Podcasts about Hypertension

RFK Jr. issues sharpest ultimatum yet to medical schools: “Start teaching nutrition now or face penalties!” Fast-food outlets continue to abound in teaching hospitals; Once serious causes of flank pain are ruled out, patients are often left to fend for themselves; Potatoes don't increase risk of diabetes—unless you eat French fries; Deep-frying in seed oils can yield harmful byproducts—but so, too, when you substitute with lard; As doctors get more aggressive treating blood pressure, how to minimize medication side effects; New study shows beetroot juice can lower BP by 7 points.

How reliable is nutrition science?I have gingivitis, and my dentist recommended Listerine. Won't that disrupt the microbiome in my mouth?I take a diuretic for high blood pressure. Is it okay to stop drinking water by 8pm, or will I dehydrate?Is there a way to get rid of seborrheic keratoses?

How much leucine should I take to regain muscle?Should I increase my creatine dose to 10 grams daily for the cognitive benefits?You talked about the cancer risk of CT scans. What about CT angiograms?  I've had a ganglion cyst drained twice. How can I keep it from coming back?Who can I contact for treatment of mast cell activation syndrome?I heard you should brush your teeth with fluoride toothpaste if there's no fluoride in your drinking water 

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Dr. Julianna Dudas is a naturopathic doctor specializing in treating autoimmune disease, mast cell activation syndrome (MCAS), and other complex conditions like chemical sensitivity and tickborne infections. She is a San Diego native with a medical degree from Bastyr University, California and an undergraduate degree in anthropology from Columbia University. She actively participates in legislative efforts, meeting with Senate and representative offices in Sacramento and Washington, D.C. with the California Naturopathic Doctors Association, the American Association of Naturopathy Physicians, and the Center for Lyme Action. She was the recipient of an educational grant from the International Society for Lyme and Associated Diseases. In this episode of Conversations for Health, we discuss key points that every health care practitioner should know about Lyme disease, even if they're not treating it. Lyme is often missed or misdiagnosed, and patients may present with fatigue, neurological symptoms, or mystery chronic illness symptoms that don't respond to conventional or holistic approaches. We explore when to suspect Lyme, what testing and coinfections to consider, when to refer out, and so much more. This conversation is filled with clinical pearls, actionable clinical insights and a healthy respect for the complexity of this condition.    I'm your host, Evelyne Lambrecht, thank you for designing a well world with us.   Episode Resources: Dr. Julianna Dudas: https://restormedicine.com/our-team/dr-julianna-dudas-nd/ 7-Breath Vagal Nerve Reset for Hypertension and Regulating Heart Rate Design for Health Resources: Designs for Health - https://www.designsforhealth.com/ Designs for Health Practitioner Exclusive Drug Nutrient Depletion and Interaction Checker - https://www.designsforhealth.com/drug-nutrient-interaction/ Visit the Designs for Health Research and Education Library, which houses medical journals, protocols, webinars, and our blog. https://www.designsforhealth.com/research-and-education/education The Designs for Health Podcast is produced in partnership with Podfly Productions. Chapters: 00:00 Intro. 04:08 Dr. Jules's journey from the entertainment industry to specializing in complex chronic illness.  11:14 Key indicators of Lyme disease, including mast cell activation syndrome.  15:50 The transmission of tick-borne illnesses beyond a tick bite.  17:50 The history of Lyme disease and the Borrelia species.  19:57 Conventional and lab testing recommendations for acute and chronic issues.  28:45 Untangling the web of overlapping health symptoms and diseases.  38:14 Clinical pearls regarding histamine-2 blockers.  40:07 Addressing molds, mycotoxins, and EMFs with biologics and vagal reset exercise.  53:31 The critical value of a patient's health and lifestyle history.  54:40 Shouldn't the body be able to mount an immune response? 1:00:54 Botanicals and nutrients recommendations from Dr. Jules.  1:05:10 The vascular aspect of connective tissue, the fascia, and the endothelial tissue. 1:11:20 Dr. Jules's passion points when working with patients.  1:13:30 Dr. Jules's favorite supplements, favorite health practices, and her changed view on the dietary component of optimal health. 

Taking care of yourself during pregnancy and beyond is imperative. High blood pressure impacts a variety of people, including pregnant women. Listen in to learn how pregnancy can affect your blood pressure and increase your risk, how you can monitor it, and what to do if you have symptoms of pregnancy-related hypertension.

Transforming your health is more fun with friends! Join Chef AJ's Exclusive Plant-Based Community. Become part of the inner circle and start simplifying plant-based living - with easy recipes and expert health guidance. Find out more by visiting: https://community.chefaj.com/

What time of day is best to take pills for high blood-pressure? There is new research indicating that nighttime dosage of hypertension pills might be best, but is it true? Then hear an interview with particle physicist Dr. Harry Cliff, about how the current 'Standard Model of Particle Physics' is insufficient. What gaps are there in our knowledge of subatomic particles and energies? Thanks to the 'Big Picture Science' podcast for permission to rebroadcast this modified version of their August 11th show: https://radio.seti.org/beyond-the-standard-model. ‘Bench Talk: The Week in Science' is a weekly program that airs on WFMP Louisville FORward Radio 106.5 FM (forwardradio.org) every Monday at 7:30 pm, Tuesday at 11:30 am, and Wednesday at 7:30 am. Visit our Facebook page for links to the articles discussed in this episode: https://www.facebook.com/BenchTalkRadio Music ('Homeroad' by Kai Engel) provided on public domain by SoundCloud: https://soundcloud.com/kaiengel/homeroad'.

Are You Making These Blood Pressure Mistakes?Welcome to the Hypertension Resistant to Treatment Podcast! Initially, our goal was to empower individuals to effectively manage their blood pressure with the help of healthcare professionals. However, our focus has evolved to prioritize supporting healthcare providers, particularly nurse practitioners (NPs), recognizing their crucial role in patient outcomes.  We emphasize the importance of equipping healthcare providers with the necessary tools and knowledge to help patients achieve reasonable blood pressure control. Thank you for joining us on this journey toward improved hypertension management. This podcast offers a mixture of informative and inspirational content.The Hypertension Resistant to Treatment podcast is hosted by Dr. Tonya Breaux-Shropshire, PhD, DNP, MPH, FNP-C. Of note, according to the AACN, fewer than 1% of U.S. nurses hold a doctoral degree, with most having a DNP rather than a PhD. This highlights the rarity of both degrees, though DNPs are significantly more common than PhDs.Recommended models: click hereSend us a text Support the showSupport the podcast by subscribing using this link: click here. We appreciate your support, thank you! Log your blood pressure and share with your provider (click here). Copyright Disclaimer under section 107 of the Copyright Act 1976, allowance is made for “fair use” for purposes such as criticism, comment, news reporting, teaching, scholarship, education, and research.Royalty-free music: Turn on My Swag 2 Epidemic Sound****Disclaimer: This podcast is for educational purposes only and is not medical advice. Always consult your own healthcare provider about your health. The views shared are those of the host and guests, and do not represent any other organization.”

Save Money On Your Blood Pressure Monitor.Why Wrist Blood Pressure Monitors Could  Be Dangerous. (Watch Before You Buy!).Welcome to the Hypertension Resistant to Treatment Podcast, the #1 Hypertension Podcast in the world, with listeners from more than 152 countries who depend on our content. We are your primary resource for obtaining straightforward, practical, evidence-based information about high blood pressure management, regardless of your situation as a patient, healthcare provider, or family member. High blood pressure isn't always simple. The condition known as resistant hypertension affects many people who have high blood pressure that does not respond to medication or lifestyle changes. The medical field identifies treatment-resistant hypertension as a demanding yet vital medical condition that doctors encounter in their practice. The Hypertension Resistant to Treatment Podcast, website, and YouTube channel highlight the most challenging cases because these individuals have attempted multiple solutions without achieving any resolution. This podcast is here for them, but also for anyone touched by high blood pressure. Whether you're just starting your journey with prehypertension, you're living with long-standing hypertension, or you're a provider searching for better strategies to help your patients.The right place exists for those seeking answers, motivation, and success tools. The podcast Hypertension Resistant to Treatment presents blood pressure information in an easy-to-understand format that helps people control their condition. The Hypertension Resistant to Treatment podcast is hosted by Dr. Tonya Breaux-Shropshire, PhD, DNP, MPH, FNP-BC. Pubmed, Research Gate, UAB Alumni, and Research SymposiumRecommended models: click hereSend us a text Support the showSupport the podcast by subscribing using this link: click here. We appreciate your support, thank you! Log your blood pressure and share with your provider (click here). Copyright Disclaimer under section 107 of the Copyright Act 1976, allowance is made for “fair use” for purposes such as criticism, comment, news reporting, teaching, scholarship, education, and research.Royalty-free music: Turn on My Swag 2 Epidemic Sound****Disclaimer: This podcast is for educational purposes only and is not medical advice. Always consult your own healthcare provider about your health. The views shared are those of the host and guests, and do not represent any other organization.”

How People Are Lowering Their Blood Pressure Naturally.Featuring Mark Lucus (patient), Dr. Joseph Marek (Cardiologist & Hypertension Specialist, IL), and Dr. Henry Black (Former President of the American Society of Hypertension).Welcome to the Hypertension Resistant to Treatment Podcast, the #1 Hypertension Podcast in the world, with listeners from more than 152 countries who depend on our content. We are your primary resource for obtaining straightforward, practical, evidence-based information about high blood pressure management, regardless of your situation as a patient, healthcare provider, or family member. High blood pressure isn't always simple. The condition known as resistant hypertension affects many people who have high blood pressure that does not respond to medication or lifestyle changes. The medical field identifies treatment-resistant hypertension as a demanding yet vital medical condition that doctors encounter in their practice. The Hypertension Resistant to Treatment Podcast, website, and YouTube channel highlight the most challenging cases because these individuals have attempted multiple solutions without achieving any resolution. This podcast is here for them, but also for anyone touched by high blood pressure. Whether you're just starting your journey with prehypertension, you're living with long-standing hypertension, or you're a provider searching for better strategies to help your patients.The right place exists for those seeking answers, motivation, and success tools. The podcast Hypertension Resistant to Treatment presents blood pressure information in an easy-to-understand format that helps people control their condition. The Hypertension Resistant to Treatment podcast is hosted by Dr. Tonya Breaux-Shropshire, PhD, DNP, MPH, FNP-BC. Pubmed, Research Gate, UAB Alumni, and Research SymposiumSend us a text Support the showSupport the podcast by subscribing using this link: click here. We appreciate your support, thank you! Log your blood pressure and share with your provider (click here). Copyright Disclaimer under section 107 of the Copyright Act 1976, allowance is made for “fair use” for purposes such as criticism, comment, news reporting, teaching, scholarship, education, and research.Royalty-free music: Turn on My Swag 2 Epidemic Sound****Disclaimer: This podcast is for educational purposes only and is not medical advice. Always consult your own healthcare provider about your health. The views shared are those of the host and guests, and do not represent any other organization.”

In this episode, I sit down with Robert Long and Dr. Hans Vick to uncover the hidden drivers of high blood pressure. Beyond numbers on a blood pressure cuff, we explore how the microvascular system and the Glycocalyx, the intricate network of tiny blood vessels—plays a central role in hypertension and overall cardiovascular health. Together, we discuss cutting-edge insights and natural therapies such as Revasca, that go beyond symptom management to address the root causes, offering hope for sustainable healing and prevention.See omnystudio.com/listener for privacy information.

In the first part of my interview with Guest Winnona, we talked about the big health changes she experienced on a whole food plant-based diet over the course of a year. Now in this 2nd Interview part, we get practical.  Winnona not only shares what her typical meals are like, but also more meal ideas and some practical low-oil cooking tips in the plant-based kitchen. In this episode, Winnona also gives us a key takeaway piece of advice to help those of us in the midst of our plant-based diet journeys or about to start one. Don't miss this episode!   Join -> Plant-Powered Life Transformation Course: www.plantnourished.com/ppltcourse Contact -> healthnow@plantnourished.com Learn -> www.plantnourished.com Connect with Community -> www.facebook.com/groups/beginnerplantbaseddietsuccess Get Free 15-Minute Strategy Call -> www.plantnourished.com/strategycall Free Resource -> Quick Start Grocery Guide for Plant-Based Essentials: www.plantnourished.com/groceryguide     Have a question about plant-based diets that you would like answered on the Plant Based Eating Made Easy Podcast? Send it by email (healthnow@plantnourished.com) or submit it by a voice message here: www.speakpipe.com/plantnourished     [Plantbased Eating, Plant Based, Gut Health, Diabetes, Blood Sugars, Blood Glucose Control, High Cholesterol, Diabetes, Keto, Plantbased Transition, Heart Health, Heart Disease, Gut Issues, Weight Loss, Whole Foods, High Blood Pressure, Hypertension, Lose Weight, Drop Pounds, Meal Ideas, Transition Tips, Quick Meals, Plant Based Meals]

The American Academy of Pediatrics release their own immunization schedule; The American Heart Association update 2017 guidelines for the prevention of high blood pressure; weight loss drug gains indication to treat noncirrhotic MASH; FDA approve a new fibromyalgia treatment; investigational SCD Tx to meet trial endpoint.

Our co-founder, Julie Francom, hosts today's episode with Heather from Sioux Falls, South Dakota. Heather talks today about her journey with IVF for her first pregnancy and conceiving spontaneously with her second. Heather's first birth involved infertility, ovulation inducers, IUI's (including a chemical pregnancy), solo appointments during COVID, and a C-section due to fetal tachycardia. She conceived naturally with her second, and also talks about the power of a chiropractor and the details of her positive VBAC induction at 39 weeks at only 1cm and 10% effaced due to gestational hypertension. Heather had a Foley bulb, Pitocin, lots of movement, Fentanyl, an epidural, peanut ball, AROM, pushed for a few hours, and met her sweet baby! The Fertility Docs Uncensored PodcastNeeded Website: Code VBAC20 for 20% OffThe Ultimate VBAC Prep Course for ParentsOnline VBAC Doula TrainingSupport this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Dr. Hoffman continues his conversation with Dr. Robert Silverman, author of "Immune Reboot: Maximizing Immunity, Restoring Gut Health, and Optimizing Vitality."

Dr. Robert Silverman, author of "Immune Reboot: Maximizing Immunity, Restoring Gut Health, and Optimizing Vitality," provides a comprehensive primer on the immune system. He explains how lifestyle factors—diet, sleep, exercise, and stress—impact immune resilience. He offers specific protocols for optimizing resistance to Covid, what to do if you come down with it, and how to treat Long Covid, as well as how to prepare for vaccines. 

Hypertension and other chronic diseases affect over a billion people in low- and middle-income countries. Learn how the Global Health Advocacy Incubator strengthens primary care to close treatment gaps and bring life-saving care to millions: https://www.advocacyincubator.org/program-areas/health-systems-strengthening/primary-health-care Global Health Advocacy Incubator City: Washington Address: 1400 I Street Northwest Website: https://www.advocacyincubator.org/

Send us a textWelcome back Rounds Table Listeners! We are back today with a Classic Rapid Fire episode. This week, Drs. Mike and John Fralick discuss two recent papers: the effects of perioperative hypotension-avoidance versus hypertension-avoidancestrategies on delirium and 1-year cognitive decline after noncardiac surgery, and the effect of as-needed albuterol–budesonide on risk of severe asthma exacerbation among patients with moderate-to-severe asthma. Two papers, here we go!Effects of a Hypotension-Avoidance Versus a Hypertension-Avoidance Strategy on Neurocognitive Outcomes After Noncardiac Surgery (0:00 – 11:25)As-Needed Albuterol–Budesonide in Mild Asthma (11:26 – 21:12)And for the Good Stuff (21:13 – 23:17):Shout out to all the emergency medicine physicians!If you are interested in checking out the alpha version of the chatbot for One-Pagers for the Wards, reach out to Mike at fralickmpf@gmail.com.Thank you to our sponsor, FIGS scrubs. Rounds Table listeners can save 20% on their next purchase with code FIGSCA at https://www.wearfigs.com/.Questions? Comments? Feedback? We'd love to hear from you! @roundstable @InternAtWork @MedicinePods

Uncontrolled hypertension continues to drive cardiovascular risk and remains a major gap in chronic disease management. This episode discusses what pharmacists need to know to support treatment adherence, identify therapeutic gaps, and address barriers to blood pressure control. Listen to strengthen your role in helping patients achieve meaningful, sustained outcomes. HOSTJoshua Davis Kinsey, PharmDVP, EducationCEimpactGUESTRyan Jacobsen, PharmD, BCPSClinical Pharmacy SpecialistU of Iowa HealthCareJoshua Davis Kinsey and Ryan Jacobsen have no relevant financial relationships to disclose. Pharmacists, REDEEM YOUR CPE HERE!CPE is available to Health Mart franchise members onlyTo learn more about Health Mart, click here: https://join.healthmart.com/CPE INFORMATION Learning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Identify common causes and consequences of uncontrolled hypertension in various patient populations.2. Describe the pharmacist's role in recognizing gaps in therapy, addressing adherence, and supporting blood pressure control.0.05 CEU/0.5 HrUAN: 0107-0000-25-271-H01-PInitial release date: 8/11/2025Expiration date: 8/11/2026Additional CPE details can be found here.

Send us a text—This is an encore presentation of an episode previously published June 30—On this episode of the CMAJ Podcast, hosts Dr. Mojola Omole and Dr. Blair Bigham speak with two authors of the latest “Hypertension Canada guideline for the diagnosis and treatment of hypertension in adults in primary care”The discussion reflects a shared urgency: despite past successes, Canada's hypertension control rates are declining. The new guidelines aim to reverse this trend by simplifying diagnosis and treatment for frontline clinicians.Dr. Rémi Goupil, a nephrologist and clinician researcher at Sacré-Cœur Hospital in Montreal, and Dr. Greg Hundemer, a nephrologist and clinician scientist at The Ottawa Hospital, explain that the updated guideline is deliberately designed for primary care providers. They highlight key shifts: lowering the diagnostic threshold for hypertension to  ≥ 130/80 mm Hg, simplifying blood pressure targets, and emphasizing accurate, standardized measurement techniques both in clinic and at home. The guidelines were created with input from a majority-primary care committee—including family physicians, nurses, pharmacists, and patient partners—to ensure clinical applicability.Together, the panel outlines a streamlined nine-step treatment algorithm, emphasizing combination therapy as first-line pharmacologic management. They explain the evidence supporting ARB–thiazide combinations, discuss cost considerations for drug selection, and address adherence challenges. They also explore red flags for secondary hypertension and how the algorithm supports—but does not replace—clinical judgment.For physicians, this guideline offers a clear and practical roadmap: measure blood pressure correctly, aim for systolic pressure below 130 mm Hg, and use the simplified treatment sequence to improve adherence and outcomes. Designed to be easy to implement, the new approach aims to empower primary care providers to act with confidence.Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.You can find Blair and Mojola on X @BlairBigham and @DrmojolaomoleX (in English): @CMAJ X (en français): @JAMC FacebookInstagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions

Uncontrolled hypertension continues to drive cardiovascular risk and remains a major gap in chronic disease management. This episode discusses what pharmacists need to know to support treatment adherence, identify therapeutic gaps, and address barriers to blood pressure control. Listen to strengthen your role in helping patients achieve meaningful, sustained outcomes. HOSTJoshua Davis Kinsey, PharmDVP, EducationCEimpactGUESTRyan Jacobsen, PharmD, BCPSClinical Pharmacy SpecialistU of Iowa HealthCareJoshua Davis Kinsey and Ryan Jacobsen have no relevant financial relationships to disclose. Pharmacist Members, REDEEM YOUR CPE HERE! Not a member? Get a Pharmacist Membership & earn CE for GameChangers Podcast episodes! (30 mins/episode)CPE INFORMATIONLearning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Identify common causes and consequences of uncontrolled hypertension in various patient populations.2. Describe the pharmacist's role in recognizing gaps in therapy, addressing adherence, and supporting blood pressure control.0.05 CEU/0.5 HrUAN: 0107-0000-25-271-H01-PInitial release date: 8/11/2025Expiration date: 8/11/2026Additional CPE details can be found here.Follow CEimpact on Social Media:LinkedInInstagram

In this second episode of our series on hypertensive disorders of pregnancy, we move beyond the diagnosis to focus on what comes next. We break down how these conditions are managed, what they mean for timing and mode of delivery, and the implications for maternal health after pregnancy. From evidence-based treatment strategies to long-term wellness considerations, MamaDoc BabyDoc guide you through the journey—supporting informed decisions every step of the way.

Interventional cardiologist Dr. Jennifer Rodriguez breaks down the link between hypertension and stroke, sharing expert insights and prevention strategies. Visit www.cardio.com for more information or to schedule an appointment with one of our providers.Visit www.cardio.com for more information or to schedule an appointment with one of our providers.

00:00 Introduction to Hypertension 00:38 Welcome to Cardio Buzz 01:01 Understanding Primary Aldosteronism 02:27 Health Risks of Primary Aldosteronism 02:59 Screening for Primary Aldosteronism 05:00 Diagnosis and Interpretation 09:46 Adrenal Vein Sampling 14:22 Surgical and Medical Treatments 19:50 Conclusion and Final Thoughts

Dr. Jeff White, cardiologist with Willis Knighton Cardiology - South, explains the causes of hypertension, how to combat high blood pressure through lifestyle changes, and what medications help manage blood pressure. 

This Study Could Change How We Diagnose  Hypertension. Dr. Siobhan Deshauer will review several problems with measuring blood pressure in the doctor's office.Welcome to the Hypertension Resistant to Treatment Podcast! Initially, our goal was to empower individuals to effectively manage their blood pressure with the help of healthcare professionals. However, our focus has evolved to prioritize supporting healthcare providers, particularly nurse practitioners (NPs), recognizing their crucial role in patient outcomes.  We emphasize the importance of equipping healthcare providers with the necessary tools and knowledge to help patients achieve reasonable blood pressure control. Thank you for joining us on this journey toward improved hypertension management. This podcast offers a mixture of informative and inspirational content.The Hypertension Resistant to Treatment podcast is hosted by Dr. Tonya Breaux-Shropshire, PhD, DNP, MPH, FNP-C. Of note, according to the AACN, fewer than 1% of U.S. nurses hold a doctoral degree, with most having a DNP rather than a PhD. This highlights the rarity of both degrees, though DNPs are significantly more common than PhDs.Send us a text Support the showSupport the podcast by subscribing using this link: click here. We appreciate your support, thank you! Copyright Disclaimer under section 107 of the Copyright Act 1976, allowance is made for “fair use” for purposes such as criticism, comment, news reporting, teaching, scholarship, education, and research.Royalty-free music: Turn on My Swag 2 Epidemic Sound****Disclaimer: This podcast is not medical advice. Consult your healthcare provider for medical advice. All views and statements in this podcast are those of the host, guest, and speakers.The views and opinions expressed on this podcast are my own and do not represent the official position or policies of my employer or any affiliated organization. Any information shared here is intended for educational and informational purposes only, based on my personal expertise and research.

With the increase in the public's attention to all aspects of brain health, neurologists need to understand their role in raising awareness, advocating for preventive strategies, and promoting brain health for all. To achieve brain health equity, neurologists must integrate culturally sensitive care approaches, develop adapted assessment tools, improve professional and public educational materials, and continually innovate interventions to meet the diverse needs of our communities. In this BONUS episode, Casey Albin, MD, speaks with Daniel José Correa, MD, MSc, FAAN and Rana R. Said, MD, FAAN, coauthors of the article “Bridging the Gap Between Brain Health Guidelines and Real-world Implementation” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Albin is a Continuum® Audio interviewer, associate editor of media engagement, and an assistant professor of neurology and neurosurgery at Emory University School of Medicine in Atlanta, Georgia. Dr. Correa is the associate dean for community engagement and outreach and an associate professor of neurology at the Albert Einstein College of Medicine Division of Clinical Neurophysiology in the Saul Korey Department of Neurology at the Montefiore Medical Center, New York, New York. Dr. Said is a professor of pediatrics and neurology, the director of education, and an associate clinical chief in the division of pediatric neurology at the University of Texas Southwest Medical Center in Dallas, Texas. Additional Resources Read the article: Bridging the Gap Between Brain Health Guidelines and Real-world Implementation Subscribe to Continuum®: shop.lww.com/Continuum Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @caseyalbin Guests: @NeuroDrCorrea, @RanaSaidMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. This exclusive Continuum Audio interview is available only to you, our subscribers. We hope you enjoy it. Thank you for listening. Dr Albin: Hi all, this is Dr Casey Albin. Today I'm interviewing Dr Daniel Correa and Dr Rana Said about their article on bridging the gap between brain health guidelines and real-world implementation, which they wrote with Dr Justin Jordan. This article appears in the June 2025 Continuum issue on disorders of CSF dynamics. Thank you both so much for joining us. I'd love to just start by having you guys introduce yourselves to our listeners. Rana, do you mind going first? Dr Said: Yeah, sure. Thanks, Casey. So, my name is Rana Said. I'm a professor of pediatrics and neurology at the University of Texas Southwestern Medical Center in Dallas. Most of my practice is pediatric epilepsy. I'm also the associate clinical chief and the director of education for our division. And in my newer role, I am the vice chair of the Brain Health Committee for the American Academy of Neurology. Dr Albin: Absolutely. So just the right person to talk about this. And Daniel, some of our listeners may know you already from the Brain and Life podcast, but please introduce yourself again. Dr Correa: Thank you so much, Casey for including us and then highlighting this article. So yes, as you said, I'm the editor and the cohost for the Brain and Life podcast. I do also work with Rana and all the great members of the Brain Health Initiative and committee within the AAN, but in my day-to-day at my institution, I'm an associate professor of neurology at the Albert Einstein College of Medicine in the Montefiore Health System. I do a mix of general neurology and epilepsy and with a portion of my time, I also work as an associate Dean at the Albert Einstein College of Medicine, supporting students and trainees with community engagement and outreach activities. Dr Albin: Excellent. Thank you guys both so much for taking the time to be here. You know, brain health has really become this core mission of the AAN. Many listeners probably know that it's actually even part of the AAN's mission statement, which is to enhance member career fulfillment and promote brain health for all. And I think a lot of us have this kind of, like, vague idea about what brain health is, but I'd love to just start by having a shared mental model. So, Rana, can you tell us what do you mean when you talk about brain health? Dr Said: Yeah, thanks for asking that question. And, you know, even as a group, we really took quite a while to solidify, like, what does that even mean? Really, the concept is that we're shifting from a disease-focused model, which we see whatever disorder comes in our doors, to a preventative approach, recognizing that there's a tremendous interconnectedness between our physical health, our mental health, cognitive and social health, you know, maintaining our optimal brain function. And another very important part of this is that it's across the entire lifespan. So hopefully that sort of solidifies how we are thinking about brain health. Dr Albin: Right. Daniel, anything else to add to that? Dr Correa: One thing I've really liked about this, you know, the evolution of the 2023 definition from the AAN is its highlight on it being a continuous state. We're not only just talking about prevention of injury and a neurologic condition, but then really optimizing our own health and our ability to engage in our communities afterwards, and that there's always an opportunity for improvement of our brain health. Dr Albin: I love that. And I really felt like in this article, you walked us through some tangible pillars that support the development and maintenance of this lifelong process of maintaining and developing brain health. And so, Daniel, I was wondering, you know, we could take probably the entire time just to talk about the five pillars that support brain health. But can you give us a pretty brief overview of what those are that you outlined in this article? Dr Correa: I mean, this was one of the biggest challenges and really bundling all the possibilities and the evidence that's out there and just getting a sense of practical movement forward. So, there are many organizations and groups out there that have formed pillars, whether we're calling them seven or eight, you know, the exact number can vary, but just to have something to stand on and move forward. We've bundled one of them as physical and sleep health. So really encouraging towards levels of activity and not taking it as, oh, that there's a set- you know, there are recommendations out there for amount of activity, but really looking at, can we challenge people to just start growing and moving forward at their current ability? Can we challenge people to look at their sleep health, see if there's an aspect to improve, and then reassess with time? We particularly highlight the importance of mental health, whether it's before a neurologic condition or a brain injury occurs or addressing the mental health comorbidities that may come along with neurologic conditions. Then there's of course the thing that everyone thinks about, I think, with brain health in terms of is cognitive health. And you know, I think that's the first place that really enters either our own minds or as we are observers of our elder individuals in our family. And more and more there has been the highlight on the need for social interconnectedness, community purpose. And this is what we include as a pillar of social health. And then across all types of neurologic potential injuries is really focusing on the area of brain injury. And so, I think the area that we've often been focused as neurologists, but also thinking of both the prevention along with the management of the condition or the injury after it occurs. Dr Albin: Rana, anything else to add to that? That's a fantastic overview. Dr Said: Daniel, thank you for- I mean, you just set it up so beautifully. I think the other thing that maybe would be important for people to understand is that as we're talking through a lot of these, these are individual. These sound like very individual-basis factors. But as part of the full conversation, we also have to understand that there are some factors that are not based on the individual, and then that leads to some of the other initiatives that we'll be talking about at the community and policy levels. So, for example, if an individual is living in an area with high air pollution. Yes, we want them to be healthy and exercise and sleep, but how do we modify those factors? What about lead leaching from our aging pipes or even infectious diseases? So, I think that outside of our pillars, this is sort of the next step is to understand what is also at large in our communities. Dr Albin: That's a really awesome point. I love that the article really does shine through and that there are these individual factors, and then there there's social factors, there's policy factors. I want to start just with that individual because I think so many of our patients probably know, like, stress management, exercise, sleep, all of that stuff is really important. But when I was reading your article, what was not so obvious to me was, what's the role that we as neurologists should play in advocating? And really more importantly, like, how should we do that? And again, it struck me that there are these kind of two issues at play. And one is that what Daniel was saying that, you know, a lot of our patients are coming because they have a problem, right? We are used to operating in this disease-based care, and there's just limited time, competing clinical demands. If they're not coming to talk about prevention, how do we bring that in? And so Rana, maybe I'll start with you just for that question, you know, for the patients who are seeing us with a disease complaint or they're coming for the management of a problem, how are you organizing this at the bedside to kind of factor in a little bit about that preventative brain health? Dr Said: You know, I think the most important thing at the bedside is, one, really identifying the modifiable risk factors. These have been well studied, we understand them. Hypertension, diabetes, smoking, weight management. And we know that these definitely are correlative. So is it our role just to talk about stroke, or should we talk about, how are you managing your blood pressure? Health education, if there was one major cornerstone, is elevating health literacy for everyone and understanding that patients value clear and concise information about brain health, about modifiable risk factors. And the corollary to that, of course, are what are the resources and services? I completely understand---I'm a practicing clinician---the constraints that we have at the bedside, be it in the hospital or in our clinics. And so being the source of information, how are we referring our families and individuals to social workers, community health worker support, and really partnering with them, food banks, injury prevention programs, patient advocacy organizations? I think those are really ways that we can meet the impacts that we're looking at the bedside that can feel very tangible and practical. Dr Albin: That's really excellent advice. And so, I'd like to ask a follow-up question. With your knowledge of this, trying to get more multidisciplinary buy-in from your clinic so that you really have the support to get these services that are so critically important. And how do you do that? Dr Said: Yeah, I think it's, one, being a champion. So, what does a champion mean? It means that somebody has to decide this is really important. And I think we all realize that we're not the only ones in the room who care about this. We're all in this, and we all care about it. But how do we champion it and carry it through? And so that's the first. Second you find your partnerships: your social workers, your case managers, your other colleagues. And then what is the first-level entry thing that you can do? So for example, I'm a pediatric epileptologist. One of the things we know is that in pediatric epilepsy, depression and anxiety are very strong comorbidities. So, before we get to the point where a child is in distress, every single one of our epilepsy patients who walks in the door over the age of twelve has an age-appropriate screener that is given to them in both English and Spanish. And we assess it and we determine stratifying risk. And then we have our social workers on the back end and we decide, is this a child who needs resources? Is this a child who needs to be walked to the emergency room, escorted? And anything in between. And I think that that was a just a very tangible example of, every single person can do this and ask about it. And through the development of dot phrases and clear protocols, it works really well. Dr Albin: I love that, the way that you're just being mindful. At every step of the way, we can help people towards this lifelong brain health. And Daniel, you work with an adult population. So I wonder, what are your tips for bringing this to a different patient population? Dr Correa: Well, I think---adult or child---one thing that we often are aware of with so many of the other things that we're doing in bedside or clinic room counseling, but we don't necessarily think of in this context of brain health, is, remember all the people in the room. So, at the bedside, whether it's in the ICU, discharge counseling, the initial admission, the whole family is often involved and really concerned about the active issue. But you can look for opportunities- we often try to counsel and support families about the importance of their own sleep and rest and highlighting it not just as being there for their family member, but highlighting it to them as a measure of their own improvement of their brain health. So, looking at ways where, one, I try to find, is there something I can do to support and educate the whole family about their brain health? And then- and with an epilepsy, or in many other situations, I try to look for one comorbidity that might be a pillar of brain health to address that maybe I wasn't already thinking. And then I consider, is there an additional thing that they wouldn't naturally connect to their epilepsy or their headaches that I can bring in for them to work on? You know, we can't often give people twelve different things to work on, and they'd just feel like, okay like, you have no realistic understanding of my life. But if we can just highlight on one, and remind them that there can be many more ways to improve their health and to follow up either with us as their neurologist or their future primary care doctors to address those additional needs. Again, I would really highlight the importance of a multidisciplinary approach and looking for opportunities. We've too often, I feel, relied on primary care as being the first line for addressing unmet social health needs. We know that so many people, once they have a neurologic condition or the potential, even, of a neurologic condition, they're concerned about dementia or something, they may view us, as their neurologist, as their most important provider. And if they don't have the resource of time and money to show up at other doctors, we may be the first one they're coming to. And so, tapping into your institution's resources and finding out, are there things that are available to the primary care services that for some reason we're not able to get on the inpatient side or the outpatient side? Referring to social workers and care workers and showing that our patients have an independent need, that they're not somehow getting captured by the primary care doctors. Dr Albin: I really love that. I think that we- just being more invested and just being ready to step into that role is really important. I was noticing in this article, you really call that being a brain health ambassador, being really mindful, and I will direct all of our listeners to Figure 3, which really captures what practitioners can do both at the bedside, within their local community, and even at the professional society level, to really advocate for policies that promote brain wellness. Rana, at the very beginning of this conversation, you noted, you know, this is not just an individual problem. This really is something that is a component of our policy and the structure of our local communities. I really loved in the article, there's a humility that this cannot be just a person-by-person bedside approach, that this is a little bit determined by the social determinants of health. And so, Rana, can you walk us through a little bit of what are the social determinants of health, and why are these so crucially important when we think about brain health for all? Dr Said: Yeah, social determinants of health are a really key factor that it looks at, what are the health factors that are environmental; for example, that are not directly like what your blood pressure is, what, you know, what your BMI is, that definitely impact our health outcomes. So, these include environmental things like where people are born, where they live, where they learn, work, play, worship, and age. It encompasses factors like your socioeconomic status, your education, the neighborhoods where you are living, definitely healthcare access. And then all of this is in a social and community context. We know that the impact of social determinants of health on brain health are profound for the entire lifespan and that- so, for example, if someone is from a disadvantaged background or that leads to chronic stress, they can have limited access to healthcare. They can have greater risk of exposure to, let's say, environmental toxins, and all of that will shape how their brain health is. Violence, for example. And so, as we think about how we're going to target and enhance brain health, we really have to understand that these are vulnerable populations, special high-risk populations, that often have a disproportionate burden of neurologic disorders. And by identifying them and then developing targeted interventions, it promotes health equity. And it really has to be done in looking at culturally- ethnocultural-sensitive healthcare education resources, thinking about culturally sensitive or adaptive assessment tools that work for different populations so that these guidelines that we have, that we've already identified as being so valuable, can be equitably applied, which is one crucial component of reducing brain health risk factors. And lastly, at the neighborhood level, this is where we really rely on our partnerships with community partners who really understand their constituents and they understand how to have the special conversations, how to enhance brain health through resource utilization. And so, this is another plug for policy and resources. Dr Albin: I love that. And thinking about the neighborhood and the policy levels and all the things that we have to do. Daniel, I'd like to ask you, is there anything else you would add? Dr Correa: Yeah, you know, so I really wanted to come back to this thing is that often and unfortunately, in the beginning understanding of social determinants of health, they're thought of as a positive or a negative factor, and often really negative. These are just facts. They're aspects about our community, our society, and some of them may be at the individual level. They're not at fault of any individual or community, or even our society. They're just the realities. And when someone has a factor that may predict a health disparity or an unmet social need---I wanted to come back to that concept and that term---one or two positive factors that are social determinants of health for that individual are unmet social needs. It's a point of promise. It's a potential to be addressed. And seeking ways to connect them with community services, social work, caregivers, these are ways where- that we can remove a barrier to, so that the possibility of the recommendations that we're used to doing, giving recommendations about medications and management, can be fully appreciated for that person. And the other aspect is, like brain health, this is a continuous state. The social determinants of health may be different for the child, the parent, and the elderly family member in the household, and there might be some that are shared across them. And when one of those individuals has a new medical illness or a new condition, a stroke, and now has a mobility limitation, that may change a social determinant of health for that person or for anyone else in the family, the other people now becoming caregivers. We're used to this. And for someone after a stroke or traumatic brain injury, now they have mobility changes. And so, we work on addressing those. But thinking on how those things now become a barrier for engaging with community and accessing things, something as simple as their pharmacy. Dr Albin: I hear a lot of “this is a fluid situation,” but there's hope here because these are places that we can intervene and that we can really champion brain health throughout this fluid situation. Which kind of brings me to what we're going to close out with, which is, I'm going to have you do a little thought exercise, which is that you find a magic lamp and a genie comes out. And we'll call this the brain health genie. The genie says that they are going to grant you one wish for the betterment of brain health. Daniel, I'll start with you. What is the one thing that you think could really move the needle on promoting and maintaining brain health? Dr Correa: I will jump on nutrition and food access. If we could somehow get rid of food insecurity and have access to whole and fresh foods for everyone, and people could go back to looking at opportunities from their ancestral and cultural experiences to cook and make whole-food recipes from their own cultures. Using something like the Mediterranean diet and the mind diet as a framework, but not looking at those as cultural barriers that we somehow all have to eat a certain way. So, I think that would really be the place I would go to first that would improve all of our brain health. Dr Albin: I love that. So, wholesome eating. Rana, how about you? One magic wish. Dr Said: I think traumatic brain injury prevention. I think it's so- it feels so within our reach, and it just always is so heart-hurting when you think that wearing helmets, using seatbelts, practicing safety in sports, gun safety---because we know unfortunately that in pediatric patients, firearm injury is the leading cause of traumatic brain injury. In our older patients, fall reduction. If we could figure out how to really disseminate the need for preventative measures, get everyone really on board, I think this is- the genie wouldn't have to work too hard to make that one come true. Dr Albin: I love that. As a neurointensivist, I definitely feel that TBI prevention. We could talk about this all day long. I really wish we had a longer bit of time, but I really would direct all of our listeners to this fantastic article where you give really practical advice. And so again, today I've been interviewing Drs Daniel Correa and Rana Said about their article on bridging the gap between brain health guidelines and real-world implementation, written with Dr Justin Jordan. This article appears in the most recent issue of Continuum on the disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues. And thank you so much for our listeners for joining us today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. We hope you've enjoyed this subscriber-exclusive interview. Thank you for listening.

Indianapolis is one of the hotbeds of Histoplasmosis, which is often misdiagnosed and can lead to other health issues throughout the body.  In this episode, you'll learn:—What Histoplasmosis is and the symptoms of it, which "seems like the flu when you get it".  And how "a lot of doctors aren't even aware of it".—The story of how Dr. Prather's own father suffered from COPD as a result of an underlying Histoplasmosis infection he contracted as a kid by being in charge of the chicken coop.—The difficulty in accurately testing for Histoplasmosis, which can be misdiagnosed as Tuberculosis, Lyme Disease, Sarcoidosis, or Macular Degeneration.  And how Histoplasmosis is "the number one cause of blindness in Indiana".—How Antibiotics and Steroids that are often prescribed by doctors will actually make the Histoplasmosis "take off" and become "systemic".—Why Indianapolis is such a center for Histoplasmosis outbreaks.  And why Dr. Prather says that everyone who has lived in the area for 5 years has Histoplasmosis.—The natural products Dr. Prather has found to be even more effective for Histoplasmosis than prescription drugs because they actually rebuild the body's immune system.  And why Dr. Prather says "the strongest anti-fungal medicine known to man" is Oregano Oil.—The importance of Homeopathy, which Dr. Prather says has made a big difference in "the real serious cases" of Histoplasmosis.  And why Dr. Prather says "you are going to have problems" if your Vitamin D and Vitamin A are low. —How a weakened immune system, nutritional deficiency, or stress are usually the reasons that a Histoplasmosis infection takes off in the first place.  And how you probably have a secondary Histoplasmosis infection that needs to be addressed if you live in Indianapolis and have Long COVID.—Why Chiropractic, Acupuncture, and Diathermy are helpful for Histoplasmosis.  And the Spleen-21 Acupuncture point that causes people to feel immediately better when they are sick.—How Dr. Prather has had patients suffering from Kidney failure and patients dealing with Hypertension whose real underlying issue was Histoplasmosis.http://www.TheVoiceOfHealthRadio.com

Dr. Grossman explores practical, natural strategies to help you reduce high blood pressure in addition to taking prescribed medication. Discover how simple changes in your diet, nutrition, and lifestyle can help hypertension. Learn about the best foods to eat, the impact of regular exercise, how to reduce alcohol intake, and effective ways to manage stress. Plus, get insights on herbs and spices that support heart health. Whether you're looking to prevent high blood pressure or manage it more effectively, this episode offers clear, actionable tips to help you live a healthier, more balanced life—naturally.Empower yourself with knowledge and take proactive steps to safeguard your vision. For more information and resources, visit NaturalEyeCare.com and DrGrossman2020.com. Subscribe to our podcast for ongoing insights into holistic eye care.

Here is a classic Curbsiders episode with one of our favourite guests of all time, Dr Joel Topf. Learn how to manage diabetes and hypertension in chronic kidney disease with expert tips from Kidney Boy, Kashlak's Chief of Nephrology, Dr. Joef Topf @kidney_boy.  Claim CME for this episode at curbsiders.vcuhealth.org! Heart of Care If you care about patient safety, team performance, and building a culture of readiness, subscribe to In the Heart of Care. Available now, wherever you get your podcasts. Quince Go to Quince.com/curb for free shipping on your order and three hundred and sixty-five -day returns.

As nurse practitioners, we often see a condition that flies under the radar but has important implications for diagnosis and treatment: secondary hypertension. While high blood pressure is common, readings that don't fit the typical profile should make us pause.   In today's episode, I'll walk you through the red flags that signal secondary hypertension and use real clinical scenarios to address practical workup strategies. Tune in to discover when to suspect secondary hypertension, and learn how early recognition and timely diagnosis of underlying causes can lead to better patient outcomes and more effective hypertension management.   Get full show notes, transcript, and more information here: https://blog.npreviews.com/secondary-hypertension-demystified-nurse-practitioners/

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Low-Dose Combinations With 3 or 4 Blood Pressure–Lowering Medications for the Treatment of Hypertension.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Exercise-Induced Hypertension Is Associated With Gestational Hypertension Occurrence in Patients With Repaired Aortic Coarctation.

New indication for Kerendia; investigational therapy shows promise for hypertension; Novolog interchangeable biosimilar gets approval; trial results for hormone-free contraceptive; Shingrix now supplied in a prefilled syringe.

Fewer than 10 percent of people with hypertension had their blood sugar under control & fewer than 66 percent of diabetics had metabolic disorder under control in 2019-21.  

Focus Issue on Hypertension and Dyslipidaemias

Hypertension is a "silent killer", impacting 37% of all adults and over 50% of Senior Citizens—often presenting no symptoms while causing damage to the body.  In this episode, you'll find out:—The 5 levels of Hypertension and why Diastolic is "the most important number" in your blood pressure measurement.  And how Dr. Prather finds that 70% of all high blood pressure is caused by the Kidneys.—The reason that Black Americans are more prone to High Blood Pressure, affecting over 70% of all Black Senior Citizens.  And how Dr. Prather has found that Arginine gets "really good results" and "great changes" for Black patients.—Why Dr. Prather says you will "never get hypertension under control" if there is a Heavy Metal toxicity in the body.  And the Hair Analysis Dr. Prather uses to diagnose a patient's level of heavy metals. —The effectiveness of Vitamin C in reducing blood pressure.  And why anti-Cholesterol Statin Drugs can actually cause or contribute to Hypertension.—How most prescription heart medications LOWER your CoQ10, which is actually one of the most important things for the healing of the heart.  And the kind of salt you should be eating that will actually heal your Kidneys.—Why Acupuncture is helpful for Hypertension, both temporarily and over the long-term.  And why Chiropractic adjustments help high blood pressure by making "a strong change in the nervous system".—The effectiveness of Herbals in bringing blood pressure down.  And how Holistic Integration uses Electrodermal Screening (EDS) to determine which supplement will work best on a patient instead of just guessing.—How Dr. Prather "always sees a difference" in reducing the amount of medication a hypertension patient needs and can actually eliminate their need for prescription drugs "most of the time".—The DASH Diet that helps High Blood Pressure by increasing Fiber and taking stress off of the kidneys.  And the External CounterPulsation (ECP) Therapy that provides 5-years of marathon training for the heart in just 7 weeks.—The details of our next free Holistic Heart seminar with Dr. Prather on Wednesday, July 30th at 6:30 p.m.  And how those who attend will receive our Autonomic Nervous System Test that measures your heart function, nervous system, and circulatory system for just $49–normally a $195 value.http://www.TheVoiceOfHealthRadio.com

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How can we better understand the developmental nature of cardiovascular disease across the life course and improve the health of people who experience chronic early life stress? In this episode Dr. Nathaniel Jenkins (University of Iowa) interviews lead author Dr. Annemarie Wentzel (North-West University, South African Medical Research Council Unit for Hypertension and Cardiovascular Disease) and expert Dr. Romain Harmancey (The University of Texas Health Science Center at Houston) about the study by Wentzel et al. which found that stress, expressed as a cumulative allostatic load score, impacted the microvasculature, macrovasculature, and central cardiac structure and function on a preclinical level in otherwise healthy emerging adults. The authors also found that the composite allostatic load score was particularly accurate in predicting masked hypertension and pre-diabetes in their study population. The composite allostatic load score incorporates multiple physiological biomarker systems and can offer clinicians an additional tool to use in addressing root causes of chronic stress. Is your hardware for managing stress where it should be developmentally? Listen now and learn more.   A. Wentzel, W. Smith, E. Jansen van Vuren, R. Kruger, Y. Breet, E. Wonkam-Tingang, N. A. Hanchard, and S. T. Chung Allostatic load and cardiometabolic health in a young adult South African population: the African-PREDICT study Am J Physiol Heart Circ Physiol, published February 24, 2025. DOI: 10.1152/ajpheart.00845.2024