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Toxins, chemicals, environmental exposure... How much is too much, how much should we worry, who should be concerned? The goal isn't to be afraid, but to understand how this fits into IBS management - listen to this episode of The Gut Show to learn more about TILT theory without going down a fear-based rabbit hole. Mentioned in this episode: MASTER Method Membership FREE IBS Warrior Summit Take the quiz: What's your poop personality? MCAS episode Thank you to our partners: mBIOTA is the next generation of the elemental diet. Developed with leading gastroenterologists and food scientists, it's the first formula that's both clinically effective and genuinely easy to drink. Pure, easily absorbed nutrients are essential, but the mBIOTA difference is in the details: from their proprietary Amino Taste Modification Technology (ATMT), to their fully vegan and gluten-free ingredients, mBIOTA provides balanced daily nutrition backed by science. The result is a game-changing medical-grade formula that helps restore GI function in patients with SIBO, IMO, IBS, Crohn's, EoE and more. Learn more at mbiota.com and save 20% off their 2 week protocol with the code GUTIVATE. FODZYME is the world's first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues. With FODZYME, enjoy garlic, onion, wheat, brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer. ModifyHealth is the leader in evidence-based, medically-tailored meal delivery offering Monash Certified low FODMAP, Gluten free, and Mediterranean meals - expertly crafted to help you achieve better symptom control AND improve overall health. The best part? They make it easy by doing all prep work for you. Simply choose the meals you want, stock your fridge or freezer when meals arrive at your door, then heat and enjoy when you're ready. Delicious meals. Less stress. Complete peace of mind. Check out modifyhealth.com and save 35% off your first order plus free shipping across the US with code: THEGUTSHOW. Connect with Erin Judge, RD: Instagram TikTok Work with Erin FREE symptom tracker
A Few weeks ago at the Fuji Expo in KC, I (@thejoshmckinney) grabbed a mic at the end of a long tournament day and did what every exhausted coach should do: talk trash, tell stories, and give hot takes while the adrenaline wears off.You'll hear from the Arias Bros (including a wild match story that ends in a heel hook attempt in the gi), plus more coaches breaking down what they saw on the mats, what tournaments get right/wrong, and the weird culture stuff we all pretend isn't real (handshake etiquette, rulesets, coaching “disappointment,” and more).Thanks to all the coaches who jumped on the mic to chat.If you've ever coached all day, competed and got banged up, or just love the post-tournament parking-lot vibes—this one's for you. Suck at Jiu Jitsu Experience: https://kick.site/rxi0b3vo ($100 OFF with Promo Code "Fuji Expo")Jiu-Jitsu for Imbeciles, feat. Rob Biernacki(FREE): https://www.bjjmentalmodels.com/isucksportshygiene.com Promo Code “ISUCK”Datsusara 10% OFF with Promo Code “ISUCK”: https://www.dsgear.com/ The Competitor's Journey: https://www.simplifyingjiujitsu.com/comp00:00 – Live at the Fuji BJJ Expo01:30 – Aras Bros interview & wild black belt match story04:20 – Coaching all day, winning & losing at tournaments06:00 – Fuji Expo thoughts & Midwest Jiu-Jitsu08:00 – ISAJJ Show Experience & camp announcement10:40 – Jiu-Jitsu injury insurance explained17:45 – Tournament risk, injuries & gym owner responsibility20:00 – Hot takes, sponsors & mat hygiene talk23:30 – Coaching mindset, injuries & training updates27:00 – Gi vs No-Gi & tournament formats33:30 – Favorite matches & coaching disappointments41:00 – Post-match etiquette & jiu-jitsu traditions45:20 – Masters vs adult divisions & rulesets50:00 – Spicy hot takes & culture commentary57:45 – Final thoughts & wrap-up
Wondering what you can realistically do to stay healthy during training, travel, and sick season? That's what Laura Ligos, RD (aka The Sassy Dietitian) and I chat about in Episode 130 of The Eat for Endurance Podcast. This episode is not about immune “hacks” or doing more. Instead, we break down what actually supports immune health from a nutrition and lifestyle perspective, and explore where athletes often get tripped up when training, underfueling, poor sleep, and life stress stack up.Laura and I discuss:How training, recovery, fueling, sleep, and life stress interact to influence immune functionThe J-curve relationship between exercise and immune health Why eating enough is key to preventing illnessThe role of carbs, specific micronutrients, and other fueling patternsWhy sleep and rest from exercise make your immune system more resilientWhat to do if you've been exposed to illness but aren't sick yetDietary and lifestyle tips for when symptoms start showing upWhich supplements may be helpful, and when to take themHow your approach should differ when dealing with respiratory vs GI illness Immune health considerations during travel, including foodborne illnessIf you're dealing with stress, constant colds, lingering fatigue, or that frustrating feeling of being almost sick for days on end, this conversation is for you.
CardioNerds (Dr. Shazli Khan, Dr. Jenna Skowronski, and Dr. Shiva Patlolla) discuss the management of patients post‑heart transplantation with Dr. Shelley Hall from Baylor University Medical Center and Dr. MaryJane Farr from UTSW. In this comprehensive review, we cover the physiology of the transplanted heart, immunosuppression strategies, rejection surveillance, and long-term complications including cardiac allograft vasculopathy (CAV) and malignancy. Audio editing for this episode was performed by CardioNerds intern Dr. Bhavya Shah. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls The Denervated Heart: The donor heart is surgically severed from the autonomic nervous system, leading to a higher resting heart rate (90-110 bpm) due to loss of vagal tone. Because the heart relies on circulating catecholamines rather than neural input to increase heart rate, patients experience a delayed chronotropic response to exercise and stress. Importantly, because afferent pain fibers are severed, ischemia is often painless. Rejection Surveillance: Rejection is classified into Acute Cellular Rejection (ACR), which is T-cell mediated, and Antibody-Mediated Rejection (AMR), which is B-cell mediated. While endomyocardial biopsy remains the gold standard for diagnosis, non-invasive surveillance using gene-expression profiling (e.g., AlloMap) and donor-derived cell-free DNA (dd-cfDNA) is increasingly utilized to reduce the burden of invasive procedures. The Infection Timeline: The risk of infection follows a predictable timeline based on the intensity of immunosuppression. The first month is dominated by nosocomial infections. Months one through six are the peak for opportunistic infections (Cytomegalovirus, Pneumocystis, Toxoplasmosis) requiring prophylaxis. After six months, patients are primarily at risk for community-acquired pathogens, though late viral reactivation can occur. Cardiac Allograft Vasculopathy (CAV): Unlike native coronary artery disease, CAV presents as diffuse, concentric intimal thickening that affects the entire length of the vessel, including the microvasculature. Due to denervation, patients rarely present with angina; instead, CAV manifests as unexplained heart failure, fatigue, or sudden cardiac death. Malignancy Risk: Long-term immunosuppression significantly increases the risk of malignancy. Skin cancers (squamous and basal cell) are the most common, followed by Post-Transplant Lymphoproliferative Disorder (PTLD), which is often driven by Epstein-Barr Virus (EBV) reactivation. Notes Notes: Notes drafted by Dr. Patlolla 1. What are the unique physiological features of the transplanted heart? The hallmark of the transplanted heart is denervation. Because the autonomic nerve fibers are severed during harvest, the heart loses parasympathetic or vagal tone, resulting in a resting tachycardia (typically 90-110 bpm). The heart also loses the ability to mount a reflex tachycardia; thus, the heart rate response to exercise or hypovolemia relies on circulating catecholamines, which results in a slower “warm-up” and “cool-down” period during exertion. 2. What are the pillars of maintenance immunosuppression regimen? The triple drug maintenance regimen typically consists of: Calcineurin Inhibitor (CNI): Tacrolimus is preferred over cyclosporine. Key side effects include nephrotoxicity, hypertension, tremor, hyperkalemia, and hypomagnesemia. Antimetabolite: Mycophenolate mofetil (MMF) inhibits lymphocyte proliferation. Key side effects include leukopenia and GI distress. Corticosteroids: Prednisone is used for maintenance but is often weaned to low doses or discontinued after the first year to mitigate metabolic side effects (diabetes, osteoporosis, weight gain). 3. How is rejection classified and diagnosed? Rejection is the immune system’s response to the foreign graft and is categorized by the arm of the immune system involved: Acute Cellular Rejection (ACR): Mediated by T-lymphocytes infiltrating the myocardium. It is graded from 1R (mild) to 3R (severe) based on the extent of infiltration and myocyte damage. Antibody-Mediated Rejection (AMR): Mediated by B-cells producing donor-specific antibodies (DSAs) that attack the graft endothelium. It is diagnosed via histology (capillary swelling) and immunofluorescence (C4d staining). Diagnosis has historically relied on endomyocardial biopsy. However, non-invasive tools are gaining traction. Gene Expression Profiling (GEP) assesses the expression of genes associated with immune activation to rule out rejection in low-risk patients. Donor-Derived Cell-Free DNA (dd-cfDNA) measures the fraction of donor DNA in the recipient’s blood. Elevated levels suggest graft injury which can occur in both ACR and AMR. 4. What is the timeline of infectious risk and how does it guide prophylaxis? Infectious risk correlates with the net state of immunosuppression. < 1 Month (Nosocomial): Risks include surgical site infections, catheter-associated infections, and aspiration pneumonia. 1 – 6 Months (Opportunistic): This is the period of peak immunosuppression. Patients are at risk for PJP, CMV, Toxoplasma, and fungal infections. Prophylaxis typically includes Trimethoprim-Sulfamethoxazole (for PJP/Toxo) and Valganciclovir (for CMV, dependent on donor/recipient serostatus). > 6 Months (Community-Acquired): As immunosuppression is weaned, the risk profile shifts toward community-acquired respiratory viruses (Influenza, RSV) and pneumonias. However, patients with recurrent rejection requiring boosted immunosuppression remain at risk for opportunistic pathogens. 5. How does Cardiac Allograft Vasculopathy (CAV) differ from native CAD? CAV is the leading cause of late graft failure. Unlike the focal, eccentric plaques seen in native atherosclerosis, CAV is an immunologically driven process causing diffuse, concentric intimal hyperplasia. It affects both epicardial vessels and the microvasculature. Because of this diffuse nature, percutaneous coronary intervention (PCI) is often technically difficult and provides only temporary palliation. The only definitive treatment for severe CAV is re-transplantation. Surveillance is critical and is typically performed via annual coronary angiography, often using intravascular ultrasound (IVUS) to detect early intimal thickening before it is visible on the angiogram. References Costanzo MR, Dipchand A, Starling R, et al. The International Society of Heart and Lung Transplantation Guidelines for the care of heart transplant recipients. J Heart Lung Transplant. 2010;29(8):914-956. doi:10.1016/j.healun.2010.05.034. https://www.jhltonline.org/article/S1053-2498(10)00358-X/fulltext Kittleson MM, Kobashigawa JA. Cardiac Allograft Vasculopathy: Current Understanding and Treatment. JACC Heart Fail. 2017;5(12):857-868. doi:10.1016/j.jchf.2017.07.003. https://www.jacc.org/doi/10.1016/j.jchf.2017.07.003 Velleca A, Shullo MA, Dhital K, et al. The International Society for Heart and Lung Transplantation (ISHLT) guidelines for the care of heart transplant recipients. J Heart Lung Transplant. 2023;42(5):e1-e141. doi:10.1016/j.healun.2022.10.015. https://www.jhltonline.org/article/S1053-2498(22)02187-5/fulltext
In this episode of To The Root, Robyn Spangler speaks with Clear Skin Lab client Alexi about her long-term struggle with cystic acne and the turning point that led her away from conventional dermatology and toward a functional, root-cause approach.After years of cycling through antibiotics, Accutane, spironolactone, and topical treatments, Alexi reached a point where treating symptoms no longer felt sufficient. She shares how comprehensive testing—including GI mapping, mineral analysis, hormonal assessment, and blood work—revealed underlying infections, nutrient absorption issues, and stress-related patterns that traditional care had overlooked.Alexi also reflects on the emotional and psychological impacts of living with visible skin conditions, the pressure of navigating public perception on social media, and the experience of setbacks during the healing process. Rather than framing healing as a quick or linear journey, she emphasizes the importance of education, long-term lifestyle shifts, and compassionate self-awareness.This conversation provides a thoughtful exploration of what it means to heal from the inside out—and why sustainable skin health requires both biological insight and behavioral change.Tune in now!Highlights:Alexi's early experiences with cystic acne and conventional treatmentsLimitations of pharmaceutical approaches for long-term outcomesThe role of root-cause testing in uncovering gut, hormonal, and nutrient imbalancesHow stress, lifestyle, and mineral depletion influence skin physiologyThe impact of diet, supplementation, and personalized protocols on whole-body healthNormalizing non-linear progress and relapse during the healing journeyReframing self-worth beyond physical appearanceThe emotional toll of public feedback and unsolicited adviceWhy sustainable results require lifestyle alignment over quick fixesEncouragement for individuals pursuing a holistic or functional pathConnect with Robyn:Instagram: @nutritionbyrobyn Website: https://www.theclearskinlab.com
2025 was a year of expansion and intellectual curiosity for the Purr Podcast. What began as a feline-focused platform continued to evolve into a broader scientific conversation space, without ever losing its clinical feline backbone. From deep dives into pancreatitis and complex GI disease to thought-provoking discussions about artificial intelligence in veterinary medicine, the show balanced rigor with relevance. The standout AI episode with Eric Garcia — where technology met everything from daily practice tools to the surprising world of bees — captured the spirit of the year: curious, future-focused, and just a little bit unexpected. The chemistry between hosts, the willingness to tackle complex themes, and the practical take-home insights kept engagement strong and conversations spilling into clinics and conferences alike. In short, 2025 wasn't just another podcast year — it was a year of growth, sharper focus, and quietly positioning the Purr Podcast as a space where veterinary medicine meets bigger ideas.Thanks for tuning in to the Purr Podcast with Dr. Susan and Dr. Jolle!If you enjoyed today's episode, don't forget to subscribe, rate, and leave us a review—it really helps other cat lovers and vet nerds find the show. Follow us on social media for behind-the-scenes stories, cat trivia, and the occasional bad pun. And remember: every day is better with cats, curiosity, and maybe just a little purring in the background. Until next time—stay curious, stay kind, and give your cats an extra chin scratch from us. The Purr Podcast – where feline medicine meets feline fun.
🧭 REBEL Rundown 🗝️ Key Points 💉 Hydrocortisone Saves Lives:The 2023 Cape Cod Trial (NEJM) showed a clear mortality benefit and reduced need for intubation in severe CAP patients treated with hydrocortisone.📊 Guidelines Are Catching Up:The SCCM (2024) and ERS now recommend steroids for severe CAP, while ATS/IDSA updates are still pending.🔥 Redefining “Severe”:Patients requiring high FiO₂ (>50%), noninvasive or mechanical ventilation, or PSI >130 meet criteria for steroid therapy — even outside the ICU.🍬 Main Risk = Hyperglycemia:Elevated glucose was the most consistent adverse effect, but rates of GI bleed and secondary infection were not increased.🧭 Early, Targeted Use Matters:Start hydrocortisone within 24 hours of identifying severity — especially in patients with high CRP (>150) or strong inflammatory response. Click here for Direct Download of the Podcast. 📝 Introduction Corticosteroids have long sparked debate in the treatment of bacterial pneumonia — once viewed with skepticism, now increasingly supported by high-quality evidence. In this episode, Dr. Alex Chapa joins the REBEL Core Cast team to explore how the 2023 Cape Cod Trial (NEJM) reshaped practice and guideline recommendations for severe community-acquired pneumonia (CAP). 📖 Historical Context & Long-Standing Skepticism For decades, the use of steroids in pneumonia was controversial.Early Use: Steroids entered practice in the 1940s and 50s for autoimmune inflammation, but there was immediate hesitation regarding secondary superinfections.Mixed Data: From the 1980s to the 2000s, small studies emerged on severe pneumonia and ARDS, but the data was inconsistent. Different trials used varying definitions of “severe” pneumonia and different C-reactive protein (CRP) cutoffs, making the data “spread” and easy to “cherry pick” to support or deny a benefit.Past Guidelines: This uncertainty was reflected in official guidelines:2007 (ATS/IDSA): The American Thoracic Society and the Infectious Diseases Society of America did not address the topic due to insufficient data.2019 (ATS/IDSA): Pre-COVID, the guidelines recommended against using corticosteroids in severe CAP. They acknowledged no benefit for non-severe pneumonia, but the data for severe pneumonia was considered too weak to endorse.Pre-Trial Consensus: Prior to 2023, the consensus was to avoid steroids in non-severe pneumonia, while severe pneumonia remained a “gray area” with no treatment showing a clear mortality difference. 📜 The Landmark Cape Cod Trial (NEJM 2023) The Cape Cod trial, published in the New England Journal of Medicine in 2023, reignited the discussion by providing robust, positive data.Trial Design: Phase 3, multi-center, double-blind, randomized, controlled trial.Intervention: 800 patients randomized to two groups, Hydrocortisone as a continuous infusion (200mg/day) versus a placebo infusion.Taper: On day 4, clinicians would decide whether to continue the infusion or begin a taper based on clinical response.Population: Patients with severe CAP, defined by meeting at least one of the following criteria:Pneumonia Severity Index (PSI) > 130.O2 by FiO2 ratio < 300.Need for mechanical or non-invasive ventilation (with PEEP ≥ 5).Need for high FiO2 (>50%) via non-rebreather or heated high flow.Primary Outcomes: Death for any cause 6.2% (hydrocortisone) vs 11.9% (placebo)Secondary outcomes:Death from any cause at 90 days 9.3% (hydrocortisone) vs 14.7% (placebo)Endotracheal intubation 18% (hydrocortisone) vs 29% (placebo)Hospital-acquired infections 9.8% (hydrocortisone) vs 11.1% (placebo)Gastrointestinal bleeding 2.3% (hydrocortisone) vs 3.3% (placebo)Vasopressor initiation by day 28 15.3% (hydrocortisone) vs 25.0% (placebo)Key Findings: The trial demonstrated superiority for hydrocortisone 📋 Updated Guidelines & Current Practice The Cape Cod trial, along with subsequent meta-analyses, has begun to change official recommendations.Society of Critical Care Medicine (SCCM): In 2024, an SCCM expert panel, reviewing the Cape Cod trial and 18 others, strongly recommended corticosteroids for severe CAP. They concluded that steroids reduce mortality and the need for mechanical ventilation.Meta-Analysis (Smit et al.): A 2024 meta-analysis in Lancet Respiratory confirmed the 30-day mortality benefit.European Respiratory Society (ERS): The ERS has issued a recommendation to use steroids for severe pneumonia but still urges caution regarding side effects.ATS/IDSA: As of the podcast recording, the ATS/IDSA had not yet updated their 2019 guidelines. 🛠️ Practical Application for Clinicians Defining “Severe” CAP: The key is to identify patients who qualify as “severe”. This can be done using:Scoring Tools: The PSI is the best validated tool for mortality but is cumbersome. Simpler tools like CURB-65 or SMART-COP are practical and acceptable for defining severity. 2023 meta-analysis from by Zaki et al showed both work well, but CURB-65 has better mortality prediction early on.Cape Cod Criteria: Any patient meeting the trial’s inclusion criteria (e.g., high-flow O2, non-invasive ventilation) qualifies, regardless of location (ED, floor, or ICU).Biomarkers: While not required, a CRP level was used in many studies. A CRP > 150 (Cape Cod) or > 204 (Smit meta-analysis) strongly indicates severe inflammation that would benefit from steroids.Clinical Judgment: A patient who looks “sick,” has “soft” blood pressure, or has dense infiltrates and high oxygen needs (e.g., >50% FiO2 on high flow) is a candidate.Adverse Effects:Hyperglycemia: This was the most significant risk identified, with rates between 6-12%. This is a primary concern, especially in patient populations with high BMI.GI Bleed & Secondary Infection: Fears of these side effects, which contributed to historical skepticism, were not borne out in the Cape Cod trial. The data does not support being overly concerned.Other Side Effects: Mood changes, delirium, insomnia, and agitation in the elderly are known side effects of steroids that were not specifically addressed in the trial but remain clinical concerns. 🔄 Clinical Pathway for Steroids in Severe CAP Unanswered Questions & Future Research Possible remaining questions:Biomarkers: Can we find a more precise CRP level to distinguish moderate from severe disease? Could other markers like ferritin or IL-6 be used? Dosing & Tapering: How much immunomodulation is needed, and when is it truly safe to taper?Gender Differences: Early data suggests females may respond better to steroids and experience fewer side effects. The question of female patients with severe CAP require less corticosteroids needs further exploration. 👉 Clinical Bottom Line The current literature, spearheaded by the Cape Cod trial, now supports the use of corticosteroids in severe community-acquired pneumonia. The best evidence currently points to hydrocortisone, started early (within 24 hours) after severity is identified using a validated tool. While hyperglycemia is a risk, the previous fears of GI bleeding and secondary infections were not substantiated in recent, rigorous trials. 📚 References Chapa-Rodriguez A, Abou-Elmagd T, O’Rear C, Narechania S. Do patients with severe community-acquired bacterial pneumonia benefit from systemic corticosteroids?. Cleve Clin J Med. 2025;92(10):600-604. PMID: 41033846Dequin PF, Meziani F, Quenot JP, et al. Hydrocortisone in Severe Community-Acquired Pneumonia. N Engl J Med. 2023;388(21):1931-1941. PMID: 36942789Chaudhuri D, Nei AM, Rochwerg B, et al. 2024 Focused Update: Guidelines on Use of Corticosteroids in Sepsis, Acute Respiratory Distress Syndrome, and Community-Acquired Pneumonia. Crit Care Med. 2024;52(5):e219-e233. PMID: 38240492 Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO) 👤 Show Notes Alex Chapa, MD PGY 5 Pulmonary Critical Care Fellow Cape Fear Valley Medical Center Fayetteville NC 🔎 Your Deep-Dive Starts Here REBEL Core Cast 149: Review of Corticosteroids in Community-Acquired Pneumonia Corticosteroids have long sparked debate in the treatment of bacterial ... Thoracic and Respiratory Read More The post REBEL Core Cast 149: Review of Corticosteroids in Community-Acquired Pneumonia appeared first on REBEL EM - Emergency Medicine Blog.
Send a text to Melissa and she'll answer it on the next episode. Anxiety doesn't always look like worry. Sometimes it's a tummy ache before school, a freeze before a recital, a clingy bedtime routine, or a perfectionist spiral when plans change. We dig into the real-life patterns behind childhood anxiety and share clear ways to support kids with gentle homeopathy, practical routines, and a calmer daily rhythm.We start by mapping the hidden signs—sleep struggles, irritability, sensory overload, and constant reassurance-seeking—then connect the dots to root drivers like gut health, food intolerances, mineral imbalances, blood sugar swings, and screen overstimulation. From there, we walk through matching remedies to the whole child, not the label: Pulsatilla for tender clinginess, Arsenicum album for orderly perfectionism and fear of sickness, Gelsemium for performance freeze, Calcarea carbonica for caution and resistance to change, Phosphorus for empathic sensitivity, Argentum nitricum for anticipatory worry with GI upset, and Ignatia for grief and emotional conflict.Alongside remedies, we offer simple supports that actually move the needle: magnesium glycinate, predictable routines, morning sunlight, screen limits, deep pressure inputs like weighted blankets and “heavy work,” and belly breathing that kids will use. We also outline when to seek deeper help—panic attacks, school avoidance, severe sleep disruption in older kids, rapid weight loss, suicidal thoughts—and how therapy, medical care, and targeted testing can work with homeopathy rather than against it. Most of all, we reframe anxiety as a signal, not a flaw, and share compassionate steps to help kids feel safe in their bodies and homes.If this resonates, subscribe, share with a friend who needs hope, and leave a quick review to help more families find this resource. Want hands-on guidance? Visit join.melissacrenshaw.com for the Inner Healing Circle or melissacrenshaw.com to schedule a call for personalized support. You may also gain Access to my Fullscript dispensary and save 30% by going to: https://us.fullscript.com/welcome/mcrenshawFIND ME!
Reactive arthritis can come on suddenly—often after an infection—and leave you wondering why your joints (or tendons/back) are inflamed seemingly out of nowhere.In this video, Dr. Isabelle Amigues explains what reactive arthritis is, what commonly triggers it, how it's diagnosed, and what treatment and recovery can look like.We cover:--Common symptoms and patterns (joints, tendons, back pain—and sometimes eyes/skin)--Typical triggers (often after GI or GU infections)--How doctors evaluate it and what tests may be helpful--Treatment options and when to escalate care--Red flags to take seriously (especially eye symptoms)Question for you: Did your symptoms start after an illness or infection? Share your timeline in the comments.#ReactiveArthritis #Arthritis #Rheumatology #Inflammation #JointPain #AutoimmuneDisease #Spondyloarthritis #PostInfectiousArthritis #chronicillnesssupport
Tựa Đề: Sự Kêu Gọi Của Chúa Cho Bạn; Kinh Thánh: Giê-rê-mi 1:1-10; Tác Giả: Mục Sư Trần Thiện Đức; Loạt Bài: Hội Thánh Tin Lành Orange
Tom Homan, Giám đốc biên phòng của chính quyền Trump, đã cam kết sẽ tăng cường kiểm soát nhập cư ở Minnesota một cách "an toàn hơn". Kế hoạch đề nghị của ông, đánh dấu sự thay đổi trong các chiến thuật hung hăng, đã gây ra sự phẫn nộ trên toàn quốc, sau khi hai công dân Mỹ bị các đặc vụ liên bang bắn chết. Đảng Dân chủ đang gây áp lực lên Tổng thống, để giảm quy mô chiến dịch hơn nữa.
#Bàigiảng của Đức TGM #GiuseNguyễnNăng trong thánh lễ Khánh thành & Cung hiến Thánh đường Thánh Giuse Thợ, cử hành lúc 9:30 ngày 30-1-2026 tại Giáo xứ Bà Điểm #TGPSG
The Gi crew sits down with Will Powers from Pearl Abyss to talk about their upcoming action game Crimson Desert.
Everyone Has a Hot Take about BJJ… So We Gave Them all a MicrophoneThis is the FIRST EVER episode of Hot Takes Wanted—and we didn't hold back.I(@thejoshmckinney) grabbed as many people as possible and let them unload their most unfiltered jiu-jitsu opinions. No scripts. No safety nets. Just raw takes from the mats.Guard pulling?Gi vs No-Gi?Wrestling elitism?American Jiu-Jitsu?Barefoot tournament savages??Yeah… it all came up.Some people think you can't complain about guard pulling if you can't pass a guard.Others say you shouldn't guard pull if you can't wrestle.Some swear No-Gi isn't even Jiu-Jitsu—it's just submission wrestling.Others say if you don't train in the gi, you're missing the point entirely.Then things got weird (in the best way).We got takes on:-Boxers vs Jiu-Jitsu in real fights-Why belt promotions are broken (or perfect)-Why American Jiu-Jitsu is its own thing-Why your toes should get stomped on if you walk barefoot at tournaments-And even why the infamous “r*pe choke” should be renamed Some takes are smart.Some are spicy.Some will absolutely make you mad.And that's the point.
How are your expectations impacting your Jiu-Jitsu journey?You get two black belts this week! Jennifer Risser is back in the co-host seat.If you love the podcast, share it with a friend!You can also leave us a 5-star rating in Spotify or Apple Podcasts.
The Gi crew sits down with Will Powers from Pearl Abyss to talk about their upcoming action game Crimson Desert.
Giữa sa mạc nóng bỏng của Lãnh thổ Bắc Úc, nơi khoảng cách địa lý, khí hậu khắc nghiệt và bất bình đẳng y tế vẫn là thực tế hằng ngày của nhiều cộng đồng Thổ dân, có một bác sĩ lặng lẽ chọn ở lại. Ông khoác áo blouse trắng, đồng thời mang quân hàm sĩ quan Không quân Úc. Một người mà tên tuổi được nhiều người lính, cộng đồng nhắc đến với sự kính trọng tuyệt đối.
Send us a textIn this episode of The Gut Health Dialogues Podcast, Alyssa Simpson sits down with her client Doug, who shares his powerful journey from being house-bound and limited to a “safe” diet of chicken and rice, to reclaiming his gut health, his confidence, and his life.What started as a frustrating case of “IBS with no answers” turned out to be Hydrogen Sulfide SIBO, a form of small intestinal bacterial overgrowth that's often missed on standard breath tests and misdiagnosed as IBS, anxiety, or stress.Alyssa and Doug unpack what it really takes to identify and treat this overlooked condition, from testing and dietary strategy to motility support and rebuilding tolerance, showing that recovery is not only possible, it's life-changing.What You'll LearnHow Hydrogen Sulfide SIBO differs from other types of SIBO.Common but often missed symptoms include bloating and diarrhea, fatigue, brain fog, and joint pain.The real reason restrictive diets often make things worse.Steps to test, identify, and treat Hydrogen Sulfide SIBO effectively.A firsthand look at what long-term gut healing and food reintroduction actually look like.Resources mentioned:Download Alyssa's Low Sulfur Diet guide - a short-term trial to reduce meal-time overwhelm, observe meaningful patterns, and understand whether sulfur is contributing to how you feel.If meals that should feel healthy instead trigger gas, urgency, nausea, brain fog, or a heavy, toxic feeling, hydrogen sulfide SIBO may be part of the picture. Download Hydrogen Sulfide SIBO diet guide + 7-day meal plan. DM “GUT CHECK” on Alyssa's Instagram for a personalized quiz and free meal plans & resources to kickstart your gut healing journey.Check out Alyssa's FREE Masterclass “Why your gut still isn't better - the real reason you feel stuck here. Learn more about personalized gut healing plans at Nutrition ResolutionFind Alyssa on: Instagram, LinkedIn, Facebook, Pinterest -If you're enduring uncomfortable, painful, and embarrassing GI symptoms and feel like you've tried everything, Alyssa uses a specialized approach to help people who've gone from doctor to doctor finally find relief. Book your 15-minute strategy call for FREE here.Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa's FREE Facebook Community here.Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.
Send us a textIn this conversation, Thomas' guest shares his journey from a challenging upbringing in Brazil to becoming a successful Jiu Jitsu champion. He discusses the importance of competition, the influence of his family, and the lessons learned through sports. He emphasizes the significance of mental health in athletic performance and reflects on the role of failure in personal growth.Here is The RŌL Radio with the head coach at Sanctum Jiu-Jitsu, a 2 time ADCC vet, and a 2025 Worlds NoGi and Gi champion, Roosevelt Sousa.www.rolacademy.tv 30% discount with ROLRADIO code at checkout. Over 1600 videos for your Jiu-Jitsu journey.FREE Access to ROL TV - https://rolacademy.tv/yt/269-the-rol-radiohttp://www.therolradio.comhttps://www.instagram.com/therolradiohttps://www.facebook.com/therolradio/https://www.instagram.com/rooseveltbjj/https://www.instagram.com/sanctumjiujitsu/Episode Highlights:2:27 Roosevelt's Reasons for Being Competitive8:48 Lessons from a Tough Upbringing20:17 Starting Jiu-Jitsu and Finding Purpose in the Sport32:52 Becoming a Coach and Mentor36:40 Do Things Happen for a Reason41:22 Failure and Hardship57:35 Positive Mindset1:02:53 Biggest Life LessonSupport the show
Send us a textWant to know how an elite mountain runner designs the very supplements he trusts on race day? We sit down with Momentous VP of Innovation, Matt Chorney, to connect the dots between steep trail performance, clean ingredient sourcing, and the certifications that actually protect athletes. Matt's story stretches from New Hampshire's rugged roots to Jackson's endless access, and he brings that same blend of grit and curiosity to building products that stand up in pro and collegiate locker rooms.We dig into the difference between “third-party tested” and true third-party certification, and why NSF Certified for Sport or Informed Sport should be non-negotiable if you care about your career—or simply your health. Matt outlines the Momentous three—protein, creatine, and omegas—as everyday pillars backed by research, then walks us through a smarter path to better sleep using apigenin, magnesium L-threonate, and L-theanine. No knockout melatonin bombs here, just targeted support for falling asleep, staying asleep, and getting deeper recovery.Then we switch gears to racing and real-world tools. Sodium bicarbonate is hot, but the GI tradeoffs are real; Matt explains how a topical option like PR lotion can buffer acidosis without wrecking your gut. We also get into training philosophy and longevity: choosing joy over pressure, skipping a marathon when the spark isn't there, and using mountain days to build sustainable fitness. With Broken Arrow on the horizon and classic adventure routes on deck, Matt shows how science can fuel the soul of the sport.Trail running is having a moment—bigger prize purses, crossover stars, and growing visibility—so protecting the culture while raising performance matters more than ever. If you care about clean fueling, smarter sleep, and steep trail stoke, this conversation delivers. If you enjoyed the show, follow, share with a friend, and leave a quick rating or review—your support helps us keep bringing you thoughtful stories from the mountains.Follow Matt on IG - @matt_chornUse code SteepPod for 15% off your next Momentous Order - code valid through March Follow James on IG - @jameslauriello Follow the Steep Stuff Podcast on IG - @steepstuff_pod
Tựa Đề: Lời Sự Sống; Kinh Thánh: Giăng 6:63-69; Tác Giả: Mục Sư Trần Quang Tuấn; Loạt Bài: Hội Thánh Tin Lành Báp Tít Hiệp Nhất
Dr Haley Ellis from Harvard Medical School in Boston, Massachusetts, Prof Eric Van Cutsem from University Hospitals Leuven in Belgium, Dr Zev Wainberg from UCLA School of Medicine in Los Angeles, California, and moderator Dr Lionel KankeuFonkoua from Mayo Clinic in Rochester, Minnesota, discuss recent data surrounding the management of HER2-positive GI cancers, alongside their perspectives on its clinical application and management.CME information and select publications here.
In this episode of Ditch the Labcoat, Dr. Mark Bonta does something different. For the first time on the podcast, he speaks with a former patient.Nora Rabah Rodden joins the show not as a clinician, but as someone who lived for years with debilitating symptoms that medicine couldn't explain or fix. Despite normal tests and repeated reassurance, her pain, GI symptoms, fatigue, and nervous system distress persisted. What she encountered instead was a gap in care. Not a lack of effort, but a lack of framework.Nora shares how learning about neuroplasticity and nervous system patterning finally gave her symptoms context. Not imagined. Not psychological. Learned, reinforced, and reversible. That experience became the foundation for why she later co-founded Nervana.Together, they explore why so many patients are dismissed once serious disease is ruled out, how threat signaling and conditioned responses can keep the body stuck in symptoms, and why telling patients “nothing is wrong” is often the most harmful message of all. The conversation breaks down the science of neuroplastic recovery in plain language, while staying honest about its limits and responsibilities.This episode is about what happens when medicine runs out of explanations, and what becomes possible when we stop treating unexplained symptoms as a dead end and start treating the nervous system as something that can learn, adapt, and heal.Nora's Link : https://www.trynervana.com/Episode Takeaways 1. Patient Experience Matters: Normal tests do not equal normal lives. Symptoms can persist even when disease is ruled out.2. Neuroplastic Symptoms Are Real: Learned nervous system patterns can drive pain, GI distress, fatigue, and insomnia without structural damage.3. “Nothing Is Wrong” Is Harmful: Reassurance without explanation often deepens fear, confusion, and isolation.4. Symptoms Can Be Learned and Unlearned: The brain adapts quickly, for better or worse, and those patterns are reversible.5. This Is Not Psychosomatic: Neuroplastic recovery is grounded in neuroscience, not imagination or positive thinking.6. Awareness Changes Identity: When patients stop identifying with symptoms, recovery often begins.7. Recovery Is Gradual, Not Dramatic: Progress usually looks subtle, steady, and cumulative rather than sudden.8. Lived Experience Can Build Better Care: Nora's recovery is why Nervana exists, to close the gap medicine often leaves behind.Episode Timestamps04:18 – Why This Episode Is Different: The First Patient Voice08:36 – When Tests Are Normal but Symptoms Are Not13:09 – The Gap Between Disease and Dysfunction18:52 – Neuroplasticity Explained Without the Jargon24:35 – Why “Nothing Is Wrong” Can Be Harmful30:13 – How the Nervous System Learns Symptoms36:56 – What Recovery Actually Looks Like in Practice43:14 – Turning Lived Experience Into a Care FrameworkDISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.
Dr Haley Ellis from Harvard Medical School in Boston, Massachusetts, Prof Eric Van Cutsem from University Hospitals Leuven in Belgium, Dr Zev Wainberg from UCLA School of Medicine in Los Angeles, California, and moderator Dr Lionel KankeuFonkoua from Mayo Clinic in Rochester, Minnesota, discuss recent data surrounding the management of HER2-positive GI cancers, alongside their perspectives on its clinical application and management.CME information and select publications here.
The Gi crew discuss the recent Xbox Direct showcase with Beast of Reincarnation and Fable, Ubisoft going broke, Marathon, EX33 surpassing Elden Ring and more!
National treasure of stage and screen Denise Van Outen joins Giovanna this week!Denise and Gi chat about their stagey childhoods and the impact motherhood has had on their careers in the performing arts.Plus, Denise opens up about her relationship with ex-partner Lee Mead and how they successfully co-parent their daughter, Betsy. Hosted on Acast. See acast.com/privacy for more information.
Could medications originally designed for diabetes actually help treat addiction, eating disorders, and the biology of cravings?In this part 2 of 2-part episode of Succeed In Medicine Podcast, Dr. Bradley Block sits down with Dr. Sean Wharton, to dig deeper into the science, myths, and emerging uses of GLP-1 agonists. Dr. Wharton explains that these medications don't simply reduce appetite, they calm what he calls “food noise,” the constant mental pull toward eating that many people with obesity experience. This neurological effect has opened the door to exciting possibilities: early research suggests GLP-1 drugs may also reduce cravings for alcohol and other addictive behaviors. Dr. Wharton also clarifies the confusing world of brand names. Ozempic and Wegovy are both semaglutide; Mounjaro and Zepbound are tirzepatide. The differences are largely about FDA indications and insurance coverage, not completely different medications.The episode tackles common fears patients and clinicians hear every day. Do these medications cause eating disorders? No, in fact, they may help treat them. Are the side effects dangerous? Usually not, and most are manageable with proper dosing. Is “Ozempic face” real? It's simply normal fat loss, not a drug-specific problem. Most importantly, Dr. Wharton reinforces a compassionate, evidence-based message: obesity is a chronic, biological disease, and GLP-1 medications are tools to treat it, just like medications for blood pressure or diabetes.Three Actionable TakeawaysGLP-1 Medications Affect the Brain as Much as the Stomach: These drugs reduce “food noise” and cravings, helping patients regain control over eating behaviors. Their impact is neurological, not simply about willpower or restriction.Side Effects Are Real—but Usually Manageable: Nausea, constipation, and GI symptoms are the most common issues, especially early on. Starting low and increasing doses slowly makes treatment far more tolerable.Treatment Decisions Should Be Individualized: Not every patient must stay on these medications forever. Conversations about duration, goals, and expectations should be collaborative and tailored to each person.About the Show:Succeed In Medicine covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!About the Guest:Dr. Sean Wharton holds doctorates in Pharmacy and Medicine from the University of Toronto. He is the Director of the Wharton Medical Clinic, a community-based weight management and diabetes clinic, and serves as Assistant Professor at the University of Toronto and Adjunct Professor at McMaster and York Universities.Dr. Wharton is the lead author of the 2020 Canadian Obesity Guidelines, recognized worldwide, and has published extensively in major medical journals including the New England Journal of Medicine. He is a passionate advocate for health equity and improving the way obesity is understood and treated in healthcare.LinkedIn: linkedin.com/in/drseanwhartonWebsite: whartonmedicalclinic.comAbout the Host:Dr. Bradley Block – Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts Succeed In Medicine podcast, focusing on personal and professional development for physiciansWant to be a guest?Email Brad at brad@physiciansguidetodoctoring.com or visit www.physiciansguidetodoctoring.com to learn more!Socials:@physiciansguidetodoctoring on Facebook@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
The Gi crew discuss the recent Xbox Direct showcase with Beast of Reincarnation and Fable, Ubisoft going broke, Marathon, EX33 surpassing Elden Ring and more!
Tổng thống Hàn Quốc Lee Jae-myung đang nỗ lực hết mình để cải thiện quan hệ với Bắc Kinh. Trong chuyến thăm cấp nhà nước kéo dài bốn ngày tới Trung Quốc vào đầu tháng Giêng, ông đã chụp ảnh selfie với nhà lãnh đạo Trung Quốc Tập Cận Bình bằng chiếc điện thoại Xiaomi mới mà phía chủ nhà tặng, tuyên bố với người dân rằng ông mong muốn “nâng cấp” quan hệ Trung – Hàn, và ký kết hơn một chục thỏa thuận trên nhiều lĩnh vực từ thương mại, khí hậu đến giao thông.Xem thêm.
Ever feel like your supplement cabinet is full but your energy is still empty? We take you behind the label to show exactly why some products change lives and others change nothing. With Emily from Orthomolecular, we unpack the real markers of quality—verified sourcing, GMP manufacturing, third-party testing, and forms your cells can actually use—so you stop guessing and start feeling a difference.We start with the fish oil you love to hate. If your softgels smell rancid, cause burps, or require a handful to hit a therapeutic dose, you're not imagining it. Source, processing, and form separate effective EPA/DHA from junk. Then we tackle magnesium: oxide and citrate may keep you regular, but chelated bisglycinate supports sleep, mood, heart rhythm, and muscle calm because it gets inside cells. We also talk about the digestion piece too many overlook—low stomach acid from stress or long-term PPIs can block absorption, turning even good formulas into expensive decorations.From there, we map the essentials most women need: vitamin D3 with K2 to protect bones and arteries, omega-3s to dial down inflammation, and an advanced multivitamin with activated B vitamins for energy, methylation, and hormone metabolism. On gut health, we share why a multi-strain, shelf-stable probiotic can be a smart daily “maintenance” choice, and how Saccharomyces boulardii acts like a cleanup crew for the GI tract, helping maintain barrier integrity and support immunity.If you're ready to simplify, we explain how to audit your cabinet, check forms and doses, toss expired or ineffective products, and consolidate into a lean, therapeutic stack that works. No hype—just practical steps, clear explanations, and products designed to meet label claims and clinical standards. Subscribe, share with a friend who's supplement-confused, and leave a review telling us the one change you're making this week.Shop supplements: Shop.fasttofaith.com use code PODCAST for a discount! If you're ready to move beyond trying harder and start living more aligned, you're invited to join Empowered by Faith — LIVE, a guided 5-day reset led by Dr. Tabatha that helps women reset body, mind, and spirit through simple, faith-centered rhythms.
Dr. Neil Nathan is Board Certified in Family Medicine and Pain Management as well as a Founding Dip-low-mitt of the American Board of Integrative Holistic Medicine & International Society for Environmentally Acquired Illnesses.He spent over 50 years treating patients with chronic conditions related to environmental factors & now dedicates himself consulting & mentorship, writing several books for both health care professionals & patients.In this episode, you'll hear mold allergy vs illness, what symptoms mold toxicity can imitate, how to really test & what healing protocol can look like. If you liked this episode, you'll also like episode 234: FELON TO MILLION DOLLAR BUSINESS OWNER [REMASTERED] Guest: https://neilnathanmd.com/ Host: https://www.meredithforreal.com/ https://www.instagram.com/meredithforreal/ meredith@meredithforreal.comhttps://www.youtube.com/meredithforreal https://www.facebook.com/meredithforrealthecuriousintrovert Sponsors: https://www.jordanharbinger.com/starterpacks/ https://www.historicpensacola.org/about-us/ 01:35 — Conditions mold mimics04:00 — “It's not psychological”05:00 — Why medicine lags behind06:00 — The mold hoax narrative08:00 — How common mold really is11:00 — Mold and Alzheimer's risk12:00 — GI symptoms decoded13:00 — Fatigue that doesn't resolve18:00 — Mold toxicity vs allergy19:00 — Immune system tipping points20:00 — Stress, illness, and timing21:00 — Hive consciousness explained22:00 — Candida cravings aren't you23:00 — Zombie mold metaphor24:00 — EMFs enter the picture27:00 — Testing for mold toxicity38:00 — Low-carb for mold healing41:00 — Alcohol's real impact42:00 — Magnesium's critical role43:00 — Chronic deficiency mystery47:00 — Hormones after mold48:00 — Limbic system overload49:00 — Vagus nerve dysfunction50:00 — Mast cell activation51:00 — Rebooting nervous systems52:00 — Brain retraining programs58:00 — Detox hygiene at home59:00 — Why bleach backfires01:00:00 — Dust vs airflow01:01:00 — Water damage vigilance01:02:00 — Detox tools worth using01:04:00 — Balance over biohacking01:05:00 — What healing really requires01:06:00 — Living with intention01:07:00 — Final takeaways & resourcesRequest to join my private Facebook Group, MFR Curious Insiders https://www.facebook.com/share/g/1BAt3bpwJC/
This week on Fat Science, Dr. Emily Cooper, Mark Wright, and Andrea Taylor answer listener mailbag questions from California, the UK, France, Washington, Wyoming, and beyond. The team breaks down why Dr. Cooper does not recommend calorie tracking (and when limited tracking can make sense), how to build confidence in eating without data, and why “mechanical eating” sometimes needs medical customization—especially for people with slow gut transit or gastroparesis-like symptoms. They also dig into bile acid malabsorption after gallbladder removal, when metformin side effects deserve a second look, what we currently know about COVID-19's potential impact on metabolic health, and why metformin and GLP-1 medications can be complementary—particularly in PCOS.Key Takeaways• Long-term calorie tracking can override physiologic cues and reinforce diet mentality.• Short-term, targeted tracking may be useful when guided by a clinician (e.g., nutrient deficiencies ).• Obesity and abnormal appetite are both manifestations of metabolic dysfunction—not simple cause and effect.• Mechanical eating is a framework, not a rigid rule—timing and food choices may need medical tailoring.• Post-gallbladder diarrhea may reflect bile acid malabsorption and can be treatable.• Metformin and GLP-1s often complement each other because they target different metabolic states (fasting vs fed).Dr. Cooper's Actionable Tips• Stop daily calorie counting—focus on consistent patterns and metabolic nourishment.• Use mechanical eating basics: eat every few hours, include all food groups, and reduce chemical additives when possible.• If you're transitioning away from tracking, consider a dietitian skilled in diet-mentality recovery.• If frequent eating worsens sleep or bloating, work with a medical dietitian to adjust intervals and food types (especially with slow GI transit).• If chronic diarrhea appears (especially after gallbladder removal), ask your clinician about bile acid malabsorption and treatment options.• Use labs to guide therapy: fasting insulin can signal metformin benefit; post-meal patterns can point toward GLP-1 needs.Notable Quote“Once you start using tracking to stay in a calorie range or a carbohydrate range, you're putting your brain in front of your physiologic intuition—your body is sending you important cues all the time.”—Dr. Emily CooperLinks & ResourcesThe Metabolic Links to PCOS, Release Date 2/24/25The COVID Connection to Diabetes & Metabolic Health, Release Date 12/16/24Podcast Home: https://fatsciencepodcast.com/Episode References: https://fatsciencepodcast.com/wp-content/uploads/2025/06/Scientific-References-Fat-Science-Episodes.pdfCooper Center: https://coopermetabolic.com/podcast/Resources from Dr. Cooper: https://coopermetabolic.com/resources/Submit a Question: questions@fatsciencepodcast.com*Fat Science: No diets, no agendas—just science that makes you feel better. This podcast is for informational purposes only and is not intended to be medical advice.
#Bàigiảng của linh mục #RôcôNguyễnDuy trong thánh lễ mừng kính thánh Timôthêô và thánh Titô, Giám mục, cử hành lúc 17:30 ngày 26-1-2026 tại Nhà nguyện Trung tâm Mục vụ #TGPSG
In this episode of "PICU Doc On Call," Drs. Pradip Kamat and Rahul Damania discuss the acute management of a 14-year-old boy with severe rectal bleeding and hypertension, ultimately diagnosed with inflammatory bowel disease (IBD). They review the approach to pediatric lower GI bleeding, diagnostic workup, and imaging, emphasizing early recognition and resuscitation. They outline IBD management, including steroids, biologics such as infliximab, and nutritional support, while highlighting the importance of screening for infections before immunosuppression. The episode provides practical insights for PICU physicians on handling acute GI emergencies in children.Show Nighlights: Clinical case of a 14-year-old male with hypertension and rectal bleeding.Diagnosis of inflammatory bowel disease (IBD) following significant blood loss.Approach to pediatric rectal bleeding and its implications.Diagnostic workup including laboratory tests and imaging modalities.Management strategies for IBD in acute pediatric care.Importance of early recognition and resuscitation in cases of shock.Physiological principles related to blood loss and shock in children.Differential diagnoses for lower gastrointestinal bleeding in pediatrics.Initial evaluation and stabilization protocols for pediatric patients.Nutritional support and multidisciplinary care in managing IBD. References:Romano C, Oliva S, Martellossi S, et al. Pediatric gastrointestinal bleeding: Perspectives from the Italian Society of Pediatric Gastroenterology. World J Gastroenterol. 2017;23(8):1326-1337.Pai AK, Fox VL. Gastrointestinal bleeding and management. Pediatr Clin North Am. 2017;64(3):543-561.Padilla BE, Moses W. Lower gastrointestinal bleeding and intussusception. Surg Clin North Am. 2017;97(1):63-80.Kaur M, Dalal RL, Shaffer S, Schwartz DA, Rubin DT. Inpatient management of inflammatory bowel disease-related complications. Clin Gastroenterol Hepatol. 2020;18(11):2417-2428.Ashton JJ, Ennis S, Beattie RM. Early-onset paediatric inflammatory bowel disease. Lancet Child Adolesc Health. 2017;1(2):147-158.Bouhuys M, Lexmond WS, van Rheenen PF. Pediatric inflammatory bowel disease. Pediatrics. 2022;150(6):e2022059341.Rosen MJ, Dhawan A, Saeed SA. Inflammatory bowel disease in children and adolescents. JAMA Pediatr. 2015;169(11):1053-1060.Conrad MA, Rosh JR. Pediatric Inflammatory Bowel Disease. Pediatr Clin North Am. 2017 Jun;64(3):577-591.
Tựa Đề: Chúa Kêu Gọi Người Phục Vụ; Kinh Thánh: Xuất Ê-díp-tô Ký 3:10; Tác Giả: Mục Sư Đoàn Trung Tín; Loạt Bài: Hội Thánh Truyền Giảng Phúc Âm
Tựa Đề: Sống Kính Sợ Chúa; Kinh Thánh: Hê-bơ-rơ 11:7; Tác Giả: Mục Sư Đoàn Trung Tín; Loạt Bài: Hội Thánh Truyền Giảng Phúc Âm
Tựa Đề: Phước Cho Người Hầu Việc Chúa; Kinh Thánh: Giê-rê-mi 1:12; Tác Giả: Mục Sư Đoàn Trung Tín; Loạt Bài: Hội Thánh Truyền Giảng Phúc Âm
Từ một cậu bé lớn lên giữa đồng ruộng miền Tây Nam Bộ, trải qua hành trình vượt biển đầy hiểm nguy, Giáo sư Nguyễn Văn Tuấn đã trở thành một trong những nhà khoa học gốc Việt có ảnh hưởng quốc tế trong lĩnh vực loãng xương và dịch tễ học. Câu chuyện đời ông là lát cắt sinh động của lịch sử người Việt tị nạn, đồng thời là minh chứng cho sức mạnh của tri thức, nghị lực và sự hội nhập.
Giữa thung lũng tuyết Thụy Sĩ, Davos 2026 không còn là nơi của những lời hứa ngoại giao hoa mỹ, mà trở thành đấu trường rực lửa định hình lại trật tự toàn cầu. Khi "siêu thỏa thuận" EU-Ấn Độ xoay trục thương mại thế giới và AI chính thức bước lên ngôi vị hạ tầng quyền lực, một kỷ nguyên cạnh tranh khốc liệt đã thực sự bắt đầu. Liệu tinh thần đối thoại có đủ sức hàn gắn những rạn nứt địa chính trị sâu sắc, hay thế giới đang lao mình vào một cuộc tái cấu trúc đầy bất ổn?
Nghe Kinh Thánh Tân Ước Trong Ba Tháng: Gióp 42
Nghe Kinh Thánh Tân Ước Trong Ba Tháng: Gióp 42
Nghe Kinh Thánh Tân Ước Trong Ba Tháng: Gióp 41
Nghe Kinh Thánh Tân Ước Trong Ba Tháng: Gióp 41
Send us a textResolutions don't work without a decision. We open with three unforgettable transformations—a highway worker shedding 220 pounds through daily walks and a simple menu, a granddad reclaiming the floor with a six-inch plate, and a construction pro who walked in rain, sleet, and blazing sun to lose 160 pounds on keto. Each story proves the turning point isn't a trend or gadget; it's the choice to change, followed by small, repeatable habits that outlast motivation.From there we get practical and candid about GLP-1 medications like semaglutide and tirzepatide. We explain who typically qualifies, how insurers think about A1C thresholds and sleep apnea, and what real patients experience with appetite suppression, steady weight loss, and reduced reliance on other diabetes, blood pressure, and cholesterol meds. We talk costs, access hurdles, side effects that are common versus rare, and the monitoring that keeps therapy safe. You'll hear how one retiree called six months of treatment the best money he ever spent on his health—and how others used these tools to unlock mobility, confidence, and longevity.We also step back to look at how culture shapes metabolism. Stories from a South Pacific island and repeated trips to Haiti reveal how shifting from local foods and daily walking to a Westernized diet drove obesity, diabetes, and GI disease within a generation. The pattern is clear: when food quality drops and movement declines, chronic illness rises. Our closing playbook is straightforward—portion control, protein-forward meals, fewer refined carbs, daily movement, restorative sleep, and an accountability partner who helps you keep promises to yourself. Use GLP-1s wisely if you need them, build habits that last, and choose the path that lets you enjoy the years ahead.If this conversation helped you think differently about weight loss, subscribe, share it with a friend who needs a nudge, and leave a review so others can find the show.Support the showhttps://www.jacksonfamilyministry.comhttps://bobslone.com/home/podcast-production/
Tom opens this week's livestream with an update on the upcoming New Biology Experience at Polyface Farm (June 2026):Registration is still open, and space is limited. Tom encourages those interested to sign up soon to take advantage of early bird pricing and secure a spot for this gathering of talks, food, nature, and community.New Biology Experience link here.This session features an extended Q&A addressing a wide range of questions from the community, including:-Is it time for surgery? A 35-year-old woman asks whether she should pursue a discectomy for a herniated disc after a year of holistic therapies.-How do you explain that the spike protein isn't real—especially to someone who believes in conventional biology or health freedom narratives?-Are there strategies to help with sugar and caffeine withdrawal—particularly headaches?-What are your thoughts on dental hygiene habits and regular dental cleaning?-Didn't Semmelweis prove the germ theory?-What's the difference between healthy and pathogenic biofilm in the GI tract?-What is the cure for a so-called lazy eye?-Do sperm really carry X and Y chromosomes? And what's the relationship between heredity, consciousness, and water?-Does skin cancer come from the sun?-Why don't voluntarists and anarchists accept the need for common law juries?Tom weaves in clinical insights, personal stories, and reflections on the importance of returning to lived experience over abstract theory when it comes to healing. Support the showWebsites:https://drtomcowan.com/https://www.drcowansgarden.com/https://newbiologyclinic.com/https://newbiologycurriculum.com/Instagram: @TalkinTurkeywithTomFacebook: https://www.facebook.com/DrTomCowan/Bitchute: https://www.bitchute.com/channel/CivTSuEjw6Qp/YouTube: https://www.youtube.com/channel/UCzxdc2o0Q_XZIPwo07XCrNg
Dr. Deb Muth 0:03Today’s guest is someone I’m honored to call both a friend and a mentor, and one of the most trusted voices in medicine for patients with complex chronic illness. Dr. Neal Nathan is a board certified family physician who has spent decades caring for patients who don’t fit neatly into diagnostic boxes. Patients with mold related illnesses, Lyme disease, mast cell activation, and profound nervous system dysregulation. These are the patients who are often told their labs are normal and their symptoms are anxiety or that nothing more can be done. Instead of dismissing them, Dr. Nathan listened and he asked better questions. His work, including his landmark book, Toxic, has helped thousands of people finally feel seen, believed, and understood, and more importantly, has given them a path forward when medicine failed them. This conversation is for anyone who reacts to supplements or medications, for anyone who has gotten worse instead of better with treatment, and for anyone who knows their body that something deeper is going on, even if they’ve been told otherwise. Dr. Nathan, I’m deeply grateful for your mentorship, your integrity, and the way you continue to advocate for the most vulnerable patients. I’m so glad to have you here today. And before we begin, grab a cup of coffee, tea, or whatever grounds you, because this is the conversation you’ll want to settle into. Now, before we go onto this conversation, we need to hear from our sponsors. So give us just a quick moment and then Dr. Nathan and I are going to dive in to his story and how this all started for him and leave you with some nuggets of wisdom that you can help yourself with. Ladies, it’s time to reignite your vitality. Primal Queen supplements are clean, powerful formulas made for women like you who want balance, strength, and energy that lasts. Get 25% off@primalqueen.com Serenity Health that’s PrimalQueen.com Serenity Health because every queen deserves to feel in her prime the right places and then we can get started. All right? So, Dr. Nathan, like I said, I’m so excited to have you here today. Tell us a little bit about how did you start your career? Because you didn’t intend to work with the most complex and sensitive patients, I’m sure when you started out. But what did you notice early on that made you realize medicine was missing something? Neil Nathan MD3:03You know, Deb, actually, I did start out wanting to work with the most complicated cases. My delusional fantasy when I started was I wanted to help every single person who walked into my office. And so when I left medical school, I realized pretty quickly that the tools that I learned there were not adequate to do That I needed to learn more. So I started on a passionate journey of discovery, if you will, in which I started studying with anyone who had anything interesting about healing to talk about. And I want to emphasize that I was interested in healing, not in what I’ll call medical technology. So medical school taught me to be a good medical technologist, but it didn’t teach me about healing. I graduated a long time ago. I graduated from Medical School in 1971. And the word holistic wasn’t even a word back in those days, but that’s what I was looking for over many, many years. I studied osteopathic manipulation, homeopathy, therapeutic touch, emotional release techniques, hypnosis. If it’s weird, I probably have studied it at some point. I wasted some weekends studying things that I don’t think were particularly valuable. And I’ve had some remarkable experiences with true healers that taught me how to expand my understanding of what healing really meant. So early on, when I first started practice, I would invite my colleagues to send me their most complicated patients because that was my learning. That makes me weird. I know that. I love some problem solving. You know, I’m the kind of person who I get up in the morning and I do all of the New York Times kinds of puzzles. That’s. That’s my brain wake up call. So actually I did invite my colleagues to send me their complicated patients, and they did. So, I mean, they were thrilled to have me in the community because these were people they didn’t know what to do with. And I was happy as a clam with all these complicated things that I had no idea what to do with. But it pushed me to keep learning more, to keep searching for this person’s answer. And this person’s answer, that constant question is, what am I missing? What is it that I don’t know or understand? What questions am I not asking this person that would help me to figure it out? So sorry for the long winded digression. Dr. Deb Muth 6:14No, I’m glad you shared that. I’m very similar to you. I didn’t seek out working with the most complex, but as I started that, I was always very curious as well. So I was the same as you. Every weekend I would learn something and hypnosis and naturopathic medicine, homeopathy, and all these quote unquote weird things, right? And there’s always a pearl that you learn from something. You never not learn anything, but some of it, you kind of take or leave or integrate or not. And, and I think it, it makes you a better Practitioner, because you have all these tools in your toolbox for helping people that nobody else has been able to help. And. And it’s just kind of fun learning. I mean, I’m kind of a geek that way too. I like to learn all those things. Neil Nathan MD7:00Learning is my passion. One of my greatest joys in life is going to a medical meeting and getting a pearl. Literally. I’m not one of these people at medical meetings that have a computer in front of me listening. And I have a pad of paper and I’m writing down ideas next to people that I’m working with. So that, oh, let’s bring this up for these people. Let’s bring this up for these people. So it’s like, oh, great. Can’t get right back to the office on Monday so I can start, have some new ideas about what I’m missing. Dr. Deb Muth 7:38Yeah, I do the same thing. I have my pad of paper and I do the same thing. And as I hear something, I’m thinking about a person that’s in my office that I haven’t been able to help, or we’ve been stuck on something, and I’m like, oh, there’s a new thing we can try. And it’s so exciting. I love that. Let me ask you this. Was there a time when you finally thought, like, if I don’t listen to these patients differently, they might not ever get better? Neil Nathan MD8:04That’s a very complicated question. The people that I was treating that weren’t getting better were the ones that got my greatest attention. And one of the questions that constantly troubled me still does is, is this person not getting better because of some feature of themselves, or is it because of something that I don’t know? So I’ve wrestled with that for a very long time. My answer to it now is, For a long time, I’ve been able to see what I will call the light in a person. Call it a healing spark and energy. It isn’t truly light. There’s just something about that person when I work with them where I know this person will get well if I stick with them long enough. And then when I don’t get that, I don’t think I’ve helped any of those people over the years. Yeah, so it was a very long process of really not helping people for five years daily. And I would. I would ask those patients, I would say, you know, I haven’t helped you. We’ve been doing this for a very long time. Why are you still here? And they would say, because you care. And I would. Back when I was Younger, that was enough for me to go. That’s true. Okay, I’ll keep working at it. But as I’ve gotten older, caring isn’t enough. It’s. I’m not sure I’m the right person for you. And so as I’ve gotten older, when I don’t see that spark, when I don’t get that sense of someone, I’m more inclined early on in the relationship to tell them I’m not the right person for you. Yeah, you know, see if you can find someone else who can understand what you’re going through and help you. Because I, I’m not it. Dr. Deb Muth 10:16Yeah, you, you kind of know that you can help them or not. Yeah. Neil Nathan MD10:21I don’t know how to define that sense, but it’s very clear to me. I call it like seeing the inner light of another being. If it’s not there, and maybe it’s not there for me to see as opposed to someone else can see it. Dr. Deb Muth 10:41That’s interesting. So you’re known for working with patients who are highly reactive. They don’t tolerate supplements, a lot of times medications, or even some of your most gentlest protocols. Why are these patients so often misunderstood? Neil Nathan MD 10:59Because they appear to their family and to many other physicians to be so sensitive that the thought process of families and other physicians is often. Nobody’s that sensitive. This has got to be in your head. And that is what is conveyed to those patients. And they’re told it’s gotta be in your head. Go see a psychiatrist or a therapist. But I can’t help you. And unfortunately, we have learned in the last 20 years a great deal about, is making our patients so sensitive. It is a true reaction of their nervous system and immune system, and it is in response to various medical conditions they have. So again, as we’ve been talking about, those were the people that got sent to me for many years. And I, I have never believed that the majority of any. Anything that someone has experienced is in their head. Yeah, Almost everything I look at is real. I may not understand what is causing it, but for me, doubting a patient’s experience is not something I’ve ever done. And that’s what’s helped fuel what I’ve learned and what you learned over the year. That, okay, if this is real, and it is, I’m sure it is, the person in front of me looks like a straight shooter. They’re not hyper reactive. They’re not going off the deep end talking about it and talking about it very straightforwardly. And I’ve got these symptoms. I’VE got this, I’ve got this. And it’s really making my life miserable. Okay, what’s causing that? So I began to work with what we now call very sensitive patients and figuring out what caused that. So over the years, I think we have names for this in medicine. Sometimes we call this multiple chemical sensitivity. People who will go to be walking down the street and someone will walk past them wearing a particular scent or perfume and they will literally fall to the ground or go brain dead or can’t think straight or even have some neurological symptoms. And I’ve seen that happen in my office. I’ve seen patients walking down the hall and having a staff member who had washed their clothes and tied walk past them. And I literally watched them fall on the floor. And it’s like, this is not psychological. This is someone who is reacting to the chemical that they are being exposed to and this is the effect it’s having on them. And so eventually it became clear that all forms of sensitivity, sensitivity to light, sound, chemicals, smells, food, EMFs, touch, were really being triggered by a limbic system that was unhappy. We began to learn about limbic issues before that. Give you a short history of it. I have discovered something called low dose immunotherapy different by Butch Schrader. And there was a long three year period of if someone stuck with it. If I used those materials over time, a lot of my chemically sensitive people would get better. It was the only tool I had back then. Dr. Deb Muth 14:41Yeah. Neil Nathan MD 14:42)Then, I don’t know, 15 years ago I discovered Annie Hopper’s work with dynamic neural retraining. And when I added that to what people were doing, that’s when I had my, ah, this is an Olympic system issue. And this is something we can reboot. And since then, many other people have limbic rebooting programs which are quite excellent and useful. Now I helped a lot of people at that point and it wasn’t until I stumbled on Stephen Porges work with the vagal system with this concept of polyvagal theory that I realized that the two areas of the brain that are monitoring that person’s environment, internal and external, for safety, are the limbic and the vagal systems combined. So when I started adding vagal strategies to the limbic strategies, I helped even more people. And then the first, the third piece of this trifecta was 2016 when Larry Afron wrote his book Don’t Never Bet Against Occam, in which he began our understanding of mast cell activation. And when I read his book, it was like, oh, big piece of the puzzle. And then we realized that those three things. And there’s more, but those three things were treated, Would help the vast majority of our sensitive patients regain their health and regain their equilibrium. This is not psychological. This is really treatable. Dr. Deb Muth 16:19Yeah, I’ve noticed the same thing in my practice and followed very similar paths. As you started out with ldi and lda, and then the vagus nerve things have been by far. I think if I look back, the vagus nerve work has been the biggest changer in our practice as well. I mean, all of the things help, but, like, I can give somebody a vagus nerve stimulator today, and within 30 days, 90% of their symptoms are better. And that just kind of blows my mind. It’s like I’ve never had a tool in my toolbox that has worked that well and that quickly. So. So it really is making a big difference. And I, too, was trained way back in the late 90s with multiple chemical sensitivity people. And some of those clients that I inherited from my mentor are still around. And, you know, they still can’t function at all. They’re wearing gas masks. They can’t leave their house. You know, any smells that even come in without them opening the windows, they are stuck. And no matter what you do, it’s just a challenge. Nothing works for them. And it’s a very sad life that they have to live. Neil Nathan MD 17:30Well, let’s add to that story that you can give people limbic vagal and mast cell treatments, and it’ll really work well to help them, but you need to look deeper, which is what is causing mass cell issues. And in my experience, mold toxicity is by far the number one and various components of lyme disease is a second one, and then a variety of other environmental toxins, infections, and things like that may trigger for some, but you’ve got to go back and get to the cause or else. Dr. Deb Muth 18:12Yeah, nothing works. Neil Nathan MD 18:13You can make them better, but you can’t really get them. Well, you get rid of the cause, and people can completely differently life back. Dr. Deb Muth (18:20-18:21)Yeah. Neil Nathan MD 18:22One of my frustrations with the mast cell world is after Larry efferent’s book came out, it changed people’s consciousness about mast cell activation. Something genetically rare to something which we now know. It affects 17% of the population, so not rare at all. But the clinics that are popping up to do it, and now in every major medical center of the country has a mast cell clinic. But number one, they rely completely on testing to make the diagnosis, and testing is notoriously inaccurate. And second, they just aren’t aware that you gotta get cause. So they’re helping people, but they’re not curing people because they’re not looking for cause. Dr. Deb Muth 19:13Yeah. And if they’re helping people, it’s on a minimal level, in my experience. They’re. You know, most of the patients that we see that have been at those clinics have been dismissed. Once again, told that because the testing isn’t positive and they’ve only done it once, that they don’t have this. But yet they fit all of the pictures. And then when you start digging, you start realizing they really do have mast cell, and. And you can find the answers for it for them. Neil Nathan MD 19:40Yeah. Dr. Deb Muth 19:41Why do you think mold remains so unrecognized in conventional medicine? Neil Nathan MD 19:48Interesting question. You know, I started writing a book chapter on the history of mold toxicity, our understanding of mold toxicity. And it’s. It’s fascinating to me. The mold toxicity is described in the Bible as a fairly long passage in Leviticus where it talks about that. So it’s not like it’s unknown to the universe, but largely, it’s remained undiscussed. Most people are aware of mold allergy. We’ve been treating mold allergy for decades. That we accept fully. I think the answer to your question lies in history a little bit. And I didn’t know this until I started kind of digging into it. There was an episode in the 70s in which a large number of school children in Cleveland, Ohio, got sick, and public health authorities attributed it to mold. About a year or two later, it was discovered that they. The H VAC system in the school had Legionella. Legionnaires disease. And it was then decided that, no, it wasn’t mold, it was legionnaires. And then a number of articles began appearing in the medical journals. Their names were literally mold. The hoax of mold toxicity. And that consciousness pervaded for 20, 30 years where people were reading these articles in which they were being told that mold toxicity was a hoax. That’s a strong word. And it took papers after papers after papers published in all kinds of medical journals, which were began to say, this is very real. This is symptoms that. That we see. It wasn’t until 2003, when Michael Gray and his team published a series of papers showing that these widespread symptoms, which we now recognize as mold toxicity, was real and directly attributed to mold. Now, keep in mind, we didn’t even have a test for mold at that point. Dr. Deb Muth 22:10Right. Neil Nathan MD 22:12So you could say this is mold toxin, because this person was. Well, they went into a moldy environment, they got sick, they went out of the moldy environment. They got well again, but we didn’t have treatments. We didn’t have a test for it. Historically, people were suspicious. Not very scientific. 2005, Richard Shoemaker wrote his book mole warriors, which really began to popularize the concept of this was a real thing. And in it, Ritchie talked about his markers and the visual contrast test. Now, these were not specific for mold, but they strongly, at least implicated that. Now, we had a test that could be helpful. So it wasn’t really until about 2010 that the first urine mycotoxin test came on the market. And at that point, we. We really could tell a person, you’ve got these symptoms, you’ve been living in mold. And now we have a test that shows you have mycotoxins in your urine. Now, it’s not like it’s a theory. It’s coming out of your body. That has furthered it, but not yet in the consciousness of the medical profession at large. As I’m sure you know, the history of medicine, in fact, the history of science, is that new ideas take 20 plus years to really be accepted by the profession. A new drug, a new technology is accepted very quickly because there’s an economic push to it. There’s no economic push to a new idea. So we’re still in the throes of some of us who work in the field. People say there’s no published data that really prove that this exists. And we’re working on that. As you know, we’re working on getting the papers published, but again, working on this history of molotoxism, There are actually hundreds and hundreds and hundreds of papers in the medical literature which really attest to the fact that this is a reality. It’s just that you and I are the only ones reading these papers. Dr. Deb Muth 24:33Yeah, we’re the only ones that care. Yeah. What would acknowledging mold actually forced medicine and the institutions to confront? Neil Nathan MD 24:44First of all, many medical offices and. Dr. Deb Muth 24:47Hospitals are molding, very much so. Neil Nathan MD 24:51And nobody wants to deal with that. It’s expensive. It’s difficult to truly get mold out of a building when it’s there. And so there’s a huge economic push to not acknowledge mold toxicity as an entity. The whole building industry doesn’t want to deal with it. Yes. It is estimated by the federal government that 47% of all molds have visible or smellable mold in them. It’s not like it’s rare. Not everyone’s going to get sick from it. But if your immune system takes a hit from anything and it loses containment over that mold, then you will take a hit from it. And it is also estimated that at least at this moment, 10 million Americans are suffering with some degree of mold toxicity and don’t even have a clue that that’s a real thing and that it can be both diagnosed and treated successfully. Dr. Deb Muth 25:51Yeah, it’s so hard. Like so many of the patients that we see, mold is never on their radar when they come to us. You know, Lyme disease is never on their radar when they come to us. And many of our patients have both. And the argument of there’s no way I could have, you know, mold exposure until you start digging back into their history a little bit. And then they’ll say, well, yeah, grandma’s house smelled and you know, I live in a hundred year old house, but it’s been completely renovated. And until you start having these conversations and really talking about it, people don’t have a clue that these things could make them sick. Or they, you know, I have a lot of clients that renovate houses for a living or that’s, you know, their hobby. And they go in and they renovate these houses and they’ve never worn appropriate equipment to protect themselves and, and then they’re sick 10, 15 years later. But don’t really understand why. Neil Nathan MD 26:47Yeah, from my perspective, it’s about how robust the immune system is. Dr. Deb Muth 26:51Yeah. Neil Nathan MD 26:52That if your immune system is robust, and this is true for Lyme as well as molecules, you could be bitten by a tick, you may have a Lyme or a co infection of Lyme like Bartonella rubesia in your body, or you could be exposed to mold, you could be living in a moldy environment, and your immune system will allow you to function at a high level for a while if your immune system takes a hit. Now the hit recently, big time, was Covid that unmasked Lyme and mold for a lot of people and a lot of people who think they have long whole Covid really have unmasked that they have Lyme and mold toxicity. That’s a whole other subject here. But menopause, childbirth, surgical procedure, any severe infection, any intense emotional reaction, death of a loved one, any of these can weaken the immune system. And then what is already there is no longer contained and we are off to the races of severely impaired health. Dr. Deb Muth 28:02Yeah, that’s what it did for me. I got sick with COVID and maybe about six, eight months later, I started to express neurological symptoms that looked like Ms. And actually had the diagnosis of Ms. But knowing what I know, I said, you know what? Ms. Is something else. Until proven otherwise in my book. And so because I had the knowledge that I did, I went and did all the Lyme testing and the mold testing and hit the trifecta of everything. Lyme co infections, mold, viruses. I just had everything. And as I started down that path of trying to clean it all up, all of my symptoms started to disappear. And certainly it wasn’t as easy as it sounds, and it wasn’t as quick. And I felt a lot worse before I felt better, as most of our clients do. But I think that I’m not the only person that this has happened to. And I think a lot of people get misdiagnosed just simply because nobody’s looking for the other problems that you and I look for and that we know of. And that’s one of the ways our medical system fails the clients they work with. Unfortunately. Neil Nathan MD 29:12One of the things that I teach and want people to be aware of is any specialist who makes the diagnosis that includes the word atypical. So atypical ms, atypical Parkinson’s, atypical Alzheimer’s, atypical rheumatoid arthritis, whatever it is, if that’s the word. What they’re saying is this has feedback features of this illness, but doesn’t really match what I see every day in my office. And when I hear the word atypical, I say, please look for mold, please look for Lyme. Because that is often the case here. Dr. Deb Muth 29:51Yeah, oftentimes it is. You also teach that when patients get worse under treatment, it doesn’t mean they’re failing. It means the treatment might not be appropriate for their psychology. Can you explain that a little bit? Neil Nathan MD 30:05Yeah. I think that many people start understanding about things like Lyme or mold and don’t really have the bigger picture. And so they will jump in with aggressive treatments in people who aren’t really ready for that degree of aggressive treatment. And here we’re going to come back to, if someone’s living vagal and mast cell systems are dysfunctional and not working properly, it is highly likely they won’t be able to take normal doses of the binders we use for mold, or to take antifungals or to take the antibiotics we need for Lyme disease. It’s not that they don’t want to. They can’t. And so what I see is not understanding what you need to do, in what order. If you do it in the right order, you’ll help the vast majority of people you’re working with. And again, that trifecta of limbic vaginal, mast Cell is one piece that a lot of people don’t address. And again, order matters. For example, in the mold world, some people have learned that, oh, I’ll need to give people antifungals to get this mold and Candida out of their body. But if you do that and you don’t have binders on board, there’s a very high risk that you’re going to cause a severe die off and make people really miserable. I remember when we kind of first started this, I was working with Joe Brewer, who’s an infectious disease specialist from Kansas City. And Joe wrote some of the earlier papers on this particular subject. And I was doing, I had a radio show at that point and Joe was on and we were talking about mold toxicity and how we treat it and what we did. And he mentioned that about 40% of his patients had this really nasty die off. And I went, I almost never see a die off. And so when we got off the program, we sat down and tried to compare notes about, okay, what am I doing differently than you, that I’m not getting the die off. And Joe, as an infectious disease specialist would go quickly to his antifungals. And yes, he put people on binders, but he also simultaneously put the lungs in pretty heavy doing antifungal. They got a nasty diure. I never put people in antifungals until their binders were up and running. So from my way of thinking about it, if you use any antifungal, they all work by punching holes in the cell wall of either a mold or a candida organism, killing it. However, by punching holes in it, what’s in that cell leaks out. And that includes mycotoxins. So. So you’re literally, if you’re using it aggressively, you can literally flood the body with mycotoxins. And if you don’t have the binders on board to mop it up, there’s a high risk that you’re gonna be pretty miserable. Cause you’re literally more toxic. Dr. Deb Muth 33:18Yeah, I remember in the early 2000s when they were teaching, if you’re not getting somebody to have that die off reaction, that quote unquote, herx reaction, then you’re not doing your job, you’re not giving them enough. And we would have clients that would come in and say, I’m not herxing. You’re not doing enough for me. And we were always the ones that are saying, you don’t have to hurt to get rid of this thing. I’m a naturopath too. And so preserving the adrenal Function was always very important to us. And we were like, if we cause you to hurts like that, now we’re depleting the adrenal system. We’re creating more problems that we’re gonna have to fix on the backside. And that was the narrative that was being taught back then. And I’m glad that’s not the narrative that’s being taught today, for sure. But people don’t understand. Like you said, you’re more toxic at this point, and creating more toxicity isn’t what we want to do. Neil Nathan MD 34:12It’s not good for healing. Kind of intuitively obvious, but you’re right. Back in the early days, we were taught that just to put a spin, I’ll call it on a nasty Herc’s reaction. Oh, great, we’re killing those little microbes. This is fabulous. Yep. I mean, that’s how we spun it back then. And currently I can’t say that some Lyme literate doctors still believe that, but most of us have realized that. No, that means we’re killing him too quickly. We need to modify what we’re doing so that we are killing it, but not at a rate that our patient is getting worse. Dr. Deb Muth 34:59Yeah, I always tell people we want to kill the bug, but we don’t want to make you feel like we’re killing you at the same time, because that’s what’s going to happen if we’re not careful. So, yeah, how does trauma and emotional or physical trauma and abuse and chronic illness, how do they all reinforce each other? Neil Nathan MD 35:24Our limbic systems have been trying to keep us safe since we were in our mother’s uterus. By again scrutinizing the stimuli we’re being exposed to from the perspective of safety. So none of us have had perfect childhoods. Yeah, some older than others. But depending on what you had in your childhood, maybe you had recurrent ear or throat infections and took lots of antibiotics. Or maybe you needed surgeries. Or maybe you had parents who were both working and not particularly available to you. Or maybe you had abusive parents in any way possible. But through your whole childhood experience, your limbic system is really going okay. This isn’t safe. This is not good for me. This is not right. And becoming more and more hyper vigilant to really be aware of that so it can try to keep us safe, which is okay. Maybe my parent was an alcoholic and okay, they’re coming in now. I’m going to make myself scarce. My limbic system is going to tell you, get out of here. Don’t put yourself in harm’s. Way, if that’s the case. And then as we go through our lives, more things occur. We have heartbreak when we’re teenagers, and we have difficulties with work or bosses or other things. Each insult of safety to us helps to create a limbic system that is more and more hypervigilant. So if you then have a trauma of any kind, it’s kind of like the straw that breaks the camel’s back at that point. And that could be mold toxicity, that could be Covid, that could be the loss of a loved one, that could be a betrayal of some point, any number of things, once that happens. Now that limbic system is super hypervigilant. Now, what that means is, symptomatically for people is we’re going to have symptoms in two main categories. Not to make us sick, but to warn us from our limbic system that, hey, this isn’t safe for you. You got to get into a safe place here. And those symptoms are in the category of emotion and sensitivity. So with any of our patients that we see, if they have become more and more anxious patients, panic, depressed, ocd, mood swings, depersonalization, derealization, that’s all limbic. And if they have any increase in sensitivity to light, sound, chemicals, smell, food, touch, EMFs, limbic. So most of our patients have gotten to that place. And as I’ve said, the vagal system comes along with the limbic system because it does the same job. Those symptoms are a little different. The vagal system controls the autonomic nervous system, and so things like temperature, dysregulation, pots, blood pressure, palpitations. The vagus nerve also controls almost all gastrointestinal function. So almost any symptom in the GI tract is going to have a vagal piece to it. Gas, bloating, distension, reflux, abdominal pain, constipation, diarrhea. So those are common symptoms in our patients. And it helps us to tease it apart that we can literally tell them these are symptoms of vagal dysfunction. These are symptoms of limbic dysfunction. And I hope I’m answering your question, which is, how does this evolve? It evolves throughout our whole life, and then eventually we get to the point where our limbic system is overwhelmed. And here’s the good news. We can treat this. We can fix it. We have various programs. And honestly, Deb, I believe that every man, woman and child on this planet needs limbic retraining, or at least limbic work. Co did a real number on the whole planet. Yeah, most people live in some degree of fear From a wide variety of causes. And we don’t have to live in fear. We don’t have to let us hurt us, but we do need to recognize that it is limbic, it is vagal, and we can do something about it. Dr. Deb Muth 39:58Yeah, that’s an exciting time for us, I think. You know, I. I agree. Like, the last couple of years have been very traumatic for a lot of people. Our young kids that were traumatized in school, their parents, the grandparents. I mean, everybody has gone through some kind of anxiety or fear around what’s happened in the last few years, and not to mention all the things that they’ve lived with their whole lives. And this just kind of came to a head and I think broke open for a lot of people that were suppressing their feelings up until this point. And it. It just was the perfect storm for a lot of people, unfortunately. And there’s a lot of people that can’t get over the trauma that’s occurred. The lying amongst the government and our families, how we treated each other and pushed each other aside and, you know, broken families apart because of their belief systems. It really did a number on people, and they’re really struggling to get back. Back for sure. Neil Nathan MD 40:56Yeah, we’re in complete agreement here. Dr. Deb Muth 40:59Yeah. Yeah. So many of our listeners, especially women, have been told their symptoms are anxiety or stress or quote, unquote, just hormonal. Right. And from your perspective, what damage does that kind of dismissal cause for people? Neil Nathan MD 41:16We have a fancy word for that, which is iatrogenic illness. Translation is your doctor is making you sick by treating you inappropriately, not making the right diagnosis and not honoring what you’re experiencing. There’s actually a new word that I’ve recently heard called medical gaslighting, in which you describe something to your doctor and he goes, no, this is in your head. There’s nothing really physically wrong with you, and you know that. No, no, no, no, no. I might be a little bit stressed by it, but something else is going on in my body. And they’re telling you, no, we tested you. Usually those testings involve doing a blood count and a chemistry profile, and that’s it. Those tests will not reveal the kinds of things we’re talking about because you’re not looking for the right thing. So it is really common for our patients to have been told that there’s nothing wrong with you. You need to see a psychiatrist because they don’t know enough to understand that the symptoms you’re describing, if you understood what you’re looking at, are very clear manifestations of Things. Things like mold toxicity and Lyme disease, chronic viral infections, a variety of other things. But your doctor has to know this in order to happen. And this is a failure of medical education. So if my message to everybody always is never doubt yourself or what you’re experiencing, it’s real, there’s never a reason to doubt that. If the people around you aren’t believing, you find someone who does. And again, to augment this, part of the problem is if families accompany the patient to the doctor’s office and they hear the doctor telling them it’s in their head, families become less supportive of their loved ones and go, well, doctor said, this is in your head. I don’t know why you feel so awful. And so families need the same point of view of trust your loved one’s perceptions. There’s no reason not to. Malaboring hypochondria is extremely rare. Gets talked about a lot. I’ve been practicing for over 50 years. I have rarely seen, seen anybody with those truly with those symptoms. So trust yourself. Good. Dr. Deb Muth 44:03I love that. What do you wish every clinician understood about listening? Neil Nathan MD 44:13I wish that every clinician had the same curiosity that we do, which is, I might not understand why this being in front of me has these symptoms or is ill, but I’m going to do everything in my power to figure it out. That means I’ll learn what I need to learn. I’ll study what I need to study to figure out why this person is sick. I really wish, and I understand kind of why that’s happened. My wife always thought that everyone was like me, which was Saturday mornings. My great joy in life was getting up early with a cup of coffee and reading medical journals or obscure medical books. That was my joy. She was shocked that most other people don’t. The way medicine actually evolved. We’re burning out doctors at a rate never before in the history of this planet by making them do things that are not in the service of patients, but are in the service of making money. And so doctors are being given seven minutes per visit. If you have a complicated person, there’s no way you could do income. Seven minutes. The way the system is set up, it doesn’t allow doctors to do their job. And then they’re under tremendous pressure to get the charts filled out properly, the way the advent of electronic medical records supposed to be. This great thing is it’s making doctors have to go home and spend two hours at home, not with their family, but getting their charts squared away. And I don’t think all patients realize the Kind of pressures that doctors are under. So to answer your question, I would like doctors to be more curious, but also, the system is broken, and I wish we could fix the system so that every patient could get the amount of time they needed with their doctor to really explore what’s going on and get to the heart of what’s happening. Dr. Deb Muth 46:31I so agree. So agree with all of that. If there was one question you would want every patient to ask their doctor, what would it be? Neil Nathan MD 46:44How would you treat me if I was your sister, mother, relative, whatever. Not what you want to do, theoretically. But if I were your wife, if I were your sister, how would you treat me? I don’t see that happening much, especially with elderly people. I see Doctors going, you’re 80. What do you expect me to do? I’m getting pretty close to being 80. And I expect you to help me because I want to function at this high level for a very long time. There was. It was an old joke that used to be Bella went in to see the doctor, and the doctor, he said, doc, my knee is all swollen and it’s tender and I’m having trouble walking on it. And the doctor said, you’re 102 years old. What do you expect? But, doctor, my other knee is perfectly fine, and it’s 102 years old also. So I once had the opportunity. I had a 100-year-old patient who had exactly that. So that was able to look at his knee and go, we’re going to take care of this. So it’s just older people need to be treated with respect, with the same thing, of absolutely no reason that they shouldn’t get the kind of attention that you would want your grandfather, your father, to have. Dr. Deb Muth 48:16Yeah, I love that question. So I have one last big question for you. If medicine were rebuilt around patients instead of systems, what would you change? First. Neil Nathan MD 48:33I would get rid of the middle man in medicine, the HMOs, the managed care organizations, where they take the profit and it’s being shunted into other areas. So rather than the physician being paid directly for what’s happening, they just get a piece of it that the managed care organization deems appropriate. You know, I grew up in what was called golden age of medicine back in the 70s, where I could do for people what they wanted done. People didn’t doubt that it was in their best interest and that if I ordered a test, it got done. I didn’t have to have someone else authorizing or tell me this is an okay or an appropriate test, I could do it. So I would go back to a. A practice of medicine, direct care, where you. Maybe there’s a system that would help reimburse you for it, but you could go to the doctor and you get what you need, and the doctor decides what you need. Actually, they’re the ones seeing you. Would a clerk in an office 600 miles away decide whether you can have this test or not? Have this test? Test? It doesn’t make any sense to me. I should be able to deliver what you want and need, and I should have the time it takes to really work with you. I’d like to go back to the 70s. Dr. Deb Muth 50:07Me too. Me too. Is there one thing that gives you hope right now for our system? Neil Nathan MD 50:16Honestly, I’m a very optimistic person. My answer is is no. I think the system is broken. I think it is being held intact by people who are profiting from this system. They have no interest in letting go of their profits for it, and they don’t have any interest in seeing that people get treated properly and well. So I think, as I said, the system’s broken. It needs to be rebuilt from the ground up. Dr. Deb Muth 50:45I agree. I agree. Dr. Nathan, thank you so much. Not just for the conversation, but for the way you’ve modeled curiosity and humility and compassion in medicine. It is an honor to work alongside of you, call you my friend, and learn from you. Thank you so much for that. For those listening, if this episode resonates with you, I want you to hear this clear clearly, your sensitivity is not a flaw. Your body is not broken. And needing a different approach does not mean you’re failing. Healing doesn’t happen by forcing the body. It happens when the body finally feels safe enough to heal. If this conversation has helped you and you feel seen, I encourage you to share it with someone who needs that as a reminder. Thank you for being here and thank you for sharing with us. Let’s talk wellness now. Neil Nathan MD 51:38So in this context, I just want people to be aware of one of my recent books, which is the Sensitive Patient’s Healing Guide, which talks about this in great detail. And the new second edition of my book, Toxic, goes over the whole mold Lyme thing in more detail. So again, that wasn’t intended to be self serving, but rather there are resources where you can learn even more about it than Deb and I are able to cover in this short interview. Dr. Deb Muth 52:09Yeah, absolutely. And your first book, Toxic, was amazing. So if people haven’t read it, you definitely want to read the second version of it because it is incredible. And Dr. Nathan, if there’s somebody that wants to get a hold of you. How do they find you? How do they learn more about what you’re doing? Neil Nathan MD 52:24A very complicated website. Neilnathanmd. Com. Dr. Deb Muth 52:30Perfect. Well, thank you for today. Neil Nathan MD 52:34You’re very welcome.The post Episode 253 – Environmental exposures, Lyme disease & multiple chemical sensitivities: integrative approaches to healing first appeared on Let's Talk Wellness Now.
This week, Giovanna is joined by manifestation expert and two-time Sunday Times bestselling author, Roxie Nafousi!Roxie opens up about her turbulent past with addiction and the powerful journey of finding sobriety when she became pregnant.Roxie also tells Gi about manifesting and the simple steps you can take now to shape the life you want later. You can check out Roxie's guided visualisation for future-self and retirement here. Hosted on Acast. See acast.com/privacy for more information.
Key Episode TakeawaysOral Wegovy is real, but it's not “just a pill version of the shot.” Absorption rules, dosing schedules, and patient selection matter a lot more than most headlines suggest.Switching from injections to oral GLP-1s requires a plan. The transition isn't one-size-fits-all, and dose timing, GI tolerance, and expectations need to be managed carefully.Weight regain after stopping GLP-1s is common, but not universal. SURMOUNT-4 data shows large variability, reinforcing that biology, not willpower, drives outcomes.Maintenance matters as much as weight loss. Some patients need continued therapy at lower doses, while others may maintain with lifestyle plus strategic medication use.Stopping abruptly is usually the worst approach. Gradual transitions and realistic long-term strategies reduce rebound weight gain.GLP-1s are chronic disease tools, not short-term fixes. Treating obesity like hypertension or diabetes leads to better outcomes and fewer surprises. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
In this episode, I explain why my stance on supplements has shifted and react to a New York Times article by Alex Hutchinson (author of Endure and The Explorer’s Gene) that cuts through the hype surrounding fitness supplements and asks a simple question: which ones actually work? I break down why the supplement industry is such a mess, including research showing that many so-called workout boosters contain unlabeled stimulants, steroids, or dangerously high doses of caffeine, how one study revealed that creatine gummies made by several leading supplements brands actually contained zero (or just trace amounts of) creatine, and why “more” is rarely better when it comes to performance enhancement. From there, I walk through what Hutchinson calls the “Big Proven Five”: caffeine, creatine, sodium bicarbonate (yes, baking soda), beta-alanine, and nitrates. I explain how each one works, who it’s actually useful for, and the real-world tradeoffs—like why caffeine’s performance benefits depend heavily on dose and timing, why creatine’s gains show up over months rather than days, and why elite endurance athletes are suddenly embracing bicarb gels despite decades of GI horror stories. I also touch on supplements that have come and gone since the I.O.C.’s 2018 position paper—ketones, collagen, antioxidant cocktails—and where protein powder fits on the blurry line between “food” and “supplement.” If you’ve ever wondered what’s legit, what’s risky, and what’s just expensive hype, this episode will help you make sense of it all. LINKS: Brad Kearns.com BradNutrition.com B.rad Superdrink – Hydrates 28% Faster than Water—Creatine-Charged Hydration for Next-Level Power, Focus, and Recovery B.rad Whey Protein Superfuel - The Best Protein on The Planet! Brad’s Shopping Page BornToWalkBook.com B.rad Podcast – All Episodes Peluva Five-Toe Minimalist Shoes We appreciate all feedback, and questions for Q&A shows, emailed to podcast@bradventures.com. If you have a moment, please share an episode you like with a quick text message, or leave a review on your podcast app. Thank you! Check out each of these companies because they are absolutely awesome or they wouldn’t occupy this revered space. Seriously, I won’t promote anything that I don't absolutely love and use in daily life: B.rad Nutrition: Premium quality, all-natural supplements for peak performance, recovery, and longevity; including the world's highest quality whey protein! Peluva: Comfortable, functional, stylish five-toe minimalist shoe to reawaken optimal foot function. Use code BRADPODCAST for 15% off! Ketone-IQ Save 30% off your first subscription order & receive a free six-pack of Ketone-IQ! Get Stride: Advanced DNA, methylation profile, microbiome & blood at-home testing. Hit your stride the right way, with cutting-edge technology and customized programming. Save 10% with the code BRAD. Online educational courses: Numerous great offerings for an immersive home-study educational experience Primal Fitness Expert Certification: The most comprehensive online course on all aspects of traditional fitness programming and a total immersion fitness lifestyle. Save 25% on tuition with code BRAD! See omnystudio.com/listener for privacy information.
The Gi crew return to talk Black Ops 7's sales plummeting, the Resident Evil 9 showcase, High Guard being setup to fail, the most downloaded PS5 games and more!
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