Podcasts about Internal medicine

"I'd already finished my cardiovascular unit. I'd finished my pulmonary unit. I had never heard about this in any of my classes." That was Dr. Joel Bervell's reaction to discovering that a device used every day in hospitals -- the pulse oximeter -- reads less accurately on darker skin tones. He posted a 30-second video about this consequential discrepancy that, to his utter surprise, gained over 500,000 views by the next morning. That video launched Dr. Bervell into orbit as a social media presence and created his identity as The Medical Mythbuster. In just a few years, he's built a following of two million people, earned a Peabody Award and was named to the inaugural Time 100 Creators list, all while finishing his residency.  On this episode of Raise the Line, host Lindsey Smith welcomes Dr. Bervell to explore the roots of this kind of bias and the real world impact of drawing attention to it. “The most impactful biases in medicine exist because no one stops to ask who was included in the original data and who was left out,” Dr. Bervell explains. Stay tuned to also learn about: His YouTube animated series The Doctor is In which helps kids understand how their bodies work, as well as providing medical role models; How to build trust with marginalized communities; His forthcoming book, The Default Body which examines who medicine was actually designed for. Mentioned in this episode:Dr. Bervell on InstagramTikTok ChannelFacebook"The Doctor Is In" Show If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

How much of your marketing technology budget is quietly underperforming, not because the software is flawed, but because your teams can't, or won't, fully adopt it?Because real agility was never about buying faster tools. It's about having an operating model that can actually turn a tool's potential into results, and keep doing it as the tools keep changing.Today we're digging into the phase that quietly decides whether any martech investment pays off: what happens after the contract is signed with things like implementation and adoption. We'll get into:- Why rollouts stall — and why the real cause is usually the operating model, not the tool.- What it takes to move a team from "trained" to genuinely changed.- How to measure real value without fooling yourself with usage metrics.- And what shifts once the platform starts doing some of the work itself.To help me discuss this topic, I'd like to welcome, Kate Dalbey, Chief Client Officer at Qualified Digital.About Kate DalbeyAs CCO, Kate leads client management and growth initiatives at Qualified Digital, bringing over 20 years of digital marketing experience from both client-side and agency-side roles. She's responsible for driving organic and net new growth by leading multi-disciplinary teams who turn light-bulb ideas into fantastic outcomes for the brands QD works with. Kate is guided by the client philosophy that "we grow because they grow." Kate has consistently delivered year-over-year growth in her portfolio within fast-paced, high-growth start-up environments. She passionately believes that digital experiences can change people's lives for the better and works diligently to see these outcomes arrive in real time. In her daily life at QD, Kate enjoys what she calls "the relentless pursuit of better business results" and takes pride in building the teams that can create them, from idea to strategy to plan to execution and measurement. Because what's next isn't enough, it's what's north that really gets her excited. Kate's career experience is deeply rooted in healthcare, across provider, payer, and life sciences. The client roster she's managed includes category powerhouses CVS Health, CommonSpirit Health, Mayo Clinic, Kaiser Permanente, Cigna, Aetna, Sunrise Senior Living, Gelesis, UNCH, Jefferson Health, Cedars-Sinai, Spaulding Rehabilitation, UHS, and Wedgewood Pharmacy. She's also led digital transformation for AmeriGas, Hitachi Vantara, Thomson Reuters, ScanSource, U of Pennsylvania, and the Am. Board of Internal Medicine. When Kate isn't delivering her unique brand of magic at QD, she's with her husband and 2 sons. She loves cheering on Philly sports teams, coaching youth soccer with her husband, and traveling with her family.Kate Dalbey on LinkedIn---------- Resources ---------- Qualified DigitalThe Agile Brand podcast is brought to you by TEKsystems.We're proud to be a media partner for #MAICON26 - Oct. 13-15! Learn how AI can power your marketing and business and help you grow smarter. Use code AGILE150 to save!Reach your customers with Reddit. Spend $500 in ad spend, get $500 back in ad credit!Chaser is the only Slack-native project management platform that helps teams turn messages into tracked tasks, automate follow-ups, and maintain team-wide visibility, without adopting another tool. Now integrated with Claude and other GenAI tools. Use code AGILEBRAND for a 3-month free trial (normal trial is 14 days).The most influential minds in software, AI, and engineering leadership will be at WeAreDevelopers World Congress North America, September 23-25 in San Jose. Start building your own apps with Replit and get $20 off.Enjoyed the show? Tell us more at and give us a rating so others can find the show.Connect with Greg on LinkedInDon't miss a thing: get the latest episodes, sign up for our newsletter and more.Check out The Agile Brand Guide website with articles, insights, and Martechipedia, the wiki for marketing technology.The Agile Brand is produced by Missing Link. Hosted on Acast. See acast.com/privacy for more information.

Running is one of the most accessible forms of exercise, offering benefits that extend far beyond cardiovascular fitness. In this episode of Health Matters, host Courtney Allison speaks with Dr. Morgan Busko, a sports medicine physician at NewYork-Presbyterian and Columbia and a competitive triathlete, about the physical and mental rewards of running. Dr. Busko explains why strength training is a critical foundation for runners and discusses how exercises that target the core and gluteal muscles can improve stability and help prevent injuries. She also breaks down the differences between dynamic warmups and static stretching, explaining how proper preparation can support healthier training. The conversation covers practical strategies for runners at every level, from walk-run programs for beginners to training plans for race day. Dr. Busko shares advice on gradually increasing mileage, building endurance safely, and avoiding common training mistakes that can lead to injury. Finally, she discusses the important roles sleep, nutrition, hydration, and recovery play in athletic performance, debunks the myth that running causes arthritis, and offers encouragement for anyone looking to start or return to running. Chapters 00:00 – Why Running Is Good for Body and Mind The physical and mental health benefits of running and why runners keep coming back 03:00 – Getting Started and Building Strength How to return to running after a break, why strength training matters, and exercises that help prevent injuries 06:20 – Training Smarter and Avoiding Injury Dynamic warmups, walk-run programs, race preparation, and common training mistakes 10:00 – Recovery, Fueling, and Running for the Long Term Sleep, nutrition, hydration, injury warning signs, and the myth that running causes arthritis – and tips to enjoy the sport Key Topics Covered Running Running for beginners Sports medicine Running and mental health Cardiovascular health Strength training for runners Injury prevention Core strength Glute strength Dynamic warmups Static stretching Race training Marathon training 5K training Walk-run method Running recovery Sleep and athletic performance Sports nutrition Hydration for runners Energy gels Running motivation Running injuries Arthritis and running Sports performance Healthy exercise habits Key Takeaway Running can improve cardiovascular health, strengthen the body, reduce stress, and support overall well-being, but success starts with a thoughtful approach. Building strength, progressing gradually, prioritizing recovery, and listening to your body can help prevent injuries and make running a sustainable, rewarding part of a healthy lifestyle. Doctor Bio Morgan Busko, MD is a sports medicine physician at NewYork-Presbyterian and Columbia specializing in the non-operative treatment of chronic and acute musculoskeletal injuries and conditions in adult and pediatric patients. She has a particular interest in endurance athletes, running and overuse injuries, and injury prevention. After completing a residency in Internal Medicine at New York University, where she also received her Medical Degree, Dr. Busko completed a Sports Medicine Fellowship at Wake Forest University. She received her B.S. in Biological Anthropology and Anatomy at Duke University, where she competed in Cross-Country and Track & Field. Dr. Busko is an active endurance athlete who has competed in the Hawaii Ironman World Championship five times, finishing amongst the top triathletes in the world. She finds great reward in helping athletes return to sport safely while facilitating an athlete's ability to reach their optimal athletic performance. She hopes that her passion for exercise as medicine will be contagious to her patients and everyone around her.

We don't talk enough about how hard it actually is to build a healthcare startup. Behind SmarterDx's story, now one of the biggest health AI exits to date, were 18 months without a single customer, a pivot that seemed to make no product sense, and two co-founders who went back to working as hospitalists just to get by.In this episode, Steve gets the real story from Dr. Michael Gao and Dr. Joshua Geleris about the challenges they faced and what ultimately unlocked real growth and led to their billion+ acquisition by New Mountain Capital.We cover:Why their first product idea failed and what customer objections actually taught them to build insteadThe counterintuitive workflow that made contingency pricing possibleHow AI translation of clinical notes into billing codes now outperforms the average human, and what that means for coders and nursesWhy "moat" is the wrong metaphor and what a flywheel looks like insteadWhat they'd do differently in the acquisition processAbout our guests:Michael Gao, MD, the CEO and co-founder of SmarterDx. Prior to founding SmarterDx, Dr. Gao was the Medical Director for Transformation at NewYork-Presbyterian, where he led applied AI development, implementation, and strategy for the health system. Dr. Gao holds faculty positions at the Icahn School of Medicine at Mount Sinai and Weill Cornell Medicine. Dr. Gao completed his internship and residency in Internal Medicine at NewYork-Presbyterian.. He received his M.D. from the University of Michigan and a B.S from the University of California Los Angeles.Josh Geleris, MD, is the Head of Product and co-founder of SmarterDx. Prior to SmarterDx, he was Assistant Professor of Medicine at Columbia University, where he was funded by the National Institutes of Health and the Department of Defense for clinical informatics and data science, and led implementation of Epic for providers. Dr. Geleris completed his MD at the Technion-Israeli Institute of Technology and his Internal Medicine internship and residency at NewYork-Presbyterian. ⸺

Send us Fan MailSend us Fan MailIn this enlightening episode of Living the Dream with Curveball, we welcome Dr. Furhan Qureshi, affectionately known as Dr. Q. A dedicated internal medici physician and U.S. Air Force reservist, Dr. Q shares his transformative journey through the challenges of a career-altering injury and the profound lessons learned on the front lines of the COVID pandemic. With over a decade of experience, he discusses the importance of resilience, adaptability, and the deep human connection that shapes his approach to health and wellness.Dr. Q opens up about his unexpected shift from aspiring surgeon to internal medicine, a pivot that has enriched his professional life with intellectual stimulation and flexibility. He reflects on his dual roles in the military and medicine, highlighting how both experiences have informed his leadership style and commitment to patient care.Listeners will discover:- The impact of personal challenges on professional growth and identity- Insights into the evolving field of telehealth and its significance during the pandemic- The importance of clinical restraint and honesty in building trust between doctors and patients- How military service has shaped his understanding of brotherhood and support in difficult times- Dr. Q's latest projects, including the relaunch of his wellness practice and podcast, *The Nora Effect*, which aims to educate the public on evidence-based health practices.Join us for a thought-provoking conversation that emphasizes the power of resilience, the necessity of honest communication in healthcare, and the importance of prioritizing long-term health over fleeting trends. For more information on Dr. Q and his work, visit www.thenoormd.comSupport the show

In this Supplement Ingredient Series episode, Nurse Doza breaks down bovine adrenal gland — a glandular supplement with over a century of use, rooted in the ancestral practice of eating organ meat for nutrients the body needs to function. He explains how cortisol dysregulation can show up as afternoon crashes, mood shifts, and restless nights, and why adrenal glandular is paired with adaptogens and B vitamins in a three-in-one formula built to support the stress response. FEATURED PARTNER Zen (Stress Relief) by MSW Nutrition is the bovine adrenal gland formula Nurse Doza reaches for himself — and the reason is the ingredient itself, which is genuinely hard to find on a shelf. One capsule delivers 125 mg of adrenal gland tissue sourced from Argentina, paired with four standardized adaptogens (Asian ginseng, rhodiola, eleuthero, and schisandra), plus vitamin C, vitamin B6 as P5P, and pantothenic acid. That's the three-in-one Nurse Doza describes in this episode: glandular, adaptogens, and B vitamins in one capsule, formulated to support the body's stress response and steadier daily energy.

What if the future of medicine isn't only about treating disease, but understanding what's happening in the body long before disease takes hold? Dr. Michael Aziz joins I Am Refocused Radio for a conversation about longevity, preventive health, nutrition, biological aging, and the ideas behind his book, The Ageless Revolution. Dr. Aziz is a board-certified Internal Medicine physician, author, and media commentator whose work brings together traditional and functional medicine. He has appeared across national media and has spent years exploring nutrition, hormones, preventive medicine, and strategies aimed at improving healthspan. In this conversation, we explore what happens to the body as we age, why Dr. Aziz believes medicine should pay greater attention to the mechanisms of aging, the difference between lifespan and healthspan, and what people should understand about the rapidly growing longevity movement. We also discuss nutrition, metabolic health, emerging approaches to healthy aging, and how people can become more proactive about their health without getting lost in every new wellness trend. https://www.michaelazizmd.com/  Become a supporter of this podcast: https://www.spreaker.com/podcast/i-am-refocused-radio--2671113/support.Subscribe now at YouTube.com/@RefocusedNetworkThank you for your time. 

Do GLP-1 medications improve metabolic health as much as they support weight loss? A new observational study in the Annals of Internal Medicine raises an important question about semaglutide, insulin discontinuation, type 2 diabetes, and what meaningful metabolic improvement may require.In this episode of Metabolic Mind, Dr. Bret Scher breaks down a real-world study of more than 9,000 veterans with type 2 diabetes who were using insulin and then added either a GLP-1 receptor agonist, SGLT2 inhibitor, or DPP4 inhibitor. Despite semaglutide's stronger association with weight loss, the study found similar insulin discontinuation rates across all three groups over three years.Dr. Scher covers:Why weight loss and metabolic health improvements may not always move togetherWhat insulin discontinuation can reveal about insulin resistance and beta cell functionWhy semaglutide did not outperform older diabetes medications in this studyThe limitations of observational research and real-world medication dataHow GLP-1 medications and therapeutic carbohydrate reduction may work through complementary mechanismsWhy combining GLP-1s with therapeutic carbohydrate reduction may be an important area for future research and clinical practiceThis conversation takes a closer look at what metabolic health means, and why the path from weight loss to insulin independence may be more complex than the scale alone can show.

Vaccine Education Center | Children's Hospital of PhiladelphiaEmail the show at kids@mpbonline.orgHost: Dr. Morgan McLeod, Asst. Professor of Pediatrics and Internal Medicine at the University of Mississippi Medical Center.If you enjoyed listening to this podcast, please consider contributing to MPB: https://donate.mpbfoundation.org/mspb/podcast Hosted on Acast. See acast.com/privacy for more information.

Navigating the complexities of medical malpractice cases demands a unique blend of clinical expertise and legal insight. This episode of the Legal Nurse Podcast welcomes a board-certified physician in emergency medicine, internal medicine, and neurocritical care, who brings more than 24 years of experience as an expert witness with over 300 trial testimonies. Together, they delve into the evolving role of medical experts, from pre-litigation consultations to providing critical insights on causation and damages in both medical malpractice and nursing home cases. Listeners will gain a behind-the-scenes look at how clinicians become involved in the legal world, how reviewing cases sharpens clinical practice, and the ever-changing nature of medical recordkeeping from handwritten notes to searchable digital PDFs and the emerging role of artificial intelligence in case review. Share practical advice for new experts, discusses the importance of honest, evidence-based opinions, and explore the challenges experts face when attorneys or clients may want to influence findings. Whether you're a legal professional, a clinician considering expert witness work, or simply interested in the intersection of medicine and law, this episode provides invaluable perspectives and actionable guidance for navigating tough cases and maintaining integrity in your practice. What You'll Learn in This Episode is The Intersection of Medicine and Law: Dr. Stein Shares Witness Strategies Here are 5 discussion questions answered by Pat Iyer and Kenny Stein in the podcast: How does a multi-specialty background inform his approach to reviewing medical malpractice cases? What are some of the key differences identified between being a testifying and a non-testifying expert? What potential and limitations does see in using AI to analyze medical records or assess standards of care? What are the biggest challenges and advantages that experience when working with electronic medical records compared to traditional paper records? How does recommend handling emotionally invested attorneys or families when a case does not have merit? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. Your Presenters for The Intersection of Medicine and Law: Dr. Stein Shares Witness Strategies Pat Iyer Pat Iyer is a seasoned legal nurse consultant and business coach, renowned for her expertise in guiding new legal nurse consultants to successfully break into the field. As the host of the Legal Nurse Podcast, Pat addresses critical challenges that legal nurse consultants face, such as difficulty in landing clients and a lack of response from attorneys. Through her insightful episodes, she emphasizes the importance of effectively communicating one's value to potential clients. With a wealth of experience, Pat has empowered countless consultants to overcome these hurdles and thrive in their careers. Connect with Pat Iyer by email at patiyer@legalnusebusiness.com Kenny Stein Dr. Stein is board-certified in Emergency Medicine, Internal Medicine, and Subspecialty-certified in Neurocritical Care. Dr. Stein has been an Expert Witness for 24 years, reviewing over 800 cases for both plaintiff and defense. Dr. Stein has testified over 300 times at depositions and trials. Connect with Kenny Stein by email at kennystein1@gmail.com

Two experts in obesity medicine discuss the latest advances in obesity care, including: Current data for incretin-based therapies Beyond the scale—individualizing OMM selection based on weight-related comorbidities and cardiometabolic risk Common contraindications and warnings associated with certain OMMs Shared decision-making strategies to inform treatment selection. [JF1]Added this to the episode notes to maybe help with the posttest  Presenters Amy Butts, PA-C, DFAAPA, BC-ADM, CDCES Endocrine Physician Associate WVU Medicine Wheeling Hospital Immediate Past President of American Society of Endocrine Physician Associates Wellsburg, West Virginia Nicholas Pennings, DO Professor of Family Medicine Campbell University School of Osteopathic Medicine Director of Clinical Education Obesity Medicine Association Buies Creek, North Carolina Link to full program:https://bit.ly/4v7eIY4 Get access to all of our new podcasts by subscribing to the Decera Clinical Education Multispecialty Podcast on Apple Podcasts, YouTube Music, or Spotify. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

I am grateful to have Dr. Shabana Dewani join me for this conversation.The words “stage IV breast cancer” can bring an enormous amount of fear.But fear is often made worse by uncertainty and misconceptions.In Part 1 of our special three-part series on metastatic breast cancer, we go back to the basics: What exactly is metastatic breast cancer? How is it different from early-stage disease? Where can breast cancer spread? And what does a metastatic diagnosis really mean for someone's life and future?We also address some of the most common myths surrounding stage IV disease—including the belief that there are no treatment options or that someone with metastatic breast cancer will always look or feel sick.While metastatic breast cancer remains a serious diagnosis, treatment has evolved tremendously. Care is increasingly personalized to the biology of the cancer, with the goals of controlling disease, helping patients live longer, preserving quality of life, and managing symptoms.Most importantly, we talk about something every patient deserves from their medical team:Honesty and hope can exist together.If you or someone you love has recently been diagnosed with metastatic breast cancer, you do not need to have all the answers today.You are more than a stage.You are more than a scan.And you are not alone.We are both grateful to have conversations that elevate awareness and strengthen our community.Dr. Shabana Dewani  is board certified in Medical Oncology, Hematology, and Internal Medicine—and a joy to listen to!  She breaks down the oncology process and important factors when deciding treatment.  You'll be able to hear her passion for helping others ensuring they get the best treatment possible.Stay Connected with Dr. Deepa Halaharvi:TikTok: @breastdoctorInstagram: @drdhalaharviTBCP Instagram: @thebreastcancerpodcastWebsite: https://drdeepahalaharvi.com/YouTube: https://www.youtube.com/@deepahalaharvi5917Instagram: @thebreastcancerpodcast

Interhospital transfers are a critical part of ensuring patients receive the right care at the right time. Standardized processes can help improve patient flow, strengthen communication, and create more consistent experience for patients and care teams. Our host Shannon Hale sits down with Dr. Benjamin Buettner, Assistant Clinical Professor of Internal Medicine and Medical Director of the Transfer Center at The Ohio State University Wexner Medical Center, to discuss how their system is improving transfers through standardization, collaboration and innovation.    Guest Speaker:  Benjamin P. Buettner, MD, FACP Assistant Clinical Professor of Internal Medicine Medical Director, Transfer Center The Ohio State University Wexner Medical Center Host: Shannon Hale, MHA, RN, CPHQ Senior Program Director, Performance Improvement Programs Vizient   Show Notes: [00:42] Inside Ohio State's Transfer Center and managing monthly bed requests [02:41] Why standardizing transfer processes improves consistency, patient safety and operational efficiency [05:22] Simplifying transfer reasons and redesigning workflows to support better decision making [06:21] Optimizing the electronic health record and building stakeholder buy-in  [07:57] Balancing patient needs with capacity management and making thoughtful transfer decisions [09:11] Investing in frontline nurses and using technology to improve transfer outcomes [11:48] Lessons learned from improving inter hospital transfer workflows and sustaining long term change [15:11] What's next for Ohio State including AI, predictive analytics and the future of transfer centers   Links | Resources: Contacting Knowledge on the Go: picollaboratives@vizientinc.com    Subscribe Today! Apple Podcasts Spotify YouTube Android RSS Feed  

Original Air Date: 5/1/2026Host: Jasmine T. Kency, M.D., Associate Professor of Internal Medicine and Pediatrics at the University of Mississippi Medical Center.Topic: Arthritis remedies and treatments.Email the show any time remedy@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.

Our kidneys do an incredible job filtering our blood every hour of every day. Most of us have two kidneys, and each one has about a million microscopic filters called glomeruli. Unlike the filters in our HVAC system, though, these filters cannot be replaced. But they do their work so well and unobtrusively that most of us don't even think about our kidney function. Although 37 million Americans have kidney trouble, the majority are unaware of their situation. Two tests could reveal how well the kidneys are working. What are they, and how often should you ask about them? At The People's Pharmacy, we strive to bring you up‑to‑date, rigorously researched insights and conversations about health, medicine, wellness and health policies and health systems. While these conversations intend to offer insight and perspective, the content is provided solely for informational and educational purposes. Please consult your healthcare provider before making any changes to your medical care or treatment. How You Can Listen You could listen through your local public radio station or get the live stream at 7 am EST on Saturday, August 8, 2026, through your computer or smart phone (wunc.org). Here is a link so you can find which stations carry our broadcast. If you can't listen to the broadcast, you may wish to hear the podcast later. You can subscribe through your favorite podcast provider, download the mp3 using the link at the bottom of the page, or listen to the stream on this post starting on August 10, 2026. What Are the Two Tests That Reveal Kidney Trouble? Chronic conditions like high blood pressure and diabetes put a strain on the kidneys. They are very common problems that signal the need for kidney function monitoring. Our guest expert, Dr. Samir Parikh, suggests that all of us should know our numbers. One is derived from the level of creatinine in the blood. This is normally part of a basic metabolic panel. Usually, the panel results will include a number for the estimated glomerular filtration rate (EGFR) calculated from the value for blood creatinine. The other crucial test is a urine test for protein. Keeping Kidneys Healthy by Staying Properly Hydrated One of the simplest tactics to keep kidneys healthy is to provide them with enough liquid. We get some fluid from the food we eat, which may be one reason eating fruits and vegetables seems to be good for us. They are full of water! We also need to drink fluid, and plain water is probably the best choice. It would be smart to use thirst as a guideline and make sure to drink when thirsty. We do avoid overdoing water consumption, though, as overloading the kidneys with more fluid than they can handle is dangerous as well. Medicines That Are Hard on the Kidneys We mentioned to Dr. Parikh the experience of an older friend, a devoted runner, who discovered that taking ibuprofen after a run reduced the likelihood of having to get up overnight to urinate. He reminded us and our listeners that nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, naproxen, celecoxib or meloxicam can be hard on the kidneys. That doesn't mean we shouldn't ever take such pain relievers, but perhaps we should try not to make it a habit. When we asked about other medicines that might be tough on the kidneys, he mentioned PPIs. Proton pump inhibitors such as omeprazole (Prilosec) or esomeprazole (Nexium) are often used to treat heartburn or other digestive symptoms. Regular use can put a strain on the kidneys, although the gastroenterologist recommending the medicine might not warn you of that side effect. We asked about environmental toxins and learned that heavy metals such as lead or arsenic can harm the kidneys along with other organs. We should make sure that the food we eat and the water we drink are not contaminated with such compounds. The Possible Benefits of Vitamin B Dr. Parikh has been studying how the kidneys respond to the B vitamin nicotinamide. The preliminary work he and his colleagues have done so far is promising. However, they have not conducted clinical trials to find out whether the vitamin could help people with early kidney disease. Because kidneys work so hard, they need a lot of energy to be produced by the mitochondria in their cells. Those mitochondria need NAD+ (nicotinamide adenine dinucleotide) to function at their best. Providing additional nicotinamide appears to help (Nature Reviews. Nephrology, Feb. 2020).  One to three grams a day appears to be safe and may be beneficial. Medications That Can Promote Kidney Health Some medicines initially developed for other conditions are proving to be helpful in treating kidney disease. In particular, these include diabetes drugs known as SGLT2 inhibitors like dapagliflozin (Farxiga) or empagliflozin (Jardiance). They help slow the decline of kidney function (New England Journal of Medicine, Nov. 4, 2022). GLP-1 agonists may also be familiar because they too are used to treat diabetes. Medications such as semaglutide (Ozempic, Rybelsus, Wegovy) and tirzepatide (Mounjaro, Zepbound) have made headlines as weight loss and diabetes meds, but they also can reduce the risk of kidney failure and other bad outcomes (Lancet. Diabetes & Endocrinology, Jan. 2025). The benefits of these types of drugs should give us hope that we can go from slowing the progression of kidney disease to stopping it in its tracks Taking Care of Your Kidneys We asked Dr. Parikh what we should be doing to care for our kidneys and keep them healthy. He urged us once again to know our numbers: most importantly, the numbers from the two tests we discussed, blood creatinine and urine protein. Other numbers that are important for kidney are our blood pressure and, for those with diabetes, HbA1c. In addition to paying attention to all those numbers, we need to embrace a lifestyle that will help keep them where they belong. That means following a heart-healthy diet, staying physically active and getting adequate sleep. This Week’s Guest Samir M. Parikh, M.D., FASN, is Professor of Internal Medicine and Pharmacology and Chair of Internal Medicine at the University of Texas Southwestern. He holds the Donald W. Seldin Distinguished Chair in Internal Medicine and the Ruth W. and Milton P. Levy, Sr., Chair in Molecular Nephrology. Dr. Samir Parikh, University of Texas Southwestern Listen to the Podcast The podcast of this program will be available Monday, August 10, 2026, after broadcast on Aug. 8. This week's podcast has additional information on a possible role for sodium bicarbonate (baking soda) for kidney function. We also discussed medical silos, and how that leads to gastroenterologists overlooking the kidney risks from PPIs. Also, what should prospective kidney donors consider? You can stream the show from this site and download the podcast for free. Download the mp3, or listen to the podcast on Apple Podcasts or Spotify.

Donate to the Institute: https://givenow.nova.edu/assaf-family-and-community-me-cfs-endowed-fund-campaign/?a=1    In today's episode, Makena Thompson sits down with Dr. Jonas Axelsson, a Swedish physician-scientist specializing in post-viral diseases, to address one of the most urgent questions in ME/CFS and long COVID care: why do standard blood tests keep coming back normal when patients clearly are not well? Dr. Axelsson breaks down what standard diagnostic panels actually measure, why cellular oxidative stress and mitochondrial dysfunction remain invisible to serum chemistry, and why a clean blood test is not the same as a healthy patient. He also outlines two distinct immune patterns he has identified in this patient population, explains why current criteria-based diagnosis is not sensitive enough to distinguish between them, and shares why he believes validated diagnostic tools and mechanism-based treatments are within reach within five years. Learn why your labs can be normal and your illness can still be very real. Tune in to Hope and Help For Fatigue and Chronic Illness. Dr. Jonas Axelsson is a physician specializing in Internal Medicine, Nephrology, Clinical Immunology, and Transfusion Medicine. From 2019 to 2024, he served as Medical Director of the Center for Aphresis and Stem Cell Therapy at Karolinska University Hospital in Stockholm, Sweden. From 2016 to 2022, he was an Associate Professor at Karolinska Institutet in Stockholm, Sweden.   LinkedIn: https://www.linkedin.com/in/jonas-axelsson-484853327    Makena Thompson is a Research Program Manager at the Institute for Neuro-Immune Medicine at Nova Southeastern University.   Haylie Pomroy, Founder and CEO of The Haylie Pomroy Group, is a leading health strategist specializing in metabolism, weight loss, and integrative wellness. With over 25 years of experience, she has worked with top medical institutions and high-profile clients, developing targeted programs and supplements rooted in the "Food is Medicine" philosophy. Inspired by her own autoimmune journey, she combines expertise in nutrition, biochemistry, and patient advocacy to help others reclaim their health. She is a New York Times bestselling author of The Fast Metabolism Diet.   Learn more about Haylie Pomroy's approach to wellness through her website: https://hayliepomroy.com   Instagram: https://www.instagram.com/hayliepomroy  Facebook: https://www.facebook.com/hayliepomroy  YouTube: https://www.youtube.com/@hayliepomroy/videos  LinkedIn: https://www.linkedin.com/in/hayliepomroy/  X: https://x.com/hayliepomroy    Thank you for tuning in to the Hope and Help For Fatigue and Chronic Illness Podcast. Sign up today for our newsletter.

This episode reviews four clinically relevant studies: emerging NaV1.8 inhibitors as promising non-opioid therapies for acute pain, a once-weekly oral HIV maintenance regimen demonstrating noninferiority to daily treatment, evidence supporting abbreviated dual antithrombotic therapy after PCI in selected patients with atrial fibrillation, and a meta-analysis showing limited benefit of oral antihistamines for atopic dermatitis. Together, these studies highlight evolving evidence that may influence prescribing practices across multiple specialties

with guests Drs. Reeni Abraham, Bryan Brown, Stefanie R Brown, and Matthew A ClarkCome on the adventure with Drs. Reeni Abraham, Bryan Brown, Stefanie R Brown, and Matthew A Clark as we discuss the highlights from the AIMW26 Conference, including the Opening Plenary, and the mesmerizing educational sessions. Website | Instagram | Twitter | Subscribe | Patreon | Youtube thecurbsidersteach@gmail.comShow Segments Intro, disclaimer, guest bio Guest one-liner Experience at AIMW26 thus far Plenary recap about mentorship Leading and mentoring in moral distress workshop Designing mentorship networks and the mentorship matrix model workshop  Tools for effective direct observation of clinical skills workshop Maximizing asynchronous learning for board prep and clinical reasoning workshop Deploying AI to grade clerkship simulations workshop Preparing trainees for emerging health care roles workshop Designing a novel dual leadership model for residency workshop Job crafting for clinician educators workshop Credits Producer, Writer, Graphics: Mike KW Cheng MD, MAEd, Molly Heublein MD Hosts: Molly Heublein MD, Mike KW Cheng MD, MAEd  Editors:  Mike KW Cheng MD, MAEd, Molly Heublein MD, Era Kryzhanovskaya MD,  Reviewer: Era Kryzhanovskaya MD Guests:  Reeni Abraham MD, Bryan Brown MD, MHS,  Stefanie R Brown MD, MBA, and Matthew A Clark, DO Technical support: Podpaste Theme Music: MorsyMusic 

American Diabetes AssociationEmail the show at kids@mpbonline.orgHost: Dr. Morgan McLeod, Asst. Professor of Pediatrics and Internal Medicine at the University of Mississippi Medical Center.If you enjoyed listening to this podcast, please consider contributing to MPB: https://donate.mpbfoundation.org/mspb/podcast Hosted on Acast. See acast.com/privacy for more information.

The 2025 measles outbreak in New Mexico cost that state an estimated $5.4 million. That's according to an analysis in the Annals of Internal Medicine published on Aug. 3.

August 4th, 2026 EP:105 UFOs, Spirits, and the Nature of Reality w/Dr. Jonathan Kendall Are UFOs spacecraft from distant planets—or manifestations from another level of reality? Dr. Jonathan Kendall joins ParaTruth: Reborn to discuss his book, The Metaphysics of UFOs, which examines the physical and spiritual nature of UFOs and related unexplained phenomena. Dr. Kendall is a board-certified physician specializing in internal medicine and nephrology. His medical background gives him a unique perspective when considering potential physiological, neurological, and psychological explanations for extraordinary encounters. During this conversation, we explore: The limitations of the extraterrestrial hypothesis UFOs and parallel realities Connections between UFOs and spiritual encounters Abductions and altered states of consciousness Similarities between abductions and near-death experiences UFO encounters and poltergeist activity Cryptids and Men in Black The possible survival of consciousness after death How physics and metaphysics could intersect What these experiences reveal about the nature of reality The question may no longer be whether we are alone in the universe. It may be whether we truly understand the universe—or reality itself. Guest Bio: Jonathan Kendall is a medical doctor, board certified in Internal Medicine and Nephrology, and an author and independent researcher of consciousness, religion, spirituality, and anomalous phenomena. In his writings, he approaches these controversial subjects with the same scientific rigor that has served him in fifteen years of medical practice in Eastern Kentucky. Jonathan has authored two books. His most recent volume, The Metaphysics of UFOs, published by Llewellyn Worldwide, examines the evidence underlying UAPs, ultimately reaching the conclusion that a litany of compelling cases establishes the authenticity of the phenomenon while presenting a challenge to conventional views of reality. In Seeing the Messiah, published by Resource Publications, Jonathan presents the findings of more than a century of psychical research on apparitions, and compares the phenomena to the reported postmortem appearances of the Lubavitcher Rebbe and Jesus Christ. Combining the scrutiny of scholarly resources across the fields of medicine, psychology, theoretical and quantum physics, psychical research, ufology, and theology, Jonathan's primary aim in writing is to generate meaningful conversation regarding some of life's most profound mysteries, including the understanding of spiritual experiences, the question of postmortem survival, and the nature of reality itself.United Public Radio & UFO Paranormal Radio www.uprntalkradio.com

BUFFALO, NY — August 5, 2026 — A new #research paper was #published in Volume 18 of Aging on July 23, 2026, titled “Adipo-neuroinflammation, cognitive impairment and surrogate markers of cardiovascular risk in patients with Metabolic Dysfunction Associated Steatotic Liver Disease (MASLD).” The study was led by co-first authors Gaetano Pacinella from the University of Palermo, and the Internal Medicine and Stroke Care Ward, Policlinico “P. Giaccone”, Palermo, and Alessandro Del Cuore from the same institutions. Gaetano Pacinella also served as the corresponding author. Metabolic dysfunction-associated steatotic liver disease (MASLD), formerly known as nonalcoholic fatty liver disease, is increasingly recognized as a systemic condition that extends beyond the liver. People with MASLD have an elevated risk of cardiovascular disease, cognitive decline, and other metabolic complications, yet the biological mechanisms connecting these conditions remain incompletely understood. In this study, researchers investigated whether lipocalin-2 (LCN2), a protein involved in inflammatory and metabolic signaling, is associated with early vascular dysfunction, cognitive impairment, and cardiovascular risk in patients with MASLD. Full press release - https://www.aging-us.com/news-room/fatty-liver-disease-linked-to-early-cardiovascular-and-cognitive-changes DOI - https://doi.org/10.18632/aging.206397 Corresponding author - Gaetano Pacinella - gaetano.pacinella@unipa.it Abstract video - https://www.youtube.com/watch?v=CrqTayKl8KI Sign up for free Altmetric alerts about this article - https://aging.altmetric.com/details/email_updates?id=10.18632%2Faging.206397 Subscribe for free publication alerts from Aging - https://www.aging-us.com/subscribe-to-toc-alerts Keywords - aging, metabolic dysfunction, cardiovascular risk, lipocalin-2, cognitive impairment, endothelial dysfunction To learn more about the journal, please visit https://www.Aging-US.com​​ and connect with us on social media at: Bluesky - https://bsky.app/profile/aging-us.bsky.social ResearchGate - https://www.researchgate.net/journal/Aging-1945-4589 X - https://twitter.com/AgingJrnl Facebook - https://www.facebook.com/AgingUS/ Instagram - https://www.instagram.com/agingjrnl/ LinkedIn - https://www.linkedin.com/company/aging/ Reddit - https://www.reddit.com/user/AgingUS/ Pinterest - https://www.pinterest.com/AgingUS/ YouTube - https://www.youtube.com/@Aging-US Spotify - https://open.spotify.com/show/1X4HQQgegjReaf6Mozn6Mc MEDIA@IMPACTJOURNALS.COM

Send us Fan MailWhat if one podcast episode changed the course of your career?In this episode, I sit down with Dr. Maria Bernal Riera, a triple board-certified physician in Internal Medicine, Endocrinology, and Obesity Medicine, and founder of Apex Endocrinology Health—a 100% cash-pay telemedicine practice providing endocrinology and obesity care to patients across Florida, New York, Minnesota, and Wisconsin.Dr. Bernal shares how discovering the My DPC Story podcast through a Facebook group inspired her to pursue direct specialty care immediately after fellowship. She discusses building a virtual practice from the ground up, combining expert endocrinology care with dedicated health coaching, and creating a business designed to grow beyond herself.Together, they explore the realities of physician entrepreneurship, including developing a CEO mindset, creating a financial runway with locums work, marketing a cash-pay practice, and navigating the complexities of multi-state telemedicine. Dr. Bernal also explains why she founded the DPC Telemedicine Group on Facebook and launched The Cash-Pay MD newsletter—to provide the same sense of community and support that helped her build Apex Endocrinology Health.Whether you're considering direct specialty care, telemedicine, or simply looking for a more fulfilling way to practice medicine, this episode is filled with practical insights and encouragement for physicians ready to build a practice on their own terms.Connect with Dr. Maria Bernal:

Send us Fan MailWhat if one podcast episode changed the course of your career?In this episode, I sit down with Dr. Maria Bernal Riera, a triple board-certified physician in Internal Medicine, Endocrinology, and Obesity Medicine, and founder of Apex Endocrinology Health—a 100% cash-pay telemedicine practice providing endocrinology and obesity care to patients across Florida, New York, Minnesota, and Wisconsin.Dr. Bernal shares how discovering the My DPC Story podcast through a Facebook group inspired her to pursue direct specialty care immediately after fellowship. She discusses building a virtual practice from the ground up, combining expert endocrinology care with dedicated health coaching, and creating a business designed to grow beyond herself.Together, they explore the realities of physician entrepreneurship, including developing a CEO mindset, creating a financial runway with locums work, marketing a cash-pay practice, and navigating the complexities of multi-state telemedicine. Dr. Bernal also explains why she founded the DPC Telemedicine Group on Facebook and launched The Cash-Pay MD newsletter—to provide the same sense of community and support that helped her build Apex Endocrinology Health.Whether you're considering direct specialty care, telemedicine, or simply looking for a more fulfilling way to practice medicine, this episode is filled with practical insights and encouragement for physicians ready to build a practice on their own terms.Connect with Dr. Maria Bernal:

In today's episode, we welcomed Douglas W. Sborov, MD, MS, to discuss the significance of the July 2026 FDA approval of isatuximab-irfc (Sarclisa Escena) for subcutaneous injection for multiple myeloma indications. Dr Sborov is a tenured professor of medicine in the Department of Internal Medicine in the Division of Hematology and Hematologic Malignancies and an adjunct associate professor in the Departments of Molecular Pharmaceutics and Biomedical Engineering at the University of Utah Huntsman Cancer Institute (HCI) in Salt Lake City, as well as director of the HCI Hematology Disease Center and Plasma Cell Dyscrasias (PCD) Program, co-leader of the Hematologic Malignancies Clinical Trials Research Group, and member of the HCI Experimental Therapeutics Program and International Myeloma Working Group (IMWG).As part of the July 10, 2026, approval, subcutaneous isatuximab is indicated for use: in combination with pomalidomide (Pomalyst) and dexamethasone for the treatment of adult patients with multiple myeloma who have received at least 1 prior line of therapy, including lenalidomide (Revlimid) and a proteasome inhibitor in combination with carfilzomib (Kyprolis) and dexamethasone for the treatment of adult patients with relapsed or refractory multiple myeloma who have received 1 to 3 prior lines of therapy in combination with bortezomib (Velcade), lenalidomide, and dexamethasone for the treatment of adult patients with newly diagnosed multiple myeloma who are not eligible for an autologous stem cell transplant In our exclusive interview, Dr Sborov outlined how the subcutaneous formulation of isatuximab and the ability to administer the agent via an on-body delivery system could affect patient quality of life. He also detailed key findings from the phase 3 IRAKLIA trial (NCT05405166) that supported the approval and explained how the use of isatuximab may shift in clinical practice following the subcutaneous approval.

Host: Jasmine T. Kency, M.D., Associate Professor of Internal Medicine and Pediatrics at the University of Mississippi Medical Center.Topic: Heartburn and GERDEmail the show: remedy@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.

Email the show at kids@mpbonline.orgHost: Dr. Morgan McLeod, Asst. Professor of Pediatrics and Internal Medicine at the University of Mississippi Medical Center.If you enjoyed listening to this podcast, please consider contributing to MPB: https://donate.mpbfoundation.org/mspb/podcastJuly is back to school for many districts now.What to prepare:Check upVaccinesTdP booster for adults too121 immunization recordBirth CertificatePreparticipation physicalTalk about riding the busGood sleep habitsBreakfast routineBe ready for liceSchool pick upBulliesAnxiety Hosted on Acast. See acast.com/privacy for more information.

KennethRoMD.com is a double board-certified Internal Medicine and Emergency Medicine physician who has treated more than 170,000 patients across a 35-year ER career. His book PRIME reframes midlife as a powerful awakening rather than decline. He created the RECLAIM™ Method to restore men's vitality, identity, and purpose through precision medicine, neuroscience, narrative psychology, and emotional reintegration. He is a medical expert in filmmaker Charles Mattocks' upcoming international docuseries about sleep and health, bringing attention to the invisible epidemic of sleep disorders destroying men's vitality. Dr.Rospeaks to corporations, executive teams, and healthcare organizations about the silent burnout dismantling men's performance in midlife— and teaches organizations how to rebuild resilience using precision-health tools and his RECLAIM™ framework.  

Roger Seheult, MD of MedCram explains the ways permanent daylight saving time would affect health. See all Dr. Seheult's videos at: https://www.medcram.com/ (This video was recorded on July 18th, 2026.) Roger Seheult, MD is the co-founder and lead professor at: www.medcram.com He is Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine and an Associate Professor at the University of California, Riverside School of Medicine. MEDCRAM WORKS WITH MEDICAL PROGRAMS AND HOSPITALS: MedCram offers group discounts for students and medical programs, hospitals, and other institutions. Contact us at customers@medcram.com if you are interested. MEDIA CONTACT:  Media Contact: customers@medcram.com Media contact info: https://www.medcram.com/pages/media-contact Video Produced by Kyle Allred Edited by Daphne Sprinkle of Sprinkle Media Consulting, LLC FOLLOW US ON SOCIAL MEDIA: Facebook:  www.facebook.com/MedCram Twitter/X: www.twitter.com/MedCramVideos Instagram: www.instagram.com/medcram DISCLAIMER: MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor.

Four inflammatory bowel disease (IBD) experts explore case-based strategies for optimizing advanced IBD therapy and long-term disease management early in real-world practice. They discuss practical approaches for implementing treat-to-target via strategic treatment sequencing, therapeutic drug monitoring, and maintenance approaches while supporting individualized, evidence-based care for patients with IBD. Presenters Jessica R. Allegretti, MD, MPH, FACG, AGAF Medical Director, Infusion Services Director, Crohn's and Colitis Center Director of Clinical Research Director, Fecal Microbiota Transplant Program Division of Gastroenterology, Hepatology and Endoscopy Brigham and Women's Hospital Associate Professor of Medicine, Harvard Medical School Boston, Massachusetts Jordan E. Axelrad, MD, MPH, AGAF, FACG, FCCF Co-Director, Inflammatory Bowel Disease Center at NYU Langone Health Associate Professor of Medicine Division of Gastroenterology and Hepatology NYU Grossman School of Medicine New York, New York Russell D. Cohen, MD, FACG, AGAF Professor of Medicine, Pritzker School of Medicine Co-Director, Digestive Diseases Center Clinical Director, Inflammatory Bowel Disease Center Co-Director, Advanced IBD Fellowship Program The University of Chicago Medicine Chicago, Illinois Amy Stewart, MSN, FNP-C Lead Advanced Practice Provider Capital Digestive Care Washington, DC Link to full program: https://bit.ly/4wvm7l4 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

What is Polyvagal theory and how is it being used to develop curriculum? In this series on healthcare and social disparities, Dr. Jill Wener, a board-certified Internal Medicine specialist, anti-racism educator, meditation expert, and tapping practitioner, interviews experts and gives her own insights into multiple fields relating to social justice and anti-racism. In this episode, Jill interviews Dr. Niki Elliott, author of Heart Centered Connections: Seven Essential Skills for Helping Neurodiverse and Marginalized Children Thrive. They discuss the importance of those who touch the lives of neurodiverse children receiving education in physical, emotional, and sensory safety. Niki Elliott, PhD serves as director for the Center for Embodied Equity and Neurodiversity at University of San Diego's School of Leadership and Education Sciences. Prior to this appointment, she served for 7 years as the founding director of the Center for Neurodiversity, Learning and Wellness at the University of La Verne in California. A high-energy, spirited, and inspiring teacher educator, Niki has taught students of all ages for more than 30 years. She is a staunch advocate for students whose lived experiences include learning disabilities, mental health challenges, foster care placement, and/or racialized marginalization. Her mission is to galvanize an education workforce that establishes trauma-informed, neuroinclusive learning communities where all students and educators thrive. LINKSHeart Centered Connections By Niki Elliott PhD**You can learn more about Dr. Wener's coaching, EFT/Tapping and meditation offerings at www.jillwener.com, and you can learn more about her online social justice course, Conscious Anti Racism: Tools for Self-Discovery, Accountability, and Meaningful Change at https://theresttechnique.com/courses/conscious-anti-racism.If you're a healthcare worker looking for a CME-accredited course, check out Conscious Anti-Racism: Tools for Self-Discovery, Accountability, and Meaningful Change in Healthcare at www.theresttechnique.com/courses/conscious-anti-racism-healthcareFollow her on:Instagram at jillwenerMDLinkedIn at jillwenermd

CommonSpirit Health hosted a Grand Rounds session discussing the pharmacotherapeutic approach to obesity care. This is the first in a two-part series on the topic. See Part Two here. Speaker:Layla A. Abushamat, MD, MPH, DABOM, Endocrinologist and Assistant Professor, Section of Cardiovascular Research, Baylor College of MedicineAnila Chadha, MD, Obesity Medicine Internist, Dignity Health Medical Group – BakersfieldPanelist:Thu Le, PharmD, Clinical Pharmacist, Dignity HealthMahmuda Tasneem, MD, Internal Medicine, Virginia Mason Franciscan Health

CommonSpirit Health hosted part two of our Grand Rounds series discussing the pharmacotherapeutic approach to obesity care.See Part One here.Please find the most up to date guidance on the Medical Management of Obesity here.Speaker:Thu Le, PharmD, Clinical Pharmacist, Dignity HealthMahmuda Tasneem, MD, Internal Medicine, Virginia Mason Franciscan HealthPanelist:Layla A. Abushamat, MD, MPH, DABOM, Endocrinologist and Assistant Professor, Section of Cardiovascular Research, Baylor College of MedicineAnila Chadha, MD, Obesity Medicine Internist, Dignity Health Medical Group – Bakersfield

Host: Jasmine T. Kency, M.D., Associate Professor of Internal Medicine and Pediatrics at the University of Mississippi Medical Center.Topic: Neuropathy.Email the show: remedy@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.

Guest: Ian C. Hoppe, MDSpecialties: Plastic Surgery, Craniofacial and Trauma Surgery, Children's Hand Surgery, Children's Craniofacial and Trauma Surgery, General Reconstruction, Skin Cancer Surgery, Chest and Abdominal Wall Reconstruction, Hand Surgery and Trauma, Cosmetic Surgery, Children's Plastic and Reconstructive Surgery.Children's Plastic and Reconstructive SurgeryChildren's Craniofacial ServicesConditions and TreatmentsFrequently Asked QuestionsMeet Our TeamPatient/Family ResourcesPreparing for Your Child's VisitFacebook: Children's of Mississippi Cleft, Craniofacial & Pediatric Plastic Surgery Instagram: childrensofms_plasticsurgeryEmail the show at kids@mpbonline.orgHost: Dr. Morgan McLeod, Asst. Professor of Pediatrics and Internal Medicine at the University of Mississippi Medical Center.If you enjoyed listening to this podcast, please consider contributing to MPB: https://donate.mpbfoundation.org/mspb/podcast Hosted on Acast. See acast.com/privacy for more information.

Drs Kaniksha Desai and Angela Leung discuss the new guidelines for thyroid disease in preconception, pregnancy, and postpartum. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/index/list_15483_0 Kaniksha Desai, MD, Associate Professor, Department of Internal Medicine, Endocrinology, Stanford University, Palo Alto, California Angela Leung, MD, MSc, Associate Professor of Medicine, Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, David Geffen School of Medicine at UCLA; Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California

Save 20% on all Nuzest Products WORLDWIDE with the code MIKKIPEDIA at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz Supplement: Use code MIKKIPEDIA to get 20% off your first order - go to www.curranz.co.nz  or www.curranz.co.uk to order yours NZ listeners - save 10% off Calocurb by using the code Mikkipedia10 at www.calocurb.co.nzThis week on the podcast Mikki speaks to two researchers, Professor Daniela Hurtado and Dr Regina Castaneda about the interaction between HRT and tirzepatide use. In a conversation led by Regina, they talk about differences that occur as women head through menopause, the role of HRT at mitigating some of these changes and the findings from their paper looking at how hormone therapy might enhance the therapeutic effects of tirzepatide in a postmenopausal population - discussing sex related differences.Maria Daniela Hurtado Andrade, M.D., Ph.D., is from Ecuador where she completed her medical degree at the Pontifical Catholic University. Her curiosity about the causes of obesity led her to pursue doctorate-level training in Physiology and Pharmacology at the University of Florida. Her research focused on the brain's regulation of food intake. After her doctoral training, she completed Internal Medicine training at the University of Pittsburgh Medical Center in Pittsburgh, PA, and Endocrinology Fellowship specialty training at Mayo Clinic in Rochester, MN. She joined Mayo Clinic Staff in 2019.Dr. Hurtado Andrade is interested in understanding obesity's pathophysiology to develop more effective therapeutic interventions. She is part of the Mayo Clinic Precision Medicine for Obesity program. This program aims at developing an individualized approach to the management of obesity and its complications with the goal of improving outcomes. To facilitate the generation of this new knowledge, she has focused her clinical and research efforts on specific populations: perimenopausal women and breast cancer survivors. Dr. Hurtado's contributions and expertise to the field of obesity have been recognized nationally and internationally.Regina Castaneda, MD, serves as a postdoctoral research fellow at Mayo Clinic in Florida. She is also an MSc candidate at Mayo Clinic College of Medicine and Science. Her work centres on women's health topics including obesity, diabetes, and menopause-related metabolic changes.Dr Castaneda has contributed to research examining the effects of tirzepatide on weight loss in postmenopausal women and the potential influence of hormone therapy. She is affiliated with the Division of Endocrinology, Diabetes and Metabolism at Mayo Clinichttps://www.mayoclinic.org/biographies/hurtado-andrade-maria-daniela-m-d-ph-d/bio-20539671https://www.linkedin.com/in/regina-castaneda-md-8b2371358/ Paper: https://www.thelancet.com/journals/lanogw/article/PIIS3050-5038(25)00145-1/abstract Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwilliden

As current understandings of obesity (ie, a chronic disease requiring long-term management) are adopted across the world, screening and treatment can no longer follow a one-size-fits-all approach. Listen in as 3 global experts in obesity medicine highlight the emerging evidence from recent conferences that are changing real-world practice today. Learn how the latest findings apply to specific patient populations across the United States, Europe, and Asia as well as why healthcare professionals should individualize treatment based on patient preferences and relevant risk factors. Presenters: Stephano Del Prato, MD Professor Emeritus of Endocrinology University of Pisa Pisa, Italy Soo Lim, MD, PhD Professor of Medicine Department of Internal Medicine Seoul National University College of Medicine and Seoul National University Bundang Hospital Seoul, South Korea Donna H. Ryan, MD Professor Emerita Pennington Biomedical Research Center Louisiana State University New Orleans, Louisiana Link to full program:https://bit.ly/4pwFhEo Get access to all of our new podcasts by subscribing to the Decera Clinical Education Multispecialty Podcast on Apple Podcasts, YouTube Music, or Spotify. 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, we talk with Kundan Malik, DO, MS who successfully matched this past cycle into St. Johns Episcopal Dermatology Residency in New York. Her journey to dermatology is distinctly non-traditional. After initially not matching into dermatology, she completed a preliminary year in Internal Medicine at Highland Hospital in Oakland, California, while also becoming a mother during her reapplication process. Today, Dr. Malik shares lessons learned from an unmatched cycle, reapplying as a DO candidate, leveraging mentorship and networking opportunities, and ultimately matching into her dream specialty through a path that was far from linear. We hope you enjoy !If you enjoyed this episode, please share it with other students interested in dermatology!Connect with Dr. Malik:Instagram: @drkaymalikEmail: drkundanmalik@gmail.com---DIGA Instagram: @derminterestToday's Host, Laila: @lailanalrawi---For questions, comments, or future episode suggestions, please reach out to us via email at derminterestpod@gmail.com---District Four by Kevin MacLeodLink: https://incompetech.filmmusic.io/song/3662-district-fourLicense: https://filmmusic.io/standard-license---

This episode I am reading from Jon Kendall's book 'The Metaphysics of UFOs: Evidential Case Studies on UAPs, Paranormal Phenomena, and Spiritual Experiences' A systematic examination of the physical and spiritual nature of UFOs and other unexplained phenomena. Are UFOs visitors from our universe or parallel realities? Do they come from the same spiritual realm as our dearly departed? How are they connected to cryptids and paranormal activity? Sharing numerous evidential case studies, Jonathan Kendall explores the seemingly irreconcilable physical and spiritual aspects of UFOs/UAPs. The evidence he presents has implications that could lead to revolutionary breakthroughs in the areas of communications, energy use, medicine, interstellar travel, religion, and the nature of reality. This eye-opening book investigates the connection between UFOs and kindred phenomena like monsters, Men in Black, and poltergeists. It also explores the harrowing world of UFO abductions and why the aftereffects are so similar to those of both near-death experiences and encounters with mystical realms. These case studies shatter conventional views of reality and prove that far more is at stake than answering the question, "Are we alone in the universe?" Bio Jonathan Kendall is a medical doctor, board-certified in Internal Medicine and Nephrology, who practices in Eastern Kentucky. Outside of medicine, Jonathan is an author with a passion for exploring the unexplained — from apparitions and consciousness studies to UFOs and paranormal phenomena. Jonathan is the author of Seeing the Messiah and The Metaphysics of UFOs, books that examine extraordinary human experiences through the lenses of science, history, philosophy, and metaphysics. Drawing from both his medical background and years of independent research, Jonathan seeks to thoughtfully examine mysteries that continue to challenge conventional understanding. https://jonathankendallmd.com/ https://www.amazon.com/Metaphysics-UFOs-Evidential-Paranormal-Experiences-ebook/dp/B0FRXLVNHP https://www.pastliveshypnosis.co.uk/https://www.patreon.com/alienufopodcasthttps://simonbown.com/My new book, Aspects of Alien Abduction https://www.amazon.com/dp/B0GRRPCT9YZen AI bit.ly/zenAI_bpp_ufo Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Do you have trouble sleeping? An occasional late night or early morning is probably not dangerous, but too many people get too little sleep on a regular basis. How does that affect their health? Even more importantly, what can they do to change the situation? You'll want to listen to find out if you need a sleep reset. At The People's Pharmacy, we strive to bring you up to date, rigorously researched insights and conversations about health, medicine, wellness and health policies and health systems. While these conversations intend to offer insight and perspective, the content is provided solely for informational and educational purposes. Please consult your healthcare provider before making any changes to your medical care or treatment. How You Can Listen You could listen through your local public radio station or get the live stream at 7 am EST on Saturday, July 18, 2026, through your computer or smart phone (wunc.org). Here is a link so you can find which stations carry our broadcast. If you can't listen to the broadcast, you may wish to hear the podcast later. You can subscribe through your favorite podcast provider, download the mp3 using the link at the bottom of the page, or listen to the stream on this post starting on July 20, 2026. The podcast will be available on Monday (July 20, 2026) Do You Need a Sleep Reset? Why is sleep so important for good health? Our guest is a sleep medicine specialist who uses a metaphor of Disneyland. Crucial maintenance on the theme park happens at night, when there are no visitors. Streets are cleaned, flower beds are weeded, and rides are inspected and, if needed, repaired. None of that can happen while the park is open for business. Our bodies and brains also need time for maintenance and repair, and some of that happens while we are sleeping. When we don't get the rest we need, we may find ourselves at increased risk for diabetes, cardiovascular problems, cancer, cognitive challenges and even premature death. Unfortunately, anxiety about not sleeping can keep people awake all on its own. How can people break that cycle? We'll also discuss ways that people can get help avoiding screens at night. That is an important part of a sleep reset. Blue light from the screen signals the brain to be alert instead of relax. Scrolling social media can often be emotionally upsetting, which also makes it more difficult to fall asleep. Is Your Diet Keeping You Awake? Most of us recognize that a big midnight snack, á la Dagwood Bumstead of the Blondie comic, is probably not conducive to sleeping well. How does nighttime eating affect our circadian rhythm? Are there diets that we should avoid because of their impact on sleep? Dr. Seheult describes a study in which volunteers had their sleep stages monitored closely during the time they were consuming different diets (Obesity, July 2023). When they followed a high-fat, high-sugar diet, it disturbed the pattern of their brain waves during what should have been restorative sleep. How Do Sleep Problems Affect Eating Habits? A lot of us are aware that when we are sleep deprived, we are more inclined to become hangry and we may be less discerning about what we eat. A recent study shows that the sleep deprivation can have an effect even if it is fairly mild and short-term. Scientists recruited people who normally sleep seven to eight hours a night and asked them to stay up an extra hour and a half (Annals of Internal Medicine, July 7, 2026).  During the six weeks of that part of the experiment, people were less active during the day. They also ate more, so they gained about a pound, on average, during those six weeks. Presumably, disrupting sleep for a longer period of time would result in greater weight gain and metabolic disruption. Would a Ketogenic Diet Help with a Sleep Reset? A ketogenic diet, in which the body relies on ketones rather than glucose for energy production, may be helpful. In particular, fasting overnight for at least 14 hours helps the body do what it must during sleep time. To figure out when you should stop eating, identify when you usually start to feel sleepy. That should be your bedtime. Having your last meal of the day about three hours before that will generally offer enough time for digestion so that you don't experience reflux in the middle of the night. Morning Light and Afternoon Naps Your sleep reset may depend on getting your own circadian rhythm to synchronize with the rest of the world. That is where early exposure to morning light comes in. It's beginning to feel a bit like The People's Pharmacy is on repeat: get morning light exposure! It sets your system up for feeling awake and alert during the day and starting to feel sleepy as the light fades in the evening. Obviously, this is most helpful for people who work during daylight hours. Those working overnight shifts would have to organize their days differently. People who have trouble falling asleep may be tempted to take a nap in the afternoon to make up for the lost sleep. That could be a mistake, as it relieves the sleep pressure that helps people fall asleep without trying. Learning to Fall Asleep If you interact with parents of very young children, you may have heard of sleep training. People have strong feelings about this, both pro and con. Adults rarely need sleep training, though. What we are more likely to need is “not-sleeping un-training.” Too many people approach the bedroom as though it were a stage, and sleep is the performance. No wonder they may develop some performance anxiety about sleeping! Other individuals have learned to associate the bedroom with tossing, turning and watching the clock. Consequently, their bodies tense up instead of relaxing when they get between the sheets. There is no easy quick fix for this problem, but cognitive behavior therapy for insomnia has been proven effective for most people. How About PM Pain Relievers? Even though there isn't an easy fix for sleep troubles, many people want one. They reach for the PM pain reliever and hope it will offer them a good night's sleep without a prescription. The “PM” part of that pain reliever is an old-fashioned antihistamine called diphenhydramine. You might be more familiar with its brand name: Benadryl. You'll also find it in Tylenol PM, Advil PM and all the other PM meds because it tends to make people feel drowsy. What's wrong with that? To start with, it isn't clear that it remains effective after a week or two. In addition, people with restless leg syndrome often find that it makes their condition worse. Other folks report that diphenhydramine can result in an unpleasant “hangover” the next day, in which they feel drowsy though not asleep for a good part of their waking hours. What Wakes You Up at Night? If your sleep problem is waking in the wee hours and having trouble getting back to sleep, you should consider the possibility that you have sleep apnea. The REM sleep of those early morning hours is not as deep as some other sleep stages. Consequently, an alarm signal from your brain saying you haven't taken a breath for 20 or 30 seconds may be more likely to wake you. Sleep apnea may be treated by providing air so that the pressure props the collapsing airway open. We discuss this in greater detail along with a new alternative to a CPAP machine in the podcast for this week. This Week’s Guest Dr. Roger Seheult is an Associate Clinical Professor at the University of California, Riverside School of Medicine. He is also an Assistant Clinical Professor at the School of Medicine and Allied Health at Loma Linda University. He is quadruple board-certified in Internal Medicine, Pulmonary Diseases, Critical Care Medicine, and Sleep Medicine through the American Board of Internal Medicine. His current practice is in Beaumont, California. He is a critical care physician, pulmonologist, and sleep physician at Optum California. Dr. Seheult lectures routinely across the country at conferences and for medical, PA, and RT societies. He is the director of a sleep lab and the Medical Director for the Crafton Hills College Respiratory Care Program. He is co-founder and presenter for MedCram.com, a site that offers concise and easy-to-follow medical videos on a range of topics. Roger Seheult, MD, MedCram, Loma Linda, UC-Riverside Listen to the Podcast The podcast of this program will be available Monday, July 20, 2026, after broadcast on July 18. You can stream the show from this site and download the podcast for free. Download the mp3, or listen to the podcast on Apple Podcasts or Spotify.

Email the show at kids@mpbonline.orgHost: Dr. Morgan McLeod, Asst. Professor of Pediatrics and Internal Medicine at the University of Mississippi Medical Center.If you enjoyed listening to this podcast, please consider contributing to MPB: https://donate.mpbfoundation.org/mspb/podcast In Legal Terms: Special Education 2025 podcastMyIR: Get Immunization Records and Forms Online from MS Department of Health County Health Departments Announce Clinics for School Immunizations MSDH Offers Back-to-School Records and Immunizations During One-Stop Event Get Back-to-School Ready: Purchase Your Child's Birth Certificate Online Hosted on Acast. See acast.com/privacy for more information.

Drs Kaniksha Desai and Sangeeta Kashyap discuss the complex and clinically important relationship between obesity and the thyroid gland. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/index/list_15483_0 Kaniksha Desai, MD, Associate Professor, Department of Internal Medicine, Endocrinology, Stanford University, Palo Alto, California Sangeeta Kashyap, MD, Professor of Clinical Medicine, Division of Endocrinology, Weill Cornell Medicine, New York, New York

How can we change the narrative about what it means and what it takes for people to be safe? How can we restore the protections of citizens from the harm and violence caused by the state? How can academic research lead to real change?In this series on healthcare and social disparities, Dr. Jill Wener, a board-certified Internal Medicine specialist, anti-racism educator, meditation expert, and tapping practitioner, interviews experts and gives her own insights into multiple fields relating to social justice and anti-racism. In this episode, Jill interviews Dr. Terence Keel, author of Divine Variations: How Christian Thought Became Racial Science.They dive into his research around falsified death reports for people that were killed by state or police violence during arrests or while in custody. Listen as they discuss how there are committed communities who have been doing this activist work, who are already doing it, and the importance of getting more people in numbers to build power to make real change.Dr. Terence Keel is a Professor at the University of California, Los Angeles in the Department of African American Studies and the UCLA Institute for Society and Genetics. He also directs the UCLA Lab for BioCritical Studies and serves as the Advisor for Structural Competency and Innovation for the UCLA Simulation Center at the David Geffen School of Medicine. After earning a BA in Theology from Xavier, he received a Master of Theological Studies from Harvard Divinity School and completed a PhD from Harvard University working with the Committee on the Study of Religion, the Department of the History of Science, and the Department of African American Studies.LINKSwww.terencekeel.com**You can learn more about Dr. Wener's coaching, EFT/Tapping and meditation offerings at www.jillwener.com, and you can learn more about her online social justice course, Conscious Anti Racism: Tools for Self-Discovery, Accountability, and Meaningful Change at https://theresttechnique.com/courses/conscious-anti-racism.If you're a healthcare worker looking for a CME-accredited course, check out Conscious Anti-Racism: Tools for Self-Discovery, Accountability, and Meaningful Change in Healthcare at www.theresttechnique.com/courses/conscious-anti-racism-healthcareFollow her on:Instagram at jillwenerMDLinkedIn at jillwenermd

There's no shortage of health advice these days—but more information doesn't always lead to better results.Every day we're told to try a new diet, buy another supplement, follow the latest trend, or completely change the way we eat. The problem isn't that all of the advice is wrong. It's that most of it is just noise.In this episode, I break down one of the most important lessons I've learned on my own health journey: how to separate the signal from the noise. We also explore what decades of research on successful weight maintenance reveal about the habits that actually move the needle—and why consistency will always beat perfection.In this episode: What "signal vs. noise" means for your health  Why more information isn't always the answer  The common habits of people who lose weight and keep it off  Why quick recovery is more important than perfect consistency  How to stop letting one off-plan meal turn into weeks off track  The role of nutrition, movement, sleep, and self-monitoring  Why focusing on the fundamentals leads to lasting success Key Takeaways: Prioritize nutritious foods most of the time.  Move your body consistently.  Pay attention to your habits without becoming obsessive.  Protect your sleep and recovery.  When life happens, get back to your routine as quickly as possible. You don't need another diet, another supplement, or another health hack.You need a better filter.When you learn to tune out the noise and focus on the habits that truly matter, sustainable health becomes much simpler.References National Weight Control Registry. Long-term studies of successful weight-loss maintainers.Rena R. Wing & James O. Hill. Research on long-term weight-loss maintenance behaviors.Arlet V. Nedeltcheva et al. (2010). Insufficient Sleep Undermines Dietary Efforts to Reduce Adiposity. Annals of Internal Medicine.American College of Sports Medicine. Physical activity recommendations for adults.Centers for Disease Control and Prevention. Adult sleep and healthy lifestyle recommendations.Support the showGet Weekly Health Tips:  thrivehealthcoachllc.comJoin the Thrive Collective Facebook groupLet's Connect:@‌ashleythrivehealthcoach or via email: ashley@thrivehealthcoachingllc.comPodcast Produced by Virtually You!

In this episode of Keeping Abreast, Dr. Jenn Simmons sits down with Ivy Harris, a homeschool mom of four, researcher, and soon-to-be certified homeopath behind the blog Done with Diligence, for part one of a two-part conversation on the hidden risks of mammograms and breast cancer screening. Ivy is not a doctor. She's a mom who decided she wasn't going to walk into her first mammogram without doing her own homework first, and what she found is the reason this episode exists.It started with one post, Ivy broke down what she'd learned about mammograms into five parts, shared it, and watched it split her audience in half, with some women thanking her and others telling her she was going to get people killed. Dr. Jenn picks up exactly where Ivy left off and does the math no one does at check-in: 40 million screening mammograms a year, and by the numbers in the study Ivy found, the radiation alone works out to tens of thousands of cancers and over a thousand deaths a year. This is the episode you'll want to send to every woman who's ever been told a mammogram is simply safe, simply necessary, and not worth questioning.What You'll LearnThe naming decision behind "mammogram" that Dr. Jenn says was never an accidentIonizing radiation is a classified carcinogen, and why radiologists won't apply that logic to their own testThe cross-country flight radiation comparison doctors use to reassure you, and why it doesn't hold upHow breast density and size can mean 10x more radiation for one woman than another in the same mammogramWhy younger breast tissue takes more damage from radiation as screening age keeps getting pushed lowerOverdiagnosis: the NIH's own number is as high as 1 in 2 women screenedWhy DCIS, diagnosed in 90,000 women a year, has no physical route to become life-threatening breast cancerHow standard DCIS treatment can raise heart failure and fracture risk higher than the diagnosis itselfFalse positives and the 80% benign biopsy rate hiding behind every mammogram callbackWhat a 2026 American College of Physicians paper found on mammograms and breast cancer mortality, at every ageWhy decades of mammography have increased mastectomies by 20%, the opposite of what screening promisedLead time bias: how a screening test can look life-saving on paper without changing when anyone actually diesThe UK surgeon forced to resign for telling women the truth about mammogram screeningEpisode Timeline:00:00 Introducing Ivy Harris and Done with Diligence02:27 Why Ivy researched mammogram safety before her first screening03:00 Going past the rumors to the actual breast cancer research04:13 Her viral mammogram post and the backlash that followed05:32 Standing firm on breast cancer screening controversy07:39 Radiation risks: why a mammogram is a breast x-ray09:12 The studies linking mammogram radiation to breast cancer11:14 How radiation damages younger breast tissue13:36 The math: 40 million mammograms and radiation-induced cancer deaths17:59 Overdiagnosis and unnecessary breast cancer treatment26:14 The train analogy for mammogram overdiagnosis28:12 How breast cancer actually progresses versus the screening myth32:29 The real harm of overdiagnosis and overtreatment34:54 Why mammograms don't reduce all-cause breast cancer mortality50:15 Lead time bias and misleading screening survival statistics52:04 Michael Baum, saving breasts, and a Part 2 previewResources Mentioned:American College of Physicians, Annals of Internal Medicine, April 2026: https://www.acpjournals.org/doi/10.7326/M22-3424Guest: Ivy HarrisWhere to find her: Done with Diligence  & @donewithdiligenceTo talk to a member of Dr. Jenn's team and learn more about working privately with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-callTo get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuideTo purchase the auria breast cancer screening test go here https://auria.care/ and use the code DRJENN20 for 20% Off.Connect with Dr. Jenn:Website: https://www.jennsimmonsmd.com/Facebook: https://www.facebook.com/DrJennSimmonsInstagram: https://www.instagram.com/drjennsimmons/YouTube: https://www.youtube.com/@dr.jennsimmons

Host: Jasmine T. Kency, M.D., Associate Professor of Internal Medicine and Pediatrics at the University of Mississippi Medical Center.Topic: Fatty Liver Disease and Metabolic SyndromeEmail the show: remedy@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.

You spend time reading ingredient labels, buying organic, choosing healthier foods—but what if the biggest threat isn't what's in your food... it's what your food is touching? In this eye-opening Fatal Conveniences episode, Darin uncovers the hidden health risks lurking inside everyday food packaging. From takeout containers and greasy wrappers to microwave-safe plastics and canned food linings, he explains how chemicals like PFAS, BPA, phthalates, and microplastics migrate directly into your meals—especially when heat, fat, and time are involved. Using newly introduced federal legislation, peer-reviewed scientific research, and practical solutions you can implement immediately, Darin reveals why food packaging may be one of the most overlooked sources of toxic exposure in modern life. Most importantly, he shares simple steps you can take today to dramatically reduce your family's exposure without waiting for government regulation. This episode isn't about fear—it's about reclaiming your sovereignty, making informed choices, and recognizing that what touches your food matters just as much as what's inside it. What You'll Learn Why food packaging may be contaminating your meals How PFAS, BPA, and phthalates migrate into hot food Why heat, fat, and time dramatically increase chemical exposure The truth behind "microwave-safe" plastic containers What the new No Toxics in Food Packaging Act proposes How endocrine disruptors interfere with hormones and metabolism Why microplastics and nanoplastics increase during reheating Which plastic recycling codes to eliminate from your kitchen Why grease-resistant paper can be just as problematic as plastic Practical ways to reduce your family's exposure immediately How choosing glass, stainless steel, and ceramic can lower toxic burden Why informed consumers—not regulators—will drive lasting change Chapters 00:00:00 – Welcome to SuperLife 00:00:35 – Sponsor: Bite Toothpaste 00:02:51 – The fast-food wrapper that changes everything 00:03:54 – Why packaging deserves as much attention as ingredients 00:04:51 – The overlooked Fatal Convenience hiding in plain sight 00:05:13 – Introducing the No Toxics in Food Packaging Act 00:06:10 – Why plastic isn't chemically inert 00:06:52 – BPA, phthalates, PFAS, and food-contact chemicals explained 00:07:49 – How heat, fat, and time pull toxins into your food 00:08:39 – The dangerous assumption that "legal" means "safe" 00:09:41 – Inside the new federal legislation 00:11:01 – The science proving chemical migration is real 00:12:08 – Why hot, fatty foods absorb the most contaminants 00:13:34 – Millions of microplastics released during microwaving 00:14:15 – Sponsor: Manna Vitality 00:16:09 – New research on microwavable containers 00:17:48 – PFAS: the forever chemicals in food packaging 00:18:46 – Fast food consumption and higher PFAS blood levels 00:19:24 – What these chemicals actually do inside the body 00:20:39 – Why carcinogens are still legally used in food-contact materials 00:21:37 – The FDA loophole allowing chemicals into the food supply 00:23:36 – Practical steps to reduce exposure today 00:24:13 – Why you should immediately transfer takeout into glass 00:25:13 – Plastics to eliminate from your kitchen 00:26:17 – Supporting better legislation and voting with your wallet 00:27:51 – Awareness creates freedom and better choices 00:28:58 – The future of safe food packaging 00:29:37 – Final thoughts: reclaiming your health through everyday decisions Thank You to Our Sponsors Bite Toothpaste: Go to trybite.com/DARIN20 or use code DARIN20 for 20% off your first order Manna Vitality: Go to mannavitality.com/ and use code DARIN12 for 12% off your order. Join the SuperLife Patreon: This is where Darin now shares the deeper work: - weekly voice notes - ingredient trackers - wellness challenges - extended conversations - community accountability - sovereignty practices Join now for only $7.49/month at https://patreon.com/darinolien Find More from Darin Olien: Website: darinolien.com Instagram: @darinolien Book: Fatal Conveniences Platform & Products: superlife.com New Show: Roadmap to Happiness Key Takeaway "The health of your food isn't determined solely by where it came from or what's listed on the nutrition label—it's also determined by what touches it before it reaches your body. Heat, fat, time, and modern packaging create opportunities for chemicals to migrate directly into your meals, but awareness gives you the power to interrupt that process. By choosing glass over plastic, transferring takeout immediately, minimizing processed packaging, and making conscious daily decisions, you reduce toxic exposure while reclaiming sovereignty over your health. Real wellness isn't built through fear—it's built through informed choices repeated every day." Bibliography/Sources: Legislation & Government Sources Food Dive. (2025, September 11). FDA takes first step toward closing GRAS ingredient 'loophole' . https://www.fooddive.com/news/food-ingredient-safety-gras-fda-rule/759938/ Office of Congresswoman Jan Schakowsky. (n.d.). Schakowsky, DeLauro, Dingell introduce legislation to ban harmful toxics in food packaging [Press release] . https://schakowsky.house.gov/media/press-releases/schakowsky-delauro-dingell-introduce-legislation-ban-harmful-toxics-food U.S. Congress. (2026, June 9). H.R. 9231 - No Toxic Chemicals in Food Packaging Act of 2026 (119th Congress). House Committee on Energy and Commerce . U.S. Congress. (2026). S. 4724 - No Toxic Chemicals in Food Packaging Act of 2026 (119th Congress). Congress.gov . https://www.congress.gov/bill/119th-congress/senate-bill/4724 U.S. Department of Health and Human Services. (2025). HHS Secretary Kennedy directs FDA to explore rulemaking to eliminate pathway for companies to self-affirm food ingredients are safe . https://www.hhs.gov/press-room/revising-gras-pathway.html U.S. Food and Drug Administration. (2024). FDA announces PFAS used in grease-proofing agents for food packaging no longer being sold in the U.S. . https://www.fda.gov/food/hfp-constituent-updates/fda-announces-pfas-used-grease-proofing-agents-food-packaging-no-longer-being-sold-us Verdant Law. (2026). Federal legislation would deem 15 chemicals unsafe in food packaging . https://www.verdantlaw.com/federal-legislation-would-deem-15-chemicals-unsafe-in-food-packaging/ Industry & News Coverage Breast Cancer Prevention Partners. (n.d.). Support the federal 'No Toxics in Food Packaging Act of 2026'. Action Network . https://actionnetwork.org/forms/support-the-federal-no-toxics-in-food-packaging-act-of-2026 Flavorist. (2026). No Toxics in Food Packaging Act 2026: A major push to remove harmful chemicals from food packaging . https://www.flavorist.com/the-push-to-ban-forever-chemicals-and-toxins-from-food-packaging-what-the-new-bill-means-for-consumers-and-industry/ Food Dive. (2026). Bill in Congress targets 'forever chemicals' in food packaging . https://www.fooddive.com/news/no-toxics-in-food-packaging-act-2026/822803/ Packaging Dive. (2026). Bill in Congress targets PFAS, phthalates, BPA in food packaging . https://www.packagingdive.com/news/no-toxics-in-food-packaging-act-2026/822601/ Migration & Packaging Chemistry Studies A simulation study on the temperature-dependent release of endocrine-disrupting chemicals from polypropylene and polystyrene containers. (2025). Scientific Reports . https://www.nature.com/articles/s41598-025-05036-7 A systematic review: Migration of chemical compounds from plastic material containers in food and pharmaceutical fields. (2025). PubMed Central . https://pmc.ncbi.nlm.nih.gov/articles/PMC12641956/ European Parliamentary Research Service. (2026). Food contact materials in the EU: State of play. European Parliament . https://www.europarl.europa.eu/RegData/etudes/BRIE/2026/782669/EPRS_BRI(2026)782669_EN.pdf Migration of bisphenol A and its derivatives from epoxy coatings and demand for BPA-NI products. (n.d.). PubMed Central . https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12711388/ Seref, et al. (2025). Food packaging and chemical migration: A food safety perspective. Journal of Food Science . https://ift.onlinelibrary.wiley.com/doi/full/10.1111/1750-3841.70265 Stevens, S., Bartosova, Z., Völker, J., & Wagner, M. (2024). Migration of endocrine and metabolism disrupting chemicals from plastic food packaging. Environment International, 189, 108791 . https://doi.org/10.1016/j.envint.2024.108791 Tanzer, M., Boissiere-O'Neill, T., Sly, P., & Vilcins, D. (2025). Phthalates, bisphenols and per- and polyfluoroalkyl substances migration from food packaging into food: A systematic review. Reviews on Environmental Health, 40(3), 616–625 . https://doi.org/10.1515/reveh-2025-0027 Heat, Microwaving & Microplastics Food Safety Magazine. (2026). Report raises concerns about microplastics, chemicals released by microwavable meals . https://www.food-safety.com/articles/11211-report-raises-concerns-about-microplastics-chemicals-released-by-microwavable-meals Greenpeace International. (2026). Reheating plastic food containers: What science says about microplastics and chemicals in ready meals . https://www.greenpeace.org/international/story/81649/reheating-plastic-food-containers-what-science-says-about-microplastics-chemicals-ready-meals/ INTEGRIS Health. (2025). Is it safe to reheat food in plastic? . https://integrishealth.org/resources/on-your-health/2025/november/is-it-safe-to-reheat-food-in-plastic ScienceInsights. (2026). What happens if you microwave plastic: Health risks . https://scienceinsights.org/what-happens-if-you-microwave-plastic-health-risks/ ZeroToxins. (2026). Food packaging and chemical migration: What happens when heat meets plastic . https://www.zerotoxins.com/post/food-packaging-and-chemical-migration-what-happens-when-heat-meets-plastic PFAS in Fast Food & Grease-Resistant Packaging Consumer Reports. (2022). Consumer Reports finds dangerous PFAS chemicals widespread in fast food packaging tested . https://advocacy.consumerreports.org/press_release/consumer-reports-finds-dangerous-pfas-chemicals-widespread-in-fast-food-packaging-tested/ Determination of several PFAS groups in food packaging material from fast-food restaurants in France. (2023). ScienceDirect. https://www.sciencedirect.com/science/article/pii/S0045653523020015 Environmental Health News. (2023). Burgers and fries with a side of PFAS . https://www.ehn.org/fast-food-pfas Food Manufacturing. (2022). Pressure growing to remove PFAS from fast food wrappers . https://www.foodmanufacturing.com/packaging/news/22250166/pressure-growing-to-remove-pfas-from-fast-food-wrappers Endocrine Disruption, Fertility & Cancer Risk Associations between endocrine-disrupting chemical exposure and fertility outcomes: A decade of human epidemiological evidence. (2025). PubMed Central . https://pmc.ncbi.nlm.nih.gov/articles/PMC12299029/ Medtigo Journal. (2026). Endocrine disrupting chemicals and health in Europe: A systematic review and meta-analysis . https://journal.medtigo.com/endocrine-disrupting-chemicals-and-health-in-europe-a-systematic-review-and-meta-analysis/ Trasande, L., & Sargis, R. M. (2024). Endocrine-disrupting chemicals: Mainstream recognition of health effects and implications for the practicing internist. Journal of Internal Medicine, 295, 259–274 . The GRAS Loophole & FDA Oversight Environmental Working Group. (2026). Secret GRAS: How 100+ food chemicals bypassed government safety review . https://www.ewg.org/research/secret-gras-how-100-food-chemicals-bypassed-government-safety-review Epstein Becker Green. (2025). Eliminating the GRAS pathway: An update . https://www.healthlawadvisor.com/eliminating-the-gras-pathway-an-update Food Safety Magazine. (2024). 'Toxic Free Food Act' would close FDA GRAS 'loophole' allowing potentially toxic additives in food . https://www.food-safety.com/articles/9768-toxic-free-food-act-would-close-fda-gras-loophole-allowing-potentially-toxic-additives-in-food New York University. (2024). How a legal loophole allows unsafe ingredients in U.S. foods . https://www.nyu.edu/about/news-publications/news/2024/august/legal-loophole-unsafe-ingredients.html Thompson Coburn LLP. (2026). The changing landscape of U.S. food additive regulation: MAHA and the end of business as usual . https://www.thompsoncoburn.com/insights/the-changing-landscape-of-u-s-food-additive-regulation-maha-and-the-end-of-business-as-usual/

In this episode, host Ken Fong sits down with Dr. Jonar de Guzman, a board-certified Internal Medicine and Lifestyle Medicine physician and founder of 4 Truth Health. Dr. de Guzman shares his journey from witnessing the devastating, end-stage complications of chronic disease as a Southern California hospitalist to shifting his focus toward prevention and reversal. We dive deep into why type 2 diabetes and prediabetes are quietly devastating Asian American, Native Hawaiian, and Pacific Islander (AANHPI) communities, often going undetected due to unique biological and cultural factors. Dr. de Guzman also breaks down his transformative 4 Truth approach—a sustainable, habit-rebuilding framework designed to help individuals reclaim their health and reverse chronic conditions.

What if one of the most important health crises affecting men today wasn't being caused by aging, but by the environment we live in? In this eye-opening solo episode, Darin Olien investigates the alarming decline in testosterone levels, fertility, and reproductive health among men worldwide. Drawing on decades of research, epidemiological studies, environmental science, endocrinology, and public health data, Darin examines the growing evidence connecting endocrine-disrupting chemicals, microplastics, sleep deprivation, chronic stress, poor lifestyle habits, and environmental toxins to declining testosterone levels across generations. From BPA, phthalates, atrazine, PFAS, and microplastics to sleep quality, circadian rhythms, cholesterol metabolism, cortisol regulation, and natural testosterone-supporting strategies, this episode explores what may be one of the most underreported public health issues of our time—and what men can do to take control of their health today.     What You'll Learn Why testosterone levels have been declining for decades The startling research on global sperm count decline How endocrine-disrupting chemicals interfere with hormone production Why BPA and phthalates may disrupt testosterone synthesis The role of atrazine, PFAS, and environmental toxins How chronic stress diverts resources away from testosterone production Why sleep may be the most important testosterone intervention The connection between cholesterol and hormone production How microplastics are being found throughout the human body The surprising relationship between statins and testosterone levels Natural lifestyle strategies that support healthy hormone production Practical steps to reduce environmental exposure and improve health     Chapters 00:00:00 – Welcome to SuperLife 00:00:33 – Sponsor: Fatty15 and cellular health 00:04:17 – The testosterone collapse explained 00:04:51 – Testosterone levels have been declining for decades 00:06:03 – Global sperm count decline and accelerating trends 00:07:02 – Why treating symptoms misses the root cause 00:07:27 – The hidden public health crisis 00:08:03 – Why low testosterone isn't just about aging 00:09:12 – Why hormone health affects longevity 00:09:53 – Low testosterone and increased mortality risk 00:10:35 – Testosterone's role in metabolism and cardiovascular health 00:11:27 – Endocrine-disrupting chemicals and hormone disruption 00:12:44 – BPA and its effects on testosterone production 00:13:59 – Phthalates and their impact on hormone pathways 00:16:00 – Glyphosate, atrazine, and pesticide exposure 00:17:07 – PFAS and reproductive health concerns 00:17:55 – Environmental toxins and population-wide effects 00:18:11 – Sponsor: Shakeology 00:20:02 – Cholesterol and hormone production 00:20:53 – Chronic stress and cortisol dominance 00:21:45 – Actionable solutions begin 00:21:56 – Why sleep is essential for testosterone production 00:23:07 – How sleep deprivation rapidly lowers testosterone 00:23:21 – Light pollution and circadian disruption 00:23:41 – Foods and nutrients needed for hormone health 00:24:23 – Microplastics and testicular tissue 00:24:53 – Statins and unintended hormonal consequences 00:25:39 – A practical testosterone sovereignty protocol 00:25:48 – Water filtration and reducing toxic exposure 00:26:13 – Eliminating plastics and fragrance chemicals 00:26:35 – Why organic food matters 00:26:45 – Sunlight and vitamin D 00:27:05 – Magnesium, omega-3s, and iodine 00:27:26 – Pine pollen and natural androgen support 00:28:01 – Tongkat Ali and ashwagandha 00:28:48 – Strength training and lifestyle interventions 00:29:10 – Habits that naturally support testosterone 00:29:27 – Darin's approach to healthy aging 00:29:37 – Plants, herbs, and common sense 00:29:51 – Reclaiming your health and sovereignty 00:30:00 – Final thoughts and closing message     Thank You to Our Sponsors Fatty15: Get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/DARIN and using code DARIN at checkout. Shakeology: Get 15% off with code DARINO1BODI at Shakeology.com.     Join the SuperLife Patreon: This is where Darin now shares the deeper work: - weekly voice notes - ingredient trackers - wellness challenges - extended conversations - community accountability - sovereignty practices Join now for only $7.49/month at https://patreon.com/darinolien     Find More from Darin Olien: Website: darinolien.com Instagram: @darinolien Book: Fatal Conveniences Platform & Products: superlife.com New Show: Roadmap to Happiness     Key Takeaway "The testosterone crisis may be about far more than aging. It may be a reflection of the modern environment itself—one increasingly saturated with endocrine-disrupting chemicals, chronic stress, poor sleep, circadian disruption, and toxic exposures. While many of these forces feel outside our control, the encouraging reality is that many of the most powerful interventions remain accessible: improving sleep, reducing toxic load, eating whole foods, getting sunlight, managing stress, exercising regularly, and reclaiming responsibility for our health. The goal isn't fear. The goal is awareness—and action."     Bibliography/Sources: The Decline — Primary Research Levine, H., Jørgensen, N., Martino-Andrade, A., et al. (2022). Temporal trends in sperm count: A systematic review and meta-regression analysis of samples collected globally in the 20th and 21st centuries. Human Reproduction Update, 29(2), 157–176. https://doi.org/10.1093/humupd/dmac035 Lokeshwar, S. D., Patel, P., Fantus, R. J., et al. (2021). Decline in testosterone levels in men aged 15–40: Results from the National Health and Nutrition Examination Survey (NHANES), 1999–2016. World Journal of Urology, 39(2), 447–452. https://doi.org/10.1007/s00345-020-03227-1 Spital Clinic. (2026, March). Declining testosterone levels by generation. https://www.spitalclinic.com Travison, T. G., Araujo, A. B., O'Donnell, A. B., Kupelian, V., & McKinlay, J. B. (2007). A population-level decline in serum testosterone levels in American men. The Journal of Clinical Endocrinology & Metabolism, 92(1), 196–202. https://doi.org/10.1210/jc.2006-1375 Low Testosterone — Mortality & Disease Risk Muraleedharan, V., Marsh, H., Kapoor, D., Channer, K. S., & Jones, T. H. (2013). Testosterone deficiency is associated with increased risk of mortality and testosterone replacement improves survival in men with type 2 diabetes. European Journal of Endocrinology, 169(6), 725–733. https://doi.org/10.1530/EJE-13-0321 Shores, M. M., et al. (2006). Low testosterone associated with increased all-cause and cardiovascular mortality. Archives of Internal Medicine, 166(15), 1660–1665. https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/410754 Yeap, B. B., Marriott, R. J., Dwivedi, G., et al. (2024). Associations of testosterone and related hormones with all-cause and cardiovascular mortality and incident cardiovascular disease in men. Annals of Internal Medicine. https://doi.org/10.7326/M23-2781 Endocrine Disrupting Chemicals Associations between endocrine-disrupting chemical exposure and fertility outcomes: A decade of human epidemiological evidence. (2024). PubMed Central (PMC12299029). https://pmc.ncbi.nlm.nih.gov/articles/PMC12299029/ Hayes, T. B., Haston, K., Tsui, M., et al. (2002). Herbicides: Feminization of male frogs in the wild. Nature, 419, 895–896. https://doi.org/10.1038/419895a Mechanisms of testicular disruption from exposure to BPA and phthalates. (2020). Journal of Clinical Medicine, 9(2), 471. https://pmc.ncbi.nlm.nih.gov/articles/PMC7074154/ Meeker, J. D., Calafat, A. 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