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VOV1 - Kỳ thi Olympic Vật lý quốc tế lần thứ 56 diễn ra từ ngày 4-12/7 tại thành phố Bucaramanga, tỉnh Santander (Colombia), với sự tham dự của 381 học sinh đến từ 85 quốc gia và vùng lãnh thổ. Đội tuyển Việt Nam có 4 học sinh giành Huy chương Vàng và 1 học sinh giành huy chương bạc.Tham gia cùng đội tuyển, em Nguyễn Thị Bích Ngọc - học sinh lớp 12 chuyên Lý, Trường THPT Chuyên Lê Hồng Phong, tỉnh Ninh Bình - đã góp phần đưa đội tuyển Việt Nam nằm trong nhóm 7 quốc gia có kết quả cao nhất kỳ thi năm nay. Mục “Chuyện đêm” hôm nay, chúng ta cùng nghe chia sẻ của em Nguyễn Thị Bích Ngọc về hành trình chinh phục những chiếc huy danh giá, từ Huy chương Bạc Olympic Vật lý châu Á (APhO 2026) đến huy chương vàng Olympic Vật lý quốc tế năm 2026.Ngay sau khi Đạt thành tích xuất sắc giành Huy chương Vàng tại Kỳ thi Olympic Vật lý quốc tế lần thứ 56, UBND tỉnh Ninh Bình tổ chức gặp mặt, tuyên dương và trao thưởng em Nguyễn Thị Bích Ngọc, học sinh lớp 12 chuyên Vật lý, Trường THPT Chuyên Lê Hồng Phong . Tại buổi lễ, Chủ tịch UBND tỉnh Nguyễn Thanh Bình đã trao Bằng khen, tặng hoa chúc mừng và trao phần thưởng 500 triệu đồng cho Nguyên thị BÍch Ngọc, khẳng định tấm Huy chương Vàng không chỉ là niềm tự hào của gia đình và Trường THPT Chuyên Lê Hồng Phong mà còn là niềm vinh dự của ngành Giáo dục và tỉnh Ninh Bình.Nhân dịp này, thừa ủy quyền của Ủy viên Bộ Chính trị, Phó Thủ tướng Thường trực Phạm Gia Túc, Chủ tịch UBND tỉnh Nguyễn Thanh Bình đã trao bức tranh chân dung Bác Hồ cùng phần quà chúc mừng của Phó Thủ tướng tới em Nguyễn Thị Bích Ngọc.Không chỉ tôn vinh học sinh đạt thành tích cao, UBND tỉnh Ninh Bình còn trao 250 triệu đồng cho thầy Nguyễn Hải Dương, Tổ phó Tổ chuyên môn, phụ trách đội tuyển học sinh giỏi quốc gia môn Vật lý, giáo viên trực tiếp bồi dưỡng em Bích Ngọc nhằm ghi nhận những đóng góp của đội ngũ giáo viên trong công tác phát hiện, đào tạo học sinh giỏi đạt thành tích quốc tế.Đội tuyển Olympic Vật lý quốc tế năm 2026
In this School of Doza episode, we break down the loop between stubborn belly fat and low testosterone: fat tissue raises aromatase activity, converts testosterone into estradiol, and releases inflammatory signals that can suppress the brain-to-testes axis. He then walks through five everyday factors pushing testosterone the wrong direction—alcohol, fast food, sugar, sitting, and poor sleep—and what to change first when energy, motivation, and workouts have all quietly flattened out. FEATURED PARTNER Zen by MSW Nutrition is the adrenal and adaptogen formula Nurse Doza reaches for when stress is the thing driving the loop. Every one of the five factors in this episode—alcohol, processed food, blood sugar swings, sedentary days, broken sleep—lands on the same stress-response system that sits upstream of hormone signaling. Zen pairs bovine adrenal concentrate with Asian ginseng, eleuthero, schisandra, and rhodiola, plus 150 mg of pantothenic acid, P-5-P (activated B6), and vitamin C, to support the body's adaptogenic response and normal adrenal function—without caffeine.
When your cycles are regular, your ultrasound looks normal, or you have been pregnant before, how do you know when it is time to look deeper? Fertility testing does not always give you the whole picture. An LH surge is not the same as the day you ovulate, a normal ultrasound cannot rule out every uterine issue, and previous pregnancies do not protect you from secondary infertility or recurrent loss. In this Fertility Q&A, Dr. Natalie Crawford answers your questions about ovulation tracking, recurrent chemical pregnancies, PMOS (formerly PCOS), low sperm motility, failed embryo transfers, Hashimoto's, unexplained infertility, IUI, and when to pursue a more complete fertility evaluation. TIMESTAMPS: 00:00 Fertility Q&A 00:20 When Do You Actually Ovulate After an LH Surge? 02:00 What Should Be Tested After Recurrent Chemical Pregnancies? 03:58 Should You Fast or Exercise Fasted With PMOS (PCOS)? 06:15 What Does Low Sperm Motility Mean for Fertility? 08:43 When Should You Schedule a Saline Sonogram or HSG? 09:35 What Should You Do After Multiple Failed Embryo Transfers? 11:49 Can Creatine Make Endometriosis Worse? 12:50 How Should You Prepare for Pregnancy With Hashimoto's? 14:48 When Does Recurrent Loss Require a Fertility Evaluation? 17:42 When Should Both Partners Get Karyotype Testing? 18:41 Is IUI Worth Trying for Unexplained Infertility? 21:41 Who Is the Best Candidate for IUI? 22:32 How Long Can Fertility Be Affected After IUD Removal? 23:50 How to Submit Your Fertility Questions AS A WOMAN WITH DR. NATALIE CRAWFORD: YouTube: https://youtube.com/playlist?list=PLveZDgg3_HZ9m7Wy3C6Vvyrj_NtEOwj_l Apple Podcasts: https://podcasts.apple.com/us/podcast/as-a-woman/id1449553339 Spotify: https://open.spotify.com/show/12IYOLH9liu60gk5D0bRPk HOST RESOURCES: Order The Fertility Formula: https://www.nataliecrawfordmd.com/book Newsletter: https://www.nataliecrawfordmd.com/newsletter Instagram: https://www.instagram.com/nataliecrawfordmd YouTube: https://www.youtube.com/@NatalieCrawfordMD Become a patient: https://www.forafertility.com Earn FREE CE/CME: https://learnatpinnacle.com/education This episode is brought to you by The Pinnacle Podcast Network. ABOUT DR. NATALIE CRAWFORD: Natalie Crawford, MD, is a double board-certified OB/GYN and reproductive endocrinologist, co-founder of Fora Fertility, and author of The Fertility Formula. She helps women understand their hormones, fertility, and reproductive health so they can make informed decisions about their bodies. Disclaimer: Natalie Crawford, MD, is a doctor, but she is not your doctor. This content is for general education and is not a substitute for individualized medical care. Learn more about your ad choices. Visit megaphone.fm/adchoices
In this Q&A, I'm answering two of your fertility questions: How long after a positive LH test should your temperature rise, and what does spotting from ovulation until your period actually mean? We're also diving into why LH strips can be misleading, what a gradual BBT rise may be telling you, and the root causes you need to address for strong ovulation and overall fertility.Ways to work with Corinne: Join the Mind Your Hormones Method, HERE! (Use code PODCAST for 10% off!!)Get access to Corinne's FREE Trying to Conceive Masterclass here!Mentioned in this episode: Q&A submission form Join the email list here! (to hear about the Fertile Ground Fiesta August promotions)Podcast episode on Weak Ovulation & Confirming Ovulation with Basal Body TemperatureTempdrop wearable BBT tracker (use code AFCORINNE) Know Your Fertile Window program Join the Mind Your Hormones Community to connect more with me & other members of this community!Come hang out with me on Instagram: @corinneangealicaOr on TikTok: @corinneangelicaEmail Fam: Click here to get weekly emails from meMind Your Hormones Instagram: @mindyourhormones.podcast Disclaimer: always consult your doctor before taking any supplementation. This podcast is intended for educational purposes only, not to diagnose or treat any conditions.
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Is it just your age, or is inflammation really affecting your fertility? In this episode, I'm breaking down the real relationship between hormones, inflammation, and egg quality — why age isn't the whole story, how chronic inflammation impacts your fertility, what your cycle is really trying to tell you, and how to balance lifestyle changes with treatment like IVF for the best possible outcome. Joining me is one of my favorite fellow fertility doctors, Dr. Natalie Crawford @NatalieCrawfordMD a board-certified reproductive endocrinologist, co-founder of Fora Fertility in Austin, Texas, host of the As a Woman Podcast, and author of The Fertility Formula. ✅️In this episode, we cover: - Why simplifying fertility decline to "just age" does a disservice to patients - How chronic inflammation affects egg quality, mitochondrial function, and chromosome alignment - Why your menstrual cycle is a vital sign and how most tracking apps get ovulation wrong - The best tools and methods for accurately tracking ovulation (BBT, LH tracking, cervical mucus, wearables) - Why baseline cycle knowledge matters, especially after stopping contraception - How to balance lifestyle changes with moving efficiently toward treatment like IVF - Why IVF success starts with preparation, not just the procedure itself
VOV1 - Giữa tháng Bảy nắng như đổ lửa, khu vực gần ga Hương Thủy, thành phố Huế rộn tiếng máy xúc, cuốc xẻng của Đội Tìm kiếm và Quy tập hài cốt liệt sĩ 192, Bộ Chỉ huy Quân sự thành phố Huế. Họ thận trọng múc từng gàu đất, bóc tách từng lớp đất để tìm kiếm hài cốt liệt sĩ còn lại nằm lại nơi này.Khu vực tìm kiếm gần ga Hương Thủy, thành phố Huế được xác định là nơi chôn cất nhiều liệt sĩ hy sinh trong trận tập kích Động Toà đêm 20/5/1968. Đó là trận đánh của lực lượng đặc công Tiểu đoàn 1 và Tiểu đoàn 2, thành phố Huế vào căn cứ xe tăng, thiết giáp của địch. Trận đánh diễn ra ác liệt, nhiều cán bộ, chiến sĩ anh dũng hy sinh. Theo các nhân chứng, sau trận đánh, đối phương chuyển thi thể các chiến sĩ về chôn cất tập trung tại khu vực gần ga Hương Thủy. Năm 1993, 83 hài cốt liệt sĩ tại khu vực này được cất bốc đưa về nghĩa trang liệt sĩ.Hơn nửa thế kỷ trôi qua, ký ức về trận đánh năm ấy vẫn nguyên vẹn trong tâm trí cựu chiến binh Lê Hữu Tòng, 81 tuổi, nguyên chiến sĩ đặc công Tiểu đoàn 1, thành phố Huế. Điều khiến ông Lê Hữu Tòng luôn day dứt là vẫn còn những người đồng đội hy sinh chưa được đưa về: "Mong muốn lớn nhất của tôi là tất cả hài cốt liệt sĩ còn nằm ở đâu đó, ở trên cả nước cũng như trên địa bàn thành phố Huế và cả khu vực ga Hương Thủy đều được tìm thấy để đưa về với gia đình. Đó không chỉ là mong mỏi của những người đồng đội còn sống mà còn là khát vọng của biết bao gia đình đã chờ đợi suốt mấy chục năm qua".Từ những ký ức của người cựu chiến binh, sau nhiều ngày triển khai "Chiến dịch 500 ngày đêm đẩy mạnh tìm kiếm, quy tập và xác định danh tính hài cốt liệt sĩ", Đội Quy tập 192, Bộ Chỉ huy Quân sự thành phố Huế đã phát hiện, cất bốc thêm một hài cốt liệt sĩ tại khu vực từng quy tập 83 hài cốt hơn 30 năm trước.Cán bộ, chiến sĩ Bộ Chỉ huy Quân sự thành phố Huế tìm kiếm hài cốt liệt sĩ.
Are you exploring intrauterine insemination (IUI) to grow your family? In this episode of Fertility Docs Uncensored, hosts Dr. Carrie Bedient from The Fertility Center of Las Vegas and Dr. Susan Hudson from the Texas Fertility Center discuss key patient questions about intrauterine insemination cycles and the newer intratubal insemination cycles. In this comprehensive episode, we break down exactly how an IUI cycle works, who benefits the most, and the strict medical guidelines required for success. We dive deep into the absolute necessity of accurate cycle timing, explaining how a luteinizing hormone (LH) surge or a hCG trigger shot dictates the precise 24-to-36-hour insemination window. You will also learn the critical differences between preconception screening and IVF testing—specifically, what genetic testing can and cannot do during an IUI cycle. Finally, we look at the raw numbers. We discuss mandatory medical requirements, minimal post-wash sperm counts, and realistic IUI success rates by age to help you manage expectations on your fertility journey.
If you have been on the fertility journey long enough to feel like your body is somehow disorderly, this episode reframes that picture from the ground up. Michelle starts with one of the most quietly stunning experiments in modern biology: isolated heart cells in a petri dish, with no nervous system attached, will spontaneously synchronize their rhythms when placed near each other. From there she walks through cardiac coherence and resonance frequency breathing, the surprisingly tight coupling between heart rate variability and the menstrual cycle (including HRV ultradian rhythms that anticipate the LH surge), and the Chinese medicine view of harmony as a relational property between organ systems. The takeaway shifts the orientation of fertility work entirely. Coherence is not something to generate. It is something to stop interrupting. The episode closes with four practical shifts that work with the body's native pull toward order rather than against it. KEY TAKEAWAYS Isolated heart cells, separated from the heart and placed in a petri dish, continue to beat on their own and will spontaneously synchronize their rhythms when placed near each other. Coherence is not something the body has to be taught. Breathing at approximately six breaths per minute (around 0.1 Hz) places the breathing and heart rhythms into a measurable, coupled state called cardiac coherence, supported by peer-reviewed research analyzing 1.8 million biofeedback sessions. Heart rate variability and the menstrual cycle are not parallel systems. Grant et al. (2020) showed that HRV ultradian rhythms anticipate the onset of the LH surge, meaning the autonomic nervous system and the reproductive system are coupled oscillators. In Chinese medicine, health is the smooth flow and harmonious interaction of qi between organ systems. The heart, which houses the shen, sets the tone for the entire system, including the womb through the Bao Mai channel. Most fertility plans are organized around adding things, but coherence is allowed through subtraction. The work is to remove what interrupts the body's native rhythm: light at night, constant device input, suppressed emotion, sleep deprivation, eating in a sympathetic state. Disclaimer: The information shared on this podcast is for educational and informational purposes only and is not intended as medical advice. Please consult with your healthcare provider before making any changes to your health or fertility care. Free chapter of The Way of Fertility (book) https://www.michelleoravitz.com/thewayoffertility Top 10 Fertility Boosting Tips Ebook https://www.michelleoravitz.com/mytop10fertilityboostingtips Ready to discover what your body needs most on your fertility journey? Take the personalized quiz inside The Wholesome Fertility Journey and get tailored resources to meet you exactly where you are: https://www.michelleoravitz.com/the-wholesome-fertility-journey For more about my work and offerings, visit: www.michelleoravitz.com Curious about ancient wisdom for fertility? Grab my book The Way of Fertility: https://www.michelleoravitz.com/thewayoffertility Join the Wholesome Fertility Facebook Group for free resources & community support: https://www.facebook.com/groups/2149554308396504/ Connect with me on social: Instagram: @thewholesomelotusfertilityFacebook: The Wholesome Lotus
Why Your Stroke May Not Be Causing Your Brain Fatigue For a long time after my brain surgery, I assumed my body worked like this: the stroke happened in my head, so whatever went wrong afterward would also happen in my head. Fatigue, brain fog, slow thinking all of it filed under “neurological,” all of it explained by the injury I already knew about. That assumption turned out to be wrong, and the way I found out was almost accidental. About eighteen months after my brain surgery, I had thyroid surgery to remove a nodule so large it had pushed my windpipe and esophagus six centimeters out of place. I had no idea it was there. No lump I could see, no difficulty swallowing or breathing that I’d noticed. It was found only because I had a chest X-ray to rule out an infection, and a doctor spotted something that had nothing to do with why I’d walked in. What followed was a slow, confusing recovery from that second surgery, and a wave of fatigue I automatically blamed on my brain, because that was the injury I already understood. It took time to realize the fatigue might be coming from somewhere else entirely: my thyroid. Hormones and Stroke Recovery: The Connection Nobody Talks About I brought this experience to Dr. Robert Hedaya, a Clinical Professor of Psychiatry at Georgetown University Medical Center and a pioneer of functional medicine psychiatry, to understand what actually happened, and to ask a bigger question: how many other stroke survivors are dealing with fatigue, brain fog, or mood changes that they’ve written off as “just the stroke,” when the real driver is a hormonal system that’s quietly stopped working properly? Hormones and stroke recovery turn out to be far more entangled than most of us are told. As Dr. Hedaya put it plainly: the brain is a hormonal organ. Thyroid hormone, cortisol, testosterone, estrogen every one of them acts directly on brain tissue, and every one of them can be knocked off balance by the stress of a major medical event. Why “Normal” Thyroid Bloodwork Can Still Mean Something’s Wrong One of the most important things Dr. Hedaya explained is that a “normal” TSH result doesn’t rule out a thyroid problem, especially after a stroke. TSH is a signal sent from the pituitary gland, and if a stroke has affected the brain’s signaling pathways, the pituitary itself may not respond the way it should. A survivor can have genuinely low thyroid hormone while their TSH sits comfortably inside the standard reference range, because the system responsible for raising that number in response to a deficiency isn’t functioning correctly. He also raised a striking data point: population studies suggest the average TSH in a healthy population is closer to 1.4, yet most labs still use an upper reference limit of 4.5, a range wide enough, statistically, to miss a real problem. His advice for survivors going into a GP appointment: ask specifically for TSH, free T4, free T3, and reverse T3, not just the standard single-marker test, and come prepared with symptoms written down if a doctor pushes back. A Nodule That Grew in Silence The brain is a hormonal organ. It’s an immune organ. It’s a neurological organ… there’s not one hormonal axis when it’s abnormal that cannot cause neurological or psychiatric problems. -Dr. Robert Hedaya My own nodule is a case study in exactly this kind of silent progression. Dr. Hedaya explained that because it grew inward rather than outward, it never created the visible lump most people associate with a thyroid problem, and because it didn’t press on my vocal cords or laryngeal nerve, I never developed the hoarseness that might have flagged it sooner. My body adapted gradually, and the fatigue that eventually surfaced was easy to misattribute to the injury I already knew I had. Cortisol, Stress, and the Difference Between Pain and Suffering Beyond the thyroid, Dr. Hedaya walked through the role of cortisol, the body’s primary stress hormone, and why survivors often struggle to answer a deceptively simple question: “Are you stressed?” His distinction between pain and suffering is worth sitting with: pain is often unavoidable, but suffering is shaped by the story we tell ourselves about a situation, and a stroke can compromise the very brain systems that regulate that stress response in the first place. Testosterone, Estrogen, and the Brain’s Need for Hormones to Rewire The conversation closed on sex hormones, testosterone and estrogen, relevant to both men and women, and their role in neuroplasticity. Dr. Hedaya drew a direct comparison to adolescence: the teenage brain rewires itself while hormone levels are surging, and the same principle applies after a stroke. A brain trying to rebuild pathways needs adequate hormonal support to do that work. Without it, recovery can stall in ways that have nothing to do with effort or physiotherapy. What You Can Do About It If any of this sounds familiar fatigue that doesn’t track cleanly with other recovery milestones, or symptoms a doctor has waved off as “just stress,” Dr. Hedaya’s PNIE (psycho-neuro-immuno-endocrinology) questionnaire is a useful starting point. PNIE Questionnaire download: https://drive.google.com/file/d/1S7kC5uMFgBfS-gWcUOIHp0kOjGnrzZK5/view?usp=sharing If thyroid function specifically is what you’re navigating, the earlier conversation with Dr. Elena Zinkov, “Stroke Fatigue and Thyroid,” goes deeper into that piece (https://recoveryafterstroke.com/stroke-fatigue-and-thyroid/). And for more from Dr. Hedaya, the first conversation on photobiomodulation and stroke recovery is a good companion listen (https://recoveryafterstroke.com/photobiomodulation-stroke-recovery/). Getting your body back after a stroke is rarely just about the brain. My book, The Unexpected Way That A Stroke Became The Best Thing That Happened, goes further into the mindset shifts that came out of my own recovery (recoveryafterstroke.com/book). And if this podcast has helped you, you can support its continuation at patreon.com/recoveryafterstroke. This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. Hormones, Fatigue, and the Brain: Dr. Robert Hedaya Returns (Interview) A baseball-sized thyroid nodule hid in plain sight after Bill’s stroke. Dr. Hedaya explains the hormone testing every survivor should ask for. Support The Recovery After Stroke Podcast Bill’s Book: The Unexpected Way That a Stroke Became Thethe Best Thing That Happened Highlights: 01:45 Hormones and Stroke Recovery 02:11 Understanding Thyroid Function and Its Impact 17:07 Navigating Thyroid Health with Healthcare Providers 27:09 The Role of Stress and Cortisol 39:09 Nutrition’s Impact on Brain Recovery Transcript: Hormones and Stroke Recovery Bill Gasiamis (00:00) And they noticed a massive lump in my throat and my esophagus and my windpipe were pushed six centimeters. And they said to me, well, can you swallow? Can you breathe? Can you do it? And I was like, yeah, I’m all fine. There’s nothing wrong with my throat. that was the first sign that there was something wrong with my thyroid Bill Gasiamis (00:19) Welcome back to Recovery After Stroke. I’m Bill Garciamas, and today I’m joined again by Dr. Robert Hedeya, clinical professor of psychiatry at Georgetown University Medical Center and a pioneer of functional medicine psychiatry, whose highland approach to brain health first brought him onto the show for our conversation on episode 404, where we discussed, amongst other things, photobiomodulation, a type of transcript. cranial laser therapy helping some stroke survivors recover lost function. He’s back today for a conversation I wanted to have for a while, the hormonal side of stroke recovery. We’re going to talk about thyroid function, cortisol, and stress physiology, and sex hormones like testosterone and estrogen, and why every one of these systems can directly affect how well and how fast your brain recovers. I’ll also share my own story of a thyroid nodule that grew undetected, which was discovered after my brain surgery completely by accident. if this conversation resonates with you, my book, The Unexpected Way That a Stroke Became Thethe Best Thing That Happened goes deeper into the mindset shifts that shaped my own recovery. You can find it at recoveryafterstroke.com/book. And if you’d like to help keep this podcast going, you can support it financially at patreon.com/recoveryafterstroke. Bill Gasiamis (01:46) Robert Hedaya, welcome back to the podcast. Dr Hedaya (01:49) Thank you for having me, Bill. Understanding Thyroid Function and Its Impact Bill Gasiamis (01:51) thank you for being here. The last conversation we had was very well received. And it’s always difficult in a one hour interview to ask all the questions that we could possibly ask about the brain and stroke recovery and all the things that people go through. And… I’ve got a lot of other questions that are related to the brain and the link between other parts of the body and the brain, because we have this sense. Well, I did at least when I was first diagnosed that whatever happens in my head is kind of isolated, that it just impacts my head. But there seemed to be some other impacts and cascading effects. that were occurring, uh, that I didn’t know were linked to the brain injury, Dr Hedaya (02:45) Yeah. Bill Gasiamis (02:46) maybe indirectly, but they were perhaps. But one thing specifically that happened to me about, uh, 18 months after my brain surgery was I had thyroid surgery to remove a nodule on my thyroid. And when I was going through the recovery after that, surgery, I noticed that I had fatigue and I thought it was neurological fatigue related to my brain surgery. But it took a long time to develop an understanding that perhaps that batch of fatigue was related to my thyroid. And then that got me thinking all sorts of things. know, if the thyroid also causes the same neurological fatigue that brain injury causes, what people might be missing this in their healing from a brain injury, they might have a compromised thyroid and not know about it. So the first question is, what is a thyroid? What does it do? And why does it cause neurological fatigue? Dr Hedaya (03:54) Okay. So thyroid gland sits in the neck, right? There’s two lobes, there’s one on the right, one on the left, a little kind of island in the middle called the isthmus, and and it controls many functions, metabolism overall, energy overall, just broadly speaking. now it affects the immune system. It’s affects the nervous system. It affects the gastrointestinal system, it affects the muscles, it affects the heart, right? It affects the skin, it affects the nails, it affects the hair. You know, and I could go on and on and on. Okay? Bill Gasiamis (04:34) Wow. Dr Hedaya (04:35) Now the interesting thing about this is that this be a little technical, but the thyroid puts out a hormone called T4 or thyroxine, and this is a little molecule with four iodines in it on it, and that Gives you about 20% of the activity of your thyroid hormones in your body. But then that T4 goes all over the body to different tissues, and each tissue can has its own system to change that T4 into T3 by removing an iodine. T3 has 80% of the thyroid activity. So that means each tissue in the body can control how much thyroid it. It’s using and needs, right? And and has available to it. Okay. So that means the brain, the heart, the liver, the lungs, every tissue has its own enzyme that allows it to kind of modulate how much thyroid, right? Now, so why does that cause neurological fatigue? Well, thyroid in the brain affects neurotransmitters like adrenaline in the brain, which is called nor norepinephrine, noradrenaline. in order for that to work. The T3 has to be in the right amount for the receptors for the noradrenaline to be structurally correct so they can transmit the signal. It’s necessary for production of energy in all the brain cells. It helps the immune system in the brain. It carries molecules from here to there in the brain. it affects serotonin transmission in the brain, so mood regulation, anxiety, obsessiveness, depression. You know, those are just some of the functions of the brain, but it affects every cell in the bane in the brain. So you’re gonna, if your thyroid is off, most likely you’re gonna have some kind of brain problems, particularly, you know, when your thyroid is off, the tissues in your body that are most compromised or most stressed, that’s probably where it’s gonna show up, right? And in the case of stroke, that’s where it’ll show up. Bill Gasiamis (06:44) So it’s possible then, is it possible to overlook it? Is it very obvious that your thyroid is out of, well, is dysregulated or is not working properly? Dr Hedaya (06:56) Well, in general it’s easy to detect. And if you want, I’ll tell you how. So Bill Gasiamis (07:04) Yeah. Tell me how. Dr Hedaya (07:07) so there’s some blood tests that are simple and then s some symptoms. so for most people this holds. When your thyroid is low, you know, you’re gonna be cold easily, you’re gonna have dry skin, brittle nails, hair will fall out. Muscles will be weak, thinking will be slow, movement will be slow, getting up from a chair will be more difficult, going upstairs will be more difficult, your heart rate will slow down, you’ll be constipated. Those are the most common symptoms. If your thyroid is overactive, then you could be have palpitations, oily skin, acne, oily hair. Diarrhea, you know, kind of the opposite. The thing that’s a little confusing with the thyroid is sometimes overactive thyroid can show up and look like it’s underactive symptomatically, or vice versa. So you really need the labs. And the labs are TSH, which is thyroid stimulating hormone, and that’s tells you what the brain is doing. And then free T4. That’s the amount of T4 that’s kind of floating around free, not bound to protein, so it can actually do its job. The way I think of it is like, you know, a lot of the thyroid home is sitting on a bus. It’s not free, it’s bound to protein. Can’t do its job. But the stuff the thyroid this that’s out of the bus or not on a protein, that can do its job. That’s the free T four. And then the free T three, right, which carries eighty percent of thyroid activity. And then the last one is a reverse T3 because sometimes if your tissues in your body are making too much thyroid or getting too much thyroid, they’ll actually, instead of taking the iodine off the T4 molecule on the right side, they’ll take it off on the left side, or vice versa. So they make a fake T3 that doesn’t work. And this way they short circuited okay, you got all this T3. Well, let’s make it into a fake, fake T3 so it can’t do anything. So reverse T3 is also very important. And then you want to measure body temperature. Usually it’ll be low. And then, you know, a physical exam. Those are the ways to do it. If you wanted to go even deeper, you could do some genetic testing. There are genes that will tell you whether you’re converting the T4 to T3 in the brain. Adequately, or maybe you’re more likely to be slow in that regard. So you can have normal numbers in your blood, but your brain might be hypothyroid, right? And there are actually a lot Bill Gasiamis (10:05) Uh-huh. Dr Hedaya (10:05) of studies showing that hypermetabolic, like high doses of free T3, actually reverse treatment-resistant depression because it’s it’s thought that there’s a local in-brain. hypo-low thyroidism. You can have low thyroidism in your heart, in your muscles, but not in the other tissues, you know, because I told you every tissue can control how much it’s making. So if you have a genetic vulnerability, then you you might more be in general be more likely vulnerable to depression or to ADD or to anxiety, things like that. Bill Gasiamis (10:42) Wow. Are you blowing me away? I didn’t expect to hear any of the things that you just said. X. Um, some of the things that you described, the, uh, some of the symptoms that you described, had those intermittently in and out all the time, other than a thyroid nodule, which is what I had, which was obvious on a scan. Dr Hedaya (11:05) Yeah. Bill Gasiamis (11:06) What other things caused the thyroid to not function? correctly. So is there lifestyle factors that interfere with the thyroid gland and therefore, you know, then have the cascading effect and take off, take all those other things or some of those other things offline. Dr Hedaya (11:28) So there a number of causes, right? So first of all, let’s take someone who has had a stroke or chronic illness, right? So you’re under stress and that affects your stress hormones, your adrenal glands, cortisol, etc. Well, if your adrenals kind of poop out, then maybe your body says, Well, I can’t handle all this thyroid, even though the amount is normal, it’s like too much. I can’t handle it, so it’ll make less thyroids. Now you develop a hypothyroidism. You could develop it just because all the chemicals in the environment, the ha the hormone interrupting chemicals, there are hundreds of those. you could develop it ’cause of nutritional deficiencies like tyrosine is necessary to make thyroid hormone, copper, you know, things like that. I can’t tell you offhand which which nutritional factors, but people can look that up, what nutritional factors are important. To make thyroid hormone. and then infections like, for example, Lyme disease causes Hashimoto’s thyroiditis, which is an autoimmune where your immune system’s actually attacking your thyroid. COVID vaccination, like the Pfizer and the Moderna vaccine, if you are genetically vulnerable, can also cause your immune system to attack your thyroid. So there are many, many causes, plus there are inherited genetic vulnerabilities and it It’s not always low thyroid, sometimes it’s high thyroid, hyperthyroidism, like Graves’ disease, right? You can have antibodies Bill Gasiamis (13:01) Mm-hmm. Dr Hedaya (13:02) that are actually stimulating thyroid activity as well. Bill Gasiamis (13:06) Wow. The environmental toxins. we talking about all day, every day household use kind of environmental toxins? I imagine the external of the house, they’re kind of out of our control, right? We’ll talk about like, you know, like pollution or things that are associated to things that are caused that we don’t necessarily control, but internally inside the house or what we expose ourselves to that we can control. what would some of those environmental toxins Dr Hedaya (13:38) Well Bill Gasiamis (13:39) be? Dr Hedaya (13:40) so for example, you know, in your produce, you know, there are pesticides, or in the man made materials in your car or the man made materials in your home. Let’s say you bought a new home and you have, you know, some kind of synthetic floors or furniture with synthetic materials or materials that are natural that are treated with chemicals for various reasons. Those things all can be not everyone is, but many of them are called homes. hormone interruptors because they actually can change the way your hormones function. You know? So we’re the truth is we’re bathed in these chemicals. They’re everywhere. And very hard to escape them. The best thing you can do is kind of try to detox them using a healthy diet, a lot of crucifer vegetables and lots of vegetables, above ground vegetables that are grown in healthy soil. Without pesticides, organic preferably, right? and then there are supplements you can take, such as metagenics makes something called UltraClear Plus, which helps support the liver, and its detox functions. You know, some people are more vulnerable than others, but you know, these thyroid nodules you like you have, they’re very, very common now. Very common. And that’s you know. In large measure, I think these hormone interrupters that are interfering with how the the thyroid follicles in the thyroid gland are operating. Bill Gasiamis (15:13) Is it possible to have thyroid nodules and not know about it? I, I Dr Hedaya (15:18) Yeah. Bill Gasiamis (15:19) say that because I had nodules that were the size of a baseball, apparently in my throat that were growing inwards, that didn’t make a lump outside of my throat, which Dr Hedaya (15:33) Yeah. Bill Gasiamis (15:34) I was not aware of. And the way they found it was they did a chest X-ray after brain surgery because I wasn’t recovering well. to check my chest to see if there’s an infection. And they noticed a massive lump in my throat and my esophagus and my windpipe were pushed six centimeters. Dr Hedaya (15:52) Wow. Bill Gasiamis (15:53) I’m not sure what that is in inches. And they said to me, well, can you swallow? Can you breathe? Can you do it? And I was like, yeah, I’m all fine. There’s nothing wrong with my throat. But that was the first sign that there was something wrong with my thyroid before that. there was no sign of it. I ask that because either I’m totally oblivious or it is possible to have thyroid nodules and not know it. Dr Hedaya (16:23) Well, most people don’t know it. Now yours is so massive, but I think it’s kind of what you said is how it grew. If it grew towards your vocal cords or your laryngeal nerve or something, you would have had some pretty bad hoarseness or something like that. But it grew I guess backwards so it didn’t interfere that much. And I guess your s your body adapted gradually over time. You know, yes, it’s very possible for sure. Very common. Bill Gasiamis (16:49) And how would somebody interact with a general practitioner, for example, now to go through the process of understanding, A, their thyroid health and whether or not they have any nodules. Navigating Thyroid Health with Healthcare Providers Dr Hedaya (17:02) I mean in other words, given what we’ve talked about, how should they approach their doctor basically? Bill Gasiamis (17:07) Yeah. Dr Hedaya (17:08) I guess I would say go to AI, get a list of the symptoms of low thyroid or high thyroid or all of them, check them off. So then when you go to the doctor you have a list, check your temperature, check your pulse, although the doctor will should check that. And then you could say, look, I have these symptoms, or maybe you don’t have any. But if you do, you have these symptoms, and clearly thyroid hormone levels can affect the brain. And I’d like a TSH, a free T4, a free T3, and a reverse T3. That’s it. And if they Bill Gasiamis (17:45) Okay, perfect. Dr Hedaya (17:46) say, no, no, we don’t need to do that, you know, a lot of times what they do, they’ll just do a TSH. Or they won’t do the reverse T3. They don’t, unfortunately, look at the thyroid gland in a dynamic way. They say, the TSH is fine. If your thyroid was low, your TSH would go high. We don’t need to do the rest. But that’s not true. That’s not true at all. Because especially if you had a stroke, your pituitary function may be compromised. Your TSH may be fine or low and your low thyroid. As matter of fact, in the last interview, the case that I talked about, who referred me to you, she actually had a low TSH, but she had a very low, I think it was a free T4. Or free T3 or both, whatever it was, but she had too little thyroid hormone, and her pituitary couldn’t respond because of the stroke. Bill Gasiamis (18:37) understood. So that’s a great list of Dr Hedaya (18:37) So so be you have to be dogmatic and you say to the doctor, look Even put into even put into AI and say, look, if the doctor comes back to me and argues against these tests, what should I say? You gotta be prepared because the doctor will steamroll you. You know, that they only allow this, they only allow that, I’ll only do the free T4. Well, that doesn’t tell you how much has been converted to T3, free T3, and it doesn’t tell you, even if the free T3 is normal, that doesn’t mean you’re not overproducing thyroid and and dis you know, and neutralizing it with the reverse T three. So, you know I mean I I mean I think it’s s so important that a thorough look is is really important. If you have the symptoms, you know. Bill Gasiamis (19:22) I agree with you. That list of to-dos, I’m gonna put that on the show notes. People can go and get that list if they don’t wanna go into AI themselves or they haven’t got the time or whatever. They can just download it from there. And then they’ll be able to take that and begin a conversation with their general practitioner. What’s interesting is that I’m in Australia, you’re in the United States. My general practitioner is pushed back when a… when a patient will turn up and say, I have these tests? They’ll say, well, no, you don’t have any condition that is obvious that you need these tests. So it’s not covered. So you don’t need to do it. So my next suggestion to them is no problem. Order the tests and I’ll pay for them. Now it’s not ideal, but if you’re not going to do them for me and I need to know, cause it’s my health, I’m going to pay for them. So just tell me how much it is and I’ll find a way and I’ll make it happen and I’ll pay for it. So that’s another option. Dr Hedaya (20:17) Yeah. But if you go in with your symptom list, right, and you say, Well, that’s not true, because these are the symptoms, you know, that I have, here they are, right here. You can take a look, you know. And then the last thing I’ll say, this gets even more tricky, is the reference range, I’m sure in Australia, but certainly in the United States, the reference range basically is of the TSH, the pituitary home. Is 0.5 to 4.5, meaning you anywhere in that range and your TSH is normal. That is a bad reference range. And I know it to be a fact because I I I guess I won’t waste your time with it, but I did a study on a hundred people and with a very sensitive thyroid test called a TRH stimulation test. and I was able I hired a statistician to calculate this. And say, well, I don’t want to keep doing this test on everybody. What TSH predicts an abnormal TRH stimulation test? And he came back and said to me, Well, once the TSH is over 1.4, it starts to increase your odds of having an abnormal TRH stimulation. So I said, okay, so 1.4 TSH is my cutoff, right? That’s in my mind. I said, okay, that’s that’s my cutoff, that’s when I get suspicious. Later, several years later, a paper came out, a large, large study, called the NHANES Study, Nurses Health, and I’m not sure what it stands for. Thousands of people followed over many, many years, over decades, and they found the mean TSH in the US population is 1.4. So, right where I what right where my study found. So that means statistically, it is not. impossible to have the upper limit of the reference range being at four point five because statistically the upper limit is never more than two standard deviations. So even if your standard deviation is 1.4, which it can’t be, you you’re not going to reach 4.5, right? Unless you have a it’s called a bimodal distribution curve. If you have that, then you’d say, well, it it could be. But we don’t have that with thyroid. So that reference range is wrong. The upper limit of the reference range should be 2.5. And about half the endocrinologists in the United States believe that. And half say, no, no, no, don’t change it. So that’s another sticky point because, you know, easily people get a result and they’ll go to the doc and say, no, the reference range is 4.5. You’re normal. Then you could say, well, look, I have these symptoms, and they could do a literature search. What’s the normal reference point? What in in the N A N HANES N-H-A-N-E-S study? It’ll show you 1.4. and you could take be prepared to go to the doctor and say, Well, here’s a study that suggests that the reference range may be incorrect. and I have symptoms by the way. We don’t treat the lab, we treat the person. So could we give a trial? Just a trial, there’s no harm done, you know, trial. Let’s see let’s start at a very low dose. Let’s see how I feel. Maybe I’ll get better. I’ll come back in a month. Bill Gasiamis (23:45) Yeah, I love that. It’s really good advice, especially coming from someone who is a doctor who think is thinking on the same way as me, for example, the patient. Because that’s like a match made in heaven. And that’s so rare to be able to get that. Often, my challenge to my general practitioner was well, the reference range isn’t that average of a sick population, because it’s usually a sick population that comes to see you to get bloods. It’s It’s not the most healthiest people that come to see you to get bloods. And that’s kind of how I try to like start the conversation of convincing a general practitioner to do a test that they’re reluctant to do. And when I say they’re reluctant, I’m not in there every day. I’m not in there every week. And I’m not putting stress on the system to an extent where I’ve been over using the system. I’m not at all. in there once, twice a year, maybe, you so if I’m in once, twice a year, well, then, I’m not mucking around. Like I’ve come there to investigate something that I’m suspecting is wrong with me. It’s my body. I’m feeling something. had a bit of a look online. This is what I suspect. Don’t try and convince me out of my thinking or my instinct more better. Why don’t we just, work together to get to the bottom of it. If it is something it is, if it’s not, it’s not, and that’s okay. Not a big deal. I’m better to know. then not no, I think, you know, it’s better to be safe than sorry in my mind. Dr Hedaya (25:16) Yeah. I would I would only think only correction I would make is the reference ranges generally are made on normal populations. Now now the thing is who’s normal anymore? Number one. Number two, that’s a statistical norm that doesn’t tell you anything about your genetics. your vulnerabilities, it’s not an individualized statistic. I mean it’s it not an individualized thing. What’s your normal range? And are you out of your normal range? Nobody can answer that, right? Unless you had previous data before you were ill. And you say, well look, I’ve been running at a 1.1 for five years or 10 years and now I’m at 3.2. That’s a big change. Well, you know you’re stressed. Well yeah maybe but here are my symptoms. Always come back to your symptoms. Bill Gasiamis (26:11) Got it, got it. Dr Hedaya (26:12) No. Bill Gasiamis (26:13) You use the word stress just now and my general practitioner says, I might go in and some bloods might be out of whack or some things might be not feeling great. And he’ll say, are you stressed? And I’m like, well, I’m not stressed. like, I’m not stressed in any way that I can say is worse than normal. For example, I’m Dr Hedaya (26:35) Mm-hmm. Bill Gasiamis (26:36) just, you know, I’m attending to my clients at work. picking up the kids from school, I’m, you know, making sure the bills are paid. Like I’m just doing the normal things that I always Dr Hedaya (26:48) Right. Bill Gasiamis (26:48) do, which tend to be stressful. And somehow when we talk about stress, cortisol seems to come into the conversation. Dr Hedaya (26:57) Mm-hmm. The Role of Stress and Cortisol Bill Gasiamis (26:58) And I don’t know how to respond to a general practitioner who says to me, am I stressed? Because I’m not experiencing something extreme or dramatic. in the months before I came to see him. So can we have a conversation a little bit about stress, cortisol, what is stress, what is cortisol, are they linked? Tell me about that, give me your thoughts. Dr Hedaya (27:21) Okay. Okay, so this is a multi-layer system. Okay, it starts with your perception and your of a situation and the story you tell about you the story you tell yourself about the the situation and your need for control of a situation and as opposed to saying I’m in the flow of the universe and All right, this is you know, this is the way it is, and I’ll adapt to it. Not so easy by the way, but it’s a much healthier way because most things will not stress you. Now, pain, let’s say you stepped on a nail, you’re gonna have stress, okay? Totally stressful, etc. But there’s a a difference between pain and suffering. Most of our problem is suffering. Suffering is a result of thinking patterns. perspectives of yourself and the world and the future and blah blah blah. I could talk about that for a long time. And that is probably one of the most important places to intervene and to train yourself, etc. Now, once this thing is registered as stress, it goes through back to the hypothalamus and the pituitary where all those hormones are controlled, the hypothalamus and pituitary in the brain, now you’ve God forbid, you’ve had a stroke. Those things may be affected, therefore, those systems may not be working well. In that case, you may not be able to handle stresses that you used to handle. You may not you may not have those shock absorbers. So, how do you measure this? I think the way you measure it again are symptoms, and typically it would be low cortisol and low DHA, d DHEA, and low pregnenolone. And the symptoms would be a lot of fatigue, right? Maybe poor wound healing, muscle aches, body pains, getting sick more easily, cognitive slowing, depression, anxiety, extreme exhaustion, salt cravings, in unstable temperatures, you know, I would say yeah You know, th loss of appetite in severe cases, you know, dizziness on standing. Okay. So those are the low adrenal output things. Now how d how do you measure and again, you think you have a problem, go to an AI thing, make that list, check it off, whatever applies, and you know, work yourself up symptomatically and then ask well, okay, what what are the best tests here? What are the best test. Now the way I test it is I get morning I got a morning like eight to nine a.m fasting ACTH and cortisol. It’s gotta be in the morning around between eight and nine a.m. fasting. I also at the same time get a D, like David, H E A and a D H E A sulfate, and then I also get a pregnenolone. And if I think there’s any kind of sex hormone problem that I want to check, then I will check a free testosterone, FSH, LH, and The testosterone measures the free testosterone is very unreliable. So if it comes out low, you want to do it two more times to double check that. But the other measures are pretty reliable. And then you’ll you’ll know the other thing you can do is you could do something called a Dutch test, which is a urine test that’ll look at your cortisol through the day, or an adrenal saliva test. It’s ASI, alleval adrenal saliva index, the Dutch test. or the ASI, both good tests. and those will tell you what’s going on through the day. Like if you’re not sleeping, it could be because your cortisol high at night, you know. Wake up horrible or in pain. Could be because your cortisol is really low in the morning. Really low. You can’t even get out of bed, you know, can’t get going, right? So these are all all things that you can do to measure and then you can replace these hormones and That’s one thing to do. The other thing to do is to work on how you manage stress. There are millions of ways of doing that, right? From meditation to heart math to Bill Gasiamis (32:05) Mm-hmm. Dr Hedaya (32:06) yoga to you know, there’s just a lot a lot a lot of ways to Bill Gasiamis (32:10) Yeah, let’s go back for a moment and talk about testosterone because when I hear testosterone, I’m hearing you say to a male that I need to have testosterone in my body and at certain levels, et cetera. And sometimes it can fall out of whack and you need to get it tested. I had mine tested recently. It’s all good. But women also need testosterone. Tell me about that. Dr Hedaya (32:35) Yeah, so I was I was thinking of both male and female when I said it, Bill Gasiamis (32:38) Yeah. Dr Hedaya (32:39) because it’s it’s you know, women who are postmenopausal can have it’s much more common to have a low free testosterone loss of libido, you know. testosterone the studies which I’ve reviewed a few times, you know, there’s a debate does it affect the mind, the brain, you know. It seems to have an effect on well being, on vitality muscles, sex drive obviously, libido erectile function, brain cognitive function, some mood effects, etc. So I I think it’s important now i it it has to be managed in women as well as men. You know, in in women testosterone is a step on the way to estrogen as it is in men, right? And in the metabolism, right? So it it should certainly be assessed in everybody. Bill Gasiamis (33:39) Yeah. And estrogen, mentioned estrogen. Now, one of them in my mind, it seems to be more associated again to women, estrogen, especially. And, and then men also have estrogen, need estrogen. Dr Hedaya (33:55) Men also have estrogen. I haven’t studied it so I couldn’t tell you, but I imagine it’s doing something. it probably turns men into better leaders after they’re fifty, is my guess. Let Bill Gasiamis (34:08) more emotionally intelligent. Dr Hedaya (34:10) more emotionally intelligent, less testosterone, you know. You know, I I I Bill Gasiamis (34:15) You know what? That’s a good theory. We’ll run with that for now. I might relate to that, know, who knows. Dr Hedaya (34:22) Yeah. I I think Bill Gasiamis (34:24) Awesome, awesome, so… Dr Hedaya (34:24) Yeah, so w for for women on estrogen, it depends, you know, who are you assessing? Are you that’s a whole complex subject, you know. Is it a young woman who’s menstruating? Does she have premature ovarian failure, endometriosis, ovarian cysts, insulin resistance, they all kind of travel together, methylation problems, they travel together. is it someone who’s perimenopausal where she’s starting to lose progesterone and getting a lot of PMS? That’s pretty easy. You can replace the progesterone. Is it postmenopausal a woman who’s just kinda lost the estrogen, lost the progesterone? You know, if there’s a family history of cognitive decline or dementia or something like that, there’s great evidence that transdermal estrogen and some oral progesterone bio bioidentic, not synthetic, is great and reduces the risk for lots of disorders later in life for women. You know. So there’s a whole you know, there’s a whole way of working all that up, depending on who who you’re looking at. But very important. Now so the let me Bill Gasiamis (35:31) Yeah, I love it. Yeah. Dr Hedaya (35:34) say this. The important thing here, and this is maybe the most important thing. Someone’s had a stroke, they’re obviously tremendously stressed. You have to look at all the hormones. You can’t the brain is a hormonal organ. It’s an immune organ. It’s a neurological organ. I used to teach psycho, neuro, immuno, and the chronology at Georgetown for a number of years. Okay? And the brain and hormones, you can’t separate it. So if the brain is under stress, the hormonal axes are under stress, and there’s not one hormonal axis when it’s abnormal that cannot cause neurological or psychiatric problems. Okay? So you must, as part of the work of anyone who’s had stroke. You must look at the endocrine, the hormonal axis. You know, you must look at it. Why? Because if you’re trying to recover from a stroke and you don’t have adequate hormones, it’s gonna be much, much harder. Much, much harder. Right? But Bill Gasiamis (36:37) Peace. Dr Hedaya (36:38) if you have if you have the the hormones at good levels, okay, now the the brain has that. If it has its nutrients, it has that, you know, okay, now it can do something, you know. What happens, think about it this way. What happens in adolescence? The brain is being rewired, the body’s growing, brain is rew being rewired. Where are the hormones? The hormones are skyrocketing. They’re necessary for the rewiring. You had a stroke, you’re trying to rewire brain, you gotta have adequate hormones. Bill Gasiamis (37:10) I love it. This is the thing that people miss. You know, we talk about the gap in stroke recovery. Acute phase gets handled Dr Hedaya (37:19) That’s Bill Gasiamis (37:19) 99 % of the time really well. People get patched up and they get sent home in some kind of alive state, whether they are fully functional Dr Hedaya (37:27) Yeah. Bill Gasiamis (37:28) or working towards it or whether they are less functional and working towards being more functional, like some kind of stage Dr Hedaya (37:35) Mm-hmm. Bill Gasiamis (37:36) of you’re alive and you’re good enough to go home. And then there’s no information after that. So how do we assess address? How, what do we know? What do we not know that we need to know? And this is kind of what this conversation is, right? It’s like, okay, here’s Dr Hedaya (37:53) Yeah. Bill Gasiamis (37:53) a whole bunch of things we’ve just discussed. There might have been things that you heard for the first time. Don’t let that, get in the way of your curiosity and investigate the thing that pricked your ears up, whether it was a symptom that Dr. Hedaya mentioned and just do a little bit more work in understanding what that is, take that to your general practitioner and begin the conversation of taking responsibility for your recovery. And in my mind, like there’s gotta be like a foundational thing that people can do to intervene that doesn’t cost most of the time anything extra. And that helps encourage and nourish the brain in overcoming these challenges, but then has the a cascade effect of having the same positive outcome on all the other organs and hormones. And that to me is nutrition. So like, if you’re, if you would suggest to somebody how they might start thinking about their nutrition as opposed to what they might have been doing before stroke, how do you begin that conversation? And what are the two or three fundamental things that they need to consider? about nutrition. Nutrition’s Impact on Brain Recovery Dr Hedaya (39:11) Okay, so If it doesn’t grow that way, don’t eat it. I never saw a bread tree. I didn’t see an ice cream tree or a Twinkie tree. Okay. So if it doesn’t grow that way, don’t eat it. Balance your plate. Balance your plate. And actually our coach, Caroline Hade, is putting out an ebook. I don’t know, should be out at a week or two or three weeks. It’s like, I don’t know, four or five dollars or something. and that will tell you exactly how to balance your plate. and then I would say very important to have three meals and maybe, depending on your how insulin resistant you are, maybe additionally two snacks. and per day, but keep your calories you don’t want to be overweight, okay, because if you’re overweight, you know, that’s a That’s its own risk factor for brain problems, right? but you can’t lose weight in a day, you’re stressed, you’re hungry, you’re tired, you eat the carbs, you know, everybody struggles with that. But that that is one of the biggest enemies of eating eating eating these processed carbs that we all love is one of the biggest enemies of your health. One of the biggest enemies of your health for sure. Bill Gasiamis (40:35) Okay, there are some great resources that people can again look into how to eat to heal the brain. And we didn’t have to have a deep conversation about that. But I love Dr Hedaya (40:45) Mm-hmm. Bill Gasiamis (40:45) what you said about balancing the plate. And if it didn’t grow that way, don’t eat it. It’s such a simple thing. If it comes in a packet on a shelf in a supermarket with all fancy pictures Dr Hedaya (40:59) Yeah. Bill Gasiamis (41:00) and stickers and a list of ingredients, like it’s probably not nutritional. of food. It’s probably something that’s going to make inflammation worse. It’s probably something that’s going to give you the type of energy that is not helpful. It’s probably going to have a whole bunch of other things. And that’s kind of my approach to healing and recovering my brain. It’s one of the first things I did was just look at my nutrition, immediately stop smoking and drinking. mean, I know it should go without saying, but sometimes you have to have a stroke for it to actually sink in and make sense. and don’t have any alcohol at all. I’m talking about forever if you can, but I didn’t have alcohol Dr Hedaya (41:46) Yeah. Bill Gasiamis (41:47) for at least the first four or five years. And now in the next five years or so, maybe I had one glass per year, just because I was, in an event where it was, everyone was drinking and it was almost necessary to have sip or half a sip or act as if I was drinking. So with that, I think we’ll wrap up this conversation today. There’s been a lot for people to digest, go back and listen to it a second time. And a third time that we have some resources in the show notes. And Dr. Hedaya, thank you for joining me again. And I look forward to our conversation that’s coming up in a few weeks time where we’re going to talk about toxin load and neuroplasticity. Dr Hedaya (42:29) Beautiful. Thanks so much for the opportunity, Bill. I hope I hope people get something out of this and they pursue what they need to pursue. Bill Gasiamis (42:36) Well, that’s a wrap on this conversation with Dr. Robert Hedeya. If there’s one thing to take from today’s interview, it is this. The brain is a hormonal organ and recovery isn’t just about the brain healing in isolation. Thyroid, cortisol, testosterone, estrogen, all of it is connected, and all of it is worth checking if your recovery has plateaued in ways that don’t quite make sense. Dr. Hadea’s free PNIE questionnaire is linked in the show notes. Download it, work through it, and take it with you to your next GP visit. If you want to go deeper on the thyroid piece specifically, go back and listen to the earlier episode with Dr. Elena Zinkov on stroke fatigue and thyroid. And if you missed it, the first conversation with Dr. Hedeya on photobiomodulation is a great companion to this one. if this episode has helped you, share it with someone who needs to hear it. That’s genuinely the best way to help this show reach more survivors. My book, The Unexpected Way That a Stroke Became the Best Thing That Happened, is available at recoveryafterstroke.com/book. And if you’d like to support the show financially, you can do so at Patreon by going to patreon.com/recoveryafterstroke. Until next time, take care of yourself and don’t assume it’s just a stroke. The post Hormones, Fatigue, and the Brain: Dr. Robert Hedaya Returns appeared first on Recovery After Stroke.
Senior Associate Editor Renee Kiriluk-Hill breaks down the latest Best's Rankings of the nation's largest mutual property/casualty and life/health insurers, highlighting State Farm's commanding lead in P/C, New York Life's continued dominance in L/H, and notable shifts among the top writers.
Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks… Becca: Hi Dr. Cabral! My husband is challenged by a "cobalt conundrum". Several years back he was overexposed to wet cement, spending hours mixing it with his hands. (Big mistake) Shortly after he developed a severe body rash along with painful cramps and diarrhea. After many tests, they found an allergy to cobalt via a skin test, and we assume it relates to the cement mixing incident. Severely limiting cobalt both topically and in diet has helped, but he still struggles with GI issues. Functional medicine tests showed leaky gut. He attempted treatment but even one basic supplement (dairy free igg) caused severe stomach issues. Meanwhile he's missing vital nutrients from avoiding b12 (cobalt) etc. How can he address leaky gut and allergies when he's so sensitive to treatments? Signed, Your Fan Ally: Hi Dr. Cabral, I am a new Level 2 graduate and I have a new client who is 20-years old with a history of anorexia. she is 5-years post treatment. She complains of bloating, constipation, and just having trouble eating. She is of normal weight, and is looking for relief. I was thinking of doing the Big 3 labs and the CBO protocol.. Any recommendations would be very appreciated. I do not want to recommend the wrong plan of care for her. Warmest regards, Ally :) Tommy: Hey Dr. C, I'm an IHP, 36. Had a birth defect, 3 operations by the age of 8 including tonsillectomy. Sleep issues began at 9, insomnia by 12, eczema, fainting, 14 years of steroid creams and thousands of antibiotics. I've got high heavy metals and Citrabacter freundi. I can't tolerate any protocols even at a lower dose, they make my existing problems worse. On days where I train intensely I struggle to shut off. I feel like my body is always stuck in a low level of stress. I've cut down my training a lot but I'm not sure what else I can do. I'm tolerating zinc Carnosine which helps but I still always have red skin on my face. Still struggle to tolerate stress. If only I could do a heavy metal protocol. Sarah: Hi! Hope you are well and love tuning in daily to learn from you! I have been trying to heal leaky gut and chronic hives for over a decade now. Because I am very reactive I stop and start a lot. However, I recently gave in and started a low dose prednisone and over a couple weeks lost 10lbs of inflammation, hives gone, that I couldn't break with any diet (restriction), exercise etc. I would like to do some testing and do the CBO protocol as this started after antibiotics. My question is, will this skew the results of cortisol/A1C and will it be okay to continue on to keep symptoms calm while getting to the root and going through some protocols? Thanks! (BTW) I have tried all the natural stabilizers and didn't help calm symptoms. (Quercetin, Vit C, Mag, etc) Sienna: Hi Dr. Cabral, this is a follow up to my question on 3782 re testing for perimenopause please. Thank you for your guidance and if I could run EL labs I would. I have NO access to Saliva Testing in my country (and EL don't ship here). So I know about SMM & Fertility Labs but can't run them so I am *specifically* asking IF estrogen & progesterone tested by an endocrinologist (BLOOD) have ANY value as a way to look at levels? LH, FSH & AMH are great as I can get these from bloods, can you please provide the healthy ranges vs. perimenopause? Would really appreciate it as this is the only option I have to look deeper & PCP here don't have a functional approach so really value your guidance on anything you can share to help me support my body. Thank-you, Sienna Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3817 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? 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VOV1 - Ban Thường vụ Tỉnh ủy Đắk Lắk vừa quyết định thành lập Ban Chỉ đạo tổ chức thực hiện "Chiến dịch 500 ngày đêm đẩy mạnh thực hiện tìm kiếm, quy tập và xác định danh tính hài cốt liệt sĩ", nhằm chỉ đạo triển khai quyết liệt, đồng bộ các nhiệm vụ trên địa bàn tỉnh.Theo quyết định, đồng chí Cao Thị Hòa An, Uỷ viên Trung ương Đảng, Phó Bí thư Thường trực Tỉnh ủy, Chủ tịch HĐND tỉnh giữ chức Trưởng Ban Chỉ đạo.Các Phó Trưởng Ban gồm: đồng chí Đào Mỹ, Phó Chủ tịch UBND tỉnh; Đại tá Võ Văn Tuấn, Chính ủy Bộ CHQS tỉnh, giữ chức Phó Trưởng Ban Thường trực; Đại tá Lê Hữu Tuấn, Phó Giám đốc Công an tỉnh; và đồng chí Phan Đại Thắng, Phó Giám đốc Sở Nội vụ.Ban Chỉ đạo còn có sự tham gia của lãnh đạo Ủy ban MTTQ Việt Nam tỉnh Đắk Lắk, Ban Tuyên giáo và Dân vận Tỉnh ủy cùng các sở, ngành liên quan.Ban Chỉ đạo có nhiệm vụ tham mưu Ban Thường vụ Tỉnh ủy, Ban Chấp hành Đảng bộ tỉnh lãnh đạo, chỉ đạo triển khai hiệu quả Chiến dịch 500 ngày đêm theo yêu cầu của Ban Chỉ đạo quốc gia và Ban Chỉ đạo Quân khu 5 về tìm kiếm, quy tập và xác định danh tính hài cốt liệt sĩ. Bộ CHQS tỉnh Đắk Lắk được giao là cơ quan thường trực của Ban Chỉ đạo, phối hợp với Sở Nội vụ bảo đảm điều kiện hoạt động, tổng hợp tình hình và tham mưu thực hiện các nhiệm vụ được giao. Ban Chỉ đạo hoạt động theo chế độ kiêm nhiệm và tự giải thể sau khi hoàn thành nhiệm vụ.Ông Lương Nguyễn Minh Triết, Uỷ viên Trung ương Đảng, Bí thư Tỉnh uỷ Đắk Lắk cho biết, thực hiện "Chiến dịch 500 ngày đêm đẩy mạnh tìm kiếm, quy tập và xác định danh tính hài cốt liệt sĩ" là nhiệm vụ rất khẩn trương, cần phải triển khai quyết liệt và tập trung chỉ đạo để đạt kết quả tốt hơn."Thường trực thống nhất là thành lập Ban chỉ đạo của tỉnh về triển khai Chiến dịch 500 ngày đêm. Ban chỉ đạo do đồng chí Cao Thị Hòa An, Uỷ viên Trung ương Đảng, Phó Bí thư Thường trực Tỉnh ủy, Chủ tịch HĐND tỉnh làm Trưởng Ban Chỉ đạo để đôn đốc, đẩy nhanh tiến độ chương trình này. Đây là việc làm rất gấp, phải triển khai quyết liệt, cần phải tập trung để đạt kết quả tốt hơn trong thời gian sắp đến."./. Công Bắc/VOV Tây NguyênĐắk Lắk xác định thực hiện "Chiến dịch 500 ngày đêm đẩy mạnh thực hiện tìm kiếm, quy tập và xác định danh tính hài cốt liệt sĩ" là nhiệm vụ rất khẩn trương, cần phải triển khai quyết liệt.
Era actualitat dera Val d'Aran en aran
What happens when men's health gets reduced to one testosterone number? In this episode of hol+, Dr. Taz sits down with Dr. Brandon Smith, MD, a conventionally trained physician practicing at hol+, for a practical and eye-opening conversation about men's health, low testosterone, sleep apnea, TRT, GLP-1s, muscle, stress, hormones, and why so many men are waiting too long to get proactive about their health.Together, they explore why men's health needs a reframe, especially in a medical culture where many men are taught to only go to the doctor when something is clearly broken. Dr. Smith shares what he sees in the exam room, from younger men asking about testosterone before starting a family, to men in their 40s, 50s, and 60s realizing they have spent years pushing through fatigue, stress, brain fog, weight changes, low libido, poor sleep, or changes in performance without knowing where to start.Dr. Taz and Dr. Smith also unpack why low testosterone is not always a simple testosterone problem. Dr. Smith explains the difference between total testosterone and free testosterone, why one lab number is only a snapshot, why testosterone can fluctuate throughout the day, and why morning testing matters. They also discuss why symptoms, context, body composition, sleep, stress, inflammation, chronic illness, and lifestyle all need to be part of the conversation before jumping straight to testosterone therapy.This conversation takes a closer look at one of the most overlooked drivers of low testosterone: sleep apnea. Dr. Smith explains why disrupted sleep can create a stress signal in the body, why men may not realize they are waking up throughout the night, and why the body may lower reproductive hormones when it does not feel safe, rested, or recovered. They also discuss how fasting, chronic stress, high cortisol, poor recovery, and underlying medical conditions can affect hormone levels.If you're listening to this and thinking, “I know something is off in my body, but I don't know where to start,” join the Circle here:
(00:00:00) 223: Menopause Explained so Even a Husband can Understand (00:00:12) Welcome to the Itchy and Bitchy Podcast (00:00:43) Doc Itchy Medical Pets Supplements (00:01:03) Explaining Menopause in Simple Terms (00:03:39) The Pituitary-Hormone Axis: A Toilet Analogy (00:07:12) Menopause as a Hormone "Dumpster Fire" (00:08:22) Break Announcement (00:08:35) Four Hormone-Chaos Events in Life (00:13:22) Break Announcement (00:14:04) Sleep Disorders and Aging (00:24:10) Break Announcement Here's the deal.Think of your hormonal system like a toilet. Your ovaries are the water tank. When they're full of estrogen, the pituitary gland, your body's master control panel, sees a full tank and relaxes. Everything flushes smoothly.We break down this hypothalamic-pituitary-ovarian axis in plain English, no medical degree required. You'll finally understand why your body is doing what it's doing, and what you can actually do about it.Because you deserve to understand your own plumbing.Itchy & Bitchy is the podcast for anyone who has ever felt dismissed, misdiagnosed, or gaslit by a broken medical system. From gut health and hormone health to autoimmune disease and chronic pain, we investigate what science actually says. We examine functional medicine, holistic health, and alternative medicine with the same skeptical If it's pseudoscience, we'll call it. If it's medical gaslighting, patient advocacy failure, or misdiagnosis we'll call that too. For chronic illness warriors, self-advocacy seekers, and wellness skeptics WE OFFER No filters. No BS. Just the truth your doctor didn't have time to tell you.Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-bitchy-podcast--4303608/support.Itchy & Bitchy: Have you felt dismissed, misdiagnosed, or gaslit by a broken medical system. From gut health, hormones, autoimmune disease, chronic pain, holistic health, and alternative medicine ... medical gaslighting, patient advocacy , or misdiagnosis we'll call that too. For chronic illness warriors, self-advocacy seekers: WE OFFER No BS
La pronuncia è spesso l'aspetto più trascurato nello studio dell'italiano — eppure è la prima cosa che un madrelingua nota. Esistono errori legati a caratteristiche dell'italiano che non esistono in molte altre lingue: quasi tutti gli studenti li commettono, ma una volta riconosciuti è possibile correggerli. Non Commettere Questi Errori di Pronuncia in Italiano Errore 1: L'Accento Sbagliato nella Terza Persona Plurale In italiano, l'accento tonico — cioè la sillaba su cui cade il "peso" della parola — cade di norma sulla penultima sillaba. Esiste però una grande eccezione: le terze persone plurali dei verbi, cioè le forme con "loro". Molti studenti, seguendo la regola della penultima sillaba, pronunciano: «loro scrivono» con accento su -vo- → scri-VO-no «loro leggono» con accento su -go- → leg-GO-no La pronuncia corretta è invece: «loro SCRIvono» → accento sulla terzultima sillaba «loro LEGgono» → accento sulla terzultima sillaba La regola: nelle terze persone plurali, l'accento non cade mai sulla penultima sillaba, ma sempre sulla terzultima — o anche prima. Il Trucco: Pensa alla Prima Persona Singolare L'accento nella terza persona plurale cade esattamente nella stessa posizione della prima persona singolare (io): «io SCRIvo» → «loro SCRIvono» «io LEGgo» → «loro LEGgono» «io DORmo» → «loro DORmono» «io PARlo» → «loro PARlano» Esistono anche verbi in cui l'accento alla prima persona singolare cade sulla terzultima sillaba o ancora prima. In questi casi il plurale segue la stessa posizione: «io Àbito» → «loro Àbitano» — non «a-bi-TA-no» «io co-MÙ-ni-co» → «loro co-MÙ-ni-ca-no» — non «co-mu-ni-CA-no» «io DÌ-men-ti-co» → «loro DÌ-men-ti-ca-no» — non «di-men-ti-CA-no» Poiché in italiano non si scrive l'accento grafico su queste parole, non esiste una regola visiva di supporto. L'unico modo per interiorizzare questi accenti è ascoltare tanto italiano e abituare l'orecchio nel tempo. Errore 2: La Lettera Z — Due Suoni in una Sola Lettera La lettera Z è la più imprevedibile dell'alfabeto italiano: può avere due suoni completamente diversi. Z "dura": è la combinazione TS pronunciata in modo fuso, rapidamente — come se T e S diventassero un suono unico. Le corde vocali non vibrano. Z "morbida": è la combinazione DZ pronunciata in modo fuso. Qui le corde vocali vibrano. Per distinguerle, si può appoggiare la mano alla gola: con la Z "morbida" si sente una vibrazione, con la Z "dura" no. È la stessa differenza che esiste tra F (nessuna vibrazione) e V (vibrazione). Esempi con la Z "Dura" (TS fusi) «pizza» → pi-TZa «stazione» → sta-TZIO-ne «grazie» → GRA-tzie «silenzio» → si-LEN-tzio «pazienza» → pa-TZIEN-tza Esempi con la Z "Morbida" (DZ fusi) «zaino» → DZai-no «zero» → DZe-ro «mezzo» → MED-dzo «realizzare» → rea-li-DZZA-re «zona» → DZO-na Regole Utili per Orientarsi Quando la Z è all'inizio di parola, nella maggior parte dei casi è Z "morbida": «zero, zona, zaino, zucchero, zio». Il suffisso -zione vuole sempre la Z "dura": «situazione, conversazione, attenzione, nazione». La sequenza Z + I + vocale vuole la Z "dura": «grazie, pulizia, agenzia, silenzio, anziano». Il suffisso -izzare e tutte le sue forme coniugate vogliono la Z "morbida": «realizzare → io realizzo, lui realizza, loro realizzano» — Z "morbida" in tutte le forme. Eccezione importante: la parola «azienda» sembra seguire la regola della sequenza Z+I+vocale — e quindi dovrebbe avere la Z "dura". Invece no: azienda ha la Z "morbida" → a-DZIEN-da. È un'eccezione da memorizzare a parte. Curiosità: moltissimi stranieri pronunciano «pizza» con la Z "morbida", come «pi-DDZA». La pronuncia corretta è invece «pi-TTZA», con la Z "dura". Anche la parola più famosa d'Italia viene pronunciata male nel mondo intero. Errore 3: Le Lettere che Si Scrivono ma Non Si Pronunciano Uno degli aspetti più insidiosi dell'italiano è la presenza di lettere che si scrivono ma sono completamente mute. Molti studenti le pronunciano perché le vedono scritte — ma si tratta di un errore. I Gruppi CIA/CIO/CIU e GIA/GIO/GIU Nei gruppi CIA, CIO, CIU e GIA, GIO, GIU, la I non si pronuncia. La sua unica funzione è segnalare che la C o la G si pronunciano con suono morbido — come la CH di «cheese» o la J di «jump» in inglese. La I è solo un segnale visivo. «ciao» → si pronuncia CHAO — la I non si sente «cioccolato» → CIOC-co-la-to, con suono morbido CH — I muta «giacca» → JAC-ca — I muta «gioco» → JO-co — I muta «Giovanni» → Jo-VAN-ni — I muta Il Gruppo SCIA/SCIO/SCIU Stesso discorso per SCIA, SCIO, SCIU: la I è muta e serve solo a far pronunciare SC con il suono SH — come «she» o «shower» in inglese. «sciarpa» → SHAR-pa — la I non si pronuncia «sciocco» → SHOC-co — I muta «asciugare» → a-SHU-ga-re — I muta Le I "Storiche" — il Caso Più Insidioso In alcune parole la I si scrive per ragioni storiche: nella parola latina originale si pronunciava, ma in italiano moderno è completamente muta. Non esiste una regola visiva di supporto — bisogna semplicemente saperlo. «scienza» → si pronuncia SHÈN-tza, non SHIÈN-tza — la I non si sente «coscienza» → co-SHÈN-tza — I muta «società» → so-che-TÀ — I muta «igiene» → i-JÈ-ne — I muta «specie» → SPÈ-che — I muta Curiosità: la parola «conoscenza» non ha nessuna I, eppure si pronuncia esattamente come la parte finale di «coscienza». Questo dimostra che quella I in «coscienza» è inutile dal punto di vista della pronuncia — esiste solo per ragioni storiche. Un Caso Speciale: i Plurali in -CIE e -GIE Il plurale di «camicia» è «camicie» — con la I. Quello di «valigia» è «valigie» — ancora con la I. Questa I si pronuncia? No, è muta anche qui. Ma allora perché si scrive? Per una regola ortografica precisa: si scrive la I se la sillaba precedente finisce per vocale. «va-LI-gia» → la sillaba -li- finisce per vocale → plurale: «va-LI-gie» (I scritta, ma muta) «ca-MI-cia» → la sillaba -mi- finisce per vocale → plurale: «ca-MI-cie» (I scritta, ma muta) «a-RAN-cia» → la sillaba -ran- finisce per consonante → plurale: «a-RAN-ce» (senza I) «TOR-cia» → la sillaba -tor- finisce per consonante → plurale: «TOR-ce» (senza I) Questa regola riguarda solo la scrittura, non la pronuncia — ma è utile anche per evitare errori ortografici. Errore 4: I Gruppi GL e GN — Suoni che Non Esistono in Molte Lingue Il Gruppo "GLI" Il gruppo GLI non si pronuncia come G + L + I separatamente: è un unico suono prodotto con la lingua premuta contro il palato. A seconda della propria lingua madre, si può avvicinare a questo suono in modi diversi: Spagnolo castigliano: simile alla LL di «llegar» o «llamar» Portoghese: simile alla LH di «filho» Inglese: il suono centrale di «million» — quel «ly» nel mezzo è molto vicino al GLI italiano Esempi pratici: «figlio» → fi-LYO (lingua sul palato) «famiglia» → fa-MI-lya «aglio» → A-lyo «voglio» → VO-lyo «meglio» → ME-lyo Errore comune: molti pronunciano «figlio» separando le lettere — «fig-lio», con G e L distinte. Il suono deve essere invece unico e fluido. Il Gruppo "GN" Anche GN è un suono unico. Per avvicinarsi a questo suono a partire da diverse lingue: Spagnolo: identico alla Ñ di «mañana» Francese: come la GN di «champagne» Inglese: il suono «ny» nel mezzo di «canyon» Esempi pratici: «gnocchi» → NYOc-chi «bagno» → BA-nyo «signore» → si-NYO-re «cognome» → co-NYO-me «montagna» → mon-TA-nya GN è sempre un suono solo — mai G + N separati. Errore 5: Le Consonanti Doppie In molte lingue, come l'inglese, le lettere doppie si scrivono ma non cambiano il suono. In italiano invece la doppia allunga fisicamente il suono della consonante — e questo non è solo una questione fonetica: la doppia può cambiare completamente il significato della parola. SingolaSignificatoDoppiaSignificatonononumero ordinale 9°nonnopadre del proprio padrepenatristezza, dolorepennastrumento per scriveresetevoglia di beresetteil numero 7caroamato, o costosocarroveicolo trainato da animalicapelloun singolo pelo della testacappellocopricapo La doppia si pronuncia semplicemente allungando il suono della consonante — come se ci fosse una piccola pressione su quella consonante prima di continuare: «pena» → N normale | «penna» → N allungata: pen...na «sete» → T normale | «sette» → T allungata: set...te «caro» → R normale | «carro» → R allungata: car...ro Nota: quando gli italiani parlano velocemente, le doppie si sentono meno. Questo può rendere difficile riconoscerle all'ascolto. Nel parlare, però, è sempre meglio pronunciarle con chiarezza: un madrelingua preferirà sentirle leggermente esagerate piuttosto che non sentirle affatto. Domande Frequenti Come Faccio a Sapere Dove Cade l'Accento nella Terza Persona Plurale? Il modo più efficace è pensare alla prima persona singolare (io): l'accento cade nella stessa posizione. Per esempio, se si sa che si dice «io PARlo», si può dedurre che la forma corretta è «loro PARlano» e non «loro parLAno». Per i verbi meno comuni, l'unica strategia affidabile è ascoltare tanto italiano parlato. Esiste una Regola per Distinguere la Z "Dura" dalla Z "Morbida"? Sì, esistono alcune indicazioni utili: la Z all'inizio di parola è quasi sempre "morbida"; il suffisso -zione vuole sempre la Z "dura"; la sequenza Z+I+vocale vuole la Z "dura"; il suffisso -izzare e tutte le sue forme vogliono la Z "morbida". Fanno eccezione alcune parole come «azienda», che va memorizzata a parte. Perché Alcune I Si Scrivono ma Non Si Pronunciano? Per due motivi diversi. In alcuni casi — come in «ciao» o «gioco» — la I serve come segnale visivo per indicare che la C o la G si pronunciano con suono morbido....
Review các phim ra rạp từ ngày 27/06/2026:SUPERGIRL – T13Đạo diễn: Craig GillespieDiễn viên: Milly Alcock, Matthias Schoenaerts, Thể loại: Hành Động, Phiêu Lưu“Supergirl” – bom tấn mới nhất từ DC Studios – sẽ chính thức đổ bộ các rạp chiếu toàn cầu vào mùa hè này, với Milly Alcock đảm nhận vai kép Supergirl/Kara Zor-El. Khi một kẻ thù bất ngờ và tàn nhẫn giáng đòn ngay tại nơi cô gọi là nhà, Kara Zor-El – hay còn được biết đến với cái tên Supergirl – buộc phải bắt tay với một đồng minh không ai ngờ tới, bắt đầu chuyến hành trình xuyên dải ngân hà đầy sử thi, nơi vừa là cuộc trả thù, vừa là hành trình đi tìm công lý.BACKROOMS: THỰC THỂ QUỶ QUYỆT – T16Đạo diễn: Kane ParsonsDiễn viên: Chiwetel Ejiofor, Renate Reinsve, Mark DuplassThể loại: Hồi hộp, Khoa Học Viễn Tưởng, Kinh DịPhim điện ảnh Backrooms (2026) (do hãng A24 sản xuất) theo chân Clark (Chiwetel Ejiofor), một chủ cửa hàng nội thất, vô tình phát hiện cánh cửa bí ẩn dưới tầng hầm. Bước qua đó, anh bị cuốn vào một chiều không gian vô tận với những căn phòng màu vàng méo mó, liên tục lặp lại. Khi Clark ngày càng lún sâu và ám ảnh, nhà trị liệu tâm lý của anh là Mary (Renate Reinsve) quyết định bước vào không gian đó để tìm và giải cứu anh.MINH HÔN TRONG LỒNG BƯỚM – T16Đạo diễn: Hạo Hàn - Vương TriếtDiễn viên: Lý Mộng, Khương Trác Quân, Lưu Tư Vỹ, Chu Triết, Vương NinhThể loại: Hồi hộp, Kinh DịBiệt thự nhà họ Lục, hay còn gọi là Điệp phủ, từ lâu nổi tiếng là một căn nhà ma ám đầy bí ẩn. Sau khi Lý Hàm – một nữ chuyên viên vật lý trị liệu – cùng gã đàn ông tham lam A Vỹ chuyển đến đây, hàng loạt hiện tượng kinh hoàng liên tiếp xảy ra, kéo theo những bí mật đen tối của gia tộc họ Lục dần bị phơi bày.LINH MIÊU BÁO THÙ – T16Đạo diễn: Anuwat ThanomrodDiễn viên: Anna Glucks, Indy Intad Leowrakwong, Thể loại: Kinh DịSara and her boyfriend Dean, who bring together a group of friends from the cat lovers' club, Big and Mol, to help search for Candy, a friend of the group who disappeared without a trace after travelling alone to the village of Black Cat Cliff three years ago, at the request of Ken, Candy's younger brother.TUNG HOÀNH TỨ HẢI – T16Đạo diễn: JOHN WOODiễn viên: CHOW YUN FAT, LESLIE CHEUNG, CHERIE CHUNG, KENNETH TSANGThể loại: Hài, Hành ĐộngDưới bàn tay nhào nặn của đạo diễn Ngô Vũ Sâm (người đứng sau siêu phẩm Face/Off), bộ phim là một cuộc phiêu lưu hài hước, kịch tính với nhịp độ nhanh, xoay quanh bộ ba siêu trộm đầy liều lĩnh. Tung hoành tứ hải (Once a Thief - 1991) kể về ba đứa trẻ mồ côi: A Hải (Châu Nhuận Phát), A Chiêm (Trương Quốc Vinh), Hồng Đậu (Chung Sở Hồng). Cả ba được một tên siêu trộm nhận nuôi dưỡng (Tăng Giang) và đào tạo thành những tên trộm khét tiếng nhất Hong Kong. Họ cùng nhau tạo nên một phi vụ "đánh cắp bức tranh nghệ thuật bị nguyền rủa ở Pháp" đầy ngẫu hứng và kịch tính.LIÊU TRAI LAN NHƯỢC TỰ - T16Đạo diễn: Yuemei Cui, Heyu Huang, Yilin LiuThể loại: Hoạt HìnhSiêu phẩm thứ 10 với kỹ xảo tuyệt đỉnh từ nhà sản xuất Light Chaser làm sống dậy tuyển tập truyện kỳ ảo Liêu Trai Chí Dị của tác giả Bồ Tùng Linh. Những câu chuyện siêu thực đầy cảm động về chữ “Tình” cách biệt cõi âm dương, mối duyên người và yêu đầy day dứt sẽ được thể hiện sống động qua nét vẽ uyển chuyển và sống động. 3 câu chuyện được làm mới hoàn toàn: Họa Bì, Nhiếp Tiểu Thiến, Cô Nương Họ Lỗ sẽ khiến khán giả ngây ngất trong thế giới huyền ảo của Liêu Trai: Lan Nhược Tự.BANG DREAM- ITS MYGO PHẦN 1: MÈO HOANG GIỮA ÁNH NẮNG XUÂNSau sự tan rã của ban nhạc CRYCHIC, những cảm xúc còn dang dở vẫn đeo bám các thành viên cũ. Khi nữ sinh chuyển trường Anon gặp Tomori - cô gái luôn gặp khó khăn trong việc bày tỏ bản thân - một hành trình mới dần bắt đầu. Từ những con người mang theo tổn thương, hiểu lầm và cảm giác lạc lõng, câu chuyện về ban nhạc MyGO!!!!! từng bước được viết nên.-----------------------------------#8saigon #reviewphimrap #backrooms22026 #supergirl2026 #tunghoanhtuhai
Send us Fan MailMost people think of the menstrual cycle as bleeding, cramps, cycle day one, or an app prediction. But the period is really the final report — not the main event.In this episode of Taco Bout Fertility Tuesday, Dr. Mark Amols explains the menstrual cycle from the ovary's point of view. Learn how the brain, ovary, and uterus communicate each month, why one follicle becomes dominant, why IVF does not “use up” future eggs, and why so many common menstrual-cycle myths fall apart once you understand the science.We cover myths like whether ovaries take turns, whether one ovary means ovulating every other month, whether bleeding always means ovulation, whether cycle apps really know when you ovulate, and whether everyone needs to wait three months after a miscarriage before trying again.The menstrual cycle is not a calendar, an app prediction, or a right-left ovary schedule. It is a hormone conversation between the brain, ovary, and uterus.Thanks for tuning in to another episode of 'Taco Bout Fertility Tuesday' with Dr. Mark Amols. If you found this episode insightful, please share it with friends and family who might benefit from our discussion. Remember, your feedback is invaluable to us – leave us a review on Apple Podcasts, Spotify, or your preferred listening platform.Stay connected with us for updates and fertility tips – follow us on Facebook. For more resources and information, visit our website at www.NewDirectionFertility.com.Have a question or a topic you'd like us to cover? We'd love to hear from you! Reach out to us at TBFT@NewDirectionFertility.com.Join us next Tuesday for more discussions on fertility, where we blend medical expertise with a touch of humor to make complex topics accessible and engaging. Until then, keep the conversation going and remember: understanding your fertility is a journey we're on together.
If your doctor has ever told you, "Your labs look normal," while you're struggling with exhaustion, brain fog, weight gain, anxiety, poor sleep, or hot flashes, this episode is for you.Millions of women navigating perimenopause and menopause are told their symptoms are simply part of aging. But what if there was more to the story?In this podcast, we sit down with Jackie Roberts, a midlife health educator with more than 30 years of experience in laboratory medicine and the pharmaceutical industry, to uncover why so many women feel unheard, misunderstood, and left searching for answers during the menopause transition.Together, we explore why hormone symptoms are often treated one at a time instead of looking at the bigger picture. Jackie explains how the Women's Health Initiative (WHI) changed the conversation around hormone replacement therapy (HRT), what we've learned since that landmark study, and the important differences between synthetic hormones and bioidentical progesterone. Most importantly, she shares how women can have informed, personalized conversations with their healthcare providers instead of accepting, "You're just getting older," as the final answer.We also take a practical deep dive into menopause hormone testing and discuss:• The hormone labs that may help tell the bigger story, including FSH, LH, estradiol, progesterone, and testosterone • Why timing your lab work during your cycle can make a significant difference • Additional labs that may help rule out other conditions, including thyroid function, iron, ferritin, prolactin, A1C, and glucose • How chronic stress, cortisol, inflammation, and body composition affect your health after 40 • Why strength training, adequate protein, and lifestyle habits become increasingly important during midlife • The powerful role that community, emotional support, and spiritual wellness play in thriving—not just surviving—through menopauseWhether you're in perimenopause, menopause, or postmenopause, this conversation will leave you with practical questions to ask, greater confidence when talking with your healthcare provider, and a deeper understanding of what your body may be trying to tell you.If you're ready to stop guessing and start advocating for your health, press play today.If you enjoyed this episode, please subscribe, leave a review, and share it with a woman who deserves to know she's not imagining her symptoms—and she's certainly not alone.BioI bridge the gap between science and spirit in menopause care. With 30+ years in Laboratory Medicine and pharmaceuticals, including Hormone Replacement Therapy, and a background in award-winning coaching leadership, I help women stop fighting their bodies and start working with them. After navigating my own menopause challenges, I now guide women to restore strength, clarity, and connection—physically, mentally, and spiritually.Social Media InstagramFacebookSubstackYouTubeWebsiteMenopause Strength ResetPlease Patronize Our Sponsors Healthy aging starts from the inside out. Great Lakes Wellness Collagen is made with clean, grass-fed collagen peptides that are iGen Non-GMO tested, dissolve effortlessly in hot or cold liquids, and fit seamlessly into your daily routine. I personally use it to support healthy skin, stronger hair, joint comfort, and gut health. If you're looking for a simple way to nourish your body after 40, this is one of my favorite daily wellness essentials.Learn more by clicking here. Special Discount Code: VIBEWELLNESSWOMANIf you're curious about supporting your metabolism naturally, check out Ora Organic's GLP-1 Up. It's a plant-based supplement formulated with four clinically studied botanical ingredients that help support your body's natural GLP-1 production, healthy blood sugar response, appetite regulation, and energy balance.CLICK HERE FOR MORE INFORMATIONIf you are ready to try natural HRT check out VITAFEM - A doctor-formulated menopause supplement built for all 5 hormones. CLICK HERE FOR MORE INFORMATION
Tiểu thuyết "Con hoang" của Lê Hồng Nguyên gây ấn tượng mạnh bằng câu chuyện giàu cảm xúc về thân phận đứa trẻ ngoài giá thú và bi kịch gia đình nông thôn qua nhiều thế hệ. Bằng lối kể chân thực, trữ tình, tác phẩm khắc họa sâu sắc nỗi đau của những con người bị định kiến xã hội chà đạp, từ đó gửi gắm thông điệp nhân văn về lòng nhân ái, sự cảm thông và khát vọng hạnh phúc.
VOV1 - Nửa đầu năm 2026, XK thủy sản Việt Nam ước đạt 5,7 tỷ USD, tăng 11% so với cùng kỳ năm 2025. Kết quả này cho tín hiệu tích cực trong bối cảnh kinh tế thế giới còn nhiều biến động, sức mua tại một số thị trường lớn phục hồi chậm, chi phí đầu vào và các yêu cầu tuân thủ ngày càng khắt khe hơn.Trong nửa đầu năm 2026, hoạt động thương mại quốc tế ghi nhận cán cân thương mại nhập siêu gần 17 tỷ USD, mặc dù xuất khẩu tiếp tục tăng trưởng mạnh mẽ ở mức 2 con số. Việc các ngành hàng trong nước vừa tăng trưởng xuất khẩu, vừa có thặng dư thương mại mang nhiều ý nghĩa, góp phần quan trọng giúp cân bằng cán cân thương mại, bảo đảm các cân đối lớn của nền kinh tế. Xuất khẩu thuỷ sản là một trong những điểm sáng như vậy.PV Nguyên Long phỏng vấn bà Lê Hằng - Phó Tổng Thư ký Hiệp hội Chế biến và Xuất khẩu Thủy sản Việt Nam (VASEP) về kết quả 6 tháng đầu năm và những nhiệm vụ đặt ra trong 6 tháng cuối năm nhằm đạt mục tiêu về đích 12 tỷ USD kim ngạch xuất khẩu và duy trì cán cân thương mại xuất siêu cả năm 2026
Fertility Docs Uncensored Today's episode of Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In this episode, Understanding Decreased Ovarian Reserve, the doctors take a deep dive into what decreased ovarian reserve means and how it can impact fertility treatment and family-building decisions. The episode begins with a discussion of how ovarian reserve is evaluated and why several different tests are used together to provide a more complete picture. The docs explain the roles of follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol levels, anti-Müllerian hormone (AMH), and antral follicle count (AFC), and how these factors interact in assessing a woman's remaining egg supply. The hosts then define decreased ovarian reserve and discuss factors that may increase a woman's risk, including smoking, prior chemotherapy exposure, and inherited conditions such as Fragile X premutation's. The conversation also focuses on treatment options and why fertility specialists often recommend a more proactive approach for patients with decreased ovarian reserve. The doctors explain that a lower egg count does not always mean poor egg quality, particularly in younger women, but it can mean that time is an important factor. They review treatment strategies ranging from ovulation induction and intrauterine insemination (IUI) to in vitro fertilization (IVF), and discuss realistic expectations for IVF outcomes. While patients with decreased ovarian reserve may produce fewer eggs during treatment, many can still achieve successful pregnancies with appropriate care and individualized treatment plans. This episode is sponsored by IVF Florida.
VOV1 - Mục tiêu của TP.HCM là đến năm 2030 có 281.000 căn nhà ở xã hội và nhà ở cho thuê. Tuy nhiên, rất ít doanh nghiệp tham gia các dự án này vì khó khăn về vốn, quỹ đất, lợi nhuận rất thấp và thu hồi vốn chậm. Ông Lê Hữu Nghĩa, Tổng Giám đốc Công ty TNHH Thương mại và Xây dựng Lê Thành phân tích: Làm nhà ở xã hội theo quy định thì lợi nhuận chỉ 10%. Trong khi đó, để triển khai được một dự án, thời gian làm thủ tục và xây dựng nhanh nhất cũng phải mất 5 năm, chia ra lợi nhuận mỗi năm chỉ có 2%. Vì vậy, doanh nghiệp không mặn mà với phân khúc này. Ông Lê Hữu Nghĩa kiến nghị:“Tôi cho rằng Nhà nước nên bỏ ngân sách lớn để hỗ trợ doanh nghiệp. Cách thứ nhất là cho doanh nghiệp vay trực tiếp từ các ngân hàng và Ngân hàng Nhà nước tái bù. Ví dụ doanh nghiệp vay lãi suất 8%, doanh nghiệp chỉ trả 4%, nhà nước tái cấp bù 4%. Cách thứ hai là ngân hàng cho doanh nghiệp vay với lãi suất thấp, sau đó ngân hàng đem hợp đồng đã cho doanh nghiệp vay đến Ngân hàng Nhà nước để được vay lại tương đương với số tiền và lãi suất mà ngân hàng đã cho doanh nghiệp vay.” - Khối ngoại bán ròng gần 53.000 tỷ đồng từ đầu năm.- Phiên giao dịch hôm qua, thị trường tăng điểm với thanh khoản thấp kỷ lục.
Fertility Friday Radio | Fertility Awareness for Pregnancy and Hormone-free birth control
In episode 631, Lisa explores luteinized unruptured follicle syndrome (LUFS) — a lesser-known ovulatory dysfunction in which the dominant follicle fails to rupture and release the egg despite a normal-appearing LH surge and progesterone rise. Because LUFS can mimic a textbook ovulatory cycle on a fertility awareness chart, it represents one of the more challenging silent contributors to unexplained infertility that practitioners may encounter in clinical practice. This episode offers fertility awareness practitioners essential clinical context for supporting clients with apparently ovulatory charts who continue to face unexplained fertility challenges. Follow this link to view the full show notes page! This episode is sponsored by Lisa's new book Real Food for Fertility, co-authored with Lily Nichols! Grab your copy here! Would you prefer to listen to the audiobook version of Real Food for Fertility instead?
Get personalized root-cause care with Empower Functional Health.Learn more at empowerfunctionalhealth.com_____PCOS has a new name: PMOS, or Polyendocrine Metabolic Ovarian Syndrome. The shift matters because PCOS was never really just about “cysts” on the ovaries. It has always been a broader endocrine and metabolic condition that can affect periods, ovulation, androgen hormones, insulin signaling, skin, mood, and long-term cardiometabolic risk.In this short solo episode, I break down why the name is changing, what PMOS means, how diagnosis works, and why symptoms like irregular periods may be less random than they seem. I also touch on the deeper question: could some cases of PMOS be an early warning sign of broader inflammatory or biotoxin-driven dysfunction, including CIRS?PCOS has a new name; symptoms and diagnosisPCOS and CarnivoreCauses of PCOS (PMOS)Insulin resistanceLoss of period, androgen hormones, LH, SHBGEndocrine disruptorsPMOS and low moodPMOS is CIRS?_____EPISODE REFERENCESPCOS in Lancet Complete Wellness PanelTest CIRS: (start here)What is CIRSCAC Founder interview on Pre Pre Diabetes Personalized Health Plan (symptoms)_____WEEKLY NEWSLETTER
Discover why hormones are off and what's really driving the imbalance. In this episode, we break down five root causes — from gut dysfunction and disrupted sleep to chronic stress, appetite dysregulation, and omega-3 deficiency — and walk through what you can actually do to fix it. FEATURED PRODUCT Berberine is a powerful botanical compound that acts as a natural GLP-1 supporter — the same metabolic pathway targeted by medications like Ozempic — helping regulate blood sugar, reduce insulin resistance, and restore appetite signaling from the gut. Since metabolic hormones like insulin and leptin are the first to derail your entire hormone cascade, Berberine directly addresses one of the deepest root causes discussed in this episode. It also supports gut microbiome diversity, making it a foundational tool for anyone working to reclaim hormonal balance naturally.
Bài của Chị Julianne Holt-Lunstad, Giáo Sư Tâm Lý Học trường Brigham Young University, Utah, Hoa Kỳ Tất cả chúng ta có thể sẽ có những lúc cảm thấy cô đơn. Đôi khi cảm giác cô đơn có thể thực sự lành mạnh và hữu ích, khi nó là một tín hiệu sinh học cho […] The post Podcast số 575 – Liahona tháng 9, 2024 – Không Còn Cô Đơn Nữa: 7 Cách để Kết Nối – Julianne Holt-Lunstad appeared first on Thánh Hữu Việt Nam.
She had a baby. Then her cycle disappeared — and nobody told her what that actually meant, or when it might come back, or whether she could get pregnant again before it did. Rose McKenzie has spent over a decade helping women understand their hormones in the moments when they feel most invisible: irregular cycles, postpartum, perimenopause. And she'll tell you plainly — the postpartum body is not a mystery. It's a system coming back online. The problem is nobody's watching the data.Rose is the clinical manager at Mira and a natural family planning practitioner with more than 10 years of experience helping women use hormone tracking not just for fertility, but for whole-body health awareness. Today she joins Dr. Susan Fox for a conversation about what's actually happening to your hormones after birth — and why tracking them postpartum is one of the most informed things a new mother can do, whether she wants to conceive again, avoid conceiving, or simply understand her own body.You'll learn why your hormones don't flip back on like a light switch after birth — and what the slow train analogy actually tells us about your return to cycling, why ovulation can return as early as eight weeks postpartum even while breastfeeding — and why that matters more than whether your period has come back, what the Lactational Amenorrhea Method (LAM) actually requires — and why almost everyone gets "kicked out" of it sooner than they expect, why a positive LH surge is not confirmation of ovulation — and what progesterone has to do with it, what "cycle wonky" means and why your first one to four cycles back are not your baseline, what the teeter-totter between prolactin and the body's drive to ovulate looks like on a hormone chart, how intentionally disrupting your nursing pattern — carefully and with support — can help jump-start ovulation for those trying to conceive while still breastfeeding, why tracking postpartum hormones led to two PCOS diagnoses that conventional medicine would have missed entirely, what Mira actually measures and why an LH strip alone doesn't give you the full picture, and why Mira is data — not a diagnosis, not a treatment plan, and not a standalone method for avoiding pregnancy. This episode is for you if you've just had a baby and have no idea when your hormones will return or what "normal" even looks like right now, you're breastfeeding and want to understand whether pregnancy is actually possible for you right now, you want to conceive again and aren't sure if your body is hormonally ready, you've been assuming your period has to come back before ovulation does, you're curious about natural family planning and want to understand how hormone tracking fits into it, or you want to stop floating around postpartum and start actually knowing what your body is doing. Support your fertility journey with Preconception Plan at Health Youniversity. Learn more here: https://healthyouniversity.co/programs
VOV1 - Chiều nay (22/5), UBND tỉnh Quảng Trị và Tổng Công ty Đường sắt Việt Nam tổ chức hội nghị ký kết biên bản ghi nhớ hợp tác giai đoạn 2026 – 2030, thống nhất và thực hiện các hoạt động quảng bá, xúc tiến du lịch.Tham dự lễ ký kết, về phía lãnh đạo tỉnh Quảng Trị có ông Lê Hồng Vinh, Phó Bí thư Tỉnh ủy, Chủ tịch UBND tỉnh cùng lãnh đạo các sở, ngành, đơn vị, địa phương của tỉnh Quảng Trị.Về phía lãnh đạo Tổng Công ty Đường sắt Việt Nam có ông Đặng Sỹ Mạnh, Chủ tịch Hội đồng thành viên Tổng Công ty Đường sắt Việt Nam.Lãnh đạo bộ, ngành, cơ quan báo chí Trung ương và lãnh đạo tỉnh Quảng Trị chứng kiến lễ ký biên bản hợp tác
Low testosterone isn't just a “male aging” issue — and your thyroid may be playing a much bigger role than you realize. In this episode of Your Thyroid Health, we explore the surprising connection between hypothyroidism and testosterone levels in both men and women.Learn how low thyroid hormone can disrupt key hormones like testosterone, LH, FSH, and SHBG, leading to symptoms like fatigue, weight gain, low libido, depression, brain fog, muscle loss, and sexual dysfunction. We also break down why many symptoms of low testosterone overlap with hypothyroidism — and why so many people are misdiagnosed or overlooked.You'll discover:How hypothyroidism affects testosterone productionWhy thyroid dysfunction can disrupt hormone balanceThe warning signs of low testosteroneWhether treating hypothyroidism can restore testosterone naturallyWhen testosterone replacement therapy may — or may not — help
[깊이 있는 경제뉴스] 1) 땅 부족한 서울.. LH연구원 “한강 위에 집 짓자” 2) 주식 거래 폭증에.. 초과 세수 수혜 받는 농어촌 - 김치형 경제뉴스 큐레이터 - 라예진 이코노미스트 기자 [친절한 경제] 금리가 오르면 왜 주가 하락을 걱정하나요 - 청취자 김다미 씨
VOV1 - Một trung tâm thí điểm quốc gia về ứng dụng robot thông minh đã khánh thành hôm 16/5 tại Hàng Châu, thủ phủ tỉnh Chiết Giang, miền Đông Trung Quốc.Trung tâm thí điểm quốc gia về ứng dụng trí tuệ nhân tạo (AI) này hiện đào tạo hơn 130 robot hoạt động trong hơn 30 kịch bản nghề, từ phục vụ ăn uống, bán lẻ không người, biểu diễn sự kiện đến kiểm tra đường dây điện, thu lượm trái cây và vận hành giếng khoan. Đây hiện là cơ sở thí điểm quốc gia duy nhất về ứng dụng AI cho robot thông minh tại Trung Quốc.Ông Hoàng Địch, trưởng nhóm Đổi mới hiệp đồng trí tuệ hiện thân tại Công ty Cung cấp điện Hàng Châu thuộc Tập đoàn Lưới điện Quốc gia Trung Quốc, cho biết:“Nhiều robot có thể hoạt động rất tốt trong phòng thí nghiệm, nhưng khi đưa ra thực địa, chúng lại mất phương hướng. Để giải quyết các khó khăn của robot thông minh trong ứng dụng thực tế, chúng tôi theo dõi lực tác dụng và sự thay đổi trọng tâm của robot theo thời gian thực, buộc nó phải học cách chủ động điều hướng. Chúng tôi huấn luyện robot hiểu thiết bị bằng cách sử dụng dữ liệu video tại chỗ, hiệu chỉnh lực thao tác và độ chính xác bằng cách thu thập dữ liệu từ các khớp và động cơ”.Công nghệ robot và chuỗi công nghiệp trí tuệ hiện thân ở Trung Quốc hiện vẫn còn khá phân mảnh trong các lĩnh vực như sức mạnh tính toán, dữ liệu, mô hình và kịch bản. Cách doanh nghiệp làm việc đơn lẻ. Nhiều đổi mới về trí tuệ hiện thân vẫn đang trong giai đoạn nghiên cứu và phát triển, thiếu môi trường thử nghiệm quy mô lớn, gây khó khăn cho việc biến nguyên mẫu thành sản phẩm. Việc thành lập cơ sở này có thể thúc đẩy sự hợp tác và phối hợp trong lĩnh vực AI.Ông Lý Hưng Đằng, Phó Tổng giám đốc Công ty TNHH Công nghệ Trung tâm Thí điểm AI Hàng Châu, nhấn mạnh trung tâm này nhằm mục đích phát triển một nền tảng thúc đẩy sự hợp tác sâu rộng với các công ty robot trên cả nước, cũng như các doanh nghiệp thượng nguồn và hạ nguồn trong chuỗi công nghiệp, để chuyển đổi lợi thế riêng thành sức mạnh tổng hợp.Sự phát triển của robot hình người đại diện cho một bước chuyển mình quan trọng của AI từ thế giới ảo sang các ứng dụng thực tế. Ở Trung Quốc, công nghệ này đang nhanh chóng chuyển từ phòng thí nghiệm sang các sản phẩm công nghiệp và đã được xác định là một ngành công nghiệp tương lai đòi hỏi tầm nhìn chiến lược trong Quy hoạch 5 năm lần thứ 15 (2026-2030) của nước này.Theo các chuyên gia, việc kết hợp giữa những đột phá công nghệ liên tục và sự hoàn thiện không ngừng của hệ sinh thái công nghiệp sẽ mở ra nhiều tiềm năng đổi mới hơn cho lĩnh vực trí tuệ hiện thân và robot./.Bích Thuận/VOV-Bắc KinhCác robot làm việc trên mô hình thu nhỏ tỷ lệ 1:1 của dây chuyền sản xuất máy tính cá nhân tại Trung tâm thí điểm ứng dụng AI quốc gia ở Hàng Châu. Ảnh: Tân Hoa xã.
The Waiting Well - Infertility, Faith-based Encouragement, Trying to Conceive, Fertility
Try Inito — the fertility tool I've personally started using as Josh and I prepare to TTC baby #3 after navigating both infertility and now secondary infertility.
Kapelu Slza proslavily písně jako Lhůta záruční či Holomráz. Na české hudební scéně září už 12 let. Její frontman Petr Lexa ale původně inklinoval k herectví.
Kapelu Slza proslavily písně jako Lhůta záruční či Holomráz. Na české hudební scéně září už 12 let. Její frontman Petr Lexa ale původně inklinoval k herectví.
No episódio de hoje do Radar Médico, Juliane B. Braziliano, endocrinologista, apresenta os principais pontos do novo posicionamento brasileiro sobre o cuidado de pacientes com hipogonadismo masculino, publicado em conjunto pela SBEM, SBU e ABEMSS.O documento reforça que o diagnóstico do hipogonadismo deve combinar sinais e sintomas clínicos compatíveis com confirmação laboratorial inequívoca de deficiência de testosterona, além de destacar critérios diagnósticos padronizados, investigação etiológica e orientações atualizadas para terapia de reposição hormonal.Tópicos abordados:• Quando investigar deficiência de testosterona• Critérios laboratoriais e interpretação da testosterona total e livre• Diferença entre hipogonadismo primário, secundário e funcional• Papel do LH, FSH, SHBG e exames complementares• Indicações e contraindicações da terapia de reposição hormonal (TRT)• Formulações recomendadas e monitoramento clínico• Obesidade, MOSH e importância das mudanças de estilo de vida
This episode is a special one. Sara Jensen, co-founder and Co-CEO of Hugh & Grace invited me to join her for a live conversation in honor of National Infertility Awareness Week and the interview was so good, I knew I had to share it with all of you here on the Egg Whisperer Show. Sara has walked the deeply personal road of unexplained infertility for 14 years, ultimately building her family through the incredible gift of surrogacy. And, she and her husband Ben and channeled that journey (and what they learned) into a company dedicated to hormone-supportive, toxin-free wellness products. Together, Sara and I unpack some of the fertility trends we both are seeing in 2026. From understanding your fertility before you're trying to conceive, to the emotional marathon of IVF, to the role environmental toxins play in hormone health, and the topic of sperm maxing and egg maxing - we tackle many of the trending topics. And, we share what it really takes to prepare your body, protect your partnership, and make empowered choices on the path to parenthood. In this episode, we cover these fertility trends from 2026: Trimester Zero: what it means to truly prepare for pregnancy, why it matters for both partners, and how men can improve sperm quality through behavioral changes The TUSHY Method: my method for getting the foundational fertility workup done (tubes, uterus, sperm, hormones, and genetics) before surprises arise Egg maxing & sperm maxing: the supplements I actually recommend (CoQ10, NAD+), what to skip, and why "more is not better" when it comes to your supplement stack At-home fertility testing tools: how to use LH tests, the Proof Complete kit, and ovulation apps like Oura accurately, and the timing mistakes that cause couples to miss their window The emotional toll of fertility treatments: how to build your fertility support team early, manage IVF-related stress, and protect your relationship throughout the process Environmental toxins and hormone health: how everyday skincare and household products can impact your hormones, and what Sara learned firsthand after 6 rounds of IVF The fertility trends no one is talking about: why biology hasn't changed even as more women over 40 are having babies, and what declining birth rates mean for all of us Resources: Hugh & Grace (hormone-supportive, toxin-free wellness products) The Egg Whisperer Show (Dr. Aimee's podcast) on Spotify Yo Sperm Test (at-home semen analysis) Fellow sperm testing kit Legacy male fertility testing Proof Complete fertility hormone test The Hermosa Study (research on chemical exposure and teens): https://cerch.berkeley.edu/research-programs/hermosa-study Oura Ring (fertility & cycle tracking): ouraring.com
We are long overdue for an updated conversation on low estrogen — and today I'm pulling it all apart. Estrogen has been villainized for far too long, and I want to change that. This isn't just about reproductive health or getting your period. Estrogen is a master communicator that touches your brain, heart, bones, gut, skin, mood, sleep, libido, and so much more. In this episode, I cover: Why low estrogen is one of the most missed and underdiagnosed issues for women between 35 and 65 The three types of estrogen (E1, E2, E3) and why estradiol matters so much beyond fertility Why estrogen often increases first in perimenopause before it eventually declines — and what that means for your symptoms The symptom clusters to pay attention to, organized by body system: Brain, mood & sleep — brain fog, anxiety, emotional flatness, rage responses, waking between 2–4am Body composition & metabolic health — belly fat shifts, muscle loss, fatigue, insulin resistance Skin, hair & connective tissue — collagen loss, hair texture changes, joint pain, frozen shoulder, ACL issues Vaginal & urinary health (GSM) — dryness, painful sex, recurring UTIs, urgency, bladder changes Cardiovascular & bone health — rising LDL, heart palpitations, hot flashes, bone density loss Gut & digestion — bloating, constipation, new food sensitivities, the estrobolome and estrogen recirculation The symptoms I personally would never ignore (waking 2–4am, joint pain without a clear cause, rapid body composition shifts, recurrent UTIs, brain fog affecting your work, heart palpitations) What to ask your doctor to test: FSH, LH, estradiol, progesterone, testosterone, full thyroid panel, fasting glucose and insulin, cholesterol, CBC, SHBG — and when functional testing like DUTCH or HTMA may be useful My thoughts on DIM, sulforaphane, calcium-d-glucarate, magnesium, adaptogens (ashwagandha, rhodiola, maca), omega-3s, creatine, collagen, and vitamin D Nutrition strategies — phytoestrogen-rich foods, cruciferous veggies, fiber, protein targets (30–40g per meal), healthy fats, and what to cut Movement priorities — why resistance training 3–4x/week is non-negotiable for bone, muscle, and metabolic health Hormone replacement therapy — what options exist, how to approach the conversation with your provider, and why your protocol will evolve over time Let's dive in! Thank you for joining us today. If you could rate, review & subscribe, it would mean the world to me! While you're at it, take a screenshot and tag me @jennpike to share on Instagram – I'll re-share that baby out to the community & once a month I'll be doing a draw from those re-shares and send the winner something special! Click here to listen: Apple Podcasts – CLICK HERESpotify – CLICK HERE This episode is sponsored by: withinUs | Use the code JENNPIKE20 at withinus.ca for a limited time to save 20% off your first order and 20% off your first subscription order St. Francis | Go to stfrancisherbfarm.com and save 15% off your all your orders with code JENNPIKE15 Eversio Wellness | Go to eversiowellness.com/discount/jennpike15 and save 15% off every order with code JENNPIKE15 /// not available for "subscribe & save" option Free Resources: Free Perimenopause Support Guide | jennpike.com/perimenopausesupport Free Blood Work Guide | jennpike.com/bloodworkguide The Simplicity Sessions Podcast | jennpike.com/podcast Get 20% on thewalkingpad.com using code "JENNPIKE20" Metabolic Guide | jennpike.com/metabolic-guide Get discounts at happybumco.com using code "JENNPIKE" *code doesn't apply with Black Friday sale* Programs: Ignite: Your 8-Week Body Transformation Program | https://jennpike.com/ignite The Peri & Menopause Project - Join the Waitlist | jennpike.com/theperimenopauseproject Synced Virtual Fitness Studio | jennpike.com/synced Services: Work With Jenn | https://jennpike.com/work-with-jenn/ Functional Testing | jennpike.com/testing-packages Business Mentorship | The Audacious Woman Mentorship: jennpike.com/theaudaciouswoman Connect with Jenn: Instagram | @jennpike Facebook | @thesimplicityproject YouTube | Simplicity TV Website | The Simplicity Project Inc. Have a question? Send it over to hello@jennpike.com and I'll do my best to share helpful insights, thoughts and advice.
Here is LH's Final Mock Draft for 2026!! Complete with odds on every single pick that is sure to hit!! Listen to win thousands of dollars!! Thanks for tuning in!! Sponsored by www.texastelehealth.com
Here is LH's Final Mock Draft for 2026!! Complete with odds on every single pick that is sure to hit!! Listen to win thousands of dollars!! Thanks for tuning in!!Sponsored by www.texastelehealth.com
Did you know that when that little test strip gives 2 lines and says ovulation has occurred.... that's not exactly what it's telling you? LH surge doesn't equal ovulation and this episode gets into that and so much more! Timing your babydancing just right, what position to do it in and so many other listener questions are addressed in today's episode. As promised, Podcast Host Heather has provided her link to join her email subscriber list and grab her top tip to conceive now! Click here: Grab my tip! TRIGGER WARNING: This show may discuss sensitive topics that are difficult for some listeners to hear. Use your own discretion. Reminder: This podcast is not intended to treat, or advise, your medical journey in anyway. Always discuss all things medical with your own medical team. Heather is a Doctor, but she's not yours. Nothing in this podcast episode constitutes health, or medical (physical or mental) advice. This podcast is for informational and educational purposes only. See full website disclaimer at https://canyoucurecancer.com/disclaimer If you'd love to hear your company's advertisement read on this podcast by Heather for Season 4, or you'd like to hear your own pre-recorded ad run during the show, email Heather to see if Sponsor space is still available. If you have topics you want covered on this podcast, email Heather at the email below. Heather's email is heather@canyoucurecancer.com Thank you for all of the listens, shares, follows and downloads! If you haven't yet, don't forget to subscribe, so you never miss an episode! Letting just one friend know about an episode that inspired you will help me immensely, while passing on the inspiration to someone you love! My listeners are the absolute best, thank you for always supporting me. Keep returning and remember to subscribe in case additional weekly episodes are added, so that you never miss a show!
This week LH improves the Browns and sends the Bears to the Super Bowl!!! Thanks for tuning in!!!Sponsored by www.texastelehealth.com
This week LH improves the Browns and sends the Bears to the Super Bowl!!! Thanks for tuning in!!! Sponsored by www.texastelehealth.com
Send us Fan MailWhat if your timing was perfect every month — great cervical mucus, a clear LH surge, a healthy luteal phase — and still no positive test? For some women, the missing piece is not ovulation at all. It is the uterine lining that receives the embryo, and whether that environment is truly ready to support implantation.In this episode of Cycle Wisdom, Dr. Monica Minjeur unpacks endometrial receptivity — what a thin uterine lining actually means, how estrogen and progesterone work together to prepare it, and the stepwise, cycle-timed plan to improve thickness, blood flow, and function without jumping straight to procedures. Through the story of Aubrey, a 33-year-old who had been told she might need IVF after a thin lining was found on ultrasound, you will see how targeted evaluation and a few key changes transformed her results within three cycles.You will learn:What endometrial thickness numbers actually mean and what to look for on ultrasoundWhich underlying causes — insulin resistance, low iron, poor estradiol response — quietly thin the liningHow to improve uterine lining through cycle-timed lifestyle, nutrient, and hormone supportIf implantation has felt like the missing piece in your fertility journey, there may be more answers available than you have been given. Learn more or schedule a free discovery call at radiantclinic.com.
This week FGH is back and LH improves the Raiders to 6 wins for next season and sends the Cowboys to the Super Bowl!!! Thanks for tuning in!! Sponsored by www.texastelehealth.com
This week FGH is back and LH improves the Raiders to 6 wins for next season and sends the Cowboys to the Super Bowl!!! Thanks for tuning in!! Sponsored by www.texastelehealth.com
FGH is back again and LH has taken on the challenge of fixing his beloved NY Jets and sending the LA Rams to the Super Bowl with this years draft!! Thanks for tuning in!! Sponsored by www.texastelehealth.com
Dr. Natalie Crawford, board-certified OB-GYN and REI, answers your fertility questions. I'm almost 35 and currently going through IVF. I have PCOS and insulin resistance and have had four early miscarriages despite normal testing and blood work. I've also had two laparoscopic surgeries for cysts, one showing mild endometriosis, and a uterine biopsy that showed no inflammation. Given this history, how successful might IVF be for us? What transfer protocol do you recommend after Lupron and letrozole suppression for positive ReceptivaDX results—modified natural or medicated—and what factors guide that decision? Can autoimmune conditions contribute to secondary infertility? I have a four-year-old but have since experienced five miscarriages and have diminished ovarian reserve. After four cycles I've only had one embryo tested and it was aneuploid, and my doctor says autoimmune testing may be the next step if endometriosis testing is negative. In a 28-day cycle, is it concerning if a positive LH surge happens around days 15–16? And when tracking cycles, do you count day one as the first day you see bleeding even if it starts midday, or the following day? I'm 35 and planning for pregnancy. What are the most important first steps I should take now to set myself up for success? Pre-order Dr. Crawford's debut book, The Fertility Formula, now! https://www.nataliecrawfordmd.com/book Want your questions answered on the next episode? Ask them here! https://www.nataliecrawfordmd.com/qa-submissions Learn more about your ad choices. Visit megaphone.fm/adchoices
Testosterone levels in 40-year-old men are 30 percent lower than their fathers, and most doctors still have no idea what to do about it. -Watch this episode on YouTube for the full video experience: https://www.youtube.com/@DaveAspreyBPR Host Dave Asprey sits down with Dr. Justin Houman, a nationally recognized urologist and Assistant Professor of Urology at Cedars-Sinai Medical Center. Fellowship-trained and specializing in men's health, male fertility, and sexual medicine, Dr. Houman combines cutting-edge medical advancements with holistic lifestyle strategies to help men optimize testosterone, sexual health, and reproductive performance at every age. Together, Dave and Dr. Houman tear through the myths, the bad science, and the outdated medical dogma around testosterone, erectile function, fertility, and male sexual health. They cover everything from why testosterone levels have collapsed in a single generation, to the real story behind the FDA black box warning, to practical protocols for men who want to optimize without sacrificing fertility. This is the masterclass on men's health that no one else is having on record. This is essential listening for anyone serious about biohacking, longevity, human performance, hormone optimization, brain optimization, anti-aging, functional medicine, mitochondria, and Smarter Not Harder approaches to male health. You'll Learn: Why testosterone levels in 40-year-old men are 30 percent lower than their fathers and what is driving the collapse How low testosterone connects to anxiety, depression, high cholesterol, blood sugar dysregulation, and all-cause mortality risk The truth about the original testosterone and heart attack study and why it still has not been retracted How to preserve fertility while on TRT using Clomid, enclomiphene, and HCG Why daily low-dose Cialis is one of the cheapest and most effective longevity drugs available What shockwave therapy, PRP, exosomes, and Botox injections actually do for erectile function How red light therapy at 660 and 850 nanometers supports testosterone production and nocturnal erections The supplement stack including ashwagandha, tongkat ali, fadogia agrestis, and creatine that supports healthy hormone levels Why porn-induced ED is epidemic in young men and how to reverse it How PT-141 and peptides fit into a complete male optimization protocol Thank you to our sponsors! Pre-order Arthur Brook's new book today at themeaningofyourlife.com. You can also see Arthur speak live at the 2026 Beyond Biohacking Conference fatty15 | Go to https://fatty15.com/dave and save an extra $15 when you subscribe with code DAVE.Establish a powerful foundation for sustained wellness with Pique. Unlock 20% off: piquelife.com/DAVE BrainTap | Go to http://braintap.com/dave to get $100 off the BrainTap Power Bundle. Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights in health, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: testosterone, low testosterone, TRT, testosterone replacement therapy, male fertility, erectile dysfunction, ED, men's health, sexual health, hormone optimization, Dave Asprey, biohacking, longevity, anti-aging, human performance, Dr. Justin Houman, Cedars-Sinai, urologist, shockwave therapy, PRP, exosomes, Botox penis, red light therapy, nitric oxide, Cialis, tadalafil, Viagra, sildenafil, PT-141, Melanotan, peptides, ashwagandha, tongkat ali, fadogia agrestis, creatine, Danger Coffee, Smarter Not Harder, Kyzatrex, clomid, enclomiphene, HCG, prolactin, cabergoline, porn-induced ED, refractory period, fertility, sperm health, spermatogenesis, FSH, LH, estrogen, aromatization, functional medicine, supplements, mitochondria, circadian rhythm, sleep optimization, cortisol, microplastics, inflammation, cardiovascular health, dementia, all-cause mortality, nocturnal erections, penile health, male optimization Resources: • Learn More About Dr. Houman's Work At: https://houmanmd.com/ • Get My 2026 Clean Nicotine Roadmap | Enroll for free at https://daveasprey.com/2026-clean-nicotine-roadmap/ • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15 • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Join My Substack (Live Access To Podcast Recordings): https://substack.daveasprey.com/ • Upgrade Labs: https://upgradelabs.com Timestamps: 00:00 – Introduction 01:15 – Low Testosterone Epidemic 04:23 – Ejaculation & Testosterone 07:30 – Refractory Period & Aging 09:58 – Porn-Induced ED 11:09 – Cabergoline & Prolactin Management 12:42 – Oral Testosterone 13:24 – Testosterone Target Levels 16:46 – Supplements for Testosterone 18:46 – Anxiety-Based ED 26:23 – Penis Enhancement Options 27:37 – Shockwave Therapy 28:57 – Cialis for Longevity 29:56 – Fat & Filler Injections 34:50 – Pre-Sex Optimization 40:13 – Red Light Therapy 42:18 – Heat & Cold for Testosterone 43:35 – Underwear & Microplastics 44:58 – Testosterone & Fertility 49:15 – HCG & Preserving Fertility 52:00 – Testosterone Dosing Timing 53:22 – Creatine & Mitochondrial Health 55:20 – Overtraining Effects 56:24 – Peptides (PT-141) 59:08 – Optimal Diet for Fertility See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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