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Join Tricia and Jojo for a fun-filled episode of the Audiobook Lovin' Series with Authors Cedar James and Nicole Lenz, along with Narrators Rachel Dane and Lucas Troy. The group chats about Sweet 16 Snowstorm, part of the Year of Accidental Love Affairs series, where Cedar and Nicole are releasing twelve interconnected standalone romances throughout the year. They also discuss Lucas stepping in at the last minute to narrate a character in a story that holds special meaning for Cedar, and celebrate the successful Kickstarter campaign for the Hart Sports Series Duet audiobooks, Curveball Crush and Swing and Miss. Filled with laughter, behind-the-scenes stories, and audiobook fun, this is an episode you won't want to miss! Visit Viviana, Enchantress of Books: https://www.vivianaenchantressofbooks.com/2026/06/audiobook-lovin-2026-presents-s12-ep-9.html Support the podcast by becoming a patreon at www.patreon.com/AudiobookLovin or Buy Me A Coffee: www.buymeacoffee.com/enchantresspr We hope you have enjoyed this production of The Audiobook Lovin' Podcast. Guest: Authors Nicole Lenz and Cedar James and Narrators Rachel Dane and Lucas Troy Tea Time Hosts: Tricia & Jojo Host: Viviana Izzo Podcast Intro & Outro: Xavier Blade Editor: Viviana Izzo This has been an Audiobook Lovin' production part of the Audiobook Lovin Network. Copyright 2017 by Viviana Izzo, Enchantress of Books. Production Copyright 2017 by Audiobook Lovin'. Audiobook Lovin' Series, The Audiobook Lovin Podcast is a division of Viviana, Enchantress of Books. Please visit Viviana, Enchantress of Books to learn more about the Audiobook Lovin' Series. All rights reserved. No part of this publication may be reproduced, modified, copied, distributed, repackaged, shared, displayed, revealed, extracted, emailed, transmitted, sold or otherwise transferred, conveyed or used, in a manner inconsistent with the Agreement, or rights of the copyright owner. You shall not redistribute, repackage, transmit, assign, sell, broadcast, rent, share, lend, modify, extract, reveal, adapt, edit, sub-license or otherwise transfer the Content. You are not granted any synchronization, public performance, promotional use, commercial sale, resale, reproduction or distribution rights for the Content. For permission requests, please visit Viviana, Enchantress of Books for more information.
Could optimizing your testosterone levels as a woman be the missing piece to improving your sleep, mood, and libido? In this episode, I'm joined by OB-GYN, integrative women's health expert, and author Dr. Suzanne Gilberg Lenz for a powerful conversation about botanicals, hormones, and the menopause symptoms women should stop ignoring. We talk about how herbs like ashwagandha, rhodiola, black cohosh, Siberian rhubarb, saffron, and passion flower may support sleep, mood, hot flashes, blood sugar, and nervous system regulation. Most importantly, we dig into why symptoms like severe hot flashes, night sweats, and sexual dysfunction are not just annoying midlife inconveniences, but important signals your body is asking you to address. What you'll learn: (00:00) Experiencing sexual or orgasmic dysfunction can act as a crucial early warning signal for underlying heart disease. (00:10) Hot flashes and night sweats originate in the brain and can serve as major red flags for cardiovascular disease and dementia. (01:44) Utilizing a clinically studied form of urolithin A helps renew mitochondrial health to improve muscle strength and function. (02:41) Constant hunger and cravings often stem from a gut issue where cells lack the short-chain fatty acids needed to regulate appetite. (06:04) Over thirty percent of conventional pharmaceuticals originate from the botanical world and traditional medicine. (12:07) Starting with adaptogens like ashwagandha or rhodiola provides a gentle, powerful entrance point for managing nervous system and sleep issues. (12:58) Siberian rhubarb acts as a selective estrogen receptor modulator to target brain and bone health without activating proliferation in the uterus or breast. (16:25) Overcoming menopausal sleep issues requires evaluating lifestyle choices, blood sugar stability, and helpful botanicals like passion flower and saffron. Love the podcast? Here's what to do: Subscribe to the podcast. Leave a review. Text a screenshot to me at 813-565-2627 and wait for a personal reply because your voice is so important to me. Full show notes (including all links mentioned): https://jjvirgin.com/askdrsuzanne If your routine or eating habits have changed recently head to BodyBio.com/JJVIRGIN to start supporting your gut. Mitopure supports the cellular energy that allows your muscles to actually respond and adapt. Mitopure gummies make it simple. Visit https://timeline.com/jjvirgin for 20% off your order. Learn more about your ad choices. Visit megaphone.fm/adchoices
Send us Fan MailMolly Lenz grew up in Rogers Park, Chicago and from early on, her ambition was to be involved in music. That passion resulted in a career as a DJ for a station in New Jersey, where she met her husband, who had of all things, a record store. Molly was able to curate her own tunes there at the station, bringing listeners unheard of musicians who were not mainstream. The record store literally a gathering place of new artists and the occasional live performance. After her husband's passing, Molly channeled her grief by having a concert in her New Jersey home. The community that developed, along with the amazing shows made her understand that it was presenting concerts that best represented her ability to promote bands she loved, while giving those bands an audience that trusted her musical tastes. Lenz decided to return back to Illinois and brought along her house concert, Molly's House Concerts to Lincolnwood, a few miles down the road from her old Chicago stomping grounds. There she refined her talent for finding independent audiences and matching them with an audience intent on listening and being part of the evening and not just observers. That was key in the success of her concerts, which has led to an amazing 18 major shows a year. It also highlights the importance to the independent music community of having a venue like Molly's---a place that was free of the control that bigger venues exert on musicians, and a place where an audience could pay for energetic music, given up close and with intention. House Concerts, like Molly's are the "keystone" of the independent music scene. No one is there to get rich, except in Joy and celebration of live, independent music. It is no wonder that such venues are often in the crosshairs of the music industry, looking for ways to extract money from independent artists and independent audiences. This is the first of a two part series in which the community can learn from Molly's experiences in running a house concert and how to create independent concert venues for the benefit of player and audience alike. Her website is www.mollyshouseconcerts.comSupport the showWe are always grateful to have you listening to STRUNG OUT. Here are some important links:SUPPORT THE SHOW:https://www.buymeacoffee.com/MartyfineaKMARTIN'S WEBSITE:http://www.MARTINMcCORMACK.COM (note---you can get my weekly bulletin when you sign up on the list!)MARTIN'S MUSIC: Music | Martin Laurence McCormack (bandcamp.com)Martin McCormack | SpotifyMARTIN'S YOUTUBE CHANNELMartin McCormack - YouTubeFACEBOOKFacebook...
Text Dr. Lenz any feedback or questions Autism Acceptance Month Series: Beyond Awareness to Sensory Truth, Masking, and Invisible IllnessThe script introduces an April autism acceptance month video series aimed at moving beyond awareness to genuine acceptance by explaining the lived experience of autism, especially profound sensory differences, masking, routines as safety, and meltdowns as overwhelm rather than tantrums. It frames autism as a different way of being human in a world built for one “type of brain,” and highlights links between autism, ADHD, and chronic invisible illnesses. The series features guides including Dr. Megan Anna Neff (burnout, unmasking, self-care), Dr. Barry Prizant (autistic behaviors as coping strategies), Dr. Jennifer Frazier (bullying's brain impacts and healing), and memoirist Leland Vitter (resilience and family support). Weekly topics include neurodiversity, harms of functioning labels, late diagnosis, masking, burnout, sensory self-care, bullying and gaslighting, advocacy, and revisiting the highly sensitive person concept with 2026 understanding.00:00 Sensory Overload Walkthrough00:23 Autism Acceptance Mission00:48 Beyond Social Struggles01:25 Masking Routines Meltdowns01:59 Meet the Expert Guides02:27 Dr Prizant Uniquely Human02:53 Bullying Brain Science03:17 Leland Vitter Story03:39 Week by Week Roadmap03:54 Late Diagnosis Unmasking04:07 Self Care and Sensory Tools04:16 Systems Solutions Advocacy04:35 HSP and High Masking04:56 More Than a Series05:11 Join the Comments05:20 Changing the Lens05:59 Closing and Next EpisodeClick here for the YouTube Channel Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions 2026 POTS Guidelines: What They Update—and the Biggest Blind Spots (Hypermobility, Neurodivergence, and Root Causes)The script reviews the new 2026 POTS Guidelines, noting improvements such as formalized diagnostic criteria, recognition of symptoms beyond tachycardia (GI issues, chronic pain, cognitive dysfunction), and first-line nonpharmacological strategies (fluids/sodium, compression) with a tiered medication approach before graded exercise. It argues the guidelines still miss key drivers for many patients by treating POTS too much as a standalone cardiac issue and failing to emphasize hypermobility/EDS as a common underlying structural cause, including not mandating routine hypermobility screening. It also highlights a major omission: the well-documented triad linking POTS, hypermobility, and neurodivergence (ADHD/autism), arguing that screening and support for neurodivergence can improve brain fog, stress/burnout, and even pain, and that ignoring this skews treatment toward cardiac drugs. The video further situates POTS within overlapping syndromes like fibromyalgia and ME/CFS and cites a 2026 case-control study connecting chronic pain/fatigue with higher odds of likely autism/ADHD, mediated by joint hypermobility, urging a more holistic diagnostic and treatment approach.00:00 Why Guidelines Miss You01:09 What 2026 Adds02:23 The Missing Why02:53 Hypermobility Blind Spot05:03 Neurodivergence Omission07:25 Treatment Algorithm Flaws09:42 Bigger Syndrome Constellation11:50 Key Takeaways Recap12:53 Advocate and Share13:36 Final ThoughtsClick here for the YouTube Channel Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions The 2026 Cholesterol Revolution: PREVENT Scores, Hidden Risk Markers, and CAC ScansThe script explains how 2026 ACC/AHA guideline changes aim to make heart attacks more preventable by shifting from short-term “10-year risk” thinking to “lower for longer,” precision prevention, and primordial prevention starting earlier in life. It critiques the older Pooled Cohort Equations for underestimating risk in younger people and introduces the PREVENT equation, which adds 30-year risk plus kidney, metabolic, and social factors. It highlights lipoprotein(a) as a largely genetic once-in-a-lifetime test and hs-CRP as an inflammation marker, and emphasizes coronary artery calcium (CAC) scoring as a tiebreaker for statin decisions (0, 1–99, ≥100). Cases illustrate these tools, including tighter LDL goals (
Text Dr. Lenz any feedback or questions In this enlightening video, we explore the concept of "tension myositis syndrome," a condition where the brain generates chronic pain, challenging traditional biomedical views. We examine Dr. Sarno's groundbreaking work and how he explained the "mindbody syndrome" through a neurodevelopmental lens. Learn how understanding the intricate connection between the brain and pain and the role of emotions and pain can help manage conditions like nociplastic pain, offering strategies for healing and regulation.Imagine Sarah, living with chronic widespread pain for over a decade, her muscles and joints constantly aching, waking up exhausted. This video introduces the concept of "tension myositis syndrome" (TMS), explaining it as a condition where the brain generates pain, challenging traditional biomedical approaches. We explore Dr. John Sarno's work and suggest a "nociplastic pain" lens, including strategies for managing "sensory overload" and regulating "neurodiversity" systems, offering new perspectives on "chronic pain" within the framework of "mindbody syndrome."Imagine Sarah, living with chronic widespread pain for over a decade, her muscles and joints constantly aching, waking up exhausted. This video introduces the concept of "tension myositis syndrome" (TMS), explaining it as a condition where the brain generates pain, challenging traditional biomedical approaches. We explore Dr. John Sarno's work and suggest a "nociplastic pain" lens, including strategies for managing "sensory overload" and regulating "neurodiversity" systems, offering new perspectives on "chronic pain" within the framework of "mindbody syndrome."Click here for the YouTube Channel Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions Navigating ADHD and Chronic Pain: Dr. Kerry Shea's Journey from OB GYN to ADHD CoachIn this episode, we welcome Dr. Kerry Shea, an OB GYN who transitioned to working as an ADHD coach. Dr. Shea shares her personal experience living with ADHD and chronic pain, including a diagnosis of trigeminal neuralgia, and her struggles with various other invisible illnesses like endometriosis. Carrie explains how these challenges impacted her career in medicine and her eventual shift to coaching. She also touches upon the importance of understanding neurodivergence, the impact of chronic pain, and the necessity of a holistic approach to health and wellness. By sharing her story, Dr. Shea aims to validate the experiences of many who face similar issues and provide insight into coping strategies and the importance of seeking support.00:00 Introduction to Dr. Kerry Shea01:23 Carrie's Background and ADHD Diagnosis02:51 Medical Career and Chronic Pain Journey03:36 Struggles with Trigeminal Neuralgia and Work Environment05:40 Navigating the Medical System as a Patient07:16 Transition to ADHD Coaching07:45 Early Life and ADHD Awareness11:21 Chronic Pain and Neurodivergence16:57 Impact of ADHD on Medical Career28:34 Decision to Go on Disability37:11 The Challenges of Medical Specialties37:45 Physical Demands of OB-GYN38:12 Advice for Pre-Med and Med Students38:45 Chronic Pain and Early Symptoms39:38 Restless Leg Syndrome and ADHD42:41 Managing Restless Leg Syndrome48:05 Neurodivergence and Chronic Pain50:42 The Importance of Good Sleep58:55 Physician Burnout and Neurodivergence01:07:49 ADHD Coaching and Support01:11:08 Conclusion and Final ThoughtsClick here for the YouTube Channel Click here for the YouTube channel International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Joy LenzFibromyalgia 101. A list of fibromyalgia podcast episodes that are great if you are new and don't know where to start. Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions 00:00 A Mysterious Case00:59 Years of Unexplained Pain02:19 The Hidden Connection03:08 The Breakthrough Diagnosis04:03 Understanding the Science04:52 Sensory Processing Differences06:13 ADHD and Pain Regulation07:24 Amplifying Factors08:36 Diagnostic Overshadowing09:52 The Treatment Breakthrough10:40 Miraculous Results11:40 Multidisciplinary Approaches12:07 Community and Support12:43 Important Disclaimer13:07 Final ThoughtsClick here for the YouTube Channel Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions Beyond the Pain Scale: Using WPI/SSS and FIQR to Measure Fibromyalgia Severity and Treatment ProgressThe script explains that fibromyalgia care often relies too heavily on a 1–10 pain scale, overlooking fatigue, unrefreshed sleep, brain fog, and daily function, which leaves patients feeling unheard and clinicians without clear data. It describes how the American College of Rheumatology shifted from the 1990 tender point exam to revised criteria (2010, refined in 2011 and 2016) using two quick questionnaires: the Fibromyalgia Survey Criteria—Widespread Pain Index (19 pain regions) plus Symptom Severity Score (fatigue, unrefreshed sleep, cognitive symptoms, plus headaches/abdominal pain/depression), combined as the PSD—and the Revised Fibromyalgia Impact Questionnaire (FIQR), a 21-item measure of function, overall impact, and symptoms scored 0–100. Examples show how these tools provide baselines, track change, guide treatment adjustments, and capture clinically meaningful improvement beyond pain alone.00:00 Beyond the Pain Scale01:04 Why Fibro Gets Missed03:36 Old Criteria to New Tools04:30 Two Key Questionnaires05:45 Widespread Pain Index07:49 Symptom Severity Score09:35 Diagnosis and Tracking Baseline10:50 Advocating at Appointments11:22 FIQR Daily Function12:59 FIQR Impact and Symptoms15:51 Meaningful Improvement Benchmarks16:16 Using Both Tools Together19:05 Tracking Life Factors Over Time20:35 Wrap Up and Next StepsClick here for the YouTube Channel Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Education Minds - Didaktische Reduktion und Erwachsenenbildung
Was bedeutet AI-Literacy? Welche Rolle spielen KI-Agenten künftig im Lernen und in der Bildung? In dieser Episode von Education Minds – Didaktische Reduktion und Erwachsenenbildung sprechen wir über die Kompetenzen, die Bildungsfachleute im Umgang mit Künstlicher Intelligenz heute entwickeln müssen. Wir diskutieren, wie sich Lernprozesse, Rollenbilder und Verantwortlichkeiten durch KI verändern. Mein Gast ist Prof. Dr. Ulrich Lenz. Er verbindet langjährige Führungserfahrung in Unternehmen, Hochschullehre, Coachingpraxis und die Leitung großer Digitalisierungsprojekte. In seiner Arbeit beschäftigt er sich intensiv mit Persönlichkeitsentwicklung, verantwortungsvoller Führung und der Frage, wie Künstliche Intelligenz unseren Möglichkeitsraum erweitert. Gleichzeitig interessiert er sich dafür, welche neuen Anforderungen dies an Verantwortung, Lernen und Organisationen stellt. Weitere Themen in dieser Episode -AI-Literacy verstehen: Welche Kompetenzen brauchen Bildungsfachleute im Umgang mit KI? -Selbstkompetenz und Lernen: Unterstützt KI selbstgesteuertes Lernen oder entstehen neue Abhängigkeiten? -KI-Agenten in der Bildung: Wie verändern agentische Systeme Rollen von Lehrenden und Lernenden? -Ethik der KI: Welche Spannungsfelder ergeben sich für den Bildungsbereich? Diese Episode richtet sich an Bildungsfachleute, Trainer:innen, Coaches und Führungskräfte, die sich intensiver mit AI-Literacy, KI-Agenten und der Zukunft des Lernens beschäftigen möchten.
Text Dr. Lenz any feedback or questions Sjogren's vs Fibromyalgia: Key Differences in Symptoms, Diagnosis, and TreatmentThe script explains why Sjogren's disease and fibromyalgia are often confused due to overlapping pain and fatigue, noting studies suggesting over 30% overlap, and stresses that accurate diagnosis guides appropriate treatment. Fibromyalgia is described as a central nervous system disorder driven by central sensitization, causing chronic widespread pain for at least three months, profound unrefreshing sleep fatigue, and “fibro fog,” with normal inflammatory and autoimmune labs. Sjogren's is presented as a systemic autoimmune disease targeting tear and salivary glands, causing measurable dry eyes and dry mouth (sicca), increased dental problems, and possible joint/muscle pain and organ involvement. The script contrasts diagnostic approaches (WPI/symptom severity vs antibodies, Schirmer's test, salivary flow, and minor salivary gland biopsy) and treatments (exercise/CBT/sleep and neurotransmitter meds vs dryness management, pilocarpine/cevimeline, hydroxychloroquine, and immunosuppressants).00:00 Invisible Pain Explained00:49 Why Diagnosis Matters02:41 Fibromyalgia Basics03:22 Fibro Symptoms Checklist04:57 What Fibro Is Not05:25 Sjogren's Core Signs07:05 Systemic Sjogren's Pain08:04 Sjogren's vs Fibro09:42 Testing and Lab Clues10:36 How Doctors Diagnose12:57 Treatment Roadmaps14:52 Key Takeaways and Advocacy16:12 Final EncouragementClick here for the YouTube Channel Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions Dr. Stephanie Pearson on Workplace Injury, Invisible Disability Claims, and Disability Insurance PitfallsDr. Stephanie Pearson, an OB-GYN, describes how a workplace shoulder injury during a delivery led to chronic pain, failed surgery outcomes, job termination after FMLA, and denial of her hospital disability coverage due to a fine-print work-injury exclusion, followed by a disputed workers' comp claim and a settlement after litigation. She explains how invisible or subjective conditions (e.g., chronic pain, fibromyalgia, headaches) are often doubted by clinicians and challenged by insurers, why “gray” cases face scrutiny, and how documentation of worst-day functional limits and timely medical-record collection are critical, including possible IMEs. Pearson contrasts employer group vs private disability insurance, highlighting taxable group benefits, benefit caps, portability issues, and common two-year limitations for subjective illnesses, while private policies depend on underwriting, exclusions, and participation limits. She also discusses underwriting impacts of medical coding, runs a physician peer support group, and shares personal recovery supports and her company's client advocacy approach.00:00 Meet Dr Pearson01:23 Injury In Delivery Room02:25 Surgery And Termination03:03 Denied And Sued04:11 Mental Health Crisis05:54 New Purpose And Company06:40 Invisible Illness Bias09:05 Building A Paper Trail12:59 Independent Medical Exams16:33 Group Versus Private Coverage19:25 Subjective Illness Limits23:12 Underwriting Exclusions24:28 Fibromyalgia Stigma25:15 Contracts And Legal Review25:44 Coverage Limits Explained28:44 Underwriting and Intake Process29:54 Medical History Surprises32:10 No Underwriting Options33:32 Psych Diagnosis Pitfalls36:26 Staying Properly Insured38:44 Claims SuClick here for the YouTube Channel Click here for the YouTube channel International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions Small Fiber Neuropathy and Fibromyalgia: Correlation, Not the CauseThe script examines why findings of small fiber neuropathy (SFN) in fibromyalgia created hope for an objective “proof” of pain, yet argues this link is often misinterpreted as causation. It explains SFN, diagnosed via skin punch biopsy showing reduced nerve fiber density, and notes studies finding positive biopsies in about 40–60% of fibromyalgia patients, including a 2018 meta-analysis reporting 49% prevalence. The script outlines why SFN is not a smoking-gun cause: it appears in only about half of patients, nerve loss severity doesn't reliably match pain severity, and SFN occurs in other conditions. It contrasts fibromyalgia with classic SFN in onset age, symptom patterns, comorbidities, and nerve-loss distribution, and presents central sensitization (nociplastic pain) as the primary driver, with SFN possibly a trigger in some or a downstream effect in others, emphasizing treatments targeting the central nervous system.00:00 SFN Fibro Controversy01:54 What Is SFN02:57 Biopsy Evidence Buzz04:04 Correlation Not Cause05:54 SFN vs Fibro Differences07:30 Central Sensitization Explained10:12 Where SFN Fits In11:10 Back Pain MRI Analogy11:56 Treatment Focus And WrapClick here for the YouTube Channel Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions High-Masking Autism, Anxiety, and the Multi-System Pattern of Chronic Invisible IllnessDr. Michael Lenz reacts to Auticate's video on autistic health and connects it to fibromyalgia-like “multi-system” chronic invisible illness, describing 11 doctors in a year before an autism diagnosis and a pattern of persistent symptoms despite normal tests. The script reviews common co-occurring issues in autistic people: skin burning/itching and psoriasis, GI problems (GERD, bloating, diarrhea), chronic cough with inconclusive lung workups, urinary frequency/nocturia, insomnia and restless legs/periodic limb movement disorder, widespread muscle tension and pain consistent with fibromyalgia flares after meltdowns, migraines, immune/allergy conditions (including mast cell issues), possible POTS/dysautonomia, and frequent mental health misdiagnoses and medication side effects. It argues a major culprit is chronic anxiety/fight-or-flight from high masking, and explains why medical care is hard for autistic people (waiting, sensory overload, communication, dismissal). It offers self-advocacy tips (lists, disclosure, processing time, bring support) and calls for more integrated, autism-informed healthcare.00:00 Reacting 00:29 The Multisystem Pattern02:24 Skin Symptoms Explained03:41 Gut Issues and Reflux04:57 Chronic Cough Mystery06:25 Urinary Frequency and Pain07:42 Sleep Problems and RLS09:56 Muscle Pain and Flares11:11 Migraines and Sensory Overload12:53 Immune Issues and POTS14:18 Misdiagnoses and Masking15:32 The Culprit Anxiety Loop17:54 Why Doctor Visits Are Hard22:30 Self Advocacy Doctor Tips27:34 Wrap Up and Call to Share Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Programa 57: El futuro ya está aquí. Grabado el día 9 de mayo de 2026. 07:26 "Termush", de Sven Holm 50:39 "Fragmento de historia futura", de Gabriel Tarde 01:26:30 "Sustitutos", de Lisa Tuttle 01:54:27 "Lenz", de Georg Büchner
Text Dr. Lenz any feedback or questions Three Blood Tests That Reveal Your True Heart Attack Risk: hsCRP, Lipoprotein(a), and ApoBDr. Michael Lenz argues the standard lipid panel can miss key drivers of atherosclerosis, explaining why some people with “normal” LDL still have heart attacks, and recommends three additional blood tests to better assess risk. High-sensitivity C-reactive protein (hsCRP) measures inflammation, with higher levels indicating increased risk and supported by the JUPITER trial showing benefit of statins in people with normal LDL but elevated hsCRP. Lipoprotein(a) is a largely genetic, “extra dangerous” LDL-related particle linked causally to heart attacks, strokes, and aortic valve disease; a one-time adult test is recommended, especially with early family history, and high levels warrant aggressive control of other risk factors while targeted therapies are in trials. ApoB counts atherogenic particles and may predict risk better than LDL, particularly with insulin resistance or diabetes.00:00 Hidden Heart Attack Risk01:53 Inflammation Fire Alarm03:06 hsCRP Risk Levels04:21 Lipoprotein A Genetics06:08 What to Do If High06:59 ApoB Particle Count08:27 ApoB Targets and Discordance09:23 Putting the Three Together10:17 Final Takeaways and Next Steps Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions Chronic Illness, Hidden Heart Risk, and the Coronary Artery Calcium (CAC) ScoreDr. Michael Lenz, a clinical lipidologist, explains that chronic illnesses involving pain, inflammation, or central sensitization (e.g., rheumatoid arthritis, lupus, fibromyalgia) can silently increase long-term risk of heart attack, stroke, and cardiovascular death—sometimes doubling or tripling risk—through systemic inflammation, stress-hormone-driven autonomic strain, and associated factors like obesity, tobacco/substance use, and inflammatory diets. He argues standard LDL-based risk calculators can miss this “invisible” danger and discusses advanced assessment, focusing on the coronary artery calcium (CAC) score: a brief, non-contrast CT scan that measures calcified plaque as proof of coronary disease. Citing the MESA study, he describes the predictive value of CAC, including “power of zero,” outlines score ranges and implications, notes limitations such as soft plaque, and urges viewers to discuss CAC, statins, lifestyle, and additional blood tests with their doctor.00:00 Chronic Illness Hidden Heart Risk02:10 Invisible Threat Explained03:50 UK Biobank Wake Up Call04:11 How Damage Builds Up06:20 Why Standard Tests Miss It08:21 CAC Scan That Changes Everything10:13 MESA Study Power of Zero12:32 Understanding Your CAC Score17:04 Treatment and Lifestyle Battle Plan18:51 Take Back Control Closing Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions Fibromyalgia and the Hidden Sleep Disorder Fueling Your Pain: How Restorative Sleep Breaks the Vicious CycleThe script explains fibromyalgia as a real central nervous system disorder marked by widespread pain, crushing fatigue, and “fibro fog,” driven by central sensitization and neurochemical imbalance (elevated substance P/glutamate and reduced inhibitory neurotransmitters). It argues that non-restorative sleep is a core driver of symptoms, highlighting Moldofsky's findings of the alpha-delta sleep anomaly in which wake-like alpha waves intrude into deep slow-wave sleep, preventing tissue repair and pain regulation. Fragmented sleep also impairs diffuse noxious inhibitory controls (DNIC), worsening hyperalgesia and allodynia; experimental sleep disruption in healthy volunteers can induce fibromyalgia-like tenderness, and diary studies show poor sleep predicts next-day pain more than pain predicts sleep. Solutions emphasize prioritizing deep sleep via CBT-I, paced gentle movement (especially aquatic), mind-body practices, warm baths, screening/treating sleep apnea and restless leg syndrome, and clinician-guided options such as low-dose tricyclics/cyclobenzaprine (including FDA-approved Tonmya in 2025), gabapentinoids, and melatonin while avoiding benzodiazepines.00:00 Pain and Fatigue Cycle01:17 Central Sensitization Explained02:32 Fibromyalgia Symptom Breakdown04:25 Neurochemistry Behind Pain06:01 Non Restorative Sleep Mystery07:16 Alpha Delta Sleep Anomaly09:44 How Bad Sleep Creates Pain13:02 Sleep as the Main Lever15:05 Lifestyle Sleep Fixes18:15 Check Other Sleep Disorders19:04 Medication Support Options20:45 Take Action and Advocate21:56 Final Hopeful Wrap Up Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Lechler, Bernd www.deutschlandfunk.de, Corso
Text Dr. Lenz any feedback or questions Making the Invisible Visible: A Longitudinal, Validating Framework for Fibromyalgia and Chronic Illness CareThe script contrasts patients' experiences of chronic pain, fatigue, and brain fog being dismissed despite normal tests with clinicians' uncertainty in brief, system-pressured visits, framing “medical gaslighting” as a patient safety issue. It proposes rewriting the clinical approach to invisible illnesses like fibromyalgia, chronic fatigue, migraines, and IBS by starting with deep listening, validating symptoms, and using standardized tools (Widespread Pain Index, Symptom Severity Score, Fibro Score Index, and Fibromyalgia Impact Questionnaire Revised) to confirm diagnosis, set baselines, and track change over time like an A1C. It emphasizes longitudinal mapping of symptoms across the lifespan, including early nervous system sensitivity, neurodivergence, hormonal transitions, and cumulative stress, plus screening for ADHD, autism traits, and sleep disorders. The framework includes pacing with activity tracking, trauma-informed care, careful documentation, flexible follow-up, coordinated care, and transparent uncertainty paired with belief and hope.00:00 Invisible Illness Reality00:39 Clinician Perspective Pressure01:10 Why Medicine Fails Here01:49 Rewriting the Care Script02:11 Start With Listening02:41 Measure And Baseline03:47 Build The Life Timeline05:50 Hormones And Stress Load07:05 Track Progress Over Time08:10 Pacing And Hidden Comorbidities09:22 The Gaslighting System Trap10:11 What Better Care Looks Like11:30 Hope And Closing Call Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions Why I Don't Recommend AG1: A Cheaper, Higher-Fiber Whole-Food Smoothie AlternativeDoctor Michael Lenz critiques AG1/greens powders as expensive, marketing-driven products ($79 for 30 servings) that rely on proprietary blends with unclear dosing, may reduce benefits compared with whole-food “food matrix” nutrition, and provide too little fiber (2 g per scoop). He argues real health comes from a whole-food, plant-based diet that can reduce inflammation and risk of chronic diseases, and offers a daily smoothie formula as a transparent, affordable alternative: water, two cups leafy greens, one cup broccoli sprouts (sulforaphane/NRF2), frozen berries and bananas (polyphenols, potassium), turmeric plus black pepper (curcumin + piperine), flax or chia (fiber/omega-3s), and lemon. He advises gradually increasing fiber to avoid GI distress, compares the smoothie (15–20 g fiber) plus overnight oats breakfast (~40 g fiber) to a common high-calorie, high-saturated-fat, low-fiber American breakfast, and urges viewers to save money and try whole foods for a week.00:00 Why I Skip AG100:43 Marketing vs Reality01:27 Three Big Problems01:47 Proprietary Blend Trap02:55 Whole Foods Absorption03:37 The Fiber Dealbreaker04:23 Real Food Solution05:20 Anti Inflammatory Smoothie05:29 Smoothie Ingredient Formula05:56 Sprouts and Sulforaphane06:31 Berries Bananas Turmeric08:16 Fiber Ramp Up Warning09:35 Cost and Fiber Comparison10:49 Breakfast vs American Meal12:24 Final Takeaways and Challenge Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions Internal Tremors and Fibromyalgia: The Science Behind Invisible VibrationsThe script explains internal tremors (internal vibrations) as a subjective sensation of shaking or buzzing inside the body with little to no visible movement, often felt at rest and sometimes alongside fasciculations, myoclonic jerks, restless leg syndrome, or periodic limb movement disorder. It addresses fear of serious neurologic disease and emphasizes seeing a doctor to rule out causes like thyroid issues, Parkinson's, multiple sclerosis, and ALS, while noting these often present differently with visible tremors. The video links internal tremors to central sensitization and altered interoception, describing fibromyalgia as a central sensitization syndrome where amplified nervous system signals are hard for the brain to categorize. Suggested strategies include medical evaluation, addressing co-occurring issues and possible medications, checking B12, tracking triggers like dehydration or blood sugar dips, nutrition emphasizing whole plant foods and less saturated fat, CBT, mindfulness and slow breathing, gentle movement, weighted blankets, pacing, and finding support communities, while noting ongoing research and emerging tools.00:00 Invisible Internal Vibrations01:09 What Internal Tremors Are03:10 Why It Feels So Scary03:44 Rule Out Serious Causes04:59 Nervous System Explanation05:18 Central Sensitization Basics06:06 Interoception and Buzzing07:29 Fibromyalgia Connection08:19 Calming Tremors Toolkit08:41 Doctor and Holistic Workup09:42 Nutrition and Triggers10:13 Stress Regulation Practices10:54 Gentle Movement and Grounding11:27 Pacing to Prevent Flares11:57 Community Support and Hope13:29 Wrap Up and Share Story Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions Gabapentin and Pregabalin Explained: Calming an Overactive Nervous System in Pain, RLS, Fibromyalgia, and SleepThe script explains gabapentinoids (gabapentin and pregabalin) as neuromodulators that “turn down” an overexcited central nervous system seen in central sensitization/nociplastic pain syndromes, helping conditions such as neuropathic pain, restless leg syndrome (RLS), fibromyalgia, anxiety, and sleep disruption. It clarifies they don't act on GABA receptors; instead they bind the alpha-2-delta-1 subunit on calcium channels, reducing calcium influx and release of excitatory neurotransmitters (glutamate, substance P, norepinephrine), lowering pain, restlessness, and anxiety. The script highlights guideline shifts making gabapentinoids first-line for chronic RLS due to minimal augmentation risk versus dopamine agonists, notes pregabalin's FDA approval for fibromyalgia (gabapentin used off-label), and emphasizes improved slow-wave sleep and restorative recovery. Practical guidance includes nighttime dosing, “start low and go slow” titration, side effects, off-label use, and the need for doctor supervision.00:00 Nervous System Overdrive01:41 Central Sensitization Explained03:52 What Are Gabapentinoids05:45 How They Work in Brain08:14 Restless Leg Syndrome Shift10:14 Fibromyalgia and FDA Approval12:05 Deep Sleep Healing Boost14:55 Nighttime Dosing Strategy17:04 Side Effects and Titration20:59 Off Label Uses and Kids22:49 Analogies and Key Takeaways24:51 Final Summary and Disclaimer Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions Adult Autism and Masking: Why Diagnosis Matters and How to Recognize What's Beneath the SurfaceDr. Michael Lenz interviews clinical psychologist Donna Henderson, co-author with Sarah Wayland and Jamel White of “Is This Autism? A Guide for Clinicians and Everyone Else” and a companion diagnostic guide, about why autism in adults is often missed, especially in people who camouflage. Henderson describes realizing autism in a client with many prior diagnoses and how the field's training focused on stereotyped, observable behaviors rather than internal experience. They discuss how diagnosis can support self-understanding, self-advocacy, and self-compassion; the difference between social motivation and social energy; why autism in girls often becomes evident around middle school; and how neurocrash, burnout, sensory overload, and misinterpretations of affect can lead to dismissal in healthcare. Henderson argues for clinician education, careful interviewing over test scores, broader access to diagnosis, and considering autism before personality disorder labels.00:00 Late Autism Discovery00:27 Meet The Expert02:40 From Training To Insight06:42 Why Diagnosis Matters11:17 Beyond Observable Traits16:07 Social Energy Vs Interest20:11 Girls And Middle School Shift24:43 State Of Autism Today30:18 Clinicians Need Training37:45 Misdiagnosed As Personality39:37 Hoarding And Pink Flags41:57 Strengths And Sensory Overload44:39 Strengths Need Context45:37 Medical Care and Misread Signals47:35 Pain Expression and Masking50:35 Social Mislabels and Directness53:07 Neurocrash vs Burnout57:42 Reframing Kids and Parenting01:02:19 Cross Neurotype Communic Click here for the YouTube channel International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Joy LenzFibromyalgia 101. A list of fibromyalgia podcast episodes that are great if you are new and don't know where to start. Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Dee Lenz The Shoota....Celebrity Photographer of Nashville joins Squints615 for his first appearance on IGSSTS. From selling selfie sticks on South Beach... to booking photoshoots for Billboards on Broadway! Enjoy a sit down with the guy thats behind the camera for so much talent in Nashville.Be sure to follow Dee Lenz on IG @ DeeLenzNetworkEVERYTHING SQUINTS615 HERE: https://dot.cards/squints615BIGS&P - SHOW AND PROVE ENTFOLLOW CHAD ON YOUTUBE NOW @ChadArmesTV MERCH AVAILABLE AT WWW.CHADARMESTV.COM for S&P MERCH
Text Dr. Lenz any feedback or questions Walk and Talk in Austin: Activity, Weather, and Fibromyalgia InsightsDr. Michael Lenz records a walk along the Lady Bird Lake trail in Austin, Texas, including views of downtown and the Congress Avenue “bat bridge,” explaining how bats congregate there in summer but are gone by mid-November. He reflects on staying active with chronic pain and fibromyalgia, noting many patients were previously very active and may grieve lost abilities, and recommends starting low and gradually increasing movement. He discusses how weather affects symptoms, with many doing better in warm summers and worse in dark winters, while others struggle more in heat due to dysautonomia, temperature regulation issues, POTS, or autism; he shares a patient who felt significantly better while hiking in Central America. He notes nature and activities like kayaking can reduce perceived pain and closes with channel and podcast information and his medical background.00:00 Walk and Talk Intro00:33 Austin Bat Bridge01:55 Staying Active With Fibromyalgia04:47 Weather and Symptom Flares07:24 Music or Silence on Walks10:09 Colorado River and Lady Bird Lake11:59 Nature Therapy and Kayaking12:48 Downtown Views and Trail Life13:57 Wrap Up and About Dr Lenz Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions Cohort Study Links ADHD to Earlier and More Severe Perimenopausal SymptomsThe episode reviews a population-based cohort study using the Icelandic SAGA cohort (women aged 35–55; n=5,392) examining perimenopausal symptom severity in women with versus without self-reported ADHD (9.9%). Using the Menopause Rating Scale (MRS), Adult ADHD Self-Report Scale v1.1, and PHQ-15, researchers found higher overall perimenopausal symptom burden in women with ADHD (mean MRS 18 vs 13) across psychological, somatic, and urogenital domains, and higher prevalence of severe symptoms (overall PR 1.8; somatic PR 2.2; psychological PR 1.63; urogenital PR 1.57) plus severe general symptoms (PR 1.94). Symptoms peaked earlier in ADHD (ages 35–39 vs 45–49), suggesting onset up to 10 years earlier. Adjustments for sociodemographics, smoking, binge drinking, and PTSD (more common in ADHD) did not remove associations. Limitations include cross-sectional measures, self-reported ADHD, symptom overlap, and lack of treatment data; the script calls for tailored guidelines for perimenopausal women with ADHD.00:00 ADHD Meets Perimenopause00:23 Study Purpose And Rationale01:16 Cohort And Measurement Tools02:33 Menopause Rating Scale Breakdown03:17 Overall Symptom Burden Results04:11 Severe Symptoms And Ratios05:26 Earlier Onset By Age06:23 Confounders And PTSD Analysis07:38 Clinical Takeaways And Guidance08:39 Limitations And Future Research10:00 Wrap Up And Call To Action Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
"I'm going to leave the ladder, I'm going to leave the window open, I'm going to leave the lights on."This week on the podcast, I am joined by Rob Gelb, CEO of Vālenz. Rob has led Vālenz through an era of explosive growth, transforming the company from a 60-person shop in 2018 into a 550-employee powerhouse driving innovation in the self-funded healthcare space.But this episode isn't just about healthcare - it's about leadership, vulnerability, and knowing when to pass the torch.In a surprising and highly emotional moment, Rob uses this episode to make a massive public announcement regarding his future at Valenz and the next chapter of his career. He opens up about the deep self-reflection required to make this major life decision, why true leaders must surround themselves with people smarter than they are, and his ultimate mission to "leave a ladder" for the next generation of executives.We also discuss the "Kobe Bryant mentality" of embracing failure, why playing "not to lose" is a recipe for disaster, and why the future of self-funded healthcare relies entirely on "coopetition" and sharing the blueprint for success.If you are a business leader, an entrepreneur, or anyone trying to make a meaningful impact in your industry, this is an absolute must-listen.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: Why the Smartest Leaders Are the "Dumbest" in the Room (00:02:44) The "Broken Glass" Leader & Leaving Ego at the Door (00:04:18) The Kobe Bryant Mentality: Loving to Win vs. Hating to Lose (00:11:41) Playing "Not to Lose" & The Danger of Playing it Safe (00:18:09) Becoming a First-Time CEO at 52 (The "Lattice" Career Path) (00:26:07) "The Obvious is Only Obvious to Those Who Can See It" (00:28:28) Time as the Great Contextualizer (The 3 Dots Framework) (00:32:51) Operating in the "Land Before Time" (Why Healthcare is Broken) (00:39:51) The "Coaching Tree" of Healthcare(00:43:02) Leaving a Ladder: Mentorship & Creating the Future (00:51:27) Overcoming the Inability to Scale in Self-Funded Healthcare (00:56:01) Why We Need "Coopetition" to Fix the $5 Trillion Problem (00:58:42) Rob's Huge Announcement Regarding His Future at Valenz (01:05:15) Closing Thoughts: The Legacy of Leadership & What's NextKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
"I'm going to leave the ladder, I'm going to leave the window open, I'm going to leave the lights on."This week on the podcast, I am joined by Rob Gelb, CEO of Vālenz. Rob has led Vālenz through an era of explosive growth, transforming the company from a 60-person shop in 2018 into a 550-employee powerhouse driving innovation in the self-funded healthcare space.But this episode isn't just about healthcare - it's about leadership, vulnerability, and knowing when to pass the torch.In a surprising and highly emotional moment, Rob uses this episode to make a massive public announcement regarding his future at Valenz and the next chapter of his career. He opens up about the deep self-reflection required to make this major life decision, why true leaders must surround themselves with people smarter than they are, and his ultimate mission to "leave a ladder" for the next generation of executives.We also discuss the "Kobe Bryant mentality" of embracing failure, why playing "not to lose" is a recipe for disaster, and why the future of self-funded healthcare relies entirely on "coopetition" and sharing the blueprint for success.If you are a business leader, an entrepreneur, or anyone trying to make a meaningful impact in your industry, this is an absolute must-listen.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: Why the Smartest Leaders Are the "Dumbest" in the Room (00:02:44) The "Broken Glass" Leader & Leaving Ego at the Door (00:04:18) The Kobe Bryant Mentality: Loving to Win vs. Hating to Lose (00:11:41) Playing "Not to Lose" & The Danger of Playing it Safe (00:18:09) Becoming a First-Time CEO at 52 (The "Lattice" Career Path) (00:26:07) "The Obvious is Only Obvious to Those Who Can See It" (00:28:28) Time as the Great Contextualizer (The 3 Dots Framework) (00:32:51) Operating in the "Land Before Time" (Why Healthcare is Broken) (00:39:51) The "Coaching Tree" of Healthcare(00:43:02) Leaving a Ladder: Mentorship & Creating the Future (00:51:27) Overcoming the Inability to Scale in Self-Funded Healthcare (00:56:01) Why We Need "Coopetition" to Fix the $5 Trillion Problem (00:58:42) Rob's Huge Announcement Regarding His Future at Valenz (01:05:15) Closing Thoughts: The Legacy of Leadership & What's NextKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
Dolly Lenz and Jenny Lenz warn that New York City's luxury housing market could cool sharply as lawmakers consider a recurring tax on high‑value second homes. They discuss pushback from high‑net‑worth buyers and developers like SL Green (SLG), along with risks of capital flight to lower‑tax regions. The duo also examines regional divergence in housing demand, rising insurance pressures, and why buyers continue to favor new construction over existing inventory.======== Schwab Network ========Empowering every investor and trader, every market day.Options involve risks and are not suitable for all investors. Before trading, read the Options Disclosure Document. http://bit.ly/2v9tH6DSubscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/About Schwab Network - https://schwabnetwork.com/about
In this episode of the Award-winning PRS Journal Club Podcast, 2026 Resident Ambassadors to the PRS Editorial Board – Lucas Harrison, Christopher Kalmar, and Priyanka Naidu- and special guest, Jordan W. Swanson, MD, discuss the following articles from the April 2026 issue: "A Comparison of Surgical Techniques for Macroglossia in Beckwith-Wiedemann Syndrome" by Romeo, Lenz, George, et al. Read the article for FREE: https://bit.ly/BeckwithSyndrome Special guest Dr. Jordan Swanson is the Linton Whitaker Endowed Chair of Craniofacial Surgery at the Children's Hospital of Philadelphia and an associate professor of surgery at the Perelman School of Medicine at the University of Pennsylvania. He specializes in the care of patients with cleft lip and palate, craniosynostosis, and other craniofacial conditions, as well as adult craniofacial and aesthetic surgery. His work in global partnerships with teams in low- and middle-income countries has spanned more than a decade, including collaboration with the Nicaraguan Ministry of Health, where he helped build a joint, comprehensive cleft and craniofacial program. He has also led initiatives to expand access to high-quality surgical care in low-resource settings through his clinical practice, research, and global health leadership. Dr. Swanson advances surgical innovation, education, and care delivery across diverse healthcare contexts. READ the articles discussed in this podcast as well as free related content: https://bit.ly/JCApril26Collection The views expressed by hosts and guests are their own and do not necessarily reflect the official policies or positions of ASPS.
What does it take to bridge two wine worlds? Lenz Moser has made 75 trips to China over 21 years, transforming from curious visitor to pioneering winemaker at Chateau Changyu Moser XV in Ningxia. As the fifth generation of Austria's legendary Lenz Moser wine family, whose grandfather invented the revolutionary trellising system used across Europe. In this episode, we discuss how Lenz brought his vision and winemaking wisdom to China's emerging wine frontier. After managing Austria's pre-eminent winery and serving as General Manager for Robert Mondavi in Europe, he turned his attention east in 2005. In this episode, Lenz shares his journey from that first overwhelming moment in Beijing Airport to becoming the winemaker Chateau Changyu Moser XV in Ningxia. We discuss how he spent 10 years building trust before Changyu appointed him head winemaker, and why understanding China's contradictions: patience versus speed, became essential to his success. He reveals the secret behind Ningxia's world-class wines: the smallest Cabernet Sauvignon berries on earth, grown in a desert terroir that went from unknown to World Atlas of Wine recognition in just over a decade. Since 2016, Bottled in China brings you into the food and drink scene through conversations with the some of the most happening personalities. Hosted by Emilie Steckenborn, the show is your one spot for all things wine, food and beverages from across the world. Connect with us on LinkedIn or Instagram @bottled.in.chinaPodcast available on iTunes, Spotify , online or wherever you listen to your episodes! Subscribe to Bottled in China to follow the journey!Check out our new website & find out more at https://www.thebottledshow.com
Die Churer Kampfsport-Legende Charlie Lenz ist auf Formentera gestorben. Er wurde 78 Jahre alt. Der Jiu-Jitsu-Grossmeister trug den 9. Dan und wurde in Japan als «Hanshi», als Halbgott, geehrt. Mit seiner Budo-Schule prägte er Graubünden über Jahrzehnte. Weitere Themen: · Die Bündner Staatsanwaltschaft stellt das Verfahren zum tödlichen Seilbahnunfall in Laax ein. Zwar wurden Sicherheitsmängel festgestellt, ein strafrechtlich relevanter Zusammenhang mit dem Tod des 17-jährigen Lernenden lässt sich laut Behörden jedoch nicht nachweisen. · Die Pädagogische Hochschule Graubünden verzeichnet ein erfolgreiches Jahr mit über 500 Studierenden, so viele wie noch nie. Gleichzeitig schreibt sie einen Gewinn von rund einer Million Franken und baut ihre Forschung weiter aus.
Zerback, Sarah www.deutschlandfunk.de, Interviews
Heute ist der erfolgreichste Mundart-Schriftsteller und Spoken Word-Künstler Pedro Lenz zu Gast in der Sendung Doppelpunkt bei Elena Wagen. Für alle die wissen wollen, was Schweizerdeutsche Literatur für unser Land bedeutet und wie die Fussballlegende Diego Maradona auf Berndeutsch klingt. Songs: Glück u Glas - Züri West, Algo contigo - Andres Calamaro, Häb Sorg - Trummer, The Mother - Brandi Carlile, Je pardonne - ZAZ
In this episode of the Award-winning PRS Journal Club Podcast, 2026 Resident Ambassadors to the PRS Editorial Board – Lucas Harrison, Christopher Kalmar, and Priyanka Naidu- and special guest, Jordan W. Swanson, MD, discuss the following articles from the April 2026 issue: "Influence of Surgical Technique and Surgical Skill on Outcomes of Cleft Palate Repair" by Sitzman, Kirschner, Temkit, et al. "Primary Septal Cartilage Graft for Unilateral Cleft Rhinoplasty: 10-Year Follow-Up Results and the Effect on Septal Deviation" by Ueno, Fukui, Yao, et al. "A Comparison of Surgical Techniques for Macroglossia in Beckwith-Wiedemann Syndrome" by Romeo, Lenz, George, et al. Special guest Dr. Jordan Swanson is the Linton Whitaker Endowed Chair of Craniofacial Surgery at the Children's Hospital of Philadelphia and an associate professor of surgery at the Perelman School of Medicine at the University of Pennsylvania. He specializes in the care of patients with cleft lip and palate, craniosynostosis, and other craniofacial conditions, as well as adult craniofacial and aesthetic surgery. His work in global partnerships with teams in low- and middle-income countries has spanned more than a decade, including collaboration with the Nicaraguan Ministry of Health, where he helped build a joint, comprehensive cleft and craniofacial program. He has also led initiatives to expand access to high-quality surgical care in low-resource settings through his clinical practice, research, and global health leadership. Dr. Swanson advances surgical innovation, education, and care delivery across diverse healthcare contexts. READ the articles discussed in this podcast as well as free related content: https://bit.ly/JCApril26Collection The views expressed by hosts and guests are their own and do not necessarily reflect the official policies or positions of ASPS.
Veronika, der Lenz ist da und das hat auch Einfluss auf unseren gelockten Glücksboten. Aber Atzes Leben ist perfekt und er freut sich wie ein Schnitzel. Das können die europäischen Königshäuser grad nicht von sich behaupten, dort gibt's Probleme, wohin man schaut, Nachdem Atze aber die Doku „Ein Sommer in Italien“ gesehen hat, ist bei ihm alles wieder Tutto Bene. Mit anderen Worten: Besser geht's nicht!Instagram:https://www.instagram.com/atzeschroeder_offiziell/ Hosted on Acast. See acast.com/privacy for more information.
Text Dr. Lenz any feedback or questions Trigeminal Neuralgia Beyond Nerve Pain: Marsha's Racing, Menopause, and Advocacy StoryThe episode explores trigeminal neuralgia as more complex than a simple nerve injury, often overlapping with nociplastic chronic pain features like widespread pain, fatigue, insomnia, and brain fog. Marsha, a longtime off-road racer, recounts an eight-year path to diagnosis after severe electric-shock facial and scalp pain, repeated ER visits, normal imaging, and feeling dismissed as drug-seeking. She describes TN as “torture,” worse than childbirth, and details treatments including carbamazepine, gabapentin, nerve blocks, and gamma knife, which provided about a year of relief but left facial numbness and corneal damage with vision loss. She also has Sjögren's syndrome, concussion history, anxiety/depression, and discusses perimenopause/menopause timing, hormone therapy trials, and possible ADHD. Racing helps her cope mentally, though symptoms worsen after removing her helmet, and she emphasizes support groups, self-advocacy, and not giving up.00:00 Trigeminal Neuralgia Beyond Nerves05:05 Marsha's First Symptoms07:26 ER Visits and Misdiagnosis08:35 Finally Getting a Diagnosis09:38 Becoming an Advocate13:49 What TN Feels Like15:58 Neuropathic vs Nociplastic Pain17:14 Treatments and Gamma Knife23:13 Concussions and Early Clues28:14 Hormones Menopause Connection36:38 Racing as Therapy39:23 Daily Management and Race Day Routine41:42 Racing as Flow State44:29 Adrenaline and Desert Races46:46 TN Community and Daily Struggles48:37 Fatigue Meds and Survival52:13 Living Without a Cure55:02 Faith and Being There56:38 High School Trauma a Click here for the YouTube channel International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Joy LenzFibromyalgia 101. A list of fibromyalgia podcast episodes that are great if you are new and don't know where to start. Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Send us Fan MailDawson Lenz joins us again with the Big Bass Splash right around the corner. We talk about what he's seeing on Guntersville this spring, why big baits continue to produce for him, and how glide baits still fit into the mix this time of year. We also get into trap fishing, frogs, scope baits such as the Coike, and what it may take to win the Splash this year.Support the show
Magenau, Jörg www.deutschlandfunk.de, Büchermarkt
Karches, Nora www.deutschlandfunk.de, Büchermarkt
Pert Near Sandstone hosts the annual String Band Gatherin' at the Turf Club in Saint Paul this Friday and Saturday. Each night there will be local and visiting bands, plus an opening act, and an after party. Phil Nusbaum talked to J. Lenz and Justin Bruhn of the band about the event. First, J responds to Phil's question about thinking, all year ‘round, about acts for the Gatherin'.
Text Dr. Lenz any feedback or questions Should You Accept a Fibromyalgia Diagnosis? Evidence-Based Response to “Don't Accept Fibro” ClaimsDr. Michael Lenz reacts to a naturopath's claim that fibromyalgia is “not an acceptable diagnosis,” acknowledging that patients often feel invisible and that fibromyalgia is diagnosed by symptoms after ruling out other conditions, but arguing this does not make it illegitimate. He explains fibromyalgia as a nociplastic/central sensitization pain syndrome supported by evidence such as amplified pain signaling on functional neuroimaging, disrupted deep sleep, neurotransmitter differences, and overlap with conditions like IBS, chronic fatigue, migraines, and TMJ. He critiques functional-medicine claims that fibro is primarily due to mold toxicity, food sensitivities, adrenal fatigue, leaky gut, or mitochondrial dysfunction, noting limited or debunked evidence and potential harm from chasing costly “root causes.” He outlines evidence-based, multimodal management: restorative sleep, gentle aerobic exercise and pacing, CBT/pain reprocessing and neuroscience education, addressing ADHD/autism/anxiety, and medications such as SNRIs and gabapentinoids.00:00 Why This Reaction01:04 Naturopath Claim Setup02:07 Invisible Illness Explained03:12 What She Gets Right07:31 Why Rejecting Is Harmful07:49 Real Science Of Fibro08:39 Functional Triggers List09:04 Gut Microbiome Claims13:39 Debunking Pseudodiagnoses15:05 Evidence Based Treatment Plan17:46 Should You Accept Diagnosis18:50 Closing Takeaways Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD. Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions Dr. Iris Manor on ADHD, Trauma, PTSD, and Resilience: Risks, Mechanisms, and TreatmentThe host interviews Dr. Iris Manor, a child and adolescent psychiatrist and ADHD researcher, about links between ADHD and traumatic stress disorders, including a Denmark study finding children with ADHD are about 11 times more likely to develop PTSD. Manor distinguishes trauma exposure from traumatic stress disorders and describes behavioral risk (novelty-seeking, impulsivity) and shared neurobiology (hippocampus/ventromedial prefrontal networks, inflammatory cytokines), including possible transgenerational effects of maternal trauma. She argues ADHD and traumatic stress are usually separate but interacting diagnoses, and emphasizes resilience through structure, goals, and avoiding helplessness, noting ADHD makes these harder. She warns clinicians often stop stimulants after trauma despite potential benefit, recommends treating ADHD (and parents' ADHD), and highlights emotional dysregulation requiring treatment (often guanfacine) to enable ADHD and trauma care. The discussion also covers overlap with chronic pain/fibromyalgia and long COVID, autism-related vulnerability, and disagreement with claims that ADHD is primarily caused by trauma.00:00 Trauma and ADHD Link03:11 Why Risk Is Higher04:02 Biology and Inflammation08:04 Which Comes First09:49 Types of Trauma Examples11:52 National Trauma Risk Groups15:14 Covid and Chronic Pain20:42 Resilience Rules and Structure22:20 Treat ADHD During Trauma26:39 Family Screening and Care31:12 ADHD Impact on PTSD Treatment33:33 Emotional Dysregulation Hierarchy35:51 Guanfacine for Dysregulation38:36 Autism Risk and Click here for the YouTube channel International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers. Joy LenzFibromyalgia 101. A list of fibromyalgia podcast episodes that are great if you are new and don't know where to start. Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD. Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions Abdominal Migraines, Weather, and Early Fibromyalgia Clues: Pediatric Case and Listener FeedbackThe episode shares insights on fibromyalgia-related problems with a focus on the role of weather and activity in flareups and how symptoms can begin years before an adult fibromyalgia diagnosis. A pediatric case is presented of a 10-year-old boy with intermittent severe upper abdominal pain lasting hours to a day, nausea without vomiting, reduced appetite, and mild to moderate headaches, with no red-flag symptoms (no fever, diarrhea, bloody stools, weight loss, rash, bruising/petechiae, or joint swelling) and a normal physical exam. Family history includes migraines (maternal aunt), fibromyalgia (maternal grandmother), and restless leg/growing pains (father). The diagnosis is abdominal migraines, and the discussion emphasizes treatment approaches including restoring consistent exercise (noting a drop in activity during winter after basketball season), improving sleep regularity, considering coexisting restless leg syndrome and iron deficiency, maintaining a healthy diet, and screening for stressors and untreated ADHD. The episode also discusses how colder weather and shorter days can reduce activity and contribute to symptom worsening, and recommends tracking steps and adapting with indoor activity or appropriate clothing; it notes that extreme cold or heat can trigger fibromyalgia pain flares. Listener feedback includes praise for a five-part ADHD series with Dr. Dodson and a question about finding fibromyalgia care in Tampa, Florida, with guidance to start with primary care and noting rheumatologists often diagnose fibromyalgia after ruling out inflammatory disease.00:00 Episode Overview00:37 Pediatric Case Setup01:54 Key History Questions04:43 What Changed This Winter06:42 Exam Findings07:45 Diagnosis Abdominal Migraine08:31 Treatment Basics10:19 Weather Exercise Connection14:56 Fibromyalgia Early Clues15:49 Listener Feedback Q&A16:42 Finding Fibro Care17:53 Wrap Up and Goodbye Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD. Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Vee sits down with her sister-in-law, Mandy, for a candid and heartwarming conversation that spans business ownership, family dynamics, and the beauty of everyday human connection. Mandy opens up about what it's really like to run her own business — the risks, the rewards, and the resilience it takes to build something from the ground up. As an only child who married into a big family, she shares how that transition stretched and shaped her, and what she's learned about belonging along the way. She also reflects on stepping into the role of bonus parent — the growth, the challenges, and the deep love that can form in blended families. As a salon owner and stylist, Mandy has a front-row seat to the lives of people from all walks of life. Each week, clients sit in her chair and share their stories — the milestones, the heartbreaks, the quiet in-between moments. She talks about the trust built in those conversations and how her work has given her a unique window into resilience, community, and the shared threads that connect us all.
Vee sits down with her sister-in-law, Mandy, for a candid and heartwarming conversation that spans business ownership, family dynamics, and the beauty of everyday human connection. Mandy opens up about what it's really like to run her own business — the risks, the rewards, and the resilience it takes to build something from the ground up. As an only child who married into a big family, she shares how that transition stretched and shaped her, and what she's learned about belonging along the way. She also reflects on stepping into the role of bonus parent — the growth, the challenges, and the deep love that can form in blended families. As a salon owner and stylist, Mandy has a front-row seat to the lives of people from all walks of life. Each week, clients sit in her chair and share their stories — the milestones, the heartbreaks, the quiet in-between moments. She talks about the trust built in those conversations and how her work has given her a unique window into resilience, community, and the shared threads that connect us all.
Text Dr. Lenz any feedback or questions The Hidden Fibromyalgia Epidemic: How Bias Leaves Millions Undiagnosed—and How AI Can HelpThe script explains fibromyalgia as a chronic, long-term condition marked by widespread pain, profound fatigue, cognitive difficulties (“fibro fog”), and related mood issues, affecting an estimated 2–4% of the U.S. population (7–14 million) but potentially far more due to underdiagnosis. It describes how the condition is often missed because it is “invisible,” lacks definitive objective tests, and commonly leaves patients in diagnostic limbo for about five years while being dismissed as stressed, depressed, or imagining symptoms. Although the 2016 American College of Rheumatology criteria rely on the Widespread Pain Index and Symptom Severity Score, the script argues diagnosis often fails at the moment clinicians don't suspect fibromyalgia—driven by longstanding gender and age stereotypes that frame it as a middle-aged women's disease. It highlights research showing that unbiased application of criteria yields a much closer gender split (about 59% female, 41% male), and that many more men report symptoms than receive diagnoses. The script centers on a study of over 21,000 pain-clinic patients who completed tablet questionnaires with a digital body map; an AI clustered pain patterns into nine groups and identified a “widespread heavy” cluster strongly associated with fibromyalgia, where patients were nearly 30 times more likely to have a fibromyalgia diagnosis than those with low back pain. Yet more than two thirds of patients flagged by the AI lacked a clinical fibromyalgia diagnosis; an objective “informatics proxy” applying the formal criteria found 66.3% of the widespread-heavy cluster met diagnostic criteria, while only 22.4% were diagnosed. The missed patients were more likely to be male and older, demonstrating diagnostic bias. Extrapolating from these findings, the script suggests the true U.S. population meeting criteria could be 21–42 million. It proposes integrating digital body maps and machine-learning alerts into clinic workflows to prompt unbiased evaluation, while emphasizing existing tools already work if applied. The script also frames fibromyalgia as nociplastic pain (central nervous system hypersensitivity), w Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD. Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
Text Dr. Lenz any feedback or questions 5 Lesser-Known Symptoms of Fibromyalgia: Understanding the Hidden CluesThis episode addresses the frustration of constantly feeling pain and fatigue despite normal medical tests and discusses fibromyalgia as a possible cause. It highlights five often-missed symptoms of fibromyalgia: extreme skin sensitivity (allodynia), non-cardiac chest pain (costochondritis), vision problems and sensory overload, pelvic and bladder issues (similar to interstitial cystitis), and widespread burning, tingling, or numbness (paresthesia). The goal is to provide viewers with information and validation to facilitate better conversations with their doctors, helping them feel more in control of their health. The episode emphasizes that fibromyalgia symptoms are real and offers hope for a path forward.00:00 Introduction: The Frustration of Unexplained Pain00:24 The Mystery of Fibromyalgia01:11 Symptom 1: Extreme Skin Sensitivity (Allodynia)02:49 Symptom 2: Non-Cardiac Chest Pain (Costochondritis)05:17 Symptom 3: Vision Problems and Sensory Overload07:11 Symptom 4: Pelvic and Bladder Issues09:10 Symptom 5: Widespread Burning, Numbness, and Tingling11:05 Conclusion: Empowering Your Health Journey Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD. Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...