use Disorder?AUD is characterized as the inability to stop or control alcohol use despite adverse physical, social and occupational consequences. According to DSM-5, it is a pattern of alcohol use that, over 12 months, results in at least two of the following symptoms, indicating clinically substantial impairment or distress: Alcohol is frequently used in higher quantities or for longer periods than planned.There is a persistent desire or unsuccessful attempt to reduce or manage alcohol use.Activities that are required to get alcohol, consume alcohol, or recuperate from its effects take up a lot of time.A strong need or desire to consume alcohol—a craving.A pattern of drinking alcohol that prevents one from carrying out important responsibilities at work, school, or home.Sustained alcohol consumption despite ongoing or recurring interpersonal or social issues brought on by or made worse by alcohol's effects.Alcohol usage results in the reduction or cessation of important social, professional, or leisure activities.Frequent consumption of alcohol under risky physical circumstances.Continuing to drink even when one is aware of a chronic or recurrent health or psychological issue that may have been brought on by or made worse by alcoholTolerance: requiring significantly higher alcohol intake to produce the same intended effect. Withdrawal: Characterized by the typical withdrawal symptoms or a noticing relief after taking alcohol or a closely related substance, such as benzodiazepine.How can we determine the severity of AUD? Mild: 2–3 symptomsModerate: 4–5 symptomsSevere: >/= 6 symptomsWho is at risk for AUD?Note: Ancestry offers a DNA analysis to find out about your heritage. You can also send that DNA to a third party to learn about your risks for diseases and conditions (for example, Prometheus.) Anyone can find out about their risk for alcoholism by doing a DNA test. The risk factors for AUD are: Male genderAges 18-29Native American and White ethnicitiesHaving Significant disabilityHaving other substance use disorderMood disorder (MDD, Bipolar)Personality disorder (borderline, antisocial personality)What is heavy drinking?According to the National Institute of Alcohol Abuse and Alcoholism (NIAAA), heavy alcohol use is characterized as: Males who drink > 4 drinks daily or > 14 drinks per week Females who drink > 3 drinks on any given day or > 7 drinks per weekPathophysiology of AUD.The pathogenesis of AUD is not well understood, but factors that may play a role are genetics, environmental influences, personality traits, and cognitive functioning. Also, genetic factors may decrease the risk of AUD, i.e., the flushing reaction, seen in individuals who are homozygous for the gene that encodes for aldehyde dehydrogenase, which breaks down acetaldehyde. Who should be screened?A person with AUD may not be easy to diagnose in a simple office visit, but some clues may point you in that direction. First of all, patients with AUD may present to you during their sober state, that´s why ALL adults (including pregnant patients) must be screened for AUD in primary care )Grade B recommendation). The frequency has not been determined but as a general rule, at least in Clinica Sierra Vista, we screen once a year. The USPSTF has concluded that there is insufficient evidence to recommend screening adolescents between 12-17 years old. What are the clinical manifestations of AUD?Some symptoms may be subtle, including sleep disturbance, GERD, HTN, but some may be obvious, such as signs of advanced liver disease (ascites, jaundice, bleeding disorders, etc.)If you draw routine labs, you may find abnormal LFTs (AST:ALT ratio >2:1), macrocytic anemia (MCV >100 fL), and elevated Gamma-glutamyl transferase (GGT). All these findings are highly suggestive of AUD. Patients with AUD may present in either an intoxication or withdrawal state. Signs and symptoms of acute intoxication may include “slurred speech, nystagmus, disinhibited behavior, incoordination, unsteady gait, hypotension, tachycardia, memory impairment, stupor, or coma.” Signs and symptoms of withdrawal range from tremulousness to hallucinations, seizures, and death. They are seen between 4 and 72 hours after the last drink, peaking at 48 hours, and can last up to 5 days. Alcohol withdrawal is one of the few fatal withdrawal syndromes that we know in medicine, and the symptoms can be assessed using a CIWA assessment. Treatment of AUD.There are factors to consider before starting treatment: Evaluating the severity of AUD Establishing clear treatment goals is associated with better treatment outcomesAssessing readiness to change: It can be done by motivational interviewing and using the stages of change model, which are, Pre-contemplation, contemplation, preparation, action, maintenance, and relapse.Discussing treatment of withdrawal.Treatment may be done as outpatient or it may require hospitalization. Dr. Beare sent an email with this information: “The approach to treating patients with AUD can be broken into two parts - the first is withdrawal management and the second is the long-term maintenance part. You MUST have a good plan for withdrawal treatment as it can be fatal if it's not addressed properly.” “Patients with any history of seizures due to withdrawal or a history of delirium tremens need inpatient management. If their withdrawal symptoms are typically mild (agitation, tremors, sleeplessness, anxiety) then outpatient management may be appropriate, typically with a long-acting benzodiazepine such as Librium or Ativan.”According to Dr. Beare, “the human aspect isa key element in treating alcohol use disorder. These patients arrive with tremendous amounts of suffering, shame, guilt, and fear. The relationship between the patient and provider needs to be built with compassion and understanding that this disease is horrible from the patient's perspective and using an algorithmic and calculated approach can cause significant harm to the rapport-building process, leading to lower success rates.”Treatment requires a lot of motivation and willpower. Hopefully, we can use some tools to assist our patients to be successful.-For mild disorder, Psychosocial interventions like motivational interviewing and mutual help groups like AA meetings may be enough to help our patient quit drinking.-For moderate or severe disorder: 1st line treatment is Meditation and structured, evidence-based psychosocial interventions (CBT, 12-step facilitation); which leads to better outcomesFor patients who lack motivation, motivational interviewing can be a useful initial interventionFor motivated patients: medical management, combined behavioral intervention, or a combination of both can be utilizedFor patients with limited cognitive abilities, 12-step facilitation, or contingency management can be helpful For patients who have an involved partner: Behavioral couples therapy can be utilizedMedications for AUD.The first-line pharmacological treatment is Naltrexone. It is given as a daily single dose and can be started while the patient is still actively drinking. There is a monthly dose of long-acting injectable naltrexone as well. Naltrexone is contraindicated in individuals taking opioids, and patients with acute hepatitis or hepatic failure. Alternative 1st line treatment is Acamprosate which can be used in people with contraindications to Naltrexone.AUD is a chronic problem and requires a close follow-up to evaluate response to treatment and complications. Medications need to be used along with psychotherapy and support, and medications may need to be changed or adjusted depending on the patient. It is an individualized therapy that requires full engagement of the doctor, the patient, and their families or social support. In conclusion, I would just like to add that, be compassionate because AUD is not a choice. AUD is a chronic problem like diabetes and HTN and may require a long road to recovery. Treatment includes psychotherapy, medications, and regular follow-up.Thank you for listening!Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Risky drinking and alcohol use disorder: Epidemiology, clinical features, adverse consequences, screening, and assessment, https://www.uptodate.com/contents/risky-drinking-and-alcohol-use-disorder-epidemiology-clinical-features-adverse-consequences-screening-and-assessment, accessed on August 18, 2024.Hasin DS, Stinson FS, Ogburn E, Grant BF. Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry, Accessed on August 18, 2024.Alcohol use disorder: Treatment overview, https://www.uptodate.com/contents/alcohol-use-disorder-treatment-overview, assessed on August 18, 2024. Royalty-free music used for this episode, Grande Hip-Hop by Gushito, downloaded on Nov 06, 2023, from https://www.videvo.net

Send us a Text Message.Self Censored as Youtube don't like the truth. Full video only available to members of my YouTube channel. Coach Stephen discusses with Professor Bart kay that he believes that current blood tests are not comprehensive enough and only look at a few limited markers, which can lead to misdiagnoses. They suggest that tests should include fasted glucose and insulin, c-peptide, a full thyroid panel, full iron panel, and all liver markers -at the least- AST, ALP, ALT and GGT levels, as these can provide a better understanding of overall health and function. They also mention that exercise can cause elevations in ALT but that does not necessarily indicate a problem with the liver. Bart and Stephen urge people to think differently and look at a more complete picture of their health: We see that people's blood tests often don't match up with how they feel. They feel the term ‘insulin resistance' is misleading as the mechanism is more to do with our cells protecting themselves by not taking in too much glucose. One of the drugs that is supposed to lower blood sugar by forcing the cells to take in glucose is harmful because it damages the cells.Thank you so much for listening to my podcast. I hope you enjoyed it. Your support means the absolute world to me. And if you're enjoying the show, I've got a small favor to ask you. I'd be incredibly grateful if you would consider becoming a supporter and make a small monthly donation. Your contribution will really help to improve the show. It's a small monthly contribution. You can cancel at any time, and the link is in the show notes. Support the Show.All my links in 1 easy list, including booking and personal training workout plans at LINKTREE You can now download the carnivore experience appApple direct link for apple devices Google play store direct link to app for Android Coach Stephen's Instagram Book me for coaching My growing UK carnivore YouTube channel I have set up a community that is all about eating low-carb and specifically carnivore. CLICK HERE Support my podcast from just £3 per monthBECOME A SUPPORTER Success stories Optimal Health 5 Star reviews All my facebook and other reviews are here Thanks to www.audionautix.com for any music included. Ple...

Episode 2519 - On this Friday's show Vinnie Tortorich speaks with author Daniel Trevor and they discuss empowering yourself through health testing, lifestyle changes, and more. https://vinnietortorich.com/2024/07/empowering-yourself-with-daniel-trevor-episode-2519 PLEASE SUPPORT OUR SPONSORS YOU CAN WATCH ALL THE PODCAST EPISODES ON YOUTUBE - Empowering Yourself Daniel Trevor is the author of “The Unholy Trinity.” (2:00) He almost died of a heart attack at age 72 and he decided to research heart health. (3:30) He shares what happened to him that day. Being slim doesn't necessarily mean you are metabolically healthy. He investigated the most important lab tests the average person can do, without needing a doctor's prescription. (9:30) He recommends the OGTT (oral glucose tolerance test) with insulin. He learned what he was doing wrong in his nutrition. Another test is GGT (gamma-glutamyl transferase). Empowering yourself is important. The book is not only about how Daniel reversed his co-morbidities, but it's also an exposé on Big Food and Big Pharma. (25:30) The Unholy Trinity Carbs, sugars, and oils are what he calls “The Unholy Trinity.” (27:00) Vinnie shares his inspiration and deep dive behind his documentary “Beyond Impossible.”(32:00) Daniel did some research on a study called the Ischemia Trial. (42:00) The trial's goal was to show the effectiveness of certain invasive procedures for prevention; however, it only showed that lifestyle changes were more effective. Statins for primary prevention haven't proven to be effective. (50:00) You can find Daniel at his website You can download sample chapters. The book will also be made available in Vinnie's Book Club in the near future. There's a new NSNG® Foods promo code you can use: enter VINNIE and get 15% off! (25:00) The promo code ONLY works on the NSNG® Foods website, NOT on Amazon. Vinnie's new documentary "Dirty Keto" is out soon! Go to to get it at ! [the_ad id="20253"] PURCHASE BEYOND IMPOSSIBLE (2022) The documentary launched on January 11! Order it TODAY! This is Vinnie's third documentary in just over three years. Get it now on Apple TV (iTunes) and/or Amazon Video! Link to the film on Apple TV (iTunes):  Then, Share this link with friends, too! It's also now available on Amazon (the USA only for now)!  Visit my new Documentaries HQ to find my films everywhere: REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! FAT: A DOCUMENTARY 2 (2021) Visit my new Documentaries HQ to find my films everywhere: Then, please share my fact-based, health-focused documentary series with your friends and family. The more views, the better it ranks, so please watch it again with a new friend! REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! FAT: A DOCUMENTARY (2019) Visit my new Documentaries HQ to find my films everywhere: Then, please share my fact-based, health-focused documentary series with your friends and family. The more views, the better it ranks, so please watch it again with a new friend! REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter!  

So far, I'm about eighty podcasts in.If someone tells me they listen, they usually follow up with ‘that Frank Lowe one's great' (or ‘sick', depending on their age).I always ask why, but never get a clear answer.They just like it.It was enjoyable to record too, but I left wondering whyhe'd barely mentioned Lowe Howard-Spink.As if he'd only ever worked at CDP.Which was a shame, CDP had been amazing, but they weren't my era.Lowe's was.By the time I'd snuck into advertising the cool agencies were the new ones – GGT, BBH, AMV and the agency that carried Frank's name.Year after year, they won big awards for big clients.Stella Artois, Vauxhall, Tesco, Heineken, I could go on.So I will – Lloyds Bank, Reebok, Weetabix, Gordons Gin, Parker Pens, The Mail On Sunday, Condor, Castella, Tizer, Ovaltine, KP, The Hanson Trust, Birds Eye, Smirnoff, Coca-Cola – they were huge.And all of those clients won awards.And, unlike CDP, they started opening or acquiring offices across the globe.But it wasn't always this way.In 1981, only months after opening their doors, they were in turmoil.Totally dysfunctional.Having swiped a big chunk of CDP's senior talent, they didn't have a plan or structure of how to use them.Who over-saw who?Did anybody over-see anybody?Who was Creative Director?Dave Horry? Alan Waldie? John O'Driscoll? John Kelley? Alfredo Marcantonio? Or the recently added former CDP superstar Geoff Seymour?They found that too many creative leaders meant they had no creative leader.Six months in, Horry, O'Driscoll and Kelley walk.On the way out the door, they advise Frank that he needed a Creative Director and it should be the least-known and youngest of the breakaways – Alfredo Marcantonio.Suddenly, things started to work.We talk about why and the rest of Marc's career, hope you enjoy it.

Ah, those liver enzymes... sometimes they are up when you don't expect them to be. Sometimes they're up a bit... but not that much, so you don't know if it's actually significant. Or sometimes they're way out of whack, but you're not sure what that means exactly, or what to do next. In this episode, Small Animal Medicine Specialist, RCVS Course Director and clinical reasoning guru Prof Jill Maddison helps us take a fresh look at  liver enzymes. We review what each enzyme tells us in dogs and in cats, how to interpret changes in both the 'well' patient with the surprise finding on bloods, and in the sick patient, and Prof Jill clears up common misconceptions and pitfalls around ALP, ALT, GGT, and bile acids. This clinical episode has been unlocked for you by Vetnostics Pathology, one of the largest veterinary pathology groups in Australia with the most veterinary pathologists and veterinary medicine consultants. Vetnostics is the new nationally aligned name of what used to the SVS Pathology Network ( (Vetnostics NSW/ACT, Vetpath Laboratory Services WA/NT, ASAP Laboratory Vic , QMLVetnostics Qld/NNSW and TML Vetnostics Tas), with a new consolidated website (www.vetnostics.com), but the same exceptional quality diagnostics, same extensive courier network and same veterinary pathologists and veterinary medicine consultants on other the end of the phone or email to talk you through any tricky results and cases.  Join our community of Vet Vault Nerds to lift your clinical game and get your groove back with our up-to-date, easy-to-consume clinical episodes at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Get help with your tricky cases in our ⁠⁠⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠⁠⁠ ⁠Subscribe to our weekly newsletter⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠ ⁠for Hubert's favourite clinical and non-clinical learnings from the week. Episode Topics and Timestamps 05:01 ALT and ALP: Detailed Analysis 05:40 Challenges in Diagnosing Liver Disease 06:40 Liver Enzymes in Cats vs. Dogs 20:44 Bile Acids and Liver Function 26:51 Pre-Anaesthetic Liver Checks 36:35 Understanding Cholangitis in Cats 36:53 The Complexity of Diagnosing Liver Disease 37:45 The Role of Blood Tests in Wellness Checks 38:11 Interpreting Reference Ranges 40:53 Case Studies: Real-World Examples 42:05 The Challenges of Wellness Screening 44:21 The Importance of Biopsies 55:14 Biases in Diagnosis

This week on the podcast, I'm thrilled to welcome Jean-Felix Turcotte, an integrated health practitioner with expertise in blood chemistry, genetics, and lab testing. We delve into the essential blood markers everyone should know about and the importance of personalized health assessments for proactive care.In this episode, you can expect to hear about:- Essential Blood Markers: The top blood tests, including CBC, CMP, GGT, and thyroid panels, that can provide a comprehensive view of your health.- Challenges with Lab Work: The difficulties and challenges in accessing comprehensive blood tests.- Genetic Testing Insights: How genetic mutations like MTHFR impact health and the significance of epigenetics in individualized health plans.- Proactive Health Strategies: The benefits of understanding blood chemistry and genetics in crafting personalized health foundations and lifestyle changes.If you're on the path to proactive and preventative health care, this episode is a must-listen. Together, Jean-Felix and I explore the critical role blood work plays in maintaining optimal health and the steps you can take to tailor your health journey. Tune in to learn how to better approach your health with the right knowledge and tools!Episode Highlight:"It's not just about getting the blood work done; it's about understanding what those markers mean for your proactive and preventative health measures."- Jean-Felix Turcotte Resources:- Find Jean-Felix on Instagram: https://www.instagram.com/jeanfelixturcotte_jft/- Top 10 blood markers to get tested annually: CBC, CMP, GGT, LDH, Lipid panel, Homocysteine, HSCRP, Ha1c, C-peptide, thyroid panel (TSH, T3, T4, rT3, TPO) , uric acid, Iron (ferritin, TIBC, saturation %, Serum Iron)- Book: Dirty genes by Dr Ben Lynch Other helpful resources here for you: - Join The Soul & Wealth Club, my monthly membership: https://vanessagrutman.coach/the-soul-and-wealth-club - Join Femme Biohacker: https://vanessagrutman.coach/femme-biohacker - Join my private Facebook group for free events, challenges and content: https://www.facebook.com/groups/biohackerfemme - 7-day liver detox: https://vanessagrutman.myshopify.com/products/functional-medicine-detox-7-day-protocol 
- My website: https://www.vanessagrutman.com/
- Find me on Instagram: https://www.instagram.com/vgrutman/- Join me on Youtube: https://www.youtube.com/@vanessagrutman
 
Disclaimer: Vanessa Grutman, IHP does not treat, cure or diagnose disease. This show doesn't offer medical advice. Always verify with your physician before undertaking a new protocol or trying a new product.

Episode 172: NAFLD and ObesityFuture Dr. Nguyen explains the pathophysiology of non-alcoholic fatty liver disease and how it relates to obesity. Dr. Arreaza gives information about screening and diagnosis of NAFLD. Written by Ryan Nguyen, MS4, Ross University School of Medicine. Comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Introduction/PathophysiologyNonalcoholic fatty liver disease (NAFLD) refers to the buildup of excess fat in liver cells, occurring without the influence of alcohol or drugs. Nonalcoholic steatohepatitis (NASH) represents a more severe form of NAFLD, characterized by inflammation and liver cell injury due to fat accumulation. If left untreated, NASH can progress to liver fibrosis or cirrhosis. Typically, NAFLD/NASH is diagnosed after other liver conditions are ruled out, making it a diagnosis of exclusion.NAFLD -> NASH -> Cirrhosis -> Liver failure. Another term for NAFLD is metabolic dysfunction-associated steatotic liver disease. Fatty liver disease is identified when more than 5% of liver weight consists of fat, whereas, NASH is diagnosed when this fat accumulation is accompanied by inflammation and liver cell injury, sometimes leading to fibrosis. Understanding these distinctions is crucial in recognizing and managing the spectrum of liver conditions associated with obesity and metabolic syndrome.BMI serves as a tool to gauge body fat levels: individuals are categorized as normal weight if their BMI falls between 18.5 and 24.9, overweight if it ranges from 25 to 29.9. Class I obesity is diagnosed with a BMI of 30 to 34.9, class II obesity between 35 and 39.9, and class III obesity when BMI exceeds 40.Obesity puts you at risk of NAFLD, but you can also see NAFLD in non-obese patients, but the prevalence is very low, about 5%. What did you learn about the demographics of NAFLD?NAFLD is most widespread in regions like South Asia, the Middle East, Mexico, Central and South America, with prevalence rates exceeding 30%. In the United States, prevalence varies with approximately 23-27%, notably higher among Asians at 30%, followed by Hispanic individuals at 21%, White individuals at 12.5%, and Black individuals at 11.6%. Across all racial groups, obesity plays a significant role, affecting more than two-thirds of individuals diagnosed with NAFLD. Understanding these demographics underscores the global impact of obesity on NAFLD prevalence.Diagnosis: Screening/Labs/Imaging/ToolsThe American Association for the Study of Liver Diseases does not recommend screening for NAFLD, but if it is discovered an appropriate workup is warranted. AST/ALT RatioLiver health can be assessed by a series of tests aimed at assessing fat accumulation, inflammation, and fibrosis. Initial screening often includes laboratory tests such as measuring the ratio between aspartate transaminase (AST) and alanine transaminase (ALT), where a ratio less than 1 may suggest possible NAFLD, although it is not diagnostic on its own. Normally, AST is slightly more elevated than ALT. So, if the AST/ALT ratio is lower, then means that ALT is higher than AST. FibroSure®.Additionally, you can measure indirect markers of fibrosis with tests such as FibroSure or FibroTest blood tests that combine several biomarkers including age, sex, gamma-glutamyl-transferase (GGT), total bilirubin, alpha-2-macroglobulin, apolipoprotein A1, haptoglobin, and ALT to provide insights into liver health.Some people may be more familiar with FibroSure before Hepatitis C treatment. You can get a fibrosis score (F0-F4), and it is considered significant fibrosis if the score is > or equal to F2. Imaging plays a crucial role in diagnosing NAFLD without the need for invasive procedures like liver biopsy. Vibration-controlled transient elastography (Fibroscan) uses ultrasound to measure liver stiffness, indicating potential fibrosis and inflammation. While noninvasive and portable, it focuses solely on liver ultrasound and may not be universally accessible. MRI with proton density fat fraction (MRI-PDFF) offers a comprehensive assessment of liver fat content, commonly used in clinical and research settings for NAFLD and NASH evaluation.For evaluating hepatic fibrosis in patients with suspected NAFLD, tools like the Fibrosis-4 Index (FIB-4) incorporate age, AST, ALT, and platelet count to estimate the likelihood of liver disease progression. These screening methods collectively aid in diagnosing and monitoring NAFLD, particularly in individuals at risk due to factors like prediabetes, type 2 diabetes, obesity, and abnormal liver enzyme ratios. With the FIB-4 you can get a faster answer than FibroSure because you only need 4 elements: Age, platelet count, AST and ALT. Cirrhosis is less likely if FIB-4 is 3.25. Understanding these diagnostic approaches is essential for early detection and management of NAFLD in clinical practice.Some researchers are invested in diagnosis and treating NAFLD while others recommend against labeling patients with NAFLD. A 2018 Lancet article concluded that the risks of over-diagnosing and overtreating NAFLD exceed the benefits of screening or periodic imaging because of “the low hepatic mortality, high false-positive rate of ultrasonography, selection bias of current studies, and lack of viable treatment.” However, patients who suffer from metabolic syndrome should be counseled about dietary modification and physical activity regardless of their liver condition. NAFLD and obesityFatty liver disease is often caused by multiple insults towards either genetically or environmentally predisposed individuals. Family history of NAFLD and having specific genetic variants are important risk factors for NAFLD. Those with prior health conditions can have increased susceptibility to NAFLD including T2DM leading to insulin resistance, metabolic syndrome, sleep apnea, hepatitis C, and cardiovascular or chronic kidney disease. A sedentary lifestyle and unhealthy nutrition (especially high intake of processed carbohydrates) cause an increase in free fatty acids leading to hepatic fat deposition → ballooning of hepatocytes → leading to hepatocyte injury/death → inflammation with fibroblast recruitment → end result of fibrosis/cirrhosis. Just a quick reminder, NAFLD is defined as fatty liver with >5% hepatic fat and NASH is defined as fatty liver with >5% hepatic fat with inflammation, hepatocyte injury, with or without fibrosis that we can determine through imaging. A leading concern for the development of NAFLD is the consumption of high fructose corn syrup.  High fructose corn syrup (HFCS), commonly found in candy, processed sweets, soda, fruit juices, and other processed foods, is linked to non-alcoholic fatty liver disease (NAFLD). Unlike natural whole fruits, which contain fiber and are generally healthier due to their slower absorption, HFCS lacks fiber and is quickly absorbed, leading to rapid transport to the liver. This process contributes to NAFLD by increasing the hepatic synthesis of lipids and interfering with insulin signaling. To avoid HFCS, individuals are encouraged to consume whole fruits rather than fruit juices and adopt diets rich in whole grains, lean meats, plant-based proteins, fruits, and vegetables, such as the Mediterranean or DASH diets, which are less likely to promote NAFLD, especially in those with healthy body weight.NAFLD treatment.Avoiding alcohol seems very obvious, but we need to mention it. Avoiding heavy alcohol consumption is recommended and complete abstinence is suggested.Weight loss is crucial; even a modest reduction of 3–5% in body weight can alleviate hepatic steatosis, with greater improvements typically seen with 7–10% weight loss, particularly beneficial for addressing histopathological features of NASH, such as fibrosis. We must focus on tailored medical nutrition therapy and regular physical activity. A strategic meal plan is essential, emphasizing achieving a healthy body weight while limiting trans fats and ultra-processed carbohydrates. Options like the Mediterranean diet, which balances lean proteins and restricts processed carbohydrates have shown promise. Dynamic aerobic and resistance exercises play a significant role in managing NAFLD. They help maintain a healthy weight and enhance peripheral insulin sensitivity, reduce circulating free fatty acids and glucose levels, and boost intrahepatic fatty acid oxidation while curbing fatty acid synthesis. These benefits contribute to mitigating liver damage associated with NAFLD, offering therapeutic advantages beyond mere weight reduction.Exercise may not be a great tool for weight loss, but it is a great tool for weight maintenance, liver health, and overall health as well. “Most patients with NAFLD die from vascular causes, but NAFLD puts patients at increased risk of cardiovascular death”. Medications for NAFLD.Regarding pharmacotherapy, while no medications are currently FDA-approved specifically for NAFLD treatment, some options show promise in clinical settings. Vitamin E supplementation at 800 IU (international units) daily has demonstrated biochemical and histological improvements in NASH cases without diabetes or cirrhosis, though long-term use may elevate prostate cancer risks. It is important to make a shared decision with the patient before starting Vitamin E supplementation. Medications like pioglitazone can reduce liver fat and improve NASH, even as they may increase body weight. But our favorite, GLP-1 receptor agonists, such as liraglutide and semaglutide, also show potential in reducing liver fat and improving NASH symptoms, and this is an emerging therapeutic option for managing this condition.If you decide to treat, then you should monitor as part of the treatment. An aminotransferase check is recommended 6 months after starting a weight loss program. If levels do not improve or do not return to normal after 5-7% of weight loss, another cause of elevated transaminases needs to be investigated.You also need to monitor fibrosis in patients with >F2. If fibrosis has been proven by liver biopsy, you can order FibroSure every 3-4 years. Having a fatty liver may be a red flag that your patient has a metabolic problem. If you discover it, start interventions that would benefit not only the liver but the whole metabolic profile of your patient. The Obesity Medicine Association (OMA) issued a Clinical Practice Statement (CPS) regarding NAFLD and obesity stating that patients with obesity are at increased risk for NAFLD and NASH. It recommends that clinicians strive to understand the etiology, diagnosis, and optimal treatment of NAFLD with a goal to prevent NASH in their patients.Regular exercise, even walking 30 minutes a day can show many benefits in curbing fatty accumulation in the liver. Having a proper diet with avoidance of high fructose corn syrup can overall help in reducing NAFLD/NASH. _____________________Conclusion: Now we conclude episode number 172, “NAFLD and Obesity.” Future Dr. Nguyen explained that NAFLD and obesity are closely related and NAFLD can lead to NASH and cirrhosis in some patients. Dr. Arreaza explained that screening may not be recommended by some medical societies, but others are in favor of screening and treating this disease. However, most people agree that NAFLD is a sign of metabolic disease and a good reason to talk about healthy eating and physical activity with our patients. There are no FDA-approved medications to treat NAFLD, but some evidence suggests that Vitamin E can improve it and GLP-1 receptor agonists are a promising option. This week we thank Hector Arreaza and Ryan Nguyen. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Karjoo S, Auriemma A, Fraker T, Edward H. Nonalcoholic fatty liver disease and obesity: An Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) 2022. https://doi.org/10.1016/j.obpill.2022.100027.Curry M, Afdhal N. Noninvasive assessment of hepatic fibrosis: Overview of serologic tests and imaging examinations.  https://www.uptodate.com/contents/noninvasive-assessment-of-hepatic-fibrosis-overview-of-serologic-tests-and-imaging-examinationsRoyalty-free music used for this episode: Cool Groove (Alt-Mix) by Videvo, downloaded on Nov 06, 2023, from https://www.videvo.net

Send us a Text Message.Unlock the secrets to the body's second "miracle molecule," glutathione, in this eye-opening episode of Inflammation Nation. Ever wondered how antioxidants can help protect your cells from inflammation and oxidative stress? We promise you'll leave understanding the sophisticated system your body uses to produce and recycle glutathione, and the pivotal roles amino acids like cysteine and glycine play. If you're a vegan or vegetarian, find out why meeting your protein needs is essential and how you can overcome the unique challenges of plant-based diets.We'll demystify the complex relationship between oxidative stress, glutathione, and the integrity of your gut and brain barriers. Learn how maintaining optimal intracellular glutathione levels can prevent barrier breakdowns that lead to chronic conditions and autoimmunities. We cover vital lab tests such as Cyrix Labs Array 2 and Vibrant Labs Neural Zoomer, which can identify potential issues like leaky gut and leaky brain. Furthermore, discover the importance of immune system balance, especially the role of regulatory T cells and how their function relies on both glutathione and vitamin D. You'll also get practical advice on monitoring your glutathione status through GGT levels in blood tests.Ready to boost your glutathione levels? We'll guide you through the most effective methods, from direct supplementation with acetylated and liposomal forms to the benefits of whey protein, N-acetylcysteine, glycine, and high-dose omega-3 fish oil. But that's not all—personalized healthcare is key, and we delve into the importance of tailored lab tests and coaching programs. Explore how diet and lifestyle modifications can naturally support your health and wellness. Tune in for actionable insights and personalized strategies to elevate your health journey!You can listen to the Inflammation Nation podcast on Apple Spotify and all other major podcast platform You can also watch on YouTube. Check out my online store for self-learning/DIY programs for thyroid, gut health and detox. You can use this form to reach out and request an Initial ConsultationVisit my LabShop store to self-order the same tests I use with my one-on-one coaching clients. https://labs.rupahealth.com/store/storefront_3GMxe4pSOCIAL LINKSInstagramFacebookTikTok

Your liver is one of the most important organs inside of your body. The liver plays these key roles inside of your body… Metabolism and Detoxification: The liver plays a crucial role in metabolizing nutrients from the digestive tract and detoxifying chemicals. It processes drugs, alcohol, and other toxins, converting them into less harmful substances or preparing them for elimination from the body. Bile Production: The liver produces bile, a substance essential for the digestion and absorption of fats and fat-soluble vitamins in the small intestine. Bile also helps in the elimination of waste products from the body, particularly bilirubin and excess cholesterol. Storage and Release of Nutrients: The liver stores essential nutrients, such as glycogen (a form of glucose), vitamins, and minerals, and releases them into the bloodstream as needed. This regulation ensures a steady supply of energy and nutrients to the body between meals and during periods of fasting. The liver has so many roles I've named it the soccer mom organ! Of course you can get bloodwork done on the liver markers GGT, ALT, AST which are liver enzymes, and even an ultrasound. My favorite clean source of coffee is from Purity Coffee http://www.ketokampcoffee.com use the coupon code KETOKAMP 

Send us a Text Message.Can one molecule really be a game-changer for your health and wellness? Discover the remarkable powers of glutathione on this episode of "Inflammation Nation" with Dr. Stephen Noseworthy. We break down the science behind this tripeptide, composed of cysteine, glycine, and glutamine, and reveal how its antioxidant capabilities make it indispensable for liver detoxification. Find out the unique secret of glutathione's ability to extend the half-life of nitric oxide, allowing it to behave like a hormone and magnify its benefits throughout your body. Understand the journey of glutathione synthesis in the liver and its vital role in maintaining cellular health.Join us as we delve into the multifaceted role of glutathione in cellular health and metabolism. Learn how the liver's synthesis process, aided by the enzyme GGT, breaks down glutathione for cellular uptake. Discover its functions as a signaling molecule and an intracellular antioxidant, combating oxidative stress and boosting blood flow, tissue oxygenation, brain signaling, and immune responses. We also touch on the incredible ability of glutathione to recycle itself after neutralizing toxins or free radicals, reaffirming why it holds the title of a 'miracle molecule' in health and wellness. Don't miss this episode if you want to grasp why glutathione is absolutely essential for sustaining life and overall well-being.You can listen to the Inflammation Nation podcast on Apple Spotify and all other major podcast platform You can also watch on YouTube. Check out my online store for self-learning/DIY programs for thyroid, gut health and detox. You can use this form to reach out and request an Initial ConsultationVisit my LabShop store to self-order the same tests I use with my one-on-one coaching clients. https://labs.rupahealth.com/store/storefront_3GMxe4pSOCIAL LINKSInstagramFacebookTikTok

This conversation revolves largely around two Big Data presentations Hannes Hagstrom's team is sharing at the EASL Congress. Every other panelist has at least one meaningful comment to make about the future of Big Data in MASLD.Hannes describes two big data studies of his own, "very much Big Data, but it's not omics." One examined 860,000 residents of Stockholm who took a liver test between 2010-2022 seeking to estimate liver and cardiovascular risk. It relied on a tool from Stefano Romeo's group called the Fibrotic Mass Index. The results demonstrated the prediction of liver-related and cardiovascular-related outcomes.The other study relied on the same dataset to build a prediction model for liver-related outcomes in the general population. Instead of relying on a dedicated test like FIB-4, which has false results on both sides, this assimilates five simple parameters (ALT, AST, GGT, ender, age) and proves to be far more accurate at risk assessment than FIB-4. The study team will also present a small, web-based calculator "where people can go to estimate the risk." The tricky part, Hannes notes, is where to set a tolerable risk threshold. Jörn, thinking about the 860,000 sample, asks, "How much data is big enough?" Hannes notes that if the sample is big enough, we need not worry about statistical tests because we have true population-level data. Michelle considers the overarching implications of Hannes's comments: "I think a risk-based view of this disease makes a lot of sense." Aleksander and Roger concur that using a risk-based screening approach is preferable, in large part because it should allow a far larger share of resources to be devoted to those with significant disease. 

Your liver is one of the most important organs inside of your body. The liver is responsible for fat loss, detoxification, energy levels and digestion. The liver has so many roles I've named it the soccer mom organ! Of course you can get bloodwork done on the liver markers GGT, ALT, AST which are liver enzymes, and even an ultrasound, but I'm going to share the top 5 warning signs your feet present to you that are a huge red flag that your liver is failing. Afterwards, I will share the 3 best ways to improve liver function so you can get rid of these symptoms and feel good. https://bodybio.com/?ref=KETOKAMP KETOKAMP for 15% off Learn more about Dry Farm Wine here: http://www.ketokampwine.com  If you'd like to earn more about the best ways to shop for wine, read a recent article I wrote here: https://www.benazadi.com/natural-wine-and-gut-health-ultimate-guide/ My favorite is Queen of Thrones: https://shop.queenofthethrones.com/thebenazadi   RESOURCES FROM THIS EPISODE: ✨ LifeWave X39, X49, Glutathione Patches & More: https://www.ketokamp.com/lifewave   Red light therapy (photobiomodulation) on your liver. This stimulates mitochondrial function. I recommend 10 minutes, 10 inches away, twice per day.   

Your liver is one of the most important organs inside of your body. The liver is responsible for fat loss, detoxification, energy levels and digestion. The liver has so many roles I've named it the soccer mom organ! Of course you can get bloodwork done on the liver markers GGT, ALT, AST which are liver enzymes, and even an ultrasound, but I'm going to share the top 5 warning signs your feet present to you that are a huge red flag that your liver is failing. Afterwards, I will share the 3 best ways to improve liver function so you can get rid of these symptoms and feel good. https://bodybio.com/?ref=KETOKAMP KETOKAMP for 15% off Learn more about Dry Farm Wine here: http://www.ketokampwine.com  If you'd like to earn more about the best ways to shop for wine, read a recent article I wrote here: https://www.benazadi.com/natural-wine-and-gut-health-ultimate-guide/ My favorite is Queen of Thrones: https://shop.queenofthethrones.com/thebenazadi Coupon Code for 10% off any order over $59: THEBENAZADI10    BONUS TIP: Anger/hate and liver dysfunction?  Get LifeWave patches here: www.ketokamp.com/lifewave    If you found this video beneficial, be sure to watch this recent video on how to lose 1 pound of fat every single day!   RESOURCES FROM THIS EPISODE: ✨ LifeWave X39, X49, Glutathione Patches & More: https://www.ketokamp.com/lifewave   Red light therapy (photobiomodulation) on your liver. This stimulates mitochondrial function. I recommend 10 minutes, 10 inches away, twice per day.   

In this episode we cover: Which Turd has the most recognizable voice? Elevated bilirubin Abnormal workups and algorithms  When to order GGT and alk phos isoenzymes? Jaundice Metabolic liver disease Liver toxicants  Gilbert's... pronounced 3 ways! Connect with the Turds! Rebecca Sand ND, LAc, MSOM https://www.drrebeccasand.com/ @drrebeccasand Ilana Gurevich ND, FABNG, LAc, MSOM https://www.openwellnesspdx.com @openwellness_pdx Ami Kapadia, MD, ABFM, ABIHM https://www.amikapadia.com/

This week, we talk with J and Mark from GGT about their line of plate carriers, what makes them different and why they believe they are as good or better than some industry giants. Upcoming Events or Trade Show⁠⁠⁠s: Kalash Bash TX: Eagle Lake TX April 13 - 14 2024 The Ranch TX Club - Tickets at www.kalashbashtx.com Southeast Range Day May 10-11 Blakely GA Arena Training Facility www.southeastrangeday.com

Bradford Wilson stopped by to chat with the guys! We talked about the rise of GGT and the doors that that has opened. What it was like filming with Netflix. The racism and barriers that still exist on the golf course. And some plans for future golf media! Thanks as always and any feedback is appreciated.

Today, I am blessed to have Daniel Trevor here with me. He is a citizen scientist and serial entrepreneur who has created several start-up businesses, including a high-tech CTI (computer-telephony integration) company that grew to over 300 employees.  He also created and marketed anti-aging products and produced TV & Radio infomercials, hiring celebrities as spokespersons, as well as hosting some himself. Daniel also spent time as a real estate investor and developer, a financial newsletter writer & analyst, as well as a professional day trader of precious metal mining and gas & oil stocks. Being familiar with analyzing technical data throughout his life, he was comfortable taking a dive into medical and nutritional science to reverse his heart disease after a surprising heart attack. Lean and symptom-free, he thought he was "Mr. Healthy."  In reality, he was an undiagnosed Type 2 diabetic, which was the cause of his undiagnosed heart disease, fatty liver disease, and osteoporosis. Using the research in his How-to book, he was able to reverse all four silent conditions. Daniel describes himself as "just a lower-class street kid from Philly," is the Founder & CEO of NutraNuva Anti-Aging Science, has two beautiful daughters, and lives in Southern California. In this episode, we dive into metabolic health, dissecting prevalent myths surrounding diet, plaque formation, and cardiovascular health. Daniel underscores the necessity of distinguishing between different types of plaque, shedding light on the dangers of soft plaque. He critiques historical dietary recommendations and advocates for a reevaluation based on scientific evidence. Lifestyle factors such as smoking and diet are explored in their detrimental effects on arterial health, with a particular focus on the impact of high fructose corn syrup. Challenging conventional wisdom, Daniel redefines the role of cholesterol, emphasizing nuanced assessments and the importance of comprehensive testing. He also addresses profit-driven motives in healthcare decisions, advocating for informed choices. Tune in as we chat about specialized cardiovascular tests and their implications, with a clarification of the CAC paradox.   Diabetes Method Program: https://diabetesmethod.com/ 

Youtube ChannelElevate Health Chiropractic and Wellbeing WebsiteElevate Health Online Membership RegistrationIntroduction:Welcome to today's episode where we dive into the world of chronic inflammation, a condition that affects many, yet often goes unnoticed.We will share the story of a client struggling with persistent fatigue and joint pain, a journey that many can relate to.Client Case Study:Meet our client (anonymous for privacy.... we call her 'Emily'), who faced daily challenges with fatigue and joint pain.Discover how elevated levels of GGT and CRP were key indicators of their chronic inflammatory condition.Strategy 1: Eat Less Inflammatory Foods:Learn about the power of diet in combating inflammation.We discuss how our client transformed their eating habits, focusing on anti-inflammatory foods and reducing the intake of foods known to cause inflammation.Strategy 2: Increase Physical Activity:Uncover the role of regular physical activity in reducing inflammation.Hear about the client's journey to incorporate more movement into their daily routine, tailored to their abilities and comfort level.Strategy 3: Stress Reduction Techniques:Explore the connection between stress and inflammation.Find out the stress-reduction techniques our client adopted, from mindfulness practices to regular relaxation routines, and their impact on overall well-being.Results:A look at the significant improvements in our client's health after implementing these strategies.Discussion on the decrease in GGT and CRP levels and the overall enhancement in the quality of life.Conclusion:Summarizing the key takeaways from the client's journey.Encouraging listeners to consider these strategies in their fight against chronic inflammation.Invitation for Interaction:We welcome listeners to share their experiences and questions.How have you dealt with chronic inflammation, joint pain, or fatigue?Closing Remarks:Thank you for tuning in to this insightful episode.Stay tuned for more empowering health-related content.Additional Resources:4-7-8 Breathing Video LinkRemember to subscribe for more health tips and share this episode with someone who might benefit from it. Your journey to better health starts here.Useful LinksYoutube ChannelElevate Health Chiropractic and Wellbeing WebsiteElevate Health Online Membership Registration

We missed you, and had to squeeze in one last episode for 2023 to wrap up the year! As is GGT tradition we cover Spotify Wrapped, music mentions like Pink Friday 2 by Nicki Minaj and lastly, the many lifetimes Kevin and Manny have lived since our last episode. You can listen to Manny's guest episode 527 on the Revision Path anywhere you get your podcasts! While you're there, please donate and support the Revision Path. Revision Path is an award-winning platform that showcases Black designers, artists, developers, and digital creatives from all over the world.

About This Episode Dr. Paul Anderson, based in Seattle, shares transformative insights on holistic approaches to cancer.  He emphasizes clean eating's pivotal role in cancer prevention, treatment strategies based on cancer stages, and highlights the importance of monitoring cancer stem cells (CSCs). Diving deep into IV Vitamin C treatment, Anderson notes its unique capability to harm cancer cells while supporting healthy ones.  Furthermore, he discusses the rapidly evolving landscape of Circulating Tumor Cell Tests and their significance in monitoring cancer.  For those navigating the cancer journey or seeking holistic health insights, this interview offers a wealth of knowledge. Dive into the summary or watch/listen for comprehensive understanding. Resources Mentioned: Dr. Paul Anderson's Website "Outside the Box Cancer Therapies" (book) Tests: RGCC CellSearch Biocept Maintrac IvyGene High dose, concentrated mushroom extracts Exogenous ketones Vitamin B3 Nicotinamide riboside Detailed Summary Introduction by Ryan: Dr. Anderson was Ryan's son's naturopathic oncologist. Ryan appreciated Dr. Anderson's vast knowledge and ability to answer difficult questions. Dr. Paul Anderson's Introduction and Background: Based in Seattle, Washington. Met Ryan during the treatment of Ryan's son, Ryder. His practice is divided into two equal parts: Treating patients with cancer, including children (which is uncommon). Treating individuals with complicated chronic illnesses unrelated to cancer. Teaches doctors and emphasizes on sharing knowledge. Co-authored the book "Outside the Box Cancer Therapy" with Dr. Stangler. Working on another book focusing on the emotional aspects and process of being diagnosed with cancer. Comparison between Naturopathic Oncologists and Integrative Medical Doctors: Dr. Anderson emphasizes practical experience, learning from patients. He offers specialized treatments, including IV therapy, hyperbaric oxygen, hyperthermia therapies, etc. Naturopathic oncologists and integrative MDs can both be limited in their treatments by the hospitals or systems they work in. Discussion on IV Vitamin C Treatment: Dr. Anderson is recognized internationally for his expertise on this topic. Benefits can be gained from both low and high doses of IV vitamin C, depending on the application. The amount needed can vary based on body weight and the specific health of the patient. High doses can range from 50-100 grams for most adult-sized individuals. Vitamin C remains in the system for about 24 hours post-IV. Vitamin C is unique in that it harms cancer cells while supporting healthy cells. Lower doses (around 10-15 grams) can provide significant improvements in quality of life for frail or end-of-life patients. Circulating Tumor Cell Tests: Have improved over time; past versions like RGCC and CellSearch were not as accurate. Technology is rapidly changing and affecting the reliability of these tests. Biocept, Maintrac, and IVY gene are currently used tests. These tests are especially useful for: Monitoring cancer in remission or no evidence of disease. Tracking the effectiveness of ongoing treatments. Treatment Strategies Based on Cancer Stage: Late Stage: Urgency in treatment is crucial. Need a holistic approach, addressing dietary habits, toxins, infections, hormones, and overall health. Aim to grab the cancer's attention and slow its progression. Early Stage: There's more flexibility in treatment approaches. Focus can be on non-cancer issues like detoxifying, balancing hormones, improving gut health, and addressing mental health. Treatment options can include concentrated mushroom extracts, metabolic treatments like exogenous ketones, or even dietary shifts such as raw vegan diets. Post-Cancer Treatment: Post chemotherapy and radiation, there's an increased risk for secondary cancers because they can stimulate cancer stem cells. Importance of recovery after initial treatments and secondary prevention to ensure recurrence doesn't occur. Repairing the body and suppressing cancer stem cells is essential. Diet's Impact on Cancer: No single "best" diet for cancer elimination; however, diet plays a pivotal role. Emphasis on clean eating: Avoid processed foods, chemicals, pesticides, and herbicides. A shift in diet can have a noticeable effect on cancer within 1-3 months. Key Dietary Recommendations: Intermittent Fasting (IF): IF for even 13 hours has shown to reduce the recurrence of breast cancer. It activates autophagy (cell cleaning) and has other metabolic benefits. Diet Cleanliness: Remove junk and chemicals from diet. Plant-based Spectrum: High in polyphenols, fiber, dense nutrients, and low in simple carbs. Raw food diets can quickly get the body's attention. Ketogenic Spectrum: Shifts body metabolism and may be beneficial against certain types of cancers. It's crucial to balance protein intake since excess protein can be converted into sugar. Modified Mediterranean Diet: High plant-based with clean protein and fat sources, minimal grains. Diet Adaptability: Initial diet is about getting the body's attention; it might differ from the long-term diet. Both ketogenic and raw food diets have shown positive effects on patients with various cancer types. Adapt the diet based on what a person can do and tolerate. Long-term success requires consistency in dietary habits. Observational Cases: Noted a patient surviving stage 3/4 breast cancer for over 15 years primarily using a ketogenic diet. Other cases showed success with a raw food diet transitioned into a modified vegetarian diet. Regular Monitoring: Emphasizes tracking certain blood work indicators (e.g., LDH, alkaline phosphatase, GGT) regularly. These markers can provide insights into inflammation, oxygen levels, and overall body health. Monitoring helps catch subtle shifts in the body's health, guiding adjustments in treatments and dietary habits. Cancer Stem Cells (CSCs) Insights: CSCs are smarter than regular tumor cells (daughter cells). While treatments like chemotherapy or radiation can reduce tumor size, they might make one prone to relapses because CSCs hide and wait. Many people have dormant CSCs in their bodies. The challenge is to keep these cells inactive. CSCs can recruit normal cells to become cancerous. CSC Triggers & Management: One major trigger for CSCs is inflammation. Inflammation sources include lack of exercise, poor diet, toxins, infections. Healthier lifestyles, such as better diets and regular exercise, produce anti-cancer metabolic triggers. Intermittent fasting and periodic longer fasts can slow CSC activity. Diet, detox, and addressing specific toxic exposures can help maintain an environment less favorable for CSC growth. NAD Therapy Insights: NAD is essential for energy production in mitochondria. High doses of NAD can be problematic for those with cancer because some cancers can utilize excess NAD for growth. For those with a cancer history, lower dose NAD therapy can be considered safe. In active cancer cases, high-dose NAD therapy should be avoided. Oral supplementation with nicotinamide riboside can help, but high doses may pose risks. Resources and Contacts: Book recommendation: "Outside the Box Cancer Therapies" provides practical insights into cancer treatments. Dr. Paul Anderson's clinic: Advanced Medical Therapies, located in Seattle, Washington. ***Get every full two hour call in Going Integrative Plus and ask your questions live directly to the top integrative cancer doctors in the world!***  

Join Our Online Education Community "The School of Doza" Here: https://community.schoolofdoza.com/   In this podcast episode, Nurse Doza discusses the common complaint of fatigue and offers insights into its possible causes. He emphasizes the importance of addressing fatigue, as it should not be a daily occurrence. He also recommends getting blood tests, particularly one for DHEAS, to assess adrenal function and the body's response to stress. He mentions that chronic stress, lack of sleep, and unhealthy lifestyle habits can contribute to fatigue. Nurse Doza encourages listeners to prioritize self-care, including good sleep and stress management, to improve their energy levels and overall health.   TIMESTAMPS: 00:00 START 05:50 Adrenal issues can cause fatigue. 11:46 Inflammation and fatigue are connected. 16:34 Address underlying causes of fatigue. 22:08 Check homocysteine levels for fatigue. 27:43 Sugar and inflammation decrease ATP. 32:15 Adrenal support supplement is recommended.     Looking for a boost in energy and mood? Discover Zen, MSW's premium adrenal support supplement. Packed with natural ingredients, it aids in balancing your hormones and combating fatigue. Elevate your health and regain that lost zest for life. Click here to check out Zen now!

A fascinating new study finds common biomarkers predict the odds of living to 100 years of age. This 35-year study in 44,000 adults found high-cholesterol and low blood glucose were linked with higher odds of reaching 100 years of age. Here's a breakdown of these interesting findings: https://bit.ly/3LI6PnM Sponsored: Support your Intermittent Fasting lifestyle with the Berberine Fasting Accelerator by MYOXCIENCE: bit.ly/berberine-fasting-accelerator Save with code Podcast at checkout Show Notes: 03:00 2.7% of participants reached their 100th birthday. 03:30 Non-centenarians had double or triple the rates of common conditions. 04:00 Cardiovascular disease decreases your health span and life span. 05:30 Higher total cholesterol is associated with becoming a centenarian. 07:30 Centenarians had lower levels of blood glucose. 08:20 GGT liver enzyme test reflects the turnover of glutathione and oxidative stress. 10:40 Uric acid is an indirect marker of inflammation, and is low in centenarians. 12:00 Cholesterol may be protective. 15:45 Higher levels of total cholesterol and iron, and lower levels of glucose, creatinine, uric acid, AST, GGT, and ALP, total iron binding capacity and LDH were associated with a greater likelihood of becoming a centenarian. 17:30 Improve GGT levels by improving glutathione health and avoiding drinking alcohol. 18:30 Minimize intrahepatic fat with fasting, exercise, and low carb nutrition. 24:45 ApoB to A1 ratio gives insight into lipoprotein health. 27:50 A short term cold can raise iron levels.

Family, it Is truly a holy day - it is time to recap all the thoughts on THE PREMIERE of The Golden Bachelor! And, wow, GGT and the ladies brought it - what a phenomenal first episode! But wait, don’t forget Your Mom and Dad will also be giving you all their opinions on the first episode of Bachelor in Paradise season 9 (01:08:55)! It’s a 2 for 1 special on this Bachelor Monday with The Family!

This month we recap The Open at RTJ Capitol Hill with a super hot start by Daniel Foy but an unfortunate ending. Travis Key went home home his first GGT title and his son Jax got some hardware of his own. Also, Travis throws himself under the bus and we look forward to The Playoffs at Highland Park.

This podcast episode discusses the importance of the GGT liver enzyme test in determining the presence of fatty liver disease. Nurse Doza explains that GGT levels above 30 may indicate liver inflammation and damage. However, he emphasizes that GGT alone is not sufficient to assess liver health and advises combining it with other tests like AST and ALT, as well as an ultrasound. Nurse Doza encourages listeners to take control of their health and request the GGT test if necessary.   For the best supplements, check out mswnutrition.com/?ref=nursedoza

In this episode, Sachin interviews Dr. Bryan Walsh. Sachin bumped into Dr. Walsh at ECO, the CellCore Conference. After talking, Sachin invited Bryan to be a guest on Perfect Practice. Bryan is extremely passionate about functional medicine. He brings over 25 years of experience in helping us become better clinicians, looking at our patients through a slightly different lens and upgrading our paradigm so we can be of better value to the people we want to serve the most.   Key Takeaways: [2:12] Sachin welcomes Dr. Bryan Walsh and thanks him for joining the podcast today. Sachin speaks of producing evidence-based treatment driven by awareness. There are more tests coming onto the market and more supplements and more research being done every year.   [3:10] Bryan started as a fitness specialist. He read much about nutrition. Before going to naturopathic school, Bryan went to a functional medicine weekend seminar produced by a lab. He was amazed by all the available tests. That hooked him on functional medicine.   [4:06] Bryan then went to naturopathic school where he met his wife. He learned about many tests and did them all: organic acid test, salivary cortisol test, urinary hormone test, stool test, hair tissue mineral analysis test, you name the test, he did it. But he started hearing gurus say things he knew not to be true and he started questioning the supplements.   [6:14] Bryan asked himself why he was running expensive tests if he didn't know their scientific validity. The scientific literature is not friendly to these biomarkers and tests. He compares it to testing your home for radon with a bad test. Bryan is trying to raise the bar in the industry for better practitioners and healthier patients for less money, and being more evidence-based.   [8:10] Bryan and his wife run their business while trying to raise the bar in the industry as much as they can. Sachin loves that they are holding the entire industry to a higher standard. You have to feel solid on the tests you order for people. The foundation of our business is the outcomes we produce.   [9:24] Sachin asks, “How do I create a program that is independent of the labs, that produces results every single time that has tons of evidence and ancient wisdom wrapped up into it, and common sense wrapped up into it, and develop a lifestyle-design program that isn't dependent on lab testing?” Sachin includes Oura rings for his patients so they can measure their progress.   [10:18] Bryan's view is that a lab test should not give you any new insights into the person, it should just confirm what you already believe to be true. That means going back to your clinical skills, history-taking, symptom questionnaire, and physical exam. Bryan's not opposed to any test that he knows of, but a test is not a fishing expedition, it's confirmation of a suspected issue.   [11:28] For example, if a patient has hypoglycemic symptoms, there's probably something going on. Testing blood glucose and A1C gathers hard data and allows for interventions and tracking progress. If someone has hypothyroid symptoms, run a complete thyroid panel and see where the defect is.   [12:35] Blood chemistry is one of Bryan's passions. Standard blood chemistry is one of the most studied labs around the world. It's been scientifically validated over and over. It's inexpensive for what you get, if you know what you're doing, have good reference markers, and are up to date on the modern literature on these markers.   [14:02] When you look at the literature on Albumin, old markers have new reasons they might be high or low that have implications for us as practitioners. If you take old tests and combine them with updated research on the markers, they can tell you as a clinician far more than you were using them for in the past.   [14:47] Bryan cites recent research linking high HDL with leaky gut. A high HDL may indicate testing for intestinal permeability of lipopolysaccharides to confirm. There is updated research on many old markers. Some inoculations are indicated from existing markers. There are new calculations for fatty liver. Some markers are useless and don't need to be run.   [17:55] Bryan notes that with too much data, it's hard for practitioners to know what to work on first. Go back to the fundamentals and the basics that you have evidence that they improve people. People are suffering and practitioners are suffering with inaccurate tests. Patients are spending on tests unnecessarily. Some tests just give patients something new to worry about.   [21:50] Bryan does not see people being plain honest about the industry. Practitioners do the best they can and show confidence about it but they don't know if the second test will show improvement over the first test.   [23:46] Bryan tells more about HDL. If triglycerides are low, HDL tends to be high, lymphocytes tend to be high and neutrophils in women tend to decrease. Potassium tends to high normal and sodium tends to low normal, because of low cortisol and aldosterone. Females with this pattern have autoimmunity and get dizzy when they stand up. Bryan looks hard at HDL.   [24:51] Bryan found one paper years ago that included in the data tape but did not report, data that people that had a higher HDL also had a higher incidence of cancer. There is an HDL immunological component. Bryan has been seeing HDL higher than LDL in the past five years more than ever before.   [24:45] Bryan talks about optimal functional ranges and shares a story. If you don't have a reference, don't speak of an optimal range. Bryan has stacks of references of ranges for various markers and he has the papers about them and how he came up with the ranges.   [28:06] The literature on GGT very clearly says high normal levels, in the upper 20s or 30s, are more accurate as a pathophysiology marker than CRP, some metrics like blood pressure, or A1C. GGT is a robust marker of pathology, xenobiotic exposure, and hepatic glutathione deficiency. It's a marker to justify your use of n-acetylcysteine.   [29:51] Pyroglutamic acid is lower in autoimmune patients than in healthy patients. Low bilirubin is a marker of fat-soluble oxidative stress. Papers that Bryan read recently show a highly increased risk of mortality for bilirubin levels below .4. This points to fat-soluble oxidative stress and may call for support from fat-soluble anti-oxidants, Co-Q 10 and Vitamin E and/or GGT.   [31:28] Bryan refers to water-soluble glutathione. N-acetylcysteine can lower High-normal GGT. These are old markers. Bryn mentions there are also loads of novel and new markers.   [32:13] What about mold? Bryan waits for the bandwagon to turn around and come back before hopping on. He doesn't want to give the newest supplement only to find it causes cancer. Mold is insidious. People are hyper-stressed about mold. A few years ago, people were stressed about candida and then heavy metals. Bryan doesn't run a blood chemistry for mold.   [35:41] High albumin is a dehydration marker. Low albumin is an inflammation marker. A1C and C-peptide are insulin markers. If fasting glucose is normal with high A1C, give a C-peptide test. Globulin is a marker of all globulins. IGG antibodies are the greatest contributor to serum globulin. To make globulin, tryptophan is required. High globulin is an autoimmunity marker.   [38:32] If a woman is taking exogenous estrogen (birth control, hormone replacement) that will drive up sex hormone-binding globulin. These women may have mild depression because of a relative tryptophan deficiency. Try tryptophan. Bryan discusses protein electrophoresis, CBC, and other tests.   [40:02] Iron fluctuates by within-person variability. Bryan talks about homocysteine. It is suggested to have a within-person variance of about 8% of 10 Mol/L. About 95% of people will have within +/- 2 standard deviations of that 8% variance. The results of a year's worth of monthly homocysteine tests might be as high as 11.2 mol/L and as low as 8.4.   [41:50] Iron has a 32% within-person variance. If iron is all over the place, so will serum iron. Don't consider iron overload protocol unless a reading is high again in 30 days. A standard iron test would be, iron, ferritin, and TIBC. Some use transferrin instead of TIBC. Ferritin has a variance of around 20%. Iron has a variance of upwards of 32%. TIBC has a low variance.   [43:19] When TIBC goes up, the body is looking for more iron. This may be because of a bacterial infection. TIBC is an important marker. The soluble transferrin receptor is a receptor for iron on transferrin. If there are no iron receptors on transferrin, the body is low on iron but doesn't want any, because it's fighting off a bacterial infection that thrives on iron. Clear it up. [48:47] Bryan believes the bacteria appear first in a leaky gut situation. He describes how they wake up without proliferating into sepsis. That's where the HDL test comes in. Bryan doesn't differentiate between a gut protocol and a non-gut immune protocol. Any botanical gets absorbed in the gut. Fibers and most minerals don't get absorbed.   [53:46] Bryan lists classifications of tests he recommends not using, and he explains why: Organic acid tests, salivary cortisol tests (unless you run it serially a few times in a week for patterns), hair tissue mineral analysis tests, and stool tests (unless you suspect a raging infection). Bryan cites incorrect medical treatments of past decades.   [1:04:45] Bryan started his career with more liberal and aggressive protocols. He is conservative now. He works with blood chemistry, evidence-based supplements, and the mental-emotional components and how they affect physiology. Not running all these labs and not going crazy about the best diet has been a huge stress reliever for Bryan.   [1:05:58] About CGM. Sometimes more data can cause anxiety, especially when used by people without diabetes. Bryan is interested in what the counterregulatory hormones are doing. If someone has hyperglycemia, is it because they have no insulin, or too much insulin and it's not working?   [1:07:56] Why do you have high glucose? Is it because you're not making enough insulin, insulin's late to the party, or do you have hyperinsulinemia and insulin resistance? That's two different patients and protocols.   [1:08:23] There is also hyper insulin sensitivity. Bryan believes that is caused by too much GLP-1. These patients have totally normal glucose but they're having a hyper insulin response with insulin receptors that are more sensitive. That is not normal physiology. The only thing CGMs focus on is the easy one, glucose. Bryan has never recommended one to a client.   [1:08:38] Sleep trackers were part of a study. They put two groups of sleepers in a room with a clock showing the wrong time. Some people had a great night's sleep but they thought they had a restricted sleep. They were asked to do math problems and they did poorly. They thought they were exhausted after eight hours of sleep.   [1:10:12] The other sleep group was interrupted after four hours of sleep but the clock showed they had slept eight hours and they believed it. They reported feeling wonderful. They did well on the math problems. The problem with gadgets is that a little information is good but we can sometimes get taken too far. Use tools as they are defined and don't take them too far.   [1:11:39] Sachin commits to give up personal tech devices for a week and see the results. Bryan says one of the biggest issues we have right now is that we are hyper-focused on ourselves and no longer focused on life and our community. In the past, who you were was who you were to the community. It was your purpose in the community.   [1:12:43] Now we look so much within ourselves, we don't look out anymore. Nobody's focused on anybody else anymore. Bryan thinks that one of the biggest health issues we have is people running around lacking purpose, lacking knowing who they are and lacking connections to other people. Bryan thinks it's showing up in neurotransmitters and hormone issues.   [1:13:54] Sachin is a student for life, like Bryan, willing to learn and adapt and experiment. He will let Bryan know in a week how the tech fast goes. The Oura ring will sit on his desk for a week.   [1:14:37] What is Bryan's take on AI in blood chemistry? He thinks it has fantastic potential. His fear is that people don't like to think. Thinking is hormetic but we just want a protocol. The literature about AI in interpreting blood chemistry is good. It does what we are trying to do mentally and manually with the numbers. Bryan's concern is we will forget how to observe.   [1:16:05] Bryan has experience with AI and labs. He looks at the lab first and draws his conclusions without bias before looking at the AI interpretation. Sachin agrees. No one can do your pushups for you.   [1:17:09] Bryan and his wife have their business at MetabolicFitnessPro.com. They are trying to raise the bar. They are Christian. In a world of dishonesty, they run with humility and integrity and they hope that everything they do emanates from there. They have a number of courses people can get to improve what they do in their practice, be successful, and feel good about it.   [1:18:47] Bryan says he doesn't think of himself as smart; when you're dumb, you keep trying to be smart. He's always trying to impress his wife, who doesn't impress easily. They are working on creating a lab with some pretty cool markers that aren't on standard labs but the evidence suggests they should be. They teach a course in blood chemistry analysis. [1:20:04] Sachin thanks Dr. Bryan Walsh for this enlightening conversation. Sachin invites Bryan to return for further discussions, to speak at Sachin's events, and to offer mentorships.   Mentioned in this episode Perfect Practice Live ECO CellCore Conference   More about your host Sachin Patel How to speak with Sachin Go one step further and Become The Living Proof Perfect Practice Live sachin@becomeproof.com To set up a practice clarity call and opportunity audit   Books by Sachin Patel: Perfect Practice: How to Build a Successful Functional Medical Business, Attract Your Ideal Patients, Serve Your Community, and Get Paid What You're Worth The Motivation Molecule: The Biological Secrets To Eliminate Procrastination, Skyrocket Productivity, and Get Sh!t Done

Major Season is in the books and we are here to chat about the state of Jordan's game following another so-so performance in a major.  We chat everything from Jordan's trip to Royal Liverpool to Spieth's putter and of course the 2023 Champion Golfer of the Year Brian Harman.  Enjoy! Thrive Fantasy: https://thrivefantasy.com/?promo=GGT

Can keto help balance my hormones and get my cycle back? Do menopausal women have special considerations for keto? My macros are perfect, why am I not making ketones? Tune in to hear us answer these questions and so much more in this episode where we troubleshoot common keto problems!   In this episode, we cover the impact of DHEA and adrenals on ketosis, how ketones can aid in hormone regulation, and we troubleshoot weight loss stalls. Learn how liver health can impact ketone production, our favorite tricks for getting enough salt in the diet, how to best support digestion on keto, and much more!    Also in this episode: September Live Keto Use code EARLYBIRD50 to save $50 off Why we love ketoEpisode 262 The Keto-Immune Connection and Natural Immunity Updates 10 Reasons To Go Keto Do menopausal women have special considerations for keto?Bio-C Plus Relax and Regulate Grassfed Whey Pure Collagen Episode 252 From Fertility to Breezing through Menopause with Dr. Ana Cabeca My macros are perfect, why am I not making ketones?10 Day Detox Detox Packs Boost and Burn Adrenal Support DHEA should be at 150+ AST, ALT, GGT can be tested in the blood for liver function How to get enough salt in?Electrolyte Limeade Redmond Real Salt use code ALIMILLERRD Relax and Regulate GabaCalm Coping with Keto Flu Can keto help balance my hormones and get my cycle back?Episode 149: Getting Your Cycle Back Relax and Regulate Adaptogen Boost How to support digestion on ketoDigestive Essentials Bundle I tried keto for 8 months using pH sticks. 1800 calories, 280 lbs, lost 8 pounds then stalled…why?10 Day Detox Who is NOT a fit for the keto program? What should I eat to break a fast if I don't like eggs?Smoothies and Shakes Ebook What are your thoughts on staying strict keto long term? Episode 153 Metabolic Flexibility. I am making ketones, currently testing with a blood meter at 1.6-2.0 but am not losing weight, what's wrong?   Sponsors for this episode:  This episode is sponsored by Peak State Coffee, makers of coffee with real health benefits! Are you a coffee drinker seeking a healthier option but don't want to quit your ritual? Enjoy whole bean coffee infused with adaptogenic mushrooms to boost your brain, support gut health, and balance stress, all while keeping the taste you love. With 500mg lion's mane, reishi, chaga, and more per serving, you'll love this delicious coffee that is also chemical free, mold free, non-GMO, and low acid. Go to www.PeakStateCoffee.com/ALIMILLERRD for 20% off and free shipping on two or more bags, use code ALIMILLERRD at checkout.  

Today's episode is sponsored by PaleovalleyMake sure to support this podcast and head over to Paleovalley.com/CATG to get 15% off your first order. Thank you for supporting this podcast.EPISODE SUMMARYIn this episode, Laura and Judy chat about blood sugar, glucose, A1c, and insulin levels on CarnivoreEPISODE NOTESBlood sugar and insulinA1c and InsulinWhat We're Really MeasuringWhat to Measure for HealthAdding Carbs to Higher A1cFructose, GGT, ALT, ASTChildren's Bloodwork and NAFLDRed Pilled and Logical ThinkingCarbs for Enjoyment vs Carbs for FearSigns of Balanced SugarCarb Threshold and DairyThe Body's BiofeedbackRESOURCES: Why We Get Sick – Dr. Ben BikmanCGM BenefitsComplete Wellness PanelNwJ Ep. 148 – Dr. Ben BikmanSPONSORS: Paleovalley: https://paleovalley.com/promos/catg for 15% off your order!_____ JUDY'S RESOURCES:Judy's Book, Carnivore CureNutrition with Judy ArticlesNutrition with Judy ResourcesJudy's InstagramNutrition with Judy PodcastJudy's YouTubeJudy's FacebookLAURA'S RESOURCES: Laura's LocalsLaura's Discount Codes & InterviewsLaura's AmazonLaura's YouTubeLaura's Instagram_____ DISCLAIMER: This podcast should never be considered medical advice and is for educational purposes only. Do not self-diagnose. Always seek medical guidance when you have a medical condition.Head over to paleovalley.com/catg and get 15% off your first order. Coupon code automatically applied to your cart during checkout.

After 3 weeks, we are back! It's Scottish Open week as we begin the two-week European stretch. Most importantly, Dan is back in the US. Enjoy! Thrive Fantasy: https://thrivefantasy.com/?promo=GGT

Another major disappointment for Jordan Spieth is in the books. Should it lead to major changes? Listen into why Bob believes that it is time for the Spieth Camp to make a change. We also give our thoughts on LACC, Wyndham Clark, and Rory McIlroy. Enjoy! Thrive Fantasy: https://thrivefantasy.com/?promo=GGT

After the first missed cut in his career at the Charles Schwab Challenge, Jordan Spieth is back in action at Jack's Place for the Memorial Tournament. Bob and Jordan give their thoughts on Jordan's season to date and how important it is for him to get back on track this week ahead of the rest of the season. Enjoy! Thrive Fantasy: https://thrivefantasy.com/?promo=GGT

Question: What can be done about twitching? Short Answer: Most twitching will be driven by glutamate/GABA balance or acetylcholine regulation, and the most likely nutritional issues are any of the electrolytes or any factor that influences energy metabolism. The best way to address it is to consider the conditions that influence it and then trial and error your way through each potential nutritional issue in order of which ones make the most sense for your individual case first. This is a clip from a live Q&A session open to CMJ Masterpass members. In addition to this episode, you can access two other free samples using this link: https://chrismasterjohnphd.substack.com/p/questions-on-phosphatidylcholine In that batch of free episodes you will also find the answers to these questions: Phosphatidylcholine and TMAO Vitamin K2 and Undercarboxylated Osteocalcin If you want to become a Masterpass member so you can participate in the next live Q&A, or so you can have access to the complete recording and transcript of each Q&A session, you can save 10% off the subscription price for as long as you remain a member by using this link to sign up: https://chrismasterjohnphd.substack.com/qanda Learn more about the Masterpass here: https://chrismasterjohnphd.substack.com/about This snippet is from the December 14, 2022 AMA. The full recording and transcript is reserved for Masterpass members. Here is a preview of what's included: Inositol, What Is It Good For? If I am at risk of heart disease, and phosphatidylcholine raises my TMAO, should I stop the supplement? If undercarboxylated osteocalcin (ucOCN) has health benefits and vitamin K2 decreases it, what does that mean for vitamin K2 supplementation? Maragen Calcium Could slow methylation cause high selenium levels? My current thoughts on cholesterol and heart disease If I already have oxidative stress, what ducks should I have in a row before supplementing with iron? Is it safe to take eight milligrams of zinc daily without copper? What to do about developing sensitivities to an increasingly broad range of foods? What else to do about hemochromatosis besides phlebotomy? If gestational diabetes is just a biotin deficiency, why are women who are insulin resistant prior to pregnancy at higher risk for it, including women with PCOS? What to do about chronically elevated amylase and lipase? What to do about a non-drinker having very high GGT and occasionally high ALT? What are the most common vitamin and mineral deficiencies? What are the best supplements, vitamins, and minerals for OCD and depression? What is the connection between low pyruvate and high ketones? Is high LDL a concern if the carotid IMT and coronary calcium scan are clear?  Do I trust food allergy tests? Here's a link to the full AMA: https://chrismasterjohnphd.substack.com/p/recording-and-transcript-of-the-december Access the show notes, transcript, and comments here.

Question: If undercarboxylated osteocalcin has health benefits, and vitamin K2 decreases it, what does that mean for K2 supplementation? Short Answer: Vitamin K2 helps secure osteocalcin in bone matrix, where it is decarboxylated and released as an endocrine hormone in response to certain stimuli. When released, it acts to optimize insulin secretion, insulin sensitivity, fuel use during exercise, and male testosterone. This is a clip from a live Q&A session open to CMJ Masterpass members. In addition to this episode, you can access two other free samples using this link: https://chrismasterjohnphd.substack.com/p/questions-on-phosphatidylcholine In that batch of free episodes you will also find the answers to these questions: Phosphatidylcholine and TMAO What to Do About Twitching If you want to become a Masterpass member so you can participate in the next live Q&A, or so you can have access to the complete recording and transcript of each Q&A session, you can save 10% off the subscription price for as long as you remain a member by using this link to sign up: https://chrismasterjohnphd.substack.com/qanda Learn more about the Masterpass here: https://chrismasterjohnphd.substack.com/about This snippet is from the December 14, 2022 AMA. The full recording and transcript is reserved for Masterpass members. Here is a preview of what's included: Inositol, What Is It Good For? If I am at risk of heart disease, and phosphatidylcholine raises my TMAO, should I stop the supplement? Maragen Calcium Could slow methylation cause high selenium levels? My current thoughts on cholesterol and heart disease If I already have oxidative stress, what ducks should I have in a row before supplementing with iron? Is it safe to take eight milligrams of zinc daily without copper? What to do about developing sensitivities to an increasingly broad range of foods? What else to do about hemochromatosis besides phlebotomy? If gestational diabetes is just a biotin deficiency, why are women who are insulin resistant prior to pregnancy at higher risk for it, including women with PCOS? What to do about chronically elevated amylase and lipase? What to do about a non-drinker having very high GGT and occasionally high ALT? What are the most common vitamin and mineral deficiencies? What are the best supplements, vitamins, and minerals for OCD and depression? What is the connection between low pyruvate and high ketones? Is high LDL a concern if the carotid IMT and coronary calcium scan are clear?  An algorithm to fix twitching Do I trust food allergy tests? Here's a link to the full AMA: https://chrismasterjohnphd.substack.com/p/recording-and-transcript-of-the-december Access the show notes, transcript, and comments here.

Question: If I'm at risk of heart disease and phosphatidylcholine increases my TMAO, should I stop the supplement? Short Answer: On a scale of one to ten, my concern about TMAO and cardiovascular disease is a three. There are thousands of things that should be given equal weight as potential contributors to heart disease, but TMAO gets the most attention because the Cleveland Clinic has an incredible PR machine to spread their research, which serves to bolster their financial interest in marketing the test. That said, it is not a universal necessity to supplement with phosphatidylcholine. If you are concerned about your TMAO, you can try substituting trimethylglycine (TMG), and ultimately judge the value of each supplement by whether it is helping you in a demonstrable way. This is a clip from a live Q&A session open to CMJ Masterpass members. In addition to this episode, you can access two other free samples using this link: https://chrismasterjohnphd.substack.com/p/questions-on-phosphatidylcholine In that batch of free episodes you will also find the answers to these questions: Vitamin K2 and Undercarboxylated Osteocalcin What to Do About Twitching If you want to become a Masterpass member so you can participate in the next live Q&A, or so you can have access to the complete recording and transcript of each Q&A session, you can save 10% off the subscription price for as long as you remain a member by using this link to sign up: https://chrismasterjohnphd.substack.com/qanda Learn more about the Masterpass here: https://chrismasterjohnphd.substack.com/about This snippet is from the December 14, 2022 AMA. The full recording and transcript is reserved for Masterpass members. Here is a preview of what's included: Inositol, What Is It Good For? If undercarboxylated osteocalcin (ucOCN) has health benefits and vitamin K2 decreases it, what does that mean for vitamin K2 supplementation? Maragen Calcium Could slow methylation cause high selenium levels? My current thoughts on cholesterol and heart disease If I already have oxidative stress, what ducks should I have in a row before supplementing with iron? Is it safe to take eight milligrams of zinc daily without copper? What to do about developing sensitivities to an increasingly broad range of foods? What else to do about hemochromatosis besides phlebotomy? If gestational diabetes is just a biotin deficiency, why are women who are insulin resistant prior to pregnancy at higher risk for it, including women with PCOS? What to do about chronically elevated amylase and lipase? What to do about a non-drinker having very high GGT and occasionally high ALT? What are the most common vitamin and mineral deficiencies? What are the best supplements, vitamins, and minerals for OCD and depression? What is the connection between low pyruvate and high ketones? Is high LDL a concern if the carotid IMT and coronary calcium scan are clear?  An algorithm to fix twitching Do I trust food allergy tests? Here's a link to the full AMA: https://chrismasterjohnphd.substack.com/p/recording-and-transcript-of-the-december Access the show notes, transcript, and comments here.

Today I am honored to connect with my good friend and multiple-time past guest, Ben Azadi!  Ben was most recently with me on Podcasts #149 and #101. He is a prolific social media star and a fasting and ketogenic dieting expert. He is known as “The Health Detective” because he investigates dysfunction and educates, not medicates, to return the body to normal function. Ben is the founder of Keto Kamp and the popular Keto Kamp podcast. Today, Ben and I use an Ask Me Anything format and dive into listener questions. We talk about the nuances of macronutrients, fasting, and supplements. We discuss gut health and how changing your diet and intermittent fasting can help the body realign and be better balanced. We get into troubleshooting with fasting, including insomnia-related issues, and we also discuss the DUTCH test and how it can be beneficial in conjunction with other lab tests. I love doing AMAs, and I hope you will enjoy listening to my conversation with Ben Azadi. IN THIS EPISODE YOU WILL LEARN: Serita asks how to keep her energy up while on a keto diet and fasting. Mary Julie wants to know what is happening inside her body when her ketones are 1.8, but her glucose is 115, 19 hours into a fast. How does losing sex hormones when approaching perimenopause and menopause make women less metabolically flexible? Why is it essential to stay hydrated and get enough good quality sleep every night? How circadian rhythm impacts our metabolic flexibility. How breathing exercises can help us get into the parasympathetic state. Janie would like to know how much protein her body can absorb at once and how much protein she should consume over a 24-hour period. Suzanne lives a clean lifestyle and wants to know if there is a way to shift the metabolism of estrogen away from the 4OH pathway. (She is referring to the DUTCH test. A listener asks how to use fasting to help with candida. Michaela was recently diagnosed with gallstones and has one blocked duct. She read that saturated fat is not good for her condition, so she wants to know what she can eat to stay on keto. Lena has been doing strict keto with OMAD for three months, but her GGT is very high. She asks if that could be due to fasting. Why we tend to experience insomnia while doing a ketogenic diet, and how to address chronic insomnia patterns. Mary Jo wants to know when to take my creatine supplement powder. Ben and I discuss the supplements we use. Connect with Cynthia Thurlow Follow on Twitter, Instagram & LinkedIn Check out Cynthia's website Connect with Ben Azadi On his website On Instagram, Facebook, LinkedIn, YouTube, TikTok The Keto Kamp Podcast Ben Azadi Speaker Reel Episode 149 – Keto Flex, Feasting and Fasting: Bringing the Body Back to Normal  Episode 101 Keto and Fasting the RIGHT Way with Ben Azadi Books mentioned: The Circadian Diabetes Code by Dr. Satchin Panda Wheat Belly by William Davis Super Gut by William Davis Breath by James Nestor

Several new studies find NAC and Glycine combinations can support biologic aging and more. Let's dive into these details. Sponsored Message: Support glutathione synthesis and detoxification of environmental pollutants* with NAC Glycine Supreme from MYOXCIENCE: https://bit.ly/NAC-Glycine-Supreme Save with code podcast at checkout:  Studies and detailed show notes: https://bit.ly/41YvaMv Episode Time Stamps 00:00 Glutathione is one of your body's most important antioxidant and detox molecules. 00:30 Supplement with raw materials, instead of directly supplementing with glutathione. 01:00 N-acetylcysteine and glycine are rate limiting amino acids in glutathione production. 01:00 Glutathione is comprised of glutamine, cystine, and glycine. 02:40 Glycine-NAC supplementation improves glutathione deficiency, oxidative stress, mitochondrial dysfunction, inflammation, ageing hallmarks, metabolic defects, muscle strength, cognitive decline and body composition. 05:20 Taking direct antioxidants has conflicting evidence. 07:30 GGT liver enzyme is a marker of glutathione turnover. 11:00 Take antioxidant supplements in the evening.

Please Subscribe and Review: Apple Podcasts | RSS Submit your questions for the podcast here News Topic:   The vertical farming bubble is finally popping Show Notes: Here is a link to kidney.org for an eGFR calculator where you can put in your creatinine number with your actual mass etc. and get a more realistic result.  https://www.kidney.org/professionals/kdoqi/gfr_calculator Questions:    Paper Review : Increased protein consumption linked to Sarcopenia Miquel says: Hello Robb and Nicki, I really appreciate your podcast! (I listen in via Podbean). Recently I came across a study conducted in the UK that has really stumped me and was wondering whether you might be able to have a look at it and help shed some light on it? For your ease of reference, here is the link from whence it came: https://academic.oup.com/ageing/article/52/2/afad018/7036280?login=true Keep up the good work! All the best regards, Miquel Cerqueda   Hashimoto's and Elevated Liver Enzymes Josh says: Hi Robb and Nicki - I have been eating paleo-ish since about 2009. I was diagnosed with Hashimoto's 7 years ago. I have been seeing a functional medicine practitioner since then and have had good luck keeping all things thyroid-related where they should be. The one issue that has plagued me is elevated liver enzyme levels (ALT, AST and GGT) for years. I do not have any symptoms (pain, etc) that I know of related to elevated liver enzymes. My doc is concerned that I may have liver issues down the road. I do not regularly take any other OTC meds that could be causing this either. The best success I had is when I greatly reduced my exercise levels. The theory was that the exercise causes muscle damage that, in turn, over-taxed my liver. Over the past 6 months I have increased my exercise greatly. Every afternoon I run 3 miles with the dog except on Saturdays when I hit the trails to run with friends for usually 5-10 miles. I also do kettlebells 2x week, club swinging 2x week and 2 days of balance and mobility training in the mornings. The kettlebells and clubs are not intense - not crossfit type metcons, just the basics. I recently had blood work done and, no surprise, my liver enzymes were even higher than normal. Do you have any other ideas of what could be causing this? Anything else I could try? Or should I drop down to a lower activity level and have labs run again after a few months to see if the pattern holds?   Potassium Chloride in LMNT John asks:  Hi Robb, had a convo with someone about LMNT and was curious as im looking to add LMNT to my low carb diet potentially. But a curious question was brought up by the other person, im sure its easily explained, what is the difference between the potassium chloride in LMNT vs how its used in lethal injections? Is it simply a case of dose makes the poison? Thanks for your help! Im sure this concern brought up by a friend holds no true weight.   Sponsor: The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT. Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don't. Click here to get your LMNT electrolytes  

In this best of series interview, Dr. Joseph Mercola, natural health expert, and Gerry Koenig, former chairman of the Iron Disorders Institute and the Hemochromatosis Foundation, explain the value of monitoring your serum ferritin and GGT levels.

It's time for another Ask Me Anything episode where STEM-Talk cohost Dawn Kernagis asks Ken questions submitted by listeners. In this episode, Ken and Dawn weigh in on: --  Whether AI is becoming sentient. -- How women in midlife might protect their bodies from the negative effects of a slowing metabolism. -- A Stanford study that compared a low-carbohydrate diet with a Mediterranean diet. -- Whether fasting helps optimize cognitive performance. -- The future of hypersonic technology. -- And a lot more. If you have a question after listening to today's episode or any episode of STEM-Talk, email your question to STEM-Talk Producer Randy Hammer at rhammer@ihmc.org. Show notes [00:02:45] Dawn begins the AMA with a question for Ken that was inspired by the Mark Mattson interview, episode 133. Mark talked about skipping breakfast and in his recent book,  “The Intermittent Fasting Revolution,” Mark points out that bodybuilders often skip breakfast and do their weight training in a fasted state, which has the effect of optimizing both muscle building and cognitive performance. The listener mentions that they feel more cognitively sharp in a fasted state but as soon as they break their fast, they don't feel as sharp. The listener asks Ken if this is normal. [00:04:35] A listener asks Ken about a recent news story in which a Russian robot broke a boy's finger during a chess match. The listener goes on to state that several of their friends have jumped to the conclusion that this is proof robots are becoming sentient beings and asks Ken for his take is on this given Ken's AI background. [00:06:02] A listener asks another AI question, this one regarding the Washington Post's reporting on a Google engineer who was fired over claims he made while at the company that an AI chatbot he had been testing had become sentient. The engineer claimed in an interview with The Guardian that the chatbot, LaMDA, was afraid of being turned off, had read “Les Miserables” and that it had emotions. Google maintains that LaMDA is merely responding to prompts designed for it. The listener asks Ken what would be an appropriate test for gauging AI sentience and what other thoughts Ken has about this story. [00:08:32] A listener mentions that they have been following the ketogenic diet for 18 months and have lost 40 pounds. Recently they checked their liver enzymes GGT, AST, TSH and found they were elevated above “normal” and their Alpha fetoprotein marker was measured at 10.3. The listener asks Ken what he has learned about the ketogenic diet's impact on the liver. [00:09:48] A listener asks about a recent paper regarding a Stanford study that compared low-carbohydrate diets with a Mediterranean diet. The listener mentions that in the Stanford study the diets had three similarities – no non-starchy vegetables, no added sugars and no refined grains. The key difference in the diets was that the low-carb diet avoided legumes, fruits, and whole grains while the Mediterranean diet included them. The study measured glucose control and cardiometabolic risk in people with prediabetes and type 2 diabetes. The study found that comparative outcomes did not support a sufficient benefit to justify people avoiding legumes, whole fruits, and whole grains to achieve the metabolic state of ketosis. The listener asks Ken for his thoughts on the study. [00:14:57] A listener mentions in their question that they found the Mike Griffin and Mark Lewis interviews both fascinating and worrying. The listener's key concern is that China and Russia are ahead of the U.S. in terms of hypersonic capabilities. The listener goes on to mention that they recently saw “Top Gun Maverick” and asks if it is reasonable that someday we will see jets with human pilots that are capable of flying 10-to-20 times the speed of sound, as depicted in the film; or will these sorts of aircrafts need to be operated by AI or humanoids.

Paul shares the results from his August Bloodwork panel from Marek Health. He does a deep dive into Testosterone, Immunoglobulin, Boron, Genistein, Isoflavonoids and touches on TMAO, Uric acid, and GGT. A note from Paul: Throughout my training and practice as a physician I have come to one very disappointing conclusion:  Western medicine isn't helping people lead better lives. Now that I've realized this, I've become obsessed with understanding what makes us healthy or ill. I want to live the best life I can and I want to be able to share this knowledge with others so that they can do the same. This podcast is the result of my relentless search to understand the roots of chronic disease. If you want to know how to live the most radical life possible I hope you'll join me on this journey. Time Stamps: 00:09:43 Podcast begins 00:12:08 Paul's lipid panel  00:14:48 Is elevated LDL a risk factor for heart disease? 00:24:08 Paul's Plasma, Ammonia results 00:25:28 Paul's Anemia profile 00:32:08 Paul's Blood Count profile 00:34:08 Paul's Thyroid panel 00:36:53 Comprehensive metabolic panel 00:38:13 Paul's Urinalysis 00:40:13 Paul's hormones 00:42:53 Insulin sensitivity  00:47:30 Boron 00:59:58 How to optimize your testosterone and increase androgen receptors 01:03:18 The detriments of consuming soy 01:05:43 Paul's thoughts on TMAO 01:09:40 Paul reviews the remainder of his bloodwork Sponsors: Heart & Soil: www.heartandsoil.co Sign up for Animal Based Gathering 2023: animalbasedgathering.com  Make a donation to the Animal Based Nutritional Research Foundation: abnrf.org   Marek Health: marekhealth.com/fundamentalhealth, use code PAUL for 10% off your first lab order Primal Pastures: www.primalpastures.com, use code CarnivoreMD for 10% off your first order Eight Sleep: www.eightsleep.com/carnivoremd for exclusive Labor Day Savings through 9/11 and to get $150 off your order White Oak Pastures: www.whiteoakpastures.com, use code CarnivoreMD for 10% off your first order or Carnivore5 for 5% off subsequent orders